Case Report

Aspergillus Coinfection in a Hydatid Cyst Cavity of Lung in an Immunocompetent Host: A Case Report and Review of Literature

Table 2

Comparison of published cases of concomitant pulmonary hydatid cyst and aspergilloma.

Case referencesStudy typesAge (years)/sexSymptom on presentation/immunocompetency or underlying diseaseCT findingsTreatment

Present caseCase report and literature review30/FChest pain, cough, and hemoptysis/immunocompetentWell-defined nonenhancing cystic lesion in the anterior basal segment of the right lower lobe adjacent to major fissureRight thoracotomy, cystectomy, and capitonnage

Aliyali et al. [9]Case report and systematic review, total cases = 22Mean age = 40.8/70% M75% had a symptom of hemoptysis/all immunocompetentCavitary lesion (17/22), opacified lesion (2/22), ruptured hydatid cyst (1/22), residual cystectomy cavity (1/22), no cavity (1/22)Standard lobectomy procedures (76%), thoracotomy, pneumonectomy, and cystectomy (24%)

Zareshahrabadi et al. [8]Case report42/MNA/immunocompetentCircumscribed cystic lesion in the superior and inferior segment of the lower lobes of right and left lungsRadical surgery (lobectomy)

Aala et al. [13]Case report34/FChest pain, dyspnea with nonproductive cough/immunocompetent (h/o hyperthyroidism)Subpleural consolidation with small cavitation and pleural effusion, thickening and enhancement in left lower lobeAlbendazole and oral itraconazole and thoracotomy
Liver-cystic lesion in caudate lobe of liver (33 mm)

Chopra and Katoch [32]Case report43/MProductive cough, low-grade intermittent fever, and right-sided nonpleuritic, nonanginal chest pain, and streaky hemoptysis/immunocompetentThick-walled cavity in the superior segment of the right lower lobe with an intracavitary massLobectomy of both right middle and lower lobes

Rezaei et al. [33]Case report37/FCough, chest pain, and dyspnea/immunocompetentInflammatory mass clinging to the chest wall with cavity in the anterior segment of the right upper lobeRight posterolateral thoracotomy, cystectomy, and capitonnage

Sharma et al. [34]Case report20/MEpisodic cough with mucoid expectoration which was associated with streaky hemoptysis with episodic breathlessness/immunocompetentComplex lesion of 3.8 × 2.9 cm in size in right upper lobe with eccentric air crescentTablet albendazole 10 mg/kg/day with liver function test monitoring for total duration of 12 months

Rao et al. [35]Case report55/MHemoptysis/diabeticWell-defined lesion in left lower lobe of lung with mediastinal lymphadenopathyAntifungal, anthelminthics, postero-lateral thoracotomy

Singh et al. [36]Case report43/MMild weakness, cough, dyspnea, hemoptysis, and chest pain/history of minor thalassemiaLarge cavitary lesion (5 × 6 × 6 cm) involving left lower lobe of lungSurgical excision of the cyst after a course of anthelmintic treatment

Aboksari and Safavi [37]Case report10/MChest pain, low-grade fever, nonproductive cough, and malaise/immunocompetentComplicated, ruptured cyst containing airTotal cystectomy and capitonnage
Goyal et al. [38]Case report45/MBreathlessness, hemoptysis/immunocompetentWell-defined peripherally enhancing thick-walled cystic lesion in the middle lobe of the right lungMiddle lobectomy with video-assisted thoracoscopic surgery (VATS)

Nayak et al. [39]Case report36/FDyspnea, chest pain, cough with sputum production, intermittent hemoptysis/immunocompetentTwo well-defined hypodense mildly enhancing lesions with smooth margins involving posterior basal and lateral basal segment of the lower lobe of the left lungAntifungal and anthelmintic agents
After 6 months-left lower lobectomy

Salazar et al. [40]Case report72/FProductive cough and recurrent episodes of massive hemoptysis, dyspnea/immunocompetentExtensive cavitary lesion with heterogeneous content in segment 3 of left upper lobeSurgical resection of lesion-multiple segmentectomy