• Valerios Kortzis, Georgios Athanasiou, Ioan Arghir, Simona Cambrea, Oana Arghir, and Cristina Mihai.
• Chest. 2014 Mar 1;145(3 Suppl):121A.

Session TitleInfectious Disease Case Report Posters ISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Hydatid cyst disease is caused by Echinococcus granulosus (dog tapeworm), E. multilocularis, or E. vogeli and lungs and liver are mainly involved. In Romania, the highest rate of this zoonotic disease is in Dobrogea and Ardeal (26.45%ooo).Case PresentationWe present a case of a white boy 5 year-old diagnosed with hidatid disease having multiple hydatid cysts (one in lung and two in liver). The patient lives in a rural area of Dobrogea and had contagious contact with dogs. Because all the hydatid cysts were less than 7 cm in diameter, 3 consecutive courses of antiparasitic treatment (28 days on, separated by 14 days off) with Albendazole were started. One month after ended antiparasitic treatment, the patient was admitted in our clinic for persistent cough, prolonged fever and hemoptysis.TB diagnosis and pneumonia were taken into consideration, but it was subsequently excluded. A CT examination evidenced a crack in the pulmonary hydatid cyst. After surgical excision, the evolution was good.DiscussionCough, hemoptysis and chest pain are not specific findings for pediatric hydatid disease. Complicated ruptured pulmonary hydatid cysts may mimick a nonresolving pneumonia, tuberculosis, a lung abscess or even a tumour.ConclusionsPulmonary hydatid cysts in an immunocompetent children can crack in the context of long periods of coughing.Reference #1: Morar R, Feldman C. Pulmonary Echinococcosis. Eur Respir J 2003;21:1069-77.Reference #2: Anadol D, Gocmen A, Kiper N, Ozçelik U. Hydatid Disease in Childhood: A Retrospective Analysis of 376 Cases. Pediatr Pulmonol 1998; 26: 190-196.DisclosureThe following authors have nothing to disclose: Simona Cambrea, Cristina Mihai, Ioan Arghir, Georgios Athanasiou, Valerios Kortzis, Oana ArghirNo Product/Research Disclosure Information.

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