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Pulmonary hydatid cyst in a pregnant patient causing acute respiratory failure

Author(s): Hijazi Mohammed | Al-Ansari Mariam

Journal: Annals of Thoracic Medicine
ISSN 1817-1737

Volume: 2;
Issue: 2;
Start page: 66;
Date: 2007;
Original page

Keywords: Critical illness | pregnancy | pulmonary hydatid | tuberculosis

A 21-year-old primigravida, at 32 weeks of gestation, presented with acute onset of respiratory failure and circulatory shock. Chest imaging showed findings suggestive of ruptured hydatid cyst, which was confirmed by histology post-thoracotomy. Tissue cultures from the removed cyst grew Mycobacterium tuberculosis also. She was successfully managed in the intensive care unit and was then discharged home on antituberculosis medications in addition to albendazole after prolonged hospitalization and a need for chest tube for bronchopleural fistula. Acute respiratory failure and anaphylactic shock secondary to ruptured pulmonary hydatid cyst and superimposed pulmonary tuberculosis in a pregnant lady should be considered in patients living in endemic areas.
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