title: Presentation of echinococcus infection as lung abscess.
abstract: A 35-year-old man presented with clinical and radiological features of lung abscess. Despite broad spectrum antibiotics for 5 weeks he remained systemically unwell. Underlying Echinococcus infection was suspected when repeat radiology of his chest showed a water lily sign, and this diagnosis was confirmed at thoracotomy. Hydatid disease may present as lung abscess and cause delay in diagnosis and appropriate therapy.
authors.affiliation: Department of Medicine, Groote Schuur Hospital, Cape Town, South Africa.
authors.forename: D C
authors.initials: DC
authors.lastname: Woolf
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004445:Echinococcosis, Pulmonary / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D006386:Hemagglutination Tests; D006801:Humans; D008297:Male; D011859:Radiography; D013908:Thoracotomy