title: Infected hepatic Echinococcus cyst presenting as recurrent Escherichia coli empyema.
abstract: An 81-year-old man, previously a shepherd in Italy, presented with recurrent Escherichia coli empyema over an 8-month period. His empyema was caused by an infected, nonviable hepatic Echinococcus cyst that eroded the diaphragm and led to intermittent spillage and pleural seeding. This case demonstrates that when dealing with Escherichia coli empyema, a subdiaphragmatic source ought to be suspected, and among immigrants from areas with prevalent hydatid disease, infected hepatic Echinococcus cyst might rarely be the cause.
authors.affiliation: St. John Hospital and Medical Center, Detroit, Michigan 48236.
authors.forename: R
authors.initials: R
authors.lastname: Chang
authors.forename: M
authors.initials: M
authors.lastname: Higgins
authors.forename: R
authors.initials: R
authors.lastname: DiLisio
authors.forename: A
authors.initials: A
authors.lastname: Hawasli
authors.forename: L G
authors.initials: LG
authors.lastname: Camaro
authors.forename: R
authors.initials: R
authors.lastname: Khatib
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003964:Diaphragm; D004444:Echinococcosis, Hepatic / Q000150:complications* / Q000000981:diagnostic imaging; D016724:Empyema, Pleural / Q000175:diagnosis / Q000209:etiology*; D004927:Escherichia coli Infections / Q000150:complications* / Q000175:diagnosis; D005402:Fistula / Q000209:etiology; D006801:Humans; D008297:Male; D012008:Recurrence; D014057:Tomography, X-Ray Computed