title: Hepatic and pulmonary cystic echinococcosis in a patient from the Central African Republic.
abstract: Apical lung opacity was diagnosed in an asymptomatic 30 year-old woman native of Central African Republic by routine chest X-ray. CT scan demonstrated an excavated pulmonary mass and revealed a simple hepatic cyst. Tuberculosis was suspected but mycobacterial cultures remained negative. Three months later, ultrasonography showed septations within the hepatic lesion suggestive of cystic echinococcosis. The detection of seric anti-Echinococcus antibodies was positive. Hepatic and pulmonary cysts were removed surgically and association with three-month course of albendazole resulted in a favorable outcome. Cystic echinococcosis is exceptional in Central Africa and to our knowledge never reported from the Central African Republic.
authors.affiliation: Department of Parasitology, Hôpital Saint-Antoine, Paris, France. michel.develoux@sat.aphp.fr
authors.forename: Michel
authors.initials: M
authors.lastname: Develoux
authors.forename: Adela
authors.initials: A
authors.lastname: Enache-Angoulvant
authors.forename: Valerie
authors.initials: V
authors.lastname: Gounant
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Brian
authors.forename: Antoine
authors.initials: A
authors.lastname: Khalil
authors.forename: Bernard
authors.initials: B
authors.lastname: Bazelly
authors.forename: Christophe
authors.initials: C
authors.lastname: Hennequin
mesh_terms: D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D000818:Animals; D000923:Anticestodal Agents / Q000627:therapeutic use; D002488:Central African Republic; D003937:Diagnosis, Differential; D004444:Echinococcosis, Hepatic / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D004445:Echinococcosis, Pulmonary / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D048209:Echinococcus granulosus / Q000302:isolation & purification; D005260:Female; D006801:Humans; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed; D014376:Tuberculosis; D014463:Ultrasonography
chemical_list: D000923:Anticestodal Agents; D015766:Albendazole