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VOLUME 60 , ISSUE 2 ( April-June, 2018 ) > List of Articles


A Rare Case of Hydatoptysis

V. Arun Raja, G. Sindhu, B. Sreevidya, Rashmi Patnayak, Vishnu Priya Bukya, S. Settipalli, S. Kadiyala, Alladi Mohan

Keywords : Echinococcosis, Lung, Hydatoptysis

Citation Information : Raja VA, Sindhu G, Sreevidya B, Patnayak R, Bukya VP, Settipalli S, Kadiyala S, Mohan A. A Rare Case of Hydatoptysis. Indian J Chest Dis Allied Sci 2018; 60 (2):83-85.

DOI: 10.5005/ijcdas-60-2-83

License: CC BY-NC 4.0

Published Online: 18-11-2022

Copyright Statement:  Copyright © 2018; The Author(s).


Hydatid disease, caused by Echinococcus granulosus usually affects liver. Pulmonary hydatidosis deserves special mention because isolated involvement of lungs is rare and patients with isolated pulmonary hydatidosis often remain asymptomatic. We report the case of a 24-year-old male who presented with vomiting, pain in the epigastric region, left upper abdomen and chest that was followed by high-grade fever of one day duration following a binge of beer drinking. Chest radiograph and computed tomography of chest revealed well defined cavitatory lesion with wall calcification and air fluid level in the lingular segment of left lung with left minimal pleural effusion. Sputum cytopathological examination revealed echinococcus hooklets. The patient was diagnosed to have ruptured hydatid cyst in lung. The present case highlights the importance of sputum cytopathological examination in confirming the diagnosis in patients with clinically suspected ruptured pulmonary hydatid cyst. This case also brings to light the uncommon occurrence of pulmonary aspergillosis along with hydatid disease of lung. This association in an immunocompetent individual has rarely been reported.

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