‫‪Hydatid disease‬‬

‫‪Lung‬‬

‫مت تفريغ كالم الدكتور علي‬

‫الكايد على احملاضرة باللون‬
‫األخضر‬

‫كل الشكر للطالبة ‪ :‬أبرار‬

‫الصرايرة على جمهودها‬
 Hydatid Disease
• Echinococcus granulosus tapeworm. (liver)
• Multilocularis(lung)
- scolex ( head ) - neck – 3 proglottids
The last proglottid contains 400-800 ova.
• Liver 50-70%
• Lung 10-30%
• Right lung 60%
• Both lower lobes
• Bilateral or multiple
• The cyst increase in size 1 cm per 6months
I.H: human

D.H: dogs
 Clinical Manifestation
• Asymptomatic.
• Dull aching pain or sensation of pressure.
• Non-productive cough.
• Blood stream sputum.
Rupture “cause severe anaphylactic shock due to
absorption of foreign hydatid protein”
• Severe hypersensitivity reaction.
• Generalized rash & articaria, high fever, pulmonary congestion.
• Severe bronchospasm & dyspnea.
• Vigerous coughing & expectoration of large amount of salty sputum
( mucous, hydatid fluid, fragments of the laminated membrane –
grape skin- )
• High eosinophilia
 Diagnosis
• CXR.
• Water – lily sign. “ when the cyst completely collapsed
, the crumpled endocyst floats freely in the cyst fluid”
• CT scan.
• Eosinophilia.
• Casoni’s intradermal test 70-85%.
• Indirect haemagglutination test 70-100%.
• Serpemt sign “ the cyst empty and collapsed
membrane seen inside the cyst”
Bilateral
In the both lungs
and liver
Ruptred cyst , daughter
cyst, water appearance.
2 daughter cysts
 Treatment
• Medical :
- Binzimidazole compounds.
-Mebendazole – vermox.
- Albendazole 10mg/kg/day.
• Surgical . “lobectomy”