{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:52Z","timestamp":1756339552889,"version":"3.44.0"},"reference-count":26,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,11,17]]},"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>Echinococcosis or human hydatid disease is a helminthic infection is caused by <jats:italic>Echinococcus<\/jats:italic> species. Classically, cystic echinococcosis is caused by <jats:italic>Echinococcus granulosus sensu stricto<\/jats:italic>, <jats:italic>E. equinus<\/jats:italic>, <jats:italic>E. ortleppi<\/jats:italic> and <jats:italic>E. canadensis,<\/jats:italic> though several other species have been implicated in hydatid disease. Echinococcus infection may lead to cystic disease of the liver, lungs and potentially other organs. Here we present a patient who had cystic disease of the lungs and liver. The patient initially experienced right upper quadrant pain and nausea, and later went on to develop a fever, cough and dyspnoea in the setting of hydropneumothorax. CT scan of the chest and abdomen revealed a large fluid collection at the left lung base and a large lobular complex fluid mass within the right lobe of the liver. Echinococcus titres were positive. The patient was commenced on albendazole; however, experienced significant derangement of liver enzymes within the following month. In light of this, the albendazole was ceased, and a hemi-hepatectomy was performed. During the hemi-hepatectomy there was some cyst content spillage, and subsequently a washout with hypertonic saline 3% was performed. This was followed by a course of praziquantel 1200 mg two times per day for 14 days. Repeat CT 6 months later demonstrated no evidence of recurrence.<\/jats:p>","DOI":"10.1136\/bcr-2020-238390","type":"journal-article","created":{"date-parts":[[2021,1,18]],"date-time":"2021-01-18T12:16:40Z","timestamp":1610972200000},"page":"e238390","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Hydatid disease, hepatic injury and hypertonic saline: a clinical conundrum"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5218-680X","authenticated-orcid":false,"given":"Angus","family":"Lane","sequence":"first","affiliation":[{"name":"Royal Brisbane and Women's Hospital, Herston, Queensland, Australia"},{"name":"Department of Infectious Diseases, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hugh","family":"Wright","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,1,18]]},"reference":[{"key":"2025082710340625000_14.1.e238390.1","unstructured":"Paw\u0142owski ZS EJ , Vuitton DA , et al . WHO\/OIE manual on echinococcosis in humans and animals. 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Cestodes (tapeworms). In: Mandell JB GM , Dolin R , eds. Mandell, Douglas and Bennett\u2019s principles and practice of infectious diseases. 7 edn. 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