Respiratory Medicine CME
Volume 3, Issue 1 , Pages 29-32, 2010

Aspergilloma in a hydatid cavity

  • Sameh M'saad

      Affiliations

    • Department of Pulmonary and Allergology Diseases, Hedi Chaker, street Ain, Sfax 3029, Tunisia
    • Corresponding Author InformationCorrespondence to: Sameh M'saad, Department of Pulmonary and Allergology Diseases, Hedi Chaker Hospital, Sfax 3029, Tunisia. Tel.: +216 98952545; fax: +216 74241384.
    • ,
  • Lobna Ayedi

      Affiliations

    • Department of Anatomopathology, Habib Bouguiba Hospital, University of Sfax, Tunisia
    • ,
  • Mohamed Abdennader

      Affiliations

    • Department of Thoracic Surgery, Habib Bouguiba Hospital, University of Sfax, Tunisia
    • ,
  • Najla Bahloul

      Affiliations

    • Department of Pulmonary and Allergology Diseases, Hedi Chaker, street Ain, Sfax 3029, Tunisia
    • ,
  • Abdessalem Hentati

      Affiliations

    • Department of Thoracic Surgery, Habib Bouguiba Hospital, University of Sfax, Tunisia
    • ,
  • Chouki Dabbech

      Affiliations

    • Department of Radiology Habib Bouguiba Hospital, University of Sfax, Tunisia
    • ,
  • Imed Frikha

      Affiliations

    • Department of Thoracic Surgery, Habib Bouguiba Hospital, University of Sfax, Tunisia
    • ,
  • Tahia Boudawara

      Affiliations

    • Department of Anatomopathology, Habib Bouguiba Hospital, University of Sfax, Tunisia
    • ,
  • Abdelkhader Ayoub

      Affiliations

    • Department of Pulmonary and Allergology Diseases, Hedi Chaker, street Ain, Sfax 3029, Tunisia

Received 4 February 2009; accepted 4 February 2009.

Abstract 

Aspergilloma is a saprophytic infection that consists of masses of fungal mycelium that occurs in pre-existing cavities usually due to tuberculosis, bronchestasis or pulmonary infraction. However, few cases of aspergilloma within hydatid cyst have been reported in literature.

We describe two patients with aspergilloma formed within cyst hydatid. Both patients consulted because of recurrent hemoptysis. In a 52-year-old woman, diagnosis was established by a transthoracic CT biopsy. Treatment consisted of postero-lateral thracotomy with wedge resection of tow aspergilloma in the left upper lobe. In a 56-year-old man, thoracotomy with lower right lobectomy was performed at emergency because of massive hemoptysis. In both cases, patients progressed favourably without antifungal therapy.

Aspergilloma is an unusual complication of hydatid cyst. It results from the deterioration of local defence against opportunistic infections. Prognosis appears to be better than aspergilloma within tuberculosis cavities.

Keywords: Lung hydatid cyst, Mycetoma, Aspergilloma

 

PII: S1755-0017(09)00023-2

doi:10.1016/j.rmedc.2009.02.002

Respiratory Medicine CME
Volume 3, Issue 1 , Pages 29-32, 2010

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