Pulmonary echinococcosis mimicking tuberculosis in a child from a dual-endemic region: a case report

BackgroundPulmonary echinococcosis represents a significant health challenge, particularly in endemic regions, and is associated with substantial morbidity and mortality. Its nonspecific clinical presentation and radiological diversity often lead to misdiagnosis. Here, we report a case of pulmonary...

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Main Authors: Yiyuan Li, Yang Liu, Qin Guo
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Pediatrics
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Online Access:https://www.frontiersin.org/articles/10.3389/fped.2025.1562829/full
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author Yiyuan Li
Yiyuan Li
Yang Liu
Yang Liu
Qin Guo
Qin Guo
author_facet Yiyuan Li
Yiyuan Li
Yang Liu
Yang Liu
Qin Guo
Qin Guo
author_sort Yiyuan Li
collection DOAJ
description BackgroundPulmonary echinococcosis represents a significant health challenge, particularly in endemic regions, and is associated with substantial morbidity and mortality. Its nonspecific clinical presentation and radiological diversity often lead to misdiagnosis. Here, we report a case of pulmonary echinococcosis initially misdiagnosed as pulmonary tuberculosis.Case presentationWe report a case of a 13-year-old girl from a region endemic for both echinococcosis and tuberculosis. She initially presented with recurrent cough, hemoptysis, night sweats, and a pulmonary cystic lesion and was diagnosed with pulmonary tuberculosis. However, her condition progressively deteriorated despite antituberculosis therapy. Ultimately, surgical intervention and histopathological examination confirmed pulmonary echinococcosis, and the patient achieved complete recovery after therapy.ConclusionFor patients from regions endemic for both tuberculosis and echinococcosis who present with cough, hemoptysis, or pulmonary cystic or cavitary lesions, it is crucial to differentiate pulmonary echinococcosis from pulmonary tuberculosis. The final diagnosis should be supported by other microbiological-serological and/or histopathological tests.
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series Frontiers in Pediatrics
spelling doaj-art-e04205cdc3d545afa4ced97836df8ba32025-08-20T01:54:15ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-04-011310.3389/fped.2025.15628291562829Pulmonary echinococcosis mimicking tuberculosis in a child from a dual-endemic region: a case reportYiyuan Li0Yiyuan Li1Yang Liu2Yang Liu3Qin Guo4Qin Guo5Department of Pediatrics, West China Second Hospital, Sichuan University, Chengdu, Sichuan, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Chengdu, Sichuan, ChinaDepartment of Pediatrics, West China Second Hospital, Sichuan University, Chengdu, Sichuan, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Chengdu, Sichuan, ChinaDepartment of Pediatrics, West China Second Hospital, Sichuan University, Chengdu, Sichuan, ChinaKey Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Chengdu, Sichuan, ChinaBackgroundPulmonary echinococcosis represents a significant health challenge, particularly in endemic regions, and is associated with substantial morbidity and mortality. Its nonspecific clinical presentation and radiological diversity often lead to misdiagnosis. Here, we report a case of pulmonary echinococcosis initially misdiagnosed as pulmonary tuberculosis.Case presentationWe report a case of a 13-year-old girl from a region endemic for both echinococcosis and tuberculosis. She initially presented with recurrent cough, hemoptysis, night sweats, and a pulmonary cystic lesion and was diagnosed with pulmonary tuberculosis. However, her condition progressively deteriorated despite antituberculosis therapy. Ultimately, surgical intervention and histopathological examination confirmed pulmonary echinococcosis, and the patient achieved complete recovery after therapy.ConclusionFor patients from regions endemic for both tuberculosis and echinococcosis who present with cough, hemoptysis, or pulmonary cystic or cavitary lesions, it is crucial to differentiate pulmonary echinococcosis from pulmonary tuberculosis. The final diagnosis should be supported by other microbiological-serological and/or histopathological tests.https://www.frontiersin.org/articles/10.3389/fped.2025.1562829/fullpulmonary echinococcosispulmonary tuberculosischildrenpulmonary cystssurgery
spellingShingle Yiyuan Li
Yiyuan Li
Yang Liu
Yang Liu
Qin Guo
Qin Guo
Pulmonary echinococcosis mimicking tuberculosis in a child from a dual-endemic region: a case report
Frontiers in Pediatrics
pulmonary echinococcosis
pulmonary tuberculosis
children
pulmonary cysts
surgery
title Pulmonary echinococcosis mimicking tuberculosis in a child from a dual-endemic region: a case report
title_full Pulmonary echinococcosis mimicking tuberculosis in a child from a dual-endemic region: a case report
title_fullStr Pulmonary echinococcosis mimicking tuberculosis in a child from a dual-endemic region: a case report
title_full_unstemmed Pulmonary echinococcosis mimicking tuberculosis in a child from a dual-endemic region: a case report
title_short Pulmonary echinococcosis mimicking tuberculosis in a child from a dual-endemic region: a case report
title_sort pulmonary echinococcosis mimicking tuberculosis in a child from a dual endemic region a case report
topic pulmonary echinococcosis
pulmonary tuberculosis
children
pulmonary cysts
surgery
url https://www.frontiersin.org/articles/10.3389/fped.2025.1562829/full
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