PULMONARY ECHINOCOCCOSIS COMPLICATED BY RUPTURE INTO THE BRONCHUS (A CLINICAL CASE)
Keywords:
Pulmonary echinococcosis, Hydatid cyst, Bronchial rupture, Complicated echinococcosis, Thoracic surgery, Echinococcectomy, Capitonnage, Pleural drainage, Preoperative preparation, Albendazole therapyAbstract
Echinococcosis is a widespread severe human parasitic disease that is endemic to the republics of Central Asia and Kazakhstan, including Uzbekistan.
To date, many classifications of lung echinococcosis have been proposed, depending on the clinical course, localization and morphology.
Complicated echinococcosis characterizes the third period of the course of the disease, i.e. this includes suppuration of the cyst, breakthrough into the bronchus or pleural cavity, calcification.
Among the clinical manifestations, the characteristic symptoms are: pain of varying intensity on the side of the lesion, the release of fragments of chitinous membrane together with sputum, cough with mucopurulent sputum, hemoptysis and recurrent bleeding. Depending on the diameter of the bronchus draining the cyst and the virulence of the infection, the suppurative process in the cyst bed can take a gangrenous character, in these cases the sputum becomes putrefactive.
Echinococcus of the lung, which has broken into the bronchus, is characterized by symptoms pathognomonic for many diseases of the bronchopulmonary system, and the establishment of a correct diagnosis in the shortest possible time depends on a set of diagnostic research methods.
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