A rare association of brucellosis and pulmonary hydatid cyst in a patient with human immunodeficiency virus

Kanugula S, Pasam Y, Baddula D

Pdf Page Numbers :- 145-148

Shivaraju Kanugula^1,*, Yasawi Pasam², and Dihitha Baddula²

¹Department of General Medicine, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India

²Department of Clinical Pharmacy, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India

*Corresponding author: Dr. Shivaraju Kanugula, Department of General Medicine, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India. Email: shivaraju.doctor@gmail.com

Received 25 November 2022; Revised 13 March 2023; Accepted 20 March 2023; Published 27 March 2023

Citation: Kanugula S, Pasam Y, Baddula D. A rare association of brucellosis and pulmonary hydatid cyst in a patient with human immunodeficiency virus. J Med Sci Res. 2023; 11(2):145-148. DOI: http://dx.doi.org/10.17727/JMSR.2023/11-27

Copyright: © 2023 Kanugula S et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Background: Hydatid disease, or cystic echinococcosis, is a parasitic infection caused by a tapeworm. Pulmonary hydatid infection is the second common manifestation of hydatid disease. We present a patient who was diagnosed with recurrent hydatid cyst in lung and later diagnosed with brucellosis, which is a highly contagious zoonotic disease.

Case presentation: A 47-years-old male was diagnosed with pulmonary hydatid disease after a computed tomography (CT) chest-plain was done. As the patient had high intermittent fever for 4 months which could not be explained by an intact cyst in the followup, the patient was diagnosed with brucellosis with both IgG and IgM antibodies positive.

Conclusions: Hydatid cyst present with varied symptomatology. A high degree of clinical suspicion combined with meticulous history and clinical examination supported by laboratory investigations are required for its diagnosis. This case highlights the importance of considering brucella as a differential diagnosis.

Keywords: hydatid cyst; brucellosis; co-infection; HIV; echinococcus