HYDATID CYST IN A HEART FAILURE PATIENT MIMICKING PHANTOM TUMOR

Abstract

Aims: We aimed to present a heart failure patient with a hydatid cyst of the lung, mimicking a phantom tumor. Case Report: A 71-year-old male patient pre- sented to the cardiology department of Trakya University School of Medicine with increasing shortness of breath and cough. His hospital admission complaints, heart failure history, and chest radiology results were consistent with a phantom tumor of the lung secondary to congestive heart failure. The patient was given diuretics; however, there was no evidence of resolution or change in the size of the observed cystic lesion. A hydatid cyst as a differential diagnosis was consid- ered, and subsequent questioning of the patient revealed animal contacts. The patient was offered the option of surgical removal of the cyst, which he declined due to the high mortality risk. The patient was prescribed 400 mg of albendazole and was advised to have regular check-ups. In the long term, he showed no further signs and symptoms of hydatid cyst. The hydatid cyst was neither removed nor disappeared, and it continued to be visible on radiological follow-up examinations. Conclusion: Due to the similarities present in admission complaints and chest examinations, it is challenging to differentiate hydatid cyst of the lung in heart failure patients. Physicians should be aware of the hydatid cyst in the differential diagnosis of pleural cysts and consider patients’ occupation and residency in order to not overlook zoonotic diseases.

Keywords

• Hydatid cyst
• phantom tumor
• congestive heart failure

Kaynakça

1. 1. McManus DP, Zhang W, Li J et al. Echinococcosis. Lancet 2003;362(9392):1295- 304.
2. 2. Eckert J, Deplazes P. Biological, epidemiological, and clinical aspects of echino- coccosis, a zoonosis of increasing concern. Clin Microbiol Rev 2004;17(1):107-35.
3. 3. Alam MT, Saber S, Alam RF et al. Primary pulmonary hydatid disease. Bangla- desh Crit Care J 2018;6(2):105-7.
4. 4. Agudelo Higuita NI, Brunetti E, McCloskey C. Cystic echinococcosis. J Clin Mi- crobiol 2016;54(3):518-23.
5. 5. Santivanez S, Garcia HH. Pulmonary cystic echinococcosis. Curr Opin Pulm Med 2010;16(3):257-61.
6. 6. Brunetti E, Kern P, Vuitton DA et al. Expert consensus for the diagnosis and treat- ment of cystic and alveolar echinococcosis in humans. Acta Trop 2010;114(1):1- 16.
7. 7. Garg MK, Sharma M, Gulati A et al. Imaging in pulmonary hydatid cysts. World J Radiol 2016;8(6):581-7.
8. 8. Haus BM, Stark P, Shofer SL et al. Massive pulmonary pseudotumor. Chest 2003;124(2):758-60.

9. 9. Sandal R, Jandial A, Mishra K et al. Phantom tumour and heart failure. BMJ Case Rep 2018;2018:bcr2018227364.
10. 10. Gielen WP, Bijl M, Kofflard MJM. A phantom lung tumour in congestive heart failure. Neth Heart J 2006;14(10):345-6.
11. 11. Argan O, Ural D. Phantom tumor of the lung in heart failure patient. Turk J Emerg Med 2017;17(3):121-2.
12. 12. Kılıç D, Fındıkçıoğlu A, Bilen A et al. Management of complicated hydatid cyst of the thorax. ANZ J Surg 2007;77(9):752-7.
13. 13. Canpolat U, Sunman H, Taher A et al. Fissural hydatid cyst in a young woman mimicking phantom tumor. Int J Cardiol 2010;140:61.
14. 14. Lozo M, Lozo Vukovac E, Ivancevic Z et al. Phantom tumor of the lung: localized interlobar effusion in congestive heart failure. Case Rep Cardiol 2014;2014:207294.
15. 15. Demirci E, Altun E, Çalık M et al. Hydatid cyst cases with different localization: region of Erzurum. Turkiye Parazitol Derg 2015;39(2):103-7.
16. 16. Dehkordi AB, Sanei B, Yousefi M et al. Albendazole and treatment of hydatid cyst: review of the literature. Infect Disord Drug Targets 2019;19(2):101-4.