RESUMEN
We present the case of a 7-year-old child with mycotic aneurysms of bilateral lower lobe pulmonary arteries secondary to pulmonary valve endocarditis. The child underwent pulmonary vegetectomy with ventricular septal defect closure and left lower lobe pulmonary lobectomy via midline sternotomy.
Asunto(s)
Aneurisma Infectado , Endocarditis Bacteriana , Endocarditis , Defectos del Tabique Interventricular , Válvula Pulmonar , Aneurisma Infectado/diagnóstico por imagen , Aneurisma Infectado/etiología , Aneurisma Infectado/cirugía , Niño , Endocarditis/complicaciones , Endocarditis/cirugía , Endocarditis Bacteriana/complicaciones , Endocarditis Bacteriana/cirugía , Defectos del Tabique Interventricular/diagnóstico por imagen , Defectos del Tabique Interventricular/cirugía , Humanos , Arteria Pulmonar/diagnóstico por imagen , Arteria Pulmonar/cirugía , Válvula Pulmonar/diagnóstico por imagen , Válvula Pulmonar/cirugíaRESUMEN
Pulmonary hydatid cyst is known to occur, but incidental detection of Aspergillus colonisation in an unruptured cyst wall, especially in immunocompetent patients, is very rare. Presentation can be hemoptysis or asymptomatic, depending upon immune status. Colonisation of the cyst wall may be due to immune dysregulation, structural abnormalities, invasion of fungal organisms through channels between airways and cyst and other mechanisms. Here, we report a rare case of Aspergillus colonisation in the hydatid cyst wall in a young immunocompetent patient and also try to describe the pathogenetic mechanism for the same.