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The Annals of Thoracic Surgery, Vol 55, 774-775, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

Infected hepatic Echinococcus cyst presenting as recurrent Escherichia coli empyema

R Chang, M Higgins, R DiLisio, A Hawasli, LG Camaro and R Khatib
St. John Hospital and Medical Center, Detroit, Michigan 48236.

An 81-year-old man, previously a shepherd in Italy, presented with recurrent Escherichia coli empyema over an 8-month period. His empyema was caused by an infected, nonviable hepatic Echinococcus cyst that eroded the diaphragm and led to intermittent spillage and pleural seeding. This case demonstrates that when dealing with Escherichia coli empyema, a subdiaphragmatic source ought to be suspected, and among immigrants from areas with prevalent hydatid disease, infected hepatic Echinococcus cyst might rarely be the cause.




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Copyright © 1993 by The Society of Thoracic Surgeons.