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Ann Thorac Surg 1993;55:774-775
© 1993 The Society of Thoracic Surgeons

Articles

Infected hepatic Echinococcus cyst presenting as recurrent Escherichia coli empyema

Robert Chang, MD, Martha Higgins, MD, Ralph DiLisio, MD, Abdelkader Hawasli, MD, Luis G. Camaro, MD, Riad Khatib, MD*

St. John Hospital and Medical Center, Detroit, Michigan, USA

Accepted for publication June 2, 1992.

* Address reprint requests to Dr Khatib, St. John Hospital and Medical Center, 22101 Moross Rd, Detroit, MI 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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