Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul (Dec 2008)
A CASE REPORT OF MIDDLE LOBE SYNDROME DUE TO HYDATID CYST
Abstract
BACKGROUND AND OBJECTIVE: The term middle lobe syndrome identified with recurrent right middle lobe atelectasis or lingual that resulted from bronchectasis, TB, malignancy, etc. This syndrome was characterized by chronic cough, hemoptysis and repeated respiratory infection. In this report, hydatid cyst is very rare cause of this disease.CASE: A 71-year-old man was presented with cough contain bloody sputum but he did not have fever and dyspnea, also sputum BK (Kochs bacillus) smear was negative. The patient repeatedly treated with different antibiotics but not cured. CT scan showed the consolidation in right middle lobe. Fiberoptic bronchoscopy revealed inflammation and erythema in right middle lobe and right lower lobe division. Since the patient did not respond to medical therapy, with diagnosis middle lobe syndrome was operated. Pathology report revealed hydatid cyst.CONCLUSION: Hydatid cyst as one of the etiologic factors of middle lobe syndrome especially in endemic area should be considered and surgery is the only treatment for this disease.
