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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We present the clinical case of a 32-year-old man from Morocco who came to the emergency department with symptoms of left pleuritic pain&#44; blackish expectoration and generalized urticaria&#46; Laboratory tests revealed leukocytosis &#40;13&#46;9<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleSup">6</span><span class="elsevierStyleHsp" style=""></span>cells&#47;L&#41;&#44; with 90&#37; neutrophils and 7&#37; eosinophils&#44; as well as a C-reactive protein level of 270<span class="elsevierStyleHsp" style=""></span>mg&#47;L&#46; Plain chest radiography was performed in posterior-anterior projection &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">As can be identified in the chest radiography&#44; we can see images of 2 cysts in the lung parenchyma&#46; One of these cysts was located in the right lower lobe and had a homogeneous appearance with no evidence of complication&#46; The other cyst was located in the lingula and presented air-fluid content and multiple floating membranes&#46; When faced with a cystic lesion compatible with pulmonary hydatidosis in which air-fluid content is observed&#44; as well as the water-lily sign &#40;floating membranes&#41;&#44; we should suspect a complication&#44; mainly rupture of the cysts&#46; In our patient&#44; this rupture created a communication with the bronchial tree&#44; which explained the urticarial reaction and copious expectoration of purulent material&#46; The rupture also communicated with the pleural cavity&#44; thereby causing the pleuritic pain&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Diagnosis&#58; complicated pulmonary hydatidosis&#46;</p></span>"
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May 2018 Complicated pulmonary hydatid cyst with pleural and airway communication
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Vol. 218. Issue 4.
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Vol. 218. Issue 4.
Pages 207 (May 2018)
Medicine in images
DOI: 10.1016/j.rceng.2018.02.002
Complicated pulmonary hydatid cyst with pleural and airway communication
Hidatidosis pulmonar complicada con apertura a vía aérea y cavidad pleural
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S. Osorio Aira
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soniaosorio004@gmail.com

Corresponding author.
, M.A. Udaondo Cascante, J.M. Herrero Izquierdo, I.M. Otero Mongil
Servicio de Radiodiagnóstico, Hospital Clínico Universitario de Valladolid, Valladolid, Spain
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