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A previously healthy 14-year-old male presented with abrupt onset respiratory failure with hemoptysis and anaphylaxis. Imaging demonstrated a large, cystic lesion with bronchopleural fistula that was consistent with cystic echinococcosis. He underwent thoracotomy for cyst removal and bronchopleural fistula repair, then completed 3 months of albendazole therapy. He developed recurrence of a bronchopleural fistula 4 months after surgery which improved over time with conservative management. This case highlights pathognomonic imaging and pathology findings for cystic echinococcosis. © The Author(s) 2021. Published by Oxford University Press on behalf of The Journal of the Pediatric Infectious Diseases Society. All rights reserved. For permissions, please e-mail:


Allison M Blatz, Katherine M Laycock, Ishminder Kaur, Sanjeev K Swami. Acute Respiratory Failure With Hemoptysis in a Teenager Due to Cystic Echinococcosis. Journal of the Pediatric Infectious Diseases Society. 2022 Jan 27;11(1):33-35

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PMID: 34553757

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