Report of an Axillary Hydatid Cyst along with Suppurative Lymphadenitis

ُShafiei, M; Jalali, SA

Report of an Axillary Hydatid Cyst along with Suppurative Lymphadenitis

Authors

M ُShafiei ¹

SA Jalali ²

¹ Assistant Professor, Department of Pathology, Islamic Azad University

² Professor of General Surgery and Gastrointestinal, Liver Disease Research Center, Iran University of Medical Sciences and Health Services, Tehran, Iran

Abstract

Hydatid cyst is an endemic disease especially in regions which raise livestock. The tape worm lives in dog’s intestine which accompany livestock and human; and very rarely in wolf and foxes. Upon contamination via the dogs excreta or wool; the larvae enters the gut which serves as intermediate host for the disease. The larvae free scolexes in the gut and enters the portal blood stream. It usually settles in the liver, lung, and brain which get most of the blood, rarely it may reside in other parts of the body. Treatment is by complete excision or aspiration and injection of scolicide and reaspiration (PAIR). In this article we present a case of axillary hydatid cyst in a 23-year old man, which is very rare and only 16 cases has been reported in medical literature so far; but a combination of axillary hydated cyst along with suppurative lymphadenitis has not been found in literature so far.

Keywords

Hydatid Cyst

Axillary Fossa

Suppurative Lymphadenitis

1. KafadarMT CretinKayaI “Primary hydatid disease of the axilla presenting as a cystic mass, J Surg Case Rep Nov, 2017(11): rjx219 published online 2017 Nov23. Doi 10.1093/jser/rjx 219.

2. The Merk Manual of Diagnosis and Therapy, Merck Research Laboratories 2020, P 1561.

3. Zangeneh M, Amerion M, Siadat D, AlijaniM. “Primary Hydatid Cyst of the Axillary Region: A case Report Article ID 362610/https://doi.org/10.1155/2012 Hindawi.

4. UnlapHR. KamerE, RezankoT, et al “Primary hydaid cyst of the axillary region” Balkan Med Journal. Vol 28, N2, pp 209-11, 2011.

5. OZOYM, Keles M, Kahy, Keles G, “Primary echinococcal cyst in the axillary region.” Journal of Infection in Developing Countries, Vol 5, N11, pp 825-827, 2011.

6. LynenI, Sogut E, GuldurR, KaseH, et al. n
Primary hydatid: an unusual cause of a mass
in the supraclavicular region of the neck,
Journal of Clinical Medicine Research, Vol. 3N1.
Pp. 52-54, 2011.

7. Singh S, Khichy S, Singh M, “Recurrent Solitary hytadid cyst of the Subcutaneous tissue”, Indian Journal of Surgery, Vol. 71, N3, pp 162-164, 2009.

8. RusoL, Rodriguez, GattiA, et al, “Primary Cervico-axillary hydatid disease” Cirugia Y Cirujanos, Vol. 79, pp. 306-312, 2011.

9. Arsalane A, Hammouni F, Oueriachi EL, et al. “primary axillary hydatid cyst” General Thoracic and Cardiovascular Surgery, Vol 60, N6, pp. 359-362. 2012.

10. Saylam B, Vural V, Duzgun AP, et al. “Primary hydatid cyst of the axilla” Medical principles and practice, Vol 21, N1, pp79-81, 2012.

11. Mohammad MI, Yassa WY, Karawi AL, “Combined albendazole and prazignatel versus albendazole alone in the treatment of hydatid disease” Hepatogastroenterology. Vol 4, N23, 1690-16994, 1998.

12. Jamshidi M, Mohraz M, Zangeneh M, et al “The effect of combination therapy with albendazole and prazigantel on hydatid cyst treatment” Parasitology Research. Vol 103 N1, pp 195-199, 2008.