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Spontaneous rupture of lung echinococcal cyst causing anaphylactic shock and respiratory distress syndrome
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  1. R A Fanne1,
  2. M Khamaisi1,2,
  3. D Mevorach1,
  4. E Leitersdorf1,
  5. N Berkman2,
  6. U Laxer2,
  7. B Maly3
  1. 1Department of Internal Medicine B, Hadassah University Hospital and The Hebrew University - Hadassah School of Medicine, Jerusalem, Israel
  2. 2Diabetes Center, Hadassah University Hospital and The Hebrew University - Hadassah School of Medicine, Jerusalem, Israel
  3. 3Institute of Pulmonology, Hadassah University Hospital and The Hebrew University - Hadassah School of Medicine, Jerusalem, Israel
  4. 4Department of Pathology, Hadassah University Hospital and The Hebrew University - Hadassah School of Medicine, Jerusalem, Israel
  1. Correspondence to:
    Dr R A Fanne
    Department of Internal Medicine B, Hadassah University Hospital and Hebrew University School of Medicine, Kiryat Hadassah, P O Box 12000, Jerusalem 91120, Israel; arami{at}hadassah.org.il

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A 21 year old woman was admitted to hospital with a persistent productive cough, dyspnoea, and fever. There was no history of sweats or haemoptysis. At admission a chest radiograph showed a 6 cm lesion at the base of the left lower lobe with an air fluid level (fig 1A) and an additional cavitary lesion in the left apex. The blood count was within the normal range with 0.7% eosinophils.

Figure 1

 (A) Chest radiograph on …

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