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Spontaneous rupture of lung echinococcal cyst causing anaphylactic shock and respiratory distress syndrome
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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.