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Massive haemoptysis due to aortobronchial fistula caused by pulmonary hydatidosis

Stefan Buchholz, David Sowden, Troy Stapleton, Peter Pohlner and Craig Wright
Med J Aust 2009; 190 (4): 222.
Published online: 16 February 2009

To the Editor: A 56-year-old woman was recently admitted with recurrent large-volume haemoptysis associated with left-sided tearing thoracic pain. Growing up on a sheep farm in rural New South Wales, she had been diagnosed at age 8 years with pulmonary hydatidosis, which remained dormant on periodic clinical assessments. However, 2 years before presentation she started to cough up gelatinous material containing scolices of Echinococcus granulosus. Surgery was declined at that time due to the anticipated complexity of the operation and associated high perioperative risk. Long-term anthelmintic therapy was commenced.

  • Stefan Buchholz1
  • David Sowden1
  • Troy Stapleton1
  • Peter Pohlner2
  • Craig Wright1

  • 1 Nambour General Hospital, Nambour, QLD.
  • 2 Prince Charles Hospital, Brisbane, QLD.


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