[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-420705-105":59,"doc-detail-420705-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","hydatid-cyst-in-a-post-tuberculosis-patient-a-persistent-pulmonary-puzzle-a-case-report","Hydatid Cyst in a Post-Tuberculosis Patient - A Persistent Pulmonary Puzzle - A Case Report","","Pulmonary tuberculosis and hydatid cyst represent distinct etiologies yet may share pulmonary risk factors and overlapping clinical features, creating diagnostic and therapeutic complexity. This rare case involves a 28-year-old woman with dyspnea, productive cough, and copious hemoptysis, plus a history of completed pulmonary TB one year earlier. Negative AFB sputum testing reduced reactivation concern. CT imaging identified a well-defined pulmonary mass consistent with hydatid cyst. Management included oxygen, IV cefoperazone/sulbactam, albendazole, corticosteroids, and supportive care, with planned surgical intervention, emphasizing multidisciplinary evaluation in endemic settings.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/hydatid-cyst-in-a-post-tuberculosis-patient-a-persistent-pulmonary-puzzle-a-case-report/420705/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/hydatid-cyst-in-a-post-tuberculosis-patient-a-persistent-pulmonary-puzzle-a-case-report/420705.png","ImageObject",300,407,{"name":92,"@type":93},"Himbo","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why was TB reactivation initially suspected, and how was it ruled out?","Question",{"text":112,"@type":113},"The patient had respiratory symptoms after completing pulmonary tuberculosis one year earlier, which raised concern for reactivation. Negative AFB sputum analysis argued against TB reactivation.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What investigations confirmed the diagnosis of hydatid cyst?",{"text":117,"@type":113},"Imaging revealed a well-defined pulmonary mass, and CT scan confirmed it as a hydatid cyst. The case also reports fungal elements identified on KOH preparation despite negative AFB results.",{"name":119,"@type":110,"acceptedAnswer":120},"How was the patient treated, and what is planned for definitive management?",{"text":121,"@type":113},"Treatment included oxygen, IV antibiotics (cefoperazone/sulbactam), albendazole, corticosteroids, and supportive care, leading to symptom improvement. Surgical intervention is planned for definitive management.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},420705,1790736600,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},687197100911,"https://ap-avatar.wpscdn.com/avatar/a000239b6f1da00475?x-image-process=image/resize,m_fixed,w_180,h_180&k=1785132997149421697","Clinical Case Reports  \nCASE REPORT  OPEN ACCESS   \nHydatid Cyst in a Post-Tuberculosis Patient: A Persistent Pulmonary Puzzle – A Case Report  \nAbdul Rehman Shahid1 | Amina Asad2 | Janmejay Kumar Singh3 | Malik Muhammad Kabir4 | Kainat Husain5 | Khalil El Abdi6  | Fazeela Bibi7 | Muhammad Hassan8 | Bilal Aslam9 | Said Hamid Sadat10   \n1Wah Medical College Wah Cantt, Rawalpindi, Pakistan | 2Nowshera Medical College, Nowshera, Pakistan | 3Teerthankar Mahaveer Medical College and Research Centre, Moradabad, India | 4Wah Medical College, Rawalpindi, Pakistan | 5Jawaharlal Nehru Medical College, Aligarh, India | 6Faculty of Medicine and Pharmacy of Rabat, Mohammed V University, Rabat, Morocco | 7Jinnah Medical and Dental College, Karachi, Pakistan | 8Ayub Medical  \nCollege, Abbottabad, Pakistan | 9University of Lahore, Lahore, Pakistan | 10Kabul University of Medical Science Abu Ali Ibn Sina, Kabul, Afghanistan Correspondence: Said Hamid Sadat ([saidhamidsadat788@gmail.com](saidhamidsadat788@gmail.com))  \nReceived: 22 July 2025 | Revised: 26 October 2025 | Accepted: 21 December 2025  \nKeywords: case report | cystic echinococcosis | hemoptysis | post-tuberculosis | pulmonary hydatid cyst  \nABSTRACT  \nPulmonary tuberculosis and hydatid cyst are two distinct pathologies with vastly different etiologies and management approaches, yet they share common risk factors and pulmonary involvement. This rare and unique case of a hydatid cyst occurring in a post-tuberculosis patient adds to the limited literature and highlights the diagnostic and therapeutic challenges involved. A 28-year-old female presented with shortness of breath, productive cough, and copious hemoptysis. Clinical examination revealed decreased breath sounds on the right side. Her past medical history was significant for treating pulmonary tuberculosis, which was completed 1 year prior. Initial suspicion ofTB reactivation was ruled out by negative AFB sputum analysis. Imaging revealed a well-defined pulmonary mass, confirmed as a hydatid cyst on CT scan. The patient was managed with oxygen, IV antibiotics (cefoperazone/sulbactam), albendazole, corticosteroids, and supportive care, resulting in symptom improvement. Surgical intervention is planned for definitive management. This case is important as it highlights that in a post-TB patient with ongoing respiratory symptoms, a hydatid cyst must be considered as a differential diagnosis, especially in regions where hydatid disease is prevalent. Diagnosing a hydatid cyst can be challenging, as both TB and hydatid cysts present with similar symptoms. Therefore, accurate diagnosis requires a multidisciplinary approach involving medical, radiological, and surgical interventions. Additionally, this case raises public awareness about the symptom overlap between hydatid cyst and TB, which can aid in early detection.  \n1 | Introduction  \nIn developing countries where TB and parasitic infections such as hydatid cysts coexist, they contribute significantly to morbidity and mortality. Pulmonary TB is a chronic granulomatous infection caused by Mycobacterium tuberculosis. It remains a major health concern in countries like Pakistan, where poor sanitation, delayed diagnosis, and inadequate follow-up pose ongoing challenges, even with the widespread implementation of the DOTS program [1] . Hydatid disease, also known as cystic  \nechinococcosis, is a zoonotic parasitic infection caused by the larval stage of Echinococcus granulosus, transmitted primarily through ingestion of eggs excreted by infected dogs.  \nBoth pulmonary TB and hydatid cysts primarily affect the lungs and can mimic each other in clinical presentation. Shared symptoms such as chronic cough, hemoptysis, chest pain, and dyspnea often lead to misdiagnosis or delayed diagnosis, especially in post-treatment TB patients who continue to experience respiratory symptoms [2] . Although co-infections involving TB and  \nThis is an open access article under the terms of the Creative Com","cbCaia5v7XlQuxT6","https://ap.wps.com/l/cbCaia5v7XlQuxT6","pdf",389407,"English","# Case Report\n## Key Clinical Message\n## Introduction","[{\"question\":\"Why was TB reactivation initially suspected, and how was it ruled out?\",\"answer\":\"The patient had respiratory symptoms after completing pulmonary tuberculosis one year earlier, which raised concern for reactivation. Negative AFB sputum analysis argued against TB reactivation.\"},{\"question\":\"What investigations confirmed the diagnosis of hydatid cyst?\",\"answer\":\"Imaging revealed a well-defined pulmonary mass, and CT scan confirmed it as a hydatid cyst. The case also reports fungal elements identified on KOH preparation despite negative AFB results.\"},{\"question\":\"How was the patient treated, and what is planned for definitive management?\",\"answer\":\"Treatment included oxygen, IV antibiotics (cefoperazone/sulbactam), albendazole, corticosteroids, and supportive care, leading to symptom improvement. Surgical intervention is planned for definitive management.\"}]","Hydatid Cyst in a Post-Tuberculosis Patient - A Persistent Pulmonary Puzzle - A Case Report | PDF",1790622055,13]