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Fibreoptic bronchoscopy and bronchoalveolar lavage for confirmation of pulmonary hydatid cyst.
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  • Ketan Kumar,
  • Joseph L. Mathew,
  • PANKAJ VAIDYA,
  • Amanjit Bal,
  • Nalini Gupta,
  • Kamal Singhal,
  • Akshay Saxena,
  • meenu singh
Ketan Kumar
Postgraduate Institute of Medical Education and Research
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Joseph L. Mathew
Postgraduate Institute of Medical Education and Research
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PANKAJ VAIDYA
PGIMER
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Amanjit Bal
Postgraduate Institute of Medical Education and Research
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Nalini Gupta
Postgraduate Institute of Medical Education and Research
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Kamal Singhal
Postgraduate Institute of Medical Education and Research
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Akshay Saxena
Post Graduate Institute of Medical Education and Research
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meenu singh
Post Graduate Institute of Medical Education and Research,
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Abstract

There is no confirmatory diagnostic test for pulmonary hydatid cyst other than surgical excision and histopathologic confirmation. Imaging is at best suggestive and serology does not have a satisfactory sensitivity. We present a series of children wherein flexible fibreoptic bronchoscopy under conscious-sedation, revealed hydatid membranes in airways. Broncho-alveolar lavage analysis confirmed hydatid in half of them. We propose flexible fibreoptic bronchoscopy with broncho-alveolar lavage as a confirmatory diagnostic test for pulmonary hydatid in children. To the best of our knowledge, this is a completely novel approach to the condition with potential to alter the diagnostic paradigm.

Peer review status:UNDER REVIEW

19 Jun 2020Submitted to Pediatric Pulmonology
19 Jun 2020Assigned to Editor
19 Jun 2020Submission Checks Completed
24 Jun 2020Reviewer(s) Assigned
30 Jun 2020Review(s) Completed, Editorial Evaluation Pending