POST HYDATID CHRONIC COR-PULMONALE

We report a case in a patient aged 28 admitted with haemoptysis and dy spnoea. The chest x-ray showed multiple disseminated hydatid cysts thr oughout the lung fields. Computered tomography and art abdominal echo found a hydatid cyst of the liver in contact with inferior vena cava w hich was probably responsible for the secondary pulmonary disseminatio n. Subsequently there was a multiplication of the lesions with rupture and infection of several cysts. After two pears the disease progresse d into chronic respiratory failure with the appearance of chronic cor pulmonale. The respiratory stare rapidly worsened with several episode s of cardiorespiratory failure. Death occurred six months after the ap pearance of CPC.