{
  "abstract": "An 11-year-old Romanian girl in the UK presented with malaise, nausea and a productive cough. The examination found reduced air entry in the left lung base. C reactive protein was 214 mg/dL with neutrophilia (18 × 10⁹/L) and eosinophilia (1.8 × 10⁹/L). Chest X-ray and CT revealed a complex cystic lesion in the left lower lobe with bronchial communication and surrounding collapse and consolidation (figures 1 and 2). Tuberculosis was excluded by negative Quantiferon Gold, sputum PCR and Mantoux. Imaging suggested cystic echinococcosis (CE), confirmed by positive ELISA and Western blot for Echinococcus granulosus. The presentation was likely due to cyst rupture.",
  "authors": [
    {
      "affiliations": [
        "Paediatric Respiratory Medicine, Great North Children's Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK"
      ],
      "name": "Zoe Rooke"
    },
    {
      "affiliations": [
        "Paediatric Respiratory Medicine, Great North Children's Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK"
      ],
      "name": "Caroline Harris"
    },
    {
      "affiliations": [
        "Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, Tyne and Wear, UK",
        "Paediatric Immunology, Infectious Diseases and Allergy, Great North Children's Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK"
      ],
      "name": "Ina Schim van der Loeff"
    },
    {
      "affiliations": [
        "Paediatrics, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK"
      ],
      "name": "Ahmed Hegab"
    },
    {
      "affiliations": [
        "Paediatric Cardiothoracic Surgery, Freeman Hospital, The Newcastle upon Type Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK"
      ],
      "name": "Louise Kenny"
    },
    {
      "affiliations": [
        "Parasitology, University College London Hospitals NHS Foundation Trust, London, UK"
      ],
      "name": "Laura Nabarro"
    },
    {
      "affiliations": [
        "Paediatric Respiratory Medicine, Great North Children's Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK"
      ],
      "name": "Matthew Thomas"
    },
    {
      "affiliations": [
        "Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, Tyne and Wear, UK",
        "Paediatric Immunology, Infectious Diseases and Allergy, Great North Children's Hospital, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK"
      ],
      "name": "Marieke Emonts"
    }
  ],
  "title": "Cystic echinococcosis in a child",
  "uid": "de067073-a972-5cb6-9bd2-4bc3c58ce616"
}