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Correspondence
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Volume 348:2156-2157 May 22, 2003 Number 21
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Thoracic Echinococcosis

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by Brainard, D. M.
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To the Editor: Brainard and Ryan present excellent images from a patient with suspected thoracic echinococcosis (Feb. 6 issue).1 However, the authors performed ultrasound-guided diagnostic aspiration in this patient. In patients with echinococcal cysts, diagnostic aspiration is not usually recommended because of the risk of fluid leakage, which could result in either dissemination of infection or an anaphylactic reaction. In this case, after the aspiration had been performed and the diagnosis had been confirmed, alcohol or hypertonic saline should have been instilled as part of scolicidal treatment, followed by reaspiration — the so-called PAIR approach — which would have circumvented . . . [Full Text of this Article]



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