Abstract: Hepatic cystic echinococcosis is a chronic parasitic disease caused by the infection with the larvae of Echinococcus granulosus in human or animal liver tissues. As a chronic active infectious disease, tuberculous empyema mainly invades the pleural space and then causes visceral and parietal pleura thickening. It is rare to present comorbidity for hepatic cystic echinococcosis and tuberculous empyema. This case report presents a case of hepatic cystic echinococcosis complicated with tuberculous empyema misdiagnosed as hepatic and pulmonary cystic echinococcosis, aiming to improve clinicians’ ability to distinguish this disorder.

Key words: Cystic echinococcosis, Tuberculous empyema, Misdiagnosis

摘要： 肝细粒棘球蚴病是由细粒棘球绦虫幼虫感染人或动物肝脏组织而引起的一种慢性寄生虫病。结核性脓胸是一种慢性活动性感染性疾病，主要侵犯胸膜间隙引起内脏、壁胸膜增厚。同时感染上述两种疾病的患者较为罕见。本文报道1例肝细粒棘球蚴病合并结核性脓胸误诊为肝、肺细粒棘球蚴病的病例，并结合相关文献进行分析讨论，旨在提高临床医师对该病的鉴别能力。 　

关键词: 细粒棘球蚴病, 结核性脓胸, 误诊