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Record W4417245689 · doi:10.4269/ajtmh.25-0457

Short-Term Consequences of Incomplete Resection of an Echinococcal Cyst of the Lung

2025· article· en· W4417245689 on OpenAlexaff
Matilde Pelizzola, Tommaso Manciulli, Stefano Auriemma, Raffaella Lissandrin, Lorenzo Giacometti, Ambra Vola, Gian Luca D’Alessandro, Stefano Meda, Enrico Brunetti, Pietro Rinaldi

Bibliographic record

VenueAmerican Journal of Tropical Medicine and Hygiene · 2025
Typearticle
Languageen
FieldMedicine
TopicParasitic infections in humans and animals
Canadian institutionsUniversity Hospital Foundation
Fundersnot available
KeywordsThoracotomyLungEchinococcosisCystAlbendazoleRespiratory diseaseHelminthiasisHydatid cyst

Abstract

fetched live from OpenAlex

Lung cystic echinococcosis (CE) is often diagnosed incidentally, and its clinical manifestations vary depending on the cyst's location and size. The most common symptoms include chest pain, shortness of breath, expectoration of endocyst fragments, and hemoptysis. Surgery is the primary treatment, while medical therapy plays a minor role. However, failure to completely remove the cyst can lead to disease recurrence and complications such as bronchial fistula. We report the case of a 33-year-old shepherd from Italy, who presented with recurrent hemoptysis. Imaging revealed a large pulmonary cyst in the right upper lobe. The patient underwent thoracotomy with atypical lung resection, but residual parasitic tissue remained, leading to recurrent hemoptysis, arterial hypertrophy, and bronchial fistula. Management required reoperation. Postoperative histology confirmed residual echinococcal tissue. The patient was discharged on prolonged albendazole therapy and remains under follow-up.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.003
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Case report · Consensus signal: Case report
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.001
Threshold uncertainty score0.005

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0000.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0000.000
Science and technology studies0.0010.001
Scholarly communication0.0010.001
Open science0.0000.001
Research integrity0.0010.002
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.024
GPT teacher head0.351
Teacher spread0.326 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designCase report
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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Same venueAmerican Journal of Tropical Medicine and HygieneSame topicParasitic infections in humans and animalsFrench-language works237,207