Tuberculosis and hydatidosis are both infectious diseases commonly involving the pulmonary system and exhibiting a wide spectrum of clinical manifestations of varying severity. The simultaneous occurrence of pulmonary tuberculosis and hydatid disease is extremely rare, reported sporadically in the literature. We herein report two cases where this rare coexistence was proven after radiological features aroused suspicion. The first patient was a young female with a short history of fever and cough. She had miliary mottling and a cystic lesion on imaging.
Second patient was an elderly lady with a long-standing cough, dyspnea, and hemoptysis. She had multiple cystic and cavitatory lesions on imaging. Both of them were managed with medical therapy successfully. The possibility of hydatid tuberculosis coinfection should be kept in mind in endemic areas in the relevant clinical scenarios.
