_1747115262 20250513101742000 Ghalib University sayedhussain.mosawi@ghalib.edu.af GHALIB UNIVERSITY Afghanistan Journal of Infectious Diseases AJID 2959-6491 01 21 2025 3 1 10.60141/ajid.v3.i1 https://www.ajid.ghalib.edu.af/index.php/ajid/issue/view/12 Mohammad Sayed Behrad Sayed Hussain Mosawi Sayed Hussain Amiri Hydatid cysts, caused by the larval stages of Echinococcus tapeworms, are a significant parasitic infection primarily affecting the liver and lungs. This case report presents a rare instance of an extrapulmonary hydatid cyst located in the pleural of a 45-year-old housewife female patient from Afghanistan. The patient exhibited symptoms of chest pain, headaches, dizziness, and a dry cough over three years. Diagnostic CT imaging revealed a mass in the right thoracic region. Following thorough surgical preparation, a right posterior-lateral thoracotomy was performed, leading to the excision of the hydatid cyst. Postoperatively, the patient was prescribed albendazole to facilitate cyst degradation. This case underscores the importance of early diagnosis and an integrated treatment approach, combining medical therapy and surgical excision, to improve patient outcomes and manage the complications of hydatid disease effectively.   01 21 2025 101 104 https://creativecommons.org/licenses/by/4.0 10.60141/ajid.93 https://www.ajid.ghalib.edu.af/index.php/ajid/article/view/93 https://www.ajid.ghalib.edu.af/index.php/ajid/article/download/93/100 https://www.ajid.ghalib.edu.af/index.php/ajid/article/download/93/100