Presentation
We present a unique case of liver echinococcosis presenting as recurrent abdominal wall fistula and abscess in a 29-year-old man. Diagnosis was based on CT imaging, serological analysis and histological findings from the fistula. [casereports.bmj.com]
As previous epidemiological studies have indicated significant differences in relevance of various species, distinct differences were expected in the present experimental works. [plen.ku.dk]
Gastrointestinal
- Abdominal Pain
[…] echinococcosis that is caused by the larvae of Echinococcus multilocularis affecting the liver as a slow growing, destructive tumor, with abdominal pain, biliary obstruction, and occasionally metastatic lesions into the lungs and brain AHD alveolar colloid [wikidata.org]
The most common presenting signs and symptoms were abdominal pain with hepatomegaly and liver mass. Most of the patients were treated by surgery and albendazole. The few unresectable liver masses were treated by medical therapy. [ncbi.nlm.nih.gov]
This leads to signs and symptoms of upper abdominal pain, chest pain, and cough with sputum and blood The treatment of Echinococcus is undertaken using anti-parasitic medications and sometimes, the condition may require surgical interventions. [dovemed.com]
Liver, Gall & Pancreas
- Liver Mass
The most common presenting signs and symptoms were abdominal pain with hepatomegaly and liver mass. Most of the patients were treated by surgery and albendazole. The few unresectable liver masses were treated by medical therapy. [ncbi.nlm.nih.gov]
Neurologic
- Focal Neurological Deficit
Irregularly thickened and partially calcified wall is present in most cases. 1 Clinical features of cerebral AE—including headache, seizure, increased intracranial pressure, and focal neurologic deficits, depending on the location of the lesion—are those [ajnr.org]
Workup
HLA Type
- HLA-DR3
PBMC from seven HLA-DR3+, DQ2+, B8+ healthy subjects and nine HLA-DR3-, DQ2-, B8- subjects were also studied as controls. [ncbi.nlm.nih.gov]
- HLA-B8
PBMC from seven HLA-DR3+, DQ2+, B8+ healthy subjects and nine HLA-DR3-, DQ2-, B8- subjects were also studied as controls. [ncbi.nlm.nih.gov]
Treatment
The cost of the hospitalization and treatment of the eight screened patients would appear to be relatively high. Even though two of them were asymptomatic, they had very severe forms of the disease. [ncbi.nlm.nih.gov]
Its treatment includes the use of surgery, percutaneous treatment and use of benzimidazoles. [medicineonline.es]
This case description highlights the importance of early suspicion and treatment of unusual echinococcosis clinical presentations. [casereports.bmj.com]
Prognosis
Please find comprehensive information on Echinococcus regarding definition, distribution, risk factors, causes, signs & symptoms, diagnosis, complications, treatment, prevention, prognosis, and additional useful information HERE. [dovemed.com]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
AE (the disease) is not endemic in Canada; its etiological agent, Echinococcus multilocularis, is. 2. [cmaj.ca]
Epidemiology
Biography • Ms Jorgensen is a fellow in the European Programme for Intervention Epidemiology Training (EPIET) at the Robert Koch Institute, Berlin. Her research interests include infectious disease epidemiology and malaria diagnostics. [ncbi.nlm.nih.gov]
Its diagnosis is based on clinical, epidemiological, immunological and radiological data. Treatment should be aimed at the clinical manifestations with the use of anti-seizures, costicosteroids and anti-helminthics (albendazole and praziquantel). [medicineonline.es]
Detection, screening and community epidemiology of taeniid cestode zoonoses: cystic echinococcosis, alveolar echinococcosis and neurocysticercosis. Advances in parasitology, 38, 169-250. Gottstein, B. R. U. N. [dovemed.com]
As previous epidemiological studies have indicated significant differences in relevance of various species, distinct differences were expected in the present experimental works. [plen.ku.dk]
Prevention
Centers for Disease Control and Prevention (CDC) 1600 Clifton Rd. [dovemed.com]
The objective was to prevent dispersal of infective eggs of the cestode within the village by means of monthly treatments of dogs with praziquantel. [ncbi.nlm.nih.gov]
This survey allows DAERA to maintain import requirements on animals to prevent Echinococcus multilocularis from entering Northern Ireland. [daera-ni.gov.uk]