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]
Entire Body System
- Fever
Reemergence of Classical Swine Fever, Japan, 2018 [PDF - 791 KB - 4 pages] A. Postel et al. In September 2018, classical swine fever reemerged in Japan after 26 years, affecting domestic pigs and wild boars. [cdc.gov]
[…] with fat-containing meal, possible adverse effects, and importance of biological measurements, including blood testing and alanine amino transferase studies) Possible occurrence of bacterial infection in advanced cases, potentially resulting in chills, fever [emedicine.com]
- Surgical Procedure
We assessed natural killer (NK) activity in the peripheral blood mononuclear cells (PBMC) of patients with alveolar echinococcosis, and compared in 12 patients who underwent a surgical procedure the cell populations in the PBMC with those present in the [ncbi.nlm.nih.gov]
The introduction of benzimidazole therapy of AE (1977), combined with improved diagnostic and surgical procedures, has resulted in significantly increased life-expectancies of adequately treated AE patients. [oxfordmedicine.com]
- Epilepsy
The most important clinical condition is the neurological or neurocysticerosis (NCC) affectation and is the most common cause of tardive epilepsy in some developing countries. [medicineonline.es]
Respiratoric
- Pleural Effusion
Pleural effusion and reactive pleural thickening are also evident. View larger version (174K) Fig. 12A. —60-year-old man with metastatic Echinococcus multilocularis disease. [ajronline.org]
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
- Jaundice
The patient was a 38-year-old man in whom upper abdominal pain, a short episode of diarrhea, and jaundice developed. The right upper abdomen showed a protrusion, and his physician diagnosed a markedly enlarged liver. [ncbi.nlm.nih.gov]
[…] fat-containing meal, possible adverse effects, and importance of biological measurements, including blood testing and alanine amino transferase studies) Possible occurrence of bacterial infection in advanced cases, potentially resulting in chills, fever, and/or jaundice [emedicine.com]
- 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
- Seizure
Treatment should be aimed at the clinical manifestations with the use of anti-seizures, costicosteroids and anti-helminthics (albendazole and praziquantel). [medicineonline.es]
Published on: (26 August 2019) RE: Dessminated alvelolar echnococcosis in a 74 year old woman presenting with focal seizure. [cmaj.ca]
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]
- Focal Seizure
Published on: (26 August 2019) RE: Dessminated alvelolar echnococcosis in a 74 year old woman presenting with focal seizure. [cmaj.ca]
Workup
Microbiology
- Echinococcus Multilocularis
Convert to ICD-10-CM : 122.7 converts directly to: 2015/16 ICD-10-CM B67.7 Echinococcus multilocularis infection, unspecified Approximate Synonyms Echinococcus multilocularis infection Echinococcus multilocularis infection of multiple sites Echinococcus [icd9data.com]
[…] of the liver alveolococcosis multilocular echinococcosis small fox tapeworm echinococcus multilocularis Multilocular hydatid echinococcus multilocularis infection [wikidata.org]
(infection) B67.5 Echinococcus multilocularis infection of liver B67.6 Echinococcus multilocularis infection, other and multiple sites B67.61 Echinococcus multilocularis infection, multiple sites B67.69 Echinococcus multilocularis infection, other sites [icd10coded.com]
Cellular immune response in Echinococcus multilocularis infection in humans. I. Lymphocyte reactivity to Echinococcus antigens in patients with alveolar echinococcosis. Clin Exp Immunol. 1989 Oct. 78(1):61-6. [Medline]. [emedicine.com]
The topic Echinococcus Multilocularis Infection you are seeking is a synonym, or alternative name, or is closely related to the medical condition Echinococcus. [dovemed.com]
- Toxoplasma Gondii
gondii, Pneumocystis jirovecii, Trichomonas vaginalis, Cryptosporidium hominis, Strongyloides stercoralis, Plasmodium falciparum, Plasmodium vivax) were used to develop M-RT-PCR. [ncbi.nlm.nih.gov]
We used N. caninum –specific PCR to test 600 clinical samples from patients with toxoplasmosis signs but Toxoplasma gondii –negative PCR results. We did not detect N. caninum DNA, demonstrating it is an unlikely opportunistic zoonotic agent. [cdc.gov]
Other Pathologies
- Multilocular Cyst
Viñas M Quistes hidáticos multiloculares o alveolares [Multilocular or alveolar hydatid cysts] La Semana Médica (Argentina) 1903; 10 :1234–6 [ Google Scholar ] 5. Viñas M Echinococcus alveolar. [ncbi.nlm.nih.gov]
Pleura
- Pleural Effusion
Pleural effusion and reactive pleural thickening are also evident. View larger version (174K) Fig. 12A. —60-year-old man with metastatic Echinococcus multilocularis disease. [ajronline.org]
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]
This case description highlights the importance of early suspicion and treatment of unusual echinococcosis clinical presentations. [casereports.bmj.com]
Surgical resection of primary lesions allows curative treatment. [cid.oxfordjournals.org]
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]
Prognosis Untreated alveolar echinococcosis is usually fatal, with an average 5-year survival rate of 40%. Therapeutic approaches that have been developed since the early 1980s have markedly improved the prognosis of the disease. [emedicine.com]
The introduction of benzimidazoles for alveolar echinococcosis treatment in 1976 has considerably improved the prognosis ( 2, 3 ). [ncbi.nlm.nih.gov]
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]
However, with the description of a new indigenous species, uncertainties arose about the etiologic role of E. oligarthrus in PE ( 30 ). [ncbi.nlm.nih.gov]
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]
Pathophysiology
Pathophysiology Alveolar echinococcosis is a chronic disease with a presymptomatic stage that may last for years before signs and symptoms develop. [emedicine.com]
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]