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Transient Transduction of the Strobilated Forms of Echinococcus granulosus
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Unusual presentation of echinococcal cysts.

Farukh Qureshi1, Nabeel Maalbared

  • 1Department of Urology, King Fahd Armed Forces Hospital, PO Box 9862, Jeddah 21159, Kingdom of Saudi Arabia. farukhqsa@hotmail.com

Saudi Medical Journal
|July 29, 2003
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Summary

This case study details a rare instance of echinococcal disease impacting the brain and kidney, unusual for its multiple brain lesions and lack of liver/lung involvement. Surgical intervention for brain cysts and partial nephrectomy for kidney cysts led to a full recovery.

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Nephrology

Background:

  • Echinococcal disease, caused by Echinococcus tapeworms, typically affects the liver and lungs.
  • Intracranial and renal involvement are less common presentations of echinococcal disease.

Observation:

  • A patient presented with multiple intracerebral echinococcal cysts causing epileptic convulsions.
  • The liver and lungs were notably spared in this case.
  • Subsequent diagnosis revealed echinococcal cysts within the kidney.

Findings:

  • Surgical excision of the intracerebral lesions resolved the epileptic convulsions.
  • Renal echinococcal cysts were successfully treated with partial nephrectomy.
  • The patient remained disease-free for 8 years post-treatment.

Implications:

  • This case highlights the diverse clinical manifestations of echinococcal disease.
  • It underscores the importance of considering echinococcosis in cases of unexplained neurological and renal cystic lesions.
  • Successful surgical and medical management can lead to long-term patient recovery.