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Multiple organ involvement with hydatid cysts

F Sabouni1, F Ferdosian, S Mamishi

  • 1Pediatric Infectious Diseases Research Center and Dept. of Pediatrics, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.

Iranian Journal of Parasitology
|February 21, 2012
PubMed

Insights

Hydatid disease, a rare multi-organ infection, was diagnosed in a 12-year-old boy. Prompt diagnosis and surgical removal of cysts led to successful treatment.

Area of Science:

  • Parasitology
  • Medical Imaging
  • Pediatric Infectious Diseases

Background:

  • Hydatid disease (cystic echinococcosis) is a parasitic infection caused by Echinococcus tapeworms.
  • While typically affecting the liver and lungs, rare cases involve multiple organs, posing diagnostic challenges.

Observation:

  • A 12-year-old boy presented with neurological and constitutional symptoms.
  • Imaging revealed extensive cystic lesions in the brain, mesentery, kidney, and heart.
  • Serological tests confirmed the presence of hydatid disease.

Findings:

  • The patient had concurrent cerebral, cardiac, mesenteric, and renal hydatid cysts.
  • Multimodal treatment included antiparasitic drugs (albendazole, praziquantel) and surgical excision of cysts.
  • Pathological examination confirmed cystic echinococcosis in all resected lesions.

Implications:

  • This case highlights the importance of considering hydatid disease in pediatric patients with multiple unexplained cystic masses.
  • Early and accurate diagnosis through imaging and serology is crucial for effective management.
  • Multidisciplinary treatment approaches, combining medical and surgical interventions, are essential for favorable outcomes in complex hydatidosis cases.

Keywords:
Disseminated echinococcosisEchinococcus granulosusHydatid cystIranMultiple organ hydatidosis

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