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Related Experiment Video

Updated: Dec 9, 2025

Measuring Local Anaphylaxis in Mice
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[Anaphylaxis due to a ruptured hydatid cyst].

Mathias Friebe1, Christina Große Düweler1, Sarah Theurer2

  • 1Zentrale Notaufnahme, Evangelisches Krankenhaus Oberhausen.

Deutsche Medizinische Wochenschrift (1946)
|September 9, 2020
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Summary

A patient presented with shock and skin rash, initially suspected as anaphylaxis. Further investigation revealed a ruptured echinococcus cyst, highlighting the importance of considering parasitic infections in shock cases.

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Area of Science:

  • Medical Case Report
  • Parasitology
  • Emergency Medicine

Background:

  • A 27-year-old Syrian patient presented with syncope and shock.
  • A language barrier prevented obtaining a detailed medical history.

Observation:

  • Clinical signs included shock, exanthema, and perioral hematin.
  • Abdominal ultrasound revealed free fluid and an unclear upper abdominal change.
  • Esophagogastroduodenoscopy showed an ulcer; CT abdomen indicated a ruptured cyst.

Findings:

  • The patient stabilized with anaphylaxis treatment.
  • Albendazole and partial liver resection were administered for suspected echinococcosis.

Implications:

  • Obscure shock symptoms warrant consideration of allergic reactions, excluding sepsis or hemorrhage.
  • Echinococcosis should be a differential diagnosis in anaphylaxis cases.