Alveolar echinococcosis of liver presenting with neurological symptoms due to brain metastases with simultaneous lung metastasis: A case report
Küçük Resim Yok
Tarih
2008
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Alveolar Echinococcosis (AE), bir helmint olan Echinococcus multilocularis'in (EM) sebep olduğu ciddi ve kronik bir paraziter enfeksiyondur. AE Türkiye'de endemik olmakla birlikte özellikle Doğu Anadolu'da yaygın olarak saptanmaktadır. Klinik tablo çok çeşitli olmakla beraber teşhisin konulmasında yardımcı olan semptomlar genellikle metastatik lezyonlarla ilişkilidir. Biz bu olgu sunumunda 62 yaşında eş zamanlı akciğer ve beyin tutulumu da saptanan hepatik AE teşhisli bir hastayı değerlendirdik. Bu olguda tek tedavi seçeneği, sıklıkla Doğu Anadolu'da yaşayan hastalarda geç başvuru ve sonrasında alınan inoperabl kararı nedeniyle olduğu gibi, albendazol ile medikal tedavi oldu. Bu nedenle endemik olan bu tür bölgelerde radyolojik görüntüleme yöntemleri ile yapılan taramalar cerrahi rezeksiyon imkanı artırılabilir.
Alveolar echinococcosis (AE) is a chronic and serious, even lethal, parasitic infection caused by the helminth Echinococcus multilocularis (EM). AE is an endemic disease in Turkey and it is particularly common in people living in the eastern Anatolia Region. In addition to various clinical presentations, symptoms which lead to diagnosis, however, are usually associated with the metastatic lesions. We herein reported a 62-year-old man who had liver alveolar hydatid disease with simultaneous lung and brain metastasis. We think there was only one therapeutic option, namely medical treatment with albendazol, which is the usual treatment for patients living in eastern Anatolia and who are admitted late resulting in a subsequent inoperable situation. Thus, radiological screening studies for the public in this region may increase the possibility of surgical treatment for alveolar hydatid disease.
Alveolar echinococcosis (AE) is a chronic and serious, even lethal, parasitic infection caused by the helminth Echinococcus multilocularis (EM). AE is an endemic disease in Turkey and it is particularly common in people living in the eastern Anatolia Region. In addition to various clinical presentations, symptoms which lead to diagnosis, however, are usually associated with the metastatic lesions. We herein reported a 62-year-old man who had liver alveolar hydatid disease with simultaneous lung and brain metastasis. We think there was only one therapeutic option, namely medical treatment with albendazol, which is the usual treatment for patients living in eastern Anatolia and who are admitted late resulting in a subsequent inoperable situation. Thus, radiological screening studies for the public in this region may increase the possibility of surgical treatment for alveolar hydatid disease.
Açıklama
Anahtar Kelimeler
Parazitoloji, Genel ve Dahili Tıp
Kaynak
Türkiye Parazitoloji Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
32
Sayı
4