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Fatal Liver and Lung Alveolar Echinococcosis with Newly Developed Neurologic Symptoms due to the Brain Involvement
The fox tapeworm Echinococcus multilocularis causes human alveolar echinococcosis, commonly affecting the liver. However, in ∼1% of cases, systematic spread of the disease involves the brain as well. A patient had a 6-year history of liver and lung alveolar echinococcosis that was considered not sui...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Thieme Medical Publishers
2016
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553476/ https://www.ncbi.nlm.nih.gov/pubmed/28824996 http://dx.doi.org/10.1055/s-0036-1592122 |
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author | Kvascevicius, Robertas Lapteva, Ona Awar, Omar Al Audronyte, Egle Neverauskiene, Laura Kvasceviciene, Eleonora Sokolovas, Vitalijus Strupas, Kestutis Marcinkute, Audrone Deplazes, Peter Müllhaupt, Beat |
author_facet | Kvascevicius, Robertas Lapteva, Ona Awar, Omar Al Audronyte, Egle Neverauskiene, Laura Kvasceviciene, Eleonora Sokolovas, Vitalijus Strupas, Kestutis Marcinkute, Audrone Deplazes, Peter Müllhaupt, Beat |
author_sort | Kvascevicius, Robertas |
collection | PubMed |
description | The fox tapeworm Echinococcus multilocularis causes human alveolar echinococcosis, commonly affecting the liver. However, in ∼1% of cases, systematic spread of the disease involves the brain as well. A patient had a 6-year history of liver and lung alveolar echinococcosis that was considered not suitable for surgery, and treatment with albendazole was introduced. After the appearance of neurologic disturbances, an intracranial mass lesion was demonstrated by radiologic imaging. The lesion was surgically removed, and histologic analysis revealed metacestode tissue of E. multilocularis . Despite the surgical resection of the lesion, the patient died of progression of systemic alveolar echinococcosis. The authors highly recommend implementing neurologic monitoring to the follow-up algorithm for patients with systemically disseminated alveolar echinococcosis. When neurologic symptoms occur, radiologic imaging of the brain should be obtained immediately. Surgery should be considered for all intracranial echinococcal lesions, unless the lesion is located in the eloquent brain area. |
format | Online Article Text |
id | pubmed-5553476 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Thieme Medical Publishers |
record_format | MEDLINE/PubMed |
spelling | pubmed-55534762017-08-18 Fatal Liver and Lung Alveolar Echinococcosis with Newly Developed Neurologic Symptoms due to the Brain Involvement Kvascevicius, Robertas Lapteva, Ona Awar, Omar Al Audronyte, Egle Neverauskiene, Laura Kvasceviciene, Eleonora Sokolovas, Vitalijus Strupas, Kestutis Marcinkute, Audrone Deplazes, Peter Müllhaupt, Beat Surg J (N Y) The fox tapeworm Echinococcus multilocularis causes human alveolar echinococcosis, commonly affecting the liver. However, in ∼1% of cases, systematic spread of the disease involves the brain as well. A patient had a 6-year history of liver and lung alveolar echinococcosis that was considered not suitable for surgery, and treatment with albendazole was introduced. After the appearance of neurologic disturbances, an intracranial mass lesion was demonstrated by radiologic imaging. The lesion was surgically removed, and histologic analysis revealed metacestode tissue of E. multilocularis . Despite the surgical resection of the lesion, the patient died of progression of systemic alveolar echinococcosis. The authors highly recommend implementing neurologic monitoring to the follow-up algorithm for patients with systemically disseminated alveolar echinococcosis. When neurologic symptoms occur, radiologic imaging of the brain should be obtained immediately. Surgery should be considered for all intracranial echinococcal lesions, unless the lesion is located in the eloquent brain area. Thieme Medical Publishers 2016-09-04 /pmc/articles/PMC5553476/ /pubmed/28824996 http://dx.doi.org/10.1055/s-0036-1592122 Text en https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Kvascevicius, Robertas Lapteva, Ona Awar, Omar Al Audronyte, Egle Neverauskiene, Laura Kvasceviciene, Eleonora Sokolovas, Vitalijus Strupas, Kestutis Marcinkute, Audrone Deplazes, Peter Müllhaupt, Beat Fatal Liver and Lung Alveolar Echinococcosis with Newly Developed Neurologic Symptoms due to the Brain Involvement |
title | Fatal Liver and Lung Alveolar Echinococcosis with Newly Developed Neurologic Symptoms due to the Brain Involvement |
title_full | Fatal Liver and Lung Alveolar Echinococcosis with Newly Developed Neurologic Symptoms due to the Brain Involvement |
title_fullStr | Fatal Liver and Lung Alveolar Echinococcosis with Newly Developed Neurologic Symptoms due to the Brain Involvement |
title_full_unstemmed | Fatal Liver and Lung Alveolar Echinococcosis with Newly Developed Neurologic Symptoms due to the Brain Involvement |
title_short | Fatal Liver and Lung Alveolar Echinococcosis with Newly Developed Neurologic Symptoms due to the Brain Involvement |
title_sort | fatal liver and lung alveolar echinococcosis with newly developed neurologic symptoms due to the brain involvement |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553476/ https://www.ncbi.nlm.nih.gov/pubmed/28824996 http://dx.doi.org/10.1055/s-0036-1592122 |
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