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Inoperable form of alveolar echinococcosis of the liver


Authors: R. Rosoľanka 1 ;  Peter Lipták 2 ;  Ľ. Laca 3;  M. Hošala 3
Authors‘ workplace: Jesseniová lekárska fakulta v Martine Univerzity Komenského v Bratislave Dekan: prof. MUDr. Ján Danko, CSc. ;  Klinika infektológie a cestovnej medicíny Prednostka: doc. MUDr. Katarína Šimeková, PhD. 1;  Interná klinika – gastroenterologická Prednosta: prof. MUDr. Rudolf Hyrdel, CSc. 2;  Chirurgická klinika a transplantačné centrum Prednosta: prof. MUDr. Ľudovít Laca, PhD 3
Published in: Prakt. Lék. 2017; 97(6): 280-282
Category: Case Report

Overview

Echinococcosis is considered dangerous animal-derived parasitosis (helmitozoonosis). Cystic echinococcosis (CE) and alveolar echinococcosis (AE), also known as alveococcosis, are among the most important. AE is considered to be a rare disease and predominantly affects the liver in 90–95% of cases. The incidence of this severe helminthozoonosis is increasing in Central Europe. We present the case of a 50-year-old female patient without significant past medical history. She complained about intermittent dyspeptic symptoms such as loss of appetite and repeated vomiting-associated abdominal pain. The diagnosis alveolar echinococcosis was made based on positive epidemiological history and typical CT liver imaging. It was evaluated as an inoperable stage of disease and therefore a conservative therapy with albendazole has been initiated. The patient's status has been monitored regularly during follow up period. Accepted duration of conservative treatment is 2 years after radical surgery or even life long in situations where radical surgery is not possible.

Keywords:
alveolar echinococcosis – echinococcus multilocularis – inoperable form


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