Diagnosis and treatment of unusual multiorgan Echinococcus hydatid cysts.

Autor: Drocchi G; Department of Medical, Surgical and Experimental Sciences, Università degli Studi di Sassari, Sassari, Italy., Santucciu C; OIE and National Reference Laboratory for Echinococcosis (CeNRE), Istituto Zooprofilattico Sperimentale della Sardegna, Sassari, Italy., Mastrandrea S; Department of Infectious disease, Sassari University Hospital, Sassari, Italy., Sanguedolce F; Department of Medical, Surgical and Experimental Sciences, Università degli Studi di Sassari, Sassari, Italy., Madonia M; Department of Medical, Surgical and Experimental Sciences, Università degli Studi di Sassari, Sassari, Italy.
Jazyk: angličtina
Zdroj: Current urology [Curr Urol] 2024 Mar; Vol. 18 (1), pp. 75-77. Date of Electronic Publication: 2022 Aug 31.
DOI: 10.1097/CU9.0000000000000130
Abstrakt: Background: Echinococcosis is a zoonotic disease caused by Echinococcus granulosus . Usually, the liver is the most affected organ, accounting for approximately 70% to 85% of cases. The lungs represent 20% of the cases. Fewer than 10% are found in other sites, including the bone, brain, spleen, and kidneys.
Case Presentation: A young man was referred to a local hospital for dull pain in the right flank, fever, and mild cough. Computed tomography showed 2 large cysts: the first involved the left lung and measured 130 × 90.5 × 120 mm, whereas the second cyst was located in the right kidney and measured 130 × 100 × 120 mm. Surgery was performed to remove both lesions in 2 separate surgical sessions.
Conclusions: Echinococcosis is a compulsorily notifiable disease. Collaboration between medical doctors from different specializations is necessary. A multidisciplinary approach is important for the correct therapeutic management of the disease. Furthermore, the high possibility of recurrence makes the long-term follow-up mandatory.
Competing Interests: No conflict of interest has been declared by the authors.
(Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc.)
Databáze: MEDLINE