Alveolar echinococcosis of the liver with a rare infiltration of the adrenal gland
| Autor: | J. Sadloňová, Daniela Antolová, Ľudovít Laca, Róbert Rosoľanka, Elena Novakova, J. Šoltys, M. Novák, M. Szilágyová, Katarína Šimeková |
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| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
Medicine (General) Abdominal pain medicine.medical_specialty Agriculture (General) 030231 tropical medicine Case Report Disease Biology Echinococcus multilocularis S1-972 03 medical and health sciences R5-920 0302 clinical medicine Diagnosis medicine Adrenal gland Alveolar echinococcosis biology.organism_classification medicine.disease Echinococcosis 030104 developmental biology Etiology Animal Science and Zoology Parasitology Histopathology Radiology Differential diagnosis medicine.symptom Rare disease |
| Zdroj: | Helminthologia Helminthologia, Vol 58, Iss 1, Pp 100-105 (2021) |
| ISSN: | 1336-9083 |
| Popis: | Summary Human alveolar echinococcosis (AE) is a silently-progressing disorder that has become a threat in many countries. Since 2000, when the first case was recorded, the number of human AE patients in Slovakia is on continuous raise. The article presents a rare case of alveolar echinococcosis with infiltration in the adrenal gland and discusses the problems associated with differential diagnosis of the disease. In 2016, abdominal ultrasound performed due abdominal pain complaint showed the presence of cystic lesions in the right liver lobe of 54-year old female patient. During surgery, another lesion in the right adrenal gland was found, and neoplastic processes or echinococcosis were considered in the differential diagnosis. Due to unclear correlation between radiology, serology and histopathology results and endemic situation in Slovakia, molecular examination was recommended. Subsequently E. multilocularis was confirmed as etiological agent of infection. Alveolar echinococcosis is considered as a rare disease, with very few patients referred to clinicians or hospitals that sometimes have almost none existing experience with the diagnosis and treatment of the disease. Therefore, the establishment of networks or reference centres specialized on management of the disease would be suitable way to provide the patients with the best care and improve the disease diagnosis, treatment and prognosis. |
| Databáze: | OpenAIRE |
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