Echinococcus multilocularis: Difference between revisions
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Echinococcus multilocularis
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*Causes alveolar echinococcosis |
*Causes alveolar echinococcosis |
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*Presents as a metastatic malignancy of unknown primary |
*Presents as a metastatic malignancy of unknown primary, mot commonly with malaise, weight loss, and qight upper quadrant discomfort |
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*May also mimic hepatic carcinoma, cirrhosis, and tuberculosis |
**May also mimic hepatic carcinoma, cirrhosis, and tuberculosis |
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*Can cause cholestatic jaundrice, cholangitis, portal hypertension, and Budd-Chiari syndrome |
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== Management == |
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*Poor prognosis, with 90% 10-year mortality if untreated |
*Poor prognosis, with 90% 10-year mortality if untreated |
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Revision as of 14:32, 21 September 2021
Background
Microbiology
- Cestode in the Echinococcus family
Clinical Manifestations
- Causes alveolar echinococcosis
- Presents as a metastatic malignancy of unknown primary, mot commonly with malaise, weight loss, and qight upper quadrant discomfort
- May also mimic hepatic carcinoma, cirrhosis, and tuberculosis
- Can cause cholestatic jaundrice, cholangitis, portal hypertension, and Budd-Chiari syndrome
Management
- Main treatment is surgical resection followed by at least 2 years of antihelminthic therapy (e.g. albendazole)
- Poor prognosis, with 90% 10-year mortality if untreated