Echinococcus multilocularis: Difference between revisions

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Echinococcus multilocularis
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*Causes alveolar echinococcosis
 
*Causes alveolar echinococcosis
*Presents as a metastatic malignancy of unknown primary
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*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
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**May also mimic hepatic carcinoma, cirrhosis, and tuberculosis
  +
*Can cause cholestatic jaundrice, cholangitis, portal hypertension, and Budd-Chiari syndrome
*Main treatment is surgical resection followed by at least 2 years of antihelminthic therapy
 
  +
  +
== 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
 
*Poor prognosis, with 90% 10-year mortality if untreated
   

Revision as of 10:32, 21 September 2021


Background

Microbiology

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