Echinococcus: Difference between revisions

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Echinococcus
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* Parasitic disease caused by infection with the echinococcus tapeworm
* Parasitic disease caused by infection with the echinococcus tapeworm


= Species =
== Species ==


* ''Echinococcus granulosus'' (cystic echinococcosis)
* ''Echinococcus granulosus'' (cystic echinococcosis)
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* ''Echinococcus canadensis''
* ''Echinococcus canadensis''


= Risk Factors =
== Risk Factors ==


* Exposure to sheep
* Exposure to sheep
* Exposure to dogs fed home-slaughtered animals
* Exposure to dogs fed home-slaughtered animals


= Clinical Presentation =
== Clinical Presentation ==


* Hydatid cysts with surrounding daughter cysts
* Hydatid cysts with surrounding daughter cysts
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** Lung second-most common
** Lung second-most common


== Alveolar echinococcosis (''E. multilocularis'') ==
=== Alveolar echinococcosis (''E. multilocularis'') ===


* Presents as a metastatic malignancy of unknown primary
* Presents as a metastatic malignancy of unknown primary

Revision as of 11:38, 16 August 2019

  • Parasitic disease caused by infection with the echinococcus tapeworm

Species

  • Echinococcus granulosus (cystic echinococcosis)
  • Echinococcus multilocaris (alveolar echinococcosis)
  • Echinococcus canadensis

Risk Factors

  • Exposure to sheep
  • Exposure to dogs fed home-slaughtered animals

Clinical Presentation

  • Hydatid cysts with surrounding daughter cysts
    • Liver most common
    • Lung second-most common

Alveolar echinococcosis (E. multilocularis)

  • Presents as a metastatic malignancy of unknown primary
  • May also mimic hepatic carcinoma, cirrhosis, and tuberculosis
  • Main treatment is surgical resection followed by at least 2 years of antihelminthic therapy
  • Poor prognosis, with 90% 10-year mortality if untreated