Echinococcus multilocularis: Difference between revisions
From IDWiki
Echinococcus multilocularis
(Removed redirect to Echinococcus species) Tags: Removed redirect Visual edit |
(→) |
||
Line 10: | Line 10: | ||
*Causes alveolar echinococcosis |
*Causes alveolar echinococcosis |
||
− | *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 |
− | *May also mimic hepatic carcinoma, cirrhosis, and tuberculosis |
+ | **May also mimic hepatic carcinoma, cirrhosis, and tuberculosis |
+ | *Can cause cholestatic jaundrice, cholangitis, portal hypertension, and Budd-Chiari syndrome |
||
⚫ | |||
+ | |||
+ | == Management == |
||
⚫ | |||
*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
- 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