Echinococcus multilocularis

From IDWiki
Echinococcus multilocularis /
Revision as of 10:32, 21 September 2021 by Aidan (talk | contribs) ()


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