52-jähriger Patient mit subkutaner Raumforderung unter Immunsuppression

Kolligs, Frank T.; Gerbes, AL; Dürr, Eveline; Schauer, R.; Keßler, M.; Jelı́nek, Tomáš; Löscher, Thomas; Bilzer, Manfred

doi:10.1007/s00108-003-0862-3

Cited by 5 publications

(2 citation statements)

References 12 publications

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“…Kolligs et al (2003) reported the case of a patient with subcutaneous alveolar echinococcosis 6 months after liver transplantation for HCV-related cirrhosis. Neither the explanted nor the transplantated liver revealed an echinococcus focus.…”

Section: A 1bmentioning

confidence: 99%

Alveolar echinococcosis in patient after cadaveric kidney transplantation

Dražilová¹,

Kinčeková

Beňa³

et al. 2011

Helminthologia

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Abstract52-years old man years following the kidney transplantation from deceased donor was admitted to the hospital with fever and progressive abdominal pain. The patient was diagnosed with chronic hepatitis C seven years before admission. Graft function in posttransplant period was stable and optimal, the patient was treated with standard maintenance immunosupresive protocol (cyclosporine A, mycophenolate mofetil and low-dose prednison), metylprednisolon bolus therapy (1 g/m2 body surface area), was administered two months prior to admission due to creeping creatinine (suspection of acute rejection was not confirmed by biopsy). Empiric antibiotic treatment due to febrile status was ineffective. Abdominal ultrasound and computer tomography (CT) scan revealed three tumorous lesions in the liver, radical surgical intervention was not executable. Histological examination of the tissue from the lesions demostrated alveolar echinococcosis, serology for Echinoccocus multilocularis was positive. Long-term treatment by mebendazol 200 mg twice daily led to disappearance of the clinical symptoms, but after the therapy cessasion patient was again hospitalized with fever and progression of cystic lesions in CT scan. Following the mebendazol therapy reinstalation the clinical course of echinococcosis was improved and remained stable, transplant kidney failure occurred due to progression of interstitial fibrosis/tubular atrophy and chronic haemodialysis was initiated one year later.

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Section: A 1bmentioning

confidence: 99%

Alveolar echinococcosis in patient after cadaveric kidney transplantation

Dražilová¹,

Kinčeková

Beňa³

et al. 2011

Helminthologia

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“…Liver is the most common organ involved (45-75%), followed by the lung (10-50%) [4]. The disease usually metastasizes to spleen, retroperitoneum, brain, bone, pancreas [5], and adrenal glands [6].…”

Section: Introductionmentioning

confidence: 99%

Primary extrahepatic hydatid cyst of the soft tissue: a case report

2012

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IntroductionHydatid disease of the soft tissue is an exceedingly uncommon site to be affected by the tapeworm Echinococcus. The presentation is often vague and misleading. The diagnostic armamentarium has to be supplemented by a meticulously taken history and clinical examination.Case presentationThe present case report describes a 33-year-old Saudi male with a painless swelling in the right buttock which turned out to be a primary hydatid disease of the soft tissue. The lump was successfully excised surgically and the patient had an uneventful discharge.ConclusionSurgical excision of the extrahepatic hydatid disease remains the mainstay of treatment; although medical treatment is available for the recurrent and disseminated disease.

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