Imaging aspects and non-surgical interventional treatment in human alveolar echinococcosis

Bresson‐Hadni, Solange; Delabrousse, É; Blagosklonov, Oleg; Bartholomot, B.; Koch, Sarah; Miguet, Jean-Philippe; Mantion, Georges; Vuitton, Dominique A.

doi:10.1016/j.parint.2005.11.053

Cited by 142 publications

(105 citation statements)

References 20 publications

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“…Imaging tools that use ultrasonography, computed tomography (CT), and magnetic resonance imaging have been applied for the diagnosis and monitoring of the progression of AE (19). Most recently, positron emission tomography has also been introduced for the detection and characterization of the active lesions (3).…”

mentioning

confidence: 99%

Serological Monitoring of Progression of Alveolar Echinococcosis with Multiorgan Involvement by Use of Recombinant Em18

Ishikawa¹,

Sako²,

Itoh³

et al. 2009

J Clin Microbiol

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Two cases of alveolar echinococcosis (AE) with multiple-organ involvement (the liver, lungs, and bone) were monitored by imaging and serology for 20 years. Resection of the bone lesion was complete in one case but incomplete in the other case. Albendazole treatment was markedly to moderately effective against hepatic and pulmonary AE lesions in both cases, whereas it had almost no effect against the bone lesion in one case. The results of the serological tests with recombinant Em18 antigen coincided with the clinical findings in each case. An enzyme-linked immunosorbent assay for the detection of immunoglobulin G (IgG) responses, especially IgG4 responses, is expected to be a real-time indicator of the dynamics of active AE.

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mentioning

confidence: 99%

Serological Monitoring of Progression of Alveolar Echinococcosis with Multiorgan Involvement by Use of Recombinant Em18

Ishikawa¹,

Sako²,

Itoh³

et al. 2009

J Clin Microbiol

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“…The involvement of Central Nervous System is reported to be 1-3% in the literature [1]. Brain involvement is considered a sign of the terminal phase of alveolar echinococcosis [3].…”

Section: Discussionmentioning

confidence: 99%

A Case of Alveolar Echinococcosis Presenting as Cerebral and Spinal Intradural Metastases

et al. 2016

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Alveolar echinococcosis is a chronic and serious, even lethal, parasitic infection caused by the helminth Echinococcus multilocularis. The involvement of Central Nervous System is reported to be 1-3% in literature. Brain involvement is considered a sign of the terminal phase of alveolar echinococcosis. We here in reported a 67-year-old female who had liver alveolar hydatid disease with brain and spinal intradural metastases.

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“…This disease is only observed in the Northern Hemisphere. The main endemic regions for human AE are Central Europe, Russia, Turkey, Japan, China and North America [2]. Eastern part of Turkey is an endemic region for EA [4].…”

Section: Discussionmentioning

confidence: 99%

“…Larvae of AE produce fibroinflammatory response in host cells by building multilocular cysts in liver. The parasitic tissue is surrounded by an intense fibroinflammatory reaction [2]. The parasit may involve several liver segments and, most importantly, expand along large liver vessels and biliary tract, particular the hilum.…”

Section: Introductionmentioning

confidence: 99%

Portal hypertension and cholestasis due to Echinococcus alveolaris: a case report

Seçkin¹,

Çağın²,

Yıldırım³

et al. 2016

Med-Science

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Alveolar ecchinococcosis (AE) is a rare but potentially life-threatening serious parasitic disease. The parasit may involve liver and, most importantly, expand vessels and biliary tract. We present here a case of esophageal variceal bleeding due to portal hypertension and cholestasis secondary to AE. We present the case of a 30-year-old female patient who was admitted to emergency service with hematemesis, melena and icter. Upper gastrointestinal endoscopy revealed gastroesophageal varices and portal gastropathy. Contrasted computerized tomography examination showed a solid calcific lesion (cross dimension 6x11 and 5x9 cm.) of biliary tracts causing dilatation. An USG guided biopsy from the mass was performed and histological examination revealed AE. We also review here the literature on portal hypertension and cholestasis due to Echinococcus alveolaris. AE is rare a disease and may cause severe complications. Endoscopic and percutaneous drainage for biliary obstruction caused by hepatic AE has a palliative effect even in the late stages. Liver transplantation was recommended but this operation was not performed for living donor shortage. Liver transplantation should be considered in the management of advanced liver alveolar echinococcosis.

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Imaging aspects and non-surgical interventional treatment in human alveolar echinococcosis

Cited by 142 publications

References 20 publications

Serological Monitoring of Progression of Alveolar Echinococcosis with Multiorgan Involvement by Use of Recombinant Em18

Serological Monitoring of Progression of Alveolar Echinococcosis with Multiorgan Involvement by Use of Recombinant Em18

A Case of Alveolar Echinococcosis Presenting as Cerebral and Spinal Intradural Metastases

Portal hypertension and cholestasis due to Echinococcus alveolaris: a case report

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