A Case of Human Hepatic Alveolar Echinococcosis Accompanied by Lung and Brain Metastases
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Alveolar echinococcosis (AE) is considered as a fatal zoonosis caused by the larvae of Echinococcus multilocu- laris. The lungs and brain are the most common metastatic organs. We report a human case of hepatic alveolar echino- coccosis accompanied by lung and brain metastasis. In particular, the patient had a history of tuberculosis and the lung lesions were easily misdiagnosed as lung abscesses. The lesions of liver and lung underwent radical resection and con- firmed as alveolar echinococcosis by pathological examination. The patient had no surgical complications after operation and was discharged after symptomatic treatment. Unfortunately, the patient later developed multiple intracerebral AE me- tastases. We required the patient to take albendazole orally for life and follow up.
Abstract
Alveolar echinococcosis (AE) is considered as a fatal zoonosis caused by the larvae of Echinococcus multilocu- laris. The lungs and brain are the most common metastatic organs. We report a human case of hepatic alveolar echino- coccosis accompanied by lung and brain metastasis. In particular, the patient had a history of tuberculosis and the lung lesions were easily misdiagnosed as lung abscesses. The lesions of liver and lung underwent radical resection and con- firmed as alveolar echinococcosis by pathological examination. The patient had no surgical complications after operation and was discharged after symptomatic treatment. Unfortunately, the patient later developed multiple intracerebral AE me- tastases. We required the patient to take albendazole orally for life and follow up.
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