An Imported Case of Disseminated Echinococcosis in Korea
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A complicated case of echinococcosis with multiple organ involvement is reported in a 53-year-old business- man who frequently traveled overseas, including China, Russia, and Kazakhstan from 2001 to 2007. The patient was first diagnosed with a large liver cyst during a screening abdomen ultrasonography in 2011, but he did not follow up on the le- sion afterwards. Six years later, dizziness, dysarthria, and cough developed, and cystic lesions were found in the brain, liver and lungs. The clinical course was complicated when the patient went through multiple surgeries and inadequate treatment with a short duration of albendazole without a definite diagnosis. The patient visited our hospital for the first time in August 2018 due to worsening symptoms; he was finally diagnosed with echinococcosis using imaging and sero- logic criteria. He is now on prolonged albendazole treatment (400 mg twice a day) with gradual clinical and radiological improvement. A high index of suspicion is warranted to early diagnose echinococcosis in a patient with a travel history to endemic areas of echinococcosis.
Abstract
A complicated case of echinococcosis with multiple organ involvement is reported in a 53-year-old business- man who frequently traveled overseas, including China, Russia, and Kazakhstan from 2001 to 2007. The patient was first diagnosed with a large liver cyst during a screening abdomen ultrasonography in 2011, but he did not follow up on the le- sion afterwards. Six years later, dizziness, dysarthria, and cough developed, and cystic lesions were found in the brain, liver and lungs. The clinical course was complicated when the patient went through multiple surgeries and inadequate treatment with a short duration of albendazole without a definite diagnosis. The patient visited our hospital for the first time in August 2018 due to worsening symptoms; he was finally diagnosed with echinococcosis using imaging and sero- logic criteria. He is now on prolonged albendazole treatment (400 mg twice a day) with gradual clinical and radiological improvement. A high index of suspicion is warranted to early diagnose echinococcosis in a patient with a travel history to endemic areas of echinococcosis.
참고문헌 (28)
- Lightowlers MW, "Cysticercosis and echinococcosis", Curr Top Microbiol Immunol, 365, pp.315~335 (2013)
- Hald T, "World Health Organization estimates of the relative contributions of food to the burden of disease due to selected foodborne hazards : a structured expert elicitation", PLoS One, 11, pp.e0145839~ (2016)
- Chung KY, "Surgical treatment of pulmonary hydatid cysts : two cases report", Korean J Thorac Cardiovasc Surg, 16, pp.518~525 (1983)[DOI]
- Sun-Ju Byun, "An Imported Case of Echinococcosis of the Liver in a Korean Who Traveled to Western and Central Europe", Parasites, Hosts and Diseases, 48(2), pp.161~165 (2010), 대한기생충학ㆍ열대의학회
- 김수진, "Recurrent Hepatic Alveolar Echinococcosis: Report of The First Case in Korea with Unproven Infection Route", Parasites, Hosts and Diseases, 49(4), pp.413~418 (2011), 대한기생충학ㆍ열대의학회
- 안명희, "해외유입 기생충질환", Infection and Chemotherapy, 42(5), pp.271~279 (2010), 대한감염학회
- Cho SY, "Evaluation of enzyme-linked immunosorbent assay in serological diagnosis of human neurocysticercosis using paired samples of serum and cerebrospinal fluid", Korean J Parasitol, 24, pp.25~41 (1986)
- JIN YAN, "Serodiagnosis of Echinococcosis by ELISA Using Cystic Fluid from Uzbekistan Sheep", Parasites, Hosts and Diseases, 51(3), pp.313~317 (2013), 대한기생충학ㆍ열대의학회
- Brunetti E, "Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans", Acta Trop, 114, pp.1~16 (2010)
- Se Joong Kim, "A Case of Pleural Hydatid Cyst Mimicking Malignancy in a Non- Endemic Country", Tuberculosis and Respiratory Diseases, 70(4), pp.338~341 (2011), 대한결핵및호흡기학회
- 안근수, "An Imported Case of Cystic Echinococcosis in the Liver", Parasites, Hosts and Diseases, 50(4), pp.357~360 (2012), 대한기생충학ㆍ열대의학회
- 김애리, "Fine Needle Aspiration Cytology of Hepatic Hydatid Cyst: A Case Study", Journal of Pathology and Translational Medicine, 47(4), pp.395~398 (2013), 대한병리학회[DOI]
- Hoon Choi, "Primary renal hydatid cyst: mis-interpretation as a renal malignancy.", Parasites, Hosts and Diseases, 52(3), pp.295~298 (2014), 대한기생충학ㆍ열대의학회[DOI]
- 권병운, "Daughter cysts in a cyst of the liver: hepatic echinococcosis", The Korean Journal of Internal Medicine, 31(1), pp.197~198 (2016), 대한내과학회[DOI]
- Jung BH, "A case of pulmonary and hepatic hydatid cystic disease", Korean J Med, 45, pp.550~556 (1993)[DOI]
- Moro P, "Echinococcosis : a review", Int J Infect Dis, 13, pp.125~133 (2009)
- Beaver PC, "Clinical Parasitology", pp.527~537 (1984), Lea & Febiger
- Gripper LB, "Neurocysticercosis infection and disease-a review", Acta Trop, 166, pp.218~224 (2017)
- Bulakci M, "Multimodality imaging in diagnosis and management of alveolar echinococcosis : an update", Diagn Interv Radiol, 22, pp.247~256 (2016)
- Del Brutto OH, "Proposed diagnostic criteria for neurocysticercosis", Neurology, 57, pp.177~183 (2001)
- Giri S, "A review on diagnostic and preventive aspects of cystic echinococcosis and human cysticercosis", Trop Parasitol, 2, pp.99~108 (2012)
- Garcia HH, "Low sensitivity and frequent cross-reactions in commercially available antibody detection ELISA assays for Taenia solium cysticercosis", Trop Med Int Health, 23, pp.101~105 (2018)
- Nabarro LE, "Current management of cystic echinococcosis : a survey of specialist practice", Clin Infect Dis, 60, pp.721~728 (2015)
- Dogru D, "Medical treatment of pulmonary hydatid disease : for which child", Parasitol Int, 54, pp.135~138 (2005)
- Todorov T, "Factors influencing the response to chemotherapy in human cystic echinococcosis", Bull World Health Organ, 70, pp.347~358 (1992)
- Chen S, "Medical treatment of an unusual cerebral hydatid disease", BMC Infect Dis, 18, pp.12~ (2018)
- Gana R, "Multiple infected cerebral hydatid cysts", J Clin Neurosci, 15, pp.591~593 (2008)
- Ntusi NA, "Severe disseminated hydatid disease successfully treated medically with prolonged administration of albendazole", QJM, 101, pp.745~746 (2008)