Die Echinokokkosen aus Sicht der Radiologie

Zusammenfassung

Hintergrund Die zystische (CE) und die alveoläre (AE) Echinokokkose sind zoonotische Parasitosen, die aufgrund der relativen Seltenheit in Mitteleuropa diagnostische Schwierigkeiten bereiten können.

Methode Auf Basis einer aktuellen Literaturrecherche und der Beobachtung von Kasuistiken eines nationalen Echinokokkose-Behandlungszentrums werden epidemiologische, radiologische und therapeutische Grundlagen zu den Echinokokkosen vermittelt und wichtige Unterschiede zwischen AE und CE herausgearbeitet.

Ergebnisse und Schlussfolgerung AE und CE sind als komplett unterschiedliche Erkrankungen anzusehen, welche in allen wesentlichen Dimensionen voneinander differieren. Dies betrifft nicht nur den epidemiologischen Hintergrund der betroffenen Personen, sondern auch die Biologie der Erkrankungen und deren bildgebenden Eigenschaften.

Kernaussagen: 

• AE und CE unterscheiden sich in allen wesentlichen Merkmalen und müssen streng getrennt voneinander betrachtet werden.

• Die AE ist in Mitteleuropa endemisch und gilt aufgrund des destruierenden Wachstumsmusters als maligne Parasitose.

• Die CE wird in Mitteleuropa vorrangig bei Personen mit Migrationshintergrund angetroffen und hat einen eher benignen Verlauf.

Zitierweise

• Weber TF, Mokry T, Stojkovic M. Echinococcoses – A Primer for Radiologists. Fortschr Röntgenstr 2023; 195: 1106 – 1121

Key words

infection - neglected - tropical diseases - diagnostic radiology - CT - MR-imaging - abdomen

Publication History

Received: 25 February 2023

Accepted: 10 May 2023

Article published online:
19 July 2023

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