Open Access
CC BY-NC-ND 4.0 · J Lab Physicians 2022; 14(03): 351-354
DOI: 10.1055/s-0042-1742416
Case Report

Cystic Echinococcosis of Liver and Spleen Communicating to the Lung: A Rare Case

Autor*innen

  • Jitu Mani Kalita

    1   Department of Microbiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
  • Palanisamy Naveenraj

    2   Department of General Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
  • Vidhi Jain

    1   Department of Microbiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
  • Deepak Kumar

    2   Department of General Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
  • Vibhor Tak

    1   Department of Microbiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
  • Pawan Kumar Garg

    3   Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
  • Vijaya Lakshmi Nag

    1   Department of Microbiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India

Funding None.

Abstract

The annual cystic echinococcosis (CE) incidence in endemic countries is between 1 and 200 per 100,000 population. The clinical manifestations of CE are associated with damage or dysfunction of target organs and affect primarily the liver in around 70% of cases and lungs in around 20% of cases. The involvement of the spleen is rarely seen, representing 2 to 6% of all CE cases. We describe a 60-year-old female patient who presented with 15 days' history of intermittent fever and abdominal distension, having significant hepatosplenomegaly. CE was diagnosed involving the liver, spleen, and lungs and was confirmed radiologically and microbiologically. CE is caused by the larval or cystic stage of the zoonotic dog-tapeworm. Humans can be infected by ingestion of contaminated food or water. At present, there are nine species under the genus Echinococcus with E. granulosus sensu stricto having worldwide distribution, while the rest are focally distributed. CE involving multiple organs is rare. CE should be taken into consideration in patients with these symptoms in endemic areas.



Publikationsverlauf

Artikel online veröffentlicht:
15. Februar 2022

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