Canadian-acquired Hydatid Disease: A Case Report

Overview

Journal Can J Infect Dis

Date 2007 Dec 27

PMID 18159337

Citations 6

Authors

M A Saghier

M C Taylor

H M Greenberg

Affiliations

Soon will be listed here.

Abstract

Echinococcal cysts are unusual in Canada, and most cases seen are in immigrants. In northern Canadian communities, Echinococcus granulosis infection occasionally is acquired from dogs that feed on the entrails of caribou or moose. Seventeen patients with Canadian-acquired hydatid cysts were seen over an 11-year period. One challenging case is described in detail. An 18-year-old aboriginal woman presented with jaundice, pain, lower extremity edema and coagulopathy from a 26 cm echinococcal hepatic cyst. She was successfully treated with a combination of oral albendazole, percutaneous drainage and surgery. One-year follow-up showed no recurrence of disease. The management options for echinococcal cysts are extensively reviewed.

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References

Franchi C, Di Vico B, Teggi A . Long-term evaluation of patients with hydatidosis treated with benzimidazole carbamates. Clin Infect Dis. 1999; 29(2):304-9. DOI: 10.1086/520205. View

Khuroo M, Wani N, Javid G, Khan B, Yattoo G, Shah A . Percutaneous drainage compared with surgery for hepatic hydatid cysts. N Engl J Med. 1997; 337(13):881-7. DOI: 10.1056/NEJM199709253371303. View

Katz R, Murphy S, KOSLOSKE A . Pulmonary echinococcosis: a pediatric disease of the Southwestern United States. Pediatrics. 1980; 65(5):1003-6. View

Magistrelli P, Masetti R, Coppola R, Messia A, Nuzzo G, Picciocchi A . Surgical treatment of hydatid disease of the liver. A 20-year experience. Arch Surg. 1991; 126(4):518-22; discussion 523. DOI: 10.1001/archsurg.1991.01410280122020. View

Safioleas M, Misiakos E, Manti C, Katsikas D, Skalkeas G . Diagnostic evaluation and surgical management of hydatid disease of the liver. World J Surg. 1994; 18(6):859-65. DOI: 10.1007/BF00299087. View

Finlay J, Speert D . Sylvatic hydatid disease in children: case reports and review of endemic Echinococcus granulosus infection in Canada and Alaska. Pediatr Infect Dis J. 1992; 11(4):322-6. View

Miller M . Hydatid infection in Canada. Can Med Assoc J. 1953; 68(5):423-34. PMC: 1822800. View

Meltzer H, Kovacs L, ORFORD T, Matas M . Echinococcosis in North American Indians and Eskimos. Can Med Assoc J. 1956; 75(2):121-7. PMC: 1824108. View

Abou-Khalil S, Smith B, Maclean J, Poenaru D, Fried G, Bret P . Acute cholecystitis and cholangitis caused by Echinococcus granulosus. Am J Gastroenterol. 1996; 91(4):805-7. View

10.

Schantz P . Editorial response: Treatment of cystic echinococcosis--improving but still limited. Clin Infect Dis. 1999; 29(2):310-1. DOI: 10.1086/520206. View

11.

Doty J, Tompkins R . Management of cystic disease of the liver. Surg Clin North Am. 1989; 69(2):285-95. DOI: 10.1016/s0039-6109(16)44786-9. View

12.

Dawson J, Stamatakis J, Stringer M, Williams R . Surgical treatment of hepatic hydatid disease. Br J Surg. 1988; 75(10):946-50. DOI: 10.1002/bjs.1800751004. View

13.

Salama H, Strickland G . Diagnosis and treatment of hepatic hydatid cysts with the aid of echo-guided percutaneous cyst puncture. Clin Infect Dis. 1995; 21(6):1372-6. DOI: 10.1093/clinids/21.6.1372. View

14.

Khuroo M, Dar M, Yattoo G, Zargar S, Javaid G, Khan B . Percutaneous drainage versus albendazole therapy in hepatic hydatidosis: a prospective, randomized study. Gastroenterology. 1993; 104(5):1452-9. DOI: 10.1016/0016-5085(93)90355-g. View

15.

Pinch L, Wilson J . Non-surgical management of cystic hydatid disease in Alaska: a review of 30 cases of Echinococcus granulosus infection treated without operation. Ann Surg. 1973; 178(1):45-8. PMC: 1355862. DOI: 10.1097/00000658-197307000-00010. View

16.

Wilson J, DIDDAMS A, RAUSCH R . Cystic hydatid disease in Alaska. A review of 101 autochthonous cases of Echinococcus granulosus infection. Am Rev Respir Dis. 1968; 98(1):1-15. DOI: 10.1164/arrd.1968.98.1.1. View

17.

Cohen Z, Stone R, Langer B . Surgical treatment of hydatid disease of the liver. Can J Surg. 1976; 19(5):416-20. View

18.

Rodriguez-Caabeiro F, Prieto J, Sanchez-Ruano J, Brasa C, Aguilar L, Garcia-Hoz F . Randomised controlled trial of efficacy of albendazole in intra-abdominal hydatid disease. Lancet. 1993; 342(8882):1269-72. DOI: 10.1016/0140-6736(93)92361-v. View

19.

Rogiers X, Bloechle C, Broelsch C . Safe decompression of hepatic hydatid cyst with a laparoscopic surgiport. Br J Surg. 1995; 82(8):1111. DOI: 10.1002/bjs.1800820834. View

20.

Morris D . Pre-operative albendazole therapy for hydatid cyst. Br J Surg. 1987; 74(9):805-6. DOI: 10.1002/bjs.1800740918. View