A 40 year old patient presents with nonspecific malaise, weight loss, and right upper quadrant discomfort. He has hepatomegaly on exam. Labs show a leukopenia, mild eosinophilia, and borderline liver function tests. A CT and fecal smear are shown below.
Thursday, June 24, 2010
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3 comments:
Echinococcosis - don't rupture the hydatid cysts!! AHHHH!!!!!
echinococcus?
yay!
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Foxes and Sheep
Echinococcus is a tapeworm whose life cycle involves definitive hosts like dogs and foxes and intermediate hosts like sheep; humans are an accidental host. Notably, different species have different presentations; E. granulosus usually has one cyst but can involve different organ systems whereas E. multilocularis may have multiple cysts, usually in the liver. Cyst rupture can lead to fever and anaphylaxis due to a hypersensitivity reaction. Treatment includes albendazole.
Sources: UpToDate; CDC; Wikipedia.
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