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An Imported Case of Disseminated Echinococcosis in Korea

Korean Journal of Parasitology 2019년 57권 4호 p.429 ~ 434
 ( Shin Dong-Hoon ) - Seoul National University Hospital Department of Internal Medicine

 ( Jo Hae-Chan ) - Seoul National University Hospital Department of Internal Medicine
 ( Kim Jeong-Han ) - Seoul National University Hospital Department of Internal Medicine
 ( Jun Kang-Il ) - Seoul National University Hospital Department of Internal Medicine
 ( Park Wan-Beom ) - Seoul National University Hospital Department of Internal Medicine
 ( Kim Nam-Joong ) - Seoul National University Hospital Department of Internal Medicine
 ( Choi Min-Ho ) - Seoul National University College of Medicine Department of Parasitology and Tropical Medicine
 ( Kang Chang-Kyung ) - Seoul National University Hospital Department of Internal Medicine
 ( Oh Myoung-Don ) - Seoul National University Hospital Department of Internal Medicine

Abstract


A complicated case of echinococcosis with multiple organ involvement is reported in a 53-year-old businessman 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 lesion 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 serologic 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.

키워드

Echinococcosis; hydatid cyst; disseminated; intracranial
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