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Hydatid disease (echinococcosis) is a cyclozoonotic infection with the dog tapeworm Echinococcus granulosis, more commonly seen in men than in women. The worm is endemic to many parts of the world, including Europe, Asia and the Americas. The usual life-cycle is between dogs and sheep, with humans infrequently accidental hosts. Rarer primary hosts are foxes, horses, wolves and jackals. The life-cycle is shown in Figure 1. There are no specific local or general signs and symptoms, while the distribution and manifestations of hydatidosis are ubiquitous and protean. Liver and lung are the two commonest organs involved (one or both in 90% of cases), but the kidney is very rarely affected primarily (2% in 1802 cases in the Australasian Hydatid Register [1]). Usually symptoms arise from the expanding presence of the cysts inside organs, or after cysts rupture. Systemic ill-effects are rare. Diagnosis is made by history of exposure, by radiolo-

Reversible nepbrotic syndrome due to mesangiocapillary glomerulonephritis secondary to hepatic hydatid disease