Open AccessA Case of Pulmonary and Hepatic Cystic Echinococcosis of CE1 Stage in a Healthy Japanese Female that Was Suspected to Have Been Acquired During Her Stay in the United Kingdom
Author(s) -
Kiwamu Nakamura,
Akira Itō,
Satomi Yara,
Shusaku Haranaga,
Kenji Hibiya,
Tsuneo Hirayasu,
Yasuhito Sako,
Jiro Fujita
Publication year - 2011
Publication title -
the american journal of tropical medicine and hygiene
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.015
H-Index - 151
eISSN - 1476-1645
pISSN - 0002-9637
DOI - 10.4269/ajtmh.2011.11-0112
Subject(s) - albendazole , echinococcus granulosus , medicine , praziquantel , concomitant , cystic echinococcosis , lung , echinococcosis , lung infection , stage (stratigraphy) , pathological , surgery , cyst , pharmacotherapy , gastroenterology , helminths , biology , schistosomiasis , immunology , zoology , paleontology
We herein report a case of a young Japanese female who was confirmed to have cystic echinococcosis (CE) 1 stage based on the World Health Organization Informal Working Group on Echinococcosis pathological classification of CE, and she was also suspected to be infected with eggs of the G1 Echinococcus granulosus sensu stricto during her stay in the United Kingdom and therefore, suffered from synchronous pulmonary and hepatic CE. Oral albendazole was administered initially, but rupture of a lung hydatid cyst was observed. To avoid additional rupture, we performed two surgeries. CE is very rare in Japan; all CE cases in Japan during the past two decades have been confirmed to be imported, and almost all cases are hepatic CE. This case is the first case report of a Japanese patient who had concomitant giant lung and liver CE with early-stage CE1 and was successfully treated by surgery and pharmacotherapy with a serological follow-up.