Echinococcosis - Revision history

ClaireLewis at 00:47, 2 October 2019

2019-10-02T00:47:53Z

← Older revision		Revision as of 00:47, 2 October 2019
Line 8:		Line 8:
	==Clinical Features==		==Clinical Features==
	*Asymptomatic for many years		*Asymptomatic for many years
	*Abdominal cysts- pain, distension, nausea ~~and~~ vomiting		*Abdominal cysts- [[abdominal pain\|pain]], distension, [[nausea/vomiting]]
	*Alveolar abscess-chest pain, shortness of breath, chronic cough		*Alveolar abscess- [[chest pain]], [[shortness of breath]], chronic [[cough]]
	*Musculoskeletal pain, blindness, headache, and stroke like symptoms if involving muscles, bones, eyes or brain		*Musculoskeletal pain, [[vision loss\|blindness]], [[headache]], and [[stroke]]-like symptoms if involving muscles, bones, eyes or brain

	==Differential Diagnosis==		==Differential Diagnosis==
Line 19:		Line 19:
	==Evaluation==		==Evaluation==
	===Work-up===		===Work-up===
	*Abdominal ~~Ultrasound~~ (most widely used)		*[[ultrasound: Abdomen\|Abdominal ultrasound]] (most widely used)
	*CT		*CT
	*MRI		*MRI

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-22T13:22:50Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 13:22, 22 July 2016
Line 17:		Line 17:
	{{Liver abscess DDX}}		{{Liver abscess DDX}}

	==~~Diagnosis~~==		==Evaluation==
	===Work-up===		===Work-up===
	*Abdominal Ultrasound (most widely used)		*Abdominal Ultrasound (most widely used)

Neil.m.young: Text replacement - "0 mg" to "0mg"

2016-07-19T12:14:18Z

Text replacement - "0 mg" to "0mg"

← Older revision		Revision as of 12:14, 19 July 2016
Line 26:		Line 26:

	==Management==		==Management==
	*Tissue stage/hydatid disease: [[albendazole]] ~~400 mg~~ BID x 28 days, repeat as needed every 2 weeks x 3 cycles		*Tissue stage/hydatid disease: [[albendazole]] 400mg BID x 28 days, repeat as needed every 2 weeks x 3 cycles
	*Surgical removal		*Surgical removal
	**Do not aspirate cysts (risk of seeding disease or anaphylactoid reaction from spillage of hydatid sand which contains antigenic proteins)		**Do not aspirate cysts (risk of seeding disease or anaphylactoid reaction from spillage of hydatid sand which contains antigenic proteins)

Ostermayer: Text replacement - "Category:TropMed" to "Category:Tropical Medicine"

2016-03-22T16:59:09Z

Text replacement - "Category:TropMed" to "Category:Tropical Medicine"

← Older revision		Revision as of 16:59, 22 March 2016
Line 45:		Line 45:

	[[Category:ID]]		[[Category:ID]]
	[[Category:~~TropMed~~]]		[[Category:Tropical Medicine]]

Mholtz at 11:27, 18 August 2015

2015-08-18T11:27:21Z

← Older revision		Revision as of 11:27, 18 August 2015
Line 13:		Line 13:

	==Differential Diagnosis==		==Differential Diagnosis==
	*[[Cysticercosis]] ~~(brain)~~		*[[Cysticercosis\|Neurocysticercosis]]

	{{Liver abscess DDX}}		{{Liver abscess DDX}}

	==~~Workup~~==		==Diagnosis==
			===Work-up===
	*Abdominal Ultrasound (most widely used)		*Abdominal Ultrasound (most widely used)
	*CT		*CT
Line 23:		Line 24:
	*ELISA-sensitivity inversely related to antigen sequestration in cysts		*ELISA-sensitivity inversely related to antigen sequestration in cysts
	*Percutaneous aspiration		*Percutaneous aspiration

	==Management==		==Management==
	*Tissue stage/hydatid disease: [[albendazole]] 400 mg BID x 28 days, repeat as needed every 2 weeks x 3 cycles		*Tissue stage/hydatid disease: [[albendazole]] 400 mg BID x 28 days, repeat as needed every 2 weeks x 3 cycles
Line 31:		Line 33:

	==Disposition==		==Disposition==
	*~~Home~~ if no complications		*Discharge (if no significant clinical complications)

	==See Also==		==See Also==
	*[[Tapeworm]]		*[[Tapeworm]]
	*[[~~Worm Infections~~]]		*[[Helminth infections]]
	*[[Travel ~~Medicine~~]]		*[[Travel medicine]]
	*[[Parasitic ~~Diseases~~]]		*[[Parasitic diseases]]

	==~~Sources~~==		==References==
	*McManus DP, Zhang W, Li J, Bartley PB. Echinococcosis. ''Lancet''. 2003 Oct 18;362(9392):1295-304.		<references/>
	*Moro P, Schantz P. Echinoccococis: A Review. ''International Journal of Infectious Disease''. (2009) 13, 125-133.
	*WHO factsheet Echinococccosis updated March 2014 http://www.who.int/mediacentre/factsheets/fs377/en/

	[[Category:ID]]		[[Category:ID]]
	[[Category:TropMed]]		[[Category:TropMed]]

Rossdonaldson1: /* Differential Diagnosis */

2015-06-10T02:46:30Z

Differential Diagnosis

← Older revision		Revision as of 02:46, 10 June 2015
Line 13:		Line 13:

	==Differential Diagnosis==		==Differential Diagnosis==
	*Pyogenic abscess
	*[[Amebiasis]]
	*Benign cysts/malignancy
	*[[Tuberculosis]]
	*Mycosis
	*[[Cysticercosis]] (brain)		*[[Cysticercosis]] (brain)

			{{Liver abscess DDX}}

	==Workup==		==Workup==

Rossdonaldson1: /* See Also */

2014-09-07T15:46:42Z

Rossdonaldson1 at 22:21, 6 September 2014

2014-09-06T22:21:16Z

← Older revision		Revision as of 22:21, 6 September 2014
Line 5:		Line 5:
	*Definitive hosts-dogs, cats, fox, and wolves		*Definitive hosts-dogs, cats, fox, and wolves
	*Ingested eggs then hatch, penetrate intestinal mucosa, and spread hematogenously to final destination to form cysts		*Ingested eggs then hatch, penetrate intestinal mucosa, and spread hematogenously to final destination to form cysts

	==Clinical Features==		==Clinical Features==
	*Asymptomatic for many years		*Asymptomatic for many years
Line 10:		Line 11:
	*Alveolar abscess-chest pain, shortness of breath, chronic cough		*Alveolar abscess-chest pain, shortness of breath, chronic cough
	*Musculoskeletal pain, blindness, headache, and stroke like symptoms if involving muscles, bones, eyes or brain		*Musculoskeletal pain, blindness, headache, and stroke like symptoms if involving muscles, bones, eyes or brain

	==Differential Diagnosis==		==Differential Diagnosis==
	*Pyogenic abscess		*Pyogenic abscess
	*Amebiasis		*[[Amebiasis]]
	*Benign cysts/malignancy		*Benign cysts/malignancy
	*Tuberculosis		*[[Tuberculosis]]
	*Mycosis		*Mycosis
	*Cysticercosis (brain)		*[[Cysticercosis]] (brain)

	==Workup==		==Workup==
	*Abdominal Ultrasound (most widely used)		*Abdominal Ultrasound (most widely used)

Rossdonaldson1: /* Disposition */

2014-09-06T20:39:18Z

Disposition

← Older revision		Revision as of 20:39, 6 September 2014
Line 32:		Line 32:
	==Disposition==		==Disposition==
	*Home if no complications		*Home if no complications

			==See Also==
			*[[Worm Infections]]
			*[[Travel Medicine]]
			*[[Parasitic Diseases]]

	==Sources==		==Sources==
	*McManus DP, Zhang W, Li J, Bartley PB. Echinococcosis. ''Lancet''. 2003 Oct 18;362(9392):1295-304.		*McManus DP, Zhang W, Li J, Bartley PB. Echinococcosis. ''Lancet''. 2003 Oct 18;362(9392):1295-304.

Rossdonaldson1: /* Management */

2014-09-06T20:35:18Z

Management

← Older revision		Revision as of 20:35, 6 September 2014
Line 24:		Line 24:
	*Percutaneous aspiration		*Percutaneous aspiration
	==Management==		==Management==
	*~~Benzimidazole~~, ~~Albendazole, Mebendazole~~		*Tissue stage/hydatid disease: [[albendazole]] 400 mg BID x 28 days, repeat as needed every 2 weeks x 3 cycles
	*Surgical removal		*Surgical removal
	*PAIR (Percutaneous aspiration, injection, reaspiration)		**Do not aspirate cysts (risk of seeding disease or anaphylactoid reaction from spillage of hydatid sand which contains antigenic proteins)
	**Inject with 95% ethanol or hypertonic saline, leave in for 15 minutes, then reaspirate		**PAIR (Percutaneous aspiration, injection, reaspiration)
			***Inject with 95% ethanol or hypertonic saline, leave in for 15 minutes, then reaspirate

	==Disposition==		==Disposition==
	*Home if no complications		*Home if no complications

← Older revision		Revision as of 15:46, 7 September 2014
Line 37:		Line 37:

	==See Also==		==See Also==
			*[[Tapeworm]]
	*[[Worm Infections]]		*[[Worm Infections]]
	*[[Travel Medicine]]		*[[Travel Medicine]]