<abstract xmlns="http://www.w3.org/1999/xhtml"><p> Alveolar and cystic echinococcosis, serious parasitic diseases caused by larval stages of Echinococcus multilocularis and E. granulosus has been diagnosed in Slovakia for a long time. Study presents case of 49-years old patient with accidentally diagnosed one big (60 mm) and multiple small (2 - 24 mm) hypoechogenic structures localised in right liver lobe. According to positive serology to E. granulosus antigen and results of imaging examinations the patient was classifi ed as possible case of cystic echinococcosis and treated with mebendazole. Later, due to the worsening of clinical, laboratory and CT fi ndings surgical biopsy was performed and surgical biopsy and subsequent PCR examination of liver tissue confi rmed the diagnosis of alveolar echinococosis. Clinical picture of disease imitating cystic echinococcosis in presented case report, together with results of serological tests confi rmed importance of accurate differential diagnosis of echinococcosis. Each aspect of clinical and laboratory results should be considered responsibly, however, sometimes only molecular techniques can solve the problem of differential diagnosis.</p></abstract>

Alveolar and cystic echinococcosis, serious parasitic diseases caused by larval stages of Echinococcus multilocularis and E. granulosus has been diagnosed in Slovakia for a long time. Study presents case of 49-years old patient with accidentally diagnosed one big (60 mm) and multiple small (2 - 24 mm) hypoechogenic structures localised in right liver lobe. According to positive serology to E. granulosus antigen and results of imaging examinations the patient was classifi ed as possible case of cystic echinococcosis and treated with mebendazole. Later, due to the worsening of clinical, laboratory and CT fi ndings surgical biopsy was performed and surgical biopsy and subsequent PCR examination of liver tissue confi rmed the diagnosis of alveolar echinococosis. Clinical picture of disease imitating cystic echinococcosis in presented case report, together with results of serological tests confi rmed importance of accurate differential diagnosis of echinococcosis. Each aspect of clinical and laboratory results should be considered responsibly, however, sometimes only molecular techniques can solve the problem of differential diagnosis.

Importance of complex diagnostic approach in differential diagnosis of alveolar echinococcosis

Clinic of Infectology and Travel Medicine, Comenius University Bratislava, Jessenius Faculty of Medicine and University Hospital, Martin

Clinic of Surgery and Transplantation Centre, Jessenius Faculty of Medicine and University Hospital, Martin

Institute of Parasitology of Slovak Academy of Sciences, Košice

Department of Microbiology and Immunology, Comenius University Bratislava, Jessenius Faculty of Medicine, Martin

Helminthologia

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Alveolar and cystic echinococcosis, serious parasitic diseases caused by larval stages of Echinococcus multilocularis and E. granulosus has been diagnosed in...

Importance of complex diagnostic approach in differential diagnosis of alveolar echinococcosis

Published Online: Nov 26, 2015

Page range: 298 - 302

Received: Jun 02, 2015

Accepted: Jun 23, 2015

DOI: https://doi.org/10.1515/helmin-2015-0047

Keywords
alveolar echinococcosis, cystic echinococcosis, differential diagnosis, therapy

© 2015

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Importance of complex diagnostic approach in differential diagnosis of alveolar echinococcosis

Published Online: Nov 26, 2015

Page range: 298 - 302

Received: Jun 02, 2015

Accepted: Jun 23, 2015

DOI: https://doi.org/10.1515/helmin-2015-0047

Keywordsalveolar echinococcosis, cystic echinococcosis, differential diagnosis, therapy

© 2015

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
alveolar echinococcosis, cystic echinococcosis, differential diagnosis, therapy