Polycystic hydatid disease ( Echinococcus vogeli) : Clinical, laboratory and morphological findings in nine Brazilian patients

Polycystic hydatid disease occurs in neotropical zones and is caused by Echinococcus vogeli. The paca, a wild rodent, is the intermediate host and the final host is the dog. Seven cases of polycystic hydatid disease autochthonous to the Brazilian Amazon region are described. The disease was polycyst...

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Veröffentlicht in:Journal of hepatology 1992-03, Vol.14 (2), p.203-210
Hauptverfasser: Meneghelli, Ulysses G., Martinelli, Ana L.C., Llorach Velludo, Maria Angeles S., Bellucci, Angela D., Magro, Jose E., Maria, L.P.Barbõ
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container_end_page 210
container_issue 2
container_start_page 203
container_title Journal of hepatology
container_volume 14
creator Meneghelli, Ulysses G.
Martinelli, Ana L.C.
Llorach Velludo, Maria Angeles S.
Bellucci, Angela D.
Magro, Jose E.
Maria, L.P.Barbõ
description Polycystic hydatid disease occurs in neotropical zones and is caused by Echinococcus vogeli. The paca, a wild rodent, is the intermediate host and the final host is the dog. Seven cases of polycystic hydatid disease autochthonous to the Brazilian Amazon region are described. The disease was polycystic in all cases and diagnosis was based on anatomopathological findings. E. vogeli was identified by the shape and dimensions of the rostellar hooks. The liver was the organ most often involved ( 6 7 ), followed by the lungs ( 2 7 ) and mesentery ( 2 7 ), spleen ( 1 7 ) and pancreas ( 1 7 ). The main clinical manifestations were abdominal pain, hepatomegaly, jaundice, weight loss, anemia, fever, hemoptysis, palpable abdominal masses and signs of portal hypertension. Hepatic calcifications were detected in four cases. Two cases from the hinterland of the State of Sāo Paulo are also reported. Both had calcified round structures in the liver, highly suggestive of calcified polycystic hydatids. The aim of the present report was to report on this relatively unknown hydatid disorder of Tropical America and to disseminate its clinical, ultrasound and radiological features.
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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Adult
Aged
Animals
Biological and medical sciences
Brazil
Calcinosis - diagnostic imaging
Calcinosis - etiology
Echinococcosis - diagnostic imaging
Echinococcosis - physiopathology
Echinococcus - isolation & purification
Female
Humans
Infectious diseases
Liver - diagnostic imaging
Liver Diseases - diagnostic imaging
Liver Diseases - physiopathology
Male
Medical sciences
Middle Aged
Parasitic diseases
Radiography
Ultrasonography
title Polycystic hydatid disease ( Echinococcus vogeli) : Clinical, laboratory and morphological findings in nine Brazilian patients
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