Pastore Ricardo, Vitali Lúcia H, Weirich Judith, Tojal Anna C, Macedo Vanize de Oliveira, Prata Aluízio
Núcleo de Medicina Tropical, Universidade de Brasília, Brasília, DF, Brasil.
Rev Soc Bras Med Trop. 2003 Jan-Feb;36(1):97-101. doi: 10.1590/s0037-86822003000100013. Epub 2003 Apr 22.
Two cases of Polycystic hydatid disease (PH) are reported from the same municipal district of the Brazilian Amazon region (Sena Madureira, Acre). Both had a similar clinical presentation and course over two years of follow-up. Initially the patients complained of pain in the right hypochondrium or upper abdomen and presented obstructive jaundice, fever, increased abdominal volume and weight loss. By image analysis, in addition to splenomegaly, multiple and coalescent cysts were detected in the liver. Serum samples were reactive by counterimmunoelectrophoresis. Treatment with albendazole resulted in partial improvement, with symptomatic relief and reduction in size of the lesions. This report stresses the importance of performing clinical-epidemiological studies of polycystic hydatid disease in the Brazilian Amazon and especially in the municipality of Sena Madureira where many other cases of PH may remain undiagnosed.
巴西亚马逊地区（阿克里州塞纳马杜雷拉市）同一市区报告了两例多囊性包虫病（PH）病例。在两年的随访中，两者临床表现和病程相似。最初，患者主诉右季肋部或上腹部疼痛，并出现梗阻性黄疸、发热、腹部膨隆和体重减轻。通过影像分析，除脾肿大外，肝脏还检测到多个融合性囊肿。血清样本经对流免疫电泳呈阳性反应。阿苯达唑治疗后病情部分改善，症状缓解，病灶缩小。本报告强调了在巴西亚马逊地区，特别是在塞纳马杜雷拉市开展多囊性包虫病临床流行病学研究的重要性，因为在该市可能还有许多其他多囊性包虫病病例未被诊断出来。
