Kamath Sulata M, Mysorekar Vijaya V, Rao Saraswathi G, Varma Ravi Gopal
Department of Pathology, MS Ramaiah Medical College and Hospital, Bangalore 560 054, India.
Indian J Pathol Microbiol. 2009 Oct-Dec;52(4):571-2. doi: 10.4103/0377-4929.56159.
Hydatid disease is caused by the infestation of the larvae of tapeworms of the genus Echinococcus. The definitive hosts of Echinococcus are various carnivores, the common being the dog. All mammals (more often sheep and cattle) are intermediate hosts. Humans get infected through the feco-oral route by ingestion of food or milk contaminated by dog feces containing ova of the parasite or by direct contact with dogs. The most common sites of infestation are the liver (75%) and lungs (15%). Various authors state a frequency of hydatidosis of the brain ranging between only 0.2-4% of cases. [1],[2],[3] The prognosis following surgical intervention is good, especially in pediatric age. [2],[3] Hence early diagnosis of this condition is crucial. We report a rare case of a child with a large intraventricular hydatid cyst that had an excellent recovery following surgery.
包虫病是由棘球绦虫属的绦虫幼虫感染引起的。棘球绦虫的终末宿主是各种食肉动物,常见的是狗。所有哺乳动物(更常见的是绵羊和牛)都是中间宿主。人类通过经口途径感染,即摄入被含有寄生虫卵的狗粪便污染的食物或牛奶,或直接接触狗。最常见的感染部位是肝脏(75%)和肺(15%)。不同作者指出脑包虫病的发生率仅在病例的0.2 - 4%之间。[1],[2],[3]手术干预后的预后良好,尤其是在儿童期。[2],[3]因此,这种疾病的早期诊断至关重要。我们报告了一例罕见病例,一名儿童患有巨大的脑室内包虫囊肿,术后恢复良好。