Bläckberg Jonas, Asgeirsson Hilmir, Glimåker Kajsa, Lier Tore, Sasor Agata
Infectious Diseases - Lund, Sweden Infectious Diseases - Lund, Sweden.
Karolinska Universitetssjukhuset - Infektionssjukdomar Stockholm, Sweden Karolinska Universitetssjukhuset - Infektionssjukdomar Stockholm, Sweden.
Lakartidningen. 2020 Feb 11;117:FTPX.
Alveolar echinococcosis (AE) caused by the fox tapeworm Echinococcus multilocularis is a zoonosis presenting with focal liver lesions and has a poor prognosis without treatment. The disease is common in Central and Eastern Europe but has been highly unusual in Sweden. A suspicion of AE usually arises through radiology and the diagnosis may be confirmed by histology and/or serological antibody detection. AE is treated with radical surgery in combination with anti-helminthic drug therapy. During the last two years six cases of AE have been diagnosed in Sweden. In no case was AE suspected clinically before biopsy. A heightened awareness of AE is needed among Swedish physicians, including radiologists, surgeons and pathologists.
由狐狸绦虫多房棘球绦虫引起的肺泡型棘球蚴病（AE）是一种人畜共患病，表现为肝脏局灶性病变，未经治疗预后较差。该病在中欧和东欧很常见，但在瑞典极为罕见。AE的疑似病例通常通过放射学检查发现，诊断可通过组织学检查和/或血清学抗体检测来确诊。AE的治疗方法是根治性手术联合抗蠕虫药物治疗。在过去两年里，瑞典共诊断出6例AE病例。在活检前，无一例临床上怀疑为AE。瑞典的医生，包括放射科医生、外科医生和病理科医生，都需要提高对AE的认识。
