Sah Ranjit, Calatri Michele, Neupane Samikshya, Poudyal Sagar, Toledo Rafael, Acosta Lucrecia
Institute of Medicine, Tribhuvan University, Kathmandu, Nepal.
Faculty of Medicine and Surgery, University of Cagliari, Sardinia, Italy.
J Parasit Dis. 2020 Jun;44(2):472-475. doi: 10.1007/s12639-020-01213-9. Epub 2020 Mar 18.
Hydatidic disease (echinococcosis) is a significant health problem in Nepal. In humans, mainly involves liver and commonly remains silent without symptoms or causing only mild pressure symptomatology. However, inadequate invasive medical procedures may cause the rupture of the cyst with serious complications, anaphylactic shock and death. Herein, we report the case of a Nepali patient who had been treated of a hepatic abscess with percutaneous drainage and antibiotics in a previous hospitalization. Study by drain fluid, ultrasonography and the magnetic resonance imaging revealed the presence of an intact Hydatidic cyst in the liver concomitantly with a percutaneously draining abscess (with free hooklets and a drain tube). This emphasizes the importance of putting the Hydatidic cyst into the differential diagnosis of liver abscess, especially in non-endemic areas.
包虫病（棘球蚴病）在尼泊尔是一个严重的健康问题。在人类中，主要累及肝脏，通常没有症状或仅引起轻微的压迫症状，处于隐匿状态。然而，不恰当的侵入性医疗操作可能导致囊肿破裂，引发严重并发症、过敏性休克甚至死亡。在此，我们报告一例尼泊尔患者，该患者在之前的住院治疗中接受了经皮引流和抗生素治疗肝脓肿。对引流液、超声检查和磁共振成像的研究显示，肝脏中存在一个完整的包虫囊肿，同时伴有一个经皮引流的脓肿（有游离的头节和引流管）。这强调了在肝脓肿的鉴别诊断中考虑包虫囊肿的重要性，尤其是在非流行地区。
