Stey C, Jost R, Ammann R
Abteilung für Gastroenterologie, Universitätsspital Zürich.
Schweiz Med Wochenschr. 1993 Jul 24;123(29):1445-7.
A 34-year-old, previously healthy Yugoslav developed relapsing generalized anaphylactic reactions associated with life-threatening laryngospasm. After successful life support with volume-replacement, epinephrine, antihistamines and steroids, clinical workup disclosed a slight tenderness in the right upper abdomen and sonography a polycystic tumor with coarse calcification within the wall. The presumptive diagnosis of cystic liver echinococcosis with spontaneous rupture of a hydatid cyst was confirmed surgically and serologically. This case history shows that liver echinococcosis should be considered in otherwise unexplained anaphylaxis.
一名34岁、既往健康的南斯拉夫人出现了复发性全身性过敏反应，并伴有危及生命的喉痉挛。在通过补液、肾上腺素、抗组胺药和类固醇成功进行生命支持后，临床检查发现右上腹有轻微压痛，超声检查发现一个壁内有粗大钙化的多囊性肿瘤。经手术和血清学检查证实为肝包虫囊肿自发破裂导致的囊性肝包虫病。该病例表明，在无法解释的过敏反应中应考虑肝包虫病。
