An Atypical Presentation of Cystic Echinococcosis

Cystic echinococcosis (CE) is an infection caused by the Echinococcus granulosus tapeworm. CE generally manifests in the liver, but it may present in any organ. These patients often first present to the emergency department. Mortality over 10 years is significant for those who go undiagnosed. We rep...

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Main Authors: Bhavana Tetali, Daniel C. Grahf, Elian D. Abou Asala, Daniel Axelson
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2020-05-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/3zv1s1kc
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author Bhavana Tetali
Daniel C. Grahf
Elian D. Abou Asala
Daniel Axelson
author_facet Bhavana Tetali
Daniel C. Grahf
Elian D. Abou Asala
Daniel Axelson
author_sort Bhavana Tetali
collection DOAJ
description Cystic echinococcosis (CE) is an infection caused by the Echinococcus granulosus tapeworm. CE generally manifests in the liver, but it may present in any organ. These patients often first present to the emergency department. Mortality over 10 years is significant for those who go undiagnosed. We report the case of a 34-year-old patient who immigrated from Yemen six years earlier. She presented with acute onset dysuria, suprapubic pain, and fever. Imaging revealed a primary multicystic mass on the right renal pole with a secondary lesion in the right hepatic lobe. On further investigation, the patient’s serum was positive for echinococcus antibodies.
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spelling doaj.art-d31ff60500864f0997facadef8e1c1642022-12-21T23:42:34ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2020-05-014210.5811/cpcem.2020.1.45842cpcem-04-164An Atypical Presentation of Cystic EchinococcosisBhavana Tetali0Daniel C. Grahf1Elian D. Abou Asala2Daniel Axelson3Henry Ford Health System, Department of Internal Medicine, Detroit, MichiganHenry Ford Health System, Department of Internal Medicine, Detroit, MichiganHenry Ford Health System, Department of Internal Medicine, Detroit, MichiganHenry Ford Health System, Department of Emergency Medicine, Detroit MichiganCystic echinococcosis (CE) is an infection caused by the Echinococcus granulosus tapeworm. CE generally manifests in the liver, but it may present in any organ. These patients often first present to the emergency department. Mortality over 10 years is significant for those who go undiagnosed. We report the case of a 34-year-old patient who immigrated from Yemen six years earlier. She presented with acute onset dysuria, suprapubic pain, and fever. Imaging revealed a primary multicystic mass on the right renal pole with a secondary lesion in the right hepatic lobe. On further investigation, the patient’s serum was positive for echinococcus antibodies.https://escholarship.org/uc/item/3zv1s1kc
spellingShingle Bhavana Tetali
Daniel C. Grahf
Elian D. Abou Asala
Daniel Axelson
An Atypical Presentation of Cystic Echinococcosis
Clinical Practice and Cases in Emergency Medicine
title An Atypical Presentation of Cystic Echinococcosis
title_full An Atypical Presentation of Cystic Echinococcosis
title_fullStr An Atypical Presentation of Cystic Echinococcosis
title_full_unstemmed An Atypical Presentation of Cystic Echinococcosis
title_short An Atypical Presentation of Cystic Echinococcosis
title_sort atypical presentation of cystic echinococcosis
url https://escholarship.org/uc/item/3zv1s1kc
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