CYSTIC HYDATID DISEASE IN A CHILD: CASE REPORT

• Main Authors: Petra Golob, Katja Zemljarič, Jernej Brecelj
• Format: Article
• Language: Slovenian
• Published: The Society for Children with Metabolic Disorders 2020-12-01
• Series: Slovenska pediatrija
• Subjects: hydatid cyst; parasitosis; echinococcus granulosus; paediatrics
• Online Access: http://www.slovenskapediatrija.si/Portals/0/Clanki/2020/Slovpediatr-2020-4-04en.pdf

Cystic echinococcosis or hydatid disease is a widely endemic parasitosis caused by infection with eggs of the Echinococcus granulosus tapeworm. The symptoms and clinical picture can vary, depending on the size and location of the cyst. In 70% of cases, the cyst formation occurs in the liver. The diagnosis is confirmed by serological testing for antibodies against hydatid antigens and by ultrasound or CT/MRI imaging. Treatment methods include chemotherapy with albendazole and/or surgical approaches, including percutaneous transhepatic sclerotherapy. The success of these methods is influenced by the stage and location of the hepatic cysts. However, cystic echinococcosis can be clinically silent and has a high recurrence risk. It is important to consider echinococcal infestation in the differential diagnosis of cystic liver lesions. We present a case of incidentally diagnosed disease in an asymptomatic boy.