Atypical cystic echinococcosis in a young child

Autores
Lavallén, Carla Mariela; Pons, Mauricio; Mercuri, Enrique; Ortolani, Viviana; Scioscia, Nathalia Paula; Hollmann, Patricia; Denegri, Guillermo Maria; Dopchiz, Marcela Cecilia
Año de publicación
2015
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
An almost four year old Argentinian girl had abdominal pain and daily fevers of 38.5°C for 5 days. She appeared to be in good general condition except for petechial lesions on the anterior trunk. She also had a painful and tense abdomen on light palpation. Abdominal ultrasonography revealed a large intraperitoneal cystic lesion measuring 11.56 cm × 10.5 cm x 4.18 cm with thin walls and liquid in the cavity (See Figure, Supplemental Digital Content 1). Laboratory tests showed slight eosinophilia. Preoperative diagnosis was a congenital cystic mass of the mesenterium. Laparotomy showed liquid in the cavity and a flaccid cyst of very thin walls surrounded by the small intestine, the stomach and the omentum. During removal it was damaged and it resembled a hydatid membrane. The abdominal cavity was washed with physiologic solution and hypertonic saline solution-soaked pads were used. The patient had an uneventful recovery and received albendazole
treatment (15 mg/kg/day). She was discharged after the 3rd postoperative day when abdominal ultrasonography and chest radiography were normal. Outpatient follow-up included abdominal ultrasonography bimonthly and albendazole treatment. Histopathological examination confirmed hydatid cyst showing laminated and germinal layers with abundant eosinophils, multinucleated giant
cells and scoleces (See Figure, Supplemental Digital Content 2, which shows a histophatological section of hydatic cyst. Laminal layer, germinal layer and vesicle with two scoleces are seen. HE stain).
Intraperitoneal hydatid cysts usually develop secondary to spontaneous or iatrogenic rupture of  hepatic, splenic, or mesenteric cysts. Rarely an isolated primary cyst can develop in the peritoneum without evidence of cysts in other intra-abdominal organs 1. The growth rate of a hydatid cyst has been variably reported at 1-16 cm per year in abdomen 2. Abdominal cystic echinococcosis had been infrequently reported and only in adults 3. If the girl ingested the oncosphere in the first semester of life, an estimated minimum growth rate of the cyst was 2.5-3 cm per year.
Canine coproparasitological research in the environment where the family was living showed a dog with Taenia sp. These findings confirm the persistence of the habit of feeding dogs with raw offal and the existence of hosts involved in the parasite life cycle, which represent risk factors to develop cystic echinococcosis or other parasitic diseases.

Fil: Lavallén, Carla Mariela. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Departamento de Biologia. Laboratorio de Zoonosis Parasitarias; Argentina
Fil: Pons, Mauricio. Hospital Interzonal Especializado Materno Infantil “Victorio Tetamanti”; Argentina
Fil: Mercuri, Enrique. Hospital Interzonal Especializado Materno Infantil “Victorio Tetamanti”; Argentina
Fil: Ortolani, Viviana. Hospital Interzonal Especializado Materno Infantil “Victorio Tetamanti”; Argentina
Fil: Scioscia, Nathalia Paula. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Departamento de Biologia. Laboratorio de Zoonosis Parasitarias; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Hollmann, Patricia. Centro Municipal de Zoonosis, Secretaría de Salud, Partido de General Pueyrredon ; Argentina
Fil: Denegri, Guillermo Maria. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Departamento de Biologia. Laboratorio de Zoonosis Parasitarias; Argentina
Fil: Dopchiz, Marcela Cecilia. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Departamento de Biologia. Laboratorio de Zoonosis Parasitarias; Argentina
Materia
Intraperitoneal Hydatid Cyst
Surgery
Canine
Zoonotic Parasites
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/41694
Acceder
id CONICETDig_29d369884b768730c512cbe28c7e2cdd
oai_identifier_str oai:ri.conicet.gov.ar:11336/41694
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Atypical cystic echinococcosis in a young childLavallén, Carla MarielaPons, MauricioMercuri, EnriqueOrtolani, VivianaScioscia, Nathalia PaulaHollmann, PatriciaDenegri, Guillermo MariaDopchiz, Marcela CeciliaIntraperitoneal Hydatid CystSurgeryCanineZoonotic Parasiteshttps://purl.org/becyt/ford/3.2https://purl.org/becyt/ford/3An almost four year old Argentinian girl had abdominal pain and daily fevers of 38.5°C for 5 days. She appeared to be in good general condition except for petechial lesions on the anterior trunk. She also had a painful and tense abdomen on light palpation. Abdominal ultrasonography revealed a large intraperitoneal cystic lesion measuring 11.56 cm × 10.5 cm x 4.18 cm with thin walls and liquid in the cavity (See Figure, Supplemental Digital Content 1). Laboratory tests showed slight eosinophilia. Preoperative diagnosis was a congenital cystic mass of the mesenterium. Laparotomy showed liquid in the cavity and a flaccid cyst of very thin walls surrounded by the small intestine, the stomach and the omentum. During removal it was damaged and it resembled a hydatid membrane. The abdominal cavity was washed with physiologic solution and hypertonic saline solution-soaked pads were used. The patient had an uneventful recovery and received albendazole<br />treatment (15 mg/kg/day). She was discharged after the 3rd postoperative day when abdominal ultrasonography and chest radiography were normal. Outpatient follow-up included abdominal ultrasonography bimonthly and albendazole treatment. Histopathological examination confirmed hydatid cyst showing laminated and germinal layers with abundant eosinophils, multinucleated giant<br />cells and scoleces (See Figure, Supplemental Digital Content 2, which shows a histophatological section of hydatic cyst. Laminal layer, germinal layer and vesicle with two scoleces are seen. HE stain).<br />Intraperitoneal hydatid cysts usually develop secondary to spontaneous or iatrogenic rupture of  hepatic, splenic, or mesenteric cysts. Rarely an isolated primary cyst can develop in the peritoneum without evidence of cysts in other intra-abdominal organs 1. The growth rate of a hydatid cyst has been variably reported at 1-16 cm per year in abdomen 2. Abdominal cystic echinococcosis had been infrequently reported and only in adults 3. If the girl ingested the oncosphere in the first semester of life, an estimated minimum growth rate of the cyst was 2.5-3 cm per year.<br />Canine coproparasitological research in the environment where the family was living showed a dog with Taenia sp. These findings confirm the persistence of the habit of feeding dogs with raw offal and the existence of hosts involved in the parasite life cycle, which represent risk factors to develop cystic echinococcosis or other parasitic diseases.<br />Fil: Lavallén, Carla Mariela. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Departamento de Biologia. Laboratorio de Zoonosis Parasitarias; ArgentinaFil: Pons, Mauricio. Hospital Interzonal Especializado Materno Infantil “Victorio Tetamanti”; ArgentinaFil: Mercuri, Enrique. Hospital Interzonal Especializado Materno Infantil “Victorio Tetamanti”; ArgentinaFil: Ortolani, Viviana. Hospital Interzonal Especializado Materno Infantil “Victorio Tetamanti”; ArgentinaFil: Scioscia, Nathalia Paula. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Departamento de Biologia. Laboratorio de Zoonosis Parasitarias; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Hollmann, Patricia. Centro Municipal de Zoonosis, Secretaría de Salud, Partido de General Pueyrredon ; ArgentinaFil: Denegri, Guillermo Maria. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Departamento de Biologia. Laboratorio de Zoonosis Parasitarias; ArgentinaFil: Dopchiz, Marcela Cecilia. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Departamento de Biologia. Laboratorio de Zoonosis Parasitarias; ArgentinaLippincott Williams2015-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/41694Lavallén, Carla Mariela; Pons, Mauricio; Mercuri, Enrique; Ortolani, Viviana; Scioscia, Nathalia Paula; et al.; Atypical cystic echinococcosis in a young child; Lippincott Williams; Pediatric Infectious Disease Journal; 34; 2; 2-2015; 226-2260891-3668CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1097/INF.0000000000000525info:eu-repo/semantics/altIdentifier/url/https://insights.ovid.com/crossref?an=00006454-201502000-00028info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:15:05Zoai:ri.conicet.gov.ar:11336/41694instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 10:15:05.478CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Atypical cystic echinococcosis in a young child
title Atypical cystic echinococcosis in a young child
spellingShingle Atypical cystic echinococcosis in a young child
Lavallén, Carla Mariela
Intraperitoneal Hydatid Cyst
Surgery
Canine
Zoonotic Parasites
title_short Atypical cystic echinococcosis in a young child
title_full Atypical cystic echinococcosis in a young child
title_fullStr Atypical cystic echinococcosis in a young child
title_full_unstemmed Atypical cystic echinococcosis in a young child
title_sort Atypical cystic echinococcosis in a young child
dc.creator.none.fl_str_mv Lavallén, Carla Mariela
Pons, Mauricio
Mercuri, Enrique
Ortolani, Viviana
Scioscia, Nathalia Paula
Hollmann, Patricia
Denegri, Guillermo Maria
Dopchiz, Marcela Cecilia
author Lavallén, Carla Mariela
author_facet Lavallén, Carla Mariela
Pons, Mauricio
Mercuri, Enrique
Ortolani, Viviana
Scioscia, Nathalia Paula
Hollmann, Patricia
Denegri, Guillermo Maria
Dopchiz, Marcela Cecilia
author_role author
author2 Pons, Mauricio
Mercuri, Enrique
Ortolani, Viviana
Scioscia, Nathalia Paula
Hollmann, Patricia
Denegri, Guillermo Maria
Dopchiz, Marcela Cecilia
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Intraperitoneal Hydatid Cyst
Surgery
Canine
Zoonotic Parasites
topic Intraperitoneal Hydatid Cyst
Surgery
Canine
Zoonotic Parasites
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.2
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv An almost four year old Argentinian girl had abdominal pain and daily fevers of 38.5°C for 5 days. She appeared to be in good general condition except for petechial lesions on the anterior trunk. She also had a painful and tense abdomen on light palpation. Abdominal ultrasonography revealed a large intraperitoneal cystic lesion measuring 11.56 cm × 10.5 cm x 4.18 cm with thin walls and liquid in the cavity (See Figure, Supplemental Digital Content 1). Laboratory tests showed slight eosinophilia. Preoperative diagnosis was a congenital cystic mass of the mesenterium. Laparotomy showed liquid in the cavity and a flaccid cyst of very thin walls surrounded by the small intestine, the stomach and the omentum. During removal it was damaged and it resembled a hydatid membrane. The abdominal cavity was washed with physiologic solution and hypertonic saline solution-soaked pads were used. The patient had an uneventful recovery and received albendazole<br />treatment (15 mg/kg/day). She was discharged after the 3rd postoperative day when abdominal ultrasonography and chest radiography were normal. Outpatient follow-up included abdominal ultrasonography bimonthly and albendazole treatment. Histopathological examination confirmed hydatid cyst showing laminated and germinal layers with abundant eosinophils, multinucleated giant<br />cells and scoleces (See Figure, Supplemental Digital Content 2, which shows a histophatological section of hydatic cyst. Laminal layer, germinal layer and vesicle with two scoleces are seen. HE stain).<br />Intraperitoneal hydatid cysts usually develop secondary to spontaneous or iatrogenic rupture of  hepatic, splenic, or mesenteric cysts. Rarely an isolated primary cyst can develop in the peritoneum without evidence of cysts in other intra-abdominal organs 1. The growth rate of a hydatid cyst has been variably reported at 1-16 cm per year in abdomen 2. Abdominal cystic echinococcosis had been infrequently reported and only in adults 3. If the girl ingested the oncosphere in the first semester of life, an estimated minimum growth rate of the cyst was 2.5-3 cm per year.<br />Canine coproparasitological research in the environment where the family was living showed a dog with Taenia sp. These findings confirm the persistence of the habit of feeding dogs with raw offal and the existence of hosts involved in the parasite life cycle, which represent risk factors to develop cystic echinococcosis or other parasitic diseases.<br />
Fil: Lavallén, Carla Mariela. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Departamento de Biologia. Laboratorio de Zoonosis Parasitarias; Argentina
Fil: Pons, Mauricio. Hospital Interzonal Especializado Materno Infantil “Victorio Tetamanti”; Argentina
Fil: Mercuri, Enrique. Hospital Interzonal Especializado Materno Infantil “Victorio Tetamanti”; Argentina
Fil: Ortolani, Viviana. Hospital Interzonal Especializado Materno Infantil “Victorio Tetamanti”; Argentina
Fil: Scioscia, Nathalia Paula. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Departamento de Biologia. Laboratorio de Zoonosis Parasitarias; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Hollmann, Patricia. Centro Municipal de Zoonosis, Secretaría de Salud, Partido de General Pueyrredon ; Argentina
Fil: Denegri, Guillermo Maria. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Departamento de Biologia. Laboratorio de Zoonosis Parasitarias; Argentina
Fil: Dopchiz, Marcela Cecilia. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Nacional de Mar del Plata. Facultad de Ciencias Exactas y Naturales. Departamento de Biologia. Laboratorio de Zoonosis Parasitarias; Argentina
description An almost four year old Argentinian girl had abdominal pain and daily fevers of 38.5°C for 5 days. She appeared to be in good general condition except for petechial lesions on the anterior trunk. She also had a painful and tense abdomen on light palpation. Abdominal ultrasonography revealed a large intraperitoneal cystic lesion measuring 11.56 cm × 10.5 cm x 4.18 cm with thin walls and liquid in the cavity (See Figure, Supplemental Digital Content 1). Laboratory tests showed slight eosinophilia. Preoperative diagnosis was a congenital cystic mass of the mesenterium. Laparotomy showed liquid in the cavity and a flaccid cyst of very thin walls surrounded by the small intestine, the stomach and the omentum. During removal it was damaged and it resembled a hydatid membrane. The abdominal cavity was washed with physiologic solution and hypertonic saline solution-soaked pads were used. The patient had an uneventful recovery and received albendazole<br />treatment (15 mg/kg/day). She was discharged after the 3rd postoperative day when abdominal ultrasonography and chest radiography were normal. Outpatient follow-up included abdominal ultrasonography bimonthly and albendazole treatment. Histopathological examination confirmed hydatid cyst showing laminated and germinal layers with abundant eosinophils, multinucleated giant<br />cells and scoleces (See Figure, Supplemental Digital Content 2, which shows a histophatological section of hydatic cyst. Laminal layer, germinal layer and vesicle with two scoleces are seen. HE stain).<br />Intraperitoneal hydatid cysts usually develop secondary to spontaneous or iatrogenic rupture of  hepatic, splenic, or mesenteric cysts. Rarely an isolated primary cyst can develop in the peritoneum without evidence of cysts in other intra-abdominal organs 1. The growth rate of a hydatid cyst has been variably reported at 1-16 cm per year in abdomen 2. Abdominal cystic echinococcosis had been infrequently reported and only in adults 3. If the girl ingested the oncosphere in the first semester of life, an estimated minimum growth rate of the cyst was 2.5-3 cm per year.<br />Canine coproparasitological research in the environment where the family was living showed a dog with Taenia sp. These findings confirm the persistence of the habit of feeding dogs with raw offal and the existence of hosts involved in the parasite life cycle, which represent risk factors to develop cystic echinococcosis or other parasitic diseases.<br />
publishDate 2015
dc.date.none.fl_str_mv 2015-02
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/41694
Lavallén, Carla Mariela; Pons, Mauricio; Mercuri, Enrique; Ortolani, Viviana; Scioscia, Nathalia Paula; et al.; Atypical cystic echinococcosis in a young child; Lippincott Williams; Pediatric Infectious Disease Journal; 34; 2; 2-2015; 226-226
0891-3668
CONICET Digital
CONICET
url http://hdl.handle.net/11336/41694
identifier_str_mv Lavallén, Carla Mariela; Pons, Mauricio; Mercuri, Enrique; Ortolani, Viviana; Scioscia, Nathalia Paula; et al.; Atypical cystic echinococcosis in a young child; Lippincott Williams; Pediatric Infectious Disease Journal; 34; 2; 2-2015; 226-226
0891-3668
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1097/INF.0000000000000525
info:eu-repo/semantics/altIdentifier/url/https://insights.ovid.com/crossref?an=00006454-201502000-00028
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Lippincott Williams
publisher.none.fl_str_mv Lippincott Williams
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.070432

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