Alveolar Echinococcosis in Children

Alveolar echinococcosis (AE) is an infectious zoonotic disease that is caused by Echinococcus multilocularis. The disease is generally identified accidentally because of the long asymptomatic period, has a malignant behaviour, and mainly occurs in the liver. Usually it is diagnosed in adults and is...

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Main Authors: Emilija Jonaitytė, Martynas Judickas, Eglė Tamulevičienė, Milda Šeškutė
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2020/5101234
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author Emilija Jonaitytė
Martynas Judickas
Eglė Tamulevičienė
Milda Šeškutė
author_facet Emilija Jonaitytė
Martynas Judickas
Eglė Tamulevičienė
Milda Šeškutė
author_sort Emilija Jonaitytė
collection DOAJ
description Alveolar echinococcosis (AE) is an infectious zoonotic disease that is caused by Echinococcus multilocularis. The disease is generally identified accidentally because of the long asymptomatic period, has a malignant behaviour, and mainly occurs in the liver. Usually it is diagnosed in adults and is very rare in pediatric patients. We report two cases of AE and 1 differential case between AE and cystic echinococcosis (CE) in children: two of them had lesions in the liver and one had rare extrahepatic presentation of a cyst in the spleen. All our patients received chemotherapy with albendazole because surgical treatment was not recommended. The children were followed-up from 10 to 30 months and no significant improvement was seen. In this report we discuss the difficulties we faced in the treatment and follow-up of these patients. We also review the main clinical manifestations, general diagnostic methods, and treatment options of AE according to the current literature.
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series Case Reports in Pediatrics
spelling doaj-art-5eb145f6b8024f4fa8b64d06462860ec2025-08-20T03:34:33ZengWileyCase Reports in Pediatrics2090-68032090-68112020-01-01202010.1155/2020/51012345101234Alveolar Echinococcosis in ChildrenEmilija Jonaitytė0Martynas Judickas1Eglė Tamulevičienė2Milda Šeškutė3Medical Academy, Lithuanian University of Health Sciences, A. Mickevičiaus Str. 7, LT-44307 Kaunas, LithuaniaMedical Academy, Lithuanian University of Health Sciences, A. Mickevičiaus Str. 7, LT-44307 Kaunas, LithuaniaDepartment of Pediatrics, Medical Academy, Lithuanian University of Health Sciences, Eivenių Str. 2, LT-50009 Kaunas, LithuaniaDepartment of Pediatrics, Medical Academy, Lithuanian University of Health Sciences, Eivenių Str. 2, LT-50009 Kaunas, LithuaniaAlveolar echinococcosis (AE) is an infectious zoonotic disease that is caused by Echinococcus multilocularis. The disease is generally identified accidentally because of the long asymptomatic period, has a malignant behaviour, and mainly occurs in the liver. Usually it is diagnosed in adults and is very rare in pediatric patients. We report two cases of AE and 1 differential case between AE and cystic echinococcosis (CE) in children: two of them had lesions in the liver and one had rare extrahepatic presentation of a cyst in the spleen. All our patients received chemotherapy with albendazole because surgical treatment was not recommended. The children were followed-up from 10 to 30 months and no significant improvement was seen. In this report we discuss the difficulties we faced in the treatment and follow-up of these patients. We also review the main clinical manifestations, general diagnostic methods, and treatment options of AE according to the current literature.http://dx.doi.org/10.1155/2020/5101234
spellingShingle Emilija Jonaitytė
Martynas Judickas
Eglė Tamulevičienė
Milda Šeškutė
Alveolar Echinococcosis in Children
Case Reports in Pediatrics
title Alveolar Echinococcosis in Children
title_full Alveolar Echinococcosis in Children
title_fullStr Alveolar Echinococcosis in Children
title_full_unstemmed Alveolar Echinococcosis in Children
title_short Alveolar Echinococcosis in Children
title_sort alveolar echinococcosis in children
url http://dx.doi.org/10.1155/2020/5101234
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