Abstract
Hydatidic disease (echinococcosis) is a significant health problem in Nepal. In humans, mainly involves liver and commonly remains silent without symptoms or causing only mild pressure symptomatology. However, inadequate invasive medical procedures may cause the rupture of the cyst with serious complications, anaphylactic shock and death. Herein, we report the case of a Nepali patient who had been treated of a hepatic abscess with percutaneous drainage and antibiotics in a previous hospitalization. Study by drain fluid, ultrasonography and the magnetic resonance imaging revealed the presence of an intact Hydatidic cyst in the liver concomitantly with a percutaneously draining abscess (with free hooklets and a drain tube). This emphasizes the importance of putting the Hydatidic cyst into the differential diagnosis of liver abscess, especially in non-endemic areas.
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Acknowledgements
Thanks are given to Dr. Shusila Khadka, Dr. Mohan Khadka, Dr. Rabin Hamal, Dr. Uma Bhatta, Dr. Sanjit Sah, Dr. Ranjana Sah and Dr. Shyam Sah for their role in the management of patient.
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RS, SN and SP made the diagnosis and reviewed the literature. RS and MC analysed the data and contributed to write the manuscript. Both RT and LA analysed the data, drafted the manuscript and designed the figures. LA prepared the manuscript for submission. All authors read and edited the first draft for intellectual content.
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Sah, R., Calatri, M., Neupane, S. et al. A case of Echinococcus granulosus hepatic hydatid cyst together with pyogenic liver abscess in a Nepali patient. J Parasit Dis 44, 472–475 (2020). https://doi.org/10.1007/s12639-020-01213-9
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DOI: https://doi.org/10.1007/s12639-020-01213-9