Alveolar echinococcosis of liver presenting with neurological symptoms due to brain metastases with simultaneous lung metastasis: A case report

AYDINLI, Bülent; ÖZTÜRK, Gürkan; POLAT, K. Yalçın; Yazıcı Özkaya, Pınar; ÖNBAŞ, ÖMER; aydin, unal

Alveolar echinococcosis of liver presenting with neurological symptoms due to brain metastases with simultaneous lung metastasis: A case report

Bülent AYDINLI, (Atatürk Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Erzurum, Türkiye)

Ünal AYDIN, (Ege Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Patoloji Bilim Dalı, İzmir, Türkiye)

Pınar YAZICI, (Ege Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Patoloji Bilim Dalı, İzmir, Türkiye)

Gürkan ÖZTÜRK, (Atatürk Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Erzurum, Türkiye)

ÖMER ÖNBAŞ, (Atatürk Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Erzurum, Türkiye)

K. Yalçın POLAT (Atatürk Üniversitesi, Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Erzurum, Türkiye)

Türkiye Parazitoloji Dergisi

6 0

Yıl: 2008 Cilt: 32 Sayı: 4 Sayfa Aralığı: 371 - 374 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Alveolar echinococcosis of liver presenting with neurological symptoms due to brain metastases with simultaneous lung metastasis: A case report

Öz:

Alveolar Echinococcosis (AE), bir helmint olan Echinococcus multilocularis'in (EM) sebep olduğu ciddi ve kronik bir paraziter enfeksiyondur. AE Türkiye'de endemik olmakla birlikte özellikle Doğu Anadolu'da yaygın olarak saptanmaktadır. Klinik tablo çok çeşitli olmakla beraber teşhisin konulmasında yardımcı olan semptomlar genellikle metastatik lezyonlarla ilişkilidir. Biz bu olgu sunumunda 62 yaşında eş zamanlı akciğer ve beyin tutulumu da saptanan hepatik AE teşhisli bir hastayı değerlendirdik. Bu olguda tek tedavi seçeneği, sıklıkla Doğu Anadolu'da yaşayan hastalarda geç başvuru ve sonrasında alınan inoperabl kararı nedeniyle olduğu gibi, albendazol ile medikal tedavi oldu. Bu nedenle endemik olan bu tür bölgelerde radyolojik görüntüleme yöntemleri ile yapılan taramalar cerrahi rezeksiyon imkanı artırılabilir.

Anahtar Kelime: Manyetik rezonans görüntüleme Beyin hastalıkları Ataksi Erkek Orta yaşlı Ekinokokkoz, hepatik Konuşamama Ekinokokkoz, pulmoner

Konular: Genel ve Dahili Tıp Parazitoloji

Beyin metastazına sekonder nörolojik semptomlarla başvuran eş zamanlı akciğer tutulumlu hepatik alveolar ekinokokkozis: Olgu sunumu

Öz:

Alveolar echinococcosis (AE) is a chronic and serious, even lethal, parasitic infection caused by the helminth Echinococcus multilocularis (EM). AE is an endemic disease in Turkey and it is particularly common in people living in the eastern Anatolia Region. In addition to various clinical presentations, symptoms which lead to diagnosis, however, are usually associated with the metastatic lesions. We herein reported a 62-year-old man who had liver alveolar hydatid disease with simultaneous lung and brain metastasis. We think there was only one therapeutic option, namely medical treatment with albendazol, which is the usual treatment for patients living in eastern Anatolia and who are admitted late resulting in a subsequent inoperable situation. Thus, radiological screening studies for the public in this region may increase the possibility of surgical treatment for alveolar hydatid disease.

Anahtar Kelime: Male Middle Aged Echinococcosis, Hepatic Aphasia Echinococcosis, Pulmonary Magnetic Resonance Imaging Brain Diseases Ataxia

Konular: Genel ve Dahili Tıp Parazitoloji

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

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APA	AYDINLI B, aydin u, Yazıcı Özkaya P, ÖZTÜRK G, ÖNBAŞ Ö, POLAT K (2008). Alveolar echinococcosis of liver presenting with neurological symptoms due to brain metastases with simultaneous lung metastasis: A case report. , 371 - 374.
Chicago	AYDINLI Bülent,aydin unal,Yazıcı Özkaya Pınar,ÖZTÜRK Gürkan,ÖNBAŞ ÖMER,POLAT K. Yalçın Alveolar echinococcosis of liver presenting with neurological symptoms due to brain metastases with simultaneous lung metastasis: A case report. (2008): 371 - 374.
MLA	AYDINLI Bülent,aydin unal,Yazıcı Özkaya Pınar,ÖZTÜRK Gürkan,ÖNBAŞ ÖMER,POLAT K. Yalçın Alveolar echinococcosis of liver presenting with neurological symptoms due to brain metastases with simultaneous lung metastasis: A case report. , 2008, ss.371 - 374.
AMA	AYDINLI B,aydin u,Yazıcı Özkaya P,ÖZTÜRK G,ÖNBAŞ Ö,POLAT K Alveolar echinococcosis of liver presenting with neurological symptoms due to brain metastases with simultaneous lung metastasis: A case report. . 2008; 371 - 374.
Vancouver	AYDINLI B,aydin u,Yazıcı Özkaya P,ÖZTÜRK G,ÖNBAŞ Ö,POLAT K Alveolar echinococcosis of liver presenting with neurological symptoms due to brain metastases with simultaneous lung metastasis: A case report. . 2008; 371 - 374.
IEEE	AYDINLI B,aydin u,Yazıcı Özkaya P,ÖZTÜRK G,ÖNBAŞ Ö,POLAT K "Alveolar echinococcosis of liver presenting with neurological symptoms due to brain metastases with simultaneous lung metastasis: A case report." , ss.371 - 374, 2008.
ISNAD	AYDINLI, Bülent vd. "Alveolar echinococcosis of liver presenting with neurological symptoms due to brain metastases with simultaneous lung metastasis: A case report". (2008), 371-374.

APA	AYDINLI B, aydin u, Yazıcı Özkaya P, ÖZTÜRK G, ÖNBAŞ Ö, POLAT K (2008). Alveolar echinococcosis of liver presenting with neurological symptoms due to brain metastases with simultaneous lung metastasis: A case report. Türkiye Parazitoloji Dergisi, 32(4), 371 - 374.
Chicago	AYDINLI Bülent,aydin unal,Yazıcı Özkaya Pınar,ÖZTÜRK Gürkan,ÖNBAŞ ÖMER,POLAT K. Yalçın Alveolar echinococcosis of liver presenting with neurological symptoms due to brain metastases with simultaneous lung metastasis: A case report. Türkiye Parazitoloji Dergisi 32, no.4 (2008): 371 - 374.
MLA	AYDINLI Bülent,aydin unal,Yazıcı Özkaya Pınar,ÖZTÜRK Gürkan,ÖNBAŞ ÖMER,POLAT K. Yalçın Alveolar echinococcosis of liver presenting with neurological symptoms due to brain metastases with simultaneous lung metastasis: A case report. Türkiye Parazitoloji Dergisi, vol.32, no.4, 2008, ss.371 - 374.
AMA	AYDINLI B,aydin u,Yazıcı Özkaya P,ÖZTÜRK G,ÖNBAŞ Ö,POLAT K Alveolar echinococcosis of liver presenting with neurological symptoms due to brain metastases with simultaneous lung metastasis: A case report. Türkiye Parazitoloji Dergisi. 2008; 32(4): 371 - 374.
Vancouver	AYDINLI B,aydin u,Yazıcı Özkaya P,ÖZTÜRK G,ÖNBAŞ Ö,POLAT K Alveolar echinococcosis of liver presenting with neurological symptoms due to brain metastases with simultaneous lung metastasis: A case report. Türkiye Parazitoloji Dergisi. 2008; 32(4): 371 - 374.
IEEE	AYDINLI B,aydin u,Yazıcı Özkaya P,ÖZTÜRK G,ÖNBAŞ Ö,POLAT K "Alveolar echinococcosis of liver presenting with neurological symptoms due to brain metastases with simultaneous lung metastasis: A case report." Türkiye Parazitoloji Dergisi, 32, ss.371 - 374, 2008.
ISNAD	AYDINLI, Bülent vd. "Alveolar echinococcosis of liver presenting with neurological symptoms due to brain metastases with simultaneous lung metastasis: A case report". Türkiye Parazitoloji Dergisi 32/4 (2008), 371-374.