title: [Recurrent, life-threatening anaphylaxis as initial manifestation of cystic echinococcosis (granulosus) of the liver].
abstract: A 34-year-old, previously healthy Yugoslav developed relapsing generalized anaphylactic reactions associated with life-threatening laryngospasm. After successful life support with volume-replacement, epinephrine, antihistamines and steroids, clinical workup disclosed a slight tenderness in the right upper abdomen and sonography a polycystic tumor with coarse calcification within the wall. The presumptive diagnosis of cystic liver echinococcosis with spontaneous rupture of a hydatid cyst was confirmed surgically and serologically. This case history shows that liver echinococcosis should be considered in otherwise unexplained anaphylaxis.
authors.affiliation: Abteilung für Gastroenterologie, Universitätsspital Zürich.
authors.forename: C
authors.initials: C
authors.lastname: Stey
authors.forename: R
authors.initials: R
authors.lastname: Jost
authors.forename: R
authors.initials: R
authors.lastname: Ammann
mesh_terms: D000328:Adult; D000707:Anaphylaxis / Q000209:etiology*; D004444:Echinococcosis, Hepatic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007826:Laryngismus / Q000209:etiology; D008297:Male; D013610:Tachycardia / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
vernacular_title: Rezidivierende, lebensbedrohliche Anaphylaxie als Erstmanifestation eines Echinococcus cysticus (granulosus) der Leber.