[Identification and integral management of a case of autochthonous hydatidosis in Mexico].
OBJECTIVE
To describe a case of hydatid disease in Mexico.


BACKGROUND
Liver hydatid disease is the most frequent hepatic parasitic disease in developed countries and is considered practically absent in Mexico.


METHODS
In this paper we report identification, clinical management, and epidemiologic parasitologic, and molecular biological studies of an autochthonous case of hydatid disease in Mexico.


RESULTS
Hepatic cyst was identified by imaging techniques. The patient received cestocidal treatment and the parasite was excised by laparoscopy. It was not possible to identify the origin of the Echinococcus strain neither by epidemiologic studies performed in the patient's household nor by RAPD pattern obtained with DNA of the protoscolices. Infection of a dog with protoscolices was not successful probably because they were damaged by the cestocidal drug.


CONCLUSIONS
Care should be taken in the future to identify other possible autochthonous patients harboring liver hydatid cysts to treat them in an adequate and timely fashion, and to identify the strain of Echinococcus granulosus that infects patients in Mexico.
Palacios-Ruiz
José Antonio
JA
Servicio de Cirugía, Hospital General Dr. Manuel Gea González, SSA, Calzada de Tlalpan 4800, Col. Toriello Guerra, México 14000 D.F.
Ramírez-Solís
Eduardo
E
Moreno-Möller
Marcial
M
Cárdenas-Mejía
Alexander
A
Aguirre-Alcántara
María-Teresa
MT
Bonilla-Rodríguez
Carlos
C
Mata-Miranda
Pilar
P
Maravilla
Pablo
P
Flisser
Ana
A
D000818:Animals; D004285:Dogs; D004444:Echinococcosis, Hepatic / Q000000981:diagnostic imaging / Q000469:parasitology* / Q000473:pathology; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008099:Liver / Q000000981:diagnostic imaging / Q000469:parasitology / Q000473:pathology; D008800:Mexico; D008875:Middle Aged; D011859:Radiography