title: [Identification and integral management of a case of autochthonous hydatidosis in Mexico].
abstract: 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.
authors.affiliation: Servicio de Cirugía, Hospital General Dr. Manuel Gea González, SSA, Calzada de Tlalpan 4800, Col. Toriello Guerra, México 14000 D.F.
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Palacios-Ruiz
authors.forename: Eduardo
authors.initials: E
authors.lastname: Ramírez-Solís
authors.forename: Marcial
authors.initials: M
authors.lastname: Moreno-Möller
authors.forename: Alexander
authors.initials: A
authors.lastname: Cárdenas-Mejía
authors.forename: María-Teresa
authors.initials: MT
authors.lastname: Aguirre-Alcántara
authors.forename: Carlos
authors.initials: C
authors.lastname: Bonilla-Rodríguez
authors.forename: Pilar
authors.initials: P
authors.lastname: Mata-Miranda
authors.forename: Pablo
authors.initials: P
authors.lastname: Maravilla
authors.forename: Ana
authors.initials: A
authors.lastname: Flisser
mesh_terms: 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