[52-year-old patient with subcutaneous space-occupying lesion in immunosuppression].
We report the case of a 52-years-old male patient, who was diagnosed with subcutaneous alveolar echinococcosis 6 months after liver transplantation for HCV-related cirrhosis. Nether the explanted nor the transplantated liver revealed an echinococcus focus. Therefore a rare primary extrahepatic manifestation was likely. Interestingly, the echinococcal larvae had developed protoscolices. The development of mature tapeworms in human is a rarity, which could be related to the immunosuppressive therapy after liver transplantation. The patient was curatively treated by surgical removal of the subcutaneous tumor and a postoperative therapy with albendazole. Furthermore, HCV reinfection (genotype 2b) was successfully treated with interferone alpha 2b and ribavirine for 6 months.
Kolligs
F T
FT
Medizinische Klinik II, Klinikum Grosshadern, Ludwig-Maximilians-Universität München. fkolligs@med2.med.uni-muenchen.de
Gerbes
A L
AL
Dürr
E M
EM
Schauer
R
R
Kessler
M
M
Jelinek
T
T
Löscher
T
T
Bilzer
M
M
D001706:Biopsy; D001940:Breast / Q000473:pathology; D018567:Breast Neoplasms, Male / Q000175:diagnosis* / Q000473:pathology; D006528:Carcinoma, Hepatocellular / Q000601:surgery*; D003937:Diagnosis, Differential; D004443:Echinococcosis / Q000175:diagnosis* / Q000473:pathology; D005348:Fibrocystic Breast Disease / Q000175:diagnosis* / Q000473:pathology; D006501:Hepatic Encephalopathy / Q000601:surgery*; D019698:Hepatitis C, Chronic / Q000175:diagnosis / Q000473:pathology; D006801:Humans; D007165:Immunosuppression Therapy; D008099:Liver / Q000473:pathology; D008103:Liver Cirrhosis / Q000175:diagnosis / Q000473:pathology; D008113:Liver Neoplasms / Q000601:surgery*; D016031:Liver Transplantation; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis* / Q000473:pathology; D012008:Recurrence; D040521:Subcutaneous Tissue / Q000473:pathology