title: Alveolar echinococcosis of liver presenting with neurological symptoms due to brain metastases with simultaneous lung metastasis: a case report.
abstract: 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.
authors.affiliation: Ege University Medical School Department of General Surgery, Izmir, Turkey.
authors.forename: Bülent
authors.initials: B
authors.lastname: Aydinli
authors.forename: Unal
authors.initials: U
authors.lastname: Aydin
authors.forename: Pinar
authors.initials: P
authors.lastname: Yazici
authors.forename: Gürkan
authors.initials: G
authors.lastname: Oztürk
authors.forename: Omer
authors.initials: O
authors.lastname: Onbaş
authors.forename: K Yalçin
authors.initials: KY
authors.lastname: Polat
mesh_terms: D001037:Aphasia / Q000469:parasitology; D001259:Ataxia / Q000469:parasitology; D001927:Brain Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000469:parasitology*; D004444:Echinococcosis, Hepatic / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D004445:Echinococcosis, Pulmonary / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged