title: Lesson of the month 2: Cough and right hypochondrial discomfort.
abstract: Cystic echinococcosis, commonly known as hydatid disease, is caused by the larval stage of the tapeworm Echinococcus granulosus. Humans are an accidental host to this rare disease in the UK, with around 10-20 new cases reported each year. Once suspected, the diagnosis is confirmed through a combination of relevant history, imaging studies and serological testing. This lesson presents a case of hydatid disease and outlines the significant management issues when cysts rupture and the disease becomes disseminated.
authors.affiliation: Accident and Emergency, West Middlesex University Hospital, Isleworth, UK;
authors.forename: Hariney
authors.initials: H
authors.lastname: Kurunadalingam
authors.affiliation: Cardiology Department, Hillingdon Hospital, Uxbridge, UK; simon.dubrey@thh.nhs.uk.
authors.forename: Simon W
authors.initials: SW
authors.lastname: Dubrey
authors.affiliation: Hospital for Tropical Diseases, London, UK, and London School of Hygiene and Tropical Medicine, London, UK.
authors.forename: Peter L
authors.initials: PL
authors.lastname: Chiodini
mesh_terms: D015746:Abdominal Pain / Q000469:parasitology*; D000328:Adult; D000818:Animals; D003371:Cough / Q000469:parasitology*; D004443:Echinococcosis / Q000175:diagnosis* / Q000503:physiopathology; D048209:Echinococcus granulosus / Q000302:isolation & purification*; D006801:Humans; D008297:Male; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed
keywords: Echinococcus; Hydatid disease; liver cysts
references.citation: Clin Infect Dis. 1999 Aug;29(2):304-9
references.pmid: 10476732
references.citation: Acta Trop. 2003 Feb;85(2):253-61
references.pmid: 12606104
references.citation: Dig Surg. 2004;21(3):227-33; discussion 233-4
references.pmid: 15237256
references.citation: Acta Trop. 2010 Apr;114(1):1-16
references.pmid: 19931502
references.citation: Saudi J Gastroenterol. 2011 Sep-Oct;17(5):343-7
references.pmid: 21912062
references.citation: Bull World Health Organ. 1996;74(3):231-42
references.pmid: 8789923
references.citation: Clin Radiol. 1998 Dec;53(12):863-74
references.pmid: 9867269