title: Unusual presentation of severely disseminated and rapidly progressive hydatic cyst: Malignant hydatidosis.
abstract: The infection caused by the tapeworm Echinococcus granulosus leads to the development of hydatic disease. It is the most frequent mediterranean parasitic infection that commonly affects the liver and rarely involves multiple organs. Herein, we report an exceptional and confusing presentation of hepatopulmonary and splenic hydatidosis due to Echinococcus granulosus that caused diagnostic problems occuring in a 70-year-old man, treated with chemotherapy, with favorable outcome. This was a very unusual case of disseminated hydatid cyst highlighting the interest of keeping a high level of clinical suspicion of this diagnosis every time we have a cystic lesion of the liver.
authors.affiliation: Aya Hammami, Olfa Hellara, Fethia Bedioui, Leila Safer, Hammouda Saffar, Department of Gastroenterology and Hepatology, University Hospital Fattouma Bourguiba, 5000 Monastir, Tunisia.
authors.forename: Aya
authors.initials: A
authors.lastname: Hammami
authors.affiliation: Aya Hammami, Olfa Hellara, Fethia Bedioui, Leila Safer, Hammouda Saffar, Department of Gastroenterology and Hepatology, University Hospital Fattouma Bourguiba, 5000 Monastir, Tunisia.
authors.forename: Olfa
authors.initials: O
authors.lastname: Hellara
authors.affiliation: Aya Hammami, Olfa Hellara, Fethia Bedioui, Leila Safer, Hammouda Saffar, Department of Gastroenterology and Hepatology, University Hospital Fattouma Bourguiba, 5000 Monastir, Tunisia.
authors.forename: Walid
authors.initials: W
authors.lastname: Mnari
authors.affiliation: Aya Hammami, Olfa Hellara, Fethia Bedioui, Leila Safer, Hammouda Saffar, Department of Gastroenterology and Hepatology, University Hospital Fattouma Bourguiba, 5000 Monastir, Tunisia.
authors.forename: Chaouki
authors.initials: C
authors.lastname: Loussaief
authors.affiliation: Aya Hammami, Olfa Hellara, Fethia Bedioui, Leila Safer, Hammouda Saffar, Department of Gastroenterology and Hepatology, University Hospital Fattouma Bourguiba, 5000 Monastir, Tunisia.
authors.forename: Fethia
authors.initials: F
authors.lastname: Bedioui
authors.affiliation: Aya Hammami, Olfa Hellara, Fethia Bedioui, Leila Safer, Hammouda Saffar, Department of Gastroenterology and Hepatology, University Hospital Fattouma Bourguiba, 5000 Monastir, Tunisia.
authors.forename: Leila
authors.initials: L
authors.lastname: Safer
authors.affiliation: Aya Hammami, Olfa Hellara, Fethia Bedioui, Leila Safer, Hammouda Saffar, Department of Gastroenterology and Hepatology, University Hospital Fattouma Bourguiba, 5000 Monastir, Tunisia.
authors.forename: Mondher
authors.initials: M
authors.lastname: Golli
authors.affiliation: Aya Hammami, Olfa Hellara, Fethia Bedioui, Leila Safer, Hammouda Saffar, Department of Gastroenterology and Hepatology, University Hospital Fattouma Bourguiba, 5000 Monastir, Tunisia.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Chakroun
authors.affiliation: Aya Hammami, Olfa Hellara, Fethia Bedioui, Leila Safer, Hammouda Saffar, Department of Gastroenterology and Hepatology, University Hospital Fattouma Bourguiba, 5000 Monastir, Tunisia.
authors.forename: Hammouda
authors.initials: H
authors.lastname: Saffar
keywords: Albendazole; Disseminated echinococcosis; Echinococcus granulosus; Hydatid cyst
references.citation: Clin Infect Dis. 1999 Aug;29(2):304-9
references.pmid: 10476732
references.citation: Jpn J Infect Dis. 2004 Feb;57(1):7-9
references.pmid: 14985629
references.citation: World J Surg. 2001 Jan;25(1):58-67
references.pmid: 11213157
references.citation: Interdiscip Perspect Infect Dis. 2009;2009:474368
references.pmid: 19888428
references.citation: Thorax. 1989 Mar;44(3):192-9
references.pmid: 2705149
references.citation: Int J Infect Dis. 2009 Mar;13(2):125-33
references.pmid: 18938096
references.citation: World J Surg. 2012 May;36(5):1030-5
references.pmid: 22350483
references.citation: Lancet. 1988 Sep 17;2(8612):655-7
references.pmid: 2458514
references.citation: Gastroenterology. 1993 May;104(5):1452-9
references.pmid: 8482455
references.citation: J Gastroenterol. 2003;38(8):759-64
references.pmid: 14505130
references.citation: FEMS Immunol Med Microbiol. 2006 Jun;47(1):24-41
references.pmid: 16706785
references.citation: Lancet. 2003 Oct 18;362(9392):1295-304
references.pmid: 14575976
references.citation: Acta Trop. 2010 Apr;114(1):1-16
references.pmid: 19931502
references.citation: World J Gastroenterol. 2012 Apr 7;18(13):1448-58
references.pmid: 22509076
references.citation: Am J Trop Med Hyg. 2008 Sep;79(3):301-11
references.pmid: 18784219
references.citation: Curr Surg. 2006 Jul-Aug;63(4):285-9
references.pmid: 16843782
references.citation: J Clin Neurosci. 2008 Apr;15(4):472-3
references.pmid: 18258436
references.citation: Eur J Cardiothorac Surg. 2002 Mar;21(3):489-96
references.pmid: 11888769
references.citation: Swiss Med Wkly. 2004 Aug 7;134(31-32):459-67
references.pmid: 15389350
references.citation: Ann R Coll Surg Engl. 2002 Mar;84(2):100-5
references.pmid: 11995745
references.citation: J Am Coll Surg. 2008 Jun;206(6):1222-3
references.pmid: 18501821