Echinococcosis history and symptoms: Difference between revisions
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{{Echinococcosis}} | {{Echinococcosis}} | ||
{{CMG}} '''Associate Editor-In-Chief:''' {{CZ}}; {{KD}} | {{CMG}} '''Associate Editor-In-Chief:''' {{MIR}} ; {{CZ}}; {{KD}} | ||
==Overview== | ==Overview== | ||
Persons with [[echinococcosis]] often remain asymptomatic. The clinical presentation of [[echinococcosis]] [[infection]] depends upon the site of the [[cysts]] and their size. The [[cysts]] are mainly found in the [[liver]] and [[lungs]] but can also appear in the [[brain]], [[eyes]], [[spleen]], [[Kidney|kidneys]], [[heart]], [[bone]], and [[central nervous system]]. [[Cyst]] rupture is most frequently caused by [[Physical trauma|trauma]] and may cause mild to severe [[Anaphylactic reaction|anaphylactic reactions]], even death, as a result of the release of [[cystic]] [[fluid]].<ref name="pmid3362862">{{cite journal |vauthors=Chakraborty R, Smouse PE |title=Recombination of haplotypes leads to biased estimates of admixture proportions in human populations |journal=Proc. Natl. Acad. Sci. U.S.A. |volume=85 |issue=9 |pages=3071–4 |year=1988 |pmid=3362862 |pmc=280145 |doi= |url=}}</ref> | Persons with [[echinococcosis]] often remain [[asymptomatic]]. The clinical presentation of [[echinococcosis]] [[infection]] depends upon the site of the [[cysts]] and their size. The [[cysts]] are mainly found in the [[liver]] and [[lungs]] but can also appear in the [[brain]], [[eyes]], [[spleen]], [[Kidney|kidneys]], [[heart]], [[bone]], and [[central nervous system]]. [[Cyst]] rupture is most frequently caused by [[Physical trauma|trauma]] and may cause mild to severe [[Anaphylactic reaction|anaphylactic reactions]], even death, as a result of the release of [[cystic]] [[fluid]].<ref name="pmid3362862">{{cite journal |vauthors=Chakraborty R, Smouse PE |title=Recombination of haplotypes leads to biased estimates of admixture proportions in human populations |journal=Proc. Natl. Acad. Sci. U.S.A. |volume=85 |issue=9 |pages=3071–4 |year=1988 |pmid=3362862 |pmc=280145 |doi= |url=}}</ref> | ||
==History and Symptoms== | ==History and Symptoms== | ||
Persons with [[echinococcosis]] often remain [[asymptomatic]]. The clinical presentation of [[echinococcosis]] [[infection]] depends upon the site of the [[Cyst|cysts]] and their size. The [[cysts]] are mainly found in the [[liver]] and [[lungs]] but can also appear in the [[brain]], [[eyes]], [[spleen]], [[Kidney|kidneys]], [[heart]], [[bone]], and [[central nervous system]]. [[Cyst]] rupture is most frequently caused by [[trauma]] and may cause mild to severe [[Anaphylactic reaction|anaphylactic reactions]], even death, as a result of the release of [[cystic]] [[fluid]]. | Persons with [[echinococcosis]] often remain [[asymptomatic]]. The clinical presentation of [[echinococcosis]] [[infection]] depends upon the site of the [[Cyst|cysts]] and their size. The [[cysts]] are mainly found in the [[liver]] and [[lungs]] but can also appear in the [[brain]], [[eyes]], [[spleen]], [[Kidney|kidneys]], [[heart]], [[bone]], and [[central nervous system]]. [[Cyst]] rupture is most frequently caused by [[trauma]] and may cause mild to severe [[Anaphylactic reaction|anaphylactic reactions]], even death, as a result of the release of [[cystic]] [[fluid]]. | ||
=== Common symptoms === | |||
Hepatic: | |||
* No [[symptoms]] (if cysts are less than <10cms) | |||
* [[Hepatomegaly]] | * [[Hepatomegaly]] | ||
* [[Right upper quadrant pain]] | * [[Right upper quadrant pain]] | ||
* [[Nausea and vomiting]] | * [[Nausea and vomiting]] | ||
* [[Cysts]] can rupture into the [[biliary tree]] and produce [[biliary colic]], [[obstructive jaundice]], [[cholangitis]], or [[pancreatitis]] | * [[Cysts]] can rupture into the [[biliary tree]] and produce [[biliary colic]], [[obstructive jaundice]], [[cholangitis]], or [[pancreatitis]] | ||
* Mass effects on the [[bile ducts]], [[portal]] and [[hepatic veins]], or on the [[inferior vena cava]] can result in [[cholestasis]], [[portal hypertension]], [[venous]] [[obstruction]], or the [[Budd-Chiari syndrome]] | * Mass effects on the [[bile ducts]], [[portal]] and [[hepatic veins]], or on the [[inferior vena cava]] can result in [[cholestasis]], [[portal hypertension]], [[venous]] [[obstruction]], or the [[Budd-Chiari syndrome]] | ||
Pulmonary: | |||
* [[Cough]] | * [[Cough]] | ||
* [[Chest pain]] | * [[Chest pain]] | ||
* [[Dyspnea]] | * [[Dyspnea]] | ||
* [[Hemoptysis]] | * [[Hemoptysis]] | ||
=== Less common symptoms === | |||
Pulmonary: | |||
* [[Malaise]] | * [[Malaise]] | ||
* [[Nausea and vomiting]] | * [[Nausea and vomiting]] | ||
* [[Thoracic]] deformations | * [[Thoracic]] deformations | ||
CNS: | |||
* [[Seizure|Seizures]] | * [[Seizure|Seizures]] | ||
* [[ | Cardiac: | ||
* | * [[Dyspnea]] | ||
* Chest pain | |||
Renal: | |||
* [[Hematuria]] | |||
* [[Hematuria]] | * [[flank pain]] | ||
* [[Pitting edema]] | |||
== References == | == References == | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Parasitic diseases]] | [[Category:Parasitic diseases]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Needs overview]] | [[Category:Needs overview]] | ||
[[Category:Emergency medicine]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
[[Category:Hepatology]] | |||
[[Category:Gastroenterology]] | |||
[[Category:Surgery]] | |||
Latest revision as of 21:32, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor-In-Chief: Mahshid Mir, M.D. [2] ; Cafer Zorkun, M.D., Ph.D. [3]; Kalsang Dolma, M.B.B.S.[4]
Overview
Persons with echinococcosis often remain asymptomatic. The clinical presentation of echinococcosis infection depends upon the site of the cysts and their size. The cysts are mainly found in the liver and lungs but can also appear in the brain, eyes, spleen, kidneys, heart, bone, and central nervous system. Cyst rupture is most frequently caused by trauma and may cause mild to severe anaphylactic reactions, even death, as a result of the release of cystic fluid.[1]
History and Symptoms
Persons with echinococcosis often remain asymptomatic. The clinical presentation of echinococcosis infection depends upon the site of the cysts and their size. The cysts are mainly found in the liver and lungs but can also appear in the brain, eyes, spleen, kidneys, heart, bone, and central nervous system. Cyst rupture is most frequently caused by trauma and may cause mild to severe anaphylactic reactions, even death, as a result of the release of cystic fluid.
Common symptoms
Hepatic:
- No symptoms (if cysts are less than <10cms)
- Hepatomegaly
- Right upper quadrant pain
- Nausea and vomiting
- Cysts can rupture into the biliary tree and produce biliary colic, obstructive jaundice, cholangitis, or pancreatitis
- Mass effects on the bile ducts, portal and hepatic veins, or on the inferior vena cava can result in cholestasis, portal hypertension, venous obstruction, or the Budd-Chiari syndrome
Pulmonary:
Less common symptoms
Pulmonary:
- Malaise
- Nausea and vomiting
- Thoracic deformations
CNS:
Cardiac:
- Dyspnea
- Chest pain
Renal: