Echinococcosis medical therapy
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Overview
Both cystic echinococcosis and alveolar echinococcosis are complicated to treat, sometimes requiring extensive surgery and/or prolonged drug therapy. There are 3 options for the treatment of cystic echinococcosis anti-infective drug treatment, percutaneous treatment of the hydatid cysts with the PAIR (Puncture, Aspiration, Injection, Re-aspiration) technique and surgery.[1]
Medical Therapy
Cystic echinococcosis stage 1 of less than 5 cm
- Preferred regimen: Albendazole 10 to 15 mg/kg per day q12
- Alternative regimen: Puncture, Aspiration, Injection, Re-aspiration (PAIR)
Cystic echinococcosis stage 1 of more than 5 cm
- Preferred regimen: Albendazole 10 to 15 mg/kg per day q12 and Puncture, Aspiration, Injection, Re-aspiration (PAIR)
- Alternative regimen: Puncture, Aspiration, Injection, Re-aspiration (PAIR)
Cystic echinococcosis stage 2 of any size
- Preferred regimen: Albendazole 10 to 15 mg/kg per day q12 and either modified catheterization or surgery
- Alternative regimen: Puncture, Aspiration, Injection, Re-aspiration (PAIR)
Cystic echinococcosis stage 3 of any size
- Preferred regimen: Albendazole 10 to 15 mg/kg per day q12 and either modified catheterization or surgery
- Alternative regimen: Puncture, Aspiration, Injection, Re-aspiration (PAIR)
References
- ↑ Mihmanli M, Idiz UO, Kaya C, Demir U, Bostanci O, Omeroglu S, Bozkurt E (2016). "Current status of diagnosis and treatment of hepatic echinococcosis". World J Hepatol. 8 (28): 1169–1181. doi:10.4254/wjh.v8.i28.1169. PMC 5055586. PMID 27729953.