Echinococcosis natural history, complications and prognosis
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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]; Kalsang Dolma, M.B.B.S.[3]
Overview
If left untreated, alveolar echinococcosis is progressive and can disseminate to other organs systems, eventually leading to various clinical syndromes that can lead to death. Complications that can develop as a result of echinococcosis are pulmonary embolism, focal cerebral disorders (seizures, hemiparesis, aphasia), obstructive jaundice, adrenal dysfunction. The prognosis of echinococcosis is good with treatment. Without treatment, echinococcosis is associated with a 10-year mortality of 90%.
Natural History
If left untreated, alveolar echinococcosis is progressive and can disseminate to other organs systems eventually leading to various clinical syndromes that can lead to death.
Complications
Complications that can develop as a result of echinococcosis are
- Pulmonary embolism
- Focal cerebral disorders (seizures, hemiparesis, aphasia)
- Obstructive jaundice
- Adrenal dysfunction
- Small bowel obstruction
- Gastric perforation
- Secondary biliary cirrhosis
- Portal vein thrombosis
- Portal hypertension
Prognosis
The prognosis of echinococcosis is good with treatment. Without treatment, echinococcosis is associated with a 10-year mortality of 90%.