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Korean J Parasitol > Volume 57(4):2019 > Article
The Korean Journal of Parasitology 2019;57(4):429-434. doi: https://doi.org/10.3347/kjp.2019.57.4.429
An Imported Case of Disseminated Echinococcosis in Korea
Dong Hoon Shin1, Hae Chan Jo1, Jeong-Han Kim1, Kang Il Jun1, Wan Beom Park1, Nam-Joong Kim1, Min-Ho Choi2, Chang Kyung Kang1, Myoung-don Oh1
1Department of Internal Medicine, Seoul National University Hospital, Seoul 03080, Korea
2Department of Tropical Medicine and Parasitology, Seoul National University College of Medicine, and Institute of Endemic Diseases, Seoul National University Medical Research Center, Seoul 03080, Korea
* Corresponding Author: Chang Kyung Kang, Email: zeptemiger@hanmail.net
Received: March 29, 2019;  Revised: June 27, 2019;  Accepted: July 15, 2019.
Abstract
A complicated case of echinococcosis with multiple organ involvement is reported in a 53-year-old businessman who frequently traveled overseas, including China, Russia, and Kazakhstan from 2001 to 2007. The patient was first diagnosed with a large liver cyst during a screening abdomen ultrasonography in 2011, but he did not follow up on the lesion afterwards. Six years later, dizziness, dysarthria, and cough developed, and cystic lesions were found in the brain, liver and lungs. The clinical course was complicated when the patient went through multiple surgeries and inadequate treatment with a short duration of albendazole without a definite diagnosis. The patient visited our hospital for the first time in August 2018 due to worsening symptoms; he was finally diagnosed with echinococcosis using imaging and serologic criteria. He is now on prolonged albendazole treatment (400 mg twice a day) with gradual clinical and radiological improvement. A high index of suspicion is warranted to early diagnose echinococcosis in a patient with a travel history to endemic areas of echinococcosis.
Key words: Echinococcosis, hydatid cyst, disseminated, intracranial
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