Author/Authors :
SabouniA Pediatric Infectious Diseases Research Center and Dept. of Pediatrics, Children’s Medical Center - Tehran University of Medical Sciences, Tehran, Iran , Ferdosian, F Pediatric Infectious Diseases Research Center and Dept. of Pediatrics, Children’s Medical Center - Tehran University of Medical Sciences, Tehran, Iran , Mamishi, S Pediatric Infectious Diseases Research Center and Dept. of Pediatrics, Children’s Medical Center - Tehran University of Medical Sciences, Tehran, Iran , Nejat Nejat, F Division of Pediatric Neurosurgery - Children's Medical Center - Tehran University of Medical Sciences, Tehran, Iran , Monnajemzadeh, M Division of Pathology - Children's Medical Center - Tehran University of Medical Sciences, Tehran, Iran , Rezaei, N Research Group for Immunodeficiencie - Pediatrics Center of Excellence - Children's Medical Center
Abstract :
Hydatid disease is the most common infections worldwide, but it rarely involves multiple organs.
Herein, a 12-year-old boy is presented, who was admitted to Children's Medical Center, Tehran
University of Medical Sciences, Tehran, Iran with symptoms of irritability, sleepless, and weakness
of the extremities. Patient's brain computed tomography (CT) scan with contrast media
showed large multilocular cystic lesions in right temporal lobe associated with two other smaller
similar cystic lesions in centrum semiovale bilaterally. Abdominal sonography revealed intestinal
mesenteric and a cardiac cyst. Abdomino-pelvic CT scan showed a cyst medial to the cecum and
a cortical cyst in the left kidney as well as a heart cyst. The echocardiography confirmed hydatid
cysts at apical and interventricular septum. Serology test was positive for hydatid cyst. Albendazole
and praziquantel were started for the patient immediately and right temporal lobe lesions
were removed via neurosurgery intervention. After one month, cardiac and mesenteric cysts were
operated during two separate surgeries. Pathologic findings of all cysts were compatible with hydatid
cyst. Cystic hydatidosis should be suspected in any cystic mass, whilst prompt diagnosis
and appropriate treatments are the keys in management of affected patients.
Keywords :
Hydatid cyst , Echinococcus granulosus , Multiple organ hydatidosis , Disseminated echinococcosis , Iran