Document Detail

A case of hepatic alveolar echinococcosis contracted in Belgium.
MedLine Citation:
PMID:  12014318     Owner:  NLM     Status:  MEDLINE    
We report herein the case of a Belgian 76-year-old woman who developed a hepatic tumour suspected to be a breast cancer metastasis. Radiological imaging and guided biopsies were not contributive. The patient underwent an explorative laparoscopy with frozen sections that did not provide further diagnosis, and an open left bisegmentectomy was performed during the same anaesthesia. Histopathological examination of the hepatic mass showed Echinococcus multilocularis metacestodes, demonstrating alveolar echinococcosis. As our patient denied any travel in foreign countries and has undergone regular abdominal ultrasonographies since her mastectomy, it is highly likely that this alveolar echinococcosis had been contracted in Belgium. If some imported cases may be seldom managed in Belgium, to our knowledge, this case is the first occurrence of alveolar echinococcosis contracted in Belgium. This report, added to the demonstration of E. multilocaris infection of 50% of red foxes in Southern Belgium, and the potential infection of domestic cats and dogs, should attract attention of the medical community on the possible outbreak of endemic alveolar echinococcosis in Belgium, and on the related public health concerns.
K Delbecque; O Detry; M P Hayette; T Jeukens; P Delvenne; N Hardy; J Delwaide; J Demonty; J Boverie; P Demol; C Hauwaert; P Honoré; J Boniver; N Jacquet
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Acta gastro-enterologica Belgica     Volume:  65     ISSN:  0001-5644     ISO Abbreviation:  Acta Gastroenterol. Belg.     Publication Date:    2002 Jan-Mar
Date Detail:
Created Date:  2002-05-16     Completed Date:  2002-06-07     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0414075     Medline TA:  Acta Gastroenterol Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  55-60     Citation Subset:  IM    
Department of Pathology, University Hospital of Liège, CHU Sart Tilman B35, B-4000 Liège, Belgium.
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MeSH Terms
Belgium / epidemiology
Echinococcosis, Hepatic / diagnosis,  epidemiology,  transmission*

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