Thread by @guerreroespejo

A 17-YO: a 3-week of dizziness, headache, & weakness of the R leg

MR: ring-enhancing lesions in the frontal lobe & basal ganglia on the L side (A; T1-W) as well as surrounding edema & midline shift (B; T2-W)
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DOI: 10.1056/NEJMicm2202196
#neurology #radiology #IDTwitter

IgG ab for Echinococcus multilocularis & E. granulosus: ➖

Surgical excision🔬: necrotic tissue, granulomatous inflammation, echinococcal laminated membrane (C, arrow) & an intact cyst (D, arrow)

RT-PCR: ➕for E. multilocularis
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#parasitology #Pathologists #pathology

CT imaging of the chest and abdomen did not show any other sites of disease.

CEREBRAL ALVEOLAR ECHINOCOCCOSIS
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DOI: 10.1056/NEJMicm2202196
#microbiology #MedTwitter #Doctor

Alveolar echinococcosis:
✔️the causative tapeworm is acquired by means of close contact with infected animals.
✔️invasive type of echinococcal infection that leads to tissue inflammation and destruction.
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#parasites #parasitología

Postoperatively, a long course of albendazole was prescribed.

At 2 months of follow-up, the patient’s symptoms had resolved.
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#MedStudentTwitter #resident #medicine
DOI: 10.1056/NEJMicm2202196

Echinococcosis, #zoonosis caused by adult or larval stages of cestodes belonging to the genus Echinococcus:
1⃣cystic echinococcosis (E. granulosus)
2⃣alveolar echinococcosis, especially severe, if managed incorrectly (E. multilocularis).
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#emergency #surgery