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Título : Equinococosis hepática poliquística autóctona por Echinococcus vogeli en el amazonas venezolano: Descripción de un caso
Autor : Abdul-Hadi, Salha
Chacón, Nathalie de Jesus
Bruces, Ana Cecilia
Gutierrez, José Enrique
Safar, Jorge Alfredo
Egui, María Alejandra
Falco, Adriana
Cantele, Hector Eduardo
Palabras clave : Echinococcus vogeli
clinical case
neotropical echinococcosis
Fecha de publicación : 2007
Editorial : Revista de la Sociedad Venezolana de Microbiología
Citación : RSVM 2007; 27:120-126
Citación : ;27
Resumen : Echinococcus vogeli and Echinococcus oligarthrus, new world autochthonous species are responsible for polycystic echinococcosis. The purpose of this work is the presentation of a polycystic hepatic echinococcosis case due to Echinococcus vogeli in an indigenous inhabitant of the Venezuelan amazon area. The patient presented a penetrating abdominal pain, hepatomegalia and marked eosinophilia. Liver imaging (echosonogram and computerized axial tomography) as well an echinococcosis positive serology (ELISA and Western- blot) contributed to the pre-surgical diagnosis. Treatment with albendazol was initiated previous to surgery. The cephalic hooks of the protoscolexes were studied and it was determined that their mean length, morphology and proportions corresponded to E. vogeli. The patient evolved satisfactorily and continued albendazol treatment during six months. In the Venezuelan amazon area there are still numerous wilds animals which are intermediate and final hosts of this cestode. Cuniculus paca or lapa, Dasyprocta aguti or Venezuelan aguti, Speothus veneticus, wild dogs and wild cats, are natural host of both species. We suggest considering the possibility of polycystic echinococcosis in native individuals with polycystic imagining and liver calcifications (and eosinophilia) who come from Venezuelan tropical forests. Nevertheless, it should be remembered that domestic dogs and cats are responsible of human infections.
Descripción : Equinococosis hepática poliquística autóctona
URI : http://saber.ucv.ve/123456789/941
ISSN : 1317-973X
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