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- W4200357141 abstract "A 19-year-old Guatemalan female presented to the emergency department after a seizure. She reported a seizure 3 months ago and was prescribed phenytoin. She complained of mild headache and nausea, now resolved. Vital signs, neurologic examination, computed tomography (CT) of the head, and laboratory testing were unremarkable. Chest radiography revealed a calcified mass in the right liver lobe (Figure 1). Point-of-care ultrasound (Figures 2 and 3) and CT (Figures 4 and 5) revealed a calcified mass and a thick-walled, partially calcified, hypoattenuating fluid-filled cyst with dependent hyperdensities in the right liver lobe, consistent with cystic echinococcosis, likely stage CE3a. During admission, infectious disease was consulted, confirmatory serology was sent, and magnetic resonance imaging of the brain was negative. The patient was discharged with a plan for watchful waiting and repeat imaging. Cystic echinococcosis is a widely endemic parasitic disease caused by the Echinococcus granulosis tapeworm, commonly found in pastoral populations, as sheep and pigs serve as intermediate hosts. Humans are incidentally infected by ingestion of eggs in feces, soil, or water. Parasites pass through the intestinal wall, into the portal venous system, allowing cyst formation in the liver (most commonly), lungs, and other organs.1 Cysts are generally slow growing and asymptomatic unless large or compressing nearby organs.1 Diagnosis is based on epidemiology, serology, and imaging.1, 2 The World Health Organization has a standardized ultrasonographic staging algorithm, and treatment consists of antiparasitics; percutaneous aspiration, injection, respiration (PAIR); surgery; or watchful waiting and is based on stage, size, and location.2" @default.
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- W4200357141 date "2021-12-01" @default.
- W4200357141 modified "2023-09-26" @default.
- W4200357141 title "Unexpected parasitic disease diagnosed in a patient with seizure" @default.
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- W4200357141 doi "https://doi.org/10.1002/emp2.12580" @default.
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