Alveolar echinococcosis of the liver in a six-year-old girl with acquired immunodeficiency syndrome

A 6-year-old girl with acquired immunodeficiency syndrome (AIDS) had extensive alveolar echinococcosis. Diagnosis was proved by needle biopsy of a specimen from affected liver tissue. The case was characterized by the unusually young age of the patient and more specifically by the absence of any det...

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Bibliographic Details
Published in:The Journal of pediatrics 1997-02, Vol.130 (2), p.320-323
Main Authors: Sailer, Michaela, Soelder, Brigitte, Allerberger, Franz, Zaknun, Daniela, Feichtinger, Hans, Gottstein, Bruno
Format: Article
Language:English
Subjects:
AIDS-Related Opportunistic Infections - diagnosis
AIDS-Related Opportunistic Infections - drug therapy
AIDS-Related Opportunistic Infections - immunology
AIDS/HIV
Animals
Antibodies, Helminth - blood
Biological and medical sciences
Biopsy, Needle
Child
Diseases caused by cestodes
Drug Therapy, Combination
Echinococcoses
Echinococcosis, Hepatic - diagnosis
Echinococcosis, Hepatic - drug therapy
Echinococcosis, Hepatic - immunology
Echinococcus - immunology
Female
Helminthic diseases
HIV Antibodies - blood
HIV-1
Humans
Immunodeficiencies
Immunodeficiencies. Immunoglobulinopathies
Immunopathology
Infectious diseases
Liver - pathology
Medical sciences
Parasitic diseases
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Summary:A 6-year-old girl with acquired immunodeficiency syndrome (AIDS) had extensive alveolar echinococcosis. Diagnosis was proved by needle biopsy of a specimen from affected liver tissue. The case was characterized by the unusually young age of the patient and more specifically by the absence of any detectable parasite-specific humoral and cellular immune response at diagnosis or later. Thus the present case indicates that a marked immunodeficiency caused by AIDS may substantially contribute to the rapid proliferation and early manifestation of the disease. In patients with pediatric AIDS and living in areas endemic for Echinococcus multilocularis , alveolar echinococcosis should be considered in intrahepatic tumorlike lesions even if the result of immunodiagnostic testing is negative. (J Pediatr 1997;130:320-3)
ISSN:0022-3476
1097-6833
DOI:10.1016/S0022-3476(97)70364-0