Case Report

A 4-YEAR-OLD CHILD WITH A GIANT CEREBRAL HYDATID CYST

Cerebral Hydatid Cyst

Abstract

Echinococcosis is the most common cestode infection globally caused by the Echinococcus species. The most common organ involvement is the lungs and liver, but other organs can be rarely involved. Here, we present a case with a giant cerebral hydatid cyst. A 4-year-old boy presented with abnormal gait and walking at Marmara University School of Medicine Pendik Training and Research Hospital, Istanbul, Türkiye in September 2022. Cranial magnetic resonance imaging showed a cyst of 13 cm in diameter. The cyst was enucleated successfully with no rupture. Oral albendazole therapy was started. There was no eosinophilia, and the echinococcal indirect hemagglutination test was negative. Ultrasonography detected an anechoic cystic lesion in the liver. He was evaluated for deep-organ involvement; however, no cysts were detected in other organs. The histopathological examination was compatible with a hydatid cyst. Although intracranial hydatid disease in children is rare, it should be considered among the differential diagnoses in patients with neurological symptoms, especially in endemic regions.

1. Wen H, Vuitton L, Tuxun T, et al. Echinococcosis: Advances in the 21st Century. Clin Microbiol Rev. 2019;32(2): e00075-18.
2. Moro P, Schantz PM. Echinococcosis: a review. Int J Infect Dis. 2009;13(2):125-33.
3. Padayachy LC, Dattatraya M. Hydatid disease (Echinococcus) of the central nervous system. Childs Nerv Syst. 2018;34(10):1967-71.
4. Padayachy L, Ozek M. Hydatid disease of the brain and spine. Childs Nerv Syst. 2023; 39(3): 751–758.
5. Hmada S, Mesbahi T, Jehri A, et al. Pediatric brain hydatid cyst about two cases: Case report. Ann Med Surg (Lond). 2022; 78:103806.
6. Ninaquispe B, Garcia HH, Rodríguez S, Verastegui M, Calderon C. Diagnosis of cystic echinococcosis, central Peruvian Highlands. Emerg Infect Dis. 2008; 14(2): 260–266.
7. Agudelo Higuita NI, Brunetti E, McCloskey C. Cystic echinococcosis. J Clin Microbiol. 2016; 54(3): 518–523.
8. Elvan-Tuz A, Karadag-Oncel E, Kara-Aksay A, Sarioglu FC, Karadag A, Yilmaz-Ciftdogan D. A rare case series of central nervous system cystic echinococcosis. J Trop Pediatr. 2021; 67(3):fmab056.
9. Tanki H, Singh H, Raswan US, Bhat AR, Kirmani AR, Ramzan AU. Pediatric intracranial hydatid cyst: a case series with literature review. Pediatr Neurosurg. 2018;53(5):299-304.
10. Brunetti E, Kern P, Vuitton DA. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Trop. 2010;114(1):1-16.
Files
IssueVol 19 No 1 (2024) QRcode
SectionCase Report(s)
DOI https://doi.org/10.18502/ijpa.v19i1.15218
Keywords
Echinococcosis Hydatic cyst Cerebral hydatic cyst
Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Dizi Işık A, Sönmez Özcan, Canizci Erdemli P, Kepenekli E, Ergenç Z, Yılmaz S, Aslan Tuncay S, Parlak B, Dağçınar A. A 4-YEAR-OLD CHILD WITH A GIANT CEREBRAL HYDATID CYST. Iran J Parasitol. 2024;19(1):113-116.