Case Report

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

Cerebral Hydatid Cyst

Abstract

Introduction: 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 also be rarely involved. Here, we present a case with a giant cerebral hydatid cyst.

Case report: A 4-year-old boy presented with abnormal gait and walking. 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.

Discussion: Although intracranial hydatid disease in children is rare, it should be considered among the differential diagnoses in patients with neurological symptoms, especially in highly endemic regions.

References
1. McManus DP, Zhang W, Li J, Bartley PB. Echinococcosis. The lancet. 2003;362(9392):1295-304.
2. Eckert J, Deplazes P. Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern. Clinical microbiology reviews. 2004;17(1):107-35.
3. Craig PS, McManus DP, Lightowlers MW, Chabalgoity JA, Garcia HH, Gavidia CM, et al. Prevention and control of cystic echinococcosis. The Lancet infectious diseases. 2007;7(6):385-94.
4. Wen H, Vuitton L, Tuxun T, Li J, Vuitton DA, Zhang W, et al. Echinococcosis: Advances in the 21st Century. Clin Microbiol Rev. 2019;32(2).
5. Padayachy LC, Dattatraya M. Hydatid disease (Echinococcus) of the central nervous system. Child's Nervous System. 2018;34(10):1967-71.
6. Padayachy L, Ozek M. Hydatid disease of the brain and spine. Child's Nervous System. 2022:1-8.
7. Hmada S, Mesbahi T, Jehri A, Jouida A, Naja A, Amenzoui N, et al. Pediatric brain hydatid cyst about two cases: Case report. Annals of Medicine and Surgery. 2022:103806.
8. Kammerer WS, Schantz PM. Echinococcal disease. Infectious disease clinics of North America. 1993;7(3):605-18.
9. Frider B, Larrieu E, Odriozola M. Long-term outcome of asymptomatic liver hydatidosis. Journal of hepatology. 1999;30(2):228-31.
10. Ninaquispe B, Garcia HH, Rodríguez S, Verastegui M, Calderon C. Diagnosis of cystic echinococcosis, central Peruvian Highlands. Emerging infectious diseases. 2008;14(2):260.
11. Agudelo Higuita NI, Brunetti E, McCloskey C. Cystic echinococcosis. Journal of clinical microbiology. 2016;54(3):518-23.
12. Biava M-F, Dao A, Md A, Fortier B, Md P-p. Laboratory diagnosis of cystic hydatic disease. World journal of surgery. 2001;25(1):10.
13. Tanki H, Singh H, Raswan US, Bhat AR, Kirmani AR, Ramzan AU. Pediatric intracranial hydatid cyst: a case series with literature review. Pediatric Neurosurgery. 2018;53(5):299-304.
14. Brunetti E, Kern P, Vuitton DA. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta tropica. 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.