Abstract
Cerebral alveolar echinococcosis (AE) is a rare and difficult-to-treat zoonosis caused by Echinococcus multilocularis. A 29-year-old immigrant from Siberia with a past history of hepatic AE, presented with acute onset of grand mal seizures, weakness of the left leg, and cephalgia. Magnetic resonance imaging of the brain revealed inoperable right-sided infiltrative lesions, suggesting cerebral AE. Despite anthelmintic treatment only slow improvement occurred.
© 2012 International Society of Travel Medicine.
MeSH terms
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Adult
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Albendazole / administration & dosage*
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Albendazole / analogs & derivatives
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Albendazole / pharmacokinetics
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Anticestodal Agents / administration & dosage*
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Anticestodal Agents / pharmacokinetics
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Brain Diseases / diagnosis
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Brain Diseases / drug therapy*
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Brain Diseases / parasitology*
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Brain Edema / parasitology
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Brain Edema / pathology
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Disease Progression
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Drug Monitoring
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Echinococcosis
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Echinococcosis, Hepatic / diagnosis
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Echinococcosis, Hepatic / drug therapy*
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Echinococcosis, Hepatic / surgery
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Emigrants and Immigrants*
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Germany
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Hepatectomy
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Humans
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Magnetic Resonance Imaging
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Male
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Recurrence
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Siberia / ethnology
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Travel*
Substances
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Anticestodal Agents
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Albendazole
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albendazole sulfoxide