Article
Equinococosis hepática poliquística autóctona por Echinococcus vogeli en el amazonas venezolano: Descripción de un caso
Registro en:
RSVM 2007; 27:120-126
1317-973X
Autor
Abdul-Hadi, Salha
Chacón, Nathalie
Bruces, Ana Cecilia
Gutierrez, José Enrique
Safar, Jorge Alfredo
Egui, María Alejandra
Falco, Adriana
Cantele, Hector Eduardo
Institución
Resumen
Echinococcus vogeli and Echinococcus oligarthrus, new world autochthonous species are responsible for polycystic echinococcosis.
The purpose of this work is the presentation of a polycystic hepatic echinococcosis case due to Echinococcus vogeli in an indigenous
inhabitant of the Venezuelan amazon area. The patient presented a penetrating abdominal pain, hepatomegalia and marked eosinophilia.
Liver imaging (echosonogram and computerized axial tomography) as well an echinococcosis positive serology (ELISA and Western-
blot) contributed to the pre-surgical diagnosis. Treatment with albendazol was initiated previous to surgery. The cephalic hooks of the
protoscolexes were studied and it was determined that their mean length, morphology and proportions corresponded to E. vogeli. The
patient evolved satisfactorily and continued albendazol treatment during six months. In the Venezuelan amazon area there are still numerous
wilds animals which are intermediate and final hosts of this cestode. Cuniculus paca or lapa, Dasyprocta aguti or Venezuelan aguti,
Speothus veneticus, wild dogs and wild cats, are natural host of both species. We suggest considering the possibility of polycystic echinococcosis
in native individuals with polycystic imagining and liver calcifications (and eosinophilia) who come from Venezuelan tropical
forests. Nevertheless, it should be remembered that domestic dogs and cats are responsible of human infections. Equinococosis hepática poliquística autóctona Al Consejo de Desarrollo Científico y Humanístico
(CDCH) de la Universidad Central de Venezuela por
el financiamiento para la asistencia a XVII FLAP en
Mar del Plata, Argentina, del 23 al 26 de noviembre
de 2005, donde se presentaron los resultados preliminares
de este trabajo.