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A Pediatric Case of Hepatorenal Hydatidosis in a Patient With Human Immunodeficiency Virus (HIV)

Calma, Crenguta Livia MD; Neghina, Adriana Maria MD, PhD; Vlaicu, Brigitha MD, PhD; Iacobiciu, Ioan MD, PhD; Neghina, Raul MD, PhD

Infectious Diseases in Clinical Practice:
doi: 10.1097/IPC.0b013e31824241a0
Case Reports

Abstract: Echinococcosis represents a near-cosmopolitan parasitic zoonosis produced by adult or larval forms of the cestode helminthes of the genus Echinococcus. A long-term growth of metacestode (hydatid) cysts inside the intermediate hosts is characteristic of the larval infection known as hydatid disease or hydatidosis. We present the case of a 5-year-old boy admitted in 2005 to a pediatric clinic in Timisoara (Western Romania) and found with multiple hepatic and a renal hydatid cysts, human immunodeficiency virus, and giardiasis. After 3 surgical interventions managed by percutaneous aspiration, injection, reaspiration technique and chemotherapy with albendazole, the outcome was favorable. To date, this is the first case reported in the literature that summarizes all the aforementioned pathological aspects and consequently could represent an interesting challenge for both infectious disease practitioners and surgeons.

In Brief

This is an interesting case with multiple hepatic and a renal hydatid cysts detected in a 5-year old child with HIV and giardiasis. It may represent a challenge for both infectious disease practitioners and surgeons.

Author Information

From the Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.

Correspondence to: Raul Neghina, MD, PhD, 2 Eftimie Murgu Sq, 300041 Timisoara, Romania. E-mail:

The authors have no funding or conflicts of interest to disclose.

© 2012 Lippincott Williams & Wilkins, Inc.