Korean J Parasitol.
2020 Aug;58(4):451-456. 10.3347/kjp.2020.58.4.451.
Two Human Cases of Echinococcus ortleppi Infection in the Lung and Heart in Vietnam
- Affiliations
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- 1Department of Parasitology, Hanoi Medical University, Hanoi, Vietnam
- 2National Hospital of Tropical Diseases, Hanoi, Vietnam
- 3Bach Mai Hospital, Hanoi, Vietnam
- 4Institute of Parasitic Diseases, Korea Association of Health Promotion, Seoul 07649 Korea
- 5Department of Tropical Medicine and Parasitology, Seoul National University College of Medicine, Seoul 03080, Korea
- KMID: 2505935
- DOI: http://doi.org/10.3347/kjp.2020.58.4.451
Abstract
- This is a report of 2 cases of human hydatidosis caused by Echinococcus ortleppi in Vietnam. The patients were a 12-year-old male (case 1) having a cyst of 10.0×9.0 cm size in the lung and a 50-year-old female with a 3.0×3.3 cm-sized cyst in the heart. Eosinophilia was 33.7% in the male and 45.8% in the female patient. C-reactive protein was increased to 16.5 mg/L in the male and 18.2 mg/L in the female. Both patients were positive for ELISA at OD=2.5 and 3.1, respectively. Echinococcus protoscolices were collected from the cysts by amniocentesis and surgery. The protoscolices were identified as E. ortleppi by morphology and analysis of mitochondrial NADH dehydrogenase 1 (nad1) gene sequence. Both patients were cured by surgical resection of the hydatid cyst combined with albendazole medication. The E. ortleppi infection in lung is the second report, and the other in the heart is the first in Vietnam.
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