Clinical case reports
https://doi.org/10.17709/2409-2231-2019-6-4-15
Abstract
Echinococcosis is a severe parasitic disease with a fecal-oral mechanism of the pathogen transmission. It caused by the introduction into the organism and development in the body of the larval stage of tapeworm of the genus Echinococcus, with the formation of parasitic cysts in the liver, lungs, kidneys and other organs. Kidney echinococcosis ranks seventh in frequency after echinococcosis of the liver, lungs, peritoneum, omentum, muscles, spleen, and ranges from 1.5 to 5% relative to echinococcal lesions of other organs. It is necessary to use data from the epidemiological history, determination of blood antibodies to echinococcus by enzyme immunoassay, ultrasonography of the kidneys and the abdominal cavity, radiography of the lungs, review and excretory urography, nephroscintigraphy, x-ray computer and magnetic resonance imaging for the diagnostics of kidney echinococcosis. The article presents a clinical case of theechinococcal lesion in the left patient's kidney. The final diagnosis was made during the operation (left nephrectomy). It indicates some difficulty of diagnostics of this disease. Antiparasitic chemotherapy was performed in the postoperative period. Subsequent dynamic observation of the patient revealed no recurrence of echinococcosis.
About the Authors
V. B. Filimonov
I.P.Pavlov Ryazan State Medical University; Regional Clinical Hospital
Russian Federation
Russian Federation
Victor B. Filimonov - MD, PhD, DSc, headmaster of the urological and nephrological department I. P. Pavlov Ryazan State Medical University.
9 VysokovoUnaya str., Ryazan 390026; 3A Internatsionalnaya str., Ryazan 390039.
R. V. Vasin
I.P.Pavlov Ryazan State Medical University; Regional Clinical Hospital
Russian Federation
Russian Federation
Roman V. Vasin - MD, PhD, assistant professor of the urological and nephrological department, I. P. Pavlov Ryazan State Medical University.
9 VysokovoUnaya str., Ryazan 390026; 3A Internatsionalnaya str., Ryazan 390039.
S. V. Snegur
Regional Clinical Hospital
Russian Federation
Russian Federation
Svetlana V. Snegur - pathologist of the highest category in Regional Clinical Hospital.
3A Internatsionalnaya str., Ryazan 390039.
V. N. Panchenko
I.P.Pavlov Ryazan State Medical University
Russian Federation
Russian Federation
Vitaliy N. Panchenko - postgraduate student of the urological and nephrological department I.P.Pavlov Ryazan State Medical University.
9 Vysokovoltnaya str., Ryazan 390026.
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Review
For citations:
Filimonov V.B., Vasin R.V., Snegur S.V., Panchenko V.N. Clinical case reports. Research and Practical Medicine Journal. 2019;6(4):151-157. (In Russ.) https://doi.org/10.17709/2409-2231-2019-6-4-15
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