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Medical treatment for an isolated renal multilocular hydatid cyst in an elderly: a case report.
- Source :
-
BMC nephrology [BMC Nephrol] 2020 Oct 08; Vol. 21 (1), pp. 428. Date of Electronic Publication: 2020 Oct 08. - Publication Year :
- 2020
-
Abstract
- Background: Almost all cases of renal hydatid cysts need surgical intervention for treatment. We report a case of isolated renal hydatid cyst treated successfully only with medical therapy.<br />Case Presentation: This case is a 79-year-old veterinarian presented with right flank pain, hydatiduria and positive echinococcus granulosus serology. A 70*50 mm cyst with daughter cysts in mid-portion of right kidney on presentation was changed into a 60*40 mm cyst without daughter cysts at last follow-up. Due to patient's refusal of surgery, our patient received medical treatment including praziquantel and albendazole. After completion of first round of treatment, recurrence occurred and the same treatment was repeated. At last, the cyst became inactive and calcified with negative serology and no clinical symptoms under medical treatment.<br />Conclusion: The treatment of choice in renal hydatid cyst is surgery; although there are some reports about the efficacy of medical treatments for hydatid cysts but lower rates of recurrence and higher efficacy put surgery in a superior position compared to medical approaches. Our case showed relative success of medical treatment, despite the presence of a large multilocular renal involvement. Thus, medical therapy without surgery can be considered in very particular cases with isolated renal hydatid cysts.
- Subjects :
- Aged
Animals
Drug Therapy, Combination
Echinococcosis diagnostic imaging
Humans
Kidney diagnostic imaging
Kidney parasitology
Kidney pathology
Kidney Diseases diagnostic imaging
Kidney Diseases parasitology
Male
Recurrence
Tomography, X-Ray Computed
Ultrasonography
Urine parasitology
Albendazole administration & dosage
Anticestodal Agents administration & dosage
Echinococcosis drug therapy
Echinococcus granulosus isolation & purification
Kidney Diseases drug therapy
Praziquantel administration & dosage
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2369
- Volume :
- 21
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC nephrology
- Publication Type :
- Academic Journal
- Accession number :
- 33032540
- Full Text :
- https://doi.org/10.1186/s12882-020-02064-5