{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T22:07:19Z","timestamp":1772662039332,"version":"3.50.1"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"18","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Anamnese und klinischer Befund\u2002Wir berichten \u00fcber eine 27-j\u00e4hrige syrische Patientin, die aufgrund eines Kollapses in die Notaufnahme kam. Die Anamnese war praktisch nicht zu erheben, sodass die klinische Symptomatik f\u00fchrend war.<\/jats:p><jats:p>\n          Untersuchungen und Diagnose\u2002Es bestand ein Schock, mit einem Exanthem einhergehend. Zus\u00e4tzlich fiel perioral H\u00e4matin auf. Es erfolgte eine Sonografie mit Nachweis freier intraabdomineller Fl\u00fcssigkeit sowie einer unklaren Ver\u00e4nderung im Oberbauch. Eine \u00d6sophagogastroduodenoskopie erbrachte einen Ulkusnachweis, erkl\u00e4rte aber nicht das Geschehen. Die Computertomografie des Abdomens zeigte eine rupturierte Zyste.<\/jats:p><jats:p>\n          Therapie und Verlauf\u2002Durch eine antiallergische Therapie erfolgte die Stabilisierung. Unter dem Verdacht einer Echinokokkuszyste aufgrund der Herkunft der Patientin und des Verlaufs wurde nach Gabe von Albendazol die Leberteilresektion durchgef\u00fchrt. Der makroskopische Befund sowie die Histologie best\u00e4tigten den Verdacht.<\/jats:p><jats:p>\n          Folgerung\u2002Eine unklare klinische Symptomatik, die mit einem Schock einhergeht, sollte bei Ausschluss einer Sepsis oder Blutung immer eine allergische Reaktion ber\u00fccksichtigen. Kommt es zu einer Anaphylaxie, so ist immer eine Echinokokkose differenzialdiagnostisch miteinzubeziehen.<\/jats:p>","DOI":"10.1055\/a-1145-0454","type":"journal-article","created":{"date-parts":[[2020,9,9]],"date-time":"2020-09-09T22:36:01Z","timestamp":1599690961000},"page":"1321-1324","source":"Crossref","is-referenced-by-count":2,"title":["Anaphylaxie bei rupturierter Echinokokkuszyste"],"prefix":"10.1055","volume":"145","author":[{"given":"Mathias","family":"Friebe","sequence":"additional","affiliation":[{"name":"Zentrale Notaufnahme, Evangelisches Krankenhaus Oberhausen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Gro\u00dfe D\u00fcweler","sequence":"additional","affiliation":[{"name":"Zentrale Notaufnahme, Evangelisches Krankenhaus Oberhausen"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Theurer","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Pathologie, Universit\u00e4tsklinikum Essen"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,9,9]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1186\/s13601-017-0182-7","article-title":"How to manage anaphylaxis in primary care","volume":"7","author":"A Alvarez-Perea","year":"2017","journal-title":"Clin Transl Allergy"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"245","DOI":"10.9738\/CC96.1","article-title":"Spontaneous intraperitoneal rupture of a hepatic hydatid cyst","volume":"97","author":"Z Arikanoglu","year":"2012","journal-title":"Int Surg"},{"key":"ref3","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-662-54862-2","volume-title":"Biologie von Parasiten","author":"R Lucius","year":"2018"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1186\/1471-2482-14-99","article-title":"Spontaneous intraperitoneal rupture of hepatic hydatid cyst: a rare cause of ascites","volume":"14","author":"M Limeme","year":"2014","journal-title":"BMC Surgery"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"371","DOI":"10.4269\/ajtmh.15-0386","article-title":"Case report: immunological characteristics of recurrent echinococcosis-induced anaphylactic shock","volume":"94","author":"J Ye","year":"2016","journal-title":"Am J Trop Med Hyg"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"6511","DOI":"10.4076\/1757-1626-2-6511","article-title":"Spontaneous intraperitoneal rupture of hepatic hydatid cyst with biliary peritonitis: a case report","volume":"2","author":"S Ray","year":"2009","journal-title":"Cases J"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1056\/NEJMcpc1410939","article-title":"Case 20-2015: A 25-year old man with abdominal pain, syncope and hypotension","volume":"372","author":"M R Murali","year":"2015","journal-title":"N Engl J Med"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.actatropica.2009.11.001","article-title":"Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans","volume":"114","author":"E Brunetti","year":"2010","journal-title":"Acta Tropica"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1266","DOI":"10.1007\/s00268-009-9982-9","article-title":"Management of cystic echinococcosis complications and dissemination: where is the evidence?","volume":"33","author":"C Dziri","year":"2009","journal-title":"World J Surg"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1007\/s11684-010-0180-9","article-title":"Diagnosis and management against the complications of human cystic echinococcosis","volume":"4","author":"H Wen","year":"2010","journal-title":"Front Med China"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1007\/s002680020002","article-title":"Laboratory diagnosis of cystic hydatic disease","volume":"25","author":"M F Biava","year":"2001","journal-title":"Worl J Surg"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"144","DOI":"10.5152\/eurasianjmed.2018.16104","article-title":"The Availability of Echinococcus IgG ELISA for Diagnosing Pulmonary Hydatid Cysts","volume":"150","author":"Y Aydin","year":"2018","journal-title":"Eurasian J Med"}],"container-title":["DMW - 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