{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:56:05Z","timestamp":1777600565093,"version":"3.51.4"},"reference-count":18,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,5,1]]},"abstract":"<jats:p>Cystic echinococcosis (CE) is a common, chronic, and endemic zoonotic disease usually localized in a single organ; multivisceral cases are rare, especially outside the liver or lung. Here, we describe an unusual case of a 43-year-old Tibetan man with echinococcosis of the infratemporal fossa, heart, liver, pancreas, abdomen, and pelvic cavity. He only presented with diminished vision of the left eye, especially when chewing. Computed tomography and magnetic resonance imaging revealed multivisceral CE. The patient underwent surgery for the excision of a cyst in the infratemporal fossa, as well as chemotherapy, and the diagnosis was confirmed by histopathological examination. The diagnosis, clinical features, treatment, and follow-up in this case are discussed. In areas with high echinococcosis prevalence, examination by full imaging is necessary for an accurate diagnosis, especially in cases of atypical localization. Chemotherapy for treatment, as well as prophylaxis against recurrence, can be effective when surgery is not possible.<\/jats:p>","DOI":"10.4269\/ajtmh.18-0673","type":"journal-article","created":{"date-parts":[[2019,3,12]],"date-time":"2019-03-12T07:01:49Z","timestamp":1552374109000},"page":"1204-1207","source":"Crossref","is-referenced-by-count":9,"title":["Case Report: Rare Presentation of Multivisceral Echinococcosis"],"prefix":"10.4269","volume":"100","author":[{"given":"Xiao","family":"Cai","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, People\u2019s Hospital of Qinghai Province, Xining, China;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huixia","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Parasite Control, Qinghai Province Institute for Endemic Diseases Prevention and Control, Xining, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qing","family":"Gan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, People\u2019s Hospital of Qinghai Province, Xining, China;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenxu","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, People\u2019s Hospital of Qinghai Province, Xining, China;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fang","family":"Yuan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, People\u2019s Hospital of Qinghai Province, Xining, China;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, People\u2019s Hospital of Qinghai Province, Xining, China;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, People\u2019s Hospital of Qinghai Province, Xining, China;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"An","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery, People\u2019s Hospital of Qinghai Province, Xining, China;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"b1","series-title":"Acta Trop","first-page":"11","article-title":"The echinococcoses in Asia: the present situation","volume":"176","author":"Ito","year":"2017"},{"key":"b2","series-title":"Ecohealth","first-page":"115","article-title":"Echinococcosis in China, a review of the epidemiology of Echinococcus spp","volume":"5","author":"Wang","year":"2008"},{"key":"b3","series-title":"WHO\/OIE Manual on Echinococcosis in Humans and Animals","first-page":"100","article-title":"Echinococcosis in humans: clinical aspects, diagnosis and treatment","author":"Pawlowski","year":"2001"},{"key":"b4","series-title":"Int J Clin Exp Pathol","first-page":"11814","article-title":"Rare presentation of multi-organ abdominal echinococcosis: report of a case and review of literature","volume":"8","author":"Zheng","year":"2015"},{"key":"b5","series-title":"Chirurgia (Bucur)","first-page":"758","article-title":"Multivisceral echinococcosis: concept, diagnosis, management","volume":"109","author":"Grozavu","year":"2014"},{"key":"b6","series-title":"Infect Dis Poverty","first-page":"3","article-title":"Review of risk factors for human echinococcosis prevalence on the Qinghai-Tibet Plateau, China: a prospective for control options","volume":"3","author":"Wang","year":"2014"},{"key":"b7","series-title":"Ann Med Health Sci Res","first-page":"447","article-title":"Uncommon locations and presentations of hydatid cyst","volume":"4","author":"Sachar","year":"2014"},{"key":"b8","series-title":"Int J Clin Exp Med","first-page":"1276","article-title":"Exploration of common bile duct for treating hepatic cystic echinococcosis","volume":"8","author":"Liu","year":"2015"},{"key":"b9","series-title":"A National Survey on Current Status of the Important Parasitic Diseases in Human Population","author":"Department of Disease Control, Ministry of Health, Chinese Center for Disease Control and Prevention and National Institute of Parasitic Diseases, China CDC","year":"2008"},{"key":"b10","series-title":"Chin J Parasitol Parasit Dis","first-page":"1","article-title":"An epidemiological survey on echinococcosis in Yushu Prefecture of Qinghai Province [in Chinese]","volume":"34","author":"Chen","year":"2016"},{"key":"b11","series-title":"Chin J Zoonoses","first-page":"189","article-title":"An epidemiological survey on echinococcosis in Banma County of Qinghai Province [in Chinese]","volume":"22","author":"Han","year":"2006"},{"key":"b12","series-title":"J Pathog Biol","first-page":"1","article-title":"A retrospective study on the hospitalization cases in Qinghai Province from 1991 to 2001 [in Chinese]","volume":"1","author":"Zhang","year":"2006"},{"key":"b13","series-title":"Ningxia Med J","first-page":"644","article-title":"A retrospective study on the hospitalization cases from 1991 to 2010 in Ningxia [in Chinese]","volume":"34","author":"Feng","year":"2012"},{"key":"b14","series-title":"Int J Surg Case Rep","first-page":"52","article-title":"A rare combination of hepatic and pericardial hydatid cyst and review of literature","volume":"10","author":"Dasbaksi","year":"2015"},{"key":"b15","series-title":"Acta Trop","first-page":"1","article-title":"Writing panel for the WHO-IWGE. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans","volume":"114","author":"Brunetti","year":"2010"},{"key":"b16","series-title":"Chirurgia","first-page":"393","article-title":"Spontaneous rupture of a splenic hydatid cyst with anaphylaxis in a patient with multi-organ hydatid disease","volume":"109","author":"Constantin","year":"2014"},{"key":"b17","series-title":"Chirurgia (Bucur)","first-page":"15","article-title":"Albendazole associated to surgery or minimally invasive procedures for hydatid disease\u2013how much and how long","volume":"107","author":"Cre\u0163u","year":"2012"},{"key":"b18","series-title":"World J Surg","first-page":"1161","article-title":"Hydatid disease of the abdomen and other locations","volume":"29","author":"Tsaroucha","year":"2005"}],"container-title":["The American Journal of Tropical Medicine and Hygiene"],"original-title":[],"link":[{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/100\/5\/article-p1204.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/100\/5\/article-p1204.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.ajtmh.org\/downloadpdf\/journals\/tpmd\/100\/5\/article-p1204.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T21:01:58Z","timestamp":1722459718000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajtmh.org\/view\/journals\/tpmd\/100\/5\/article-p1204.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,1]]},"references-count":18,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.4269\/ajtmh.18-0673","relation":{},"ISSN":["0002-9637","1476-1645"],"issn-type":[{"value":"0002-9637","type":"print"},{"value":"1476-1645","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5,1]]}}}