{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T13:39:20Z","timestamp":1789133960840,"version":"build-2803163510"},"reference-count":10,"publisher":"California Digital Library (CDL)","issue":"2","license":[{"start":{"date-parts":[[2020,2,24]],"date-time":"2020-02-24T00:00:00Z","timestamp":1582502400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Cystic echinococcosis (CE) is an infection caused by the Echinococcus granulosus tapeworm. CE generally manifests in the liver, but it may present in any organ. These patients often first present to the emergency department. Mortality over 10 years is significant for those who go undiagnosed. We report the case of a 34-year-old patient who immigrated from Yemen six years earlier. She presented with acute onset dysuria, suprapubic pain, and fever. Imaging revealed a primary multicystic mass on the right renal pole with a secondary lesion in the right hepatic lobe. On further investigation, the patient\u2019s serum was positive for echinococcus antibodies.<\/jats:p>","DOI":"10.5811\/cpcem.2020.1.45842","type":"journal-article","created":{"date-parts":[[2020,5,5]],"date-time":"2020-05-05T18:21:09Z","timestamp":1588702869000},"page":"164-166","source":"Crossref","is-referenced-by-count":3,"title":["An Atypical Presentation of Cystic Echinococcosis"],"prefix":"10.5811","volume":"4","author":[{"given":"Bhavana","family":"Tetali","sequence":"first","affiliation":[{"name":"Henry Ford Health System, Department of Internal Medicine, Detroit, Michigan; Wayne State University School of Medicine, Detroit, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Grahf","sequence":"additional","affiliation":[{"name":"Henry Ford Health System, Department of Internal Medicine, Detroit, Michigan; Henry Ford Health System, Department of Emergency Medicine, Detroit Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elian","family":"Abou Asala","sequence":"additional","affiliation":[{"name":"Henry Ford Health System, Department of Internal Medicine, Detroit, Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Axelson","sequence":"additional","affiliation":[{"name":"Henry Ford Health System, Department of Emergency Medicine, Detroit Michigan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"29705","published-online":{"date-parts":[[2020,2,24]]},"reference":[{"key":"ref0","unstructured":"Centers for Disease Control and Prevention. Parasites - Echinococcosis. 2012. Available at: https:\/\/www.cdc.gov\/parasites\/echinococcosis\/index.html. Accessed September 21, 2019."},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Frider B, Larrieu E, Odriozola M. Long-term outcome of asymptomatic liver hydatidosis. J Hepatol. 1999;30(2):228-31.","DOI":"10.1016\/s0168-8278(99)80066-x"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Moro PL, Gilman RH, Verastegui M, et al. Human hydatidosis in the central Andes of Peru: evolution of the disease over 3 years. Clin Infect Dis. 1999;29:807-12.","DOI":"10.1086\/520440"},{"key":"ref3","unstructured":"Ammann RW, Eckert J. Cestodes. Echinococcus. Gastroenterol Clin North Am. 1996;25(3):655-89."},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Gogus C, Safak M, Baltaci S, et al. Isolated renal hydatidosis: experience with 20 cases. J Urol. 2003;169(1):186-9.","DOI":"10.1016\/s0022-5347(05)64064-5"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Ali-Khan Z and Rausch RL. Demonstration of amyloid and immune complex deposits in renal and hepatic parenchyma of Alaskan alveolar hydatid disease patients. Ann Trop Med Parasitol. 1987;81(4):381-92.","DOI":"10.1080\/00034983.1987.11812136"},{"key":"ref6","unstructured":"Gelman R, Brook G, Green J, et al. Minimal change glomerulonephritis associated with hydatid disease. Clin Nephrol. 2000;53(2):152-5."},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"El-Tahir MI, Omojola MF, Malatani T, et al. Hydatid disease of the liver: evaluation of ultrasound and computed tomography. Br J Radiol. 1992;65(773):390-2.","DOI":"10.1259\/0007-1285-65-773-390"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"McManus DP, Zhang W, Li J, et al. Echinococcosis. Lancet. 2003;362(9392):1295-304.","DOI":"10.1016\/S0140-6736(03)14573-4"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Brunetti E, Kern P, Vuitton DA, et al. Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans. Acta Trop. 2010;114(1):1-16.","DOI":"10.1016\/j.actatropica.2009.11.001"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T16:38:06Z","timestamp":1595263086000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/3zv1s1kc"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,24]]},"references-count":10,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020,4,1]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2020.1.45842","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"value":"2474-252X","type":"electronic"},{"value":"2474-252X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,24]]}}}