B67
DESCRIPTION
The development of hydatid (Echinococcus granulosus ) cysts follows ingestion of worm ova that are usually passed in the stools of dogs in sheep farming areas. Cysts may occur in any organ, but are most commonly found in the liver and lungs.
DIAGNOSTIC CRITERIA
- Typical radiological features.
- Diagnostic aspiration of an organ cyst should never be attempted.
GENERAL AND SUPPORTIVE MEASURES
- Prevent infestation by:
- hand washing,
- adequate food preparation,
- surgical removal of cysts may be indicated.
MEDICINE TREATMENT
- Albendazole, oral, 10 mg/kg/dose daily for 3 months.
- Monitor FBC/LFT monthly
REFERRAL
- All with liver cysts for consideration of PAIR (Percutaneous Puncture, Aspiration, Injection (of a scolecidal agent), Re-aspiration) which should be carried out under expert supervision.