Hydatidous echinococcosis: symptoms

Gidatidozny echinococcosis has 3 stages: preclinical, uncomplicated and a stage of complications.

With the most common lesion - liver echinococcosis - the first symptoms of the disease usually appear in a few years and even decades after infection. Often, echinococcus is diagnosed accidentally (with planned fluorography, ultrasound) or with a targeted examination of the population in the outbreaks. Gadatidosis echinococcosis is more often detected in middle-aged people. Typical symptoms of liver hydatidosis echinococcosis in uncomplicated cases - decreased efficiency, general weakness, dyspeptic disorders, headaches, sometimes allergic manifestations: skin rashes, itching, eosinophilia in the blood. The liver at palpation is enlarged, dense (with localization of the bladder in the depth of the parenchyma) or soft, elastic (with a superficial arrangement of cysts), with calcification - woody-dense.

Symptoms of echinococcosis of the lungs is determined by the localization of the cyst and the rate of its growth. Even a small cyst, located near the pleura, early manifests itself as a pain syndrome, and when it is located in the bronchial trunk - persistent dry cough, hemoptysis, chest pains, dyspnea. Possible deformation of the chest, smoothness of intercostal spaces, lag when breathing the affected side, shortening of percussion sound and weakening of breathing above the cyst. With small single cysts, the symptoms of hydatidosis can be absent, but the course of the disease can change dramatically when the cyst is opened. With a breakthrough in the bronchus there is a strong cough, choking, cyanosis, severe allergic reactions and aspiration pneumonia are possible. A breakthrough into the pleural cavity leads to the development of acute exudative pleurisy, in severe cases anaphylactic shock occurs. And perforation into the pericardial cavity is the cause of sudden death.

[1], [2], [3], [4], [5], [6],

Complications of hydatidosis echinococcosis

The most frequent complications of hydatidic liver echinococcosis are suppuration of the echinococcal cyst (attachment of the secondary bacterial flora in the death of echinococcus), breakthrough or compression of the biliary tract with the appearance of obstructive jaundice. Cholangitis is possible, followed by the development of biliary cirrhosis, amyloidosis. Cysts of large size can squeeze the large vessels of the portal system, which leads to the development of portal hypertension. A terrible complication is the rupture of the cyst, which can be triggered by a stroke, lifting heavy weights, rough palpation. The rupture of the cyst is accompanied by a sharp pain and manifestations of an allergic reaction of varying severity, up to the development of anaphylactic shock. As a result of the rupture of a viable liver cyst, dissemination of the pathogen into the abdominal cavity occurs and a secondary multiple echinococcosis of other organs develops.

Symptoms of secondary multiple echinococcosis, caused by dissemination of the pathogen after cyst rupture, appear after 1-2 years and more. When the parasite is localized in the brain, orbit, spinal canal, or myocardium, already small cysts can give a distinct symptomatology, similar to a volumetric lesion. Rapid, "galloping" course of echinococcosis with accelerated growth of blisters is noted in individuals with immunodeficiency. Severe chronic diseases, in pregnant women; such a course often develops in the invaded. Which are not native inhabitants of the foci of invasion.

Echinococcosis of the lungs can be complicated by repeated pulmonary hemorrhages. Acute cardiovascular insufficiency.

[7], [8], [9], [10], [11], [12], [13], [14], [15]