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http://dx.doi.org/10.3347/kjp.2020.58.4.451

Two Human Cases of Echinococcus ortleppi Infection in the Lung and Heart in Vietnam  

De, Nguyen Van (Department of Parasitology, Hanoi Medical University)
Minh, Pham Ngoc (Department of Parasitology, Hanoi Medical University)
Duyet, Le Van (National Hospital of Tropical Diseases)
Bich, Nguyen Ngoc (Department of Parasitology, Hanoi Medical University)
Son, Trinh Nam (Bach Mai Hospital)
Jung, Bong-Kwang (Institute of Parasitic Diseases, Korea Association of Health Promotion)
Chai, Jong-Yil (Institute of Parasitic Diseases, Korea Association of Health Promotion)
Publication Information
Parasites, Hosts and Diseases / v.58, no.4, 2020 , pp. 451-456 More about this Journal
Abstract
This is a report of 2 cases of human hydatidosis caused by Echinococcus ortleppi in Vietnam. The patients were a 12-year-old male (case 1) having a cyst of 10.0×9.0 cm size in the lung and a 50-year-old female with a 3.0×3.3 cm-sized cyst in the heart. Eosinophilia was 33.7% in the male and 45.8% in the female patient. C-reactive protein was increased to 16.5 mg/L in the male and 18.2 mg/L in the female. Both patients were positive for ELISA at OD=2.5 and 3.1, respectively. Echinococcus protoscolices were collected from the cysts by amniocentesis and surgery. The protoscolices were identified as E. ortleppi by morphology and analysis of mitochondrial NADH dehydrogenase 1 (nad1) gene sequence. Both patients were cured by surgical resection of the hydatid cyst combined with albendazole medication. The E. ortleppi infection in lung is the second report, and the other in the heart is the first in Vietnam.
Keywords
Echinococcus ortleppi; hydatid; lung; heart; Vietnam;
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