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Echinococcus

Updated: 9/27/2023
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13y ago

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Definition

Echinococcus is an infection caused by the Echinococcus granulosus or Echinococcus multilocularis worm.

Alternative Names

Hydatidosis; Hydatid disease, Hydatid cyst disease

Causes, incidence, and risk factors

Echinococcus is common in:

In the United States, the disease is very rare. However, it has been reported in California, Arizona, New Mexico, and Utah.

Humans become infected when they swallow eggs in contaminated food. The infection is carried to the liver, where cysts form. Cysts can also form in the:

  • Brain
  • Bones
  • Kidney
  • Lungs
  • Skeletal muscles
  • Spleen

Risk factors include being exposed to:

  • Cattle
  • Deer
  • Feces of dogs, wolves, or coyotes
  • Pigs
  • Sheep
Symptoms

A liver cyst may produce no symptoms for 10 - 20 years until it is large enough to be felt by physical examination.

Symptoms include:

Signs and tests

A physical examination may show signs of:

  • Abdominal pain
  • Problems with the skin and other organs
  • Shock

The following tests may be done to find the cysts:

Most often, echinococcosis is found accidentally when an imaging test is done for another reason.

Treatment

Many patients can be treated with albendazole or mebendazole. These medications are often used for up to 3 months. Another drug, praziquantel, may be helpful combined with albendazole or mebendazole.

The cysts may be removed with surgery, if possible. This can be a complicated surgery.

Expectations (prognosis)

If the cysts respond to oral medication, the likely outcome is good.

Complications

The cysts may break open (rupture) and cause severe illness, including:

  • Fever
  • Low blood pressure
  • Shock

The cysts may also spread throughout the body.

Calling your health care provider

Call your health care provider if you develop symptoms of this disorder.

Prevention

In areas where the disease is known to occur, health education and routinely removing tapeworms from dogs can help prevent the disease.

References

Craig PS, McManus DP, Lightowlers MW, Chabalgoity JA, Garcia HH, Gavidia CM, et al. Prevention and control of cystic echinococcosis. Lancet Infect Dis. 2007;7:385-394.

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13y ago
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Wiki User

12y ago
Definition

Echinococcus is an infection caused by the Echinococcus granulosus or Echinococcus multilocularis worm.

Alternative Names

Hydatidosis; Hydatid disease, Hydatid cyst disease

Causes, incidence, and risk factors

Echinococcus is common in:

  • Africa
  • Central Asia
  • Southern South America
  • The Mediterranean
  • The Middle East

In the United States, the disease is very rare. However, it has been reported in California, Arizona, New Mexico, and Utah.

Humans become infected when they swallow eggs in contaminated food. The infection is carried to the liver, where cysts form. Cysts can also form in the:

  • Brain
  • Bones
  • Kidney
  • Lungs
  • Skeletal muscles
  • Spleen

Risk factors include being exposed to:

  • Cattle
  • Deer
  • Feces of dogs, wolves, or coyotes
  • Pigs
  • Sheep
Symptoms

A liver cyst may produce no symptoms for 10 - 20 years until it is large enough to be felt by physical examination.

Symptoms include:

Signs and tests

A physical examination may show signs of:

  • Abdominal pain
  • Problems with the skin and other organs
  • Shock

The following tests may be done to find the cysts:

Most often, echinococcosis is found when an imaging test is done for another reason.

Treatment

Many patients can be treated with albendazole or mebendazole. These medications are often used for up to 3 months. Another drug, praziquantel, may be helpful combined with albendazole or mebendazole.

The cysts may be removed with surgery, if possible. This can be a complicated surgery.

Expectations (prognosis)

If the cysts respond to oral medication, the likely outcome is good.

Complications

The cysts may break open (rupture) and cause severe illness, including:

  • Fever
  • Low blood pressure
  • Shock

The cysts may also spread throughout the body.

Calling your health care provider

Call your health care provider if you develop symptoms of this disorder.

Prevention

In areas where the disease is known to occur, health education and routinely removing tapeworms from dogs can help prevent the disease.

References

King CH, Fairley JK. Cestodes (Tapeworms).In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 29.

Reviewed By

Review Date: 07/26/2010

Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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Related questions

What Parasitic creature starts with E?

Echinococcosis - tapeworm Echinococcus granulosus, Echinococcus multilocularis


What parasite group is Toxocara in?

eCHINOCOCCUS


How is echinococcus diagnosed?

CT Scans - MRI Scans


What is Hydatid disease?

Hydatid disease refers to human infection by the immature (larval) form of tapeworm, Echinococcus


Echinococcus infects humans how?

Echinococcus is ingested by a human through contact with an infected animal that contains eggs. These eggs mature in the small intestine of a human and lay eggs that migrate throughout the circulatory system. After this migration, these eggs forms cysts in major organs such as the liver, lung, or brains.


What is the most amount of testicles an animal can have?

The most amount of testicles an animal can have is eight. This is observed in the tapeworm known as Echinococcus multilocularis.


What is the scientific name for a dog tapeworm?

Dogs can become infected with several different species of tapeworm. As a Class the tapeworms are known as "Cestoda". Generally classification doesn't get much beyond this but the sub-class Eucestoda, Order Cyclophyllidea, Family Taeniidaecontains the genus Echinococcus which contains a number of relevent species. Cestota--> Eucestoda--> Cyclophyllidea--> Mesocestoididae have also been found.


Where do tapeworms live?

In the small intestine. Different animals are infected by different species of tapeworm, here are some examples: Humans - Taenia saginata, Taenia solium Dogs - Taenia serialis, Taenia pisiformis, Taenia ovis, Taenia hydatigena, Taenia multiceps, Dipylidium caninum (probably most common), Echinococcus granulosus or Echinococcus multilocularis. Cats - Taenia taeniaeformis, Dipylidium caninum Horses - Anoplocephala perfoliata Ruminants - Monizia expansa


Cyst?

DefinitionA cyst is a closed pocket or pouch of tissue. It can be filled with air, fluid, pus, or other material.ConsiderationsCysts may form within any tissue in the body. Cysts within the lung generally are air-filled, while cysts involving the lymph system or kidneys are fluid-filled. Certain parasites, such as trichinosis, dog tapeworm (Toxocara canis), and echinococcus, can form cysts within the muscles, liver, brain, lungs, and eyes.Cysts are common on the skin. They develop as a result of infection, clogging of sebaceous glands, or around foreign materials.See also: Pilonidal dimple


What are the general characteristics of 'Cestoda'?

Cestoda (Cestoidea) is the name given to a class of parasitic flatworms, commonly called tapeworms, of the phylum Platyhelminthes. Its members live in the digestive tract of vertebrates as adults, and often in the bodies of various animals as juveniles. Over a thousand species have been described, and all vertebrate species can be parasitised by at least one species of tapeworm. Several species parasitise humans after being consumed in under-cooked meat such as pork (T. solium), beef (T. saginata), fish (Diphyllobothrium spp.), or in food prepared in conditions of poor hygiene (Hymenolepis spp. or Echinococcus spp.).T. saginata, the beef tapeworm, can grow up to 12 m (40 ft); other species may grow to over 30 m (100 ft).[1]


What kind of long crawly looking thing would come out of a dog's skin and surface in the hair?

Without more info, my first thought was a Tick. Absolutely disgusting things but they are not, in my mind anyway, LONG. Round and fat, gray in color, they kinda look like a sick pea ( light grey instead of green ) I would catch the thing, put it in a bottle or jar and take it to the vet! With out more details,and assuming that this is perhaps some type of insect larva imbedded into the skin from fly's or wasps. If it is a whiteish colored it is some type of larva. Maybe some kind of worm, perhaps maybe a tapeworm, hookworm or another parasite, I wouldn't touch it directly if I were you. i.e: Hookworms (Uncinaria, Ancylostoma spp.) can infect our pets at any age but are particularly life-threatening to the very young. Hookworms latch onto the intestinal wall and live on blood, contributing to signs of anemia, weakness, wasting and bloody diarrhea. The nursing young may die due to blood loss and shock with heavy infections. Natural infections occur through eating contaminated soil, or by infective larvae burrowing into the skin of the paw, or through the milk of an infected mother. Human infection may occur when the larvae in contaminated soil penetrate the skin. "Cutaneous Larva Migrans" or "Creeping Eruption" is extremely irritating. Whipworm infection (Trichuriasis) is contracted by direct ingestion of eggs in contaminated food or soil. All ages may be easily affected with the cardinal signs being poor condition or performance. Whipworm eggs are remarkably durable and although they may take up to eight weeks to reach the infective stage, they can resist freezing and remain alive in the environment for years. Adult tapeworms (Dipylidium, Taenia, Echinococcus spp.) are found anchored to the wall of the small intestine by hooks or suckers. These parasites use an intermediate host (a "middleman") for part of its development. The final host (cat) then eats the contaminated prey and the tapeworm then is able to complete its life cycle. With Dipylidium spp., cats become infected when they ingest fleas or biting lice carrying the larval form of the tapeworm. This tapeworm requires only two to three weeks to develop to an adult so unless fleas and lice are quickly brought under control, re-infection occurs rapidly. Taenia spp. use a variety of small rodents and rabbits as their intermediate hosts. Cats become infected when they hunt these vertebrates. Animals do not develop resistance to tapeworms and are readily reinfected. The worms shed segments intermittently and may be found in the feces, in the fur or even on furniture, carpets, or clothing. Although rare in North America, Echinococcus tapeworms can infect humans and cause a variety of chronic and debilitating diseases. Hope this helps.


What is transmission of parasites?

how are parasites transmitted? There are many different types of parasites and each type uses a different mode of transmission. Parasitic worms can enter the human body through pets and other animals. Dogs are carriers of echinococcus, a type of tapeworm. The tapeworm eggs tend to spread over a dogs fur through its anus. Toxoplasma gondii parasite is found in cat feces and you can get toxoplasmosis through this parasite. Certain parasites like protozoa are transmitted via contaminated drinking water. This contamination is by fecal matter of an infected person. This mode of transmission is occurs more frequently in developing countries due to poor sanitation and bad personal hygiene. However, rural areas of the United States are not spared by protozoa infestation. Some parasites do not need to be consumed in order to be transmitted. For instance, the trematoda fluke can only be transmitted when the skin comes in contact with contaminated water. However, the most common way to getting parasitic infestation is through food consumption. Vegetables are being grown in farms that use human waste for fertilizers and unless these vegetables are thoroughly washed, you can parasitic infection by eating these contaminated vegetables. Another way of getting is from restaurants where food handlers can have fecal matter hidden under their nails even without them knowing it. Another method of transmission is through soil. There are some parasites that spend their egg stage in soil; and if you walk barefoot or sit on fecal-contaminated soil, you can get infected by parasites like hookworms or strongyloides, which penetrate the skin and then make their way to the intestine.