Disseminated seronegative echinococcosis: difficulties of diagnosis and treatment

V. Mazurov, Inna Z. Gaidukova, Elena E. Nochvay, M. Petrova, O. Inamova, S. Mazurenko, Y. A. Petrova, A. S. Bychkova, S. Vorobyev
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Abstract

Disseminated seronegative echinococcosis, occurring with damage to soft tissues, bones and joints, is a rare variant of the course of helminthiasis, often associated with diagnostic difficulties, a high probability of complications and difficult treatment. This article presents a case of disseminated seronegative echinococcosis, clinically and laboratory simulating a severe form of WeberChristian panniculitis complicated by sepsis. The advantages and disadvantages of serological and morphological studies in the verification of disseminated echinococcosis are discussed, as well as the feasibility of using repeated histological studies in cases of echinococcosis under the masks of rheumatic diseases.
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播散性血清阴性包虫病:诊断和治疗的困难
播散性血清阴性棘球蚴病发生时伴有软组织、骨骼和关节损伤,是蠕虫病病程的一种罕见变体,通常与诊断困难、并发症高概率和治疗困难相关。本文报告一例播散性血清阴性棘球蚴病,临床和实验室模拟严重形式的韦伯基督教泛膜炎合并败血症。讨论了血清学和形态学研究在验证播散性包虫病中的优缺点,以及在风湿病的面具下对包虫病病例进行重复组织学研究的可行性。
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