Last reviewed: November 2017
Last updated: July  2016

Summary

Definition

History and exam

Key diagnostic factors

  • presence of risk factors
  • worm segments in stool
  • allergy manifestations
  • anaemia
  • increased intracranial pressure
  • seizures
  • hepatomegaly
  • cough
  • haemoptysis

Other diagnostic factors

  • asymptomatic
  • vague intestinal symptoms
  • sleep disturbance
  • headaches
  • rash
  • pyrexia

Risk factors

  • living on farms
  • poor hygiene
  • eating or handling undercooked meat
  • eating or handling undercooked fish or crustaceans
  • ingestion of contaminated water
  • dog owners
  • outdoor pursuits
  • children

Diagnostic investigations

1st investigations to order

  • stool examination
  • FBC
  • enzyme-linked immunoelectrotransfer blot (EITB)
  • Echinococcus ELISA and western blot serology
  • ultrasound
  • CT head
  • MRI
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Assistant Professor of Medicine

Program Director

Infectious Diseases Fellowship

Baylor College of Medicine

Houston

TX

Disclosures

JAS declares that he has no competing interests.

Assistant Professor

Infectious Diseases

Baylor College of Medicine

Houston

TX

Disclosures

AC declares that he has no competing interests.

Dr Jose A. Serpa and Dr Andrew Chou would like to gratefully acknowledge Dr Christina Coyle and Dr Maheen Saeed, previous contributors to this monograph. CC is an author of several references cited in this monograph. MS declares that she has no competing interests.

Peer reviewers VIEW ALL

Chief and Professor of Medicine

Division of Infectious Diseases and International Health

University of Virginia Health System

Charlottesville

VA

Disclosures

WAP declares that he has no competing interests.

Epidemiologist

College of Medicine

University of Malawi

Zomba

Malawi

Disclosures

LK declares that she has no competing interests.

Assistant Professor

Family Medicine

Mayo Clinic

Jacksonville

FL

Disclosures

PR declares that he has no competing interests.

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