Abstract
Echinococcosis is a parasitic disease caused by any of the four types of the Echinococcus tapeworm. Humans are an incidental intermediate host after ingesting the ova but may be endemic (2–6%) in certain areas. The disease manifests as hydatid cysts, commonly found in the liver and lungs, but the cysts can affect virtually any organ. Symptoms including abdominal discomfort and dyspnea usually occur only after the cysts have either become infected, rupture, or grown large enough to compress adjacent structures. Treatment consists of the antiparasitic drug albendazole, cyst drainage, or surgical removal. Pregnancy may affect echinococcosis via immunosuppression allowing growth of cysts, as well as the enlarging uterus compressing cysts. Cyst rupture could precipitate life-threatening anaphylaxis.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Abu-Eshy S, Ali ME. Hydatid cyst associated with pregnancy: a case report and review of the literature. Ann Saudi Med. 1999;19:130–1.
Antolova D, Reiterova K. Influence of echinococcus multilocularis infection on reproduction and cellular immune response of mice. Parasite Immunol. 2010;32:384–7.
Luo K, Luo DH, Zhang TR, Wen H. Primary intracranial and spinal hydatidosis: a retrospective study of 21 cases. Pathog Glob Health. 2013;107(2):47–51.
Malhotra N, Chanana C, Kumar S. Hydatid disease of the liver during pregnancy: a case report and review of literature. Int J Gynecol Obstet. 2006;7(1):1–4.
DP MM, Gray DJ, Zhang W, Yang Y. Diagnosis, treatment, and management of echinococcosis. BMJ. 2012;344:e3866.
Rodrigues G, Seetharam P. Management of hydatid disease (echinococcosis) in pregnancy. Obstet Gynecol Surv. 2008;63(2):116–23.
Zhang W, Wen H, Li J, Lin R, McManus DP. Immunology and immunodiagnosis of cystic echinococcosis: an update. Clin Dev Immunol. 2012;2012:101895. https://doi.org/10.1155/2012/101895.
Wang H, Li J, Pu H, Hasan B, Ma J, Jones MK, et al. Echinococcus granulosus infection reduces airway inflammation of mice likely through enhancing IL-10 and down-regulation of IL-5 and IL-17A. Parasit Vectors. 2014;7(1):522.
http://www.who.int/echinococcosis/en/. Accessed 24 Sep 2016.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Ross, J., Coleman, L., Murphy, J., Zakowski, M. (2018). Echinococcosis. In: Mankowitz, S. (eds) Consults in Obstetric Anesthesiology. Springer, Cham. https://doi.org/10.1007/978-3-319-59680-8_49
Download citation
DOI: https://doi.org/10.1007/978-3-319-59680-8_49
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-59679-2
Online ISBN: 978-3-319-59680-8
eBook Packages: MedicineMedicine (R0)