Symptoms of liver echinococcosis
Helminthiases / / August 12, 2017
Diagnosis of echinococcosis of the liver, which is based primarily on clinical signs, especially difficult in the initial stage of the disease (the first stage), as well as hidden occurring centrally located cysts, when, due to the small size of the brush to palpate it fails, and the symptomsare uncertain.
When echinococcosis liver patients often say dull pain in the right upper quadrant, of referred to the right shoulder, back, waist.When the cyst localization in the liver dome can be expressed as shortness of breath, palpitations.At the same time there may be weakness, malaise, poor appetite, nausea, weight loss, sometimes dyspeptic symptoms (nausea, heartburn, vomiting).All these symptoms may be of a non-permanent nature, which is even more difficult to diagnose.However, in areas where the disease is common, it requires increased medical vigilance.Even meager symptoms should suggest the possibility of liver echinococcosis.
important objective sign of the latter is the presence of swelling or "tumor
When placing parasitic cysts on the diaphragmatic surface of the liver palpation is not available, however, increasing in size, pushes the liver downward and anteriorly.When projecting from hypochondria liver (in the absence of other objective reasons) should be borne in mind the possibility of echinococcus lesions of the body.When the cyst localization in the liver department zadnediafragmalnom symptoms of compression of the portal vein can be observed (ascites, varicose veins of the abdomen - caput medusae) or the inferior vena cava (lower limb swelling, expansion of the saphenous veins of the chest).
liver Echinococcosis may be accompanied by jaundice.This symptom occurs relatively often - in 6-10% of cases.The intensity of jaundice can be of varying degrees, and most often it is due to chronic compression of the cyst intra- or extrahepatic bile ducts, gradually leading to the development of biliary cirrhosis, at least - obstruction of the biliary tract parasite elements at the break cyst contents into the ducts.
more rare sign of echinococcosis is urticaria, although sometimes it can be an early sign of the disease, appearing on the skin area that is projected cysts.The most common symptom of this is accompanied by a gap hydatid cyst and its contents from entering into the free peritoneal or pleural cavity.
When echinococcosis observed changes in the blood.This primarily relates to the increase in the number of eosinophils, which, according to various authors, occurs in 18-62,5% of cases.The content of eosinophils in the blood above 4% is already considered as a probable sign of echinococcosis.In some cases, eosinophilia can reach 70% or more.However, this phenomenon is observed in other helminths, allergic reactions after ingestion of certain drugs (potassium iodide, sodium salicylic, antibiotics, etc.) And other diseases.The value of this symptom is small, but if there are other signs of echinococcosis eosinophilia has a certain diagnostic value.
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eosinophilia is a feature only of the living parasite, when old or festering calcified cysts of this symptom is absent.
fairly constant at echinococcosis is to increase the ESR.Many authors have observed the acceleration of its more than 80% of patients, with half of them ESR greater than 20 mm / h.Similar changes are detected ESR, however, and many other diseases, including non-parasitic origin.