ABSTRACT
Hydatid cystic disease from Echinococcus granulosus is described in some Brazilian as well as Italian areas. Liver hydatidosis is the most common presentation, which may evolve without symptoms. The authors describe an 87-year-old woman with an unsuspected giant hydatid cyst of the liver and emphasize the diagnostic challenges, mainly involving patients from non-endemic regions.
Subject(s)
Albendazole/therapeutic use , Anticestodal Agents/therapeutic use , Echinococcosis, Hepatic/diagnosis , Echinococcosis, Hepatic/drug therapy , Echinococcus granulosus/isolation & purification , Aged, 80 and over , Animals , Diagnosis, Differential , Echinococcosis, Hepatic/parasitology , Female , Follow-Up Studies , Frail Elderly , Humans , Treatment OutcomeABSTRACT
Blistering erysipelas has been reported only rarely and may be under-diagnosed. Very often, patients presenting with erysipelas are treated by non-dermatologist primary physicians. The current growth in the elderly population may increase the economic burden resulting from this disease. Therefore, case reports highlighting possible misdiagnoses of erysipelas can contribute to greater awareness among primary care professionals and lead to earlier diagnosis and prompt treatment. This description seeks to emphasize the main risk factors and predisposing factors, in addition to some atypical features and current challenges involved in the differential diagnosis for erysipelas.
