Re: Echinococcal cyst in pregnancy

From: Dr Eberhard Lisse (el@lisse.NA)
Tue Feb 28 21:23:31 2006


Glen,

there is a serology test for echinoccocus which I would still do even on histological confirmation to be able to confirm rising/falling titers.

I consider dissemination VERY BAD news. The conventional wisdom in pregnancy, by the way, is to pack the abdomen with swabs soaked in hypertonic saline to collect any spills and to wash out the cyst with hypertonic saline. Difficult to do in this particular situation.

The problem is that you have to treat her and that the treatment is toxic. Have you got access to infectious disease/tropical medicine for advice?

el

on 3/1/06 12:46 AM Elrod, Darryl G MAJ 48 MDOS/SGOBO said the following:

> I wouldn’t be hell bent to treat her except that she ruptured the thing
> and proceeded to move down the road to being septic. From what I’ve
> read, surgery isn’t often a total cure for the disease.





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