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Infection
Published in: Infection 3/2017

01-06-2017 | Case Report

Hints for control of infection in unique extrahepatic vertebral alveolar echinococcosis

Authors: Jean-François Faucher, Cécile Descotes-Genon, Bruno Hoen, Joël Godard, Sophie Félix, Sébastien Aubry, Oleg Blagosklonov, Frédéric Grenouillet, Marie-Pascale Brientini, Carine Richou, Solange Bresson-Hadni, Catherine Chirouze

Published in: Infection | Issue 3/2017

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Abstract

The prognosis of vertebral alveolar echinococcosis (AE) is poor. We report on the unique outcome of a patient with preexisting liver cirrhosis, in whom a diagnosis of vertebral AE was established on vertebral histopathology (D4 corporectomy in 2010 for paraplegia). Therapeutic drug monitoring of albendazole (ABZ) showed that a low dosage was appropriate. The patient recovered and ABZ withdrawal was decided in 2014, with no relapse 18 months later. In this patient, infection was purely or mainly localized in the dorsal spine, and this may have been favored by liver cirrhosis. A longer follow-up is, however, needed to confirm cure.
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Metadata
Title
Hints for control of infection in unique extrahepatic vertebral alveolar echinococcosis
Authors
Jean-François Faucher
Cécile Descotes-Genon
Bruno Hoen
Joël Godard
Sophie Félix
Sébastien Aubry
Oleg Blagosklonov
Frédéric Grenouillet
Marie-Pascale Brientini
Carine Richou
Solange Bresson-Hadni
Catherine Chirouze
Publication date
01-06-2017
Publisher
Springer Berlin Heidelberg
Published in
Infection / Issue 3/2017
Print ISSN: 0300-8126
Electronic ISSN: 1439-0973
DOI
https://doi.org/10.1007/s15010-016-0974-z

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