Open Access Peer-reviewed Case Report

Misdiagnosed behavior change revealing fatal primitive intra-cerebral echinococcosis

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Axial cerebral CT
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Submitted   Apr 12, 2019
Published   May 27, 2019
Issue    Vol 2 No 1 (2019)
DOI   10.25082/AHB.2019.01.005

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Salem Bouomrani corresponding author
Department of Internal medicine, Military Hospital of Gabes, Gabes 6000, Tunisia; Sfax Faculty of Medicine, University of Sfax, Sfax 3029, Tunisia
Karama Regaïeg
Department of Forensic Medicine, Gabes Regional Hospital, Gabes 6000, Tunisia
Nesrine Belgacem
Department of Internal medicine, Military Hospital of Gabes, Gabes 6000, Tunisia
Oussema Souissi
Department of Internal medicine, Military Hospital of Gabes, Gabes 6000, Tunisia
Mouna Guermazi
Department of Internal medicine, Military Hospital of Gabes, Gabes 6000, Tunisia; Sfax Faculty of Medicine, University of Sfax, Sfax 3029, Tunisia
Sami Krimi
Department of Forensic Medicine, Gabes Regional Hospital, Gabes 6000, Tunisia

Abstract

Central nervous system involvement in hydatidosis is rare compared to other somatic localizations: 1-5%. It is schematically divided into two major types: cerebral involvement and spinal involvement. The brain is a rare localization of hydatid cyst accounting for only 2% of all hydatid disease. The psychiatric manifestations revealing cerebral hydatidosis remain exceptional and often unrecognized and neglected by practitioners despite their potential severity. We report two original observations of fatal cerebral hydatidosis revealed by behavior change (psychomotor agitation, aggressiveness, persecutory delusion, and auditory and visual hallucinations) insufficiently explored in two women aged 45 and 17. The possibility of cerebral hydatidosis must always be evoked in front of any psychiatric symptomatology that remains unexplained in endemic areas for echinococcosis.

Keywords
behavior change, psychiatric manifestations, hydatid cyst, brain hydatidosis, intra-cerebral echinococcosis

Article Details

How to Cite
Bouomrani, S., Regaïeg, K., Belgacem, N., Souissi, O., Guermazi, M., & Krimi, S. (2019). Misdiagnosed behavior change revealing fatal primitive intra-cerebral echinococcosis. Advances in Health and Behavior, 2(1), 62-65. https://doi.org/10.25082/AHB.2019.01.005
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

References

  1. Hotez PJ, Savioli L and Fenwick A. Neglected tropical diseases of the Middle East and North Africa: review of their prevalence, distribution, and opportunities for control. PLoS Neglected Tropical Diseases, 2012, 6(2): e1475. https://doi.org/10.1371/journal.pntd.0001475
  2. Dakkak A. Echinococcosis/hydatidosis: a severe threat in Mediterranean countries. Veterinary Parasitology, 2010, 174(1-2): 2-11. https://doi.org/10.1016/j.vetpar.2010.08.009
  3. Sadjjadi SM. Present situation of echinococcosis in the Middle East and Arabic North Africa. Parasitology International, 2006, 55 Suppl: 197-202. https://doi.org/10.1016/j.parint.2005.11.030
  4. Majorowski MM, Carabin H, Kilani M, et al. Echinococcosis in Tunisia: a cost analysis. Transactions of the Royal Society of Tropical Medicine & Hygiene, 2005, 99(4): 268- 278. https://doi.org/10.1016/j.trstmh.2004.06.011
  5. Ben Khelil M, Allouche M, Banasr A, et al. Sudden death due to hydatid disease: a six-year study in the northern part of Tunisia. Journal of Forensic Sciences, 2013, 58(5): 1163- 1170. https://doi.org/10.1111/1556-4029.12172
  6. Jedidi M, Mlayeh S, Masmoudi T, et al. Sudden death due to hydatid cyst: thirty-four medicolegal autopsy cases. Am J Forensic Med Pathol, 2014, 35(1): 29-33. https://doi.org/10.1097/PAF.0000000000000064
  7. Keser SH, Selek A, Ece D, et al. Review of Hydatid Cyst with Focus on Cases with Unusual Locations. Turk Patoloji Derg, 2017, 33(1): 30-36. https://doi.org/10.5146/tjpath.2016.01369
  8. Kirei DA, Karabacakolu A, Odev K, et al. Uncommon locations of hydatid cysts. Acta Radiologica, 2003, 44(6): 622- 636. https://doi.org/10.1080/02841850312331287749
  9. Asri F, Tazi I, Maaroufi K, et al. Cerebral hydatic cyst and psychiatric disorders. Two cases. Lencephale, 2007, 33(2): 216-219. https://doi.org/10.1016/S0013-7006(07)91553-5
  10. Bouomrani S, Souissi O, Guermazi M, et al. An Unexpected Etiology of Myocardial Ischemia in Young. Journal Of Hypertension And Cardiology, 2019, 2(4): 13-19. https://doi.org/10.14302/issn.2329-9487.jhc-19-2719
  11. Bouomrani S and Feki W. Pancreatic and gastrointestinal hydatidosis. Gastroenterol Hepatol Open Access, 2019, 10(2): 108-110.
  12. Bouomrani S and Feki W. Humain Splenic Hydatidosis: A Review. Gastroenterology and Hepatology International Journal, 2019, 4(1): 000146.
  13. Bouomrani S, Souissi O, Rega¨ıeg N, et al. Primary Hydatid Cyst of the Thyroid Gland Revealed by Primary Hypothyroidism. Journal of Infectious Disease & Travel Medicine, 2018, 2(3): 000121.
  14. Bouomrani S, Dabboussi S, Nefoussi M, et al. Juvenile Primary Mediastinal Hydatid Cyst. EC Pulmonology and Respiratory Medicine, 2018, 7(11): 1-5.
  15. Tizniti S, Allali N, El QA, et al. An unusual cerebral hydatid cyst. Journal of Neuroradiology Journal De Neuroradiologie, 2000, 27(3): 200-202.
  16. Limaiem F, Bellil S, Bellil K, et al. Primary hydatidosis of the central nervous system: a retrospective study of 39 Tunisian cases. Clinical Neurology & Neurosurgery, 2010, 112(1): 23-28. https://doi.org/10.1016/j.clineuro.2009.09.001
  17. Popli MB and Khudale B. Primary multiple hydatid cysts of the brain. Australasian Radiology, 1998, 42(1): 90-91. https://doi.org/10.1111/j.1440-1673.1998.tb00576.x
  18. Ciurea AV, Fountas KN, Coman TC, et al. Long-term surgical outcome in patients with intracranial hydatid cyst. Acta Neurochirurgica, 2006, 148(4): 421-426. https://doi.org/10.1007/s00701-005-0679-z
  19. Lunardi P, Missori P, Di Lorenzo N, et al. Cerebral Hydatidosis in Childhood: A Retrospective Survey with Emphasis on Long-term Follow-up. Neurosurgery, 1991, 29(4): 515- 518. https://doi.org/10.1227/00006123-199110000-00005
  20. Khaldi M, Mohamed S, Kallel J, et al. Brain hydatidosis: report on 117 cases. Child’s Nervous System, 2000, 16(1011): 765-769. https://doi.org/10.1007/s003810000348
  21. Abbassioun K, Amirjamshidi A amd Sabouri Deylamie M. Hydatid Disease of the Central Nervous System Imaging Characteristics and General Features. Iran Journal of Radiology, 2003, 2: 125-131.
  22. Abdel Razek AAK, Watcharakorn A and Castillo M. Parasitic Diseases of the Central Nervous System. Neuroimaging Clinics of North America, 2011, 21(4): 815-841. https://doi.org/10.1016/j.nic.2011.07.005
  23. Tuzun Y, Kadioglu HH, Izci Y, et al. The Clinical, Radiological and Surgical Aspects of Cerebral Hydatid Cysts in Children. Pediatr Neurosurg, 2004, 40(4): 155-160. https://doi.org/10.1159/000081932
  24. Brage D, Pedace EA and Napolitano AG. Hypothalamic stupor caused by diencephalo-hypophysial hydatidosis (Cairns’ akinetic mutism). Revue Neurologique, 1955, 93(5): 730-739.
  25. Fossati CJ. 4 cases of infantilism caused by hydatiosis. Revista Clinica Espanola, 1967, 107(2): 128-130.
  26. TTlili-Graiess K, El-Ouni F, Gharbi-Jemni H, et al. Cerebral hydatid disease: imaging features. Journal of Neuroradiology Journal De Neuroradiologie, 2006, 33(5): 304-318. https://doi.org/10.1016/S0150-9861(06)77288-1
  27. Demir K, Karsli AF, Kaya T, et al. Cerebral hydatid cysts: CT findings. Neuroradiology, 1991, 33(1): 22-24. https://doi.org/10.1007/BF00593328