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He isn’t sure how he became infected but he remembers being around goats and sheep. Hydatid disease is common in populations raising sheep in Africa, Europe, Asia, the Middle East and Central and South America, the CDC says. Thirteen years ago when he was a child living in Yemen, he had an operation to remove parasites. The south Valley resident was familiar with the parasitic disease. People become infected from petting infected dogs and from ingestion of soil, water and vegetables that have been contaminated with infected dog feces. Dogs that eat home-slaughtered sheep and other livestock become infected with the tapeworm and the eggs can be found in their stool, according to the federal Centers for Disease Control and Prevention. People become infected when they accidentally swallow the eggs of the tapeworm. The parasitic disease most often affects the liver, but can affect the lung, spleen, kidney, bones and brain. So when you get at CT scan or an MRI, it is classic textbook and you see it and you know exactly what it is.” “This type of disease has a very classic appearance on axial imaging. Very few cases of hydatid disease are reported in the United States, but there was no mistaking that the cyst was caused by the dog tapeworm, said UCSF Fresno’s Amir Fathi, MD, a liver surgeon. The young man had hydatid disease caused by infection with the larval stage of the dog tapeworm Echniococcus grandulosus. “It would not go away,” he said.Ī scan of his abdomen showed a cystic mass on his liver – and doctors knew by its appearance that parasites were inside. The south San Joaquin Valley resident knew something was wrong, but examinations by doctors and blood work at the local hospital had found nothing out of the ordinary.īut on the third episode in February – four months after the first painful attack – the discomfort awakened him from sleep.
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The next attack came as unexpectedly as the first, and disappeared as quickly.
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The first time, the young man felt an intense pain in his belly, the sudden attack lasted for five minutes. UCSF Fresno Experts Perform Surgery for Rare Parasitic Disease Latino Center for Medical Education and Research.