The first human case of multilocular Echinococcosis recognized in Serbia

Introduction. Echinococcus multilocularis causes multilocular or alveolar echinococcosis, which differs from infection caused by granulosus in clinical presentation humans. The most common definitive hosts for E. are foxes and jackals, while domestic mammals like dogs cats rare. Humans rare accidental intermediate hosts. Cystic echinococcosis humans is endemic Serbia, more severe has not yet been recorded. Case outline. We present a case of 67-year-old female small village the Sremska Mitrovica municipality. onset symptoms was several years ago, with liver pain progressed over time. Differential diagnoses included benign tumors hemangioma, cystic abscess formed echinococcal lesion. Left lateral hepatectomy performed, S II /III segments were removed. Pathological examination showed numerous empty vesicle spaces chitin membrane without protoscolices, surrounded massive fibrosis infiltrative growth into parenchyma, all indicative marks echinococcosis. Surgical margins found positive vesicles showing that tissue completely Thus, albendazole therapy introduced. Epidemiological interview revealed patient lived an region house two hunting back yard where contamination soil fox feces could occur. Conclusion. This first human recorded should alert medical community to improve prophylactic diagnostic procedures surgical techniques better manage this zoonotic disease.