A Case Report of Fatal Echinococcosis

Introduction: Alveolar hydatid disease is a lethal parasitic disease of human caused by the larval stage of echinococcosis multilocularis. Human beings are accidental intermediate hosts. Brain involvement is rare. The clinical, radiological and pathological findings in a case of multi-located alveolar hydatid disease are presented and the literature reviewed. Case presentation: The patient presented with advanced disease. There were separate intracranial, hepatic and pulmonary masses. There were two lobular and three multilobular cystic lesions intracranially. Stereotactic brain biopsy provided the diagnosis. Despite diagnosis and medical treatment the patient succumbed. Conclusion: Echinococcosis multilocularis remains a lethal disease even today. It should be borne in mind in the differential diagnosis of multiple intracranial lesions especially if there are other similar lesions in the liver or lungs. Stereotactic biopsy is safe, accurate and effective.