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.

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