Disseminated cystic echinococcosis presenting as orbital swelling in a child — case report and literature review - Summary - MDSpire

Disseminated cystic echinococcosis presenting as orbital swelling in a child — case report and literature review

  • By

  • Jonathan Remppis

  • Mariya Gosheva

  • Robert Rottscholl

  • Hendrik Rosewich

  • Sabine Bélard

  • Marija Stojković

  • May 13, 2026

  • 0 min

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Objective:

To report a case of disseminated cystic echinococcosis presenting as orbital swelling in a pediatric patient and review existing literature on the condition, highlighting its significance in non-endemic regions.

Key Findings:
  • The patient was diagnosed with disseminated cystic echinococcosis after surgical resection and histopathological examination, underscoring the need for careful diagnostic processes.
  • Serological testing confirmed the diagnosis, and imaging revealed multiple cysts in various organs, indicating the systemic nature of the disease.
  • The case highlights the rarity of pediatric CE presenting with orbital symptoms outside endemic areas, emphasizing the need for awareness among healthcare providers.
Interpretation:

This case underscores the diagnostic challenges of cystic echinococcosis in non-endemic regions, where it may mimic other conditions. The importance of histopathological examination in confirming the diagnosis is emphasized, with implications for pediatric care.

Limitations:
  • The literature review included only articles published from 2006 onwards, potentially missing earlier relevant studies and introducing selection bias.
  • Variability in follow-up duration and conditions in reported cases limits the ability to draw comprehensive conclusions.
Conclusion:

Orbital swelling due to cystic echinococcosis is rare in children, particularly outside endemic regions. This case illustrates the need for awareness and consideration of CE in differential diagnoses for orbital masses, particularly among healthcare providers in non-endemic areas.

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