Shocking LiverShaye Kivity*, Menachem Ben-Haim, Larisa Guranda and David Olchovsky
Departments of Medicine A (S.K., D.O.) and Diagnostic Imaging (L.G.), Sheba Medical Center, Tel-Hashomer and the Liver Surgery Unit (M.B-H.), Tel Aviv Sourasky Medical Center, both affiliated to The Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel
- *Corresponding Author:
- Dr. Shaye Kivity
Rheumatology Unit, Medicine Department C
Sheba Medical Center, Tel Hashomer, 52621 Israel
Tel: + 972 3 5302436
Fax: + 972 3 5352472
E-mail: [email protected]
Received date: June 21, 2011; Accepted date: September 05, 2011; Published date: September 07, 2011
Citation: Kivity S, Ben-Haim M, Guranda L, Olchovsky D (2011) Shocking Liver. Rheumatology 1:103. doi: 10.4172/2161-1149.1000103
Copyright: © 2011 Kivity S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Introduction: In rare cases, anaphylaxis may be the explanation for recurrent loss of consciousness. Common causes of anaphylaxis are drugs, food or food additives, chemicals such as latex, systemic mastocytosis, parasites and idiopathic anaphylaxis.
Case: A 63 year old man of Iraqi descendant was hospitalized due to unexplained recurrent loss of consciousness, which responded well to rapid fluid administration. Eosinophils and triptase levels-90 minutes after an episode, were both elevated. An abdomen computed tomographic scan revealed a multilocular hepatic cyst (12 X12cm) with filling defects in the portal vein and two large liver infarcts, caused by embolized daughter cysts. Treatment with hydrocortisone and albendazole was initiated, and the patient underwent surgical intervention.
Summary: Our patient presented with a fluid-responsive shock that was subsequently diagnosed as anaphylaxis due to embolized echinococcal cysts.
Conclusions: Anaphylactic shock can be caused due to an immunological reaction to parasites such echinococcal cysts, even when a latency period of up to 50 years from infection exists.