RT Journal Article SR Electronic(1) A1 Tappe, Dennis A1 Weise, David A1 Ziegler, Uwe A1 Müller, Andreas A1 Müllges, Wolfgang A1 Stich, AugustYR 2008 T1 Brain and lung metastasis of alveolar echinococcosis in a refugee from a hyperendemic area JF Journal of Medical Microbiology, VO 57 IS 11 SP 1420 OP 1423 DO https://doi.org/10.1099/jmm.0.2008/002816-0 PB Microbiology Society, SN 1473-5644, AB Alveolar echinococcosis (AE) of the liver with cerebral and pulmonary metastasis was diagnosed in a Tibetan monk who initially presented with severe headache to an emergency department in Germany. Multiple lesions with perifocal oedema and severe compression of the third ventricle were seen with computed tomography (CT) of the brain. Glioma or cerebral metastasis of a hitherto undiagnosed abdominal or pulmonary malignancy was suspected. CT scans of the lung and liver demonstrated further tumorous masses. Magnetic resonance imaging of the brain revealed the cystic nature of the cerebral lesions and the patient had a highly positive serology for AE. The echinococcal aetiology of the brain lesions was confirmed by PCR for this refugee from an area where two disease entities, AE and cystic echinococcosis, are hyperendemic., UL https://www.microbiologyresearch.org/content/journal/jmm/10.1099/jmm.0.2008/002816-0