Synonyms:
Hydatid disease, hydatidosis, echinococcus cyst.

Definition:
It is a cyst formed in the liver or, less frequently, elsewhere, that contains larvae of the tapeworm Echinococcus granulosus, chiefly in
ruminants, whose eggs are carried from the intestinal tract to the liver through the blood.

Types:
There are two main morphological forms of hydatid cysts found in humans:
• the unilocular hydatid cyst and
• the osseous hydatid cyst.
• A third form in humans is the alveolar hydatid cyst, caused by Echinococcus multilocularis. (Syn: echinococcus cyst).

Life Cycle of parasite:
Dogs are the main hosts of the adult worm. Sheep, cattle, rodents, and deer are the natural hosts for the larvae. Humans, especially children, can be attacked by larvae by swallowing eggs, which are shed in the stool of infected dogs.
The disease is most common in countries where animals are raised with the help of dogs.

Signs and Symptoms:
Patients generally lack symptoms, except for a swollen liver and a dull ache over the right upper quarter of the stomach. X-ray tests are used in diagnosis, and because no medical treatment is available, surgical removal of the cyst is required.
According to allopathy, removal of the cysts is the only treatment. Case History

Patient’s name: Km. Ayushi, Female, 8 years
P/C
• Anorexia
• Progressive weight loss
• Persistent pain in right upper abdomen
• Pains agg. Night, amel. open air, amel. cold applications
• Desire: sweets, open air
• Nightmares
• Hair falling

Observations
• A serious child
• Putrid smell from mouth
• Anger- violent
• Quarrelsome

Diagnosis
12-03-2005
Ultrasonography upper abdomen
Dr. Goel’s X-Ray & Ultrasound Scan Centre, Kashipur
Small cystic and hypoechoic areas in right lobe of liver.

18-03-2005
MRI upper abdomen
Amit MRI & CT Centre, Moradabad
Multiple heterogenous, round, clustered, predominating, cystic lesion occupying the right lobe of liver extending to anterior and posterior
segment (area 8/5 and 7/6 bismuth classification).
Another diffuse solid looking lesion at and around the porta hepatic with mass effect to caudate lobe and proximal part of portal vein. This lesion is also partially extending to intersegmental fissure. ? mesenchymal hamartoma.

29-05-2005
City X-Ray & Scan Clinic Pvt. Ltd., New Delhi
Hydatid serology
Anti Echinococcus, IgG = 1.5

Interpretation:
<0.9 = Negative
0.9-1.1 = Equivocal
>1.1 = Positive

= Hydatid Cyst Right Lobe of Liver

Rubrics
Small remedies + small rubrics - Intensity is considered

S. No. Grade Rubric No. of Remedies
1 3 MIND - ANGER - violent 109
2 3 MIND - QUARRELSOME 221
3 2 MIND - SERIOUS 114
4 2 GENERALS - PAIN - night 17
5 2 GENERALS - AIR; OPEN - desire for open air 170
6 1 GENERALS - COLD - applications - amel. 25
7 2 GENERALS - FOOD and DRINKS - sweets - desire 280
8 2 GENERALS - EMACIATION 298
9 1 DREAMS - NIGHTMARES 185
10 2 MOUTH - ODOR - putrid 112
11 1 STOMACH - APPETITE - wanting 347
12 1 ABDOMEN - PAIN - Hypochondria - right 187
13 3 HEAD - HAIR - falling 176

Repertorization
aur. iod. mez. aur-s. bar-c. tritic-vg. ambr. borx. bry. bufo
10 9 9 9 9 9 8 8 8 8
1 4 1 1 1 1 1 1 1 2 1
2 3 1 1 1 1 1 1 1 2 1
3 1 1 1 1 2 - 1 1 1 -
4 2 - 1 - - - - - - -
5 3 3 2 3 2 1 1 2 2 1
6 - 1 - - - - - - 1 -
7 1 - - 3 1 1 - - 2 1
8 2 3 1 - 3 1 2 1 2 2
9 1 2 1 1 1 1 1 2 2 1
10 2 1 1 1 1 - 1 1 1 1
11 1 2 2 - 2 1 1 2 2 -
12 1 2 1 1 1 1 1 1 2 2
13 3 1 2 1 4 1 2 2 1 1

Rx
02-08-2005
Aurum met 200 / Stat
SL TDS

18-08-2005
Jaundice appeared.
Nausea+++
Thirstless++
Constipation+

Myrica cerifera Q 5 drops TDS
SL TDS

05-09-2005
Jaundice better
Other symptoms little bit improved.

Aurum met 1M /Stat
SL TDS

30-10-2005
Much Better in all respects.
SL TDS

05-11-06
Almost Asymptomatic
SL TDS

02-12-05
Almost cured.
SL TDS

02-01-06
Ultrasonography.
Dr. Goel’s X-Ray & Ultrasound Scan Centre, Kashipur
No sonographic abnormality is detected in visible parts.

Result :Cured