November 2020 Vol. 8 No.11

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Case Report

The New Face of the “Old Diseases" - A Case Report

P. Chakarova^1*, A. Vasileva¹, Iv. Chakarov², R. Marinov³

¹Clinic of pediatrics, UMHAT “Prof. Dr. St. Kirkovich” Stara Zagora
²National Heart Hospital, UMHAT Sofia
³Clinic of childhood clinical hematology and oncology UMHAT“Tsaritsa Yoanna-ISUL” Sofia

*Corresponding Author's Email: ani_asken@abv.bg

Received: 04 November 2020  I  Accepted: 23 November 2020  I  Published: 28 November 2020  I  Article ID: MRJMMS-20-190
Copyright © 2020 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0.

Abstract

In recent years, a number of well-known diseases that can safely be called "old diseases", well known in the clinical pediatrics are starting to show up with a rather atypical clinical picture. It is difficult to find the exact cause of this phenomenon. The most probable reason is the influence of exogenous factories - a severe pathogenicity of etiological factors (viruses, bacteria, parasites), but also of many environmental factors. What is more, the dramatic change in the genome of the individual and a change in immunogenicity requires a long period of time and solid evidence. In support of the highly debatable issues in the altered clinical picture, we present a clinical case with a manifestation of two nosological units with atypical, oligosymptomatic onset, but also with complications in clinical development that posed a serious risk to the patient's life. The first nosological unit is colonization in the CNS of a parasitic echinococcosis cyst, followed by the manifestation of a systemic form of rheumatoid arthritis. The complexities of success in diagnostic, clinical, and therapeutic behavior in this case are evidence of the need for a multi-team approach.

Keywords: CT, Juvenile rheumatoid arthritis, Solitary echinococcal cyst, Therapy