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Hydatid disease Dogs are the definitive hosts of the tiny tapeworm E. granulosus. The larval stage, (hydatid cyst) normally occurs in sheep, cattle,camels and other animals that are infected from contaminated grasses or water. By handling a dog or drinking contaminated water, humans may ingest eggs. The embryo is liberated from the ovum in the small intestine and invades the blood stream, spreading to the liver. The resultant cyst grows very slowly, sometimes intermittently. It is composed of an enveloping fibrous pericyst, laminated hyaline membrane (ectocyst) and inner germinal layers (endocyst) that give rise to daughter cysts, or a germinating cystic brood capsule in which larvae (protoscolices) develop. Over time, some cysts calcify and become non-viable. Management Hydatid cysts should be excised. Care is taken to avoid spillage and cavities are sterilised with 0.5% silver nitrate or 2.7% sodium chloride. Albendazole (400 mg twice daily for 3 months) should be used and is often combined with PAIR (percutaneous puncture, aspiration, injection of scolicidal agent and re-aspiration). To join our facebook page https://www.facebook.com/groups/91724...