The patient are usually well appearing in non-complicated cases and mainly during early infection, but may be ill looking in complicated cases. Physical examination of a patient with echinococcosis may reveal hypotension, fever, jaundice, pulmonary manifestations depending on the extend of the disease (cough, hemoptysis, dyspnea, dullness or hyperrosnance, etc.), pitting edema, hepatomegaly and abdominal tenderness.^[1][2]

• The patient are usually well appearing in non-complicated cases and mainly during early infection
• The patient may be ill looking in complicated cases(ruptures cysts-numerous hyperactive cysts-pulmonary cysts-etc.)

• Hypotension
  • May be present if the cyst ruptures due to anaphylactic reaction

• Fever
  • Due to cyst ruptures that can lead to:
    • anaphylactic reaction
    • Secondary infection
• Tachypnea
  • In the presence of pulmonary ruptured cysts
• Decreased blood oxygen saturation
  • In pulmonary cases

• Jaundice
• Cyanosis
  • Late stages of pulmonary untreated disease

• Icteric sclera

• Cough
• Chest pain
• Dyspnea
• Hemoptysis
• Thoracic deformations
• Pneumothorax
  • Unequal breath sounds
  • Hyperresonance with percussion over the chest wall
  • Decreased wall movement on the affected side of the chest
• Pleural effusion
  • Dullness resonance in percussion
• Empyema
  • Friction rub
  • Decreased breath sounds
  • Wheezing
• Atelectasis
  • Decreased breath sounds in the region of atelectasis
  • Dullness resonance in percussion
  • Decreased chest excursion 

• Dyspnea
• Chest pain

• Mechanical rupture of valves
  • In Mitral valve prolapse as a click with late systolic murmur
• Pericardial tamponade
  • Pericardial rub
  • Quiet heart sounds

• Hepatomegaly
• Ascites
  • Secondary to nephrotic syndrome and hepatic failure

• Tender abdomen
  • Especially in right upper quadrant

• Pitting edema
  • Secondary to nephrotic syndrome

• Seizure
  • Due to Raised intracranial pressure
• spinal cord compression
  • As a result of spinal cord infection