A 63-year-old man presented to our department with dyspnea and peripheral e
dema. A cystic mass in the right upper abdomen, consistent with echinococca
l disease was discovered. Protenuria was also present, and a nephrotic synd
rome was diagnosed. The kidney biopsy revealed minimal change glomeruloneph
ritis. Treatment with the anti-echinococcal drug albendazole induced comple
te remission of the nephrotic syndrome, suggesting an etiopathogenic role f
or a hydatid antigen in the development of an immune-mediated glomeruloneph
ritis.