Çocuklarda idrar örneklerinden saptanan toplum kaynaklı gram negatif mikroorganizmaların dağılımı ve 2003-2010 yılları arasında antibiyotik direncindeki artışın değerlendirilmesi

Abstract

SummaryAim: Rupture of pulmonary hydatid cyst (HC) is a rare, yet very serious complication. The patients may present with cough and hydroptysis or with anaphylaxis and suffocation. Pediatric patients with ruptured pulmonary HC were evaluated retrospectively and therapeutical surgical and medical options were discussed. Material and Method: Between January 1999 and June 2012, a total of 956 patients with HC had undergone surgical treatment. One hundred and ten patients with intrapleural/intrabronchial HC rupture were evaluated retrospectively. Demographics, clinical presentation, treatment strategies and complications were recorded and discussed. Results: Ruptured HC's are manifested as cough-sputum (n=92) and massive hydroptysis (expectoration of cyst content) (n=47) in patients with pulmonary cysts. It was shown that rupture of superiorly localized cysts in lung was more likely. Two patients with ruptured pulmonary HC were admitted with suffocation. Severe anaphylactic reaction requiring cardiopulmonary resuscitation and mechanic ventilation was encountered in 9 patients (9%). Mild allergic reactions were observed in 13 patients. Simple cystostomy-drainage was the treatment of choice. Conclusions: Hydoptysis accompanied by allergic reaction should suggest the diagnosis of ruptured pulmonary HC in pediatric patients. All thoracic hydatid cysts should be operated as soon as they are diagnosed in order to avoid complications and surgery should be as conservative as possible. Simple cystotomy-drainage is adequate during thoracotomy. Benzimidazole should be administered postoperatively to avoid recurrences. (Turk Arch Ped 2013; 48: 323-326)