Echinococcus Granulosus in Childhood: A Retrospective Study of 187 Cases and Newer Data

Πετρόπουλος, Αναστάσιος; Chatzoulis, Georgios A

doi:10.1177/0009922819847032

Cited by 22 publications

(21 citation statements)

References 44 publications

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“…In a study related to childhood Echinococcus granulosus disease published recently, which included 187 children, an algorithm for the treatment approach in children was recommended. Accordingly, it was recommended to administer albendazole or mebendazole treatment for 1-4 weeks before surgery, to follow up patients for a long period following cystectomy in cases of uncomplicated cysts smaller than 10 cm, to continue medical treatment for 1-3 months following surgery including cystectomy and capitonnage in cases of uncomplicated cysts larger than 10 cm, to follow up patients for a long period following segmentectomy or lobectomy in cases of complicated cysts with any size, and to follow up patients with imaging in cases of inactive or calcified cysts (27). In another study related to the treatment of lung HD in children, it was recommended that parenchyma-preserving surgery (cystectomy and capitonnage) should be preferred rather than lung resection due to a high risk of recurrence, especially in endemic regions and because of the high lung regeneration capacity in children (28).…”

Section: Discussionmentioning

confidence: 99%

Kist hidatikli çocuk olguların on yıllık izlemi

Eyüboğlu¹,

Gürsoy

Aslan

et al. 2019

Turk Pediatri Ars

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Aim: Hydatid cystic disease is an endemic parasitic disease that is common in the world. We aimed to review the demographic, clinical and laboratory findings, and treatments and outcomes of children with hydatid cyst disease, and to determine the factors affecting treatment response in two pediatric pulmonology centers in the central region of Turkey. Material and Methods: The clinical records of patients aged below 18 years who were followed up between January 2006 and December 2016 because of hydatid cyst disease were reviewed retrospectively. The patients' ages at the time of diagnosis, sexes, living areas (rural / urban), dog contact history, presence of hydatid cyst in other family members, symptoms, organs involved, dimensions of cysts, laboratory results, treatments and post treatment responses, follow-up, and outcomes were noted. Results: In a period of 10 years, 50 pediatric patients were followed up with a diagnosis of hydatid cyst. The mean age was 9.3±0.5 years and 33 (66%) of the patients were male. Fifteen patients were living in a rural area and 35 were living in an urban area. Fifteen patients had a history of contact with a dog and 10% had a positive family history. Thirty-six patients had lung involvement, 25 had liver involvement, 14 (28%) had both lung and liver involvement, and six patients had organ involvement other than lung and liver. The indirect hemagglutination test for hydatid cyst was positive in 24 of 40 patients and Echinococcus granulosus-specific IgE positivity was detected in 8 of 17 patients. Surgery was performed in 31 patients with lung involvement and PAIR was performed in 13 patients who had liver involvement. Cyst excision was performed in two patients who had isolated spinal involvement. All patients were treated with albendazole, and additional praziquantel treatment was given to seven patients. Relapse occurred in seven patients in this period. The relapse frequency was higher in patients who had organ involvement other than in the lung and liver (p<0.05), and these patients' treatment durations were longer compared with the others (p<0.05). Conclusion: Hydatid cysts can involve different organs in children. Patients with organ involvement other than the lung and liver should be followed up carefully in terms of recurrence. ÖzAmaç: Kist hidatik dünyada yaygın görülen endemik bir parazitik hastalıktır. Çalışmamızda kist hidatikli çocuk hastaların verilerinin gözden geçirilmesi, hastalık bulguları ve verilen tedaviler ile tedavi yanıtının değerlendirilmesi, tedavi yanıtını etkileyen etmenlerin saptanması amaçlanmıştır. Gereç ve Yöntemler:Ocak 2006 ve Aralık 2016 yılları arasında kist hidatik nedeniyle izlemde olan hastaların dosyaları gözden geçirildi. Hastaların tanı yaşları, cinsiyetleri, yaşam alanları (kırsal/kent), köpek temas öyküsü, ailede başka bireylerde kist hidatik varlığı, yakınmaları, tutulan organları, boyutları, laboratuvar sonuçları, uygulanan tedaviler ve tedavi sonrası yanıtları kayıt edildi.Bulgular: On yıllık sürede 50 çocuk hasta kist hidatik tanısı i...

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Section: Discussionmentioning

confidence: 99%

Kist hidatikli çocuk olguların on yıllık izlemi

Eyüboğlu¹,

Gürsoy

Aslan

et al. 2019

Turk Pediatri Ars

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“…Эхинококкоз -личиночная или пузырная стадия развития ленточного гельминта, относящегося к виду Echinococcus granulosus, в ткани печени и легких [1,2]. Согласно классификации С.О.…”

Section: вве де ниеunclassified

Echinococcosis of the liver in children

Razumovsky¹,

Smirnov²,

Холостова³

et al. 2021

Ann. hir. gepatol.

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Aim. The paper presents the experience of treatment of echinococcal cysts in children, which reflects most of the existing methods of treatment.Materials and methods. From 2010 to 2021, 81 patients with hepatic echinococcosis aged from 3 to 17 years (average 14.3 ± 1.3) were treated at the bases of the Department of Pediatric Surgeons of the Pirogov Russian State Medical University. All patients were examined according to the standard procedure, including: general clinical examination, examination of liver function, ultrasonography, chest X-ray, CT scan, blood test for IgG to echinococcus antigens. All children were divided into 2 groups according to the type of the surgery: in the group 1, 27 (33.3%) children underwent laparoscopic surgery; in the group 2, 54 (66.7%) children – laparotomy.Results. The treatment duration accounted 12.5 ± 3.1 days in group 1 and 9.2 ± 1.3 days in group 2 (p < 0.0067). In the group 1 the drainage duration was higher (6.8 ± 0.6) than in the group 2 (4.1 ± 0.3) (p < 0.03). Complications occurred in 7 patients, relapse of cysts – in 2 patients.Conclusion. Children with echinococcal cysts in Central Russia occur with a constant frequency and require to apply modern approaches in diagnosis and treatment. The classification and treatment protocol of echinococcosis, adopted by WHO, are easy-to-use and proves its effectiveness. There is no significant difference in germicidal agents’ effect on echinococcus and the effect on the development of relapse. The method of selection in the treatment of solitary and superficial cysts is laparoscopic interference with the mandatory application of a PAIR and a high-power aspirator. An important stage of the interference is the treatment of the fibrous capsule of the cyst, if it is impossible to completely remove it, with an argon-plasma coagulator.

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“…El diagnóstico en estadios avanzados de la enfermedad, generalmente es en personas con bajo nivel educativo y por las limitaciones en la atención primaria en países subdesarrollados. 2 www.medigraphic.org.mx A El tratamiento dependerá del tamaño y características de los quistes, por lo que los estudios de imagen son necesarios para determinar el plan terapéutico. 3…”

Section: Figura 4: a Y B)unclassified