Evaluation of Patients with Cystic Echinococcosis

Abstract

Objective: Cystic echinococcosis (CE) is a globally prevalent zoonotic disease. Methods: Demographic, clinical, laboratory, and follow-up data of patients between May 2009 and 2015 were retrospectively analyzed by screening data from a hospital automation system. Results: A total of 238 (females, n=139 and males, n=99) patients with a mean age of 40.6±20.58 years were included. Less than half (40.8%) of the patients were living in the countryside. Hepatic involvement of CE was most frequently (72.2%) seen. A majority (75.6%) of the patients were symptomatic, but abdominal pain was the most frequently seen symptom. For diagnosis, in all patients, imaging modalities were used, while in 66% of the patients, serological methods were also employed. The patients received both medical and surgical treatments (78.5%, n=187), only surgical treatment (10.5%, n=25), or only medical treatment (8.8%, n=21). Surgical treatment was performed for patients with hepatic (n=139/176, 80.6%), pulmonary (n=78/94, 82.9%), splenic (n=7/9; 77.7%), and mesenteric (n=6/7, 85.1%) cysts, and patients cases with brain, bone, muscle, omentum, bladder, and adrenal cysts had undergone surgical intervention. Conclusion: Publication of regional data is important in terms of epidemiological considerations and may aid in the formulation of standard treatment approaches. En sık tutulan organ karaciğer (%72,2) idi. Hastaların %75,6'sı semptomatik olup en sık görülen semptom karın ağrısı idi. Tanıda tüm hastalarda görüntüleme yöntemine başvurulurken, %66' sında serolojik yöntem de kullanılmıştı. Hastaların % 78,5'i (n=187) hem medikal hem cerrahi tedavi, %10,5'i (n=25) yalnız cerrahi tedavi, %8,8'i (n=21) ise yalnız medikal tedavi almıştı. Karaciğer tutulumu saptanan 173 hastanın %80,6'sına (n=139), akciğer tutulumu saptanan 94 hastanın %82,9'una (n=78), dalakta tutulum saptanan 9 hastanın %77,7' sine (n=7), mesenterde kist saptanan 7 hastanın %85,1'ine (n=6); beyin, kemik, kas, omentum, mesane ve sürrenalde kist saptananların ise tümüne cerrahi uygulandığı tespit edildi. Sonuç: Bölgesel verilerin yayınlanması, epidemiyolojik açıdan önem taşıdığı gibi standart tedavi algoritmalarının oluşturulmasına yardımcı olabilir.

A Retrospective Analysis on the Cystic Echinococcosis Cases Occured in Northeastern Punjab Province, Pakistan

“…These sites included omentum, kidney, adrenal mass, spleen, gall bladder, uterus, forearm, epigastrium, pelvis, femur, peritoneum, mesentery, thigh, left parietal lobe, parieto-occipital lobe, erosion of hip, sub-mandibular lymph node, and right iliac bone. Similar findings in unusual sites were also reported in Turkey [ 29 ].…”

“…The mean age of 40 years was also showed to be mostly affected in Chile [ 28 ]. Similarly mean age of 40 year was reported in Turkey [ 29 ]. There were 19.1% cases reported below 20 years of age in the present study while a study performed in Egypt showed one third of reported cases under the age of 20 years [ 30 ].…”

Evaluation of Cystic Echinococcosis Cases in terms of Sociodemographic, Clinical and Hospitalization Features in Karaman Province, Turkey

“…In this study, 97.5% (470/482) of the CE patients had liver involvement. In similar studies performed, liver involvement was detected at high rates (21)(22)(23)(24)(25). Cystic echinococcosis can be seen more frequently in areas where agriculture and animal husbandry are intensively performed, where effective control measures are not taken adequately and where there is insufficient awareness of risk factors (26,27).…”

Surgical treatment in nervous system echinococcosis in Qinghai-Tibet Plateau

“…T1 weighted image indicated circular and multilocular low signal; T2 weighted image showed medium high signal, with continuous, smooth and sharp linear low signal around. Therefore, Echinococcosis of spine might be differentiated from bone tuberculosis and bone tumor 15 . In this study, one patient was misdiagnosed as vertebral metastases.…”