Pulmonary hydatid cyst: analysis of 1024 cases

Bagheri, Reza; Haghi, Seyed Ziaollah; Amini, Mahnaz; Fattahi, Asieh Sadat; Noorshafiee, Sadjad

doi:10.1007/s11748-010-0690-z

Cited by 43 publications

(67 citation statements)

References 12 publications

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“…Inpatients with lung involvement, the right lung were the more common site. It was comparable with Bagheri's and Aghajanzadeh's study (38,39). This is to some extent because of better circulation of this site.…”

Section: Discussionsupporting

confidence: 90%

Clinical Features of Hydatid Disease in Guilan (the North Province of Iran): A Ten-Year Study

Mansour-Ghanaei

Joukar

Soati

et al. 2012

Arch Clin Infect Dis

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Background: Hydatid cyst disease (HCD) or echinococcosis has a worldwide distribution and is endemic in many countries of Mediterranean region. In Iran, due to various climatic conditions, the rate of the disease is diverse in different parts. The most infected regions are the domains of Alborz and Zagros Mountains where there is a high rate of ruminants and the main carrier of people are animal husbandry. Due to the importance of this zoonotic helminth and the lack of information about hydatid cyst disease in Guilan province, we conducted a retrospective study from 2000 to 2010 to evaluate the HCD inpatients in this region. Objectives: The aims of the study are to evaluate HCD inpatients and to review the clinical presentations of different organs affected by cysts and postoperative outcomes of hydatid cyst in Guilan province. Materials and Methods: A retrospective descriptive investigation was performed by reviewing the medical records of patients with HCD, admitted to four private and governmental hospitals, in Rasht, capital of Guilan province from 2000 -2010. Results: Sixty-two patients (38 males, 24 females) with a mean age of 46.38 ± 18.36 years (aged between 8 and 81 years old), with HCD were evaluated. In the 40 -60 years old group, there was highest rate of HCD (40.3%). Housewives had the highest rate of infection (40.3%) followed by farmers (22.6%), pupil (8.1%), animal husbandries (6.5%) and others (22.6%). The most prevalent complaint of the patients with liver involvement were abdominal pain (75%) and nausea and vomiting (9.1%) and the most common findings of the inpatients with lung involvement the most common complaint was cough (40%). Seventy one percent of the patients had liver involvement and 16.1% had lung involvement. The most common diagnostic method was ultrasonography (48.14%). Computed tomography was diagnostic in 43.20% of cases and chest X-ray in 8.6% of cases. Overall, 96.8% of patients were cured and the mortality rate was 3.2%. Conclusions: Echinococcosis is still an important health problem in Iran that needs further studies. Therefore, accurate information on the distribution of the disease is the first step to control and prevent it. In general, the situation of the hydatidosis in the human in Guilan shows somehow a resemblance with the other areas in Iran.

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Section: Discussionsupporting

confidence: 90%

Clinical Features of Hydatid Disease in Guilan (the North Province of Iran): A Ten-Year Study

Mansour-Ghanaei

Joukar

Soati

et al. 2012

Arch Clin Infect Dis

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“…The proportions of symptomatic cases vary greatly, from 27% to 59% (7,17). Morbidity of lung CHD is higher than that of liver cases, probably due to rapid growth of cysts in the loose lung tissue and the development of a thinner cystic membrane that makes these cysts more likely to rupture or to host an additional bacterial or fungal infection (2,20). Diagnosis of lung CHD is based on imaging examinations, including chest X-rays, computed tomography (CT), and magnetic resonance imaging (MRI) (17).…”

Section: Discussionmentioning

confidence: 99%

“…CHD mainly involves the liver or lungs, with a liver/lung ratio of 6:1 in asymptomatic subjects and 3:1 in symptomatic subjects (1,11). The increased proportion of lung cases in symptomatic subjects is determined by the higher morbidity of lung cysts, particularly in the presence of complications (rupture or infection) (2,17).…”

mentioning

confidence: 99%

Serological Diagnosis of Lung Cystic Hydatid Disease Using the Synthetic p176 Peptide

Santivañez

Arias

Portocarrero

et al. 2012

Clin Vaccine Immunol

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ABSTRACTCystic hydatid disease (CHD) is a worldwide zoonosis caused by the larval stage of the dog tapewormEchinococcus granulosus. Diagnosis is based on imagenological tools (abdominal ultrasound, chest X-rays, or computed tomography [CT] scan). Serological antibody-detecting assays, using diverse native antigens, have been used as a supportive diagnostic tool, but their sensitivities and specificities differ greatly. The use of synthetic peptides as antigens should provide more reliability and allow better assessment and comparison of test formats and case series. The synthetic peptide p176, corresponding to the N-terminal extreme of the subunit of antigen B (AgB8/1), has shown promising performances for diagnosis of CHD. We evaluated the performance of the synthetic peptide p176 for the diagnosis of pulmonary hydatid disease in an enzyme-linked immunosorbent assay (ELISA) format. Sixty-one serum samples from patients with a diagnosis of pulmonary hydatidosis confirmed by surgery and 128 from healthy volunteers were tested. The overall sensitivity and specificity of the p176 ELISA for lung CHD were 78.69% and 96.88%, respectively. On bivariate analysis, positive serum antibody reactions were associated with the presence of complications and with the number of cysts (single/multiple). Only the presence of persistent complications significantly associated with seropositivity on multivariate logistic regression analysis (odds ratio [OR], 9.58; 95% confidence interval [CI], 2.15 to 42.6;P= 0.003). The p176 ELISA performs well for the diagnosis of lung CHD and adds an easily reproducible diagnostic assay to the existing diagnostic tools.

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“…The most recent surgical procedure is video-assisted thoracoscopic surgery (VATS). Multiple cysts, patients' denial to surgery, and surgical relapse are considered indications of medical therapy (7,13,14,18,20,21). Medical treatment was not given to patients preoperatively.…”

Section: Children Adultsmentioning

confidence: 99%

Comparison of Demographical Characteristics, Prognostic Factors, and Surgical Outcomes in Children and Adult Patients with Pulmonary Hydatid Cyst

Oruç¹,

Şahin²,

Meteroğlu³

et al. 2017

Eurasian J Pulmonol

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Pulmonary hydatid cyst: analysis of 1024 cases

Cited by 43 publications

References 12 publications

Clinical Features of Hydatid Disease in Guilan (the North Province of Iran): A Ten-Year Study

Clinical Features of Hydatid Disease in Guilan (the North Province of Iran): A Ten-Year Study

Serological Diagnosis of Lung Cystic Hydatid Disease Using the Synthetic p176 Peptide

Comparison of Demographical Characteristics, Prognostic Factors, and Surgical Outcomes in Children and Adult Patients with Pulmonary Hydatid Cyst

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