Pulmonary hydatid disease is difficult recognized in children

Cevik, Muazez; Böleken, Mehmet Emin; Kürkçüoğlu, İbrahim Can; Eser, İrfan; Dörterler, Mustafa Erman

doi:10.1007/s00383-014-3514-x

Cited by 20 publications

(24 citation statements)

References 14 publications

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“…This male predominance has been noted in previous studies. [11,[15][16][17] In one study, the male prevalence was 76%. [15] This may be related to traditional practices wherein the rearing of livestock is left to males, especially young boys.…”

Section: Articlementioning

confidence: 97%

“…Hydatid disease most frequently involves the parenchyma of the liver (55% -75%); however, some parasites escape through the microvascular barrier and reach the lungs (15% -40%). [11] In children it classically involves the liver, lungs and brain, but can involve almost any organ, and numerous organs simultaneously. [12] The lungs are the most common organ infected by the larval form of Echinococcus in children.…”

Section: Articlementioning

confidence: 99%

“…The anatomical location of cysts favoured the right lung, which was more frequently affected than the left lung, and this finding is supported by those of other studies. [11,14,18] A study in Turkey revealed equal distribution of cysts between the right and left lung. [16] In a 10-year Turkish review of 33 patients with pulmonary hydatidosis, 10 patients also had cysts in other organs, namely the liver, brain and spleen.…”

Section: Articlementioning

confidence: 99%

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Pulmonary Hydatidosis- Still Unrecognized in Endemic Regions: A 10 Year Review.

et al. 2018

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Background. Echinococcus disease in still endemic in many low-middle-income countries, with 1 million people infected at any one time. Surgery, the mainstay of its treatment, is costly. Objectives. To describe the presentation, clinical features and outcomes of children referred with pulmonary hydatid disease at Inkosi Albert Luthuli Central Hospital in Durban, South Africa. Methods. A 10-year review of children with pulmonary hydatid disease at Inkosi Albert Luthuli Hospital was carried out. The data collected were demographic, clinical, laboratory and radiological. Cases were mapped geographically to analyse for clustering of cases. Spearman's correlation was used to assess for correlations between laboratory markers. Results. A total of 24 subjects, 75% of whom were male, were included. The mean (standard deviation) age at diagnosis was 8.9 (3.4) years. The mean delay in diagnosis was 5.8 (5.7) months. Of the subjects, 15 (71.4%) were from the Eastern Cape and 9 from KwaZulu-Natal provinces. Seventy-nine percent of the patients had been exposed to dogs, while 8% reported exposure to either sheep or cattle. There was right-sided preponderance, with 11 right-and 7 left-sided cysts; 6 patients had bilateral cysts, and 4 associated extrapulmonary cysts. Indirect haemagglutination assay was positive in 70%, and blood eosinophilia was present in 45% of the subjects, with no correlation between the two markers (p=0.22). Surgery was the only modality of treatment in 18 (75%) subjects, while 5 had had prior medical therapy for disseminated disease. The mean intensive care stay postoperatively was 2 (2) days with no mortality. Conclusion. Despite exposure to known risk factors and living in endemic regions, there is often a significant delay in diagnosis of pulmonary hydatid disease at Inkosi Albert Luthuli Hospital.

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Section: Articlementioning

confidence: 97%

Section: Articlementioning

confidence: 99%

Section: Articlementioning

confidence: 99%

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Pulmonary Hydatidosis- Still Unrecognized in Endemic Regions: A 10 Year Review.

et al. 2018

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“…It is endemic in the Mediterranean countries including Turkey [1][2][3][4]. In adults, lung is the second most common localization of the cysts following liver.…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and treatment approaches of the lung hydatid cysts in childhood

Katrancioglu¹,

Şahin²,

Karadayı³

et al. 2017

Curr Thorac Surg

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“…Hydatid Disease (HD) is a parasitic disease, which is caused by Echinococcus granulosus (1,2). The infection is common in areas in which humans and carnivores are in contact consistently (3).…”

mentioning

confidence: 99%

Thoracoscopic Cystostomy of Pulmonary Hydatid Cyst in Children

ERGÜN¹

2017

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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Amaç: Ekinokok enfeksiyonu dünyada; özellikle de Akdeniz ülkelerinde önemli bir sağlık problemi olmaya devam etmektedir.İnsanlardaki ekinokok enfeksiyonlarında akciğer, ikinci en sık etkilenen organdır. Bu enfeksiyon çocuklarda da görülebilir ve tedavi bazen zor olabilir. Çocuklarda küçük akciğer kist hidatikleri medikal tedaviye olumlu cevap verir. Büyük ve komplike kistlerde ise yaklașım cerrahidir. Çocuklardaki akciğer kist hidatiklerinde günümüzde uygulanan cerrahi tedavi torakotomi ile kistostomi ve kapitonaj gibi parankim koruyucu cerrahi ișlemlerdir fakat torakoskopik cerrahi deneyimi çocuklarda sınırlıdır. Bu çalıșmanın amacı, çocuklarda akciğer kist hidatiklerinde torakoskopik cerrahi deneyiminin sunulmasıdır. Hastalar ve yöntem: 2008 ve 2016 yılları arasında akciğer kist hidatiği nedeniyle torakoskopik kistotomi yapılmıș olan çocukların tıbbi kayıtları gözden geçirildi. Medikal tedaviye karșın semptomatik olan ve kist çapı 6 cm'nin üzerinde olan hastalara cerrahi tedavi önerildi. Hastalarda kistostomi, germinatif membranın çıkarılması ve hava kaçağının önlenmesi gibi parankim koruyucu cerrahi uygulandı. Akciğer kapasitesini kötüleștirme riski nedeniyle kapitonaj tercih edilmedi. Bulgular: Çalıșmaya alınan 15 çocukta akciğer kist hidatiği nedeniyle 16 torakoskopik ișlem gerçekleștirildi. Bir hastada bilateral komplike hidatik kist mevcuttu. Üç hastada (%20) hava kaçağının güvenli bir șekilde kontrol edilememesi nedeniyle mini torakotomiye geçildi. On iki çocukta ișlem torakoskopik olarak tamamlandı. Torakoskopik olarak tamamlanan üç olguda (%25) uzamıș hava kaçağı (1 haftanın üzerinde) gerçeklești ve bu hastalardan birinde bronkopulmoner fistülü kontrol altına alabilmek için torakotomi yapıldı. Olgulardan birine karaciğer kist hidatiği nedeniyle laparoskopik kistostomi ve kapitonaj uygulandı. Ortalama 60 aylık takipte rekürrens saptanmadı ve hastaların takiplerinde problem izlenmedi. Sonuç: Çocuklarda görülen komplike olmayan kist hidatik olgularında torakoskopik kistostomi önerilse de komplike kist hidatiklerde torakoskopik wedge rezeksiyon önerilmektedir. Bronșial hava kaçaklarının kontrolünde zorlanılırsa mini torakotomiye geçilebilir.

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Pulmonary hydatid disease is difficult recognized in children

Abstract: Pulmonary hydatid disease is usually symptomatic. Hydatid disease must be considered in differential diagnosis while evaluating thoracic lesions in endemic areas.

Cited by 20 publications

References 14 publications

Pulmonary Hydatidosis- Still Unrecognized in Endemic Regions: A 10 Year Review.

Pulmonary Hydatidosis- Still Unrecognized in Endemic Regions: A 10 Year Review.

Diagnosis and treatment approaches of the lung hydatid cysts in childhood

Thoracoscopic Cystostomy of Pulmonary Hydatid Cyst in Children

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