Review of Cases with Cystic Hydatid Lung Disease in a Tertiary Referral Hospital Located in an Endemic Region: A 10 Years’ Experience

Tor, Meltem; Atasalihi, Ali; Altuntas, Nejat; Sulu, Ebru; Senol, Tuncer; Kir, Altan; Baran, Reha

doi:10.1159/000067470

Cited by 59 publications

(55 citation statements)

References 9 publications

(17 reference statements)

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“…The liver and lungs are the most frequently involved organs of this disease. The incidence of simultaneous liver and lung involvement has been reported to be between 5.8 and 13.3% based on various reports (32)(33)(34)(35). According to our study, the liver is the most common infected site of hydatid disease (71%), followed by the lungs (16.1%) and other organs (12.9%), being in accordance with other studies (36,37).…”

Section: Discussionsupporting

confidence: 92%

“…Moreover, Aghajanzadeh et al reported cough, dyspnea, chest pain and sputum as the common chief complaints of the patients (39). In addition, Tor et al in their study showed that out of 288 patients, 30 patients were asymptomatic, the rest (89%) were symptomatic, cough and chest pain were the most common symptoms (32). The diagnosis is based on the history of exposure in an endemic area, lab investigations, imaging techniques (X-ray, ultrasound, CT and MRI) and serological examinations (specific IgG, complement fixation, indirect fluorescent antibody (IFA), and enzyme-linked immunosorbent assay (ELISA) tests).…”

Section: Discussionmentioning

confidence: 98%

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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: 92%

Section: Discussionmentioning

confidence: 98%

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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“…About 90% of patients with hydatid disease present with a variety of symptoms including cough, chest pain, hemoptysis, malaise, fever and even expectoration of cystic materials 2 . The patient presented here was asymptomatic and diagnosed incidentally on a plain chest radiography during the work up for diabetes mellitus.…”

Section: Discussionmentioning

confidence: 99%

“…It is prevalent in sheep raising areas in the Mediterranean region, South America, Australia, New Zealand, Russia and China 2 . Recently, the disease has been emerging in Europe and North America, due to increased travel and immigration 1 .…”

Section: Introductionmentioning

confidence: 99%

A Case of Pleural Hydatid Cyst Mimicking Malignancy in a Non-Endemic Country

Kim

Jung

et al. 2011

Tuberc Respir Dis

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Hydatid disease is caused by the larval stage of taenia Echinococcus, which endemic in the Mediterranean region. Recently, the prevalence of the disease has increased worldwide due to an increase in the frequency of travel and immigration. As the infested larvae migrate through the bloodstream, the final destination is most commonly the liver or lungs; direct pleural invasion is very rare. A 50-year-old diabetic Korean man presented with an incidentally noted 2 cm right pleural nodule. On follow up imaging after three months, its size had increased. To confirm the diagnosis of the lesion, surgical excision was performed. Histopathological examination showed the diagnosis of a hydatid cyst. The patient had no history of overseas travel, but lives in an urban area where many foreign workers from endemic countries reside. This is the first reported case of primary pleural hydatid disease in a non-endemic country.

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“…En caso de rotura, se diseminan los escólex, que producen una reacción anafiláctica 1 . Debido al riesgo de complicaciones está indicada la extirpación quirúrgica 2,3 , optándose por técnicas de cirugía abierta (toracotomía, esternotomía) en caso de quistes intratorácicos.…”

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