مطالعه کیستهای هیداتید در کودکان: تجربیات یک بیمارستان تخصصی در جنوب ایران
کد: G-1081
نویسندگان: Gholamreza Pouladfar © ℗, Hanieh Malekooti, Mohammad Rahim Kadivar, Anahita Sanaei Dashti, Seyedeh Sedigheh Hamzavi
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خلاصه مقاله:
خلاصه مقاله
Abstract Introduction: Echinococcosis is a parasitic infection caused by the parasites Echinococcus granulosus and Echinococcus multilocularis, particularly prevalent in areas with livestock and dog interactions. This disease is classified into two types: hydatid cysts and alveolar cysts. Hydatid cysts typically develop in the liver and lungs and may remain asymptomatic until they grow large. This study investigates the etiology, clinical symptoms, diagnosis, and treatment of echinococcosis in children hospitalized in a tertiary referral hospital in southern Iran. Methods: This study is a retrospective descriptive cross-sectional analysis that collected information from 171 children (younger than 18 years old) with hydatid cysts at Namazi Teaching Hospital from 2015 to 2022. The diagnostic criteria included the presence of cysts in relevant organs based on radiological reports and positive serological or pathological results. Collected data included demographic, laboratory, cyst location and characteristics, treatment type, and disease outcomes until discharge. Follow-up phone calls were made for 97 patients to assess treatment outcomes. Data were analyzed using SPSS software and reported as means and percentages. Results: 171 patients with hydatid cysts were examined, comprising 58.5% males and 41.5% females, with a mean age of 8.9 years. The most common sites of involvement were the lungs (73.1%) and liver (45.5%). Clinical symptoms included cough (50.9%), fever (38.6%), abdominal pain (35.1%), and dyspnea (26.9%). In 18.7% of cases, cysts were ruptured at the time of presentation. Initial diagnosis was based on clinical symptoms in 94.2% of cases, with 5.8% diagnosed incidentally. The mean number of cysts was 2.1, and the mean size of the largest cyst was 7.5 cm. Treatments included surgical-medical (91.8%), medical alone (6.4%), and PAIR (1.8%). Albendazole was administered at a mean dose of 17.36 mg/kg. In the follow-up of 97 patients, 12.9% experienced recurrence. Discussion: Early diagnosis and appropriate treatment of hydatid cysts are essential to prevent serious complications. Imaging techniques and serological tests are key tools in identifying this infection. Combined treatment involving surgery and antiparasitic medications may yield better outcomes. This study emphasizes the importance of awareness regarding clinical symptoms and diagnostic methods to enable timely intervention and prevent complications associated with
کلمات کلیدی
Parasitic Diseases, Hydatid Disease, Echinococcus, Child, Iran.
