E-ISSN 2146-3077
Original Article
Cystic Echinococcosis in Childhood: Five-Years of Experience From a Single-Center
1 Süleyman Demirel Üniversitesi Tıp Fakültesi, Çocuk Gastroenteroloji, Hepatoloji ve Beslenme Bilim Dalı, Isparta, Türkiye  
2 Süleyman Demirel Üniversitesi Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Isparta, Türkiye  
3 Süleyman Demirel Üniversitesi Tıp Fakültesi, Çocuk Cerrahisi Anabilim Dalı, Isparta, Türkiye  
4 Süleyman Demirel Üniversitesi Tıp Fakültesi, Radyoloji Anabilim Dalı, Isparta, Türkiye  
5 Süleyman Demirel Üniversitesi Tıp Fakültesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Isparta, Türkiye  
Turkiye Parazitol Derg 2016; 40: 26-31
DOI: 10.5152/tpd.2016.4381
Key Words: Child, cystic echinococcosis, PAIR
Abstract

Objective: To evaluate the clinical data and prognosis of cystic echinococcosis during a 5-year period who were followed by the pediatric clinics.

 

Methods: Demographic, clinical, laboratory, and prognosis data of 34 patients with cystic echinococcosis obtained between 2009 to 2014 were retrospectively evaluated. Of these, 10 patients were excluded because of incomplete data or failure to follow up.

 

Results: A total of 24 (12 males and 12 females) children were included the study. The mean ages of patients were 11.17 ± 3.71 (range, 5-17) years. The most common symptoms were abdominal pain (41.7%), cough (16.7%), and fatigue (12.5%). Localization of the parasite in the patients was determined to be as follows: liver (54.2%), lung (33.3%), and intraabdominal (4.2%). Multiorgan involvement was observed in 8.3% of the cases. Indirect hemagglutination test was positive in 13 (54.2%) patients at admission. All patients received treatment with albendazole. Seven patients were treated with puncture-aspiration-injection-re-aspiration (PAIR) (29.2%). Open surgery was performed in six patients (24.2%). One patient was treated with both PAIR and open surgery.

 

Conclusions: Cystic echinococcosis is a serious public health problem in developing countries. Hydatid cyst should be considered in the presence of suspicious radiological and clinical findings in endemic areas. 

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