İstanbul Adli Tıp Kurumu Morg İhtisas Dairesi'nde yapılan otopsilerde kistik ekinokokkozis görülme sıklığının araştırılması
Küçük Resim Yok
Tarih
2009
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Kistik ekinokokkozis, sıklıkla karaciğer ve akciğerde yerleşim gösteren bir parazit hastalığıdır. Birçok ülkede olduğu gibi ülkemizde de önemli bir halk sağlığı sorunudur. Bu çalışma; ani ölüm olgularında da karşımıza çıkabilen bu hastalığın adli otopsilerde ne sıklıkta görüldüğünü araştırmak amacıyla yapılmıştır. Bu araştırma; İstanbul Adli Tıp Kurumu Başkanlığında Temmuz 2003-Ocak 2004 arasında 6 aylık dönemde yapılan toplam 1687 otopsiden, 56 sında makroskobik olarak kist saptanmıştır. Otopside makroskobik olarak etiyolojisi bilinmeyen kist görülen 56 olgunun alınan kan örneklerinde E. granulosus, Ig G IHA ve Ig G ELISA serolojik yöntemleri ile antikor araştırılmıştır. Bunun sonucunda, 8'i kadın (%14,2), 26'sı erkek (%46,4), 34 olguda (%60,7) seropozitivite saptanmıştır. Bu çalışma, adli otopsi olgularında kistik ekinokokkozisin yaygın olarak bulunabileceğini göstermektedir. Ayrıca otopsi yapan kişilerin dikkatli ve hijyenik kurallara uygun olarak çalışmasının ne kadar önemli olduğu konusunda ders çıkarılması gerekir
Cystic echinococcosis, which is caused by a parasite called Echinococcus granulosus, is a disease frequently find in the liver and in the lungs. In many countries, it is an important public-health problem. This study was done to find out the prevalence of Cystic echinococcosis in forensic autopsies performed for sudden death cases. This investigation was realized between July 2003-January 2004 at Istanbul Forensic Medicine Institution. During this six month period, total of 1687 autopsies were performed. Of those, 56 autopsy cases had macroscopic unknown cysts. The sera obtained from these 56 autopsy cases were examined by IgG Enzyme-linked Immunosorbent assay (ELISA) and IgG Indirect Hemaglutination (IHA) methods. In the end of the serologic evaluation, of 56 cases with macroscopic unknown etiology cysts, 34 cases (60.7%) were serologically positive for cystic echinococcosis, of those 8 were females (14.2%) and 26 were males (46.4%). This study shows that cyst echinococcosis may be find frequently in postmortem cases. The fact that the people who perform autopsies must work carefully and in hygienic conditions is another important lesson obtained from the study.
Cystic echinococcosis, which is caused by a parasite called Echinococcus granulosus, is a disease frequently find in the liver and in the lungs. In many countries, it is an important public-health problem. This study was done to find out the prevalence of Cystic echinococcosis in forensic autopsies performed for sudden death cases. This investigation was realized between July 2003-January 2004 at Istanbul Forensic Medicine Institution. During this six month period, total of 1687 autopsies were performed. Of those, 56 autopsy cases had macroscopic unknown cysts. The sera obtained from these 56 autopsy cases were examined by IgG Enzyme-linked Immunosorbent assay (ELISA) and IgG Indirect Hemaglutination (IHA) methods. In the end of the serologic evaluation, of 56 cases with macroscopic unknown etiology cysts, 34 cases (60.7%) were serologically positive for cystic echinococcosis, of those 8 were females (14.2%) and 26 were males (46.4%). This study shows that cyst echinococcosis may be find frequently in postmortem cases. The fact that the people who perform autopsies must work carefully and in hygienic conditions is another important lesson obtained from the study.
Açıklama
Anahtar Kelimeler
Parazitoloji, Genel ve Dahili Tıp
Kaynak
Türkiye Parazitoloji Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
33
Sayı
2
