Epidemiological, laboratory and clinical features of childhood hydatid disease
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Tarih
2013
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Kist hidatik hastalığı Echinococcus ailesine ait barsak solucanının etken olduğu parazitik bir enfes- tasyondur. Endemik bölgelerde halen önemli morbidi- te nedenidir ve hayatı tehdit edebilmektedir. Ülkemizde çocukluk çağında da sıklıkla görülebilen bu hastalık nedeniyle uzun süreli ilaç kullanımı gerek- li olabilmektedir. Gereç ve Yöntemler: Ege Üniversitesi Çocuk Hastanesi’ne çeşitli yakınmalar ile başvuru sonucu kist hidatik tanısı alan olgular 2009-2011 yılları arasın- da çalışmaya dahil edilmiştir. Bulgular: Üç yıllık izlem sürecinde toplam 12 olgu (yaşları 6 ile 14 arasında değişen (11±2); 5 kız, 7 erkek olgu) halsizlik, bulantı, kusma, ateş, öksürük, karın ağrısı, sırt ağrısı nedeniyle başvurmuş ya da tesadü- fen tanı almıştır. Tam kan sayımında ılımlı eozinofili (490±158/mm3), ateş yakınması ile başvuran iki olgu- da (%16) C reaktif protein düzeyinde artış ve lökosi- toz saptanmıştır. Tüm hastalar Albendazol tedavisi almış olup (10 mg/kg/gün), yedi olgu opere edilmiş, dört olguya (%33) perkutan drenaj (PAIR: puncture, aspiration, injection, re-aspiration) tedavisi uygulan- mıştır. Geri kalan iki olgu (%16) için herhangi bir giri- şim gerekmemiş olup halen izlemleri sürmektedir. Sonuç: Bu çalışma çocukluk çağında kist hidatik hastalık sürecini göstermekte ve tanısal zorluklara dikkat çekmektedir. (J Pediatr Inf 2013; 7: 53-6)
Objective: Hydatid disease is a parasitic infestation by a tapeworm of the genus Echinococcus. It is an important cause of morbidity in endemic areas and can be life threatening. In our country it can occur from childhood onwards and usually requires the prolonged use of medications. Material and Methods: Twelve paediatric cases admitted to the Ege University Children’s Hospital with various symptoms and diagnosed with hydatid disease between 2009 and 2011 were included in the study. Results: During a 3-year period 12 patients (5 female, 7 male; mean age 11±2 years; range 6 to 14 years) were admitted to the hospital because of fatigue, nau- sea, fever and cough, abdominal pain, or back pain, or were diagnosed incidentally. Complete blood count tests revealed mild eosinophilia (mean=490±158/ mm3); two cases admitted with fever (16%) had elevat- ed C reactive protein levels and leucocytosis. All patients were treated with Albendazole (10 mg/kg/d), seven were treated surgically, four (33%) were treated with percutanous drainage (PAIR: puncture, aspira- tion, injection, re-aspiration) and two (16%) did not need invasive procedures and remain in follow up. Conclusion: This study presents the course of hyda- tid disease and emphasizes the diagnostic challeng- es in follow up. (J Pediatr Inf 2013; 7: 53-6)
Objective: Hydatid disease is a parasitic infestation by a tapeworm of the genus Echinococcus. It is an important cause of morbidity in endemic areas and can be life threatening. In our country it can occur from childhood onwards and usually requires the prolonged use of medications. Material and Methods: Twelve paediatric cases admitted to the Ege University Children’s Hospital with various symptoms and diagnosed with hydatid disease between 2009 and 2011 were included in the study. Results: During a 3-year period 12 patients (5 female, 7 male; mean age 11±2 years; range 6 to 14 years) were admitted to the hospital because of fatigue, nau- sea, fever and cough, abdominal pain, or back pain, or were diagnosed incidentally. Complete blood count tests revealed mild eosinophilia (mean=490±158/ mm3); two cases admitted with fever (16%) had elevat- ed C reactive protein levels and leucocytosis. All patients were treated with Albendazole (10 mg/kg/d), seven were treated surgically, four (33%) were treated with percutanous drainage (PAIR: puncture, aspira- tion, injection, re-aspiration) and two (16%) did not need invasive procedures and remain in follow up. Conclusion: This study presents the course of hyda- tid disease and emphasizes the diagnostic challeng- es in follow up. (J Pediatr Inf 2013; 7: 53-6)
Açıklama
Anahtar Kelimeler
Enfeksiyon Hastalıkları
Kaynak
Çocuk Enfeksiyon Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
7
Sayı
2
