Quince años de experiencia clínica con hidatidosis

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dc.contributor.authorFica, Alberto
dc.contributor.authorSoto, Andres
dc.contributor.authorSlater, Jeannie
dc.contributor.authorPeralta, Marcial
dc.contributor.authorHumeres, Roberto
dc.contributor.authorCastro, Marcelo
dc.contributor.authorGonzalez, Jaime
dc.contributor.authorWeitzel, Thomas
dc.date.accessioned2017-05-29T16:32:53Z
dc.date.available2017-05-29T16:32:53Z
dc.date.issued2012
dc.description.abstractIntroduction: Hydatidosis is a neglected parasitic disease that is endemic in Chile. We present the clinical experience of a single center in Santiago from 1996 to 2010. Methods: Cases were identified using hospital's database. Clinical and pathological features, treatment and outcomes were retrospectively analyzed. Results: In total, 23 patients were identified requiring 30 surgical interventions. Median age was 40 years old (range 5 to 73), and 76.5% visited or resided in regions of known endemicity in Chile. Abdominal cysts were predominant (78.3%), and most patients were symptomatic (73.9%). Elimination of cyst material by cough was reported in 42.9% of patients with symptomatic thoracic cysts. Eosinophilia was present in 41.2% of patients, and 57.1% had positive serology for hydatidosis. Aill patients underwent surgical treatment, in 60.9% in combination with albendazole treatment. While the majority of liver cysts (88.9%) were treated by complete cyst resection, lung cysts (83.3%) were predominantly treated by cyst resection plus capitonnage. Pathological examination revealed fertile cysts in 24%. Postsurgical morbidity was frequent (37.9%), and 13.3% of the series required readmission for this cause. Near 25% of patients remained in hospital > 14 days, a feature associated with fever during admission (p < 0.05). No recurrence was reported in the fraction of patients that were followed-up for 2 years or more. Conclusions: Our analysis of 23 cases demonstrates that patients were mainly adults suffering from abdominal cysts. Most patients were successfully treated by surgery with or without antiparasitic drugs but complications leading to prolonged hospital stays and readmissions were not infrequent.
dc.format.extent9
dc.identifier.citationRevista Chilena de Infectología, 2012; 29 (2): 183-191
dc.identifier.urihttp://hdl.handle.net/11447/1356
dc.identifier.urihttp://dx.doi.org/10.4067/S0716-10182012000200011
dc.language.isospa
dc.publisherSociedad Chilena de Infectología
dc.subjectEchinococcus granulosus
dc.subjectHepatic hydatid cyst
dc.subjectPulmonary hydatid cyst
dc.subjectDiagnosis
dc.subjectTherapeutics
dc.subjectPericystectomy
dc.subjectCystostomy
dc.subjectCapitonnage
dc.subjectAlbendazole
dc.subjectPathology
dc.titleQuince años de experiencia clínica con hidatidosis
dc.title.alternativeClinical presentation of hydatid disease during 15 years: a case series from Santiago, Chile
dc.typeArtículo

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