Pulmonary echinococcosis (hydatidosis) in children: Results of surgical treatment
| Autor: | Julia Turnbull, O. Tasci, K. Paya, H. Auer, Ernst Horcher, F. X. Felberbauer, Winfried Rebhandl, Stefan Puig, D. Kluth, E. Tasci |
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| Rok vydání: | 1999 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Lung business.industry medicine.medical_treatment Respiratory disease Helminthiasis medicine.disease Echinococcosis Surgery Cystectomy medicine.anatomical_structure El Niño Pediatrics Perinatology and Child Health medicine Cyst business Complication |
| Zdroj: | Pediatric Pulmonology. 27:336-340 |
| ISSN: | 1099-0496 8755-6863 |
| DOI: | 10.1002/(sici)1099-0496(199905)27:5<336::aid-ppul7>3.0.co;2-1 |
| Popis: | From 1986–1996, 33 children with 49 pulmonary hydatid cysts underwent surgical treatment in Vienna and Istanbul. Cysts were unilateral in 28 and bilateral in 5 cases; unruptured cysts (URC) were diagnosed in 19 patients, and 14 children presented with ruptured cysts (RC). Ten patients had cysts in other organs (liver, spleen, central nervous system) in addition to pulmonary cysts. Diagnosis was primarily based on chest X-ray and computed tomography scan. In Austrian children, a new combination of serological tests was used successfully (71% positive). The standard surgical procedure was cystotomy followed by capitonnage. The main postoperative complications were fever and wound infection. There were two recurrences after a mean follow-up of 4.8 years, and one patient died because of multiple organ involvement. We conclude that the therapy of choice in pediatric pulmonary hydatidosis is complete surgical elimination of the cyst by cystotomy and capitonnage, whereas more extended resections should be avoided. Ideally, benzimidazole treatment should be combined with surgery. New serological tests can improve diagnostic accuracy. Pediatr Pulmonol. 1999; 27:336–340. © 1999 Wiley-Liss, Inc. |
| Databáze: | OpenAIRE |
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