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Published on: October 20, 2019
Hydatid disease in Iranian children
Setareh Mamishi1, Setareh Sagheb, Babak Pourakbari
1Infectious Disease Research Center, Tehran University of Medical Sciences, Tehran, Iran. smamishi@sina.tums.ac.ir
Insights
Pediatric hydatidosis is endemic in Iran, frequently affecting lungs and liver. Early diagnosis and treatment, including surgery and albendazole, are crucial for managing this public health concern.
Area of Science:
- Parasitology
- Public Health
- Pediatric Medicine
Background:
- Hydatidosis poses a significant public health challenge, causing considerable morbidity and mortality.
- Control and eradication strategies are feasible.
- This study focuses on pediatric hydatidosis in Iran.
Purpose of the Study:
- To investigate the characteristics of pediatric hydatidosis in Iran.
- To analyze demographic, clinical, and therapeutic aspects of the disease in children.
Main Methods:
- Retrospective analysis of 31 pediatric patients diagnosed with hydatidosis.
- Data collected from 1995-2005 at Children Medical Center Hospital, Tehran.
- Inclusion of demographic, clinical, cyst location, laboratory, and treatment data.
Main Results:
- The study included 18 males (58%) and 13 females (42%), with a mean age of 8.3 years.
- Pulmonary and hepatic cysts were most common (77% and 48%), with 26% having both.
- Common symptoms included cough (92%), fever (83%), and dyspnea (46%) for pulmonary cysts; fever (100%) and hepatomegaly (87%) for hepatic cysts.
Conclusions:
- Hydatidosis is endemic in Iran, necessitating suspicion in children with relevant exposure history.
- Clinical presentation varies by cyst location, with lung and liver involvement being most frequent.
- Surgical intervention and albendazole treatment showed a low recurrence rate (6%).
Background And Purpose:
Hydatidosis is a major public health problem that can cause significant morbidity and mortality; however, it is possible to control and even eradicate the disease. This study was carried out to investigate pediatric hydatidosis in Iran.
Methods:
Data were collected from the records of 31 patients admitted to the Children Medical Center Hospital in Tehran, Iran, with hydatidosis from 1995 to 2005. Data collected included demographic data, and information on clinical manifestations, type and site of cysts, laboratory results, and therapeutic procedures employed.
Results:
Eighteen patients (58%) were male and 13 (42%) female. The mean age of patients was 8.3 years. On serological study, almost all patients (96%) were found to be positive for hydatidosis. Sixteen cases (52%) had a history of contact with dogs or sheep, and 6 (19%) had parents who were farmers. Cysts were found in the lungs and livers of 24 (77%) and 15 cases (48%), respectively, with 8 cases (26%) having simultaneous liver and lung cysts. Three patients (10%) had multiorgan involvement. The significant clinical manifestations of pulmonary hydatid cysts were cough (92%), fever (83%), and dyspnea (46%). Fever (100%) and hepatomegaly (87%) were the most common symptoms in cases with hepatic cysts. All patients underwent surgery and treatment with albendazole, and recurrence was observed in 2 cases (6%).
Conclusions:
Hydatidosis is endemic throughout Iran. Thus, there are reasonable grounds to suspect hydatid cyst infection in patients presenting with cysts in any organ with either an appropriate residential or travel history or in the case of children, with parents in occupations such as sheep raising.
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