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Hydatidosis among Iraqi children
1Department of Microbiology, College of Medicine, University of Basrah, Iraq.
Insights
Hydatid disease surgery in children shows liver involvement is more common than lung involvement. Ultrasound is the most effective diagnostic test for this parasitic infection.
Area of Science:
- Pediatric Surgery
- Infectious Diseases
- Parasitology
Background:
- Hydatid disease, caused by Echinococcus granulosus, affects children worldwide.
- Surgical intervention is a primary treatment modality for pediatric hydatidosis.
- Understanding epidemiological and clinical patterns is crucial for effective management.
Purpose of the Study:
- To analyze surgical treatment outcomes for pediatric hydatid disease.
- To identify demographic and organ-specific predilections.
- To evaluate the efficacy of diagnostic methods.
Main Methods:
- Retrospective analysis of 58 pediatric patients (30 girls, 28 boys) aged 3.6-18 years undergoing surgery for hydatid disease.
- Statistical analysis based on age, sex, and affected organs (liver, lung).
- Review of diagnostic test results (Casoni, indirect haemagglutination, ultrasound).
Main Results:
- The 10-14 year age group had the highest incidence.
- Liver hydatidosis (72.2%) was significantly more frequent than lung hydatidosis (27.8%).
- Ultrasound demonstrated 100% sensitivity, followed by indirect haemagglutination (76%) and Casoni test (55%).
Conclusions:
- Surgical treatment is effective for pediatric hydatid disease.
- Liver and lung are the most commonly affected organs in children.
- Ultrasound is a highly reliable diagnostic tool for hydatidosis in pediatric patients.
Abstract:
Thirty girls and 28 boys (aged from 3.6-18 years old) with hydatid disease were treated surgically. Data were statistically analysed according to age, sex and organs affected. The greater number of cases was in the age group 10-14 years. Liver involvement was more frequent (72.2%) than lung involvement (27.8%). Clinical manifestations of hepatic hydatidosis included fever, hepatomegaly and abdominal pain, while those of pulmonary hydatidosis included cough, haemoptysis and fever. The Casoni, indirect haemagglutination and ultrasound tests were positive in 55, 76 and 100% of cases respectively.