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Pediatric hydatidosis in Iranian referral pediatrics center
S Mahmoudi1, S Elikaee, H Keshavarz
1Pediatric Infectious Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Insights
Pediatric hydatidosis, a significant zoonotic disease, shows increasing multi-organ involvement in Iranian children. Early diagnosis and physician awareness are crucial for managing this growing public health concern.
Area of Science:
- Zoonotic Diseases
- Parasitology
- Pediatric Medicine
Background:
- Hydatidosis poses a significant public health challenge in Iran as a major zoonotic disease.
- This study focuses on pediatric hydatidosis cases at a Tehran hospital between 2005 and 2010.
Purpose of the Study:
- To investigate the characteristics of pediatric hydatidosis.
- To understand the prevalence, clinical manifestations, and treatment outcomes of hydatidosis in children.
Main Methods:
- Retrospective analysis of medical records from 17 pediatric patients diagnosed with hydatidosis.
- Data collected included demographics, cyst location, clinical symptoms, laboratory results, and treatment strategies.
Main Results:
- The study included 9 boys (52.9%) and 8 girls (47.1%), with most referred from central Iran.
- Lung and liver cysts were most common (41.2% and 17.6% respectively), with 35.3% having simultaneous lung and liver involvement.
- Brain cysts occurred in 17.6%, multi-organ involvement in 11.7%, and recurrence in 23.5% of cases. One fatality resulted from cyst rupture and anaphylactic shock.
Conclusions:
- Multi-organ hydatidosis appears to be increasing in pediatric populations.
- Physicians need heightened awareness of hydatidosis clinical features.
- Prompt diagnosis and comprehensive evaluation for multi-organ involvement are essential once a cyst is detected.
Background:
Hydatidosis is one of the major zoonotic diseases that cause considerable public health problems in Iran. The present study was designed to investigate pediatric hydatidosis in patients referred to the Children Medical Center Hospital in Tehran, Iran during 2005-2010.
Methods:
Data were collected from the records of 17 patients referred to the center with hydatidosis. Data included demographic data; laboratory results, type, and site of cysts, clinical manifestations, and treatment.
Results:
Nine patients were boys (52.9%) and eight (47.1%) were girls. Most patients referred from central areas of Iran (58.8%). Seven patients had cysts in their lungs (41.2%) and three cases (17.6%) in liver. Six cases (35.3%) had simultaneous lung and liver cysts, 3 patients (17.6%) had brain cysts (alone or in combination with other organs involvement) and 2 patients (11.7%) showed multi-organ involvement. All patients were treated by albendazole and underwent surgery, recurrence was seen in 4 (23.5%) of the cases and one patient died due to rupture of the cyst and anaphylactic shock.
Conclusion:
Multi-organ involvement seems to be on the rise in children, this has led to the necessity for physicians to be more aware of clinical features, search, and rule out other organs for involvement diagnosis once a cyst is detected in one organ.
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