Öz
Abstract
Cyst hydatid is a parasitic disease seen as hydatid cysts in primarly lung and liver. Although hydatid cysts may remain as asymptomatic during a long time, they may become a symptomatic depending on the rupture and pyogenic infection. The incidence of cystic echinococcosis (CE) in endemic areas ranges from 1-220 cases per 100,000 inhabitants, while the incidence of alveolar echinococcosis (AE) ranges from 0.03-1.2 cases per 100,000 inhabitants, making it a much more rare form of echinococcosis. Infestation with E vogeli is the rarest form of echinococcosis and is reported mainly in the southern parts of South America. With this case, we aimed that both review the literature data and reawaken the requirement of family scanning in close relatives, because of pulmonary, hepatic and splenic involvements are coexist in this case.
Key words: Cyst hydatid, emergency department, pulmonary-hepatic-splenic involvement
Özet
Kist hidatik primer olarak karaciğer ve akciğerde görülen parazitik bir hastalıktır. Hidatik kistler uzunca bir süre asemptomatik kalabilmelerine rağmen, rüptür ya da piyojenik infeksiyona bağlı olarak semptomatik olabilirler. Endemik bölgelerde kistik echicoccosis (CE) insidansı 100.000 kişide 1-220 arasında değişirken, alveolar echicoccosis (AE) insidansı 0.03-1.2'dir ve bu oranlar Echinoccosis‘in nadir olduğunu gösterir. E. vogeli ile infestasyonlar, Echinococcosis'in nadir formudur ve genellikle Güney Amerika'nın güney bölgelerinde bildirilmektedir. Bu olguyla, pulmoner, hepatik ve splenik tutulumları olan bir hastada yakın akrabaların inceleme gerekliliği ve literatürün gözden geçirilmesi amaçlanmıştır.
Anahtar sözcükler: Kist hidatik, acil servis, pulmoner-hepatik-splenik tutulum
Anahtar Kelimeler
Kaynakça
- Guidelines for treatment of cystic and alveolar echinococcosis in humans. WHO Informal Working Group on Echinococcosis. Bull World Health Organ 1996; 74: 231-42.
- Lightowlers MW, Gottstein B: Echinococcosis/hydatidosis: Antigens, immunological and molecular diagnosis. In Thompson RCA, Lymbery AJ, eds: Echinococcus and hydatid disease. Wallingford, UK: CAB International: 1995, p: 355-410.
- Doğan R, Yüksel M, Çetin G, Süzer K, Alp M, Kaya S, Ünlü M, Moldibi B; Surgical treatment of the hydatid cyst of the lung: report on 1055 patients. Thorax 1989; 44: 192-9.
- Murray W: Mycotic and parasitic diseases: In Rudolph AM, Hoffman JIE, Rudolph CD eds. Rudolph’s Pediatrics. East Norwalk, Connecticut Prentice Hall International Inc: 1991, p: 701-850.
- Anadol D, Gocmen A, Kiper N, Ozcelik U; Hydatid disease in childhood: a retrospective analysis of 376 cases. Pediatr Pulmonol 1998; 26: 190-6.
- Todorov T, Boeva V; Echinococcosis in children and adolescents in Bulgaria: a comparative study. Ann Trop Med Parasitol 2000; 94: 135-44.
- Aytac A, Yurdakul Y, İkizler C, Olga R, Saylam A; Pulmonary hydatid desease. Report of 100 patients. Ann Thorac Surg 1977; 23:145-51.
- Xanthakis D., Efthimiadis M., Papadakis G., Primikirios N., Chassapakis G., Roussaki A., Veranis N., Akrivakis A., and Aligizakis C. J.. Hydatid disease of the chest; Report of 91 patients surgically treated. Thorax 1972; 27: 517-28.
- Mikhailova V, Brankov O, Drebov R; The surgical treatment of pulmonary and associated echinococcosis in childhood. Khirurgiia (Sofia): 1999; 55: 16-20.
- Sarsam A; Surgery of pulmonary hydatid cysts. Review of 155 cases. J Thorac Cardiovasc Surg. 1971; 62: 663-8.
- American Academy of Pediatrics. Other Tapeworm Infections. In: Pickering LK, ed. 2000 Red Book: Report of The Committee on Infectious Diseases. 25th ed. Elk Grove Village, IL: American Academy of Pediatrics. 2000, p: 562-3.
- Tuzun M, Altinors N, Arda IS, Hekimoglu B. Cerebral hydatid disease CT and MR findings. Clin Imaging 2002; 26: 353-7.
- Pedrosa I, Saiz A, Arrazola J, Ferreiros J, Pedrosa CS. Hydatid disease: radiologic and pathologic features and complications. Radiographics 2000; 20: 795-817.
- Kalovidouris A, Gouliamos A, Vlachos et al. MRI of abdominal hydatid disease. Abdom Imaging 1994; 19: 489-94.
- Taourel P, Marty-Ane B, Charasset S, Mattei M, Devred P, Bruel JM. Hydatid cyst of the liver: comparison of CT and MRI. J Comput Assist Tomogr 1993;17: 80-5.
- El Kohen A, Benjelloun A, El Quessar A, et al. Multiple hydatid cysts of the neck, the nasopharynx and the skull base revealing cervical vertebral hydatid disease. Int J Pediatr Otorhinolaryngol 2003; 67: 655-62.
- Ersahin Y, Mutluer S, Güzelbag E. Intracranial hydatid cyst in children. Neurosurgery 1993; 33: 219–25.
- Gossios KJ, Kontoyiannis DS, Dascalogiannaki M, Gourtsoyiannis NC. Uncommon locations of hydatid disease: CT appearances. Eur Radiol 1997; 7: 1303-8.
Öz
Summary
Cyst hydatid is a parasitic disease be seen as hydatid cysts in primarly lung and liver. Although that hydatid cysts may be remain as asymptomatic during a long time, they may become a symptomatic depending on the rupture and pyogenic infection. With this case, we aimed that both review the literature data and reawaken the requirement of family scanning in close relatives, because of pulmonary, hepatic and splenic involvements are coexist in this case.
Cyst hydatid is a infection generated by larva of echinococcus granulosus parasite (or the phase namely metasestode). While the infection shows mainly liver involvement and secondly lung involvement in adults. The spawn of E.Granulosus, which ingested by intermediate host in contaminant foods and beverages, is opened in bowel; freed oncosphere come to liver, exceeding wall of bowel via blood and lymph circulation. While %50-70 all of cases presents liver location, secondly lung echinococcosis has been seening at rate of %20-30. The case of splenic cyst hydatid has been seening at rate of %2-3. Cyst hydatid presents symptom according to involved organ. In this case report, hepatic, pulmonary and splenic cyst hydatic case with nonspesific symptoms such as cough, chest pain, hemoptysis, abdominal pain reflecting to left shoulder and fever and have radiologically suspected chest radiography, was presented with US and CT imaging, thereby reviewing literatures.
Anahtar Kelimeler
Kaynakça
- Guidelines for treatment of cystic and alveolar echinococcosis in humans. WHO Informal Working Group on Echinococcosis. Bull World Health Organ 1996; 74: 231-42.
- Lightowlers MW, Gottstein B: Echinococcosis/hydatidosis: Antigens, immunological and molecular diagnosis. In Thompson RCA, Lymbery AJ, eds: Echinococcus and hydatid disease. Wallingford, UK: CAB International: 1995, p: 355-410.
- Doğan R, Yüksel M, Çetin G, Süzer K, Alp M, Kaya S, Ünlü M, Moldibi B; Surgical treatment of the hydatid cyst of the lung: report on 1055 patients. Thorax 1989; 44: 192-9.
- Murray W: Mycotic and parasitic diseases: In Rudolph AM, Hoffman JIE, Rudolph CD eds. Rudolph’s Pediatrics. East Norwalk, Connecticut Prentice Hall International Inc: 1991, p: 701-850.
- Anadol D, Gocmen A, Kiper N, Ozcelik U; Hydatid disease in childhood: a retrospective analysis of 376 cases. Pediatr Pulmonol 1998; 26: 190-6.
- Todorov T, Boeva V; Echinococcosis in children and adolescents in Bulgaria: a comparative study. Ann Trop Med Parasitol 2000; 94: 135-44.
- Aytac A, Yurdakul Y, İkizler C, Olga R, Saylam A; Pulmonary hydatid desease. Report of 100 patients. Ann Thorac Surg 1977; 23:145-51.
- Xanthakis D., Efthimiadis M., Papadakis G., Primikirios N., Chassapakis G., Roussaki A., Veranis N., Akrivakis A., and Aligizakis C. J.. Hydatid disease of the chest; Report of 91 patients surgically treated. Thorax 1972; 27: 517-28.
- Mikhailova V, Brankov O, Drebov R; The surgical treatment of pulmonary and associated echinococcosis in childhood. Khirurgiia (Sofia): 1999; 55: 16-20.
- Sarsam A; Surgery of pulmonary hydatid cysts. Review of 155 cases. J Thorac Cardiovasc Surg. 1971; 62: 663-8.
- American Academy of Pediatrics. Other Tapeworm Infections. In: Pickering LK, ed. 2000 Red Book: Report of The Committee on Infectious Diseases. 25th ed. Elk Grove Village, IL: American Academy of Pediatrics. 2000, p: 562-3.
- Tuzun M, Altinors N, Arda IS, Hekimoglu B. Cerebral hydatid disease CT and MR findings. Clin Imaging 2002; 26: 353-7.
- Pedrosa I, Saiz A, Arrazola J, Ferreiros J, Pedrosa CS. Hydatid disease: radiologic and pathologic features and complications. Radiographics 2000; 20: 795-817.
- Kalovidouris A, Gouliamos A, Vlachos et al. MRI of abdominal hydatid disease. Abdom Imaging 1994; 19: 489-94.
- Taourel P, Marty-Ane B, Charasset S, Mattei M, Devred P, Bruel JM. Hydatid cyst of the liver: comparison of CT and MRI. J Comput Assist Tomogr 1993;17: 80-5.
- El Kohen A, Benjelloun A, El Quessar A, et al. Multiple hydatid cysts of the neck, the nasopharynx and the skull base revealing cervical vertebral hydatid disease. Int J Pediatr Otorhinolaryngol 2003; 67: 655-62.
- Ersahin Y, Mutluer S, Güzelbag E. Intracranial hydatid cyst in children. Neurosurgery 1993; 33: 219–25.
- Gossios KJ, Kontoyiannis DS, Dascalogiannaki M, Gourtsoyiannis NC. Uncommon locations of hydatid disease: CT appearances. Eur Radiol 1997; 7: 1303-8.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 11 Mart 2009 |
| Yayımlandığı Sayı | Yıl 2009Cilt: 31 Sayı: 3 |