Analysis of hospital records of children with hydatid cyst in south of Iran

Abstract

The clinical manifestations of hydatidosis are various and related to anatomic location. Defining frequent symptoms and signs of the disease is imperative for early management of it. The aim of this report was to analyse the clinical features of infected children with hydatid cysts located in different organs. In this study, medical charts of 57 children between 3 and 16 years of age with hydatid cyst admitted to Pediatric Wards of Nemazee Hospital were evaluated over a 12 year period (from 2003 to 2014, prospectively). All the epidemiologic, clinical, paraclinical and therapeutic data were collected. The frequencies of hydatidosis in males and females were 42.1 and 56.1%, respectively. Hydatid cysts were found in the liver and lungs in 59.6 and 33.3% patients respectively and 2 patients had an asymptomatic cyst in the heart with concomitant liver and lung cysts. The right upper quadrant pain (100%) was the most common symptom in the liver cysts. Phlegm (78.9%), Dyspnea (57.9%), acute (47.4%) and chronic cough (47.4%) were mostly seen in lung hydatid cysts. Some symptoms such as fever (68.4%) and weakness (59.6%) were the most common presenting symptoms in both groups. All children were treated through surgical approaches plus medical treatment. In the present report, liver was the most common site of involvement in children. Liver hydatidosis should be considered in children with upper quadrant pain and pulmonary hydatidosis in children complaining of phlegm and dyspnoea.

Human cystic echinococcosis in southwest Iran: a 15-year retrospective epidemiological analysis of 501 consecutive hospitalized cases (2004-2018)

“…In keeping with our findings, a retrospective study regarding CE cases in children in one of the hospitals in the south of Iran reported 57 children with CE during a 12-year period, 2003-2014 [22].…”

“…This is mainly because CE is a slowgrowing cyst in humans and usually presents the signs and symptoms at a higher age of life, whereas the infection may occur in younger people or even teenagers. The fact that all age groups, including children and young adults, were well represented in the confirmed CE cases suggests that both adults and children are susceptible to the infection, as also shown in previous studies [5,22]. In keeping with global evidence, CE in Iran has no privilege for age.…”

Disseminated Hydatid Disease in a Child Involving Multiple Organ Systems: A Case Report

“…However, as the mass grows, the symptoms worsen. The study by Dashti et al looked at the clinical presentation and discovered that regardless of the site of the cyst, fever was prevalent in 68.4% of the children, and weakness was observed in 59.6% of the children [3]. In our patient, the fever and weakness prevailed for the past one year.…”

“…It is seen that children present with vague symptoms such as cough, lethargy, or loss of appetite. In addition, an increase in abdominal girth is also reported [3]. The pressure effects early in the course of the disease are vague.…”

“…It is known that the liver is the most commonly involved organ in hydatid cyst disease [3,4]. The presence of hydatid cysts in multiple organs has not been reported as frequently.…”