Renal Echinococcosis: Clinical Study of 34 Cases

Angulo, Javier C.; Sánchez‐Chapado, Manuel; Diego, Alfonso; Escribano, José; Tamayo, Juan; Martin, Lope

doi:10.1016/s0022-5347(01)65041-9

Cited by 107 publications

(86 citation statements)

References 20 publications

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“…The disease can be confused with tumors. Therefore, during surgery, complications such as unexpected cyst ruptures and anaphylactic reactions can develop (13,14). As confirmed by our study, the consideration of CE in the etiology of patients with renal cysts is important for the prevention of potential intraoperative complications.…”

Section: Discussionsupporting

confidence: 57%

Evaluation of Patients with Cystic Echinococcosis

Türkoğlu¹,

Demirtürk²,

Tünay³

et al. 2017

TurkiyeParazitolDerg

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Objective: Cystic echinococcosis (CE) is a globally prevalent zoonotic disease. Methods: Demographic, clinical, laboratory, and follow-up data of patients between May 2009 and 2015 were retrospectively analyzed by screening data from a hospital automation system. Results: A total of 238 (females, n=139 and males, n=99) patients with a mean age of 40.6±20.58 years were included. Less than half (40.8%) of the patients were living in the countryside. Hepatic involvement of CE was most frequently (72.2%) seen. A majority (75.6%) of the patients were symptomatic, but abdominal pain was the most frequently seen symptom. For diagnosis, in all patients, imaging modalities were used, while in 66% of the patients, serological methods were also employed. The patients received both medical and surgical treatments (78.5%, n=187), only surgical treatment (10.5%, n=25), or only medical treatment (8.8%, n=21). Surgical treatment was performed for patients with hepatic (n=139/176, 80.6%), pulmonary (n=78/94, 82.9%), splenic (n=7/9; 77.7%), and mesenteric (n=6/7, 85.1%) cysts, and patients cases with brain, bone, muscle, omentum, bladder, and adrenal cysts had undergone surgical intervention. Conclusion: Publication of regional data is important in terms of epidemiological considerations and may aid in the formulation of standard treatment approaches. En sık tutulan organ karaciğer (%72,2) idi. Hastaların %75,6'sı semptomatik olup en sık görülen semptom karın ağrısı idi. Tanıda tüm hastalarda görüntüleme yöntemine başvurulurken, %66' sında serolojik yöntem de kullanılmıştı. Hastaların % 78,5'i (n=187) hem medikal hem cerrahi tedavi, %10,5'i (n=25) yalnız cerrahi tedavi, %8,8'i (n=21) ise yalnız medikal tedavi almıştı. Karaciğer tutulumu saptanan 173 hastanın %80,6'sına (n=139), akciğer tutulumu saptanan 94 hastanın %82,9'una (n=78), dalakta tutulum saptanan 9 hastanın %77,7' sine (n=7), mesenterde kist saptanan 7 hastanın %85,1'ine (n=6); beyin, kemik, kas, omentum, mesane ve sürrenalde kist saptananların ise tümüne cerrahi uygulandığı tespit edildi. Sonuç: Bölgesel verilerin yayınlanması, epidemiyolojik açıdan önem taşıdığı gibi standart tedavi algoritmalarının oluşturulmasına yardımcı olabilir.

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Section: Discussionsupporting

confidence: 57%

Evaluation of Patients with Cystic Echinococcosis

Türkoğlu¹,

Demirtürk²,

Tünay³

et al. 2017

TurkiyeParazitolDerg

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“…We also assumed that the proportion of CE cases with surgery followed a triangular distribution -with parameters of 68%, 95% and 100% -as specified in five Spanish studies of hospitalized CE cases. [23][24][25][26][27] Data on the type of surgical intervention undertaken among surgical cases were obtained from the same sources. The burden associated with recurrence was captured in the "per intervention cost" of each surgical case.…”

Section: Human Epidemiological Parametersmentioning

confidence: 99%

Analysis of the economic impact of cystic echinococcosis in Spain

Benner

Carabin

Sánchez-Serrano

et al. 2010

Bull World Health Org

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Objective To estimate the overall economic losses due to human and animal cystic echinococcosis (CE) in Spain in 2005. Methods We obtained data on annual CE incidence from surveillance and abattoir records, and on CE-related treatment and productivity losses (human and animal) from the scientific literature. Direct costs were those associated with diagnosis, surgical or chemotherapeutic treatment, medical care and hospitalization in humans, and condemnation of offal in livestock (sheep, goats, cattle and pigs). Indirect costs comprised human productivity losses and the reduction in growth, fecundity and milk production in livestock. The Latin hypercube method was used to represent the uncertainty surrounding the input parameters. Findings The overall economic loss attributable to CE in humans and animals in 2005 was estimated at 148 964 534 euros (€) (95% credible interval, CI: 21 980 446-394 012 706). Human-associated losses were estimated at €133 416 601 (95% CI: 6 658 738-379 273 434) and animal-associated losses at €15 532 242 (95% CI: 13 447 378-17 789 491). Conclusion CE is a neglected zoonosis that remains a human and animal health concern for Spain. More accurate data on CE prevalence in humans (particularly undiagnosed or asymptomatic cases) and better methods to estimate productivity losses in animals are needed. CE continues to affect certain areas of Spain, despite several control initiatives since 1986. Given the high economic burden of CE, additional funding is needed to reduce human and animal infection rates through improved disease surveillance, regular treatment of dogs and greater cooperation between agencies.Une traduction en français de ce résumé figure à la fin de l'article. Al final del artículo se facilita una traducción al español. ‫املقالة.‬ ‫لهذه‬ ‫الكامل‬ ‫النص‬ ‫نهاية‬ ‫يف‬ ‫الخالصة‬ ‫لهذه‬ ‫العربية‬ ‫الرتجمة‬

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“…Results of simple aspiration are associated with very high recurrence rate (upto 90 %). [13][14][15][16] Total or partial Nephrectomy is recommended when the hydatid cyst lesions breaking into the collecting system, rupture, infection and a serious kidney injury. [17][18][19] Radical surgery included pericystectomy for the renal hydatid and partial Nephrectomy.…”

Section: 3mentioning

confidence: 99%