Buscar

Estamos realizando la búsqueda. Por favor, espere...

Echinococcosis: A 15-year epidemiological, clinical and outcome overview

Abstract: Objective: Epidemiological and clinical characteristics and mortality of patients with cystic echinococcosis (CE) in northern Spain. Patients and methods: A retrospective study of the medical records of patients diagnosed with CE and hospitalized from 1997 to 2011 in a University Hospital. Results: A total of 76 patients (44 men) were diagnosed with CE. The mean age was 57.8 years (SD: 19.1 years; range: 14.9?92.7). The yearly average incidence was 1.08 cases/100,000 inhabitants. The highest incidence was registered in patients aged 70?79 years (22.7% of all cases). Liver was the main organ involved (92.1%), followed by lung (6.6%) and peritoneum (1.3%). Fifty-five patients (72%) received treatment: 2 (3.6%) medical treatment with albendazole, 27 (49%) surgical treatment, 3 (5.4%) medical treatment combined with cyst drainage, and 23 (42%) combined medical and surgical treatment. Eight patients had a recurrence. Twenty-four (31.2%) patients died. No patient's death was attributed directly to hydatidosis, though mortality was significantly higher in the untreated vs. the treated patient group (57% vs. 22%, p = 0.003). Conclusions: Hydatidosis treatment and diagnostic approaches remain heterogeneous. The liver continues being the main organ affected. Mortality was higher in patients who did not receive treatment. However, this result might have been influenced by other factors, mainly age.

 Autoría: Carlos Antonio Amado Diago; M. Gutiérrez Cuadra; Carlos Armiñanzas Castillo; Francisco Arnáiz de las Revillas Almajano; Manuel Gómez Fleitas; María del Carmen Fariñas Álvarez

 Fuente: Revista Clínica Española, 2015, 215(7), 380-384

 Editorial: Elsevier

 Fecha de publicación: 01/10/2015

 Nº de páginas: 5

 Tipo de publicación: Artículo de Revista

 DOI: 10.1016/j.rce.2015.05.003

 ISSN: 0014-2565,1578-1860,2254-8874

 Url de la publicación: https://doi.org/10.1016/j.rce.2015.05.003

Autoría

MANUEL GUTIERREZ CUADRA

CARLOS ARMIÑANZAS CASTILLO

MANUEL GOMEZ FLEITAS