Paredes Sebastián, Torres Jorge, Muena Patricia, Schnettler David
Medwave. 2014 Dec 15;14(11):e6053. doi: 10.5867/medwave.2014.11.6053.
Hydatidosis is a parasitic zoonosis of the genus Echinococcus that infects herbivores and humans in its larvae stage (hydatid). Pediatric hydatidosis usually presents with involvement of the lung, in contrast to the adult clinical picture. Therefore, hepatopulmonary hydatidosis is an unusual entity in children. A clinical case is presented, along with a short review of available literature. A thirteen-year-old male child, who lives in Cauquenes, a rural area of Central Chile, presents with three months of cough, fever, malaise, and an abdominal mass. Imaging reveals multiple cystic images, located mostly in the right lung and the liver. The patient is started on albendazole (15 mg/kg/day) and transferred to the Pediatric Surgery Unit in Hospital de Talca. He underwent thoracotomy and laparotomy for the removal of the hydatid cysts. He recovered from surgery and continued his pharmacological treatment. Hydatidosis is a public healthcare problem, and a major cause of morbidity and mortality. It can be asymptomatic; thus, its diagnosis requires a high level of suspicion.
包虫病是一种由棘球绦虫属引起的寄生虫人畜共患病,其幼虫阶段(包虫)会感染食草动物和人类。与成人临床表现不同,小儿包虫病通常表现为肺部受累。因此,肝肺包虫病在儿童中是一种不常见的病症。本文报告一例临床病例,并对现有文献进行简要综述。一名13岁男童,居住在智利中部农村地区考克内斯,出现咳嗽、发热、不适和腹部肿块3个月。影像学检查显示多个囊性影像,主要位于右肺和肝脏。患者开始服用阿苯达唑(15毫克/千克/天),并被转至塔尔卡医院小儿外科。他接受了开胸手术和剖腹手术以切除包虫囊肿。术后康复并继续药物治疗。包虫病是一个公共卫生问题,是发病和死亡的主要原因。它可能无症状;因此,其诊断需要高度怀疑。