Berberian Griselda, Rosanova Teresa, Inda Laura, Sarkis Claudia, Questa Horacio, Paulin Patricia, Costa Marina, Taicz Moira
Servicio de Epidemiología e Infectología del Hospital de Pediatría "Prof. Dr. Juan P. Garrahan", Ciudad Autónoma de Buenos Aires, Argentina.
Servicio de Cirugía del Hospital de Pediatría "Prof. Dr. Juan P. Garrahan", Ciudad Autónoma de Buenos Aires, Argentina.
Arch Argent Pediatr. 2017 Jun 1;115(3):282-286. doi: 10.5546/aap.2017.eng.282.
Echinococcosis is a zoonotic disease that is widely spread across Argentina and worldwide. It is acquired during childhood but it is more common during adulthood. The pediatric population accounts for 10-20% of all cases. This study included 47 children diagnosed with echinococcosis over a 20-year period. Their median age was 8 years old (range: 3-17); most patients had some epidemiological history, such as having lived or living in an endemic or rural area and/ or having dogs that are fed with viscera. Findings included 85% of single cysts in only one parenchyma. Cysts were most commonly located in the liver and lungs. Medical/surgical treatment was carried out in 45 patients (96%). Subsequent complications were observed in 13 patients (28%), which were more common in those with lung cysts. Three patients (6%) relapsed 1-24 months later and required a new surgery. No patient died as a result of the parasitic disease.
棘球蚴病是一种人畜共患疾病,在阿根廷及全球广泛传播。该病在儿童期感染,但在成年期更为常见。儿科患者占所有病例的10%-20%。本研究纳入了20年间确诊的47例棘球蚴病儿童患者。他们的中位年龄为8岁(范围:3-17岁);大多数患者有一些流行病学史,如曾居住或现居住在地方病流行区或农村地区,和/或喂养过用内脏喂食的狗。检查结果显示,85%的患者仅在一个实质器官中有单个囊肿。囊肿最常见于肝脏和肺部。45例患者(96%)接受了内科/外科治疗。13例患者(28%)出现了后续并发症,在肺囊肿患者中更为常见。3例患者(6%)在1-24个月后复发,需要再次手术。没有患者因寄生虫病死亡。