Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi, Tıbbi Mikrobiyoloji Anabilim Dalı, Konya, Türkiye
Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi, Radyoloji Anabilim Dalı, Konya, Türkiye
Turkiye Parazitol Derg. 2021 Mar 2;45(1):22-27. doi: 10.4274/tpd.galenos.2020.7045.
Cystic echinococcosis (CE) is a common public health concern in Turkey. In this study, we investigated the agreement between the results of radiological imaging methods and serological tests through a 5-year retrospective evaluation in patients admitted to a university hospital with a suspicion of CE so as to determine the frequency of CE in the study region.
The indirect hemagglutination test (IHA) results of 1.046 patients obtained from various clinics with the suspicion of CE between January 2014 and December 2018 were retrospectively analysed. Of these, patients with at least one radiological imaging report in the system (938 patients) were included in the study. Radiological imaging findings and IHA test results were compared and examined.
Seropositivity was detected by IHA test in 143 (15.2%) of 938 patients included in the study. The CE findings were recorded in at least one radiological imaging report in 130 (90.9%) of 143 patients with positive IHA test. At least one of the radiological imaging reports suggested presence of CE in 362 (38.5%) of all the patients.
Thus, serological test and radiological imaging methods should be used in combination for the diagnosis of CE.
棘球蚴病（CE）是土耳其常见的公共卫生关注点。在这项研究中，我们通过对怀疑患有 CE 的患者进行为期 5 年的回顾性评估，调查了放射影像学方法和血清学检测结果之间的一致性，以确定研究区域内 CE 的频率。
回顾性分析了 2014 年 1 月至 2018 年 12 月期间来自多个诊所的 1046 例疑似 CE 患者的间接血凝试验（IHA）结果。其中，在系统中至少有一份放射影像学报告的患者（938 例）被纳入研究。比较并检查了放射影像学发现和 IHA 检测结果。
在纳入研究的 938 例患者中，通过 IHA 检测发现 143 例（15.2%）血清阳性。在 143 例 IHA 检测阳性的患者中，至少有 1 份放射影像学报告记录了 CE 发现。在所有患者中，至少有 1 份放射影像学报告提示存在 CE 的患者有 362 例（38.5%）。
因此，应将血清学检测和放射影像学方法结合用于 CE 的诊断。
