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阿曼苏丹卡布斯大学医院12年期间囊性棘球蚴病病例系列

Case Series of Cystic Echinococcosis Over a Twelve-year Period at Sultan Qaboos University Hospital, Oman.

作者信息

Hassan Kowthar Salman, Al Balushi Asma, Wazir Hashim Ba, Al Adawi Badriya

机构信息

Infectious Diseases Unit, Department of Medicine, Sultan Qaboos University Hospital, Muscat, Oman.

Department of Immunology and Microbiology, Sultan Qaboos University Hospital, Muscat, Oman.

出版信息

Oman Med J. 2023 Mar 31;38(2):e482. doi: 10.5001/omj.2023.61. eCollection 2023 Mar.

Abstract

OBJECTIVES

Cystic echinococcosis is a worldwide zoonosis that is endemic in many countries including some in the Middle East. Exact prevalence rates for human echinococcosis are unknown for Oman.

METHODS

Following obtaining ethical approval, data from January 2010 to December 2021 were retrieved from hospital electronic records of Sultan Qaboos University Hospital, Muscat.

RESULTS

Over a 12-year period we saw nine cases of hydatid disease; two cases in females and seven cases in males. The median age of our patients was 31 years old. Four patients had pulmonary cysts, four had hepatic cysts, and one patient had pulmonary and hepatic cysts. The majority of patients were from the Ad Dakhiliyah governorate. Contact with animals was reported by three patients, denied by two, and unknown for four. Albendazole was prescribed to three patients with pulmonary cysts that subsequently ruptured reflecting the unfamiliarity of clinicians to best manage pulmonary hydatid cysts.

CONCLUSIONS

The prevalence of cystic echinococcosis in Oman is unknown but appears rare. For optimal management of this disease, clinicians must become more aware of its diagnosis and management.

摘要

目的

囊性棘球蚴病是一种全球性人畜共患病,在包括中东一些国家在内的许多国家呈地方性流行。阿曼人类棘球蚴病的确切患病率尚不清楚。

方法

在获得伦理批准后,从马斯喀特苏丹卡布斯大学医院的医院电子记录中检索了2010年1月至2021年12月的数据。

结果

在12年期间,我们共诊治了9例包虫病病例;其中女性2例,男性7例。患者的中位年龄为31岁。4例患者有肺囊肿,4例有肝囊肿,1例患者既有肺囊肿又有肝囊肿。大多数患者来自达希利耶省。3例患者报告与动物有接触,2例否认,4例情况不明。3例肺囊肿患者使用了阿苯达唑,随后囊肿破裂,这反映出临床医生对肺包虫囊肿的最佳管理并不熟悉。

结论

阿曼囊性棘球蚴病的患病率尚不清楚,但似乎较为罕见。为了对这种疾病进行最佳管理,临床医生必须更加了解其诊断和管理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e404/10039982/81cadf689f18/OMJ-38-02-2200747-f1.jpg

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