Hydatid disease in children: a single centre study with analysis of treatment protocol

Authors

  • Atul Mishra Department of Surgery, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India
  • Kalpesh Patel Department of Surgery, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2349-2902.isj20202601

Keywords:

Albendazole, Capittonage, Hydatid cyst, PAIR

Abstract

Background: Hydatid disease or hydatidosis is a zoonosis which is still an important health hazard in the world. This disease is a parasitic infestation which is endemic in many sheep and cattle raising areas of the world including India. The aim of this study was to evaluate the clinical features, diagnosis, and treatment of hydatid cyst in pediatric population.

Methods: This prospective study evaluated 32 pediatric patients with hydatid cyst who were treated at Geetanjali Hospital, Udaipur from 2016-2018. Medical records of these patients were studied and analyzed.

Results: 32 cases were in the age group of 7 to 14 years and were from rural background/ farming community and of low socioeconomic status. Male children, lungs were predominantly involved. Cattle rearing were common to the households of all patients. Ultrasonography and computed tomography scan were done in all patients and was the main diagnostic modality. All cases were managed surgically along with albendazole therapy and had complete recovery with no recurrence till date in any of our patients.

Conclusions: Hydatid disease is not rare in the pediatric age group. The liver and lung are commonly involved, but it may also present as primary disease in unusual sites like the spleen and brain. Careful surgery to avoid spillage with full course of drug therapy with albendazole can ensure permanent cure. A 28 day post-operative course was sufficient in majority of the cases. The disease can be prevented by proper community based measures like availability of clean water, sanitation and drug prophylaxis.

Author Biographies

Atul Mishra, Department of Surgery, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India

consultent pediatric surgeon

Kalpesh Patel, Department of Surgery, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India

resident, general surgery

References

Nandu VV, Pothare AN, Deshpande AV. Hydatid disease in lung. Int Surg J. 2016;3:1570-3.

Illuri HR, Souza CD, Dias EAI, Das PP. Hydatid disease: a two year retrospective study in a tertiary care centre in South India. Int Surg J. 2018;5:602-7.

Montazeri V, Sokuti M, Rashidi HR. Comparison of pulmonary hydatid disease between children and adult. Tanaffos. 2007;6(1):13-8.

Talaiezadeh A, Maraghi SH. Hydatid disease in Children: A different pattern than adults. Pak J Med Sci. 2006;22(3):329-32.

Rattan KN, Sharma A. Hydatid disease in children. Indian J Chest Dis Allied Sci. 1998;40(1):73-7.

Tantawy IM. Hydatid cysts in children. Ann Pediatr Surg. 2010;6(2):98-104.

Kamble MA, Thawait AP, Kamble AT. Hydatid cyst in the past and the present. J Evol Med Dent Sci. 2014;3(18):4886-902.

Venukumar R. Clinical presentation of hydatid cyst of liver: dsescriptive study. Int Surg J. 2017;4(1):214-6.

Duman K, Girgin M, Hamcan S. Uncomplicated hydatid cysts of the liver: clinical presentation, diagnosis and treatment. J Gastrointest Dig Syst. 2016;6(430):2.

Gole S, Gole G, Stayanaratana V. Unusual presentation of hydatid cyst: A case series with review of literature. Internet J Parasit Dis. 2013;6(1).

Sayek I, Tirnaksiz B, Dogan R. Cystic hydatid disease: current trends in diagnosis and management. Surg Today. 2004;34:987-96.

Safioleas M, Misiakos E, Manti C, Katsikas D, Skalkeas G. Diagnostic evaluation and surgical management of hydatid disease of the liver. World J Surg. 1994;18:859-65.

Williams N, O'Connell PR, McCaskie A. Bailey and Love, Short Practice of surgery. 26th edn. CRC Press; 2013:74-78.

Kliegman RM, Stanton BMD, St. Geme J, Schor NF, Behrman RE. Nelson Textbook of Pediatrics. 19th edn. Elsevier Saunders; 2011: 1234-1239.

Golzari SEJ, Sokouti M. Pericyst: the outermost layer of hydatid cyst. World J Gastroenterol. 2014;20(5):1377-8.

Fahimzad A, Karimi A, Tabatabaei SR, Armin S, Ghanaei RM, Fallah F, et al. Overview of hydatid disease in Iranian children. Arch Pediatr Infect Dis. 2015;3(3);e30084.

Mirshemirani A, Khaleghnejad A, Kouranloo J, Sadeghian N, Rouzrokh M, Yeganeh SH. Liver hydatid cyst in Children. Iran J Pediatr. 2011;21(3):385-9.

Kir A, Baran E. Simultaneous operation for hydatid cyst of right lung and liver. Thorac Cardiovasc Surg. 1995;43:62-4.

Sarkar M, Pathania R, Jhobta A, Thakur BR, Chopra R. Cystic pulmonary hydatidosis. Lung India. 2016;33(2):179.

Oral A, Yigiter M, Yildiz A, Yalcin O, Dikmen T, Eren S, et al. Diagnosis and management of hydatid liver disease in children: a report of 156 patients with hydatid disease. J Pediatr Surg. 2012;47(3):528-34.

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Published

2020-06-25

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Original Research Articles