Hidatidosis pulmonar: características, manifestaciones clínicas y tratamiento en pacientes hospitalizados en Concepción, Región del Biobío, Chile / Features of pulmonary hydatidosis in 368 patients admitted to a regional hospital
Rev. méd. Chile
;
148(6): 762-771, jun. 2020. tab, graf
Article
in Spanish
| LILACS
| ID: biblio-1139369
ABSTRACT
Background:
Lungs are the second location in frequency of hydatidosis or cystic echinococcosis.Aim:
To characterize the clinical manifestations, diagnosis, findings and treatment of patients hospitalized for a pulmonary hydatid cyst (PHC). Materials andMethods:
Review of databases, medical records, operation notes and death certificates of patients admitted to a Chilean regional hospital with a PHC.Results:
Four hundred twenty-nine cases were identified and complete data was obtained from 368 patients aged 34 ± 19 years, 224 (60,9%)men. The most common clinical manifestations were cough in 269 (73%) and chest pain in 217 (59%). The most frequent locations were the right lung in 210 (57%) and lower lobes in 218 (59%). One hundred eighty-seven cysts (51%) were complicated. Conservative surgery (cystectomy) was performed in 308 (84%). Postoperative morbidity was observed in 77 (21%) and mortality in 6 (2%) patients. Recurrence was observed in 28 (8%) patients. There was a significant reduction in morbidity, mortality, reoperations, and postoperative days over time.Conclusions:
In these patients, pulmonary hydatidosis was diagnosed mainly during working ages and half of patients had a complicated cyst.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Echinococcosis, Pulmonary
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2020
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Hospital Clínico Regional de Concepción Dr. Guillermo Grant Benavente/CL
/
Universidad de Concepción/CL
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