CYSTIC ECHINOCOCCOSIS IN CHILDREN: A 5 YEAR RETROSPECTIVE ANALYSIS AT TIKUR ANBESSA SPECIALIZED TEACHING HOSPITAL, ADDIS ABABA, ETHIOPIA

Tinsae Alemayehu; Workeabeba Abebe

Tinsae Alemayehu
Workeabeba Abebe

Abstract

Background: Cystic echinococcosis (hydatid cyst) is one of the neglected tropical diseases diagnosed in Ethiopian children. The aim of our study was to describe characteristics of pediatric hydatid cyst admissions to Tikur Anbessa Specialized Teaching Hospital.
Methods: We reviewed records of 17 pediatric admissions with a diagnosis of hydatid cyst over a 5 year period (September 2010 – September 2015). We analyzed the socio-demographic characteristics, clinical presentations, and diagnostic features of the children and also studied their treatment outcomes and associated complications.
Results: The average age of the children was 7 years and 2 months. The most common location identified for the cysts were the lungs (13 patients). The most common chief complaints were cough and chest pain. The average size of cysts was 6.35 cm in diameter. The most common complications were super-infected cysts. All recovered with a combination of Albendazole and surgical treatment.
Conclusions: Cysts were commonly diagnosed in the lungs and male children outnumber females. Early presenta-tion and diagnosis of CE prevents associated complications. This study also raises awareness of this neglected illness as a cause of chronic respiratory or abdominal complaints in Ethiopian children.

Downloads

Download data is not yet available.

References

Kassa S (2012). Cystic hydatidosis in Ethiopia: a review. Scientific journal of crop science (2012) 1(1) 1-8.Montazeri V, Sokouti M, Rashidi M (2007). Comparison of pulmonary hydatid disease be-tween children and adults. Tanaffos 2007;6:13-8 Santivanez S, Garcia HH (2010). Pulmonary cystic echinococcosis.CurrOpinPulm Med 2010;16:257-61 Mirshemirani A, Razavi S, Sadeghian S (2009). Surgical treatment of pulmonary hydatid cyst in 72 children. Tanaffos 2009; 8:56-61. Deribe K, Meribo K, Gebre T, Hailu A, Ali A, Aseffa A et al (2012) The burden of neglect-ed tropical diseases in Ethiopia, and opportunities for integrated control and elimina-tion.Parasites & Vectors 2012, 5:240.Kliegman R, Stanton B, St Geme J, Schor N (2011). Nelson textbook of Pediatrics 19th edi-tion, Elsevier Saunders press. Khalif M, Altaie L, Alfaham M (2014) – The incidence of hydatid cyst among humans in Baghdad governorate, Iraq. Journal of pharmacy and biological sciences 2014; 9: 2278 - 3008. Assefa H, Mulate B, Nazir S, Alemayehu A (2015) – CE among small ruminants and hu-mans in Central Ethiopia. Onderstepoort Journal of Veterinary Research82(1).Andronikou S, Welma C, Kader E (2002) - Classic and unusual appearances of hydatid dis-ease in children. Ped Radiology 2002, 32: 817 – 828. slanabadi S, Zarrintan S, Abdoli-Oskouei, Salehpour F, Zarrintan A, BeheshtirouyS et al (2013) – Hydatid cyst in children: A 10 yr experience from Iran; Afr J of pedsurg 10: 140 – 144 2013