The epidemiology and clinical presentation of hydatid cyst disease in patients in Imam, Sina, Shariati and paediatric medical centre hospitals between 1372 and 1382

Abstract number: p1033

Abdi Liae  Z., Soudbakhsh  A., Solemani  M., Kiyani  K.

Background: 

Hydatid disease is a zeonotic disease and the most serious disease in human. It's an important hygienic problem in any area of the world. It's endemic in Iran, because it's possible for parasite to continue its life cycle. So it must be in the differential diagnosis list of any patient with cystic lesion.

Methods: 

We reviewed the epidemiology and clinical presentation of 300 patients that admitted and treated in the Imam, Sina, Shariati and Paediatric medical centre hospitals because of hydatic disease.

Results: 

• The disease involves person in the 3rd and 4th decade.

• There is not any sex preference.

• Householder women are the most patient group.

• Most patient's live in the city.

• The most common involved organ is liver and then lung.

• In liver the right lobe is involved more than left lobe.

• In lung the left lower lobe is involved more than the others.

• Kidney, CNS, bone, heart, spleen are other organ that involved rarely.

• Laboratory changes are not meaningful but in some patients eosinophilia may be helpful for diagnosis.

• In our patient's and in this research CT scan was the most useful modality for diagnosis.

• The other helpful diagnosis options are hydatid serology (IFA)

• Surgery was therapeutic choice for most patients.

• Disease had same seasonal distribution and no time preference was seen.

• The infection of the cyst was the most common complication.

Conclusion: 

Hydatidosis has a low mortality rate but because of the chronicity of the disease it has a high morbidity rate. So it's important to diagnose it early and treat it as soon as possible. For this reason in any patient with symptoms and signs that rise or suspicion to space occupying lesion, hydatidosis must be one of the major disease we think about and rule it out or prove it with appropriate modality.