Hidatidosis pulmonar: características, manifestaciones clínicas y tratamiento en pacientes hospitalizados en Concepción, Región del Biobío, Chile
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 and Methods: Review of databases, medical reco...
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Sociedad Médica de Santiago
2020
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oai:scielo:S0034-988720200006007622020-09-29Hidatidosis pulmonar: características, manifestaciones clínicas y tratamiento en pacientes hospitalizados en Concepción, Región del Biobío, ChileGonzález L.,RobertoRiquelme U.,AlejandraReyes M.,RodrigoAlarcón O.,FelipeSpencer L.,LoretoBarra M.,SebastiánSeguel S.,EnriqueStockins L.,AleckJadue T.,AndrésSaldivia Z.,DiegoSchaub C.,AndrésAlarcón C.,Emilio Echinococcosis Pulmonary Lung Diseases Parasitic Diseases Thoracic Surgery Zoonoses 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 and Methods: 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.6 20202020-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000600762es10.4067/S0034-98872020000600762 |
| institution |
Scielo Chile |
| collection |
Scielo Chile |
| language |
Spanish / Castilian |
| topic |
Echinococcosis Pulmonary Lung Diseases Parasitic Diseases Thoracic Surgery Zoonoses |
| spellingShingle |
Echinococcosis Pulmonary Lung Diseases Parasitic Diseases Thoracic Surgery Zoonoses González L.,Roberto Riquelme U.,Alejandra Reyes M.,Rodrigo Alarcón O.,Felipe Spencer L.,Loreto Barra M.,Sebastián Seguel S.,Enrique Stockins L.,Aleck Jadue T.,Andrés Saldivia Z.,Diego Schaub C.,Andrés Alarcón C.,Emilio Hidatidosis pulmonar: características, manifestaciones clínicas y tratamiento en pacientes hospitalizados en Concepción, Región del Biobío, Chile |
| description |
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 and Methods: 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. |
| author |
González L.,Roberto Riquelme U.,Alejandra Reyes M.,Rodrigo Alarcón O.,Felipe Spencer L.,Loreto Barra M.,Sebastián Seguel S.,Enrique Stockins L.,Aleck Jadue T.,Andrés Saldivia Z.,Diego Schaub C.,Andrés Alarcón C.,Emilio |
| author_facet |
González L.,Roberto Riquelme U.,Alejandra Reyes M.,Rodrigo Alarcón O.,Felipe Spencer L.,Loreto Barra M.,Sebastián Seguel S.,Enrique Stockins L.,Aleck Jadue T.,Andrés Saldivia Z.,Diego Schaub C.,Andrés Alarcón C.,Emilio |
| author_sort |
González L.,Roberto |
| title |
Hidatidosis pulmonar: características, manifestaciones clínicas y tratamiento en pacientes hospitalizados en Concepción, Región del Biobío, Chile |
| title_short |
Hidatidosis pulmonar: características, manifestaciones clínicas y tratamiento en pacientes hospitalizados en Concepción, Región del Biobío, Chile |
| title_full |
Hidatidosis pulmonar: características, manifestaciones clínicas y tratamiento en pacientes hospitalizados en Concepción, Región del Biobío, Chile |
| title_fullStr |
Hidatidosis pulmonar: características, manifestaciones clínicas y tratamiento en pacientes hospitalizados en Concepción, Región del Biobío, Chile |
| title_full_unstemmed |
Hidatidosis pulmonar: características, manifestaciones clínicas y tratamiento en pacientes hospitalizados en Concepción, Región del Biobío, Chile |
| title_sort |
hidatidosis pulmonar: características, manifestaciones clínicas y tratamiento en pacientes hospitalizados en concepción, región del biobío, chile |
| publisher |
Sociedad Médica de Santiago |
| publishDate |
2020 |
| url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000600762 |
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