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Extra-hepatopulmonary cystic echinococcosis in Bulgaria: frequency, management and outcome of the disease

机译:保加利亚的超肝囊性超声波功能亢进:疾病的频率,管理和结果

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摘要

In the endemic countries, human cystic echinococcosis (CE) poses a serious medical and social problem. Because it most often affects the liver and lungs we aimed to define the proportion of cases with different organ localization, the diagnostic and therapeutic approaches in such cases, and the outcome of them. For a period 2010-2019,a total of 2863 cases of CE were registered in Bulgaria, of which 148 (5.17%) with organ localization other than liver and/or lung. The majority of patients with extra-hepatopulmonary localization of CE were adults. The distribution by gender showed predominance of female patients (57.43%) over those of males and primary cases (85.14%) exceeded the cases of recurrence. According to our study most common is the spleen involvement, followed by involvement of the abdominal cavity, kidneys and muscle/subcutaneous tissue. Other extra-hepatopulmonary organ localizations are significantly less common. This study shows that the extra-hepatopulmonary localization of CE is not so rare, and in most cases it is a primary disease. In respect of this, clinicians should consider hydatidosis in the differential diagnosis when cystic formation(s) is found, regardless of the organ involved.
机译:在流行国家,人类囊性包虫病(CE)构成了严重的医学和社会问题。由于它最常影响肝脏和肺部,我们旨在确定不同器官定位的病例比例、此类病例的诊断和治疗方法以及结果。2010-2019年间,保加利亚共登记了2863例CE病例,其中148例(5.17%)为肝脏和/或肺以外的器官定位。肝外肺定位的CE患者大部分为成人。性别分布显示女性患者(57.43%)多于男性,原发病例(85.14%)多于复发病例。根据我们的研究,最常见的是脾脏受累,其次是腹腔、肾脏和肌肉/皮下组织受累。其他肝肺外器官定位明显不常见。这项研究表明,CE的肝外肺定位并不罕见,在大多数情况下,它是一种原发性疾病。在这方面,临床医生应考虑棘球蚴病的鉴别诊断时,囊性结构(S)被发现,无论涉及器官。

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