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Ultima descărcare din IBN: 2022-01-05 01:01 |
SM ISO690:2012 PETROVICI, Virgil, BABUCI, Stanislav. Infecţia hidatică umană: consideraţiuni evolutive ale hidatidozei chistice hepatice la copil. In: Buletin de Perinatologie, 2012, nr. 3, pp. 50-57. ISSN 1810-5289. |
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Buletin de Perinatologie | ||||||
Numărul 3 / 2012 / ISSN 1810-5289 | ||||||
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Pag. 50-57 | ||||||
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Rezumat | ||||||
Background. Pediatric echinococcosis present increased frequency of 12.1-33.0% cases annually in human hidatidosis
morbidity surgically solved. This fact is a conclusive argument for conducting studies on evolutionary features
of hidatidosis in children.
Material and methods. The study is based on retrospective and prospective analysis of 394 cases of clinical and
pathological cystic hidatidosis solved surgically in children aged 2-18 years.
Results and discussion. The analysis was performed in children with cystic hidatidosis of the liver. It was established
a high frequency of primary hidatidosis in 86.5% cases, including 76.1% cases of high prevalence of isolated
forms, compared with 10.4% cases of associated forms. The recurrent forms of the disease were recorded in 13.5%
cases, including isolated hepatic lesions in 11.0% cases and polyorganic injuries in 2.5% cases. The associated forms
were identifi ed in 12.9% cases and the major part presented liver and lung hidatidosis association in 49.0% cases of
primary infection and in 11.8% cases of recurrent forms. In relation to the children’s age the hidatidosis had a higher
frequency in schoolchildren of 6-12 years (45.2%) and pre-teens children of 12-15 years (29.7%). The multiple cysts
was an evolutionary feature identifi ed in these children, being more common in children aged 2-12 years (42.7% cases)
compared with adolescents of 12-15 years (25.6% cases).
Conclusion. Cystic hidatidosis disease in children is a resistant parasitic infection with high recurrence in 78.7%
cases. Hidatidosis present frequently an asymptomatic evolution, including advanced forms and serious complications
associated with a recurrence frequency of 5.8-24.5% cases annually. |
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