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Abstract：
The clinical manifestations of hydatidosis are various and related to anatomic location. Defining frequent symptoms and signs of the disease is imperative for early management of it. The aim of this report was to analyse the clinical features of infected children with hydatid cysts located in different organs. In this study, medical charts of 57 children between 3 and 16 years of age with hydatid cyst admitted to Pediatric Wards of Nemazee Hospital were evaluated over a 12 year period (from 2003 to 2014, prospectively). All the epidemiologic, clinical, paraclinical and therapeutic data were collected. The frequencies of hydatidosis in males and females were 42.1 and 56.1%, respectively. Hydatid cysts were found in the liver and lungs in 59.6 and 33.3% patients respectively and 2 patients had an asymptomatic cyst in the heart with concomitant liver and lung cysts. The right upper quadrant pain (100%) was the most common symptom in the liver cysts. Phlegm (78.9%), Dyspnea (57.9%), acute (47.4%) and chronic cough (47.4%) were mostly seen in lung hydatid cysts. Some symptoms such as fever (68.4%) and weakness (59.6%) were the most common presenting symptoms in both groups. All children were treated through surgical approaches plus medical treatment. In the present report, liver was the most common site of involvement in children. Liver hydatidosis should be considered in children with upper quadrant pain and pulmonary hydatidosis in children complaining of phlegm and dyspnoea.
摘要：
包虫病的临床表现多种多样，与解剖位置有关。定义频繁的症状和体征的疾病是必要的早期管理。本报告的目的是分析位于不同器官的包虫囊肿感染儿童的临床特征。在这项研究中,对Nemazee医院儿科病房收治的57名3至16岁包虫囊肿儿童的病历进行了为期12年的评估(从2003年至2014年,前瞻性).所有的流行病学，临床,收集临床和治疗数据。男性和女性包虫病的发生率分别为42.1％和56.1％，分别。分别在59.6％和33.3％的患者的肝脏和肺中发现了包虫囊肿，2例患者的心脏无症状囊肿并伴有肝和肺囊肿。右上腹疼痛（100％）是肝囊肿最常见的症状。痰(78.9%),呼吸困难（57.9%），急性（47.4％）和慢性咳嗽（47.4％）多见于肺包虫囊肿。一些症状如发热（68.4%）和虚弱（59.6%）是两组中最常见的症状。所有儿童均通过手术入路加药物治疗。在本报告中，肝脏是儿童最常见的受累部位.对于患有上腹疼痛和肺部包虫病的儿童，应考虑肝包虫病。抱怨痰和呼吸困难。
