Hydatid cyst

包虫囊肿
  • 文章类型: Journal Article
    背景:棘球蚴病是一种由细粒棘球蚴和多房性棘球蚴引起的寄生虫病,被世界卫生组织列为被忽视的热带病。该疾病是发病和死亡的重要原因,尤其是在印度,澳大利亚,中国,土耳其,南美洲,中东,和东欧国家。文献计量分析是一种流行的研究趋势,它获得了评估所有关于一个特定主题的研究并强调该主题在文献中的重要性和地位的优势。通过这项研究,我们的目标是评估1945年至2024年间在WebofScience核心收藏数据库中有关尿路包虫病的所有全球已发表文献。
    方法:在2024年3月29日扫描了1945年至2024年之间在WebofScience核心收藏数据库中索引的所有文档。VOSviewer程序1.6.20和MSOfficeExcel2017程序用于正向分析。
    结果:获得了152个文件,其中102个在SCI扩展期刊上被索引。就文件总数而言,土耳其(21.71%)是领先的国家,其次是印度(21.05%),但印度出版物的引用率较高(21.77%)。就每份文件的平均引用次数而言,西班牙排名第一(19.33)。大多数文件是原始文章(78.29%)。OkanAkhan是最多产的作家,三个文件。引用最多的文献是由Angulo等人在1997年进行的。并收到74次引用。有七个出版物,泌尿外科病例报告是发表尿路包虫病文献最多的杂志。
    结论:用文献计量分析评估泌尿系统包虫病的研究,据了解,尽管多年来研究的数量逐渐增加,他们仍然低于预期。我们建议进行更多的研究,以确定包虫病的真正流行情况,并确保对该病进行更有效的管理,尤其是在流行的国家。
    BACKGROUND: Echinococcosis is a parasitic disease caused by Echinocccus granulosus and Echinococcus multilocularis and declared a neglected tropical disease by the World Health Organization. The disease is a significant cause of morbidity and mortality, especially in India, Australia, China, Turkey, South America, the Middle East, and Eastern European countries. Bibliometric analysis is a popular research trend that gains the advantage of evaluating all the studies about one specific topic and emphasizing the importance and place of the subject in the literature. With this study, we aim to evaluate all the global published literature in the Web of Science core collection database about urinary tract echinococcosis between 1945 and 2024.
    METHODS: All documents indexed in the Web of Science core collection database between 1945 and 2024 were scanned on March 29, 2024. VOSviewer program 1.6.20 and MS Office Excel 2017 programs were used for forward analysis.
    RESULTS: 152 documents were obtained, 102 of which were indexed in SCI-Expanded journals. Turkey (21.71%) was the leading country in terms of the total number of documents, followed by India (21.05%), but citations of Indian publications were higher (21.77%). Spain was in the first rank in terms of average citations per document (19.33). Most of the documents were original articles (78.29%). Okan Akhan was the most prolific author, with three documents. The most-cited document was conducted in 1997 by Angulo et al. and received 74 citations. With seven publications, Urology Case Reports was the journal that published the most documents on urinary tract echinococcosis.
    CONCLUSIONS: Evaluating the studies on urinary system echinococcosis with bibliometric analysis, it is understood that although the number of studies has gradually increased over the years, they are still less than expected. We recommend that more studies be conducted to determine the true prevalence of echinococcosis and ensure more effective management of the disease, especially in countries where it is endemic.
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  • 文章类型: Case Reports
    孤立的原发性diaphragm虫包虫病(HD)发生在大约1%的成人病例中。然而,这种小儿膈囊性肿块的独特表现以前在文献中没有描述。这项研究报告了一例12岁女孩的罕见病例,该女孩被诊断患有膈包虫囊肿。通过肋下切口手术探查发现一个孤立的囊肿,从胸部和腹部内脏。膀胱切开术,去除子囊肿,并切除了周膜腔,其次是膈肌修复。组织病理学检查证实了诊断。术后进展顺利,患者完成了为期8周的甲苯咪唑治疗方案,随访3个月时无复发。本文建议将HD纳入表现为膈肌病变的儿科患者的鉴别诊断中。特别是在包虫病流行地区。
    Isolated primary diaphragmatic hydatid disease (HD) occurs in approximately 1% of adult cases. However, this unique presentation of a pediatric diaphragmatic cystic mass has not been previously described in the literature. This study reports a rare case of a 12-year-old girl who was diagnosed with a diaphragmatic hydatid cyst. Surgical exploration via subcostal incision revealed an isolated cyst, free from the thoracic and abdominal viscera. Cystotomy, removal of daughter cysts, and excision of the pericyst cavity were performed, followed by diaphragmatic repair. Histopathological examination confirmed the diagnosis. The postoperative course was uneventful, and the patient completed an 8-week mebendazole regimen with no recurrence at 3 months\' follow-up. This paper recommends including HD in the differential diagnosis for pediatric patients presenting with diaphragmatic lesions, particularly in regions endemic for echinococcosis.
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  • 文章类型: Case Reports
    包虫囊肿病是由细粒棘球蚴引起的人畜共患疾病,在许多国家被认为是一个重大的健康问题,特别是地中海国家。肌肉骨骼系统中的包虫囊肿很少见,只有少数病例报告。这些通常作为继发性囊肿发生,这是由于原发部位的血源性传播引起的。
    本文报道了一例77岁男子的大腿肿块,4个月来一直在急剧增大,没有局部炎症的迹象,发烧,或任何其他症状。MRI的结果与大脓肿一致,所以在转诊前做了真切活检.手术后的病理研究显示病变是包虫囊肿,之前做的活检导致囊肿破裂.
    误诊包虫囊肿,特别是在非普通地区,可能会导致不受欢迎的活检和后果。
    本病例报告强调了在包虫包虫囊肿出现肿大时考虑包虫囊肿的重要性,无论其位置或增长率如何。
    UNASSIGNED: Hydatid cyst disease is a zoonotic disease caused by Echinococcus granulosus and is recognized as a significant health issue in many countries, particularly Mediterranean countries. Hydatid cysts in the musculoskeletal system are rare, with only a few reported cases. These usually occur as secondary cysts resulting from the hematogenous dissemination from primary sites.
    UNASSIGNED: This paper reports a case of a 77-year-old man with a mass in his thigh that had been increasing dramatically in size for 4 months with no signs of local inflammation, fever, or any other symptoms. Findings from an MRI were consistent with a large abscess, so a true-cut biopsy was taken before referral. A pathological study after surgery revealed the lesion was a hydatid cyst, and a previously performed biopsy caused a rupture of the cyst.
    UNASSIGNED: Misdiagnosing hydatid cysts, especially in non-usual areas, may lead to an unwelcome biopsy and consequences.
    UNASSIGNED: This case report highlights the importance of considering hydatid cysts when encountering any enlarging mass, regardless of its location or rate of growth.
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  • 文章类型: Case Reports
    背景:“包虫囊肿”或囊性棘球蚴病是由细粒棘球蚴幼虫期引起的寄生虫感染。肝脏和肺是最常见的发生部位。肌肉的发病率非常罕见。手术一直是治疗囊性包虫病的传统方法。
    方法:我们报告了一例罕见的44岁男性多发性包虫囊肿;肺,椎旁肌肉.肌肉囊肿表现为背部肿胀,是主要的临床表现,因为它引起疼痛和不适。他接受了阿苯达唑治疗,并进行了治疗肺囊肿的胸外科手术。入院时和手术后,已经出现淋巴结病,经过适当的诊断方法,他被诊断为非霍奇金淋巴瘤.然后,三个月后,体格检查显示,他的背部囊肿的大小明显减少,不再可见。
    结论:这里我们提出了一种成功治疗肌肉包虫囊肿的方法。虽然以前的报道已经通过手术治疗;阿苯达唑在我们的病例中发挥了重要作用,除了在治疗多个包虫囊肿的过程中诊断NHL。
    结论:非霍奇金淋巴瘤合并肝囊性疾病的情况很少见,NHL和肌肉包虫病的共存在医学文献中是前所未有的。
    BACKGROUND: \"Hydatid cyst\" or cystic Echinococcosis is a parasitic infection caused by the larval stage of Echinococcus granulosus. The liver and lungs are the most common sites to occur. Incidence in muscles is exceptionally rare. Surgery has been the traditional approach for treatment of cystic echinococcusis.
    METHODS: We report a rare case of 44 years old man with multiple hydatid cysts; liver, lungs, paraspinal muscles. The muscular cyst had manifested as a swelling in his back and was the principal clinical presentation as it caused pain and discomfort. He was treated with Albendazole, and a thoracic surgery for the management of the lung cysts had been performed. On admission and after his surgery, lymphadenopathy had manifested and following adequate diagnostic modalities he was diagnosed with Non-Hodgkin lymphoma. Then, after three months, physical examination revealed significant reduction in the size of his back cyst that was no longer visible.
    CONCLUSIONS: Here we present a successful treatment for muscular hydatid cysts. While prior reports have managed it surgically; albendazole has played a significant role in our case, in addition to the diagnosis of the NHL in the course of managing multiple hydatid cysts.
    CONCLUSIONS: The presence of non-Hodgkin lymphoma alongside hepatic cystic disease is rare, and the coexistence of NHL and muscular hydatidosis is unprecedented in medical literature.
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  • 文章类型: Case Reports
    男性乳房的包虫病迄今尚未在文献中记载。
    我们介绍一例46岁男性患者,乳房肿块疼痛1年。在成像方面,怀疑为乳腺包虫病,术前通过细针穿刺细胞学和组织病理学成功诊断为乳腺包虫病。
    乳房包虫病的发病率占包虫病总病例的一小部分。在本报告之前,男性乳腺包虫病未知。我们确实发现了病例的影像学特征与女性乳房的影像学特征相似。在超声检查中,我们发现它类似于肝包囊囊肿中描述的“睡莲”标志。
    即使在男性患者中,将包虫病作为可疑乳腺肿块的差异也被证明是有益的,因为它无需进一步的横断面成像,可以根据细针穿刺细胞学和组织病理学发现寻求明确的诊断。
    UNASSIGNED: Hydatid disease of the male breast has not been documented in literature to date.
    UNASSIGNED: We present a case of a 46-year old male patient who presented with a painful breast lump for 1 year. On imaging, it was suspicious for hydatid disease of the breast and was successfully diagnosed preoperatively on fine-needle aspiration cytology and histopathology as hydatid disease of the breast.
    UNASSIGNED: Incidence of hydatid disease of the breast contributes to a minute number of total cases of hydatid disease. Male breast hydatid disease was unknown prior to this report. We did find similarities in the imaging features of our case and the ones described for female breasts. On ultrasonography, we found it analogous to the \'water-lily\' sign which has been described in hepatic hydatic cysts.
    UNASSIGNED: Keeping hydatid disease as a differential in the setting of a suspicious breast mass even in a male patient proved to be rewarding as it negated the need for further cross-sectional imaging and a definitive diagnosis could be sought based on the fine-needle aspiration cytology and histopathological findings.
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  • 文章类型: Journal Article
    棘球蚴病,由棘球蚴引起的寄生虫感染,根据囊肿的位置和大小,可能会导致各种症状。本文探讨了包虫病的复杂性,包括它的传输周期,临床表现,诊断,和治疗方法。该综述强调了与诊断不同类型的包虫病相关的挑战。包括囊性包虫病,泡状包虫病,和多囊包虫病。每种形式的疾病都需要一种独特的诊断方法,该方法通常结合血清学测试。成像技术,和组织学分析。文章探讨了各型包虫病的治疗方案,包括手术切除,药物,和微创程序,如穿刺-抽吸-注射-再呼吸(PAIR)。文章承认目前治疗方法的局限性,并强调需要进一步研究改进的诊断方法,药物靶标,和预防措施。这篇综述旨在全面概述包虫病,包括它的传输,临床表现,诊断,和治疗方式。通过概述疾病的复杂性并强调未来研究的领域,本文希望有助于改善疾病管理和控制。审查的主要发现包括识别在区分囊性,肺泡,多囊包虫病,手术切除和PAIR等治疗方式的不同疗效,以及迫切需要进一步研究增强的诊断方法,新的药物靶点,有效的预防策略。
    Echinococcosis, a parasitic infection caused by Echinococcus tapeworms, can cause various symptoms depending on the location and size of the cysts. This article explores the complexities of echinococcosis, including its transmission cycle, clinical manifestations, diagnosis, and treatment approaches. The review highlights the challenges associated with diagnosing the different echinococcosis types, including cystic echinococcosis, alveolar echinococcosis, and polycystic echinococcosis. Each form of the disease necessitates a unique diagnostic approach that often combines serological tests, imaging techniques, and histological analysis. The article explores treatment options for each type of echinococcosis, including surgical resection, medication, and minimally invasive procedures such as puncture-aspiration-injection-reaspiration (PAIR). The article acknowledges current treatment methods\' limitations and emphasises the need for further research into improved diagnostics, drug targets, and preventative measures. This review aims to provide a comprehensive overview of echinococcosis, encompassing its transmission, clinical presentation, diagnosis, and treatment modalities. By outlining the complexities of the disease and highlighting areas for future research, the article hopes to contribute to improved disease management and control. Key findings of the review include the identification of significant diagnostic challenges in differentiating between cystic, alveolar, and polycystic echinococcosis, the varying efficacy of treatment modalities such as surgical resection and PAIR, and the urgent need for further research into enhanced diagnostic methods, novel drug targets, and effective preventative strategies.
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  • 文章类型: Case Reports
    肝脏的包虫囊肿是由寄生虫细粒棘球蚴引起的人畜共患病,这在摩洛哥仍然非常普遍。当前的医学成像模式,特别是超声(US)和计算机断层扫描(CT),便于快速准确的诊断,使有效的治疗的可能性,并允许容易的后续行动。并发症通常以感染和破裂为主,尤其是在胆管里,腹膜腔,和胸部。血管结构内的传播和发育,尤其是门静脉,不太常见。这强调了我们案件的重要性,这说明了肝脏包虫囊肿的这种罕见并发症。
    Hydatid cyst of the liver is a zoonosis caused by parasite Echinococcus granulosus, which remains highly prevalent in Morocco. Current medical imaging modalities, particularly ultrasonography (US) and computed tomography (CT), facilitate rapid and accurate diagnosis, enable effective treatment possibilities and allow for easy follow-up. Complications are typically dominated by infection and rupture, especially in the bile ducts, peritoneal cavity, and chest. Dissemination and development within vascular structures, especially the portal vein, are much less common. This underscores the significance of our case, which illustrates this rare complication of hydatid cyst of the liver.
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  • 文章类型: Journal Article
    四肢原发性包虫囊肿(PHCs)并不常见,在大多数病例中表现为不典型的临床特征。根治性手术切除仍然是治疗的主要手段。我们研究的目的是积累已经发表的数据,诊断,和治疗方面。仔细搜索了三个电子数据库,以查找直到2024年为止的文章。共有85项研究,包括118例患者,最终纳入我们的综述。16例(13.5%)被诊断为上肢包虫囊肿,94(79.7%)下肢PHC,和八个(6.8%)在腋下有棘球囊。疼痛和肿胀是最常见的症状,而只有两名患者完全无症状。平均病灶大小为11.6±7.1cm。118例患者中有82例(69.5%)进行了术前血清学调查;其中,术前血清学检测阳性33例(44.6%)。绝大多数患者(96.6%)接受了手术或放射科的介入治疗,只有7人经历了术后并发症。围手术期无过敏反应。尽管PHCs的术前诊断具有挑战性,在软组织病变的鉴别诊断中应考虑它们。治疗策略应根据患者的情况进行个体化,而根治性手术切除仍然是黄金标准治疗。
    Primary hydatid cysts (PHCs) in the extremities are uncommon, presenting in the majority of cases with atypical clinical features. Radical surgical excision remains the mainstay of treatment. The aim of our study was to accumulate the already published data on PHCs in the extremities in terms of demographic, diagnostic, and therapeutic aspects. Three electronic databases were meticulously searched for articles published until 2024. A total of 85 studies comprising 118 patients were finally included in our review. Sixteen patients (13.5%) were diagnosed with a hydatid cyst in their upper extremity, 94 (79.7%) with a PHC in the lower extremity, and eight (6.8%) with an echinococcal cyst in the axilla. Pain and swelling were the most frequent symptoms, whereas only two patients were completely asymptomatic. The mean lesion size was 11.6 ± 7.1 cm. Preoperative serology investigation was reported in 82 out of 118 (69.5%) patients; among them, 33 (44.6%) cases had a positive preoperative serology test. The vast majority of patients (96.6%) were treated with an interventional procedure either surgical or radiological, and only seven experienced postoperative complications. No anaphylactic reaction was described perioperatively. Although preoperative diagnosis of PHCs is challenging, they should be considered in the differential diagnosis of soft tissue lesions. Treatment strategies should be individualized on a patient basis, while radical surgical excision remains the gold standard treatment.
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  • 文章类型: Case Reports
    包虫病,也被称为包虫病或包虫病,是由昆虫引起的人畜共患感染,即细粒棘球蚴(tape虫)。人类是通过与受感染的动物接触或通过被污染的粪便通过粪便-口腔途径获得感染的偶然宿主。脾脏包虫病是一种罕见的人畜共患疾病。大多数情况下,患者除了腹部隐隐作痛外,没有任何具体症状。在一些不幸的情况下,患者可能由于囊肿破裂而出现急腹症或过敏性休克状态,这是医疗和外科紧急情况。治疗的主要方法仍然是阿苯达唑和吡喹酮,随着手术,即,脾切除术.一名30岁的女性出现在OPD,在过去两年中一直抱怨腹部疼痛,没有其他抱怨。疼痛对常规镇痛药和抗酸剂没有反应。患者入院接受进一步评估。对患者进行了对比增强计算机断层扫描(CECT)腹部检查,表现为脾肿大,并提示脾包虫囊肿。这位女士接受了计划中的脾切除术。组织病理学特征提示脾脏包虫囊肿。治疗的主要方法是药物驱虫药和手术脾切除术,以及穿刺抽吸注射再抽吸(PAIR)技术。
    Hydatid disease, also known as hydatidosis or echinococcosis, is a zoonotic infection caused by cestode, namely Echinococcus granulosus (tapeworm). Humans are the incidental hosts that acquire the infection by being in contact with infected animals or through the fecal-oral route via contaminated feces. Hydatid disease of the spleen is a zoonotic disease of rare occurrence. Most often, the patients do not have any specific symptoms except dull dragging pain in the abdomen. In some unfortunate cases, the patient may present with an acute abdomen or anaphylactic shock state due to rupture of the cyst, which is a medical and surgical emergency. The mainstay of treatment remains albendazole and praziquantel medically, along with surgery, i.e., splenectomy. A 30-year-old female presented in the OPD with complaints of pain in the abdomen for the last two years with no other complaints. The pain did not respond to regular analgesics and antacids. The patient was admitted for further evaluation. A contrast-enhanced computed tomography (CECT) abdomen was done for the patient, which showed splenomegaly along with features suggestive of a splenic hydatid cyst. The lady was taken for a planned splenectomy. The histopathological features were suggestive of a hydatid cyst of the spleen. The mainstay of treatment is medically anthelmintic medications and surgical splenectomy along with the puncture aspiration injection re-aspiration (PAIR) technique.
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  • 文章类型: Journal Article
    野猪作为水库宿主,可以直接或间接将许多人畜共患蠕虫传播给农村社区的人类。进行这项研究是为了确定野猪中蠕虫寄生虫的囊性节食形式的发生和分子特征,并鉴定单倍型。为此,对2023年狩猎季节中猎人拍摄的23只野猪尸体进行了尸检,并检查了所有内部器官。从检查的公猪中获得囊尾蚴(n=07)和包虫囊肿(n=10)的分离株。通过扩增cox1基因的部分片段进行囊尾蚴和包虫囊肿分离株的物种鉴定。根据BLAST搜索,Tenuicollis分离株的所有序列都被鉴定为Tu带虫。包虫囊肿分离株中,7个被归类为细粒棘球蚴(G1/G3),一个样本被鉴定为加拿大棘球蚴(G6/G7)。用NADH脱氢酶亚基5(nad5)重新扩增了所有细粒大肠杆菌(G1/G3)的分离株,以区分G1和G3基因型。根据序列分析,结果发现,5个S.S.分离株被分类为G1,而两个被分类为G3。根据这项研究的结果,可以得出结论,G1基因型是宾果省野猪种群中最普遍的遗传变异,蒂尔基耶.在这项研究中,共鉴定出5种新的单倍型.通过加拿大大肠杆菌(G6/G7)的单倍型分析揭示了以前未鉴定的单倍型。包虫病单倍型网络中的所有分离株都显示出不同的和地理上特定的单倍型。根据研究结果,野猪包括大量的遗传品种。
    Wild boars can directly or indirectly transmit numerous zoonotic helminths to humans in rural communities as they serve as reservoir hosts. This study was conducted to determine the occurrence and molecular characterisation of cystic metacestode forms of helminth parasites in wild boar and to identify haplotypes. To this end, 23 wild boar carcasses shot by hunters during the 2023 hunting season were necropsied and all internal organs were examined. Cysticercus tenuicollis (n = 07) and hydatid cyst (n = 10) isolates were obtained from the examined boars. Species identification of Cysticercus and hydatid cyst isolates was performed by amplification of partial fragments of the cox1 gene. According to BLAST search, all sequences of C. tenuicollis isolates were identified as Taenia hydatigena. Out of the hydatid cyst isolates, seven were classified as Echinococcus granulosus sensu stricto (G1/G3) and one sample was identified as Echinococcus canadensis (G6/G7). All isolates of E. granulosus s.s. (G1/G3) were re-amplified with the NADH dehydrogenase subunit 5 (nad5) in order to distinguish between G1 and G3 genotypes. Based on the sequence analysis, it was found that five of the E. granulosus s.s. isolates were classified as G1, while two were classified as G3. Based on the results of this study, it can be concluded that the G1 genotype is the most prevalent genetic variant among wild boar populations in Bingol province, Türkiye. In this study, a total of five novel haplotypes were identified. A previously unidentified haplotype was revealed through the haplotype analysis of E. canadensis (G6/G7). All isolates in the haplotype network of T. hydatigena were shown to exhibit distinct and geographically specific haplotypes. According to the findings of the study, wild boars include a substantial amount of genetic variety in E. granulosus s.s. And T. hydatigena.
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