Hidatidosis pulmonar: características, manifestaciones clínicas y tratamiento en pacientes hospitalizados en Concepción, Región del Biobío, Chile

• Autores: Roberto González L., Alejandra Riquelme U., Rodrigo Reyes M., Felipe Alarcón O., M. Loreto Spencer L., Sebastián Barra M., Enrique Seguel S., Aleck Stockins L., Andrés Jadue T., Diego Saldivia Z., Andrés Schaub C., Emilio Alarcón C.
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 148, Nº. 6, 2020, págs. 762-771
• Idioma: español
• Títulos paralelos:
  • Features of pulmonary hydatidosis in 368 patients admitted to a regional hospital
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• Resumen

  • 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.