• Revista médica de Chile · Jun 2020

    [Features of pulmonary hydatidosis in 368 patients admitted to a regional hospital].

    • Roberto González L, Alejandra Riquelme U, Rodrigo Reyes M, Felipe Alarcón O, Loreto Spencer L, Sebastián Barra M, Enrique Seguel S, Aleck Stockins L, Andrés Jadue T, Diego Saldivia Z, Andrés Schaub C, and Emilio Alarcón C.
    • Centro Cardiovascular, Hospital Clínico Regional de Concepción Dr. Guillermo Grant Benavente, Concepción, Chile.
    • Rev Med Chil. 2020 Jun 1; 148 (6): 762-771.

    BackgroundLungs are the second location in frequency of hydatidosis or cystic echinococcosis.AimTo characterize the clinical manifestations, diagnosis, findings and treatment of patients hospitalized for a pulmonary hydatid cyst (PHC).Materials And MethodsReview of databases, medical records, operation notes and death certificates of patients admitted to a Chilean regional hospital with a PHC.ResultsFour 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.ConclusionsIn these patients, pulmonary hydatidosis was diagnosed mainly during working ages and half of patients had a complicated cyst.

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