CURRENT STATUS OF HEPATIC HYDATIDOSIS REQUIRING SURGICAL INTERVENTION AMONG EGYPTIAN PATIENTS
Asmaa Abd-Alghany1, Soad El- Rifaie1, Asma A Abdelaal2, Rasha Ahmed3, Amr Abdelraouf4 and Mona El-Sherbini1
1Department of Medical Parasitology, Faculty of Medicine, Cairo University, Egypt
2Department of Clinical Pathology, Faculty of Medicine, Cairo University, Egypt
3Department of Endemic Medicine, Faculty of Medicine, Cairo University, Egypt 4Department of HBP Surgery, National Hepatology and Tropical Medicine Research Institute (NHTMRI), Cairo, Egypt
Hepatic hydatidosis caused by the dog tape worm Echinococcus granulosus is a challenging parasitic infection affecting the liver with serious disease sequalae. The current study included 30 cases suffering from hepatic hydatid cysts that legibly necessitated surgical interference. On demographic basis, Female rural dwellers who were housewives or farmers recorded a significantly higher number of hepatic hydatidosis in relation to the male gender and other occupational categories enrolled in the study. Risk factor of 40% was attributed to contact with dogs amongst the studied population. Diagnosis of these cases was done by integrated approaches involving clinical, serological and imaging parameters. The latter basically facilitated the recognition of hydatid cysts in asymptomatic cases with categorization of variable imaging stages of the disease. Symptomatized cases however were at a rate of 73.3% and revealed high seropositivity by Indirect Hemagglutination Assay (IHA) which correlated radiologically to the active transitional cyst stage (CE3a). Thus, the inevitable surgical intervention as treatment option for patients having hepatic hydatidosis in this study, highlighted the quest for further large-scale studies, follow up and social programs targeting public health education to raise awareness about such serious parasitic infection in our community.
December 2019