دورية أكاديمية

Pulmonary hydatid cyst: The characteristics of patients and diagnostic efficacy of bronchoscopy.

التفاصيل البيبلوغرافية
العنوان: Pulmonary hydatid cyst: The characteristics of patients and diagnostic efficacy of bronchoscopy.
المؤلفون: Komurcuoglu B; Department of Pulmonary Medicine, Dr Suat Seren Education and Research Hospital for Chest Diseases and Thoracic Surgery, Izmir, Turkey., Ozkaya S, Cirak AK, Yalniz E, Polat G
المصدر: Experimental lung research [Exp Lung Res] 2012 Aug; Vol. 38 (6), pp. 277-80. Date of Electronic Publication: 2012 May 21.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Informa Healthcare Country of Publication: England NLM ID: 8004944 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1521-0499 (Electronic) Linking ISSN: 01902148 NLM ISO Abbreviation: Exp Lung Res Subsets: MEDLINE
أسماء مطبوعة: Publication: London : Informa Healthcare
Original Publication: [New York] Elsevier/North-Holland.
مواضيع طبية MeSH: Echinococcosis, Pulmonary/*diagnosis , Echinococcosis, Pulmonary/*pathology , Lung/*pathology, Adolescent ; Adult ; Aged ; Animals ; Bronchoscopy/methods ; Chest Pain/diagnosis ; Chest Pain/pathology ; Echinococcosis, Pulmonary/diagnostic imaging ; Female ; Fever/diagnosis ; Fever/pathology ; Humans ; Lung/diagnostic imaging ; Male ; Middle Aged ; Radiography ; Retrospective Studies ; Young Adult
مستخلص: Background and Objectives: Pulmonary hydatid cyst (PHC) is a parasitic infestation caused by larvae of Echinococcus granulosus. The lung is the most commonly involved organ after the liver. There is lack of enough data on the efficacy of bronchoscopy in patients with PHC, and the diagnostic usefulness of bronchoscopy is still controversial. We aimed to present the diagnostic efficacy of bronchoscopy and disease characteristics of patients with PHC.
Methods: PHC was diagnosed in 72 patients--51% of patients in Group I (uncomplicated PHC) and 49% of patients in Group II (complicated PHC)--in Dr Suat Seren Education and Research Hospital for Chest Diseases and Thoracic Surgery. The data of patients including age, gender, symptoms, and radiological, bronchoscopic, microbiological, and pathological findings were retrospectively evaluated.
Results: The bronhoscopic findings were defined as hyperemia (44%), normal (38%), edema (32%), purulent secretion (24%), external bronchial compression (24%), and endobronchial cyst membrane (21%), respectively. Cyst membranes were seen during bronchoscopy in 7 (20.5%) of the patients and 6 (86%) of them were in Group II. Hydatoptosis (expectoration of cyst contents), cough, hemoptysis, leukocytosis, Echinecoccus IgG positivity, chest pain, and fever were significantly higher in Group II. According to radiological images, the multiple cystic nodular lesions and well-shaped cystic nodular lesions were significantly higher in Group I. However, water-lily sign, images of abscess, and pneumonic infiltration were significantly higher in Group II.
Conclusion: The diagnosis of PHC is usually made with the combination of clinical, radiological, serological, and surgical procedures. We suggest that the fiberoptic bronchoscopy can be used as a diagnostic method, especially in complicated PHC.
تواريخ الأحداث: Date Created: 20120523 Date Completed: 20121018 Latest Revision: 20161125
رمز التحديث: 20221213
DOI: 10.3109/01902148.2012.684757
PMID: 22612641
قاعدة البيانات: MEDLINE
الوصف
تدمد:1521-0499
DOI:10.3109/01902148.2012.684757