%0 Journal Article
%T A Comprehensive Prospective Clinical Study of Hydatid Disease
%A Ankit Kayal
%A Akhlak Hussain
%J ISRN Gastroenterology
%D 2014
%R 10.1155/2014/514757
%X The actual prevalence of hydatid disease in northern part of India is found more than usually interpreted. The present study has been done on 25 patients suffering from hydatid disease of various sites and treated during June 2009 to November 2011 at JLN Medical College and Hospital, Ajmer, with the aim of studying the clinical manifestations of hydatid disease of different sites and/or organ system and of analysing the morbidity and mortality of hydatid disease. The age, sex, h/o dog contact, duration of hospital stay, clinical presentation, treatment advised, findings and difficulties encountered during operation, and postoperative management of patients as well as morbidity and mortality were recorded and analysed. We observed that the mean age was 40 years. The sex incidence revealed female preponderance in the study (M£¿:£¿F: 1£¿:£¿2). Duration of illness in the present study varied from 1 month to 6 years in case of liver hydatid disease. Majority of patients were from rural areas (21) and the remaining (4) from urban areas. Swelling was the most common presenting feature. Incidence of hydatid disease at unusual sites in India is higher than in other parts of the world. 1. Introduction Hydatid disease is endemic mainly in the Mediterranean countries (particularly Greece), the Middle East, the Baltic areas, South America, India, northern China, and other sheep-raising areas; however, owing to increased travel and tourism all over the world, it can be found anywhere, even in developed countries [1]. In India, hydatid disease is common in most of the states of which Andhra Pradesh and Tamil Nadu predominate [2]. The liver is the most common site for hydatid disease (75% of cases), followed by lungs (15%), spleen (5%), and other organs (5%) [3]. The diagnosis of hydatid disease is based on epidemiological background of patients, clinical grounds, or noninvasive screening procedures. Chest and abdominal X-ray, ultrasonography, and CT scan should identify cysts characteristics and the diagnosis is confirmed by detecting specific antibodies (immunodiagnostic test). Intradermal Casoni test, the human basophil degradation test, and the complement fixation test have only historical relevance [4]. Only albendazole drug is ovicidal, larvicidal, and vermicidal [5]. Surgery is the gold standard in the management of hydatid cyst liver and other sites as well [6]. With this background, we decided to study the presenting symptomatology and various clinical manifestations of hydatid disease of different sites and/or organ system and to analyse the morbidity and
%U http://www.hindawi.com/journals/isrn.gastroenterology/2014/514757/