VIABILITY OF HEPATIC HYDATID CYSTS IN RELATION TO THEIR PARASITOLOGICAL, MICROBIOLOGICAL AND RADIOLOGICAL FEATURES IN PATIENTS TREATED BY DIFFERENT PROTOCOLS | ||||
Journal of the Egyptian Society of Parasitology | ||||
Article 10, Volume 51, Issue 2, August 2021, Page 313-322 PDF (1.4 MB) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/jesp.2021.193311 | ||||
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Authors | ||||
ENAS A. EL SAFTAWY1; AMANY A. ABD-ELAAL1; MANAL A. BADAWI2; AMR M. ABDELRAOUF3; EMAN Y. SHOEIB1; AMIRA MOHSEN4; AHMED A. AFIFE5; HAMIDA A. GOHAR6; SAMAR S. ATTIA1 | ||||
1Department of Medical Parasitology, Faculties of Medicine, Cairo University and Armed Forces College of Medicine, Cairo | ||||
2Department of Pathology, National Research Institute | ||||
3Department of Tropical Medicine, National Hepatology and Tropical Medicine Research Institute | ||||
4Department of Community Medicine, National Research Centre | ||||
5Biomedical Sciences (BSc), University of Manchester, UK | ||||
6Department of Medical Microbiology, Faculty of Medicine, Cairo University | ||||
Abstract | ||||
Hydatid cyst disease is a parasitic infection caused by larval stage of Echinococcus granulosus affecting mainly the liver. Diagnosis of hepatic hydatidosis depends on clinical presentations, serological assays and radiological findings. The present study included 40 patients suffered from hepatic hydatid cysts. They were classified into 4 groups according to therapeutic protocols they received. All cases were subjected to serological assay, radiological examination to categorize cysts and open surgical intervention for treatment. Samples of hydatid fluid and cysts were examined regarding parasitological, morphometric and histopathological aspects. Viability of cyst contents was assessed using eosin stain. All samples were cultivated for microbiological assessment. Viability was 95-100% in GI (no previous treatment), 50-85% in GII, 25-45% in GIII (single PAIR technique and single Albendazole course) and 0-10% in GIV (repeated PAIR and medical treatment). Enterococci and Staphylococcus aureus were detected in one sample in GI and 8 samples in GIV respectively. | ||||
Keywords | ||||
Egypt; Hydatid fluid; Viability; Protocolizes; Echinococcosis; Liver; Radiology | ||||
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