SPECTRUM OF CYSTIC ECHINOCOCCOSIS –A MEDICAL COLLEGE EXPIERENCE IN MADHYA PRADESH
Dr. Swagata Brahmachari*, Dr. Tarun Kumar Sainia, Dr. Vaishali Bhagat and Dr. Divya Taneja
ABSTRACT
Objectives: To study the epidemiology of cystic echinococcosis in Madhya Pradesh; to study the various common and uncommon site of presentation and the risk factors associated with cystic echinococcosis. Methodology: This was a descriptive retrospective study conducted for 5yrs from March 2011 to February 2016 in L.N Medical College & Research Centre, Bhopal. Clinically and radiologically suspected 58 patients of cystic echinococcosis (CE) which were serologically positive and histologically proved were enrolled in this study. Results: Female predominance was noted with 38(65.5%) females and 20 (34.48%) males with a male: female ratio of 1:1.52. The most common age group was 30-40 years .75.86% (n-44) of the patients resided in rural areas and only 24.13%(n-14) were urban residents Abdominal CE presented mostly with abdominal pain. Hepatomegaly was observed in 15 patients and jaundice was present in one patient of hepatic CE. Splenic CE cases showed splenomegaly in 3 patients. Pulmonary CE presented with mainly with chest pain and cough. Conclusion: The risk factors are female, rural, housewife and farmers, unsafe drinking water with exposure to animals such as dog and sheep. Treatment options for cystic hydatid disease are surgery, drug therapy and percutaneous drainage .The most common surgical procedure performed was a hydatid cystectomy. CE is a neglected disease causing immense morbidity and mortality and hence of public health concern there is an urgent need to create awareness among public and common people who are more prone to the condition.
Keywords: cystic echinococcosis, hydatidcyst;, neglected disease.
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