Study on cases of human hydatidosis operated / treated in Timisoara (Romania) in 2004-2005

Authors: Livius ŢÎRNEA¹*, Brigitha VLAICU², Rareş OLARIU¹, Raul NEGHINĂ¹, Iosif MARINCU³, Sorin MORARIU⁴, Gheorghe DĂRĂBUŞ⁴, Radu CODREANU⁵, Ioan IACOBICIU¹

Affiliation: ¹ Department of Parasitology, UMF “V. Babeş” Timişoara, Romania; ² Department of Hygiene, UMF “V. Babeş” Timişoara, Romania; ³ Department of Infectious Diseases, UMF “V. Babeş” Timişoara, Romania; ⁴ Department of Parasitology, FMV Timişoara, Romania; ⁵ Department of Parasitology, UMF “C. Davila” Bucureşti

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ABSTRACT. Romania is one of the European countries where human hydatidosis is widespread, especially in south-western part of the country. We investigated 120 cases of human hydatidosis diagnosed and treated between 2004-2005 in Timisoara City in eight surgery clinics and one clinic of infectious diseases. Data were collected from hospital records and surgery protocols. Adults were most affected (83.3 %) and especially females (60 %). Rural population was affected by 66.7 %. Predominantly affected areas of the body were the liver (71.67 %), the lung (16.67 %), the kidney (5 %) and rarely the spleen, intersplenorenal region, thoracic wall and right psoas muscle (0.83 % each). Secondary hydatidosis was found in 6.66 % of cases. Multiple cysts were reported by 10 % of cases. Post-operative complications were found in 19.8 % of the cases with hepatic hydatidosis and in 40 % of the ones with lung hydatidosis. The average hospitalization period was 17.4 days per case, but in cases with complications, the average was 25.5.

Keywords: hydatidosis, echinococcosis, hydatid cyst, Echicococcus granulosus, genotype