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The Retrospective Annual Surgical Incidence of Cystic Echinococcosis in Sivas,Turkey
Authors:U Gonlugur  S Ozcelik  T E Gonlugur  S Arici  A Celiksoz  S Elagoz  R Cevit
Institution:1. Department of Chest Diseases, Canakkale Onsekiz Mart University Medical School, Canakkale, Turkey;2. Department of Parasitology, Cumhuriyet University Medical School, Sivas, Turkey;3. Department of Chest Diseases, Canakkale State Hospital, Canakkale, Turkey;4. Department of Pathology, Cumhuriyet University Medical School, Sivas, Turkey;5. Department of Pathology, Sivas Numune Hospital, Sivas, Turkey
Abstract:Cystic echinococcosis is an important public health problem in our region. The aim of this study was to assess the surgical incidence of cystic echinococcosis in Sivas, Turkey. A retrospective follow‐up study was carried out between 1997 and 2004. The mean age of 124 men (39.2%) and 192 women was 36.4 years. The liver was the primary site of cyst development (76.6%), followed by the lungs (19.9%), the spleen (5.4%), the kidneys (3.5%) and the peritoneal cavity (3.2%). Mean annual surgical incidence was 6.4 per 100 000 inhabitants for a 7‐year period. The most common site of recurrence was the liver. Hepatic cysts were more frequently infected than pulmonary cysts (P < 0.05). In those patients with an infected cyst, the mean circulating eosinophil level was significantly lower than in those without. Rupture and infection were more common in men (P < 0.01). In conclusion, serious structural, legislative, surveillance, prevention and control measures for echinooccus should be undertaken in our region.
Keywords:Hydatidosis  hydatid disease  echinococcosis  epidemiology  eosinophilia
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