Clinical, Radio-Ultrasonographicl and Serological Features of Hydatid and Simple Cysts in Human

Abstract

Intruoduction: Hydatid cyst is remain a health problem of significant concern worldwide. Cystic echinococcosis (CE) is considered to be highly endemic in some countries.Methods: In this study serological, radiographic and clinical features of simple and hydatid cyst were studied. For this purpose, 114 patients (57 male, 57 femle) whom had clinical or/and radio, ultrasonographic signs for hydatid and simple cysts, were referred to cystic infection in Azadi Teaching Hospital in Kirkuk province, Iraq. The serum samples were examined serologically by ELISA. Results: Depending on the results of clinical or/and ultrasonographic, a rate of 15.8 % were infected with CE and a rate of 84.2 % were have simple cysts (SC). While the results of serological examination by ELISA revealed 14.1% for CE and 85.9% for SC. The most age group which was significantly infected by CE in males was 56-64 year with a rate of 40 %, and the most age group which was significantly infected in females was 65-73 year with rate of 100 %. The CE was significantly more frequent in the liver of infected patients in both males and females, with rates of 71.4, 100 % for each gender respectively. The size of most of hydatid cysts were larger than 9 centimeter. People in rural area were most infected than in urban area. The frequency of CE were significantly highest among housewife females (43.8 %), and unemployed men (31.3 %). Conclusion: CE can be diagnosed and differentiated from SC serologically, even when the cysts are very small and at beginning stage. The radio-ultrasonographic is good in cysts diagnosing but cannot differentiate between types of small sized one.