Open AccessCystic echinococcosis in the middle region of the Nile Delta, Egypt: Clinical and radiological characteristics
Author(s) -
Alsiagy A. Salama,
Ahmad A. Othman,
Hanaa A. Zayed
Publication year - 2014
Publication title -
the egyptian journal of radiology and nuclear medicine /the egyptian journal of radiology and nuclear medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.19
H-Index - 13
eISSN - 2090-4762
pISSN - 0378-603X
DOI - 10.1016/j.ejrnm.2014.05.004
Subject(s) - radiological weapon , medicine , radiology , nile delta , echinococcosis , cystic echinococcosis , ultrasound , abdomen , computed tomography , pathology , ancient history , history
BackgroundCystic echinococcosis (CE) is a parasitic disease characterized by cystic lesions mainly in the liver. The diagnosis relies on clinical, laboratory, and radiological examination.AimTo explore the clinical, radiological, and biological features of patients with CE in the middle region of the Nile Delta, Egypt.Patients and methodsFrom March 2012 to February 2014, this study was conducted on 45 patients, aged 20–65years. Patients were subjected to clinical, laboratory, and radiological assessment using conventional X-ray chest, ultrasound and multi-detector CT of the abdomen and chest.ResultsThis study identified the epidemiological, clinical, laboratory, and radiological characteristics of patients with CE in the middle Delta region, Egypt. The CT may display the same findings as US in diagnosing and staging of most cases; however, CT is more superior to US in the evaluation of heavily calcified cysts, small inaccessible cysts, and pulmonary hydatid cysts.ConclusionBiological markers seem neither sensitive nor specific, whereas the serological tests, preferably two different techniques, are useful. Ultrasound showed high accuracy rate, but CT, whenever possible, should be employed as it provides additional diagnostic value