Polycystic echinococcosis in the state of Acre, Brazil: contribution to patient diagnosis, treatment and prognosis

Detalhes bibliográficos
Autor(a) principal: Siqueira, Nilton Ghiotti de
Data de Publicação: 2013
Outros Autores: Siqueira, Cláudia Maria Villar Maziero de, Silva, Rosângela Rodrigues, Soares, Manoel do Carmo P., Póvoa, Marinete Marins
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/12596
Resumo: Universidade Federal do Acre. Rio Branco, AC, Brasil.
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spelling Siqueira, Nilton Ghiotti deSiqueira, Cláudia Maria Villar Maziero deSilva, Rosângela RodriguesSoares, Manoel do Carmo P.Póvoa, Marinete Marins2016-01-22T16:02:03Z2016-01-22T16:02:03Z2013SIQUEIRA, Nilton Ghiotti de; Polycystic echinococcosis in the state of Acre, Brazil: contribution to patient diagnosis, treatment and prognosis. Mem Inst Oswaldo Cruz, v.108, n.5, p. 533-540, Aug. 2013.0074-0276https://www.arca.fiocruz.br/handle/icict/1259610.1590/S0074-02762013000500001engFundação Oswaldo CruzCistos hepáticosHidatidose policísticaPolycystic echinococcosisPolycystic hydatid diseaseEchinococcus vogeliNeotropical echinococcosisHepatic cystsPolycystic echinococcosis in the state of Acre, Brazil: contribution to patient diagnosis, treatment and prognosisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversidade Federal do Acre. Rio Branco, AC, Brasil.Fundação Hospital Estadual do Acre. Hospital das Clínicas. Rio Branco, AC, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Helmintos Parasitos de Vertebrados. Rio de Janeiro, RJ, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde. Instituto Evandro Chagas. Belém, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde. Instituto Evandro Chagas. Belém, PA, Brasil.The lack of knowledge regarding polycystic hydatid disease results in delayed or even incorrect diagnosis. The lack of systematic information regarding treatment also makes it difficult to assess the results and prognosis in patients with peritoneal and hepatic lesions caused by Echinococcus vogeli. Here we describe the clinical features of patients, propose a radiological classification protocol and describe a therapeutic option for the treatment of hydatid disease that previously had only been used for cases of cystic echinococcosis (Echinococcus granulosus). A prospective cohort study was initiated in 1999 and by 2009 the study included 60 patients. These patients were classified according to the PNM classification (parasite lesion, neighbouring organ invasion and metastases) and placed in one of three therapeutic modalities: (i) chemotherapy with albendazole at a dose of 10 mg/kg/day, (ii) surgical removal of cysts or (iii) percutaneous puncture of the cysts via puncture, aspiration, injection and reaspiration (PAIR). The results were stratified according to therapeutic outcome: “cure”, “clinical improvement”, “no improvement”, “death” or “no information”. The PNM classification was useful in indicating the appropriate therapy in cases of polycystic hydatid disease. In conclusion, surgical therapy produced the best clinical results of all the therapies studied based on “cure” and “clinical improvement” outcomes. The use of PAIR for treatment requires additional study.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/12596/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALrosangela_silva_etal_IOC_2013.pdfrosangela_silva_etal_IOC_2013.pdfapplication/pdf616794https://www.arca.fiocruz.br/bitstream/icict/12596/2/rosangela_silva_etal_IOC_2013.pdfdbc1379ce61af72c36b2d952134e2759MD52TEXTrosangela_silva_etal_IOC_2013.pdf.txtrosangela_silva_etal_IOC_2013.pdf.txtExtracted texttext/plain43118https://www.arca.fiocruz.br/bitstream/icict/12596/3/rosangela_silva_etal_IOC_2013.pdf.txta11eb55ef52834120f06556624b66417MD53icict/125962023-09-05 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dc.title.pt_BR.fl_str_mv Polycystic echinococcosis in the state of Acre, Brazil: contribution to patient diagnosis, treatment and prognosis
title Polycystic echinococcosis in the state of Acre, Brazil: contribution to patient diagnosis, treatment and prognosis
spellingShingle Polycystic echinococcosis in the state of Acre, Brazil: contribution to patient diagnosis, treatment and prognosis
Siqueira, Nilton Ghiotti de
Cistos hepáticos
Hidatidose policística
Polycystic echinococcosis
Polycystic hydatid disease
Echinococcus vogeli
Neotropical echinococcosis
Hepatic cysts
title_short Polycystic echinococcosis in the state of Acre, Brazil: contribution to patient diagnosis, treatment and prognosis
title_full Polycystic echinococcosis in the state of Acre, Brazil: contribution to patient diagnosis, treatment and prognosis
title_fullStr Polycystic echinococcosis in the state of Acre, Brazil: contribution to patient diagnosis, treatment and prognosis
title_full_unstemmed Polycystic echinococcosis in the state of Acre, Brazil: contribution to patient diagnosis, treatment and prognosis
title_sort Polycystic echinococcosis in the state of Acre, Brazil: contribution to patient diagnosis, treatment and prognosis
author Siqueira, Nilton Ghiotti de
author_facet Siqueira, Nilton Ghiotti de
Siqueira, Cláudia Maria Villar Maziero de
Silva, Rosângela Rodrigues
Soares, Manoel do Carmo P.
Póvoa, Marinete Marins
author_role author
author2 Siqueira, Cláudia Maria Villar Maziero de
Silva, Rosângela Rodrigues
Soares, Manoel do Carmo P.
Póvoa, Marinete Marins
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Siqueira, Nilton Ghiotti de
Siqueira, Cláudia Maria Villar Maziero de
Silva, Rosângela Rodrigues
Soares, Manoel do Carmo P.
Póvoa, Marinete Marins
dc.subject.other.pt_BR.fl_str_mv Cistos hepáticos
Hidatidose policística
topic Cistos hepáticos
Hidatidose policística
Polycystic echinococcosis
Polycystic hydatid disease
Echinococcus vogeli
Neotropical echinococcosis
Hepatic cysts
dc.subject.en.pt_BR.fl_str_mv Polycystic echinococcosis
Polycystic hydatid disease
Echinococcus vogeli
Neotropical echinococcosis
Hepatic cysts
description Universidade Federal do Acre. Rio Branco, AC, Brasil.
publishDate 2013
dc.date.issued.fl_str_mv 2013
dc.date.accessioned.fl_str_mv 2016-01-22T16:02:03Z
dc.date.available.fl_str_mv 2016-01-22T16:02:03Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv SIQUEIRA, Nilton Ghiotti de; Polycystic echinococcosis in the state of Acre, Brazil: contribution to patient diagnosis, treatment and prognosis. Mem Inst Oswaldo Cruz, v.108, n.5, p. 533-540, Aug. 2013.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/12596
dc.identifier.issn.none.fl_str_mv 0074-0276
dc.identifier.doi.none.fl_str_mv 10.1590/S0074-02762013000500001
identifier_str_mv SIQUEIRA, Nilton Ghiotti de; Polycystic echinococcosis in the state of Acre, Brazil: contribution to patient diagnosis, treatment and prognosis. Mem Inst Oswaldo Cruz, v.108, n.5, p. 533-540, Aug. 2013.
0074-0276
10.1590/S0074-02762013000500001
url https://www.arca.fiocruz.br/handle/icict/12596
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Fundação Oswaldo Cruz
publisher.none.fl_str_mv Fundação Oswaldo Cruz
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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