Cystic echinococcosis: a 10-year experience from a middle-income country

Ayesha Butt, Javaid Ahmed Khan

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6 Citations (Scopus)


Cystic echinococcosis (CE), or hydatid disease, is a neglected tropical disease (NTD) afflicting one million people globally. This study aims to elucidate the presentation, treatment and outcomes of the disease in Pakistan. A review of charts of 225 patients (median age = 42.3 years) with CE admitted at Aga Khan Hospital, Karachi during 2007–2017, was carried out. Abdominal pain was present in 34.7% followed by fever in 26.2%. There were 142 (63.1%) cases of hepatic cysts and 55 (24.4%) of pulmonary hydatid cysts. Combined surgical and medical therapy was given to 130 (57.8%) patients. Surgery only was performed in 23 (10.2%) patients, medical therapy only was given to 35 (15.6%) patients, and puncture, aspiration, injection and reaspiration (PAIR) with medical therapy was given to 15 (6.7%) patients. Recurrence occurred in 14 (6.2%) patients and mortality in 7 (3.1%) patients. Owing to its non-specific presentation, a high index of suspicion is required to diagnose and treat CE in a timely manner.

Original languageEnglish
Pages (from-to)117-121
Number of pages5
JournalTropical Doctor
Issue number2
Publication statusPublished - 1 Apr 2020


  • Echinococcus granulosus infection
  • Hydatid disease
  • neglected tropical diseases
  • parasitic diseases
  • zoonotic disease


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