Seven hundred and thirty-six patients with human echinococcosis admitted to the Zadar General Hospital between 1960 and 1990 were studied. Seven hundred and seventeen patients were residents of Zadar region, while 19 were referred from other areas. There were more females (61%) than males (39%) in our study, with the majority of patients (208 individuals) being in the age group of 60 years and more. Among the examinees, the largest number were housewives (42%). 59.1 percent of echinococcus was found in the liver, 22.7% in the lungs and 3.4% in the spleen. There was a significant difference between surgically treated and untreated patients (p < 0.01) as well as between cured and uncured ones (p < 0.01). Over the studied period, there were approximately 24 new cases and 23.74, respectively. The incidence rate per 100,000 inhabitants for 1990 was 12.74. The decrease of incidence was 83.13%. The prognosis made in 1978 for specific morbidity in 1990 was 9.051 approximately 9, and 3.682 approximately 4 for realized specific morbidity. In 1990, the density of population in Zadar region was 68.2 inhabitants/km2. The number of inhabitants per 1 km2 on the mainland within the same year was 79.9, while on the islands it was 29.2 inhabitants/km2. In order to make a comparison, density of population in 1980 was calculated. The number of population amounted to 66.1 inhabitants/km2. In 1980, there were 75.8 inhabitants/km2 on the mainland, and 35.2 inhabitants per 1 km2 on the islands of the Zadar region. In 1990 the number of inhabitants on the islands decreased, although the overall number of inhabitants of that region increased.

Adolescent↗

PubMedDate not supplied

[Q-fever in the Zadar region].

The occurrence of Q fever in a population of Zadar region (2787 km2) which has five microregions (Zadar, Benkovac, Biograd, Obrovac and Pag microregion) is presented. In 1986, nine cases of Q fever were reported. Five patients were detected in Zadar community, one in Pag microregion and 3 in Biograd community and microregion, respectively. In 1989, two cases in Zadar and, in 1988 and 1991, one case in each year from the territory of Zadar were found. A total of 13 cases of Q fever were treated and reported. The personnel of the Zadar Veterinary Stations were not able to provide information since blood samples from the suspected animals were not taken. The agent was therefore not isolated. It is known that there were more serologically proven cases of Q fever, but they were not registered by the Epidemiologic Service of the Zadar Department for Health Protection. Clinical manifestation in a form of pulmonary affection is a very significant data in this zoonosis and it is therefore most commonly detected at the hospital departments for lung diseases, what was one of the reasons for undertaking this study.

Adult↗

PubMedDate not supplied

[The lungs in human immunodeficiency virus type 1 infection].

This report describes a case of two patients who were admitted to the Zadar hospital and according to clinical symptoms directed to the Department of Lung Diseases. Both patients were temporarily employed abroad. It has been established that they were infected with human immunodeficiency virus type 1 (HIV-1). One of the patients has been moved to the Department of Infectious Diseases and later to Zagreb, while the other has returned abroad. On admission to the hospital of the Zadar Medical Center none of them answered the question about being engaged in risky behavior. In 1990 there were 699 registered patients hospitalized and 745 registered in the protocol of the Outpatient Clinic of the Department of Lung Diseases. 0.069% of patients were HIV-1-infected. In 1991, there were 520 hospitalized and 453 outpatients, whereas 0.102% were HIV-1-infected and registered subjects. It must be pointed out that these are only numbers of registration and not subjects, because there were patients who were examined or hospitalized twice or more times during the corresponding calendar year. The aim of this study was to point to a new differentially-diagnostic problem present especially at the Department of Lung Diseases after AIDS has become part of our reality. There still remains a problem in regard to detection of HIV-1 seropositivity in patients at departments with opportunistic infections such as tuberculosis.

AIDS-Related Opportunistic Infections↗