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Flores MAQ, Vasques H, Pedro DM. Hydatid cyst in the gluteal muscle - an unusual location. J Travel Med 2024:taae046. [PMID: 38470294 DOI: 10.1093/jtm/taae046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2024] [Revised: 02/13/2024] [Indexed: 03/13/2024]
Abstract
Echinococcus sp. is an intestinal parasite of canids and felids, that can infect humans after contaminated ingestion. Through the portal circulation, the eggs can metastasize to the liver, lungs and, more infrequently, other organs. We present a hydatid cyst located on the gluteus muscles, a very unusual location.
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Affiliation(s)
- Maria Ana Quadros Flores
- Infectious Diseases Department, Centro Hospitalar Universitário de Lisboa Norte, Av. Prof. Egas Moniz MB, 1649-028 Lisboa, Portugal
| | - Hugo Vasques
- General Surgery Department, Instituto Português de Oncologia de Lisboa Rua Professor Lima Basto, 1023-099 Lisboa, Portugal
| | - Diogo Mendes Pedro
- Infectious Diseases Department, Centro Hospitalar Universitário de Lisboa Norte, Av. Prof. Egas Moniz MB, 1649-028 Lisboa, Portugal
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Mattwich C, Huber K, Bretzel G, Suerbaum S, Wieser A, Dichtl K. Head-to-Head Comparison of Nine Assays for the Detection of Anti- Echinococcus Antibodies: A Retrospective Evaluation. Ann Lab Med 2024; 44:155-163. [PMID: 37880992 PMCID: PMC10628756 DOI: 10.3343/alm.2023.0212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Revised: 07/25/2023] [Accepted: 09/12/2023] [Indexed: 10/27/2023] Open
Abstract
Background Echinococcosis is a neglected tropical disease that is severely underdiagnosed in resource-limited settings. In developed countries, diagnosing echinococcosis is challenging, and reliable serological assays are urgently needed. In the Central European Alps, EM is more common than EG; however, data on the diagnostic performance of assays for EM cases are scarce. We evaluated the suitability of nine antibody assays for routine diagnostics. Methods Nine commercially available serological assays for detecting anti-Echinococcus antibodies were compared head-to-head using samples collected from 50 patients with echinococcosis and 50 age- and sex-matched control subjects. The assays are Anti-Echinococcus ELISA (IgG) (Euroimmun), Echinococcus IgG ELISA (DRG), Echinococcus IgG ELISA (IBL International), Echinococcus Western Blot IgG (LDBIO Diagnostics), EUROLINE WB (Euroimmun), Hydatidosis ELISA IgG (VirCell), Hydatidosis VIRCLIA IgG Monotest (VirCell), Ridascreen Echinococcus IgG (R-Biopharm), and Virapid Hydatidosis (VirCell). The cases were ranked according to the WHO-Informal Working Group on Echinococcosis (WHO-IWGE) criteria as confirmed, probable, or possible. Results The performance of the assays varied greatly, with overall sensitivities ranging between 50% and 88% and specificities between 62% and 100%. We observed a trend toward better performance with cases classified as "confirmed" using the WHO-IWGE criteria. Combined analysis with sequential screening and confirmatory testing resulted in a maximum sensitivity of 84% and specificity of 100%. Differentiation between EG and EM infections is clinically relevant but was found to be unreliable. Conclusions Echinococcus serological assays are highly variable in terms of sensitivity and specificity. Knowledge of the pre-test probability in the patient cohort is required to choose a suitable assay. A combined approach with screening and confirmatory assays may be the best diagnostic strategy in many situations.
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Affiliation(s)
- Carolina Mattwich
- Max von Pettenkofer-Institut für Hygiene und Medizinische Mikrobiologie, Medizinische Fakultät, LMU München, Munich, Germany
| | - Kristina Huber
- Division of Infectious Diseases and Tropical Medicine, University Hospital Ludwig-Maximilian University Munich, Munich, Germany
| | - Gisela Bretzel
- Division of Infectious Diseases and Tropical Medicine, University Hospital Ludwig-Maximilian University Munich, Munich, Germany
| | - Sebastian Suerbaum
- Max von Pettenkofer-Institut für Hygiene und Medizinische Mikrobiologie, Medizinische Fakultät, LMU München, Munich, Germany
| | - Andreas Wieser
- Max von Pettenkofer-Institut für Hygiene und Medizinische Mikrobiologie, Medizinische Fakultät, LMU München, Munich, Germany
- Division of Infectious Diseases and Tropical Medicine, University Hospital Ludwig-Maximilian University Munich, Munich, Germany
- German Centre for Infection Research (DZIF), Munich, Germany
- Fraunhofer Institute for Translational Medicine and Pharmacology ITMP, Immunology, Infection and Pandemic Research, Munich, Germany
| | - Karl Dichtl
- Max von Pettenkofer-Institut für Hygiene und Medizinische Mikrobiologie, Medizinische Fakultät, LMU München, Munich, Germany
- Diagnostic and Research Institute of Hygiene, Microbiology and Environmental Medicine, Medical University of Graz, Graz, Austria
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Lounis M, Belabbas Z, Telha T, Bencherit D, Chebbah O, Laoues K, Abdelhadi S. Knowledge, awareness and practice regarding cystic echinococcosis in Algeria: A cross-sectional survey among the general population. Vet Parasitol Reg Stud Reports 2024; 47:100956. [PMID: 38199698 DOI: 10.1016/j.vprsr.2023.100956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Revised: 10/30/2023] [Accepted: 11/10/2023] [Indexed: 01/12/2024]
Abstract
Cystic echinococcosis (CE) is a parasitic zoonotic disease with a widespread occurrence, particularly in developing countries. Known as a neglected disease, it is highly prevalent in Algeria with a significant public health concern and substantial financial losses. The objectives of this study was to explore knowledge and awareness and practice of the Algerian population regarding this disease. A cross-sectional online-based survey was conducted between July 15 and September 25, 2022 using a self-administered questionnaire targeting all Algerian people of more than 18 years of age. Out of the total respondents, 87.7% have ever heard of CE with livestock rearing connection (OR:2.550, CI 95% OR: 1.108-5.870) and educational level (OR:3.826, CI 95% OR: 1.599-9.156) as the main factors associated with the level of awareness. Regarding their knowledge, results showed dispersing notions about the disease. The majority (84.8%) were aware of the zonnotic nature of the disease while only 49.6% knew that CE is caused by parasitic disease. Also, 83.3% were knowledgeable of the role of contaminated offal in the contamination of dogs which are considered as the main source of contamination of humans (65.19%). Regarding their practices, even home slaughtering was common (92.96%), some positive attitudes were prevalent where most of the participants declared washing vegetable before consumption (97.41%) and washing their hands after touching a dog (91.11%). Also, 68.29% among the dog owners declared that deworming their pets. This study has revealed that despite the high level of awareness and some positive attitudes, the level of knowledge about CE among the Algerian public has shown some gaps related to the epidemiology of the disease. These results could be helpful for the awareness campaigns programmers in their missions through focusing their efforts on raising the level of knowledge for the items that have shown a lack of understand which will be of great importance in the strategy of CE elimination.
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Affiliation(s)
- Mohamed Lounis
- Department of Agro-veterinary sciences, Faculty of Natural and Life Sciences, University of Ziane Achour, BP 3117, Road of Moudjbara, Djelfa 17000, Algeria; Laboratoire d'Exploration et Valorisation des Écosystèmes Steppiques, University of Ziane Achour, BP 3117, Road of Moudjbara, Djelfa 17000, Algeria.
| | - Zoubir Belabbas
- Department of Agro-veterinary sciences, Faculty of Natural and Life Sciences, University of Ziane Achour, BP 3117, Road of Moudjbara, Djelfa 17000, Algeria
| | - Telha Telha
- Department of Biology, Faculty of Natural and Life Sciences, University of Ziane Achour, Djelfa 17000, Algeria
| | - Djihad Bencherit
- Laboratoire d'Exploration et Valorisation des Écosystèmes Steppiques, University of Ziane Achour, BP 3117, Road of Moudjbara, Djelfa 17000, Algeria; Department of Biology, Faculty of Natural and Life Sciences, University of Ziane Achour, Djelfa 17000, Algeria
| | - Ourida Chebbah
- Laboratoire d'Exploration et Valorisation des Écosystèmes Steppiques, University of Ziane Achour, BP 3117, Road of Moudjbara, Djelfa 17000, Algeria
| | - Kheira Laoues
- Department of Agro-veterinary sciences, Faculty of Natural and Life Sciences, University of Ziane Achour, BP 3117, Road of Moudjbara, Djelfa 17000, Algeria
| | - Samir Abdelhadi
- Department of Mathematics, Faculty of Exact Sciences, Frères Mentouri University, Constantine 25000, Algeria
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Ntombela P, Linda Z, Hlapolosa T, Jingo M. The unsolved problem of musculoskeletal hydatid disease: two case reports. J Med Case Rep 2023; 17:531. [PMID: 38148487 PMCID: PMC10752011 DOI: 10.1186/s13256-023-04275-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Accepted: 11/20/2023] [Indexed: 12/28/2023] Open
Abstract
BACKGROUND Hydatidosis is a parasitic infection caused by Echinococcus granulosus and humans are usually an accidental intermediate host. Involvement of the musculoskeletal system is reported to occur in 0.5% to 4% of the cases. CASE PRESENTATION We present our experience with two cases of musculoskeletal hydatidosis in black African patients that required orthopaedic surgical intervention. A 51-year-old black African female presented with right hip hydatid disease and a 37-year-old black African female presented with the disease affecting the left shoulder. Both patients presented with joint pain and reduced range of motion. The patient with involvement of the shoulder had a background history of human immunodeficiency virus, this was not present with the other patient. Diagnostic work-up confirmed peri-articular hydatid disease and both patients were surgically managed with arthroplasty. Post-operative complications encountered include hardware loosening from bone lysis and hardware failure. DISCUSSION The medical literature describes a limited number of cases of peri-articular musculoskeletal hydatid disease. Patients are often subjected to many investigations, prolonged treatment periods and multiple surgeries. Concurrent use of medical and surgical treatment is advocated however, the choice of surgery is individualised. CONCLUSION Hydatid disease must always feature in the differential diagnosis of multiple lytic bone lesions and radical surgical intervention may be required from the outset.
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Affiliation(s)
- Philani Ntombela
- Department of Orthopaedics, University of the Witwatersrand, 7 York Road Park-Town, Johannesburg, South Africa.
- Orthopaedic Oncology and Infections Unit, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, 7 York Road, Park-Town, Johannesburg, 2193, South Africa.
| | - Zweli Linda
- Department of Orthopaedics, University of the Witwatersrand, 7 York Road Park-Town, Johannesburg, South Africa
- Orthopaedic Oncology and Infections Unit, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, 7 York Road, Park-Town, Johannesburg, 2193, South Africa
| | - Tiego Hlapolosa
- Department of Orthopaedics, University of the Witwatersrand, 7 York Road Park-Town, Johannesburg, South Africa
| | - Maxwell Jingo
- Department of Orthopaedics, University of the Witwatersrand, 7 York Road Park-Town, Johannesburg, South Africa
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Haddad MHF, Sepahvand Z, Fadaei T, Belali R. Epidemiological characteristics of human cystic echinococcosis in Khuzestan province (Iran), 2011-2021: a retrospective analytical study. J Parasit Dis 2023; 47:718-726. [PMID: 38009155 PMCID: PMC10667199 DOI: 10.1007/s12639-023-01619-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Accepted: 07/17/2023] [Indexed: 11/28/2023] Open
Abstract
Hydatid cyst (HC) disease is endemic in many Mediterranean countries. The most polluted areas of Iran include the Alborz and Zagros Mountain ranges, where animal husbandry is common. This study investigated the epidemiological dimensions of HC in patients admitted to hospitals in Khuzestan province from 2011 to 2021. Of all 183 patients identified, 113 (61.7%) were female with the mean age of 37.7 ± 17, men with the mean age of 36.7 ± 19. Also, we found that housewives made up 49.2% of our HC patients. 65% of the patients in this study lived in urban areas, and 42% had a history of contact with dogs. The liver was reported to be the most HC-affected organ. The most clinical symptoms were abdominal pain and hepatomegaly. 59% of the patients had only one cyst. This study found that surgery and radiology were the most common treatment and diagnostic methods. There were significant relationships between: gender and occupation (p < 0.001); location with dog contact, duration of dog contact (p < 0.001); ways of washing raw vegetables (p < 0.01), and type of treatment (p < 0.05); occupation and dog contact (p < 0.001); with the involvement of the liver being greater in patients who used only water to wash vegetables (p < 0.01). The key to successful disease management is early diagnosis. How to intervene and treat HC necessitates the identification of the stages of the cyst, which is dependent on imaging techniques. The prevalence of human hydatidosis has been overlooked as the most important disease that health policymakers should consider. Furthermore, training programs are required to better understand the disease's symptoms and identify sources of infection.
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Affiliation(s)
| | - Zahra Sepahvand
- Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Tahereh Fadaei
- Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Rafie Belali
- Department of Physiology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
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Maleki F, Akhlaghi L, Tabatabaie F. Evaluation of Hydatid Cyst Antigen for Serological Diagnosis. Med J Islam Repub Iran 2023; 37:87. [PMID: 37655067 PMCID: PMC10466074 DOI: 10.47176/mjiri.37.87] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2023] [Indexed: 09/02/2023] Open
Abstract
Background Hydatidosis, a chronic zoonotic disease, has a distribution worldwide and is caused by the larval stage of the Echinococcus helminth. The Dot-ELISA test can diagnose hydatidosis quickly and accurately. Additionally, unlike other hydatid disease tests now used, this quick and affordable enzyme immunoassay is very serum-conservative and antigen-conservative, needing just nanogram levels of parasite antigen. Methods In the present cross-sectional study, crude and B antigens of hydatid cyst fluid were obtained to diagnose human hydatidosis using CIEP (Counter Immunoelectrophoresis), ELISA (Enzyme-linked Immuno Sorbent assay), and Dot- ELISA (Dot Enzyme linked Immuno Sorbent Assay) methods. Infected liver with a hydatid cyst was collected from Tehran's slaughterhouses to prepare cyst fluid in different stages. After extracting and purifying the Cyst fluid, it is centrifuged at 4ºc, then prepared to concentrate. The study also included sera from hydatidosis (n=60), samples of helminth parasites (n=55), fascioliasis (n=35), toxocariasis (n=20) and negative control (n=35) were tested by CIEP (Counter Immunoelectrophoresis), ELISA (Enzyme-linked Immune Sorbent assay), and Dot- ELISA (Dot Enzyme linked Immuno Sorbent Assay) methods. All statistical analyses were performed using Statistical Package for the Social Sciences (SPSS) for Windows release 25.0 (SPSS Inc., Chicago, IL, USA). Results Crude antigen of hydatid cyst showed a specificity of 76.7%, a sensitivity of 93.3% using the ELISA method, and B antigen showed a specificity of 96.7% and sensitivity of 88.3% using the same method. The crude antigen of the hydatid cyst exhibited a specificity of 68.9% and a sensitivity of 86.7% using CIEP. The B antigen showed a specificity of 87.8% and sensitivity of 83.3% using the same method.The crude antigen of hydatid cyst having serum dilution at 1:800 exhibited a specificity of 83.3% and sensitivity of 100% using the Dot-ELISA method and B antigen having serum dilution at 1:800 serum showed a specificity of 100% and sensitivity of 98.3% using the same method. The results of this finding showed that B antigen has the maximum specificity to diagnose hydatid test using the Dot- ELISA method. Conclusion Hydatid cysts present with varied symptomatology. History of exposure to infected animals may not be present. A high degree of clinical suspicion combined with meticulous history and clinical examination supported by laboratory investigations are required for its diagnosis. The Dot-ELISA system with native antigen B is a viable approach for the immunodiagnosis of human hydatidosis that is preferred to infection.
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Affiliation(s)
- Fatemeh Maleki
- School of Allied Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Lame Akhlaghi
- Department of Parasitology and Mycology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Fatemeh Tabatabaie
- Department of Parasitology and Mycology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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Tabaripour R, Sharifpour A, Fakhar M, Asadi S, Esmaeili Reykandeh S, Montazeri M, Keighobadi M. Status of human cystic echinococcosis based on hospital records in Mazandaran Province: A first registry-based evidence. Parasite Epidemiol Control 2023; 22:e00314. [PMID: 37457119 PMCID: PMC10344820 DOI: 10.1016/j.parepi.2023.e00314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2022] [Revised: 05/29/2023] [Accepted: 07/02/2023] [Indexed: 07/18/2023] Open
Abstract
Background Human cystic echinococcosis, as an emerging neglected parasitic disease, is caused by tapeworms of the genus Echinococcus spp. Because of the medical and economic importance, this study aims to review the epidemiology and clinical features of hydatidosis in patients admitted to medical and surgical wards in three referral teaching hospitals over 15 years in Mazandaran Province, northern Iran. Methods Data were collected from hospital records that were accessible via the hospital information system (HIS) between 2005 and 2019 (15 years).The demographic information (age, sex, living area, and occupation), dog contact, number of the cysts, types of organs involved, and history of disease recurrence were assessed. Results One hundred twenty-one patients with human cystic echinococcosis (CE) were involved in the study, from whom 58 patients (47.93%) were male and 63 (52.07%) were female. The majority of patients were rural residents (64.46%) and also housewife (28.10%). Based on the results, only about 16.53% of the patients had history of close contacts with dogs. The liver was the organ involved in the most cases of CE. There were statistically significant differences between residence, occupation, history of close contacts with dogs, type of organs involved, number of cysts and history of disease recurrence (P < 0.05). Conclusions Our data provides valuable registry-based information about CE in an endemic region. The data highlights that most patients lived in rural areas and were housewives. Additionally, they had a low rate of disease recurrence but a high rate of close contact with dogs. Moreover, further monitoring on registry-based program and strengthening the HIS in the provincial hospitals in the studied area are required.
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Affiliation(s)
- Rabeeh Tabaripour
- Iranian National Registry Center for Lophomoniasis and Toxoplasmosis, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran
- Iranian National Registry Center for Hydatid Cyst Mazandaran Branch, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran
| | - Ali Sharifpour
- Iranian National Registry Center for Lophomoniasis and Toxoplasmosis, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran
| | - Mahdi Fakhar
- Iranian National Registry Center for Lophomoniasis and Toxoplasmosis, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran
- Iranian National Registry Center for Hydatid Cyst Mazandaran Branch, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran
| | - Samira Asadi
- Iranian National Registry Center for Lophomoniasis and Toxoplasmosis, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran
| | - Samira Esmaeili Reykandeh
- Iranian National Registry Center for Lophomoniasis and Toxoplasmosis, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran
| | - Mahbobeh Montazeri
- Iranian National Registry Center for Lophomoniasis and Toxoplasmosis, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran
| | - Masoud Keighobadi
- Iranian National Registry Center for Lophomoniasis and Toxoplasmosis, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran
- Iranian National Registry Center for Hydatid Cyst Mazandaran Branch, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran
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Maraimalai N, Sardar MA, Wadde K, Kharat O, Kanpurwala S, Chowdhar A. Hydatid cyst involving the mandible ramus. Autops Case Rep 2023; 13:e2023437. [PMID: 37415643 PMCID: PMC10321781 DOI: 10.4322/acr.2023.437] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2023] [Accepted: 05/23/2023] [Indexed: 07/08/2023]
Abstract
Parasitic infections rarely involve the oral and maxillofacial regions and pose a diagnostic challenge when they do. Hydatid cysts are parasitic cysts caused by Echinococcus granulosus. Intraosseous involvement is observed in 3% of cases, of which only 2-6% are in the maxillofacial region. A scientific literature search revealed only seven cases involving the mandible. We report a rare case in a 16-year-old female patient who presented with facial asymmetry and well-defined radiolucency of the ramus. Our findings will help in understanding the diagnostic issues caused by non-specific presentation and difficulties in suspecting such a rare diagnosis as echinococcosis of the oral or maxillofacial region. A thorough systemic investigation is essential as 20-30% of these cases show multiorgan involvement.
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Affiliation(s)
- Nivedhitha Maraimalai
- Government Dental College and Hospital, Department of Oral Pathology and Microbiology, Mumbai, India
| | - Manisha Ahire Sardar
- Government Dental College and Hospital, Department of Oral Pathology and Microbiology, Mumbai, India
| | - Kavita Wadde
- Government Dental College and Hospital, Department of Oral and Maxillofacial Surgery, Mumbai, India
| | - Om Kharat
- Government Dental College and Hospital, Department of Oral Medicine and Radiology, Mumbai, India
| | - Shaheen Kanpurwala
- Government Dental College and Hospital, Department of General Pathology, Mumbai, India
| | - Asha Chowdhar
- Government Dental College and Hospital, Department of Oral and Maxillofacial Surgery, Mumbai, India
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Belloumi N, Habouria C, Fidha S, Bachouch I, Ben Abdallah FC, Fenniche S. Non-resectable pulmonary alveolar echinococcosis with multi-stage vertebral location. Respir Med Case Rep 2023; 44:101886. [PMID: 37388238 PMCID: PMC10302124 DOI: 10.1016/j.rmcr.2023.101886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Revised: 04/19/2023] [Accepted: 06/04/2023] [Indexed: 07/01/2023] Open
Abstract
Alveolar echinococcosis (also known as Hydatid cyst or Hydatydosis) is a zoonosis with a high degree of disability and morbidity. Bone echinococcosis is a rare presentation. Authors are always defending a personalized approach taking account of the particularities of the cyst location. Recognition of this syndrome is crucial because advances in medical and surgical management strategies have controlled and relieved symptoms in numerous cases. We report, hereby, a case of a patient with a thoracic spine alveolar echinococcosis of an unusual extension. We discussed the outcome of the treatment after fifteen years of follow-up.
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Affiliation(s)
- N. Belloumi
- Pulmonology department Pavilion 4, Abderrahmen Mami hospital, Ariana, Tunisia
- Faculty of medicine of Tunis, University of Tunis el manar, Tunisia
| | - C. Habouria
- Pulmonology department Pavilion 4, Abderrahmen Mami hospital, Ariana, Tunisia
- Faculty of medicine of Tunis, University of Tunis el manar, Tunisia
| | - S. Fidha
- Pulmonology department Pavilion 4, Abderrahmen Mami hospital, Ariana, Tunisia
- Faculty of medicine of Tunis, University of Tunis el manar, Tunisia
| | - I. Bachouch
- Pulmonology department Pavilion 4, Abderrahmen Mami hospital, Ariana, Tunisia
- Faculty of medicine of Tunis, University of Tunis el manar, Tunisia
| | - F. Chermiti Ben Abdallah
- Pulmonology department Pavilion 4, Abderrahmen Mami hospital, Ariana, Tunisia
- Faculty of medicine of Tunis, University of Tunis el manar, Tunisia
| | - S. Fenniche
- Pulmonology department Pavilion 4, Abderrahmen Mami hospital, Ariana, Tunisia
- Faculty of medicine of Tunis, University of Tunis el manar, Tunisia
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Lounis M, Bencherit D, Laoues K, Telha T, Chebbah O, Belabbas Z. Attitude and awareness of Algerian university students about cystic echinococcosis: A cross-sectional study. Vet Parasitol Reg Stud Reports 2023; 41:100879. [PMID: 37208085 DOI: 10.1016/j.vprsr.2023.100879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Revised: 04/11/2023] [Accepted: 04/14/2023] [Indexed: 05/21/2023]
Abstract
Cystic echinococcosis is a neglected tropical parasitic disease affecting both humans and animals with considerable socioeconomic impact on affected pastoral and poor communities. CE is endemic in the Mediterranean basin, including Algeria posing a real threat for either animal and public health. This study was conducted to evaluate the level of awareness and knowledge of Algerian university students about this disease and to describe their attitude toward some risky practices. Results showed that despite that a high number of students (76.1%) have heard about CE, their level of knowledge is however medium (63.3%) especially among students of non medical and life sciences specialties. The gaps of knowledge concerns especially the life cycle of the parasite even they are aware about the association of dogs (43.7%) and sheep (59.4%) and considered that dogs are the main source of contamination of humans (58.1%) through contaminated foods (45%) or direct contact with their faeces (44.5%). Regarding their practice, a good level was shown since washing vegetables (99.2%) and washing hands after touching a dog (97.9%) and dogs deworming (82%) were common. These results highlight the need to improve knowledge about the transmission cycle of the parasite through awareness campaign targeting students which could be helpful in CE eradication.
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Affiliation(s)
- Mohamed Lounis
- Faculty of Natural and Life Sciences, University of Ziane Achour, BP 3117, Road of Moudjbara, Djelfa 17000, Algeria.
| | - Djihad Bencherit
- Faculty of Natural and Life Sciences, University of Ziane Achour, BP 3117, Road of Moudjbara, Djelfa 17000, Algeria
| | - Kheira Laoues
- Faculty of Natural and Life Sciences, University of Ziane Achour, BP 3117, Road of Moudjbara, Djelfa 17000, Algeria
| | - Telha Telha
- Faculty of Natural and Life Sciences, University of Ziane Achour, BP 3117, Road of Moudjbara, Djelfa 17000, Algeria
| | - Ourida Chebbah
- Faculty of Natural and Life Sciences, University of Ziane Achour, BP 3117, Road of Moudjbara, Djelfa 17000, Algeria
| | - Zoubir Belabbas
- Faculty of Natural and Life Sciences, University of Ziane Achour, BP 3117, Road of Moudjbara, Djelfa 17000, Algeria
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El Abbassi I, El Karoini D, Ennachit M, Benhessou M, Kerroumi ME. Primary pelvic hydatidosis: About two cases. Int J Surg Case Rep 2023; 107:108346. [PMID: 37263006 DOI: 10.1016/j.ijscr.2023.108346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Revised: 05/14/2023] [Accepted: 05/19/2023] [Indexed: 06/03/2023] Open
Abstract
INTRODUCTION AND IMPORTANCE Primary pelvic hydatidosis in women is a rare or even exceptional entity; its diagnosis is often late. CASE PRESENTATION We report two cases of pelvic hydatid cyst with a clinical picture simulating an ovarian tumor, dignosticated at the Mohamed VI Center for the treatment of gynecomammary cancers in Casablanca. CLINICAL DISCUSSION Pelvic hydatidosis is rare; its incidence is between 0.30 and 5.27% of hydatid localizations. Its diagnosis is exceptionally made preoperatively; the patient is most often consulted for pelvic pain, which reveals the presence of an abdominopelvic mass. Pelvic ultrasound is the first-line examination. Serology is necessary only in doubtful cases. Treatment is essentially surgical and must take into consideration the desire for pregnancy in women of childbearing age. CONCLUSION The vital and gynaecological prognosis is at stake and early diagnosis is necessary. This diagnosis should always be evoked when there are signs of pelvic damage, despite the rarity of hydatid cysts in this location. However, prevention remains the best solution to this scourge, especially in endemic areas.
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Affiliation(s)
- Imane El Abbassi
- Obstetrics and Gynecology Department, University Hospital Center Ibn Rochd, Casablanca 20100, Morocco; Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.
| | - D El Karoini
- Obstetrics and Gynecology Department, University Hospital Center Ibn Rochd, Casablanca 20100, Morocco; Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - M Ennachit
- Obstetrics and Gynecology Department, University Hospital Center Ibn Rochd, Casablanca 20100, Morocco; Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - M Benhessou
- Obstetrics and Gynecology Department, University Hospital Center Ibn Rochd, Casablanca 20100, Morocco; Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
| | - M El Kerroumi
- Obstetrics and Gynecology Department, University Hospital Center Ibn Rochd, Casablanca 20100, Morocco; Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco
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Khurana S, Yadav B, Husain U, Datta P, Mewara A, Sehgal R. Seroprevalence of human cystic echinococcosis: A study from a tertiary care center of North India. Indian J Med Microbiol 2023; 41:10-12. [PMID: 36870741 DOI: 10.1016/j.ijmmb.2022.11.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 11/14/2022] [Accepted: 11/24/2022] [Indexed: 12/24/2022]
Abstract
Present study retrospectively analysed the serological data of patients suspected of cystic echinococcosis (CE) attending the outpatient clinics or admitted in our hospital. An enzyme-linked immunoassay was used to analyse anti-CE antibodies in serum samples of 3680 patients. Microscopy of aspirated cystic fluid was performed on 170 cases only. CE seropositive cases were 595 (16.2%), of which 293 (49.2%) were males and 302 (50.8%) were females. A higher percentage of seropositivity was found in adults within age range of 21-40 years of age. There has been a decrease in seropositivity in the study years (2016-2021) in comparison to previous years (1999-2015).
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Affiliation(s)
- Sumeeta Khurana
- Department of Medical Parasitology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
| | - Bhavana Yadav
- Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
| | - Uneza Husain
- Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
| | - Priya Datta
- Department of Medical Parasitology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
| | - Abhishek Mewara
- Department of Medical Parasitology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
| | - Rakesh Sehgal
- Department of Medical Parasitology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
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Shukla AK, Peter A, Arya V, Dwivedi V, Gupta MK, Rai N, Tiwari P, Bhargava JK. A rare case of hydatid cyst of the neck with concurrent pulmonary hydatid disease. J Parasit Dis 2022; 46:941-944. [PMID: 36457772 PMCID: PMC9606158 DOI: 10.1007/s12639-022-01516-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Accepted: 06/20/2022] [Indexed: 10/17/2022] Open
Abstract
Echinococcosis, commonly known as hydatid disease, is a zoonotic infection caused by dog tapeworm Echinococcus granulosus. Hydatid disease of the head and neck region is scarcely reported even in endemic areas. We herein report a case with with neck swelling and respiratory symptoms subsequently diagnosed to have disseminated echinococcosis of the neck and left lung.
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Affiliation(s)
- Amarendra Kumar Shukla
- Pulmonary Critical Care and Sleep Medicine, School of Excellence in Pulmonary Medicine, NSCB Medical College, Madhya Pradesh Jabalpur, India
| | - Amrutha Peter
- Respiratory Medicine, School of Excellence in Pulmonary Medicine, NSCB Medical College, Jabalpur, Madhya Pradesh India
| | - Veerendra Arya
- Pulmonary Critical Care and Sleep Medicine, School of Excellence in Pulmonary Medicine, NSCB Medical College, Madhya Pradesh Jabalpur, India
| | - Vineet Dwivedi
- Surgery, NSCB Medical College, Jabalpur, Madhya Pradesh India
| | - Manish Kumar Gupta
- Pathology, School of Excellence in Pulmonary Medicine, NSCB Medical College, Jabalpur, Madhya Pradesh India
| | - Nimish Rai
- Surgery, NSCB Medical College, Jabalpur, Madhya Pradesh India
- Cardiac Surgery, Superspeciality Hospital, NSCB Medical College, Madhya Pradesh Jabalpur, India
| | - Pawan Tiwari
- Pulmonary Critical Care and Sleep Medicine, School of Excellence in Pulmonary Medicine, NSCB Medical College, Madhya Pradesh Jabalpur, India
| | - Jitendra Kishore Bhargava
- Respiratory Medicine, School of Excellence in Pulmonary Medicine, NSCB Medical College, Jabalpur, Madhya Pradesh India
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Ganji A, Jalali-Mashayekhi F, Hajihossein R, Eslamirad Z, Bayat PD, Sakhaie M. Anti-parasitic effects of resveratrol on protoscolices and hydatid cyst layers. Exp Parasitol 2022; 241:108360. [PMID: 35995249 DOI: 10.1016/j.exppara.2022.108360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2021] [Revised: 07/17/2022] [Accepted: 08/16/2022] [Indexed: 11/25/2022]
Abstract
The main goal of the current study was to evaluate the effectiveness of resveratrol (RESV) on protoscolices and hydatid cysts of Echinococcus granolosus. Echinococcus granolosus protoscolices and hydatid cyst were exposed to RPMI, DMSO, formalin, mebendazole, and different concentrations of RESV in vitro. Then, viability, GGT, and caspase-3 activity of protoscolices were evaluated using light microscopy, colorimetric, and enzymatic assay, respectively. Tissue changes and expression of caspase-3 apoptosis were analyzed on the hydatid cyst wall by histologic and immunohistochemistry methods. The cell toxicity effect of RESV was evaluated on mouse PBMCs by Annexin V-FITC assay. The RESV-treated protoscolices showed loss of viability, increased gamma-glutamyl transpeptidase, and caspase-3 activity with significant differences compared to all control groups (P < 0.05). Dose and time dependence of mortality, GGT, and caspase-3 enzymatic activity was confirmed in the protoscolices of Echinococcus granulosus treated by RESV. Also, the tissue changes and apoptosis were prominent in RESV-treated hydatid cyst layers; however, tissue changes were only time-dependent, and RESV concentration had no apparent effect on tissue. In cell toxicity evaluation, RESV is safe without any significant apoptosis induction from 31.5 to 250 μg/ml; however, it was significant at 350 and 500 μg/ml in PBMCs.
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Affiliation(s)
- Ali Ganji
- Department of Microbiology and Immunology, School of Medicine, Arak University of Medical Sciences, Arak, Iran; Molecular and Medicine Research Center, Arak University of Medical Sciences, Arak, Iran.
| | - Farideh Jalali-Mashayekhi
- Department of Biochemistry and Genetics, School of Medicine, Arak University of Medical Sciences, Arak, Iran.
| | - Reza Hajihossein
- Department of Parasitology and Mycology, School of Medicine, Arak University of Medical Sciences, Arak, Iran.
| | - Zahra Eslamirad
- Department of Parasitology and Mycology, School of Medicine, Arak University of Medical Sciences, Arak, Iran.
| | - Parvin-Dokht Bayat
- Department of Anatomy, School of Medicine, Arak University of Medical Sciences, Arak, Iran.
| | - Mohammadhasan Sakhaie
- Department of Anatomy, School of Medicine, Arak University of Medical Sciences, Arak, Iran.
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BOUIKHIF M, FARHANE S, LYAGOUBI M, AOUFI S. [ Hydatidosis of psoas muscle revealed by vascular axis compression in lower limb: About one case at the Ibn Sina University hospital, Rabat, Morocco]. Med Trop Sante Int 2022; 2:mtsi.v2i3.2022.195. [PMID: 36284556 PMCID: PMC9557814 DOI: 10.48327/mtsi.v2i3.2022.195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/08/2022] [Accepted: 06/06/2022] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Hydatidosis is a zoonosis caused by Echinococcus granulosus. It's a real public health problem in Morocco. Muscle localization is unusual, even in endemic countries. We report a rarely described case of a hydatid cyst of the psoas muscle diagnosed in our laboratory. CASE REPORT The patient was a 32-year-old male, living in a rural area. He reported a contact with dogs. He was admitted in vascular surgery department for left hypochondrium pain, with heaviness of the left lower limb and appearance of varicose veins. Clinical examination has found a huge painful and hard mass of the left flank arriving to the hypogastrium with varicose veins of the left leg. An injected CT scan of the pelvic region showed a 189 x 137 mm cystic mass of the left psoas muscle reflowing left iliac vessels. This suggested hydatid cyst. No other localization was found. Hydatid serology was positive with an ELISA test and an indirect hemagglutination test. The patient underwent surgery to remove the mass. Several white vesicles of a few centimeters were found in the cyst and were sent to the parasitology laboratory. Microscopic examination has confirmed the presence of viable Echinococcus granulosus. The patient received albendazole 400 mg twice daily for only a month and was not seen for follow-up. One year after surgery, he showed the same symptoms of abdominal pain and heaviness. Recurrence of hydatid cysts in the same localization was diagnosed with ultrasound showing two hydatid cysts type 3 according to Gharbi classification. DISCUSSION Diagnosis of all hydatidosis localizations is based on epidemiological, clinical, and radiological data and confirmed by serology and parasitological examination of the surgical specimen. Surgery is then a diagnostic and therapeutic tool that cannot be bypassed since it allows the definitive elimination of the parasite and eviction of recurrence if it's well done. Conservative methods are related to recurrent cysts. CONCLUSION Muscle hydatidosis is extremely rare but should not be forgotten when radiological and epidemiological data suggest it. It's a benign infection but can be severe and deadly if not appropriately treated.
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Affiliation(s)
- Manal BOUIKHIF
- Laboratoire central de parasitologie et mycologie, Centre hospitalier universitaire Ibn Sina, Rabat, Maroc,Faculté de médecine et de pharmacie, Université Mohamed V, Rabat, Maroc,*
| | - Sana FARHANE
- Laboratoire central de parasitologie et mycologie, Centre hospitalier universitaire Ibn Sina, Rabat, Maroc,Faculté de médecine et de pharmacie, Université Mohamed V, Rabat, Maroc
| | - Mohamed LYAGOUBI
- Laboratoire central de parasitologie et mycologie, Centre hospitalier universitaire Ibn Sina, Rabat, Maroc,Faculté de médecine et de pharmacie, Université Mohamed V, Rabat, Maroc
| | - Sarra AOUFI
- Laboratoire central de parasitologie et mycologie, Centre hospitalier universitaire Ibn Sina, Rabat, Maroc,Faculté de médecine et de pharmacie, Université Mohamed V, Rabat, Maroc
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Sadjjadi SF, Mohammadzadeh T, Hafezi F, Sadjjadi SM. Evaluation of the Ability of Antigen B Originated from Echinococcus granulosus Sensu Stricto and E. canadensis for the Diagnosis of Confirmed Human Cystic Echinococcosis Using ELISA. Iran J Parasitol 2022; 17:358-365. [PMID: 36466027 PMCID: PMC9682382 DOI: 10.18502/ijpa.v17i3.10626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/22/2021] [Accepted: 10/21/2021] [Indexed: 06/17/2023]
Abstract
BACKGROUND Cystic echinococcosis (CE) is an important zoonotic parasitic disease worldwide. Application of species-specific antigen for serodiagnosis of human CE has not been utilized, so far. In this regard, AgB originated from Echinococcus granulosus sensu stricto (G1-G3) and E. canadensis (G6/G7) CE cysts, confirmed by molecular biology and sequencing was used for evaluation of their ability in the diagnosis of confirmed human CE. METHODS The hydatid cyst fluid (HCF) of E. granulosus sensu stricto and E. canadensis species were separately, used for preparation of AgB during 2017-2018 in Shiraz and Tehran, Iran. A total of 45 sera samples from confirmed CE patients, 102 sera from healthy people as negative control and 44 sera from other parasitic diseases, were used for measurement of the diagnostic ability of antigen B originated from E. granulosus sensu stricto and E. canadensis species of CE, alone or in 50%:50% mixture using ELISA method. RESULTS Overall, 38 (84.4%) out of 45 confirmed human CE were positive by ELISA using AgB originated from E. granulosus sensu stricto. This items for AgB originated from E. canadensis was 39 (86.6) out of 45 serum samples. A total of 39 out of 45 samples (86.6%) showed positivity by a mixture of antigen B originating from both species. The specificity of the above tests was calculated as 93.15%, 96.58%, and 93.84%, respectively. CONCLUSION Due to the diversity of the cyst species in human population, application of AgB from prevalent species alone or in combination with other species is suggested.
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Affiliation(s)
- Seyedeh Faezeh Sadjjadi
- Department of Biology, School of Sciences, Shahid Bahonar University of Kerman, Kerman, Iran
| | - Tahereh Mohammadzadeh
- Department of Parasitology and Mycology, School of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Fatemeh Hafezi
- Department of Parasitology and Mycology, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran
| | - Seyed Mahmoud Sadjjadi
- Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
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Parandin F, Hanafi-Bojd AA, Heydarpour F, Mohebali M, Zeinali M, Akbari Sari A, Rezaei M, Rokni MB. Risk Mapping and Spatial Modeling of Human Cystic Echinococcosis in Iran from 2009 to 2018: A GIS-Based Survey. Iran J Parasitol 2022; 17:306-316. [PMID: 36466033 PMCID: PMC9682367 DOI: 10.18502/ijpa.v17i3.10620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/10/2021] [Accepted: 12/25/2021] [Indexed: 06/17/2023]
Abstract
BACKGROUND Cystic echinococcosis (CE) is one of the most important parasitic infections in subgroup seven common neglected diseases of humans and animals. It is in the list of 18 neglected tropical diseases of the WHO. We aimed to analyze the situation of the disease in Iran using Geographical Information System (GIS) and satellite data analysis. METHODS The data obtained from the Ministry of Health and Medical Education, Tehran, Iran and other related centers from 2009 to 2018 were analyzed using GIS. Then, the spatial distribution maps of the disease were generated, and the hot spots of the disease in Iran were determined using spatial analysis of ArcGIS10.5 software. Geographically weighted regression (GWR) analysis in ArcGIS10.5 was used to correlate the variables affecting the disease including temperature, relative humidity, normalized different vegetation index (NDVI) and incidence of hydatidosis. Data analysis was performed by Linear regression analysis and SPSS 21 software using descriptive statistics and chi-square test. RESULTS Zanjan, Khorasan Razavi, North Khorasan, Chaharmahal Bakhtiari, Hamedan, Semnan, and Ardabil provinces were the hot spots of CE. The results of geographical weighted regression analysis showed that in Khorasan Razavi, North Khorasan, Chaharmahal Bakhtiari, Hamedan, Semnan, Ardabil, Zanjan, Qazvin, and Ilam provinces, the highest correlation between temperature, humidity, vegetation density and the incidence of hydatidosis was observed (P<0.001). CONCLUSION The use of maps could provide reliable estimates of at-risk populations. Climatic factors of temperature, humidity, NDVI had a greater impact on the probability of hydatidosis. These factors can be an indicator used to predict the presence of disease. Environmental and climatic factors were associated with echinococcosis.
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Affiliation(s)
- Fatemeh Parandin
- Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Ahmad Ali Hanafi-Bojd
- Department of Medical Entomology and Vector Control, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Fatemeh Heydarpour
- Medical Biology Research Center, Health Technology Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Mehdi Mohebali
- Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
- Research Center for Endemic Parasites of Iran, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Zeinali
- Center of Communicable Diseases Control, Ministry of Health & Medical Education, Tehran, Iran
| | - Ali Akbari Sari
- Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Mehdi Rezaei
- Department of Forestry and Landscape Architecture, Konkuk University, Seoul, South Korea
| | - Mohammad Bagher Rokni
- Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
- Research Center for Endemic Parasites of Iran, Tehran University of Medical Sciences, Tehran, Iran
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18
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Hafezi F, Mohammadzadeh T, Pazoki R, Ranani KA, Sadjjadi SM. Sero-Epidemiological Study of Human Hydatidosis in Semnan and Sorkheh, Semnan Province, Iran. Iran J Public Health 2022; 51:1411-1418. [PMID: 36447961 PMCID: PMC9659522 DOI: 10.18502/ijph.v51i6.9698] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/21/2021] [Accepted: 04/14/2021] [Indexed: 06/16/2023]
Abstract
BACKGROUND To determine the seroprevalence of human cystic echinococcosis/hydatidosis which is one of the most important zoonotic diseases by ELISA using native antigen B in Semnan and Sorkheh, Semnan province, Iran, where no significant information about human infection exists. METHODS Overall, 957 human serum samples were randomly prepared from Semnan, Sorkheh, and its 13 surrounding villages in different seasons from 2017 to 2018. Antigen B was prepared from native hydatid cyst fluid of domestic sheep. All serum samples were evaluated by ELISA while the suspected cases were rechecked. The cut-off was calculated as the X ¯ ±2SD. RESULTS Overall, 48(5%) out of 957 (422 males and 535 females) were positive for hydatidosis. The seropositivity based on sex showed 20(2.1%) out of 422 in males and 28(2.9%) out of 535 in females. The distribution of seropositive samples based on residence area showed 41 (4.3) out of 882 in urban and 7 (0.7) out of 75 in rural areas. The highest seroprevalence cases was among housewives (2.1%) followed by employers (1.5%). Based on education, source of drinking water, and age groups the highest seropositivity was observed in high school and less, in the plumping water consumers, and 50 to 59 yr old age group, respectively. There was a significant difference between seropositivity with occupation, literacy, and age group (P<0.05). Semnan with 4% seropositivity had the highest prevalence followed by Sorkheh, county. CONCLUSION High prevalence of the disease in this area emphasizes the importance of increasing people's awareness about hydatidosis.
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Affiliation(s)
- Fatemeh Hafezi
- Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Tahereh Mohammadzadeh
- Health Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
- Department of Parasitology and Mycology, School of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Ramin Pazoki
- Department of Parasitology and Mycology School of Medicine, Semnan University of Medical Sciences, Semnan, Iran
| | - Kazem Ahmadi Ranani
- Biology Research Center, System Biology Poisoning Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
| | - Seyed Mahmoud Sadjjadi
- Department of Parasitology and Mycology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
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Wang L, Gongsang Q, Pang H, Qin M, Wang Y, Li J, Frutos R, Gavotte L. Assessment of echinococcosis control in Tibet Autonomous Region, China. Infect Dis Poverty 2022; 11:59. [PMID: 35619124 PMCID: PMC9137097 DOI: 10.1186/s40249-022-00987-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2021] [Accepted: 05/09/2022] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND In China the highest prevalence of echinococcosis is in Tibet Autonomous Region (TAR). The government has issued documents and implemented comprehensive prevention and control measures focusing on controlling the source of infection of echinococcosis. It was very important to understand the implementation and effect of infectious source control measures. The purpose of this study was to examine the implementation of measures to control infectious source (domestic and stray dogs) in TAR and to assess their effectiveness. METHODS We collected data on domestic dog registration and deworming and stray dog sheltering in 74 counties/districts in the TAR from 2017 to 2019. Fecal samples from domestic dogs were collected from randomly selected towns to determine Echinococcus infection in dogs using coproantigen ELISA. We analyzed the data to compare the canine rate of infection between 2016 and 2019. The data analysis was performed by SPSS statistical to compare dog infection rate in 2016 and 2019 by chi-square test, and ArcGIS was used for mapping. RESULTS From 2017 to 2019, 84 stray dog shelters were built in TAR, and accumulatively 446,660 stray or infected dogs were arrested, sheltered, or disposed of. The number of domestic dogs went downward, with an increased registration management rate of 78.4% (2017), 88.8% (2018), and 99.0% (2019). Dogs were dewormed 5 times in 2017, 12 times in 2018, and 12 times in 2019. The dog infection rate was 1.7% (252/14,584) in 2019, significantly lower than 7.3% (552/7564) from the survey of echinococcosis prevalence in Tibet in 2016 (P < 0.05). CONCLUSION Between 2017 and 2019, the number of stray dogs and infection rate of Echinococcus spp. in domestic dogs decreased significantly, indicating that dogs were effectively controlled as a source of infection in TAR and reflecting a significant decrease in the risk of echinococcosis transmission.
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Affiliation(s)
- Liying Wang
- National Institute of Parasitic Diseases, Chinese Centre for Disease Control and Prevention (Chinese Centre for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Centre for International Research On Tropical Diseases, Shanghai, 200025, China. .,Tibet Center for Disease Control and Prevention, NHC Key Laboratory of Echinococcosis Prevention and Control, Lhasa, 850000, China. .,Cirad, UMR 17, Intertryp, Campus international de Baillarguet, 34398, Montpellier, France. .,Espace-Dev, UMR D-228, Université de Montpellier, 34000, Montpellier, France.
| | - Quzhen Gongsang
- Tibet Center for Disease Control and Prevention, NHC Key Laboratory of Echinococcosis Prevention and Control, Lhasa, 850000, China
| | - Huasheng Pang
- Tibet Center for Disease Control and Prevention, NHC Key Laboratory of Echinococcosis Prevention and Control, Lhasa, 850000, China
| | - Min Qin
- National Institute of Parasitic Diseases, Chinese Centre for Disease Control and Prevention (Chinese Centre for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Centre for International Research On Tropical Diseases, Shanghai, 200025, China
| | - Ying Wang
- National Institute of Parasitic Diseases, Chinese Centre for Disease Control and Prevention (Chinese Centre for Tropical Diseases Research), NHC Key Laboratory of Parasite and Vector Biology, WHO Collaborating Centre for Tropical Diseases, National Centre for International Research On Tropical Diseases, Shanghai, 200025, China
| | - Jingzhong Li
- Tibet Center for Disease Control and Prevention, NHC Key Laboratory of Echinococcosis Prevention and Control, Lhasa, 850000, China.
| | - Roger Frutos
- Cirad, UMR 17, Intertryp, Campus international de Baillarguet, 34398, Montpellier, France
| | - Laurent Gavotte
- Espace-Dev, UMR D-228, Université de Montpellier, 34000, Montpellier, France
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20
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Rodríguez-Laiz G, Melgar P, Bolufer S, Navarro Martínez J, Ramia JM. Liver and lung hydatid cysts with transdiaphragmatic rupture treated by radical surgery. Ann R Coll Surg Engl 2022; 104:e125-e127. [PMID: 34931529 DOI: 10.1308/rcsann.2021.0183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Hydatidosis is a parasitic disease caused by Echinococcus granulosus, a tapeworm that is endemic in certain parts of the world. We present a case of hepatopulmonary hydatidosis with diaphragm involvement and close contact with the suprahepatic inferior vena cava treated with radical surgery. We discuss therapeutical surgical options (approach and type of surgery).
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Affiliation(s)
- G Rodríguez-Laiz
- Hospital General Universitario de Alicante, Spain
- ISABIAL, Instituto de Investigación Sanitaria y Biomédica de Alicante, Spain
| | - P Melgar
- Hospital General Universitario de Alicante, Spain
- ISABIAL, Instituto de Investigación Sanitaria y Biomédica de Alicante, Spain
| | - S Bolufer
- Hospital General Universitario de Alicante, Spain
| | | | - J M Ramia
- Hospital General Universitario de Alicante, Spain
- ISABIAL, Instituto de Investigación Sanitaria y Biomédica de Alicante, Spain
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21
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Lookzadeh S, Sheikhy K, Jamaati H, Ghanbari R, Mortezaee V, Najmi K, Velayati AA. COVID-19 after Thoracotomy in Patients with Pulmonary Hydatidosis. Tanaffos 2022; 21:512-515. [PMID: 37583778 PMCID: PMC10423865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Accepted: 04/06/2022] [Indexed: 08/17/2023]
Abstract
Hydatidosis is one of the most important parasitic and zoonotic endemic infections caused by the larvae of cestode Echinococcus granulosus. Co-infection of hydatid cyst with the coronavirus disease 2019 (COVID-19), which is caused by the severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2), has been previously reported. The mortality rate of hydatidosis is reported to be 2-4% and the liver and lungs are the two most commonly involved organs, respectively. In the present study, we have reported two recovered pulmonary hydatidosis patients who were infected with SARS-CoV-2 after thoracotomy in the hospital. In general, current cases suggest that patients with thoracic surgery are more likely to develop severe infection with severe acute respiratory syndrome coronavirus 2 (SARS-COV-2). The patients presented COVID-19 symptoms shortly after thoracotomy and their viral tests were confirmed with the positive result of SARS-CoV-2 RT-PCR. In conclusion, possible differential diagnoses should be considered in similar cases and adequate attention should be paid to intraoperative and postoperative care.
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Affiliation(s)
- Somayeh Lookzadeh
- Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Kambiz Sheikhy
- Lung Transplantation Research Center (LTRC), NRITLD, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Hamidreza Jamaati
- Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Reza Ghanbari
- Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Vida Mortezaee
- Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Kosar Najmi
- Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Ali Akbar Velayati
- Mycobacteriology Research Center, NRITLD, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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22
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Fasihi Karami M, Bahreini A, Rafiei A, Dastyar AA, Beiromvand M. Primary disseminated intraabdominal hydatidosis: a case report. J Med Case Rep 2022; 16:35. [PMID: 35086556 PMCID: PMC8796641 DOI: 10.1186/s13256-022-03262-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Accepted: 01/06/2022] [Indexed: 11/14/2022] Open
Abstract
Background Hydatidosis, a zoonotic disease caused by the larvae of Echinococcus granulosus sensu lato (E. granulosus s.l.), can be primary or secondary. However, primary disseminated intraabdominal hydatidosis is a rare form of the disease, accounting for about 2% of all intraabdominal cysts. Case presentation We report herein a case of primary disseminated intraabdominal hydatidosis with multiple organ involvement in a 51-year-old Iranian man presenting to a healthcare facility with abdominal pain. During the physical examination, two abdominal masses were palpated. Ultrasound and computed tomography revealed six cystic lesions in the patient’s liver, subhepatic region, pelvic, and omentum. Afterward, he underwent surgery, during which the cystic lesions were completely removed. The patient received albendazole (400 mg/kg/day) postoperatively and was recommended to continue the treatment for 4 months. Conclusions Although primary disseminated intraabdominal hydatidosis is rare, this problem is of great importance due to the fertility of cysts and the high risk of recurrence. Therefore, it is recommended to follow such patients with imaging modalities and enzyme-linked immunosorbent assay for native antigen B (AgB). In addition, patients should undergo albendazole therapy postoperatively for 4 months.
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Affiliation(s)
- Maryam Fasihi Karami
- Department of Parasitology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, P.O. Box 61357-15794, Ahvaz, Khuzestan, Iran
| | - Amin Bahreini
- Department of Surgery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Abdollah Rafiei
- Department of Parasitology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, P.O. Box 61357-15794, Ahvaz, Khuzestan, Iran
| | - Ali Asghar Dastyar
- Department of Surgery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Molouk Beiromvand
- Department of Parasitology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, P.O. Box 61357-15794, Ahvaz, Khuzestan, Iran.
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23
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Jasser M, Mokhtar B, Baya C, Yassine O, Sami BR, Yassine N. Isolated hydatic cyst of seminal vesicle: A new case. Urol Case Rep 2022; 41:101978. [PMID: 34976737 PMCID: PMC8683581 DOI: 10.1016/j.eucr.2021.101978] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Revised: 12/03/2021] [Accepted: 12/05/2021] [Indexed: 11/29/2022] Open
Abstract
We present a rare case of a hydatid cyst involving the seminal vesicle of a 39-year-old man. Left lumbar pain was the initial symptom. CT-scan and MRI revealed a retro vesical cystic mass arising from the seminal vesicle. Surgical excision of the lesion was carried leaving the seminal vesicle preserved. Histopathological report was hydatid cyst of the seminal vesicle. No recurrence has been found after a 1-year follow-up.
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Affiliation(s)
- Maatougui Jasser
- Urology Departement, La Rabta Hospital of Tunis, La Rabta Jebbari, 1007, Tunis, Tunisia
| | - Bibi Mokhtar
- Urology Departement, La Rabta Hospital of Tunis, La Rabta Jebbari, 1007, Tunis, Tunisia
| | - Chelly Baya
- Pathology Departement, La Rabta Hospital of Tunis, La Rabta Jebbari, 1007, Tunis, Tunisia
| | - Ouanes Yassine
- Urology Departement, La Rabta Hospital of Tunis, La Rabta Jebbari, 1007, Tunis, Tunisia
| | - Ben Rhouma Sami
- Urology Departement, La Rabta Hospital of Tunis, La Rabta Jebbari, 1007, Tunis, Tunisia
| | - Nouira Yassine
- Urology Departement, La Rabta Hospital of Tunis, La Rabta Jebbari, 1007, Tunis, Tunisia
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24
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Wang Q, Zhao S, Sami MW, Gao W. Confirmation of an internal hydatid bladder fistula using postoperative methylene blue retrograde injection via urinary catheter: a case report. J Int Med Res 2021; 49:3000605211060999. [PMID: 34851755 PMCID: PMC8647256 DOI: 10.1177/03000605211060999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Abdominal hydatidosis resulting in an internal hydatid bladder fistula postoperatively is
quite rare and might have serious consequences without timely treatment. A 74-year-old
Tibetan woman presented with abdominal distension and was diagnosed with hydatid disease.
Cyst contents were removed, and the pericyst was partially resected without
contraindication. Furthermore, no internal urinary fistula was found before or during the
operation, and the presence of an internal fistula was indicated by methylene blue
retrograde injection via urinary catheter after the operation. The use of postoperative
methylene blue retrograde injection via urinary catheter is recommended to identify
internal hydatid bladder fistula formation.
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Affiliation(s)
- Qiang Wang
- General Surgery Department of Qinghai Provincial People’s Hospital,
Xining, Qinghai, China
- Diagnosis and Treatment Centre for Echinococcosis in Qinghai Province,
Xining, Qinghai, China
| | - Shunyun Zhao
- General Surgery Department of Qinghai Provincial People’s Hospital,
Xining, Qinghai, China
- Diagnosis and Treatment Centre for Echinococcosis in Qinghai Province,
Xining, Qinghai, China
| | | | - Wei Gao
- General Surgery Department of Qinghai Provincial People’s Hospital,
Xining, Qinghai, China
- Diagnosis and Treatment Centre for Echinococcosis in Qinghai Province,
Xining, Qinghai, China
- Wei Gao, Diagnosis and Treatment Centre for
Echinococcosis in Qinghai Province, Qinghai Provincial People’s Hospital, No. 2 Gonghe
Road, Xining, Qinghai 810000, China.
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25
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Fakhar M, Keighobadi M, Hezarjaribi HZ, Montazeri M, Banimostafavi ES, Sayyadi S, Ghaffari Hamadani MM, Sharifpour A, Tabaripour R, Asadi S, Soosaraei M, Khasseh AA. Two decades of echinococcosis/ hydatidosis research: Bibliometric analysis based on the web of science core collection databases (2000-2019). Food Waterborne Parasitol 2021; 25:e00137. [PMID: 34849415 PMCID: PMC8608866 DOI: 10.1016/j.fawpar.2021.e00137] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2021] [Revised: 10/31/2021] [Accepted: 11/07/2021] [Indexed: 11/29/2022] Open
Abstract
Echinococcus granulosus sensu lato and Echinococcus multilocularis are responsible for serious health and economic implications for humans and animals. This study was designed to conduct a bibliometric analysis of global research on echinococcosis/hydatidosis included in the Web of Science Core Collection databases from 2000 to 2019. A total of 7066 relevant articles between 2000 and 2019 were identified. Most articles were published in 2015 (502 articles), 2017 (492 articles) and 2018 (493 articles), with the Veterinary Parasitology journal publishing the largest number of articles (237). Researchers from Xinjiang Medical University, China authored the most articles (388) in the field. Authors Craig, P.S. and Deplazes, P. were the most active in publishing143 and 126 hydatid cyst research papers, respectively. The most echinococcosis/hydatidosis publications originated from Turkey, China and Iran, with 1210, 708 and 531 articles, respectively. The highest levels of research collaboration were evident between China- England, China-France, England-France, China-Australia, and China-Japan. Also, the top researchers in this field had relatively extensive collaborations with each other. Our bibliometric analysis provides a picture of the scientific research into the echinococcosis/hydatidosis field. Further multi-national collaborative research efforts in this field should show promising progress in the future.
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Affiliation(s)
- Mahdi Fakhar
- Toxoplasmosis Research Center, Communicable Diseases Institute, Iranian National Registry Center for Lophomoniasis and Toxoplasmosis, Department of Parasitology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
- Iranian National Registry Center for Hydatid Cyst (INRCHC), Department of Radiology, Imam Khomeini Hospital, Mazandaran Branch, Mazandaran University of Medical Sciences, Sari, Iran
| | - Masoud Keighobadi
- Toxoplasmosis Research Center, Communicable Diseases Institute, Iranian National Registry Center for Lophomoniasis and Toxoplasmosis, Department of Parasitology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
| | - Hajar Ziaei Hezarjaribi
- Toxoplasmosis Research Center, Communicable Diseases Institute, Iranian National Registry Center for Lophomoniasis and Toxoplasmosis, Department of Parasitology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
- Corresponding authors at: Toxoplasmosis Research Center, Communicable Diseases Institute, Iranian National Registry Center for Lophomoniasis and Toxoplasmosis, School of Medicine, Mazandaran University of Medical Sciences, Farah-Abad Road, PO Box: 48471-91971, Sari, Iran.
| | - Mahbobeh Montazeri
- Toxoplasmosis Research Center, Communicable Diseases Institute, Iranian National Registry Center for Lophomoniasis and Toxoplasmosis, Department of Parasitology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
- Corresponding authors at: Toxoplasmosis Research Center, Communicable Diseases Institute, Iranian National Registry Center for Lophomoniasis and Toxoplasmosis, School of Medicine, Mazandaran University of Medical Sciences, Farah-Abad Road, PO Box: 48471-91971, Sari, Iran.
| | - Elham S. Banimostafavi
- Toxoplasmosis Research Center, Communicable Diseases Institute, Iranian National Registry Center for Lophomoniasis and Toxoplasmosis, Department of Parasitology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
- Iranian National Registry Center for Hydatid Cyst (INRCHC), Department of Radiology, Imam Khomeini Hospital, Mazandaran Branch, Mazandaran University of Medical Sciences, Sari, Iran
| | - Shahram Sayyadi
- Iranian National Registry Center for Hydatid Cyst (INRCHC), Department of Surgery, Mazandaran Branch, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran
| | - Mohammad M. Ghaffari Hamadani
- Iranian National Registry Center for Hydatid Cyst (INRCHC), Department of Surgery, Mazandaran Branch, Imam Khomeini Hospital, Mazandaran University of Medical Sciences, Sari, Iran
| | - Ali Sharifpour
- Toxoplasmosis Research Center, Communicable Diseases Institute, Iranian National Registry Center for Lophomoniasis and Toxoplasmosis, Department of Parasitology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
- Iranian National Registry Center for Hydatid Cyst (INRCHC), Department of Radiology, Imam Khomeini Hospital, Mazandaran Branch, Mazandaran University of Medical Sciences, Sari, Iran
| | - Rabeeh Tabaripour
- Toxoplasmosis Research Center, Communicable Diseases Institute, Iranian National Registry Center for Lophomoniasis and Toxoplasmosis, Department of Parasitology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
| | - Samira Asadi
- Toxoplasmosis Research Center, Communicable Diseases Institute, Iranian National Registry Center for Lophomoniasis and Toxoplasmosis, Department of Parasitology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
| | - Masoud Soosaraei
- Toxoplasmosis Research Center, Communicable Diseases Institute, Iranian National Registry Center for Lophomoniasis and Toxoplasmosis, Department of Parasitology, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
| | - Ali A. Khasseh
- Department of Knowledge and Information Sciences, Payame Noor University, Tehran, Iran
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26
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Ramdani H, Benelhosni K, Billah NM, Nassar I. An unusual cause of pulmonary hypertension: Mediastinal hydatid cyst. Radiol Case Rep 2021; 17:86-90. [PMID: 34765067 PMCID: PMC8571532 DOI: 10.1016/j.radcr.2021.09.066] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Accepted: 09/28/2021] [Indexed: 10/26/2022] Open
Abstract
Hydatid disease is a parasitic zoonosis prevalent in sheep-rearing areas. The lung is the second most commonly involved organ following the liver. Intra-thoracic and extra-pulmonary hydatid disease is rare and can affect the mediastinum, heart, diaphragm, pleura, and chest wall. Uncommon locations represent a diagnostic challenge. We report clinical and imaging manifestations of a compressive mediastinal hydatid cyst revealed by pulmonary hypertension. Radiologists must be familiar with the imaging features of hydatid disease and contemplate the diagnosis when facing atypical chest cystic lesions, especially in patients from endemic regions or with evidence of hydatidosis in a different anatomical location.
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Affiliation(s)
- Hanae Ramdani
- Radiology department, Ibn Sina University Hospital Center, Lamfadel Cherkaoui Street, Rabat, MA 10170, Morocco
| | - Khadija Benelhosni
- Radiology department, Ibn Sina University Hospital Center, Lamfadel Cherkaoui Street, Rabat, MA 10170, Morocco
| | - Nabil Moatassim Billah
- Radiology department, Ibn Sina University Hospital Center, Lamfadel Cherkaoui Street, Rabat, MA 10170, Morocco
| | - Ittimade Nassar
- Radiology department, Ibn Sina University Hospital Center, Lamfadel Cherkaoui Street, Rabat, MA 10170, Morocco
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27
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Loukil I, Zouari A. [Hydatid cyst of the uterus: a rare localization]. Pan Afr Med J 2021; 39:272. [PMID: 34754349 PMCID: PMC8556726 DOI: 10.11604/pamj.2021.39.272.29631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Accepted: 08/15/2021] [Indexed: 12/03/2022] Open
Abstract
We here report the case of B.J, an 83-year-old patient with no previous history, presenting with intermittent abdominal pain evolving over the last few months. Physical examination revealed the presence of a firm, subumbilical mass that was tender to palpation. Ultrasound showed two multivesicular hydatid cysts (Gharbi’s classification type 3) located in segments III and IV of the liver and multilocular right latero-uterine cyst. Serologic test was positive. Tumor markers were negative. Abdomino-pelvic computed tomography (CT) scan showed two adjacent multivesicular hydatid cysts in the left side of the liver measuring 60x40 mm (A), and a multivesicular right latero-uterine pelvic hydatid cyst measuring 110x80 mm pushing the bladder forward and the uterus to the left (B). Surgical exploration revealed the presence of left hepatic cysts (C) and a huge hydatid cyst arising from the right edge of the uterine body (D). Resection of the salient domes was performed. All the precautionary measures were implemented to avoid possible peritoneal dissemination. Anatomopathological examination confirmed the diagnosis of hydatid cysts. One-year CT scan did not show any local or peritoneal recurrence.
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Affiliation(s)
- Issam Loukil
- Service de Chirurgie Générale Tataouine, Tataouine, Tunisie
| | - Amine Zouari
- Service de Chirurgie Générale Sfax, Sfax, Tunisie
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28
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Parhizgar N, Borji H, Moazeni M, Saboor Darbandi M, Heidarpour M. The effects of Zataria multiflora aromatic water and nano emulsion of Z. multiflora essential oil on the serum level of IFN-γ and IL-4 in mice with hydatidosis. J Parasit Dis 2021; 45:733-737. [PMID: 34475654 DOI: 10.1007/s12639-021-01353-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2020] [Accepted: 01/19/2021] [Indexed: 11/26/2022] Open
Abstract
The aim of the present investigation was to evaluate the impacts of Zataria multiflora aromatic water (ZMAW) and nano emulsion (NE) of Z. multiflora essential oil (ZMEO) on IL-4 (Th2-derived cytokine) and IFN-γ (Th1-derived cytokine) concentrations in mice with hydatidosis. Sixty four healthy BALB/c female mice were intraperitoneally injected by 1500 live protoscoleces of Echinococcus granulosus. Five month after injection, the infected mice were divided into seven treatment groups, including: Albendazole (100 mg/kg), ZMAW (100 ml/L), Albendazole 100 + ZMAW (Albendazole 100 mg/kg and ZMAW 100 ml/L), Albendazole 50 + ZMAW (Albendazole 50 mg/kg and ZMAW 100 ml/L), Albendazole 100 + NE of ZMEO (Albendazole 100 mg/kg and NE of ZMEO 10 ml/L), albendazole 50 + NE of ZMEO (albendazole 50 mg/kg and NE of ZMEO 10 ml/L) and the control group with no treatment. The mice received the ZMAW, NE of ZMEO and/or albendazole through drinking water for 90 days. At the end of treatment (90 days), blood specimens were harvested from all mice. A significant reduction in IL-4 concentration was revealed in the albendazole 50 group + NE of ZMEO, when compared to the control group (P < 0.05). No significant difference was noticed for the IFN-γ concentration between the trial groups. Increased IFN-γ: IL-4 ratio was observed in the albendazole 50 + ZMAW, Albendazole 50 + NE of ZMEO, Albendazole 100 + NE of ZMEO groups in comparison with the control group (P < 0.05). The findings observed in the current study showed that the administration of ZMAW and NE of ZMEO along with albendazole could enhance the IFN-γ: IL-4 ratio (Th1/Th2 balance), which may have therapeutic value in the treatment of hydatid disease.
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Affiliation(s)
- N Parhizgar
- Department of Clinical Sciences, School of Veterinary Medicine, Ferdowsi University of Mashhad, PO Box 91775-1793, Mashhad, Iran
| | - H Borji
- Department of Pathobiology, School of Veterinary Medicine, Ferdowsi University of Mashhad, Mashhad, Iran
| | - M Moazeni
- Department of Pathobiology, School of Veterinary Medicine, Shiraz University, Shiraz, Iran
| | - M Saboor Darbandi
- Department of Pathobiology, School of Veterinary Medicine, Shiraz University, Shiraz, Iran
| | - M Heidarpour
- Department of Clinical Sciences, School of Veterinary Medicine, Ferdowsi University of Mashhad, PO Box 91775-1793, Mashhad, Iran
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29
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Zakariaei Z, Fakhar M, Sharifpour A, Banimostafavi ES, Soleymani M, Zakariaei A. Anaphylactic shock due to ruptured pulmonary hydatid cyst in a young patient from Iran. Ann Med Surg (Lond) 2021; 68:102675. [PMID: 34401139 DOI: 10.1016/j.amsu.2021.102675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Revised: 07/31/2021] [Accepted: 08/03/2021] [Indexed: 11/24/2022] Open
Abstract
Introduction and importance: Hydatidosis is a zoonotic condition caused by contact with the tapeworm Echinococcus granulosus metacestode. The liver and lungs are the most prominent locations for cysts. This is a rare case of pulmonary hydatid cyst (PHC) rupture in a young woman following a severe cough. Case presentation On July 9, 2018, a 20-year-old woman presented to our hospital in northern Iran with a complaint of cough with excessive sputum, dyspnea, drooling, symptoms of nausea and vomiting, itching and urticarial. Imaging findings showed evidence of a large, space-occupying mass in the right lung. She underwent a thoracoscopic wedge resection (TWR) as a minimally invasive technique, to remove the wall and contents of the cyst. Also, anaphylactic shock occurred in the patient. Due to hemodynamic disorders and heart and respiratory failure, unfortunately, the patient expired. Clinical discussion The rupture of a hydatid cyst may result in irreversible damage. PHC rupture is a serious complication that causes excessive coughing and chest pain. A rupture into the pleural or pericardial cavity is a serious and potentially fatal disease. Conclusion Anaphylactic shock should be considered as one of the serious complications of PHC, particularly in young ones. Therefore, early diagnosis and appropriate treatment are essential to prevent severe complications such as anaphylactic shock. Anaphylactic shock due to ruptured pulmonary hydatid cyst in a young patient from Iran. Radiography and CT scan showed evidence of a large, space-occupying mass in the right lung. Early diagnosis and appropriate treatment are essential to prevent severe complications such as anaphylactic shock.
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30
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Ghanem M, Al Kazzaz MZ, Soliman A. Hydatid cyst in the neck, an unusual localization of the disease: A case report. Int J Surg Case Rep 2021; 85:106274. [PMID: 34388906 DOI: 10.1016/j.ijscr.2021.106274] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Revised: 07/29/2021] [Accepted: 08/01/2021] [Indexed: 02/08/2023] Open
Abstract
INTRODUCTION AND IMPORTANCE Hydatid cyst disease or hydatidosis is an old parasitic disease. Humans represent an accidental intermediate host. Neck is considered a rare location of hydatid cysts. It is usually overlooked as a deferential diagnosis in any cystic lesion in the neck, even in the regions where the disease is considered endemic. CASE PRESENTATION A 26 year old female was admitted to Al-Mouwasat Hospital with the complaint of an anterior cervical mass causing compressive symptoms. Examinations determined a big cystic lesion at expense of the thyroid gland and extended to the level of aortic arch, in addition to smaller lesions in the two thyroid lobes. Multinodular goiter was diagnosed. However, Hydatid cyst disease was suspected during surgery. Cystectomy and total thyroidectomy were performed. Histopathology confirmed the diagnosis of hydatid cyst disease. CLINICAL DISCUSSION Hydatid cyst disease in the neck is usually asymptomatic unless it compresses near structures. Histopathological study makes the definitive diagnoses. The best treatment of thyroid hydatid cysts is total surgical excision of all cysts with intensive care not to spread the disease. CONCLUSION Hydatid cyst disease in the neck is extremely rare. Hydatid cyst should be included in differential diagnosis of cystic lesions in the neck especially in patients from endemic countries. Post-operative surveillance is important to diagnose the complete healing or recurrence of hydatid disease in operated or other locations but also for follow up of replacement therapy after total thyroidectomy as the patient require lifelong thyroid hormone replacement.
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31
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Mahami-Oskouei M, Norouzi B, Ahmadpour E, Kazemi T, Spotin A, Alizadeh Z, Ghorbani Sani R, Asadi M. Expression analysis of circulating miR-146a and miR-155 as novel biomarkers related to effective immune responses in human cystic echinococcosis. Microb Pathog 2021; 157:104962. [PMID: 34022359 DOI: 10.1016/j.micpath.2021.104962] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Revised: 04/15/2021] [Accepted: 05/06/2021] [Indexed: 12/12/2022]
Abstract
Cystic echinococcosis, an important zoonotic disease, is caused by Echinococcus granulosus. MicroRNAs are a small group of single-stranded noncoding RNAs, which play an effective role in biological processes. This study aimed at comparing the expression levels of miR-146a and miR-155 in the plasma of patients with hydatidosis and healthy individuals. A group of 20 patients with hydatid cyst formed a study group and 20 healthy individuals with no known chronic diseases formed a control group. Plasma samples were collected from hydatidosis patients as well as sex- and age-matched healthy volunteers. After that, RNA extraction and cDNA synthesis were done and the expression levels of miR-146a and miR-155 were determined by quantitative real-time polymerase chain reaction (PCR) for both groups. The results indicated that the level of miR-146a increased in all patients with hydatidosis compared to the control group. Also, the level of miR-155 increased in all hydatidosis patients, but no correlation was observed in the level of miR-155 between the two groups. The results also revealed that miR-146a and miR-155 upregulation in the plasma leads to the development of novel biomarkers for echinococcosis. One of the reasons for the increase of miRNAs in hydatidosis may be their role in modulating the immune system. These miRNAs are likely to be considered as one of the most important biomarkers in determining the severity of hydatidosis.
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Affiliation(s)
- Mahmoud Mahami-Oskouei
- Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran; Department of Parasitology and Mycology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
| | - Behrooz Norouzi
- Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran; Department of Parasitology and Mycology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Ehsan Ahmadpour
- Department of Parasitology and Mycology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Tohid Kazemi
- Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Adel Spotin
- Department of Parasitology and Mycology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Zahra Alizadeh
- Department of Parasitology and Mycology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Roghayeh Ghorbani Sani
- Department of Parasitology and Mycology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Milad Asadi
- Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
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Benelli G, Wassermann M, Brattig NW. Insects dispersing taeniid eggs: Who and how? Vet Parasitol 2021; 295:109450. [PMID: 34038808 DOI: 10.1016/j.vetpar.2021.109450] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Revised: 05/06/2021] [Accepted: 05/08/2021] [Indexed: 01/25/2023]
Abstract
Taeniosis/cysticercosis and echinococcosis are neglected zoonotic helminth infections with high disease burden caused by tapeworms which circulate between definitive and intermediate host reflecting a predator-prey interaction. Taeniid eggs can remain vital for months, allowing arthropods to mechanically transport them to intermediate hosts. However, the multiple routes that arthropods provide as carriers of taeniid eggs are still often unregarded or not considered. This review focuses on the prevalence and importance of arthropods as carriers and spreaders of taeniid eggs in the epidemiology of taeniosis/cysticercosis and echinococcosis. Current scientific knowledge showed a relevant role of houseflies (Muscidae), blowflies (Calliphoridae), dung beetles (Scarabaeoidea), darkling beetles (Tenebrionidae), ground beetles (Carabidae) and skin beetles (Dermestidae) in the spread of taeniid eggs in the environment, which may favor the infection of new hosts through the direct ingestion of an insect or of contaminated food and water. At last, key research challenges are highlighted, illustrating that further knowledge on the topic is needed to develop and improve guidelines and actions to prevent taeniid infections worldwide.
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Affiliation(s)
- Giovanni Benelli
- Department of Agriculture, Food and Environment, University of Pisa, via del Borghetto 80, 56124, Pisa, Italy.
| | - Marion Wassermann
- Department of Parasitology, University of Hohenheim, Stuttgart, Germany
| | - Norbert W Brattig
- Epidemiology and Diagnostics Section, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany
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Kassimi M, Rami A, Habi J, Guerroum H, El Pardya Tazi R, Chikhaoui N, Mahi M. Recurrent costovertebral hydatidosis with epidural extension. Radiol Case Rep 2021; 16:1712-1714. [PMID: 34007389 PMCID: PMC8111468 DOI: 10.1016/j.radcr.2021.04.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2021] [Revised: 04/07/2021] [Accepted: 04/09/2021] [Indexed: 12/01/2022] Open
Abstract
Osseous echinococcosis is a relatively rare entity and that of the rib is even rare. Few cases of costal echinococcosis have been reported in the literature so far. We report a case of a recurrent costovertebral hydatidosis with epidural extension in a 49-year-old man who presented with paraparesis and back pain. MRI of the dorsal spine was performed. The imaging features were suggestive of echinococcosis involving the rib and vertebrae with epidural extension. This diagnosis was confirmed histopathologically after surgical treatment. The evolution was marked by the reappearance of the same symptoms due to recurrence. The prognosis of costovertebral hydatidosis is gloomy despite radical surgical treatment due to the frequency of recurrences. This case highlights the role of MRI for the diagnosis and follow-up of patients after treatment.
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Affiliation(s)
- Mariam Kassimi
- Department of Radiology, Faculty of Medicine, Mohammed VI University of Health Sciences/Cheikh Khalifa International University Hospital, Casablanca, Morocco
| | - Amal Rami
- Department of Radiology, Faculty of Medicine, Mohammed VI University of Health Sciences/Cheikh Khalifa International University Hospital, Casablanca, Morocco
| | - Jihane Habi
- Department of Radiology, Faculty of Medicine, Mohammed VI University of Health Sciences/Cheikh Khalifa International University Hospital, Casablanca, Morocco
| | - Hind Guerroum
- Department of Radiology, Faculty of Medicine, Mohammed VI University of Health Sciences/Cheikh Khalifa International University Hospital, Casablanca, Morocco
| | - Rim El Pardya Tazi
- Department of Neurology, Faculty of Medicine, Mohammed VI University of Health Sciences/Cheikh Khalifa International University Hospital, Casablanca, Morocco
| | - Nabil Chikhaoui
- Department of Radiology, Faculty of Medicine, Mohammed VI University of Health Sciences/Cheikh Khalifa International University Hospital, Casablanca, Morocco
| | - Mohamed Mahi
- Department of Radiology, Faculty of Medicine, Mohammed VI University of Health Sciences/Cheikh Khalifa International University Hospital, Casablanca, Morocco
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Sadjjadi FS, Ahmadi N, Rezaie-Tavirani M, Zali H. Following up of Surgical Treated Human Liver Cystic Echinococcosis: A Proteomics Approach. Iran J Parasitol 2021; 16:11-22. [PMID: 33786043 PMCID: PMC7988678 DOI: 10.18502/ijpa.v16i1.5507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Background: Cystic echinococcosis (CE) is one of the most important parasitic zoonosis in the world. Post-surgery follow up in CE patients is an important non-solved problem up to now. Therefore, the investigations on this problematic issue would be very applicable in the view of CE clinical treatment. Methods: A total of 24 confirmed liver CE patients sera including eight sera before surgery (BS), eight sera three months post-surgery (3MPS), and eight sera six months post-surgery (6MPS) were used in the present study. Proteomics methods including 2DE and LC-MS/MS were performed on the specimens followed by bioinformatics analysis such as Gene Ontology (GO) and Protein-Protein Interaction (PPI) network analysis. Results: A total of 235 proteins were detected of which 12 differentially expressed proteins (DEP) were identified by LC-MS/MS in all sera. The proteins were presented in BS and suppressed after surgery as follows: HPX, SERPINA1, SERPINC1, CP, HBD, and HBA2. Comparisons of the protein expression in sera of patients BS, 3MPS, and 6MPS revealed that GC, IGJ, AHSG, CD5L, FGG, and APOC3 have been overexpressed in 3MPS and 6MPS. PPI network analysis demonstrated that SERPINC1 and AHSG with more connection in the network could be considered as hub proteins and potential prognostic biomarkers in response to surgical treatment of liver CE. Conclusion: Application of proteomics methods on patient’s sera could be used as a novel biomarker tool for following-up liver CE patients. In this regards, proteomics and, application of bioinformatics analysis including GO and PPI showed that SERPINC1, AHSG and HPX are of more value as a potential follow up biomarkers in response to surgical treatment.
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Affiliation(s)
- Fatemeh Sadat Sadjjadi
- Department of Basic Sciences, School of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Nayebali Ahmadi
- Proteomics Research Center, Department of Medical Lab Technology, School of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mostafa Rezaie-Tavirani
- Proteomics Research Center, School of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Hakimeh Zali
- School of Advanced Technologies in Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Uylas U, Tardu A, Kayaalp C. Bile leakage test in emergency hydatid liver cyst surgery. Int J Surg Case Rep 2021; 79:459-61. [PMID: 33757262 DOI: 10.1016/j.ijscr.2021.01.037] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Revised: 01/09/2021] [Accepted: 01/09/2021] [Indexed: 01/04/2023] Open
Abstract
It is not always possible to reveal the existing occult CBC during the operation. Bile leakage test has been shown to reduce postoperative biliary complications. Bile leakage test has been performed by cannulated the common bile duct via 22G catheter. Normal saline and parenteral lipid solution has been given to demonstrate the CBCs. This test can be applied even in emergency conditions.
Introduction and importance In liver cyst hydatid surgery, presence of cysto-biliary communication (CBC) is important for the prevention of postoperative morbidity. If cysto-biliary connections are not obvious, diagnosis is not easy. Intraoperative bile leakage test has been shown to reduce postoperative biliary complications by revealing occult CBCs. However, bile leakage testing in emergency conditions such as hydatid cyst perforation has not been experienced so far. Case presentation Here, a bile leakage test performed in a 23-year-old male patient undergoing emergency surgery due to the perforation of the hydatid liver cyst was presented. Following the treatment of perforated hydatid liver cyst and biliary peritonitis, a bile leakage test was performed. The common bile duct was cannulated with a 22G catheter, normal saline and parenteral lipid solution were given to demonstrate the CBCs, and leakage areas were suture ligated. The patient was discharged postoperatively without any problem. Conclusion We recommend detection and treatment of the CBCs even in emergency hydatid liver cyst surgery for prevention of postoperative biliary complications.
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Ramadan RM, Khalifa MM, El-Akkad DM, Abdel-Wahab AM, El-Bahy MM. Animal hydatid cyst genotypes as a potential substitute for human hydatid cyst as a source of antigen for diagnosis of zoonotic hydatidosis. J Parasit Dis 2020; 45:424-434. [PMID: 34295041 DOI: 10.1007/s12639-020-01309-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2020] [Accepted: 11/02/2020] [Indexed: 10/23/2022] Open
Abstract
The Diagnosis of hydatidosis is still an unsolved issue due to difficulties in obtaining of patient's hydatid cyst appropriate for antigen extraction. This study evaluated the suitability of HC protoscolices somatic antigens (HCPsS-Ag) fractions from animal origin to substitute that extracted from HC of patients in diagnosis of hydatidosis using enzyme-linked immunoelectro-transfer blot and Enzyme-linked immunosorbent assay (ELISA). Eight fractions in HC-G6 from patients react specifically versus HC-G6 infected patient's sera. Five of them (28, 32, 38, 59 and 89 Kilo Dalton (KDa) and two of them (28 KDa and 45 KDa) reacted versus HC-G1 and HC-G4 infected sheep and equine sera, respectively. Six fractions in HCPsS-Ag-G1 of sheep react versus HC-G1 sheep infected sera, four (28, 32, 52 and 58 KDa) and two of them reacted versus HC-G6 and HC-G4 infected patient and equine sera, respectively. Two fractions only in HCPsS-Ag-G4 of equine reacted versus infected human and sheep sera. This fraction displayed the same degree of ELISA value versus different infected sera with a significantly perfect classification for kappa agreement and non-statistically significant difference (p ≥ 0.05) for ELISA Optical density values of the positive samples without cross-reaction versus other parasites antibodies in sera. HCPsS-Ag from HC genotypes that developed in humans and animals as HC-G6 and HC-G1 can substitute each other for diagnosis of infection than antigens extracted from non-zoonotic HC-G4. The fraction at 28 KDa is the only fraction that can be extracted from any animals HC and used in diagnosis of zoonotic hydatidosis.
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Affiliation(s)
- Reem M Ramadan
- Department of Parasitology, Faculty of Veterinary Medicine, Cairo University, Giza, 12211 Egypt
| | - Marwa M Khalifa
- Department of Parasitology, Faculty of Veterinary Medicine, Cairo University, Giza, 12211 Egypt
| | - Dina M El-Akkad
- Department of Parasitology, Faculty of Medicine, Cairo University, Giza, Egypt
| | - Azza M Abdel-Wahab
- Department of Parasitology, Faculty of Veterinary Medicine, Cairo University, Giza, 12211 Egypt
| | - Mohamed M El-Bahy
- Department of Parasitology, Faculty of Veterinary Medicine, Cairo University, Giza, 12211 Egypt
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Eilbigi MM, Hisar KM. Results of Radiological and Serological Screenings in Individuals Sharing the Same Living Area as Patients with Hydatid Cyst in Afghanistan's State Hospital. Turkiye Parazitol Derg 2020; 44:149-152. [PMID: 32928722 DOI: 10.4274/tpd.galenos.2020.6325] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
OBJECTIVE To determine the results of radiological and serological screenings in individuals who shared the same living space as patients with hydatid cyst in a State Hospital of Afghanistan. METHODS Patients presenting with hydatid cyst to a public hospital in Afghanistan were included in this study. Full sampling method was used. Also, the relatives of the patients were called to the hospital and investigated for the presence of hydatid cyst antibodies through direct chest X-ray, upper abdominal ultrasonography and ELISA. RESULTS During the study period, a total of 214 patients, including 102 male and 112 female, underwent radiological and serological screenings. While cysts were radiologically detected in the liver, lung and spleen in 8, 2 and 1 patient, respectively, the serology was positive in 22 patients. CONCLUSION As a result of the study, it was concluded that the patients who shared the same environment as the patients who were diagnosed with hydatid cyst in an endemic region for cyst hydatid disease.
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Affiliation(s)
| | - Kemal Macit Hisar
- Selçuk Üniversitesi Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, Konya, Türkiye
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Toribio L, Santivanez S, Scott AL, Enriquez R, Sedano C, Soto-Becerra P, Garcia HH, Shiff CJ. Diagnostic urinary cfDNA detected in human cystic echinococcosis. Mol Biochem Parasitol 2020; 239:111314. [PMID: 32866606 PMCID: PMC8801304 DOI: 10.1016/j.molbiopara.2020.111314] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Revised: 07/31/2020] [Accepted: 08/01/2020] [Indexed: 02/06/2023]
Abstract
Cystic echinococcosis (CE) is a major neglected tropical zoonotic disease caused by the tissue-dwelling larval stage of the cestode parasite Echinococcus granulosus. For individuals suspected of CE, the diagnostic standard is imaging using ultrasonography, X rays, or computed tomography. These resource-demanding and expensive procedures are rarely available in endemic rural areas where CE is most prevalent. There is a critical need for a new approach to identify CE patients so that they can be managed early in the course of their infection. This study reports on the results of a diagnostic approach that identifies E. granulosus-derived cell-free DNA (cfDNA) in the urine of CE patients. Utilizing PCR to amplify a fragment of a major tandem repeat element found in E. granulosus nuclear DNA, urine samples from all seven imaging-confirmed CE patients who harbored active liver cysts were positive. In addition, the urine samples from 2/4 patients who presented with non-viable/calcified liver cysts were also PCR positive for the repeat fragment. To our knowledge, this is the first report of using parasite cfDNA from urine to diagnose CE. This approach provides an easy to implement and cost-effective method to survey for the prevalence of E. granulosus in humans populations.
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Affiliation(s)
- Luz Toribio
- Center for Global Health, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Saul Santivanez
- Center for Global Health, Universidad Peruana Cayetano Heredia, Lima, Peru; Cysticercosis Unit, Instituto Nacional de Ciencias Neurologicas, Lima, Peru
| | - Alan L Scott
- W. Harry Feinstone Department of Molecular Microbiology and Immunology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States
| | - Raul Enriquez
- Center for Global Health, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Cesar Sedano
- Center for Global Health, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Percy Soto-Becerra
- Center for Global Health, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - Hector H Garcia
- Center for Global Health, Universidad Peruana Cayetano Heredia, Lima, Peru; W. Harry Feinstone Department of Molecular Microbiology and Immunology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States
| | - Clive J Shiff
- W. Harry Feinstone Department of Molecular Microbiology and Immunology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.
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Hoteit A, Alimoradi M, Aljoubaei M, Fakhruddin N, Hammoud N. Primary splenic hydatid cyst treated with laparoscopic spleen preserving surgery: A case report. Int J Surg Case Rep 2020; 74:95-98. [PMID: 32829017 PMCID: PMC7452423 DOI: 10.1016/j.ijscr.2020.08.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Revised: 08/09/2020] [Accepted: 08/10/2020] [Indexed: 12/01/2022] Open
Abstract
Primary splenic hydatidosis is an uncommon entity. Total splenectomy is considered the standard treatment, but carries multiple risks. Partial splenectomy offers comparable outcomes with reduced morbidity. Partial splenectomy is recommended for simple, single, small, and peripherally located cysts. Laparoscopic cyst unroofing is feasible in treating primary splenic hydatid cysts.
Background Primary splenic hydatidosis is an uncommon etiology. Total splenectomy has been the treatment of choice, however, spleen preserving surgery has been gaining popularity. Case Report We present a case of a 52-year-old man who was evaluated for a splenic cyst, found incidentally on CT scan done at another institution. MRI was repeated in our institution along with an indirect hemagglutination test to confirm the diagnosis. Since our patient had a single non-complicated cyst confined to the spleen’s lower pole, we decided to opt for laparoscopic cyst unroofing and omentoplasty, a spleen preserving technique. Discussion Due to the rarity of splenic hydatidosis, no strict management guidelines are available, and the decision is usually left for the surgeon. Total splenectomy has been considered the standard of care, however, spleen preserving surgical techniques and percutaneous interventions have been suggested as better alternatives. Spleen preserving techniques lead to surgical outcomes comparable to total splenectomy, with the added benefit of preserving the immunological protection provided by the spleen and protecting patients from dramatic complications that might follow total splenectomy, such as overwhelming post-splenectomy infections, which are associated with very high mortality. Conclusion Laparoscopic cyst unroofing and omentoplasty is a feasible surgical technique to treat primary splenic hydatidosis while preserving the spleen’s immunologic function.
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Affiliation(s)
- Ali Hoteit
- Hammoud Hospital University Medical Center, Department of General Surgery, Lebanon.
| | - Mersad Alimoradi
- Lebanese University, Faculty of Medical Sciences, Department of General Surgery, Lebanon.
| | - Malak Aljoubaei
- Hammoud Hospital University Medical Center, Department of Radiology, Lebanon.
| | - Najla Fakhruddin
- Hammoud Hospital University Medical Center, Department of Pathology, Lebanon.
| | - Nasser Hammoud
- Hammoud Hospital University Medical Center, Department of General Surgery, Lebanon.
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de la Fuente-Aguilar V, Beneitez-Mascaraque P, Bergua-Arroyo S, Fernández-Riesgo M, Camón-García I, Cruza-Aguilera I, Ugarte-Yáñez K, Ramia JM. Hydatidosis and the duodenum: A systematic review of the literature. World J Meta-Anal 2020; 8:265-274. [DOI: 10.13105/wjma.v8.i3.265] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2020] [Revised: 04/15/2020] [Accepted: 06/13/2020] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Injury to the duodenum (fistula formation, compression, or other complications) by a hydatid cyst (HC) is an exceptional complication.
AIM To perform a systematic review of the literature on the fistulization of HC in the duodenum.
METHODS Following PRISMA guidelines, a search for HC with duodenal involvement was carried out in the databases of PubMed, SCielo and EMBASE without time limits.
RESULTS Fourteen patients were identified, seven men and seven women, with a mean age of 53.14 years (SD = 17.65, range: 28-78). Three out of the 14 (21%) had HC relapse. The most frequent clinical manifestations were abdominal pain and nausea and/or vomiting. Various imaging studies were performed in almost all cases, the most commonly used being abdominal computed tomography (10/14, 71%). A range of surgical techniques were reported, most frequently HC drainage (41%) and enucleations (16%). Ten of the 14 patients had no complications and one patient died. The follow-up period and recurrences could not be determined.
CONCLUSION The most frequent symptoms were abdominal pain, nausea and vomiting. Computed tomography was the most used diagnostic imaging technique, and HC drainage and fistula closure via laparotomy was the most frequent treatment. However, all diagnostic and therapeutic options for HC fistulizing the duodenum had a low level of evidence.
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Affiliation(s)
| | | | | | | | - Irene Camón-García
- Faculty of Medicine, Universidad of Alcalá, Alcalá de Henares 28801, Spain
| | | | | | - José M Ramia
- Faculty of Medicine, Universidad of Alcalá, Alcalá de Henares 28801, Spain
- Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario de Alicante and Institute for Health and Biomedical Research (ISABIAL) Alicante 03010, Spain
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Jazouli M, Lightowlers MW, Bamouh Z, Gauci CG, Tadlaoui K, Ennaji MM, Elharrak M. Immunological responses and potency of the EG95NC - recombinant sheep vaccine against cystic echinococcosis. Parasitol Int 2020; 78:102149. [PMID: 32464256 DOI: 10.1016/j.parint.2020.102149] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2019] [Revised: 12/19/2019] [Accepted: 05/23/2020] [Indexed: 10/24/2022]
Abstract
Cystic echinococcosis (CE) is a zoonotic disease caused by the cestode parasite Echinococcus granulosus. The disease has an important impact on human health as well as economic costs including the cost of treatment as well as loss of productivity for the livestock industry. In many parts of the world where the disease is endemic, sheep and other livestock play an important role in the parasite's transmission. A vaccine to protect livestock against CE can be effective in reducing transmission and economic costs of the disease. A recombinant antigen vaccine has been developed against infection with E. granulosus (EG95) which could potentially be used to reduce the level of E. granulosus transmission and decrease the incidence of human infections. Further development of the EG95 recombinant vaccine as a combined product with clostridial vaccine antigens is one potential strategy which could improve application of the hydatid vaccine by providing an indirect economic incentive to livestock owners to vaccinate against CE. In this study we investigated the efficacy of the EG95 recombinant vaccine produced in Morocco by vaccination of sheep, including a combined vaccine incorporating EG95 and clostridia antigens. Vaccination with EG95 either as a monovalent vaccine or combined with clostridia antigens, protected sheep against a challenge infection with E. granulosus eggs and induced a strong, long lasting, and specific antibody response against the EG95 antigen.
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Affiliation(s)
- M Jazouli
- Research and Development of Recombinant Vaccine, Multi-Chemical Industry, Lot. 157, Z I, Sud-Ouest (ERAC) B.P.:278, 28810 Mohammedia, Morocco; Laboratory of Virology, Hygiene and Microbiology, Faculty of Science and Technology, University Hassan II-Casablanca, 20650 Mohammedia, Morocco
| | - M W Lightowlers
- Faculty of Veterinary and Agricultural Sciences, The University of Melbourne, 250 Princes Highway, Werribee, VIC 3030, Australia.
| | - Z Bamouh
- Research and Development of Recombinant Vaccine, Multi-Chemical Industry, Lot. 157, Z I, Sud-Ouest (ERAC) B.P.:278, 28810 Mohammedia, Morocco
| | - C G Gauci
- Faculty of Veterinary and Agricultural Sciences, The University of Melbourne, 250 Princes Highway, Werribee, VIC 3030, Australia
| | - K Tadlaoui
- Research and Development of Recombinant Vaccine, Multi-Chemical Industry, Lot. 157, Z I, Sud-Ouest (ERAC) B.P.:278, 28810 Mohammedia, Morocco
| | - M M Ennaji
- Laboratory of Virology, Hygiene and Microbiology, Faculty of Science and Technology, University Hassan II-Casablanca, 20650 Mohammedia, Morocco
| | - M Elharrak
- Research and Development of Recombinant Vaccine, Multi-Chemical Industry, Lot. 157, Z I, Sud-Ouest (ERAC) B.P.:278, 28810 Mohammedia, Morocco
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Darriet F, Cassir N, Birnbaum DJ, Soussan J, Menu E, Ranque S, L'Ollivier C. Autochthonous liver cystic hydatid: Past or actual French shepherd's disease? IDCases 2020; 21:e00843. [PMID: 32509529 DOI: 10.1016/j.idcr.2020.e00843] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2020] [Revised: 05/22/2020] [Accepted: 05/22/2020] [Indexed: 12/28/2022] Open
Abstract
Autochthonous hydatidosis in France and western Europa are uncommon since the beginning of the 21st century. We report here an authentic indigenous cystic echinococcosis case in a French shepherd. The risk of remerging pathology should not be neglected and measures to interrupt parasite transmission are still relevant.
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Kotoulas S, Grapatsas K, Leivaditis V, Panagiotou I, Spiridakis E, Le UT, Osei-Agyemang T, Kotoulas C. Massive pulmonary embolism due to hydatid cysts: A rare postoperative complication of liver echinococcosis. Respir Med Case Rep 2020; 30:101054. [PMID: 32373452 PMCID: PMC7193314 DOI: 10.1016/j.rmcr.2020.101054] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2020] [Revised: 04/04/2020] [Accepted: 04/04/2020] [Indexed: 11/18/2022] Open
Abstract
Pulmonary embolism due to hydatid cysts is a very rare pathology. A 55-year-old male was transferred to our hospital due to respiratory failure, as a result of left pulmonary artery obstruction by cystic lesions. His medical history included multiple operations for abdominal echinococcosis. He was urgently operated for the extraction of the proximal hydatid cysts with the use of cardiopulmonary bypass with an excellent outcome and six months later through a right thoracotomy for the distal right pulmonary artery, the cysts were extracted. Meanwhile, he followed additional medication treatment with albendazole, preoperatively as well as postoperatively. Today, 5 years later, he has no evidence of hydatidosis recurrence.
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Affiliation(s)
- Sotirios Kotoulas
- Cardiothoracic Surgery Department, "Iaso" General Hospital, Athens, Greece
| | - Konstantinos Grapatsas
- Cardiothoracic Surgery Department, "Iaso" General Hospital, Athens, Greece.,Cardiac Surgery Department, 401 General Military Hospital of Athens, Athens, Greece.,Department of Thoracic Surgery, Medical Center-University of Freiburg, Faculty of Medicine, Germany
| | - Vasileios Leivaditis
- Department of Cardiothoracic and Vascular Surgery, Westpfalz-Klinikum, Kaiserslautern, Germany
| | - Ioannis Panagiotou
- Cardiothoracic Surgery Department, "Iaso" General Hospital, Athens, Greece.,Cardiac Surgery Department, 401 General Military Hospital of Athens, Athens, Greece
| | | | - Uyen-Thao Le
- Department of Thoracic Surgery, Medical Center-University of Freiburg, Faculty of Medicine, Germany
| | - Thomas Osei-Agyemang
- Department of Thoracic Surgery, Medical Center-University of Freiburg, Faculty of Medicine, Germany
| | - Christophoros Kotoulas
- Cardiothoracic Surgery Department, "Iaso" General Hospital, Athens, Greece.,Cardiac Surgery Department, 401 General Military Hospital of Athens, Athens, Greece
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MIRZAPOUR A, SEYYED TABAEI SJ, BANDEHPOUR M, HAGHIGHI A, KAZEMI B. Designing a Recombinant Multi-Epitope Antigen of Echinococcus granulosus to Diagnose Human Cystic Echinococcosis. Iran J Parasitol 2020; 15:1-10. [PMID: 32489370 PMCID: PMC7244849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND Cystic echinococcosis can cause severe disease and probable death in humans. Epitopes of its antigens play a key role in the sensitivity and specificity of immunodiagnostic tests. METHODS Epitope prediction software programs predict the most antigenic linear B-cell epitopes of AgB (8 kD), Ag5, and Ag95. Six such epitopes were predicted and connected by "Gly-Ser" linker and synthesized. The purity of the concentrated recombinant multi-epitope protein was assessed by 15% SDS-PAGE. Overall, 186 serum samples were collected from the Loghman Hakim Hospital and different laboratories, Tehran, Iran, from July 2016 to February 2017. Patients infected with hepatic hydatid cysts, patients infected by other parasites and viruses, and healthy individuals were used to detect the anti-CE IgG using recombinant multi-epitope protein. RESULTS Forty-one samples out of 43 cases of hydatidosis were diagnosed correctly as positive, and two were negative. In addition, six negative cases of healthy individual group were diagnosed as positive and negative with rMEP-ELISA and the commercial kit, respectively. Therefore, these six samples were considered as false positive using our method. In addition, a diagnostic sensitivity of 95.3% (95% CI, 84.19% to 99.43%) and a specificity of 95.0% (95% CI, 89.43% to 98.14%) were obtained using optimum cutoff value (0.20). The sensitivity and specificity of the commercial kit was 100%. CONCLUSION Our findings showed high diagnostic accuracy of the ELISA test using the developed recombinant protein, which encourages the use of this recombinant multi-epitope protein for rapid serological diagnosis of hydatidosis.
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Affiliation(s)
- Aliyar MIRZAPOUR
- Department of Medical Parasitology and Mycology, International Branch of Shahid Beheshti University of Medical Sciences, Tehran, Iran, Department of Parasitology and Mycology, School of Medicine, Mashhad Branch, Islamic Azad University, Mashhad, Iran
| | - Seyyed Javad SEYYED TABAEI
- Department of Medical Parasitology and Mycology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mojgan BANDEHPOUR
- Cellular and Molecular Biology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Department of Biotechnology, School of Advanced Technologies in Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Ali HAGHIGHI
- Department of Medical Parasitology and Mycology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Bahram KAZEMI
- Department of Medical Parasitology and Mycology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Cellular and Molecular Biology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran,Correspondence
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Mariconti M, Vola A, Manciulli T, Genco F, Lissandrin R, Meroni V, Rosenzvit M, Tamarozzi F, Brunetti E. Role of microRNAs in host defense against Echinococcus granulosus infection: a preliminary assessment. Immunol Res 2019; 67:93-7. [PMID: 30498955 DOI: 10.1007/s12026-018-9041-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Cystic echinococcosis (CE) is a neglected helminthic zoonosis caused by the larval stage of the tapeworm Echinococcus granulosus s.l. MicroRNAs (miRNAs) are regulators of gene expression that have been linked with the pathogenesis of several human diseases, but little exists in the available literature about miRNAs in CE. Here, we investigate the expression profiles of 84 microRNAs relevant to the function of lymphocytes and other immune cells during CE infection in the peripheral blood of patients with cysts in active and inactive stages. We applied the microRNA PCR array technology to blood samples from 20 patients with a single hepatic CE cyst in either the active (CE3b) or inactive (CE4-CE5) stage. Our results show a significant upregulation of eight miRNAs (let-7g-5p, let-7a-5p, miR- 26a-5p, miR- 26b-5p, miR- 195-5p, miR- 16-5p, miR- 30c-5p, and miR- 223-3p) in patients with active cysts compared to those with inactive cysts. The high expression of these miRNAs in patients with active cysts suggests their role in a specific host immune response against the infection. Further work in this direction may help shed light on the pathogenesis of human CE.
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Belhassen-Garcia M, Balboa Arregui Ó, Calabuig-Muñoz E, Carmena D, Esteban Velasco MDC, Fuentes Gago M, Fumado Pérez V, García Alonso J, García López Hortelano M, González Fernández LM, Herrero Martínez JM, Iglesias Iglesias MJ, Jiménez López M, López-Vélez R, Muñoz-Bellvis L, Muro A, Pardo-Lledías J, Peñaranda-Vera M, Perteguer-Prieto MJ, Picado A, Quiñones Sampedro JE, Rodríguez-Guardado A, Royo Crespo Í, Salvador F, Sánchez-Montalvá A, Torrús Tendero D, Velasco Pelayo L. Executive Summary of the Consensus Statement of the Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC), the Spanish Society of Tropical Medicine and International Health (SEMTSI), the Spanish Association of Surgeons (AEC), the Spanish Society of Pneumology and Thoracic Surgery (SEPAR), the Spanish Society of Thoracic Surgery (SECT), the Spanish Society of Vascular and Interventional Radiology (SERVEI), and the Spanish Society of Paediatric Infectious Diseases (SEIP), on the Management of Cystic Echinococcosis. Enferm Infecc Microbiol Clin 2019; 38:283-288. [PMID: 31866064 DOI: 10.1016/j.eimc.2019.10.015] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2019] [Revised: 10/17/2019] [Accepted: 10/21/2019] [Indexed: 11/16/2022]
Abstract
The Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC), the Spanish Society of Tropical Medicine and International Health (SEMTSI), the Spanish Association of Surgeons (AEC), the Spanish Society of Pneumology and Thoracic Surgery (SEPAR), the Spanish Society of Thoracic Surgery (SECT), the Spanish Society of Vascular and Interventional Radiology (SERVEI), and the Spanish Society of Paediatric Infectious Diseases (SEIP) considered it pertinent to issue a consensus statement on the management of cystic echinococcosis (CE) to guide healthcare professionals in the care of patients with CE. Specialists from several fields (clinicians, surgeons, radiologists, microbiologists, and parasitologists) identified the most clinically relevant questions and developed this Consensus Statement, evaluating the available evidence-based data to propose a series of recommendations on the management of this disease. This Consensus Statement is accompanied by the corresponding references on which these recommendations are based. Prior to publication, the manuscript was open for comments and suggestions from the members of the SEIMC and the scientific committees and boards of the various societies involved.
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Affiliation(s)
- Moncef Belhassen-Garcia
- Servicio de Medicina Interna, Sección de Enfermedades Infecciosas, Complejo Asistencial Universitario de Salamanca (CAUSA), Instituto de Investigación Biomédica de Salamanca (IBSAL), Centro de Investigación en Enfermedades Tropicales de la Universidad de Salamanca (CIETUS), Universidad de Salamanca, Salamanca, Spain.
| | - Óscar Balboa Arregui
- Servicio de Radiodiagnóstico, Hospital Clínico Universitario de Santiago de Compostela, Spain
| | - Eva Calabuig-Muñoz
- Unidad de Enfermedades Infecciosas del Hospital Universitario y Politécnico La Fe, Valencia, Spain
| | - David Carmena
- Laboratorio de Referencia e Investigación en Parasitología, Centro Nacional de Microbiología, Majadahonda, Madrid, Spain
| | | | - Marta Fuentes Gago
- Servicio de Cirugía Torácica, CAUSA, IBSAL, Universidad de Salamanca, Salamanca, Spain
| | | | | | - Milagros García López Hortelano
- Servicio de Pediatría, Enfermedades Infecciosa y Tropicales, Unidad de Vacunación Internacional y Niño Viajero, Hospital Universitario Infantil La Paz-Hospital Carlos III, Madrid, Spain
| | | | | | | | - Marcelo Jiménez López
- Servicio de Cirugía Torácica, CAUSA, IBSAL, Universidad de Salamanca, Salamanca, Spain
| | - Rogelio López-Vélez
- Unidad de Referencia Nacional para Enfermedades Tropicales, Servicio de Enfermedades Infecciosas, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid, Spain
| | - Luis Muñoz-Bellvis
- Servicio de Cirugía, CAUSA, IBSAL, Centro de Investigación Biomédica en Red de Cáncer, Instituto Salud Carlos III (CIBERONC), Universidad de Salamanca, Spain
| | - Antonio Muro
- Grupo de Investigación Enfermedades Infecciosas y Tropicales (e-INTRO), IBSAL, CIETUS, Facultad de Farmacia, Universidad de Salamanca, Salamanca, Spain
| | - Javier Pardo-Lledías
- Servicio de Medicina Interna, Hospital Universitario Marqués de Valdecilla, Universidad de Cantabria, IDIVAL, Santander, Spain
| | | | | | - Albert Picado
- Foundation for Innovative New Diagnostics-FIND, Geneva, Switzerland
| | | | | | - Íñigo Royo Crespo
- Servicio de Cirugía Torácica, Hospital Universitario Miguel Servet, Hospital Clínico Universitario Lozano Blesa, IIS, Aragón, Zaragoza, Spain
| | - Fernando Salvador
- Servicio Enfermedades Infecciosas, Hospital Universitario Vall d'Hebron, PROSICS, Barcelona, Spain
| | - Adrian Sánchez-Montalvá
- Servicio de Enfermedades Infecciosas, Hospital Universitario Vall d'Hebron, PROSICS Barcelona, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - Diego Torrús Tendero
- Unidad de Enfermedades Infecciosas, Hospital General Universitario de Alicante, Instituto de Investigación Sanitaria y Biomédica de Alicante, ISABIAL - FISABIO, Alicante, Área de Parasitología, Universidad Miguel Hernández, Spain
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Kandil OM, El-Hakim AE, Gad AAM, Abu El-Ezz NMT, Mahmoud MS, Hendawy SHM, Salama DB. Camel hydatidosis diagnostic kit: optimization of turnip and horseradish peroxidase conjugates using glutaraldehyde method. J Parasit Dis 2019; 44:230-238. [PMID: 32174729 DOI: 10.1007/s12639-019-01186-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2019] [Accepted: 12/05/2019] [Indexed: 12/11/2022] Open
Abstract
Echinococcosis/hydatidosis is one of the most important parasitic zoonotic diseases in the world. Cystic echinococcosis increases public health and socio-economic concern due to considerable morbidity rates that give rise to elevated economic losses both in the public health part and in the farm animal field. The enzyme linked immunosorbent assay (ELISA) is consider the more accurate tool for diagnosis of hydatidosis in camels. In the present study, affinity purified Echinococcus granulosus (E. granulosus) antigens (APA) were purified from crude hydatide E. granulosus germinal layer proteins for detection of E. granulosus antibodies in infected camels, using affinity matrix (camel IgGs coupled to CNBr-activated Sepharose). The electrophoretic profile of the APA showed that it was separated into two bands; one major band of 130 kDa and one minor band at 55 kDa. These antigens were used successfully as specific coating antigenic proteins in detection of echinococcosis in camel. In a trial to prepare an anti-camel IgGs peroxidase conjugate; peroxidase enzyme was purified from turnip roots (TPOD) using ammonium sulfate precipitation and affinity chromatography on phenyl Sepharose CL-4B. The purified TPOD showed a major band at 35 kDa. Rabbit anti-camel IgG antibodies (AC IgGs) were prepared then purified using affinity chromatography on Protein G-Sepharose. The TPOD, and commercial HRP for comparison, enzymes were conjugated to AC IgGs using 1%, 5% and 10% glutaraldehyde. The results revealed that the HRP was much better than TPOD in conjugation with AC-IgG antibodies and the 10% glutaraldehyde concentration was the most efficient concentration with ELISA titer 1:50.
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Affiliation(s)
- Omnia M Kandil
- 1Parasitology and Animal Diseases Department, Veterinary Research Division, National Research Centre, 33 El Buhouth St., Dokki, Cairo, 12622 Egypt
| | - Amr E El-Hakim
- 2Molecular Biology Department, Genetic Engineering and Biotechnology Division, National Research Centre, 33 El Buhouth St., Dokki, Cairo, 12622 Egypt
| | - Abdul Aziz M Gad
- 2Molecular Biology Department, Genetic Engineering and Biotechnology Division, National Research Centre, 33 El Buhouth St., Dokki, Cairo, 12622 Egypt
| | - Nadia M T Abu El-Ezz
- 1Parasitology and Animal Diseases Department, Veterinary Research Division, National Research Centre, 33 El Buhouth St., Dokki, Cairo, 12622 Egypt
| | - Mona S Mahmoud
- 1Parasitology and Animal Diseases Department, Veterinary Research Division, National Research Centre, 33 El Buhouth St., Dokki, Cairo, 12622 Egypt
| | - Seham H M Hendawy
- 1Parasitology and Animal Diseases Department, Veterinary Research Division, National Research Centre, 33 El Buhouth St., Dokki, Cairo, 12622 Egypt
| | - Dina B Salama
- 1Parasitology and Animal Diseases Department, Veterinary Research Division, National Research Centre, 33 El Buhouth St., Dokki, Cairo, 12622 Egypt
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Patino JM, Ramos Vertiz AJ. Hydatidosis of the complete humerus. Treated with radical resection and endoprosthesis. Case report. Int J Surg Case Rep 2019; 65:296-300. [PMID: 31759302 PMCID: PMC6880118 DOI: 10.1016/j.ijscr.2019.10.083] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2019] [Revised: 10/27/2019] [Accepted: 10/29/2019] [Indexed: 11/08/2022] Open
Abstract
Hydatid bone disease is caused by the Echinococcus granulosus worm. Osseous involvement accounts for 0.5% to 4% of cases in humans. No reports of hydatid disease in the entire humerus have been found in the bibliography. There is no consensus as regards the medical treatment of hydatidosis in the humerus. The affections of the entire humerus and the recurrences present a challenge of treatment for the reconstruction and rescue of the limb. We report a case of salvatage limb with a total humerus endophrostesis with 2 years of follow up.
Introduction Hydatid bone disease is caused by the Echinococcus granulosus worm. The location of the disease in the humerus is infrequent. No reports of hydatid disease in the entire humerus have been found in the bibliography. We present one case of primary hydatid bone disease affecting the entire humerus, which was treated with radical resection and total endoprosthesis of the humerus. Case A 24-year-old patient presented with a diaphyseal humerus fracture. The x-rays and MRI showed an oblique fracture and heterogeneous osteolytic and multiloculated images along the entire humerus. The biopsy resulted in hydatid cysts. Oncological resection of the humerus and total replacement of the same with a non-conventional prosthesis designed for the patient was performed. Conclusion Total humerus hydatidosis is infrequent, and there is scarce information about its treatment. The local resection plus graft and osteosynthesis conserving the bone has shown complications and recurrences. For healing, a radical procedure is necessary. Although functional results may be limited.
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Affiliation(s)
- Juan Martin Patino
- Departamento de Ortopedia y Traumatologia, Servicio de cirugía de mano y miembro superior, Hospital Militar Central "Cosme Argerich", Buenos Aires, Argentina.
| | - Alejandro José Ramos Vertiz
- Departamento de Ortopedia y Traumatologia, Servicio de cirugía de mano y miembro superior, Hospital Militar Central "Cosme Argerich", Buenos Aires, Argentina
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Latatu-Córdoba MÁ, Ruiz-Blanco S, Sanchez M, Santiago-Boyero C, Soto-García P, Sun W, Ramia JM. Hydatid cyst of the colon: A systematic review of the literature. World J Clin Cases 2019; 7:1634-1642. [PMID: 31367622 PMCID: PMC6658375 DOI: 10.12998/wjcc.v7.i13.1634] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2019] [Revised: 05/29/2019] [Accepted: 06/10/2019] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Primary hydatid disease in the colon is an extremely rare finding. We performed a systematic review of cases of hydatidosis of the colon published to date.
AIM To systematic review the published papers about hydatidosis of the colon.
METHODS Following PRISMA guidelines, we performed an unlimited search for articles on CH in the MEDLINE (PubMed), EMBASE, Cochrane, Latindex and Scielo databases, published in English, Spanish, French, German or Italian between January 1, 1960 and December 15, 2018. The search items were: (Colon) AND [(hydatidosis) OR (hydatid disease) OR (echinococcosis)].
RESULTS Nine case reports were found [five men, four women, median age 64.55 years (range: 21-81)]. The most frequent clinical manifestation was abdominal pain (8/9) (88.9%). In almost all cases several image studies were carried out, but abdominal computed tomography was the most used (66.7%). Five resections of the colon (62.5%) and three sutures of the fistula between cyst and colon (37.5%) were performed. Four patients did not present post-operative complications, but one died. Postoperative period was recorded for a mean period of 35 months. No recurrences were recorded.
CONCLUSION The most frequent symptom was abdominal pain (evidence level 4). Computed tomography was the most frequently used diagnostic imaging technique (evidence level 4). Colectomy was the most appropriate treatment (evidence level 5). All the diagnostic and therapeutic options for hydatid cysts located in colon have a low level of evidence.
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Affiliation(s)
| | - Sergio Ruiz-Blanco
- Faculty of Medicine, Universidad of Alcalá, Alcalá de Henares 28801, Spain
| | - Matilde Sanchez
- Faculty of Medicine, Universidad of Alcalá, Alcalá de Henares 28801, Spain
| | | | - Paula Soto-García
- Faculty of Medicine, Universidad of Alcalá, Alcalá de Henares 28801, Spain
| | - Wenzhong Sun
- Faculty of Medicine, Universidad of Alcalá, Alcalá de Henares 28801, Spain
| | - José M Ramia
- Servicio de Cirugía Generaly del Aparato Digestivo, Hospital Universitario de Guadalajara, Guadalajara 19002, Spain
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Wang Q, Pang MQ, Kang YL, Wang ZX, Cairang D, Wang H, Wang HJ, Fan HN. Primary splenic hydatidosis: a case report. J Int Med Res 2019; 48:300060519845500. [PMID: 31167587 PMCID: PMC7581981 DOI: 10.1177/0300060519845500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
We herein report a case of primary splenic hydatidosis to provide data regarding the diagnosis, treatment, and epidemiological statistics of this disease. The patient was from a pastoral area and was diagnosed with primary splenic hydatidosis with chronic atrophic gastritis. The patient had no history of surgical treatment of hydatidosis. The diagnosis was mainly based on possible exposure to endemic areas, imaging findings, serological test results, and operative and pathological examination findings. Laparoscopic splenectomy was performed, and regular albendazole therapy was given after the operation. The patient was admitted to the hospital for gastrointestinal bleeding 3 months postoperatively, and she was successfully treated and discharged. No recurrence of hydatid foci has been observed since the follow-up.
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Affiliation(s)
- Qiang Wang
- Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hospital of Qinghai University, Xining, Qinghai, P.R. China
| | - Ming-Quan Pang
- Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hospital of Qinghai University, Xining, Qinghai, P.R. China
| | - Ying-Li Kang
- Image Center, Affiliated Hospital of Qinghai University, Xining, Qinghai, P.R. China
| | - Zhi-Xin Wang
- Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hospital of Qinghai University, Xining, Qinghai, P.R. China.,Qinghai Province Key Laboratory of Hydatid Disease Research, Xining, Qinghai, P.R. China
| | - Dongzhi Cairang
- Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hospital of Qinghai University, Xining, Qinghai, P.R. China
| | - Hu Wang
- Health Commission of Qinghai Province, Xining, Qinghai, P.R. China
| | - Hai-Jiu Wang
- Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hospital of Qinghai University, Xining, Qinghai, P.R. China.,Qinghai Province Key Laboratory of Hydatid Disease Research, Xining, Qinghai, P.R. China
| | - Hai-Ning Fan
- Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hospital of Qinghai University, Xining, Qinghai, P.R. China.,Qinghai Province Key Laboratory of Hydatid Disease Research, Xining, Qinghai, P.R. China
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