Echinococcosis: A 15-year epidemiological, clinical and outcome overview

Diago, Carlos Antonio Amado; Gutiérrez‐Cuadra, Manuel; Armiñanzas, Carlos; Revillas, Francisco Arnáiz de las; Gómez-Fleitas, Manuel; Fariñas, María Carmen

doi:10.1016/j.rce.2015.05.003

Cited by 7 publications

(2 citation statements)

References 15 publications

(16 reference statements)

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“…Brundu and colleagues [57] also identified high rates of recurrences in a retrospective study conducted in Italy, with 24% of the patients having two hospital stays and 5% having three or more hospitalizations. Lower rates of relapse were reported by Amado-Diago and colleagues [71] and Velasco-Tirado and colleagues [15] in Spain, who identified recurrences in 10.5% and 11.5% cases, respectively. In addition to the low use of Albendazole post-surgery, another important cause for recurrences may be the spillage of hydatid cyst fluid in the abdominal cavity during surgery [72].…”

Section: Discussionmentioning

confidence: 62%

Cystic Echinococcosis in Hospitalized Adult Patients from Western Romania: 2007–2022

Paduraru,

Lupu,

Sima

et al. 2023

Microorganisms

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Cystic echinococcosis (CE) is a neglected parasitic disease caused by the tapeworm Echinococcus granulosus. The aim of this study was to assess the epidemiological features of human cystic echinococcosis in patients from Western Romania. We retrospectively investigated the medical records of patients hospitalized with CE between 1 January 2007 and 1 September 2022. A total of 366 patients (range 18–90 years) were recorded. The number of hospitalized individuals was higher in patients aged 50–59 years (83/366, 22.7%), in females (194/366, 53%), and in residents of rural areas (225/366, 61.5%). The liver was the most common localization of the cysts (302/366, 82.5%). Ninety-eight patients (26.8%) presented complications, including biliary fistula, allergies, and infection of the cyst. Patients with complications had a longer mean hospital stay (15.7 ± 8.3 days) compared to patients without complications (11.5 ± 7.3 days) (p < 0.001). The results of this study revealed that patients diagnosed with CE required hospitalization and extended medical care, indicating that this zoonotic disease remains a significant public health problem in Western Romania. Public health authorities should enhance CE surveillance by implementing control programs and mandatory notification of new cases.

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Section: Discussionmentioning

confidence: 62%

Cystic Echinococcosis in Hospitalized Adult Patients from Western Romania: 2007–2022

Paduraru,

Lupu,

Sima

et al. 2023

Microorganisms

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“…Hydatid echinococcosis, due to Echinococcus granulosus or E. multilocularis , can occur almost everywhere, but most often in North and East Africa, Asia, South-West Europe, South America, the USA, Canada, Australia, and New Zealand [ 1 – 4 ]. The main causes of death are either complications of hepatic and pulmonary echinococcosis or echinococcosis of the heart.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Lethality in Echinococcal Disease

Khachatryan

2017

Korean J Parasitol

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The information on mortality from echinococcosis is important not only for a better understanding of the severity of the disease, but also for evaluating the effectiveness of public health interventions. The aim of this research was to study the causes of mortality from echinococcosis. We have collected and analyzed the materials of 1,470 patients in 10 age - groups in the Republic of Armenia (from 2000 to 2016). To find out the causes of mortality from echinococcosis, we have analyzed the medical histories and protocols of postmortem examinations of 19 deaths from echinococcosis and 17 deaths due to other indirect causes not associated with the parasite. The average annual death rate from echinococcosis is 0.007 per 10,000 population, and the mortality is 1.29 (per 100 patients). The highest mortality occurs in people aged 70–79. Mortality from echinococcosis is also recorded among the unoperated children. The rupture of the parasitic cyst and hepatic insufficiency are major among the direct causes of mortality. Sometimes the hydatid cysts unrecognized during the life were first diagnosed at autopsy. Insufficient qualification of doctors in the field of helminthology, as well as the latent course of the disease or manifestation of minor symptoms in echinococcosis over a long period often led to medical errors. Further decline in mortality can be achieved by early diagnosis, timely hospitalization and treatment before the development of severe complications worsening the prognosis and outcomes of surgical intervention.

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