Risk Factors and the Character of Clinical Course of the Echinococcus multilocularis Infection in Patients in Poland

Abstract

Alveolar echinococcosis (AE) is a chronic zoonotic disease caused by the larval form of Echinococcus multilocularis. In humans, it may become a serious chronic infection of the liver which resembles a slow malignant process leading to death when untreated. The aim of the study was an assessment of the risk factors of the E. multilocularis infections and the description of AE clinical course in the group of 36 patients with confirmed AE, hospitalized at the Department and Clinic of Tropical and Parasitic Diseases, Poznan University of Medical Sciences between 2013 and 2022. Among the study participants, most patients cultivated land, bred livestock, worked in the forest, or were employed in animal shelters. The E. multilocularis infection was diagnosed based on imaging and immunoassay techniques within 6 months in the majority of patients hospitalized in the Department. All patients hospitalized in the Department initiated anti-parasitic therapy at the moment of the diagnosis. Pharmacological treatment combined with surgery was applied in most of the study participants, who were presented with more advanced stages of infection. We conclude the following: 1. For humans in the risk group, regular abdominal imaging examinations and the detection of specific antibodies against E. multilocularis are recommended. 2. Regular screening tests in the hyperendemic areas of AE would increase the early detection of the disease and to improve the clinical prognosis in this extremely life-threatening parasitic disease.

The value of nomogram analysis in prediction of cerebral spread of hepatic alveolar echinococcosis

“…The exogenous vesicle structure of HAE budding can invade blood vessels and lymphatic vessels, and then metastasize to distant sites 23,24 . Distant metastasis of HAE mainly spreads through the blood circulation, and some adjacent organs can be affected by direct invasion 25,26 . The proliferative buds of the cystic coccoides fall off and spread through the blood.…”