Taenia saginata: an unusual cause of post-appendectomy faecal fistula

Najih, Mohammed; Laraqui, H.; Njoumi, Nouredine; Mouhafid, Faycel; Moujahid, Mountassir; Ehirchiou, Abdelkader; Zentar, Aziz

doi:10.11604/pamj.2016.25.200.11003

Cited by 7 publications

(7 citation statements)

References 6 publications

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“… Examples exist of non-specific complications associated with T. saginata infection in humans (e.g. cholangitis, peritonitis, post-appendectomy fecal fistula) [ 34 – 36 ], including a possible need for a hospitalization. In Belgium, this is extremely rare.…”

Section: Discussionmentioning

confidence: 99%

Economic impact of bovine cysticercosis and taeniosis caused by Taenia saginata in Belgium

et al. 2018

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BackgroundBovine cysticercosis (BCC) (due to Taenia saginata) is often claimed to cause considerable economic losses to the livestock industry, particularly in beef cattle, but recent studies estimating the economic impact are lacking. The current study aimed to quantify the annual economic impact of BCC in Belgium from 2012 to 2016, by gathering data from diverse sources in the meat and human health sectors.ResultsIn Belgium, on average, 15 carcasses with generalised infections and 1168 carcasses with localised ones are detected upon meat inspection each year. The highest proportion of the total economic losses due to bovine cysticercosis were borne by the cattle owners with an average economic cost of €3,408,455/year: €2,954,061/year due to BCC insurance, €453,024/year due to value losses of beef of uninsured carcasses (i.e. freezing process) and €1370/year due to destruction costs of uninsured carcasses with generalised infections. The slaughterhouses suffered an economic impact of €210,806/year. They were responsible for inspection costs related to meat inspection in general, administration, processing and deboning of infected carcasses (€597,856/year), value losses (€34,848/year) and destruction costs (€105/year) of carcasses insured by the slaughterhouses (unofficial insurance) (5% of slaughtered animals). On the other hand, the slaughterhouses gained a total of €422,004/year due to unofficial insurance fees. Thirty percent of all slaughtered animals were officially insured against BCC and the insurance company generated an income of €2,322,337/year. The economic impact related to taeniosis (10,991 patients annually) amounted to a maximum of €795,858/year.ConclusionBCC and taeniosis due to T. saginata have a large economic impact in Belgium, mainly due to the insurance costs for BCC. These results indicate the need for reducing the number of BCC and taeniosis cases to avoid the costs and losses related to this parasite.

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Section: Discussionmentioning

confidence: 99%

Economic impact of bovine cysticercosis and taeniosis caused by Taenia saginata in Belgium

et al. 2018

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“…Upon ingestion of a viable cysticercus, an adult tapeworm may develop that resides in the intestinal lumen of the human final host [ 3 , 6 ]. Infection with a tapeworm (taeniosis) generally remains asymptomatic [ 10 , 11 ] with some exceptions [ 12 – 14 ].…”

Section: Introductionmentioning

confidence: 99%

The survival and dispersal of Taenia eggs in the environment: what are the implications for transmission? A systematic review

et al. 2021

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Taenia spp. are responsible for a substantial health and economic burden in affected populations. Knowledge of the fate of the eggs of Taenia spp. in the environment and of other factors facilitating the transmission of eggs to intermediate hosts is important for the control/elimination of infections caused by Taenia spp. The aim of this systematic review was to summarize current knowledge of the factors influencing the survival and dispersal of Taenia spp. eggs in the environment. Publications retrieved from international databases were systematically reviewed. Of the 1465 papers initially identified, data were ultimately extracted from 93 papers. The results of this systematic review indicate that survival is favoured at moderate temperatures (0–20 °C). Humidity seems to affect the survival of Taenia spp. eggs more than temperature. Under field circumstances, Taenia spp. eggs have been found to survive for up to 1 year. Taenia spp. eggs are commonly found on vegetables (0.9–30%) and in soil and water samples (0–43%), with their presence posing a risk to the consumer. Invertebrates may act as transport hosts, transferring the infection to an intermediate host, but the importance of this route of transmission is still open to question. Wastewater treatment systems are not capable of entirely eliminating Taenia spp. eggs. Access to surface water and the use of sewage sludge as fertilizer on pastures are important risk factors for bovine cysticercosis. Although information on the survival and spread of Taenia spp. eggs is available, in general the data retrieved and reviewed in this article were old, focused on very specific geographical regions and may not be relevant for other areas or not specific for different Taenia spp. Furthermore, it is unknown whether egg survival differs according to Taenia sp. Future studies are necessary to identify sustainable methods to identify and inactivate parasite eggs in the environment and reduce their spread.

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“…23 The active motility of T. saginata tapeworms may also explain their reported emergence from an anastomotic leakage site and a post-appendectomy fecal fistula. 24,25…”

Section: Discussionmentioning

confidence: 99%

“…23 The active motility of T. saginata tapeworms may also explain their reported emergence from an anastomotic leakage site and a post-appendectomy fecal fistula. 24,25 Interestingly, when reviewing the literature on complications related to Diphyllobothrium latum (fish tapeworm), which is the largest tapeworm that can infect humans (up to 25 m in length), 26 massive infections have been reported to cause intestinal obstruction and aberrant migrating proglottids may cause cholangitis or cholecystitis. 26…”

Section: Discussionmentioning

confidence: 99%

Intestinal Perforation Due to Adult Tapeworm of Taenia: A Case Report and Review of the Literature

Bhandari

Chamlagain

Sutanto

et al. 2022

Clin Med Insights Case Rep

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Taeniasis is an intestinal helminth infection due to adult tapeworms belonging to the genus Taenia. Taeniasis remains a major burden in low-income countries in Asia. We present a case of intestinal perforation caused by adult tapeworm of Taenia in a 50-year-old Nepali male. The patients presented to the hospital with severe abdominal pain and intermittent vomiting. Following clinical presentations and imaging features, gastrointestinal perforation was suspected. Surgical removal of adult tapeworm of Taenia, suspected to be T. saginata or T. asiatica, was carried out during exploratory laparotomy, which was followed by an uneventful postoperative period. In addition to case presentation, we systematically review published case reports on taeniasis-related intestinal perforation. A learning point from this case is clinician should maintain a clinical suspicion of taeniasis as a possible cause of intestinal perforation in endemic areas.

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Taenia saginata: an unusual cause of post-appendectomy faecal fistula

Cited by 7 publications

References 6 publications

Economic impact of bovine cysticercosis and taeniosis caused by Taenia saginata in Belgium

Economic impact of bovine cysticercosis and taeniosis caused by Taenia saginata in Belgium

The survival and dispersal of Taenia eggs in the environment: what are the implications for transmission? A systematic review

Intestinal Perforation Due to Adult Tapeworm of Taenia: A Case Report and Review of the Literature

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