Identification and comparison of intestinal microbial diversity in patients at different stages of hepatic cystic echinococcosis.

There is a significant focus on the role of the host microbiome in different outcomes of human parasitic diseases, including cystic echinococcosis (CE). This study was conducted to identify the intestinal microbiome of patients with CE at different stages of hydatid cyst compared to healthy individuals. Stool samples from CE patients as well as healthy individuals were collected. The samples were divided into three groups representing various stages of hepatic hydatid cyst: active (CE1 and CE2), transitional (CE3), and inactive (CE4 and CE5). One family member from each group was selected to serve as a control. The gut microbiome of patients with different stages of hydatid cysts was investigated using metagenomic next-generation amplicon sequencing of the V3-V4 region of the 16S rRNA gene. In this study, we identified 4862 Operational Taxonomic Units from three stages of hydatid cysts in CE patients and healthy individuals with a combined frequency of 2,955,291. The most abundant genera observed in all the subjects were Blautia, Agathobacter, Faecalibacterium, Bacteroides, Bifidobacterium, and Prevotella. The highest microbial frequency was related to inactive forms of CE, and the lowest frequency was observed in the group with active forms. However, the lowest OTU diversity was found in patients with inactive cysts compared with those with active and transitional cyst stages. The genus Agatobacter had the highest OTU frequency. Pseudomonas, Gemella, and Ligilactobacillus showed significant differences among the patients with different stages of hydatid cysts. Additionally, Anaerostipes and Candidatus showed significantly different reads in CE patients compared to healthy individuals. Our findings indicate that several bacterial genera can play a role in the fate of hydatid cysts in patients at different stages of the disease.

[Subclinical alveolar echinococcosis in a dog initially showing clinical features of leptospirosis]. / Subklinische alveoläre Echinokokkose bei einem Hund mit anfänglicher Symptomatik einer Leptospireninfektion.

A 3.5-year-old male Labrador retriever dog showed a short history of illness characterized by vomiting, apathy, and fever. Ultrasonographically, large nodular liver masses of high echogenicity were noted in both left and right liver lobes. Cytological and bacteriological examinations revealed a neutrophilic hepatitis without detectable agents. During treatment with doxycycline a four-fold decrease of serum titers to Leptospira (L.) icterohaemorrhagiae and L. sejroe was detected in paired serum samples by use of the complement-fixation test. The dog remained without clinical signs and no significant biochemical changes were recorded. However, ultrasonsographic examinations showed a progression of the hepatic lesions, presenting now as nodular parts with high echogenicity and cavernous parts with lower echogenicity. Diagnostic laparotomy was performed and the dog was euthanized due to severity of hepatic lesions. Histopathologically, a severe chronic granulomatous hepatitis with numerous parasitic structures was diagnosed. Morphology of the parasitic structures was comparable to the metacestode stage of Echinococcus multilocularis.

Bacteria isolated from 25 hydatid cysts in sheep, cattle and goats.

Bacteria were isolated from 12 of 25 hydatid cysts collected from the lungs and livers of cattle, sheep and goats slaughtered in the province of Messina, Sicily, Italy. Citrobacter freundii was isolated from seven of the cysts, Aeromonas hydrophila from three, Staphylococcus species from two, Salmonella species from two and Escherichia coli and Proteus vulgaris from one.