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1.
Vet Parasitol ; 277: 109017, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31901535

RESUMO

Cystic echinococcosis represents a significant problem in human and animal health and constitutes one of the most severe Neglected Tropical Diseases prioritized by the World Health Organization. The etiological agent is the complex Echinococcus granulosus sensu lato (s. l.), composed of several species/genotypes. Diagnosis in the definitive host and molecular epidemiology studies are important points for cystic echinococcosis control. Here we developed a new copro-LAMP assay, LAMP EGSL, for diagnosis in the definitive host for simultaneous detection of Echinococcus granulosus sensu stricto (s. s.), Echinococcus ortleppi, and Echinococcus canadensis species. Also, the analytical sensitivity, specificity and plausibility of performance in a rural context of a previously reported species-specific LAMP reaction, was evaluated. Both reactions showed high analytical sensitivity values (10 fg-100 fg DNA) and did not show cross reaction with DNA from host or other helminthic parasites. LAMP EGSL was performed with samples from an endemic area. In addition, the alkaline hydrolysis of one E. granulosus s. s. adult parasite followed by specific LAMP to E. granulosus s. s. was performed in a laboratory with low resources from another cystic echinococcosis endemic area. The results obtained suggest that LAMP EGSL represents a potential tool for canine diagnosis that could be useful for cystic echinococcosis control programs. In addition, we showed that LAMP reaction for E. granulous s. s., E. ortleppi and E. canadensis specific detection, could be useful for molecular epidemiology studies applicable to the definitive host. Both reactions were performed in endemic, rural areas without sophisticated equipment.


Assuntos
Testes Diagnósticos de Rotina/métodos , Doenças do Cão/diagnóstico , Equinococose/veterinária , Echinococcus granulosus , Parasitologia/métodos , Animais , Doenças do Cão/parasitologia , Cães , Equinococose/diagnóstico , Equinococose/parasitologia , Sensibilidade e Especificidade , Especificidade da Espécie
2.
Exp Parasitol ; 208: 107800, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31726054

RESUMO

The aims of this study were an establishment of the domestic rabbit as an intermediate host for cystic echinococcosis (CE) and to evaluate the potency of the crude germinal layer and the protoscoleces antigens to protect against the CE. Firstly; Two groups of white Newzeland rabbits were infected orally either by 5000 active oncospheres or viable protoscoleces separately. After 20 weeks, the slaughtered rabbits showed the presence of hydatid cysts at different internal organs. Molecular detection of the resulted cysts was conducted. Secondly; 27 rabbits were divided into nine groups (n = 3). Groups 1 and 2 were immunized with the crude germinal layer antigen while the groups 3 and 4 were immunized with the crude protoscoleces antigen. Groups 5 and 6 received the adjuvant mineral oil. Groups 7 and 8 were used as positive control. The last 9 group was kept as a negative control. The obtained results showed a significant high protection percentage of 83.4% and high antibody titer was recorded in groups that received the crude germinal layer antigen comparing with the groups that immunized with the crude protoscoleces antigen as their protection percentage was 66.7% with lower IgG response. In conclusion, the domestic rabbits could be used as a laboratory model for CE. Developing of the germinal layer antigen is more immunogenic than the protoscoleces one and could be used as a promising vaccine. Attention should be directed towards the existing rabbit in the environment adjacent to infected dogs as it could be a part of Echinococcus life cycle.


Assuntos
Modelos Animais de Doenças , Equinococose/prevenção & controle , Echinococcus/imunologia , Coelhos , Vacinação , Vacinas , Análise de Variância , Animais , Antígenos de Helmintos/imunologia , DNA de Helmintos/isolamento & purificação , Cães , Echinococcus/genética , Ensaio de Imunoadsorção Enzimática , Imunoglobulina G/biossíntese , Rim/parasitologia , Fígado/parasitologia , Pulmão/parasitologia , Masculino , Omento/parasitologia , Potência de Vacina
3.
Acta Trop ; 201: 105203, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31574252

RESUMO

Detailed post mortem analyses of 68 free-ranging, slaughter-age pigs from two sites in the Banke District of Nepal identified 36% as being infected with Echinococcus granulosus. The cysts ranged from infertile, immature cysts a few millimetres in diameter to fertile cysts >10 cm in diameter. PCR RFLP and DNA sequencing identified the cysts as being E. granulosus sensu stricto. The Banke district has recently been identified as having a high prevalence of porcine cysticercosis. These data suggest that cestode zoonoses in this, and possibly other parts of Nepal may be a serious concern for human health. An assessment of the level of human cystic echinococcosis and neurocysticercosis, in the region is warranted and the introduction of control measures are required to limit the parasites' transmission.


Assuntos
Equinococose/veterinária , Doenças dos Suínos/epidemiologia , Animais , Equinococose/epidemiologia , Echinococcus granulosus/genética , Feminino , Humanos , Masculino , Nepal/epidemiologia , Suínos , Zoonoses/epidemiologia
4.
Acta Trop ; 201: 105206, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31586448

RESUMO

Albendazole is appropriate chemotherapy for treatment and prophylaxis of cystic echinococcosis (CE). The recent studies show Cytokine therapy could be useful for chronic and progressive diseases, therefore, the use of cytokine in prophylaxis and treatment of hydatidosis could be considerable. The aim of this study is to evaluate the efficacy of interleukin-12 + interferon-gamma, in combination with albendazole for prophylaxis and treatment of CE in Balb/c mice. Albendazole and cytokines were administrated for prophylaxis and treatment in CE. The efficacy of this agents were determined by measuring of size, weight, number of cysts, histology and lymphocyte response. Lymphocyte stimulation index and production of interleukin-12 and interferon-gamma were measured by MTT assay and ELISA respectively. Combination of albendazole and cytokines was very effective for prophylaxis and treatment in experimental CE.


Assuntos
Albendazol/uso terapêutico , Anti-Helmínticos/uso terapêutico , Citocinas/uso terapêutico , Equinococose/tratamento farmacológico , Imunoterapia/métodos , Interferon gama/uso terapêutico , Interleucina-12/uso terapêutico , Animais , Modelos Animais de Doenças , Echinococcus granulosus/efeitos dos fármacos , Camundongos , Camundongos Endogâmicos BALB C
5.
Rev. argent. salud publica ; 10(41): 22-27, 29/12/2019.
Artigo em Espanhol | LILACS, BINACIS, ARGMSAL | ID: biblio-1047967

RESUMO

: La hidatidosis es un problema relevante en toda Argentina, y no se conoce la situación del bovino en su transmisión. El objetivo general del estudio fue indagar acerca de esta situación y, en particular, estimar la prevalencia de hidatidosis, evaluar la fertilidad de quistes hidatídicos (QH) y analizar los factores de riesgo y el patrón de distribución espacial. MÉTODOS: Se evaluó presencia de QH en hígados y pulmones de 432 bovinos. Se estimó prevalencia hidatídica y de establecimientos positivos y el intervalo de confianza (IC95%). Se tomaron 42 muestras de contenido de QH y se evaluó fertilidad. Se estudiaron variables asociadas a presencia de QH. Se calculó razón de prevalencia (RP) con IC95%. RESULTADOS: La prevalencia estimada fue del 22,2% (IC95%: 18,4-26,5%); 12 de 13 (92,3%) establecimientos fueron positivos. La localización de los QH fue 50% pulmonar, 4,2% hepática y 45,8% hepato-pulmonar. No se encontraron QH fértiles. Las variables que mejor explicaron la positividad fueron


Assuntos
Bovinos , Prevalência , Medição de Risco , Equinococose
6.
Rev Chilena Infectol ; 36(5): 591-598, 2019 Oct.
Artigo em Espanhol | MEDLINE | ID: mdl-31859800

RESUMO

BACKGROUND: In Chile, hydatidosis is endemic throughout the country and hyperendemic in some regions. It continues to be a public health problem that has been neglected and little addressed at the national level. In the Region of Libertador Bernardo O'Higgins, reported cases and hospital discharges still show high values, this area being representative of medium risk. AIM: To estimate the risk of human hydatidosis in this region, studying the relationship of notifications and hospital discharge rates with social and environmental factors such as population, poverty index, schooling, literacy, average temperature, average rainfall and sheep population size. METHODS: Poisson regressions were used to study the factors associated with reported cases and hospital discharge rates and the BYM model for relative risk. RESULTS: We found that the factors most related to absolute risk were the schooling index as a protective factor and the average temperatures as an enhancing factor. The sheep population size was also a relevant factor, especially when analyzing the distribution of relative risk. The areas of greatest risk in the region were La Estrella, Marchigue, Litueche, Santa Cruz and Lolol according to discharge rates, adding Pumanque and Peralillo according to notifications. These reveal a distribution of the zones of risk of hydatidosis towards the coastal mountain range in this region. DISCUSSION/CONCLUSION: The more relevant factors associated to hydatidosis were schooling index, temperature an sheep population.


Assuntos
Equinococose/epidemiologia , Equinococose/etiologia , Animais , Chile/epidemiologia , Geografia , Humanos , Modelos Lineares , Alta do Paciente/estatística & dados numéricos , Distribuição de Poisson , Prevalência , Chuva , Fatores de Risco , Ovinos , Fatores Socioeconômicos , Análise Espaço-Temporal , Temperatura Ambiente , Fatores de Tempo
7.
Rev Chilena Infectol ; 36(5): 599-606, 2019 Oct.
Artigo em Espanhol | MEDLINE | ID: mdl-31859801

RESUMO

BACKGROUND: Zoonoses are infections caused by all types of etiological transmissible agents from vertebrate animals to humans. During the last decades, the risk to health caused by different zoonoses has been a consequence of the natural distribution of the different etiological agents and by the emergence and reemergence of these diseases. AIM: To study the distribution of the risk of mortality of the four main zoonoses in continental Chile, based on national mortality data, with the objective of visualizing geographically where to focus the control efforts of these diseases. METHODS: Relative risk was estimated by means of Bayesian Statistics. RESULTS: The distribution in Chile of the main zoonoses was obtained. DISCUSSION/CONCLUSION: The risk maps obtained show a parasitic disease transmitted by high-risk vectors in the north, Chagas disease; a parasitic disease of biological communities in which man is an accidental host, associated with livestock areas, more prevalent in the south, hydatidosis; a bacterial disease transmitted by vertebrates, especially by rodents, where water is an important vehicle, dominant in the center, leptospirosis; and a viral disease transmitted by rodents, very dominant in the south, the hantavirus infection.


Assuntos
Doença de Chagas/epidemiologia , Equinococose/epidemiologia , Síndrome Pulmonar por Hantavirus/epidemiologia , Leptospirose/epidemiologia , Zoonoses/epidemiologia , Animais , Doença de Chagas/etiologia , Chile/epidemiologia , Equinococose/etiologia , Feminino , Geografia , Síndrome Pulmonar por Hantavirus/etiologia , Humanos , Leptospirose/etiologia , Masculino , Prevalência , Medição de Risco , Fatores de Risco , Zoonoses/etiologia
8.
Ann Agric Environ Med ; 26(4): 674-676, 2019 Dec 19.
Artigo em Inglês | MEDLINE | ID: mdl-31885246

RESUMO

INTRODUCTION: Echinococcus multilocularis is a very dangerous zoonotic parasite threatening human health. The red fox is the main definitive host, and cats and dogs less commonly. Rats can be intermediate hosts. OBJECTIVE: The aim of the study was to determine the parasitofauna of Norway rats and some cats and dogs living on a farm near a forest. MATERIAL AND METHODS: A parasitological section on 15 Norway rats was conducted. The internal organs were examined by means of macroscopic and microscopic methods. For molecular examination, a QIAmp DNA Mini Kit (Qiagen) was used. RESULTS: Based on necropsy, parasitological and molecular examinations, of the 15 examined rats, 1 was found to have larvae of E. multilocularis, while 3 others had eggs of Hymenolepis diminuta, H. nana and Syphacia obvelata. The faeces of the pets did not contain any developmental forms of parasites. CONCLUSIONS: This is the first case of Echinococcus multilocularis infestation in a rat in Poland.


Assuntos
Equinococose/veterinária , Echinococcus multilocularis/isolamento & purificação , Doenças dos Roedores/parasitologia , Animais , Animais Selvagens/parasitologia , Equinococose/parasitologia , Echinococcus multilocularis/classificação , Echinococcus multilocularis/genética , Fígado/parasitologia , Polônia , Ratos
9.
Medicine (Baltimore) ; 98(51): e18141, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31860961

RESUMO

RATIONALE: Peliosis hepatis (PH), which is characterized by blood-filled cavities in the liver, is a rare disease. Its diagnosis depends on postoperative pathological examinations and immunohistochemistry. PATIENT CONCERNS: A 44-year-old female complained of right-middle upper abdominal pain and distension for 1 month, with occasional vomiting and fever. DIAGNOSIS: Because of the similar imaging features, the patient was initially misdiagnosed as cystic echinococcosis (CE). The immunoassay of echinococcosis was negative. Irregular hepatectomy was performed. Eventually, the patient was diagnosed with PH based on postoperative histopathology and immunohistochemistry. INTERVENTIONS: The patient underwent hepatectomy. Then, the cystic lesion was collected for intraoperative pathological examination. Thus, the blood liquid was extracted from the cystic lesion. Pringle maneuver was administered to prevent bleeding, and then the whole cystic lesion was removed. OUTCOMES: She recovered smoothly and there was no relapse occurred during 6 months' follow-up. LESSONS: It is difficult to differentiate PH from CE and other hepatic diseases due to the lack of special imaging features. Pathological examinations and immunohistochemistry can provide a confirmed diagnosis of PH.


Assuntos
Equinococose/diagnóstico , Hepatectomia/métodos , Peliose Hepática/diagnóstico , Peliose Hepática/patologia , Dor Abdominal/diagnóstico , Dor Abdominal/etiologia , Adulto , Biópsia por Agulha , Diagnóstico Diferencial , Equinococose/diagnóstico por imagem , Feminino , Seguimentos , Humanos , Imuno-Histoquímica , Imagem por Ressonância Magnética/métodos , Peliose Hepática/diagnóstico por imagem , Peliose Hepática/cirurgia , Doenças Raras , Índice de Gravidade de Doença , Tomografia Computadorizada por Raios X/métodos , Resultado do Tratamento
10.
J Helminthol ; 94: e100, 2019 Nov 04.
Artigo em Inglês | MEDLINE | ID: mdl-31679536

RESUMO

Echinococcosis is a zoonotic parasitic illness that can cause significant disabilities, and even death for sick people. The disease is caused by the larval stage of cestodes belonging to the Echinococcus genus. In this study, multiple hydatid cysts were excised from an infected porcine liver. The identification of the parasitic species was made by the morphometric assessment of rostellar hooks and molecular detection of ribosomal DNA extant in protoscoleces of the hydatid sand. Rostellar hooks presented an average length of 27.4 µm by optical microscopy. Parasite DNA were detected in samples of hydatid sediment and positive controls by polymerase chain reaction. In conclusion, Echinococcus granulosus was recognized in samples of porcine hydatid cysts by microscopic observation, and the E. granulosus sensu lato strain E. canadensis G6/G7 was identified by molecular assay.


Assuntos
Equinococose/veterinária , Echinococcus granulosus/isolamento & purificação , Doenças dos Suínos/parasitologia , Animais , Equinococose/diagnóstico , Equinococose/parasitologia , Echinococcus granulosus/genética , Echinococcus granulosus/crescimento & desenvolvimento , Equador , Suínos , Doenças dos Suínos/diagnóstico
11.
BMC Infect Dis ; 19(1): 929, 2019 Nov 04.
Artigo em Inglês | MEDLINE | ID: mdl-31684882

RESUMO

BACKGROUND: Echinococcosis is a zoonotic disease caused by the larval stages of taeniid cestodes of the genus Echinococcus. The two major types of infection in humans are cystic echinococcosis (CE) or hydatidosis and alveolar echinococcosis (AE). It is endemic in some parts of the world, such as the Middle East, with Iran being a part of it. This systematic review and meta-analysis were conducted to determine the prevalence of CE and AE echinococcosis and their epidemiological and clinical aspects in Iran. METHODS: Electronic databases, including MEDLINE (via PubMed), SCOPUS, Web of Science, SID and Mag Iran (two Persian scientific search engines) were searched from 1 January 1990 to 8 August 2017. The prevalence of CE and AE echinococcosis was estimated using the random effects meta-analysis. Heterogeneity was evaluated by subgroup analysis. Data were analyzed by STATA version 12. RESULTS: Of the 2051 records identified in the mentioned electronic databases, Seventy-eight articles met our eligibility criteria, with a total of 214124individuals. The meta-analysis was performed on only 37 out of 78 included studies. The pooled prevalence of CE and AE in Iran was 5% [95% confidence interval )CI(: 3-6%] and 2% [95% CI: 0-5%], respectively. Subgroup meta-analysis revealed that the prevalence of CE was significantly higher in North [9%, 95% CI: 4-18%] and West of Iran [6%, 95% CI: 3-11%], patients younger than 40 years of age [7%, 95% CI: 4-12%], villagers and nomads [6%, 95% CI: 2-12%], and studies that used the combination of serological, clinical, and imaging diagnostic methods [7%, 95% CI: 5-9%]. There were no significant differences between the prevalence of CE among low and high-quality studies. Housewives were the most affected group by hydatidosis (n=24/77, 31%), followed by illiterate people (n=11/77, 14%) and farmers (n= 9/77, 12%). Liver [55%, 95% CI: 46-65%] and lung [28%, 95% CI, 22-35%] were the most common sites of cyst formation. CONCLUSIONS: Given to the importance of echinococcosis on human health and domestic animals industry, it is necessary to implement monitoring and control measures in this regard.


Assuntos
Equinococose/epidemiologia , Animais , Animais Domésticos , Equinococose/etiologia , Humanos , Irã (Geográfico)/epidemiologia , Prevalência , Zoonoses/epidemiologia
12.
Prev Vet Med ; 173: 104806, 2019 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-31704561

RESUMO

A retrospective study was conducted on 1,178,329 cattle slaughtered at an eastern Australian abattoir between 2010 and 2018. The data were searched for records in which a diagnosis of hydatid disease was made by routine meat inspection and apparent prevalence was calculated. True prevalence of hydatid disease in any organ was then estimated using previously reported sensitivity and specificity for diagnosis of hepatic hydatid disease by routine meat inspection. Mixed effects logistic regression was conducted to assess putative associations between dentition (age), sex, and feed-type (grass- or grain-fed), and hydatid disease reported at slaughter, with origin (Property Identification Code [PIC] region) included as a random effect. Regression was also conducted on subsets stratified by dentition and feed-type to account for measurement bias resulting from differences in sensitivity and specificity between groups of cattle. Discrete-Poisson models (SaTScan, v.9.5) were used to detect spatio-temporal clustering of hydatid-positive cattle within PIC regions. The apparent prevalence of hydatid disease reported in any organ was 8.8% (n = 104,038; 95% confidence interval [CI] 8.8-8.9%). The liver, lungs, heart, spleen, and kidneys were reported infected with hydatid cysts. Of cattle reported infected with hydatid cysts, 75.6% had both the liver and lungs reported infected. True prevalence was estimated to be 33.0% (95% CI 24.4-44.4%). Significant interaction between dentition and feed-type was identified. Risk of reported hydatid disease was highest in both eight-tooth grass- and eight-tooth grain-fed cattle (OR 17.5, 95% CI 17.0-18.1, reference level [ref] zero-tooth; OR 4.8, 95% CI 4.4-5.2, ref zero-tooth, respectively). Sex was also significantly associated with reported cases of hydatid disease at slaughter, with the highest odds in females (two-tooth group, OR 1.2, 95% CI 1.1-1.2, ref male). Three spatio-temporal clusters of hydatid-positive regions were identified. The most likely cluster was located in north eastern New South Wales from June 2012 to September 2015 (log likelihood ratio 4774, P < 0.001). This study indicates a higher prevalence of hydatid disease than previously recognised and demonstrates that an effect of sex cannot be ruled out. The identification of clusters could indicate periods when hosts of Echinococcus were more abundant, or localised climatic events that facilitated transmission to cattle. Given the high prevalence, the financial impact of hydatid disease on the Australian beef industry and risk factors associated with variation in spatial distribution should be determined to target interventions.


Assuntos
Doenças dos Bovinos/parasitologia , Equinococose/veterinária , Matadouros , Animais , Austrália/epidemiologia , Bovinos , Doenças dos Bovinos/epidemiologia , Equinococose/epidemiologia , Feminino , Modelos Logísticos , Masculino , Estudos Retrospectivos
13.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi ; 31(5): 486-490, 2019 Oct 11.
Artigo em Chinês | MEDLINE | ID: mdl-31713376

RESUMO

OBJECTIVE: To identify the main risk factors of human cystic echinococcosis in Shiqu County, Sichuan Province, so as to provide the reference for the formulation of echinococcosis control strategies in Shiqu County. METHODS: During the period from November 2015 through June 2017, the patients with cystic echinococcosis (case group) and healthy controls (control group) were randomly sampled from Shiqu County as the study subjects. A questionnaire survey was conducted to capture the study subjects'age, gender, ethnicity, occupation, religion, lifestyle, education level, number of household dogs, bovine and sheep, and density of dog feces in the courtyard. The major risk factors of human cystic echinococcosis were identified using a logistic regression model. RESULTS: Univariate logistic regression analysis showed 7 risk factors with statistical significance between the case and control groups, and age, lifestyle, number of household bovine, number of household sheep, number of house-hold dogs, and the density of dog feces in the courtyard were included in the multivariate logistic regression model (OR = 1.026, 4.792, 1.067, 1.022, 1.709 and 1.095, respectively). CONCLUSIONS: High age, pastoral nomadic lifestyle, high number of house-hold bovine, high number of household sheep, high number of household dogs and high density of dog feces in the courtyard are strongly associated with the riks of human cystic echinococcosis in Shiqu County.


Assuntos
Doenças do Cão , Equinococose , Animais , Estudos de Casos e Controles , Bovinos , China/epidemiologia , Cães , Equinococose/epidemiologia , Fezes , Humanos , Prevalência , Fatores de Risco , Ovinos
14.
Rev Med Liege ; 74(11): 561-562, 2019 Nov.
Artigo em Francês | MEDLINE | ID: mdl-31729842

RESUMO

Mediastinal hydatid cyst is an exceptional pathology that poses a problem of diagnosis with the other cystic lesions of the mediastinum. Diagnosis is suspected on ultrasound and CT exams and confirmed by surgical findings and histopathological characteristics.


Assuntos
Equinococose , Cisto Mediastínico , Humanos , Mediastino , Tomografia Computadorizada por Raios X , Ultrassonografia
15.
Z Gastroenterol ; 57(11): 1281-1290, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31739373

RESUMO

INTRODUCTION: The prevalence of alveolar echinococcosis (AE) and cystic echinococcosis (CE) in Germany is increasing. The number of cases in northern and eastern regions is low, so there is little experience with regard to diagnosis and therapy. OBJECTIVES: The objective of this paper was to evaluate the management of suspected and/or diagnosed echinococcosis at a university center in a low-prevalence region. METHODS: All the patients at the Leipzig University Hospital between 2004 and 2018 who had been serologically examined for echinococci were included in a retrospective cohort study. Clinical course, imaging, histology, therapeutic characteristics, relevant comorbidities and risk factors for AE and CE were evaluated. A time-staggered prevalence estimation, as well as sensitivity and specificity calculations for the serological tests, were performed. RESULTS: A total of 382 patients were enrolled, with 11 AE and 7 CE cases identified. The mean prevalence rate of AE in this cohort was 2.9 % and that of CE was 1.8 %. Among the patients, 56 % had known risk factors for AE and CE. The serological tests showed a sensitivity of 86 % and a specificity of 91 %. Two patients with false-negative serology were diagnosed by biopsy. All CE and 5 AE patients (45 %) were operated on. Six AE patients received long-term treatment with albendazole. CONCLUSIONS: AE and CE are rare diseases in the greater Leipzig region; however, case numbers are on the rise. Due to favorable factors such as the escalation of migration, a further increase is expected. Diagnosis and therapy are challenging and should be supported by specialists (experienced infectiologists, imaging experts and skilled hepatobiliary surgeons) who should be integrated in a German network.


Assuntos
Equinococose Pulmonar/epidemiologia , Equinococose/epidemiologia , Echinococcus/isolamento & purificação , Albendazol/uso terapêutico , Animais , Anti-Helmínticos/uso terapêutico , Equinococose/diagnóstico , Equinococose/tratamento farmacológico , Equinococose/parasitologia , Equinococose Hepática/diagnóstico , Equinococose Hepática/tratamento farmacológico , Equinococose Hepática/epidemiologia , Equinococose Pulmonar/parasitologia , Alemanha/epidemiologia , Humanos , Doenças Negligenciadas/diagnóstico , Doenças Negligenciadas/tratamento farmacológico , Doenças Negligenciadas/epidemiologia , Prevalência , Estudos Retrospectivos
17.
Zhongguo Xue Xi Chong Bing Fang Zhi Za Zhi ; 31(4): 393-399, 2019 Sep 25.
Artigo em Chinês | MEDLINE | ID: mdl-31612674

RESUMO

OBJECTIVE: To explore the spatial and temporal distribution characteristics of cases with newly diagnosed echinococcosis in Sichuan Province from 2007 to 2017, so as to provide reference for the formulation of echinococcosis prevention and control strategies and for the identification of key areas. METHODS: The spatial distribution maps of detection of cases with newly diagnosed echinococcosis were plotted in Sichuan Province from 2007 to 2017, and the spatial distribution characteristics and epidemic trends were analyzed. RESULTS: From 2007 to 2017, the detection rate of cases with newly diagnosed echinococcosis appeared a decline in Sichuan Province year by year, and the areas with a high detection rate of cases with newly diagnosed echinococcosis were mainly located in western, northwestern and northern parts of Sichuan Province, while the areas with a low detection rate were predominantly found in the southern and eastern parts of the province. The global Moran's I values were 0.19, 0.22, 0.17, 0.44, 0.48, 0.31 and 0.16 for the detection rate of cases with newly diagnosed echinococcosis in Sichuan Province from 2010 to 2016 (all Z scores > 1.96, all P values < 0.05), suggesting spatial aggregation distribution during this period. Local spatial autocorrelation analysis revealed that the"high-high"areas and"low-low"areas for the detection rate of cases with newly diagnosed echinococcosis all showed an aggregation tendency. CONCLUSIONS: The detection rate of cases with newly diagnosed echinococcosis decreases in Sichuan Province from 2007 to 2017 year by year, and shows a spatial aggregation. The echinococcosis control activities should be intensified in Shiqu, Seda, Dege, Ganzi and Baiyu counties.


Assuntos
Equinococose , Análise Espaço-Temporal , China/epidemiologia , Equinococose/diagnóstico , Equinococose/epidemiologia , Equinococose/prevenção & controle , Epidemias , Humanos , Fatores de Tempo
18.
Mymensingh Med J ; 28(4): 940-944, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31599265

RESUMO

Hydatid disease is one of the diseases that have been discovered in the ancient times. Liver and lung are the most commonly affected organs, though it can involve any organs. Hydatid disease involving both the liver and the lung is reported about 10% of the cases. Here we report a case of 34 year old male presented with upper abdominal pain and intermittent fever for 3 months admitted in October 2016. His chest radiograph and computed tomography scan revealed large cystic lesion at right lung and another similar large lesion in the right lobe of liver. Echinococcus antibody was found positive. We treated him surgically. Histopathology reports confirmed concomitant hydatid cyst of both the lung and the liver.


Assuntos
Equinococose/cirurgia , Echinococcus , Adulto , Animais , Humanos , Fígado , Pulmão , Masculino
19.
Parasit Vectors ; 12(1): 469, 2019 Oct 10.
Artigo em Inglês | MEDLINE | ID: mdl-31601244

RESUMO

BACKGROUND: The larval stage of the tapeworm Echinococcus granulosus is the causative agent of hydatid disease in humans. This zoonotic parasitic infection remains a major health problem in certain areas of the world where is still endemic. In view of the ineffectiveness of some drug treatments, the surgical removal of cysts remains the preferred treatment option together with the administration of albendazole and mebendazole. However, severe side effects of these drugs have been reported which demands developing new scolicidal agents that confer suitable efficacy and fewer side effects during surgery. METHODS: To that purpose, in the present work we assessed the effectiveness of ivermectin (IVM), a macrocyclic lactone endectocide that has shown to be an effective nematocidal drug against other important parasitic infections. To overcome the limitations observed in some drug formulations and resistance, we used nano lipid carriers (NLCs) as a targeted and sustained drug delivery system for IVM. We evaluated the in vitro cestocidal and apoptotic effects of NLCs-loaded IVM versus IVM by quantifying the expression of caspase-3 mRNA. RESULTS: We found that after 60 and 120 min of administration, 800 µg/ml and 400 µg/ml NLCs-loaded IVM induced 100% mortality, respectively. On the other hand, the 800 µg/ml of IVM induced 100% mortality rate 150 min after administration. Additionally, we found that NLCs-loaded IVM induced higher mRNA caspase-3 expression suggesting a more potent apoptotic effect on the parasite. CONCLUSIONS: These data suggest that NLCs-loaded IVM may be a promising alternative to current treatments although in vivo studies are needed.


Assuntos
Antiparasitários/administração & dosagem , Equinococose/tratamento farmacológico , Echinococcus granulosus/efeitos dos fármacos , Ivermectina/administração & dosagem , Análise de Variância , Animais , Caspase 3/genética , Fragmentação do DNA , Portadores de Fármacos , Equinococose/parasitologia , Echinococcus granulosus/classificação , Echinococcus granulosus/genética , Echinococcus granulosus/ultraestrutura , Complexo IV da Cadeia de Transporte de Elétrons/genética , Técnicas de Genotipagem , Lipídeos , Microscopia Eletrônica de Varredura , Nanoestruturas , RNA Mensageiro/metabolismo , Ovinos
20.
Turkiye Parazitol Derg ; 43(Suppl 1): 13-17, 2019 10 07.
Artigo em Inglês | MEDLINE | ID: mdl-31591873

RESUMO

Objective: Alveolar echinococcosis (AE) is one of the most lethal parasitic zoonoses in the Northern Hemisphere, and early serological detection is important to start treatment and to improve survival. A total of 50 sera samples of patients diagnosed as having various diseases were examined for by two different serological diagnostic methods. Methods: Em2-Em18 ELISA (Bordier Affinity Products, Crissier, Switzerland) and Echinococcus Western Blot immünoglobulin G (IgG) (LDBIO Diagnostics, Lyon, France) were used for analyisis. Results: A high titer of antibodies was found in 9 of 10 patients diagnosed as having AE with Em2-Em18 ELISA, in 2 of 21 patients with cystic echinococcosis, in 1 of 2 patients with fascioliasis and in 1 patient with chronic hepatitis. The Echinococcus Western Blot IgG test, used as a confirmatory test, showed IgG antibody in 85.7% (18/21) of patients with CE, while all serum samples of 10 patients with AE were evaluated as positive. This method yielded an incorrect diagnosis in the patient with chronic hepatitis and in the patient with granulomatous inflammation with caseification. Samples taken from patients with liver-related diseases and other parasitic-related diseases were found to be negative. Conclusion: The serological methods used in the study were found to be important in the early diagnosis of alveolar echinococcosis in the endemic areas, since it could be used in sero-epidemiological studies.


Assuntos
Anticorpos Anti-Helmínticos/sangue , Antígenos de Helmintos/imunologia , Equinococose/diagnóstico , Echinococcus/imunologia , Imunoglobulina G/sangue , Adulto , Animais , Western Blotting/métodos , Diagnóstico Diferencial , Equinococose Hepática/diagnóstico , Ensaio de Imunoadsorção Enzimática/métodos , Fasciolíase/diagnóstico , Feminino , Proteínas de Helminto/imunologia , Hepatite Crônica/diagnóstico , Humanos , Masculino
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