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Akyuz M, Kirman R, Guven E, Balkaya I, Avcioglu H. Echinococcus granulosus Sensu Stricto and Echinococcus multilocularis in a Gray Wolf (Canis lupus) in Turkey: Further Evidence for Increased Risk of Alveolar Echinococcosis in Urban Areas. Acta Parasitol 2024; 69:1319-1323. [PMID: 38662075 PMCID: PMC11182862 DOI: 10.1007/s11686-024-00842-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2023] [Accepted: 03/20/2024] [Indexed: 04/26/2024]
Abstract
OBJECTIVE The aim of this study was to identify Echinococcus species by morphological and molecular means. METHODS A dead gray wolf (Canis lupus) was found near Erzurum province and brought to the parasitology laboratory. Sedimentation and counting technique (SCT) and polymerase chain reaction (PCR) analysis were conducted. RESULTS The SCT implications indicated that the wolf had a substantial worm burden (62,720 and 49,280 parasites) due to a co-infection of E. granulosus s.l. and E. multilocularis. Genus/species-specific PCR was used to analyze DNA extracted from adult worms and confirmed as E. granulosus s.s. and E. multilocularis, utilizing COI and 12S rRNA gene sequence analysis, respectively. CONCLUSION This report presents the first co-detection of E. granulosus s.s. and E. multilocularis in a gray wolf found in an urban area in a highly endemic area for human echinococcosis in northeastern Turkey. The results emphasize that AE is not only a problem of rural areas, but also occurs in urban areas, which may pose a threat to public health. Therefore, surveillance in urban areas is crucial. The need to develop new control strategies for domestic and wildlife in the study area is also highlighted.
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Affiliation(s)
- Muzaffer Akyuz
- Department of Parasitology, Faculty of Veterinary Medicine, Atatürk University, Erzurum, 25240, Turkey
| | - Ridvan Kirman
- Department of Parasitology, Faculty of Veterinary Medicine, Atatürk University, Erzurum, 25240, Turkey
| | - Esin Guven
- Department of Parasitology, Faculty of Veterinary Medicine, Atatürk University, Erzurum, 25240, Turkey.
| | - Ibrahim Balkaya
- Department of Parasitology, Faculty of Veterinary Medicine, Atatürk University, Erzurum, 25240, Turkey
| | - Hamza Avcioglu
- Department of Parasitology, Faculty of Veterinary Medicine, Atatürk University, Erzurum, 25240, Turkey
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Zhao Y, Shi Y, Shen S, Zhang Y, Wei G, Jin X. Plasma Circulating Cell-Free DNA Facilitated the Detection of an Alveolar Echinococcosis Patient Initially Misdiagnosed as Cystic Echinococcosis: A Case Report. Trop Med Infect Dis 2024; 9:88. [PMID: 38668549 PMCID: PMC11054191 DOI: 10.3390/tropicalmed9040088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2024] [Revised: 04/09/2024] [Accepted: 04/15/2024] [Indexed: 04/29/2024] Open
Abstract
Echinococcosis, especially alveolar echinococcosis (AE), is becoming an emerging/re-emerging disease with a growing number of cases reported globally. The diagnosis of echinococcosis is based mainly on imaging, which may be challenging when the image presentation is atypical. We reported one patient with suspected cystic echinococcosis (CE) by imaging. The cell-free DNA (cfDNA) obtained from sequencing the patient's plasma before the operation showed that this patient probably had AE with 45 reads mapped to the Echinococcus multilocularis reference genome (Read-Pairs Per Million = 0.24). The patients underwent surgery, and the pathological result showed that the patient had AE. The conventional polymerase chain reaction (PCR) of her lesion sample extraction also indicated that the infection was caused by Echinococcus multilocularis. The follow-up ultrasound after three months indicated no recurrence. We demonstrated that the differentiation of CE and AE by imaging may not be that easy, with further elaboration on the differentiation between AE and CE in different aspects. We demonstrated that it is possible to use patients' plasma cfDNA mapped to Echinococcus references before the operation to obtain the objective clue of the lesion to facilitate diagnosis.
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Affiliation(s)
- Yanping Zhao
- BGI Research, Shenzhen 518083, China; (Y.Z.); (Y.Z.)
- Department of Hepatobiliary Surgery II, The People’s Hospital of Ganzi Tibetan Autonomous Prefecture, Kangding 626000, China;
| | - Yiyang Shi
- Department of Hepatobiliary Surgery II, The People’s Hospital of Ganzi Tibetan Autonomous Prefecture, Kangding 626000, China;
| | - Shu Shen
- Department of Liver Surgery, West China Hospital of Sichuan University, Chengdu 610041, China;
| | - Yan Zhang
- BGI Research, Shenzhen 518083, China; (Y.Z.); (Y.Z.)
| | - Gengfu Wei
- Department of Hepatobiliary Surgery II, The People’s Hospital of Ganzi Tibetan Autonomous Prefecture, Kangding 626000, China;
| | - Xin Jin
- BGI Research, Shenzhen 518083, China; (Y.Z.); (Y.Z.)
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An overview of the genetic diversity of Echinococcus granulosus sensu lato in Turkey. JOURNAL OF CONTEMPORARY MEDICINE 2022. [DOI: 10.16899/jcm.1134747] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Abstract
Echinococcus granulosus is a parasite that lives as a host in animals and humans, causes great economic damage and poses a serious threat to health. Morphological differences and intermediate host preference are used to distinguish the species of this parasite. Ten genotypes and lion strains of Echinococcus granulosus have been identified in molecular studies to date. It contributes to the fact that the effects of cystic echinococcosis detected in humans and the disease process caused by different genotypes can be handled differently. In genetic diversity analysis, species were classified as Echinococcus granulosus sensu stricto, Echinococcus equinus, Echinococcus ortleppi, Echinococcus canadensis and Echinococcus felidis genotypes. Echinococcus granulosus sensu stricto is the most common cause of human cystic echinococcosis worldwide and in Turkey. In this review, the distribution and epidemiology of Echinococcus granulosus genotypes detected in humans and animals in Turkey are discussed.
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KİRMAN R, AKYUZ M, BALKAYA İ, GÜVEN E, AVCIOĞLU H. Gastrointestinal helminths of stray dogs in Erzurum province: prevalence and risk to public health. ANKARA ÜNIVERSITESI VETERINER FAKÜLTESI DERGISI 2022. [DOI: 10.33988/auvfd.1082999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Dogs have an important role in public health due to their close contact with humans and living in common areas. This study was aimed to investigate the presence and prevalence of gastrointestinal system helminths in stray dogs in Erzurum province. Gastrointestinal helminth eggs were detected in a total of 190 out of 446 (42.6%) in stray dogs in Erzurum province. In the study, taeniid eggs (17.71%, 79/446), T. canis (16.82%, 75/446), T. leonina (12.78%, 57/446), Linguatula spp. (4.48%, 20/446), spiny-headed worms (2.91%, 13/446), hookworms (2.69%, 12/446), Alaria spp. (1.12%, 5/446) and Trichuris spp. (0.22%, 1/446) eggs were observed. In addition, proglottid structures of Mesocestoides spp. (3.14%), Taenia spp. (2.69%), and D. caninum (1.12%), adults of Alaria spp. (0.22%), T. canis (0.22%), and T. leonina (0.22%) were detected. According to the results of the study, zoonotic parasites including taeniid cestodes, T. canis, Linguatula spp., spiny-headed worm, hookworm, Alaria spp., and Trichuris spp. were common in stray dogs in the province. Public health risks can be reduced by regular deworming of dogs, proper management of the process, prevention of environmental contamination with dog feces, and proper enforcement of sanitation protocols.
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Avcioglu H, Bia MM, Balkaya I, Kirman R, Akyuz M, Guven E. Cystic echinococcosis in slaughtered sheep in Erzurum province, Turkey. Acta Trop 2022; 233:106559. [PMID: 35688264 DOI: 10.1016/j.actatropica.2022.106559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 03/03/2022] [Accepted: 06/06/2022] [Indexed: 11/01/2022]
Abstract
Cystic echinococcosis (CE) is an important zoonotic infection caused by the larval stages of the genus Echinococcus. Turkey is a highly endemic region for CE and the disease is one of the major public health problems. The study was aimed to assess the situation of the CE in sheep in Turkey and also to provide data on circulating genotypes in the country. A total of 3319 sheep at slaughter were screened during the study. The prevalence of CE in the study area was 31.7% (1052/3319). The lungs were the most frequently CE infected organ (52.6%, 526/1052). Microscopic examination revealed that overall cyst fertility was 68.1%. Molecular analysis of partial fragments of 12S and COI gene regions were included for 351 selected cyst samples and all of them were identified as E. granulosus sensu stricto. Sequence analysis showed that the predominant genotype in the study areas was G1 (77.1%), and the rest were G3 (22.9%). The prevalence rate of CE in sheep in the study area is lower compared to previous years except for one province. Considering the high cyst fertility rate and the predominance of E. granulosus G1 which is particularly pathogenic to humans, calls for serious control measures like public awareness about the disease, sufficient dog deworming programs, continuity of monitoring the disease should be taken.
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Affiliation(s)
- Hamza Avcioglu
- Department of Parasitology, Faculty of Veterinary Medicine, Atatürk University, Erzurum 25240, Turkey.
| | - Mohammed Mebarek Bia
- Department of Parasitology, Parasitology Research Center and Parasite Resource Bank, Chungbuk National University, School of Medicine, Cheongju 28644, Korea
| | - Ibrahim Balkaya
- Department of Parasitology, Faculty of Veterinary Medicine, Atatürk University, Erzurum 25240, Turkey
| | - Ridvan Kirman
- Department of Parasitology, Faculty of Veterinary Medicine, Atatürk University, Erzurum 25240, Turkey
| | - Muzaffer Akyuz
- Department of Parasitology, Faculty of Veterinary Medicine, Atatürk University, Erzurum 25240, Turkey
| | - Esin Guven
- Department of Parasitology, Faculty of Veterinary Medicine, Atatürk University, Erzurum 25240, Turkey
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Insights into Human Cystic Echinococcosis in the Kurdistan Region, Iraq: Characteristics and Molecular Identification of Cysts. Pathogens 2022; 11:pathogens11040408. [PMID: 35456083 PMCID: PMC9025470 DOI: 10.3390/pathogens11040408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Revised: 03/17/2022] [Accepted: 03/23/2022] [Indexed: 11/24/2022] Open
Abstract
Cystic echinococcosis (CE) is a neglected worldwide distributed parasitic disease caused by the Echinococcusgranulosus sensu lato (s.l.) species complex. For a better understanding of the pathways of transmission of this parasite, clinical and molecular epidemiological studies are particularly needed from endemic areas where data are scant, such as in the Middle East. The study aimed to identify the characteristics, location, cyst stage and species/genotypes of E. granulosus s.l. complex in humans from the Kurdistan region, Iraq. To this aim, from June 2019 to February 2021, 64 echinococcal cysts were surgically removed from 62 patients in Azadi and Vajeen reference Hospitals at Duhok city, Duhok governorate (Kurdistan region, Iraq). The results confirmed the liver as the most common anatomical site of CE with 72.58% of the cases, followed by the lungs in 19.35%, while 66.13% of CE cases were females. The highest rate of infections occurred in the age class 21−30 (27.42%). High rates of CE were reported among patients living in rural areas and housewives, which were 54.84% and 43.55% of the CE patients, respectively. The fertility of echinococcal cysts was 82.81%, and the viability of fertile protoscoleces was 70.53%. Cysts were staged with ultrasound according to the WHO-IWGE classification as 32.8% CE1, 32.8% CE2, 7.8% CE3a, 9.4% CE3b, 15.6% CE4 and 1.6% CE5. Molecular analyses using mitochondrial NAD5 gene showed that all analyzed samples (n = 59) belonged to the genotypes G1 or G3 of E. granulosussensu stricto (s.s.), thus, confirming sheep−dog−human transmission in the Kurdistan region, Iraq. No statistically significant correlation was found between the genotypes G1−G3 of E. granulosus s.s. and variables, such as the fertility, location and cyst stage classification. Based on the present findings, it is necessary to implement monitoring and control programs in sheep and dog populations to decrease the odds of human infections. Public health education campaigns are required to be implemented at the community level to reduce the risk of acquiring CE in humans in the Kurdistan region, Iraq.
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Pirestani M, Hamedani N, Dalimi A. Clinical and molecular features of human cystic echinococcosis in Tehran, Iran, 2011-2019. ASIAN PAC J TROP MED 2022. [DOI: 10.4103/1995-7645.364002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
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Avcioglu H, Guven E, Balkaya I, Kirman R, Akyuz M, Mebarek Bia M, Gulbeyen H, Yaya S. The situation of echinococcosis in stray dogs in Turkey: the first finding of Echinococcus multilocularis and Echinococcus ortleppi. Parasitology 2021; 148:1092-1098. [PMID: 34002689 PMCID: PMC11010043 DOI: 10.1017/s0031182021000755] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Revised: 04/07/2021] [Accepted: 05/10/2021] [Indexed: 12/20/2022]
Abstract
Echinococcosis, caused by larval stage of the genus Echinococcus, is one of the most important zoonotic diseases worldwide. The purpose of this study was to determine the presence and prevalence of Echinococcus species in stray dogs of Erzurum, a highly endemic region for cystic echinococcosis (CE) and alveolar echinococcosis (AE) in Turkey. The study samples consisted of 446 stray dog faecal specimens collected from an animal shelter in Erzurum, Turkey, between October 2015 and February 2016. The faecal samples were collected from individual dogs for the isolation of taeniid eggs using the sequential sieving and flotation method (SSFM). Molecular analyses and sequencing revealed the prevalence of Echinococcus spp. as 14.13% (63/446) in faecal samples. The stray dogs harboured five different Echinococcus spp.: E. granulosus s.s. (G1/G3) (n = 41), E. equinus (G4) (n = 3), E. ortleppi (G5) (n = 1), E. canadensis (G6/G7) (n = 3) and E. multilocularis (n = 16). E. granulosus s.s. was the most abundant species. Surprisingly, the occurrence of E. multilocularis in dogs was revealed for the first time in Turkey. E. ortleppi was also reported for the first time in Turkey. These findings highlight a significant public health risk for human AE and CE, presenting useful baseline data on Echinococcus spp. infection in dogs for designing control strategies.
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Affiliation(s)
- Hamza Avcioglu
- Department of Parasitology, Faculty of Veterinary Medicine, Atatürk University, Erzurum25240, Turkey
| | - Esin Guven
- Department of Parasitology, Faculty of Veterinary Medicine, Atatürk University, Erzurum25240, Turkey
| | - Ibrahim Balkaya
- Department of Parasitology, Faculty of Veterinary Medicine, Atatürk University, Erzurum25240, Turkey
| | - Ridvan Kirman
- Department of Parasitology, Faculty of Veterinary Medicine, Atatürk University, Erzurum25240, Turkey
| | - Muzaffer Akyuz
- Department of Parasitology, Faculty of Veterinary Medicine, Atatürk University, Erzurum25240, Turkey
| | - Mohammed Mebarek Bia
- Department of Parasitology, Faculty of Veterinary Medicine, Atatürk University, Erzurum25240, Turkey
- Department of Parasitology, Parasitology Research Center and Parasite Resource Bank, Chungbuk National University, School of Medicine, Cheongju28644, Korea
| | - Hatice Gulbeyen
- Department of Parasitology, Faculty of Veterinary Medicine, Atatürk University, Erzurum25240, Turkey
| | - Sali Yaya
- Department of Parasitology, Faculty of Veterinary Medicine, Atatürk University, Erzurum25240, Turkey
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Umhang G, Bastid V, Avcioglu H, Bagrade G, Bujanić M, Bjelić Čabrilo O, Casulli A, Dorny P, van der Giessen J, Guven E, Harna J, Karamon J, Kharchenko V, Knapp J, Kolarova L, Konyaev S, Laurimaa L, Losch S, Miljević M, Miterpakova M, Moks E, Romig T, Saarma U, Snabel V, Sreter T, Valdmann H, Boué F. Unravelling the genetic diversity and relatedness of Echinococcus multilocularis isolates in Eurasia using the EmsB microsatellite nuclear marker. INFECTION GENETICS AND EVOLUTION 2021; 92:104863. [PMID: 33857665 DOI: 10.1016/j.meegid.2021.104863] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Revised: 03/31/2021] [Accepted: 04/09/2021] [Indexed: 11/26/2022]
Abstract
The cestode Echinococcus multilocularis is the causative agent of alveolar echinococcosis, a severe helminthic zoonotic disease distributed in the Northern Hemisphere. The lifecycle of the parasite is mainly sylvatic, involving canid and rodent hosts. The absence of genetic data from most eastern European countries is a major knowledge gap, affecting the study of associations with parasite populations in Western Europe. In this study, EmsB microsatellite genotyping of E. multilocularis was performed to describe the genetic diversity and relatedness of 785 E. multilocularis isolates from four western and nine eastern European countries, as well as from Armenia and the Asian parts of Russia and Turkey. The presence of the same E. multilocularis populations in the Benelux resulting from expansion from the historical Alpine focus can be deduced from the main profiles shared between these countries. All 33 EmsB profiles obtained from 528 samples from the nine eastern European countries belonged to the European clade, except one Asian profile form Ryazan Oblast, Russia. The expansion of E. multilocularis seems to have progressed from the historical Alpine focus through Hungary, Slovakia, the Czech Republic and southern Poland towards Latvia and Estonia. Most of the samples from Asia belong to the Asian clade, with one EmsB profile shared between Armenia and Turkey, and two between Turkey and Russia. However, two European profiles were described from two foxes in Turkey, including one harboring worms from both European and Asian clades. Three EmsB profiles from three Russian samples were associated with the Arctic clade. Two E. multilocularis profiles from rodents from Lake Baikal belonged to the Mongolian clade, described for the first time here using EmsB. Further worldwide studies on the genetic diversity of E. multilocularis using both mitochondrial sequencing and EmsB genotyping are needed to understand the distribution and expansion of the various clades.
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Affiliation(s)
- Gérald Umhang
- Wildlife Surveillance and Eco-Epidemiology Unit, National Reference Laboratory for Echinococcus spp., Anses LRFSN, 54220 Malzéville, France.
| | - Vanessa Bastid
- Wildlife Surveillance and Eco-Epidemiology Unit, National Reference Laboratory for Echinococcus spp., Anses LRFSN, 54220 Malzéville, France
| | - Hamza Avcioglu
- Ataturk University, Faculty of Veterinary Medicine, Department of Parasitology, Erzurum, Turkey
| | - Guna Bagrade
- Wildlife management, Latvian State Forest Research Institute "Silava", 111 Rigas str., LV-2169 Salaspils, Latvia
| | - Miljenko Bujanić
- University of Zagreb, The Faculty of Veterinary Medicine, Zagreb, Croatia
| | - Oliveira Bjelić Čabrilo
- University of Novi Sad, Faculty of Science, Department of Biology and Ecology, Trg Dositeja Obradovića 2, 21000 Novi Sad, Serbia
| | - Adriano Casulli
- WHO Collaborating Centre for the Epidemiology, Detection and Control of Cystic and Alveolar Echinococcosis, European Union Reference Laboratory for Parasites, Istituto Superiore di Sanità (ISS), Viale Regina Elena 299, 00161 Rome, Italy
| | - Pierre Dorny
- Veterinary Helminthology Unit, Department of Biomedical Sciences, Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerp, Belgium
| | - Joke van der Giessen
- Centre for Zoonoses and Environmental Microbiology, National Institute for Public Health and the Environment, Antonie van Leeuwenhoeklaan 9, 3721, MA, Bilthoven, Netherlands
| | - Esin Guven
- Ataturk University, Faculty of Veterinary Medicine, Department of Parasitology, Erzurum, Turkey
| | - Jiri Harna
- State Veterinary Institute Olomouc, Jakoubka ze Stribra 1, 779 00 Olomouc, Czech Republic
| | - Jacek Karamon
- Department of Parasitology, National Veterinary Research Institute, Pulawy, Poland
| | - Vitaliy Kharchenko
- I.I. Schmalhausen Institute of Zoology, vul. B. Khmelnyts'kogo, 15, Kyiv 01030, Ukraine
| | - Jenny Knapp
- UMR CNRS 6249 Chrono-environnement, Université Bourgogne-Franche-Comté, 16 Route de Gray, 25030 Besançon, France
| | - Libuse Kolarova
- National Reference Laboratory for Tissue Helminthoses, Institute for Immunology and Microbiology of the First Faculty of Medicine and General University Hospital in Prague, Studničkova 7, CZ-128 00 Prague 2, Czech Republic
| | - Sergey Konyaev
- Institute of Systematics and Ecology of Animals, SB RAS, Novosibirsk, Russia
| | - Leidi Laurimaa
- Department of Zoology, Institute of Ecology and Earth Sciences, University of Tartu, Vanemuise 46, 51003 Tartu, Estonia
| | - Serge Losch
- Laboratory of Veterinary Medicine, Veterinary Services Administration, Ministry of Agriculture, Viticulture and rural Development, Dudelange, Luxembourg
| | - Milan Miljević
- Department of Genetic Research, Institute for Biological Research "Siniša Stanković"-National Institute of the Republic of Serbia, University of Belgrade, Bulevar despota Stefana 142, 11060 Belgrade, Serbia
| | - Martina Miterpakova
- Institute of Parasitology, Slovak Academy of Science, Hlinkova 3040 01, Kosice, Slovakia
| | - Epp Moks
- Department of Zoology, Institute of Ecology and Earth Sciences, University of Tartu, Vanemuise 46, 51003 Tartu, Estonia
| | - Thomas Romig
- Parasitology Unit 190p, Institute of Biology, University of Hohenheim, Emil-Wolff-Str. 34, 70599 Stuttgart, Germany
| | - Urmas Saarma
- Department of Zoology, Institute of Ecology and Earth Sciences, University of Tartu, Vanemuise 46, 51003 Tartu, Estonia
| | - Viliam Snabel
- Institute of Parasitology, Slovak Academy of Science, Hlinkova 3040 01, Kosice, Slovakia
| | - Tamas Sreter
- National Reference Laboratory for Parasites, Fish and Bee Diseases, Directorate of Food Chain Safety Laboratories, National Food Chain Safety Office, 1095 Budapest, Mester utca 81, Hungary
| | - Harri Valdmann
- Department of Zoology, Institute of Ecology and Earth Sciences, University of Tartu, Vanemuise 46, 51003 Tartu, Estonia
| | - Franck Boué
- Wildlife Surveillance and Eco-Epidemiology Unit, National Reference Laboratory for Echinococcus spp., Anses LRFSN, 54220 Malzéville, France
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Avcioglu H, Guven E, Balkaya I, Kirman R, Akyuz M, Bia MM, Gulbeyen H, Yaya S. Echinococcus multilocularis in Red Foxes in Turkey: Increasing risk in urban. Acta Trop 2021; 216:105826. [PMID: 33421419 DOI: 10.1016/j.actatropica.2021.105826] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Revised: 12/13/2020] [Accepted: 12/29/2020] [Indexed: 10/22/2022]
Abstract
This study was conducted to determine the occurrence of E. multilocularis in foxes and environmental fecal contamination by E. multilocularis in Erzurum, the most highly endemic region for AE in Turkey. The study materials consisted of 50 red fox carcasses collected from 20 counties of Erzurum, Turkey, between October 2015 and February 2016. After the application of the sedimentation and counting technique (SCT), E. multilocularis was identified through the identification of typical morphological structures. Fox fecal samples (n = 600) were also collected from these counties for the isolation of taeniid eggs using the sequential sieving and flotation method (SSFM). Then, the collected adult worms and taeniid eggs were subjected to molecular and sequence analyses. Mature E. multilocularis parasites were found in 42% (21/50) of the fox intestines, with a mean number of 7,806 (150-31,644). The severity of infection was higher in carcasses obtained from the central district (48.6%, 17/35) than in those obtained from the peripheral district (26.7%, 4/15). The prevalence of environmental fecal contamination with E. multilocularis was 10.5% (63/600) in fecal samples collected from all counties of Erzurum. This infection rate was higher in the central district (32.1%, 36/112) than in the peripheral district (5.5%, 27/488; P < 0.0001). In conclusion, contrary to expectation, the prevalence of E. multilocularis positivity was high in urban areas. This could have been due to alterations in the dietary habitats of definitive and intermediate hosts. Therefore, new control strategies are essential to eliminate human AE cases in the future as urbanization advances.
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Grimm J, Krickl J, Beck A, Nell J, Bergmann M, Tappe D, Grüner B, Barth TFE, Brehm K. Establishing and evaluation of a polymerase chain reaction for the detection of Echinococcus multilocularis in human tissue. PLoS Negl Trop Dis 2021; 15:e0009155. [PMID: 33630840 PMCID: PMC7906421 DOI: 10.1371/journal.pntd.0009155] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2020] [Accepted: 01/19/2021] [Indexed: 01/27/2023] Open
Abstract
BACKGROUND Alveolar echinococcosis (AE) is caused by metacestode larva of the tapeworm Echinococcus multilocularis. AE diagnostics currently rely on imaging techniques supported by serology, but unequivocal detection of AE is difficult. Although polymerase chain reaction (PCR)-based methods to detect tapeworm DNA in biopsies have been suggested for several species, no validated protocol adhering to accepted guidelines has so far been presented for AE diagnostics. We herein established a PCR protocol for metacestode biopsies and technically evaluated the method using isolated parasite DNA and cells, biopsies of clinically relevant material, and formalin fixed paraffin-embedded (FFPE) human tissue blocks. We compared the results with an immunochemical (IHC) approach using the monoclonal antibody Em2G11 specific for the antigen Em2 of E. mulitlocularis. METHODOLOGY/PRINCIPAL FINDINGS Based on tapeworm 12S rDNA sequences we established and validated a PCR protocol for robust detection of as little as 50 parasite cells per specimen and report 127 cases of positive identification of Echinococcus species in samples from humans and animals. For further validation, we analyzed 45 liver, heart, brain, and soft tissue samples as well as cytological probes of aspirates of FFPE-material from 18 patients with clinically confirmed AE. Of each patient we analyzed (i) fully viable lesions with laminated layer; (ii) tissue with mAbEm2G11-positive small particles of E. multilocularis (spems); (iii) mAbEm2G11-negative tissue adjacent to the main lesion; and (iv) lymph node tissue with mAbEm2G11-positive spems. To identify the areas for the PCR-based approach, we performed IHC-staining with the monoclonal antibody Em2G11. Micro-dissected tissue of these areas was then used for PCR-analysis. 9 of 15 analyzed samples with viable E. multilocularis lesions with laminated layer were positive by PCR. Of this group, all samples preserved for less than 6 years (6/6) were tested positive. 11 of 15 samples of spems and 7 of 9 samples of the control group mAbEm2G11-negative tissue were negative by PCR. We further show that all probes from lymph nodes with spems are PCR negative. CONCLUSIONS/SIGNIFICANCE We present a sensitive PCR method for the detection of E. multilocularis in human tissue, particularly in fresh biopsy material and tissue blocks stored for less than 5 years. While the diagnostic sensitivity of material containing only spems was higher using IHC, PCR detection was possible in IHC negative liver tissue and in patients with negative serology. Our results support the view that spems do not contain parasitic DNA or viable cells of the parasite. spems thus most probably do not directly contribute to metastasis formation during AE.
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Affiliation(s)
| | - Julian Krickl
- Consultant Laboratory for Echinococcosis, Institute for Hygiene and Microbiology, University of Wuerzburg, Wuerzburg, Germany
| | - Annika Beck
- Institute of Pathology, University of Ulm, Ulm, Germany
| | - Juliane Nell
- Institute of Pathology, University of Ulm, Ulm, Germany
| | - Monika Bergmann
- Consultant Laboratory for Echinococcosis, Institute for Hygiene and Microbiology, University of Wuerzburg, Wuerzburg, Germany
| | - Dennis Tappe
- Consultant Laboratory for Echinococcosis, Institute for Hygiene and Microbiology, University of Wuerzburg, Wuerzburg, Germany
| | - Beate Grüner
- Division of Infectious Diseases, University Hospital and Medical Center, Ulm, Germany
| | | | - Klaus Brehm
- Consultant Laboratory for Echinococcosis, Institute for Hygiene and Microbiology, University of Wuerzburg, Wuerzburg, Germany
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Macin S, Orsten S, Samadzade R, Colak B, Cebeci H, Fındık D. Human and animal cystic echinococcosis in Konya, Turkey: molecular identification and the first report of E. equinus from human host in Turkey. Parasitol Res 2021; 120:563-568. [PMID: 33462709 PMCID: PMC7813620 DOI: 10.1007/s00436-021-07050-w] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Accepted: 01/07/2021] [Indexed: 11/25/2022]
Abstract
Cystic echinococcosis is a neglected, zoonotic disease in Turkey. The disease is commonly seen in rural areas where the local population is in close contact with livestock and dogs. This research aimed to molecularly identify of hydatid cysts in cattle and human isolates from Konya, Turkey. Following sample collection, direct microscopy was performed. After direct examination, total DNA was extracted, and positive PCR products of cox 1 mitochondrial gene (~ 875 bp) were sequenced. A total of 83 hydatid cysts (cattle n = 57 and human n = 26), 82 were identified as Echinococcus granulosus sensu stricto (G1–G3 genotypes), and one human isolate was characterized as Echinococcus equinus (G4 genotype). Fertility rates of cysts belonging to cattle for liver and lung cysts were 93.3% and 80%, respectively. Out of 26 human originated isolates, 18 (69.2%) of cysts were found to be fertile. To the best of our knowledge, this is the first report of E. equinus from human host in Turkey.
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Affiliation(s)
- Salih Macin
- Faculty of Medicine, Department of Medical Microbiology, Selçuk University, Konya, Turkey.
| | - Serra Orsten
- Vocational School of Health Services, Hacettepe University, Ankara, Turkey
| | - Rugıyya Samadzade
- Faculty of Medicine, Department of Medical Microbiology, Selçuk University, Konya, Turkey
| | - Bayram Colak
- Faculty of Medicine, Department of General Surgery, Selçuk University, Konya, Turkey
| | - Hakan Cebeci
- Faculty of Medicine, Department of Radiology, Selçuk University, Konya, Turkey
| | - Duygu Fındık
- Faculty of Medicine, Department of Medical Microbiology, Selçuk University, Konya, Turkey
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Molecular Characterization of Echinococcus granulosus sensu lato from Humans in Slovenia. Pathogens 2020; 9:pathogens9070562. [PMID: 32664693 PMCID: PMC7400081 DOI: 10.3390/pathogens9070562] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2020] [Revised: 07/07/2020] [Accepted: 07/09/2020] [Indexed: 12/19/2022] Open
Abstract
The larval form of tapeworms of the Echinococcus granulosus sensu lato species cluster cause an important zoonotic infection, cystic echinococcosis (CE). Molecular characterization of the cluster’s isolates from different hosts greatly contributes to a better understanding of its transmission dynamics. To date, no genetic information is available on CE in Slovenia. In this work, we characterized isolates from human CE cases. Parasite samples from 18 patients were collected, together with the patients’ demographic and clinical data. Genomic DNA was analyzed by conventional PCR and sequencing at four mitochondrial loci (cytochrome c oxidase subunit 1, cox1; NADH dehydrogenase subunit 1, nad1; NADH dehydrogenase subunit 5, nad5; and small ribosomal RNA, rrnS). Thirteen isolates were successfully amplified and sequenced. Seven (58.8%) patients were infected with E. granulosus sensu stricto (s.s.) G1, five (38.5%) with E. canadensis G7 and one (7.7%) with E. granulosus s.s. G3. Echinococcus canadensis G7, the pig genotype, was identified exclusively in autochthonous Slovenes, while the patients originating from the Western Balkans were all infected with E. granulosus s.s. Our findings suggest that pigs are important intermediate hosts for human CE in Slovenia.
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