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Akimniyazova B, Kausova G, Yeshmuratov T, Toksanbayev D, Esetova G. Practice of Surgical Treatment for Patients with Combined Echinococcosis of Chest and Abdominal Organs. TANAFFOS 2021; 20:140-149. [PMID: 34976085 PMCID: PMC8710214] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Accepted: 02/06/2021] [Indexed: 10/25/2022]
Abstract
BACKGROUND Epidemiological significance of echinococcosis is determined by the severe clinical progression leading to disability, incapacitation and death, a wide range of hosts, and formation of synanthropic and mixed lesions. The aim of the work was to analyze cases of combined echinococcosis of the chest and abdominal organs and the results of its surgical treatment in clinics of Almaty (Kazakhstan) from 1997 to 2019. MATERIALS AND METHODS In 413 patients, 534 lesions of echinococcosis were revealed: single and multiple cysts. Concurrent echinococcectomy of 2-3 organs was performed in 261 patients; meanwhile phased echinococcectomy was performed in several organs in 152 patients. RESULTS Performed surgical interventions in more than 70% of cases had a favorable outcome. CONCLUSION The choice of rational surgical tactics for combined echinococcosis should be based on an individual approach, taking into account the general condition of the patient, risk analysis and the likelihood of complications.
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Affiliation(s)
- Bekdaulet Akimniyazova
- Kazakhstan’s School of Public Health, Public Health Department, Almaty, Republic of Kazakhstan,,Kazakh National Medical University named after S.D. Asfendiyarova, Pulmonology Department, Almaty, Republic of Kazakhstan,,Modern Medicine Center «MEDITERRA», Department of Thoracic Surgery and Pulmonology, Almaty, Republic of Kazakhstan,,Correspondence to: Akimniyazova B, Address: Kazakhstan’s School of Public Health, Public Health Department, Almaty, Republic of Kazakhstan,
| | - Galina Kausova
- Kazakhstan’s School of Public Health, Public Health Department, Almaty, Republic of Kazakhstan
| | - Temur Yeshmuratov
- Kazakh National Medical University named after S.D. Asfendiyarova, Pulmonology Department, Almaty, Republic of Kazakhstan,,Modern Medicine Center «MEDITERRA», Department of Thoracic Surgery and Pulmonology, Almaty, Republic of Kazakhstan,,Kazakh-Russian Medical University, Department of Surgery, Almaty, Republic of Kazakhstan
| | - Daniyar Toksanbayev
- Kazakh National Medical University named after S.D. Asfendiyarova, Department of Surgical Diseases with a Course of Clinical Anatomy, Almaty, Republic of Kazakhstan,, Modern Medicine Center «MEDITERRA», Department of Hepatopancreatobiliary Surgery and Gastroenterology, Almaty, Republic of Kazakhstan
| | - Gulstan Esetova
- Kazakh National Medical University named after S.D. Asfendiyarova, Pulmonology Department, Almaty, Republic of Kazakhstan
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Khan A, Umhang G, Ullah Z, Boué F, Bastid V, Ullah I, Mahmood S, Afzal MS, Ahmed H. Investigation of Echinococcus multilocularis in foxes and dogs in Pakistan by detection of copro-DNA. Parasitol Res 2021; 120:731-737. [PMID: 33442815 DOI: 10.1007/s00436-020-07001-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Accepted: 12/02/2020] [Indexed: 01/20/2023]
Abstract
Alveolar echinococcosis (AE) is a zoonosis caused by Echinococcus multilocularis, a heteroxenous parasite belonging to Cestoda class. AE is currently considered an important public health issue, but epidemiological and notably molecular data from several endemic countries, including Pakistan, are sparse. Here we report the first detection of Echinococcus multilocularis in wildlife from Pakistan after real-time PCR and sequencing confirmation in the faecal samples of three foxes from northern Kaghan and Siran regions. The occurrence is estimated at 4.4% (95% CI 0.9-12.4). In order to go further in the epidemiological investigations on E. multilocularis and due to the potential presence of other Echinococcus species, we suggest the need for further epidemiological surveys targeting E. multilocularis and E. granulosus sensu lato isolates from humans and intermediate hosts as well as definitive hosts from wildlife in Pakistan.
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Affiliation(s)
- Aisha Khan
- Department of Biosciences, COMSATS University Islamabad (CUI), Park Road, Chakh Shahzad, Islamabad, Pakistan
| | - Gérald Umhang
- ANSES LRFSN, Wildlife Surveillance and Eco-epidemiology Unit, National Reference Laboratory for Echinococcus spp., Malzéville, France.
| | - Zaib Ullah
- Department of Zoology, Hazara University Mansehra, Mansehra, Khyber Pakhtunkhwa, 21120, Pakistan
| | - Franck Boué
- ANSES LRFSN, Wildlife Surveillance and Eco-epidemiology Unit, National Reference Laboratory for Echinococcus spp., Malzéville, France
| | - Vanessa Bastid
- ANSES LRFSN, Wildlife Surveillance and Eco-epidemiology Unit, National Reference Laboratory for Echinococcus spp., Malzéville, France
| | - Ikram Ullah
- Department of Zoology, Hazara University Mansehra, Mansehra, Khyber Pakhtunkhwa, 21120, Pakistan
| | - Sajid Mahmood
- Department of Zoology, Hazara University Mansehra, Mansehra, Khyber Pakhtunkhwa, 21120, Pakistan
| | - Muhammad Sohail Afzal
- Department of Life Sciences, University of Management & Technology (UMT), Lahore, Pakistan
| | - Haroon Ahmed
- Department of Biosciences, COMSATS University Islamabad (CUI), Park Road, Chakh Shahzad, Islamabad, Pakistan.
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Parija SC. Microbial links to noninfectious diseases: The way forward. Trop Parasitol 2019; 9:69-70. [PMID: 31579658 PMCID: PMC6767794 DOI: 10.4103/tp.tp_57_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/28/2019] [Indexed: 11/30/2022] Open
Affiliation(s)
- Subhash Chandra Parija
- Vice-Chancellor, Sri Balaji Vidyapeeth (Deemed to be University), Puducherry, India. E-mail:
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