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Stopić M, Bobić B, Dakić Z, Srbljanović J, Štajner T, Konstantinović N, Srećković K, Klun I, Korać M, Djurković-Djaković O. Taeniosis and cysticercosis in Serbia, 1990-2018: Significance of standard of living. Int J Infect Dis 2019; 86:135-141. [PMID: 31330322 DOI: 10.1016/j.ijid.2019.07.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2019] [Revised: 07/11/2019] [Accepted: 07/13/2019] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVES As is the case for all of Southeast Europe, Serbia is an area traditionally endemic for Taenia saginata and Taenia solium infections. This study was performed to analyse the epidemiological data on taeniosis and cysticercosis in Serbia for the period 1990-2018. METHODS Data on cases of T. saginata and T. solium infection were collected via a systematic search of published articles, the grey literature, and official reports, as well as by performing clinical observational studies of patients treated in the departments for infectious diseases of hospitals and university clinics in Serbia. RESULTS A total of 212 cases of taeniosis were reported, all between 1997 and 2004 when taeniosis was notifiable (incidence range 0.04-0.9/100 000 population/year). From 1990 to 2018, 170 cases of cysticercosis (all but one of neurocysticercosis), were registered (incidence range 0-0.29/100 000 population/year), with a strong decrease since 2000 and a single case in the last 9 years. The annual number of cases of both taeniosis (Pearson's r = 0.914, p = 0.001) and cysticercosis (Pearson's r = 0.582, p = 0.014) correlated with the consumer price index. CONCLUSIONS In Serbia, T. saginata and T. solium infections are autochthonous but occur only sporadically. However, the potential for re-emergence exists, depending on the socio-economic state of the country.
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Affiliation(s)
- Milena Stopić
- Centre of Excellence for Food- and Vector-Borne Zoonoses, Institute for Medical Research, University of Belgrade, Belgrade, Serbia
| | - Branko Bobić
- Centre of Excellence for Food- and Vector-Borne Zoonoses, Institute for Medical Research, University of Belgrade, Belgrade, Serbia
| | - Zorica Dakić
- Laboratory for Parasitology, Department of Microbiology, Clinical Centre of Serbia, Belgrade, Serbia
| | - Jelena Srbljanović
- Centre of Excellence for Food- and Vector-Borne Zoonoses, Institute for Medical Research, University of Belgrade, Belgrade, Serbia
| | - Tijana Štajner
- Centre of Excellence for Food- and Vector-Borne Zoonoses, Institute for Medical Research, University of Belgrade, Belgrade, Serbia
| | - Neda Konstantinović
- Centre of Excellence for Food- and Vector-Borne Zoonoses, Institute for Medical Research, University of Belgrade, Belgrade, Serbia
| | - Katarina Srećković
- Centre of Excellence for Food- and Vector-Borne Zoonoses, Institute for Medical Research, University of Belgrade, Belgrade, Serbia
| | - Ivana Klun
- Centre of Excellence for Food- and Vector-Borne Zoonoses, Institute for Medical Research, University of Belgrade, Belgrade, Serbia
| | - Miloš Korać
- Clinic for Infectious and Tropical Diseases "Prof. Dr. Kosta Todorović", Clinical Centre of Serbia, Belgrade, Serbia; School of Medicine, University of Belgrade, Belgrade, Serbia
| | - Olgica Djurković-Djaković
- Centre of Excellence for Food- and Vector-Borne Zoonoses, Institute for Medical Research, University of Belgrade, Belgrade, Serbia.
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Trevisan C, Sotiraki S, Laranjo-González M, Dermauw V, Wang Z, Kärssin A, Cvetkovikj A, Winkler AS, Abraham A, Bobić B, Lassen B, Cretu CM, Vasile C, Arvanitis D, Deksne G, Boro I, Kucsera I, Karamon J, Stefanovska J, Koudela B, Pavlova MJ, Varady M, Pavlak M, Šarkūnas M, Kaminski M, Djurković-Djaković O, Jokelainen P, Jan DS, Schmidt V, Dakić Z, Gabrië S, Dorny P, Omeragić J, Alagić D, Devleesschauwer B. Correction to: Epidemiology of taeniosis/cysticercosis in Europe, a systematic review: eastern Europe. Parasit Vectors 2019; 12:84. [PMID: 30777134 PMCID: PMC6380047 DOI: 10.1186/s13071-019-3328-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- Chiara Trevisan
- Department of Biomedical Sciences, Institute of Tropical Medicine, Nationalestraat 155, 2000, Antwerp, Belgium. .,Department of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Dyrlægevej, 100, Frederiksberg, Denmark.
| | - Smaragda Sotiraki
- Veterinary Research Institute, HAO-DEMETER, Campus Thermi, 57001, Thessaloniki, Greece
| | - Minerva Laranjo-González
- IRTA, Centre de Recerca en Sanitat Animal (CReSA, IRTA-UAB), Campus de la Universitat Autònoma de Barcelona, 08193, Bellaterra, Spain
| | - Veronique Dermauw
- Department of Biomedical Sciences, Institute of Tropical Medicine, Nationalestraat 155, 2000, Antwerp, Belgium
| | - Ziqi Wang
- University of Florida College of Medicine, Gainesville, Florida, USA
| | - Age Kärssin
- Veterinary and Food laboratory, Kreutzwaldi 30, 51006, Tartu, Estonia.,Institute of Veterinary Medicine and Animal Sciences, Estonian University of Life Sciences, Kreutzwaldi 1, 51006, Tartu, Estonia
| | - Aleksandar Cvetkovikj
- Department of Parasitology and Parasitic Diseases, Faculty of Veterinary Medicine, Ss. Cyril and Methodius University in Skopje, Lazar Pop Trajkov 5-7, 1000, Skopje, Former Yugoslav Republic of Macedonia
| | - Andrea S Winkler
- Centre for Global Health, Department of Neurology, Technical University Munich, Ismaninger Strasse 22, 81675, Munich, Germany.,Centre for Global Health, Department of Community Medicine and Global Health, Institute of Health and Society, University of Oslo, Kirkeveien 166, 0450, Oslo, Norway
| | - Annette Abraham
- Centre for Global Health, Department of Neurology, Technical University Munich, Ismaninger Strasse 22, 81675, Munich, Germany.,Centre for Global Health, Department of Community Medicine and Global Health, Institute of Health and Society, University of Oslo, Kirkeveien 166, 0450, Oslo, Norway
| | - Branko Bobić
- Centre of Excellence for Food- and Vector-Borne Zoonoses, Institute for Medical Research, University of Belgrade, Belgrade, Serbia
| | - Brian Lassen
- Department of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Dyrlægevej, 100, Frederiksberg, Denmark.,Institute of Veterinary Medicine and Animal Sciences, Estonian University of Life Sciences, Kreutzwaldi 1, 51006, Tartu, Estonia
| | - Carmen Michaela Cretu
- Department of Parasitology, Carol Davila University of Medicine and Pharmacy, Colentina Clinical Hospital, Bucharest, Romania
| | - Cozma Vasile
- Department of Parasitology, University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca, Cluj-Napoca, Romania
| | - Dimitris Arvanitis
- Department of Microbiology, 424 Military General Hospital, Thessaloniki, Greece
| | - Gunita Deksne
- Institute of Food Safety, Health and Environment, Riga, Latvia.,Faculty of Biology, University of Latvia, Riga, Latvia
| | - Ilievski Boro
- Institute for Pathology, Medical Faculty, University "Ss. Cyril and Methodius", Skopje, Former Yugoslav Republic of Macedonia
| | - István Kucsera
- Department of Parasitology, National Institute for Public Health, Budapest, Hungary
| | - Jacek Karamon
- Department of Parasitology and Invasive Diseases, National Veterinary Research Institute in Pulawy, Pulawy, Poland
| | - Jovana Stefanovska
- Department of Parasitology and Parasitic Diseases, Faculty of Veterinary Medicine, Ss. Cyril and Methodius University in Skopje, Lazar Pop Trajkov 5-7, 1000, Skopje, Former Yugoslav Republic of Macedonia
| | - Břetislav Koudela
- Department of Pathology and Parasitology, Faculty of Veterinary Medicine, University of Veterinary and Pharmaceutical Sciences Brno, Palackého tř. 1946/1, 61242, Brno, Czech Republic.,Central European Institute of Technology, University Trevisan et al. Parasites & Vectors (2018) 11:569 Page 10 of 11 of Veterinary and Pharmaceutical Sciences Brno, Palackého tř. 1946/1, 61242, Brno, Czech Republic
| | - Maja Jurhar Pavlova
- Institute for Microbiology and Parasitology, Medical faculty, University "Ss. Cyril and Methodius", Skopje, Former Yugoslav Republic of Macedonia
| | - Marian Varady
- Institute of Parasitology, Slovak Academy of Sciences, Košice, Slovakia
| | - Marina Pavlak
- Department of Veterinary Economics and Epidemiology, Faculty of Veterinary Medicine, University of Zagreb, Zagreb, Croatia
| | | | - Miriam Kaminski
- Department of Neurology, Klinikum rechts der Isar, Technical University Munich, Ismaninger Straße 22, 81675, Munich, Germany
| | - Olgica Djurković-Djaković
- Centre of Excellence for Food- and Vector-Borne Zoonoses, Institute for Medical Research, University of Belgrade, Belgrade, Serbia
| | - Pikka Jokelainen
- Institute of Veterinary Medicine and Animal Sciences, Estonian University of Life Sciences, Kreutzwaldi 1, 51006, Tartu, Estonia.,Department of Bacteria, Laboratory of Parasitology, Parasites and Fungi, Infectious Disease Preparedness, Statens Serum Institute, Copenhagen, Denmark.,Faculty of Veterinary Medicine, University of Helsinki, Helsinki, Finland
| | - Dagny Stojčević Jan
- Department of Parasitology and Parasitic Diseases with Clinic, Faculty of Veterinary Medicine, University of Zagreb, Zagreb, Croatia
| | - Veronika Schmidt
- Centre for Global Health, Department of Neurology, Technical University Munich, Ismaninger Strasse 22, 81675, Munich, Germany.,Centre for Global Health, Department of Community Medicine and Global Health, Institute of Health and Society, University of Oslo, Kirkeveien 166, 0450, Oslo, Norway
| | - Zorica Dakić
- Department of Microbiology, Parasitological Laboratory, Clinical Center of Serbia, Belgrade, Serbia
| | - Sarah Gabrië
- Department of Veterinary Public Health and Food Safety, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820, Merelbeke, Belgium
| | - Pierre Dorny
- Department of Biomedical Sciences, Institute of Tropical Medicine, Nationalestraat 155, 2000, Antwerp, Belgium.,Laboratory of Parasitology, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, B-9820, Merelbeke, Belgium
| | - Jasmin Omeragić
- Department of Parasitology and Invasive Diseases, Veterinary Faculty, University of Sarajevo, Zmaja od Bosne 90, Sarajevo, 71 000, Bosnia and Herzegovina
| | - Davor Alagić
- Department of Food Hygiene and Technology, Veterinary Faculty, University of Sarajevo, Zmaja od Bosne 90, Sarajevo, 71 000, Bosnia and Herzegovina
| | - Brecht Devleesschauwer
- Department of Veterinary Public Health and Food Safety, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820, Merelbeke, Belgium.,Department of Epidemiology and Public Health, Sciensano, Brussels, Belgium
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Trevisan C, Sotiraki S, Laranjo-González M, Dermauw V, Wang Z, Kärssin A, Cvetkovikj A, Winkler AS, Abraham A, Bobić B, Lassen B, Cretu CM, Vasile C, Arvanitis D, Deksne G, Boro I, Kucsera I, Karamon J, Stefanovska J, Koudela B, Pavlova MJ, Varady M, Pavlak M, Šarkūnas M, Kaminski M, Djurković-Djaković O, Jokelainen P, Jan DS, Schmidt V, Dakić Z, Gabriël S, Dorny P, Devleesschauwer B. Epidemiology of taeniosis/cysticercosis in Europe, a systematic review: eastern Europe. Parasit Vectors 2018; 11:569. [PMID: 30376899 PMCID: PMC6208121 DOI: 10.1186/s13071-018-3153-5] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2018] [Accepted: 10/15/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Taenia solium and Taenia saginata are food-borne parasites of global importance. In eastern Europe only fragmented information is available on the epidemiology of these zoonotic parasites in humans and animal populations. In particular for T. solium, on-going transmission is suspected. The aim of this systematic review was to collect the available data and describe the current knowledge on the epidemiology of T. solium and T. saginata in eastern Europe. METHODS Literature published in international databases from 1990 to 2017 was systematically reviewed. Furthermore, local sources and unpublished data from national databases were retrieved from local eastern European experts. The study area included 22 countries. RESULTS Researchers from 18 out of the 22 countries provided data from local and unpublished sources, while no contacts could be established with researchers from Belarus, Kosovo, Malta and Ukraine. Taeniosis and human cysticercosis cases were reported in 14 and 15 out of the 22 countries, respectively. Estonia, the Former Yugoslav Republic of Macedonia, Lithuania, Moldova, Poland, Romania, Serbia, and Slovakia reported cases of porcine cysticercosis. Croatia, Czech Republic, Estonia, Former Yugoslav Republic of Macedonia, Moldova, Poland, Romania, Serbia, Slovakia, and Ukraine reported bovine cysticercosis. CONCLUSIONS There is indication that taeniosis and cysticercosis are present across eastern Europe but information on the occurrence of T. solium and T. saginata across the region remains incomplete. Available data are scarce and species identification is in most cases absent. Given the public health impact of T. solium and the potential economic and trade implications due to T. saginata, notification of taeniosis and human cysticercosis should be implemented and surveillance and notification systems in animals should be improved.
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Affiliation(s)
- Chiara Trevisan
- Department of Biomedical Sciences, Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerp, Belgium
- Department of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Dyrlægevej, 100 Frederiksberg, Denmark
| | - Smaragda Sotiraki
- Veterinary Research Institute, HAO-DEMETER, Campus Thermi, 57001 Thessaloniki, Greece
| | - Minerva Laranjo-González
- IRTA, Centre de Recerca en Sanitat Animal (CReSA, IRTA-UAB), Campus de la Universitat Autònoma de Barcelona, 08193 Bellaterra, Spain
| | - Veronique Dermauw
- Department of Biomedical Sciences, Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerp, Belgium
| | - Ziqi Wang
- University of Florida College of Medicine, Gainesville, Florida, USA
| | - Age Kärssin
- Veterinary and Food laboratory, Kreutzwaldi 30, 51006 Tartu, Estonia
- Institute of Veterinary Medicine and Animal Sciences, Estonian University of Life Sciences, Kreutzwaldi 1, 51006 Tartu, Estonia
| | - Aleksandar Cvetkovikj
- Department of Parasitology and Parasitic Diseases, Faculty of Veterinary Medicine, Ss. Cyril and Methodius University in Skopje, Lazar Pop Trajkov 5–7, 1000 Skopje, Former Yugoslav Republic of Macedonia
| | - Andrea S. Winkler
- Centre for Global Health, Department of Neurology, Technical University Munich, Ismaninger Strasse 22, 81675 Munich, Germany
- Centre for Global Health, Department of Community Medicine and Global Health, Institute of Health and Society, University of Oslo, Kirkeveien 166, 0450 Oslo, Norway
| | - Annette Abraham
- Centre for Global Health, Department of Neurology, Technical University Munich, Ismaninger Strasse 22, 81675 Munich, Germany
- Centre for Global Health, Department of Community Medicine and Global Health, Institute of Health and Society, University of Oslo, Kirkeveien 166, 0450 Oslo, Norway
| | - Branko Bobić
- Centre of Excellence for Food- and Vector-borne Zoonoses, Institute for Medical Research, University of Belgrade, Belgrade, Serbia
| | - Brian Lassen
- Department of Veterinary and Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Dyrlægevej, 100 Frederiksberg, Denmark
- Institute of Veterinary Medicine and Animal Sciences, Estonian University of Life Sciences, Kreutzwaldi 1, 51006 Tartu, Estonia
| | - Carmen Michaela Cretu
- Department of Parasitology, Carol Davila University of Medicine and Pharmacy, Colentina Clinical Hospital, Bucharest, Romania
| | - Cozma Vasile
- Department of Parasitology, University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca, Cluj-Napoca, Romania
| | - Dimitris Arvanitis
- Department of Microbiology, 424 Military General Hospital, Thessaloniki, Greece
| | - Gunita Deksne
- Institute of Food Safety, Health and Environment, Riga, Latvia
- Faculty of Biology, University of Latvia, Riga, Latvia
| | - Ilievski Boro
- Institute for Pathology, Medical Faculty, University “Ss. Cyril and Methodius”, Skopje, Former Yugoslav Republic of Macedonia
| | - István Kucsera
- Department of Parasitology, National Institute for Public Health, Budapest, Hungary
| | - Jacek Karamon
- Department of Parasitology and Invasive Diseases, National Veterinary Research Institute in Pulawy, Pulawy, Poland
| | - Jovana Stefanovska
- Department of Parasitology and Parasitic Diseases, Faculty of Veterinary Medicine, Ss. Cyril and Methodius University in Skopje, Lazar Pop Trajkov 5–7, 1000 Skopje, Former Yugoslav Republic of Macedonia
| | - Břetislav Koudela
- Department of Pathology and Parasitology, Faculty of Veterinary Medicine, University of Veterinary and Pharmaceutical Sciences Brno, Palackého tř. 1946/1, 61242 Brno, Czech Republic
- Central European Institute of Technology, University of Veterinary and Pharmaceutical Sciences Brno, Palackého tř. 1946/1, 61242 Brno, Czech Republic
| | - Maja Jurhar Pavlova
- Institute for Microbiology and Parasitology, Medical faculty, University “Ss. Cyril and Methodius”, Skopje, Former Yugoslav Republic of Macedonia
| | - Marian Varady
- Institute of Parasitology, Slovak Academy of Sciences, Košice, Slovakia
| | - Marina Pavlak
- Department of Veterinary Economics and Epidemiology, Faculty of Veterinary Medicine, University of Zagreb, Zagreb, Croatia
| | | | - Miriam Kaminski
- Department of Neurology, Klinikum rechts der Isar, Technical University Munich, Ismaninger Straße 22, 81675 Munich, Germany
| | - Olgica Djurković-Djaković
- Centre of Excellence for Food- and Vector-borne Zoonoses, Institute for Medical Research, University of Belgrade, Belgrade, Serbia
| | - Pikka Jokelainen
- Institute of Veterinary Medicine and Animal Sciences, Estonian University of Life Sciences, Kreutzwaldi 1, 51006 Tartu, Estonia
- Laboratory of Parasitology, Department of Bacteria, Parasites and Fungi, Infectious Disease Preparedness, Statens Serum Institute, Copenhagen, Denmark
- Faculty of Veterinary Medicine, University of Helsinki, Helsinki, Finland
| | - Dagny Stojčević Jan
- Department of Parasitology and Parasitic Diseases with Clinic, Faculty of Veterinary Medicine, University of Zagreb, Zagreb, Croatia
| | - Veronika Schmidt
- Centre for Global Health, Department of Neurology, Technical University Munich, Ismaninger Strasse 22, 81675 Munich, Germany
- Centre for Global Health, Department of Community Medicine and Global Health, Institute of Health and Society, University of Oslo, Kirkeveien 166, 0450 Oslo, Norway
| | - Zorica Dakić
- Parasitological Laboratory, Department of Microbiology, Clinical Center of Serbia, Belgrade, Serbia
| | - Sarah Gabriël
- Department of Veterinary Public Health and Food Safety, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium
| | - Pierre Dorny
- Department of Biomedical Sciences, Institute of Tropical Medicine, Nationalestraat 155, 2000 Antwerp, Belgium
- Laboratory of Parasitology, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, B-9820 Merelbeke, Belgium
| | - Brecht Devleesschauwer
- Department of Veterinary Public Health and Food Safety, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium
- Department of Epidemiology and Public Health, Sciensano, Brussels, Belgium
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Dakić Z, Nielsen HV, Pavlović M, Poluga J, Stevanović G, Lavadinović L, Milošević B, Pelemiš M, Urošević A, Jovanović S, Stensvold CR. Retrospective PCR-based species identification of Leishmania in two patients with visceral leishmaniasis in Serbia. JMM Case Rep 2016; 3:e005063. [PMID: 28348785 PMCID: PMC5343143 DOI: 10.1099/jmmcr.0.005063] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2016] [Accepted: 08/13/2016] [Indexed: 11/18/2022] Open
Abstract
INTRODUCTION Retrospective molecular identification of Leishmania parasites in two patients with visceral leishmaniasis (VL) previously treated in Serbia was carried out. DNA was isolated from unstained bone marrow smears (BMSs) kept for 11 and 8 years. Genus-specific real-time PCR was combined with conventional PCR and sequencing for detection and species identification. CASE PRESENTATION In 2003, a 40-year-old Serbian male was admitted to the Clinical Centre of Serbia (CCS) with fever, sweating, fatigue and splenomegaly, which developed over a period of 7 weeks. He had frequently travelled around Europe. VL was confirmed by microscopy of Giemsa-stained BMS. Treatment by pentavalent antimonials was successfully completed. Two years later, the patient developed post-kala-azar dermal leishmaniasis. Treatment resulted in symptom resolution. Later on, Leishmania infantum was identified as the causative agent of the VL by sequencing of the ITS (internal transcribed spacer) region; mixed Leishmania spp. infection could not be excluded. In 2006, a 33-year-old female from Vojvodina, Serbia, with pre-existing diabetes mellitus and chronic meningoencephalitis and a history of frequent visits to the Montenegrin seacoast, was admitted to the CCS with fever, pancytopenia and moderate hepatosplenomegaly. A stained BMS revealed abundant Leishmania amastigotes. Indirect haemagglutination analysis was positive with a titre of 1 : 2048, and a rapid dipstick rK39 test was also positive. Treatment by liposomal amphotericin B was successful; however, shortly after, the patient developed neural infection and pneumonia and died. The causative agent was identified as L. infantum. CONCLUSION Molecular diagnosis of VL and species delineation using DNA from unstained BMSs stored for several years is possible.
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Affiliation(s)
- Zorica Dakić
- Parasitological Laboratory, Department of Microbiology, Clinical Centre of Serbia, Bulevar Oslobodjenja 16, 11000 Belgrade, Serbia
| | - Henrik Vedel Nielsen
- Laboratory of Parasitology, Department of Microbiology and Infection Control, Division of Diagnostics and Infection Control, Statens Serum Institute, 5 Artillerivej, DK–2300 Copenhagen, Denmark
| | - Milorad Pavlović
- Medical Faculty, University of Belgrade, Dr Subotića 8, 11000 Belgrade, Serbia
- Clinic for Infectious and Tropical Diseases, Clinical Centre of Serbia, Bulevar Oslobodjenja 16, 11000 Belgrade, Serbia
| | - Jasmina Poluga
- Medical Faculty, University of Belgrade, Dr Subotića 8, 11000 Belgrade, Serbia
- Clinic for Infectious and Tropical Diseases, Clinical Centre of Serbia, Bulevar Oslobodjenja 16, 11000 Belgrade, Serbia
| | - Goran Stevanović
- Medical Faculty, University of Belgrade, Dr Subotića 8, 11000 Belgrade, Serbia
- Clinic for Infectious and Tropical Diseases, Clinical Centre of Serbia, Bulevar Oslobodjenja 16, 11000 Belgrade, Serbia
| | - Lidija Lavadinović
- Medical Faculty, University of Belgrade, Dr Subotića 8, 11000 Belgrade, Serbia
- Clinic for Infectious and Tropical Diseases, Clinical Centre of Serbia, Bulevar Oslobodjenja 16, 11000 Belgrade, Serbia
| | - Branko Milošević
- Medical Faculty, University of Belgrade, Dr Subotića 8, 11000 Belgrade, Serbia
- Clinic for Infectious and Tropical Diseases, Clinical Centre of Serbia, Bulevar Oslobodjenja 16, 11000 Belgrade, Serbia
| | - Mijomir Pelemiš
- Medical Faculty, University of Belgrade, Dr Subotića 8, 11000 Belgrade, Serbia
- Clinic for Infectious and Tropical Diseases, Clinical Centre of Serbia, Bulevar Oslobodjenja 16, 11000 Belgrade, Serbia
| | - Aleksandar Urošević
- Medical Faculty, University of Belgrade, Dr Subotića 8, 11000 Belgrade, Serbia
- Clinic for Infectious and Tropical Diseases, Clinical Centre of Serbia, Bulevar Oslobodjenja 16, 11000 Belgrade, Serbia
| | - Snežana Jovanović
- Parasitological Laboratory, Department of Microbiology, Clinical Centre of Serbia, Bulevar Oslobodjenja 16, 11000 Belgrade, Serbia
| | - Christen Rune Stensvold
- Laboratory of Parasitology, Department of Microbiology and Infection Control, Division of Diagnostics and Infection Control, Statens Serum Institute, 5 Artillerivej, DK–2300 Copenhagen, Denmark
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5
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Dakić Z, Nikolić A, Lavadinović L, Pelemiš M, Klun I, Dulović O, Milošević B, Stevanović G, Ofori-Belić I, Poluga J, Djurković-Djaković2 O, Pavlović M. Imported parasitic infections in Serbia. Eur J Microbiol Immunol (Bp) 2015; 1:80-5. [PMID: 24466436 DOI: 10.1556/eujmi.1.2011.1.10] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Travel to the tropics is associated with a risk of parasitic infection, which is increasing in parallel with the rise in travel to these areas. We thus examined the prevalence and trend in the occurrence of parasitic infections in Serbian travelers. METHODS A retrospective analysis of the medical records of all travelers returning from tropical and subtropical areas, who presented at the Institute for Infectious and Tropical Diseases in Belgrade between January 2001 and January 2008, was performed. RESULTS Of a total of 2440 travelers, 169 (6.9%) were diagnosed with a parasitic infection, including malaria in 79, intestinal parasites in 84 (pathogenic species in 30 and non-pathogenic in 54), filariasis in four, and visceral leishmaniasis and fascioliasis in one patient each. Importantly, of the whole series only 583 (23.9%) were symptomatic, of which 19.4% were found to be infected with a parasite. The single pathogenic parasite occurring in asymptomatic patients was Giardia intestinalis. CONCLUSIONS Parasitic infection causing symptomatic disease among travelers returning from tropical areas to Serbia is not infrequent. In view of the expected increase in travel to the tropics, diagnostic protocols for tropical parasitic diseases should take these data into account.
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Dakić Z, Ivović V, Pavlović M, Lavadinović L, Marković M, Djurković-Djaković O. Clinical significance of molecular methods in the diagnosis of imported malaria in returning travelers in Serbia. Int J Infect Dis 2014; 29:24-30. [PMID: 25312981 DOI: 10.1016/j.ijid.2014.08.013] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2014] [Revised: 08/18/2014] [Accepted: 08/20/2014] [Indexed: 11/26/2022] Open
Abstract
OBJECTIVES The goal of this study was to assess the clinical significance of conventional and PCR-based molecular diagnosis in patients with imported malaria in Serbia. METHODS Giemsa microscopy, the rapid diagnostic test, and quantitative real-time PCR (qPCR) were used to detect Plasmodium species in 109 whole-blood samples from patients after their return from malaria endemic areas, including those clinically suspected for malaria (n=97) and healthy travelers (n=12) examined as part of epidemiological surveillance. RESULTS A total of 45 patients were diagnosed with malaria: 42 (93.3%) by microscopy and three (6.7%) additional ones by qPCR. The agreement between the results of species-specific qPCR and microscopy was 73.3%; it was as high as 90.6% for Plasmodium falciparum infections. Follow-up analysis demonstrated persistence of Plasmodium sp DNA for a mean 6 days after the disappearance of parasitemia on microscopy. CONCLUSIONS Due to its sensitivity and specificity, qPCR is a helpful method complementary to microscopy, particularly in cases of low parasitemia. In addition, it is superior to microscopy for species identification.
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Affiliation(s)
- Zorica Dakić
- Department of Microbiology, Clinical Center of Serbia, Belgrade, Serbia
| | - Vladimir Ivović
- Center for Parasitic Zoonoses, Institute for Medical Research, University of Belgrade, Belgrade, Serbia
| | - Milorad Pavlović
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Clinic for Infectious and Tropical Diseases, Clinical Center of Serbia, Belgrade, Serbia
| | - Lidija Lavadinović
- Faculty of Medicine, University of Belgrade, Belgrade, Serbia; Clinic for Infectious and Tropical Diseases, Clinical Center of Serbia, Belgrade, Serbia
| | - Marija Marković
- Center for Parasitic Zoonoses, Institute for Medical Research, University of Belgrade, Belgrade, Serbia
| | - Olgica Djurković-Djaković
- Center for Parasitic Zoonoses, Institute for Medical Research, University of Belgrade, Belgrade, Serbia.
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Dakić Z, Pelemiš M, Djurković-Djaković O, Lavadinović L, Nikolić A, Stevanović G, Poluga J, Ofori-Belić I, Milošević B, Pavlović M. Imported malaria in Belgrade, Serbia, between 2001 and 2009. Wien Klin Wochenschr 2011; 123 Suppl 1:15-9. [DOI: 10.1007/s00508-011-0040-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2011] [Accepted: 07/06/2011] [Indexed: 11/24/2022]
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Ofori-Belić I, Korać M, Milosević B, Djurković-Djaković O, Dulović O, Dakić Z, Poluga J, Brmbolić B. Seasonality of trichinellosis in patients hospitalized in Belgrade, Serbia. Parasite 2010; 17:199-204. [PMID: 21073142 DOI: 10.1051/parasite/2010173199] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
A retrospective study of the course and outcome of trichinellosis in a series of 50 patients hospitalized at the Institute for Infectious and Tropical Diseases in Belgrade between 2001 and 2008 was performed. Clinical diagnosis of trichinellosis was based upon the patients' clinical history, symptoms and signs, and eosinophilia. The occurrence of cases showed a strong seasonality (P < 0.0001). The incubation period ranged between one and 33 days. The mean time between onset of symptoms and admission was nine days. Family outbreaks were the most frequent. Smoked pork products were the dominant source of infection (76%). Fever was the most frequent clinical manifestation (90%), followed by myalgia (80%) and periorbital edema (76%). 43 patients were examined serologically and 72% of them had anti-Trichinella antibodies. Eosinophilia and elevated levels of serum CK and LDH were detected in 94, 50 and 56% of the patients, respectively. All patients responded favorably to treatment with mebendazole or albendazole, but eight developed transient complications. Trichinellosis remains a major public health issue in Serbia.
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Affiliation(s)
- I Ofori-Belić
- Institute for Infectious and Tropical Diseases, Clinical Center of Serbia, Bulevar oslobodenja 16, 11000 Belgrade, Serbia
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