Editorial response: Treatment of cystic echinococcosis--improving but still limited.
نویسنده
چکیده
Despite efforts to educate persons at risk and the success of control programs in a few countries, cystic echinococcosis, or hydatid disease, caused by the larval form of the cestode Echinococcus granulosus, still constitutes a substantial health problem in most livestock-raising areas of the world [1]. In the United States and Canada, locally acquired cases of cystic echinococcosis are rare; in contrast, imported infections are diagnosed widely, most commonly in immigrants from Middle Eastern countries and, to a lesser extent, from South America and Europe [2]. Cystic echinococcosis is characterized by a slowly growing, fluid-filled cystic lesion (hydatid cyst) in the liver, lungs, or other organs; infection may be asymptomatic until cysts cause noticeable mass effect, and then signs and symptoms vary according to location, cyst size, and number. Until recently, surgery was the only option for treatment of echinococcal cysts; however, surgery has been associated with frequent recurrence and high rates of intraand postoperative morbidity and mortality. Operative mortality in the first operation varies from 0.5% to 4% but increases with repeated interventions and under conditions of inexperience or inadequate facilities [3, 4].
منابع مشابه
Abdominal Cystic Echinococcosis Treated with Albendazole. A Pediatric Cohort Study
INTRODUCTION Cystic echinococcosis is endemic in Argentina. The standard pharmacological treatment for the disease is albendazole, but surgery is a common alternative. Even though primary infection occurs mainly in the pediatric population, the optimal therapeutic option in pediatrics is not clearly defined and few pediatric cohorts with cystic echinococcosis treated with albendazole have been ...
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Echinococcosis is an infectious disease of humans caused by the larval (metacestode) stage of the cestode species Echinococcus granulosus (cystic echinococcosis or hydatid disease) or Echinococcus multilocularis (alveolar echinococcosis or alveolar hydatid disease). Clinical manifestations depend primarily on localization and size of hepatic lesions and may include hepatomegaly, obstructive jau...
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Echinococcosis (hydatid disease) is caused by the larvae of dog and fox tapeworms (cestodes) of the genusEchinococcus (family Taeniidae).This zoonosis is characterised by long term growth of metacestode (hydatid) cysts in humans and mammalian intermediate hosts. The two major species that infect humans are E granulosus and E multilocularis, which cause cystic echinococcosis (CE) and alveolar ec...
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Over the past 30 years, benzimidazoles have increasingly been used to treat cystic echinococcosis (CE). The efficacy of benzimidazoles, however, remains unclear. We systematically searched MEDLINE, EMBASE, SIGLE, and CCTR to identify studies on benzimidazole treatment outcome. A large heterogeneity of methods in 23 reports precluded a meta-analysis of published results. Specialist centres were ...
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ورودعنوان ژورنال:
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
دوره 29 2 شماره
صفحات -
تاریخ انتشار 1999