Human alveolar echinococcosis in Poland: 1990-2011.
BACKGROUND: Alveolar echinococcosis (AE) caused by Echinococcus multilocularis infections is a dangerous old disease in the Northern Hemisphere. The aim of the paper was to collect and analyze data on human AE in Poland in the last two decades. METHODOLOGY/PRINCIPAL FINDINGS: The sources of data wer...
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Language: | English |
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ftdoajarticles:oai:doaj.org/article:2913a250d76046e8b973778daebf9e37 2023-05-15T15:16:54+02:00 Human alveolar echinococcosis in Poland: 1990-2011. Wacław L Nahorski Józef P Knap Zbigniew S Pawłowski Marek Krawczyk Jerzy Polański Jerzy Stefaniak Waldemar Patkowski Beata Szostakowska Halina Pietkiewicz Anna Grzeszczuk Iwona Felczak-Korzybska Elżbieta Gołąb Natalia Wnukowska Małgorzata Paul Elżbieta Kacprzak Elżbieta Sokolewicz-Bobrowska Jolanta Niścigorska-Olsen Aleksandra Czyrznikowska Lidia Chomicz Danuta Cielecka Przemysław Myjak 2013-01-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0001986 https://doaj.org/article/2913a250d76046e8b973778daebf9e37 EN eng Public Library of Science (PLoS) http://europepmc.org/articles/PMC3536814?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 doi:10.1371/journal.pntd.0001986 1935-2727 1935-2735 https://doaj.org/article/2913a250d76046e8b973778daebf9e37 PLoS Neglected Tropical Diseases, Vol 7, Iss 1, p e1986 (2013) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2013 ftdoajarticles https://doi.org/10.1371/journal.pntd.0001986 2022-12-31T03:28:43Z BACKGROUND: Alveolar echinococcosis (AE) caused by Echinococcus multilocularis infections is a dangerous old disease in the Northern Hemisphere. The aim of the paper was to collect and analyze data on human AE in Poland in the last two decades. METHODOLOGY/PRINCIPAL FINDINGS: The sources of data were both the cases officially registered and detected by an active field and laboratory surveillance. The cases were verified by clinical, epidemiological, and laboratory criteria. Altogether 121 human cases of AE were detected. Among these 83 (68,6%) cases were classified as confirmed, 16 as probable and 22 as possible. During the two decades a continuous increase in detection rate was noticed. The cases were 6-82 years old at the time of diagnosis (mean - 47.7 years). Sex ratio M/F was 0.86/1.0. The AE was fatal in 23 (19%) patients (mean age at death - 54.1 years). Family agglomeration of AE was found in 4 foci, involving 9 patients. Seventy six of the cases were diagnosed in an advanced stage of disease. In all cases the liver was the primary location of AE. In 30 (24.8%) patients a spread to other organs was observed. Ninety four of the patients were treated with albendazole. In 73 (60%) patients a surgical operation was performed, including 15 liver transplantations. CONCLUSIONS/SIGNIFICANCE: The studies confirmed that AE is an emerging disease in Poland, which is the fourth country in Europe with over 120 cases detected. The results also indicate the need of a wider national programme for implementation of screening in the highest AE risk areas (north-eastern Poland) with an effort to increase the public awareness of the possibility of contracting E. multilocularis, and above all, training of the primary care physicians in the recognition of the risk of AE to allow for an early detection of this dangerous disease. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLoS Neglected Tropical Diseases 7 1 e1986 |
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Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Wacław L Nahorski Józef P Knap Zbigniew S Pawłowski Marek Krawczyk Jerzy Polański Jerzy Stefaniak Waldemar Patkowski Beata Szostakowska Halina Pietkiewicz Anna Grzeszczuk Iwona Felczak-Korzybska Elżbieta Gołąb Natalia Wnukowska Małgorzata Paul Elżbieta Kacprzak Elżbieta Sokolewicz-Bobrowska Jolanta Niścigorska-Olsen Aleksandra Czyrznikowska Lidia Chomicz Danuta Cielecka Przemysław Myjak Human alveolar echinococcosis in Poland: 1990-2011. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
BACKGROUND: Alveolar echinococcosis (AE) caused by Echinococcus multilocularis infections is a dangerous old disease in the Northern Hemisphere. The aim of the paper was to collect and analyze data on human AE in Poland in the last two decades. METHODOLOGY/PRINCIPAL FINDINGS: The sources of data were both the cases officially registered and detected by an active field and laboratory surveillance. The cases were verified by clinical, epidemiological, and laboratory criteria. Altogether 121 human cases of AE were detected. Among these 83 (68,6%) cases were classified as confirmed, 16 as probable and 22 as possible. During the two decades a continuous increase in detection rate was noticed. The cases were 6-82 years old at the time of diagnosis (mean - 47.7 years). Sex ratio M/F was 0.86/1.0. The AE was fatal in 23 (19%) patients (mean age at death - 54.1 years). Family agglomeration of AE was found in 4 foci, involving 9 patients. Seventy six of the cases were diagnosed in an advanced stage of disease. In all cases the liver was the primary location of AE. In 30 (24.8%) patients a spread to other organs was observed. Ninety four of the patients were treated with albendazole. In 73 (60%) patients a surgical operation was performed, including 15 liver transplantations. CONCLUSIONS/SIGNIFICANCE: The studies confirmed that AE is an emerging disease in Poland, which is the fourth country in Europe with over 120 cases detected. The results also indicate the need of a wider national programme for implementation of screening in the highest AE risk areas (north-eastern Poland) with an effort to increase the public awareness of the possibility of contracting E. multilocularis, and above all, training of the primary care physicians in the recognition of the risk of AE to allow for an early detection of this dangerous disease. |
format |
Article in Journal/Newspaper |
author |
Wacław L Nahorski Józef P Knap Zbigniew S Pawłowski Marek Krawczyk Jerzy Polański Jerzy Stefaniak Waldemar Patkowski Beata Szostakowska Halina Pietkiewicz Anna Grzeszczuk Iwona Felczak-Korzybska Elżbieta Gołąb Natalia Wnukowska Małgorzata Paul Elżbieta Kacprzak Elżbieta Sokolewicz-Bobrowska Jolanta Niścigorska-Olsen Aleksandra Czyrznikowska Lidia Chomicz Danuta Cielecka Przemysław Myjak |
author_facet |
Wacław L Nahorski Józef P Knap Zbigniew S Pawłowski Marek Krawczyk Jerzy Polański Jerzy Stefaniak Waldemar Patkowski Beata Szostakowska Halina Pietkiewicz Anna Grzeszczuk Iwona Felczak-Korzybska Elżbieta Gołąb Natalia Wnukowska Małgorzata Paul Elżbieta Kacprzak Elżbieta Sokolewicz-Bobrowska Jolanta Niścigorska-Olsen Aleksandra Czyrznikowska Lidia Chomicz Danuta Cielecka Przemysław Myjak |
author_sort |
Wacław L Nahorski |
title |
Human alveolar echinococcosis in Poland: 1990-2011. |
title_short |
Human alveolar echinococcosis in Poland: 1990-2011. |
title_full |
Human alveolar echinococcosis in Poland: 1990-2011. |
title_fullStr |
Human alveolar echinococcosis in Poland: 1990-2011. |
title_full_unstemmed |
Human alveolar echinococcosis in Poland: 1990-2011. |
title_sort |
human alveolar echinococcosis in poland: 1990-2011. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2013 |
url |
https://doi.org/10.1371/journal.pntd.0001986 https://doaj.org/article/2913a250d76046e8b973778daebf9e37 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 7, Iss 1, p e1986 (2013) |
op_relation |
http://europepmc.org/articles/PMC3536814?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 doi:10.1371/journal.pntd.0001986 1935-2727 1935-2735 https://doaj.org/article/2913a250d76046e8b973778daebf9e37 |
op_doi |
https://doi.org/10.1371/journal.pntd.0001986 |
container_title |
PLoS Neglected Tropical Diseases |
container_volume |
7 |
container_issue |
1 |
container_start_page |
e1986 |
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1766347190810181632 |