Alveolar echinococcosis in a Belgian urban dweller.
Identifieur interne : 000164 ( Main/Exploration ); précédent : 000163; suivant : 000165Alveolar echinococcosis in a Belgian urban dweller.
Auteurs : S. Landen [Belgique] ; J. Van De Sande ; P. Berger ; D. Ursaru ; J. Baert ; V. DelugeauSource :
- Acta gastro-enterologica Belgica [ 1784-3227 ] ; 2013.
Descripteurs français
- Wicri :
- geographic : Belgique.
English descriptors
- KwdEn :
- Aged, Animals, Belgium (epidemiology), Echinococcosis, Hepatic (diagnosis), Echinococcosis, Hepatic (epidemiology), Echinococcosis, Hepatic (therapy), Echinococcus multilocularis (isolation & purification), Endemic Diseases, Follow-Up Studies, Foxes (parasitology), Humans, Laparoscopy, Male, Positron-Emission Tomography, Tomography, X-Ray Computed, Urban Population.
- MESH :
- geographic , epidemiology : Belgium.
- diagnosis : Echinococcosis, Hepatic.
- epidemiology : Echinococcosis, Hepatic.
- isolation & purification : Echinococcus multilocularis.
- parasitology : Foxes.
- therapy : Echinococcosis, Hepatic.
- Aged, Animals, Endemic Diseases, Follow-Up Studies, Humans, Laparoscopy, Male, Positron-Emission Tomography, Tomography, X-Ray Computed, Urban Population.
Abstract
Human alveolar echinococcosis is a rare parasitic disease caused by larvae of the tapeworm E. multilocularis that colonizes the intestines of foxes. The disease predominantly affects the liver and mimics slow growing liver cancer. With a mere 13 reports coming mostly from southern rural regions Belgium has so far been spared from the disease. However alveolar echinococcosis appears to be slowly spreading to non-endemic European countries like Belgium and to urban centres. We report the first autochthonous case involving a patient having lived exclusively in downtown Brussels. Heightened awareness by the medical community is necessary to detect this lethal disease at an early curable stage. In patients with an undetermined focal liver lesion--especially if calcified--and no firm evidence of malignancy, serological screening should be performed to exclude alveolar echinococcosis.
PubMed: 24261026
Affiliations:
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Le document en format XML
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Ursaru</name></author><author><name sortKey="Baert, J" sort="Baert, J" uniqKey="Baert J" first="J" last="Baert">J. Baert</name></author><author><name sortKey="Delugeau, V" sort="Delugeau, V" uniqKey="Delugeau V" first="V" last="Delugeau">V. 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Landen</name><affiliation wicri:level="3"><nlm:affiliation>Department of Surgery, St Elisabeth Hospital, Brussels. serge.landen@skynet.be</nlm:affiliation><country>Belgique</country><placeName><settlement type="city">Bruxelles</settlement><region nuts="2">Région de Bruxelles-Capitale</region></placeName><wicri:orgArea>Department of Surgery, St Elisabeth Hospital</wicri:orgArea></affiliation></author><author><name sortKey="Van De Sande, J" sort="Van De Sande, J" uniqKey="Van De Sande J" first="J" last="Van De Sande">J. Van De Sande</name></author><author><name sortKey="Berger, P" sort="Berger, P" uniqKey="Berger P" first="P" last="Berger">P. Berger</name></author><author><name sortKey="Ursaru, D" sort="Ursaru, D" uniqKey="Ursaru D" first="D" last="Ursaru">D. Ursaru</name></author><author><name sortKey="Baert, J" sort="Baert, J" uniqKey="Baert J" first="J" last="Baert">J. Baert</name></author><author><name sortKey="Delugeau, V" sort="Delugeau, V" uniqKey="Delugeau V" first="V" last="Delugeau">V. Delugeau</name></author></analytic><series><title level="j">Acta gastro-enterologica Belgica</title><idno type="ISSN">1784-3227</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Animals</term><term>Belgium (epidemiology)</term><term>Echinococcosis, Hepatic (diagnosis)</term><term>Echinococcosis, Hepatic (epidemiology)</term><term>Echinococcosis, Hepatic (therapy)</term><term>Echinococcus multilocularis (isolation & purification)</term><term>Endemic Diseases</term><term>Follow-Up Studies</term><term>Foxes (parasitology)</term><term>Humans</term><term>Laparoscopy</term><term>Male</term><term>Positron-Emission Tomography</term><term>Tomography, X-Ray Computed</term><term>Urban Population</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Belgium</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Echinococcosis, Hepatic</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Echinococcosis, Hepatic</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Echinococcus multilocularis</term></keywords><keywords scheme="MESH" qualifier="parasitology" xml:lang="en"><term>Foxes</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Echinococcosis, Hepatic</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Animals</term><term>Endemic Diseases</term><term>Follow-Up Studies</term><term>Humans</term><term>Laparoscopy</term><term>Male</term><term>Positron-Emission Tomography</term><term>Tomography, X-Ray Computed</term><term>Urban Population</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Belgique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Human alveolar echinococcosis is a rare parasitic disease caused by larvae of the tapeworm E. multilocularis that colonizes the intestines of foxes. The disease predominantly affects the liver and mimics slow growing liver cancer. With a mere 13 reports coming mostly from southern rural regions Belgium has so far been spared from the disease. However alveolar echinococcosis appears to be slowly spreading to non-endemic European countries like Belgium and to urban centres. We report the first autochthonous case involving a patient having lived exclusively in downtown Brussels. Heightened awareness by the medical community is necessary to detect this lethal disease at an early curable stage. In patients with an undetermined focal liver lesion--especially if calcified--and no firm evidence of malignancy, serological screening should be performed to exclude alveolar echinococcosis.</div></front></TEI><affiliations><list><country><li>Belgique</li></country><region><li>Région de Bruxelles-Capitale</li></region><settlement><li>Bruxelles</li></settlement></list><tree><noCountry><name sortKey="Baert, J" sort="Baert, J" uniqKey="Baert J" first="J" last="Baert">J. Baert</name><name sortKey="Berger, P" sort="Berger, P" uniqKey="Berger P" first="P" last="Berger">P. Berger</name><name sortKey="Delugeau, V" sort="Delugeau, V" uniqKey="Delugeau V" first="V" last="Delugeau">V. Delugeau</name><name sortKey="Ursaru, D" sort="Ursaru, D" uniqKey="Ursaru D" first="D" last="Ursaru">D. Ursaru</name><name sortKey="Van De Sande, J" sort="Van De Sande, J" uniqKey="Van De Sande J" first="J" last="Van De Sande">J. Van De Sande</name></noCountry><country name="Belgique"><region name="Région de Bruxelles-Capitale"><name sortKey="Landen, S" sort="Landen, S" uniqKey="Landen S" first="S" last="Landen">S. Landen</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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