Endemic alveolar echinococcosis in southern Belgium ?
Identifieur interne : 000935 ( Main/Exploration ); précédent : 000934; suivant : 000936Endemic alveolar echinococcosis in southern Belgium ?
Auteurs : O. Detry [Belgique] ; C. Honore [Belgique] ; J. Delwaide [Belgique] ; J. Demonty [Belgique] ; A. De Roover [Belgique] ; M. Vivario [Belgique] ; A. Thiry [Belgique] ; M. P. Hayette [Belgique] ; J. Belaïche [Belgique] ; M. Meurisse [Belgique] ; P. Honore [Belgique]Source :
- Acta gastro-enterologica belgica [ 0001-5644 ] ; 2005.
Descripteurs français
- Pascal (Inist)
- Wicri :
English descriptors
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Abstract
Until now, Belgium has been considered as a low-risk country for alveolar echinococcosis. However it was recently demonstrated by necropsy series that, in some parts of southern Belgium (Wallonia), up to 51% of the red foxes (Vulpes vulpes) may be infected by E. multilocaris. The authors, working in a university hospital in southern Belgium, described in 2002 the first autochthonous Belgian case of hepatic alveolar echinococcosis. More importantly, in 2004, they diagnosed three other patients with alveolar echinococcosis. One underwent surgical resection, but two others had bilateral pulmonary involvement at time of definite diagnosis. Palliative albendazole therapy was initiated. These patients had been diagnosed with hepatic mass from unknown origin for several months. The previous experience with the first case allowed the authors to consider and to confirm alveolar echinococcosis diagnosis, made by pathology and/or serological tests and imaging. These four patients with alveolar echinococcosis were living either in the Liege or the Luxembourg province. Considering the high prevalence of E. multilocaris infection of red foxes and the recent increase of the fox population due to rabies vaccination in southern Belgium, and also the presence of E. multilocaris infection of red foxes in northern Belgium, it is likely that not only Wallonia, but also maybe the whole Belgium, may face endemic alveolar echinococcosis in the next years.
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Hayette</name><affiliation wicri:level="4"><inist:fA14 i1="05"><s1>Dpt of Microbiology, University of Liege, CHU Sart Tilman B35</s1><s2>4000 Liege</s2><s3>BEL</s3><sZ>8 aut.</sZ></inist:fA14><country>Belgique</country><placeName><region type="province" nuts="2">Province de Liège</region><settlement type="city">Liège</settlement></placeName><orgName type="university">Université de Liège</orgName></affiliation></author><author><name sortKey="Belaiche, J" sort="Belaiche, J" uniqKey="Belaiche J" first="J." last="Belaïche">J. Belaïche</name><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Dpt of Hepatogastroenterology, University of Liege, CHU Sart Tilman B35</s1><s2>4000 Liege</s2><s3>BEL</s3><sZ>3 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Belgique</country><placeName><region type="province" nuts="2">Province de Liège</region><settlement type="city">Liège</settlement></placeName><orgName type="university">Université de Liège</orgName></affiliation></author><author><name sortKey="Meurisse, M" sort="Meurisse, M" uniqKey="Meurisse M" first="M." last="Meurisse">M. 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Detry</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Dpt of Abdominal Surgery and Transplantation, University of Liege, CHU Sart Tilman B35</s1><s2>4000 Liege</s2><s3>BEL</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Belgique</country><placeName><region type="province" nuts="2">Province de Liège</region><settlement type="city">Liège</settlement></placeName><orgName type="university">Université de Liège</orgName></affiliation></author><author><name sortKey="Honore, C" sort="Honore, C" uniqKey="Honore C" first="C." last="Honore">C. Honore</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Dpt of Abdominal Surgery and Transplantation, University of Liege, CHU Sart Tilman B35</s1><s2>4000 Liege</s2><s3>BEL</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Belgique</country><placeName><region type="province" nuts="2">Province de Liège</region><settlement type="city">Liège</settlement></placeName><orgName type="university">Université de Liège</orgName></affiliation></author><author><name sortKey="Delwaide, J" sort="Delwaide, J" uniqKey="Delwaide J" first="J." last="Delwaide">J. Delwaide</name><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Dpt of Hepatogastroenterology, University of Liege, CHU Sart Tilman B35</s1><s2>4000 Liege</s2><s3>BEL</s3><sZ>3 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Belgique</country><placeName><region type="province" nuts="2">Province de Liège</region><settlement type="city">Liège</settlement></placeName><orgName type="university">Université de Liège</orgName></affiliation></author><author><name sortKey="Demonty, J" sort="Demonty, J" uniqKey="Demonty J" first="J." last="Demonty">J. Demonty</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>Dpt of Internal Medicine, Immunodeficiency and Infectious Diseases, University of Liege, CHU Sart Tilman B35</s1><s2>4000 Liege</s2><s3>BEL</s3><sZ>4 aut.</sZ></inist:fA14><country>Belgique</country><placeName><region type="province" nuts="2">Province de Liège</region><settlement type="city">Liège</settlement></placeName><orgName type="university">Université de Liège</orgName></affiliation></author><author><name sortKey="De Roover, A" sort="De Roover, A" uniqKey="De Roover A" first="A." last="De Roover">A. De Roover</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Dpt of Abdominal Surgery and Transplantation, University of Liege, CHU Sart Tilman B35</s1><s2>4000 Liege</s2><s3>BEL</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Belgique</country><placeName><region type="province" nuts="2">Province de Liège</region><settlement type="city">Liège</settlement></placeName><orgName type="university">Université de Liège</orgName></affiliation></author><author><name sortKey="Vivario, M" sort="Vivario, M" uniqKey="Vivario M" first="M." last="Vivario">M. Vivario</name><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Dpt of Pathology, University of Liege, CHU Sart Tilman B35</s1><s2>4000 Liege</s2><s3>BEL</s3><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Belgique</country><placeName><region type="province" nuts="2">Province de Liège</region><settlement type="city">Liège</settlement></placeName><orgName type="university">Université de Liège</orgName></affiliation></author><author><name sortKey="Thiry, A" sort="Thiry, A" uniqKey="Thiry A" first="A." last="Thiry">A. Thiry</name><affiliation wicri:level="4"><inist:fA14 i1="04"><s1>Dpt of Pathology, University of Liege, CHU Sart Tilman B35</s1><s2>4000 Liege</s2><s3>BEL</s3><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Belgique</country><placeName><region type="province" nuts="2">Province de Liège</region><settlement type="city">Liège</settlement></placeName><orgName type="university">Université de Liège</orgName></affiliation></author><author><name sortKey="Hayette, M P" sort="Hayette, M P" uniqKey="Hayette M" first="M. P." last="Hayette">M. P. Hayette</name><affiliation wicri:level="4"><inist:fA14 i1="05"><s1>Dpt of Microbiology, University of Liege, CHU Sart Tilman B35</s1><s2>4000 Liege</s2><s3>BEL</s3><sZ>8 aut.</sZ></inist:fA14><country>Belgique</country><placeName><region type="province" nuts="2">Province de Liège</region><settlement type="city">Liège</settlement></placeName><orgName type="university">Université de Liège</orgName></affiliation></author><author><name sortKey="Belaiche, J" sort="Belaiche, J" uniqKey="Belaiche J" first="J." last="Belaïche">J. Belaïche</name><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Dpt of Hepatogastroenterology, University of Liege, CHU Sart Tilman B35</s1><s2>4000 Liege</s2><s3>BEL</s3><sZ>3 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Belgique</country><placeName><region type="province" nuts="2">Province de Liège</region><settlement type="city">Liège</settlement></placeName><orgName type="university">Université de Liège</orgName></affiliation></author><author><name sortKey="Meurisse, M" sort="Meurisse, M" uniqKey="Meurisse M" first="M." last="Meurisse">M. Meurisse</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Dpt of Abdominal Surgery and Transplantation, University of Liege, CHU Sart Tilman B35</s1><s2>4000 Liege</s2><s3>BEL</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Belgique</country><placeName><region type="province" nuts="2">Province de Liège</region><settlement type="city">Liège</settlement></placeName><orgName type="university">Université de Liège</orgName></affiliation></author><author><name sortKey="Honore, P" sort="Honore, P" uniqKey="Honore P" first="P." last="Honore">P. Honore</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Dpt of Abdominal Surgery and Transplantation, University of Liege, CHU Sart Tilman B35</s1><s2>4000 Liege</s2><s3>BEL</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>5 aut.</sZ><sZ>10 aut.</sZ><sZ>11 aut.</sZ></inist:fA14><country>Belgique</country><placeName><region type="province" nuts="2">Province de Liège</region><settlement type="city">Liège</settlement></placeName><orgName type="university">Université de Liège</orgName></affiliation></author></analytic><series><title level="j" type="main">Acta gastro-enterologica belgica</title><title level="j" type="abbreviated">Acta gastro-enterol. belg.</title><idno type="ISSN">0001-5644</idno><imprint><date when="2005">2005</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Acta gastro-enterologica belgica</title><title level="j" type="abbreviated">Acta gastro-enterol. belg.</title><idno type="ISSN">0001-5644</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Belgium</term><term>Echinococciasis</term><term>Echinococcus multilocularis</term><term>Liver</term><term>Surgery</term><term>Treatment</term><term>Zoonosis</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Echinococcose</term><term>Belgique</term><term>Zoonose</term><term>Foie</term><term>Echinococcus multilocularis</term><term>Chirurgie</term><term>Traitement</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Belgique</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Zoonose</term><term>Chirurgie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Until now, Belgium has been considered as a low-risk country for alveolar echinococcosis. However it was recently demonstrated by necropsy series that, in some parts of southern Belgium (Wallonia), up to 51% of the red foxes (Vulpes vulpes) may be infected by E. multilocaris. The authors, working in a university hospital in southern Belgium, described in 2002 the first autochthonous Belgian case of hepatic alveolar echinococcosis. More importantly, in 2004, they diagnosed three other patients with alveolar echinococcosis. One underwent surgical resection, but two others had bilateral pulmonary involvement at time of definite diagnosis. Palliative albendazole therapy was initiated. These patients had been diagnosed with hepatic mass from unknown origin for several months. The previous experience with the first case allowed the authors to consider and to confirm alveolar echinococcosis diagnosis, made by pathology and/or serological tests and imaging. These four patients with alveolar echinococcosis were living either in the Liege or the Luxembourg province. Considering the high prevalence of E. multilocaris infection of red foxes and the recent increase of the fox population due to rabies vaccination in southern Belgium, and also the presence of E. multilocaris infection of red foxes in northern Belgium, it is likely that not only Wallonia, but also maybe the whole Belgium, may face endemic alveolar echinococcosis in the next years.</div></front></TEI><affiliations><list><country><li>Belgique</li></country><region><li>Province de Liège</li></region><settlement><li>Liège</li></settlement><orgName><li>Université de Liège</li></orgName></list><tree><country name="Belgique"><region name="Province de Liège"><name sortKey="Detry, O" sort="Detry, O" uniqKey="Detry O" first="O." last="Detry">O. Detry</name></region><name sortKey="Belaiche, J" sort="Belaiche, J" uniqKey="Belaiche J" first="J." last="Belaïche">J. Belaïche</name><name sortKey="De Roover, A" sort="De Roover, A" uniqKey="De Roover A" first="A." last="De Roover">A. De Roover</name><name sortKey="Delwaide, J" sort="Delwaide, J" uniqKey="Delwaide J" first="J." last="Delwaide">J. Delwaide</name><name sortKey="Demonty, J" sort="Demonty, J" uniqKey="Demonty J" first="J." last="Demonty">J. Demonty</name><name sortKey="Hayette, M P" sort="Hayette, M P" uniqKey="Hayette M" first="M. P." last="Hayette">M. P. Hayette</name><name sortKey="Honore, C" sort="Honore, C" uniqKey="Honore C" first="C." last="Honore">C. Honore</name><name sortKey="Honore, P" sort="Honore, P" uniqKey="Honore P" first="P." last="Honore">P. Honore</name><name sortKey="Meurisse, M" sort="Meurisse, M" uniqKey="Meurisse M" first="M." last="Meurisse">M. Meurisse</name><name sortKey="Thiry, A" sort="Thiry, A" uniqKey="Thiry A" first="A." last="Thiry">A. Thiry</name><name sortKey="Vivario, M" sort="Vivario, M" uniqKey="Vivario M" first="M." last="Vivario">M. Vivario</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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