An epidemiologic survey of human alveolar echinococcosis in southwestern Germany. Römerstein Study Group.
Identifieur interne : 000340 ( PubMed/Checkpoint ); précédent : 000339; suivant : 000341An epidemiologic survey of human alveolar echinococcosis in southwestern Germany. Römerstein Study Group.
Auteurs : T. Romig [Allemagne] ; W. Kratzer ; P. Kimmig ; M. Frosch ; W. Gaus ; W A Flegel ; B. Gottstein ; R. Lucius ; K. Beckh ; P. KernSource :
- The American journal of tropical medicine and hygiene [ 0002-9637 ] ; 1999.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Animals, Antibodies, Helminth (blood), Child, Echinococcosis, Hepatic (diagnosis), Echinococcosis, Hepatic (epidemiology), Echinococcosis, Hepatic (therapy), Echinococcus (immunology), Echinococcus (isolation & purification), Enzyme-Linked Immunosorbent Assay, Female, Foxes (parasitology), Gallbladder (diagnostic imaging), Gallbladder (parasitology), Germany (epidemiology), Humans, Interviews as Topic, Intestine, Small (parasitology), Liver (diagnostic imaging), Liver (parasitology), Male, Middle Aged, Risk Factors, Rural Population, Seroepidemiologic Studies, Surveys and Questionnaires, Ultrasonography.
- MESH :
- chemical , blood : Antibodies, Helminth.
- diagnosis : Echinococcosis, Hepatic.
- diagnostic imaging : Gallbladder, Liver.
- epidemiology : Echinococcosis, Hepatic, Germany.
- immunology : Echinococcus.
- isolation & purification : Echinococcus.
- parasitology : Foxes, Gallbladder, Intestine, Small, Liver.
- therapy : Echinococcosis, Hepatic.
- Adolescent, Adult, Aged, Aged, 80 and over, Animals, Child, Enzyme-Linked Immunosorbent Assay, Female, Humans, Interviews as Topic, Male, Middle Aged, Risk Factors, Rural Population, Seroepidemiologic Studies, Surveys and Questionnaires, Ultrasonography.
Abstract
The inhabitants of a rural community in southwestern Germany were examined for alveolar echinococcosis (AE). The study was prompted by the recent increase of the prevalence of the parasite in foxes and the increase of fox populations: in the study area, 75% of the foxes carried Echinococcus multilocularis. The human population was screened using hepatic ultrasound and serology. All participants were interviewed for demographic and potential risk factors. Of 2,560 participants, one was identified with active AE, while 3 others had suspicious liver lesions. Another 9 participants were seropositive for specific antibodies without detectable lesions. Demographic and behavioral factors were not correlated with active or suspected cases nor with seropositivity. If the prevalence of 40/100,000 (95% confidence interval = 15-295/100,000) for active cases would be representative for the rural population in high endemicity areas, the current number of AE cases in southwestern Germany is considerably higher than previously suspected.
PubMed: 10548290
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Kratzer</name></author><author><name sortKey="Kimmig, P" sort="Kimmig, P" uniqKey="Kimmig P" first="P" last="Kimmig">P. Kimmig</name></author><author><name sortKey="Frosch, M" sort="Frosch, M" uniqKey="Frosch M" first="M" last="Frosch">M. Frosch</name></author><author><name sortKey="Gaus, W" sort="Gaus, W" uniqKey="Gaus W" first="W" last="Gaus">W. Gaus</name></author><author><name sortKey="Flegel, W A" sort="Flegel, W A" uniqKey="Flegel W" first="W A" last="Flegel">W A Flegel</name></author><author><name sortKey="Gottstein, B" sort="Gottstein, B" uniqKey="Gottstein B" first="B" last="Gottstein">B. Gottstein</name></author><author><name sortKey="Lucius, R" sort="Lucius, R" uniqKey="Lucius R" first="R" last="Lucius">R. Lucius</name></author><author><name sortKey="Beckh, K" sort="Beckh, K" uniqKey="Beckh K" first="K" last="Beckh">K. Beckh</name></author><author><name sortKey="Kern, P" sort="Kern, P" uniqKey="Kern P" first="P" last="Kern">P. 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Romig</name><affiliation wicri:level="3"><nlm:affiliation>Institut für Zoologie (Fachgebiet Parasitologie), Universität Hohenheim, Stuttgart, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Institut für Zoologie (Fachgebiet Parasitologie), Universität Hohenheim, Stuttgart</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Stuttgart</region><settlement type="city">Stuttgart</settlement></placeName></affiliation></author><author><name sortKey="Kratzer, W" sort="Kratzer, W" uniqKey="Kratzer W" first="W" last="Kratzer">W. Kratzer</name></author><author><name sortKey="Kimmig, P" sort="Kimmig, P" uniqKey="Kimmig P" first="P" last="Kimmig">P. Kimmig</name></author><author><name sortKey="Frosch, M" sort="Frosch, M" uniqKey="Frosch M" first="M" last="Frosch">M. Frosch</name></author><author><name sortKey="Gaus, W" sort="Gaus, W" uniqKey="Gaus W" first="W" last="Gaus">W. Gaus</name></author><author><name sortKey="Flegel, W A" sort="Flegel, W A" uniqKey="Flegel W" first="W A" last="Flegel">W A Flegel</name></author><author><name sortKey="Gottstein, B" sort="Gottstein, B" uniqKey="Gottstein B" first="B" last="Gottstein">B. Gottstein</name></author><author><name sortKey="Lucius, R" sort="Lucius, R" uniqKey="Lucius R" first="R" last="Lucius">R. Lucius</name></author><author><name sortKey="Beckh, K" sort="Beckh, K" uniqKey="Beckh K" first="K" last="Beckh">K. Beckh</name></author><author><name sortKey="Kern, P" sort="Kern, P" uniqKey="Kern P" first="P" last="Kern">P. Kern</name></author></analytic><series><title level="j">The American journal of tropical medicine and hygiene</title><idno type="ISSN">0002-9637</idno><imprint><date when="1999" type="published">1999</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Animals</term><term>Antibodies, Helminth (blood)</term><term>Child</term><term>Echinococcosis, Hepatic (diagnosis)</term><term>Echinococcosis, Hepatic (epidemiology)</term><term>Echinococcosis, Hepatic (therapy)</term><term>Echinococcus (immunology)</term><term>Echinococcus (isolation & purification)</term><term>Enzyme-Linked Immunosorbent Assay</term><term>Female</term><term>Foxes (parasitology)</term><term>Gallbladder (diagnostic imaging)</term><term>Gallbladder (parasitology)</term><term>Germany (epidemiology)</term><term>Humans</term><term>Interviews as Topic</term><term>Intestine, Small (parasitology)</term><term>Liver (diagnostic imaging)</term><term>Liver (parasitology)</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term><term>Rural Population</term><term>Seroepidemiologic Studies</term><term>Surveys and Questionnaires</term><term>Ultrasonography</term></keywords><keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Antibodies, Helminth</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Echinococcosis, Hepatic</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Gallbladder</term><term>Liver</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Echinococcosis, Hepatic</term><term>Germany</term></keywords><keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Echinococcus</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Echinococcus</term></keywords><keywords scheme="MESH" qualifier="parasitology" xml:lang="en"><term>Foxes</term><term>Gallbladder</term><term>Intestine, Small</term><term>Liver</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Echinococcosis, Hepatic</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Animals</term><term>Child</term><term>Enzyme-Linked Immunosorbent Assay</term><term>Female</term><term>Humans</term><term>Interviews as Topic</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term><term>Rural Population</term><term>Seroepidemiologic Studies</term><term>Surveys and Questionnaires</term><term>Ultrasonography</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The inhabitants of a rural community in southwestern Germany were examined for alveolar echinococcosis (AE). The study was prompted by the recent increase of the prevalence of the parasite in foxes and the increase of fox populations: in the study area, 75% of the foxes carried Echinococcus multilocularis. The human population was screened using hepatic ultrasound and serology. All participants were interviewed for demographic and potential risk factors. Of 2,560 participants, one was identified with active AE, while 3 others had suspicious liver lesions. Another 9 participants were seropositive for specific antibodies without detectable lesions. Demographic and behavioral factors were not correlated with active or suspected cases nor with seropositivity. If the prevalence of 40/100,000 (95% confidence interval = 15-295/100,000) for active cases would be representative for the rural population in high endemicity areas, the current number of AE cases in southwestern Germany is considerably higher than previously suspected.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">10548290</PMID><DateCreated><Year>1999</Year><Month>11</Month><Day>16</Day></DateCreated><DateCompleted><Year>1999</Year><Month>11</Month><Day>16</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>24</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0002-9637</ISSN><JournalIssue CitedMedium="Print"><Volume>61</Volume><Issue>4</Issue><PubDate><Year>1999</Year><Month>Oct</Month></PubDate></JournalIssue><Title>The American journal of tropical medicine and hygiene</Title><ISOAbbreviation>Am. J. Trop. Med. Hyg.</ISOAbbreviation></Journal><ArticleTitle>An epidemiologic survey of human alveolar echinococcosis in southwestern Germany. Römerstein Study Group.</ArticleTitle><Pagination><MedlinePgn>566-73</MedlinePgn></Pagination><Abstract><AbstractText>The inhabitants of a rural community in southwestern Germany were examined for alveolar echinococcosis (AE). The study was prompted by the recent increase of the prevalence of the parasite in foxes and the increase of fox populations: in the study area, 75% of the foxes carried Echinococcus multilocularis. The human population was screened using hepatic ultrasound and serology. All participants were interviewed for demographic and potential risk factors. Of 2,560 participants, one was identified with active AE, while 3 others had suspicious liver lesions. Another 9 participants were seropositive for specific antibodies without detectable lesions. Demographic and behavioral factors were not correlated with active or suspected cases nor with seropositivity. If the prevalence of 40/100,000 (95% confidence interval = 15-295/100,000) for active cases would be representative for the rural population in high endemicity areas, the current number of AE cases in southwestern Germany is considerably higher than previously suspected.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Romig</LastName><ForeName>T</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Institut für Zoologie (Fachgebiet Parasitologie), Universität Hohenheim, Stuttgart, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kratzer</LastName><ForeName>W</ForeName><Initials>W</Initials></Author><Author ValidYN="Y"><LastName>Kimmig</LastName><ForeName>P</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Frosch</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Gaus</LastName><ForeName>W</ForeName><Initials>W</Initials></Author><Author ValidYN="Y"><LastName>Flegel</LastName><ForeName>W A</ForeName><Initials>WA</Initials></Author><Author ValidYN="Y"><LastName>Gottstein</LastName><ForeName>B</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Lucius</LastName><ForeName>R</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><LastName>Beckh</LastName><ForeName>K</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Kern</LastName><ForeName>P</ForeName><Initials>P</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am J Trop Med Hyg</MedlineTA><NlmUniqueID>0370507</NlmUniqueID><ISSNLinking>0002-9637</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000909">Antibodies, Helminth</NameOfSubstance></Chemical></ChemicalList><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000818" MajorTopicYN="N">Animals</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000909" MajorTopicYN="N">Antibodies, Helminth</DescriptorName><QualifierName UI="Q000097" MajorTopicYN="N">blood</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004444" MajorTopicYN="N">Echinococcosis, Hepatic</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004446" MajorTopicYN="N">Echinococcus</DescriptorName><QualifierName UI="Q000276" MajorTopicYN="Y">immunology</QualifierName><QualifierName UI="Q000302" MajorTopicYN="N">isolation & purification</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004797" MajorTopicYN="N">Enzyme-Linked Immunosorbent Assay</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005589" MajorTopicYN="N">Foxes</DescriptorName><QualifierName UI="Q000469" MajorTopicYN="Y">parasitology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005704" MajorTopicYN="N">Gallbladder</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000469" MajorTopicYN="N">parasitology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005858" MajorTopicYN="N">Germany</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007407" MajorTopicYN="N">Interviews as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007421" MajorTopicYN="N">Intestine, Small</DescriptorName><QualifierName UI="Q000469" MajorTopicYN="N">parasitology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008099" MajorTopicYN="N">Liver</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="N">diagnostic imaging</QualifierName><QualifierName UI="Q000469" MajorTopicYN="N">parasitology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012424" MajorTopicYN="N">Rural Population</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016036" MajorTopicYN="N">Seroepidemiologic Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014463" MajorTopicYN="N">Ultrasonography</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1999</Year><Month>11</Month><Day>5</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1999</Year><Month>11</Month><Day>5</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1999</Year><Month>11</Month><Day>5</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">10548290</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country><region><li>Bade-Wurtemberg</li><li>District de Stuttgart</li></region><settlement><li>Stuttgart</li></settlement></list><tree><noCountry><name sortKey="Beckh, K" sort="Beckh, K" uniqKey="Beckh K" first="K" last="Beckh">K. Beckh</name><name sortKey="Flegel, W A" sort="Flegel, W A" uniqKey="Flegel W" first="W A" last="Flegel">W A Flegel</name><name sortKey="Frosch, M" sort="Frosch, M" uniqKey="Frosch M" first="M" last="Frosch">M. Frosch</name><name sortKey="Gaus, W" sort="Gaus, W" uniqKey="Gaus W" first="W" last="Gaus">W. Gaus</name><name sortKey="Gottstein, B" sort="Gottstein, B" uniqKey="Gottstein B" first="B" last="Gottstein">B. Gottstein</name><name sortKey="Kern, P" sort="Kern, P" uniqKey="Kern P" first="P" last="Kern">P. Kern</name><name sortKey="Kimmig, P" sort="Kimmig, P" uniqKey="Kimmig P" first="P" last="Kimmig">P. Kimmig</name><name sortKey="Kratzer, W" sort="Kratzer, W" uniqKey="Kratzer W" first="W" last="Kratzer">W. Kratzer</name><name sortKey="Lucius, R" sort="Lucius, R" uniqKey="Lucius R" first="R" last="Lucius">R. Lucius</name></noCountry><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Romig, T" sort="Romig, T" uniqKey="Romig T" first="T" last="Romig">T. 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