Abdominal cystic echinococcosis in Bangladesh: a hospital-based study
Introduction: Cystic echinococcosis (CE) is reported from nearly all geographic areas of Bangladesh, but little information is available on its epidemiologic and clinical features. The aim of this study was to describe the clinical manifestations of hepatic and abdominal CE cases presenting to terti...
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| Format: | Article |
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The Journal of Infection in Developing Countries
2015-01-01
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| Series: | Journal of Infection in Developing Countries |
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| Online Access: | https://jidc.org/index.php/journal/article/view/4934 |
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| author | Mohammad Fazal Karim Enrico Brunetti Salimur Rahman Christine M. Budke Abu Saleh Mohammad Areef Ahsan Mamun Al-Mahtab Khandaker Mahabub Jamal Zaki Mohammad Jamshed Alam Sheikh Mohammad Fazle Akbar MA Jalil |
| author_facet | Mohammad Fazal Karim Enrico Brunetti Salimur Rahman Christine M. Budke Abu Saleh Mohammad Areef Ahsan Mamun Al-Mahtab Khandaker Mahabub Jamal Zaki Mohammad Jamshed Alam Sheikh Mohammad Fazle Akbar MA Jalil |
| author_sort | Mohammad Fazal Karim |
| collection | DOAJ |
| description | Introduction: Cystic echinococcosis (CE) is reported from nearly all geographic areas of Bangladesh, but little information is available on its epidemiologic and clinical features. The aim of this study was to describe the clinical manifestations of hepatic and abdominal CE cases presenting to tertiary referral hospitals in Dhaka, Bangladesh.
Methodology: A retrospective study was conducted via chart reviews of hepatic and abdominal CE patients under care at tertiary referral hospitals in Dhaka, Bangladesh, between 2002 and 2011. Age, sex, education level, occupation, urban versus rural residence, drinking water source, history of dog ownership, cyst type and location, and clinical manifestations were recorded for all patients.
Results: Of the 130 patients enrolled, 92 (70.8%) were female and 38 (29.2%) were male. The majority of patients were from rural (76.2%) rather than urban (23.8%) areas. All cases were from the northern part of the country, with no cases reported from the south or southeast. Most patients were between 21 and 40 years of age. A total of 119 patients (91.5%) had cysts only in the liver, with the remaining 8.5% having cysts in both the liver and lungs or in the abdominal cavity. Seventy-six (58.5%) of the hepatic cysts were stage CE1, indicating recent infection.
Conclusions: Active transmission of Echinococcus granulosus appears to be occurring in Bangladesh, as indicated by the high number of CE1 hepatic cysts seen at tertiary care hospitals. Community ultrasound screening studies are warranted to better define the distribution of cases and risk factors for parasite transmission.
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| format | Article |
| id | doaj-art-96c25cdbf1f24d3f8b22823c546bb1e1 |
| institution | Kabale University |
| issn | 1972-2680 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | The Journal of Infection in Developing Countries |
| record_format | Article |
| series | Journal of Infection in Developing Countries |
| spelling | doaj-art-96c25cdbf1f24d3f8b22823c546bb1e12025-08-20T03:52:42ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802015-01-0190110.3855/jidc.4934Abdominal cystic echinococcosis in Bangladesh: a hospital-based studyMohammad Fazal Karim0Enrico Brunetti1Salimur Rahman2Christine M. Budke3Abu Saleh Mohammad Areef Ahsan4Mamun Al-Mahtab5Khandaker Mahabub Jamal Zaki6Mohammad Jamshed Alam7Sheikh Mohammad Fazle Akbar8MA Jalil9Sir Salimullah Medical College and Mitford Hospital, Dhaka, BangladeshIRCCS San Matteo Hospital Foundation, University of Pavia, WHO Collaborating Centre for Clinical Management of Cystic Echinococcosis, Pavia, ItalyBangabandhu Sheikh Mujib Medical University, Dhaka, BangladeshCollege of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station,TX, United StatesBIRDEM General Hospital, Dhaka, BangladeshBangabandhu Sheikh Mujib Medical University, Dhaka, BangladeshSylhet MAG Osmani Medical College, Sylhet, BangladeshShere-E-Bangla Medical College Hospital, Barisal, BangladeshToshiba General Hospital, Tokyo, JapanUniversity of Dhaka, Dhaka, BangladeshIntroduction: Cystic echinococcosis (CE) is reported from nearly all geographic areas of Bangladesh, but little information is available on its epidemiologic and clinical features. The aim of this study was to describe the clinical manifestations of hepatic and abdominal CE cases presenting to tertiary referral hospitals in Dhaka, Bangladesh. Methodology: A retrospective study was conducted via chart reviews of hepatic and abdominal CE patients under care at tertiary referral hospitals in Dhaka, Bangladesh, between 2002 and 2011. Age, sex, education level, occupation, urban versus rural residence, drinking water source, history of dog ownership, cyst type and location, and clinical manifestations were recorded for all patients. Results: Of the 130 patients enrolled, 92 (70.8%) were female and 38 (29.2%) were male. The majority of patients were from rural (76.2%) rather than urban (23.8%) areas. All cases were from the northern part of the country, with no cases reported from the south or southeast. Most patients were between 21 and 40 years of age. A total of 119 patients (91.5%) had cysts only in the liver, with the remaining 8.5% having cysts in both the liver and lungs or in the abdominal cavity. Seventy-six (58.5%) of the hepatic cysts were stage CE1, indicating recent infection. Conclusions: Active transmission of Echinococcus granulosus appears to be occurring in Bangladesh, as indicated by the high number of CE1 hepatic cysts seen at tertiary care hospitals. Community ultrasound screening studies are warranted to better define the distribution of cases and risk factors for parasite transmission. https://jidc.org/index.php/journal/article/view/4934cystic echinococcosishydatid diseaseepidemiologyclinical presentationultrasound classificationBangladesh |
| spellingShingle | Mohammad Fazal Karim Enrico Brunetti Salimur Rahman Christine M. Budke Abu Saleh Mohammad Areef Ahsan Mamun Al-Mahtab Khandaker Mahabub Jamal Zaki Mohammad Jamshed Alam Sheikh Mohammad Fazle Akbar MA Jalil Abdominal cystic echinococcosis in Bangladesh: a hospital-based study Journal of Infection in Developing Countries cystic echinococcosis hydatid disease epidemiology clinical presentation ultrasound classification Bangladesh |
| title | Abdominal cystic echinococcosis in Bangladesh: a hospital-based study |
| title_full | Abdominal cystic echinococcosis in Bangladesh: a hospital-based study |
| title_fullStr | Abdominal cystic echinococcosis in Bangladesh: a hospital-based study |
| title_full_unstemmed | Abdominal cystic echinococcosis in Bangladesh: a hospital-based study |
| title_short | Abdominal cystic echinococcosis in Bangladesh: a hospital-based study |
| title_sort | abdominal cystic echinococcosis in bangladesh a hospital based study |
| topic | cystic echinococcosis hydatid disease epidemiology clinical presentation ultrasound classification Bangladesh |
| url | https://jidc.org/index.php/journal/article/view/4934 |
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