European echinococcosis registry: human alveolar echinococcosis, Europe, 1982-2000.

European echinococcosis registry: human alveolar echinococcosis, Europe, 1982-2000.
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DOI:
10.3201/eid0903.020341
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发表时间:
2003-03
影响因子:
11.8
通讯作者:
European Echinococcosis Registry
European Echinococcosis Registry
中科院分区:
医学2区
文献类型:
--
作者:
Kern P;Bardonnet K;Renner E;Auer H;Pawlowski Z;Ammann RW;Vuitton DA;Kern P;European Echinococcosis Registry

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1998年,中欧启动了对泡型棘球蚴病的监测。在自愿的基础上,有559名患者被报告到登记处。大多数病例来自法国东部至奥地利西部的农村地区;在整个中欧,远离该疾病“流行”区的地方也有个别病例报告。在210名患者中,61.4%从事职业性或兼职的农业、园艺、林业或狩猎活动。患者确诊时的平均年龄为52.5岁;78%有症状。泡型棘球蚴病主要表现为肝脏疾病。在559名患者中,190人(34%)已经受到寄生虫幼虫组织扩散的影响。在2000年存活的408名(73%)患者中,4.9%被治愈。多房棘球绦虫在中欧农村和城市地区的狐狸中患病率不断增加,以及在泡型棘球蚴病流行区以外出现病例,表明这种疾病值得更多关注。
Surveillance for alveolar echinococcosis in central Europe was initiated in 1998. On a voluntary basis, 559 patients were reported to the registry. Most cases originated from rural communities in regions from eastern France to western Austria; single cases were reported far away from the disease-“endemic” zone throughout central Europe. Of 210 patients, 61.4% were involved in vocational or part-time farming, gardening, forestry, or hunting. Patients were diagnosed at a mean age of 52.5 years; 78% had symptoms. Alveolar echinococcosis primarily manifested as a liver disease. Of the 559 patients, 190 (34%) were already affected by spread of the parasitic larval tissue. Of 408 (73%) patients alive in 2000, 4.9% were cured. The increasing prevalence of Echinococcus multilocularis in foxes in rural and urban areas of central Europe and the occurrence of cases outside the alveolar echinococcosis–endemic regions suggest that this disease deserves increased attention.
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