Alveolar echinococcosis in Turkey: in the light of the literature

• Published in: Türkiye parazitolojii dergisi Vol. 36; no. 2; pp. 116 - 120
• Main Authors: Miman, Ozlem, Yazar, Süleyman
• Format: Journal Article
• Language: Turkish; English
• Published: Turkey 2012
• Subjects: Adult; Aged; Animals; Disease Reservoirs - parasitology; Disease Reservoirs - veterinary; Echinococcosis, Hepatic - diagnosis; Echinococcosis, Hepatic - epidemiology; Echinococcosis, Hepatic - therapy; Echinococcus multilocularis; Europe; Female; Foxes - parasitology; Humans; Liver Transplantation; Male; Middle Aged; Turkey - epidemiology; Young Adult; Europe; Turkey
• ISSN: 1300-6320; 2146-3077
• DOI: 10.5152/tpd.2012.28

Alveolar echinococcosis is a parasitic infectious disease caused by the larval stage of Echinococcus multilocularis, which is one of the two most important species of Echinococcus. Foxes are significant reservoir hosts in Europe. AE is an endemic disease in Turkey and is particularly common in people living in the eastern Anatolia region. The disease is a very aggressive and potentially fatal infection which always affects the liver primarily, develops as a tumor-like lesion and metastasizes to any part of the body. Diagnosis of AE is often difficult and almost always only possible in the later stages of the disease. Surgical resection and liver transplantation, as life-saving treatments, are accepted treatment options for early and advanced disease. The records of 162 cases of AE in Turkey, 24 case reports in the form of a separate report, were published during the 2000-2010 period. Most of these cases came from eastern and southeastern Anatolia (86.24% of cases). Their ages ranged from 23 to 71 years (mean age: 45.72±8.99). 62.20% of the cases were females. AE was located mainly in the liver (95.03%). Thus, radiological and serological screening studies for the public in this region may increase the possibility of surgical treatment for AE.