Case studies emphasising the difficulties in the diagnosis and management of alveolar echinococcosis in rural China
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McManus, Donald P; Li, Zhengzhi; Yang, Shukun; Gray, Darren J; Yang, Yu
Description
BACKGROUND Human alveolar echinococcosis (AE) is caused by the accidental ingestion of the eggs of the fox tapeworm Echinococcus multilocularis. AE occurs frequently in rural western China due to the poor levels of hygiene, the close contact of people with dogs, and the lack of appropriate facilities for the correct and rapid diagnosis of the disease. FINDINGS We describe a case of a patient with hepatic AE, and AE metastases of the brain. She was mistakenly diagnosed with suspected...[Show more]
dc.contributor.author | McManus, Donald P | |
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dc.contributor.author | Li, Zhengzhi | |
dc.contributor.author | Yang, Shukun | |
dc.contributor.author | Gray, Darren J | |
dc.contributor.author | Yang, Yu | |
dc.date.accessioned | 2015-12-18T04:38:25Z | |
dc.date.available | 2015-12-18T04:38:25Z | |
dc.identifier.issn | 1756-3305 | |
dc.identifier.uri | http://hdl.handle.net/1885/95118 | |
dc.description.abstract | BACKGROUND Human alveolar echinococcosis (AE) is caused by the accidental ingestion of the eggs of the fox tapeworm Echinococcus multilocularis. AE occurs frequently in rural western China due to the poor levels of hygiene, the close contact of people with dogs, and the lack of appropriate facilities for the correct and rapid diagnosis of the disease. FINDINGS We describe a case of a patient with hepatic AE, and AE metastases of the brain. She was mistakenly diagnosed with suspected undifferentiated metastatic cancer of the liver and brain, and with a pulmonary bacterial infection, but was subsequently correctly diagnosed during a follow-up field survey for echinococcosis. The diagnosis of brain AE was confirmed by pathological examination of tissue biopsies removed during neurosurgery. We also briefly describe other symptomatic and asymptomatic AE cases, identified by chance, likely due to the inadequate facilities available in rural communities in China for AE diagnosis and management, since the rapid and accurate diagnosis of metastatic AE requires a high level of expertise in the appropriate diagnostic procedures. CONCLUSIONS This report highlights the necessity for an upgrade in the diagnosis, treatment, prevention and control of AE in rural China. | |
dc.description.sponsorship | The study was financially supported by the research fellowships from the NHMRC of Australia and by the Natural Science Foundation of China (30960339). | |
dc.publisher | BioMed Central | |
dc.rights | © 2011 McManus et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. | |
dc.source | Parasites & Vectors | |
dc.source.uri | http://www.parasitesandvectors.com/content/4/1/196 | |
dc.subject | animals | |
dc.subject | china | |
dc.subject | echinococcosis, hepatic | |
dc.subject | echinococcus multilocularis | |
dc.subject | female | |
dc.subject | humans | |
dc.subject | middle aged | |
dc.subject | rural health | |
dc.title | Case studies emphasising the difficulties in the diagnosis and management of alveolar echinococcosis in rural China | |
dc.type | Journal article | |
local.description.notes | Imported from ARIES | |
local.identifier.citationvolume | 4 | |
dc.date.issued | 2011-10-09 | |
local.identifier.absfor | 111706 | |
local.identifier.ariespublication | U3488905xPUB727 | |
local.publisher.url | http://www.parasitesandvectors.com/ | |
local.type.status | Published Version | |
local.contributor.affiliation | McManus, Donald P, Queensland Institute of Medical Research, Australia | |
local.contributor.affiliation | Li, Zhengzhi, Ningxia Medical University, China | |
local.contributor.affiliation | Yang, Shukun, Yinchuan First PeopleÔÇÖs Hospital, China | |
local.contributor.affiliation | Gray, Darren, College of Medicine, Biology and Environment, CMBE Research School of Population Health, Natl Centre for Epidemiology & Population Health, The Australian National University | |
local.contributor.affiliation | Yang, Yu Rong, Queensland Institute of Medical Research, Australia | |
local.identifier.essn | 1756-3305 | |
local.bibliographicCitation.issue | 1 | |
local.bibliographicCitation.startpage | 196 | |
local.identifier.doi | 10.1186/1756-3305-4-196 | |
dc.date.updated | 2016-02-24T10:12:46Z | |
local.identifier.scopusID | 2-s2.0-80053609424 | |
dcterms.accessRights | Open Access | |
Collections | ANU Research Publications |
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