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Human cystic echinococcosis in Heilongjiang Province, China: a retrospective study.

Zhang T, Zhao W, Yang D, Piao D, Huang S, Mi Y, Zhao X, Cao J, Shen Y, Zhang W, Liu A - BMC Gastroenterol (2015)

Bottom Line: The results revealed that the incidence of CE reached a peak in the age group of 41-50 years.CE cysts were most commonly found in the livers, with a 30 cm cyst in diameter being detected.CT appeared to be the most effective diagnosis method for hepatic CE.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, 150001, China. ztmgn@163.com.

ABSTRACT

Background: Cystic echinococcosis (CE) is one of emerging zoonotic parasitic diseases throughout the world, having significant medical and economic importance in developing countries. The western and northwestern China is considered as CE endemic areas. In northeastern China's Heilongjiang Province, the increasing number of sporadic human CE cases has attracted more and more attention. The aims of the present study were to understand the clinical characteristics of human CE in the investigated area and to compare the coincidence rates of CT, ultrasound and serological test against the histopathology results among CE patients.

Methods: Hospital data of 183 human CE cases in the period from January 2004 to July 2013 were collected from the two largest hospitals in Heilongjiang Province. Clinical data were analyzed, including age, gender, occupation and living residence of CE patients and localization, size and number of CE cysts as well as the diagnosis methods of CE before operation.

Results: The results revealed that the incidence of CE reached a peak in the age group of 41-50 years. Among the 183 CE patients, the females were observed to have a higher percentage of CE patients (60.66%, 111/183) than males (39.34%, 72/183). The majority of CE patients were farmers, followed by workers, employees, public servants, students and so on. CE cysts were most commonly found in the livers, with a 30 cm cyst in diameter being detected. CT showed the highest coincidence rate (96.64%) for hepatic CE among the three common diagnosis methods (CT, ultrasound imagine and serological test) compared against the histopathology results.

Conclusions: This is the first retrospective analysis of human CE cases in Heilongjiang Province in recent ten years. Clinical characteristics of human CE were described here. CT appeared to be the most effective diagnosis method for hepatic CE.

No MeSH data available.


Related in: MedlinePlus

Number of CE cases in recent 10 years in Heilongjiang Province by year. ▲In 2013, CE cases were collected only in the first seven months.
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Fig1: Number of CE cases in recent 10 years in Heilongjiang Province by year. ▲In 2013, CE cases were collected only in the first seven months.

Mentions: The number of human CE cases generally showed an increasing tendency in recent years, with the smallest and largest case numbers in 2004 (n = 12) and 2012 (n = 24), respectively. 16 human CE cases were obtained from January to July in 2013 (Figure 1).Figure 1


Human cystic echinococcosis in Heilongjiang Province, China: a retrospective study.

Zhang T, Zhao W, Yang D, Piao D, Huang S, Mi Y, Zhao X, Cao J, Shen Y, Zhang W, Liu A - BMC Gastroenterol (2015)

Number of CE cases in recent 10 years in Heilongjiang Province by year. ▲In 2013, CE cases were collected only in the first seven months.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4358864&req=5

Fig1: Number of CE cases in recent 10 years in Heilongjiang Province by year. ▲In 2013, CE cases were collected only in the first seven months.
Mentions: The number of human CE cases generally showed an increasing tendency in recent years, with the smallest and largest case numbers in 2004 (n = 12) and 2012 (n = 24), respectively. 16 human CE cases were obtained from January to July in 2013 (Figure 1).Figure 1

Bottom Line: The results revealed that the incidence of CE reached a peak in the age group of 41-50 years.CE cysts were most commonly found in the livers, with a 30 cm cyst in diameter being detected.CT appeared to be the most effective diagnosis method for hepatic CE.

View Article: PubMed Central - PubMed

Affiliation: Department of General Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, 150001, China. ztmgn@163.com.

ABSTRACT

Background: Cystic echinococcosis (CE) is one of emerging zoonotic parasitic diseases throughout the world, having significant medical and economic importance in developing countries. The western and northwestern China is considered as CE endemic areas. In northeastern China's Heilongjiang Province, the increasing number of sporadic human CE cases has attracted more and more attention. The aims of the present study were to understand the clinical characteristics of human CE in the investigated area and to compare the coincidence rates of CT, ultrasound and serological test against the histopathology results among CE patients.

Methods: Hospital data of 183 human CE cases in the period from January 2004 to July 2013 were collected from the two largest hospitals in Heilongjiang Province. Clinical data were analyzed, including age, gender, occupation and living residence of CE patients and localization, size and number of CE cysts as well as the diagnosis methods of CE before operation.

Results: The results revealed that the incidence of CE reached a peak in the age group of 41-50 years. Among the 183 CE patients, the females were observed to have a higher percentage of CE patients (60.66%, 111/183) than males (39.34%, 72/183). The majority of CE patients were farmers, followed by workers, employees, public servants, students and so on. CE cysts were most commonly found in the livers, with a 30 cm cyst in diameter being detected. CT showed the highest coincidence rate (96.64%) for hepatic CE among the three common diagnosis methods (CT, ultrasound imagine and serological test) compared against the histopathology results.

Conclusions: This is the first retrospective analysis of human CE cases in Heilongjiang Province in recent ten years. Clinical characteristics of human CE were described here. CT appeared to be the most effective diagnosis method for hepatic CE.

No MeSH data available.


Related in: MedlinePlus