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Echinococcal disease in Alberta, Canada: more than a calcified opacity

BACKGROUND: Most cases of echinococcal disease (ED) acquired in Canada are thought to be due to the sylvatic form of Echinococcus granulosus, which may be more benign than ED due to either Echinococcus multilocularis or the pastoral form of E. granulosus. There are limited descriptions of the clinic...

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Autores principales: Somily, Ali, Robinson, Joan L, Miedzinski, Lilly J, Bhargava, Ravi, Marrie, Thomas J
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2005
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1156894/
https://www.ncbi.nlm.nih.gov/pubmed/15904502
http://dx.doi.org/10.1186/1471-2334-5-34
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author Somily, Ali
Robinson, Joan L
Miedzinski, Lilly J
Bhargava, Ravi
Marrie, Thomas J
author_facet Somily, Ali
Robinson, Joan L
Miedzinski, Lilly J
Bhargava, Ravi
Marrie, Thomas J
author_sort Somily, Ali
collection PubMed
description BACKGROUND: Most cases of echinococcal disease (ED) acquired in Canada are thought to be due to the sylvatic form of Echinococcus granulosus, which may be more benign than ED due to either Echinococcus multilocularis or the pastoral form of E. granulosus. There are limited descriptions of the clinical course and outcome of Canadian patients with ED in the modern era. METHODS: A retrospective chart review was performed of patients hospitalized with echinococcal disease (ED) from 1991 to 2001 in Edmonton, Alberta. RESULTS: Forty-two cases of ED were identified of which 19 were definite, 3 probable, and 20 possible. Further analysis was limited to the 22 definite and probable cases, of which 77% were female and 41% aboriginal, with an age range of 5 to 87 years. Nine patients (40%) had pulmonary involvement and 11 (50%) hepatic involvement. One patient had an intracardiac mass presenting as a cerebrovascular event and one had a splenic cyst. Seven of the 22 patients had combined surgical resection and medical treatment, six had surgical resection of the cyst alone, four had cyst aspiration, one had medical treatment alone and four had no specific treatment. There was no mortality attributable to ED but three patients died of unrelated illnesses. CONCLUSION: Echinococcal disease in northern Alberta has a marked diversity of clinical presentations, and generally has a good prognosis despite a wide variety of therapeutic interventions.
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spelling pubmed-11568942005-06-22 Echinococcal disease in Alberta, Canada: more than a calcified opacity Somily, Ali Robinson, Joan L Miedzinski, Lilly J Bhargava, Ravi Marrie, Thomas J BMC Infect Dis Research Article BACKGROUND: Most cases of echinococcal disease (ED) acquired in Canada are thought to be due to the sylvatic form of Echinococcus granulosus, which may be more benign than ED due to either Echinococcus multilocularis or the pastoral form of E. granulosus. There are limited descriptions of the clinical course and outcome of Canadian patients with ED in the modern era. METHODS: A retrospective chart review was performed of patients hospitalized with echinococcal disease (ED) from 1991 to 2001 in Edmonton, Alberta. RESULTS: Forty-two cases of ED were identified of which 19 were definite, 3 probable, and 20 possible. Further analysis was limited to the 22 definite and probable cases, of which 77% were female and 41% aboriginal, with an age range of 5 to 87 years. Nine patients (40%) had pulmonary involvement and 11 (50%) hepatic involvement. One patient had an intracardiac mass presenting as a cerebrovascular event and one had a splenic cyst. Seven of the 22 patients had combined surgical resection and medical treatment, six had surgical resection of the cyst alone, four had cyst aspiration, one had medical treatment alone and four had no specific treatment. There was no mortality attributable to ED but three patients died of unrelated illnesses. CONCLUSION: Echinococcal disease in northern Alberta has a marked diversity of clinical presentations, and generally has a good prognosis despite a wide variety of therapeutic interventions. BioMed Central 2005-05-17 /pmc/articles/PMC1156894/ /pubmed/15904502 http://dx.doi.org/10.1186/1471-2334-5-34 Text en Copyright © 2005 Somily et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 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.
spellingShingle Research Article
Somily, Ali
Robinson, Joan L
Miedzinski, Lilly J
Bhargava, Ravi
Marrie, Thomas J
Echinococcal disease in Alberta, Canada: more than a calcified opacity
title Echinococcal disease in Alberta, Canada: more than a calcified opacity
title_full Echinococcal disease in Alberta, Canada: more than a calcified opacity
title_fullStr Echinococcal disease in Alberta, Canada: more than a calcified opacity
title_full_unstemmed Echinococcal disease in Alberta, Canada: more than a calcified opacity
title_short Echinococcal disease in Alberta, Canada: more than a calcified opacity
title_sort echinococcal disease in alberta, canada: more than a calcified opacity
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1156894/
https://www.ncbi.nlm.nih.gov/pubmed/15904502
http://dx.doi.org/10.1186/1471-2334-5-34
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