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Human Alveolar Echinococcosis in Poland: 1990-2011
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نویسنده
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nahorski w.l. ,knap j.p. ,pawłowski z.s. ,krawczyk m. ,polański j. ,stefaniak j. ,patkowski w. ,szostakowska b. ,pietkiewicz h. ,grzeszczuk a. ,felczak-korzybska i. ,gołab e. ,wnukowska n. ,paul m. ,kacprzak e. ,sokolewicz-bobrowska e. ,niścigorska-olsen j. ,czyrznikowska a. ,chomicz l. ,cielecka d. ,myjak p.
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منبع
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plos neglected tropical diseases - 2013 - دوره : 7 - شماره : 1
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چکیده
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Background: alveolar echinococcosis (ae) caused by echinococcus multilocularis infections is a dangerous old disease in the northern hemisphere. the aim of the paper was to collect and analyze data on human ae in poland in the last two decades. methodology/principal findings: the sources of data were both the cases officially registered and detected by an active field and laboratory surveillance. the cases were verified by clinical,epidemiological,and laboratory criteria. altogether 121 human cases of ae were detected. among these 83 (68,6%) cases were classified as confirmed,16 as probable and 22 as possible. during the two decades a continuous increase in detection rate was noticed. the cases were 6-82 years old at the time of diagnosis (mean - 47.7 years). sex ratio m/f was 0.86/1.0. the ae was fatal in 23 (19%) patients (mean age at death - 54.1 years). family agglomeration of ae was found in 4 foci,involving 9 patients. seventy six of the cases were diagnosed in an advanced stage of disease. in all cases the liver was the primary location of ae. in 30 (24.8%) patients a spread to other organs was observed. ninety four of the patients were treated with albendazole. in 73 (60%) patients a surgical operation was performed,including 15 liver transplantations. conclusions/significance: the studies confirmed that ae is an emerging disease in poland,which is the fourth country in europe with over 120 cases detected. the results also indicate the need of a wider national programme for implementation of screening in the highest ae risk areas (north-eastern poland) with an effort to increase the public awareness of the possibility of contracting e. multilocularis,and above all,training of the primary care physicians in the recognition of the risk of ae to allow for an early detection of this dangerous disease. © 2013 nahorski et al.
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آدرس
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department of tropical and parasitic diseases,chair of tropical medicine and parasitology,institute of maritime and tropical medicine,medical university of gdańsk,gdynia, Poland, department of epidemiology,medical university of warsaw,warszawa, Poland, department and clinic of tropical and parasitic diseases,medical university of poznań,poznań, Poland, chair and department of general,transplant and liver surgery,medical university of warsaw,warszawa, Poland, ii chair and department of general and vascular and oncological surgery,medical university of warsaw,warszawa, Poland, department and clinic of tropical and parasitic diseases,medical university of poznań,poznań, Poland, chair and department of general,transplant and liver surgery,medical university of warsaw,warszawa, Poland, department of tropical parasitology,chair of tropical medicine and parasitology,institute of maritime and tropical medicine,medical university of gdańsk,gdynia, Poland, department of tropical parasitology,chair of tropical medicine and parasitology,institute of maritime and tropical medicine,medical university of gdańsk,gdynia, Poland, department of infectious diseases and hepatology,medical university of białystok,białystok, Poland, university centre of maritime and tropical medicine in gdynia,gdynia, Poland, department of parasitology,national institute of hygiene,warsaw,warszawa, Poland, department of parasitology,national institute of hygiene,warsaw,warszawa, Poland, department and clinic of tropical and parasitic diseases,medical university of poznań,poznań, Poland, department and clinic of tropical and parasitic diseases,medical university of poznań,poznań, Poland, department of infectious diseases and hepatology,medical university of białystok,białystok, Poland, department of infectious diseases,voivodeship hospital in szczecin,szczecin, Poland, chief sanitary inspectorate,warsaw,warszawa, Poland, department of medical biology,medical university of warsaw,warszawa, Poland, department of general biology and parasitology,medical university of warsaw,warszawa, Poland, department of tropical parasitology,chair of tropical medicine and parasitology,institute of maritime and tropical medicine,medical university of gdańsk,gdynia, Poland
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Authors
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