Reference : Alveolar echinococcosis is now endemic in southern Belgium
Scientific congresses and symposiums : Paper published in a journal
Human health sciences : Immunology & infectious disease
Human health sciences : Gastroenterology & hepatology
Human health sciences : Surgery
http://hdl.handle.net/2268/227746
Alveolar echinococcosis is now endemic in southern Belgium
English
Cambier, A []
Leonard, Philippe mailto [Université de Liège - ULiège > > ARI : Installations techniques : HVAC Sanitaire/Fluides >]
Losson, Bertrand mailto [Université de Liège - ULiège > Département des maladies infectieuses et parasitaires (DMI) > Parasitologie et pathologie des maladies parasitaires >]
HAYETTE, Marie-Pierre mailto [Centre Hospitalier Universitaire de Liège - CHU > Unilab > Laboratoire parasitologie >]
GIOT, Jean-Baptiste mailto [Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Service des maladies infectieuses - médecine interne >]
BLETARD, Noëlla mailto [Centre Hospitalier Universitaire de Liège - CHU > Unilab > Service d'anatomie et cytologie pathologiques >]
MEUNIER, Paul mailto [Centre Hospitalier Universitaire de Liège - CHU > Département de Physique Médicale > Service médical de radiodiagnostic >]
HUSTINX, Roland mailto [Centre Hospitalier Universitaire de Liège - CHU > Département de Physique Médicale > Service médical de médecine nucléaire et imagerie onco >]
MEURISSE, Nicolas mailto [Centre Hospitalier Universitaire de Liège - CHU > Département de chirurgie > Chirurgie abdo, sénologique, endocrine et de transplantation >]
DELWAIDE, Jean mailto [Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Service de gastroentérologie, hépatologie, onco. digestive >]
Honoré, Pierre mailto [Université de Liège - ULiège > Département des sciences cliniques > Chirurgicale abdominale >]
DETRY, Olivier mailto [Centre Hospitalier Universitaire de Liège - CHU > Département de chirurgie > Chirurgie abdo, sénologique, endocrine et de transplantation >]
Jan-2018
Acta Gastro-Enterologica Belgica
Acta Medica Belgica
81
1
A31
Yes (verified by ORBi)
No
National
0001-5644
Bruxelles
Belgium
XXXth edition of the Belgian Week of Gastroenterology
du 21 au 23 février 2018
Société Royale Belge de Gastroenterologie
Antwerp
Belgium
[en] echinococcosis ; zoonosis ; liver surgery ; echino liege
[en] Introduction: Until now, Belgium has been considered as a low-risk country for alveolar echinococcosis (AE). However it was recently demonstrated by necropsy series that up to 51% of the red foxes (Vulpes vulpes) may be infected by E. multilocaris in some parts of Southern Belgium. The first local Belgian human AE cases were described in the early 2000's. Aim: The aim of this study was to report the experience of a tertiary university hospital of Southern Belgium with AE management.
Methods: The authors retrospectively collected data from the parasitology laboratory (serologies), the hospital pharmacy in charge of supplying albendazole, and by searching through patient’s files with medico-economic information service of a tertiary university hospital. The medical files were retrospectively reviewed.
Results: Twenty-one cases (66% male) of local AE have been recorded from 1999 to 2016. All patients were Belgian citizens with more than 30 years of life in Southern Belgium (Liege province: 10 cases (47.4%), Luxembourg province: 8 cases (36.8%), Namur Province: 3 cases (15.8 %)). Mean age of diagnosis was 66 years (ranges: (35-85y). Eighteen patients had hepatic involvement: 14 underwent surgical resection and 5 had unresectable liver lesions and underwent albendazole palliative therapy until death. During the same period, the faculty of veterinary medicine observed an increased rate of lethal hepatic AE in dogs, another indication of high AE incidence.
Conclusions: AE appears to be spreading in Belgium and has actually an uneven geographical distribution with endemicity in areas of Southern and Eastern Belgium. However, it is probable that local AE cases will be diagnosed in the whole country, considering that there is no reason that infected foxes remain in Southern Belgium and also the fact that some people from Northern Belgium might spend long period in Southern Belgium, with or without their dogs. The liver is the most frequently involved organ and the only cure can be achieved by complete R0 resection of all AE lesions. In reaction to this experience, the authors created a multidisciplinary group for AE diagnosis and management, including hepatologists, infectiologists, microbiologists, pathologists, radiologists, nuclear medicine specialists, surgeons and veterinarians. The authorities should be aware of this medical issue and should facilitate the access to Albendazole for AE patients. A complete national survey should be encouraged, and BASL might have an important role in this study.
http://hdl.handle.net/2268/227746

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