European echinococcosis registry: human alveolar echinococcosis, Europe, 1982-2000.

Abstract:

:Surveillance for alveolar echinococcosis in central Europe was initiated in 1998. On a voluntary basis, 559 patients were reported to the registry. Most cases originated from rural communities in regions from eastern France to western Austria; single cases were reported far away from the disease-"endemic" zone throughout central Europe. Of 210 patients, 61.4% were involved in vocational or part-time farming, gardening, forestry, or hunting. Patients were diagnosed at a mean age of 52.5 years; 78% had symptoms. Alveolar echinococcosis primarily manifested as a liver disease. Of the 559 patients, 190 (34%) were already affected by spread of the parasitic larval tissue. Of 408 (73%) patients alive in 2000, 4.9% were cured. The increasing prevalence of Echinococcus multilocularis in foxes in rural and urban areas of central Europe and the occurrence of cases outside the alveolar echinococcosis-endemic regions suggest that this disease deserves increased attention.

journal_name

Emerg Infect Dis

authors

Kern P,Bardonnet K,Renner E,Auer H,Pawlowski Z,Ammann RW,Vuitton DA,Kern P,European Echinococcosis Registry.

doi

10.3201/eid0903.020341

subject

Has Abstract

pub_date

2003-03-01 00:00:00

pages

343-9

issue

3

eissn

1080-6040

issn

1080-6059

journal_volume

9

pub_type

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