Department of Medical Parasitology, Institute of Specific Prophylaxis and Tropical Medicine, Medical University Vienna, Vienna, Austria.
Am J Trop Med Hyg. 2010 May;82(5):871-4. doi: 10.4269/ajtmh.2010.09-0639.
Anamnesis data of 104 patients with Cystic Echinococcosis were correlated retrospectively with the detected species/strain of Echinococcus. Ninety-two percent (N = 23) of autochthonous Austrian and 33% (N = 9) of patients with former Yugoslavian (YU) origin were infected with E. canadensis G7, the pig strain. All patients originating from Turkey harbored E. granulosus G1, the sheep strain. All E. canadensis G7-infected patients showed small liver cysts (ø 5.9 cm), only one of them an additional lung cyst. The median age at the time of operation of the Austrian patients was 55 years, of the Turkish patients 30 years, and of the former YU patients 23 years in the E. canadensis and 42 years in the E. granulosus-infected patients, respectively. The unexpected high number of E. canadensis G7-infected patients and the immigrants' young age show the importance of E. canadensis as a cause of human Cystic Echinococcosis in Central Europe and accordingly this new species has to be included into future echinococcosis control programs.
回顾性分析了 104 例包虫病患者的病史资料,将其与检测到的棘球蚴物种/株进行了相关性分析。92%(N=23)的奥地利本地人和 33%(N=9)的前南斯拉夫(YU)原籍患者感染了猪源棘球蚴 G7。所有来自土耳其的患者均携带羊源棘球蚴 G1。所有感染棘球蚴 G7 的患者均表现为小肝囊肿(ø 5.9cm),其中仅 1 例患者伴有肺囊肿。奥地利患者的手术中位年龄为 55 岁,土耳其患者为 30 岁,感染棘球蚴 G7 的前 YU 患者为 23 岁,感染棘球蚴 G1 的患者为 42 岁。出乎意料的是,感染棘球蚴 G7 的患者数量众多,且移民年龄较小,这表明棘球蚴 G7 是中欧地区人类包虫病的重要病因,因此,这种新物种必须纳入未来的包虫病控制计划。