Marcinkutė Audronė, Šarkūnas Mindaugas, Moks Epp, Saarma Urmas, Jokelainen Pikka, Bagrade Guna, Laivacuma Sniedze, Strupas Kęstutis, Sokolovas Vitalijus, Deplazes Peter
Clinic of Infectious, Chest Diseases, Dermatovenereology and Allergology, Vilnius University and University Hospital Santariškių Clinics, Lithuania.
Department of Infectious Diseases, Veterinary Academy, Lithuanian University of Health Sciences, Tilžės Street 18, 47181 Kaunas, Lithuania.
Vet Parasitol. 2015 Oct 30;213(3-4):121-31. doi: 10.1016/j.vetpar.2015.07.032. Epub 2015 Jul 31.
In the Baltic countries, the two zoonotic diseases, alveolar echinococcosis (AE) caused by Echinococcus multilocularis, and cystic echinococcosis (CE) caused by Echinococcus granulosus, are of increasing public health concern. Observations from Estonia, Latvia and Lithuania indicate that the distribution of both parasites is wider in the Baltics than previously expected. In this paper, we review and discuss the available data, regarding both parasitoses in animals and humans, from the Baltic countries and selected adjacent regions. The data are not easily comparable but reveal a worrisome situation as the number of human AE and CE cases is increasing. Despite improvements in diagnostics and treatment, AE has a high morbidity and mortality in the Baltic region. For the control of both zoonoses, monitoring transmission patterns and timely diagnosis in humans as well as the development of local control programs present major challenges.
在波罗的海国家，由多房棘球绦虫引起的两种人畜共患疾病，即泡型棘球蚴病（AE）和由细粒棘球绦虫引起的囊型棘球蚴病（CE），日益引起公众对健康问题的关注。来自爱沙尼亚、拉脱维亚和立陶宛的观察表明，这两种寄生虫在波罗的海地区的分布比之前预期的更为广泛。在本文中，我们回顾并讨论了来自波罗的海国家及部分相邻地区的有关动物和人类寄生虫病的现有数据。这些数据不易进行比较，但随着人类AE和CE病例数量的增加，揭示出了令人担忧的情况。尽管在诊断和治疗方面有所改善，但AE在波罗的海地区仍具有较高的发病率和死亡率。对于这两种人畜共患病的控制，监测传播模式、对人类进行及时诊断以及制定当地的控制计划都面临着重大挑战。
