Autonomous University of Barcelona, Passeig Vall d'Hebron 119, 08035, Barcelona, Spain.
Department of Infectious Diseases, Vall d'Hebron University Hospital, PROSICS Barcelona, Spain.
Trans R Soc Trop Med Hyg. 2021 Oct 1;115(10):1184-1189. doi: 10.1093/trstmh/trab022.
Cystic echinococcosis (CE) is a zoonosis caused by Echinococcus granulosus (sensu lato). It is a neglected tropical disease with a global distribution, affecting an estimated 2-3 million people globally. Official reporting systems in Spain lack information concerning imported cases and their country of origin.
This is a systematic review of the literature that was performed to obtain published cases of immigrant patients diagnosed with CE in Spain.
From the 21 included articles, a total of 84 cases of CE imported into Spain were documented from 1995 to 2018, with an average age of 33.2 years. The main countries of origin of the patients were Morocco with 30 cases (35.7%), Romania with 12 cases (14.3%) and Peru with 8 cases (9.5%). The most involved organ was the liver (28 cases [33.3%]). We found discrepancies between the published cases of imported CE in Spain and those reported by official authorities.
This review of the literature shows the lack of information and clarity in the mechanisms of CE notification in Spain. The disparity between these systems and the cases documented in the literature highlights a failure or shortcoming of the current reporting system.
包虫病（CE）是一种由细粒棘球绦虫（sensu lato）引起的人畜共患寄生虫病。它是一种被忽视的热带病，具有全球分布性，估计影响全球 200 至 300 万人。西班牙的官方报告系统缺乏有关输入病例及其原籍国的信息。
这是一项系统的文献综述，旨在获取在西班牙诊断为包虫病的移民患者的已发表病例。
从 21 篇纳入的文章中，共记录了 1995 年至 2018 年期间西班牙输入的 84 例包虫病病例，平均年龄为 33.2 岁。患者的主要原籍国是摩洛哥（30 例，35.7%）、罗马尼亚（12 例，14.3%）和秘鲁（8 例，9.5%）。最常受累的器官是肝脏（28 例，33.3%）。我们发现西班牙输入性包虫病的已发表病例与官方当局报告的病例之间存在差异。
本文献综述表明，西班牙在包虫病通报机制方面存在信息缺失和不明确的问题。这些系统与文献中记录的病例之间的差异突出了当前报告系统的失败或不足之处。
