Rasib Q, Khan A, Ahmed H, Nizamuddin S, Asif F, Afzal M S, Simsek S, Khurshid F, Irum S, Hussain N, Riaz S, Khan S S, Budke C M
Department of Biosciences, COMSATS University Islamabad (CUI), Islamabad, Pakistan.
Consultant Microbiologist, Pathology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan.
Helminthologia. 2021 Jun 8;58(2):162-172. doi: 10.2478/helm-2021-0017. eCollection 2021 Jun.
Cystic echinococcosis (CE) is a zoonotic disease caused by the larval stage of tapeworms. These parasites have a worldwide geographic distribution and pose a serious threat to livestock industry as well as human health in the endemic areas. CE is widely distributed in Pakistan. However, very few reports are available related to the regional transmission of . A retrospective analysis was conducted of surgically confirmed CE patients who were treated at Shoukat Khanum Memorial Cancer Hospital and Research Centre in Lahore, Punjab Province, Pakistan from 2007 - 2018. In total, 536 CE patients were evaluated during the study period. Cases originated from the provinces of Khyber Pakhtunkhwa (n=336), Punjab (n=147), Baluchistan (n=18), Sindh (n=3), Islamabad (n=2), Gilgit Baltistan (n=1), and Azad Jammu and Kashmir (n=1). An additional 28 cases were from Afghanistan. The highest number of CE cases was reported in 2013 (n=90). Females made up a larger proportion of cases (n=310; 57.8 %) than males (n=226; 42.2 %). Most patients were members of the Pashtun (n=197; 36.7 %), Hindku (n=142; 26.5 %), and Punjabi (n=118; 22.0 %) ethnic groups. The largest number of cysts was obtained from the liver (137/536; 25.6 %). This study showed that CE is likely present throughout Pakistan. In order to control the disease, a comprehensive control program and regional surveillance are needed.
囊型包虫病（CE）是一种由绦虫幼虫阶段引起的人畜共患病。这些寄生虫在全球范围内分布，对流行地区的畜牧业以及人类健康构成严重威胁。CE在巴基斯坦广泛分布。然而，关于其区域传播的报道却非常少。对2007年至2018年期间在巴基斯坦旁遮普省拉合尔的沙卡特·汗姆纪念癌症医院及研究中心接受手术确诊的CE患者进行了回顾性分析。在研究期间，共评估了536例CE患者。病例来自开伯尔-普赫图赫瓦省（n = 336）、旁遮普省（n = 147）、俾路支省（n = 18）、信德省（n = 3）、伊斯兰堡（n = 2）、吉尔吉特-巴尔蒂斯坦（n = 1）和阿扎德克什米尔（n = 1）。另外28例来自阿富汗。2013年报告的CE病例数最多（n = 90）。女性病例（n = 310；57.8%）比男性病例（n = 226；42.2%）占比更大。大多数患者是普什图族（n = 197；36.7%）、欣德库族（n = 142；26.5%）和旁遮普族（n = 118；22.0%）的成员。囊肿数量最多的是肝脏（137/536；25.6%）。这项研究表明，CE可能在巴基斯坦各地都存在。为了控制该疾病，需要一个全面的控制计划和区域监测。
