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Acta Parasitologica

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IMPACT FACTOR 2016: 1.160
5-year IMPACT FACTOR: 1.185

CiteScore 2016: 1.24

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1896-1851
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Volume 61, Issue 1 (Jan 2016)

Issues

Cystic echinococcosis in Southern Israel

Shalom Ben-Shimol
  • Corresponding author
  • Pediatric Infectious Disease Unit, Soroka University Medical Center, Beer Sheva, Israel
  • Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel; 3Parasitology Laboratory, Soroka University Medical Center, Beer Sheva, Israel
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Orli Sagi
  • Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel
  • Parasitology Laboratory, Soroka University Medical Center, Beer Sheva, Israel
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Ohad Houri / Elina Bazarsky
  • Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel
  • Parasitology Laboratory, Soroka University Medical Center, Beer Sheva, Israel
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Anat Berkowitz
  • Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel
  • Parasitology Laboratory, Soroka University Medical Center, Beer Sheva, Israel
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Shlomi Bulkowstein
  • Pediatric Infectious Disease Unit, Soroka University Medical Center, Beer Sheva, Israel
  • Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Chiya Barrett
  • Pediatric Infectious Disease Unit, Soroka University Medical Center, Beer Sheva, Israel
  • Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ David Greenberg
  • Pediatric Infectious Disease Unit, Soroka University Medical Center, Beer Sheva, Israel
  • Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2015-12-30 | DOI: https://doi.org/10.1515/ap-2016-0024

Abstract

The aim of this retrospective, population-based study was to characterize demographically and clinically cystic-echinococcosis (CE) in southern Israel, between 2005 and 2012. Newly-diagnosed (nd-CE) and past-diagnosed (pd-CE, diagnosed before the study) cases were defined. Two populations live in southern-Israel, receiving medical treatment at a single hospital: the Jewish and the Bedouin populations (resembling resource-rich and resource-poor populations, respectively). 126 CE cases were identified; 55 nd-CE and 71 pd-CE. Mean annual nd-CE incidence per 100,000 in the Bedouin and Jewish populations were 2.7 ± 1.2 and 0.4 ± 0.3, respectively (P<0.001). None of the Bedouin and 86.5% of the Jewish patients were born outside Israel. Liver and lung involvement were recorded in 85.7% and 15.1% of overall-CE, respectively. Abdominal pain, cough, fever, eosinophilia and asymptomatic disease were documented in 63.6%, 32.7%, 27.3%, 41.5% and 12.7% of nd-CE, respectively. Serology sensitivity for first test and any positive test were 67.3% and 83.3%, respectively. Computed tomography, ultrasonography and X-ray diagnosis were documented in 79.2%, 58.4% and 17.0% of overall-CE, respectively, with ultrasonography mainly used in liver-CE and X-ray in lung-CE. Treatment included surgery and albendazole in 50.0% and 55.3% of CE, respectively. We conclude that CE is endemic in southern-Israel among the Bedouin population, while disease is probably mainly imported in the Jewish population. Liver involvement and eosinophilia rates were high compared with those of other endemic regions, possibly due to differences in the timing of diagnosis. These findings may help developing treatment and prevention strategies.

Keywords : Echinococcus granulosu; hydatid cystic disease; cystic echinococcosis; epidemiology

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About the article

Received: 2015-05-06

Revised: 2015-08-14

Accepted: 2015-10-14

Published Online: 2015-12-30

Published in Print: 2016-01-01


Citation Information: Acta Parasitologica, ISSN (Online) 1896-1851, ISSN (Print) 1230-2821, DOI: https://doi.org/10.1515/ap-2016-0024.

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