Myocardial Echinococcosis: Rare Manifestation of a Common Parasitic Disease in Northern Tanzania

Jusabani, Ahmed; Kalambo, Clement F; Jusabani, Mubashir; Surani, Salim

doi:10.7759/cureus.8681

Cited by 3 publications

(2 citation statements)

References 17 publications

(16 reference statements)

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“…Cardiac involvement occurs mainly by invasion of myocardium from the coronary arteries or pulmonary veins as a result of rupture of pulmonary echinococcal cysts [ 16 ]. Various locations of the heart can be infected with CE; however, LV is the most common site [ 17 – 22 ] and it can be presented in the pericardium as well as the myocardium layer, too [ 23 , 24 ]. The main reason for higher rate of LV involvement can be the dominance of the left coronary artery [ 13 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

Cardiac hydatid disease; a systematic review

Banisefid,

Baghernezhad,

Beheshti

et al. 2023

BMC Infect Dis

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Background and objectives Human cystic echinococcosis (CE), is a common health problem in low- and middle-income countries. Cardiac involvement is a relatively rare manifestation of Echinococcus infection. This study aims to summarize the evidence regarding the features of cardiac CE. Methods Case series of the patients with cardiac CE, were included in this study. Non-English papers, case reports, reviews, letters, , commentaries, and conference abstracts were not included. A systematic search was conducted in PubMed and EMBASE databases and the risk of bias in the included studies was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist. Results Out of 3985 results of the searches, finally 37 studies were included in this systematic review. Based on available evidence, cardiac involvement is an uncommon but serious presentation of CE which presents with some non-specific signs and symptoms. Dyspnea, chest pain, and palpitation are the most common symptoms of the disease and normal sinus rhythm is the most common Electrocardiogram (ECG) feature. The disease is not associated with high mortality in case of timely diagnosis and appropriate management. Discussion Consecutive and complete inclusion of participants, statistical analysis, and appropriate reporting of the demographics were the sources of bias in the included studies. The exclusion of non-English papers was a limitation during the review process. Funding The research protocol was approved and supported by the Student Research Committee, Tabriz University of Medical Sciences (grant number: 69380). Registration This study was registered in the International prospective register of systematic reviews (PROSPERO ID: CRD42022381204).

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Section: Discussionmentioning

confidence: 99%

Cardiac hydatid disease; a systematic review

Banisefid,

Baghernezhad,

Beheshti

et al. 2023

BMC Infect Dis

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“…It was reported that CE is endemic in Tanzania [ 8 ] and prevalent in the intermediate hosts [ 9 ] and human [ 10 , 11 ]. A retrospective survey in Ngorongoro district (one of the Maasai areas) in the northern Tanzania reported CE prevalence in humans, 10 cases per 100,000 people per year [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Genotypes of Echinococcus Species from Cattle in Tanzania

et al. 2021

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Cystic echinococcosis is a zoonotic parasitic disease caused by Echinococcus species. Tanzania is one of the endemic countries with cystic echinococcosis. This study focussed on identifying genotypes of Echinococcus spp. in Tanzania. We collected 7 cysts from cattle in Mwanza municipal (n=4) and Loliondo district (n=3). The cysts from Mwanza were all E. ortleppi and fertile. In contrast, the cysts from Loliondo were all E. granulosus sensu stricto and sterile. Two from the 4 cysts were a new haplotype of E. ortleppi (G5). These results can improve the preventive and control programs for humans and livestock in Tanzania. To our knowledge, this study is considered the first to identify the genotype and haplotype of Echinococcus spp. in Tanzania.

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Surgical Treatment of Echinococcosis of the Liver and Its Complications

et al. 2022

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The aim: To analyze the frequency of complications of echinococcal cysts of the liver, the causes of recurrence and the results of surgical treatment of patients with echinococcal liver disease. Materials and methods: The results of surgical treatment of 79 patients who were hospitalized from January 2011 to JANUARY 2022 with liver echinococcosis and its complications were analyzed. Among them there were 11 men (13,9%) and 68 women (86,1%), with average age 47,5 ± 2,3 years. Complications of echinococcal cysts developed in 17 (21,5%) patients. Results: The choice of surgical intervention method was determined individually, taking into account the location of echinococcal cysts, their size, depth, proximity of important anatomical structures. 53 (67,1%) patients underwent total or subtotal pericystectomy, 8 (10,1%) patients underwent liver segment resection, 5 (6,3%) patients underwent cyst dissection with removal and treatment its cavity, PAIR method was applied in 1 (1,3%) patient. Echinococcectomy was performed laparoscopically in 12 (15,2%) patients. The use of laparoscopic surgery for echinococcosis of the liver reduced intraoperative blood loss, duration of operation, hospital stay. We did not have recurrences of the disease after radical surgery. After palliative surgery, recurrence occurred in 2 (2,63%) patients. Conclusions: Surgical interventions for urgent indications in patients with complicated echinococcal cysts of the liver increase the risk of recurrence of the disease. Pericystectomy was performed in 53 (67,1%) patients, is a radical and efficient operation for complete recovery and does not lead to recurrence of the disease. The efficiency of laparoscopic echinococcectomy has been demonstrated.

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Myocardial Echinococcosis: Rare Manifestation of a Common Parasitic Disease in Northern Tanzania

Cited by 3 publications

References 17 publications

Cardiac hydatid disease; a systematic review

Cardiac hydatid disease; a systematic review

Genotypes of Echinococcus Species from Cattle in Tanzania

Surgical Treatment of Echinococcosis of the Liver and Its Complications

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