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Abstract

Background

Few case reports on human infections with the beef tapeworm and the pork tapeworm, , diagnosed in Belgium have been published, yet the grey literature suggests a higher number of cases.

Aim

To identify and describe cases of taeniasis and cysticercosis diagnosed at two Belgian referral medical institutions from 1990 to 2015.

Methods

In this observational study we retrospectively gathered data on taeniasis and cysticercosis cases by screening laboratory, medical record databases as well a uniform hospital discharge dataset.

Results

A total of 221 confirmed taeniasis cases were identified. All cases for whom the causative species could be determined (170/221, 76.9%) were found to be infections. Of those with available information, 40.0% were asymptomatic (26/65), 15.4% reported diarrhoea (10/65), 9.2% reported anal discomfort (6/65) and 15.7% acquired the infection in Belgium (11/70). Five definitive and six probable cases of neurocysticercosis (NCC), and two cases of non-central nervous system cysticercosis (non-CNS CC) were identified. Common symptoms and signs in five of the definitive and probable NCC cases were epilepsy, headaches and/or other neurological disorders. Travel information was available for 10 of the 13 NCC and non-CNS CC cases; two were Belgians travelling to and eight were immigrants or visitors travelling from endemic areas.

Conclusions

The current study indicates that a non-negligible number of taeniasis cases visit Belgian medical facilities, and that cysticercosis is occasionally diagnosed in international travellers.

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/content/10.2807/1560-7917.ES.2019.24.35.1800589
2019-08-29
2024-11-21
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2019.24.35.1800589
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References

  1. Craig P, Ito A. Intestinal cestodes. Curr Opin Infect Dis. 2007;20(5):524-32.  https://doi.org/10.1097/QCO.0b013e3282ef579e  PMID: 17762788 
  2. Bordon LM. Intestinal obstruction due to Taenia saginata infection: a case report. J Trop Med Hyg. 1992;95(5):352-3. PMID: 1404561 
  3. Carabin H, Ndimubanzi PC, Budke CM, Nguyen H, Qian Y, Cowan LD, et al. Clinical manifestations associated with neurocysticercosis: a systematic review. PLoS Negl Trop Dis. 2011;5(5):e1152.  https://doi.org/10.1371/journal.pntd.0001152  PMID: 21629722 
  4. World Health Organization (WHO)/Food and Agriculture Organization of the United Nations (FAO). Multicriteria-based ranking for risk management of food-borne parasites. Microbiological Risk Assessment Series Number 23. Rome: WHO/FAO; 2012. Available from: https://apps.who.int/iris/bitstream/handle/10665/112672/9789241564700_eng.pdf;jsessionid=A9508F458D522911236288095219DC02?sequence=1
  5. World Health Organization (WHO). WHO estimates of the global burden of foodborne diseases: foodborne diseases burden epidemiology reference group 2007–2015. Geneva: WHO; 2015. Available from: https://apps.who.int/iris/bitstream/handle/10665/199350/9789241565165_eng.pdf?sequence=1
  6. Bouwknegt M, Devleesschauwer B, Graham H, Robertson LJ, van der Giessen JWBThe Euro-Fbp Workshop Participants. Prioritisation of food-borne parasites in Europe, 2016. Euro Surveill. 2018;23(9):1700161.  https://doi.org/10.2807/1560-7917.ES.2018.23.9.17-00161  PMID: 29510783 
  7. Bobić B, Thomas LF, Djaković OD, Devleesschauwer B, Dermauw V, Dorny P, et al. Epidemiology of Taenia saginata taeniosis/cysticercosis in the Russian Federation. Parasit Vectors. 2018;11(1):636.  https://doi.org/10.1186/s13071-018-3236-3  PMID: 30547816 
  8. Braae UC, Thomas LF, Robertson LJ, Dermauw V, Dorny P, Willingham AL, et al. Epidemiology of Taenia saginata taeniosis/cysticercosis: a systematic review of the distribution in the Americas. Parasit Vectors. 2018;11(1):518.  https://doi.org/10.1186/s13071-018-3079-y  PMID: 30236143 
  9. Dermauw V, Dorny P, Braae UC, Devleesschauwer B, Robertson LJ, Saratsis A, et al. Epidemiology of Taenia saginata taeniosis/cysticercosis: a systematic review of the distribution in southern and eastern Africa. Parasit Vectors. 2018;11(1):578.  https://doi.org/10.1186/s13071-018-3163-3  PMID: 30400948 
  10. Laranjo-González M, Devleesschauwer B, Trevisan C, Allepuz A, Sotiraki S, Abraham A, et al. Epidemiology of taeniosis/cysticercosis in Europe, a systematic review: Western Europe. Parasit Vectors. 2017;10(1):349.  https://doi.org/10.1186/s13071-017-2280-8  PMID: 28732550 
  11. Trevisan C, Sotiraki S, Laranjo-González M, Dermauw V, Wang Z, Kärssin A, et al. Epidemiology of taeniosis/cysticercosis in Europe, a systematic review: eastern Europe. Parasit Vectors. 2018;11(1):569.  https://doi.org/10.1186/s13071-018-3153-5  PMID: 30376899 
  12. Laranjo-González M, Devleesschauwer B, Gabriël S, Dorny P, Allepuz A. Epidemiology, impact and control of bovine cysticercosis in Europe: a systematic review. Parasit Vectors. 2016;9(1):81.  https://doi.org/10.1186/s13071-016-1362-3  PMID: 26860313 
  13. Murrell KD. Epidemiology of taeniosis and cysticercosis. In: Murrell KD, editor. WHO/FAO/OIE Guidelines for the surveillance, prevention and control of taeniosis/cysticercosis. Paris: World Organisation for Animal Health (OIE); 2005. p. 27-43.
  14. Coral-Almeida M, Gabriël S, Abatih EN, Praet N, Benitez W, Dorny P. Taenia solium human cysticercosis: a systematic review of sero-epidemiological data from endemic zones around the world. PLoS Negl Trop Dis. 2015;9(7):e0003919.  https://doi.org/10.1371/journal.pntd.0003919  PMID: 26147942 
  15. Gripper LB, Welburn SC. Neurocysticercosis infection and disease-A review. Acta Trop. 2017;166:218-24.  https://doi.org/10.1016/j.actatropica.2016.11.015  PMID: 27880878 
  16. Schantz PM, Moore AC, Muñoz JL, Hartman BJ, Schaefer JA, Aron AM, et al. Neurocysticercosis in an Orthodox Jewish community in New York City. N Engl J Med. 1992;327(10):692-5.  https://doi.org/10.1056/NEJM199209033271004  PMID: 1495521 
  17. Garcia HH, Del Brutto OHCysticercosis Working Group in Peru. Neurocysticercosis: updated concepts about an old disease. Lancet Neurol. 2005;4(10):653-61.  https://doi.org/10.1016/S1474-4422(05)70194-0  PMID: 16168934 
  18. Carabin H, Traoré AA. Taenia solium taeniasis and cysticercosis control and elimination through community-based interventions. Curr Trop Med Rep. 2014;1(4):181-93.  https://doi.org/10.1007/s40475-014-0029-4  PMID: 25544938 
  19. Gabriël S, Johansen MV, Pozio E, Smit GSA, Devleesschauwer B, Allepuz A, et al. Human migration and pig/pork import in the European Union: What are the implications for Taenia solium infections? Vet Parasitol. 2015;213(1-2):38-45.  https://doi.org/10.1016/j.vetpar.2015.03.006  PMID: 25837784 
  20. Van Tiggelen P, Danse E. Images in clinical radiology. Intestinal taeniasis. J Belge Radiol. 1998;81(1):22. PMID: 9625620 
  21. Vuylsteke P, Bertrand C, Verhoef GEG, Vandenberghe P. Case of megaloblastic anemia caused by intestinal taeniasis. Ann Hematol. 2004;83(7):487-8.  https://doi.org/10.1007/s00277-003-0839-2  PMID: 14730392 
  22. Ghariani S, Gille M, Matthijs P, Delbecq J, Depré A. [Cerebral cysticercosis treated by albendazole: development of cerebral magnetic resonance imaging]. Rev Neurol (Paris). 1994;150(10):709-12. PMID: 7792479 
  23. Vantomme M, Swartenbroekx R, Dhaen B, Peetermans W, Plets C, Demaerel P, et al. Neurocysticercosis: a poorly understood disease. Acta Neurol Belg. 1995;95(1):23-8. PMID: 7725893 
  24. Geerts S. Taenia saginata knaagt aan kwaliteit van rundvlees. [Taenia saginata gnaws on beef quality]. Agricontact.1992;236:1-6. Dutch.
  25. De Keulenaer J. De epidemiologie van cysticercose en taeniose bij varkens, runderen en de mens in België. [The epidemiology of cysticercosis and taeniosis in pigs, cattle and humans in Belgium]. MSc thesis. Ghent: Ghent University; 2013. Dutch.
  26. Del Brutto OH, Nash TE, White AC Jr, Rajshekhar V, Wilkins PP, Singh G, et al. Revised diagnostic criteria for neurocysticercosis. J Neurol Sci. 2017;372:202-10.  https://doi.org/10.1016/j.jns.2016.11.045  PMID: 28017213 
  27. R Core Team. R: A language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing; 2018. Available from: http://www.r-project.org/.
  28. Boone I, Thys E, Marcotty T, de Borchgrave J, Ducheyne E, Dorny P. Distribution and risk factors of bovine cysticercosis in Belgian dairy and mixed herds. Prev Vet Med. 2007;82(1-2):1-11.  https://doi.org/10.1016/j.prevetmed.2007.05.002  PMID: 17559956 
  29. Jansen F, Dorny P, Gabriël S, Eichenberger RM, Berkvens D. Estimating prevalence and diagnostic test characteristics of bovine cysticercosis in Belgium in the absence of a ‘gold standard’ reference test using a Bayesian approach. Vet Parasitol. 2018;254:142-6.  https://doi.org/10.1016/j.vetpar.2018.03.013  PMID: 29656999 
  30. Jansen F, Dorny P, Trevisan C, Dermauw V, Laranjo-González M, Allepuz A, et al. Economic impact of bovine cysticercosis and taeniosis caused by Taenia saginata in Belgium. Parasit Vectors. 2018;11(1):241.  https://doi.org/10.1186/s13071-018-2804-x  PMID: 29653598 
  31. Garcia HH, Castillo Y, Gonzales I, Bustos JA, Saavedra H, Jacob L, et al. Low sensitivity and frequent cross-reactions in commercially available antibody detection ELISA assays for Taenia solium cysticercosis. Trop Med Int Health. 2018;23(1):101-5.  https://doi.org/10.1111/tmi.13010  PMID: 29160912 
  32. Tsang VCW, Brand JA, Boyer AE. An enzyme-linked immunoelectrotransfer blot assay and glycoprotein antigens for diagnosing human cysticercosis (Taenia solium). J Infect Dis. 1989;159(1):50-9.  https://doi.org/10.1093/infdis/159.1.50  PMID: 2909643 
  33. Gabriël S, Blocher J, Dorny P, Abatih EN, Schmutzhard E, Ombay M, et al. Added value of antigen ELISA in the diagnosis of neurocysticercosis in resource poor settings. PLoS Negl Trop Dis. 2012;6(10):e1851.  https://doi.org/10.1371/journal.pntd.0001851  PMID: 23094118 
  34. Carpio A. Neurocysticercosis: an update. Lancet Infect Dis. 2002;2(12):751-62.  https://doi.org/10.1016/S1473-3099(02)00454-1  PMID: 12467692 
  35. Garcia HH, Nash TE, Del Brutto OH. Clinical symptoms, diagnosis, and treatment of neurocysticercosis. Lancet Neurol. 2014;13(12):1202-15.  https://doi.org/10.1016/S1474-4422(14)70094-8  PMID: 25453460 
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