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Original Article

Factors Associated with Echinococcosis-Induced Perioperative Anaphylactic Shock
Jianrong Ye, Qin Zhang, Yan Xuan, Siyu Chen, Long Ma, Yongqiang Zhang, Hong Zheng
Korean J Parasitol 2016;54(6):769-775.
Published online December 31, 2016
DOI: https://doi.org/10.3347/kjp.2016.54.6.769
This retrospective case-control study explored the factors associated with anaphylactic shock during surgery for cystic echinococcosis (CE) at the First Affiliated Hospital of Xinjiang Medical University between October 2008 and September 2013. Patients who suffered from anaphylactic shock (n=16) were age-matched 3:1 to patients who did not (n=43). Multivariate analysis suggested that IL-4 levels (odds ratio=1.096; 95% confidence interval=1.015-1.185; P=0.02) and cyst size (odds ratio=3.028, 95% confidence interval=1.259-7.283, P=0.013) were independently associated with CE-induced perioperative anaphylactic shock. Using the receiver operating characteristic (ROC) curves and a cut-off value of 415.7 ng/ml, IL-4 showed an area under the ROC (AUC) of 0.926, sensitivity of 75.0%, and specificity of 97.7%. Using a cut-off value of 7.8 cm, cyst size showed an AUC of 0.828, sensitivity of 81.3%, and specificity of 76.7%. In conclusion, results suggest that levels of IL-4 and cyst size were independently associated with echinococcosis-induced perioperative anaphylactic shock. These results could help identifying patients with echinococcosis at risk of anaphylactic shock in whom appropriate prophylaxis could be undertaken.

Citations

Citations to this article as recorded by  Crossref logo
  • Impact of Echinococcus granulosus Cyst Fluid on the Phenotypic Dynamics and Degranulation of RBL-2H3 Mast Cells
    Zhen Yue, Jing-Ru Zhou, Chun-Sheng Wang, Xue-Li Pu, Guligeiya Parehati, Li-Wei Cao, Batesurong Bayina, Jian-Rong Ye
    Journal of Inflammation Research.2025; Volume 18: 9837.     CrossRef
  • Predictive Factors of Pulmonary Hydatid Complications in Children
    Nahla Kechiche, Arije Zouaoui, Asma Ben Cheikh, Rachida Lamiri, Amine Ksia, Mongi Mekki, Lassaad Sahnoun
    Journal of Pediatric Surgery.2024; 59(12): 161688.     CrossRef
  • Response to Stockdale and Savic, regarding ‘Peri‐operative refractory anaphylactic shock during hepatic hydatid cyst surgery’
    P. Gundappa, D. Prakash, N. Palankar, S. Karanth
    Anaesthesia Reports.2023;[Epub]     CrossRef
  • Popliteal Echinococcosis: A Long Journey from the Liver
    Ergin Erginöz, Sefa Ergün, Emre Tunç, Salih Pekmezci
    Acta Parasitologica.2023; 68(2): 463.     CrossRef
  • The regulatory role of differential microRNA expressions on cellular inflammatory factors IL‐6 and IL‐10 in Echinococcus granulosus‐induced anaphylaxis
    Chun‐sheng Wang, Tao Yu, Xilizhati Kulaixi, Jing‐ru Zhou, Xianyidan Abulajiang, Jia‐ling Wang, Si‐jia Wang, Jian‐rong Ye
    Immunity, Inflammation and Disease.2023;[Epub]     CrossRef
  • The role of memory T cells in Echinococcus granulosus‐induced sensitization
    Jing‐Ru Zhou, Xiao‐Xuan Du, Xianyidan Abulajiang, Wuer Geli, Xue‐Li Pu, Subi Tailaiti, Jia‐Ying Lin, Yu‐Qian Li, Jian‐Rong Ye
    Immunity, Inflammation and Disease.2023;[Epub]     CrossRef
  • Peri‐operative refractory anaphylactic shock during hepatic hydatid cyst surgery
    P. Gundappa, D. Prakash, N. Palankar, S. Karanth
    Anaesthesia Reports.2022;[Epub]     CrossRef
  • Perioperative Anaphylaxie – alte Zöpfe und Neues zu den Auslösern
    Christiane Bayerl
    Laryngo-Rhino-Otologie.2022; 101(11): 882.     CrossRef
  • Perioperative Anaphylaxie – alte Zöpfe und Neues zu den Auslösern
    C. Bayerl
    Aktuelle Dermatologie.2021; 47(04): 155.     CrossRef
  • Construction of ceRNA regulatory network in mice with Echinococcosis-induced allergic reactions
    Xiaodong Yu, Yali Yasen, Chunsheng Wang, Meng Li, Zhiyuan Fang, Jialing Wang, Jianrong Ye
    Acta Tropica.2021; 224: 106120.     CrossRef
  • Isolated renal hydatid disease: varied presentations, treatments, dilemmas, and the way ahead: case report series
    Ankit Misra, Swarnendu Mandal, Manoj Das, Pritinanda Mishra, Suvradeep Mitra, Prasant Nayak
    African Journal of Urology.2021;[Epub]     CrossRef
  • Endoscopic excision of hydatid cyst: A case of delayed anaphylaxis in postoperative period - “The risk is not over until it is over”
    Aakriti Gupta, Neerja Bhardwaj, Soumya Sarkar, Ravi P. Kanojia
    Journal of Clinical Anesthesia.2019; 52: 63.     CrossRef
  • Should Pediatricians Be Aware of Cystic Echinococcosis? A Literature Review
    Chiara Tersigni, Elisabetta Venturini, Carlotta Montagnani, Leila Bianchi, Elena Chiappini, Maurizio de Martino, Luisa Galli
    Journal of Pediatric Gastroenterology and Nutrition.2019; 68(2): 161.     CrossRef
  • Recurrent multiple-organ involvement of disseminated alveolar echinococcosis in 3 patients
    Leilei Xu, Sikandaer Siyiti, Xinghua Song, Hao Wen, Liwen Ding, Akbar Yunus, Zheng Tian, Chong Wang, Jiangtao Chen
    Medicine.2017; 96(42): e7632.     CrossRef
  • 10,332 View
  • 182 Download
  • 19 Web of Science
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Brief Communications
Surgical and Molecular Evaluation of Pediatric Hydatid Cyst Cases in Eastern Turkey
Unal Bakal, Sami Simsek, Ahmet Kazez
Korean J Parasitol 2015;53(6):785-788.
Published online December 31, 2015
DOI: https://doi.org/10.3347/kjp.2015.53.6.785
Cystic echinococcosis (CE) caused by Echinococcus granulosus is a major public health problem worldwide, including Turkey. The aim of the current study was to identify the strains and to estimate the potential risk factors of E. granulosus in operated pediatric cases in eastern Turkey. Ten pediatric patients (7 boys and 3 girls) living in rural areas, with ages ranging from 3 to 15 years old and various clinical histories, were included in this study. Eight patients had only liver hydatid cyst, while 1 patient had liver and lung hydatid cyst and the other liver, lung, and spleen, together. There were 2 ruptured liver cysts. After surgery, during follow-up, no increase was observed in hemagglutination levels, there were no mortalities, and there was no evidence of recurrence at 2 years post operation in all patients. Molecular analysis was performed on hydatid cyst samples obtained from the 10 pediatric cases. According to mt-12S rRNA PCR results, all cases were found to be G1/G3 cluster of E. granulosus sensu stricto.

Citations

Citations to this article as recorded by  Crossref logo
  • Outcomes and Risk Factors for Morbidity After Lung Hydatidosis Surgery in Children
    Zied Chaari, Saloua Ammar, Aymen Ben Ayed, Emna Krichen, Aymen Dammak, Jihen Jdidi, Abdessalem Hentati, Riadh Mhiri, Faiza Safi, Imed Frikha
    The Journal of Pediatrics.2025; 276: 114367.     CrossRef
  • Cystic Echinococcosis in Hospitalized Children from Western Romania: A 25-Year Retrospective Study
    Ana Alexandra Paduraru, Maria Alina Lupu, Calin Marius Popoiu, Maria Corina Stanciulescu, Livius Tirnea, Eugen Sorin Boia, Tudor Rares Olariu
    Biomedicines.2024; 12(2): 281.     CrossRef
  • Evaluation of Cases with Pediatric Hydatid Cyst: A 20-years Experience from Turkey
    Şenay Erdoğan Durmuş, Cansu Türker, Nuray Kepil, Şenol Emre
    Journal of Dr Behcet Uz Children s Hospital.2022; 12(3): 211.     CrossRef
  • An overview of the genetic diversity of Echinococcus granulosus sensu lato in Turkey
    Sümeyye BAŞER, Salih MAÇİN, Gülay MAÇİN, Serra ÖRSTEN
    Journal of Contemporary Medicine.2022; 12(6): 1025.     CrossRef
  • Human and animal cystic echinococcosis in Konya, Turkey: molecular identification and the first report of E. equinus from human host in Turkey
    Salih Macin, Serra Orsten, Rugıyya Samadzade, Bayram Colak, Hakan Cebeci, Duygu Fındık
    Parasitology Research.2021; 120(2): 563.     CrossRef
  • Genetic diversity and haplotypes of paediatric hydatid cyst isolates and first occurrence of E. canadensis (G6/G7) in paediatric cases in Turkey
    Unal Bakal, Figen Celik, Sami Simsek, Harun Kaya Kesik, Seyma Gunyakti Kilinc
    Parasitology.2021; 148(12): 1482.     CrossRef
  • Echinococcoses in Iran, Turkey, and Pakistan: Old Diseases in the New Millennium
    Mehdi Borhani, Saeid Fathi, Enayat Darabi, Fatemeh Jalousian, Sami Simsek, Haroon Ahmed, Harun Kaya Kesik, Seyed Hossein Hosseini, Thomas Romig, Majid Fasihi Harandi, Iraj Mobedi
    Clinical Microbiology Reviews.2021;[Epub]     CrossRef
  • A Giant Pulmonary Hydatid Cyst in a 13-Year-Old Child: A Case Report
    Nora Bigdeli, Fatemeh Zahra Bagheri, Fatemeh Pouladkhay, Tayebeh Azarmehr, Mehdi Abbasi Sahebi
    Medical - Surgical Nursing Journal.2021;[Epub]     CrossRef
  • Molecular survey on cattle and sheep hydatidosis and first detection ofEchinococcus canadensis(G6/G7) in sheep in Turkey
    Sarfraz Mehmood, Sami Simsek, Figen Celik, Harun Kaya Kesik, Seyma Gunyakti Kilinc, Haroon Ahmed
    Parasitology.2020; 147(9): 1055.     CrossRef
  • Investigation of the relationship between CE cyst characteristics and genetic diversity of Echinococcus granulosus sensu lato in humans from Turkey
    Serra Örsten, Türkmen Çiftçi, Aynur Azizova, Gökhan Yüce, Aycan Uysal, Çetin İmamoğlu, Ergun Karaağaoğlu, Devrim Akıncı, Yakut Akyön, Adriano Casulli, Okan Akhan
    Parasitology.2020; 147(14): 1712.     CrossRef
  • Human cystic echinococcosis in Turkey: a preliminary study on DNA polymorphisms of hydatid cysts removed from confirmed patients
    Serra Orsten, Belgees Boufana, Turkmen Ciftci, Devrim Akinci, Ergun Karaagaoglu, Cumhur Ozkuyumcu, Adriano Casulli, Okan Akhan
    Parasitology Research.2018; 117(4): 1257.     CrossRef
  • Molecular characterization of Echinococcus granulosus isolates from Bulgarian human cystic echinococcosis patients
    Irina Marinova, Markus Spiliotis, Junhua Wang, Marin Muhtarov, Ilias Chaligiannis, Smaro Sotiraki, Iskra Rainova, Bruno Gottstein, Ghalia Boubaker
    Parasitology Research.2017; 116(3): 1043.     CrossRef
  • Cystic Echinococcosis in the Mediterranean
    Tommaso Manciulli, M. Mariconti, A. Vola, R. Lissandrin, E. Brunetti
    Current Tropical Medicine Reports.2017; 4(4): 235.     CrossRef
  • 7,861 View
  • 121 Download
  • 12 Web of Science
  • Crossref
Infection Status of Hydatid Cysts in Humans and Sheep in Uzbekistan
Sung-Tae Hong, Yan Jin, Khikmat Anvarov, Abdukhakim Khadjibaev, Samin Hong, Yusufjon Ahmedov, Utkir Otaboev
Korean J Parasitol 2013;51(3):383-385.
Published online June 30, 2013
DOI: https://doi.org/10.3347/kjp.2013.51.3.383

Uzbekistan is endemic of cystic echinococcosis (CE). In order to estimate endemicity of CE, we collected data from emergency surgery due to CE in 2002-2010 and also investigated the prevalence of hydatid cysts in the liver and lungs of sheep at an abattoir in Uzbekistan from July 2009 to June 2010. In 14 emergency hospitals, 8,014 patients received surgical removal or drainage of CE during 2002-2010, and 2,966 patients were found in 2010. A total of 22,959 sheep were grossly examined of their liver and lungs, and 479 (2.1%) and 340 (1.5%) of them were positive for the cyst in the liver and lungs, respectively. Echinococcus granulosus is actively transmitted both to humans and sheep, and CE is a zoonotic disease of public health priority in Uzbekistan.

Citations

Citations to this article as recorded by  Crossref logo
  • The unsolved problem of musculoskeletal hydatid disease: two case reports
    Philani Ntombela, Zweli Linda, Tiego Hlapolosa, Maxwell Jingo
    Journal of Medical Case Reports.2023;[Epub]     CrossRef
  • Headache in an Uzbekistani Immigrant
    Zeena Lobo, George Psevdos
    Infectious Diseases in Clinical Practice.2019; 27(1): 62.     CrossRef
  • The echinococcoses in Asia: The present situation
    Akira Ito, Christine M. Budke
    Acta Tropica.2017; 176: 11.     CrossRef
  • Epidemiology and control of echinococcosis in central Asia, with particular reference to the People's Republic of China
    Wenbao Zhang, Zhuangzhi Zhang, Weiping Wu, Baoxin Shi, Jun Li, Xiaonong Zhou, Hao Wen, Donald P. McManus
    Acta Tropica.2015; 141: 235.     CrossRef
  • Cystic echinococcosis amongst small ruminants and humans in central Ethiopia
    Habtamu Assefa, Belay Mulate, Shahid Nazir, Alula Alemayehu
    Onderstepoort J Vet Res.2015;[Epub]     CrossRef
  • Prevalence of Serum IgG Antibodies to Cystic <i>Echinococcus</i> Antigen among Patients in an Uzbekistan Emergency Hospital
    Se Jin Park, Sung Sik Han, Khikmat Anvarov, Abdukhakim Khajibaev, Min-Ho Choi, Sung-Tae Hong
    The Korean Journal of Parasitology.2015; 53(6): 699.     CrossRef
  • Serodiagnosis of Echinococcosis by ELISA Using Cystic Fluid from Uzbekistan Sheep
    Yan Jin, Khikmat Anvarov, Abdukhakim Khajibaev, Samin Hong, Sung-Tae Hong
    The Korean Journal of Parasitology.2013; 51(3): 313.     CrossRef
  • 9,220 View
  • 101 Download
  • Crossref