Human cystic echinococcosis in South Africa

Cystic echinococcosis (CE) is caused by the tapeworm, Echinococcus granulosus. The tapeworms resides in the small intestines of canids and the lifecycle involves both intermediate and definitive hosts. Humans are accidental intermediate hosts. Cystic echinococcosis is an economically important infe...

Full description

Bibliographic Details
Main Authors: Benjamin Mogoye, Colin N. Menezes, Martin P. Grobusch, Kerstin Wahlers, John Frean
Format: Article
Language:English
Published: AOSIS 2012-06-01
Series:Onderstepoort Journal of Veterinary Research
Subjects:
Online Access:https://ojvr.org/index.php/ojvr/article/view/469
_version_ 1819083500184141824
author Benjamin Mogoye
Colin N. Menezes
Martin P. Grobusch
Kerstin Wahlers
John Frean
author_facet Benjamin Mogoye
Colin N. Menezes
Martin P. Grobusch
Kerstin Wahlers
John Frean
author_sort Benjamin Mogoye
collection DOAJ
description Cystic echinococcosis (CE) is caused by the tapeworm, Echinococcus granulosus. The tapeworms resides in the small intestines of canids and the lifecycle involves both intermediate and definitive hosts. Humans are accidental intermediate hosts. Cystic echinococcosis is an economically important infection constituting a threat to public health, and is considered an emerging disease around the world. There are at least 10 Echinococcus strain types (G1 – G10), each exhibiting diversity of morphology, development and host range. The epidemiology of CE is poorly understood in South Africa. A retrospective data analysis of the National Health Laboratory Service (NHLS) laboratory information system on echinococcosis serology, microscopy and histopathology results in eight provinces (excluding KwaZula-Natal) showed an overall positivity rate in submitted diagnostic samples of 17.0% (1056/6211), with the Eastern Cape (30.4%), North West (19.0%) and Northern Cape (18.0%) provinces showing highest rates. The data showed considerable variability between provinces. The review also showed that most proven cases were negative on serology, implying that the actual number of patients could be underestimated. To our knowledge, no data exist about the prevalent strains of E. granulosus and this prospective study will attempt to fill that gap. The aim is to genotype strains causing the disease in South Africa. Two different polymerase chain reaction (PCR) methods will be used to respectively target the 12S rRNA and nad 1 genes. To date, three samples have been genotyped as G1, G5 and G6; suggesting diversity of strains prevalent in the country, but more data is needed for a clearer picture.
first_indexed 2024-12-21T20:33:33Z
format Article
id doaj.art-19818a4a303b4847ad526598030609de
institution Directory Open Access Journal
issn 0030-2465
2219-0635
language English
last_indexed 2024-12-21T20:33:33Z
publishDate 2012-06-01
publisher AOSIS
record_format Article
series Onderstepoort Journal of Veterinary Research
spelling doaj.art-19818a4a303b4847ad526598030609de2022-12-21T18:51:10ZengAOSISOnderstepoort Journal of Veterinary Research0030-24652219-06352012-06-0179210.4102/ojvr.v79i2.469346Human cystic echinococcosis in South AfricaBenjamin Mogoye0Colin N. Menezes1Martin P. Grobusch2Kerstin Wahlers3John Frean4National Institute for Communicable Diseases, National Health Laboratory ServiceDepartment of Internal Medicine, Chris Hani Baragwanath Hospital and University of the WitwatersrandDepartment of Internal Medicine, Chris Hani Baragwanath Hospital and University of the WitwatersrandComprehensive Infectious Diseases Center, University HospitalsNational Institute for Communicable Diseases, National Health Laboratory ServiceCystic echinococcosis (CE) is caused by the tapeworm, Echinococcus granulosus. The tapeworms resides in the small intestines of canids and the lifecycle involves both intermediate and definitive hosts. Humans are accidental intermediate hosts. Cystic echinococcosis is an economically important infection constituting a threat to public health, and is considered an emerging disease around the world. There are at least 10 Echinococcus strain types (G1 – G10), each exhibiting diversity of morphology, development and host range. The epidemiology of CE is poorly understood in South Africa. A retrospective data analysis of the National Health Laboratory Service (NHLS) laboratory information system on echinococcosis serology, microscopy and histopathology results in eight provinces (excluding KwaZula-Natal) showed an overall positivity rate in submitted diagnostic samples of 17.0% (1056/6211), with the Eastern Cape (30.4%), North West (19.0%) and Northern Cape (18.0%) provinces showing highest rates. The data showed considerable variability between provinces. The review also showed that most proven cases were negative on serology, implying that the actual number of patients could be underestimated. To our knowledge, no data exist about the prevalent strains of E. granulosus and this prospective study will attempt to fill that gap. The aim is to genotype strains causing the disease in South Africa. Two different polymerase chain reaction (PCR) methods will be used to respectively target the 12S rRNA and nad 1 genes. To date, three samples have been genotyped as G1, G5 and G6; suggesting diversity of strains prevalent in the country, but more data is needed for a clearer picture.https://ojvr.org/index.php/ojvr/article/view/469Echinococcus granulosussurveyprovincesSouth Africa
spellingShingle Benjamin Mogoye
Colin N. Menezes
Martin P. Grobusch
Kerstin Wahlers
John Frean
Human cystic echinococcosis in South Africa
Onderstepoort Journal of Veterinary Research
Echinococcus granulosus
survey
provinces
South Africa
title Human cystic echinococcosis in South Africa
title_full Human cystic echinococcosis in South Africa
title_fullStr Human cystic echinococcosis in South Africa
title_full_unstemmed Human cystic echinococcosis in South Africa
title_short Human cystic echinococcosis in South Africa
title_sort human cystic echinococcosis in south africa
topic Echinococcus granulosus
survey
provinces
South Africa
url https://ojvr.org/index.php/ojvr/article/view/469
work_keys_str_mv AT benjaminmogoye humancysticechinococcosisinsouthafrica
AT colinnmenezes humancysticechinococcosisinsouthafrica
AT martinpgrobusch humancysticechinococcosisinsouthafrica
AT kerstinwahlers humancysticechinococcosisinsouthafrica
AT johnfrean humancysticechinococcosisinsouthafrica