<i>Armillifer</i> Infections in Humans: A Systematic Review

<i>Armillifer</i> is a genus of obligate parasites belonging to the Pentastomida subclass that was first described as a cause of human disease in 1847. Human infection by <i>Armillifer</i> is rare and not widely known. These parasites are transmitted to humans by handling or...

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Main Authors: Petros Ioannou, Rodanthi Vamvoukaki
Format: Article
Language:English
Published: MDPI AG 2019-05-01
Series:Tropical Medicine and Infectious Disease
Subjects:
Online Access:https://www.mdpi.com/2414-6366/4/2/80
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author Petros Ioannou
Rodanthi Vamvoukaki
author_facet Petros Ioannou
Rodanthi Vamvoukaki
author_sort Petros Ioannou
collection DOAJ
description <i>Armillifer</i> is a genus of obligate parasites belonging to the Pentastomida subclass that was first described as a cause of human disease in 1847. Human infection by <i>Armillifer</i> is rare and not widely known. These parasites are transmitted to humans by handling or eating undercooked meat from infected snakes, which are the definitive hosts, or oral uptake of environmental ova. The aim of this systematic review was to record all available evidence regarding infections by <i>Armillifer</i> in humans. A systematic review of PubMed (through 21 December 2018) for studies providing epidemiological, clinical, microbiological, as well as treatment data and outcomes of <i>Armillifer</i> infections was conducted. A total of 26 studies, containing data of 40 patients, were eventually included in the analysis. The most common sites of infection were the peritoneal cavity, the liver, the lower respiratory and the abdominal tract. The commonest infecting species was <i>A. armillatus</i> and most patients were asymptomatic; however, when symptoms occurred, the commonest was abdominal pain, even though unusual presentations occurred, such as hepatic encephalopathy or neurologic symptoms. Most cases were diagnosed at surgery or by imaging, and most patients were not treated. Mortality was low, but the majority of the cases with ocular infection lead to permanent loss of vision.
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spelling doaj.art-75054c2cef454f4f814455591138bb482022-12-22T02:57:12ZengMDPI AGTropical Medicine and Infectious Disease2414-63662019-05-01428010.3390/tropicalmed4020080tropicalmed4020080<i>Armillifer</i> Infections in Humans: A Systematic ReviewPetros Ioannou0Rodanthi Vamvoukaki1Department of Internal Medicine &amp; Infectious Diseases, University Hospital of Heraklion, Heraklion, PC71303 Crete, GreeceDepartment of Internal Medicine &amp; Infectious Diseases, University Hospital of Heraklion, Heraklion, PC71303 Crete, Greece<i>Armillifer</i> is a genus of obligate parasites belonging to the Pentastomida subclass that was first described as a cause of human disease in 1847. Human infection by <i>Armillifer</i> is rare and not widely known. These parasites are transmitted to humans by handling or eating undercooked meat from infected snakes, which are the definitive hosts, or oral uptake of environmental ova. The aim of this systematic review was to record all available evidence regarding infections by <i>Armillifer</i> in humans. A systematic review of PubMed (through 21 December 2018) for studies providing epidemiological, clinical, microbiological, as well as treatment data and outcomes of <i>Armillifer</i> infections was conducted. A total of 26 studies, containing data of 40 patients, were eventually included in the analysis. The most common sites of infection were the peritoneal cavity, the liver, the lower respiratory and the abdominal tract. The commonest infecting species was <i>A. armillatus</i> and most patients were asymptomatic; however, when symptoms occurred, the commonest was abdominal pain, even though unusual presentations occurred, such as hepatic encephalopathy or neurologic symptoms. Most cases were diagnosed at surgery or by imaging, and most patients were not treated. Mortality was low, but the majority of the cases with ocular infection lead to permanent loss of vision.https://www.mdpi.com/2414-6366/4/2/80<i>Armillifer</i>parasitetropical diseases
spellingShingle Petros Ioannou
Rodanthi Vamvoukaki
<i>Armillifer</i> Infections in Humans: A Systematic Review
Tropical Medicine and Infectious Disease
<i>Armillifer</i>
parasite
tropical diseases
title <i>Armillifer</i> Infections in Humans: A Systematic Review
title_full <i>Armillifer</i> Infections in Humans: A Systematic Review
title_fullStr <i>Armillifer</i> Infections in Humans: A Systematic Review
title_full_unstemmed <i>Armillifer</i> Infections in Humans: A Systematic Review
title_short <i>Armillifer</i> Infections in Humans: A Systematic Review
title_sort i armillifer i infections in humans a systematic review
topic <i>Armillifer</i>
parasite
tropical diseases
url https://www.mdpi.com/2414-6366/4/2/80
work_keys_str_mv AT petrosioannou iarmilliferiinfectionsinhumansasystematicreview
AT rodanthivamvoukaki iarmilliferiinfectionsinhumansasystematicreview