md-medicaldata

Authors

 

Goran Đenadić¹, Dragan Joković², Dejan Vučković³, Mirjana Živojinov⁴, Dušan Lalošević<sup>5

1</sup>Služba za patološko-anatomsku dijagnostiku, Opšta bolnica “Dr Laza K. Lazarević”, Šabac, Srbija
²Hirurški sektor, Opšta bolnica “Dr Laza K. Lazarević”, Šabac, Srbija
³Služba za patološko-anatomsku i molekularnu dijagnostiku, Institut za plućne bolesti Vojvodine, Sremska Kamenica, Srbija
⁴Centar za patologiju i histologiju, Univerzitetski klinički centar Vojvodine, Novi Sad, Srbija
⁵Pasterov zavod Novi Sad, Srbija

 

UDK: 616.995.121(497.11)

The paper was received / Rad primljen: 21.11.2022.

Accepted / Rad prihvaćen: 01.12.2022.

 

Correspondence to:

Dr sci. med. Goran Đenadić,
patolog i citolog
Služba za patologiju
Opšta bolnica Šabac
Popa Karana 4
15000 Šabac
e-mail: gorandjenadic@gmail.com

 

 

Sažetak

 

 

Teritorija Srema je već dokazano endemska za multilokularni ehinokok kod lisica i šakala. Međutim, prvi humani slučaj multilokularnog ehinokoka dokazan je nedavno u severnoj Mačvi, u opštini Sremska Mitrovica. Za razliku od cističnog, Echinococcus granulosus, čiji glavni domaćin je pas, multilokularni ehinokok je zoološka vrsta E. multilocularis koja parazitira u crevu dominantno kod lisica i drugih divljih mesojeda. Kod neprirodnih prelaznih domaćina kakav je čovek, nije cističan nego daje tumoroliku masu najčešće na jetri koja raste infiltrativno, a kasnije se razvija centralna kavitacija od nekrotičnog tkiva parazita i domaćina. Retrospektivno je analizirano 13 slučajeva ehinokokoze iz Mačve da bi se proverilo ima li među njima multilokularne ehinokokoze. U tri slučaja klinička dijagnoza kod pregledanih pacijenata je bila multilokularni ehinokok. Međutim, prema našoj reviziji radilo se o multicističnom hidatidnom ehinokoku.

 

Ključne reči:

Ehinokokoza, humani slučajevi, Srem, Mačva, Srbija

 

 

 

Abstract

The territory of Srem, region in northern Serbia, is already proven endemic for multilocular echinococcus in foxes and jackals. However, the first human case of multilocular echinococcus was proven recently in northern Mačva, in the municipality of Sremska Mitrovica. In contrast to the cystic Echinococcus granulosus, whose main host is the dog, the multilocular echinococcus is a zoological species of E. multilocularis that parasitizes the intestine predominantly in foxes and other wild carnivores. In unnatural transitional hosts such as humans, it is not cystic, but gives a tumor-like mass, most often on the liver, which grows infiltratively, and later develops a central cavitation from the necrotic tissue of the parasite and the host. Thirteen cases of echinococcosis from Mačva were retrospectively analyzed to check whether there was multilocular echinococcosis among them. In three cases, the clinical diagnosis in the examined patients was multilocular echinococcus. However, according to our review, it was a multicystic hydatid echinococcus.

 

Key words:

metoprolol, adverse effects, cutaneous vasculitis

 

 

 

 

References:

1. Ćirović D, Pavlović I, Kulišić Z, Ivetić V, Penezić A, Ćosić N. Echinococcus multilocularis in the European beaver (Castor fiber L.) from Serbia: first report. Vet Rec 2012, 171:100.
2. Lalošević D, Lalošević V, Simin V, Miljević M, Čabrilo B, Čabrilo OB. Spreading of multilocular echinococcosis in southern Europe: the first record in foxes and jackals in Serbia, Vojvodina Province. Eur J Wildl Res. 2016;62:793–6.
3. Miljević M, Lalošević D, Simin V, Blagojević J, Čabrilo B, Čabrilo OB. Intestinal helminth infections in the golden jackal (Canis aureus L.) from Vojvodina: Hotspot area of multilocular echinococcosis in Serbia. Acta Vet Hung. 2021, 6;69(3):274-281.
4. Dušek D, Vince A, Kurelac I, Papić N, Višković K, Deplazes P, et al. Human alveolar echinococcosis, Croatia. Emerg Infect Dis. 2020. 26(2): 364–366. 
5. Kozoderović G, Petrović-Graovac D, Lalošević V. Usmeno saopštenje, 2023.
6. Lalošević D, Fenyvesi A, Lalošević V, Popović Ž, Mesaroš A. Dilemmas in diagnostics of disseminated echinococcosis. Med Pregl 2008;61:607–614.
7. Živojinov M, Ivanov D, Živojinov S, Trivunić S. Hemikolektomija zbog ehinokokoze trbušne maramice. MD-Medical Data 2009,1(2):67-69.
   

PDF: 03-Đenadić G. et al MD-Medical Data 2022;14(3) 069-072.pdf