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Echinococcus vogeli in Immigrant from Suriname to the Netherlands

2015; Centers for Disease Control and Prevention; Volume: 21; Issue: 3 Linguagem: Inglês

10.3201/eid2103.141205

1080-6059

Kees Stijnis, Anneke C. Dijkmans, Aldert Bart, Lodewijk A.A. Brosens, Birgit Muntau, Christoph Schoen, Thomas F.E. Barth, Thomas van Gulik, Tom van Gool, Martin P. Grobusch, Dennis Tappe,

Parasitic Infections and Diagnostics

To the Editor: Neotropical echinococcosis, caused by polycystic larvae of the tapeworm Echinococcus vogeli and unicystic larvae of E. oligarthrus, is an emerging infection in rural South America (1,2).The parasites are propagated in a predator-prey cycle; the final and intermediate hosts for E. vogeli are bush dogs (Speothos venaticus) and pacas (Cuniculus paca), respectively (1,2).Human infections occur in rural areas and have been reported from several South American countries, mostly Brazil (1-3).Prompted by the recent diagnosis of an E. vogeli infection in a Surinamese patient in the Netherlands (4), we performed a retrospective analysis of all recent echinococcosis cases seen at the Amsterdam Medical Center.We describe molecular and immunohistochemical analyses from another case of E. vogeli infection.In 2009, a 48-year-old female schoolteacher from Suriname sought care at the Amsterdam Medical Center for recently increasing retrosternal pain.Born in rural Suriname, she moved to the capital city of Paramaribo at 2 years of age.She had worked in the Brokopondo District for 1 year, then worked in urban Morocco, and immigrated to the Netherlands in 1990.Physical and laboratory examination findings were unremarkable.Esophago-gastro-duodenoscopy showed no abnormality.Abdominal ultrasonography and subsequent computed tomography revealed a lesion with solid and liquid components in liver segment 4, considered consistent with a biliary cystadenoma or an echinococcal cyst.Result of an echinococcosis indirect hemagglutination test with E. granulosus hydatid fluid antigen (Fumouze, Levallois-Perret, France) was strongly positive