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PubMed1989

The ovine cysticercosis as models for research into the epidemiology and control of the human and porcine cysticercosis Taenia solium: II. The application of control.

Field trials and control programmes demonstrate that ovine echinococcosis (Echinococcus granulosus) and the cysticercoses (Taenia hydatigena and T. ovis) have different stabilities and may not respond in the same way to control. The first-named, which is usually in the endemic state, is readily transformed by a dog-dosing programme to extinction status. In contrast, the cysticercoses, usually in the hyperendemic state, may only be transformed to the endemic state. The consequence of this includes an increase in the larval population by superinfection due to a loss of immunity following this change in epidemiological status. These field trials and control programmes have been used as models for porcine cysticercosis caused by T. solium. It is concluded that future research should model the life cycle of this parasite mathematically and determine the most cost-effective control strategies. The impact of these on human prevalence can then be addressed by pilot field trials.

Animals↗
PubMed1985

[Ocular cysticercosis. Apropos of a clinical case of presumed ocular cysticercosis].

The study of a case of ocular cysticercosis and its angiographic analysis enables the authors to formulate some hypothesis regarding the pathogenesis of the retinal lesions. In particular the presence of a bilateral gravitational retinal epitheliopathy contrasting with the unilateral localisation of the parasite, associated to vascular alterations, suggests that the presence of the cysticercus at subretinal level may trigger an autoimmune process mainly directed against the photoreceptors. A similar process to the one experimentally observed in monkeys after S retinal antigen immunisation can be imagined.

Antigens↗
PubMed1995

Factors associated with Taenia solium cysticercosis: analysis of nine hundred forty-six Peruvian neurologic patients. Cysticercosis Working Group in Peru (CWG).

In most developing countries, 10% of acute neurologic cases are patients with neurocysticercosis (NCC). Determining specific factors associated with contracting NCC will facilitate its diagnosis and prevention. We examined multiple socioeconomic, demographic, environmental, medical, and behavioral characteristics of 946 Peruvian neurologic patients for a correlation with NCC, which was diagnosed by the highly specific and sensitive electroimmunotransfer blot (EITB) or immunoblot assay. Eighteen percent (172 of 932) of serum samples and 28% (101 of 362) of cerebrospinal fluid samples were EITB-positive. The proportion of EITB-positive persons was similar for all socioeconomic levels. Significant factors associated with NCC were: 1) being born outside Lima, 2) having raised pigs, 3) more than 20 years of age, 4) a history of seizures, and 5) a history of taeniasis. Of these factors, raising pigs is the only one that is amenable to intervention, via improvements in animal husbandry.

Adolescent↗
PubMed1975

[Observations on the extensity and intensity of cysticercosis in cattle in the Peoples Republic of Poland. Report given during the IVth symposium of the GDR on "Taeniarhynchosis-Cysticercosis" on April 26th, 1974 in Schwerin].

The bladder worm of cattle, Cysticercus bovis is found all over the world with a tendency towards a constant increase in incidence. An account of long term investigation in cattle, older than three months, being carried out in slaughter houses in a variety of towns and districts in Poland. This gradual increase was also observed in a rise from 0.32% to 0.67% in the disease as the average within the country. According to the trend of events of the infection it was possible to distinguish five groups with a variable course of parasitosis. Details are given for the difference of occurrence. Although there is little knowledge of public health intensive measures are taken in many parts of the country to combat this parasite and to ensure the health of the population of the country.

Age Factors↗
PubMed1997

Observations on the effects of cysticercosis immune sera on cysticercosis by scanning electronmicroscopy.

Two antigens of Taenia solium cysticercus, cystic fluid antigen (CFA) and the culture medium antigen (CMA), were used respectively to immunize rabbits in order to obtain immunosera. The CMA immunoserum added to culture medium with cysticerci limited the activities of the bladder worms. By using the scanning electronmicroscope, we could observe particulate deposits on the surface of the scolices, suckers and necks of the worms. The CFA immunoserum group showed similar changes but the deposit was less than that on the worms in the former group and appeared mainly on the cystic wall. After adding complement to the two groups mentioned above, we found that the microcilia on the surface of the worms were swollen and were seriously damaged. The worms treated with praziquantel were damaged over large area of their surfaces and were affected deep into their tissues. The damaged parts of the worms were quite different between the two groups. CMA is secreted by the living worms and therefore the serum antibodies are more effective than CFA in anti-parasite activity.

Animals↗
PubMed2003

The emergence of Taenia solium cysticercosis in Eastern and Southern Africa as a serious agricultural problem and public health risk.

Pig production has increased significantly in the Eastern and Southern Africa (ESA) region during the past decade, especially in rural, resource-poor, smallholder communities. Concurrent with the increase in smallholder pig keeping and pork consumption, there have been increasing reports of porcine cysticercosis in the ESA region. This article reviews the findings concerning the presence and impact of porcine cysticercosis in seven of the ESA countries. Most of the reported findings are based on surveys utilising lingual palpation and post-mortem examination, however, some also used serological assays. In Tanzania, community-based studies on porcine cysticercosis indicate a prevalence of 17.4% in the northern highlands district of Mbulu and a prevalence range of 5.1-16.9% in the southern highlands. In Kenya recent surveys in the southwestern part of the country where smallholder pig keeping is popular indicate that 10-14% of pigs are positive for cysticercosis by lingual examination. Uganda has the most pigs in Eastern Africa, most of which are kept under smallholder conditions. Preliminary surveys in 1998 and 1999 at slaughterhouses in Kampala indicated a prevalence of porcine cysticercosis between 0.12 and 1.2%, however, a rural survey in northern Uganda in 1999 indicated 34-45% of pigs slaughtered in selected villages were infected. Additionally, a new survey of 297 pigs slaughtered in Kampala in 2002 indicated that pigs from the central region of the country were negative for cysticercosis while 33.7% of the pigs coming from the rural Lira district in the north were positive. Interestingly 8 piglet foetuses removed from an infected slaughtered sow coming from Lira district were all found to harbour cysts of T. solium providing evidence of congenital transmission of porcine cysticercosis. In Mozambique, abattoir records indicate that porcine cysticercosis is present in all provinces of the country. A serological survey on pigs in rural Tete Province found 15% of pigs positive. In Zimbabwe, a retrospective study in official abattoirs around the country from 1994 to 2001 reported a mean prevalence of 0.34% which is in contrast to a post-mortem survey in 1999, which showed that the prevalence of porcine cysticercosis in rural west Zimbabwe where smallholder pig keeping is popular was 28.6%. In Zambia, abattoir records reported porcine cysticercosis in six of the nine provinces. Routine meat inspection of 1316 pigs at a slaughter slab in Lusaka showed that 20.6% of the pigs had cysticercosis whereas serological testing of 874 pigs at the same abattoir indicated that 56.6% were found to have circulating antigens of Taenia solium. Field surveys based on lingual palpation in Southern and Eastern Provinces of Zambia revealed prevalences of 8.2-28.4 and 5.2%, respectively. South Africa has the largest number of pigs in Southern Africa and cysticercosis has been recognised as a problem in the country for many decades. There is strong evidence supporting the high prevalence of neurocysticercosis infecting humans from resource-poor areas of the country where pigs are being raised under smallholder conditions. In spite of this community-based surveys on porcine cysticercosis have never been conducted in South Africa and the last slaughterhouse survey was conducted nearly 40 years ago. The prevalences of porcine cysticercosis found in these ESA countries rank among the highest in the world and the disease is emerging as an important constraint for the nutritional and economic well being of resource-poor smallholder farming communities. The current findings suggest the widespread presence of human tapeworm carriers and thus a high risk of human cysticercosis in both rural areas and urban centres in the ESA region. More research is required in the region to assess the extent and public health and economic impact of T. solium infection in order to determine whether and what prevention and control efforts are needed.

Abattoirs↗
PubMed2003

Regional status, epidemiology and impact of Taenia solium cysticercosis in Western and Central Africa.

In West Africa, Taenia solium cysticercosis in both pigs and man has been reported in Benin, Burkina-Faso, Ghana, Ivory Coast, Senegal and Togo, and although official data are lacking, T. solium is anticipated to be present in most of the pig-raising regions of other West African countries as well. In some regions of Nigeria, the prevalence of porcine cysticercosis and human taeniosis is quite high (20.5 and 8.6%, respectively). Surprisingly, however, no cases of human cysticercosis have been reported, although epilepsy is very common. Large epidemiological surveys have only been carried out in Togo and Benin, where the prevalence of human cysticercosis was 2.4 and 1.3%, respectively. In Central Africa, porcine and human cysticercosis are (hyper)-endemic in Rwanda, Burundi, the Democratic Republic of Congo and Cameroon. The parasite also has been reported in pigs in Chad and Angola. Cysticercosis has been shown to be one of the major causes of epilepsy in Cameroon with figures as high as 44.6%. Cameroon is one of the few countries where the taeniosis-cysticercosis complex has been examined more in detail. In the Western province of Cameroon large scale surveys have shown that active cysticercosis is present in 0.4-3% of the local population and in 11% of the village pigs. However, the prevalence of adult T. solium was only 0.1%, which underscores the frequency of the T. solium paradox. Based on the available information, a very conservative economic estimate indicates that the annual losses due to porcine cysticercosis in 10 West and Central African countries amount to about 25 million Euro. The financial losses due to human cysticercosis are very difficult to estimate, but are certainly exceeded by the social impact of the disease, especially because of the particular perception of epilepsy in many African communities. It is concluded that the true prevalence of T. solium cysticercosis in pigs and humans in Central and West Africa remains underestimated because of unreliable slaughterhouse data and the lack of awareness and diagnostic facilities in the public health sector.

Abattoirs↗
PubMed2002

Orbital and adnexal cysticercosis.

Orbital and adnexal cysticercosis is emerging as a far commoner disease than previously considered, both in endemic and nonendemic areas of cysticercosis. A review of the literature on orbital and adnexal cysticercosis found that it has a predilection for children and young adults with no definite sex predilection. The extraocular muscle form is the commonest type of orbital and adnexal cysticercosis. Lodgement of cysts in the subconjunctival space is another common site, followed by the eyelid, optic nerve, retro-orbital space and lacrimal gland. Association of orbital cysticercosis with systemic cysticercosis is quite rare. The clinical manifestations of orbital or adnexal cysticercosis are entirely different and depend on the location, size, relation to adjacent structures and stage of evolution of the cyst. Diagnosis of cysticercosis is based mainly on orbital imaging because of its highly specific appearance. Tissue diagnosis is not essential for initiating treatment. Medical therapy is the recommended treatment for the extraocular muscle form and retro-orbital cysticer-cosis. Surgical removal is advocated for subconjunctival and eyelid cysticercosis. Because of the limited number of cases of optic nerve and lacrimal gland cysticercosis, their treatment is controversial.

Adult↗
PubMed2005

[Evaluation of the ELISA method for diagnosis of human cysticercosis in an endemic region].

INTRODUCTION: Cysticercosis is a worldwide public health problem. Currently it is diagnosed by detection of specific antibodies or by imaging techniques. OBJECTIVE: To evaluate an alternative diagnostic tool, a simple antibody detection assay, called Dot ELISA, for immunological diagnosis of patients with neurocysticercosis as well as for endemic population screening. MATERIALS AND METHODS: The test was applied to cysticercosis patients, as well as to healthy controls and individuals with other parasitic infections. A total of 45 serum, 41 plasma and 23 cerebrospinal fluid samples were obtained from patients meeting clinical, surgical, imaging and laboratory criteria for cysticercosis. Samples were processed by enzyme-linked immune-electro-transfer blot assay and by Dot ELISA. Controls included 37 serum, 64 plasma and 17 cerebrospinal fluid samples from healthy individuals without epidemiological history for taeniosis-cysticercosis. Similarly, 43 plasma samples from patients with parasitic infections different from cysticercosis and 663 samples from population survey for cysticercosis were also evaluated. RESULTS: A total of 933 samples were analyzed. In samples from cysticercosis patients and healthy control individuals, the Dot ELISA test showed an overall sensitivity of 80.7% (CI 95% = 80.2%-81.2%) and a specificity of 92.4% (CI 95% = 91.9%-92.8%). The Dot ELISA performed in serum had a sensitivity of 91.1%, in plasma 85.4%, and in cerebrospinal fluid 52.2%. Similarly, the same test performed in serum, plasma and cerebrospinal fluid, had a specificity of 100%, 85.9% and 100% respectively. The Dot ELISA was applied as a screening test for the diagnosis of cysticercosis in an endemic population in which 1.8% (12/663) of individuals had T. solium antibodies detected by Enzyme-linked immune-electro-transfer blot assay and showed a sensitivity of 58.3% (CI 95% = 54.0-62.7) and a specificity of 100% (CI 95% = 99.9-100.0) with a positive predictive value of 100% and a negative predictive value of 99.2%. All 43 samples from patients with parasitic infections different from cysticercosis were negative for both tests. CONCLUSIONS: These results indicated that Dot ELISA is a promising tool for the diagnosis of cysticercosis as a screening test, as well as for field epidemiological studies.

Animals↗