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Surgical treatment of hepatic cystic echinococcosis in patients co-infected with HIV/AIDS

Published online by Cambridge University Press:  17 March 2015

B. Ran
Affiliation:
Xinjiang Key Laboratory of Echinococcosis, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China
Y. Shao
Affiliation:
Xinjiang Key Laboratory of Echinococcosis, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China
Y. Guo
Affiliation:
Yili Friendship Hospital, Yili, Xinjiang, China
Y. Yimiti
Affiliation:
Xinjiang Key Laboratory of Echinococcosis, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China
T. Aji
Affiliation:
Xinjiang Key Laboratory of Echinococcosis, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China
J. Jia
Affiliation:
Yili Friendship Hospital, Yili, Xinjiang, China
P. Shayiding
Affiliation:
Xinjiang Key Laboratory of Echinococcosis, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China
T. Jiang
Affiliation:
Xinjiang Key Laboratory of Echinococcosis, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China
L. Cheng
Affiliation:
Xinjiang Key Laboratory of Echinococcosis, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China
J. Li
Affiliation:
Xinjiang Key Laboratory of Echinococcosis, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China Molecular Parasitology Laboratory, Infectious Diseases Division, QIMR Berghofer Medical Reseach Institute, Queensland, Australia
D.P. McManus
Affiliation:
Molecular Parasitology Laboratory, Infectious Diseases Division, QIMR Berghofer Medical Reseach Institute, Queensland, Australia
W. Zhang*
Affiliation:
Xinjiang Key Laboratory of Echinococcosis, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China Molecular Parasitology Laboratory, Infectious Diseases Division, QIMR Berghofer Medical Reseach Institute, Queensland, Australia
H. Wen*
Affiliation:
Xinjiang Key Laboratory of Echinococcosis, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China

Abstract

Co-infections of cystic echinococcosis (CE) and HIV/AIDS is rare. We report four CE cases that were HIV positive. Three out of the four patients underwent a surgical operation to remove the hydatid cysts in their livers. The operation confirmed that in two of the cases their cysts had ruptured. These patients were given 3 months of albendazole after the operation. Follow-up showed they were remarkably improved in term of their health, although they were still HIV antibody positive 6 months after surgical treatment. Interestingly, the treatment remarkably increased their CD4+ cell population. We showed that surgery is suitable for treating hepatic cystic echinococcosis with HIV/AIDS co-infection.

Type
Research Papers
Copyright
Copyright © Cambridge University Press 2015 

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References

Craig, P.S., McManus, D.P., Lightowlers, M.W., Chabalgoity, J.A., Garcia, H.H., Gavidia, C.M., Gilman, R.H., Gonzalez, A.E., Lorca, M., Naquira, C., Nieto, A. & Schantz, P.M. (2007) Prevention and control of cystic echinococcosis. Lancet Infectious Diseases 7, 385394.CrossRefGoogle ScholarPubMed
Feng, X., Wen, H., Zhang, Z., Chen, X., Ma, X., Zhang, J., Qi, X., Bradshaw, H., Vuitton, D. & Craig, P.S. (2010) Dot immunogold filtration assay (DIGFA) with multiple native antigens for rapid serodiagnosis of human cystic and alveolar echinococcosis. Acta Tropica 113, 114120.CrossRefGoogle ScholarPubMed
Frider, B., Larrieu, E. & Odriozola, M. (1999) Long-term outcome of asymptomatic liver hydatidosis. Journal of Hepatology 30, 228231.CrossRefGoogle ScholarPubMed
Javed, A., Kalayarasan, R. & Agarwal, A.K. (2012) Liver hydatid with HIV infection: an association? Journal of Gastrointestinal Surgery 16, 12751277.CrossRefGoogle ScholarPubMed
McManus, D.P., Zhang, W., Li, J. & Bartley, P.B. (2003) Echinococcosis. Lancet 362, 12951304.CrossRefGoogle ScholarPubMed
MOH & UNAIDS. (2011) WHO 2011 estimates for the HIV/AIDS epidemic in China. Annual Report of Ministry of Health of People's Republic of China, Joint United Nations Programme on HIV/AIDS and World Health Organization.Google Scholar
Moro, P.L., Gilman, R.H., Verastegui, M., Bern, C., Silva, B. & Bonilla, J.J. (1999) Human hydatidosis in the Central Andes of Peru: evolution of the disease over 3 years. Clinical Infectious Diseases 29, 807812.CrossRefGoogle ScholarPubMed
Ramos, J.M., Masia, M., Padilla, S., Bernal, E., Martin-Hidalgo, A. & Gutierrez, F. (2007) Fatal infection due to larval cysts of cestodes (neurocysticercosis and hydatid disease) in human immunodeficiency virus (HIV) infected patients in Spain: report of two cases. Scandinavian Journal of Infectious Diseases 39, 719723.CrossRefGoogle ScholarPubMed
Sailer, M., Soelder, B., Allerberger, F., Zaknun, D., Feichtinger, H. & Gottstein, B. (1997) Alveolar echinococcosis of the liver in a six-year-old girl with acquired immunodeficiency syndrome. Journal of Paediatrics 130, 320323.CrossRefGoogle Scholar
Sharma, S.K. & Soneja, M. (2011) HIV and immune reconstitution inflammatory syndrome (IRIS). Indian Journal of Medical Research 134, 866877.CrossRefGoogle ScholarPubMed
Yuksel, M., Kir, A., Ercan, S., Batirel, H.F. & Baysungur, V. (1997) Correlation between sizes and intracystic pressures of hydatid cysts. European Journal of Cardio-thoracic Surgery 12, 903906.CrossRefGoogle ScholarPubMed
Zingg, W., Renner-Schneiter, E.C., Pauli-Magnus, C., Renner, E.L., van Overbeck, J., Schlapfer, E., Weber, M., Weber, R., Opravil, M., Gottstein, B. & Speck, R.F. (2004) Alveolar echinococcosis of the liver in an adult with human immunodeficiency virus type-1 infection. Infection 32, 299302.CrossRefGoogle Scholar