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 Parazit:
Echinococus spp.
E. granulosus Hidatidoza Uniloculara
E. vogeli
Hidatidoza Multivesiculara
E. oligharthus
E. multilocularis Hidatidoza Multiloculara
(alveolara)

Boala:
Hidatidoza, echinococoza, chistul hidatic
Produsa de stadiul larvar al teniei cainelui sau altor
canide, cu dezvoltare la om
 Distributie Geografica

Hidatidoza uniloculara - distributie

cosmopolita dar mai frecvent intalnita in:

- Australia, Noua Zeelanda si Tasmania

- Africa - Kenya (Turkana)
- Europa – Centrala si de East, Marea Britanie
- America de Sud - Brazilia, Argentina
- Asia – Orientul Mijlociu si Indepartata
 Morfologie
Adult

- 3-8.5 mm lungime
- scolex piriform, prezentand un rostellum
anterior, prevazut cu 2 randuri de carlige,
- 4 ventuze
- 3-5 proglote, ultima mai mare, matura,
continand pana la 5000 oua, cu porul genital
pe laturi alternative
Larva Hydatid cyst Protoscolices
Hydatid cyst

Din oncosfera se dezvolta chistul hidatic

Ectochist – strat fibrous, produs de gazda
Endochist
- strat intern “germinal” ce produce initial proliferari de tesut,
apoi veziculele fiice, lichidul hidatic si protoscolecsi
- capsulele evagineaza si formeaza o cupa protectoare in
care se dezvolta scolexul
- nisipul hidatic (scolecsi and VF)
- contine un lichid steril, puternic imunogen “apa de stanca”
- strat extern – il inveleste pe cel intern
 Hydatid cyst, containing
daughter cysts inside

-
 Oul

- apare in fecalele cainelui

µm, 2 invelisuri, cel intern mai gros,

- 32-38 x 21-30µ

cel extern mai subtire

- in interior oncosfera contine 3 perechi de carlige

- infectant in momentul eliminarii

 Transmitere

GI, inclusiv omul

- inghitirea oului infectant - hidatidoza primara

- diseminare hematogena a protoscolecsilor consecutiv

rupturii hidatidei primare – hidatidoza secundara

GD

- cainele se infecteaza inghitind continutul hidatidei

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BT
. SM MM SV 44
22 39 33 Total no. of cases
BH BN IS 3072
SJ
22 CJ 51 MS HR NT 116
171 43
52 VS
40 AR 26 BC 51
AB 39
HD 103 SB
BV CV VN GL
159 TM 126 50 32 96
51 49

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43 63 133
81
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112 53 188
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1. Epidemiologic (istoric, factori de risc, etc)
2. Clinic – semne generale si de organ
(daca sunt prezente)
3. Parazitologic
Morfologic
Imunologic
Molecular

4. Imagistic
5. Circumstantial
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Hidatidoza
Alveolara
Echinococcus
multilocularis
 ! ' $
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 Echinococcoza Alveolara
E. multilocularis

VF se dezvolta pe stratul extern al membranei

chistice

Aspect infiltrativ, de tip tumoral (malignancy-like)

in timpul dezvoltarii chistului

Localizarea hepatica este aproape intotdeauna

prezenta

Anticorpi 97-100%+ - importanta Dg. imunologic

EA – aspecte macroscopice si
microscopice
 Echinococcoza Alveolara
E. multilocularis
- Endemica numai in zonele temperate ale
Emisferei Nordice

- In Eurasia se raspandeste de la Est la Vest

China, Mongolia, Siberia, Elvetia,
Austria, Sudul Germaniei, Estul Frantei
(In Elvetia caa. 10 cazuri/an)
- Alaska, Canada
Diagnostic imunologic

• ELISA

• WB

Diagnostic molecular

• PCR
 Echinococcoza Polichistica

! " #

$ % &
' "
Hidatidoza Polichistica
Echinococcus vogeli
 Hidatidoza Polichistica
E. olighartus, E.vogeli

VF se dezvolta in interiorul si exteriorul

membranei chistice

Aspect Infiltrativ, dezvoltare de tip tumoral

(malignancy-like growing) a chisturilor

Chisturile sunt mai mari deacta cele din

infectia cu E. multilocularis
Ficatul este aproape intotdeauna interesat