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Cystic Echinococcosis in the Mediterranean

  • Tropical Medicine in the Mediterranean Region (F Bruschi, Section Editor)
  • Published:
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Abstract

Purpose of Review

Cystic echinococcosis (CE), a zoonotic disease caused by Echinococcus granulosus sensu lato, is endemic in the Mediterranean, where pastoral activity is widespread, as the life cycle of this helminth involves sheep, as well as other livestock, as intermediate hosts. We review recent studies on CE from Mediterranean countries.

Recent Findings

Reliable data on CE, from human and animal epidemiology to treatment, remain fragmented and insufficient to gauge the magnitude of the problem beyond local communities. The lack of major advances leaves clinicians without an evidence base on which to make sound clinical decisions.

Summary

Despite a wealth of publications on the subject, CE remains a neglected disease in the Mediterranean as well. Hope is seen in the establishment of a European Registry for Cystic Echinococcosis, but implementation and maintenance of such an important tool will require hard work, political commitment and resources, monetary, and otherwise.

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Acknowledgements

The authors thank Francesca Tamarozzi, DVM, MD, PhD for helpful criticism. This work was partially funded by HERACLES (Human cystic Echinococcosis ReseArch in CentraL and Eastern Societies), a EU funded FP7 Project. Grant number 602051 (to EB).

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Authors and Affiliations

  1. PhD School of Experimental Medicine, University of Pavia, Pavia, Italy

    Tommaso Manciulli

  2. WHO—IWGE Collaborating Center for Clinical Management of Cystic Echinococcosis, San Matteo Hospital Foundation, Pavia, Italy

    Tommaso Manciulli, M. Mariconti, A. Vola, R. Lissandrin & E. Brunetti

  3. Department of Clinical Surgical Diagnostic and Pediatric Sciences, University of Pavia, Pavia, Italy

    Tommaso Manciulli, M. Mariconti & E. Brunetti

  4. Unit of Infectious and Tropical Diseases, San Matteo Hospital Foundation, Pavia, Italy

    R. Lissandrin & E. Brunetti

Authors
  1. Tommaso Manciulli
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  2. M. Mariconti
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  3. A. Vola
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  4. R. Lissandrin
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  5. E. Brunetti
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Correspondence to Tommaso Manciulli.

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Raffaella Lissandrin, Tommaso Manciulli, Mara Mariconti, and Ambra Vola declare that they have no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Tropical Medicine in the Mediterranean Region

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Manciulli, T., Mariconti, M., Vola, A. et al. Cystic Echinococcosis in the Mediterranean. Curr Trop Med Rep 4, 235–244 (2017). https://doi.org/10.1007/s40475-017-0129-z

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