Peritoneal Hydatidosis in a Non-Endemic Area: a Case Report from Brazzaville, Congo

Noe Henschel Motoula Latou, Murielle Note Madzele, Didace Massamba Miabaou, Carmiche Nzaka, Edouard Makosso, Blaise Irené Atipo-Ibara

Abstract


Cystic echinococcosis (CE) is not documented in Central Africa. Here, we describe the first autochthonous infection with CE in Congo, Central Africa, providing the first evidence for a new geographical area at risk for the acquisition of CE. The whole peritoneal cavity was studded with cysts. Considering the diffuse involvement, patient was successfully managed with surgery associated with medical therapy. The origin of the contamination of our patient is discussed with a focus on a possible role of bush meat.

Résumé
L’échinococcose cystique est exceptionnelle en Afrique Centrale. Nous reportons ici le premier cas autochtone d’échinococcose cystique au Congo. Ce cas attire l’attention pour la première fois sur une nouvelle zone à risque pour cette affection; L’ensemble de la cavité péritonéale était truffé de kystes hydatiques. À cause de cette atteinte extensive, nous avons opté pour une approche mixte chirurgicale et médicale. L’origine de la contamination est discutée avec un rôle possible de la viande de brousse.


Keywords


Hydatidosis, Peritoneum, Endemic, surgical management, bushmeat.

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