ACUTE OPISTHORCHIASIS IN THE REPUBLIC OF BASHKORTOSTAN


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Abstract

Objective. To provide the clinical and epidemiological characteristics of patients with opisthorchiasis in the Republic of Bashkortostan. Subjects and methods. Examinations were made in patients with a documented diagnosis of acute opisthorchiasis who had been treated at Ufa Infectious Disease Clinical Hospital Four in 2017 Clinical anamnestic, laboratory (ETISA, coprovoscopy), and instrumental (fibrogastroduodenoscopy, abdominal ultrasound examination, indirect hepatic elastography) studies were used. Results. Thirty cases of acute opisthorchiasis were diagnosed in the Republic of Bashkortostan over 5 months (May- September) in 2017 There were more male patients (70.0%), which was associated with a fishing hobby and rotation-based work in the regions of Western Siberia. Among the clinical manifestations, there was a preponderance of symptoms of acute allergosis and hepatobiliary system lesion. ELISA was of crucial importance (100.0%) for diagnosing the acute phase of opisthorchiasis. Typhus-like (50.0%) and hepatocholangic (40.3%) types of acute opisthorchiasis prevailed. Conclusion. The rise in the incidence of opisthorchiasis in the Republic of Bashkortostan is due to the activation of localfoci located in the Kama River, Belaya River, and Ufa River basins, as well as to the importation offish of the family Cyprinidae from endemic regions and to the labor migration of the population of the republic to the regions of Western Siberia.

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About the authors

Tamara A. Khabelova

Bashkir State Medical University, Ministry of Health of Russia

Email: thabelova@mail.ru
Cand. Med. Sсi., Associate Professor, Department of Infection Diseases with Course of the Institute of Additional Professional Education 3, Lenina Str., Ufa 450000, Russia

Damn A. Valishin

Bashkir State Medical University, Ministry of Health of Russia

Email: damirval@yandex.ru
Prof. MD, Head, Department of Infection Diseases with Course of the Institute of Additional Professional Education Ufa, Russia

Oleg I. Kutuev

Bashkir State Medical University, Ministry of Health of Russia

Email: okutuev@yandex.ru
Cand. Med. Sсi., Associate Professor, Department of Infection Diseases with Course of the Institute of Additional Professional Education Ufa, Russia

Tatyana D. Prosvirkina

Bashkir State Medical University, Ministry of Health of Russia

Email: prosvirkinatd@mail.ru
Cand. Med. Sсi., Associate Professor, Department of Infection Diseases with Course of the Institute of Additional Professional Education Ufa, Russia

Sergey A. Larshutin

Bashkir State Medical University, Ministry of Health of Russia

Email: larshutin@mail.ru
Cand. Med. Sсi., Assistant, Department of Infection Diseases with Course of the Institute of Additional Professional Education Ufa, Russia

Tatyana G. Mayorova

Infectious Disease Clinical Hospital Four

Email: tatyana.maiorova@79mail.ru
Head, Diagnostic Department Ufa, Russia

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