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Echotomographic and Serologic Screening for Hydatidosis in a Tunisian Village

N. Mlika^*, B. Larouzé, C. Gaudebout, B. Braham^**, M. Allegue^*, M. C. Dazza, M. Dridi^*, S. Gharbi^*, B. Gaumer^*, A. Bchir^*, J. J. Rousset, M. Delattre^* AND M. Jemmali^*

^* Faculté de Médecine
^** Service des Soins de Santé de Base, Sousse, Tunisia
INSERM U13/Institut de Médecine et d'Epidémiologie Tropicales, Hôpital Claude Bernard, Paris
Service de Parasitologie, Faculté de Médecine, Bobigny, France

Echotomographic and serologic screening for hydatidosis was carried out in 1,650 subjects aged over 5 years in a village located in a high risk region of central Tunisia. Echotomography detected liver cysts in 6 subjects (prevalence rate: 3.6 per 1,000). These 6 cases were among the 7 positive cases detected by ELISA. In all 6, the diagnosis of liver cysts was confirmed. No other localization was found in any of the subjects including one with a positive ELISA and a normal echotomographic examination. This work demonstrates the high feasibility of echotomography in the field and confirms the high prevalence rate of hydatidosis in the community.

Accepted for publication February 27, 1986.