Papers by Audronė Marcinkutė
John Wiley & Sons, Ltd eBooks, Feb 20, 2017
Trends in Parasitology, Sep 1, 2015
ABSTRACT The most common community-acquired infectious diseases are upper and lower respiratory t... more ABSTRACT The most common community-acquired infectious diseases are upper and lower respiratory tract infections, gastroenteritis, and urinary tract infections. Among vector-borne infections, Borrelia dominate but tick-borne encephalitis is found in the Baltic countries and parts of Sweden and a few cases have been reported from Denmark. The most common cause of viral meningitis is enterovirus, and herpes virus is the most common cause of encephalitis. Bacterial meningitis is rare and the most common causes are pneumococci and meningococci type B. Hepatitis A is very rare but local outbreaks are described from single imported cases. Hepatitis B is often sexually transmitted and B and Care usually related to intravenous drug abuse. Gastroenteritis due to virus is seen and food-borne outbreaks are rare but seen regularly due to virus and especially Campylobacter and Salmonella spp. (Campylobacter, the most reported in Sweden.) The prevalence of HIV is below 1% in the population and all patients are offered free antiretroviral treatment. Infections related to immunosuppressed patients like transplant recipients and patients for other reasons receiving immunosuppressive treatment are increasing primarily due to an increasingly aging population. Tuberculosis is still common in the Baltic countries where MDR is also a problem. Parasitic infections are rare, but waterborne outbreaks of Giardia have been described from Norway and Sweden. In the Baltic countries Echinococcus multilocularis seems to be spreading and Trichinella infections from consumption of infected meat has been described.
Vilnius : [Užkrečiamųjų ligų profilaktikos ir kontrolės centras ; Vilniaus universitetas], 2006
Lietuvos chirurgija, 2007
Kęstutis Strupas1, Vitalijus Sokolovas1, Gintautas Brimas1, Marius Paškonis1, Jonas Jurgaitis1, J... more Kęstutis Strupas1, Vitalijus Sokolovas1, Gintautas Brimas1, Marius Paškonis1, Jonas Jurgaitis1, Jonas Valantinas1, Arida Buivydienė1, Jūratė Dementavičienė2, Artūras Samuilis2, Dimitrijus Nepomniaščis2, Audronė Marcinkutė3, Aušrinė Barakauskienė41 Vilniaus universiteto ligoninės Santariškių klinikų Gastroenterologijos,urologijos ir abdominalinės chirurgijos klinika, Santariškių g. 2, LT-08661 Vilnius2 Vilniaus universiteto ligoninės Santariškių klinikų Radiologijos klinika,Santariškių g. 2, LT-08661 Vilnius3 Respublikinė tuberkuliozės ir infekcinių ligų universitetinė ligoninė,Birutės g.1/20, LT-08117 Vilnius4 Valstybinis patologijos centras, P. Baublio 5, LT-08406 VilniusEl paštas: [email protected] Echinokokozės – tai parazitinės ligos, sukeliamos kaspinuočio, Echinococcus genties biohelmintų lervų. Europoje yra paplitę E. granulosus, sukeliantis cistinę echinokokozę (CE), ir E. multilocularis, sukeliantis alveokokinę echinokokozę (AE). Sergamumas CE svyruoja nuo 1 iki 220 a...
The Surgery Journal, 2016
The fox tapeworm Echinococcus multilocularis causes human alveolar echinococcosis, commonly affec... more The fox tapeworm Echinococcus multilocularis causes human alveolar echinococcosis, commonly affecting the liver. However, in ∼1% of cases, systematic spread of the disease involves the brain as well. A patient had a 6-year history of liver and lung alveolar echinococcosis that was considered not suitable for surgery, and treatment with albendazole was introduced. After the appearance of neurologic disturbances, an intracranial mass lesion was demonstrated by radiologic imaging. The lesion was surgically removed, and histologic analysis revealed metacestode tissue of E. multilocularis. Despite the surgical resection of the lesion, the patient died of progression of systemic alveolar echinococcosis. The authors highly recommend implementing neurologic monitoring to the follow-up algorithm for patients with systemically disseminated alveolar echinococcosis. When neurologic symptoms occur, radiologic imaging of the brain should be obtained immediately. Surgery should be considered for a...
Trends in parasitology, Jan 23, 2015
Alveolar echinococcosis (AE) is a neglected 'malignant' parasitic disease. The European e... more Alveolar echinococcosis (AE) is a neglected 'malignant' parasitic disease. The European endemic area of Echinococcus multilocularis in foxes is larger than previously anticipated, and there is new evidence that both fox populations and the prevalence of E. multilocularis have increased in many areas, indicating increased pressure for infection with E. multilocularis eggs in intermediate and accidental hosts, including humans. This may result in more human AE cases within the next decades. Current numbers of both immunocompetent and immunocompromised AE patients, and the anticipated future increase, call for scaling-up research to rapidly improve the development and implementation of prevention measures, early diagnosis, and curative treatment of human AE.
Acta Veterinaria Scandinavica, 2010
Acta Veterinaria Scandinavica, 2010
Vilnius : Vaistų žinios, 2010
Vilnius : UAB *Vaistų žinios*, 2004
Cystic echinococcosis (CE) of pigs is widespread and known since many years in Lithuania [1]. Rec... more Cystic echinococcosis (CE) of pigs is widespread and known since many years in Lithuania [1]. Recently, the number of diagnosed cases of human CE began to increase [2] but only limited information is available on the main epidemiological aspects of this zoonosis. Material and methods During 2005-2006, post slaughter examination and morphological identification of cysts from pigs from small family farms (n=612) and industrial farms (n=73) was performed. Dog fecal samples (n=240) were collected in 12 villages and microscopically examined by egg flotation/sieving (F/Si) [3] and modified McMaster methods [4]). For the genetic identification of E. granulosus to species/strain level, PCR was performed with DNA from typical hydatid cysts from pigs (n=2), morphologically
Veterinary Parasitology, 2015
In the Baltic countries, the two zoonotic diseases, alveolar echinococcosis (AE) caused by Echino... more In the Baltic countries, the two zoonotic diseases, alveolar echinococcosis (AE) caused by Echinococcus multilocularis, and cystic echinococcosis (CE) caused by Echinococcus granulosus, are of increasing public health concern. Observations from Estonia, Latvia and Lithuania indicate that the distribution of both parasites is wider in the Baltics than previously expected. In this paper, we review and discuss the available data, regarding both parasitoses in animals and humans, from the Baltic countries and selected adjacent regions. The data are not easily comparable but reveal a worrisome situation as the number of human AE and CE cases is increasing. Despite improvements in diagnostics and treatment, AE has a high morbidity and mortality in the Baltic region. For the control of both zoonoses, monitoring transmission patterns and timely diagnosis in humans as well as the development of local control programs present major challenges.
Emerging Infectious Diseases, 2007
Journal of the Science of Food and Agriculture, 2013
Lietuvos Chirurgija, 2007
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Papers by Audronė Marcinkutė