Cysticercosis in Madagascar

Introduction: Cysticercosis (CC) is the most common parasitic disease of the central nervous system. It is endemic in most developing countries where pigs are raised and consumed. An overview of all available data of this parasite in Madagascar is lacking. Methodology: We conducted a literature...

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Main Authors: Jean-François Carod, Pierre Dorny
Format: Article
Language:English
Published: The Journal of Infection in Developing Countries 2020-09-01
Series:Journal of Infection in Developing Countries
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Online Access:https://jidc.org/index.php/journal/article/view/13450
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author Jean-François Carod
Pierre Dorny
author_facet Jean-François Carod
Pierre Dorny
author_sort Jean-François Carod
collection DOAJ
description Introduction: Cysticercosis (CC) is the most common parasitic disease of the central nervous system. It is endemic in most developing countries where pigs are raised and consumed. An overview of all available data of this parasite in Madagascar is lacking. Methodology: We conducted a literature review, collecting information on published and available literature about cysticercosis in Madagascar between January 1st, 1990 and June 30th, 2020. Results: Out of 858 publications; 61 were included, issued from peer-review indexed journals, non-indexed journals, books, Ministry reports and press releases. In Madagascar, porcine cysticercosis has been reported since 1901; human cysticercosis is highly prevalent with an overall estimated seroprevalence between 7 and 21%. Serological analysis is based on Enzyme-Linked Immunosorbent Assay (ELISA) and Enzyme-linked immunoelectrotransfer blot techniques (EITB) for confirmative testing. Neurocysticercosis (NCC) is the most common pattern of cysticercosis in Madagascar and it is reponsible for pediatric morbidity causing more than 50% of epilepsy cases. Though CT-Scan is now available and tends to be considered the gold standard for NCC diagnosis, it remains unaffordable for most Malagasy patients and implies the proposal of a diagnostic algorithm for physicians. Conclusions: Our review has revealed that human taeniasis and bovine cysticercosis is a considerable burden in Madagascar. A national control program has been developed aiming to decrease the seroprevalence rate from 16 to 10% in 2015. The aim of the country is now to implement a CC control and elimination program. Meanwhile, some massive cysticercosis screenings have been conducted in the capital Antananarivo to drive people's attention on this widespread infection.
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spelling doaj-art-123aad60a37d4669a8d80e70b69aecd92025-08-20T02:27:18ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802020-09-01140910.3855/jidc.13450Cysticercosis in MadagascarJean-François Carod0Pierre Dorny1Clinical Laboratory, West Guiana Hospital Center, Saint-Laurent-du-Maroni, French GuianaUnit of Veterinary Helminthology, Department of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium Introduction: Cysticercosis (CC) is the most common parasitic disease of the central nervous system. It is endemic in most developing countries where pigs are raised and consumed. An overview of all available data of this parasite in Madagascar is lacking. Methodology: We conducted a literature review, collecting information on published and available literature about cysticercosis in Madagascar between January 1st, 1990 and June 30th, 2020. Results: Out of 858 publications; 61 were included, issued from peer-review indexed journals, non-indexed journals, books, Ministry reports and press releases. In Madagascar, porcine cysticercosis has been reported since 1901; human cysticercosis is highly prevalent with an overall estimated seroprevalence between 7 and 21%. Serological analysis is based on Enzyme-Linked Immunosorbent Assay (ELISA) and Enzyme-linked immunoelectrotransfer blot techniques (EITB) for confirmative testing. Neurocysticercosis (NCC) is the most common pattern of cysticercosis in Madagascar and it is reponsible for pediatric morbidity causing more than 50% of epilepsy cases. Though CT-Scan is now available and tends to be considered the gold standard for NCC diagnosis, it remains unaffordable for most Malagasy patients and implies the proposal of a diagnostic algorithm for physicians. Conclusions: Our review has revealed that human taeniasis and bovine cysticercosis is a considerable burden in Madagascar. A national control program has been developed aiming to decrease the seroprevalence rate from 16 to 10% in 2015. The aim of the country is now to implement a CC control and elimination program. Meanwhile, some massive cysticercosis screenings have been conducted in the capital Antananarivo to drive people's attention on this widespread infection. https://jidc.org/index.php/journal/article/view/13450NeurocysticercosisTaenia soliumMadagascar
spellingShingle Jean-François Carod
Pierre Dorny
Cysticercosis in Madagascar
Journal of Infection in Developing Countries
Neurocysticercosis
Taenia solium
Madagascar
title Cysticercosis in Madagascar
title_full Cysticercosis in Madagascar
title_fullStr Cysticercosis in Madagascar
title_full_unstemmed Cysticercosis in Madagascar
title_short Cysticercosis in Madagascar
title_sort cysticercosis in madagascar
topic Neurocysticercosis
Taenia solium
Madagascar
url https://jidc.org/index.php/journal/article/view/13450
work_keys_str_mv AT jeanfrancoiscarod cysticercosisinmadagascar
AT pierredorny cysticercosisinmadagascar