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Taeniasis/cysticercosis in Bali, Indonesia
Toni Wandra1, A A Raka Sudewi, I Kadek Swastika
1Directorate General Disease Control and Environmental Health, Ministry of Health, Indonesia. tony_wdr2009@yahoo.com
The Southeast Asian Journal of Tropical Medicine and Public Health
|February 4, 2012
Summary
Taenia saginata taeniasis is prevalent in Bali, Indonesia, with sporadic neurocysticercosis (NCC) cases also detected. Researchers recommend rapid diagnostic tests for taeniasis and cysticercosis to prevent complications.
Area of Science:
- Medical Parasitology
- Infectious Diseases
- Molecular Epidemiology
Background:
- Taenia solium and Taenia saginata are endemic tapeworms affecting humans globally.
- Taeniasis and cysticercosis pose significant public health challenges, particularly in resource-limited settings.
- Neurocysticercosis (NCC), a parasitic infection of the brain caused by Taenia solium larvae, is a major cause of epilepsy worldwide.
Purpose of the Study:
- To investigate the prevalence and species distribution of taeniasis and cysticercosis in Bali, Indonesia.
- To identify cases of neurocysticercosis (NCC) and analyze their clinical presentation.
- To provide recommendations for improved diagnosis and prevention strategies.
Main Methods:
- A field survey of 660 individuals in Bali between 2002-2009.
- Mitochondrial DNA analysis for species confirmation of Taenia infections.
- Clinical diagnosis of NCC, including anamnesis, physical examination, CT scans, histopathology, and serology.
Main Results:
- 80 cases of Taenia saginata taeniasis were detected.
- Two dual infections of Taenia saginata/Taenia solium were identified, with one case presenting with Taenia solium metacestodes in the brain.
- Twelve neurocysticercosis (NCC) cases were diagnosed at Sanglah Hospital, Denpasar, indicating sporadic but present occurrences.
Conclusions:
- Taenia saginata is the predominant taeniasis species in Bali; Taenia asiatica is absent.
- While NCC prevalence is low, its presence necessitates continued surveillance and diagnostic preparedness.
- The introduction of rapid diagnostic tests is recommended for real-time confirmation of taeniasis carriers and cysticercosis cases to guide treatment and prevent adverse outcomes.
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