{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:55:53Z","timestamp":1775696153828,"version":"3.50.1"},"reference-count":14,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,9,1]]},"abstract":"<jats:p>We reviewed the records of 446 patients who were treated surgically for cystic echinococcosis (CE) to identify risk factors for anaphylactic shock. Of 446 patients, 10 had final diagnoses of anaphylactic shock induced by CE; none died. The incidence of anaphylactic shock was significantly higher in younger age groups (<jats:italic>P<\/jats:italic> &lt; 0.001) and in patients with pulmonary cysts. Anaphylactic shock induced by CE appears to differ from type I immediate hypersensitivity shock, which suggests that in CE, shock may be caused by a combination of immediate hypersensitivity and endotoxic shock. This possibility suggests that additional precautions should be taken during surgery. These precautions include reducing intracystic pressure, which would prevent possible leaked liquid from reaching other organs by surrounding the cyst with sterile gauze and decrease the chance of spreading the echinococcus; preventing antigen from contacting other tissues where it might trigger anaphylaxis; and resecting the cyst completely when feasible.<\/jats:p>","DOI":"10.4269\/ajtmh.2011.10-0448","type":"journal-article","created":{"date-parts":[[2011,9,6]],"date-time":"2011-09-06T18:47:57Z","timestamp":1315334877000},"page":"452-455","source":"Crossref","is-referenced-by-count":28,"title":["Demographic and Clinical Characteristics of Patients with Anaphylactic Shock after Surgery for Cystic Echinococcosis"],"prefix":"10.4269","volume":"85","author":[{"given":"Yimei","family":"Li","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hong","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xinghua","family":"Cao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zaoling","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lili","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"R1","series-title":"Manual on Echinococcosis in Humans and Animals","author":"WHO\/OIE","year":"2001"},{"key":"R2","series-title":"Clin Rev Allergy Immunol","first-page":"93","article-title":"Echinococcosis and allergy","volume":"26","author":"Vuitton","year":"2004"},{"key":"R3","series-title":"Clinical Anesthesia Procedures of the Massachusetts General Hospital","first-page":"1","author":"Dunn","year":"2007"},{"key":"R4","series-title":"J Allergy Clin Immunol","first-page":"584","article-title":"Symposium on the definition and management of anaphylaxis: summary report","volume":"115","author":"Sampson","year":"2005"},{"key":"R5","series-title":"Acta Trop","first-page":"114","article-title":"Dot immunogold filtration assay (DIGFA) with multiple native antigens for rapid serodiagnosis of human cystic and alveolar echinococcosis","volume":"113","author":"Feng","year":"2010"},{"key":"R6","series-title":"Acta Trop","first-page":"1","article-title":"Expert consensus for the diagnosis and treatment of cystic and alveolar echinococcosis in humans","volume":"114","author":"Brunetti","year":"2010"},{"key":"R7","series-title":"Current Therapy in Allergy, Immunology, and Rheumatology","first-page":"91","author":"Sullivan","year":"1988"},{"key":"R8","series-title":"Arch Dis Child","first-page":"348","article-title":"Age specific aetiology of anaphylaxis","volume":"85","author":"Alves","year":"2001"},{"key":"R9","series-title":"Clin Exp Allergy","first-page":"1571","article-title":"Age, sex, geographical and socio-economic variations in admissions for anaphylaxis: analysis of four years of English hospital data","volume":"31","author":"Sheikh","year":"2001"},{"key":"R10","series-title":"J Allergy Clin Immunol","first-page":"371","article-title":"Clinical features and severity grading of anaphylaxis","volume":"114","author":"Brown","year":"2004"},{"key":"R11","series-title":"Res Exp Med (Berl)","first-page":"239","article-title":"Systemic anaphylaxis: separation of cardiac reactions from respiratory and peripheral vascular events","volume":"190","author":"Felix","year":"1990"},{"key":"R12","series-title":"Infect Immun","first-page":"288","article-title":"Modulation of human immune response by Echinococcus granulosus antigen B and its possible role in evading host defenses","volume":"69","author":"Rigan\u00f2","year":"2001"},{"key":"R13","series-title":"J Clin Invest","first-page":"901","article-title":"Systemic anaphylaxis in the mouse can be mediated largely through IgG1 and Fc gammaRIII. 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