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Encysted parasitic larvae in the mouth.

Oral appearances of intestinal parasitic disease are rare. One such appearance is the presence in oral tissues of encysted or encapsulated larvae of organisms from the classes Cestoidea and Nematoda. Cestode larvae form cyst-like lesions that are often clinically diagnosed as mucoceles. In these lesions, the cyst cavity is lined by fibrous tissue with inflammatory cells, and contains fluid and the larval stage of a parasite. The diagnosis of these parasitic cysts is more frequently made in younger persons. The cysts may be treated by simple excision, but care must be taken that the cyst does not rupture, as in some parasites this may result in new cyst formation. Nematode infection in the oral cavity, the most common of which appears to be trichinosis, is rarely reported. Patients with oral or maxillofacial (or both) parasitic disease must undergo a thorough medical investigation to exclude possible life-threatening involvement in other parts of the body.

Adult↗

[The Incidence Of Parasites Found Of Vegetables]

The high incidence of intestinal parasites among the Korean people almost same as 40 years ago might be partly interpreted by the fact that they are all fond of raw vegetables cultivated on the farms fertilized with non-treated night soil. The cabbages, onions and radishes were collected from the five areas of Seoul vicinity and the number of parasites attached to those vegetables were investigated to compare with the results obtained 10 years ago by the same methods of sampling and examination as the present survey. The resultant findings were summarized as follows: The eggs of Ascaris, hookworm, Trichostrongylus and whipworm, rhabditoid larvae and filariform larvae of hookworms were detected from those vegetables. Additionally, a number of larvae of free living nematodes and morphologically undetermined eggs were also observed. 2)The maximum number of parasites found from one vegetable were as follows: 1)16 Ascaris eggs on a cabbage, 27 hookworm eggs on an onion, 8 whipworm eggs on a cabbage, 68 filariform larvae of hookworm on an onion. 3)The onions were highly contaminated by the number of parasites as much as 177.6 including the larvae of free living nematodes, the next being the cabbages with 25.3 and the radishes with 4.1 in average. 4)No notable relationship was observed between the size of vegetables and the number of parasites attached to them. 5)Ascaris eggs were found from 56 % of all cabbages, 28 % of the onions and 40 % of the radishes; whipworm eggs were detected on 40 % of radishes and the filariform larvae of hookworms were observed from 40 % of onions examined. It may be concluded that there is no notable change in the number of parasites attached to the vegetables collected from the Seoul vicinity compared to the results investigated by the same method 10 years ago.

Journal Article↗

Urticaria by Blastocystis hominis. Successful treatment with paromomycin.

Urticaria and angioedema are easily recognized disorders, but in at least 70 percent of individuals, chronic episodes of urticaria are of unknown causes. We present 10 cases of chronic urticaria associated parasitation by blastocystis hominis. This parasite has not been previously related with urticaria. Both intestinal parasitation as well as urticaria responded successfully to paromomycin sulfate.

Adolescent↗

Factors influencing the fecal egg and oocyst counts of parasites of wild European rabbits Oryctolagus cuniculus (L.) in Southern Western Australia.

Abundance of intestinal parasites was monitored by fecal egg and oocyst counts for samples of wild rabbits Oryctolagus cuniculus with different levels of imposed female sterility from 12 populations in southwestern Australia. Differences in egg counts of Trichostrongylus retortaeformis between seasons and age groups were dependent on the sex of the host. Pregnancy may have been responsible for these differences because egg counts were consistently higher in intact females than in females surgically sterilized by tubal ligation. Egg counts for Passalurus ambiguus were influenced by season and host age but there were no differences between sexes or between intact and sterilized female rabbits. No differences were detected in the oocyst counts of the 8 species of Eimeria between male and female rabbits or between intact and sterilized females. Seasonal differences were detected in oocyst counts of Eimeria flavescens and Eimeria stiedai. The overwhelming determinant of coccidian oocyst counts was host age, with 6 species being much more abundant in rabbits up to 4 mo of age. There was a suggestion that egg counts of T. retortaeformis and oocyst counts of several species of Eimeria were reduced in populations where rabbit numbers had been depressed for at least 2 yr, but there was no evidence that short-term variations in rabbit numbers had a measurable effect on parasite abundance.

Age Factors↗

Intestinal immune responses to coccidiosis.

Intestinal parasitism is a major stress factor leading to malnutrition and lowered performance and production efficiency of livestock and poultry. Coccidiosis is an intestinal infection caused by intracellular protozoan parasites belonging to several different species of Eimeria. Infection with coccidia parasites seriously impairs the growth and feed utilization of chickens and costs the US poultry industry more than $1.5 billion in annual losses. Although acquired immunity to Eimeria develops following natural infection, due to the complex life cycle and intricate host immune response to Eimeria, vaccine development has been difficult and a better understanding of the basic immunobiology of pertinent host-parasite interactions is necessary for developing effective immunological control strategies against coccidiosis. Chickens infected with Eimeria produce parasite specific antibodies in both the circulation and mucosal secretions but humoral immunity plays only a minor role in protection against this disease. Rather, recent evidence implicates cell-mediated immunity as the major factor conferring resistance to coccidiosis. This review will summarize current understanding of the avian intestinal immune system and its response to Eimeria as well as provide a conceptual overview of the complex molecular and cellular events involved in intestinal immunity to coccidiosis. It is anticipated that increased knowledge of the interaction between parasites and host immunity will stimulate the birth of novel immunological and molecular biological concepts in the control of intestinal parasitism.

Animals↗

Hymenolepis nana: a common cause of paediatric diarrhoea in urban slum dwellers in India.

The prevalence of intestinal parasitic infections was studied for a period of 5 years (April 1996-April 2001) among urban slum dwellers. All age groups were represented in the study. Parasitological examinations were performed on 939 faecal specimens collected on a household basis. The total prevalence of pathogenic parasites was 33.6 per cent. No significant age and sex differences in pathogenic parasites were observed. The prevalence of intestinal helminths and pathogenic protozoa was as follows: Hymenolepis nana (9.9 per cent), Ascaris lumbricoides (8.5 per cent), Giardia lamblia (8.4 per cent) and Entamoeba histolyticaldispar (3.7 per cent). Thirty-four E. histolytica/dispar positive samples were cultured and speciation was done using polymerase chain reaction (PCR). The predominant isolate was E. dispar compared to E. histolytica. The notable finding of the present study was high prevalence of Hymenolepis nana compared with other parasitic infections in slum dwellers.

Adolescent↗

Imported Opisthorchis viverrini and parasite infections from Thai labourers in Taiwan.

In order to determine the prevalence of intestinal parasites among labourers from Thailand in Taiwan, the stool samples from 1364 Thai labourers were examined by the formalin-ether concentration method and 18.0% were found to be infected with one or more parasites. The infection rates of hookworm, Opisthorchis viverrini, Strongyloides stercoralis, Enterobius vermicularis, Ascaris lumbricoides, Hymenolepis nana, Capillaria philippinensis, Schistosoma japonicum, Echinostoma sp., Entamoeba coli, Giardia lamblia, and Entamoeba histolytica, were 7.6%, 7.0%, 3.2%, 0.5%, 0.3%, 0.1%, 0.1%, 0.1%, 0.1%, 0.4%, 0.2%, and 0.1% respectively. The prevalence was highest among the 21-25 age group (24.8%). Among the 245 infected persons, 91% were infected with one parasite, 8% with two parasites and 1% with three parasites. The finding that parasitic infections are prevalent among Thai labourers demonstrates the need for control measures in foreign labourers in Taiwan and further studies to determine the susceptibility of O. viverrini to the snail hosts of Clonorchis sinensis.

Adult↗

Vitamin a deficiency phrynoderma associated with chronic giardiasis.

Phrynoderma is a rare form of follicular hyperkeratosis associated with deficiencies in vitamins A or C or essential fatty acids. We report a 6-year-old boy with an unusual presentation of phrynoderma, characterized by multiple minute digitate hyperkeratoses associated with hair casts and related to a severe deficiency in vitamins A and C complicating a chronic intestinal giardiasis. The lesions responded well to oral vitamins A and C combined with albendazole treatment. Vitamin A deficiency-related phrynoderma is rare in western countries and is usually caused by digestive malabsorption resulting from large intestine resection or pancreatic failure. To our knowledge, this is the first reported instance of phrynoderma related to a chronic intestinal parasitic infection by Giardia intestinalis with intestinal malabsorption as a likely consequence.

Albendazole↗

The prevalence of Dirofilaria immitis and other parasites in urban pound dogs in north-eastern Victoria.

The results of a survey investigating the prevalence of dirofilaria immitis and other helminth and protozoan infections in urban dogs in north-eastern Victoria are presented. D. immitis was detected in 2.7% of the general population (8.3% of dogs older than 2 years). Microfilariae of D. immitis were not detected in the peripheral circulation of 30% of dogs infected with the adult parasites. The most prevalent gastro-intestinal parasites were Dipylidium caninum 57%; Trichuris vulpis 41%; Toxocara canis 38%; and Uncinaria stenocephala 26%. The prevalence of T. canis in dogs less than one year of age was 73% and this decreased with increasing age. No Echinococcus granulosus adults were detected. Sarcocystis spp and isospora ohioensis were the most commonly seen coccidians.

Animals↗

The immunogenetics of resistance to Trichostrongylus colubriformis and Haemonchus contortus parasites in sheep.

Three possible immunogenetic markers for resistance to intestinal parasites in sheep have been studied. Allotypes of the major histocompatibility complex (MHC) of the sheep have been investigated as markers, using serological typing or gene probes, for associations between allotypes and resistance to parasites in selected high responder and low responder lines of sheep. Only the serologically-determined class I ovine leucocyte antigen (OLA) types SY 1a and SY 1b have been found to be consistently associated with increased resistance to Trichostrongylus colubriformis, but this association has not extended to the immunologically distinct Haemonchus contortus parasite. Gene probes of the sheep DRB, DQB and DQA MHC class II loci have detected animals with increased susceptibility to T. colubriformis. Eosinophilia was investigated as a marker and found to be associated with increased resistance to parasites in lines of Australian Merinos and New Zealand Romneys selected for resistance on the basis of low faecal egg count. Blood eosinophilia was distinct from eosinophil infiltration of the gut which was poorly associated with resistance. The mechanism of parasite resistance appeared to involve the release of vasoactive amines and leukotrienes into intestinal mucus, since the selected high responder sheep to T. colubriformis and H. contortus had significantly increased amounts of these agents in their gut mucus, compared with selected low responder or random-bred sheep. Antibodies to T. colubriformis and H. contortus have also been used as markers to select high responder sire groups of lambs in contact with the parasites, for the first time, at weaning. This assay had the advantage of detecting distinct antigens for the two parasites, which would allow resistance to the species of parasite to be selected in the lambs. Vaccines have been developed against H. contortus using 'novel' gut antigens from the parasite, but variable responsiveness of the host sheep seemed to result in varying degrees of protection which were stimulated by these vaccines.

Animals↗

Parasitic infections in villagers from three districts of the Brazilian Amazon.

A survey of intestinal parasites among 827 rural villagers in the Brazilian Amazon revealed that the prevalences of infection with Necator americanus, Trichuris trichiura and/or Ascaris lumbricoides were high. However, the intensities of infection with the two parasites for which there were enough data on intensity for further analysis, N. americanus and T. trichiura, were only low or moderate in each of the three districts studied. Possible reasons for the unusual (but not unique) absence of high intensities include moderately good sanitation, low population densities, the way in which work activities are located geographically, the use of indigenous anthelmintics and the geographical isolation of the communities which provided the subjects. Whether the light to moderate levels of infection observed require intervention is discussed.

Adolescent↗

Helminth infracommunities of a population of the Gran Canaria giant lizard Gallotia stehlini.

A survey of gastro-intestinal helminth communities of Gallotia stehlini (Sauria: Lacertidae) from Gran Canaria island (Canary Archipelago, Spain), was conducted to determine the prevalence, abundance and species diversity of intestinal parasites in these lizards. Pharyngodonid nematodes were the most common intestinal helminths, three species being Gallotia specialists. Helminth infracommunities of G. stehlini were rich and appear to be closer to the interactive end of the continuum isolationist-interactive helminth communities, according to the high values of helminth diversity. It is the first case of a saurian reptile showing this kind of diverse helminth infracommunity, produced by a large size, a wide-ranging plant diet and exposure to helminths with direct life-cycles.

Animal Feed↗

Helminth communities in Audouin's gulls, Larus audouinii from Chafarinas Islands (western Mediterranean).

A survey of intestinal helminth communities of Audouin's gulls Larus audouinii, from their breeding colonies in Chafarinas Islands, western Mediterranean, Spain was conducted to determine the abundance and species diversity of intestinal parasites of these birds. The sample of 58 gulls harbored intestinal helminth infracommunities composed of species that are gull generalists, including the digeneans Cardiocephalus longicollis, Knipowitschiatrema nicolai, Condylocotyla pilodora, and Aporchis massiliensis, and the cestode Tetrabothrius cylindraceus. Two nematodes are waterfowl generalists (Cosmocephalus obvelatus and Paracuaria adunca), whereas the digenean Acanthotrema armata is an Audouin's gull specialist. The relative high values of species richness and diversity of the helminth infracommunities are comparable to those of other gulls (Larus philadelphia, Larus canus), probably reflecting the specialized, nonselective fish diet of L. audouinii.

Animals↗

Parasitic infections in HIV-infected patients who visited Seoul National University Hospital during the period 1995-2003.

The prevalence of parasitic infections was investigated in human immunodeficiency virus (HIV)-infected patients (n = 105) who visited Seoul National University Hospital, Seoul, Korea, during the period from 1995 to 2003. Fecal samples were collected from 67 patients for intestinal parasite examinations, and sputum or bronchoalveolar lavage samples from 60 patients for examination of Pneumocystis carinii. Both samples were obtained from 22 patients. Thirty-three (31.4%) of the 105 were found to have parasitic infections; Cryptosporidium parvum (10.5%; 7/67), Isospora belli (7.5%; 5/67), Clonorchis sinensis (3.0%; 2/67), Giardia lamblia (1.5%; 1/67), Gymnophalloides seoi (1.5%; 1/67), and Pneumocystis carinii (28.3%; 17/60). The hospital records of the 11 intestinal parasite-infected patients showed that all suffered from diarrhea. This study shows that parasitic infections are important clinical complications in HIV-infected patients in the Republic of Korea.

AIDS-Related Opportunistic Infections↗

Parasitic infection among residents of an institution for mentally retarded persons.

Data on occurrence of intestinal parasites among resident and entering populations in a South Carolina institution for mentally retarded persons were examined. Following an eradication effort in 1973 for Trichuris trichiura, the prevalence of this parasite remained below 5 percent for the resident population, with the exception of 1974 and 1975, when small numbers of stool examinations occurred. Significantly higher proportions of the entering population, compared to the residents, harbored T. trichiura, Ascaris lumbricoides, Giardia lamblia, and Entamoeba histolytica. We concluded that annual examination and treatment can control trichuriasis; however, complete eradication may require examination following home visits by the resident population.

Ascaridiasis↗

Electron transport components of the parasitic protozoon Giardia lamblia.

The energy metabolism of the intestinal parasite, Giardia lamblia, involves the iron-sulphur protein, pyruvate:ferredoxin oxidoreductase. Cell fractionation studies showed that this enzyme is associated with the membranes. NADH and NADPH dehydrogenases were found in both the membrane and cytosolic fractions. EPR spectroscopic studies showed the presence of iron-sulphur clusters in the membrane fraction and in the cytosolic fraction, non-sedimentable at 6 x 10(6) g.min. An acidic, soluble protein fraction was separated from the cytosol. It had an EPR spectrum in the reduced state, characteristic of the 2[4Fe-4S] type of ferredoxin, with g-factors at 2.04. 1.93 and 1.89, and the midpoint redox potential was estimated to be -360 mV. This species is probably a ferredoxin, like those of anaerobic bacteria such as Clostridium and Desulfovibrio spp. and also that of Entamoeba histolytica. The protein was readily and irreversibly oxidized to give [3Fe-4S] clusters.

Animals↗

Pathophysiology of infection with gastrointestinal nematodes in domestic ruminants: recent developments.

Infection with gastrointestinal nematodes, particularly Ostertagia species in domestic ruminants, continues to represent an important cause of impaired productivity in temperate parts of the world. The mechanisms responsible for such losses include changes in feed intake, gastrointestinal function, protein, energy and mineral metabolism, and body composition, and were described in detail at the last Ostertagia Workshop (Fox, M.T. 1993. Pathophysiology of infection with Ostertagia ostertagi in cattle. Vet. Parasitol. 46, 143-158). Since then, research into the pathophysiology of infection has focused on three main areas: mechanisms of appetite depression; changes in gastrointestinal function; and alterations in protein metabolism. Studies on the mechanisms responsible for appetite depression in Ostertagia-infected cattle have continued to support a close association between impaired feed intake and elevated blood gastrin concentrations. Alternative explanations will have to be sought, however, to account for the drop in feed intake associated with intestinal parasitism in which blood gastrin levels normally remain unaltered. Such work in sheep, and more recently in laboratory animals, has shown that central satiety signals are associated with inappetance accompanying intestinal infections, rather than changes in peripheral peptide levels. Changes in gastrointestinal function have also attracted attention, particularly the mechanisms responsible for increases in certain gut secretions, notably pepsinogen and gastrin. Elegant experimental studies have established that the gradient in pepsinogen concentration between abomasal mucosa and local capillaries could alone account for the increase in blood concentrations seen in Type 1 ostertagiosis. Additional factors, such as increases in capillary permeability and in surface area, probably contribute to such responses in cases of Type 2 disease. The increase in blood gastrin concentrations that accompanies Ostertagia infections in cattle is associated with the concurrent rise in abomasal pH. However, in sheep, additional factors appear to contribute to the hypergastrinaemia which may occur independent of parasite-induced changes in gastric pH. Alterations in protein metabolism have been well documented in ruminants harbouring monospecific infections with either abomasal or intestinal nematodes. More recently, however, the effects of dual abomasal and intestinal infections have been investigated and demonstrated that the host is able to compensate for impaired abomasal digestion provided that the intestinal parasite burden does not occupy the main site of digestion and absorption in the latter organ. An alternative method of improving the host's protein balance, dietary supplementation, has been shown not only to improve productivity, but also to enhance the innate resistance of susceptible breeds of sheep to Haemonchus and to accelerate the development of immunity to Ostertagia in lambs.

Animals↗

[Parasitic fecal analyses. Prescription, application and interpretation of results].

The increasing ease of intercontinental travel, immigration and the multiplication of cases of immune depression are such that European physicians are now frequently required to prescribe stool examinations for parasites. This article defines the laboratory approach to the diagnosis of intestinal parasites: indications for tests, based upon clinical and epidemiological data; methods of prescription and recommendations to patients; techniques used in the laboratory and their cost; minimum answer times; interpretation of results, in particular in the immune depressed.

Costs and Cost Analysis↗

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