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PubMed2002

Role of coccidian parasites in causation of diarrhoea in HIV infected patients in Chennai.

BACKGROUND & OBJECTIVES: Diarrhoea is one of the major problems of HIV positive patients. A coproparasitological study was carried out to assess the role of coccidian parasites in the causation of diarrhoea in HIV infected patients in Chennai. METHODS: During May 2000 to January 2001, 152 stool samples from HIV seropositive individuals (43 with acute diarrhoea, 59 with chronic diarrhoea, 50 without diarrhoea) and 50 normal individuals without diarrhoea were examined for enteric coccidian and other intestinal parasites by microscopy and special staining methods. RESULTS: A total of 52 enteric parasites, 15 from patients with acute diarrhoea and 24 from patients with chronic diarrhoea, 7 from patients infected with HIV without diarrhoea and 6 from normal individuals without diarrhoea were detected from 49 patients. Isospora belli was detected in 14 of 102 (13.7%) patients with acute and chronic diarrhoea. The association with diarrhoea among HIV positive individuals was significant (P < 0.001). Cryptosporidium was detected in 7 patients each with acute and chronic diarrhoea and 4 patients with HIV infection without diarrhoea, its association with diarrhoea among HIV patients was found to be not significant in the present study. Cyclospora and Microsporidia each were detected in only one HIV positive patient with chronic diarrhoea. INTERPRETATION & CONCLUSION: The study revealed that the coccidian parasites are one of the important etiologic agents of diarrhoea (P < 0.001) especially of chronic diarrhoea among HIV positive patients. Isospora belli was found to be a frequent enteric parasite associated with diarrhoea among HIV positive patients in Chennai.

Adolescent↗
PubMedDate not supplied

Prevalence and age-dependent occurrence of intestinal protozoan infections in suckling piglets.

A cross-sectional survey was performed on 20 pig breeding farms in southern Hesse, central Germany, to evaluate the prevalence and age-dependent occurrence of intestinal protozoan parasites in unweaned piglets. Faecal samples of 514 clinically unaffected piglets of different age (< 1 to 5-7 weeks) were examined using the sodium acetate-acetic acid-formalin (SAF) concentration technique. Infections with the following protozoan species were detected: Balantidium coli (16 of 20 farms), Entamoeba sp. (15), Jodamoeba sp. (14), Isospora (I.) suis (9), Chilomastix sp. (6) and Eimeria spp. (6). The protozoan species differed in the start and course of (oo)cyst excretion. I. suis oocysts and Jodamoeba cysts were detected already in the first week of life whereas shedding of the other parasites started later on. The prevalence of Isospora oocyst excretion increased to a maximum (18%) in 2-3 weeks old animals followed by a sharp decline. The proportion of Balantidium, Entamoeba or Jodamoeba positive suckling piglets continously increased until the age of 5-7 weeks to 60%, 52% and 22%, respectively, whereas that of Chilomastix positive animals remained on a low level of 8-12% independent of the age. Eimeria oocysts were found transiently in the faeces of 1-4 weeks old piglets.

Age Factors↗
PubMed2005

[Prevalence of coccidiosis agents in calves in the Yüksekova (Hakkari) region.].

The aim of this study was to determine the prevalence of coccidia species in calves in the region of Yüksekova (Hakkari) between March 2004 and July 2004. During this period fecal samples were collected from the rectum of 92 calves. Eimeria spp. and Isospora spp. oocysts were found in eighty-two (89.13%) out of a total of 92 calves. A solution of 2.5% potassium dichromate (K2Cr2O7) was added to the feces containing oocysts. Determination of the coccidia species was done after the sporulation of the oocysts in the Petri dishes containing feces. It was found that the calves were infected with a total of 10 species. These species were E. bovis (47.82%), E. zuernii (35.86%), E. auburnensis (15.21%), E. ellipsoidalis (11.95%), E. alabamensis (9.78%), E. cylindrica (8.69%), E. subspherica (6.25%), E. bukidnonensis (5.43%), E. illinoisensis (2.17%) and Isospora spp. (3.26%).

English Abstract↗
PubMedDate not supplied

[Current questions in parasitology and infection prevention].

Topical treatment of cutaneous larva migrans with thiabendazole and cambendazole is briefly described. AIDS has focused attention on the coccidial parasites Cryptosporidium spp. and Isospora belli because they can be responsible for severe chronic enteritis in immunodeficient patients. The species formerly known as Isospora hominis--after detection of its life cycle--has now been correctly named Sarcocystis bovihominis and S. suihominis, respectively. In future, patients harbouring commensal strains of Entamoeba histolytica can be left untreated, since pathogenic strains can now be identified by polymerase chain reaction (PCR). The geographic distribution of malaria risk and drug resistance, side effects of antimalarials and recommendations for prophylaxis are discussed more extensively.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

Cryptosporidiosis and related diseases.

Cryptosporidium, is a parasite classified as a member of the class Sporozoea and Subclass Coccidia. The other parasites which are grouped under the Coccidia Subclass are Isospora, Sarcocystis, Plasmodium, Piroplasmia and Microspora. Cryptosporidium, Isospora, Sarocystis and recently some of the Microspora have been observed to cause infections of the gastrointestinal tract. This review summarizes the recent developments in our knowledge about these parasites especially those which are of medical importance.

Cryptosporidiosis↗
PubMed1989

Coccidian parasites (Apicomplexa: Eimeriidae) from two species of caimans, Caiman yacare daudin and Caiman latirostris daudin (Alligatoridae), from Paraguay.

From October 1986 to January 1987, feces from 119 Caiman yacare and 12 Caiman latirostris were collected in Paraguay and later examined for coccidian oocysts; 69 of 119 (58%) samples from C. yacare and 3 of 12 (25%) samples from C. latirostris contained coccidian oocysts. Two eimerians infected C. yacare and both are described as new species. Sporulated oocysts of Eimeria paraguayensis n. sp. are ellipsoid, 34.0 x 23.6 (26-38 x 20-29) microns with sporocysts ovoid, 14.0 x 7.1 (10-19 x 6-10) microns. Sporulated oocysts of Eimeria caimani n. sp. are spheroid, 22.4 (19-29) microns with sporocysts ovoidal, 12.9 x 6.5 (8-17 x 5-8) microns. Isospora jacarei infected C. latirostris and is redescribed. Sporulated oocysts of I. jacarei are sub-spheroid, 13.2 x 12.1 (10-18 x 10-15) microns with sporocysts ellipsoid, 10.4 x 5.8 (7-13 x 4-11) microns. To date, members of the Eimeriidae found in Crocodylia include 5 species of Eimeria and 2 of Isospora including the new species described here.

Alligators and Crocodiles↗
PubMed1986

[Incidence of Toxoplasma gondii oocysts in cat feces].

Within two years and a half, the faeces of 620 cats coming from Brno and the area around the city were subjected to parasitological examination with special regard to the occurrence of the oocysts of Toxoplasma gondii. Sucrose solution at the specific weight of 1,150 was used as flotation medium. Oocysts of Toxoplasma gondii were eliminated by eight cats (1.29%) at the age from 16 days to 1.5 years. Six of the eight cats were younger than seven months. The Toxoplasma gondii oocysts were eliminated by the cats for 1-16 days while exhibiting signs of short-term scours and swelling of lymph nodes. In all cases the oocysts of Toxoplasma gondii were produced in the summer and autumn seasons (June-December). During the patent period, other coccidia (Isospora felis and Isospora rivolta) were also present in the cats.

Animals↗
PubMed1985

[Cryptosporidiosis, isosporiasis, lambliasis in immunologic deficiencies].

Digestive disorders are very frequent in the course of immune deficiencies. Parasitic infestations are often their cause, Giardia lamblia was the first known agent and is chiefly found in deficiencies of humoral immunity. Recent studies allowed a better evaluation of the relationships between the host's immune system and parasite, such as production of anti-Giardia antibodies, presence of non specific anti-Giardia factors in blood and maternal milk and the part played by cellular immunity. Another protozoan of the cryptosporidium species was recently considered as responsible for severe diarrhea in cases with immune deficiencies, especially AIDS and some congenital immune deficiencies (5 cases in children with immune deficiencies and diarrhea during the past 3 years). Children without immune deficiencies may also be contaminated, as shown by several epidemiological studies. Finally, a third type of protozoan, Isospora belli and Isospora hominis was also involved in the occurrence of severe digestive disorders. All these parasitic infestations in children with immune deficiencies were characterized by their difficult treatment, their chronicity and frequent relapse and, overall by the usual association with other bacterial and viral agents.

Adult↗
PubMed1977

Attempeted transmission of feline coccidia from chronically infected queens to their kittens.

Eight female, 12- to 34-month-old, specific-pathogen free cats were inoculated orally with Toxoplasma gondii cysts on day 0, then with Isospora felis and Isospora rivolta oocysts on day 39, and cysts of Hammondia hammondi on day 86 after inoculation with Toxoplasma. All cats shed oocysts of all 4 of these coccidia within 11 postinoculation days. The female cats were caged with 4 male Toxoplasma-free cats, starting 66 days after inoculation with Toxoplasma, until they were 5 to 6 weeks pregnant. Kittens that were born were housed with their mothers until necropsied or weaned. One 42-day-old kitten shed T gondii oocysts in feces. It was necropsied 2 days later and asexual stages of Toxoplasma (types D and E), gametocytes, and oocysts were demonstrated in sections of superficial epithelial cells of its small intestine. Lesions or forms of Toxoplasma were not demonstrated histologically in tis extraintestinal organs. Toxoplasma was not isolated from feces or tissues of the remaining 47 kittens born to these 8 queens. Toxoplasma was not isolated from the 4 male cats that were caged with infected females for 53, 59, 217, and 217 days. The source of toxoplasma infection in the kitten remained unknown but was considered unlikely to be congenital or through fecal contamination. Oocysts of I felis, I rivolta, and H hammondi were not found in the feces of any kittens, indicating that these coccidia are unlikely to be transmitted congenitally.

Animals↗
PubMed1994

Gut parasites in HIV-seropositive Zambian adults with diarrhoea.

We undertook a nine month study to define the frequency of parasitic infections in adults with diarrhoea presenting at the medical filter clinic and the Dermatovenereology clinic of the University Teaching Hospital in Lusaka, Zambia. A total of 287 patients with diarrhoea were enrolled in the study; 130 from the adult medicine filter clinic recruitment consulting room and 157 patients from the Dermatovenereology clinic. Of 130 patients from the adult filter clinic, 85 (65%) were HIV-seropositive and 45 (35%) were seronegative for HIV. Out of 85 HIV-seropositive patients, 58 (68.2%) had acute diarrhoea and 27 (31.8%) had chronic diarrhoea. Of the 45 HIV-seronegative patients, 35 (77%) had acute diarrhoea and 10 (23%) had chronic diarrhoea. All of the 157 patients recruited from the Dermatovenereology clinic were HIV-seropositive. Of these, 97 (62%) had chronic diarrhoea; 7 (4%) had acute diarrhoea, and 53 (34%) patients had no diarrhoea. The common parasites detected were Ascaris lumbricoides, hookworm, Entamoeba coli, and Cryptosporidium spp. Isospora belli and Cryptosporidium spp were seen only in the HIV-seropositive group. In the Dermatovenereology clinic there was a statistically significant difference between parasite detection rate of Isospora belli and Cryptosporidium spp in HIV-seropositive patients with chronic diarrhoea compared to asymptomatic HIV-seropositive individuals P < 0.01 and p = 0.05, respectively). A significant difference in detection rates of Entamoeba coli was seen between the HIV-seropositive group in the Dermatovenereology clinic [17 (10.8%) out of 157] compared to 1 (1.5%) out of 85 in the adult medicine filter clinic.(ABSTRACT TRUNCATED AT 250 WORDS)

AIDS-Related Opportunistic Infections↗
PubMed1976

Prevalence of Sarcocystis infection and other intestinal parasitisms in dogs from a humane shelter in Ohio.

Fecal specimens from 500 stray dogs in Columbus, Oh, were examined for evidence of intestinal parasitisms. Prevalences (%) of coccidia were: Sarcocystis sp, 1.8; Isospora canis, 1.8; and Isospora ohioensis, 3.6. Prevalences (%) of helminths were: Toxocara canis, 19.2; Toxascaris leonina, 10.2; Trichuris sp, 42.2; Capillaria sp; 1.0; Ancylostoma sp, 60.8; Uncinaria sp, 2.4; and Taenia sp, 7.4.

Animals↗
PubMed1996

Prevalence of intestinal parasites in adult patients with enteropathic AIDS in north-eastern Tanzania.

A six month study was conducted in north-eastern Tanzania to determine the prevalence of pathogenic intestinal parasites among adult patients with enteropathic AIDS. A total of 352 patients were recruited of whom 158 (45%) had chronic diarrhoea. Of the 352 patients, 123 (35%) had intestinal parasites. Of the 123, 77 (62.6%) patients had chronic diarrhoea. The types of parasites detected were Cryptosporidium, Isospora belli, Strongyloides stercoralis, Schistosoma mansoni, Trichuris, trichiura, Ascaris lumbricoides, hookworm and Entamoeba histolytica. The prevalence of intestinal parasites was significantly higher in patients with chronic diarrhoea than in those without (P < 0.05). Cryptosporidium and Isospora belli were only detected in patients with chronic diarrhoea and were thus the most likely cause of the diarrhoea. This study has established that coccidian parasites are the most important gut opportunistic infections in Tanzanian patients with enteropathic AIDS. The fact that a high proportion of patients with chronic diarrhoea (51.3%) had no identifiable parasitic agents, suggests that other infectious agents or alternative mechanisms other than infections are responsible for the diarrhoea.

Adult↗
PubMed1996

[Recent features of parasites detected from clinical specimens].

It is generally considered that we have already been through with problems caused by various kinds of parasites which had once raged throughout the country. On the contrary to our common concept, we occasionally encounter some kinds of parasites in a laboratory as well as in clinical fields, which have become unfamiliar to us in these days. Parasitic diseases are in the first place, proper and limited to certain local regions, but the present situation has been greatly changed. Nowadays, specific parasites are no longer limited to polluted areas, but also they can be detected in any part of the world owing to facilitated transportations and a promoted international exchange of people. A recent gourmet boom is also one of the causes of infection as seen in anisakiasis. This study was conducted on the investigation of parasites detected from clinical specimens in our laboratory during the period from 1989 to 1993. 1) The following parasites were detected : (1) Strongyloides stercoralis, (2) Giardia lamblia, (3) Diphyllobothrium latum, (4) Schistosoma mansoni, (5) Entamoeba histolytica, (6) Necator americanus, (7) Isospora belli. 2) Strongyloides stercoralis was detected at the highest frequency. This result gives an account of high prevalence of the parasite among the inhabitants in Okinawa. In addition, the agar plate medium method which has been newly adopted has definitely led to far-advanced results for detection of this parasite. 3) Schistosoma mansoni and Necator americanus were found from foreigners one of whom was a Tanzanian and the other was a Dominican. 4) Isospora belli was found from those compromised cases such as ATL and AIDS.

Animals↗
PubMed1997

Enzyme-linked immunosorbent assay for the detection of Cryptosporidium parvum IgG in the serum of cats.

The objective was to develop an enzyme-linked immunosorbent assay (ELISA) for the detection of Cryptosporidium parvum IgG in the serum of cats. The ELISA was an indirect ELISA using soluble C. parvum oocyst antigens and a peroxidase-labeled anti-feline IgG secondary antibody. Sera from cats with Toxocara felis, Giardia spp., Aelurostrongylus abstrusus, Isospora felis, Isospora rivolta, Toxoplasma gondii, or Taenia spp. infections were assayed in specificity studies. Following optimization, the ELISA and fecal examination for oocysts were performed on samples from 170 client-owned or humane society source cats and 1 cat inoculated orally with C. parvum oocysts. Cryptosporidium parvum oocysts were detected in feces (4/170; 2.4%), and C. parvum IgG was detected in serum (26/170; 15.3%) from naturally exposed cats. The seroprevalence data suggest that some cats in the geographical area studied were exposed to C. parvum, but persistent oocyst shedding was less common. The ELISA is not useful for predicting oocyst shedding in individual cats.

Animals↗
PubMed2003

Parasitological and morphological findings in porcine isosporosis after treatment with symmetrical triazintriones.

Neonatal porcine isosporosis is known to cause serious economic losses in piglet farms by causing severe enteritis with dehydration, weight loss and reduced development in the affected animals, predominantly during the first weeks of life. In the present study, piglets experimentally infected with Isospora suis were treated with Bay Vi 9143, a symmetrical triazintrione, at different days post-infection. As shown by clinical and pathological examinations, Bay Vi 9143 is effective against the asexual and sexual stages of I. suis at all selected treatment times. However, the therapeutic use at an early stage of asexual multiplication is most effective before the onset of clinical symptoms.

Animals↗
PubMed1986

Parasitological observations of chronic diarrhoea in suspected AIDS adult patients in Kinshasa (Zaire).

The parasitological profile of chronic diarrhoea in 46 Zairian adults suspected of Aids demonstrated that the frequency of protozoa was five times higher than that of helminths; 86% of the protozoa were sporozoa: Isospora belli was the most frequent (19%), followed by Cryptosporidium isolated for the first time in Zaire (8%) and Blastocystis hominis (2%). 37 of the 46 patients were immunodeficient.

Acquired Immunodeficiency Syndrome↗
PubMed1981

Prevalence of intestinal parasites in feral cats in some urban areas of England.

Of 92 feral cats necropsied from the London and Sheffield areas, 49 (53.3%) were infected with Toxocara cati, 32 (34.8%) with Dipylidium caninum, 11 (12.0%) with Taenia taeniaeformis and 1 (1.1%) with Toxascaris leonina. Isospora felis was seen in 3 (4.3%) of 69 samples of faeces. Twenty-two cats (23.9%) were simultaneously infected with 2 helminth species.

Animals↗
PubMed1986

Parasite transmission in confined hogs.

Examinations of fecal specimens from swine of all ages maintained in a totally enclosed confinement facility in south Georgia were conducted in a 5-year survey (1977-1981) to determine the prevalence, intensity, and transmission patterns of intestinal nematode and protozoan parasites. Weaned pigs in the nursery had no detectable parasitic infections except sporadic Isospora suis in newly weaned pigs. Growing-finishing hogs had a low prevalence of Ascaris suum, Oesophagostomum spp. and Balantidium suis. Mean A. suum prevalence and mean eggs per gram feces (EPG) increased until about 200 days of age and then declined. Oesophagostomum spp. and B. suis prevalence and intensity tended to increase throughout life. Gilts (mean age 273 days) in the gestation unit had a higher (P less than 0.01) prevalence of A. suum and lower (P less than 0.01) prevalences of Oesophagostomum spp. and B. suis than sows (mean age 706 days). Similarly, A. suum EPG was higher (P less than 0.01) and Oesophagostomum spp. EPG and B. suis cysts per gram feces (CPG) were lower (P less than 0.01) in gilts than in sows. No evidence for a peri-parturient increase in parasite eggs or cysts was found. Instead, there was a higher prevalence of B. suis (P less than 0.01) in gestating than in lactating animals and more lactating sows than gestating sows were negative for parasites (P less than 0.01). Apparent differences due to location (gestation unit or farrowing unit) were largely attributable to age differences. Trichuris suis infections were rare and not shown to be established in the herd. Strongyloides ransomi in suckling piglets was controlled by anthelmintic therapy. I. suis occurred in piglets throughout the study but was never found in sows in the farrowing unit, either before or after birth of a subsequently infected litter of piglets. No parasites requiring intermediate hosts occurred.

Age Factors↗