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[Paper Electrophoretic Pattern Of Serum Protein Fractions In Various Parasitic Diseases]

Electrophoretic patterns of human blood serum protein were studied in parasitic diseases including 19 cases of clonlrchiasis, 29 cases of clonorchiasis and other helminthiasis and 22 cases of healthy controls in Kim-hae area. The same study was made on 32 cases of ascariasis, 56 cases of trichocephaliasis, 80 cases of ascariasis and trichocephaliasis, 9 cases of amebiasis and 44 cases of healthy controls in the Seoul Juvenile Center. The total serum protein was performed by Folin method and the serum protein fraction test by Durrum's paper electrophoretic method. The results were as follows: 1. In the case of clonolrchiasis, the total serum protein, albumin fraction and A/G ratio decreased and alpha(1) globulin fraction increased twice as much as in the case of healthy controls. 2. In the case of clonorchiasis and other helminthiasis, alpha(1) globulin fractions increased. 3. In the case of ascariasis, albumin fractions increased but alpha(1) globulin fractions decreased. 4. In the case of ascariasis and trichocephaliasis, alpha(2) and beta globulin fractions decreased. 5. In the case of amebiasis, alpha(1) globulin decresed.

Journal Article↗

Plasmodium relictum as a cause of avian malaria in wild-caught magellanic penguins (Spheniscus magellanicus).

Avian malaria (Plasmodium relictum) caused significant mortality in wild-caught Magellanic penguins (Spheniscus magellanicus) in 1986 at the Blank Park Zoo in Des Moines, Iowa (USA). In early winter, wild birds were captured off the southern coast of Chile and flown to Detroit, Michigan for a 38 day quarantine. After quarantine, 18 birds were dispersed to Lansing, Michigan, six to a facility in Maine, and 46 to Des Moines, Iowa. Upon arrival in Des Moines, several penguins became weak and inactive, had to be force-fed, and died after 2 days. Gross lesions at postmortem included splenomegaly, hepatomegaly, and pulmonary edema. Histopathological examination revealed numerous intraendothelial schizonts in spleen, lung, liver, heart and kidney. Schizonts were generally 16 to 28 micron by 11 to 16 micron and contained merozoites of two distinct sized (macromerozoites, nuclei 1.0 micron; micromerozoites, nuclei 0.5 micron). Based on the morphology of the abundant exoerythrocytic forms, a tentative diagnosis of avian malaria (Plasmodium sp.) was made. Subsequent transmission electron microscopic examination of schizonts in formalized tissue revealed merozoites with tear-shaped rhoptries. Antimalarial therapy was initiated early but deaths continued for 5 mo. Mortality, which eventually totaled 83%, occurred in three distinct waves, each separated by a hiatus of approximately 1 mo. Despite examinations of repeated blood smears, intraerythrocytic Plasmodium relictum was not detected until late in the outbreak. Diagnosis was based on morphologic characteristics including schizonts with eight to 12 merozoites/segmenter and round gametocytes that displaced and turned the infected erythrocyte nucleus. In addition to malaria, penguins showed evidence of aspergillosis, bacterial enteritis (Escherichia coli; Proteus sp.; and Edwardsiella sp.), and helminthiasis (Contracaecum sp. and Tetrabothrius sp.). Based on gross and histological lesions, disease prevalence in this group of penguins was malaria 58%, aspergillosis 61%, enteritis 60%, helminthiasis 26%. Epidemiologic investigation including group transport history, disease prevalence in co-quarantined birds not sent to Des Moines and climatological data implicated Des Moines as the likely site for initial exposure, although information is not conclusive. Stress and concurrent disease certainly contributed to the severe mortality in this group of penguins infected with P. relictum.

Animals↗

[Environmental monitoring in the foci of parasitic diseases in the town of Belgorod-Dnestrovsk, Odessa region].

The paper shows a role of environmental objects in the formation of parasitic diseases in Belgorod-Dnestrovsk, developmental changes in intestinal parasitic cenoses in children from closed institutions. To attract parasitologists to the diagnosis of acute intestinal infections of unspecified etiology increases the percent (49.5 to 82.0) of positive results. The findings show what environmental objects should be monitored in the sanitary and parasitological contexts: soil, vegetables, greens in helminthiasis; utensils in preschool children' establishments in contact helminthiasis; drinking water, vegetables, greens in giardiasis.

Adolescent↗

Contribution to the problem of the so-called nonpathogenic amoebae in the intestine of man.

Among 10,418 patients of a Prague hospital, a plain infection with intestinal parasitic protozoans was identified in 1,319 persons (12.7%). Of these, 3.5% were infested with Giardia intestinalis, 0.3% with Entamoeba histolytica forma minuta, 5.7% with Endolimax nana. We evaluated the frequency of findings of protozoans in various clinical diagnoses. A statistically significant increase in frequency was recorded for E. nana in diagnoses of eosinophilia, giardiasis, amoebiasis and helminthiasis. A slight increase above the average was found for Entamoeba coli in diagnoses of giardiasis and helminthiasis. Most cases of infection with Entamoeba histolytica were associated with a stay abroad. No increase in the frequency of these protozoans was recorded for patients with diarrhea. An analysis of the results indicated that a nonpathogenic amoeba might participate in the origin of intestinal disorders in man.

Adult↗

Indigenous livestock disease problems and slaughter cattle infections in the Ada district of the Ethiopian highlands.

In the farming enterprises of the Ada district, sheep and goats were most commonly diseased by pneumonia and helminthiasis among all farming animals, which led to severe losses of lambs and sheep. In cattle, helminthiasis and malnutrition conditioned considerable losses of calves. Faecal investigations showed that 72% of the cattle were infected with internal parasites, with nematodes more frequent in calves and fascioliasis among adult cattle. Pathological malformations of organs were encountered in 65% of the cattle slaughtered at the Debre Zeit abbatoir. Economically and hygienically most important are fascioliasis, hydatidosis, and cysticercosis.

Animals↗

[Filaria medinensis: differential serodiagnosis using ELISA].

An immunoenzymatic technic ELISA has been used to permit the diagnosis of Dracunculus medinensis . In effect an immunological tool to differentiate helminthiasis, particularly filariosis does not exist yet. For this purpose we have begun to prepare an homologous antigen of a filariosis species ( Dracunculus medinensis ). The antigen extract from the worm has been put in microtiter plaques at the concentration of 25 micrograms/ml with sera diluted 1/1000. The reactions has been performed with anti-G human globulin marked with peroxydase . The results showed that there exist no cross reactivity between Dracunculus medinensis and other helminthiasis even filariosis .

Diagnosis, Differential↗

[Epidemiologic study of the main human intestinal nematodes in the middle west of Madagascar].

An epidemiological study of human intestinal helminthiasis was conducted during July and August 1995, in the middle west of Madagascar, with 4571 adults and children ranging from six months to 90 years, in 61 communities between Betafo and Miandrivazo. Faecal examination utilising the MIF concentration method revealed that ascariasis was the dominant nematodosis in the middle west with high prevalences in the high-altitude communities. Ascaris lumbricoides prevalences increase among children and women. Interesting more than 50% of the pattern, ascariasis is a public health problem and its association with infant malnutrition is statistically significant. Hookworm infection prevalence is higher in low-altitude communities, it increases among adults. The Trichuris trichiura prevalences were lower than the prevalences of ascariasis and hookworm infection in all of the communities. Important variations of the prevalences of intestinal helminthiasis are observed essentially in relation with climatic conditions.

Adolescent↗

Ovine internal parasitism in the Yemen Arab Republic.

Internal parasitism was studied in five flocks in different regions of the Yemen Arab Republic. Ewes and lambs were faeces sampled from the spring of 1977 to the spring of 1978 and helminth-free tracer lambs were subsequently run with three of the flocks from October 1978 to November 1979. The findings indicated that ovine helminthiasis and fascioliasis may be of importance with the following regional variations: Haemonchosis all the year round in the Tihammah coastal plain. Haemonchosis and trichostrongylosis in the periparturient period in the Southern Uplands and Western Foothills. Fascioliasis and nematodiriasis in the Inter-Montane Plains of the Highlands. Possible control regimes are suggested for further investigation.

Animals↗

Prevalence and seasonal changes in the gastro-intestinal helminths of Nigerian goats.

A total of 120 gastro-intestinal tracts and 960 faecal samples were examined to assess the prevalence and seasonal changes in the gastro-intestinal helminth parasites of Red Sokoto (maradi) goats slaughtered at Ibadan between May 1991 and April 1992. Egg types of strongyles, Strongyloides, Trichuris, Skrjabinema, Dicrocoelium and Moniezia were encountered in 93%, 83%, 44%, 0.9%, 2.3% and 31% of the faecal samples respectively. However, only strongyle, Strongyloides and Trichuris eggs occurred in large numbers and were more common during the rainy season than in the dry season. The parasites recorded and their prevalences were Haemonchus contortus (90.0%), H. ovis (5.0%), Strongyloides papillosus (80.8%), Trichostrongylus colubriformis (78.3%), T. axei (69.2%), Trichuris ovis (72.5%), T. globulosa (38.3%), Oesophagostomum columbianum (67.5%), Cooperia curticei (58.3%) Gaigeria pachyscelis (40.8%), Skrjabinema ovis (5.0%), Nematodirus battus (5.8%), Moniezia expansa (29.2%), M. benedeni (10.0%), Paramphistomum spp. (5.0%) and Cysticercus tenuicollis (33.3%). Haemonchus ovis is reported for the first time in Nigeria. Mixed infections were most prevalent. Young goats were more commonly infected and had higher worm counts than adult goats. Only Haemonchus, Trichostrongylus, Strongyloides and Cooperia spp. occurred in large numbers. Irrespective of the age of the goats, higher worm counts were generally encountered during the rainy season than in the dry season. The results are discussed in relation to the control of helminthiasis in grazing animals in Nigeria.

Animals↗

The effect of rotational grazing for periods of one or two weeks on the build-up of lungworm and gastro-intestinal nematode infections in calves.

An experiment was carried out with three groups of grazing calves and one housed control group to study the effect of rotational grazing for periods of 1 and 2 weeks on the build up of lungworm and gastro-intestinal nematode infections respectively. The experiment demonstrated that rotational grazing for periods of 1 week on six plots prevented the build-up of heavy lungworm infections. A build up of heavier lungworm infections was observed in a group that was rotationally grazed for periods of 2 weeks on three plots and a group which remained on one plot throughout the grazing season; there was no difference between these two groups. In all three situations, there was an adequate development of immunity against D. viviparus, as measured by worm recovery after challenge infection at the end of the experiment in comparison with worm recovery of the similarly challenged control group. Neither rotational grazing scheme protected the calves against gastrointestinal helminthiasis, because tracer calves, which grazed for 4 days only in August or October, acquired infections which would have resulted in severe illness or even death if necropsy had been postponed for a week.

Animal Husbandry↗

Association of polymorphisms in the beta2-adrenoreceptor gene with higher levels of parasitic infection.

The diminishing incidence of parasitic infection in westernised societies has been suggested to result in an increased prevalance of asthma. Asthma is a polygenic disease and genome screens have shown that genes on chromosome 5q31-33 are strongly linked to the disease. The gene for the beta2-adrenoreceptor is located in this region and two polymorphisms have been identified that result in amino acid changes at positions 16 (ArgGly) and 27 (GlnGlu). To determine whether these polymorphisms influence asthma and parasitic infection, a genotype/phenotype study has been performed on a cohort of 126 children from Coche Island in Venezuela. There is a high incidence of asthma on the island and intestinal helminthiasis is endemic. Genotyping for both polymorphisms was carried out by using the polymerase chain reaction and allele-specific oligonucleotide hybridisation. Genotype frequencies in this cohort were consistent with other studies and both polymorphisms were in significant linkage disequilibrium. Individuals who were homozygous for Arg16 had significantly higher levels of specific IgE to Ascaris lumbricoides (P=0.002), significantly higher A. lumbricoides egg counts (P<0.001) and significantly larger wheal sizes following skin-prick testing with A. lumbricoides allergen (P=0.008). There was no association between either polymorphism and total serum IgE or asthma in this population. A combination of mast cell degranulation and the lung migratory phase of A. lumbricoides larvae may result in bronchoconstriction in infected individuals. These results suggest that the Gly 16 allele confers resistance to high levels of parasitic infection in this population. An alternative explanation for the association is that it may be the result of linkage disequilibrium with other genes in the chromosome 5q31-33 region.

Adolescent↗

Drug resistance to schistosomicides and other anthelmintics of medical significance.

It is usual for people to be infected for some period in life with parasitic worms, which may cause morbidity or even kill. Anthelmintics are used for the treatment and control of the human helminthiases, since no vaccines are yet available. Despite the widespread use of these compounds, drug resistance has become apparent only with antischistosomal chemotherapy, in contrast to the situation with other anti-infective agents in human medicine and with veterinary anthelmintics, where resistance is widespread. This paper reviews research on drug resistance in human helminthiasis with emphasis on schistosomicidal drugs.

Animals↗

Detection of anti-helminth antibody by microenzyme-linked immunosorbent assay using recombinant antigen and anti-beta-galactosidase monoclonal antibody.

An enzyme-linked immunosorbent assay (ELISA) using antigenic beta-galactosidase-helminth derived recombinant fusion protein (FP) obtained by the recombinant DNA technique provided a useful diagnostic tool for human helminthiasis. Helminth-infected human sera reacted strongly with FP that was immobilized with anti-beta-galactosidase monoclonal antibody on microplates. However, FP did not react with sera from patients with other helminthiases. In detection of anti-helminth IgG antibody, the present ELISA system using FP and anti-beta-galactosidase monoclonal antibody was highly specific compared to that using biochemically extracted soluble antigens.

Antibodies, Helminth↗

A study of acute-phase reactant proteins in Indonesian patients with pulmonary tuberculosis.

The levels of 8 acute phase reactants (alpha 1-antitrypsin, alpha 2-macroglobulin, transferrin, alpha 1-acid glycoprotein, C-reactive protein, ceruloplasmin, haptoglobin and the third component of complement) and immunoglobulin in the IgG, IgM and IgA classes were assayed, by laser nephelometry, in sera from 107 East Japanese patients with smear-positive pulmonary tuberculosis and 144 healthy subjects. These levels were correlated with clinical, haematological and radiological features, the levels of antibody to Mycobacterium tuberculosis, and the diameters of the tuberculin skin test read at various times. Levels of all acute phase reactants increased significantly in tuberculosis except for that of transferrin which was lowered. The correlations between the various acute phase reactants in health and disease were calculated. In general, the correlations were lower in disease than in health, except for the third component of complement and a greatly increased correlation between the levels of alpha 1-antitrypsin and ceruloplasmin. There was a significant correlation between levels of some of the acute phase reactants and those of antibodies to M. tuberculosis, mainly with IgG, less with IgA and least with IgM antibodies. By contrast correlations between acute phase protein and total immunoglobulin levels were most evident in the IgM class, less with IgA and not at all with IgG. Although there were some associations between protein levels and age, sex and weight of controls and patients, these were not great enough to account for the differences between the two groups. There was a tendency for patients, but not controls, with intestinal helminthiasis to have higher levels of total IgM than those without evidence of parasites. In general, the levels of proteins bore very little relation to the clinical and radiological features of disease and were, with the exception of the antimycobacterial antibodies, of no diagnostic value. Likewise, protein levels were not associated with the extent of disease; better correlations were found with the ESR and leucocyte count. Transferrin levels tended to be higher in those with chronic disease and showed a correlation with the diameters of the dermal reactions to tuberculin at 24 hours, which were also significantly larger in chronic disease. Among the haematological findings, the most significant was a negative correlation between the lymphocyte count and haptoglobin levels in disease, suggesting a possible regulatory role for this protein.

Adolescent↗

Selected economic issues in helminth control.

This paper examines four main economic issues in the formulation of helminth control policies: whether, what, how and with whose resources to control helminthiasis. The paper argues that (i) although helminth control would have a negligible impact on mortality, its nutrition-mediated effects on improved labor productivity and intellectual performance may be significant; (ii) that reduction of helminth disease rather than infection should be the target of control policy, although the preferred intervention may still be eradication rather than continuous control; and (iii) that although the case for public subsidy of helminth control interventions is strong, the existence of serious fiscal constraints and some evidence of private willingness-to-pay for anthelminthic chemotherapy indicates a potential for partial cost recovery which should be explored.

Communicable Disease Control↗

Projected benefits from integrating NTD programs in sub-Saharan Africa.

The integration of preventive chemotherapy programs (PCPs) targeting multiple neglected tropical diseases (NTDs) with similar strategic approaches offers opportunities for enhanced cost-effectiveness. To estimate the potential cost savings and health outcomes of integrated programs, the data available for five NTDs (lymphatic filariasis, onchocerciasis, intestinal helminthiasis, schistosomiasis and trachoma) can be used to define eligible target populations, the probable overlap of at-risk populations, and the cost per person treated in stand-alone and integrated programs. If all targets for 2006 in sub-Saharan Africa are met, then savings of 26-47% can be projected from such integration (a cost of US dollar 58-81 million versus dollar 110 million for stand-alone PCPs). These first estimates can be refined as empirical data become available from integrated PCPs in the future.

Africa South of the Sahara↗

A blueprint for success: integration of neglected tropical disease control programmes.

The rapid expansion of chemotherapy-based control programmes for neglected tropical diseases has been catalysed by funding from the Bill and Melinda Gates Foundation, donations of several drugs from pharmaceutical manufacturers, and the reduced price of the drug praziquantel. Focussing on lymphatic filariasis, schistosomiasis and soil-transmitted helminthiasis, we review here the progress made to date with the implementation and integration of large-scale control programmes. Unresolved issues include a means for rapid identification of communities at highest risk of co-morbidity, cost-effective approaches for integrating the technical interventions into setting-specific packages, and determination of the most appropriate and sustainable delivery systems.

Animals↗

Prevalence and seasonal changes in the population of gastrointestinal nematodes of small ruminants in the semi-arid zone of north-eastern Nigeria.

A survey was carried out to determine the prevalence and seasonal abundance of the egg and adult stages of nematode parasites of sheep and goats in the semi-arid zone of north-eastern Nigeria between January and December 2002. Faecal samples collected from 102 sheep and 147 goats and examined by the modified McMaster technique using saturated solution of sodium chloride as the floating medium revealed that 44 (43.1%) and 82 (55.8%) of the samples, respectively, contained at least one nematode egg type. Three nematode egg types were recovered with strongyle egg type (22.5% in sheep and 35.4% in goats) being the most prevalent followed, respectively, by Trichuris (5.9% in sheep and 4.1% in goats) and Strongyloides (4.9% in sheep and 4.1% in goats) egg types. Mean faecal egg counts were generally moderate in both sheep (1052+/-922 strongyle, 1000+/-590 Strongyloides and 380+/-110 Trichuris eggs, respectively, per g of faeces) and goats (2092+/-3475 strongyle, 958+/-854 Strongyloides and 683+/-512 Trichuris eggs, respectively, per g of faeces) and showed the same trend irrespective of the age or sex of the animals. The prevalence and counts of strongyle nematode eggs showed a definite seasonal sequence that corresponded with the rainfall pattern in the study area during the period. In both sheep and goats, counts of strongyle egg type increased with the rains and reached peak levels at about the peak of the rainy season in September. The other egg types encountered during the study did not show much variation with the season of the year. Out of the 45 sheep and 75 goats examined at necropsy, 27 (60%) and 39 (52%), respectively, contained adult nematode species. Seven genera of adult nematodes including Strongyloides, Trichostrongylus, Haemonchus, Trichuris, Cooperia, Oesophagostomum and Bunostomum species were encountered during the study. Bunostomum species were recorded only in sheep. Adult worm burdens were generally low and showed seasonal variation that corresponded with the rainfall pattern in the study area during the period. Haemonchus and Trichostrongylus species attained peak counts together in both goats (June) and sheep (August). Strongyloides species were encountered throughout the year in both sheep and goats irrespective of the season. Other genera of nematodes encountered occurred in very low numbers and did not allow any meaningful comparison of seasonal sequence. The results suggest that Haemonchus, Trichostrongylus and Strongyloides species may be the major contributors to small ruminant helminthiasis in the study area.

Age Factors↗