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At least 1,153 records · Page 64Linked to original sources
PubMed1984

Effect of silica on resistance of mice to Entamoeba histolytica infection.

The role of macrophages in intestinal amoebiasis in mice has been investigated. The effect of injuring host macrophages on the course of infection was examined by using strains selected as being either genetically susceptible (C3H/HeJ, C57BL/6) or genetically resistant (A/J) to amoebiasis. Mice were treated with an intravenous injection of silica particles 1 day before infection with 2.5 X 10(5) or 5 X 10(5) polyxenic trophozoites of Entamoeba histolytica. The animals were killed at various times after infection, and the parasite burden in the cecum was measured. Silica treatment dramatically increased the growth of parasites in the susceptible mice. The same trend was evident, although less marked, in the resistant mice. The effect of silica treatment in experimental amoebiasis was much more pronounced in animals inoculated with 5 X 10(5) amoebae than in those with 2.5 X 10(5) amoebae. These data suggest that macrophages play an important role in host defense against amoebiasis in mice.

Amebiasis↗
PubMed1989

Amoebiasis in Jamaica. A forgotten cause of hepato-intestinal disease.

Amoebiasis still occurs in Jamaica. This paper describes the unexpected occurrence of the disease in three adult males, two with colitis and the other with an hepatic abscess. This, to our knowledge, is the first report of amoebiasis in Jamaica for over two decades and serves to underscore the continued need for the inclusion of amoebiasis in the differential diagnosis of unexplained hepato-intestinal disease.

Adult↗
PubMed1986

Protection of mice against intestinal amoebiasis with BCG, Corynebacterium parvum and Listeria monocytogenes.

Treatment with Corynebacterium parvum or BCG, or infection with live Listeria monocytogenes was found to protect mice against subsequent infection with Entamoeba histolytica. Complete protection was obtained in mice treated with 10(7) (colony forming units) of BCG but not with 10(5). Partial protection was achieved with 10(6) of BCG. These data provide evidence that non-specific immunity plays an important role in the host defense against amoebic infection.

Amebiasis↗
PubMed2001

Invasive amebiasis: challenges in diagnosis in a non-endemic country (Kuwait).

Invasive zymodemes of the enteric protozoan Entamoeba histolytica infect the large intestine and cause extra-intestinal lesions such as amebic liver abscess (ALA). The clinical manifestations of ALA are protean, particularly in patients presenting in a non-endemic, desert country such as Kuwait, and diagnosis becomes problematic. In this study, we present cases of ALA to illustrate the clinical and diagnostic challenges. For serodiagnosis of ALA, we compared the sensitivity and specificity of the indirect hemagglutination assay (IHA) with the ImmunoTab assay and an enzyme-linked immunosorbent assay (ELISA) for this geographic region. We tested sera of 110 patients with ALA, 1,224 patients suspected of having invasive amebic infection, and 50 Europeans with no travel history to an amebic-endemic area. The IHA was simple, rapid, easy to perform, and reliable (sensitivity = 99%, specificity > 95%). The performance of the IHA in detecting ALA in suspected cases was significantly better than that of the ELISA and the ImmunoTab test. Compared with the IHA, both the ELISA and ImmunoTab assay detected relatively higher numbers of false-positive cases (4.7% and 3.6%, respectively). With the availability of ultrasound and computed tomography scans, the serology correlates excellently with the clinical presentation. In chronic cases where fibrosis may be present around the abscess, the IHA has limitations, as in the follow-up of treated patients. Pitfalls in diagnosis are highlighted by discussing the differential diagnosis of ALA from bacterial hepatic abscesses and infected hydatid cysts. Most importantly, the IHA in such cases was invariably at a titer that is considered not significant.

Adult↗
PubMed2001

Is the intestinal tract a portal of entry for Acanthamoeba infection?

Acanthamoeba culbertsoni isolated from a water sample of El-Mahmoudia canal in Alexandria, was orally inoculated into a mouse model (200-400 amoebae/mouse) under different conditions. One week postinfection (P.I.), 20% of infected normoacidic mice and all animals received cimetidine or tetracycline prior to infection passed the parasite in their stools. One month P.I., 70% of cimetidine and 100% of tetracycline pretreated mice showed marked erosion in the intestinal mucosa and areas of necrosis with congestion in the brains, with trophozoites and cysts in both tissues. It is concluded that, normoacidic mice may be simply acting as paratenic hosts. In case of hypoacidity or altered normal flora, the intestinal tract was invaded by amoebae representing a new portal of entry for CNS infection.

Acanthamoeba↗
PubMed2000

Amebic liver abscess.

Amebiasis is a widespread parasitic disease caused by Entamoeba histolytica. This protozoan organism is the third leading parasitic cause of death in the developing world and is an important health risk to travelers in endemic areas. Amebiasis most commonly results in asymptomatic colonization of the gastrointestinal tract, but some patients may develop intestinal invasive disease or extraintestinal disease-amebic liver abscess being the most common extraintestinal manifestation. This article reviews epidemiologic features, pathophysiology, clinical features, diagnostic tests, imaging studies, treatment of amebic liver abscess, and prevention measures.

Animals↗
PubMed1988

Invasive amoebiasis: an unusual presentation.

A 63 year old Asian woman who presented with three week's abdominal pain was found to have a hard right iliac fossa mass and rectal ulceration. Profuse rectal bleeding necessitated a laparotomy. An inflammatory paracaecal mass with fistulae involving appendix, small bowel, and bladder was excised with exteriorisation of the bowel ends. Microscopy showed invasive amoebae. Re-anastomosis was successfully done after treatment with metronidazole and diloxanide. There are no previous reports of a paracaecal amoeboma with fistulae to either the appendix, or urinary bladder.

Amebiasis↗
PubMed1985

Entamoeba histolytica: early progressive pathology in the cecum of the gerbil (Meriones unguiculatus).

The early formation of amebic cecal lesions in the gerbil (Meriones unguiculatus) was studied sequentially from 1 to 10 days post-inoculation. The earliest response of the cecal mucosa towards trophozoites of Entamoeba histolytica was local release of interglandular and goblet cell mucin. Trophozoites adhered to the surface epithelium or were trapped in the luminal mucus in the absence of epithelial cell damage. Focal mucosal erosion occurred later, and was preceded by crypt hyperplasia, edema and hemorrhaging of the lamina propria. The interglandular epithelial cells were cytolysed or were sloughed off into the lumen. Amebic mucosal erosion was accompanied by trophozoite entry in the crypts, but rarely into the lamina propria. The inflammatory cellular infiltrate was diffuse, and neutrophils were found in the lumen in contact with trophozoites. The findings of this study suggest that trophozoites of E. histolytica do not actively penetrate or invade the interglandular epithelium, but rather, that amebae are permitted to invade as a result of the destruction of the epithelium. Mucus depletion and the mucosal inflammation, probably in response to the adsorption of amebic toxins, preceded epithelial erosions.

Amebiasis↗
PubMed1990

Invasive entamoebae in pronghorn (Antilocapra americana) from Wyoming.

Trophozoites and cysts of an amoeba resembling Entamoeba bovis were recovered from soft stools of captive pronghorn fawns (Antilocapra americana). Chronic or intermittent diarrhea was observed in most individuals in two groups of hand-raised 1- to 8-mo-old pronghorns. Ileocecal lymph nodes were mildly to moderately enlarged. Microscopic lesions were characterized by lymphoid hyperplasia, focal necrosis and pyogranulomatous inflammation in lymph nodes and focal necrosis and diffuse nonsuppurative enteritis in ileum and cecum. In 12 of 17 fawns, trophic stages of amoebae were observed in the submucosa of the cecum and/or the cortex of the ileocecal lymph node. This is the first report of E. bovis-like organisms invading and causing pathological changes in the tissues of their host.

Amebiasis↗
PubMed1986

Assessment and management of acute diarrheal illness in adults.

Acute diarrheal illness (illness of less than two weeks' duration) accounts for numerous out-patient health care visits. This article provides an overview of the most common causes of acute diarrhea and presents a comprehensive approach to patient evaluation, diagnosis and management. A detailed outline of bacterial, viral, parasitic and travelers' diarrheal disorders is presented. Dysentery (blood and mucus in the stool) represents an additional challenge to the health care provider. Salient historical data, physical assessment and laboratory considerations are reviewed. Management objectives including diet/fluid replacement, pharmacologic modalities and prophylaxis are described. Emphasis is given to patient education and the unique role of the nurse practitioner in assisting the patient through the assessment and management of this common, distressing problem.

Acute Disease↗