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Efficacy of various chemotherapeutic agents on the growth of Spironucleus vortens, an intestinal parasite of the freshwater angelfish.

Seven chemotherapeutic agents (dimetridazole, metronidazole, pyrimethamine, albendazole, fenbendazole, mebendazole and magnesium sulfate) were examined for growth inhibition on the cultivation of Spironucleus vortens. Dimetridazole and metronidazole were effective in inhibiting the parasite's growth. At concentrations of 1 microgram ml-1 or higher, both dramatically decreased numbers of parasites. At 24 h exposure, 33% of parasites were inhibited when exposed to dimetridazole or metronidazole at concentrations of 2 and 4 micrograms ml-1, respectively. Dimetridazole at 4 micrograms ml-1 or higher concentrations decreased the number of organisms to 50% or less after 48 h exposure. During the same period of time, the numbers of parasites decreased to 50% or less when exposed to metronidazole at 6 micrograms ml-1 or higher. Pyrimethamine at concentrations of 1 to 10 micrograms ml-1 was not effective in inhibiting the parasite's growth. Albendazole and fenbendazole at concentrations of 0.1 and 0.5 microgram ml-1 were similar in inhibiting the growth of the organism. Both compounds suppressed parasite growth at concentrations of 1.0 microgram ml-1 or higher after 24 h exposure. Mebendazole inhibited the parasite's growth at concentrations of 0.5 microgram ml-1 or higher. At 72 h exposure, 45 to 50% of the parasites were inhibited when exposed to mebendazole at concentrations higher than 0.5 microgram ml-1. Magnesium sulfate at concentrations of 70 mg ml-1 or higher also suppressed the growth of parasites after 24 h exposure. These results indicate that dimetridazole, metronidazole and mebendazole are the most effective chemotherapeutic agents in vitro at inhibiting the growth of S. vortens.

Albendazole↗

Role of trichrome staining techniques in the diagnosis of intestinal parasitic infections.

OBJECTIVE: To compare the diagnostic yield of saline and iodine preparation with trichrome staining of fresh sample of stool for diagnosis of parasitic infection. METHOD: Stools were examined in saline and iodine preparation and trichrome stained smears prepared according to the method recommended by WHO in oil immersion. RESULTS: Out of 400 specimens 215 were positive for parasitic infection and of these 81 were diagnosed exclusively on trichrome stained samples. CONCLUSION: Because of its better diagnostic field trichrome staining technique should be included in the routine stool examination.

Azo Compounds↗

The gastro-intestinal parasites community of the Przewalski's horse, Equus przewalskii Poljakov, 1881, and the domestic horse in the Chernobyl exclusion zone.

A diagnostic deworming of 21 Przewalski horses, free-living in the Chernobyl exclusion zone Ukraine, and of six stabled domestic horses, has been conducted eighteen years after the Chernobyl nuclear disaster. This survey yielded 31 species (of 5 families and 3 classes, 28 species of nematodes, 1 species of cestodes, and 2 larvae of botflies). A total 29 and 19 helmith species has been recorded in the Przewalski horse and domestic horse respectively. Only six helmith species were common for the two horse species. Species from the family Strongylidae constituted the dominant helmith group. Four cyathostomine species (Cyathostomum catinatum, Cylicostephanus minutes, C. longibursatus, Cylicocyclus nassatus) formed the majority of helmith parasites both in the Przewalski and domestic horses. The presently reported study revealed that Przewalski's horses keep their typical biological features and high resistance to parasitic infections. A substantial growth of heard was observed as well as good clinical health state of horses. This can be an argument favouring the use of Przewalski horses in re-naturalization of ecological disaster areas.

Animals↗

Prevalence of dogs with intestinal parasites in Tochigi, Japan in 1979, 1991 and 2002.

A total of 772 canine fecal specimens were collected in Tochigi in 1979, 1991 and 2001. The frequency of dogs that were kept indoor in 2002 (72.8%) was significantly higher than that for 1979 (21.2%, P < 0.001) and 1991 (40.6%, P < 0.01). The frequency of parasitized dogs in 2002 (18.8%) was significantly lower than that for 1979 (41.9%, P < 0.01). The findings of this study confirm the declining trend in Japan in the prevalence of helminth parasites in dogs, particularly Ancylostoma caninum and Trichuris vulpis. The reduction in the frequency of dogs with helminths may be mainly a result of the improvement in the environment and the routine use of filaricides.

Animals↗

Intestinal parasites among Indochinese refugees and Mexican immigrants resettled in Contra Costa County, California.

Stool examinations of 186 Indochinese refugees and 90 immigrants from Mexico resettled in Contra Costa, County, California, have shown that 60 percent of refugees and 39 percent of immigrants are infected with one or more species of pathogenic protozoa and helminths. The mean prevalences of infections among refugees and immigrants, respectively, were: hookworms, 25 and 2 percent; whipworm, 22 and 12 percent; Ascaris, 20 and 12 percent; Giardia lamblia, 11 and 11 percent; Strongyloides, 9 and 1 percent; and Entamoeba histolytica, 2 and 4 percent. clonorchis sinensis was found in 13 percent of refugees and dwarf tapeworm in 9 percent of immigrants. Rates of infection varied with age and sex. Treatment of these parasitic infections is important and justified because: the prevalence is high; some species are highly pathogenic and directly transmittable; most species have long life spans; and safe broad-spectrum drugs are now available.

Adolescent↗

[Prevalence of intestinal parasites among Thais in Israel].

Stool samples from 93 Thais working in Israel were examined for the presence of parasites. The overall prevalence of infection by 1 or more species was 74%. Opisthorchis viverrini and hookworm were the most prevalent parasites (51.6% and 44.1%, respectively). They were also the parasites most frequently found in mixed infections; about a quarter of the workers were infected with both. Other helminths found in only a few cases were: Fasciolopsis buski (3 cases), Taenia sp. (3), Paragonimus sp. (1), Ascaris lumbricoides (1), Trichuris trichiura (1) and Trichostrongylus sp. (1).

Helminthiasis↗

Intestinal parasitic infections of Korean Army soldiers in Whachon-gun, Korea.

We examined stools of 113 soldiers of Korean Army in Whachon-gun, Korea in 1992. The eggs of Clonorchis sinensis (7/113) and Metagonimus sp. (3/113), and cysts of Giardia lamblia (4/113) were detected. No eggs of soil-transmitted helminths were found. Most of the Clonorchis-infected soldiers (6/7) were recruited from Kyongsangnam-do.

Humans↗

Intestinal parasites in Malaysian children with cancer.

In this prospective study, we examined stool specimens from children with cancer receiving chemotherapy who were admitted for fever to the Universiti Sains Malaysia Hospital in Kota Baru, Kelantan. Stool specimens were examined for ova and cysts of parasites. Over a period of 15 months, there were 129 febrile episodes in 50 children with cancer and, in all, 237 stool specimens were examined. Sixty-six per cent of febrile episodes were associated with neutropenia and 9 per cent were associated with diarrhoea. Stool parasites were found in 42 per cent of children. The most common were helminths, followed by protozoa. Trichuris trichiura was the most common parasite (24 per cent), followed by Ascaris lumbricoides (22 per cent). Hookworm was found in 2 per cent. Giardia lamblia was found in 6 per cent of children, Blastocystis hominis in 4 per cent, and Cryptosporidium parvum in 2 per cent.

Animals↗

Comparison of polyvinyl alcohol fixative with three less hazardous fixatives for detection and identification of intestinal parasites.

Polyvinyl alcohol (PVA) containing the fixative mercuric chloride is considered the "gold standard" for the fixation of ova and parasites in the preparation of permanently stained smears of stool specimens. However, mercuric chloride is potentially hazardous to laboratory personnel and presents disposal problems. We compared three new alternative, nontoxic fixatives with PVA, analyzing ease of sample preparation and quality of smears. Sixty-eight fresh stool specimens were divided into aliquots and placed in each of four different fixatives: PARASAFE (PS) (Scientific Devices Laboratory, Inc., Des Plaines, Ill.), ECOFIX (EC) (Meridian Diagnostics, Inc., Cincinnati, Ohio), Proto-Fix (PF) (Alpha-Tec Systems, Inc., Vancouver, Wash.), and low-viscosity PVA fixative (PVA) (Meridian). Specimens were processed and stained according to each manufacturer's directions. Parasites were found in 31 of 68 slide preparations with PVA, 31 with PF, 30 with EC, and 30 with PS. Blastocystis hominis and Iodamoeba bütschlii were preserved in a readily identifiable state by all methods of fixation. However, some parasites were more easily identified with some of the fixatives because of differences in parasite distortion. For example, Entamoeba histolytica (Entamoeba dispar) was detected in 13 stools fixed with PF, 7 with PVA, and 6 with EC but none with PS. Likewise, Chilomastix mesnili was identified in 13 specimens fixed with PF, 8 with EC, and 5 with PVA but only 1 with PS, while Entamoeba coli was seen much less frequently with PS than with the other three fixatives. A dirty background was observed in 41% of specimens prepared with PS, whereas background quality was acceptable with other fixatives. Sample preparation was most rapid with PS, although the EC method involved the fewest steps. In conclusion, PVA and PF produced the least parasite distortion, while PS proved unsatisfactory for the identification of E. histolytica, E. coli, and C. mesnili. Both PF and EC appear to be acceptable, environmentally safe substitutes for PVA.

Animals↗

Hematology, intestinal parasites, and selected disease antibodies from a population of bobcats (Felis rufus) in central Arkansas.

Eight bobcats with adjoining or overlapping home ranges were examined. Hematological values were within previously reported ranges. Six bobcats demonstrated antibody titers to Toxoplasma gondii. Isospora spp., Taenia taeniaeformis, Spirometra mansoides, Physoloptera rara, Toxocara cati, Strongyloides spp., Trichurus spp., Capillaria spp., and Ancyclostoma spp. were found also in the animals examined. The mean number of parasite species per host was 4.1. All bobcats tested negative for serum antibodies to Rocky Mountain spotted fever (Rickettsia rickettsii). Two bobcats had titers less than or equal to 1:20 for tularemia (Francisiella tularensis), and two were positive for leptospirosis (Leptospira spp.).

Animals↗

[Investigation of intestinal parasites in AIDS patients].

In this study, enteric parasites were investigated in the stool samples of 38 AIDS patients (23 with chronic diarrhea and 15 without diarrhea) prospectively. At least three stool samples from each patient were investigated microscopically for ova or trophozoites. The samples were concentrated with formol-ether method and wet preparations stained with lugol were examined. In addition, the concentrated samples were stained with modified asid-fast (Kinyoun's), rhodamine-auramine, modified trichrom and calcoflor methods. Enteric parasites were detected in 18 (47%) of the 38 patients, 16 patients harbored a single parasite, and 2 patients were found to be infected with more than one parasite. Only one (7%) of 15 AIDS patients without diarrhea, were found to be infected with Giardia lamblia. On the other hand, 17 (74%) of 23 AIDS patients with chronic diarrhea were found to be infected with various enteric parasites. Cryptosporidium spp. was detected in 9 (39%) of these 23 patients, and in 2 of them Microsporidium spp. accompanied Cryptosporidium. In 2 (9%) of these 23 patients G. lamblia were detected, while Isospora belli, Blastocystis hominis, Entamoeba histolytica, Strongyloides stercoralis and Trichuris trichiura were detected in one patient each. As a result, the detection rate of emerging parasites, including Cryptosporidium spp, Microsporidium spp, I. belli, B. hominis, and S. stercoralis was significantly higher than conventional parasites (39% versus 13%; z=2.34, p=0.01), and CD4 T cell counts were found to be significantly lower among AIDS patients with chronic diarrhea than those without diarrhea (x2=34.33, p<0.001).

AIDS-Related Opportunistic Infections↗

In vitro studies on optimal requirements for the growth of Spironucleus vortens, an intestinal parasite of the freshwater angelfish.

Spironucleus vortens were cultivated in either an artificial medium at different temperatures, or in medium at various pH conditions or supplemented with different bile concentrations at 25 degrees C. Temperature, pH and bile requirements for the optimal growth of the parasite were determined. Parasites multiplied quickly at 28 and 31 degrees C and reached maximum numbers on Day 4 of cultivation, whereafter they did not survive. At 25 degrees C, parasites survived longer than those at 28 and 31 degrees C with no difference in multiplication rate during the exponential phase. The longest survival period was seen at 22 degrees C, although the growth rate of the parasite was not as high as those at 25 degrees C. At a higher temperature of 37 degrees C, no parasites were observed alive after the second day of cultivation. Optimal pH range for the parasite's growth was 6.5 to 7.5, with the highest cell number at pH 7.5. Parasites survived longest (15 d) at pH 6.0, although the maximum number of cells was lower than those at the optimal pH. Parasites were dead within 24 h at pH levels above 8.5 or below 5.5. All cultures supplemented with either bovine or fish bile yielded numbers of parasites lower than cultures with no bile. In addition, parasite growth was significantly suppressed in medium supplemented with higher concentrations of bile. These results indicate that the optimal condition for the in vitro cultivation of S. vortens is 25 degrees C and pH 6.5 to 7.5 without supplementation with bile.

Animals↗

Longitudinal study on the health status of children in a rural Tanzanian community: parasitoses and nutrition following control measures against intestinal parasites.

Three repeated cross-sectional surveys were undertaken among children (1 month to 15 years) of a rural community in southeastern Tanzania. The study was part of a longitudinal project on the interactions among nutrition, parasitic infections and immunity within a primary health care programme emphasizing village health workers. All children underwent interviews and parasitological, anthropometric, anamnestic and clinical examinations. Out of 550-590 children examined each year, a cohort of 170 children could be followed for three consecutive years. Malaria was holo- to hyperendemic in the community, P. falciparum accounting for greater than 90% of the infections. The parasite and spleen rates were 88% and 67%, respectively, and the average enlarged spleen index was 2.0 among children from 2-9 years in 1982. Transmission of malaria was high and stable as indicated by a parasite rate of 80% among infants between 1 month and 1 year during the whole period of study. G. lamblia, hookworm (N. americanus), Strongyloides spp. and Schistosoma haematobium were highly prevalent and annual incidence rates were high, while Entamoeba histolytica, Ascaris and Trichuris were of minor importance. Prevalence and incidence of parasitic infections did not differ by sex. Multiparasitism was very frequent and less than 11% of all children were parasite-free in each year. Not a single child remained parasite-free for three consecutive years. An anthropometric assessment showed a high degree of stunting (35-71%) and a substantial proportion of wasting (3-20%). The growth potential was normal in girls and boys during the whole period of study. There were indications that malaria was the main contributory factor to growth retardation among young children. Hookworm infection did not significantly affect the packed-cell volume of the children, probably owing to the low intensity of infection. Due to the multiparasitism and the lack of parasite-free individuals, single-parasite and single-nutrient effects were difficult to unravel. A latrine campaign followed by a single mass treatment against hookworm (single oral dose of albendazole, 400 mg) and/or G. lamblia (single oral dose of ornidazole, 40 mg/kg) only temporarily affected the prevalence and incidence of G. lamblia, and only resulted in a decrease in the intensity of hookworm infections up to six months after the interventions. As the effects of the latrine campaign and a single mass treatment on the parasite load were only transient, no sustained impact on nutritional variables was observed.(ABSTRACT TRUNCATED AT 400 WORDS)

Adolescent↗

Intestinal parasites in Southeast Asian refugee children.

To determine the predictability of pediatric stool-parasite patterns among various Southeast Asian ethnic groups, I collected data from medical and microbiology laboratory records on all Southeast Asian refugee children who had a stool specimen examined for ova and parasites over a 21-month period. For most of the children, the specimen was examined as part of routine "health screening." The patterns of infection by ethnic group for those Vietnamese and Laotian children living in Seattle differ from the patterns seen in other geographic areas.

Adolescent↗