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The prevalence of human intestinal protozoa in Ibadan, Nigeria.

This study shows that the two intestinal protozoa, Giardia lamblia, Balantidium coli in addition to Entamoeba histolytica are prevalent in the Ibadan population and are responsible for many of the non-bacterial diarrhoea seen in patients. A high seasonal prevalence of the intestinal protozoa in the dry months of the year was associated with the use of contaminated water. Both the high infection rates recorded in adults and children under five years old, and the high frequency of association involving Trichomonas hominis, Entamoeba histolytica and Giardia lamblia were discussed.

Adolescent↗

[Importance of cellular immunity factors in the pathogenesis of experimental balantidiasis].

Adult white rats were immunized by numerous subcutaneous injections of antigenes obtained from the cultures of B. coli and B. suis. After the rats were sensibilized they were infected with cultural forms of Balantidium. 75% of infected rats were found to have ciliates in the lumen of the large intestine. In the tissues of the intestinal wall up to the muscular layer there were observed certain pathomorphological changes such as hyperemy, oedema, haemorrhagia and ulcers. By means of the macrophaga migration test it was established that in rats during their immunization and following infection appear lymphocytes which are sensibilized in relation to the balantidial antigene that points to the formation of slow allergy in their organisms.

Animals↗

Autofluorescence microscopy for the detection of nematode eggs and protozoa, in particular Isospora suis, in swine faeces.

Parasites from swine faeces were examined for autofluorescence. Oocysts of Eimeria polita, E. scabra and Isospora suis, cysts of Balantidium coli and eggs of Oesophagostomum dentatum, Strongyloides ransomi and Trichuris suis (but not those of Ascaris suum) emitted light after excitation with UV light. I. suis oocyst counts in McMaster chambers utilising autofluorescence were compared to those from conventional bright field microscopy. Similarly, faecal smears containing I. suis were examined using the same techniques. Autofluorescence was superior to bright field microscopy in detecting oocysts after flotation and was highly significantly more sensitive when direct smears were examined.

Animals↗

Rotavirus type A and other enteric pathogens in stool samples from children with acute diarrhea on the Colombian northern coast.

The present study, conducted from March 1998 to July 2000, determined the etiology of acute diarrhea in 253 young children and infants from Cartagena and Sincelejo, Colombia. In 253 stool samples, the following enteric pathogens were recovered: rotavirus type A (36.6%) as the major agent, Salmonella spp (9.0%), Shigella spp (8.0%), enteric pathogenic Escherichia coli (6.0%), enteric hemorragic Esc. coli (2.8%), Providencia alcalifaciens (2.8%), Aeromonas hydrophila (2.0%), Yersinia enterocolitica (0.8%), Entamoeba hystolitica (10%), Giardia lamblia (4%), Endolimax nana (3.2%), Ascaris lumbricoides (2.8%), Ent. coli (1.2%), Balantidium coli (0.8%), Blastocystis hominis (0.8%), Dypilidium caninum (0.4%) and hook worm sp. (0.4%). Infection with more than one pathogen occurred in 96 (37.9%) patients. Rotavirus and enteric pathogenic Esc. coli were frequent. Concurrent infection by more than one parasite occurred in 18.6% of the infants. Most rotavirus infections (76.7%) occurred in infants under 12 months. Vomiting, severe dehydration and fever were frequent in children with rotavirus infection. At least one fecal marker of inflammatory diarrhea was registered in patients with bacterial infection. To our knowledge, this is first report of P. alcalifaciens associated with infantile diarrhea in Colombia and the first description of Esc. coli O157:H7 and Y. enterocolitica in our region.

Acute Disease↗

Pathogenic and free-living protozoa cultured from the nasopharyngeal and oral regions of dental patients.

Protozoa of nose, mouth, and pharynx of 30 randomly chosen female caries patients at an odontological clinic of the National Autonomous University of Mexico, were surveyed by culture from swabs. Culture tubes of swabs from each patient were observed every other day during 5 weeks. Pathogenic protozoa found included Entamoeba histolytica Schaudinn, 1903; Naegleria fowleri Carter, 1970; Acanthamoeba castelanii Douglas, 1930; Acanthamoeba culbertsoni Singh & Das, 1970; and Balantidium coli (Malmsten, 1857) Stein, 1862. This isolation of pathogens suggests that healthy patients may be healthy carriers of cysts of protozoa, mainly amoebae, responsible for several diseases, including primary amoebic meningoencephalitis. Small pathogenic free-living amoebae have not been isolated before from females in Mexico. Many species of free-living protozoa were also cultured from swabs from the patients.

Adult↗

Studies on the intestinal parasites in African patients in Owamboland, South West Africa.

The paper gives the results of a survey of intestinal parasites among 501 in-patients drawn from four mission hospitals in Owambo and Kavango in northern South West Africa. Most of the patients (90%) were examined twice by the formol-ether concentration method, while the remaining 10% had one stool specimen examined. 10 species of helminths and 3 species of potentially-pathogenic protozoa were recorded--Necator americanus, Strongyloides stercoralis, Strongyloides fuelleborni, Hymenolepis nana, Taenia saginata, Trichuris trichura, Enterobius vermicularis, Fasciola gigantica, Schistosoma mansoni and S. haematobium, and Entamoeba histolytica, Giardia lamblia and Balantidium coli. The loads of Necator americanus were recorded in a few cases. The results are compared with those of some other Central and Southern African countries. 96 blood smears were examined for filaria and 46 patients were tested for bilharzia using the bilharzial skin test. Both groups gave only negative results.

Hookworm Infections↗

A review of background findings in cynomolgus monkeys (Macaca fascicularis) from three different geographical origins.

This review was performed to assess variations in background observations in cynomolgus macaques (Macaca fascicularis) originating from three breeding centres located in Mauritius, The Philippines and Vietnam. The data and tissue samples from 90 cynomolgus monkeys (approximately evenly distributed between the three sources) comprising the control groups from 11 regulatory toxicology studies were used for this investigation. Clinical data--age, body weight, organ weights, haematology and serum biochemistry--were analyzed. Samples of stomach, colon, kidney, heart, liver, spleen and lung were examined microscopically and graded to characterize the degree of lymphoplasmacytic cell infiltration. The main microscopic origin-related variations concerned the digestive tract, where the lymphoplasmacytic cell infiltration grade was significantly lower (p0.001) in cynomolgus monkeys from Mauritius when compared with those from Asia. Generally, only the antral mucosa of the stomach was infiltrated in cynomolgus monkeys from The Philippines, whereas both the fundic and antral regions were infiltrated in those from Vietnam. The digestive tract infiltration grade was strongly correlated with the mean white blood cell count in monkeys from all three sources. Spiral-shaped bacteria were observed in the stomach of monkeys from all three sources, but their presence did not correlate with the severity of the gastric infiltrate. Helicobacter heilmannii-type bacteria were almost always seen in the fundus, Helicobacter pylori-type bacteria were only occasionally seen in the antral region. The incidences of other microscopic findings, such as urothelial cytoplasmic inclusions or Balantidium coli in the caecum, also varied according to the source of the monkeys. Some variations in relative organ weights, haematology and serum biochemistry were also related to the origin of the monkeys, but these did not correlate with the microscopic findings.

Animals↗

Survey of intestinal parasites in pigs from intensive farms in Guangdong Province, People's Republic of China.

The prevalence of intestinal parasites was investigated in intensive pig farms in Guangdong Province, China between July 2000 and July 2002. Faecal samples from 3636 pigs (both sexes and five age groups) from 38 representative intensive pig farms employing different parasite control strategies were examined for the presence of helminth ova and protozoan oocysts, cysts and/or trophozoites using standard techniques. Of the 3636 pigs sampled, 209 (5.7%) were infected with Trichuris suis, 189 (5.2%) with Ascaris, 91 (2.5%) with Oesophagostomum spp., 905 (24.9%) with coccidia (Eimeria spp. and/or Isospora suis) and 1716 (47.2%) with Balantidium coli. These infected pigs were mainly from farms without a strategic anti-parasite treatment regime. Concurrent infection of multiple parasites was common, and T. suis was the most common nematode infecting breeding, young and mature pigs. The results of the present investigation provide relevant 'base-line' data for assessing the effectiveness of control strategies against intestinal parasitism in intensively raised pigs in Guangdong Province, China.

Animals↗

Presence of very high prevalence and intensity of infection with Fasciola hepatica among Aymara children from the Northern Bolivian Altiplano.

Coprological studies of school children from four communities in the Northern Bolivian Altiplano were carried out in order to estimate the prevalences and intensities of Fasciola hepatica infection. Single stool specimens were collected at random from 558 school children (308 boys and 250 girls) aged 5-19 years old. Nineteen different parasite species (13 protozoan and six helminths) were detected. Of the children examined, 98.7% (96.5-100%) presented infection with at least one parasite species. The mean prevalence of 27.6% by Fasciola hepatica (range, 5.9-38.2%) was the highest not only with respect to the helminth species found in the Northern Bolivian Altiplano but also among the fasciolosis prevalences reported in children in other parts of the world to date. Prevalences were significantly different among the communities surveyed and was significantly higher in the 9-12 years age group. There were, however, no significant differences between sexes. Among the 154 children presenting F. hepatica eggs in stools, intensities ranged from 24-5064 eggs per gram of faeces (epg), with arithmetic and geometric means of 474 and 201 epg, respectively. Significant differences in mean egg output were detected between communities, sexes and age groups. Individual fasciolosis infections coexisting with other pathogenic parasite species (Entamoeba histolytica and/or E. dispar, Giardia intestinalis, Balantidium coli, Dientamoeba fragilis, Cryptosporidium sp., Hymenolepis nana, Taenia spp., Trichuris trichiura, Ascaris lumbricoides and Enterobius vermicularis) were detected. A significant positive association with F. hepatica was only found in the case of G. intestinalis. This coprological study not only verifies the existence of high prevalences of F. hepatica among humans in the Northern Bolivian Altiplano, but also demonstrates the need to expand the Southern boundaries of this high endemic zone to include the Southeastern region of Lake Titicaca.

Adolescent↗

Parasites from farmed ostriches (Struthio camelus) and rheas (Rhea americana) in Europe.

During a 4-year-period, more than 500 ostriches and several rheas, all born in European countries and raised in Spain and Portugal, have been analyzed for the presence of ectoparasites and endoparasites. A total of 29 parasite species have been found, most of them of the gastrointestinal tract. Some of the helminth species found may represent spureous parasitosis, as only the eggs (of an ascarid and a trematode) were found in some samples. From the organisms identified, the ectoparasites (lice-Struthiolipeurus rheae, S. nandu; mites-Dermoglyphus pachycnemis, Gabucinia bicaudata), helminths (cestoda-Houttuynia struthionis- and nematoda-Libyostrongylus sp., Codiostomum struthionis-) and the ciliate Balantidium struthionis are known as ratite specific parasites. Capillaria eggs and larvae were also found; there are no previous records of this parasite from ostriches, and the data available do not allow to do a temptative specific diagnosis. Among protozoa, most of the species now found are described for the first time in ratites. They include organisms also found in other birds (Trichomonas gallinae, Tetratrichomonas gallinarum, Chilomastix gallinarum, Spironucleus meleagridis and Pleuromonas jaculans), and organisms whose specific status cannot be established until further analysis are performed (Cryptosporidium sp., Eimeria sp. and/or Isospora sp., Entamoeba sp. of the one-nucleate and of the eight-nucleate mature cyst groups, Endolimax sp., Iodamoeba sp., Monocercomonas sp., Retortamonas sp., Giardia sp., Blastocystis sp. and euglenids).

Animals↗

Some gastro-intestinal tract parasites in wild De Brazza's monkeys (Cercopithecus neglectus) in Kenya.

Fresh faecal droppings of wild group of De Brazza's monkeys (Cercopithecus neglectus), earmarked for translocation, were collected between January and July 1998. The samples were analysed using direct smears, ether-sedimentation and the Harada-Mori culture techniques for gastro-intestinal tract parasites (GIT). Two species of helminths and three of protozoa were detected. Entamoeba coli was found in all 40 samples screened from 11 monkeys. Entamoeba histolytica was detected in 71.8% of the total samples screened, Streptopharagus spp. in 12.8% and Strongyloides spp. and Balantidium coli each in 7.7% of the samples. E. histolytica and Streptopharagus spp. were most prevalent in faecal samples of juveniles while Strongyloides spp. and B. coli were mostly found in adult females. This, to our knowledge, is the first report of GIT parasites in a wild population of De Brazza's monkeys and our results are baseline.

Age Factors↗

Helminth and protozoan gastrointestinal tract parasites in captive and wild-trapped African non-human primates.

The objective of this study was to investigate the gastro-intestinal (GIT) parasites commonly occurring in captive and wild-trapped (WT) non-human primates (baboons, vervets and Sykes) in Kenya and compare their prevalence. Three hundred and fifteen faecal samples were subjected to a battery of diagnostic tests, namely, direct smear, modified formal ether sedimentation, Kato thick smear, Harada-Mori techniques for parasite detection and culture to facilitate nematode larvae identification. Of these, 203 (64.4%) harboured helminths and 54 (17.1%) had protozoa. The helminth parasites comprised Strongyloides fulleborni 141 (44.8%), Trichuris trichuira 200 (63.5,%), Oesophagostomum sp. 48 (15.2%), Trichostrongylus sp. 73 (23.2%), Enterobius vermicularis 44 (14.0%), Schistosoma mansoni 4/92 (4.3%) and Streptopharagus sp. 68 (21.6%). Protozoan parasites consisted of Entamoeba coli 204 (64.8%), Balantidium coli 127 (40.3%) and Entamoeba histolytica 78 (24.8%). Both WT and colony-borne (CB) primates had similar species of parasites, but higher prevalences of protozoan infection were observed in CB baboons while helminth infections were relatively more common in WT primates. Some of the parasites observed in this study are reported to be zoonotic in various parasitological literatures. Chemoprophylaxis and other managerial practices were believed to be responsible for the lower worm prevalence in CB primates. Similar intervention against protozoa and other agents will not only improve primate health, but also increase safety to animal handlers and colony workers.

Animals↗

Parasites in cross-bred pigs in the Upper East region of Ghana.

A cross-sectional study was carried out in the Upper East Region (UER) of Ghana in order to estimate the prevalence of parasitic infections in local cross-bred pigs. Out of 60 villages with a human population of 200-1000 inhabitants, 10 villages were randomly selected for the study. The number of pigs varied from 50 to 200 pigs per village. In total 259 faecal samples from growers were collected and examined. Ninety-one percent of the animals excreted parasite eggs. Among these the prevalence of Eimeria spp. was 77.2%, Isospora suis (27%) and Balantidium coli (19.3%).The following helminth eggs were identified: Metastrongylus salmi (19.3%); Physocephalus sexalatus (17.4%); Oesophagostomum spp./Hyostrongylus rubidus (60.6%); Trichuris suis (4.6%); Ascaris suum (12.7%); Ascarops strongylina (8.1%); Brachylaemus suis (1.9%); Paragonimus suis (0.8%); Globocephalus urosubulatus (2.7%); and Schistosoma suis (0.4%). Furthermore, six growers were selected from each village for clinical and postmortem examinations, i.e. 60 in total. The clinical examinations revealed ectoparasites on 98.3% of the animals. The ectoparasites were: Haematopinus suis (66.7%); Boophilus spp. (58.3%); Amblyomma spp (45.0%); Sarcoptes suis (38.3%); and Rhipicephalus spp. (8.3%). All pigs were examined for the presence of haemoparasites. It was found that 23.3% of the animals had haemoparasites. These were: Babesia perroncitoi (23.3%); Babesia trautmanni (13.3%); and Eperytrozoon suis (1.7%). Based on postmortem examinations the following adult worms were identified: Metastrongylus salmi (83.3%); Oesophagostomum dentatum (63.3%); Oesophagostomum quadrispinulatum (38.3%); Hyostrongylus rubidus (23.3%); Ascarops strongylina (76.7%); Globocephalus urosubulatus (20.0%); Strongyloides spp. (1.7%); and Physocephalus sexalatus (65.0%). Cysts of the human tapeworm Taenia solium, Cysticercus cellulosae, were present in 11.7% of the animals. Small pieces of the diaphragm were examined for the presence of Sarcocystis spp.. The prevalence was 28.3%, but no larvae of Trichinella spp. were found. Furthermore, four of the animals (6.7%) had Taenia hydatigena cysts.

Animals↗

Aspects of intestinal parasitism in villagers from rural peninsular India.

In 1977, a parasitological survey was undertaken of stool samples collected from 335 people from 5 villages in semi-arid regions of peninsular India. Stools, which were collected from various individuals in a stratified sample of 40 matched households from each village, were examined by standard diagnostic procedures. Eggs of Ascaris lumbricoides and protozoan cysts, which were identified on morphological grounds as belonging to Entamoeba spp., were most common. Other protozoan cysts were considered to be those of Balantidium coli, and eggs of hookworm and Hymenolepis nana were also observed in some of the stool specimens. The prevalence of parasitic infections varied between villages. The village with the highest prevalence of Ascaris (70%) appeared to have the greatest demands made on its meager drinking-water supply. This village is located in a dry, windy and dusty region and it is speculated that, in addition to well-established transmission mechanisms, the villagers may be exposed, perhaps through contamination of uncovered drinking-water wells and inhalation, to wind-borne Ascaris eggs. In 1967, a WHO Expert Committee Report on the Control of Ascariasis pointed out that information on the frequency of dust-borne infection with Ascaris in man was inadequate.

Adolescent↗

Epidemiologic features of intestinal parasitic infections in Italian mental institutions.

To determine the prevalence of intestinal parasitic infections in the residents of four Italian psychiatric institutions, we examined the stool specimens collected in triplicate from 238 residents, enrolled between May 1995 and May 1996. Besides, physician and staff nurses provided data about each resident by standardized questionnaires. Parasites were detected in the fecal samples from 128 patients (53.8%). However, in the stool specimens from 106 residents only non-pathogenic protozoa were found (82.8%). Trichuris trichiura ova, Giardia lamblia cysts and trophozoites, Cryptosporidium parvum oocysts, and Balantidium coli cysts were found in the fecal samples from 22 residents (9.2%). B. hominis was the most prevalent parasite. It was detected in the fecal specimens from 97 residents (40.8%). The so-called nonpathogenic amebae were detected in the fecal specimens from 65 residents, though, at the same time, there was no evidence of Entamoeba histolytica infection. Twelve residents (5.0%) showed intestinal colonization by nonpathogenic flagellates. All the subjects with T. trichiura infection were housed in the facility of Ancona. Parasites were found in fecal samples from all the 11 residents with behavioural aberrations, but only three of those suffering from intestinal pathogen infection associated to diarrhea. Statistical analyses revealed that the presence of pathogenic parasites in fecal specimens was significantly associated with diarrhea, nausea, vomiting, abdominal pain, fever, behavioural aberrations and nonpathogenic protozoa (p < 0.01), but did not demonstrate any other significant associations between these parasites and the other variables, such as pruritus, mucus or blood in the stools and presence of fecal leukocytes. On the other hand, the presence of nonpathogenic protozoa was significantly related to aberrations such as pica, geophagia, phytophagy, coprophagy, coprophilia and pathogenic parasites (p < 0.01). Data analyses revealed that both pathogenic and nonpathogenic parasites were significantly more common in institutionalized patients than in controls. The rare presence of clinical signs and symptoms in colonized patients represents an important public health problem, since the presence of asymptomatic carriers among residents with low hygienic conditions, raises concern of transmission of parasitic infections to professional staff and other residents. Since the eradication of parasitic colonization in residential facilities is hard to reach, an effective prevention is the only measure to deal with this public health problem.

Adult↗

Parasitic zoonoses in Papua New Guinea.

Relatively few species of zoonotic parasites have been recorded in humans in Papua New Guinea. A greater number of potentially zoonotic species, mostly nematodes, occur in animals but are yet to be reported from humans. Protozoa is the best represented group of those infecting man, with Giardia duodenalis, Cryptosporidium parvum, Cyclospora cayetanesis, Toxoplasma gondii, Sarcocystis spp., Entamoeba polecki, Balantidium coli and, possibly, Blastocystis hominis. The only zoonotic helminths infecting humans include the trematode Paragonimus westermani, the cestodes Hymenolepis nana, H. diminuta and the sparganum larva of Spirometra erinacea, and the nematodes Trichinella papuae and Angiostrongylus cantonensis and, possibly, Ascaris suum. Other groups represented are Acanthocephala (Macracanthorhynchus hirudinaceus)), insects (Chrysomya bezziana, Cimex sp., Ctenocephalides spp.), and mites (Leptotrombidium spp. and, possibly Sarcoptes scabiei, and Demodex sp.). One leech (Phytobdella lineata) may also be considered as being zoonotic. The paucity of zoonotic parasite species can be attributed to long historical isolation of the island of New Guinea and its people, and the absence until recent times of large placental mammals other than pig and dog. Some zoonotic helminths have entered the country with recent importation of domestic animals, in spite of quarantine regulations, and a few more (two cestodes, one nematode and one tick) are poised to enter from neighbouring countries, given the opportunity. Improvement in water supplies, human hygiene and sanitation would reduce the prevalence of many of these parasites, and thorough cooking of meat would lessen the risk of infection by some others.

Animals↗

Occasional parasitic infections of man in Papua New Guinea and Irian Jaya (New Guinea).

Most parasites of man in New Guinea are cosmopolitan species, widely distributed and highly prevalent in the island. Reports of other parasite infections are reviewed. This impoverished fauna includes anthroponotic species normally occurring at low prevalences, e.g. Isospora belli, Dientamoeba fragilis, Trichomonas hominis and a few zoonotic forms with pigs as reservoir hosts, notably Balantidium coli and Entamoeba polecki. Other zoonoses are very few and extremely rare. This may be due to the reduced placental mammal fauna. The potential for the spread of Taenia solium infection is highlighted, as is the unique zoogeographical distribution of the Strongloides species resembling S. fuelleborni. Enterobius gregorii is recorded for the first time from Papua New Guinea.

Adolescent↗

The prevalence of Isospora suis and Strongyloides ransomi in suckling piglets in The Netherlands.

Faecal samples from suckling piglets from 113 litters on 25 farms in the Netherlands were examined to study the prevalence of gastrointestinal parasites, in particular Strongyloides ransomi and Isospora suis. S. ransomi was not found but I. suis was demonstrated in 17 of the 25 farms and in 41 out of 77 litters of these farms (53%). No other parasites were found. On the basis of these results, a longitudinal study on the incidence and significance of I. suis was performed on 10 farms (5 litters/farm). I. suis was found on 9 out of 10 farms and in 56% of the litters. Farms differed in infection levels, measured as the numbers of patent litters, and in the onset of patency. Other parasites were only found in faecal samples from the sows and from farrowing pens. These were, in order of prevalence, Balantidium coli, Ascaris suum, Eimeria spinosa, E. debliecki and E. suis.

Animals↗