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 31,184 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Six cases of intestinal myiasis were diagnosed in Macao from January 1987 to August 1989, during a survey of intestinal parasites in inhabitants and on stool routine examination in hospitalized patients. The species of flies identified were Stomoxys calcitrans in 4 cases and Megalesia (Megalesia) insulana in 2 cases, M. insulana being a new record in mainland of China. During the survey of intestinal parasites 1889 human fecal samples were collected from Chinese inhabitants. 45 samples were collected on September 2 and 15 samples on September 11, 1987 in an aged home. Among them 4 samples were found to have some moving larvae, which were later identified morphologically as S. calcitrans. All these four cases were old ladies living in the aged home and they complained of mild diarrhea and abdominal pain. The fifth case was a patient with dermatosis, who had an eosinophil count of 18%. On stool examination, eggs of Clonorchis sinensis and larvae of flies were found. These larvae were cultured in food stuff containing wheat bran (100g), milk powder (18g) and water (200ml) at 30 degrees C. Within a week these larvae became pupa from which hatched adult flies identified as M. insulana which were known to be distributed in the Philippines and Hawaii but not found in the mainland of China before. 3 months later the stool from the patient was re-examined, about 200 larvae were counted in 5 ml of feces, the fly species being the same. The sixth patient was a pediatric case, again in his stool sample larvae of flies were found which were identified as M. insulana after culture. M. insulana is distributed in the Philippines, Hawaii, etc. Since a great amount of fruits was constantly imported from the Philippines and Hawaii, it remains to be confirmed whether M. insulana is imported into Macao through fruits.
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PMID:[Intestinal myiasis in Macao]. 209 3

A total of 19,252 stool specimens from 12,136 patients were examined by direct microscopy and the ethyl acetate-Formalin concentration method during the last 2 years. All liquid specimens and those in which parasite identification was difficult or equivocal were also examined in trichrome-stained preparations. A total of 3,070 intestinal parasites were seen in 2,889 patients. Blastocystis hominis was found in fecal material from 647 patients (17.5%). A total of 132 cases (25.6%) were observed to be in association with other enteric pathogens. B. hominis in large numbers was present as the only parasite or with other commensals in 515 specimens from patients (79.6%). Of these patients, 239 (46.4%) had symptoms, the most common being abdominal pain (87.9%), constipation (32.2%), diarrhea (23.4%), alternating diarrhea and constipation (14.5%), vomiting (12.5%), and fatigue (10.5%). Forty-three (18%) of the patients were treated with metronidazole (0.5 to 1.0 g/day) because of recurrent symptoms and the presence of large numbers of B. hominis cells in repeated stool specimens. After 7 to 10 days of treatment, all patients became asymptomatic with negative stools on follow-up examinations for B. hominis.
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PMID:Clinical significance of Blastocystis hominis. 235 28

A total of 1,167 stool specimens collected from 0.6-6 years old patients attending King Abdel Aziz University Hospital (KAUH) in Riyadh, were examined for intestinal parasites. Of these 243 (20.8%) were positive. Giardia lamblia (13.5) and Enterobius vermicularis (4.2%), were the commonest parasites found. Other parasites present include Ascaris lumbricoides, Entamoeba histolytica and Hymenolepis nana. Abdominal pain (38.6%) and diarrhoea (27.6%) were the most common causes of referral presented among both males and females examined groups. Out of 211 patients positive for different parasites and showing different causes of referral, 45.5% were accompanied with abdominal pain and 22.3% having pruritus ani, while the percentage of patients having diarrhoea and positive for different parasites (9.5%) are less. It has been concluded that diarrhoea is not a major sign of parasitic infestation in 0.6-6 years old age group. Other causes of referral include, loss of appetite, underweight and failure to thrive which are mainly associated with Giardia lamblia infection.
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PMID:Pattern of intestinal parasitic infection in preschool children in Riyadh, Saudi Arabia. 280 81

Cestodes are very frequent intestinal parasites. They induce different troubles, regrouped as "taeniasis". In our study, 30 patients with Taenia saginata and 10 with Hymenolepis nana has been treated by one single dose of praziquantel, a wide-spectrum anti-helminthic drug, at the dosage of 10 mg/kg/day and 20 mg/kg/day respectively. As side-effects, no biological disturbances occurred, but 6 patients complained of abdominal pain and diarrhea. The efficiency has been complete. Praziquantel seems to be the drug of choice as treatment of adult cestodes.
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PMID:[Efficacy of a single dose of praziquantel as treatment for Taenia saginata and Hymenolepis nana]. 305 64

Three hundred thirty-nine migrant worker women and children were screened by single stool examination for intestinal parasites. Infection occurred in 34.2%. Giardia lamblia and Trichuris trichiura were the most common pathogens; Entamoeba coli and Endolimax nana were the most common commensals. Infants under 1 year of age were free of infection. Children between 2 and 5 years old and women between 25 and 35 years old had the highest prevalence. Significantly more Haitians were infected than Mexican-Americans or American blacks. Of ten symptoms, only abdominal pain and gas correlated significantly with infection. This migrant population has a greater prevalence of intestinal parasites than the general American public. Screening by stool examination may be beneficial to diminish the reservoir of infection.
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PMID:Intestinal parasites in a migrant farmworker population. 395 23

A fairly high number of symptoms are usually ascribed to intestinal parasites, a fact leading many times to various treatments in the absence of diagnostic evidence. Aiming to correlate presence of parasite with that of signs and symptoms authors have reviewed 1,131 patients submitted, for several reasons, to a search of parasites which was positive in only 384 cases. Authors conclude that only eosinophilia is a quite constant finding in E. vermicularis infestation and abdominal pain and chronic diarrhea are often present during giardia infestations.
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PMID:[Intestinal parasitoses: contribution to their clinical diagnosis]. 666 Jun 47

The prevalence of intestinal protozoa and geohelminths was assessed among two diverse populations in the Kandy area: adults attending medical outpatients clinics at the Teaching Hospital Peradeniya, and pre-school children in low-cost housing areas within the Kandy Municipality. In addition to a brief history and examination, a fresh stool sample was obtained and examined by direct smears in saline and iodine, and by formol-ether concentration. The children's stool samples were also examined for Cryptosporidium by cold Ziehl-Neelsen staining. A total of 192 stool samples from the adult outpatients (101 males, age range 15-82 years, mean 51.4 years) and 354 samples from the pre-school children (age range 1-72 months, mean 30 months) were examined. Entamoeba histolytica was not seen in any of the samples; Giardia cysts and Cryptosporidium oocysts were seen in three and one sample respectively from the pre-school children. The overall prevalence of geohelminth infections was 21.3% among the adults and 24.5% among the children. Ascaris lumbricoides was the predominant species in both populations. Comparison of the rate of intestinal parasite infection among 37 adult patients patients with non-specific abdominal complaints, with the rate among 37 matched controls with no abdominal complaints showed no significant difference (16% and 19% respectively). This suggests that the presence of abdominal pain or diarrhea was unrelated to the presence of intestinal parasites in the adult study population. Although the techniques used were not highly sensitive, the absence of E. histolytic probably reflects a true decline in the prevalence of this parasite in Sri Lanka.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:Intestinal parasitoses in the Kandy area, Sri Lanka. 777 9

A study of single stool specimens was done to determine the prevalence of intestinal parasites among 1,000 primary school children. A questionnaire was completed by each child's parents. Specimens were examined by using wet-mount preparation, formaline-ether concentration, and Sheather's flotation technique. Trichrome and acid-fast stains were done. Blastocystis hominis was observed in 203 (20.3%) of the specimens examined, and 175 specimens contained this organism in the absence of other pathogenic parasites. Older children had fewer B. hominis infections (6 to 7 years old, 50% infection rate; 8 to 9 years, 27.5%; 10 to 12 years, 9.5%). The most common complaints reported by 75 children harboring the parasite were a mild recurrent diarrhea, abdominal pain, nausea, anorexia, and fatigue. Blastocystosis is quite common among schoolchildren. Contaminated drinking water is suspected to be the source of infection.
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PMID:Intestinal colonization of symptomatic and asymptomatic schoolchildren with Blastocystis hominis. 785 90

Three hundred and thirty-two stool samples were examined for the presence of intestinal parasites including Strongyloides stercoralis. Each sample was processed and examined by direct smear, formalin-ether and Harada and Mori culture methods. Nine parasites were recovered from patients attending Basrah Teaching Hospital, southern Iraq during 1989. The prevalence rate of infection was 64.2%. It was higher in rural (74.2%) than in urban (57.5%) region (p < 0.01). Sex distribution was 120 (36.1%) males and 87 (26.2%) females (p > 0.05). The most common parasites were Blastocystis hominis, Giardia lamblia, Entamoeba histolytica, Hymenolepis nana and Strongyloides stercoralis. Formalin-ether concentration method was 3.75 times better than the direct smear method in the diagnosis of helminth rather than protozoan infections. The yield obtained by the usage of the Harada and Mori culture method (4.5%) was significantly higher than that obtained by formalin-ether (2.7%) or direct smear (0.3%) methods. Therefore, the Harada and Mori culture method is recommended in patients with undiagnosed diarrhea and where strongyloidiasis is endemic or suspected. Investigation of the relationship between age of the patients and prevalence showed that the prevalence of total intestinal parasites and of Strongyloides alone had essentially levelled off by age 11-20 and 21-30 years old, respectively. Clinical symptoms associated with S. stercoralis infection were diarrhea, anorexia and abdominal pain. Thiabendazole is still a drug of choice in the treatment of strongyloidiasis.
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PMID:Diagnostic methods for intestinal parasites in southern Iraq with reference to Strongyloides stercoralis. 793 41

The majority of intestinal parasites isolated in Switzerland is imported by refugees and travellers. Nematodes are more frequently isolated in the first group, whereas Giardia duodenalis and Strongyloides stercoralis predominate in the second. Symptoms are usually mild, but occasionally diarrhea, abdominal pain and weight loss may be encountered. Hypereosinophilia occurs frequently with some parasites. Four cases chosen from the outpatient department of a Swiss medical polyclinic are presented and serve as a basis for discussing persistent and chronic diarrhea, acute traveller's diarrhea, and hypereosinophilia. Differential diagnosis according to type and duration of symptoms, laboratory findings and treatment of the most frequently encountered parasites are reviewed.
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PMID:[Routine cases in intestinal parasitology]. 919 Jun 65


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