Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts: Gene/Protein Disease Symptom Drug Enzyme Compound   Target Concepts: Gene/Protein Disease Symptom Drug Enzyme Compound

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Query: UMLS:C0017536 (giardiasis)
1,714 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

In Japan parasitic diseases have been considered to be successfully controlled in the last 30 years. However, some parasitic diseases, such as food-borne zoonoses and/or larva migrans, are emerging and/or re-emerging in Japan. Furthermore, imported parasitic diseases like malaria are also gradually increasing. Unfortunately accurate numbers of parasitic diseases other than echinococcosis, malaria, amebiasis, giardiasis, or cryptosporidiosis are obscure in Japan because of the lack of a legal registration system. Since symptoms and diagnostic imaging patterns of parasitic diseases are non-specific and have similarities with other infectious diseases or cancer, parasitic diseases are sometimes overlooked or left misdiagnosed. In this review, the current status of parasitic diseases in Japan is briefly summarized based on the analysis of the accumulated cases seen in our department. We also outline the clinical features, differential diagnosis and treatment of representative parasitic diseases for the better understanding and management of the parasitic diseases in Japan.
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PMID:The current status of parasitic diseases in Japan. 1270 86

The prevalence and infection pattern of naturally acquired giardiasis and cryptosporidiosis in 20 ranch raised beef calves and their dams from birth to weaning was determined. Rectal fecal samples were collected from calves at 3 days of age and weekly thereafter; cows' fecal samples were collected at the time of calving, 1 week later and four times during the summer grazing period. Blood samples were collected from the calves at 3 days of age to determine IgG(1) concentrations. Giardia lamblia cysts were shed by all 20 calves (100%) at some date during the duration of the study. However, only one calf (5%) shed Cryptosporidium parvum on two sample dates during the trial. Giardia cysts were first detected at 3.9+/-1.37 weeks of age with a range of 2-7 weeks of age. The geometric mean number of Giardia cysts in the calf feces increased from none at 1 week of age to a maximum of 2230 cysts/g of feces at 5 weeks of age and then decreased to 2 cysts/g at 25-27 weeks of age. Infection rate of calves shedding Giardia cysts peaked at 85% at 5 weeks of age and then decreased to 21% at 25-27 weeks of age. Giardia cysts, shed by calves peaked 1 week after initial shedding and decreased (P<0.05) for the remainder of the trial with the exception of week 3. There was a lower (P<0.05) percentage of calves shedding Giardia cysts weeks 3-10 and 15-25 compared to when shedding was first detected. All calves had complete or partial transfer of passive immunity as measured by IgG(1) levels. The rate of infection (15%) and the geometric mean number of Giardia cysts in the cows' feces (38.49 cysts/g) numerically increased at 1 week post-calving compared to levels at calving. The rate of infection (40%) numerically increased and the geometric mean number of Cryptosporidium andersoni oocysts in the cow feces (37.48 oocysts/g) increased (P<0.05) at 1 week post-calving and decreased to 0 at 13-16 weeks post-calving. This study is the first to document the cumulative prevalence and infection patterns of Giardia and Cryptosporidium in beef cattle under ranch conditions.
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PMID:Prevalence and infection pattern of naturally acquired giardiasis and cryptosporidiosis in range beef calves and their dams. 1278 73

The study examined the incidence and prevalence of parasitic diseases among military personnel of the United Nations Interim Force in Lebanon (UNIFIL) and local civilian population. Additionally, the authors investigated the potential risk factors, including environmental conditions, influencing the incidence of infectious diseases. Epidemiological analysis was conducted based on the medial records of patients treated in the Internal and Surgical Ward of the UNIFIL Hospital from 1993 to 2000. The patients with parasitic diseases accounted for 3.78% of all patients hospitalized during the analyzed period. The most frequent infectious diseases treated during that time were trichuriasis, ancylostomiasis, giardiasis and ascariasis.
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PMID:[Epidemiology of parasitic diseases in military personnel treated in the United Nations Interim Force hospital in Lebanon, from 1993 to 2000]. 1551 11

Infection caused by intestinal parasites is still a common health problem in a poor-hygiene population especially for children in developing countries. A cross-sectional study was conducted among 781 Karen students (age: 3 to 19, males: 325, females: 456) to determine the current status of intestinal parasitic infections in a mountainous area in the North of Thailand. The study was drawn from three schools in the Doi Inthanon region, in Mae Chame district of Chiang Mai province, from December 2002 to June 2003. The techniques used for the diagnosis were: stool concentration by using the 'formalin-ether' technique and perianal region examination by using the 'Scotch-tape' technique. The average rate of intestinal parasites for the group tested using the stool concentration technique was 42.06% (male: 46.87%, females: 38.82%); and 22.66% (males: 28.92%, females: 18.20%) when using the Scotch-tape technique.Among helminth-infected individuals, enterobiasis was found at the highest prevalence (15.49%). Other common infections were ascariasis (9.78%), trichuriasis (5.90%) and hookworm infection (2.20%). Strongyloildiasis was found only in 0.92%. For protozoa infection, the major cause is the non-pathogenic species "Entamoeba coli" (27.68%). The other non-pathogenic protozoa (Endolimax nana, Chilomastix meslini and Iodamoeba butschlii) had a low prevalence from ranged 0.18%-4.79%. The prevalence of pathogenic Giardia lamblia infection was 2.21%. Entamoeba histolytica infection was found in only one case. Based on the two techniques used, the results from the Scotch-tape provided a higher sensitivity for the detection of Taenia spp. and Enterobius vermicularis eggs. Drug treatment was given to all the infected students. School-based health education should be implemented in order to prevent and control the infections.
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PMID:Prevalence of parasitism among students of the Karen hill-tribe in Mae Chame district, Chiang Mai province, Thailand. 1608 2

Mass gatherings are believed to increase the transmission of infectious diseases although surveillance systems have shown a low impact. The Catholic Jubilee was held in Rome, Italy in 2000. We conducted a case-control study to analyse the risk factors of giardiasis among residents. All diseases reported to the laboratory surveillance system from January 2000 to May 2001 were compared with hospital controls concurrently selected in the same season as cases and frequency-matched for age and birth country. Fifty-two cases (44.1%) and 72 controls were enrolled. In the multivariable analysis factors associated with giardiasis among adults were: travelling abroad (OR 24.2, P>0.01), exposure to surface water (OR 4.80, P=0.05), high educational level (OR 3.8, P=0.03). Having a maid from a high-prevalence country was independently associated (OR 2.3) although not statistically significant. This is the only exposure that changed during the Jubilee.
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PMID:The impact of the Catholic Jubilee in 2000 on infectious diseases. A case-control study of giardiasis, Rome, Italy 2000-2001. 1625 33

The flavodiiron proteins (FDP) are widespread among strict or facultative anaerobic prokaryotes, where they are involved in the response to nitrosative and/or oxidative stress. Unexpectedly, FDPs were fairly recently identified in a restricted group of microaerobic protozoa, including Giardia intestinalis, the causative agent of the human infectious disease giardiasis. The FDP from Giardia was expressed, purified, and extensively characterized by x-ray crystallography, stopped-flow spectroscopy, respirometry, and NO amperometry. Contrary to flavorubredoxin, the FDP from Escherichia coli, the enzyme from Giardia has high O(2)-reductase activity (>40 s(-1)), but very low NO-reductase activity (approximately 0.2 s(-1)); O(2) reacts with the reduced protein quite rapidly (milliseconds) and with high affinity (K(m) < or = 2 microM), producing H(2)O. The three-dimensional structure of the oxidized protein determined at 1.9A resolution shows remarkable similarities with prokaryotic FDPs. Consistent with HPLC analysis, the enzyme is a dimer of dimers with FMN and the non-heme di-iron site topologically close at the monomer-monomer interface. Unlike the FDP from Desulfovibrio gigas, the residue His-90 is a ligand of the di-iron site, in contrast with the proposal that ligation of this histidine is crucial for a preferential specificity for NO. We propose that in G. intestinalis the primary function of FDP is to efficiently scavenge O(2), allowing this microaerobic parasite to survive in the human small intestine, thus promoting its pathogenicity.
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PMID:The O2-scavenging flavodiiron protein in the human parasite Giardia intestinalis. 1807 62

Cryptosporidium and Giardia are major causes of diarrhoeal diseases of humans worldwide, and are included in the World Health Organisation's 'Neglected Diseases Initiative'. Cryptosporidium and Giardia occur commonly in Malaysian human and non-human populations, but their impact on disease, morbidity and cost of illness is not known. The commonness of contributions from human (STW effluents, indiscriminate defaecation) and non-human (calving, lambing, muck spreading, slurry spraying, pasturing/grazing of domestic animals, infected wild animals) hosts indicate that many Malaysian environments, particularly water and soil, are sufficiently contaminated to act as potential vehicles for the transmission of disease. To gain insight into the morbidity and mortality caused by human cryptosporidiosis and giardiasis, they should be included into differential diagnoses, and routine laboratory testing should be performed and (as for many infectious diseases) reported to a centralised public health agency. To understand transmission routes and the significance of environmental contamination better will require further multidisciplinary approaches and shared resources, including raising national perceptions of the parasitological quality of drinking water. Here, the detection of Cryptosporidium and Giardia should be an integral part of the water quality requirement. A multidisciplinary approach among public health professionals in the water industry and other relevant health- and environment-associated agencies is also required in order to determine the significance of Cryptosporidium and Giardia contamination of Malaysian drinking water. Lastly, adoption of validated methods to determine the species, genotype and subgenotype of Cryptosporidium and Giardia present in Malaysia will assist in developing effective risk assessment, management and communication models.
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PMID:Current status and future trends in Cryptosporidium and Giardia epidemiology in Malaysia. 1820 86

Infection with Giardia duodenalis is one of the most common causes of waterborne diarrheal disease worldwide. Mechanisms of pathogenesis and host response in giardiasis remain incompletely understood. Previous studies have shown that exposure to G. duodenalis products induce apoptosis in enterocytes. We recently discovered that sodium-dependent glucose cotransporter (SGLT)-1-mediated glucose uptake modulates enterocytic cell death induced by bacterial lipopolysaccharide. The aim of this study was to examine whether enhanced epithelial SGLT-1 activity may constitute a novel mechanism of host defense against G. duodenalis-induced apoptosis. SGLT-1-transfected Caco-2 cells were exposed to G. duodenalis products in low (5mM) or high (25mM) glucose media. In low glucose environments, G. duodenalis-induced caspase-3 activation and DNA fragmentation in these cells. These apoptotic phenomena were abolished in the presence of high glucose. A soluble proteolytic fraction of G. duodenalis was found to upregulate SGLT-1-mediated glucose uptake in a dose- and time-dependent manner, in association with increased apical SGLT-1 expression on epithelial cells. Kinetic analysis showed that this phenomenon resulted from an increase in the maximal rate of sugar transport (V(max)) by SGLT-1, with no change in the affinity constant (K(m)). The addition of phloridzin (a competitive inhibitor for glucose binding to SGLT-1) abolished the anti-apoptotic effects exerted by high glucose. Together, the findings indicate that SGLT-1-dependent glucose uptake may represent a novel epithelial cell rescue mechanism against G. duodenalis-induced apoptosis.
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PMID:SGLT-1-mediated glucose uptake protects human intestinal epithelial cells against Giardia duodenalis-induced apoptosis. 1828 Oct 46

Surveillance of imported infectious diseases is important because of the need for early detection of outbreaks of international concern as well as information of risk to the travelers. This paper attempts to review how the Japanese surveillance system deals with imported infectious diseases and reviews the trend of these diseases. The cases of acquired infection overseas were extracted from the surveillance data in 1999-2008. The incidence and rate of imported cases of a series of infectious diseases with more than one imported case were observed by the year of diagnosis and place of acquired infection. During the period 10,030 cases that could be considered to be imported infectious diseases were identified. Shigellosis ranked as the most common imported disease, followed by amebiasis, malaria, enterohemorrhagic Escherichia coli infection and the acquired immunodeficiency syndrome, typhoid fever, dengue fever, hepatitis A, giardiasis, cholera, and paratyphoid fever. The annual trends of these diseases always fluctuated but not every change was investigated. The study reveals that the situation of imported infectious diseases can be identified in the current Japanese surveillance system with epidemiologic features of both temporal and geographic distribution of cases of imported infectious diseases. However, further timely investigation for unusual increase in infectious diseases is needed.
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PMID:Imported infectious diseases and surveillance in Japan. 1898 79

Giardia duodenalis is a widespread parasite of mammalian species, including humans. Fecal samples from sporadic human clinical cases of giardiasis in Western Australia were analysed at two loci; 18S rRNA and glutamate dehydrogenase (gdh), and G. duodenalis assemblage B isolates were identified in 75% of isolates. Sequence analyses of 124 isolates at the 18S rRNA locus identified 93 isolates as assemblage B and 31 as assemblage A. Analyses of 109 isolates at the gdh locus identified 44 as B3, 38 as B4 and 27 were A2. Infection with Giardia was highest amongst children <5 years of age, with >56% of infections in this age group. The majority of the isolates were from rural areas (91/124) compared with urban areas (33/124). The assemblage A isolates were completely homogenous genetically at the gdh locus, while assemblage B isolates showed variability at the nucleotide but not at the amino acid level at this locus. Some of the assemblage B3 and B4 subtypes identified in humans were previously identified in marsupials in Australia and in a fox, indicating potential zoonotic transmission.
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PMID:High prevalence Giardia duodenalis assemblage B and potentially zoonotic subtypes in sporadic human cases in Western Australia. 1970 58


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