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Query: UMLS:C0033774 (pruritus)
 14,546 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Two-hundred and twenty-nine cases dracunculiasis were selected for a double-blind trial of metronidazole against placebo. A cure rate of 85% was observed with metronidazole. A dosage of 400 mg metronidazole three times daily for 10-20 days appears suitable. Even with secondarily infected lesions, it was unnecessary to administer any other chemotherapeutic agent. In most cases symptomatic relief, especially of pain and pruritus, was obtained within two weeks. In patients with only subcutaneous worms, metronidazole did not apparently prevent the development of lesions and seemed to stimulate the worm to emerge quickly, with resultant less severe lesions. Complete cure was delayed in patients with multiple lesions, where worms reached the emergence state at different times. There did not appear to be any direct relationship between severity of the disease and response to metronidazole. If the worm was broken during treatment with metronidazole, no abscess formed nor was there any local inflammation. Metronidazole was very well tolerated even when administered for 20 to 25 days. No serious side-effects or toxic effects were observed.
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PMID:Metronidazole ("Flagyl") in dracunculiasis: a double blind study. 13 52

Guinea worm infection is one of the most easily prevented parasitic diseases, but it is nevertheless a common cause of disability in rural areas of Africa, south-west Asia, and India. Infection occurs when drinking water is infested with infected Cyclops, a microcrustacean. Worms up to 70-80 cm in length develop in the subcutaneous tissues of the feet or legs and larvae are liberated to renew the cycle when an infected individual steps into a well or pond from which others draw drinking water. Infection is markedly seasonal because of (a) the influence of the climate on the types of water source used and (b) the developmental cycle of the parasite. The disability may be economically very important if the period of infection coincides with busy periods in the agricultural year. Sieving water through a cloth is sufficient to remove the Cyclops, but on a public health scale improved water supplies are required for control. Once the cycle of reinfection can be broken in any district the disease disappears. Chemical treatment of water bodies with temephos is also an effective and safe way of controlling transmission. Treatment consists of rolling out each emerging worm onto a small stick, a few centimetres each day, and certain drugs reduce the pain and pruritus and enable the worm to be removed more quickly.
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PMID:Guinea worm disease: epidemiology, control, and treatment. 16 22

Although infection with tissue nematodes is a significant health problem in many parts of the world, such cases are unusual in the continental United States. This report describes a case of Onchocerca volvulus infection, acquired by a 38-year-old female missionary in northern Brazil, that manifested as subcutaneous nodules in the groin and flank two years after the patient's return to the United States. A year previously, a wrong diagnosis of Wuchereria bancrofti was made at biopsy. At that time, treatment with diethylcarbamazine citrate had to be discontinued because of intense pruritus. Examination of a wet saline impression smear of a new biopsy specimen showed the adult worms to have regularly arranged outer annular ridges, which, together with the pruritus after treatment with diethylcarbamazine (a positive Mazzotti test), led to the diagnosis of onchocerciasis. Retreatment with diethylcarbamazine again caused pruritus, but this was tolerated as were subsequent treatments.
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PMID:Subcutaneous nodules as a manifestation of onchocerciasis. A rare condition in the United States. 94 4

Intestinal parasites are common among labourers from foreign countries and in immigrants. Some worm-infections like ascaridiasis or enterobiasis occur in children quite often even in the cold climates. In cases of ascaridiasis only a heavy infection causes clinical symptoms. The diagnosis is made through the detection of eggs in the stools, as all the other worm-infections are diagnosed from the stool-test. Piperazine-derivatives are highly effective against ascaris; another useful drug is Pyrantel-Pamoate. Toxocara canis, which affects normally only dogs, can occur occasionally in humans. Its larvae migrate in the body and cause granulomas. The main clinical symptom of threadworms (enterobiasis) is itching around the anus. This parasite can be eradicated through Pyrvinium-Pamoate. The first symptom a patient notices in cases of taeniasis are proglottides--parts of the worms--which are passed with the stools. The drug of choice against all kinds of tapeworms is Niclosamide. Hookworms are rampant in tropical countries. Heavy infections can cause severe anemias, especially in children. Bephenium-Naphthoate and Bitoscanate are effective drugs against this parasite. The whipworm (Trichuris trichura) is very common in the warm countries. It can be treated by Tiabendazole and nowadays also with Mebendazole, which is virtually atoxic. Infections with Strongyloides stercoralis are difficult to eradicate, as there are different ways of reinfection. In case an infection with strongyloides is accompanied by other serious diseases cachexia and even fatal outcome has been seen.
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PMID:[Worm-diseases]. 95 53

Schistosomiasis mansoni, a potentially severe disease that victimizes an appreciable number of US citizens in this hemisphere, shows cutaneous changes corresponding to various stages in the life cycle of the causative parasite within its definitive host. A transient pruritus or dermatitis, probably irritative, characterizes the stage of cercarial penetration. Urticaria, periorbital edema, and rarely a purpuric eruption may occur four to six weeks later, shortly after oviposition by adult worms, probably as an expression of hypersensitivity to ova and their products. Papulonodular lesions, similar to but not as devasting as those developing internally, may rarely appear months later at the perineum or distant cutaneous sites as a manifestation of granulomatous hypersensitivity to eggs and, very rarely, worms, accidentally carried there through collateral and anastomosing vascular pathways.
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PMID:Dermatologic manifestations of Schistosomiasis mansoni. 98 59

A total of 118,925 individuals in four Nigerian states was treated for onchocerciasis between February and December, 1991, using centralized and house-to-house distribution of ivermectin. Pre-treatment prevalences of the disease ranged between 28% and 90%. Only 0.7% of those treated reported adverse reactions within three days of treatment: 230 individuals (0.19%) had headache, 210 (0.17%) general body pains, 150 (0.12%) pruritus, 120 (0.10%) oedema, 80 (0.06%) fever, 20 (0.02%) dizziness, 15 (0.01%) vomiting, 10 (0.01%) diarrhoea, and 25 individuals (0.02%) noticed that they passed intestinal worms. Treatment in the endemic communities continues. The results show that mass treatment of onchocerciasis with ivermectin is quite safe and the drug's acceptability increases its potential as the drug of choice for control of onchocerciasis in Nigeria.
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PMID:Preliminary observations on the distribution of ivermectin in Nigeria for control of river blindness. 130 7

Ten carcasses and three vertebral columns from north Norwegian dairy goats, which had been killed due to clinical signs of severe neurologic disease, were received for necropsy. Pathological examination revealed nematodes and nematode ova in the central nervous system (CNS) of nine goats. Worms found by gross examination were identified as Elaphostrongylus rangiferi Mitskevich, 1960. Focal traumatic encephalomyelomalacia, apparently caused by migrating worms, perivascular cuffing, eosinophilic leptomeningitis and perineural infiltrations and granulomas, could be demonstrated in CNS sections from all 13 animals examined. Clinical signs reported were initial pruritus followed by motor weakness, lameness, paresis, reduced vision, circling, abnormal head position, bulging eyes and scoliosis. The disease occurred from September to January in regions with a considerable migrant reindeer population. It was concluded that the reported outbreaks of neurologic disease represented seasonal occurrence of cerebrospinal elaphostrongylosis caused by Elaphostrongylus rangiferi, the elaphostrongyloid nematode of reindeer (Rangifer tarandus tarandus).
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PMID:Cerebrospinal elaphostrongylosis in dairy goats in northern Norway. 179 88

Sowda, the localized asymmetrical lesion of onchocerciasis endemic in Yemen and Southern Saudi Arabia, is characterized by hyperpigmented lichenified papular lesions on one leg with intense pruritus. There is enlargement of femoral and inguinal lymph glands. In our study, even the long standing cases do not show elephantiasis of the leg or genitalia. Microfilaria appeared to be scarce and adult worms could not be detected clinically, as well as by ultrasonography (except in one case). There was no significant lymphatic obstruction; such cases were studied by contrast lymphangiography and isotope lymphangiography.
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PMID:The black disease of Arabia, Sowda-onchocerciasis. New findings. 200 4

The functional symptomatology of loiasis was studied in 101 Congolese subjects living in a village in a highly endemic area. 27.7% of them were carriers of Loa loa microfilariae. 5.9% were infected with Mansonella perstans. No subjects were found to have dermal microfilariae. In anamnesis, 51.5% of them reported episodes of Calabar swellings, 69.3% history of eyeworm and 10.9% episodes of subcutaneous migration of worms during the last 12 months. Pruritus and secondary dermal lesions were frequently demonstrated in 64.4% and 56.4% of the individuals respectively. Asymptomatic amicrofilaraemic subjects only accounted for 11.9% of the adult population. The study of the life-time risk of eyeworm, also conducted in the Pygmy and Bantu populations of another village, was shown to be useful in epidemiological evaluations.
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PMID:Clinical manifestations of loiasis in an endemic area in the Congo. 233 44

A traditional herbal drug, called "Ganna Ganna", is used in rural areas of Liberia to treat onchocerciasis. It is prepared from the bark of the "Ganna Ganna" tree, which was identified as Cassia aubrevillei. An aqueous extract was prepared from the bark according to informations from local people and its effects on microfilaria (mf) density and pruritus were studied in eleven patients with onchocerciasis. In four patients a 1.8-4.8 fold increase in mf density was observed after three weeks and in two patients mf counts dropped to almost zero. Histology and embryogram of adult worms, isolated after treatment, revealed no significant changes. All patients reported a rapid decline of pruritus and this effect lasted for up to three months. The in vitro effect of different extracts on mf viability was tested. The alcoholic extract gave the best results, killing mf within 24 h at concentrations of 50 micrograms/ml. Chrysophanic acid, an anthraquinone identified in the drug, also showed good in vitro microfilaricidal activity. It is concluded, that "Ganna Ganna" could be a useful adjuvant in the therapy of onchocerciasis and that further evaluation of the drug seems promising.
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PMID:In vivo and in vitro effects of extracts from Cassia aubrevillei in onchocerciasis. 237 17


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