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Query: UMLS:C0042961 (volvulus)
 4,305 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Soluble antigen was prepared from adult worms and microfilariae of Onchocerca volvulus. In 27 patients clinically characterized as having generalized type (17) and localized reaction type (10) onchocerciasis, the response to this antigen was assessed in vivo by skin testing and in vitro by leucocyte migration inhibition assay. Three varieties of skin hypersensitivity were observed: Immediate, Arthus-type and delayed or type IV hypersensitivity. The first 2 occurred in all patients, but type IV hypersensitivity was noted only in 10, eight of whom had localized reactive type onchocerciasis, whilst the other 2 had mild generalized lesions which had for the most part healed with treatment. The leucocyte migration inhibition assay showed a spectrum of responsiveness with significant inhibition in the presence of antigen in 8 patients with localized lesions and in 2 others with mild generalized disease which had largely healed.--The specificity of the skin reaction and leucocyte migration inhibition to the antigen used was confirmed by the results obtained when a control group of 18 subjects, with no evidence of previous filarial infection, was similarly tested. 16 of them showed no skin hypersensitivity and 2 had a doubtful immediate reaction. No significant inhibition of leucocyte migration in the presence of antigen was noted in this group.
Acta Trop 1978 Sep
PMID:Immunological studies on onchocerciasis. Varying skin hypersensitivity and leucocyte migration inhibition in a clinical spectrum of the disease. 3 81

Long-standing complete obstruction of the superior mesenteric artery and vein and recurrent gastrointestinal bleeding from varices within the bowel were encountered in a child as a complication of midgut malrotation and volvulus. This condition is unusual, but should be considered in cases of gastrointestinal bleeding, or when small bowel biopsy is contemplated for the evaluation of diarrhea or malabsorption in cases of malrotation.
Gastroenterology 1979 Sep
PMID:Mesenteric vascular occlusion and varices complicating midgut malrotation. 31 54

Three patients had recurrences of left-sided colonic volvulus after allegedly total resections of redundant sigmoid loops. All three patients had chronic, acquired megacolon. Other instances of late recurrence of volvulus after sigmoidectomy are documented in the literature. Sigmoidectomy may be an inadequate operation for sigmoid volvulus in younger patients and/or in patients with severe chronic megacolon. The decision to perform an interval operation and the selection of the type of operation must take this into account.
Dis Colon Rectum 1979 Sep
PMID:Recurrence of volvulus after sigmoidectomy. 49 2

The history and structure of the WHO Onchocerciasis Control Programme in the Volta River Basin are described. An outline of the vector control operations is given, and the techniques and organisation of the entomological evaluation network are described in detail. During the course of the evaluation and related studies undertaken between November 1974 and October 1978 almost 1.2 million S. damnosum females have been taken in over 52,000 man days of catching, and 674,000 flies were dissected. An assessment based on this effort using Annual Biting Rates and Annual Transmission Potentials shows that the transmission of O. volvulus has been reduced to below a defined maximum permissible level over most of the central part of the Programme Area. The difficulties encountered in the remainder, and at certain problem sites are outlined and relevant data given. The benefits to be expected from extending the area further southwards and the possibilities of later reductions in control activity are discussed.
Tropenmed Parasitol 1979 Sep
PMID:Entomological aspects of the first five years of the Onchocerciasis Control Programme in the Volta River Basin. 54 1

The aerial larvicidng operation of the Onchocerciasis Control Programme of the World Health Organization which began in February 1975 resulted in a sharp reduction in Simulium damnosum numbers. However, at the onset of the rainy season the fly population increased in certain areas. Detailed surveys both on the ground and by helicopter did not reveal any significant failures of treatments that could account for the fly densities observed, and it was concluded that the flies must originate from sources outside the controlled zone. This reinvasion proved to be an annual occurrence which has been studied in detail between 1975 and 1978 in the south-western parts of the control zone. The methods used included full day catches by vector collectors carried out every day throughout the season, cytotaxonomic determination of larvae, detailed morphological examination of reared and biting adults and treatment of suspected source rivers with insecticide. The results indicate that the invasion takes place in a SW-NE direction across country for distances of 300 km or more along the track of the monsoon winds. It involves mainly the savanna cytospecies S. damnosum s. str. and S. sirbanum. The invading populations are composed of older parous flies, many of which carry infective 3rd stage larvae indistinguishable from those of Onchocerca volvulus. These females tend to bite close to the rivers and do not disperse as far as normal populations with a higher proportion of younger flies.
Tropenmed Parasitol 1979 Sep
PMID:Studies on the reinvasion of the Onchocerciasis Control Programme in the Volta River Basin by Simulium damnosum s.I. with emphasis on the south-western areas. 57 81

Intestinal volvulus may be the underlying process in patients presenting with intestinal ischemia. In 3 patients, angiographic findings of volvulus were erroneously interpreted as indicating occlusive or nonocclusive intestinal ischemia. In a fourth, the correct preoperative diagnosis was suggested by angiographic findings. Volvulus should be suspected at angiography by the whirlpool arrangement of the mesenteric arterial branches, the delayed filling and emptying of the arteries, and the intense opacification of the bowel wall. Familiarity with the angiographic picture of intestinal volvulus is essential for early diagnosis and for prompt initiation of appropriate therapy.
Radiology 1978 Sep
PMID:Intestinal volvulus: angiographic findings. 67 22

Primary small bowel volvulus which no definite cause can be detected surgically is rare. In this paper, we present five cases of primary small bowel volvulus and discuss the clinical features including etiology.
Jpn J Surg 1978 Sep
PMID:Primary volvulus of the small intestine in infants. 72 16

The assessment of morbidity caused by chronic parasitic infections in the populations of endemic areas has remained difficult and controversial. Contributing to this predicament is the frequent occurrence of multiple infections with agents that can cause a wide range of clinical manifestations, from the frequent symptomless carrier state to overt disease with more or less specific clinical manifestations. In the interpretation of the complex morbidity patterns found in rural populations of tropical countries, it is often difficult to make a clear determination of cause and effect. The situations is further complicated by the low degree of pathognomicity of the clinical manifestations of even the advanced stages of certain parasitic diseases. The paper gives examples that illustrate the interaction between endemic malaria and schistosomiasis as important causes of hepatosplenomegaly. Also shown in the paper are the inter-relationships between the nutritional status and the number of multiple infections with parasites found in African villages as well as the association between habitual coca leaf chewing, malnutrition and hookworm disease in a Peruvian community of mixed ethnic origin. The paper describes micro-epidemiological features of poly-parasitism by comparing the prevalence and intensity of infection with Onchocerca volvulus, Schistosoma mansoni and S; haematobium between sub-groups in the village population who have different sources of domestic water supply. In two African villages with endemic schistosomiasis where mass treatment will be administered, only 25% of the residents with parasitologically confirmed S. haematobium infection and 12% of those with S. mansoni had single infection; the remaining majority had at least one additional patent parasitic infection of public health importance.
Tropenmed Parasitol 1978 Sep
PMID:Epidemiology of poly-parasitism. IV. Combined effects on the state of health. 72 41

The staining patterns of acid phosphatase activity of the various larval stages of Onchocerca volvulus from experimentally infected Simulium damnosum s.l. have been described. The enzyme activity was localized in the anal vesicle/pore area of the first-stage larva, in the anal vesicle and intestine of the secong-stage larva and all over the body in the third-stage larva. Early third-stage larvae could be differentiated from late third-stage infective larvae by the presence of pronounced enzyme activity in the rectum area of the former. There were no detectable differences in the staining patterns between the forest and Sudan-savanna strains of O. volvulus developing in S. damnosum.
Tropenmed Parasitol 1978 Sep
PMID:Acid phosphatase activity in the larval stages of Onchocerca volvulus developing in the vector Simulium damnosum. 72 48

Sequential extraction of Onchocerca volvulus from skin nodules with buffers of different ionic strength resulted in a mixture of antigens which reacted in double immunodiffusion with sera from proven cases of onchocerciasis, the number of precipitation lines varied from 1 to 5. Triton X-100 detached mainly cationic antigen proteins. It reduced the molecular size of many antigenic proteins, but did not effect their antigenicity. Labelling of the extracted proteins with high specific activity 125I did not destroy much antigenicity. Strong cross-reactivity between Onchocera volvulus extracts and Onchocerca gutturosa and Litomosoides carinii was observed, less with extracts of Necator americanus and Ascaris suum, and none with Echinococcus multilocularis. Sera from proven cases of wuchereriasis, toxoplasmosis and echinococcosis rarely contained antibodies against O. volvulus. Isoelectric focusing, immunoelectrophoresis and gel filtration of the O. volvulus extracts indicated a variety of antigens. Preliminary attempts were made to purify the antigens using a solid-phase immuno-adsorbent prepared by coupling purified onchocerciasis IgG to CNBr-activated Sepharose.
Tropenmed Parasitol 1976 Sep
PMID:Preliminary identification and characterization of antigen extracts from Onchocerca volvulus. 82 71


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