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This study aimed to determine the frequency of intestinal parasites in children who were presented to health centers with a complaint of diarrhea and to reveal the importance of these parasites.The study was conducted on children within the age range of 1-16 who were presented to Iğdır State Hospital and Private Bulut Hospital between 2020 February-April 2020 with a complaint of diarrhea. A total of 300 children comprising 141 girls and 159 boys were enrolled in the study. The control group was composed of 100 children (girls=50, boys=50) without any chronic disease and diarrhea. Stool samples were evaluated by the native-Lugol method and the modified acid-fast staining method.Intestinal parasite positivity was found in 105 (35%) out of the 300 children in the patient group and in 17 (17%) out of the 100 children in the control group. In terms of parasitic positivity, a statistically significant difference was found between children with diarrhea and the healthy control group (p=0.001).The present study concludes that children with clinical symptoms, such as diarrhea, abdominal pain, and nausea, should be evaluated for intestinal parasites. Furthermore, it has been understood that intestinal parasites remain an important health problem among the pediatric cohort.Bu çalışma, ishal şikayetiyle sağlık merkezlerine başvuran çocuklarda intestinal parazitlerin sıklığını belirlemek ve bu parazitlerin önemini ortaya koymak amacıyla yapılmıştır.Çalışma, Şubat 2020-Nisan 2020 tarihleri arasında Iğdır Devlet Hastanesi ve Özel Bulut Hastanesi’ne ishal şikayetiyle başvuran 1-16 yaş aralığında olan çocuklar üzerinde yürütülmüştür. Çalışmada hasta grubu 141’i kız, 159’u erkek olan toplam 300 ishalli çocuktan; kontrol grubu, herhangi bir kronik hastalığı ve ishali olmayan 50’si kız, 50’si erkek olmak üzere toplam 100 çocuktan oluşturulmuştur. Dışkı örnekleri nativ-Lugol yöntemi ve modifiye asit-fast boyama yöntemi ile değerlendirilmiştir.Hasta grubundaki 300 çocuğun %35’inde, kontrol grubundaki 100 çocuğun ise %17’sinde intestinal parazit pozitifliği saptanmıştır. Parazit pozitifliği bakımından, ishali olan çocuklar ile sağlıklı kontrol grubu arasında istatistiksel olarak anlamlı fark saptanmıştır (p=0,001). Hasta grubunda en yüksek orandaSonuç olarak; ishal, karın ağrısı ve mide bulantısı gibi klinik belirtileri olan çocukların intestinal parazitler yönünden değerlendirilmesinin gerekli olduğu kanaatine varılmıştır. Ayrıca çocuk yaş grubunda intestinal parazitlerin halen önemli bir sağlık sorunu olduğu anlaşılmıştır

This study was conducted to investigate the frequency of intestinal parasites in substance abusers and to reveal its significance.The study was conducted in Van Yüzüncü Yıl University Medical Faculty Parasitology Research Laboratory and University of Health Sciences Turkey Van Training and Research Hospital between May 2019 and February 2020. The patient group included 150 patients with substance abuse who applied to the Alcohol and Drug Addicted Treatment Center of University of Health Sciences Turkey Van Training and Research Hospital, while the control group included 75 patients who had no chronic illness and did not use cigarettes, alcohol, or drugs. Stool samples were examined using native-Lugol and modified acid-fast staining methods.In this study, one or more intestinal parasites were found in 21.3% of 150 patients who applied to the internal medicine outpatient clinic and had no chronic illness and did not use cigarettes, alcohol, or drugs. There was a statistically significant difference between the two groups in terms of the parasite frequency (p=0.03). In the patient group,This study contributed to the literature by determining the frequency of intestinal parasites in people addicted to substance, and it was revealed that intestinal parasite infections are a negative consequence of substance addiction. Conclusively, our findings revealed that intestinal parasites should be considered in substance abusers. Also, more detailed studies involving more individuals should be conducted to obtain information about intestinal parasite infections.Bu çalışma, madde bağımlısı olan kişilerde intestinal parazitlerin sıklığını araştırmak ve önemini ortaya koymak amacıyla yapılmıştır.Çalışma Mayıs 2019-Şubat 2020 tarihleri arasında Van Yüzüncü Yıl Üniversitesi Tıp Fakültesi Parazitoloji Araştırma Laboratuvarı ve Sağlık Bilimleri Üniversitesi, Van Bölge Eğitim ve Araştırma Hastanesi’nde yürütülmüştür. Hasta grubu Sağlık Bilimleri Üniversitesi Van Bölge Eğitim ve Araştırma Hastanesi Alkol ve Madde Bağımlıları Tedavi Merkezi’ne başvuran ve madde bağımlısı olan 150 hastadan, kontrol grubu ise dahiliye polikliniğine başvurup kronik herhangi bir hastalığı olmayan; sigara, alkol ya da uyuşturucu kullanmayan 75 hastadan oluşturulmuştur. Dışkı numuneleri nativ-Lugol ve modifiye asit-fast boyama yöntemleri ile değerlendirilmiştir.Bu çalışmada madde bağımlısı olan 150 hastanın %21,3’ünde ve kontrol grubundaki 75 sağlıklı bireyin %10,7’sinde bir ya da birden fazla bağırsak parazitine rastlanmıştır. Parazite rastlama sıklığı bakımından iki grup arasında istatistiksel olarak anlamlı fark saptanmıştır (p=0,03). Hasta grubundaBu çalışma ile madde bağımlısı olan kişilerde intestinal parazitlerin sıklığı belirlenerek hem literatüre katkıda bulunulmuş hem de intestinal parazit enfeksiyonlarının madde bağımlılığının zemin hazırladığı kötü sonuçlardan biri olduğu ortaya konulmuştur. Sonuç olarak, elde ettiğimiz bulgular, madde bağımlılarında intestinal parazitlerin dikkate alınması gerektiğini göstermiştir. Ayrıca bu kişilerde intestinal parazit enfeksiyonları hakkında bilgi edinilmesi için daha çok kişinin dahil edildiği daha ayrıntılı çalışmalar yapılmalıdır.

This study aimed to investigate the frequency of gastrointestinal helminth parasites in stray dogs in Ağrı province and its districts and to reveal the zoonotic importance of these parasites.Fecal samples were collected from a total of 279 stray dogs in the center of Ağrı and the districts of Diyadin, Doğubayazıt, Eleşkirt, Hamur, Patnos, Taşlıçay, and Tutak. After macroscopic examination of the stool samples, they were examined microscopically by the native and multiplexing (Fulleborn flotation and Benedek sedimentation) methods.Helminth eggs belonging to one or more species were detected in 80 (28.7%) of the 279 stool samples examined. In total, 31 (11.1%)In this study, which was performed for the first time in Ağrı, it was revealed that stray dogs in Ağrı province and its districts were infected with helminths, which may consequently affect human health significantly. Therefore, necessary precautions should be taken to preserve the health of both humans and dogs.Bu çalışma; Ağrı ili ve ilçelerinde sokak köpeklerinde bulunan gastrointestinal helmint varlığını araştırmak ve bu parazitlerin zoonotik önemini ortaya koymak amacıyla yapılmıştır.Çalışmamızda, Ağrı merkez ile Diyadin, Doğubayazıt, Eleşkirt, Hamur, Patnos, Taşlıçay ve Tutak ilçeleri sınırları içerisindeki 279 sokak köpeğinin dışkı örneği toplanmış ve dışkı örnekleri makroskobik olarak incelendikten sonra nativ ve çoklaştırma (Fülleborn yüzdürme ve Benedik çöktürme) yöntemleriyle mikroskobik olarak incelenmiştir.İncelenen 279 dışkı örneğinin 80’inde (%28,7) bir veya birden fazla türe ait helmint yumurtası saptanmıştır. Dışkı örneklerinin 31’i (%11,1)Ağrı’da ilk defa yapılan bu çalışmada, Ağrı ili ve ilçelerindeki sokak köpeklerinin önemli oranda insan sağlığını etkileyecek helmintlerle enfekte olduğu görülmüş ve hem insan hem de köpeklerin sağlığı açısından gerekli önlemlerin alınması gerektiği kanısına varılmıştır.

The objective of the present study is to present a patient with oral myiasis caused by Calliphoridae larvae. The patient was a 63-year-old male who was transferred from Van Closed Prison to Yüzüncü Yıl University, Faculty of Medicine Research and Application Hospital. Five alive larvae localized in different points of gingival region were observed during routine oral cleaning. These larvae belonged to Calliphoridae family. As a result, medical staff should be informed about this infestation and this parasite should be kept in mind especially in risky group of patients and necessary controls should be conducted.

The aim of the present study was to present a case with secondary hydatid cysts in both uterus and colon. The patient was a 71-year-old female living in Hakkari, Turkey. She was admitted to the Van Yuzuncu Yil University Faculty of Medicine Medical Center with complaints of chronic abdominal and pelvic pain, and swelling in the abdomen. First, the sagittal T2 weighted magnetic rezonance imaging (MR) showed a type-3 cyst hydatid with daughter vesicles located at the posterior of uterus. Later, MR revealed a type-2 cystic lesion with detached membrane adhered to the anterior wall of colon and it was reported to be associated with abdomen. When the previous liver surgery history of the patient was kept in mind, the new finding was suggestive of a secondary cystic hydatid . In conclusion, it is possible to diagnose secondary cystic echinococcosis in patients with a history of primary cyst surgery in liver or any other organ by combining the symptoms and imaging findings.Bu çalışmanın amacı hem uterus hem de kolon yerleşimli bir sekonder hidatik kist olgusu sunmaktır. Hasta Hakkari’de yaşayan 71 yaşında bir kadındı. Van Yüzüncü Yıl Üniversitesi Dursun Odabaş Tıp Merkezi’ne kronik karın - pelvik bölge ağrısı ve karın şişliği şikayeti ile başvurdu. İlk olarak, sagittal T2 ağırlıklı manyetik rezonans (MR) görüntülerinde, uterus posteriorunda kız veziküllerin bulunduğu tip-3 kist hidatik saptandı. Daha sonraki MR’de, kolonun ön duvarına yapışmış ve karın ile ilişkili olduğu bildirilen ayrık membranlı tip-2 kistik bir lezyon ortaya çıkarıldı. Hastanın daha önce karaciğer cerrahisi öyküsü olması nedeniyle, olgu sekonder kistik hidatik olarak kabul edildi. Sonuç olarak, karaciğerde veya başka bir organda primer kist cerrahi öyküsü olan hastalarda semptomları ve görüntüleme bulgularını birleştirerek sekonder kistik ekinokokkozis tanısı koymak mümkündür.

PubMed ID: 31204458 Objective: The aim of present study was to retrospectively determine the prevalence of intestinal parasites in patients, who were referred to Parasitology Laboratory in Van Yüzüncü Yıl University, Faculty of Medicine during an 11-year period. Methods: Stool samples of 69633 individuals admitted to the outpatient clinics in the hospital were initially evaluated with native-Lugol, and then by flotation, sedimentation, trichrome staining, modified acid-fast staining and ELISA methods. Results: Twenty-four parasite species were identified in parasite-positive patients. At least one or more parasite species were found in 34.1% of all patients. The most commonly observed parasite was Blastocystis hominis (26.5%). Among pathogen parasites, Giardia intestinalis (G. intestinalis) was detected in 9.3%, Ascaris lumbricoides (A. lumbricoides) was detected in 2.5%, Entamoeba histolytica/Entamoeba dispar in 0.8%, Cystoisospora belli in 0.004%, Fasciola hepatica in 0.04%, Dicrocoelium dendriticum in 0.001%, Strongyloides stercoralis in 0.001% and hookworm in 0.001% of the patients. Conclusion: It was determined that, pathogen parasites such as G. intestinalis and A. lumbricoides were still observed at high rates in Van province, especially in children, and the problem of parasitosis is still continuing, although the prevalence of parasites has declined when compared to the previous years.

The aim of this study is to report seven Cyclospora cayetanensis (C.cayetanensis) cases determined in Yuzuncu Yil University Medical Faculty Parasitology Laboratory, Van province, Turkey. In the study native-Lugol, formalin-ethyl acetate and modified acid-fast staining methods were performed to stool samples of the patients sent from outpatient clinics of the hospital. All of the patients infected with C. cayetanensis were older than 15 years. In our cases there were not a history of international travel. Only one of our seven cases was immunosuppressed. Trimethoprim-sulfamethoxazole (160/800 mg) was administered for the treatment of the patient. In conclusion, it was understood that the physicians should consider cyclosporiosis in the patients with diarrhea and abdominal pain.

Objective This study was carried out to detect the prevalence and evaluate risk factors of Pediculus capitis infestation in four primary schools in Igdir in April and May, 2010. Methods The study was performed on 2222 students (6-15 years old), 1116 female and 1106 male. The hair of the students, especially from the neck and back of the head, were examined for egg, nymph and imago of P. capitis. The samples taken from the students were brought to the Medical Laboratory of Health Services Vocational School of Igdir University for examination. Each student answered a questionnaire containing some questions related to the infestation. Results The imago, nymph or eggs of the parasite were encountered in 22.9% of females and in 3.2% of males. Prevalence of infestation in all students was 13.1%. Conclusion It was determined that there was a significant relation between head louse infestation and gender, socioeconomic status of the schools, hair length, number of people living in the home and the number of rooms in the house. In most comparisons, relations between prevalence of pediculosis capitis and education level, income level and job of the children's father and education level of the children's mother were found significant at different levels.

OBJECTIVE This study was performed in order to contribute the data on the prevalence of cystic echinococcosis (CE) in Turkey and to reveal this parasitosis problem in Van province. METHODS Blood samples of 2642 patients (1214 men, 1428 women; 506 of them 0-13 age, 2136 of them 14 and over age group), which were sent with suspected CE to Parasitology Laboratory from various policlinics of Yuzuncu Yil University Medical Faculty, between the dates of 01.09.2005 and 01.09.2013, were evaluated for CE by using Enzyme-Linked Immunosorbent Assay (ELISA) (R-Biopharm, Germany; IgG) method. RESULTS 801 (30.3%) of examined blood samples of these patients were found positive for this parasitosis. Seropositivity was found 31.9% of men, 29% of women; 33.4% of 0-13 age group, 29.6% of 14 and over age group in the study. Cysts, which were obtained from operated seropositive patients, were confirmed that unilocular cysts as pathological. CONCLUSION As a result, it was seen that CE is continued to be a major public health problem in Van province and it was appear that comprehensive protection and control programs should be carry out to struggle this disease.

OBJECTIVE This study was carried out to contribute to the information of the spread of disease in our country by determining the distribution of cystic echinococcosis (CE) on people in our region and to demonstrate the importance of it for our region. METHODS In this study, the blood serum samples of a total of 558 patients, which were sent to the Parasitology Laboratory from several outpatient clinics of the Yuzuncu Yil University Research and Training Hospital between 01.09.1998-01.09.2005, were evaluated in terms of CE by using Indirect Hemaglutination Test (IHA) or ELISA methods. RESULTS 25.6% of a total of 558 cystic echinococcosis suspected patients were found to be seropositive by IHA or ELISA methods and it was confirmed that the cysts obtained as a result of the positive patients' surgery were unilocular cysts. In our study, seropositivity was found in 25.7% of 303 female patients, 25.5% of 255 male patients; 33.3% of 48 pediatric 8-15 age group patients and 24.9% of 510 adult patients over the age of 15 years. CONCLUSION Cystic echinococcosis continues to be a major public health problem in the Van province. Large-scale prevention and control programs should be implemented against this disease.

This study was conducted to report the digestive system infestation caused by the larvae of Coleoptera in a female pediatric patient. She was admitted to our hospital with the complaints of emergence of insect larvae from her vomit and feces, abdominal pain, inguinal pain, lack of appetite, hair loss, excessive cleaning behavior, extreme irritability, and distractibility. The larvae observed typically had the morphology of the larvae of insects related to the Cantharidae family in the Coleoptera order. For treatment, a single dose of albendazole (400 mg) was used. Consequently, in the present case, it was seen that the larvae of Coleoptera incidentally taken orally could continue to live for a period in the digestive tract of people, without losing vitality, and the larvae caused a variety of symptoms due to both their toxic agents and the possible irritation they caused.

Objective The aim of the study was to determine the prevalence of Demodex sp. in patients referred fom the Dermatology Outpatient Clinic to the Parasitology Laboratory, Dursun Odabas Medical Center of the Yuzuncu Yil University. Methods The study was conducted between May 2012-May 2013. The samples were taken from 67 patients using the standard skin surface biopsy method. Results Demodex sp. mites were identified in 47.4% of 38 women, and in 48.3% of 29 male patients. These mites were detected in 15.8% of 19 patients who were 35 years old and younger, and in 60.4% of 48 patients who were 36 years old and older. Overall, 47.8% (32 patients) of 67 patients were found positive for demodicosis. It was determined that 53.1% of Demodex sp. positive patients had eritemato telangiectatic rosacea, 21.9% had papulo-pustular type rosacea, 18.8% had papules, 3.1% had erythematous pustules, and 3.1% had erythematous squamous plaques. There was a statistically significant difference between the Demodex sp. positivity and age groups (p=0.001). Conclusion It was concluded that dermatologists should also take into consideration the possible presence of Demodex sp. mites in patients with skin symptoms such as erythema, telangiectasia, papules and pustules, and apply the appropriate treatment for these parasites.

The reason for the presentation of this case is that Linguatula serrata, a parasite rarely encountered in humans, was found in a patient in Van province. The patient, who was 26 years old, lived in Ercis a town in Van province, East Turkey. She was admitted to the Outpatient Clinic of Infectious Diseases of Ercis Government Hospital with a complaint of coughing a few worms about 4 cm long from the oral cavity, and also sore throat, partial voice loss and vomiting. The polyclinic doctor suspected that the worm was a parasite but he could not make a diagnosis, and the patient was referred to Health Research and Training Hospital, Yuzuncu Yil University. The parasite was examined in the Parasitology Laboratory and it was observed that this parasite was the nymph of L. serrata whose mouth was surrounded with four hooks and had approximately 90 body segments with small hooks. No medical treatment was given to the patient except that gargling with saline solution was recommended. As a result, we think that physicians should consider L. serrata infestation in patients applying to health foundations with complaints such as pharyngitis accompanied by pharyngeal pain, coughing, sneezing and vomiting.

This study was carried out in order to to detect the prevalence of Pediculus capitis in the Erciş district of Van between May and June, 2007. The study was performed on sixth, seventh and eighth grade schoolchildren between 12 and 15 years old who studied at the Osmangazi Primary School. All of the hair, especially on the neck and the back of the head was examined for the egg, nymph and imago stages of the parasite in 622 schoolchildren (196 females and 426 males) and samples were collected from possibly infected schoolchildren. The questionnaire forms were given to all schoolchildren. The samples taken from schoolchildren were brought to the Parasitology Laboratory of the Health Research and Training Hospital, Yüzüncü Yil University. Eggs of the parasite were found in 9.5% of all schoolchildren, in 23% of females and 3.3% of males. A statistically significant relationship was found between the prevalence of P. capitis and gender, educational status of students' mothers (in some groups), the frequency of bathing (p0.01), and the fathers' profession (in some groups; p0.05). As a result, relation was observed between head lice and socioeconomic status, hygiene rules, crowded families and classrooms at schools.

Human dicrocoeliosis is reported sporadically in various parts of the world. We report a case in a 21-year-old male, who had right upper abdominal pain, weight loss, and chronic relapsing watery diarrhea three to four times daily for four weeks. The patient had abdominal tenderness to palpation in the right upper quadrant. Alkaline phosphatase, alanine aminotransferase, and serum immunoglobulin E levels were slightly elevated; all other biochemical and hematological findings were in their normal ranges. The duodenal biopsy samples were normal and an abdominal ultrasonography showed no biliary or hepatic abnormality. Stool microscopy revealed numerous eggs of Dicrocoelium dendriticum. As pseudoparasitosis can result from eating raw, infected animal liver, the patient was given a liver-free diet for three days, to rule out that possibility. Subsequent stool examinations showed eggs in each of the samples indicating that the infection was genuine. The patient was treated with triclabendazole 10 mg/kg in a single dose. Four weeks later, no parasite eggs were detected in the microscopic examination of the stool samples. The patient got better gradually and the symptoms disappeared. Physicians should keep in mind parasitic diseases such as the rarely encountered dicrocoeliosis.

This study was performed in the Van Municipality Slaughterhouse from January to December 2001. Abomasums and small intestines from a total of 104 sheep were transported to the parasitology laboratory of the Veterinary Faculty of Yüzüncü Yil University for parasitological examination. The abomasums and small intestines of the animals were opened with appropriate technique in the laboratory, and male nematodes were collected from the contents of the abomasums and small intestines using a sampling method, and then these parasites were identified. Gastrointestinal nematodes were encountered in 87.5% out of 104 sheep. Marshallagia marshalli (85%), Teladorsagia circumcincta (75%), Nematodirus oiratianus (75%), N. spathiger (65%), Haemonchus contortus (40%), Tel. occidentalis (36%), Trichostrongylus axei (33%), N. abnormalis (19%) and T. probolurus (19%), Tel. davtiani (15%), Tel. trifurcate (10%), and Camelostrongylus mentulatus (1%) were detected. Among the parasites, the species encountered most often were Tel. circumcincta (45.23%) in abomasums and N.oiratianus (65.73%) in small intestines. The highest rate of parasites in both abomasums and small intestines occurred in August, September and October. It was found that the young animals have a parasite density higher than the adults and the females have parasite density higher than the males.

In this study, a patient who was hospitalized with a severe anemia in the Internal Medicine Clinic of the Health Research and Application Hospital of Yüzüncü Yil University for one week is presented. The patient had fatigue, paleness and dizziness for one month and approximately 12 kg weight lost for four mounts previous to admission.. Severe iron deficiency anemia was diagnosed in the patient by laboratory analyses. Because there were no hematologic factors associated with severe anemia, the stool examination was also performed. In the Parasitology Laboratory, stool microscopy of the patient revealed numerous ova of hookworm. General condition of the patient well improved with anti-parasitic and anti-anemia treatment. It was concluded that patients with iron deficiency anemia diagnosed in health centers should be also examined for the intestinal parasitic diseases encountered rarely, and physicians should consider non-endemic parasitic diseases in their provinces.

Cystic echinococcosis (CE) caused by the metacestode form of Echinococcus granulosus is a major public health problem especially in animal-raising regions of the world. In the present study, CE cases were determined during 2001-2005 by investigating different hospital and health directorship documents and Health Ministry documents, retrospectively. Our results show that there were 2534 (13.13%) cases in the Marmara region; 2114 (16.94%), in the Aegean region; 2578 (16.09%), Mediterranean region; 5404 (38.57%), in the Middle Anatolian region; 428 (5.70%), in the Black Sea region; 844 (6.80%), in the eastern Anatolian region; and 887 (2.75%), in the southeastern Anatolian region making a total of 14,789 CE cases. Finally, it has been determined that the patients were hospitalized for a total of 149,464 days.

Stool and cellophane tape specimens were taken for parasitological examination from 739 people who work in food sector and applied to the public health lab of the Van Health Administration for porter examination. Parasites were determined at 131 people (17.71%) of 739 worker whom samples were investigated. Ninety-five people had one, 30 people had two, 5 people had three and one person had four parasite species. Parasites determined in the study were 19.08% helminthes and 80.91% protozoon. In this study, 1.21% Ascaris lumbricoides, 0.81% Enterobius vermicularis, 0.67% Hymenolepis nana, 0.40% Trichuris trichiura, 0.27% Taenia saginata, 4.87% Blastocystis hominis, 3.24% Entamoeba coli, 2.84% Giardia intestinalis, 2.02% Iodamoeba bütschlii, 0.67% Endolimax nana, 0.27% Entamoeba histolytica/Entamoeba dispar, 0.27% Chilomastix mesnili, 0.13% Entamoeba hartmanni were found.