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Primary pancreatic hydatid cyst is a rare form of echinococcosis, even in endemic areas. The present study reports the case of a 67-year-old male patient with a primary pancreatic hydatid cyst who presented with severe epigastric pain, vomiting and fever for a period >2 weeks. An endoscopic ultrasound revealed a cystic lesion in the pancreatic head with a solid component. A computed tomography scan and magnetic resonance imaging confirmed the ultrasound finding. Under general anesthesia, the patient underwent total pancreatectomy and splenectomy. A histopathological examination confirmed a primary pancreatic hydatid cyst. Hydatid cysts rarely occur primarily in the pancreas. They may spread to the pancreas through the hematogenous route. Various procedures can be performed for cyst removal, depending on the size and location of the cysts. Open surgery, laparoscopy and hybrid options are available; however, to date, the gold standard is open surgery to prevent spillage and reduce the chance of recurrence. Although rare, primary pancreatic hydatid cysts can occur, with surgery being the main treatment modality due to the vague preoperative diagnosis based on imaging. [ABSTRACT FROM AUTHOR]

Due to limited data on the pathogenicity of Prohemistomum vivax (P. vivax) and its impacts on fish health, this study aimed to determine the morphological, molecular characteristics, pathogenicity, and histopathological alterations in fish infected with P. vivax. Eight hundred (800) Nile tilapia (Oreochromis niloticus) were collected from various farms in Kafr El Sheikh Governorate. The fish were examined for encysted metacercariae (EMC) in different organs. Tissue specimens were collected and underwent histopathological analysis, expression of stress-related genes, and genetic characterization by sequencing of the internal transcribed spacer 2 (ITS2). P. vivax metacercariae were oval to round in shape and were collected from various organs including the muscle, skin, eyes, intestine, liver, kidney, and gills of infected O. niloticus. Sequencing and phylogenetic analysis of the ITS2 region revealed a 507-bp fragment, confirming parasite identity and matching within the same clade as other P. vivax isolates. Infected fish displayed abdominal hydropsy, skin darkening, and emaciation. P. vivax encysted metacercariae were detected during the study period in 620/800 fish, with an overall prevalence of 77.5%. The seasonal prevalence was 95% in summer, 85% in spring, 55% in autumn, and 75% in winter. The intensity of infection was 1–40 cysts per microscopic field. Histopathological examination of muscles revealed parasitic cysts embedded within muscle fibers, causing severe degeneration and necrosis. Upregulation of cytochrome P450 (cpy1a1), heat shock protein 70 (hsp-70), and tumor suppressor p53 (p53) was recorded in both liver and muscle samples of infected tilapia compared to controls. This indicates activation of detoxification, cellular stress, and apoptotic pathways in response to P. vivax infection. There is limited data available on the pathogenicity of P. vivax and its impacts on fish health; thus, this study provides key insights into the morphology, pathogenicity, and histopathological impacts of P. vivax in Nile tilapia. [ABSTRACT FROM AUTHOR]

Objectives: Vaccinations should only be given to healthy cats, and deworming before vaccination is generally recommended; however, so far, no study has investigated the influence of intestinal parasitic infection on the immune response in kittens. The aim of this prospective study was to compare the antibody response to feline panleukopenia virus (FPV) vaccination in kittens with and without intestinal parasites. Methods: Overall, 74 healthy kittens were included. Of these, 17 had intestinal parasites (12/17 Toxocara cati, 6/17 Cystoisospora felis, 1/17 Capillaria species). Both kittens with and without (n = 57) parasites received two primary kitten vaccinations with modified live FPV vaccines in a 4-week interval starting at the age of 8–12 weeks. Anti-FPV antibodies were determined at the beginning of the study (week 0) and at week 8 (4 weeks after the second vaccination) by haemagglutination inhibition. A ⩾four-fold titre increase (week 8 vs week 0) was defined as a response to vaccination. Comparison of the immune response in the kittens with and without intestinal parasites was performed using Pearson's χ2 test. Results: Pre-vaccination antibodies were present in 4/17 (23.5%) kittens with intestinal parasites and in 24/57 (42.1%) without parasites. A ⩾four-fold titre increase was seen in 13/17 (76.5%) kittens with parasites compared with 32/57 (56.1%) kittens without parasites. There was neither a significant difference in pre-vaccination antibodies (P = 0.17), nor in vaccination response (P = 0.13) between kittens with and without parasites. Conclusions and relevance: The results indicate that asymptomatic intestinal infections with endoparasites do not interfere with the immune response to kitten vaccination series. Parasitic infection (at least with T cati, C felis and Capillaria species) is therefore not a reason to postpone important vaccinations. [ABSTRACT FROM AUTHOR]

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Intestinal parasites, including helminths and protozoa, account for a significant portion of the global health burden. The gastrointestinal (GI) tract not only serves as the stage for these parasitic infections but also as the residence for millions of microbes. As the intricacies of the GI microbial milieu continue to unfold, it is becoming increasingly apparent that the interactions between host, parasite, and resident microbes help dictate parasite survival and, ultimately, disease outcomes. Across both clinical and experimental models, intestinal parasites have been shown to impact microbial composition and diversity. Reciprocally, microbes can directly influence parasitic survival, colonization and expulsion. The gut microbiota can also indirectly impact parasites through the influence and manipulation of the host. Studying this host–parasite–microbiota axis may help bring about novel therapeutic strategies for intestinal parasitic infection as well as conditions such as inflammatory bowel disease (IBD). In this review, we explore the relationship between intestinal parasites, with a particular focus on common protozoa and helminths, and the gut microbiota, and how these interactions can influence the host defence and intestinal immune response. We will also explore the impact of this tripartite relationship in a clinical setting and its broader implications for human health. [ABSTRACT FROM AUTHOR]

Echinococcosis, alternatively referred to as hydatid disease, is caused by the larvae of the tapeworm Echinococcus. The primary agents of human infections are Echinococcus granulosus and Echinococcus multilocularis. The present case report pertains to an individual who relocated from an endemic region to the United Arab Emirates and subsequently manifested symptoms of hydropneumothorax. The 44-year-old male patient presented with a 4-day fever and right-sided chest pain, accompanied by cough and breathlessness for 2 weeks. Computed tomography (CT) of the chest revealed right hydropneumothorax and a ruptured hydatid cyst with consolidation. The patient was diagnosed with a ruptured pulmonary hydatid cyst based on a strongly positive hydatid serology and the presence of hydatid tissue on histopathological examination. The patient underwent surgical decortication with cyst removal and received medical treatment with ceftriaxone and albendazole. He was discharged in good condition after a 10-day hospitalisation period. Echinococcosis is a parasitic disease that most often affects the liver and lungs. Although more than half of the patients do not show any symptoms, the main symptoms observed during presentation include dry cough, haemoptysis, and chest pain. Plain radiographs or chest CT scans are used for diagnosis. Surgery is considered the primary treatment for pulmonary hydatid cysts and medical treatment with benzimidazoles (albendazole and mebendazole) is recommended. Complicated pulmonary hydatid disease can manifest in various ways, including hydropneumothorax, as observed in the present case. Early diagnosis, surgical intervention combined with medical treatment, and multidisciplinary teamwork can significantly improve patient outcomes.

Pericardial hydatid cysts, although rare, present unique diagnostic challenges and require a multidisciplinary approach for effective management. This parasitic infection, caused by Echinococcus granulosus larvae, typically affects the liver and lungs but can manifest in the pericardium, leading to potentially life-threatening complications if untreated. The 22-year-old female's escalating dyspnea posed diagnostic challenges despite inconclusive echocardiography. Employing a multidisciplinary strategy, including preoperative albendazole therapy and surgical excision, effectively managed the condition. This case highlights the intricate diagnostic nature of pericardial hydatid cysts, emphasizing the importance of heightened clinical awareness, especially in endemic regions. The detailed clinical trajectory, imaging methodologies, and therapeutic interventions contribute significant insights to the medical community. The study aims to deepen comprehension and guide clinicians in refined diagnostic and treatment approaches for pericardial hydatid cysts, ultimately improving patient outcomes. It underscores the imperative for continued research in this niche to enhance medical understanding and optimize clinical practices.

Abstract Introduction Hydatid disease, endemic in Mediterranean countries, primarily affects the liver, but can manifest in diverse organs. Non-hepatic and non-pulmonary cysts often pose diagnostic challenges. This study examines patients with hydatid cysts in atypical locations. Methods and results From 2013 to 2020, our center treated 250 echinococcosis patients, among whom 11 cases (4.4%) with hydatid disease in uncommon sites were retrospectively reviewed. The distribution of unusual cyst locations and their clinical implications are discussed. Conclusion Diagnosing hydatid cysts in uncommon locations is a formidable challenge. Surgeons should always contemplate the prospect of an unconventional cyst location when encountering patients with cystic masses in endemic regions. Failing to consider this possibility could lead to unfavorable outcomes.

Chemokines belong to the group of small proteins within the cytokine family having strong chemo-attractant properties. In most cases, the strong immuno-modulatory role of chemokines is crucial for generating the immune response against pathogens in various protozoan diseases. In this review, we have given a brief update on the classification, characterization, homeostasis, transcellular migration, and immuno-modulatory role of chemokines. Here we will evaluate the potential role of chemokines and their regulation in various protozoan diseases. There is a significant direct relationship between parasitic infection and the recruitment of effector cells of the immune response. Chemokines play an indispensable role in mediating several defense mechanisms against infection, such as leukocyte recruitment and the generation of innate and cell-mediated immunity that aids in controlling/eliminating the pathogen. This process is controlled by the chemotactic movement of chemokines induced as a primary host immune response. We have also addressed that chemokine expressions during infection are time-dependent and orchestrated in a systematic pattern that ultimately assists in generating a protective immune response. Taken together, this review provides a systematic understanding of the complexity of chemokines profiles during protozoan disease conditions and the rationale of targeting chemokines for the development of therapeutic strategies. [ABSTRACT FROM AUTHOR]

Despite the challenges posed by multi-drug resistance in synthetic anthelmintics, the potential of plant extracts as an alternative helminth control option offers a ray of hope. The current study, conducted with meticulous care and thoroughness, delves into the anthelmintic activity of crude water and ethanol extracts of three plant species, Andrographis paniculata (Hempedu Bumi), Azadirachta indica (Neem), and Litsea elliptica (Pawas), against the nematode, C. elegans. The preparation of water and ethanol extracts from the three plants involved maceration and ultrasonic methods, respectively. Phytochemical screening was conducted to identify the active compounds in both extracts, followed by determining the total phenolic content (TPC) and total flavonoid contents (TFC) using the corresponding Folin-Ciocalteau and aluminum colorimetric methods. The percentage yields of water extracts were 15.10%, 13.11%, and 9.55%, and ethanol extracts were 9.78%, 2.94%, and 15.50% for A. paniculata, A. indica, and L. elliptica, respectively. All extracts tested positive for alkaloids, steroids, terpenoids, protein, and carbohydrates. In water extract, A. indica exhibited the highest total phenolic (TPC) and total flavonoid (TFC) contents of 58.38 ± 0.005 mg GAE/g and 18.68 ± 0.005 mg QE/g, respectively. In contrast, in ethanol extract, L. elliptica exhibited the highest TPC and TFC of 122.67 ± 0.398 mg GAE/g and 96.69 ± 0.027 mg QE/g, respectively. L. elliptica ethanol extract appeared to induce the most pronounced effect on reducing head thrashing activity compared to other extracts in C. elegans. Both water and ethanol extracts of A. indica and L. elliptica exhibited significant mortality in all examined concentrations with maximum mortality. [ABSTRACT FROM AUTHOR]

Background and Objective: Nigeria still remains a major endemic area despite concerted efforts by the World Health Organization to reduce the burden of Schistosomiasis. This study aimed to determine the current prevalence of the infection and its associated risk factors among elementary school children in Osun State. Materials and Methods: The study purposively recruited 504 elementary students from eight schools across three senatorial districts of Osun State, Nigeria. A parasitological assessment of urine samples was done for the detection of S. haematobium eggs. A semi-structured questionnaire was administered to elicit information on the risk factors associated with urinary schistosomiasis. Bivariate and multivariate logistic regression was used to estimate the likelihood of infection among the various factors associated with urinary schistosomiasis. All statistics were performed at p< 0.05. Results: The mean (SD) age of respondents was 11±1.93 years with a preponderance of age range between 11 and 16 years (54.0%). The overall prevalence of schistosomiasis was 4.4%. The highest prevalence (12.1%) was recorded in a school located in Osun West while the lowest (1.5%) was recorded in a school located in Osun East. The regression model showed that environmental activities such as fishing (aOR 7.0, 95% CI 1.59-31.14), fetching water from river bodies (aOR 23.3, 95% CI 1.59-42.22) and open defecation (aOR 8.4, 95% CI 2.10-23.82) were independently associated with urinary schistosomiasis. Conclusion: This study revealed a low prevalence of urinary schistosomiasis and this is an indication of ongoing transmission. [ABSTRACT FROM AUTHOR]

Introduction: Hydatid disease, endemic in Mediterranean countries, primarily affects the liver, but can manifest in diverse organs. Non-hepatic and non-pulmonary cysts often pose diagnostic challenges. This study examines patients with hydatid cysts in atypical locations. Methods and results: From 2013 to 2020, our center treated 250 echinococcosis patients, among whom 11 cases (4.4%) with hydatid disease in uncommon sites were retrospectively reviewed. The distribution of unusual cyst locations and their clinical implications are discussed. Conclusion: Diagnosing hydatid cysts in uncommon locations is a formidable challenge. Surgeons should always contemplate the prospect of an unconventional cyst location when encountering patients with cystic masses in endemic regions. Failing to consider this possibility could lead to unfavorable outcomes. [ABSTRACT FROM AUTHOR]

Abstract This study provides the first report of metazoan parasites in Crenicichla strigata. From 31 hosts caught in the Jari River basin, in the eastern Amazon region of Brazil, a total of 1454 parasites were collected: Sciadicleithrum araguariensis, Sciadicleithrum joanae, Sciadicleithrum satanopercae, Posthodiplostomum sp., Genarchella genarchella, Contracaecum sp., Spirocamallanus peraccuratus, Acarina gen. sp. and Dolops geayi. However, the community was dominated by the three species of Sciadicleithrum (Monogenea) and there was similar presence of parasites in the larval and adult stages. The total prevalence was 100% and each of the hosts was parasitized by two or three species, which presented random dispersion. Brillouin diversity, parasite species richness, Berger-Parker dominance index and evenness were low. There was positive correlation between the abundance of Posthodiplostomum sp. the hosts’ length, while the abundance of S. peraccuratus showed negative correlation with the body weight of fish. The abundance of S. araguariensis, S. joanae and S. satanopercae showed negative correlation with the hosts’ length. The parasite community of C. strigata was characterized by low diversity, low richness, low intensity and low abundance of species.

Abstract This study investigated the prevalence of gastrointestinal (GI) parasites in ruminants slaughtered at the abattoir in district Narowal, Punjab, Pakistan. The overall prevalence of parasitic infection was determined to be 72.92% based on faecal examination. Among the ruminant species, goats exhibited a significantly higher (P < 0.05) prevalence of parasitic infection (78.63%) compared to cattle, buffalo, and sheep. Additionally, female ruminants showed a significantly higher (P

Summary: Background: Ivermectin, an effective treatment for scabies, is not licensed for children weighing

Introduction: Dirofilariasis, a parasitic infection typically affecting animals, occasionally presents in humans, transmitted through mosquito bites. This article explores an unusual case of dirofilariasis affecting the temporalis muscle, a rare occurrence. With 40 identified Dirofilaria species, human infections are primarily attributed to Dirofilaria repens and Dirofilaria immitis, causing pulmonary and subcutaneous lesions. While deep tissue infections are exceptionally rare, we present a unique case in a 15-year-old girl. Case Report: The patient exhibited a 3-month history of a slowly growing swelling in the left temporal region, accompanied by intermittent pain and limited jaw movement. Initial differential diagnoses included benign tumors, cysts, or abscesses. Ultrasound revealed a hypoechoic mass, leading to surgical excisional biopsy. Histopathological examination confirmed Dirofilaria, prompting a combination of antiparasitic medication and surgical intervention. Discussion: Dirofilariasis in deep tissues, especially muscles, is uncommon. Diagnosis challenges arise due to its rarity and similarity to other conditions. Imaging may not be specific, necessitating histopathological examination. Treatment involves antiparasitic medications like ivermectin, supplemented with surgery in specific cases. Our patient's favorable outcome underscores the importance of early recognition and a multidisciplinary approach for effective management. [ABSTRACT FROM AUTHOR]

Aim: The aim of this study was to evaluate the characteristics of adult patients followed up for hydatid cysts disease. Method: Patients over the age of 18 years who were diagnosed with hydatid disease, between January 2015 and September 2021 were included in the study. The clinical, laboratory and radiologic characteristics of the patients were evaluated retrospectively. Results: The study included 66 patients. 59.1% of the patients were female and the mean age was 40.9±15.60 years. The most common presenting symptom was abdominal pain (42.4%). The most common sites of involvement were the liver (78.8%) and lung (18.2%). The majority of patients had solitary cysts (84.8%). The most common finding in laboratory tests was elevated total IgE (74.1%). The indirect hemagglutination (IHA) test was positive in 77.4% of the patients tested. Conclusion: In our study, it was concluded that hydatid cysts are most commonly seen in the liver, often with single organ involvement, and that elevated total IgE in laboratory diagnosis may be helpful in the diagnosis of hydatid cyst disease, although it does not make a definitive diagnosis.

Aim: The aim of this study was to evaluate the characteristics of adult patients followed up for hydatid cysts disease. Method: Patients over the age of 18 years who were diagnosed with hydatid disease, between January 2015 and September 2021 were included in the study. The clinical, laboratory and radiologic characteristics of the patients were evaluated retrospectively. Results: The study included 66 patients. Of the patients 59.1% were female and the mean age was 40.9±15.60 years. The most common presenting symptom was abdominal pain (42.4%). The most common sites of involvement were the liver (78.8%) and lung (18.2%). The majority of patients had solitary cysts (84.8%). The most common finding in laboratory tests was elevated total IgE (74.1%). The indirect hemagglutination test was positive in 77.4% of the patients tested. Conclusion: In our study, it was concluded that hydatid cysts are most commonly seen in the liver, often with single organ involvement, and that elevated total IgE in laboratory diagnosis may be helpful in the diagnosis of hydatid cyst disease although it does not make a definitive diagnosis. [ABSTRACT FROM AUTHOR]

Neurocysticercosis, a parasitic infection of the central nervous system (CNS), is a significant public health issue globally, including in Brazil. This article presents a case report of a 44-year-old male patient residing in the rural area of Roraima, the northernmost region of Brazil within the Amazon Forest. The patient, with chronic HIV infection, acquired the Taenia solium helminth, resulting in neurocysticercosis development. Remarkably, the diagnosis of neurocysticercosis was not initially apparent but emerged through meticulous analysis following a motorcycle accident. The absence of seizures, a common clinical manifestation, complicated the diagnostic process, making it an uncommon case of NCC, which may be related to co-infection. As the patient's condition progressed, multiple complications arose, requiring additional medical attention and interventions. This case underscores the immense challenges faced by healthcare teams in managing neurocysticercosis effectively. It emphasizes the critical need for a comprehensive, multidisciplinary approach to provide optimal care for such complex cases. The study's findings underscore the importance of raising awareness and implementing improved strategies for tackling neurocysticercosis, particularly in regions where it remains a prevalent concern. [ABSTRACT FROM AUTHOR]

This article discusses a rare case of Capillaria hepatica infection in a 2-year-old boy who presented with fever, rash, hepatomegaly, and peripheral eosinophilia. The diagnosis was confirmed through fine needle aspiration cytology (FNAC) of a hepatic lesion, which revealed parasitic eggs. The article provides detailed descriptions of the cytomorphological features of the infection and includes educational multiple-choice questions related to the topic. The authors emphasize the importance of FNAC in identifying rare parasitic infections and enabling timely diagnosis and management. [Extracted from the article]

Four species of dominant wild animals, namely, Prionailurus bengalensis euptilurus, Nyctereutes procyonoides koreensis, Hydropotes inermis argyropus, and Sus scrofa coreanus, are hosts of potential infectious agents, including helminths and protozoa. Therefore, it is necessary to analyze the infectious agents present in these wild animals to monitor and control the spread of pathogens. In the present study, fecal samples from 51 wild animals were collected from the mountains of Yangpyeong, Hoengseong, and Cheongyang in South Korea and metabarcoding of the V9 region of the 18S rRNA gene was performed to identify various parasite species that infect these wild animals. Genes from nematodes, such as Metastrongylus sp., Strongyloides spp., Ancylostoma sp., and Toxocara sp., were detected in the fecal samples from wild animals. In addition, platyhelminthes, including Spirometra sp., Echinostomatidae gen. sp., Alaria sp., Neodiplostomum sp., and Clonorchis sp., and protozoa, including Entamoeba sp., Blastocystis sp., Isospora sp., Tritrichomonas sp., Pentatrichomonas sp., and Cryptosporidium sp., were detected. In the present study, various parasites infecting wild animals were successfully identified using metabarcoding. Our technique may play a crucial role in monitoring parasites within wild animals, especially those causing zoonoses.

This study examines the risk of malaria, leishmaniasis, and scabies following earthquakes in southeastern Türkiye. The focus is on the impact on the local population and Syrian immigrants. Recommendations for prevention include vector control measures such as indoor residual spraying and distribution of insecticidal nets. Surveillance and early detection through rapid diagnostic tests and active case finding are important. Public awareness campaigns and community engagement are crucial for promoting protective measures. Strengthening healthcare infrastructure, providing essential supplies, and capacity building is essential. For leishmaniasis, early detection and treatment, vector control, health education, and community engagement are vital. Scabies outbreaks affect the socioeconomically depressed local population and Syrian immigrants. Early detection, treatment, contact tracing, health education, hygiene promotion, and improved living conditions are necessary. Implementing these interventions and strategies can effectively prevent, control, and manage these diseases. Tailoring approaches to the specific context and needs of affected communities is crucial. By addressing these challenges, we can protect the health and well-being of the affected population.

Background: Parasitic infections in children are one of the most important health and health problems worldwide, especially in developing countries. Diarrheal diseases such as those caused by Entamoeba histolytica are among the causes of death in children, so the purpose of this systematic review and meta-analysis is to determine the prevalence of Entamoeba histolytica in Iranian children. Materials and Methods: This study is a systematic review and meta-analysis by examining the Scientific Information Database (SID), Medline (PubMed), Scopus and Google Scholar until March 2023. Results: In a review of 12 studies with a sample size of 10,982 Iranian children, the prevalence of Entamoeba Histolytica in Iranian children was reported to be 1% (95% CI 0.6-1.7%). The meta-regression results showed that in examining the factors influencing the heterogeneity of studies and examining the effect of sample size on this heterogeneity, it was reported that with increasing sample size, the prevalence of Entamoeba histolytica in Iranian children decreased (P<0.05) and also with the increase in the year of conducting studies, the prevalence decreases in Iranian children (P=0.289). Conclusion: The results of the present study show that the prevalence of Entamoeba histolytica in Iranian children is not at a very high level, but to continue preventive measures and reach lower levels, it still requires the attention of health policymakers in this area to carry out extensive information and screening to prevent the effects of this parasitic disease on children. [ABSTRACT FROM AUTHOR]

Leishmania donovani, an intracellular protozoan parasite, is the causative agent of visceral leishmaniasis, the most severe form of leishmaniasis in humans. It is becoming increasingly clear that several intracellular pathogens target host cell RNA interference (RNAi) pathways to promote their survival. Complexes of Argonaute proteins with small RNAs are core components of the RNAi. In this study, we investigated the potential role of host macrophage Argonautes in Leishmania pathogenesis. Using Western blot analysis of Leishmania donovaniinfected macrophages, we show here that Leishmania infection selectively increased the abundance of host Argonaute 1 (Ago1). This increased abundance of Ago1 in infected cells also resulted in higher levels of Ago1 in active Ago-complexes, suggesting the preferred use of Ago1 in RNAi in Leishmania-infected cells. This analysis used a short trinucleotide repeat containing 6 (TNRC6)/glycine-tryptophan repeat protein (GW182) proteinderived peptide fused to Glutathione S-transferase as an affinity matrix to capture mature Ago-small RNAs complexes from the cytosol of non-infected and Leishmania-infected cells. Furthermore, Ago1 silencing significantly reduced intracellular survival of Leishmania, demonstrating that Ago1 is essential for Leishmania pathogenesis. To investigate the role of host Ago1 in Leishmania pathogenesis, a quantitative whole proteome approach was employed, which showed that expression of several previously reported Leishmania pathogenesisrelated proteins was dependent on the level of macrophage Ago1. Together, these findings identify Ago1 as the preferred Argonaute of RNAi machinery in infected cells and a novel and essential virulence factor by proxy that promotes Leishmania survival. [ABSTRACT FROM AUTHOR]

This study aimed to investigate parasitic infection in captive sun bears (Helarctos malayanus) in Malaysia from December 2018 to May 2019. We collected 58 fecal samples from sun bears housed in the National Zoo, Taiping Zoo & Night Safari, Lok Kawi Wildlife Park, and Bornean Sun Bear Conservation Centre. We analyzed the samples using modified fecal flotation techniques. We found 4 species of helminths (Ancylostoma spp., Baylisascaris spp., Trichuris spp., and Strongyloides spp.) and 1 species of protozoa (Eimeria spp.) in captive sun bears. The general prevalence of infection was 55.2%, with 48.3% prevalence of helminth infections and 34.5% protozoic infections. Juvenile males (69.2%) and juvenile females (61.5%) had the highest prevalence of parasitic infection. For nematodes, Baylisascaris spp. and Ancylostoma spp. had ≥50% prevalence rate in captive bears. For protozoa, the prevalence rate was <50%. We also found a high intensity of infection for Ancylostoma spp. in captive sun bears with a mean of 258.24 ± 0.62 eggs per gram (EPG), and the lowest intensity was recorded for Strongyloides spp. with 34.37 ± 1.17 EPG. Generally, the parasites we found were common in other species of bears and other mammals. This study revealed presence of parasites that could affect the well-being of sun bears in captivity. Therefore, we suggest that fecal screening be done regularly at 3-month intervals, and that it is essential to reduce the degree of parasitic infection in captive animals. [ABSTRACT FROM AUTHOR]

Toxoplasmosis is an important zoonotic disease caused by the parasite Toxoplasma gondii and is especially fatal for neotropical primates. In Brazil, the Ministry of Health is responsible for national epizootic surveillance, but some diseases are still neglected. Here, we present an integrated investigation of an outbreak that occurred during the first year of the COVID-19 pandemic among eleven neotropical primates housed at a primatology center in Brazil. After presenting non-specific clinical signs, all animals died within four days. A wide range of pathogens were evaluated, and we successfully identified T. gondii as the causative agent within four days after necropsies. The liver was the most affected organ, presenting hemorrhage and hepatocellular necrosis. Tachyzoites and bradyzoite cysts were observed in histological examinations and immunohistochemistry in different organs; in addition, parasitic DNA was detected through PCR in blood samples from all specimens evaluated. A high prevalence of Escherichia coli was also observed, indicating sepsis. This case highlights some of the obstacles faced by the current Brazilian surveillance system. A diagnosis was obtained through the integrated action of researchers since investigation for toxoplasmosis is currently absent in national guidelines. An interdisciplinary investigation could be a possible model for future epizootic investigations in animals. [ABSTRACT FROM AUTHOR]

Intestinal parasites, including helminths and protozoa, account for a significant portion of the global health burden. The gastrointestinal (GI) tract not only serves as the stage for these parasitic infections but also as the residence for millions of microbes. As the intricacies of the GI microbial milieu continue to unfold, it is becoming increasingly apparent that the interactions between host, parasite, and resident microbes help dictate parasite survival and, ultimately, disease outcomes. Across both clinical and experimental models, intestinal parasites have been shown to impact microbial composition and diversity. Reciprocally, microbes can directly influence parasitic survival, colonization and expulsion. The gut microbiota can also indirectly impact parasites through the influence and manipulation of the host. Studying this host–parasite–microbiota axis may help bring about novel therapeutic strategies for intestinal parasitic infection as well as conditions such as inflammatory bowel disease (IBD). In this review, we explore the relationship between intestinal parasites, with a particular focus on common protozoa and helminths, and the gut microbiota, and how these interactions can influence the host defence and intestinal immune response. We will also explore the impact of this tripartite relationship in a clinical setting and its broader implications for human health.

Most organisms have developed circadian clocks to adapt to 24-hour cycles in the environment. These clocks have become crucial for modulating and synchronizing complex behavioral and biological processes. A number of parasites seem to have evolved to take advantage of their hosts’ circadian rhythms to favor their own infection and survival. Some species, such as Microphallus sp. and Trypanosoma cruzi, can alter the patterns of locomotor behavior of infected intermediate hosts, which can promote transmission to a subsequent primary host. Some fungi of the genera Ophiocordyceps and Entomophthora, as well as hairworms (Nematomorpha), elicit complex behaviors that promote their host’s death at a time and place that optimizes continuation of the parasite’s life-cycle. At least in some cases, a proposed mechanism might involve a change in the expression of clock-controlled genes. Lastly, some disease-causing protozoan parasites of the genera Trypanosoma, Plasmodium, and Leishmania induce changes in the circadian rhythms of their primary hosts upon infection. Some of these changes may be attributed to circadian alterations resulting from the host’s inflammatory response to the infection or other unexplored responses or adaptations to the illness. Thus, a distinction must be made between manipulation of the parasite and response of the host when studying these alterations in the future. Parasitic manipulation of circadian rhythms, which vastly modulates behavior and physiology, is an essential issue that has been relatively understudied. A deeper understanding of this phenomenon could lead to the development of novel therapeutic approaches for the diseases that these parasites convey.

Leishmania donovani, an intracellular protozoan parasite, is the causative agent of visceral leishmaniasis, the most severe form of leishmaniasis in humans. It is becoming increasingly clear that several intracellular pathogens target host cell RNA interference (RNAi) pathways to promote their survival. Complexes of Argonaute proteins with small RNAs are core components of the RNAi. In this study, we investigated the potential role of host macrophage Argonautes in Leishmania pathogenesis. Using Western blot analysis of Leishmania donovani-infected macrophages, we show here that Leishmania infection selectively increased the abundance of host Argonaute 1 (Ago1). This increased abundance of Ago1 in infected cells also resulted in higher levels of Ago1 in active Ago-complexes, suggesting the preferred use of Ago1 in RNAi in Leishmania-infected cells. This analysis used a short trinucleotide repeat containing 6 (TNRC6)/glycine-tryptophan repeat protein (GW182) protein-derived peptide fused to Glutathione S-transferase as an affinity matrix to capture mature Ago-small RNAs complexes from the cytosol of non-infected and Leishmania-infected cells. Furthermore, Ago1 silencing significantly reduced intracellular survival of Leishmania, demonstrating that Ago1 is essential for Leishmania pathogenesis. To investigate the role of host Ago1 in Leishmania pathogenesis, a quantitative whole proteome approach was employed, which showed that expression of several previously reported Leishmania pathogenesis-related proteins was dependent on the level of macrophage Ago1. Together, these findings identify Ago1 as the preferred Argonaute of RNAi machinery in infected cells and a novel and essential virulence factor by proxy that promotes Leishmania survival.

Anisakiasis is caused by consuming raw fish contaminated with Anisakis sp. larvae and is extremely rare, especially when originating in the esophagus. We present a case of esophageal anisakiasis in a 61-year-old male who experienced severe precordial pain and radiating discomfort to the neck after consuming raw fish sashimi. Upper gastrointestinal endoscopy revealed the presence of a larva in the upper esophagus. On the basis of anatomo-morphological features, the worm was provisionally identified as Anisakis sp. and was easily extracted with forceps, which led to a prompt improvement in the patient's symptoms. This case highlights the importance of considering anisakiasis as a differential diagnosis in patients with gastrointestinal symptoms and a history of consuming raw fish. [ABSTRACT FROM AUTHOR]

Simple Summary: Leishmaniosis is a zoonotic disease transmitted by sandflies. The main reservoir is the dog, although the number of species involved is increasing. Horses, due to their high level of contact with humans and ability to control the disease, could be a silent reservoir. However, data related to the prevalence of Leishmania spp. infection in horses are scarce, especially in Europe. In this study, the prevalence and factors related to L. infantum infection in apparently healthy horses have been studied. The results indicate that the equine prevalence is elevated, and the main factors related to infection were equine breed, morphotype, outdoor living, use, and season. Horses with a calm temperament and outdoor living conditions have a higher prevalence of infection, and the number of positive animals increases in spring, when the mean of temperature is higher. These results indicate that horses could be a silent reservoir of the parasite and that the increase in temperature due to climate change will probably increase the Leishmania spp. infections in all species, including humans, in the future. From a One Health perspective, to control this zoonosis it would be advisable to also incorporate measures in horses, such as the use of repellents. Leishmaniosis is a zoonosis caused by Leishmania spp., an intracellular protozoan parasite. This parasite is transmitted by sandflies, and the disease is endemic in the Mediterranean basin. In recent years, the number of species which could be a reservoir of the parasite is increased. One of the most relevant species is the horse, due to their contact with humans and ability to control the disease, thus being a possible silent reservoir. In this study, we have analyzed the prevalence and factors related to L. infantum infection in healthy horses in the Mediterranean region. Epidemiological data and serum samples were obtained from 167 apparently healthy horses, and the presence of L. infantum was evaluated via the ELISA method and real-time PCR. The results show 27.5% of prevalence and that the main factors related to infection are equine breed, morphotype, outdoor living, use, and season. In conclusion, the prevalence of L. infantum infection in apparently healthy horses from eastern Spain (Mediterranean basin) is elevated. To control this zoonosis, it would be advisable to carry out more studies on this and other species that could be silent reservoirs of the parasite, as well as carry out measures such as the use of repellents on a regular basis. [ABSTRACT FROM AUTHOR]

Human dirofilariasis is a mosquito-borne/zoonotic nematode parasitic infestation caused by the genus Dirofilaria. From the forty isolated species of dirofilariasis, six are known to cause human infections. Intraoral occurrence is rare. We are reporting a case of oral dirofilariasis from Kerala, South India, with the view of acquainting Keralite dental professionals and Oral and Maxillofacial surgeons with the possibility of the parasitic infection in case of recurrent swellings and when the patient hails from a tropical climate and region where animal husbandry is the mainstay of livelihood. [ABSTRACT FROM AUTHOR]

Parasites are known to mediate trophic interactions and can, for example, modify how consumers acquire resources. These modifications of host feeding behaviour can be imposed through three interconnected mechanisms affecting: 1) host food acquisition, 2) host food digestion or 3) host energy budgets. As a result, infected hosts may consume more, less or the same amount of food compared to their uninfected conspecifics. It is commonly assumed that infected hosts have lower consumption rates than uninfected hosts, but a comprehensive quantitative synthesis investigating the effects of parasites on host consumption rate has been lacking thus far. To fill this knowledge gap, we systematically searched for experimental studies that evaluated changes in consumption rate of infected vs uninfected hosts. In total, we extracted 158 effect sizes from 68 studies. We then performed meta‐analyses of mean differences in host consumption rates and their variation. The analyses were carried out for all taxonomic groups as well as separately for vertebrate and invertebrate hosts. The main‐effects meta‐analyses confirmed a generally negative effect of parasites on host consumption rates; infected hosts consumed on average 25% less food than their uninfected conspecifics. In addition, there was a significant increase in the variability in host consumption rate, on average by 25%, indicating that parasites can have variable effects on the foraging behaviour of their hosts. The meta‐regression models revealed that several moderator variables related to host and parasite characteristics influence host consumption rate. Experimental infection had a stronger influence on variance effects than natural infection. Parasitic infections reduced consumption rate of vertebrate hosts by 28% and thus more strongly than those of invertebrates, which were reduced by 22%. We conclude with recommendations to facilitate future ecological research syntheses on host–parasite interactions and beyond. [ABSTRACT FROM AUTHOR]

The Iriomote cat (Prionailurus bengalensis iriomotensis) is an endangered leopard cat that inhabits only Iriomotejima Island, Japan. The number of Iriomote cats is estimated to be approximately 100–110 and has been almost stable but slightly decreased in the coastal lowland. Infectious diseases are one of the major concerns in the conservation of Iriomote cats. Toxoplasma gondii is a protozoan parasite that causes toxoplasmosis. Toxoplasmosis is fatal in immunocompromised hosts, especially kittens and cat fetuses. We investigated the seroprevalence of T. gondii in Iriomote cats. Based on seroprevalence data, we simulated the effect of T. gondii infection on the population dynamics of Iriomote cats. The seroprevalence of T. gondii in Iriomote cats was significantly higher than that in domestic cats and dogs. Furthermore, the seroprevalence of T. gondii in domestic cats was significantly higher on Iriomotejima Island than on Okinawajima Island. Our simulation demonstrated that T. gondii eradication may help increase the population of Iriomote cats by an average of 11.5 (23.1%) cats in 2120. Therefore, controlling T. gondii may be an effective strategy for the conservation of Iriomote cats. [ABSTRACT FROM AUTHOR]

A man with hepatitis B infection was admitted to Pisa University Hospital for hepatological evaluation, which revealed multiple cystic lesions and suggested a cirrhotic evolution. Treatment with Entecavir 0.5 mg/day was started, resulting in rapid viral load suppression and alanine aminotransferase normalization. After 10 years, imaging documented a single nodule of hepatocellular carcinoma (HCC), and a robot-assisted nodule resection was performed. One year later, HCC recurrence prompted orthotopic liver transplantation, during which the patient died because of the sudden rupture of the donor's organ and rapid multiorgan deterioration before retransplantation. During post-mortem liver examination, adult worms were evidenced within large biliary ducts, suggesting infection with Opisthorchis or Clonorchis spp. flukes. Sequencing of the ITS2 locus, following PCR amplification of DNA extracted from liver tissue, revealed 100% identity with the reference sequence of O. felineus. Infection of the patient with O. felineus was confirmed by the presence of specific IgG detected by ELISA in the patient's sera. Two major alkaline phosphatase serum levels peaks observed during the first two years of antiviral therapy support the hypothesis that O. felineus infection worsened liver function. This case report highlights the importance of a very careful screening of parasitic infections in solid organ transplantation candidates. [ABSTRACT FROM AUTHOR]

The current work was conducted to unveil the current situation for the infection by Theileria annulata in cattle in Al-Hilla City, Iraq. A total of 225 blood samples (200 from suspected infected animals and 25 from clinically healthy animals as a control group) were collected. These samples were subjected to a direct slide-smearing for detection using a microscope and DNA sequencing, targeting the cytochrome b (Cyt b) gene of 10 polymerase chain reaction (PCR) products. The thin smear findings of the 200 suspected cases revealed that 63 (31.5%) were infected with Theileria spp., while 115 (57.5%) cases had no Theileria but other blood parasites; however, only 22 (11%) suspected cases showed no presence of any parasites. Unsurprisingly, the 25 blood samples from the control group demonstrated no presence of any blood parasite. Moreover, the DNA sequencing demonstrated that the Theileria spp. belonged to T. annulata species, and these sequences were nucleotide-based similar to Gene-Bank isolates from Tunisia (ON035604, ON035605, ON035606, ON035607, ON035608, ON035609, ON035610, ON035611, ON035612, and ON035613). The present study outcomes indicate that theileriosis is the dominant parasitic infection in cattle in Al-Hilla City and is highly caused by Theileria annulata.

Neurocysticercosis, a parasitic infection of the central nervous system (CNS), is a significant public health issue globally, including in Brazil. This article presents a case report of a 44-year-old male patient residing in the rural area of Roraima, the northernmost region of Brazil within the Amazon Forest. The patient, with chronic HIV infection, acquired the Taenia solium helminth, resulting in neurocysticercosis development. Remarkably, the diagnosis of neurocysticercosis was not initially apparent but emerged through meticulous analysis following a motorcycle accident. The absence of seizures, a common clinical manifestation, complicated the diagnostic process, making it an uncommon case of NCC, which may be related to co-infection. As the patient’s condition progressed, multiple complications arose, requiring additional medical attention and interventions. This case underscores the immense challenges faced by healthcare teams in managing neurocysticercosis effectively. It emphasizes the critical need for a comprehensive, multidisciplinary approach to provide optimal care for such complex cases. The study’s findings underscore the importance of raising awareness and implementing improved strategies for tackling neurocysticercosis, particularly in regions where it remains a prevalent concern.

Key Clinical Message Concurrent polycystic liver disease and echinococcus infection can hinder diagnosis. Surgery may be needed for accurate diagnosis and treatment. Multidisciplinary collaboration is crucial. Abstract Cystic echinococcosis, caused by Echinococcus granulosus eggs, is a parasitic zoonosis that typically affects humans through accidental ingestion. Polycystic liver disease is a condition characterized by the presence of multiple liver cysts and is often associated with polycystic kidney disease. Here, we present a case of a man in his 70s with a pre‐existing diagnosis of polycystic liver disease. Radiological findings of a suspicious cyst in the S4 segment initially lacked serological evidence of echinococcosis; however, intraoperative confirmation revealed the presence of an echinococcal cyst. This article aims to explore both clinical conditions and highlight the therapeutic considerations for their management. Moreover, we discuss the significance of this unique case, emphasizing the possibility of the coexistence of these two pathologies.

The release of the neurotransmitter glutamate by the parasitic tapeworm Taenia solium appears to be implicated in the pathophysiology of a widespread, but neglected, form of adult-onset epilepsy.

Background: The Centers for Disease Control and Prevention led an investigation to determine if Strongyloides infection in a right kidney recipient was an existing chronic infection, or if the infection was transmitted from an infected organ donor. Methods: Evidence regarding the organ donor and organ recipients Strongyloides testing, treatment, and risk factors were gathered and evaluated. The case classification algorithm created by the Disease Transmission Advisory Committee was utilized. Results: The organ donor had risk factors for Strongyloides infection; the banked donor specimen, submitted for serology testing 112 days post‐donor death, was positive. The right kidney recipient was negative for Strongyloides infection pretransplant. Strongyloides infection was diagnosed via small bowel and stomach biopsies. The left kidney recipient had risk factors for Strongyloides infection. Two posttransplant Strongyloides antibody tests were negative at 59 and 116 days posttransplant; repeat antibody tests returned positive at 158 and 190 days posttransplant. Examination of bronchial alveolar lavage fluid collected 110 days posttransplant from the heart recipient showed a parasite morphologically consistent with Strongyloides species. She subsequently developed complications from Strongyloides infection, including hyperinfection syndrome and disseminated strongyloidiasis. Based on the evidence from our investigation, donor‐derived strongyloidiasis was suspected in one recipient and proven in two recipients. Conclusion: The results of this investigation support the importance of preventing donor‐derived Strongyloides infections by laboratory‐based serology testing of solid organ donors. Donor positive testing results would direct the monitoring and treatment of recipients to avoid severe complications. [ABSTRACT FROM AUTHOR]

Purpose: To describe the role of SWI compared with other MR imaging sequences and CT in diagnosis of cerebral gnathostomiasis. Materials and methods: CTs and MRIs of patients with cerebral gnathostomiasis were retrospectively reviewed. The types of intracranial hemorrhage, including intraparenchymal hemorrhage (IPH), subdural hemorrhage (SDH), subarachnoid hemorrhage (SAH), and their locations were recorded. Results: Four patients proven as cerebral gnathostomiasis were included. Intracranial hemorrhage was detected in all patients. There was IPH in all patients, SAH in 2 patients, and SDH in 2 patients. All patients (4/4) revealed hemorrhagic tracts which were very conspicuously seen on SWI. Other imaging sequences could also reveal hemorrhagic tracts in 3 patients (3/4) but are less conspicuously seen than SWI. None of the CT brains could detect hemorrhagic tracts. Conclusions: Intracranial hemorrhage associated with hemorrhagic tract, best demonstrated by SWI, is the key imaging characteristic in diagnosis of cerebral gnathostomiasis. [ABSTRACT FROM AUTHOR]

Key Clinical Message: The spinal hydatid cyst is a benign pathology but has considerable morbidity. It should be considered as a differential diagnosis in patients having signs and symptoms of spinal compression, particularly in endemic areas. Hydatid cyst is a parasitic infection caused by larvae of Echinococcus spp. Approximately 60%–70% of patients with spinal hydatidosis have lesions in the liver, 15%–20% have lung involvement, and only 0.5%–2% have bone involvement. Primary spinal hydatid cysts account for about 1% of cases. A 38‐year‐old woman with a history of back and chest pain that eventually led to numbness in the abdomen and legs was admitted to Iranmehr Hospital. The patient had a positive family history of hydatid cysts, and her brother had two pulmonary infestations when he was 40 years old. The cyst was not recognizable with MRI, and the patient was first admitted to diagnose a spinal cord tumor. During the surgery, a hydatid cyst was recognized. The cystic lesion was completely removed without any cystic rupture. Spinal hydatidosis is a rare disease with considerable morbidity and poor prognosis. It should be considered as one of the differential diagnoses when approaching a patient with spinal compression syndrome. [ABSTRACT FROM AUTHOR]

Background: In a world plagued by poverty, ignorance, malnutrition and disease especially in developing countries, children are particularly vulnerable to anaemia. A 2015 report by the WHO reveals that iron deficiency is a major cause of anaemia accounting for about 50% of cases worldwide. The importance of iron in growing children cannot be overemphasised especially with regards to neurologic and cognitive development. Iron deficiency has a negative impact on childhood growth and development. It also affects neuronal energy metabolism, the metabolism of neurotransmitters, myelination, and memory function. These undesirable consequences can be irreversible; thus, early detection through periodic screening exercise will enable prompt intervention. Aims: This community-based cross-sectional study aimed at assessing the prevalence of iron deficiency anaemia (IDA) among primary school children in Abakaliki, Nigeria, and investigating its association with intestinal parasitic infections. Materials and Methods: A total of 372 children aged 6–12 years were enrolled in the study. Sociodemographic data were collected, and stool samples were examined for intestinal parasites. Haemoglobin concentration, serum on, and total iron-binding capacity were measured to determine anaemia and iron deficiency status. Result: The results showed a high prevalence of intestinal parasitic infections had a significantly higher prevalence of IDA compared to those without infections. The study also revealed a significant association between IDA and lower socioeconomic status, as well as maternal and paternal educational attainment. These findings highlight the substantial burden of IDA among primary school children in Abakaliki and the role of intestinal parasitic infections in contributing to iron deficiency. Conclusion: The study emphasises the need for integrated interventions, including health education, improved school meal provision, iron supplementation, regular deworming programmes, and measures to control and prevent intestinal parasitic infections. By addressing these actors, efforts can be made to reduce the prevalence of IDA and its associated health consequences in the population.

الملخص: أهداف البحث: فقر الدم هو مشكلة صحية عالمية وله معدل انتشار مرتفع للغاية في البلدان النامية والمتقدمة على حد سواء، وخاصة بين الأطفال والنساء. تقيم الدراسة الحالية مؤشرات أمراض الدم ونقص التغذية والالتهابات الطفيلية وارتباطها بانتشار فقر الدم. يساعد هذا التحليل في تحديد حالة فقر الدم لدى أطفال ما قبل المدرسة في المناطق القبلية. طرق البحث: أجريت دراسة مقطعية لدى 300 طفل في عمر 6 أشهر إلى 5 سنوات في قرية سانترامبور، غوجارات. تم جمع الدم وإجراء تعداد الدم الكامل و تحليل إليزا (المقايسة المناعية المرتبطة بالإنزيم) لتقدير الفيريتين، الترانسفيرين، مستقبل الترانسفيرين القابل للذوبان، فيتامين ب12، وفيتامين ب9 (الفولات). تم جمع عينات البراز وتقييمها من أجل بكتيريا ''المتحولة الحالة للنسج'' و''الجياردية اللمبلية''، و''خفية الأبواغ'' بواسطة طريقة إليزا. كما تم فحص الملاريا عن طريق الفحص المجهري. النتائج: من بين 300 طفل، كان 87.7٪ من الأطفال مصابين بفقر الدم. كان 239 طفلا يعانون من فقر الدم الخفيف، بينما كان 20 منهم يعانون من فقر الدم المتوسط و 4 أطفال يعانون من فقر الدم الشديد. كان متوسط الهيموغلوبين 9.49 ± 1.47 جم / ديسيلتر حيث كان للذكور والإناث 9.39 ± 1.59 جم / ديسيلتر و 9.58 ± 1.34 جم / ديسيلتر، على التوالي. ومن بين هؤلاء، كان 26 طفلا مصابين بفقر الدم المنجلي و 5 أطفال مصابين بالثلاسيميا. أكثر من 50٪ من الأطفال يعانون من نقص فيتامين ب12 وب9 إلى جانب 16٪ لديهم خلل في بروتين سي التفاعلي. العدوى الطفيلية لـ''خفية الأبواغ'' ارتبطت بشكل أكثر إيجابية بفقر الدم يليه انتشار ''الجياردية اللمبلية'' و''المتحولة الحالة للنسج''. الاستنتاجات: يوصى بنشر الوعي حول تحسين المرافق الصحية وتقديم المشورة الغذائية للآباء والأمهات بشأن استهلاك الأطعمة الغنية بالحديد للوقاية من فقر الدم بين الأطفال في سن ما قبل المدرسة. لتقليل الإصابة بالطفيليات، يطلب إجراء تدبير دوري فعال للتخلص من الديدان. Abstract: Objectives: Anemia is a global health problem and has very high prevalence in developing as well as developed countries, particularly in children and women. The present study evaluates hematological predictors, nutrition deficiency, parasitic infections and their association with the prevalence of anemia. This analysis will help to identify the anemic status of tribal preschool children. Methods: This was a cross-sectional study conducted in 300 children (age: 6 months to 5 years) in Santrampur village, Gujarat. Blood was collected and used to determine complete blood count (CBC); we also performed ELISA (enzyme-linked immunoassay) for the estimation of ferritin, transferrin, sTfR (soluble transferrin receptor), vitamin B12 and vitamin B9 (folate). Stool samples were also collected and assessed by ELISA for Entamoeba histolytica, Giardia lamblia and Cryptosporidium parvum. Microscopy was used to screen samples for malaria. Results: Of the 300 children analyzed, 87.7% were anemic, 239 children were mildly anemic, 20 were moderately anemic and 4 were severely anemic. Mean Hb level was 9.49 ± 1.47 g/dL; males and females had an Hb level of 9.39 ± 1.59 g/dL and 9.58 ± 1.34 g/dL, respectively. Twenty-six children had sickle cell anemia and five had thalassemia. Over 50% of the children had vitamin B12 and B9 deficiency and 16% had abnormalities in CRP (C-reactive protein) levels. Parasitic infection by C. parvum was positively associated the anemia followed by the prevalence of G. lamblia and E. histolytica. Conclusion: An increased awareness of parents in the improvement of sanitary facilities and nutritional counselling with regards to iron-rich food consumption is recommended to if we are to prevent anemia among pre-school children. To reduce parasitic infestation, effective periodic deworming measures are also recommended

Introduction Clinical manifestations of hypereosinophilic syndrome (HES) are diverse. This study aimed to summarise these clinical characteristics with asthma-like onset as the first symptom, and compare these characteristics and treatment strategies between idiopathic and parasitic HES. Materials and methods We retrospectively analysed 36 HES patients with asthma-like symptoms as the first episode, between January 2013 and October 2019. Data of patients with HES of an unknown cause (idiopathic HES) and parasitic infection (parasite HES) were analysed. Results The idiopathic and parasite HES groups included 16 and 20 patients, respectively, with more males in the parasite HES group (p .05). Abnormal pulmonary function is mainly manifested as obstructive ventilatory disorder and mixed ventilatory disorder. Chest computed tomography showed extensive ground-glass exudation, patches, consolidation, nodules, and pleural effusion. Histopathological examination showed eosinophilic infiltration without vasculitis or granuloma. Glucocorticoids had a significant therapeutic effect, and the parasite HES group required combined deworming drugs. The duration of corticosteroids therapy in the idiopathic HES group was significantly longer than that in the parasite HES group (p

Abstract Purpose: To report a 12-year-old patient with a rapid growing orbital mass and imaging findings suggestive of rhabdomyosarcoma that was found to be dirofilariasis after mass resection. Case Report: We describe a 12-year-old patient with a rapid growing orbital mass involving medial part of orbit and medial rectus muscle and imaging findings suggestive of rhabdomyosarcoma. Histopathologic examination showed the mass to be composed of granulomatous inflammation and the thread-like object to be Dirofilaria repens. The patient was well post-operation without morbidity. In this paper, we describe distinct clinical features and imaging findings of this interesting case. Conclusion: Deep orbital lesions due to dirofilariasis, as in our case, is extremely rare. It is important to add dirofilariasis to the differential diagnosis of orbital mass lesions. Attention to the imaging clues, as provided in this report, can be helpful.