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Fulltext Intestinal parasitic infections and micronutrient deficiency: a review

Hesham MS, Edariah AB, Norhayati M

Med J Malaysia, 2004 Jun;59(2):284-93.
PMID: 15559182

Malnutrition including vitamin A and iron deficiency and parasitic diseases have a strikingly similar geographical distribution with the same people experiencing both insults together for much of their lives. Parasitic infections are thought to contribute to child malnutrition and micronutrient deficiency through subtle reduction in digestion and absorption, chronic inflammation and loss of nutrients. Parasites may affect the intake of food; it's subsequent digestion and absorption, metabolism and the maintenance of nutrient pools. The most important parasites related to nutritional status are intestinal parasites especially soil transmitted helminthes, Giardia duodenalis, Entamoeba histolytica, followed by other parasites such as the coccidia, Schistosoma sp. and malarial parasites.

Matched MeSH terms: Intestinal Diseases, Parasitic/parasitology
Intestinal parasitism among Penan children of the Upper Baram, Sarawak

Kan SP, Yap SB, Yap PL

Asia Pac J Public Health, 1987;1(1):38-41.
PMID: 3452378
Matched MeSH terms: Intestinal Diseases, Parasitic/parasitology
Intestinal helminthiasis and abdominal symptoms in adults

Mahendra Raj S, Sivakumaran S, Vijayakumari S

Trop Gastroenterol, 1991 Jan-Mar;12(1):21-4.
PMID: 2058006

In a study to test the association between soil transmitted intestinal helminthiasis and abdominal symptoms in a non-paediatric age group, 242 randomly selected patients (137 males, 105 females, median age 45 years) were asked specific questions pertaining to abdominal symptoms at the time of admission to the adult medical wards. Stool examination on all patients revealed a round worm prevalence rate of 21%. A larger proportion of stool positive female patients were symptomatic than stool negative females (68% vs 30%, p = 0.04). There was no significant difference in symptoms between stool positive and stool negative male patients (34.6% vs 31%, p = 0.91). The results suggested an association between intestinal nematode infection and abdominal symptoms in females but not in males.

Matched MeSH terms: Intestinal Diseases, Parasitic/parasitology*
Toxocara malaysiensis n. sp. (Nematoda: Ascaridoidea) from the domestic cat (Felis catus Linnaeus, 1758)

Gibbons LM, Jacobs DE, Sani RA

J Parasitol, 2001 Jun;87(3):660-5.
PMID: 11426732

Toxocara malaysiensis n. sp. from the small intestine of the domestic cat (Felis catus L.) in Malaysia is described and illustrated. This ascaridoid nematode was previously assumed to be Toxocara canis, which it superficially resembles, or designated Toxocara sp. cf. canis. The new species differs from T. canis in the shape of the cervical alae in cross section, spicule length, and the lip structure. It is also distinct from other species assigned to Toxocara.

Matched MeSH terms: Intestinal Diseases, Parasitic/parasitology
Fulltext Prevalence of intestinal parasitic infections among communities living in different habitats and its comparison with one hundred and one studies conducted over the past 42 years (1970 to 2013) in Malaysia

Sinniah B, Hassan A KR, Sabaridah I, Soe MM, Ibrahim Z, Ali O

Trop Biomed, 2014 Jun;31(2):190-206.
PMID: 25134888 MyJurnal

Intestinal parasitic infections are among the most common diseases affecting mankind causing major public health problems to billions of people living in developing countries. The aim of this study is to determine the prevalence of intestinal parasites in various communities residing in different habitats in Malaysia and compare the findings with 101 studies conducted over the past 42 years (1970-2013). A cross-sectional study design was conducted with the aid of a questionnaire to collect relevant information about the study population. Faecal samples were examined using the direct smear and formal ether sedimentation techniques. A total of 342 children were examined amongst whom 24.6% were positive for intestinal parasitic infections. Results showed that 32.3% of rural children, 20.6% of urban squatters and 5.4% of children from flats were positive for one or more parasites. The most common parasite encountered was Trichuris trichiura (20.2%) followed by Ascaris lumbricoides (10.5%) and hookworm (6.7%). No case of hookworm was reported in urban children whereas 12.2% of rural children were positive. The most common protozoan parasite detected was Entamoeba coli (3.2%) followed by Giardia intestinalis (1.8%), Entamoeba histolytica (1.8%) and Blastocystis hominis (1.2%). Nearly one-fifth (18.4%) of the children had single infection followed by double (12.0%) and triple infections (1.2%). Orang Asli (indigenous) children (44.3%) had the highest infection rate followed by Indians (20.2%), Malays (14.0%) and Chinese (11.9%). Twenty-eight studies carried out on plantation communities with regards to intestinal parasitic infections in Malaysia from 1970 to 2013 showed a steady decline in the prevalence rate ranging from 95.0% in the seventies to 37.0 % in 2012. Intestinal parasitic infections were more common in Orang Asli communities with prevalence ranging from over 90% in the seventies and fluctuating below 70% in most studies between 2000 to 2013 except for two studies that showed a prevalence of 98.2% and 100%. The prevalence rate among urban squatters, urban residents and those living in flats showed dramatic decrease in prevalence rate.

Matched MeSH terms: Intestinal Diseases, Parasitic/parasitology
Fulltext Case Report: A Symptomatic Case of Hymenolepis diminuta Infection in an Urban-Dwelling Adult in Malaysia

Ahmad AF, Ngui R, Ong J, Sarip F, Ismail WHW, Omar H, et al.

Am J Trop Med Hyg, 2017 Jul;97(1):163-165.
PMID: 28719332 DOI: 10.4269/ajtmh.15-0877

A case of Hymenolepis diminuta infection in a 43-year-old Malaysian male with persistent abdominal colicky pain is reported. Endoscopy revealed whitish worms in the lumen of the small intestine, which were identified as H. diminuta after microscopy. Patient was successfully treated with a single dose of praziquantel (25 mg/kg).

Matched MeSH terms: Intestinal Diseases, Parasitic/parasitology*
Intestinal parasites in hemodialysis patients from developing countries: A systematic review and meta-analysis

Taghipour A, Olfatifar M, Rostami A, Foroutan M, Vasigala V, Norouzi M

Hemodial Int, 2020 01;24(1):12-21.
PMID: 31804770 DOI: 10.1111/hdi.12796

Intestinal parasitic infection (IPI) is the main cause of gastrointestinal complications in hemodialysis patients due to their impaired immune systems. We conducted a systematic review and meta-analysis to evaluate the prevalence and odds ratio (OR) of IPIs in this population. Relevant eligible studies were identified by searching the PubMed, Science Direct, Scopus, Web of Science, and Google scholar databases up to January 30, 2019. A random-effects meta-analysis model was used to estimate the pooled prevalence, OR, and 95% confidence intervals (CI). Twenty-two studies, from Turkey, Iran, Brazil, Egypt, Saudi Arabia, Pakistan, and Malaysia met eligibility criteria for analysis, and included 11 using a case-control design (980 patients and 893 controls) and 11 studies using a cross-sectional design (a total of 1455 participants). Cross-sectional studies suggested that the pooled prevalence of IPIs in hemodialysis patients was 24% (95% CI, 14-36%; 307/1455). In studies using a case-control design, the pooled prevalence of IPIs in hemodialysis patients (30%, 330/980) was found to be significantly higher than controls (10%, 115/893) (OR, 3.40; 95%CI, 2.37-4.87). With respect to the parasites, Cryptosporidium spp. (OR, 4.49; 95%CI, 2.64-7.64) and Blastocystis sp. (OR, 4.03; 95%CI, 1.20-13.51) were significantly higher in hemodialysis patients compared to the controls. The current study revealed a high prevalence of IPIs in hemodialysis patients from countries in which the baseline prevalence of parasitic infection is high. We recommend that periodic screenings for IPIs in such countries should be incorporated into the routine clinical care of hemodialysis patients.

Matched MeSH terms: Intestinal Diseases, Parasitic/parasitology*
Parasitic infections among Southeast Asian labourers in Taiwan: a long-term study

Wang LC

Epidemiol Infect, 1998 Feb;120(1):81-6.
PMID: 9528821

Parasitic infections have been reported to be relatively common among the Southeast Asian labourers in Taiwan. This study, conducted in 1992-6, was designed to determine the temporal changes of the prevalence. Faecal specimens were examined by the formalin-ethyl acetate sedimentation technique and blood samples screened using the quantitative buffy coat technique and confirmed by Giemsa stained blood smear. The overall prevalence of intestinal parasitic infections was 10.3%. The annual prevalence decreased from 33.3% in 1992-3 to 4.6% in 1995-6. The Thai (12.0%) and Indonesian (11.1%) had a higher prevalence than the Malaysian (6.7%) and Filipinos (5.9%). Opisthorchis viverrini was the most important parasite in the Thai and Trichuris trichiura in the remaining groups. Moreover, no blood parasites were found in the labourers. The dramatic temporal decline in the intestinal parasitic infections suggests that limiting the entry of infected persons, periodic follow-ups, and immediate treatment of sporadic cases are necessary in preventing transmission of non-indigenous parasites through large population change.

Matched MeSH terms: Intestinal Diseases, Parasitic/parasitology
Distribution of intestinal parasitic infections amongst aborigine children at Post Sungai Rual, Kelantan, Malaysia

Hartini Y, Geishamimi G, Mariam AZ, Mohamed-Kamel AG, Hidayatul FO, Ismarul YI

Trop Biomed, 2013 Dec;30(4):596-601.
PMID: 24522128 MyJurnal

Intestinal parasitic infections are important public health problems among underprivileged communities. This study was carried out to evaluate the infection rate of intestinal parasites among aborigine children at Pos Sungai Rual, Kelantan, Malaysia. A total of 111 faecal samples from aborigine children aged 4-12 years were screened for intestinal parasites by direct smear technique. Harada-Mori culture was also performed to identify hookworm and Strongyloides stercoralis larvae. The results showed that 87.4% of the children examined were positive for one or more parasites. Intestinal parasites were significantly lower in boys (78.7%) as compared to girls (93.8%). The infection occurred in very young children aged 4-6 years (80.0%) and the percentage of parasite-positive cases appeared to be significantly higher (92.9%) among the children aged 7-9 years. Trichuris trichiura was the most common parasite found in aborigine children (65.8%). Low socioeconomic status, poor environmental sanitation and poor personal hygiene are possible contributing factors that increase the rate of intestinal parasitic infections among the children. Thus, the parasitic diseases will continue to threaten the people's health especially among communities from rural areas if no appropriate actions are taken to diminish the transmission of the parasites.

Matched MeSH terms: Intestinal Diseases, Parasitic/parasitology*
Effect of intestinal helminthiasis on school attendance by early primary schoolchildren

Raj SM, Sein KT, Anuar AK, Mustaffa BE

Trans R Soc Trop Med Hyg, 1997 3 1;91(2):131-2.
PMID: 9196748

Stool examination of 249 early primary schoolchildren at 2 schools in north-eastern peninsular Malaysia revealed that 73 were infected with Ascaris lumbricoides, 103 with Trichuris trichiura, and 18 with hookworms. Infected children were treated with a single dose of 400 mg of albendazole. The school attendance records during a 60 d period before treatment and 2 consecutive 60 d periods after treatment were examined. The absenteeism rate did not improve more among infected children after treatment than it did among the uninfected control children. The correlation between worm intensity and the number of lost school-days was poor. There was no evidence that intestinal helminthiasis caused school absenteeism among this group of children.

Matched MeSH terms: Intestinal Diseases, Parasitic/parasitology
Seasonal variations in the numbers of trichostrongylid nematode eggs and their larvae in the faeces of farmed goats in Malaysia

Rahman WA

Vet Parasitol, 1992 Apr;42(1-2):163-6.
PMID: 1615628

Faecal worm egg counts of goats from two farms in Penang Island, West Malaysia, were monitored over a period of 14 months. The faecal egg count pattern followed that of total rainfall. The humid tropical environment was favourable for the development of various species of trichostrongylid nematodes, namely Haemonchus contortus, Trichostrongylus spp., Oesophagostomum spp. and Cooperia spp. Generally, H. contortus was observed to be the predominant species, more so in the monsoon months of the year.

Matched MeSH terms: Intestinal Diseases, Parasitic/parasitology
Oesophagostomiasis in man: report of the first Malaysian case with emphasis on its pathology

Karim N, Yang CO

Malays J Pathol, 1992 Jun;14(1):19-24.
PMID: 1469913

This paper describes the first Malaysian case of oesophagostomiasis. The patient was an 8-year-old Malay boy who presented to Ipoh General Hospital, Perak with abdominal pain and weight loss. Examination revealed multiple cavitated pseudotumours of the colon. A hemicolectomy was performed. Examination of the lesions revealed Oesophagostomum worms in the necrotic centres. The differential diagnoses and the pathology caused by Oesophagostomum are discussed. A brief review of the available literature is presented.

Matched MeSH terms: Intestinal Diseases, Parasitic/parasitology
Isospora corvi Ray, Shivnani, Oommen and Bhaskaran, 1952 from the common house crow (Corvus splendens Vieillot) of Selangor, peninsular Malaysia

Poon SK, Chew WK

Folia Parasitol., 1991;38(3):201-7.
PMID: 1808029

Faecal samples of 56 common house crows (Corvus splendens Vieillot) were collected from the Petaling Jaya and Kelang districts of Selangor, peninsular Malaysia, and examined for coccidia. Intestinal tracts of 8 of the above crows wee histologically examined under light microscopy to determine the site of coccidial infection and the endogenous stages present. Fifty three (94.6%) crows had coccidial oocysts morphologically conforming to only one species of Isospora in their faeces at the time they were examined. The sporulated oocysts were found to be Isospora corviae (Ray et al. 1952) which has been emended to I. corvi. These oocysts are redescribed in greater detail. Corvus splendens is a new host record for I. corvi. Coccidial infection was observed in all the intestinal tracts and generally confined to the anterior two thirds of the intestine. The parasites occurred within intestinal epithelial cells, located usually above the host cell nucleus. Developmental stages of both the asexual and sexual phases were found in the epithelium, and are deemed to be the endogenous stages of I. corvi on the basis of the oocysts recovered from the same crows used for histological study. These stages are described here for the first time. The prevalence of I. corvi, its relationship with the host C. splendens, and its probable transmission from C. macrorhynchus are discussed.

Matched MeSH terms: Intestinal Diseases, Parasitic/parasitology
A new species of Paracapillaria (Nematoda: Capillariidae) from the intestine of the toad Duttaphrynus melanostictus (Anura) from the Malayan Peninsula

Moravec F, Modrý D, Jirků M

J Parasitol, 2007 Aug;93(4):907-9.
PMID: 17918374

A new species of parasitic nematode, Paracapillaria malayensis n. sp. (Capillariidae), is described from the small intestine of the toad Duttaphrynus melanostictus imported from the Malayan Peninsula to the Czech Republic. The new species differs from the only other congeneric species, Paracapillaria spratti, mainly in the shape and structure of the spicular proximal end (with a lobular rim), smaller eggs (45-51 x 21-24 microm), longer spicule (336 microm), and the number (37-38) of stichocytes in gravid females; whereas P. spratti parasitizes frogs of the Microhylidae in Papua New Guinea, P. malayensis is a parasite of Bufonidae in the Malayan Peninsula. Other Paracapillaria spp. are parasites of fishes, birds, or mammals and they mostly differ from P. malayensis in the structure of eggs and some other morphological features.

Matched MeSH terms: Intestinal Diseases, Parasitic/parasitology
A new species of Spauligodon (Nematoda: Oxyuroidea: Pharyngodonidae) in Cyrtodactylus bintangrendah (Sauria: Gekkonidae) from Peninsular Malaysia

Bursey CR, Goldberg SR, Grismer LL

J Parasitol, 2014 Jun;100(3):317-22.
PMID: 24450328 DOI: 10.1645/13-410.1

Spauligodon bintangensis n. sp. from the intestines of Cyrtodactylus bintangrendah (Gekkonidae) from Peninsular Malaysia is described and illustrated. Spauligodon bintangensis n. sp. represents the 51st species assigned to the genus and the first species from the Oriental Region. The new species is most similar to Spauligodon atlanticus, Spauligodon eremiasi, and Spauligodon occidentalis, but is easily separated by position of vulva, prebulbar in S. atlanticus and S. occidentalis , postbulbar in the new species, and location of lateral alae; in S. eremiasi, the lateral alae occur only in the fourth quarter of the body, whereas in the new species the lateral alae begin just posterior to lips.

Matched MeSH terms: Intestinal Diseases, Parasitic/parasitology
Prevalence of parasites in working pig-tailed Macaques (Macaca nemestrina) in Kelantan, Malaysia

Choong SS, Mimi Armiladiana M, Ruhil HH, Peng TL

J Med Primatol, 2019 08;48(4):207-210.
PMID: 31025372 DOI: 10.1111/jmp.12416

BACKGROUND: Coconut is an important commodity in Kelantan, and pig-tailed macaques (Macaca nemestrina) have been traditionally used for coconut-plucking for over a century. Most of these animals were sourced from the wild population, and the parasitic status of these macaques is unknown, plus the impacts caused by these parasites are usually underestimated by the owners.
METHODS: A total of 30 macaques were sampled for blood, faeces and hair plucks to detect parasite.
RESULTS: Out of 21 faecal samples examined, 11 (52%) were determined positive for one or more gastrointestinal parasites, namely Trichostrongylus spp., Strongyloides spp., Anatrichosoma spp., Capillaria spp., Trichuris spp. and Paramphisotomum spp. Filaria was detected in one (3%) of the blood samples. For ectoparasites, only lice, Pedicinus sp., were found in 9 (30%) macaques.
CONCLUSIONS: It is imperative that the parasitic status of these animals be determined so that necessary actions and preventive measures can be implemented to prevent zoonotic transmissions.

Matched MeSH terms: Intestinal Diseases, Parasitic/parasitology
Fulltext Intestinal parasitic diarrhea among children in Baghdad--Iraq

AL-Kubaisy W, AL-Talib H, Al-khateeb A, Shanshal MM

Trop Biomed, 2014 Sep;31(3):499-506.
PMID: 25382477

Parasitic diarrhea among children is a significant health problem worldwide. This cross sectional study described the burden of parasitic diarrhea among children. The objectives of this study were to evaluate the impact of risk factors on the parasitic diarrhea, and to determine the parasitic profile among children in Baghdad-Iraq, during the period extending from September 2003 to June 2004. A total number of 2033 cases were included in the study. The estimated prevalence rate of parasitic diarrhea was 22%. We identified the following major diarrhea determinants were large households size, residential location, water source, low socioeconomic status, and low parent education. Giardia lamblia was found to be the most prevalent parasite with an infection rate of 45.54% followed by Entamoeba histolytica 23.44%, Enterobius vermicularis 12.7%, Hymenolepis nana 9.82%, Trichuris trichiura 5.4%, and Ascaris lumbricoides 2.2%. In conclusion, this study demonstrates that poor sanitation, inadequate environmental conditions, and low socioeconomic status are the main determining factors that predispose children to parasitic diarrhea. Mass deworming programs are recommended for school children, as this population is easily accessible.

Matched MeSH terms: Intestinal Diseases, Parasitic/parasitology
Fulltext How common is intestinal parasitism in HIV-infected patients in Malaysia?

Asma I, Johari S, Sim BL, Lim YA

Trop Biomed, 2011 Aug;28(2):400-10.
PMID: 22041762 MyJurnal

Human immunodeficiency virus (HIV)-infected individuals have greater susceptibility to infections by a myriad of microorganisms which can cause significant morbidity and mortality compared to immunocompetent individuals. Of these microbial infections, intestinal parasitic infections (IPIs) however are receiving less attention than bacterial and viral infections, hence, the lack of information of parasitic infections in HIV individuals. Prevalence of IPIs among 346 HIV-infected individuals in Malaysia was determined in this study. The overall prevalence of intestinal parasitic infections (IPIs) was 37.9% (131 of 346) with protozoa infections (18.8%) being more common compared to helminth infections (7.5%). Observed protozoa include Entamoeba histolytica/dispar (16.8%), Cryptosporidium parvum (12.4%), Isospora belli (10.1%), Cyclospora cayetanensis (4.9%) and Giardia duodenalis (intestinalis) (3.2%) whilst helminthes which were detected comprised of Ascaris lumbricoides (13.9%), Trichuris trichiura (6.4%) and hookworms (0.6%). Among those 131 infected, 50.4% had multiple infections and 48.9% had single parasitic infection. The CD4 counts were significantly lower (i.e., 200 cells/mm³) in patients harbouring IPIs. Of those individuals infected with intestinal parasites, 49% were intravenous drug users and 58% were not on any antiretroviral therapy. Most were asymptomatic and had concurrent opportunistic infections (OIs) mainly with Mycobacterium tuberculosis infection. These results confirmed that IPIs are ubiquitous among HIV-infected individuals, especially those presenting with low CD4 T cells counts, and provide useful insights into the epidemiology of these infections among HIV-infected patients in Malaysia. It is therefore recommended, that diagnosis of these intestinal parasitic pathogens should be conducted on a routine basis for better management of gastrointestinal illnesses among HIV individuals.

Matched MeSH terms: Intestinal Diseases, Parasitic/parasitology
Fulltext Prevalence of intestinal protozoa in an aborigine community in Pahang, Malaysia

Noor Azian MY, San YM, Gan CC, Yusri MY, Nurulsyamzawaty Y, Zuhaizam AH, et al.

Trop Biomed, 2007 Jun;24(1):55-62.
PMID: 17568378 MyJurnal

The objective was to estimate the prevalence of intestinal protozoa among the aborigines and to determine the problems regarding the infection. The study was carried out in January 2006 in Pos Senderut, Pahang, Malaysia. Samples of faeces were collected from children and adults and these were fixed in PVA and trichrome staining was carried out. From the 130 individuals studied, 94 (72.3%) were positive with at least one intestinal protozoa. Nine intestinal protozoa namely Blastocystis hominis, Giardia lamblia, Entamoeba histolytica, Entamoeba coli, Endolimax nana, Entamoeba hartmani, Entamoeba polecki, Iodamoeba butschlii and Chilomastix mesnili were detected. The prevalent species were B. hominis (52.3%), followed by G. lamblia (29.2%), E. coli (26.2%) and E. histolytica (18.5%). The other species ranged from 1.5 to 10.8%. Among the positive samples, mixed infection with E. histolytica and G. lamblia was 3.8%, E. histolytica and B. hominis was 15.4%, G. lamblia and B. hominis was 17.7%. Triple infection of E. histolytica, G. lamblia and B. hominis was 3.1%. The infection was more prevalent in children below 10 years age group (45.4%) and lowest in the age above 60 years (3.8%). The high prevalence was attributable to poor environmental management, poor personal hygiene and lack of health education.

Matched MeSH terms: Intestinal Diseases, Parasitic/parasitology
Gastrointestinal parasites of zoonotic importance observed in the wild, urban, and captive populations of non-human primates in Malaysia

Adrus M, Zainudin R, Ahamad M, Jayasilan MA, Abdullah MT

J Med Primatol, 2019 02;48(1):22-31.
PMID: 30370934 DOI: 10.1111/jmp.12389

BACKGROUND: A study was undertaken to determine gastrointestinal (GI) parasites commonly found in Malaysia's non-human primates (NHP) living in three different types of populations (wild, urban, and captive) and the basis of major GI parasites of zoonotic importance.
METHODS: A total of 308 samples was collected and microscopically screened from the NHP in the wild (n = 163), urban (n = 76), and captive (n = 69) populations. The samples were taken from 12 species of local NHPs.
RESULTS: At least, 44 species of GI parasites comprising of protozoans (seven species), nematodes (26 species), cestodes (five species), trematodes (five species), and pentastomida (one species) were detected. There were no significant differences for the overall prevalence and no great differences in GI parasite species among the wild, urban, and captive NHP populations.
CONCLUSION: The most common GI parasite was Ascaris spp. (49.7%), followed by Oesophagostomum spp. (26.9%), and 31 species discovered in this study are of known public health importance.

Matched MeSH terms: Intestinal Diseases, Parasitic/parasitology

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