Concurrent infections of echinostomes with helminths and protozoans

2008 ◽  
pp. 281-293
Author(s):  
Gregory S. Noland* ◽  
Thaddeus K. Graczyk
2019 ◽  
Vol 15 (02) ◽  
pp. 54-56
Author(s):  
Joice P Joseph ◽  
J Patel ◽  
P H Tank ◽  
D B Barad ◽  
B J Thakre

In the present study, twenty atopic dogs were investigated for secondary skin infections using different diagnostic techniques. The majority of dogs were suffering from bacterial infections, especially Staphylococcal infection (90 %). Different commensals on skin like Staphylococcus spp., Aspergillus spp. (50 %), Malassezia spp. (45 %), Demodex spp. (25 %) etc. caused secondary or concurrent infections in many atopic dogs indicating the importance of atopy in recurrent or non-responding dermatitis with those commensal organisms.


2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S87-S87
Author(s):  
Ebbing Lautenbach ◽  
Keith W Hamilton ◽  
Robert Grundmeier ◽  
Melinda M Neuhauser ◽  
Lauri Hicks ◽  
...  

Abstract Background Although most antibiotic use occurs in outpatients, antibiotic stewardship programs (ASPs) have primarily focused on inpatients. A major challenge for outpatient ASPs is lack of accurate and accessible electronic data to target interventions. We developed and validated an electronic algorithm to identify inappropriate antibiotic use for adult outpatients with acute pharyngitis. Methods In the University of Pennsylvania Health System, we used ICD-10 diagnostic codes to identify patient encounters for acute pharyngitis at outpatient practices between 3/15/17 – 3/14/18. Exclusion criteria included immunocompromising conditions, comorbidities, and concurrent infections that might require antibiotic use. We randomly selected 300 eligible subjects. Inappropriate antibiotic use based on chart review served as the basis for assessment of the electronic algorithm which was constructed using only data in the electronic health record (EHR). Criteria for appropriate prescribing, choice of antibiotic, and duration included positive streptococcal testing, use of penicillin/amoxicillin (absent b-lactam allergy), and 10 days maximum duration of therapy. Results Of 300 subjects, median age was 42, 75% were female, 64% were seen by internal medicine (vs. family medicine), and 69% were seen by a physician (vs. advanced practice provider). On chart review, 127 (42%) subjects received an antibiotic, of which 29 had a positive streptococcal test and 4 had another appropriate indication. Thus, 74% (94/127) of patients received antibiotics inappropriately. Of the 29 patients who received appropriate prescribing, 27 (93%) received an appropriate antibiotic. Finally, of the 29 patients who were appropriately treated, 29 (100%) received the correct duration. Test characteristics of the EHR algorithm (compared to chart review) are noted in the Table. Conclusion Inappropriate antibiotic prescribing for acute pharyngitis is common. An electronic algorithm for identifying inappropriate prescribing, antibiotic choice, and duration is highly accurate. This algorithm could be used to efficiently assess prescribing among practices and individual clinicians. The impact of interventions based on this algorithm should be tested in future work. Test Characteristics of Electronic Algorithm for Inappropriate Prescribing, Agent, and Duration Disclosures All Authors: No reported disclosures


Author(s):  
Alexandre Manirakiza ◽  
Eugène Serdouma ◽  
Richard Norbert Ngbalé ◽  
Sandrine Moussa ◽  
Samuel Gondjé ◽  
...  

Malaria in pregnancy is a serious public health problem in tropical areas. Frequently, the placenta is infected by accumulation of Plasmodium falciparum-infected erythrocytes in the intervillous space. Falciparum malaria acts during pregnancy by a range of mechanisms, and chronic or repeated infection and co-infections have insidious effects. The susceptibility of pregnant women to malaria is due to both immunological and humoral changes. Until a malaria vaccine becomes available, the deleterious effects of malaria in pregnancy can be avoided by protection against infection and prompt treatment with safe, effective antimalarial agents; however, concurrent infections such as with HIV and helminths during pregnancy are jeopardizing malaria control in sub-Saharan Africa.


Parasitology ◽  
2008 ◽  
Vol 135 (7) ◽  
pp. 751-766 ◽  
Author(s):  
J. M. BEHNKE

SUMMARYExperimental data establish that interactions exist between species of intestinal helminths during concurrent infections in rodents, the strongest effects being mediated through the host's immune responses. Detecting immune-mediated relationships in wild rodent populations has been fraught with problems and published data do not support a major role for interactions in structuring helminth communities. Helminths in wild rodents show predictable patterns of seasonal, host age-dependent and spatial variation in species richness and in abundance of core species. When these are controlled for, patterns of co-infection compatible with synergistic interactions can be demonstrated. At least one of these, the positive relationship betweenHeligmosomoides polygyrusand species richness of other helminths has been demonstrated in three totally independent data-sets. Collectively, they explain only a small percentage of the variance/deviance in abundance data and at this level are unlikely to play a major role in structuring helminth communities, although they may be important in the more heavily infected wood mice. Current worm burdens underestimate the possibility that earlier interactions through the immune system have taken place, and therefore interactions may have a greater role to play than is immediately evident from current worm burdens. Longitudinal studies are proposed to resolve this issue.


Parasitology ◽  
1986 ◽  
Vol 92 (3) ◽  
pp. 665-674 ◽  
Author(s):  
Sidi T. O. Alghali ◽  
R. K. Grencis

SUMMARYInteractions between tapeworm species in a single host offer intriguing opportunities for immunological studies that attempt to identify the mechanism(s) underlying protection against cestode infections. Mice that are immunized againstHymenolepis citelliinfections were shown to be refractory to subsequentH. diminutachallenge infections. The reciprocity of the response was also demonstrated, although the protection recorded forH. diminutawhen mice are sensitized withH. citelliis weaker than that observed when mice are primed withH. diminutaagainstH. citellichallenge.H. citelliwas also shown to be expelled simultaneously during the rejection phase ofH. diminutain concurrent infections, indicating the susceptibility of the former tapeworm to the rejection mechanism initiated by the latter.H. microstomaimmunized mice were shown to be strongly protected against heterologousH. citellichallenge. However, mice primed againstH. citelliwere not as strongly protected againstH. microstomachallenge infections: a statistically significant protection was obtained only after a 12-cysticercoidH. citelliprimary infection, although a 6-cyst infection did stunt the growth ofH. microstomachallenge worms. It is presently suggested that the cross-protective responses observed in the study betweenH. citelli, H. diminutaandH. microstomamay have emanated from a specific immunological cross-reactivity due to the sharing of similar immunogens.


2015 ◽  
Vol 9 (09) ◽  
pp. 1033-1035 ◽  
Author(s):  
Rangan Srinivasaraghavan ◽  
Parameswaran Narayanan ◽  
Thandapani Kanimozhi

Infectious diseases are one of the major causes of morbidity and mortality in developing countries. Sometimes concurrent infections with multiple infectious agents may occur in one patient, which make the diagnosis and management a challenging task. The authors here present a case of co-infection of typhoid fever with dengue fever in a ten-year-old child and discuss the pertinent issues. The authors emphasize that the risk factors predicting the presence of such co-infections, if developed, will be immensely useful in areas where dengue outbreak occurs in the background of high transmission of endemic infections.


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