Strongyloidiasis associated with human T-cell lymphotropic virus type I infection in a nonendemic area.

Concomitant strongyloidiasis and human T-cell lymphotropic virus type I (HTLV-I) infection has been reported from areas in Japan where both organisms are endemic. We present four cases of concomitant infection with these organisms from an area that is not endemic for Strongyloides stercoralis. Three of the four patients had adult T-cell leukemia, an aggressive neoplasm resulting from HTLV-I infection, while the other was an asymptomatic carrier of HTLV-I. Three of the patients had spent their childhoods in an endemic location for both organisms, suggesting an initial infection at that time. Three patients were symptomatic from their parasitism. We conclude that strongyloidiasis may be found in nonendemic locations in patients with either adult T-cell leukemia or an asymptomatic HTLV-I carrier state. Whether infestation with this parasite contributes to the leukemogenesis of HTLV-I, as postulated by others, cannot at this time be determined.

House dust mites in university dormitories.

As no published data was available, dust was collected from 102 university student dormitory rooms and 33 were selected on a random basis for analysis. Mean dust per dormitory room was 4.47 g of coarse, 0.96 g of fine, and a 24-hour sedimented volume of fine dust of 6.90 mL. The mean number of mites was 63/g of coarse dust, and 240/g and 36/mL of fine dust. They were identified as D. pteronyssinus (D.p.), 81.9%; D. farinae, 11.2%; and Cheyletus, 4.7%. Fifteen samples from homes were controls. Mean values were 0.60 g of coarse dust, and 0.20 g and 2.3 mL of fine dust. Mites numbered 985/g of coarse, and 3409/g and 244/mL of fine dust. They were D.p., 87.2%; D. farinae, 3.0%; Cheyletus, 3.7%; and Euroglyphus, 1.6%. Differences between dormitories and homes in amount of dust and number of mites were significant at P less than .001. Dust and mites were significantly less in dormitories with linoleum than those with carpets (P less than .05 and .01, respectively). In conclusion, university dormitories have significantly less mites than homes despite a greater amount of dust harvested.

A seroepidemiologic survey of human T-cell lymphotropic virus type I in two Hawaiian hematologic-oncologic practices.

A seroepidemiologic survey for antibodies to the human T-cell lymphotropic virus type I (HTLV-I) was carried out in two Hawaiian hematologic-oncologic practices. Specimens of serum or plasma from 215 donors were assayed using the ELISA technique, followed by the Western blot technique to confirm antibody specificity to HTLV-I. Of 214 seropositive donors, 16 (7.5%) were positive. Of 172 donors of Japanese ancestry, 16 (9.3%) were seropositive; none were white, Chinese, Filipino, or Pacific Islander. One donor contracted the virus through blood transfusions. The results suggest that HTLV-I was introduced to Hawaii with the Japanese immigration.