Severe pediculosis capitis in a nursery school girl / Pediculosis capitis grave en una niña inscrita en una guardería

Pediculosis capitis is the most frequent ectoparasitosis around the world. The infestation is caused by Pediculus humanus capitis (head louse), which affects hair, scalp, and skin. It rarely presents with more symptoms and in the majority of the cases, it shows a benign course if treated properly. We present the case of a nursery school girl with head lice infestation for 18 months. She did not improve after the shampoo treatment. This case was associated with furunculosis, skin lesions, multiple adenopathies, and anemia. Initially, the presence of boils, alopecia, and lymphadenopathy was evident. The persistence of pediculosis capitis and intense scratching induced changes on skin integrity, facilitating opportunistic bacterial superinfection that led to impetiginization, furunculosis, excoriations, hematic scabs, anemia, alopecia, and lymphadenopathies. Pediculosis capitis affected the patient triggering psychological, economic, social, and other health problems. The patient presented uncommon symptoms (furunculosis, anemia, fever, alopecia, and adenopathies) resulting from the persistence of risk factors and the absence of head inspection and mechanical removal of insects. The education about the risk factors, as well as sanitary controls, are essential to contain the infestation.

La pediculosis capitis es la ectoparasitosis más frecuente a nivel mundial. La infestación es causada por Pediculus humanus capitis (piojo de la cabeza) y afecta el cabello, el cuero cabelludo y la piel. Rara vez se manifiesta con otro tipo de sintomatología y, por lo general, su curso es benigno si se trata adecuadamente. Se presenta el caso de una menor con pediculosis capitis de 18 meses de evolución, asociada con forúnculos, lesiones cutáneas, múltiples adenopatías y anemia, que no mejoró tras la aplicación del champú. Inicialmente, llamó la atención la presencia de forúnculos, alopecia y adenopatías. La persistencia de la pediculosis capitis y el rascado intenso alteraron la integridad de la epidermis y facilitaron las infecciones secundarias por bacterias patógenas y oportunistas que produjeron impétigo, forunculosis, excoriaciones, costras hemáticas, anemia, alopecia y linfadenopatías. La pediculosis capitis afectó notoriamente a la paciente al causarle problemas psicológicos y de salud, agudizados por su condición económica y social. La paciente presentó manifestaciones clínicas poco frecuentes (forunculosis, anemia, fiebre, alopecia y adenopatías), lo cual se vio facilitado por la persistencia de los factores de riesgo y el hecho de que no se le inspeccionaba la cabeza ni se removían los insectos. La educación sobre los factores de riesgo y el control sanitario es indispensable para controlar la infestación.

Repellent efficacy of a new combination of fipronil and permethrin against Lutzomyia longipalpis.

BACKGROUND: Lutzomyia longipalpis is the main vector of Leishmania infantum, the agent of canine and human visceral leishmaniosis in the Americas. Considering that the dog is the main domestic host of the parasite, repellent treatment is a measure that might contribute to the prevention of canine visceral leishmaniosis. The repellent efficacy of a single treatment of a new spot-on topical combination of fipronil and permethrin (Frontline Tri-Act®, Merial, now part of Boehringer-Ingelheim) to repel Lu. longipalpis sand flies was evaluated. METHODS: Sixteen healthy Beagle dogs, eight females and eight males, weighing 8.4-14.4 kg, and 2 to 4 years-old were included in the study. Animals were blocked on decreasing body weight and randomly allocated within the blocks to one of two treatment groups of eight animals each. Dogs in Group 1 were untreated and Dogs in Group 2 were treated with a combination containing 67.6 mg/ml fipronil + 504.8 mg/ml permethrin (Frontline Tri-Act®) once on Day 0. Sand fly exposures were performed on Days 1, 14, 21 and 30 with Lu. longipalpis female sand flies. After 65 (± 15 min), sand flies were assessed for engorgement status. RESULTS: The percent repellency of the treated group compared to the untreated control group was 95.7, 94.3, 81.7 and 72.2% for exposure days 1, 14, 21 and 30, respectively. The two treatment groups were significantly different for all exposure days (P ≤ 0.016 for days 1, 14, 21 and 30). No adverse reactions were observed during the study. CONCLUSION: A single topical administration of a new combination of fipronil and permethrin demonstrated a significant repellent effect against Lu. longipalpis bites as soon as it was applied on the dogs and its repellent efficacy lasted for 4 weeks with results greater than 80% for 3 weeks. The results suggest that in endemic areas the regular application of the new combination could contribute to protect dogs from Leishmania infection and therefore serve as an additional tool for the prevention of canine visceral leishmaniosis.

Serie parasitosis en dermatología: pediculosis / Parasitosis in dermatology: pediculosis

La enfermedad producida por Pediculus humanus capitis, conocida como pediculosis, es una parasitosis específica del ser humano de distribución mundial. El contagio puede ser directo por contacto con el cuero cabelludo de una persona afectada, o por fómites contaminados con parásitos, por lo que no distingue raza, sexo, edad ni nivel socioeconómico. Presentamos el caso de una paciente de 80 años con una forma típica de pediculosis. (AU)

The disease caused by Pediculus humanus capitis, known as pediculosis, is a human specific parasitosis. It has a worldwide distribution. Transmission can be by direct contact with the scalp of an affected person or by contaminated fomites with parasites. This infestation makes no distinction of race, sex, age, or socioeconomic status. We present a case of an 80 years old patient with a typical case of pediculosis. (AU)

Equipment and method for in vitro release measurements on topical dosage forms.

CONTEXT: In countries where research budgets are meager as Argentina, the tendency to innovation and improvements in the designs prototypes "made in Argentina" marks a growing trend adopted by researchers. This article presents a diffusion cell of original design, for release studies of Active Pharmaceutical Ingredient (API) from classical topical dosage forms, also includes the methodology for its optimization and validation. The objective was to evaluate and validate a system designed and to compare it to the Franz cells system. METHODS: Parameters, reproducibility and robustness were performed included factors as, stirring conditions, membrane stabilization treatment and temperature variation. Release and retention on membrane assay were performed using two different API and formulations. RESULTS: The method is reproducible and robust for the parameters tested. Release assays show that no significative difference with the Franz Cells system. Our system allows the simultaneous measurement of different parameters, representing an innovation on these methodologies. The LMC was used for assays of in vitro retention on membrane and the values obtained were reproducible and coincident whit values obtained for other authors. CONCLUSIONS: The system designed and the methodology employed, are acceptable for in vitro release studies. The device and method has the characteristics required.

Darwin's finches combat introduced nest parasites with fumigated cotton.

Introduced parasites are a threat to biodiversity when naïve hosts lack effective defenses against such parasites [1]. Several parasites have recently colonized the Galápagos Islands, threatening native bird populations [2]. For example, the introduced parasitic nest fly Philornis downsi (Diptera: Muscidae) has been implicated in the decline of endangered species of Darwin's finches, such as the mangrove finch (Camarhynchus heliobates) [3]. Here, we show that Darwin's finches can be encouraged to 'self-fumigate' nests with cotton fibers that have been treated with permethrin. Nests with permethrin-treated cotton had significantly fewer P. downsi than control nests, and nests containing at least one gram of cotton were virtually parasite-free. Nests directly fumigated with permethrin had fewer parasites and fledged more offspring than nests treated with water.

The efficacy of a combined larvicide-adulticide in ultralow volume and fumigant canister formulations in controlling the dengue vector Aedes aegypti (Diptera: Culicidae) in Northwest of Argentina.

The efficacy of an ultralow volume formulation (ULV) and fumigant canister, containing both permethrin and pyriproxyfen, was compared with that of standard permethrin applications in a field assay conducted in Banda del Río Salí, Tucumán (north-western Argentina). Five treatment areas were established: first area was sprayed with a ULV formulation of 10 % permethrin, a second area was treated using a fumigant canister containing 10 % permethrin and 3 % pyriproxyfen, the third area was sprayed with a ULV formulation of 10 % permethrin and 3 % pyriproxyfen, the fourth area with ULV formulation of 10 % permethrin using a portable aerosol generator and the fifth area was a left untreated area. Immature and adult Aedes aegypti individuals placed in containers and sentinel cages were positioned within the treated and control areas. The effects of treatment and time on larval, pupal and adult survival were tested. We also investigated the effects of treatment and time on the numbers of larval and pupal deaths, on the proportion of larvae that metamorphosed into pupae and adults, and on the proportion of dead adults. Larval A. aegypti survivorship in 250 mL containers revealed a significant treatment effect and significant treatment × time interaction 2 and 24 h after the application of the ULV treatment with 10 % permethrin using the portable aerosol generator. The number of dead larvae in 20 L containers differed significantly by treatment and by time. ULV treatment with 10 % permethrin and 10 % permethrin plus 3 % pyriproxyfen using the cold fogger truck mount ULV resulted in the greatest numbers of dead larvae; most larvae died 2 weeks after application. Adult A. aegypti mortality in all treatments did not differ significantly 2 and 24 h after application. In addition, we found no significant differences in adult mortality between cages exposed at 3 m and those at 6 m from the ULV application line. However, there was a significant difference in adult mortality between the 10 % permethrin treatment applied with cold fogger truck mount ULV and that applied using the portable aerosol generator (P < 0.001). The larval index known as Breteau index (BI) was higher before treatment than after treatment in different areas. After the treatments, the lowest value of BI was observed in the area treated with the fumigant canister formulation, and a long-lasting effect was observed with the formulation of 10 % permethrin and 3 % pyriproxyfen.

Genotoxic and mutagenic effects of permethrin in mice: micronuclei analysis in peripheral blood erythrocytes.

Pyrethroids such as permethrin are synthetic compounds widely used in the agriculture of many countries to combat plagues and in domestic products, such as acaricides. Not so long ago these chemicals were characterized as non-toxic for non-target organisms; however, recent studies have showed that these compounds could present toxic potential for many organisms. In this sense, this study presents genotoxic and mutagenic potential of permethrin administered intraperitoneally in mice under artificial conditions by the use of micronucleus assay in the peripheral blood of these animals. The mice were divided into five groups: group I = negative control (distilled water), group II = positive control (cyclophosphamide), group III = 30% of permethrin LD(50) (96 mg/kg), group IV = 50% of permethrin LD(50) (160 mg/kg), and group V = 80% of permethrin LD(50) (256 mg/kg). The peripheral blood was collected 24, 48, and 72 h after treatment. Results showed that all the tested permethrin dosages presented genotoxic and mutagenic effects 24 h after treatment, which would contradict the classification of this chemical product as moderately toxic, i.e., unable to cause damages to the cell DNA.

Cytotoxic effects of permethrin in salivary glands of Rhipicephalus sanguineus (Latreille, 1806) (Acari: Ixodidae) semi-engorged females.

Because of the medical and veterinary importance of ticks and the wide use of synthetic chemical substances such as permethrin (active ingredient of Advantage® Max3 - Bayer)for their control, this study evaluated the effects of different concentrations (206, 1031 and 2062 ppm) of the acaricide on the salivary glands of Rhipicephalus sanguineus semi-engorged females. Results showed that permethrin is a potent substance that acts morpho-physiologically in the tick glandular tissue, causing changes in the acini shape intense vacuolation in acinar cells, and disruption of the tissue by cell death process, with subsequent formation of apoptotic bodies, especially at higher concentrations, thus precluding the accurate identification of different types of acini. Importantly, it is demonstrated that permethrin acts on salivary gland tissue, as well as affecting the nervous system, accelerating the process of glandular degeneration, and interfering with the engorgement process of female ticks, preventing them from completing the feeding process.

Actualización: repelentes naturales y sintéticos / Update: natural and synthetic repellents

Las picaduras de mosquitos constituyen un riesgo frecuente al que se adiciona la posible transmisión de enfermedades. Para evitarlas contamos con barreras físicas, ropas, mosquiteros y repelentes. La elección del repelente a usar debe desprenderse de una meticulosa evaluación entre los beneficios y los riesgos generados por cada producto. El DEET (n,n-dietil,m,toluamida o su nueva denominación n,n-dietil-3-metilbenzamida) es, hasta el momento, el repelente más usado, mejor estudiado y efectivo, pero existen otros productos más nuevos. En este artículo se describen los repelentes naturales y sintéticos más utilizados que se encuentran disponibles en el mercado y se intenta orientar para una adecuada elección de los mismos en situaciones especiales como el embarazo, la lactancia y la niñez.

Mosquitoe bites are a common risk in which we have to take into account the transmission of many diseases. To prevent both risks we count with physical barriers, clothes, nets and repellents. The election of the repellent should be the result of a very meticulous evaluation of the risks and benefits of each product. The DEET (n,n-dietil,m,toluamida or the new name for the same product: n,n-dietil-3-metilbenzamida) is up to date the most used, best studied and effective repellent, but there are many other new options. In this article we describe the different natural and synthetic repellents on the market and try to help on the adequate election in special situations such as pregnancy, nursing and childhood.

Stimulatory sublethal response of a generalist predator to permethrin: hormesis, hormoligosis, or homeostatic regulation?

The assessment of pesticide effects in arthropods historically have relied heavily on acute lethal effects. Although the sublethal responses to such compounds are sometimes neglected, stimulatory effects associated with low doses of compounds toxic at higher doses, such as pesticides, have been widely reported in recent years and recognized as a general toxicological phenomenon. Evidence of such stimulatory response has also been reported among mites and a few insect pest-species exposed to pesticides and recognized as a one of the potential causes underlying pest resurgence and secondary pest outbreaks. However, fitness parameters and its implications were seldom considered in these studies and natural enemies are not usually target of attention. Here, we reported the stimulatory effect of sublethal doses (ranging from 0.02 to 172.00 ppb in addition to the control) of the pyrethroid permethrin topically applied to third instar nymphs of the spined soldier bug, Podisus distinctus (Stål) (Heteroptera: Pentatomidae). The parameters estimated from the fertility tables of insects exposed to the increasing doses of insecticide indicated a slight increase in the mean survival time for doses > or = 0.20 ppb and a peak in the net reproductive rate at 1.72 ppb. This trend is coincident and correlated with the intrinsic rate of population growth (n = 18, r = 0.78, P = 0.0001), which also shows a peak at 1.72 ppb, leading to higher reproductive values of insects exposed to this dose. The phenomenon is consistent with insecticide-induced hormesis, for which the potential implications are discussed.

Efficacy of a new combined larvicidal-adulticidal ultralow volume formulation against Aedes aegypti (Diptera: Culicidae), vector of dengue.

A new ultralow volume formulation (ULV) containing permethrin as an adulticidal active ingredient and the insect growth regulator (IGR) pyriproxyfen as a larvicide was developed and its efficacy evaluated in a field trial in Wanda, Misiones (Argentina). Two separate study areas were sprayed: one with a ULV formulation of permethrin 15% plus pyriproxyfen 3% and the other with permethrin 15% only. A third untreated area was kept as a control. Sentinel cages containing adult mosquitoes and jars containing Aedes aegypti larvae III/IV were placed in treated and control areas. The residual activity of the formulations was tested using 20 L water containers. The adulticide effect of permethrin 15% + pyriproxyfen 3% formulation was similar to the permethrin 15% formulation, however, the inhibition of adult emergence in the treatment with permethrin 15% never exceeded 20%, whereas the inhibition of adult emergence in the treatment with permethrin 15% plus pyriproxyfen 3% showed initial values of 96% maintaining this high level of inhibition up to 35 days after ULV spraying. Larval indexes (House and Breteau indexes) showed that a greater, long-lasting effect was obtained with the permethrin 15% plus pyriproxyfen 3% formulation.

Space treatments of insecticide for control of dengue virus vector Aedes aegypti in southern Mexico. I. Baseline penetration trials in open field and houses.

We studied the efficacy of space ultra-low volume treatments of 3 insecticides for the control of the dengue virus vector Aedes aegypti in southern Mexico. Insecticides tested were permethrin (Aqua-Reslin Super), d-phenothrin (Anvil), and cyfluthrin (Solfac), applied at rates of 10.87, 7.68, and 2 g/ha, respectively, by using London Fog, HP910-PHXL, or Micro-Gen pumps mounted on vehicles. Studies included 1) open field penetration tests and 2) house penetration tests. Open field tests indicated that Anvil and Solfac were more effective than Aqua-Reslin Super. In house tests, Anvil yielded the highest mosquito mortalities (>/=88%) of the three insecticides in the front porch, living room, bedroom, and backyard. Therefore, Anvil proved to be better than other insecticides evaluated to control Ae. aegypti in Chiapas, Mexico.

Laboratory and scaled up evaluation of cis-permethrin applied as a new ultra low volume formulation against Aedes aegypti (Diptera: Culicidae).

Ultra low volume (ULV) aerial spraying is a common methodology for spatial treatments for Aedes aegypti (L.) control. Previous studies from our laboratory indicated that the cis isomer of permethrin has an excellent efficacy for vector control, in particular for Triatoma infestans. It was of interest to determine the efficacy of this pure isomer in a ULV water-based formulation for adult A. aegypti control, since both vectors usually are found together in South America. A method is presented to make a quick measure at laboratory level of the knock down effect (KT50) of a new EC water-based formulation of cis-permethrin, in a small Peet Grady chamber of 0.34 m3, with a specially designed glass sprayer. A deltamethrin standard ULV formulation "CISLIN" was used for comparison. cis-Permethrin showed a significantly lower KT50 value than deltamethrin (7.50 and 9.65 min, respectively). When the mosquitoes were introduced into the chamber 10 min after spraying KT50 values were almost equal (15.59 and 15.88 min, respectively). In scaled up bioassays the ULV formulation of cis-permethrin showed 100% mortality of A. aegypti adult mosquitoes at the beginning of the treatment (t=0) and some mortality at 1h post treatment of freshly introduced mosquitoes. It was concluded that cis-permethrin could be an excellent tool for control of A. aegypti and other vectors of medical importance, with fewer side effects and better cost-effectiveness than with the cyanopyrethroids.

Field trial of the efficacy of a combination of imidacloprid and permethrin against Tunga penetrans (sand flea, jigger flea) in dogs in Brazil.

In a field trial in Brazil 17 dogs penetrated by females of the jigger flea, Tunga penetrans, were topically treated with a combination of 10% imidacloprid and 50% permethrin (Advantix), while 17 dogs remained untreated. The follow-up controls on days 7, 14, 21 and 28 post-treatment clearly showed that, beginning from day 7, the flea load in treated dogs decreased, so that most of the dogs became free of tungiasis lesions, while in the untreated group the flea load remained high. Since the dogs distribute the flea eggs throughout the village, leading to a high incidence of tungiasis in humans, treatment of dogs probably also decreases the number of cases of tungiasis in the latter.

Effect of sub-lethal concentrations of permethrin on ovary activation in the predator Supputius cincticeps (Heteroptera: Pentatomidae)

Inseticidas podem causar mortalidade e efeitos deletérios em percevejos predadores. Por isso investigou-se o efeito de cinco concentrações de permetrina aplicadas em ninfas de terceiro estádio de Supputius cincticeps (Stål) (Heteroptera: Pentatomidae) em sua ativação ovariana. Essas ninfas receberam aplicação tópica de permetrina nas seguintes concentrações (mg i.a./ml): 10ù7, 10ù6, 10ù5, 10ù4, 10ù3. O comprimento dos ovários e o número de ovócitos foram quantificados após a primeira postura. O comprimento do ovário variou de 5,7 mm na concentração de 10ù4 mg i.a./ml a 6,4 mm na concentração de 10ù7 mg i.a./ml, com valores semelhantes para as outras concentrações de permetrina e controle. O número de ovócitos por fêmea variou de 13,5 (10ù3 mg i.a./ml) a 29,2 no controle, com diferenças significativas entre concentrações. O número de ovócitos por fêmea, proveniente de ninfas expostas a concentração de 10ù5 mg i.a./ml, foi semelhante àquele do controle. No entanto, o menor número de ovócitos por fêmea, provenientes de ninfas expostas a outras concentrações de permetrina, sugere que esse inseticida pode afetar a capacidade reprodutiva. Esses resultados são discutidos em relação à tolerância de Heteroptera predador aos inseticidas e a possível ocorrência de hormese.

Effectiveness of residual spraying of peridomestic ecotopes with deltamethrin and permethrin on Triatoma infestans in rural western Argentina: a district-wide randomized trial.

OBJECTIVE: To compare the effectiveness of a single residual spraying of pyrethroids on the occurrence and abundance of Triatoma infestans in peridomestic ecotopes in rural La Rioja. METHODS: A total of 667 (32.8%) peridomestic sites positive for T. infestans in May 1999 were randomly assigned to treatment within each village, sprayed in December 1999, and reinspected in December 2000. Treatments included 2.5% suspension concentrate (SC) deltamethrin in water at 25 mg active ingredient (a.i.)/m(2) applied with: (a) manual compression sprayers (standard treatment) or (b) power sprayers; (c) 1.5% emulsifiable concentrate (EC) deltamethrin at 25 mg a.i./m(2); and (d) 10% EC cis-permethrin at 170 mg a.i./m(2). EC pyrethroids were diluted in soybean oil and applied with power sprayers. All habitations were sprayed with the standard treatment. FINDINGS: The prevalence of T. infestans 1-year post-spraying was significantly lower in sites treated with SC deltamethrin applied with manual (24%) or power sprayers (31%) than in sites treated with EC deltamethrin (40%) or EC permethrin (53%). The relative odds of infestation and catch of T. infestans 1-year post-spraying significantly increased with the use of EC pyrethroids, the abundance of bugs per site before spraying, total surface, and host numbers. All insecticides had poor residual effects on wooden posts. CONCLUSION: Most of the infestations probably originated from triatomines that survived exposure to insecticides at each site. Despite the standard treatment proving to be the most effective, the current tactics and procedures fail to eliminate peridomestic populations of T. infestans in semiarid rural areas and need to be revised.