Larval vomiting during a mission in Haïti.

Following an original case report of massive regurgitation of maggots and the difficulty of medical management, we return to the fecal contamination problem for troops in the field. The survey of maggots has allowed for the diagnosis of contamination by ingestion of house fly eggs as a major infection vector. The successive ingestion of anti-acid and gastric dressing can induce an important diminution of gastric acidity that can allow for the proliferation of germs. In an operational context or natural catastrophe andin addition to field hygiene rules that are very important, it can also be useful to propose exclusive field rationsfor few daysin order to limit the interhuman contamination.

Bruns' syndrome and racemose neurocysticercosis: a case report.

Cysticercosis is an infection caused by the larval stage of the tapeworm Taenia solium. The parasite may infect the central nervous system, causing neurocysticercosis (NCC). The clinical manifestations depend on load, type, size, location, stage of development of the cysticerci, and the host's immune response against the parasite. The racemose variety occurs in the ventricles or basal cisterns and is a malignant form. Mobile ventricular mass can produce episodic hydrocephalus on changing head posture with attacks of headache, vomiting, and vertigo, triggered by abrupt movement of the head, a phenomenon called Bruns' syndrome (BS). We report a patient with racemose NCC and BS.

Bruns' syndrome and racemose neurocysticercosis: a case report / Síndrome de Bruns e neurocisticercose racemosa: relato de caso

Cysticercosis is an infection caused by the larval stage of the tapeworm Taenia solium. The parasite may infect the central nervous system, causing neurocysticercosis (NCC). The clinical manifestations depend on load, type, size, location, stage of development of the cysticerci, and the host's immune response against the parasite. The racemose variety occurs in the ventricles or basal cisterns and is a malignant form. Mobile ventricular mass can produce episodic hydrocephalus on changing head posture with attacks of headache, vomiting, and vertigo, triggered by abrupt movement of the head, a phenomenon called Bruns' syndrome (BS). We report a patient with racemose NCC and BS.

A infecção por cisticercose é causada pelo estágio larval da Taenia solium. O parasita pode infectar o sistema nervoso central, causando neurocisticercose (NCC). As manifestações clínicas dependem da quantidade, tipo, tamanho, local, estágio de desenvolvimento do cisticerco e resposta imune do hospedeiro contra o parasita. A variedade racemosa ocorre nas cisternas ventriculares ou basais e é considerada uma forma maligna. O cisticerco móvel no ventrículo pode produzir hidrocefalia episódica com ataques de cefaléia, vômitos e vertigem, provocados pelo movimento abrupto da cabeça, fenômeno chamado de síndrome de Bruns (SB). Relataremos o caso de uma paciente com NCC racemosa com SB.

Hospitalization of Cuban children for giardiasis: a retrospective study in a paediatric hospital in Havana.

The medical records of the 185 children who, in 2007, were admitted to the Academic Paediatric Hospital 'Centro Habana', in the Cuban capital of Havana, because of giardiasis were analysed retrospectively. A standardized form was used to collect data on the socio-demographic characteristics, clinical features, laboratory diagnosis, treatment and length of stay of each child. Information on the 15 children who had incomplete medical records was excluded from the data analysis. Of the remaining 170 children, 85 (50·0%) were aged 1-4 years, 97 (57·1%) were male, and 106 (62·4%), 92 (54·1%) and 69 (40·6%) had presented with diarrhoea, vomiting, and/or abdominal pain, respectively. Most (91·2%) of the cases had been diagnosed by the microscopical examination of a duodenal aspirate, and the drugs that had been most used frequently were quinacrine and tinidazole, which had been given to 72 (42·4%) and 62 (36·5%) of the cases, respectively. The mean length of hospital stay was 4·9 days. Such information on the clinical characteristics of giardiasis among children living in an endemic area may be valuable to paediatricians and public-health officials who wish to screen for the disease.

Pathological findings associated with experimental infection by Trypanosoma evansi in cats.

Five cats were experimentally inoculated with Trypanosoma evansi in order to evaluate the pathological changes induced by this protozoan infection. Clinical signs observed included vomiting, diarrhoea, hyperthermia, weight loss, facial oedema, corneal opacity, lymphadenopathy and hindlimb instability. Reduction in hematocrit was observed from 7 days post-infection (dpi) (P<0.05). One cat died at 40 dpi and the other four cats were humanely destroyed. Necropsy examination was performed in two cats at 56 dpi and two cats at 120 dpi. Gross findings in all cats included generalized muscle atrophy, pale mucosae, icterus of the subcutaneous and serosal tissue and the intima of arteries, lymphadenopathy and splenomegaly. Other findings included corneal opacity, subcutaneous oedema (mainly of the head) and hydropericardium. Trypomastigotes of T. evansi were observed in impression smears prepared from the aqueous humor. Microscopically, there was lymphoid hyperplasia of the spleen and lymph nodes. The animals with corneal opacity had mild corneal oedema and accumulation of fibrin and inflammatory cells (neutrophils and plasma cells) in the anterior chamber. Similar inflammatory cells infiltrated the iris, ciliary body, corneoscleral limbus and conjunctiva.

Role of neuroendoscopy in the treatment of large viable cysticerci in the brain parenchyma.

Neuroendoscopy has never been used for diagnosis-making and removal of large parenchymal viable parasites associated with severe mass effect. Satisfactory and complication-free removal of the parenchymal cysticerci was achieved after neuroendoscopical diagnosis in a patient with parenchymal parasites, with immediate remission of clinical alterations related to raised intracranial pressure.

[New case of human infection by a Pseudoterranova decipiens larva (Nematode, Anisakidae) in Peru]. / Nuevo caso de infección humana por una larva de Pseudoterranova decipiens (Nematoda, Anisakidae) en el Perú.

The purpose of this report is to divulge a new case of human anisakidosis in Peru, caused by a larva of the Pseudoterranova decipiens nematode found in a 17 year old female patient from Lima, who had ingested "cebiche" in a restaurant in the city of Ica, in the central coast of Peru. Approximately 4 hours after having ingested the food, the patient reported a feeling of uneasiness, with a nauseous sensation in the epigastric region, which intensified 5 hours later when she vomited. In the vomit content a live nematode was found, which was identified as larva L3 of P. decipiens. This is one of the etiologic agents of anisakidosis.

Caso de Moniliformis Moniliformis (Acanthocephala) em criança na Cidade de Säo Paulo / Moniliformis moniliformis (Acanthocephala) from a child in Säo Paulo, Brazil

Em abril de 1994 foi encaminhado ao Laboratório de Enteroparasitoses do Instituto Adolfo Lutz, para identificaçäo, um verme eliminado por criança do sexo feminino, de 12 meses de idade, que vinha apresentando quadro de diarréia, vômito e perda de peso. O exemplar foi examinado em miscroscópio estereoscópio e após estudos biométricos morfológicos, foi classificado como fêmea do gênero Moniliformis moniliformis, Acanthocephala, parasita comum do rato e que pode, acidentalmente, parasitar o homem. O objetivo do presente trabalho é relatar o segundo caso de parasitismo humano no Brasil e chamar a atençäo para a ocorrência eventual do parasita em nosso meio.

[Oral elimination of strobila segments of Taenia saginata]. / Eliminación oral de segmentos de estróbila de Taenia saginata.

Within a 14-24 hours lapse after gynecological operative surgery, a 27-year-old woman eliminated with vomit two large taperworm pieces, measuring 3 and 2 meters respectively. At the laboratory they were identified as Taenia saginata strobila with immature, mature and gravid proglottids. The patient informed that she liked to eat raw beef. Treatment consisted in a single dose of praziquantel: 15 mg/kg body weight. Parasitological controls (two series of three fecal samples each), performed three months later, resulted negative for Taenia eggs.