A Rare Cause of Diarrhea in a Kidney Transplant Recipient: Dipylidium caninum.

We report the first case of dipylidiasis in a kidney transplant recipient. Watery diarrhea due to Dipylidium caninum was observed in a male patient who had been undergone kidney transplantation 2 years before. The patient was successfully treated with niclosamide. D. caninum should be considered as an agent of diarrhea in transplant patients.

Is Demodex folliculorum an aetiological factor in seborrhoeic dermatitis?

BACKGROUND: Seborrhoeic dermatitis (SD) is a common inflammatory skin disease for which no single cause has been found, although many factors have been implicated. The mite Demodex folliculorum (DF) is most commonly seen in the pilosebaceous unit in humans. SD is located in areas that are rich in sebaceous glands, which are also preferred by DF. AIMS: To compare the number of DF parasites in patients with clinical SD and in healthy controls, and to investigate any possible relationship between the number of DF mites and the presence of SD. METHODS: The study comprised 38 patients with SD and 38 healthy controls. Standard random and lesion-specific sampling was performed in the group of patients with SD, whereas standard random sampling only was performed for controls. RESULTS: Demodex folliculorum sampling was positive in 19 patients (50%) and 5 controls (13.1%). Mean DF density was 8.16 +/- 10.1/cm(2) (range 0-40) and 1.03 +/- 2.17/cm(2) (1-7) in patient and control groups, respectively. The differences between groups for DF positivity and mean DF density were significant (P = 0.001 for each). DF was found in 13 lesional areas in the patient group, but in only 5 areas in the control group (P = 0.031). CONCLUSIONS: The number of DF mites was significantly higher in both lesional and nonlesional areas of patients with SD. This suggests that, when other aetiological causes are excluded, DF may have either direct or indirect role in the aetiology of SD.

Correlation of environmental mite levels and the symptoms of allergic rhinitis regarding the efficacy of preventive education.

Allergic rhinitis is still a commonly investigated disease all over the world. Allergens are usually in the nature of glycoprotein or protein which interact with antibodies resulting in the formation of specific Ig E in the body 1. It is presumed that some environmental factors play an important role in their clinics. In allergic rhinitis, symptoms usually occur after the interaction of nasal mucosa with allergens. Allergens may be indoors, outdoors or in both environments. House-dust contains most of the indoor allergens. Mites are the most egregious allergen in house dust. D. pteronyssinus is commonly seen in European countries, D. farinae is mostly seen in North America. House-dust mites play an important role in allergic sensitization of individuals in Turkey. Perennial allergic rhinitis is a common chronic disorder that results most frequently from sensitivity to house-dust mites. National and international guidelines for the management of allergic rhinitis recommend that house and dust mite avoidance measures be considered for all patients with house-dust mite provoked rhinitis. Symptoms of allergic rhinitis are related to the environmental mite level in which patients live. The aim of this study is to show the relationship between mite levels and symptoms of allergic rhinitis diagnosed patients and the change of mite levels in the environment after appropriate education.

Correlation of environmental mite levels & the symptoms of allergic rhinitis regarding the efficacy of preventive education / Correlacion de los niveles de acaros en el ambiente y los síntomas de rinitis alérgica con respecto a la eficacia de la educación para la prevención

Allergic rhinitis is still a commonly investigated disease all over the world. Allergens are usually in the nature of glycoprotein or protein which interact with antibodies resulting in the formation of specific Ig E in the body 1. It is presumed that some environmental factors play an important role in their clinics. In allergic rhinitis, symptoms usually occur after the interaction of nasal mucosa with allergens. Allergens may be indoors, outdoors or in both environments. House-dust contains most of the indoor allergens. Mites are the most egregious allergen in house dust. D. pteronyssinus is commonly seen in European countries, D. farinae is mostly seen in North America. House-dust mites play an important role in allergic sensitization of individuals in Turkey. Perennial allergic rhinitis is a common chronic disorder that results most frequently from sensitivity to house-dust mites. National and international guidelines for the management of allergic rhinitis recommend that house and dust mite avoidance measures be considered for all patients with house-dust mite provoked rhinitis. Symptoms of allergic rhinitis are related to the environmental mite level in which patients live. The aim of this study is to show the relationship between mite levels and symptoms of allergic rhinitis diagnosed patients and the change of mite levels in the environment after appropriate education

La rinitis alérgica es una enfermedad sobre la que todavía se investiga en todo el mundo. Los alergenos por lo común son de naturaleza glicoproteica o proteica, que interactúan con anticuerpos IgE específicos producidos por el paciente. Se supone que los factores ambientales juegan un papel importante en la clínica. Los síntomas de rinitis alérgica por lo general tienen lugar tras la interacción de la mucosa nasal con los alergenos. Los alergenos pueden ser domiciliarios, del exterior o de ambos ambientes. El polvo de casa contiene muchos de los alergenos domiciliarios. Los ácaros son los alergenos más destacados del polvo doméstico. El D. pteronyssinus es el más común en los países europeos, mientras que el D. farinae es el más abundante en Norte- américa. En Turquía los ácaros del polvo juegan un papel destacado en la sensibilización alérgica. La rinitis alérgica perenne es una enfermedad crónica común debida con más frecuencia a la sensibilización a los ácaros del polvo doméstico. Las guías nacional e internacionales para el tratamiento de la rinitis alérgica recomiendan establecer medidas para evitar los ácaros del polvo doméstico a todos los pacientes con rinitis causada por los ácaros. Los síntomas de rinitis alérgica están relacionados con el nivel de ácaros del ambiente en que vive el paciente. El objetivo de este estudio es mostrar la relación entre el nivel de ácaros y los síntomas en los pacientes diagnosticados de rinitis alérgica y el cambio de la concentración de ácaros en el ambiente después de una educación apropiada

A rare diarrheic parasite in a liver transplant patient: Isospora belli.

We describe the first case of isosporiasis in a liver transplant patient. Watery diarrhea due to Isospora belli was observed in a woman who had undergone liver transplantation 8 months prior. She was successfully treated with trimethoprim-sulfamethoxazole. This parasite should be taken into consideration as an opportunistic infection in transplant patients who need increased hygienic awareness.

Toxoplasmosis in last four years in Agean region, Turkey.

Anti-Toxoplasma antibodies were determined with IFA and ELISA tests in 9410 patients who were different age groups, attended Department of Parasitology between 1991-1995. Anti-Toxoplasma IgG antibodies were found positive in 4651 (49.4%) of these patients. 2287 (21.4%) patients were pregnant women and the positivity was 55% of them. According to history of these patients, seropositivity was found 50% in women having spontaneous abortion, 52% in women having stillbirth, in 55% women having abnormal fetal births. These patients and their culinary habits, the presence of cats and relationship with other clinical symptoms were also evaluated.

Cultivation of Leishmania sp. in nutrient broth.

Bone-marrow aspiration and biopsy material samples obtained from two patients, one diagnosed as visceral and other as cutaneous leishmaniasis, were inoculated in Novy, McNeal, Nicolle (NNN) medium and nutrient broth (NB), containing fetal calf serum (FCS), penicillin and streptomycine. Both media were incubated at 27 degrees C for 10 days and observed daily for L. infantum and L. major promastigotes. Promastigotes were observed in nutrient broth after the first day, while in NNN media after the second or third day of incubation, indicating the effectiveness of nutrient broth in early diagnosis of both forms of leishmaniasis.

Trichomoniasis in non-gonococcic urethritis among male patients.

Urethral discharge of 415 male patients, age 18-50, were examined for Trichomonas vaginalis by direct examination of fresh and Giemsa-stained slides and cultivation in CPLM media. In this study, 85 (20.7%) specimens out of 415, were found to be positive for trichomoniasis. Three groups consisting of 30, 29 and 26 patients each was treated with secnidazole, metronidazole and ornidazole respectively. In the follow up controls, all patients were found to be negative for trichomoniasis and all complaints were disappeared totally without a significant difference between all groups.