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Laboratory and field studies on the Jamaican strain of human Strongyloides
Kingston; s.n; Jan. 1973. 275 p. ills, tab.
Tese em Inglês | MedCarib | ID: med-13666
Biblioteca responsável: JM23.1
Localização: JM23.1; U Thesis
ABSTRACT
Laboratory and field studies were done on the Jamaican strain of human Strongyloides. In the laboratory, optimal conditions for propagations of the free-living cycle were investigated. The mongrel puppy was employed as a model for the exploration of various aspects of host-strongyloid relationships. The histological reaction to normal skin to penetrating larvae, and of sensitised skin to larvae, excretory-secretory ("ES") and somatic ("S") antigen, was determined. Enzymatic activities of falariform larvae were assayed in vitro. Several factors predisposing to autoinfection were examined. The anthelmintic activity of levamisole and thiabendazole was compared. In the field, a follow-up study was done and pilot surveys for prevalence were conducted throughout Jamaica in areas contrasting in climatic and physiographic features. The results indicated that optimal conditions for propagation of the heterogonic cycle existed at a temperature range of 26§C to 30§C, a pH range of 7.5 to 8.0, and a stool consistency equal to that of a very thick paste. The reaction of normal skin to invading larvae was essentially a non-specific, acute inflammatory response; with sensitised skin, there was significant degranulation of mast cells in the presence of larvae, "ES" and "S" antigen. Collagenase, galatinase, fibrinase, lipase and hyaluronidase activity of falariform larvae were demonstrated. Autoinfection was experimentally induced by constipation, by vincristine therapy, by ileal ligation and by simulation of ileal volvulus. A general hypothesis was advanced to explain the etiology of autoinfection. Levamisole possessed statistically significantly greater anthelmintic activity than thiabendazole against Strongyloides in vitro, but not in vivo in puppies. It was unable to eradicate the parasite completely from the stools of five out of six infected patients. Preliminary data suggest that the chronicity of strongyloidiasis in Jamaican patients is due to internal autoinfection rather than external reinfection. The low prevalence of the infection in the general population is very low (30 out of 1,555 persons positive, or 1.9 percent)(AU)
Assuntos
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Coleções: Bases de dados internacionais Contexto em Saúde: Doenças Negligenciadas / ODS3 - Meta 3.3 Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis Problema de saúde: Helmintíase / Doenças Negligenciadas / Estrongiloidíase Base de dados: MedCarib Assunto principal: Strongyloides Tipo de estudo: Estudo de etiologia / Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Adulto / Animais / Criança / Feminino / Humanos / Gravidez País/Região como assunto: Caribe Inglês / Jamaica Idioma: Inglês Ano de publicação: 1973 Tipo de documento: Tese
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Coleções: Bases de dados internacionais Contexto em Saúde: Doenças Negligenciadas / ODS3 - Meta 3.3 Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis Problema de saúde: Helmintíase / Doenças Negligenciadas / Estrongiloidíase Base de dados: MedCarib Assunto principal: Strongyloides Tipo de estudo: Estudo de etiologia / Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Adulto / Animais / Criança / Feminino / Humanos / Gravidez País/Região como assunto: Caribe Inglês / Jamaica Idioma: Inglês Ano de publicação: 1973 Tipo de documento: Tese
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