Chilomastix Mesnili Research Articles

Gastrointestinal parasites of the chimpanzee population introduced onto Rubondo Island National Park, Tanzania

The release of any species into a novel environment can evoke transmission of parasites that do not normally parasitize the host as well as potentially introducing new parasites into the environment. Species introductions potentially incur such risks, yet little is currently known about the parasite fauna of introduced primate species over the long term. We describe the results of long-term monitoring of the intestinal parasite fauna of an unprovisioned, reproducing population of chimpanzees introduced 40 years earlier (1966-1969) onto Rubondo Island in Lake Victoria, Tanzania, a non-native habitat for chimpanzees. Two parasitological surveys (March 1997-October 1998 and October 2002-December 2005) identified Entamoeba spp. including E. coli, Iodamoeba buetschlii, Troglodytella abrassarti, Chilomastix mesnili, Trichuris sp., Anatrichosoma sp., Strongyloides spp., Strongylida fam. gen. sp., Enterobius anthropopitheci, Subulura sp., Ascarididae gen. sp., and Protospirura muricola. The parasite fauna of the Rubondo chimpanzees is similar to wild chimpanzees living in their natural habitats, but Rubondo chimpanzees have a lower prevalence of strongylids (9%, 3.8%) and a higher prevalence of E. anthropopitheci (8.6%, 17.9%) than reported elsewhere. Species prevalence was similar between our two surveys, with the exception of Strongyloides spp. being higher in the first survey. None of these species are considered to pose a serious health risk to chimpanzees, but continued monitoring of the population and surveys of the parasitic fauna of the two coinhabitant primate species and other animals, natural reservoir hosts of some of the same parasites, is important to better understand the dynamics of host-parasite ecology and potential long-term implications for chimpanzees introduced into a new habitat.

Prevalence of Intestinal Parasites and Profile of CD4+ Counts in HIV+/AIDS People in North of Iran, 2007-2008

In this study 142 stool samples (64 HIV+/AIDS patients and 78 non-HIV infected individuals) collected from Mazandaran province and screened for intestinal parasites, using direct wet mont, formalin-ether sedimentation concentration, modified Ziehl Neelsen and modified trichrome techniques. Each person in this study was examined for CD4+ counts. Intestinal parasites were found in 11/64 (17.2%) of patients in HIV+/AIDS group and in 14/78 (17.9%) of controls. Prevalence of parasites detected in HIV+/AIDS individuals was as follow: Cryptosporidium sp. 9.4%, Giardia lamblia 3.1%, Entamoeba coli 1.6%, E. histolytica 1.6% and Chilomastix mesnili 1.6%. Prevalence of parasites in controls was as follow: Trichostrongylus sp. 6.4%, G. lamblia 3.8%, Cryptosporidium sp. 2.5%, E. coli 2.5%, E. histolytica 1.2%, Hookworms 1.2%. The mean of CD4+ counts in HIV-positive group (430 cells microL(-1)) was remarkedly less than controls (871 cells microL(-1)) (p = 0.001). As patients usually belong to poor socio-economic backgrounds and they can hardly afford treatment, therefore, it is suggested screening and free treatment of intestinal parasites in these individuals should be taken by health centers to prevent the occurrence of these diseases in HIV+/AIDS patients, as often the disease may take a fulminant form.

Intestinal Parasitic Infections among Inhabitants of Karaj City, Tehran Province, Iran in 2006-2008

Karaj is an area with large influx of refugee people in Iran. To increase knowledge about parasitic infections, we carried out this research during 2006-2008. We recorded the stool examination results and some of their personal characteristics. A total of 13,915 human stools were examined, and 649 (4.7%) were positive for intestinal parasites. Among them, 13 (0.09%) had worm and 636 (4.6%) had protozoan infections. Maximum infections belonged to Giardia intestinalis, and 534 (3.8%) samples had this infection. Other parasitic infections included Entamoeba coli (0.39%), Entamoeba histolytica (0.021%), Blastocystis hominis (0.08%), Trichomonas hominis (0.1%), Iodamoeba butschlii (0.06%), Chilomastix mesnili (0.007%), Endolimax nana (0.05%), Enterobius spp. eggs (0.028%), Taenia proglottids (0.028%), and Strongyloides stercoralis larvae (0.03%). The maximum numbers of referred people to laboratories were in July and the maximum percentage of infections was in August. There is a point that all 5 Strongyloides stercoralis infections were pertained to 2008. With attention to the rate of parasitic infections (4.7%), it seems that we should take additional educational information to wide spectrum of people living in this city.

Frequency of enteric protozoan parasites among patients with gastrointestinal complaints in medical centers of Zahedan, Iran

We investigated the prevalence of intestinal protozoan parasites in patients with gastrointestinal complaints in medical centers in Zahedan, Iran. A total of 1562 stool samples was examined from July 2004 to January 2006 using microscopy (direct smear, formalin-ether concentration), xenic culture and PCR techniques. Four hundred and twenty-seven (27.3%) of the patients were infected with one or more intestinal parasites. Giardia lamblia (10.1%), Entamoeba coli (10%), E. hartmanni (1.7%), Blastocystis hominis (2.2%), Chilomastix mesnili (1.7%), Trichomonas hominis (0.7%), E. histolytica/E. dispar (0.51%) and Iodamoeba butschlii (0.45%) were the most prevalent protozoa detected with microscopy. Of the eight microscopy-positive E. histolytica/E. dispar samples, six were identified as E. dispar by PCR/gel electrophoresis, whereas E. histolytica was not detected at all. Although Zahedan is an area with poor hygiene located in a tropical area near the border of Pakistan and Afghanistan, the prevalence of E. histolytica and E. dispar here compared with other parasites and infectious diseases is unexpectedly low.

Prevalence of intestinal parasites in young Quichua children in the highlands of rural Ecuador.

The prevalence of intestinal parasites in young Quichua children was assessed in 20 rural communities in the highlands of Ecuador in August 2005. The caregivers of 293 children aged 12-60 months were interviewed about the status of child health, household socioeconomic and environmental factors, and water-use practices and were requested to collect a faecal sample from the study child. Two hundred three (69.3%) of the 293 children provided faecal samples that were tested for parasites. The overall prevalences of infection for specific agents were Entamoeba histolytica or dispar 57.1%, Ascaris lumbricoides 35.5%, Entamoeba coli 34.0%, Giardia intestinalis (lamblia) 21.1%, Hymenolepis nana 11.3%, Cryptosporidium parvum 8.9%, Chilomastix mesnili 1.7%, Hymenolepis diminuta 1.0%, Strongyloides stercoralis 0.7%, and Trichuris trichiura 0.5%. The prevalence of parasites increased with age. Water storage, water treatment, consistent latrine-use, and participation in a community-based clean water project were not strongly associated with the prevalence of intestinal parasites, although having dirt floors was a risk factor for infection with E. histolytica or dispar and G. intestinalis.

Gastrointestinal protozoa in non-human primates of four zoological gardens in Belgium

Gastrointestinal parasites are important infectious causes of diarrhoea in captive non-human primates (NHP). However, prevalence data of gastrointestinal parasites in zoological gardens are scarce. Therefore, a cross-sectional survey was conducted to estimate the occurrence of gastrointestinal parasites in NHP of four zoological gardens in Belgium. Between August 2004 and April 2006, 910 faecal samples were collected from 222 animals housed in 39 groups. The 31 species involved were representatives of prosimians, New World (NW) monkeys, Old World (OW) monkeys and apes. Because individual sampling was impossible, a statistical simulation was performed to estimate a sufficient sample size. All samples were microscopically examined after an acetic acid–ether concentration. Differences in host species susceptibility were examined by non-parametric tests. Entamoeba spp. (44%) and Giardia spp. (41%) were the most prevalent species. Other parasites detected were Endolimax nana (36%), Chilomastix mesnili (21%), Balantidium coli (13%), Trichuris spp. (10%), Iodamoeba bütschlii (5%) and Strongyloides spp. (5%). Parasites for which a significant difference in susceptibility at the level of host taxonomy was noted were Entamoeba spp. ( p < 0.001) and C. mesnili ( p < 0.05). Samples containing Entamoeba spp. were the most prevalent in OW monkeys ( p < 0.0083). Samples collected from OW monkeys contained the highest number of parasite species ( p < 0.0083).

The Role of Housing Type and Drinking Water in Prevalence of Intestinal Parasites Among Pupils of A Number of Primary Schools in Rural Area of Al-Taamem Province-Iraq

The results of examining 806 pupils of 19 primary schools in rural regions of Al-Taamem province living in houses of variable buildings and drinking water from different sources revealed their infection with the following intestinal parasites: Protozoa ; Giardia lamblia 9.90% ; Entamoeba coli 5.30% ; E. histolytica 4.73% ; Iodamoeba butschlii 1.32% ; Endolimax nana 0.88% ; Chilomastix mesnili 0.50% and Trichomonas hominis 0.19% . Helminths ; Hymenolepis nana 4.03% ; Enterobius vermicularis 2.10% ; Ascaris lumbricoides 0.63% and Trichuris trichiura 0.38% with a total percent of infection 29.95%. The highest infection rate appeared in pupils inhabited muddy houses which differs significantly (P = 0.05) from all other types of houses and those using water from wells from other sources of water.

Comparison of two methods (microscopy and enzyme-linked immunosorbent assay) for the diagnosis of amebiasis

Diagnosis of amebiasis is usually performed on a clinical basis alone in most endemic countries having limited economic resources. This epidemiological study was conducted using modern diagnostic tests for amebiasis in the southeastern region of Turkey, an endemic area for amebiasis. The population of this study included patients with symptomatic diarrhea/dysentery attending both Yuzuncu Yil University, Van and Harran University, Sanliurfa, Turkey. A total of 380 stool specimens were collected and examined for Entamoeba by light microscopy (fresh, lugol, and trichrome staining) and stool antigen detection based- enzyme-linked immunosorbent assay (EIA) test (TechLab Entamoeba histolytica II). 24% (91/380) of stool specimens were positive for E. histolytica/ Entamoeba dispar trophozoites/cysts microscopically using trichrome staining. 13% (51/380) of the stool specimens were found to be positive for E. histolytica by the EIA test, including 15% (14/91) of microscopy (+) stool specimens and 13% (37/289) of microscopy (−) stool specimens. Enteric parasites were common in these populations with 66% (251/380) of the study population harboring more than one parasite. In addition to the 13% (51/380) of patients determined to have E. histolytica by EIA, eighty-six patients (22.6%) had Blastocystis hominis, 54 (14.2%) Entamoeba coli, 44 (11.5%) Giardia lamblia, 16 (4.2%) Chilomastix mesnili, 15 (3.9%) Iodamoeba bütschlii, 12 (3.1%) Hymenolepis nana, 9 (2.3%) Endolimax nana, 9 (2.3%) Dientamoeba fragilis, and 8 (2.1%) had Ascaris lumbricoides. We concluded that E. histolytica infection was found in 13% of the patients presenting with diarrhea in Van and Sanliurfa Turkey.

Protozoarios parásitos de importancia en salud pública transportados por Musca domestica Linnaeus en Lima, Perú

El presente trabajo investiga los protozoarios parásitos de importancia para la salud pública transportados por Musca domestica. El estudio se llevó a cabo entre los meses de junio y diciembre de 1998, en los distritos de Comas y San Juan de Lurigancho de la provincia de Lima. Se estudiaron 3014 moscas colectadas en la basura acumulada en la vía pública de los pueblos jóvenes de los distritos mencionados. Las capturas se agruparon en lotes constituidos por un promedio de 30 moscas. Se estudiaron un total de 100 lotes. Las moscas fueron disecadas y procesadas con agua destilada estéril para obtener un macerado intestinal. Para la observación de los parásitos se utilizó el método directo simple y la coloración tricrómica de Gomori ácido resistente modificado. Se encontraron los siguientes protozoarios que parasitan al hombre: Blastocystis hominis (9,0%), Giardia lamblia (3,0%), Cryptosporidium sp. (2,0%), Cyclospora cayetanensis (1,0%), Iodamoeba bütschlii (17,0%), Endolimax nana (5,0%) y Chilomastix mesnili (3,0%). Se reporta por primera vez para el Perú a B. hominis y Cyclospora cayetanensis en M. domestica.

GASTROINTESTINAL PARASITES OF THE GUENONS OF WESTERN UGANDA

From January 1998 to December 2002, we collected 293 fecal samples from free-ranging individuals of the 4 guenon species of western Uganda, i.e., redtail guenons (Cercopithecus ascanius), blue monkeys (Cercopithecus mitis), l'hoesti monkeys (Cercopithecus lhoesti), and vervet monkeys (Cercopithecus aethiops), to quantify the prevalence of gastrointestinal parasites. Helminth eggs, larvae, and protozoan cysts were isolated by sodium nitrate flotation and fecal sedimentation. Helminth parasites were identified, and infection prevalence was determined for all 4 guenon species. Coprocultures facilitated identification of strongylate nematodes. For the most common species, the redtail guenon, we documented prevalence of protozoan parasites and examined the effect of season and host sex on infection prevalence. Six nematodes (Strongyloidesfulleborni, Oesophagostomum sp., unidentified strongyle, Trichuris sp., Streptopharagus sp., and Enterobius sp.), 1 cestode (Bertiella sp.), 1 trematode (Dicrocoeliidae), and 5 protozoans (Entamoeba coli, Entamoeba histolytica, lodameoba butschlii, Giardia lamblia, and Chilomastix mesnili) were detected. Seasonal patterns of infection were not readily apparent for any parasite species infecting redtail guenons. Although prevalence never differed between male and female guenons, only adult females were infected with Oesophagostomum sp. and S. fulleborni.

Intestinal Protozoa in Wild Boars (Sus scrofa) in Western Iran

A total of 12 gastrointestinal tracts of wild boars (Sus scrofa) from western Iran (Luristan) were examined for protozoan infection between September 2000 and November 2001. Of 12 boars examined, 67% harbored one or more species of the following protozoa: Balantidium coli (25%), Tritrichomonas suis (25%), Blastocystis sp. (25%), Entamoeba polecki (17%), Entamoeba suis (8%), Iodamoeba butschlii (17%), and Chilomastix mesnili (8%). Four of these protozoan species also are reported in humans, and persons living in rural areas where wild boars are abundant should take precaution to avoid infection.

PARASITIC INFECTIONS OF DRY SEASON FARMERS IN SOME PARTS OF PLATEAU STATE, NIGERIA

A parasitological survey was conducted among 1080 dry season farmers and controls spread over nine farming locations in the Jos and Barkin-Ladi areas of Plateau State, Nigeria, to provide data or parasitic infections in the area due to waste utilization. Standard laboratory procedures were adopted in the collection, processing and parasite identification in the stool samples. The rates of parasites infections in the farmers were 91.6% for helminthes and 86.4% for protozoa. Helminth infection rates but not those of protozoa, varied significantly between farmers and controls. Average infection rates were. Ancylostoma duodenale 91.9%. Ascaris lumbricoides 84.7%, Trichuris trichiura 74.2%, Strongyloides stercoralis 50.3%, Giardia lamblia 13.3%, Entamoeba coli 28.4%, Chilomastix mesnili 15.4%, Endolimax nana 17.3%, Isospora belli 6.3% and Lodoamoeba butshkii 11.5%. More males than females were infected. The rates of infection varied among farmers in the different locations, but younger farmers had higher prevalences. Significant correlations between infections and their symptoms were observed with diarrhoea and abdominal pains being most common. (Af. J. of Clinical and Experimental Microbiology: 2002 3(2): 104-110)

Stool Examinations in Immigrant New School Enrollees in New York City† 659

The Bureau of School Health (BSH) of the New York City Department of Health(NYCDOH) is mandated by law to provide new-admission health assessments for all children without primary health care providers enrolling in school for the first time. A stool examination is not a part of the routine new admission evaluation. From 1990-1994, New York City received 562,988 immigrants (14.6% of the U.S. total), many from countries where intestinal parasites pose a significant health problem. The majority of immigrants came from the Caribbean(33%), Asia (26%), South America (12%), and Africa (2%); and 13.6% of these immigrants settled in the Bronx. During a four month period (March-June 1996) single, fresh stool specimens from asymptomatic new school enrollees seen at a BSH Clinic in the Bronx were submitted to the DOH Bureau of Laboratories. One hundred and nineteen children were evaluated with the following results: age range 4-18 years (mean 10 yrs.); 43 (36%) females, 76 (64%) males; 41 (34%) black; 62 (52%) hispanic. Most of these children came from the Dominican Republic 45 (38%), Ghana 22 (18.5%), and Jamaica 10 (8%). One child was a U.S.-born citizen. All children were asymptomatic and free of significant underlying illness. Stool examinations were positive for 88 (74%) children. The most commonly identified parasites of clinical significance included Blastocystis hominis 62 (71%), Entamoeba histolytica 21(24%), Giardia lamblia 18 (21%), Ascaris lumbricoides 5(6%), hookworm 5 (6%), and Trichuris trichiura 2 (2%). Other parasites identified included Endolimax nana 39 (44%),Iodamoeba butschlii 25 (28%), Entamoeba hartmani 18 (21%),Entamoeba coli 12 (14%), and Chilomastix mesnili 3 (3.4%). Multiparasitism was very common. A second sampling of 94 symptomatic children at a BSH clinic in Queens confirmed an equally high rate (73%) of intestinal parasites among immigrant children, with the addition of Strongyloides stercoralis (2%) as an important pathogen. The impact of such infections on the health and development of the school-aged immigrant population in New York City needs to be better defined, as well as the need to consider stool examinations as part of the health evaluation of these children.

Enteropathogens Associated with Diarrhea among Military Personnel during Operation Bright Star 96, in Alexandria, Egypt

This study investigated the microbial causes of diarrheal disease among U.S. troops deployed near Alexandria, Egypt, during October 1995. Bacterial causes associated with 19 cases of diarrhea included: enterotoxigenic Escherichia coli (ETEC), 42% (21% heat-stable, 11% heat-labile, and 11% heat-stable/ heat-labile producers); enteropathogenic E. coli (5.3%); and enteroadherent E. coli (42%). Four cases of diarrhea were associated with enteroaggregative E. coli based on probe analysis for enteroaggregative heat-stable enterotoxin 1. Protozoan causes included; Entamoeba histolytica (11%), E. hartmanni (5%), E. nana (5%), Blastocystis hominis (5%), Chilomastix mesnili (11%), Dientamoeba fragilis (5%), Entamoeba coli (5%), and Cryptosporidium (5%). Shigella, Aeromonas, Plesiomonas, Vibrio, Campylobacter, and Salmonella were not detected. Of the eight ETEC cases, one was colonization factor antigen (CFA)/I only, one was both CFA/I and CFA/III, three were CFA/II, two were CFA/IV, and two were CFA-negative. Antibiograms of the ETEC and enteroadherent E. coli strains showed that all isolates were susceptible to norfloxacin, ciprofloxacin, and nalidixic acid but resistant to ampicillin, tetracycline, chloramphenicol, and sulfamethoxazole.

A case report of an overseas-traveler's diarrhea probably caused by Chilomastix mesnili infection.

Many active flagellates were detected in stool samples of a 22-year-old Japanese male who traveled China and India. Microscopic observation showed that the organisms stained with Wright's solution were pyriform or rounded in shape, measuring 11.7-17.5 pm in length and 7.9-f2.2 pm in width. The posterior end was pointed. Three free anterior flagella were located in the front end. A spherical nucleus was situated near the anterior pole. Based on these morphological features we identified the organisms as trophozoites of Chilomastix mesnili, a common intestinal protozoon. Although we examined viral, bacterial and parasitic infections other than C.mesnili, no pathogen was found. From these results obtained, it was considered to be highly probable that C. mesnili infection was the cause of the diarrhea.

The prevalence of Giardia and other intestinal parasites in children, dogs and cats from Aboriginal communities in the Kimberley

To determine the prevalence of Giardia duodenalis and other intestinal parasites in children, dogs and cats from Aboriginal communities in the west Kimberley region of Western Australia. A four-year parasitological survey of faecal specimens from humans and faecal and intestinal specimens from dogs and cats. Local hospital servicing Aboriginal communities surveyed in this study and the Veterinary School, Murdoch University. Children (under 14 years) and adults, as well as dogs and cats, from five Aboriginal communities. G. duodenalis was the most prevalent parasite in children and adults (32.1% in children, n = 361; 12.5% in adults, n = 24). Human infections with Hymenolepis nana (20.5%) and Entamoeba coli (13.0%) were also common. Ancylostoma duodenale (1.3%), Pentatrichomonas hominis (1.0%), Chilomastix mesnili (0.52%), Entamoeba hartmanni (0.52%), Sarcocystis sp. (0.52%), Trichuris trichiura (0.26%), Enterobius vermicularis (0.26%), Strongyloides stercoralis (0.26%) and Isospora belli (0.26%) were present at low rates. Dogs were most commonly infected with Ancylostoma caninum (51.1%) and G. duodenalis (17.0%). Cats were found to have a high prevalence of Ancylostoma tubaeforme (18.2%), Toxoplasma gondii (18.2%), Isospora felis (15.1%) and Spirometra erinacei (15.1%). This study has shown that children from Aboriginal communities in the west Kimberley region of Western Australia, particularly in the age group one to five years, are commonly infected with intestinal parasites. The dogs and cats in these communities are also infected. The high prevalence rates of Giardia and other enteric parasites in this survey are indicative of poor living conditions and low levels of hygiene. In addition, the high prevalence of hookworm and Giardia infection in dogs and hookworm and Toxoplasma infection in cats is of potential zoonotic significance for humans in these communities.

A field and laboratory evaluation of a commercial ELISA for the detection of Giardia coproantigens in humans and dogs

A capture enzyme linked immunosorbent assay (ELISA ®) was evaluated for its ability to detect Giardia coproantigens in the faeces of humans and dogs in the Perth metropolitan area and Aboriginal communities in Fitzroy Crossing, Western Australia. Using zinc sulphate flotation and light microscopy, Giardia cysts and/or trophozoites were observed in 8 of 57 (14%) human stool samples from Perth and 21 of 55 (38%) stool samples from Fitzroy Crossing, after 2 separate examinations. Analysis of diagnostic sensitivity using the ELISA revealed that coproantigens were detected in all 29 human samples (100%) in which Giardia cysts and/or trophozoites were also present. Coproantigens were detected in one further sample from Perth and in 3 samples from Fitzroy Crossing in which no Giardia cyst or trophozoite was observed. The specificity of the test, as defined using Fitzroy Crossing samples free from Giardia, was 91%. The assay did not crossr-eact with Giardia-free stool samples containing Hymenolepis nana, Entamoeba coli, E. hartmanni, Chilomastix mesnili or Ancylostoma duodenale. Giardia cysts and/or trophozoites were also observed in 11 of 32 dog faecal samples (34%) in Perth and 11 of 29 dog samples (38%) in Fitzroy Crossing, after one zinc sulphate examination. The sensitivity of the ELISA for dogs was 64% and 55% for Perth and Fitzroy Crossing specimens respectively. The specificity was 95% when Fitzroy Crossing samples were used. Other parasites observed in Giardia-free faecal samples from dogs which did not produce a positive reaction with the kit were Ancylostoma caninum, Sarcocystis sp. and Isospora sp. The assay was tested under field conditions, in Fitzroy Crossing, where the results were read visually and were shown to correlate well with results obtained using spectrophotometry. Giardia coproantigens present in human stools remained detectable by the ELISA even after storage untreated at 25 °C for 8 d.

Longitudinal study of young children in Kenya: Intestinal parasitic infection with special reference to Giardia lamblia, its prevalence, incidence and duration, and its association with diarrhoea and with other parasites

84 young children from a rural community, Nderu, in Kenya, were each followed for up to 10 months, from January to November 1987. Their ages ranged from 10 to 28 months over the period of study. Stools were obtained once a week, as were reports from the mothers about presence of abdominal complaints, including diarrhoea. A total of 2258 stools and 1873 reports were collected. 9 parasites were commonly encountered of which Giardia lamblia was the most frequent at 44.7%. The overall estimated number of new Giardia episodes per year per child was 2.77±2.22 SD and the mean estimated duration of infection was 75.25±73.84 SD days per child. The mean proportion of positive visits per child was 0.42±0.25 SD. Giardia trophozoites, Trichomonas hominis, Chilomastix mesnili, Entamoeba histolytica, Blastocystis hominis and Hymenolepis nana were all significantly associated with unformed stools and reports of diarrhoea. There was a significant probability of finding Giardia in stool within ±2 weeks of a report of diarrhoea. Poly-parasitism was common and several paired associations were significantly positive, particularly between species of amoebae. Quantity of Giardia in stool (expressed as a 0 to 5+ score) was suppressed both by type and number of other parasites present.

A survey of gastrointestinal parasites in Ogun State, southwest Nigeria.

To study the epidemiology of intestinal parasites in Ogun State, Nigeria, 479 stool specimens were examined at a hospital in Abeokuta during the rainy season in June 1986. Intestinal helminths and/or protozoa were present in 297 samples (62%). 41.1% of the specimens showed a single infection, 34% showed double, 20% triple and 5% quadruple infection. The most commonly found worm was Ascaris lumbricoides (in 40% of specimens), followed by Trichuris trichiura (23.2%), hookworms (19.2%), Strongyloides stercoralis (2.1%) and Dicrocoelium sp. (0.4%). Pathogenic protozoa found were Entamoeba histolytica (7%), Giardia intestinalis (4.2%), Blastocystis hominis (2.5%) and Cryptosporidum sp. (2.3%). The apathogenic protozoa Entamoeba coli, Chilomastix mesnili, Trichomonas hominis and Iodamoeba buetschlii were also seen.

Acute diarrhoea associated with Cryptosporidium sp in Belém, Brazil (preliminary report).

Cryptosporidium sp was detected in faeces from three children suffering from acute diarrhoea. In two cases no other concomitant agents were detected and in a 3rd. this agent was associated with Entamoeba histolytic, Entamoeba coli, Endolimax nana, Chilomastix mesnili and Pentatricbomonas hominis.