Diagnosis of parasitic infection requires an epidemiological history and the correlation ot clinical and laboratory findings so that commensal infection can be differentiated from disease process. With malaria, the preparation of blood films and their staining in an alkaline medium is important. The specific identification of the parasite depends on the experience of the pathologist, keeping in mind that the diagnosis of the young malaria ring is difficult. In demonstrating drug resistance ot a particular strain of malaria parasite, serial parasite counts are necessary. The demonstration of Entamoeba histolytica (and other alimentary protozoa) may depend upon the intensity and frequency of examination although the finding of E. histolytica is indicative of clinical amoebiasis only under certain circumstances. Full assessment of metozoan infections requircs specialized techniques including quantitation by egg counting. For example, the excretion of 1,000 hookworm eggs g. of stool is not significant but the excretion of, say, 150,000 eggs g. of stool may indicate a mortal infection. Reference was made to the use and limitations of serology in the diagnosis of parasitic diseases. Serological procedures are often requested unnecessarily, because of a lack of understanding of the disease process.
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