Giardiasis and Other Parasitic Infections

  • Joseph G. Lurio

Abstract

Parasitic infection is a major cause of morbidity and mortality worldwide. In the United States it has generally been treated as an exotic sideline to general medicine, relevant primarily to international travelers. With increasing immigration of refugee populations from Third World countries, however, various pathogens that were previously rare in the United States are being found to be endemic, not only in newly arrived but also in established immigrant communities.1 In addition, in populations experiencing the onslaught of the acquired immunodeficiency syndrome (AIDS), parasites previously thought to be benign are being reclassified as pathogens, and patients who have been asymptomatic carriers of small burdens of infection can become overwhelmed as their immune systems deteriorate.2 Therefore familiarity with the field of parasitology has become an important part of the family practitioner’s job. This chapter does not attempt to comprehensively cover all diagnosis and treatment of parasitic infection. Instead it attempts to provide a strategy with which to approach potential parasitic infection.

Keywords

Human Immunodeficiency Virus Infection Parasitic Infection Visceral Leishmaniasis Hydatid Disease Cutaneous Leishmaniasis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Molina CD, Molina MM, Molina JCM. Intestinal parasites in SE Asian refugees two years after immigration. West J Med 1988; 149: 422–5.PubMedGoogle Scholar
  2. 2.
    Lockwood DNJ, Weber JN. Parasitic infection in AIDS. Parasitol Today 1989;5:310–16.PubMedCrossRefGoogle Scholar
  3. 3.
    Drugs for parasitic infections. Med Lett Drugs Ther 1992;34:17–26.Google Scholar
  4. 4.
    Weiler PR Protozoan infections. Sci Am 1992;7(34):l-22.Google Scholar
  5. 5.
    Weiler PR Helminthic infections. Sci Am 1992;7(35):l-20.Google Scholar
  6. 6.
    Weiler PR Eosinophilia. J Allergy Clin Immunol 1984;73:1.CrossRefGoogle Scholar
  7. 7.
    Edman JC, Kovacs JA, Masur H, et al. Ribosomal RNA sequence shows Pneumocystis carinii to be a member of the fungi. Nature 1988;334:519–22.PubMedCrossRefGoogle Scholar
  8. 8.
    US Public Health Service, Centers for Disease Control. Health information for international travel 1992. Washington, DC: US Government Printing Office, HHS Publ. No. (CDC) 92–8280. [The 1993 edition is numbered 93–8280. It can be ordered by calling 202–783–3238.]Google Scholar
  9. 9.
    Jones CA, Abadie SH. Studies in human strongyloidiasis. II. A comparison of the efficiency of diagnosis by examination of feces and duodenal fluid. Am J Clin Pathol 1954;24:1154–8.PubMedGoogle Scholar
  10. 10.
    Nutman TB, Ottesen EA, Ieng S, et al. Eosinophilia in Southeast Asian refugees: evaluation at a referral center. J Infect Dis 1987; 155:309–13.PubMedCrossRefGoogle Scholar
  11. 11.
    Lurio J, Verson H, Karp S. Intestinal parasites in Cambodians: comparison of diagnostic methods used in screening refugees with implications for treatment of populations with high rates of infestation. J Am Board Fam Pract 1991;4:71–78.PubMedGoogle Scholar
  12. 12.
    Subcommittee on Laboratory Standards, Committee on Education, American Society of Parasitologists. Procedures suggested for use in examination of clinical specimens for parasitic infection. J Parasitol 1977;63:959–60.Google Scholar
  13. 13.
    Kuppus KK Juranek DD, Roberts JM. Results of testing for intestinal parasites by state diagnostic laboratories, United States, 1987. MMWR 1992;x:No. SS4.Google Scholar
  14. 14.
    Scheurlen C, Kruis W Crohn’s disease is frequently complicated by giardiasis. Scand J Gastroenterol 1988;23:833–9.PubMedCrossRefGoogle Scholar
  15. 15.
    Addiss DG, Mathews HM, Stewart JM, et al. Evaluation of a commercially available enzyme linked immunosorbent assay for Giardia lamblia antigen in stool. J Clin Microbiol 1991 ;29:1137–42.PubMedGoogle Scholar
  16. 16.
    Steketee RW, Reid S, Cheng TT, Stoebig JS, Harrington RG, Davis JP. Recurrent outbreaks of giardiasis in a child day care center, Wisconsin. Am J Public Health 1989;79:485–90.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Joseph G. Lurio

There are no affiliations available

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