Parasites in Duodenal Aspirate using Endoscopy in Sohag, Egypt
El-Hady, H., Abd-Elmaged, S., Abd-Elmawgood, A., Ahmed, S. (2018). Parasites in Duodenal Aspirate using Endoscopy in Sohag, Egypt. EKB Journal Management System, 22(3), 239-244. doi: 10.21608/smj.2018.34032
Hanaa Ahmed El-Hady; Samir Abd-Elmaged; Amal Ahmed Abd-Elmawgood; Salwa Gamal Ahmed. "Parasites in Duodenal Aspirate using Endoscopy in Sohag, Egypt". EKB Journal Management System, 22, 3, 2018, 239-244. doi: 10.21608/smj.2018.34032
El-Hady, H., Abd-Elmaged, S., Abd-Elmawgood, A., Ahmed, S. (2018). 'Parasites in Duodenal Aspirate using Endoscopy in Sohag, Egypt', EKB Journal Management System, 22(3), pp. 239-244. doi: 10.21608/smj.2018.34032
El-Hady, H., Abd-Elmaged, S., Abd-Elmawgood, A., Ahmed, S. Parasites in Duodenal Aspirate using Endoscopy in Sohag, Egypt. EKB Journal Management System, 2018; 22(3): 239-244. doi: 10.21608/smj.2018.34032

Parasites in Duodenal Aspirate using Endoscopy in Sohag, Egypt

Sohag Medical Journal
Article 28, Volume 22, Issue 3, October 2018, Page 239-244  XML PDF (66.35 K)
Document Type: Original Article
DOI: 10.21608/smj.2018.34032
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Authors
Hanaa Ahmed El-Hady1; Samir Abd-Elmaged2; Amal Ahmed Abd-Elmawgood1; Salwa Gamal Ahmed1
1Departments of Medical Parasitology, Faculty of Medicine, Sohag University
2Departments of General Surgery, Faculty of Medicine, Sohag University
Abstract
Background and study aim:Gastrointestinal parasites cause infectious diseases. Parasitic infection of duodenum is a relevant cause of its inflammation and appearance of upper GIT manifestation, especially in developing countries. Examination of duodenal aspirates can be very helpful in diagnosing intestinal infection because it eliminates some of the problems inherent in stool examination. The aim of this study was to estimate the prevalence of parasites in duodenal aspirate obtained by upper gastrointestinal tract endoscopy.
Subjects and methods: This cross-sectional study was conducted from March 2017 to March 2018 in sohag university hospital and Center of the digestive system. It was done on 100 patients who underwent Esophago-gastro-duodenoscopy. A total of 100 duodenal aspirate samples were collected from patients were subjected to Esophagogastroduodenoscopy for diagnostic or therapeutic reason. All cases were reviewed as regard age, sex. Cases with parasitic infestations were characterized regarding the mentioned variables. 
Results:  60 % of duodenal aspirate samples were positive. Monoparasitized patients constituted 38% (38/100) of patients while 22% were polyparasitized. There were 44 patients (44%) of Cryptosporidium infection, 21 patients (21%) of Blastocystis hominis infection, 11 patients (11%) of Cyclospora infection, 8 patients (8%) of Giardia lamblia infection.
Conclusion:  We concluded that the duodenal aspirate samples obtained during gastrointestinal endoscopic procedures helped in diagnosing the parasites. 
Keywords
Intestinal parasites; duodenal aspirate; Esophagogastroduodenoscopy
References
  1. Hotez, P. J. (2008). The giant anteater in the room: Brazil's neglected tropical diseases problem. PLoS Negl Trop Dis, 2(1), e177.
  2. Hotez, P. J. (2007). Neglected diseases and poverty in “The Other America”: the greatest health disparity in the United States? PLoS Negl Trop Dis, 1(3), e149.
  3. Hotez, P. J., & Kamath, A. (2009). Neglected tropical diseases in sub-Saharan Africa: review of their prevalence, distribution, and disease burden. PLoS Negl Trop Dis, 3(8), e412.
  4. Brooker, S., Clements, A. C., & Bundy, D. A. (2006). Global epidemiology, ecology and control of soil-transmitted helminth infections. Advances in parasitology, 62, 221-261.
  5. Santos, R. B. d., Fonseca Jr, L. E., Santana, A. T. d. A., Silva, C. A. C., & Guedes, J. C. (2011). Clinical, endoscopic and histopathological profiles of parasitic duodenitis cases diagnosed by upper digestive endoscopy. Arquivos de gastroenterologia, 48, 225-230.
  6. el Sheikh Mohamed, A. R., al Karawi, M. A., & Yasawy, M. I. (1991). Modern techniques in the diagnosis and treatment of gastrointestinal and biliary tree parasites. Hepato-gastroenterology, 38(2), 180-188.
  7. Kato, T., Kamoi, R., Iida, M., & Kihara, T. (1997). Endoscopic Diagnosis of Hookworm Disease of the Duodenum. Journal of Clinical Gastroenterology, 24(2), 100-102.
  8. Wahnschaffe, U., Ignatius, R., Loddenkemper, C., Liesenfeld, O., Muehlen, M., Jelinek, T., Schneider, T. (2007). Diagnostic value of endoscopy for the diagnosis of giardiasis and other intestinal diseases in patients with persistent diarrhea from tropical or subtropical areas. Scandinavian journal of gastroenterology, 42(3), 391-396.
  9. Bhaijee, F., Subramony, C., Tang, S.-J., & Pepper, D. J. (2011). Human immunodeficiency virus-associated gastrointestinal disease: common endoscopic biopsy diagnoses. Pathology research international, 2011.
  10. Garcia, L. S. (2002). Laboratory identification of the microsporidia. J Clin Microbiol, 40(6), 1892-1901.
  11. El-Badry, A. A., Al-Ali, K. H., & Mahrous, A.-R. S. (2010). Molecular Identification & Prevalence Of Giardia Lamblia & Cryptosporidium In Duodenal Aspirate In Al-Madinah. microscopy, 14, 15.
  12. Blakelock, R. T., & Beasley, S. W. (2003). Infection and the gut. Seminars in Pediatric Surgery, 12(4), 265-274.
  13. Mahdi, N., & Taha, S. (2002). The Efficiency of Duodenal Aspirate in the Diagnosis of Parasitosis and Candidiasis. Qatar Medical Journal, 2002(2), 14.
  14. Youssef, A. I., & Uga, S. (2014). Review of parasitic zoonoses in Egypt. Tropical medicine and health, 42(1), 3-14.
  15. Petersen, C. (1993). Cellular biology of Cryptosporidium parvum. Parasitology Today, 9(3), 87-91.
  16. Fouad, S. A., Esmat, S., Basyoni, M. M. A., Farhan, M. S., & Kobaisi, M. H. (2014). Molecular Identification of Giardia intestinalis in Patients with Dyspepsia. Digestion, 90(1), 63-71.
  17. Jahani, M., Shafiee, R., Safavi, P., Rezaian, M., Amini, M., Ebrahimi, D. N., Shirzad, H. (2008). Prevalence of small bowel protozoan among dyspeptic patients who underwent upper gastrointestinal endoscopy (Tehran 2004-2006). Journal of Babol University of Medical Sciences, 10(1), 60-66.
  18. Hill, D. R., & Nash, T. E. (2007). Giardia lamblia. Principles and practice of infectious diseases, 2, 2888-2892.
  19. Kaya, S., Cetin, E. S., Aridogan, B., Arikan, S., & Demirci, M. (2007). Pathogenicity of Blastocystis hominis, a clinical reevaluation. Turkiye Parazitol Derg, 31(3), 184-187.
  20. Sio, S. W. S., Puthia, M. K., Lee, A. S. Y., Lu, J., & Tan, K. S. W. (2006). Protease activity of Blastocystis hominis. Parasitology Research, 99(2), 126-130.
  21. Sulaiman, I. M., Ortega, Y., Simpson, S., & Kerdahi, K. (2014). Genetic characterization of human-pathogenic Cyclospora cayetanensis parasites from three endemic regions at the 18S ribosomal RNA locus. Infection, Genetics and Evolution, 22, 229-234.
  22. Zimmer, S. M., Schuetz, A. N., & Franco-Paredes, C. (2007). Efficacy of Nitazoxanide for Cyclosporiasis in Patients with Sulfa Allergy. Clinical infectious diseases, 44(3), 466-467.
  23. Connor, B. A., Shlim, D. R., Scholes, J. V., Rayburn, J. L., Reidy, J., & Rajah, R. (1993). Pathologic changes in the small bowel in nine patients with diarrhea associated with a coccidia-like body. Annals of Internal Medicine, 119(5), 377-382.
 

 

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