I. The problem of strongyloidiasis among the mentally retarded in institutions
| Autor: | Bernard Tesse, Harry Most, Meir Yoeli, Harold H. Berman |
|---|---|
| Rok vydání: | 1963 |
| Předmět: |
Hospitals
Psychiatric medicine.medical_specialty Pediatrics Abdominal pain Adolescent Persons with Mental Disabilities Statistics as Topic New York Sprue Strongyloides stercoralis Intellectual Disability Humans Medicine Eosinophilia Child Cross Infection biology business.industry Incidence (epidemiology) Dithiazanine Public Health Environmental and Occupational Health General Medicine medicine.disease biology.organism_classification Hospitals Surgery Diarrhea Infectious Diseases Strongyloidiasis Communicable Disease Control Parasitology medicine.symptom business Emaciation |
| Zdroj: | Transactions of the Royal Society of Tropical Medicine and Hygiene. 57:336-345 |
| ISSN: | 0035-9203 |
| DOI: | 10.1016/0035-9203(63)90096-8 |
| Popis: | 1. 1) A survey on parasitism in an institution for the mentally retarded showed Strongyloides stercoralis as a major cause of chronic diarrhoea. 2. 2) Stool examinations of 1,437 severely retarded patients revealed 255 carriers of S. stercoralis (17.7 per cent.) The cases were concentrated in wards which house patients of the lowest I.Q., and who have the most primitive patterns of behaviour. A close relationship between the habits of the individual and the incidence of Strongyloides infection in the wards was clearly established. 3. 3) The clinical signs and manifestations of endemic strongyloidiasis in the patients of the institution were dermal lesions, diarrhoea, abdominal pain, loss of weight and weakness, upper respiratory symptoms and, in severe cases, pronounced emaciation. Eighteen per cent. of the S. stercoralis -harbouring patients had clay-coloured sprue type stools. Eosinophilia of varying degrees was observed in these patients. Anaemia, however, was rare. 4. 4) Strongyloidiasis under conditions prevailing on the wards among the severely retarded was a strictly contaminative indoor infection. 5. 5) S. stercoralis was not found in any of the stool examinations of 258 employees who work in close contact with infected patients on the endemic wards. 6. 6) Dithiazanine treatment in a 2-weeks' course effected a clinical cure and parasite elimination in 94 per cent. of 168 treated cases for a period of 9 months. 7. 7) The problem of strongyloidiasis among the severely retarded patients in institutions, the hazards of its spread and the factors influencing its indoor propagation are discussed in the light of the findings of the present survey. |
| Databáze: | OpenAIRE |
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