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High prevalence of liver and intestinal fluke infections among residents of Savannakhet Province in Laos
Authors:Chai Jong-Yil  Han Eun-Taek  Guk Sang-Mee  Shin Eun-Hee  Sohn Woon-Mok  Yong Tai-Soon  Eom Keeseon S  Lee Keon-Hoon  Jeong Hoo-Gn  Ryang Yong-Sang  Hoang Eui-Hyug  Phommasack Bounlay  Insisiengmay Bounnaloth  Lee Soon-Hyung  Rim Han-Jong
Institution:Department of Parasitology and Tropical Medicine, Seoul National University College of Medicine, and Institute of Endemic Diseases, Seoul National University Medical Research Center, Seoul 110-799, Korea. cjy@snu.ac.kr
Abstract:The prevalence of liver and intestinal fluke infections was surveyed on residents of Savannakhet Province, Laos. Fecal specimens were collected from a total of 981 residents in 4 Mekong riverside villages and examined by the Kato-Katz thick smear technique. The results revealed that the overall helminth egg positive rate was 84.2%, and the positive rate for small trematode eggs, including Opisthorchis viverrini, heterophyids, or lecithodendriids, was 67.1%. To obtain adult flukes, 38 small trematode egg positive cases were treated with a 20-30 mg/kg single dose of praziquantel and purged. Diarrheic stools were then collected from 29 people and searched for helminth parasites using stereomicroscopes. Mixed infections with O. viverrini and 6 kinds of intestinal flukes were found, namely, Haplorchis taichui, Haplorchis pumilio, Haplorchis yokogawai, Prosthodendrium molenkampi, Phaneropsolus bonnei, and echinostomes. The total number of flukes collected was 7,693 specimens (av. no. per treated person; 265.3). The most common species was O. viverrini, followed by H. taichui, P. molenkampi, echinostomes, H. pumilio, P. bonnei, and H. yokogawai. The results indicate that foodborne liver and intestinal fluke infections are prevalent among residents of Savannakhet Province, Laos.
Keywords:Opisthorchis viverrini  Haplorchis taichui  Prosthodendrium molenkampi  Phaneropsolus bonnei  prevalence  Savannakhet Province  Laos
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