Parasites, Hosts and Diseases

"Nepal"

Case Report

An Autochthonous Human Case of Fasciolopsiasis in Nepal: Ranjit Sah, Michele Calatri, Rafael Toledo; Korean J Parasitol 2019;57(3):295-298.
Published online June 30, 2019; DOI: https://doi.org/10.3347/kjp.2019.57.3.295

Abstract
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Fasciolopsiasis is rarely known as the parasitic disease in Nepal. Herein, we report a case of fasciolopsiasis in a 22-year-old man who was admitted in the hospital with abdominal pain, distension and loss of appetite for a month. He had previously diagnosed with acute viral hepatitis but, his abdominal pain was not resolving despite improvement in his liver function and general condition. During endoscopy an adult digenean worm was seen in the first part of the duodenum. After isolation, the worm was identified morphologically as Fasciolopsis buski. Microscogic examination of the patient’s stool revealed eggs with a morphology consistent with F. buski. Eggs were yellow-brown, ellipsoidal, unembmbryonated, operculated, filled with yolk cells, with thin shell and ranging 118-130 ?m in length and 60-69 ?m in width. The abdominal pain of the patient was resolved after treatment with praziquantel. By the present study, it was confirmed for the first time that fasciolopsiasis is indigenously transmitted in Nepal. Accordingly, the epidemiological studies in humans and reservoir host animals should be performed intensively in near future.

Citations

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Brief Communication

A small-scale survey on the status of intestinal parasite infections in rural villages in Nepal: Tai-Soon Yong, Seobo Sim, Jongweon Lee, Heechoul Ohrr, Myung-Ho Kim, Hyunsoo Kim; Korean J Parasitol 2000;38(4):275-277.
Published online December 31, 2000; DOI: https://doi.org/10.3347/kjp.2000.38.4.275

Abstract
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The status of intestinal parasite infections was investigated in two rural villages (Chitrasar, Jerona) in Chitwan District, Nepal in 1999. Stool examination was performed with a total of 300 specimens from schoolchildren by formalin-ether sedimentation technique. The prevalence rate of intestinal parasite infections in the surveyed areas was 44.0%. The prevalence rate in Jerona was slightly higher than that in Chitrasar. The prevalence rate of intestinal parasite infections in female was slighly higher than that in male without statistically significant difference. Entamoeba coli was the most commonly found protozoan parasite (21.0%) followed by Giardia lamblia (13.7%) and others (5.3%). Hookworm was the most prevalent intestinal helminth (13.0%) followed by Trichuris trichiura (3.0%) and others (5.0%). Forty-three specimens (14.3%) showed mixed infections. It is necessary to implement large-scale treatment with anthelminthics, health education and sanitary improvement for intestinal parasite control in the surveyed areas.

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