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Susilawathi NM, Suryapraba AAA, Soejitno A, Asih MW, Swastika K, Wandra T, Budke CM, Ito A, Sudewi AAR. Neurocysticercosis cases identified at Sanglah Hospital, Bali, Indonesia from 2014 to 2018. Acta Trop 2020; 201:105208. [PMID: 31589829 DOI: 10.1016/j.actatropica.2019.105208] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2019] [Revised: 10/03/2019] [Accepted: 10/03/2019] [Indexed: 02/07/2023]
Abstract
Neurocysticercosis (NCC) was first reported in the province of Bali, Indonesia in 1975. Since this time, sporadic cases have been reported annually. This study reports information on 29 NCC cases (20 males and 9 females) admitted to a referral hospital in Denpasar, Bali from 2014 until 2018. Twenty-four cases were from Bali, 2 were from the province of East Nusa Tenggara, and 3 were from the Democratic Republic of Timor-Leste. Mean patient age was 37.2 years and 69.0% (20/29) were male. Epileptic seizures were the most common clinical manifestation (65.5%, 19/29). Serology (ELISA) was used in 14 cases (48.2%, 14/29), but only 6 cases, including one case with an inactive calcified lesion, were positive (42.9%, 6/14). Two cases underwent surgical resection after their lesions were initially misdiagnosed as brain tumors. These hospital-based findings are discussed along with the present status of NCC in Bali.
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Ito A, Li T, Wandra T, Dekumyoy P, Yanagida T, Okamoto M, Budke CM. Taeniasis and cysticercosis in Asia: A review with emphasis on molecular approaches and local lifestyles. Acta Trop 2019; 198:105075. [PMID: 31295430 DOI: 10.1016/j.actatropica.2019.105075] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2019] [Revised: 05/14/2019] [Accepted: 07/05/2019] [Indexed: 02/07/2023]
Abstract
Taeniasis is an important parasitic condition in Asia, especially since all three human-infecting Taenia spp., Taenia solium, Taenia saginata, and Taenia asiatica are found in this region. These three species are believed to be sympatrically distributed, with the largest disease burden found in remote and rural areas where people raise pigs and cattle in a traditional manner. Recent studies revealed that T. asiatica and T. saginata are genetically-related sister species that are not completely reproductively isolated from each other. Current evidence indicates that most T. asiatica adult worms are hybrid-derived descendants. Moving forward, nuclear DNA analysis will be critical in further assessing the species circulating locally. Lifestyle choices, such as the consumption of undercooked meat, are important in maintaining the life cycles of these parasites. In addition, poor hygiene and sanitation, in highly endemic areas, make disease control difficult, resulting in the need for sustainable education programs. An overview of the present situation of taeniasis and cysticercosis in Asia is provided, followed by a discussion of molecular approaches to species assessment and the impact of human lifestyles on parasite transmission.
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Affiliation(s)
- Akira Ito
- Department of Parasitology and Laboratory of NTDs, Asahikawa Medical University, Asahikawa, Japan.
| | - Tiaoying Li
- Institute of Parasitic Diseases, Sichuan Centers for Disease Control and Prevention, Chengdu, People's Republic of China
| | - Toni Wandra
- Directorate of Postgraduate, Sari Mutiara Indonesia University, Medan, Indonesia
| | - Paron Dekumyoy
- Department of Helminthology, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | - Tetsuya Yanagida
- Laboratory of Veterinary Parasitology, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi, Japan
| | - Munehiro Okamoto
- Center for Human Evolution Modeling Research, Primate Research Institute, Kyoto University, Inuyama, Japan
| | - Christine M Budke
- Department of Veterinary Integrative Biosciences, College of Veterinary Medicine & Biomedical Sciences, Texas A & M University, College Station, Texas, USA
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Sutisna P, Kapti IN, Wandra T, Dharmawan NS, Swastika K, Raka Sudewi A, Susilawathi NM, Sudarmaja IM, Yanagida T, Okamoto M, Yoshida T, Donadeu M, Lightowlers MW, Ito A. Towards a cysticercosis-free tropical resort island: A historical overview of taeniasis/cysticercosis in Bali. Acta Trop 2019; 190:273-283. [PMID: 30385216 DOI: 10.1016/j.actatropica.2018.10.012] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2018] [Revised: 10/27/2018] [Accepted: 10/27/2018] [Indexed: 12/22/2022]
Abstract
Taeniasis and cysticercosis are known to be endemic in several Indonesian islands, although relatively little recent epidemiological data are available. As most Indonesian people are Muslims, taeniasis/cysticercosis caused by the pork tapeworm, Taenia solium, has a restricted presence in non-Muslim societies and is endemic only among some Hindu communities on the island of Bali. Bali has long been known to be endemic for taeniasis/cysticercosis; almost a century ago levels of cysticercosis of 20-30% were described in cattle and 2-3% in pigs. Few studies of taeniasis/cysticercosis were undertaken in Bali prior to a series of research programs commenced since the 1990s. Both Taenia saginata and T. solium continue to be endemic in Bali. Molecular studies have revealed that all T. saginata-like tapeworms detected in Bali are T. saginata. No evidence has been found for the presence of Taenia asiatica in Bali. Economic, sanitary and education improvements across much of the island over the past decades have been associated with a decline in the amount of transmission of T. solium such that the parasite now seems to be restricted to the eastern part of the island, a small area on the northeastern slope of Mt. Agung, the highest mountain in Bali. The living environment including sanitation and hygiene condition in this endemic area remains relatively poor especially during the half-year dry season, and pigs continue to roam freely. In this review, historical records and ongoing projects towards elimination of taeniasis/cysticercosis in Bali are reviewed to provide a better understanding of the present situation of taeniasis/cysticercosis in Bali towards a future, cysticercosis-free tropical resort island.
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Swastika K, Wandra T, Dharmawan NS, Sudarmaja IM, Saragih JM, Diarthini LPE, Ariwati L, Damayanti PAA, Laksemi DAAS, Kapti N, Sutisna P, Yanagida T, Ito A. Taeniasis caused by Taenia saginata in Gianyar town and Taenia solium in Karangasem villages of Bali, Indonesia, 2011-2016: How to detect tapeworm carriers, anamnesis or microscopy? Acta Trop 2017. [PMID: 28634145 DOI: 10.1016/j.actatropica.2017.06.013] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
From January 2011 until September 2016, screening of taeniasis carriers was carried out in a town in Gianyar District (Taenia saginata) and in villages which consisted of several Banjars (the smallest community units) on the eastern slope of Mt. Agung, Karangasem District (Taenia solium) in Bali, Indonesia. Fecal samples from all community members who chose to participate were examined microscopically for detection of taeniid eggs each person completedwith a questionnaire to determine if they had seen whitish, noodle-like proglottids (anamnesis) in their feces. Members with egg positive feces, and those with anamnesis, were treated with niclosamide (Yomesan®, Bayer). A total of 39T. saginata tapeworm carriers were confirmed in Gianyar after deworming based on anamnesis (100%, 39/39). Only three of them (3/39, 7.7%) and 3/173 participants (1.7%) were identified by fecal microscopy. In contrast, 20T. solium carriers including one migrated to Gianyar were confirmed from 12 patients with eggs in their feces and from another 8 persons of 12 persons suspected to be infected due anamnesis only (8/12,66.7%) in Karangasem. The majority of carriers (12/20, 60.0%) identified by microscopy included 4 (33.3%) and 8 (66.7%) carriers confirmed microscopically with and without anamnesis, respectively. The prevalence rate was 12/1090 (1.10%) of participants. The results indicate that anamnesis is reliable for detection of T. saginata carriers, whereas it is not so reliable for detection of T. solium taeniasis (8/12, 66.7%) and that microscopy is more informative than anamnesis for T. solium. Eggs were detected more frequently in T. solium carriers (4/12, 33.3%) than in patients infected with T. saginata (3/39, 7.7%). T. solium carriers have so far been confirmed from nine of 13 Banjars examined in Karangasem. This study reveals that anamnesis is highly useful for screening of T. saginata carriers, whereas microscopy is a more valuable tool for detection of T. solium carriers.
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Swastika K, Dharmawan NS, Suardita IK, Kepeng IN, Wandra T, Sako Y, Okamoto M, Yanagida T, Sasaki M, Giraudoux P, Nakao M, Yoshida T, Eka Diarthini LP, Sudarmaja IM, Purba IE, Budke CM, Ito A. Swine cysticercosis in the Karangasem district of Bali, Indonesia: An evaluation of serological screening methods. Acta Trop 2016; 163:46-53. [PMID: 27480240 DOI: 10.1016/j.actatropica.2016.07.022] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2016] [Revised: 07/05/2016] [Accepted: 07/28/2016] [Indexed: 01/07/2023]
Abstract
A serological assessment was undertaken on pigs from the Kubu and Abang sub-districts of Karangasem on the island of Bali, Indonesia, where earlier studies had detected patients with cysticercosis. Antigens purified from Taenia solium cyst fluid by cation-exchange chromatography were used to evaluate antibody responses in the pigs and the serological tests were also evaluated using sera from pigs experimentally infected with T. solium eggs. A total of 392 serum samples from naturally exposed pigs were tested using an ELISA that could be read based on both a colour change perceptible by the naked eye and an ELISA based on absorbance values. Twenty six (6.6%) pigs were found seropositive by the naked-eye ELISA and were categorized into three groups: strongly positive (absorbance values >0.8, n=6), moderately positive (absorbance values between 0.2 and 0.8, n=7), and weakly positive (absorbance values <0.2, n=13). Necropsies performed on 11 strongly and moderately positive pigs revealed that six strongly positive pigs were infected either solely with T. solium cysticerci (n=3), or co-infected with both T. solium and Taenia hydatigena (n=3). Four moderately positive pigs were infected solely with T. hydatigena. No cysticerci were found in one pig that was moderately positive by the naked-eye ELISA. Two experimentally infected pigs became antibody positive by 6 weeks post-infection, whereas eight control pigs remained negative. An additional 60 pigs slaughtered at authorized abattoirs on Bali were tested using the same ELISA. All 60 pigs were seronegative with no evidence of Taenia infection at necropsy. The results confirm the presence of porcine cysticercosis on Bali and, while the serological responses seen in T. solium infected animals were much stronger than those infected with T. hydatigena, the diagnostic antigens are clearly not species specific. Further studies are necessary to confirm if it is possible to draw a cut off line for differentiation of pig infected with T. solium from those infected with T. hydatigena.
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Affiliation(s)
- Kadek Swastika
- Department of Parasitology, Faculty of Medicine' Udayana University, Denpasar, Bali, Indonesia; Department of Parasitology, Asahikawa Medical University, Asahikawa, Japan; Center for Human Evolution Modeling Research, Primate Research Institute, Kyoto University, Inuyama, Japan
| | - Nyoman Sadra Dharmawan
- Department of Parasitology, Faculty of Veterinary Medicine' Udayana University, Denpasar, Bali, Indonesia
| | - I Ketut Suardita
- Karangasem District Livestock, Fisheries and Marine Office Services, Bali, Indonesia
| | - I Nengah Kepeng
- Karangasem District Livestock, Fisheries and Marine Office Services, Bali, Indonesia
| | - Toni Wandra
- Directorate of Postgraduate, Sari Mutiara Indonesia University, Medan, North Sumatra, Indonesia
| | - Yasuhito Sako
- Department of Parasitology, Asahikawa Medical University, Asahikawa, Japan
| | - Munehiro Okamoto
- Center for Human Evolution Modeling Research, Primate Research Institute, Kyoto University, Inuyama, Japan
| | - Tetsuya Yanagida
- Laboratory of Parasitology, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yoshida, Japan
| | - Mizuki Sasaki
- Department of Parasitology, Asahikawa Medical University, Asahikawa, Japan
| | - Patrick Giraudoux
- Chrono-environment Lab, UMR6249, University of Franche-Comté/CNRS and Institut Universitaire de France, Besançon, France
| | - Minoru Nakao
- Department of Parasitology, Asahikawa Medical University, Asahikawa, Japan
| | - Takahiko Yoshida
- Department of Health Science, Asahikawa Medical University, Asahikawa, Japan
| | - Luh Putu Eka Diarthini
- Department of Parasitology, Faculty of Medicine' Udayana University, Denpasar, Bali, Indonesia
| | - I Made Sudarmaja
- Department of Parasitology, Faculty of Medicine' Udayana University, Denpasar, Bali, Indonesia
| | - Ivan Elisabeth Purba
- Directorate of Postgraduate, Sari Mutiara Indonesia University, Medan, North Sumatra, Indonesia
| | - Christine M Budke
- Department of Veterinary Integrative Biosciences, College of Veterinary Medicine & Biomedical Sciences, Texas A&M University, College Station, TX, USA
| | - Akira Ito
- Department of Parasitology, Asahikawa Medical University, Asahikawa, Japan.
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Ito A, Yanagida T, Nakao M. Recent advances and perspectives in molecular epidemiology of Taenia solium cysticercosis. INFECTION GENETICS AND EVOLUTION 2015; 40:357-367. [PMID: 26112071 DOI: 10.1016/j.meegid.2015.06.022] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/02/2015] [Revised: 06/19/2015] [Accepted: 06/20/2015] [Indexed: 12/17/2022]
Abstract
Cysticercosis caused by accidental ingestion of eggs of Taenia solium is spreading all over the world through globalization and is one of the most neglected, neglected tropical diseases (NTDs) or neglected zoonotic diseases (NZDs). In the present study, the reason why T. solium cysticercosis has been neglected is discussed at first, and followed with an overview on the most recent advances and perspectives in molecular approaches for epidemiology of T. solium taeniasis/cysticercosis, since although taeniasis does not constitute recognized zoonoses, transmission and complete development are dependent on human definitive hosts. Main topics are discussions on (1) the two, Asian and Afro/American, genotypes of T. solium, (2) comparative analysis of mitochondrial (haploid) and nuclear (diploid) genes, and (3) the presence of hybrids of these two genotypes which indicates out-crossing of two genotypes in hermaphrodite tapeworms in Madagascar. Additional topics are on (4) the usefulness of phylogeographic analyses to discuss where the infection was acquired from, and (5) miscellaneous unsolved topics around these genetic diversity of T. solium.
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Affiliation(s)
- Akira Ito
- Department of Parasitology, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa 078-8510, Japan.
| | - Tetsuya Yanagida
- Department of Parasitology, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa 078-8510, Japan; Laboratory of Parasitology, Joint Faculty of Veterinary Medicine, Yamaguchi University, 1677-1 Yoshida, Yamaguchi 753-8515, Japan.
| | - Minoru Nakao
- Department of Parasitology, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa 078-8510, Japan.
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Wandra T, Swastika K, Dharmawan NS, Purba IE, Sudarmaja IM, Yoshida T, Sako Y, Okamoto M, Eka Diarthini NLP, Sri Laksemi DAA, Yanagida T, Nakao M, Ito A. The present situation and towards the prevention and control of neurocysticercosis on the tropical island, Bali, Indonesia. Parasit Vectors 2015; 8:148. [PMID: 25881045 PMCID: PMC4356148 DOI: 10.1186/s13071-015-0755-z] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2014] [Accepted: 02/18/2015] [Indexed: 12/21/2022] Open
Abstract
Neurocysticercosis (NCC), which is caused by accidental ingestion of eggs of the pork tapeworm, Taenia solium, was common in Bali, Indonesia until the early 1990s. However, improved education on hygiene and sanitation, a move to keeping pigs indoors, and improvement of economic and living conditions have substantially reduced the occurrence of NCC in Bali. Since 2011, T. solium tapeworm carriers (T. solium taeniasis) and heavily infected pigs and dogs have exclusively been detected from villages in mountainous regions of northeastern Bali where NCC and ocular cysticercosis (OCC) cases have also been identified. In response to this continued area of high infection, a one-day workshop was convened to discuss how to prevent and control this potentially lethal zoonotic parasitic infection in Bali. This review presents an overview of the current status of T. solium taeniasis and cysticercosis in Indonesia and proposes a strategy for the prevention and control of this zoonosis in Bali.
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Affiliation(s)
- Toni Wandra
- Sari Mutiara Indonesia University, Medan, North Sumatra, Indonesia.
| | - Kadek Swastika
- Department of Parasitology, Faculty of Medicine, University of Udayana, Denpasar, Bali, Indonesia.
- Department of Parasitology, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
- Section of Wildlife Diversity, Center for Human Evolution Modeling Research, Primate Research Institute, Kyoto University, Inuyama, Aichi, Japan.
| | - Nyoman S Dharmawan
- Department of Veterinary Parasitology, Faculty of Veterinary Medicine, University of Udayana, Denpasar, Bali, Indonesia.
| | | | - I Made Sudarmaja
- Department of Parasitology, Faculty of Medicine, University of Udayana, Denpasar, Bali, Indonesia.
| | - Takahiko Yoshida
- Department of Health Science, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
| | - Yasuhito Sako
- Department of Parasitology, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
| | - Munehiro Okamoto
- Section of Wildlife Diversity, Center for Human Evolution Modeling Research, Primate Research Institute, Kyoto University, Inuyama, Aichi, Japan.
| | | | | | - Tetsuya Yanagida
- Department of Parasitology, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
- Laboratory of Veterinary Parasitology, Joint Faculty of Veterinary Medicine, Yamaguchi University, Yoshida, Yamaguchi, Japan.
| | - Minoru Nakao
- Department of Parasitology, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
| | - Akira Ito
- Department of Parasitology, Asahikawa Medical University, Asahikawa, Hokkaido, Japan.
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Abstract
SUMMARYThe main aim of this study is to overview the past and present situations of human taeniases and cysticercosis in Indonesia and including future perspectives. Through joint projects from 1996, we have confirmed the occurrence ofTaenia saginata(beef tapeworm) in Bali, ofTaenia solium(pork tapeworm) mainly in Papua and sporadically in Bali, and ofTaenia asiaticain North Sumatra. These taeniases were caused through eating uncooked pork and pig viscera forT. soliumandT. asiatica, respectively, and beef forT. saginata. The distribution of these tapeworms in Indonesia is basically highly restricted by the traditional cultural and religious backgrounds in each island.T. saginatais relatively common in Bali although people consume pork ‘lawar’more than beef ‘lawar’. Taeniases due toT. saginataorT. asiaticaandT. soliumand cysticercosis due toT. soliumhave also been sporadically reported in some other islands. Among these species,T. soliumis exceptional since humans can be infected not only by larval stages (cysticerci) in pork but also by eggs released from human tapeworm carriers. Cysticercosis has been confirmed in Indonesia in humans, pigs and even dogs.
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Conlan JV, Sripa B, Attwood S, Newton PN. A review of parasitic zoonoses in a changing Southeast Asia. Vet Parasitol 2011; 182:22-40. [PMID: 21846580 DOI: 10.1016/j.vetpar.2011.07.013] [Citation(s) in RCA: 73] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Parasitic zoonoses are common and widely distributed in the Southeast Asian region. However, the interactions between parasites, hosts and vectors are influenced by environmental, socio-cultural and livestock production changes that impact on the distribution, prevalence and severity of disease. In this review we provide an update on new knowledge in the context of ongoing changes for the food-borne pig associated zoonoses Taenia solium and Trichinella spp., the food-borne trematodes Opisthorchis viverrini and Clonorchis sinensis, the water-borne trematodes Schistosoma spp., the vector-borne zoonotic protozoa Plasmodium knowlesi and Leishmania spp. and the soil-borne zoonotic hookworm Ancylostoma ceylanicum. These various changes need to be considered when assessing or developing regional control programs or devising new research initiatives in a changing SE Asia.
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Affiliation(s)
- James V Conlan
- School of Veterinary and Biomedical Sciences, Murdoch University, WA, Australia.
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Ito A, Okamoto M, Li T, Wandra T, Dharmawan NS, Swastika KI, Dekumyoy P, Kusolsuk T, Davvajav A, Davaasuren A, Dorjsuren T, Mekonnen SM, Negasi ZH, Yanagida T, Sako Y, Nakao M, Nakaya K, Lavikainen AJ, Nkouawa A, Mohammadzadeh T. The first workshop towards the control of cestode zoonoses in Asia and Africa. Parasit Vectors 2011; 4:114. [PMID: 21693001 PMCID: PMC3141742 DOI: 10.1186/1756-3305-4-114] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2011] [Accepted: 06/21/2011] [Indexed: 12/01/2022] Open
Abstract
The first workshop towards the control of cestode zoonoses in Asia and Africa was held in Asahikawa Medical University, Japan on 15 and 16 Feb 2011. This meeting was fully supported by the Asian Science and Technology Strategic Cooperation Promotion Programs sponsored by the Special Coordination Funds for Promoting Science and Technology, the Ministry of Education Japan (MEXT) for 3 years from 2010 to Akira Ito. A total of 24 researchers from 9 countries joined together and discussed the present situation and problems towards the control of cestode zoonoses. As the meeting was simultaneously for the establishment of joint international, either bilateral or multilateral collaboration projects, the main purposes were directed to 1) how to detect taeniasis/cysticercosis infected patients, 2) how to differentiate Taenia solium from two other human Taenia species, T. saginata and T. asiatica, 3) how to evaluate T. asiatica based on the evidence of hybrid and hybrid-derived adult tapeworms from Thailand and China, 4) how to evaluate T. solium and T. hyaenae and other Taenia species from the wild animals in Ethiopia, and 5) how to detect echinococcosis patients and 6) how to differentiate Echinococcus species worldwide. Such important topics are summarized in this meeting report.
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Affiliation(s)
- Akira Ito
- Asahikawa Medical University, Asahikawa, Japan
| | - Munehiro Okamoto
- Institute of Primate Research Institute, Kyoto University, Inuyama, Japan
| | | | - Toni Wandra
- Directorate General Disease Control and Environmental Health, Ministry of Health, Jakarta, Indonesia
| | | | | | - Paron Dekumyoy
- Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | - Teera Kusolsuk
- Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
| | - Abmed Davvajav
- National Center of Communicable Diseases, Ministry of Health, Ulaanbaatar, Mongolia
| | - Anu Davaasuren
- National Center of Communicable Diseases, Ministry of Health, Ulaanbaatar, Mongolia
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Nkouawa A, Sako Y, Itoh S, Kouojip-Mabou A, Nganou CN, Saijo Y, Knapp J, Yamasaki H, Nakao M, Nakaya K, Moyou-Somo R, Ito A. Serological studies of neurologic helminthic infections in rural areas of southwest cameroon: toxocariasis, cysticercosis and paragonimiasis. PLoS Negl Trop Dis 2010; 4:e732. [PMID: 20625553 PMCID: PMC2897840 DOI: 10.1371/journal.pntd.0000732] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2010] [Accepted: 05/12/2010] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND Both epilepsy and paragonimiasis had been known to be endemic in Southwest Cameroon. A total of 188 people (168 and 20 with and without symptoms confirmed by clinicians, respectively, 84.6% under 20 years old) were selected on a voluntary basis. Among 14 people (8.3%) with history of epilepsy, only one suffered from paragonimiasis. Therefore, we challenged to check antibody responses to highly specific diagnostic recombinant antigens for two other helminthic diseases, cysticercosis and toxocariasis, expected to be involved in neurological diseases. Soil-transmitted helminthic infections were also examined. METHODOLOGY/PRINCIPAL FINDINGS Fecal samples were collected exclusively from the 168 people. Eggs of Ascaris lumbricoides, Trichuris trichiura and hookworms were found from 56 (33.3%), 72 (42.8%), and 19 (11.3%) persons, respectively. Serology revealed that 61 (36.3%), 25 (14.9%) and 2 (1.2%) of 168 persons showed specific antibody responses to toxocariasis, paragonimiasis and cysticercosis, respectively. By contrast, 20 people without any symptoms as well as additional 20 people from Japan showed no antibody responses. Among the 14 persons with epilepsy, 5 persons were seropositive to the antigen specific to Toxocara, and one of them was simultaneously positive to the antigens of Paragonimus. The fact that 2 children with no history of epilepsy were serologically confirmed to have cysticercosis strongly suggests that serological survey for cysticercosis in children is expected to be useful for early detection of asymptomatic cysticercosis in endemic areas. CONCLUSIONS/SIGNIFICANCE Among persons surveyed, toxocariasis was more common than paragonimiasis, but cysticercosis was very rare. However, the fact that 2 children were serologically confirmed to have cysticercosis was very important, since it strongly suggests that serology for cysticercosis is useful and feasible for detection of asymptomatic cysticercotic children in endemic areas for the early treatment.
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Affiliation(s)
- Agathe Nkouawa
- Department of Parasitology, Asahikawa Medical College, Asahikawa, Hokkaido, Japan
- Medical Research Center, Institute of Medical Research and Medicinal Plants Studies (IMPM), Ministry of Scientific Research and Innovation, Yaoundé, Cameroon
| | - Yasuhito Sako
- Department of Parasitology, Asahikawa Medical College, Asahikawa, Hokkaido, Japan
| | - Sonoyo Itoh
- Department of Parasitology, Asahikawa Medical College, Asahikawa, Hokkaido, Japan
| | | | - Christ Nadège Nganou
- Department of Parasitology and Infectious Diseases, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaoundé, Cameroon
| | - Yasuaki Saijo
- Division of Community Medicine and Epidemiology, Department of Health Science, Asahikawa Medical College, Asahikawa, Hokkaido, Japan
| | - Jenny Knapp
- Department of Parasitology, Asahikawa Medical College, Asahikawa, Hokkaido, Japan
| | - Hiroshi Yamasaki
- Department of Parasitology, National Institute of Infectious Diseases, Tokyo, Japan
| | - Minoru Nakao
- Department of Parasitology, Asahikawa Medical College, Asahikawa, Hokkaido, Japan
| | - Kazuhiro Nakaya
- Animal Laboratory for Medical Research, Asahikawa Medical College, Asahikawa, Hokkaido, Japan
| | - Roger Moyou-Somo
- Medical Research Center, Institute of Medical Research and Medicinal Plants Studies (IMPM), Ministry of Scientific Research and Innovation, Yaoundé, Cameroon
- Department of Parasitology and Infectious Diseases, Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaoundé, Cameroon
| | - Akira Ito
- Department of Parasitology, Asahikawa Medical College, Asahikawa, Hokkaido, Japan
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Saline extract of Taenia saginata metacestodes as an alternative antigen for the immunodiagnosis of neurocysticercosis in human cerebrospinal fluid. Parasitol Res 2009; 105:169-74. [PMID: 19247689 DOI: 10.1007/s00436-009-1379-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2008] [Accepted: 02/12/2009] [Indexed: 10/21/2022]
Abstract
The aim of the present research was to test the application of Taenia saginata metacestodes as an alternative antigen for use in enzyme-linked immunosorbent assay (ELISA) and Western Blotting (WB) tests compared with the use of metacestodes antigen of Taenia solium in cerebrospinal fluid (CSF) samples. The samples were obtained from 35 patients with definitive neurocysticercosis (NCC)-group 1-and 44 patients with other neurological disorders (control)-group 2. The sensitivity and specificity of ELISA, using antigen obtained from T. solium, applied to the patients of group 1 yielded results of 100%. When the tests were conducted using T. saginata metacestodes, results were 100% and 93.2%, respectively. The 47-52-, 64-68-, and 70-kDa antigens showed high frequencies in CSF samples from patients with NCC when WB was conducted with both antigens. The results indicate that T. saginata metacestodes can be used as an alternative antigen for the diagnosis of human NCC in CSF samples.
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Loop-mediated isothermal amplification method for differentiation and rapid detection of Taenia species. J Clin Microbiol 2008; 47:168-74. [PMID: 19005142 DOI: 10.1128/jcm.01573-08] [Citation(s) in RCA: 93] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Rapid detection and differentiation of Taenia species are required for the control and prevention of taeniasis and cysticercosis in areas where these diseases are endemic. Because of the lower sensitivity and specificity of the conventional diagnosis based on microscopical examination, molecular tools are more reliable for differential diagnosis of these diseases. In this study, we developed and evaluated a loop-mediated isothermal amplification (LAMP) assay for differential diagnosis of infections with Taenia species with cathepsin L-like cysteine peptidase (clp) and cytochrome c oxidase subunit 1 (cox1) genes. LAMP with primer sets to the cox1 gene could differentiate between three species, and LAMP with primer sets to the clp gene could differentiate Taenia solium from Taenia saginata/Taenia asiatica. Restriction enzyme digestion of the LAMP products from primer set Tsag-clp allowed the differentiation of Taenia saginata from Taenia asiatica. We demonstrated the high specificity of LAMP by testing known parasite DNA samples extracted from proglottids (n = 100) and cysticerci (n = 68). LAMP could detect one copy of the target gene or five eggs of T. asiatica and T. saginata per gram of feces, showing sensitivity similar to that of PCR methods. Furthermore, LAMP could detect parasite DNA in all taeniid egg-positive fecal samples (n = 6). Due to the rapid, simple, specific, and sensitive detection of Taenia species, the LAMP assays are valuable tools which might be easily applicable for the control and prevention of taeniasis and cysticercosis in countries where these diseases are endemic.
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Wandra T, Margono SS, Gafar MS, Saragih JM, Sutisna P, Sudewi AR, Depary A, Yulfi H, Darla DM, Okamoto M, Sato MO, Sako Y, Nakao M, Nakaya K, Craig PS, Ito A. Current Situation of Taeniasis and Cysticercosis in Indonesia. Trop Med Health 2007. [DOI: 10.2149/tmh.35.323] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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