Document Detail

Discovery of a focus of intestinal bilharziasis in te Republic of Djibouti
MedLine Citation:
PMID:  10472579     Owner:  NLM     Status:  MEDLINE    
An unprecedented pocket of intestinal schistosomiasis was discovered in the Republic of Djibouti in 1997. The first cases were diagnosed in French and Djiboutian tourists who presented initial symptoms of bilharzian infection after bathing in the fresh-water basin under Hassan Gari Bira Falls, near Randa. Seventeen cases were subsequently confirmed by detection of anti-schistosome antibodies using indirect hemagglutination (IH) and indirect immunofluorescence (IIF) and/or detection of Schistosoma mansoni eggs in the stool. Further testing was performed in 35 village inhabitants, mostly children, who had been exposed by bathing in the basin. The IH reaction was positive in 28 patients (80 p. 100) including 17 (49 p. 100) with levels greater than 1/64. In 92 p. 100 of cases, IH findings were confirmed by IIF which indicated that association with hypereosinophilia was common. Schistosoma mansoni eggs were found in stools from 7 patients (19 p. 100) who generally displayed mild hypereosinophilia. Information concerning the zone of risk was distributed and control measures were undertaken as widely as possible in Djibouti and abroad.
J L Koeck; C Modica; F Tual; E Czarnecki; R Fabre; C Merle; F Montfort; N Jouvenin; J D Cavallo
Publication Detail:
Type:  English Abstract; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Médecine tropicale : revue du Corps de santé colonial     Volume:  59     ISSN:  0025-682X     ISO Abbreviation:  Med Trop (Mars)     Publication Date:  1999  
Date Detail:
Created Date:  1999-09-17     Completed Date:  1999-09-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8710146     Medline TA:  Med Trop (Mars)     Country:  FRANCE    
Other Details:
Languages:  fre     Pagination:  35-8     Citation Subset:  IM    
Laboratoire de Biologie Clinique, Centre Hospitalier des Armées Bouffard.
Vernacular Title:
Découverte d'un foyer de bilharziose intestinale en République de Djibouti.
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MeSH Terms
Child, Preschool
Djibouti / epidemiology
Eosinophilia / parasitology
Feces / parasitology
Fluorescent Antibody Technique, Indirect
Fresh Water / parasitology
Hemagglutination Tests
Middle Aged
Parasite Egg Count
Schistosoma mansoni / classification
Schistosomiasis mansoni / epidemiology*

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