Intestinal capillariasis is a parasitic zoonosis caused by the tiny nematode parasite Capillaria philippinensis. It is a major health problem that may lead to death if not diagnosed and treated appropriately. The difficulties in the diagnosis of C. philippinensis highlight the importance of developing accurate, sensitive, and specific methods for early diagnosis. This study aimed to detect the presence of C. philippinensis infection among 42 clinically suspected patients with certain criteria that are highly suggestive of capillariasis and to compare the diagnostic yield of microscopy, copro-ELISA, and PCR for the detection of copro-DNA. Sociodemographic characteristics and clinical data were also described for the infected group. Out of 42 patients, 10 were microscopically positive, 40 samples were positive by copro-ELISA, nested PCR detected 35 positive cases, with total detection rates of 23.8%, 95.2%, and 83.3% using direct microscopic examination, copro-ELISA, and PCR, respectively. The majority of positive cases were females, middle-aged people, and people from rural areas. The real number of cases infected with C. philippinensis may far exceed those estimated using microscopy. The diagnosis by copro-ELISA for the detection of C. philippinensis coproantigen and by nested PCR to identify parasite DNA revealed a higher number of positive cases. Using ELISA for the detection of coproantigen is a sensitive test that identifies the infection, yet it is not specific. Copro-DNA offers a satisfactory sensitive and specific method for the detection of infection in clinically suspected patients. The most susceptible individuals to C. philippinensis infection are females, middle-aged people, and people of low social standards. Intestinal capillariasis needs to be considered in patients who present with symptoms of chronic diarrhea and hypoalbuminemia because if these cases are left undiagnosed and untreated, they may suffer from lethal complications.
Foodborne parasitic diseases cause human morbidity and mortality especially in the low-& middle-income countries. This study identified the parasitic contaminated Eruca sativa & Raphanus sativus cultivated in El-Kharga Oasis, Upper Egypt, as to seasonal variation and the vendors hygiene practices. A total of 270 samples of the two vegetables were purchased from public markets. Parasitic contamination was evaluated by sedimentation and flotation techniques with modified Ziehl-Neelsen stain. The results showed that 219(81%) samples were contaminated with 13 different parasites. Ascaris lumbricoides 123(25.5%) and Cryptosporidium parvum (14.9%) were the commonest ones and the highest contamination rate was in autumn (87%) for E. sativa and in winter (87%) for R. sativus. The contamination level was significant with the gender and washing practices of vendors. The current data gave evidence of the seasonal dynamics of acquiring parasitic infection due to consumption of raw vegetables, interaction, and its relevance with vendor's hygiene.
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