Relationship between faecal egg count and worm burden of Opisthorchis viverrini in human autopsy cases | Parasitology | Cambridge Core (original) (raw)

Article contents

Summary

The relationship between faecal examination for egg output and worm burden of Opisthorchis viverrini in man of 181 autopsy cases from Northeast Thailand is described. Diagnosis of the parasite infection by stool examination for the presence of eggs was less sensitive than the worm recovery technique. Using Stoll's dilution and formalin–ether technique, no eggs were detected in the faeces of 20 cases harbouring low worm burdens (< 20 worms). The quantitative faecal egg count by Stoll's dilution technique showed a strikingly close positive correlation with the number of worms recovered (r = 0·96, P < 0·001) indicating a strong linear association between eggs per gram of faeces (epg) and worm burden. The number of epg per worm was inversely correlated to the worm burden (P < 0·001), suggesting that density-dependent constraints on fecundity could operate to restrict egg output in heavy infections. The accuracy of egg counts for estimating worm burden and its relevance to parasite epidemiological research are discussed.

Keywords

Information

Type

Research Article

Copyright

Copyright © Cambridge University Press 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Cheever, A. W. (1968). Quantitative post-mortem study of Schistosomiasis mansoni in man. American Journal of Tropical Medicine and Hygiene 17, 38–64.CrossRefGoogle ScholarPubMed

Cheever, A. W., Kamel, I. A., Elwi, A. M., Mosimann, J. E. & Danner, R. (1977). Schistomosoma mansoni and S. haematobium in Egypt II. Quantitative parasitological findings at necropsy. American Journal of Tropical Medicine and Hygiene 26, 702–16.CrossRefGoogle ScholarPubMed

Croll, N. A, Anderson, R. M., Gyorkos, T. W. & Ghadirian, E. (1982). The population biology and control of Ascaris lumbricoides in a rural community in Iran. Transactions of the Royal Society of Tropical Medicine and Hygiene 76, 187–97.CrossRefGoogle Scholar

Elkins, D. B., Haswell-ELKINS, M. R., Mairiang, E., Mairiang, P., Sithithaworn, P., Kaewkes, S., Bhudhisawasdi, V. & Uttaravichien, T. (1990). A high frequency of hepatobiliary disease and suspected cholangiocarcinoma associated with heavy Opisthorchis viverrini infection in a small community in Northeast Thailand. Transactions of the Royal Society of Tropical Medicine and Hygiene 84, 715–19.CrossRefGoogle Scholar

Elkins, D. B., Sithithaworn, P., Haswell-ELKINS, M. R., Kaewkes, S., Awacharagan, P. & Wongratanacheewin, S. (1991). Opisthorchis viverrini: relationships between egg counts, worms recovered and antibody levels within an endemic community in Northeast Thailand. Parasitology 102, 283–8.CrossRefGoogle ScholarPubMed

Evans, H., Bourgeois, C H., Comer, D. S. & Keschamrus, N. (1971). Biliary tract changes in opisthorchiasis. American Journal of Tropical Medicine and Hygiene 20, 667–71.CrossRefGoogle ScholarPubMed

Flavell, J. D., Flavell, S. U. & Field, G. F. (1983). Opisthorchis viverrini: the relationship between egg production, worm size and intensity of infection in the hamster. Transactions of the Royal Society of Tropical Medicine and Hygiene 77, 538–45.CrossRefGoogle ScholarPubMed

Haswell-ELKINS, M. R., Elkins, D. B., Manjula, K., Michael, E. & Anderson, R. M. (1988). An investigation of hookworm infection and reinfection following mass anthelmintic treatment in the South Indian fishing community of Vairavankuppam. Parasitology 96, 565–77.CrossRefGoogle Scholar

Koompirochana, C., Sonakul, S., Chinda, K. & Stitnimarnkarn, T. (1978). Opisthorchiasis: a clinicopathologic study of 154 autopsy cases. Southeast Asian Journal of Tropical Medicine and Public Health 9, 60–4.Google Scholar

Kurathong, S., Brockelman, W. Y., Lerdverasirikul, P., Wongpaitoon, V., Kanjanapitak, A., Varavithya, W., Upatham, E. S. & Vivanant, V. (1984). Consistency of fecal egg output in patients with opisthorchiasis viverrini. American Journal of Tropical Medicine and Hygiene 33, 73–5.CrossRefGoogle Scholar

Preuksaraj, S. (1984). Public health aspects of opisthorchiasis in Thailand. Drug Research 34, 1119–20.Google ScholarPubMed

Pungpak, S., Bunnag, D., Riganti, M. & Harinasuta, T. (1985). Clinical features in severe opisthorchiasis viverrini. Southeast Asian Journal of Tropical Medicine and Public Health 16, 405–9.Google ScholarPubMed

Ramsay, R., Sithithaworn, P., Prociv, P., Moorhouse, D. E. & Methaphat, C. (1989). Density-dependent fecundity of Opisthorchis viverrini in humans, based on faecal recovery of flukes. Transactions of the Royal Society of Tropical Medicine and Hygiene 83, 241–2.CrossRefGoogle ScholarPubMed

Ritchie, L. S. (1948). An ether sedimentation technique for routine stool examinations. Bulletin of the United States Army Medical Department 8, 326.Google ScholarPubMed

Sadun, E. H. (1955). Studies on Opisthorchis viverrini in Thailand. American Journal of Tropical Medicine and Hygiene 62, 81–115.Google ScholarPubMed

Sonakul, D., Koompirochana, C., Chinda, K. & Stitnimankarn, T. (1978). Hepatic carcinoma with opisthorchiasis. Southeast Asian Journal of Tropical Medicine and Public Health 9, 215–19.Google ScholarPubMed

Stoll, N. R. (1923). Investigations on the control of hookworm disease. XV. An effective method of counting hookworm eggs in feces. American Journal of Hygiene 3, 59–70.Google Scholar

Upatham, E. S., Brockelman, W. Y., Viyanant, V., Lee, P., Kraengraeng, R. & Prayoonwiwat, B. (1985). Incidence of endemic Opisthorchis viverrini infection in a village in northeast Thailand. American Journal of Tropical Medicine and Hygiene 34, 903–6.CrossRefGoogle Scholar

Upatham, E. S., Viyanant, V., Brockelman, W. Y., Kurathong, S., Lee, P. & Kraengraeng, R. (1988). Rate of reinfection by Opisthorchis viverrini in an endemic northeast Thai community after chemotherapy. International Journal for Parasitology 18, 643–9.CrossRefGoogle Scholar

Upatham, E. S., Viyanant, V., Kurathong, S., Brockelman, W. Y., Menaruchi, A., Saowakontha, S., Intarakhao, C., Vajarasthira, S. & Warren, K. S. (1982). Morbidity in relation to intensity of infection in Opisthorchiasis viverrini: study of a community in Khon Kaen, Thailand. American Journal of Tropical Medicine and Hygiene 31, 1156–63.CrossRefGoogle ScholarPubMed

Viranuvatti, V. & Mettiyawongse, S. (1953). Observation on two cases of Opisthorchiasis in Thailand. Annals of Tropical Medicine and Parasitology 47, 291–3.CrossRefGoogle ScholarPubMed

Viyanant, V., Brockelman, W. Y., Lee, P., Andsungnoen, S. & Upatham, E. S. (1983). A comparison of a modified quick-Kato technique and Stoll dilution method for field indentification of Opisthorchis viverrini eggs. Journal of Helminthology 57, 191–5.CrossRefGoogle Scholar