Risk factors contributing to fascioliasis endemicity in a focus in Dakahlia governorate 1- human host

Zoonotic fascioliasis is a problem not only in Dakahlia Governorate, but also in other Egyptian Governorates. Two hundreds and twenty patients randomly selected with suggesting manifestations were examined for fascioliasis. A total of 23 [10.4%] were positive by Kato thick smears, of which 21 were from Kafr El-Hessah and two from Oweish El-Hager. The proven human fascioliasis was examined for anti -Fasciola antibodies by IHAT and ELISA [Fhes], haemoglobin level, eosinophils percent, serum bilirubin and liver function tests. IHAT gave 82.61% positive results [19/23], and ELISA gave 100% positive results [23/23]. The clinical signs ranged between splenomegaly and ascitis in 4.34% for each up to hepatomegaly in 73.91% and mild fever in 78.26% but 2 cases were asymptomatic. Mild eosinophilia and moderate anaemia were recorded with means of 11 +/- 5.8 and 10 +/- 1.3 respectively. Mean serum bilirubin was not elevated [0.91 +/- 0.51 gm/dl]. Liver function tests [AST within normal range in all cases; <40 unit /ml but one patient had ALT above normal; >45 unit/ml]

Detection of protozoal parasites in the stools of diarrhoeic patients using different techniques

A total of 300 children were selected. A total of 180 apparently healthy children were selected. Each child was given a numerical number and subjected to a medical questionnaire. The rate of infection by the enteric protozoa detected by the four techniques revealed that G. lamblia reached 11.0% by concentration-sedimentation method, 10.3% by Sheather's concentration method and 7.0% [cysts] and 1.7% [vegetative] by direct wet smear. E. histolytica was 3.3% and 3.7% by the two concentration methods respectively. By direct wet smear 2.3% [cysts] and 0.7% [vegetative] were detected. E. coli was 7.3% and 7.0% by the two concentration methods respectively. By the direct wet smear 5.0% [cyst] and 0.3% [vegetative] were detected. Modified Zeihl-Nelsen stain demonstrated 9 cases of C. panvum [3.0%]. Mallory and Iron haematoxylin gave the good characterristic colour for G. lamblia, E. histolytica, and E. coli followed by Trichrome. It was worthy to mention that direct smear method detected the low infections' percentage of all the intestinal target parasites in comparison with the four staining techniques