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[Geographic distribution of Ancylostoma duodenale and Necator americanus in Taiwan].

ABSTRACT In order to determine the geographical distribution of Ancylostoma duodenale and Necator americanus in Taiwan, 2,759 fresh stool samples were collected from 5th-grade school children of both sexes among 43 preliminary schools in 16 counties, and then examined by means of the modified test-tube filter-paper cultivation method for identification of the filariform larvae of hookworm. Both species of A. duodenale and N. americanus are widespread in Taiwan. The overall infection rate was 20.00%. The rate of A. duodenale, N. americanaus and mixed infection of both species was 9.85%, and 7.75% and 2.39% respectively. Geographically, N. americanus (12.64%) predominated over A. duodenale (5.43%) in the north (Ilan, Taipei, Taoyuan, Hsinchu and Miaoli) and the east (Taitung) areas. On the contrary, A. duodenale (13.40%) predominated over N. americanus (5.63%) in the central (Nantou, Taichung, Changhua and Yunlin), the south (Chiayi, Tainan, Kaohsiung and Pingtung) and the east (Hualien) areas. On the other hand, the rate of infection on the offshore island (Penghu) was much lower (1.19%) than the others (21.10-21.29%).

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    ABSTRACT: Hookworms, together with other helminthes infestations, were serious health problems in Taiwan before. With improvements in public health and medicine, the prevalence of parasite infestations drops significantly and current attention has been shifted to foreign laborers coming from the Southeast Asia. Herein we reported a case of hookworm infestation who presented as subacute diarrhea. Initially, only peripheral eosinophilia was revealed. Anti-helminth treatment, but not the immunosuppressant for eosinophilic gastroenteritis, was given when the hookworm ova were finally harvested after repeated stool examinations. Please remember the old diseases when you meet a patient with gastrointestinal complaints and peripheral eosinophilia, especially when there are intermittent skin atopic manifestations. Repeated parasite ova checks with concentration method are necessary in acute stage, especially when the worm burden is not heavy.
    03/2013; 3(1):26–28. DOI:10.1016/j.jacme.2013.01.002