The objective of this study was to determine the presence of Strongyloides stercoralis in urban garbage collectors through the use of immunological and parasitological methods. A total of 92 individuals were evaluated from August, 1997, to June, 1998. For the parasitological diagnosis Baermann and Lutz' methods were applied. The immunological diagnosis involved the indirect fluorescence antibody test (IFAT) and the enzyme-linked immunosorbent assay (ELISA) to detect specific IgG antibodies. Of the 92 workers examined, six (6.5%) were infected with larvae of S. stercoralis. The IFAT detected 19 (16.3%) and the ELISA 17 (18.5%) positive serum samples. The differences between the results of parasitological and immunological methods were statistically significant (p<0.05). These results demonstrate that there is a need to improve the health conditions of this category of city employees.

Entre os anos de 2001-2003 foram coletadas amostras de sangue de 675 pacientes de dois hospitais psiquiátricos da região central do Chile, 172 de indivíduos sadios (médicos, enfermeiros e paramédicos) destas instituições e 1200 de doadores de sangue de cidades das regiões norte (Arica e Antofagasta), central (Valparaiso e Santiago) e sul (La Union) para determinar a frequência de anticorpos anti Strongyloides stercoralis mediante a reação de enzyme linked immunosorbent assay (ELISA). Foram observadas soropositividade de 12.1% em pacientes de hospitais psiquiátricos e de 0,25% em doadores de sangue (p < 0.05). Todas as amostras dos indivíduos sadios foram não reagentes. Entre os doadores de sangue a soropositividade ocorreu somente nos indivíduos de Arica (1,0%) e La Union (0,5%) sugerindo que a estrongiloidíase poderia estar localizada em determinadas áreas geográficas do país. Conclui-se que no Chile as infecções por S. stercoralis seriam endêmicas, de baixa freqüência e afetando especialmente grupos de risco como os pacientes psiquiátricos.

To determine the frequency of Strongyloides stercoralis antibodies by means of the enzyme linked immunosorbent assay (ELISA) in Chile, in 2001-2003, 675 blood samples of patients of two psychiatric hospitals and 172 of healthy individuals (doctors, nurses and paramedicals) of these institutions, and 1,200 serum samples of blood donors of Northern region (Arica and Antofagasta), Central region (Valparaiso and Santiago) and Southern region (La Union) were collected. ELISA showed positivity of 12.1% in psychiatric hospitalized patients, none (0%) in the health personnel and 0.25% in blood donors (p < 0.05). Only in blood donors of Arica (1%) and La Union (0.5%) the ELISA test was positive suggesting that strongyloidiasis is focalized in determinate zones of the country. In Chile, human infections by S. stercoralis are endemic with very low frequency in apparently healthy individuals and high prevalence in risk groups such as the mentally ill hospitalized patients.

Entre novembro de 2001 e dezembro de 2002, 600 amostras de fezes de cão foram coletadas nas principais praças e parques públicos de 13 cidades do Chile, localizadas nas regiões norte ao estremo sul da nação. No laboratório, as amostras foram processadas mediante os métodos de sedimentação por centrifugação e de Harada-Mori. Ovos de Toxocara canis foram encontrados em 12 cidades em freqüências que variaram entre 1,9 a 12,5% por cidade, com média de 5,2%. Sete por cento das amostras apresentaram ovos e 9,5% larvas rabditóides ou filarióides de Ancylostomatidae. Strongyloides stercoralis não foi encontrado nas amostras estudadas. Praças e parques públicos do Chile apresentam riscos potenciais para aquisição de larva migrans visceral, ocular ou cutânea.

Between November 2001 and December 2002, 600 dog fecal samples were collected in main squares and public parks of 13 cities in Chile, from the extreme north to the extreme south of the country. The samples were processed in the laboratory by centrifugal sedimentation and the Harada-Mori methods. T. canis eggs were found in 12 cities. Detection rates ranged from 1.9 to 12.5% with an average of 5.2%. Seven percent of the samples had eggs and 9.5% had rhabditoid and/or filariform larvae of Ancylostomatidae. Strongyloides stercoralis were not found. Squares and public parks in Chile pose a potential risk of exposure to visceral, ocular, and/or cutaneous larva migrans syndromes.

Entre novembro de 2001 e dezembro de 2002, 600 amostras de fezes de cão foram coletadas nas principais praças e parques públicos de 13 cidades do Chile, localizadas nas regiões norte ao estremo sul da nação. No laboratório, as amostras foram processadas mediante os métodos de sedimentação por centrifugação e de Harada-Mori. Ovos de Toxocara canis foram encontrados em 12 cidades em freqüências que variaram entre 1,9 a 12,5% por cidade, com média de 5,2%. Sete por cento das amostras apresentaram ovos e 9,5% larvas rabditóides ou filarióides de Ancylostomatidae. Strongyloides stercoralis não foi encontrado nas amostras estudadas. Praças e parques públicos do Chile apresentam riscos potenciais para aquisição de larva migrans visceral, ocular ou cutânea.

Between November 2001 and December 2002, 600 dog fecal samples were collected in main squares and public parks of 13 cities in Chile, from the extreme north to the extreme south of the country. The samples were processed in the laboratory by centrifugal sedimentation and the Harada-Mori methods. T. canis eggs were found in 12 cities. Detection rates ranged from 1.9 to 12.5% with an average of 5.2%. Seven percent of the samples had eggs and 9.5% had rhabditoid and/or filariform larvae of Ancylostomatidae. Strongyloides stercoralis were not found. Squares and public parks in Chile pose a potential risk of exposure to visceral, ocular, and/or cutaneous larva migrans syndromes.

A familiar outbrake of strongyloidosis affected peruvian immigrants who had arrived Chile in november 2001 is reported. In march 2002, Strongyloides stercoralis infection of the index individual was confirmed by the Basic-Clinical Laboratory of Parasitology of the Faculty of Medicine of the University of Chile, in Santiago, Chile. At the Roberto del Río Pediatric Hospital, a 11 years old girl presenting juvenil rheumatoid arthritis and mild abdominal distress was studied. A serial of three stool samples was collected and procesed by ether-centrifugal concentration technique. A plentiful quantity of rhabditoid larvae of S. stercoralis was observed. To detect larvae in the faeces and specific serum antibodies against S. stercoralis by means of ELISA her parents and sister were studied. The mother of the index case and her sister were positive in both test. The father was not infected. The three positive cases were treated with Ivermectine. A control study performed one year later demonstrated a positive ELISA test only in the sister

Se presenta un brote familiar de stron-gyloidosis que afectó a inmigrantes peruanos que habían llegado a Chile en noviembre del año 2001. En marzo del 2002, se confirmó en el Laboratorio de Parasitología Básico-Clínico de la Facultad de Medicina de la Universidad de Chile que el caso índice presentaba infección por Strongyloides stercoralis. Correspondía a una menor de 11 años que estaba siendo estudiada en el Hospital Roberto del Río por artritis reumatoide juvenil. Además de esta patología la niña refería leves molestias abdominales, siendo derivada a nuestra unidad, donde se le efectuó un examen parasitológico seriado de deposiciones (EPSD), observándose abundantes larvas rabditoides de S. stercoralis, por lo cual se procedió a estudiar al grupo familiar integrado por los padres y una hermana. A todos ellos se les efectuó EPSD e inmunodiagnóstico mediante ELISA para detectar anticuerpos anti S.stercoralis. Resultaron positivos para ambos exámenes la madre y las dos hijas. El padre fue negativo. Se decidió tratar con ivermectina y controlar los resultados del tratamiento anti-parasitario al grupo familiar al cabo de un año. Después de ese periodo permanecía positiva serológicamente, solamente la hermana del caso índice debido a que no ingirió los medicamentos de la manera indicada

In may 2003 an epidemiologic-parasitological survey was carried out in 206 pre-school and school-children from San Vicente de Lo Arcaya School in Colina, a semi-rural county of the Santiago Province in the Metropolitan Region of Chile.The most frequent parasitic elements were: Blastocystis hominis - in men and women respectively - 38.8% and 44.4%, Giardia intestinalis with 9.5% and 16.2% and Enterobius vermicularis with 12.9% and 10.0%. It is notewortly that the infected children were asymptomatic Cryptosporidium parvum was not observed and an ELISA test for Strongyloides stercoralis infections was positive in one children.This study confirms that intestinal parasitic infections in children remain with a high prevalence in Chile.

En mayo de 2003 se efectuó una encuesta epidemio-parasitológica en pre-escolares y escolares de la Escuela San Vicente de Lo Arcaya de Colina, comuna semirural de la Provincia de Santiago ubicada en la Región Metropolitana de Chile. Hay que destacar que los niños estudiados eran asintomáticos. Los elementos parasitarios más frecuentemente encontrados fueron: Blastocystis hominis - en hombre y mujeres respectivamente - 38,8% y 44,4%, Giardia intestinalis con 9,5% y 16,2% y Enterobius vermicularis con 12,9% y 10,0%. Cryptosporidium parvum no fue encontrado y ELISA para Strongyloides stercoralis resultó positiva en un niño.

Background: Strongyloides stercoralis is a world wide distributed small intestinal nematode parasite. In immunocompetent individuals S stercoralis can produce asymptomatic infections or a moderate clinical picture of diarrhea, some cases become chronic. In immunocompromised patients, a disseminated disease may appear, sometimes fatal. In Chile, there is little epidemiological information about S stercoralis infections and appropriate diagnostic techniques are usually not used. Aim: To evaluate the yield of an ELISA test for the diagnosis of strongyloidiasis in Chilean patients. Material and methods: Ten serum samples from patients with S stercoralis infections confirmed by a positive stool examination, 66 samples from individuals with other infections by tissue helminthes (24 toxocariasis, 15 trichinellosis, 11 hydatidosis, 12 fascioliasis and 4 cysticercosis), 13 samples from subjects with autoimmune diseases and 49 samples from apparently healthy individuals with a normal eosinophil count, were studied. ELISA antigen was prepared using a filariform larval extract obtained from a murine species of Strongyloides, maintained in laboratory animals. Results: Using 0.33 optical density units as a cut off value, 9 of 10 sera of S stercoralis infected individuals, had a positive ELISA test. No cross reactions were observed with sera of patients with other helminthic infections, autoimmune diseases or in healthy individuals. Thus, specificity, positive and negative predictive values were 100%. Conclusions: The results obtained are similar with those found by other investigators. ELISA test for strongyloidiasis is a useful tool for the diagnosis of clinical cases and for seroepidemiological studies of this nematode infection in Chile (Rev Méd Chile 2002; 130: 1358-64)

A limited epidemiological information on Strongyloides stercoralis infection excists in Chile. In 1983 a mentally retarded 53-year-old man died by disseminated strongyloidiosis associated with malabsortion syndrome, this case constitutes the first histopathological confirmation of the parasitose in Chile. Later on, cases have been described in hospitalized patients in mental institutions from the central part of the country, where the frequency of infection registered in studies carried out in the Psyquiatric Hospital of Putaendo in 1985 and 1987-1989 were 11.6% and 7.0%. In 1992 an outbreak of strongyloidiasis that affected 13 out of 55 children in a nutritional recuperation center in the north extreme of Chile was reported. In 2000 four cases were detected in a group of 20 hospitalized mental affected patients with elevated eosinophilia. Sensitive methods for detecting larvae in stool samples and seroepidemiological surveys would permit determine the importance of this human heminthic infection in Chile.

Two species of xiphidiocercariae probably belonging to the family Haematoloechidae (Trematoda) emerging from Lymnaea columella (Basommatophora, Lymnaeidae) and Biomphalaria tenagophila (Basommatophora, Planorbidae) collected in Miracatu City, São Paulo State, Brazil, between September 1996 and February 1999 were described. The xiphidiocercariae eliminated by L. columella presented a terminal membrane in the tail that morphologicaly differenciated them from those obtained from B. tenagophila. These late xiphidiocercariae were 1.3 times bigger than the former and with the of that ventral sucker bigger than the oral one, while the former presented a sucker size relation inverse. The stylet observed in the xiphidiocercariae eliminated by B. tenagophila oral sucker was shorter than that observed in xiphidiocercariae obtained from L. columella.

Xiphidiocercariae, aquatic larval stages of some trematodes are considered a potential instrument for biological control of mosquitoes. In this study we evaluated its natural occurrence in Campinas region and two places in Vale do Ribeira (Registro and Miracatu), São Paulo State. Snails were obtained from fresh water collections from September 1996 to February 1999. The species collected were Lymnaea columella, Physa marmorata, Biomphalaria tenagophila, Biomphalaria sp., Drepanotrema cimex, D. lucidum and Drepanotrema sp. Fasciola hepatica, xiphidiocercariae (Haematoloechidae) and echinostomatid cercariae were detected in the lymnaeids snails from Miracatu, SP. In the same locality were found planorbids snails parasitized by furcocercariae, echinostomatid cercariae and xiphidiocercariae. The xiphidiocercariae found in the planorbids were different from those obtained from lymnaeids. One Biomphalaria sp. infected with furcocercariae was found in Louveira, SP. In the ROSA place (Campinas, SP) an individual of Biomphalaria sp. and one of L. columella were found infected by the furcocercariae and echinostomatid cercariae, respectively. In the place UNI-I, in Campinas, one L. columella was infected by furcocercariae. Double infection in snails from Miracatu was also observed

Foram estudadas variações morfométricas de conchas de L. columella, provenientes de dez criadouros localizados nos seguintes municípios do Estado de São Paulo: - Campinas, Americana, Atibaia, Pirassununga, Caçapava e Taubaté. Foram analisados os diferentes tipos de ambientes onde as limneas são encontradas com maior freqüência, estabelecendo-se a época do ano com maior abundância em espécimes, que correspondeu aos meses de julho a outubro. As medidas nas conhas dos diferentes criadouros referiram-se ao comprimento e largura da concha, comprimento e largura da abertura, comprimento da espira e número de voltas. Foram estabelecidos os coeficientes de correlação e de regressão e realizadas análises de variância entre as medidas tomadas e os índices obtidos da relação entre largura/comprimento da concha. Estas conchas foram comparadas com as de L. columella, L. viator, L. cubensis da coleção do Museu Nacional do Rio de Janeiro. Para a maioria das medidas as conchas mostraram proporções constantes, embora apresentassem diferenças em relação ao desenvolvimento. A maior variação foi observada em relação ao comprimento da espira. As variações morfométricas das conchas foram relacionadas com alguns fatores externos como pH, alcalinidade, dureza e teor da água. Aparentemente apenas a dureza total da água influiu na consistência das conchas.

Shells of Lymnaea columella from ten populations from the State of São Paulo were studied to determine morphometric variation. Samples were collected in the following municipalities: Campinas, Americana, Atibaia, Pirassununga, Caçapava and Taubaté. Five measurements were taken from each shell: length and width of the shell, length and width of the aperture and lenght of the spire. Two ratios were also established: width/lenght of the shell and length of the aperture /length of the shell. The numbers of whorls and the length of the shell were also determined. Statistical tests (correlation coeficients, regression, and analysis of variance) were used to compare the different samples. Also, com parisons of L. columella shells collected by us were made with those of L. columella, L. viator and L. cubensis from collections deposited in the Museu Nacional, Rio de Janeiro. The results of these studies revealed that in most of the cases the snail populations of different areas were similar, showing constant proportions, but they diverged in their absolute dimensions. Data on aquatic environmental conditions (pH, alkalinity, hardness, and calcium concentration) were also obtained. These Chemical factors were examined with respect to shell morphology. Our results revealed that only hardness of water was associated with the robustness of the shells.

Foram estudadas variações anatômicas de espécimes de L. columella coletados de diferentes criadouros situados em diversos Municípios do Estado de São Paulo: Campinas, Americana, Atibaia, Pirassununga, Caçapava e Taubaté. As comparações morfométricas foram baseadas em estudos do aparelho genital, rim e rádula. Foram medidos, para cada criadouro, os comprimentos do conjunto útero-vagina, dueto da espermateca, prepúcio e bainha do pênis. Foram ainda calculados os índices de relação entre bainha do pênis/prepúcio e estabelecidos os coeficientes de correlação entre comprimento da concha e comprimento do prepúcio. Cortes longitudiais do complexo peniano foram também objeto de estudo. Em relação a rádula foram determinados o número de fileiras transversais e o número de dentes por fileira, e estabelecida uma fórmula radular aproximada para os diversos criadouros.

Soft parts of Lymnaea columella from ten populations from the State of São Paulo were studied in order to determine morphometric variations. These morphometric cornparisons were made upon reproductive system, kidney and radula of snail samples collected in different municipalities: Campinas, Americana, Atibaia, Pirassununga, Caçapava and Taubaté. Length measurementes of uterus, duct of spermatheca, prepuce and penis sheath were taken; the ratio penis sheath/prepuce and correlation coefficients between length of shell and length of prepuce were established. Longitudinal sections of penial complex were also studied. The number of trans verse rows, number of teeth per rows and the length of shell were determined. For each sample, the radular formula was indicated.