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.2015 Jul;53(7):2362-4.
doi: 10.1128/JCM.00336-15. Epub 2015 May 6.

Molecular Diagnosis of Abdominal Armillifer grandis Pentastomiasis in the Democratic Republic of Congo

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Molecular Diagnosis of Abdominal Armillifer grandis Pentastomiasis in the Democratic Republic of Congo

Dennis Tappe et al. J Clin Microbiol.2015 Jul.

Abstract

Pentastomiasis is an emerging snake-borne parasitic zoonosis in the tropics. We describe a molecular and morphological study to diagnose a cluster of asymptomatic abdominal human infections caused by Armillifer grandis. The findings may indicate a silent epidemic in a rural area where severe symptomatic ocular cases with the same parasite species have recently surfaced. Molecular diagnostics are of increasing importance when patient material from remote areas cannot be thoroughly examined locally for logistic reasons.

Copyright © 2015, American Society for Microbiology. All Rights Reserved.

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Figures

FIG 1
FIG 1
Map of the Democratic Republic of Congo showing locations of Kole and Katako Kombe, Sankuru district, part of the Kasai-Oriental province (outlined in red).
FIG 2
FIG 2
Microscopy of larval pentastomid parasites recovered during abdominal surgery in the Democratic Republic of Congo. Histological section through completely necrotic formalin-fixed, paraffin-embedded pentastomid larva from one patient. Only the highly decay-refractory folded cuticular remnants (red folded membranes in the background) and the abundant round sclerotized openings of the cuticle remain identifiable. The arrows point exemplarily to four of the openings: two openings in transverse section (horizontal arrows) and two openings in oblique section (oblique arrows). The second specimen from the same patient showed similar structures. Periodic acid-Schiff stain, magnification ×200. For comparison of the cuticular openings depicted here, see Fig. 4 in reference 1 and Fig. 2 in reference 5.
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References

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