The diabetic foot with its many associated complications and presentations can provide a challenge in diagnosis and subsequent treatment. MRI, being increasingly available commonly, is now the main investigative modality. In particular, it is helpful in differentiating between neuroarthropathy and osteomyelitis and in cases where the latter is superimposed on the former. By being well versed in the interpretation of the images, the radiologist can make crucial contribution to the care and management of these patients.
This paper describes the first Malaysian case of oesophagostomiasis. The patient was an 8-year-old Malay boy who presented to Ipoh General Hospital, Perak with abdominal pain and weight loss. Examination revealed multiple cavitated pseudotumours of the colon. A hemicolectomy was performed. Examination of the lesions revealed Oesophagostomum worms in the necrotic centres. The differential diagnoses and the pathology caused by Oesophagostomum are discussed. A brief review of the available literature is presented.
A study conducted in. all the government schools in Wilayah to find the prevalence rate of worm infection in. urban schools revealed that 50 percent of the 7,682 school children. examined suffered from helminthiasis. More than 50 percent had mixed infections, worm infection was more prevalent among Malays and Indians. Both males and females had an equal prevalence of worm infection. Schools near the squatter areas had high infection rates. This was attributed to poverty, cultural factors, and environmental sanitation in the squatter areas.
A description of sensory receptors of Trichobilharzia brevis is given. They are compared with the five Schistosomatidae described by Richard (1971), namely, Trichobilharzia ocellata, schistosoma mansoni, S. bovis, S; haematobium and S. rodhaini. All these species display very similar chaetotaxic characters. In the study of the cercaria of Haplorchis pumilio, comparison with the few Opisthorchioidea cercarial sensory organs already known has enabled the authors to characterise the chaetotaxy for this superfamily.
Many trichostrongyloid species parasitizing rodents in Malaysia were described in 1967 in a thesis that was never published. Some of these species have since been redescribed sometimes with, sometimes without reference to the thesis. The remaining species are redescribed using information given in the thesis and certain additional morphological data (in particular, the synlophe) taken from study of the paratypes. The species are reclassified according to criteria established in the most recent classification. The following genera are proposed: Brevistriatinae: - Macrostrongylus n. gen. characterized by a caudal bursa of Calypsostrongylus type and absence of synlophe. Nippostrongylinae: - Malaistrongylus n. gen. characterized by a synlophe of Heligmonoides type but with a larger number of ridges and by the fusion of rays 4 and 5 in the caudal bursa. - Rattus strongylus n. gen. characterized by small, subequal dorsal left ridges and a total number of ridges less than 20. - Sabanema n. gen. characterized by small subequal dorsal left ridges and a total number of ridges greater than 30. The species under consideration are the following: Hepatojarakus malayae Yeh, 1955; Pithecostrongylus bicapitatus n. sp. (= P. bicapitatus Ow Yang, 1967, in litt); Macrostrongylus ratti n. gen., n. sp. (= Macrostrongylus ratti Ow Yang, 1967, in litt.); Calypsostrongylus malayensis Durette-Desset, 1976 (= Brevistriata malayensis Ow Yang, 1967, in litt); Fissicauda callosciuri (Supperer et Kutzer, 1964); Fissicauda brevispicula n. sp. (= Brevistriata brevispicula Ow Yang, 1967, in litt.); Nippostrongylus brasiliensis (Travassos, 1914); Orientostrongylus tenorai Durette-Desset, 1970 (= Longistriata selangora Ow Yang, 1967, in litt.); O. krishnansamyi Durette-Desset et Lim-Boo-Liat, 1974 (= Longistriata malaccae Ow Yang, 1967, in litt.); Heligmonoides bulbosus n. sp. (= Heligmonina (Heligmonoides) bulbosa Ow Yang, 1967, in litt.); Heligmonoides lanceolatus n. sp. (= Heligmonina (Heligmonoides) lanceolata Ow Yang 1967, in litt.); Malaistrongylus odontospicularis n. gen., n. sp. (= Malaistrongylus odontospicularis Ow Yang, 1967, in litt.); Paraheligmonelloides triangulus n. sp. (= Longistriata triangulum Ow Yang, 1967, in litt.); P. annandalei n. sp. (= Longistriata annandalei Ow Yang, 1967, in litt.); P. rajah n. sp. (= Heligmonina (Heligmonoides) rajah Ow Yang, 1967, in litt.); Rattustrongylus odontoconus n. gen., n. sp. (= Longistriata odontocona Ow Yang, 1967, in litt.); R. rotundoconus n. sp. (= Longistriata rotundocona Ow Yang, 1967, in litt.); Sabanema sabana n. gen., n. sp. (= Longistriata sabana Ow Yang, 1967, in litt.); S. kepongi n. sp. (= Longistriata kepongi Ow Yang,
A description is given of cercarial chaetotaxy of two Centrocestinae (Heterophyidae, Opisthorchioidea) from Malaysia: Centrocestus formosanus and Centrocestus sp.--Comparison with cercarial chaetotaxy of taxonomically related groups indicates that 1. The chaetotaxy of the Centrocestinae agrees with that of other Opisthorchioidea, 2. There is an important difference between chaetotaxy of Centrocestinae and other Heterophyidae which suggest that the family is heterogeneous.
We explored factors associated with alcohol use before or during sex among a sample of 10,861 men who have sex with men (MSM) in Asia who were recruited online for the study. Multinomial logistic regression analysis indicated that having sex under the influence of alcohol was associated with having multiple male partners, seeking partners primarily through gay bar/gym/dance party/friends, selling sex and using multiple drugs during the past 6 months, and unprotected anal sex. More efforts are needed to better assess alcohol use and misuse among MSM in Asia and understand contextual influences on alcohol use and HIV-related behaviors in order to implement culturally-specific interventions.
To access the effectiveness of the treatment of soil-transmitted helminthiasis (STH) on the growth of primary school children, 353 children were block stratified to receive either mebendazole plus pyrantel oxantel pamoate every three months or a placebo. The children were followed for two years with 89% completing the trial. Follow-up stools indicated that the treatment was efficacious for ascariasis and trichuriasis. There was virtually no hookworm infection. The children were malnourished as measured by the number below -2 SD of height and weight standards. There was no difference in height or weight between the treatment and control groups by sex initially or at the end of two years of follow-up. The treatment of Ascaris and Trichuris had no effect on growth parameters. The effect of STH on growth may be mediated through hookworm infections.