A Review of the Global Burden, New Diagnostics, and Current Therapeutics for Amebiasis
Amebiasis, due to the pathogenic parasite Entamoeba histolytica, is a leading cause of diarrhea globally. Largely an infection of impoverished communities in developing countries, amebiasis has emerged as an important infection among returning travelers, immigrants, and men who have sex with men res...
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| Vydáno v: | Open forum infectious diseases Ročník 5; číslo 7; s. ofy161 |
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| Médium: | Journal Article |
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Oxford University Press
01.07.2018
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| ISSN: | 2328-8957, 2328-8957 |
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| Abstract | Amebiasis, due to the pathogenic parasite Entamoeba histolytica, is a leading cause of diarrhea globally. Largely an infection of impoverished communities in developing countries, amebiasis has emerged as an important infection among returning travelers, immigrants, and men who have sex with men residing in developed countries. Severe cases can be associated with high case fatality. Polymerase chain reaction–based diagnosis is increasingly available but remains underutilized. Nitroimidazoles are currently recommended for treatment, but new drug development to treat parasitic agents is a high priority. Amebiasis should be considered before corticosteroid therapy to decrease complications. There is no effective vaccine, so prevention focuses on sanitation and access to clean water. Further understanding of parasite biology and pathogenesis will advance future targeted therapeutic and preventative strategies. |
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| AbstractList | Amebiasis, due to the pathogenic parasite Entamoeba histolytica, is a leading cause of diarrhea globally. Largely an infection of impoverished communities in developing countries, amebiasis has emerged as an important infection among returning travelers, immigrants, and men who have sex with men residing in developed countries. Severe cases can be associated with high case fatality. Polymerase chain reaction–based diagnosis is increasingly available but remains underutilized. Nitroimidazoles are currently recommended for treatment, but new drug development to treat parasitic agents is a high priority. Amebiasis should be considered before corticosteroid therapy to decrease complications. There is no effective vaccine, so prevention focuses on sanitation and access to clean water. Further understanding of parasite biology and pathogenesis will advance future targeted therapeutic and preventative strategies. Amebiasis, due to the pathogenic parasite Entamoeba histolytica, is a leading cause of diarrhea globally. Largely an infection of impoverished communities in developing countries, amebiasis has emerged as an important infection among returning travelers, immigrants, and men who have sex with men residing in developed countries. Severe cases can be associated with high case fatality. Polymerase chain reaction-based diagnosis is increasingly available but remains underutilized. Nitroimidazoles are currently recommended for treatment, but new drug development to treat parasitic agents is a high priority. Amebiasis should be considered before corticosteroid therapy to decrease complications. There is no effective vaccine, so prevention focuses on sanitation and access to clean water. Further understanding of parasite biology and pathogenesis will advance future targeted therapeutic and preventative strategies.Amebiasis, due to the pathogenic parasite Entamoeba histolytica, is a leading cause of diarrhea globally. Largely an infection of impoverished communities in developing countries, amebiasis has emerged as an important infection among returning travelers, immigrants, and men who have sex with men residing in developed countries. Severe cases can be associated with high case fatality. Polymerase chain reaction-based diagnosis is increasingly available but remains underutilized. Nitroimidazoles are currently recommended for treatment, but new drug development to treat parasitic agents is a high priority. Amebiasis should be considered before corticosteroid therapy to decrease complications. There is no effective vaccine, so prevention focuses on sanitation and access to clean water. Further understanding of parasite biology and pathogenesis will advance future targeted therapeutic and preventative strategies. Amebiasis, due to the pathogenic parasite is a leading cause of diarrhea globally. Largely an infection of impoverished communities in developing countries, amebiasis has emerged as an important infection among returning travelers, immigrants, and men who have sex with men residing in developed countries. Severe cases can be associated with high case fatality. Polymerase chain reaction-based diagnosis is increasingly available but remains underutilized. Nitroimidazoles are currently recommended for treatment, but new drug development to treat parasitic agents is a high priority. Amebiasis should be considered before corticosteroid therapy to decrease complications. There is no effective vaccine, so prevention focuses on sanitation and access to clean water. Further understanding of parasite biology and pathogenesis will advance future targeted therapeutic and preventative strategies. |
| Author | Watanabe, Koji Moonah, Shannon Shirley, Debbie-Ann T Farr, Laura |
| AuthorAffiliation | 1 Department of Pediatrics, University of Virginia School of Medicine, Charlottesville, Virginia 2 Department of Medicine, University of Virginia School of Medicine, Charlottesville, Virginia 3 AIDS Clinical Center, National Center for Global Health and Medicine, Shinjuku, Tokyo, Japan |
| AuthorAffiliation_xml | – name: 1 Department of Pediatrics, University of Virginia School of Medicine, Charlottesville, Virginia – name: 2 Department of Medicine, University of Virginia School of Medicine, Charlottesville, Virginia – name: 3 AIDS Clinical Center, National Center for Global Health and Medicine, Shinjuku, Tokyo, Japan |
| Author_xml | – sequence: 1 givenname: Debbie-Ann T surname: Shirley fullname: Shirley, Debbie-Ann T organization: Department of Pediatrics, University of Virginia School of Medicine, Charlottesville, Virginia – sequence: 2 givenname: Laura surname: Farr fullname: Farr, Laura organization: Department of Medicine, University of Virginia School of Medicine, Charlottesville, Virginia – sequence: 3 givenname: Koji surname: Watanabe fullname: Watanabe, Koji organization: AIDS Clinical Center, National Center for Global Health and Medicine, Shinjuku, Tokyo, Japan – sequence: 4 givenname: Shannon surname: Moonah fullname: Moonah, Shannon organization: Department of Medicine, University of Virginia School of Medicine, Charlottesville, Virginia |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30046644$$D View this record in MEDLINE/PubMed |
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| Keywords | colitis HIV MSM diarrhea PCR amebiasis burden |
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| PublicationYear | 2018 |
| Publisher | Oxford University Press |
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