Strongyloidiasis is an infection caused by the intestinal nematode Strongyloides stercoralis. Infected healthy individuals are usually asymptomatic, however it is potentially fatal in immunocompromised hosts due to its capacity to cause an overwhelming hyperinfection. Strongyloidiasis could be missed during routine screening because of low and intermittent larval output in stool and variable manifestations of the symptoms. We present two cases of strongyloidiasis occurring in children with solid organ malignancies suspected to have the infection based on their clinical conditions and treatment history for cancer. Both patients were diagnosed by molecular and serological tests and were successfully treated. Thus, strongyloidiasis in patients undergoing intensive treatment for malignancies should be suspected, properly investigated and treated accordingly.

Aims:Campylobacter infection is one of the leading bacterial food-borne illness and most frequently reported in humans in developed countries. This study was designed to determine the prevalence of multidrug resistant (MDR) Campylobacterand the risk factors associated with their occurrence in broiler chicken meat retailed in markets. Methodology and results:A total of 210 samples consisting of 140 chicken meat and 70 swabs from weighing scales and cutting boards were collected. Isolates were cultured by passive filtration method, identified by biochemical tests and confirmed using PCR assay.Thirty-two(32/210) 15.2% were positive for Campylobacterof which (25/210) 11.9%, (6/210) 2.9% and (1/210) 0.5% were Campylobacter jejuni, C.coli andC.upsaliensis respectively. The isolates showed high resistance to ampicillin (62.5%), enrofloxacin (56.3%) and nalidixic acid (50.0%), while only 3.1% were resistant to streptomycin. Multidrug resistant isolates (resistance to at least one antibiotics in three classes or more) was high at 71.9%. The risk factors significantly (p<0.05) associated with Campylobactercontamination on chicken’smeat included poor workers hygiene {OR: 5.250 (95% CI: 0.988-27.895)}, wearing improper work attire {OR: 2.700 (95% CI: 1.144-6.374)}, poor protective equipment {OR 38.50 (95% CI: 2.915-508.463)}, poor environment/stall hygiene {OR 44.00 (95% CI: 2.193-882.66)}, and using tiled counter top surface {OR 6.667 (95% CI: 0.597-74.506). Conclusion, significance and impact of study:The finding of this study affirmed that lack or poor work hygiene, unclean environmental stall and protective equipment are associated with high occurrence of multidrug resistant Campylobacterspecies isolated from chicken meat

Aims: Antibiotic resistance in Staphylococcus pseudintermedius is increasing gradually towards those antibiotics that are frequently used leading to limited therapeutic options due to multidrug resistance. The objectives of the study were to investigate the antibiotic resistance profiles of S. pseudintermedius isolates from pet and stray dogs and cats in Selangor, Malaysia and to detect the resistance genes (mecA and BlaZ) within the isolates. Methodology and results: A total of 200 stray and pet dogs and cats were sampled. The samples were cultured onto Mannitol Salt agar and all the presumptive colonies were subcultured, then identified using biochemical tests and confirmed by PCR assay targeting the nuc gene. The isolates were subjected to antibiotic susceptibility test against 12 antibiotics. Twenty three isolates (11.5%) were positive to S. pseudintermedius (stray cats, 11/50; stray dogs, 9/50; pet dogs, 3/50 and pet cats, 0/50). One hundred percent (100%) of the S. pseudintermedius isolates were found to be resistant to penicillin, erythromycin and tetracycline while they showed 100% susceptible to oxacillin, amoxicillinclavulanic acid, gentamicin, chloramphenicol, vancomycin, ciprofloxacin, enrofloxacin, cephalexin and rifampicin. The blaZ gene which codes for β-lactamases production was found in all of the isolates that were resistant to penicillin but not to methicillin. Conclusion, significance and impact of study: A high number of S. pseudintermedius from dogs and cats developed antibiotic resistance which is a public health concern.

Objective: Irregular patterns of marital cohabitation are a common problem in upper Egypt due to employment conditions. The objective of this study was to investigate the effect of irregular marital cohabitation on the quality of life and sexual function of infertile men. Methods: In total, 208 infertile men were included and divided into two groups. The first group included 134 infertile men with an irregular pattern of marital cohabitation and the second group included 74 infertile men with a regular pattern of marital cohabitation. All subjects were assessed through a clinical evaluation, conventional semen analysis, the fertility quality of life (FertiQoL) questionnaire, the International Index of Erectile Function (IIEF-5) score, and the premature ejaculation diagnostic tool (PMEDT). Results: The two groups were compared in terms of conventional semen parameters, FertiQoL, IIEF-5 score, and PMEDT. Infertile men with an irregular pattern of marital cohabitation had significantly lower subscale and total FertiQoL and IIEF-5 scores. Additionally, they had significantly higher PMEDT scores. Erectile dysfunction and premature ejaculation were more common in them than in infertile men with a regular pattern of marital cohabitation. Conclusion Irregular patterns of marital cohabitation had an adverse effect on quality of life and sexual function in infertile men.

Eating behaviour disorder during early childhood is a common pediatric problem. Many terminologies have been used interchangeably to describe this condition, hindering implementation of therapy and confusing a common problem. The definition suggests an eating behaviour which has consequences for family harmony and growth. The recent Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition does not cover the entire spectrum seen by pediatricians. Publications are substantive but level of evidence is most of the time low. This purpose of this review is to clarify terminology of eating behaviour problems during early childhood; including benign picky eating, limited diets, sensory food aversion, selective eating, food avoidance emotional disorder, pervasive refusal syndrome, tactile defensiveness, functional dysphagia, neophobia and toddler anorexia. This tool is proposed only to ease the clinical management for child care providers. Diagnostic criteria are set and management tools are suggested. The role of dietary counselling and, where necessary, behavioural therapy is clarified. It is hoped that the condition will make its way into mainstream pediatrics to allow these children, and their families, to receive the help they deserve.
Anorexia ; Child ; Child Care ; Deglutition Disorders ; Diagnostic and Statistical Manual of Mental Disorders ; Diet ; Disulfiram ; Feeding and Eating Disorders ; Eating* ; Hope ; Humans ; Meals ; Pediatrics

INTRODUCTIONStrongyloidiasis is one of the most commonly neglected but clinically important parasitic infections worldwide, especially among immunocompromised patients. Evidence of infection among immunocompromised patients in Malaysia is, however, lacking. In this study, microscopy, real-time polymerase chain reaction (PCR) and enzyme-linked immunosorbent assays (ELISAs) were used to detect Strongyloides stercoralis (S. stercoralis) infection among cancer patients in a Malaysian hospital.

METHODSA total of 192 stool and serum samples were collected from cancer patients who were receiving chemotherapy with or without steroid treatment at a hospital in northeastern Malaysia. Stool samples were examined for S. stercoralis using parasitological methods and real-time PCR. Serology by ELISA was performed to detect parasite-specific immunoglobulin G (IgG), IgG4 and immunoglobulin E (IgE) antibodies. For comparison, IgG4- and IgG-ELISAs were also performed on the sera of 150 healthy individuals from the same area.

RESULTSOf the 192 samples examined, 1 (0.5%) sample was positive for S. stercoralis by microscopy, 3 (1.6%) by real-time PCR, 8 (4.2%) by IgG-ELISA, 6 (3.1%) by IgG4-ELISA, and none was positive by IgE-ELISA. In comparison, healthy blood donors had significantly lower prevalence of parasite-specific IgG (2.67%, p < 0.05) and IgG4 (2.67%, p < 0.05) responses.

CONCLUSIONThis study showed that laboratory testing may be considered as a diagnostic investigation for S. stercoralis among immunocompromised cancer patients.

Adolescent ; Adult ; Aged ; Aged, 80 and over ; Animals ; Antibodies, Helminth ; blood ; Child ; Child, Preschool ; Cross-Sectional Studies ; Enzyme-Linked Immunosorbent Assay ; Female ; Healthy Volunteers ; Hospitalization ; Humans ; Immunocompromised Host ; Immunoglobulin E ; blood ; Immunoglobulin G ; blood ; Malaysia ; Male ; Middle Aged ; Neoplasms ; complications ; parasitology ; Real-Time Polymerase Chain Reaction ; Strongyloides stercoralis ; Strongyloidiasis ; blood ; complications ; diagnosis ; Young Adult

The first novel coronavirus case was reported on December 2019, in Wuhan, China (Xu et al., 2020), named by WHO as SARS-CoV2 and the causing disease as coronavirus disease 2019 (COVID2019). The genome sequence revealed that the virus is belongs to the beta-coronavirus group, sharing ancestry with bat coronavirus HKU9-1, similar to SARS-coronaviruses.1 The number of cases has increased within few weeks, and later spread beyond the China border.2 The epidemic of COVID-19 began in Africa later than other regions globally, perhaps, because of the limited international air traffic, rather than the climate conditions. In Africa, the first cases were reported in early March 2020 in Egypt, followed by Algeria, and Sudan.3 Sudan is located in the north-eastern Africa it occupies 1.882.000 million km square, making it third-largest country in Africa, and 16th in the world, with a population of over 40 million people.4 and Khartoum is the capital which is the main international air travel hub. Khartoum is considered the epi centre of majority of reported and imported COVID-19 cases. In this letter we describe the impact of COVID 19 in Sudan; highlighting the response towards COVID-19 pandemic and the challenges towards possible control and prevention the outbreak