1.Epidemiology of Human Entamoeba histolytica Intestinal Infection in Malaysia: A Systematic Review and Meta-Analysis
Genasan D. ; Rajamanikam, A. ; Azzani M. ; Osman E. ; Subramaniyan V. ; Nazmi N.N.M. ; Rahim N.S.A. ; Khalip N.M.A. ; Azman N.A.A.N. ; Kumarasamy V.
Tropical Biomedicine 2026;43(No. 1):103-111
Entamoeba histolytica (E. histolytica) is a protozoan parasite that causes amoebiasis in humans. It
is prevalent in developing countries, particularly in areas with inadequate sanitation and limited
access to clean water. While some data on the infection in the Malaysian population is available,
comprehensive data on the overall prevalence is lacking. Our study aimed to determine the
prevalence of E. histolytica in Malaysia through systematic review and meta-analysis using data
published up to 2025. Fourteen studies covering diverse population groups from various states in
Malaysia, including rural and urban residents, schoolchildren, indigenous communities, and high-risk
populations were reviewed. We found an overall pooled prevalence of 7% with high heterogeneity
(I² = 92.5%). Prevalence varied widely by state and population subgroup, with higher rates in Pahang
(18%) and among aboriginal schoolchildren (16%). Lower prevalence was found among urban
residents (2%) and patients with gastrointestinal disorders (2%). There was only a slight difference
in prevalence between individuals with co-infections (8%) and those without (7%). Studies using
microscopy showed higher prevalence (7%) than molecular methods (4%). This is likely due to the
misidentification of non-pathogenic Entamoeba species as E. histolytica when using microscopy.
These findings contribute to a better understanding of the epidemiology of E. histolytica intestinal
infection in Malaysia. Although the overall prevalence is relatively low, the results highlight the need
for continued surveillance and more accurate diagnostic approaches to support targeted control.
2. COVID-19-associated mucormycosis and treatments
Vetriselvan SUBRAMANIYAN ; Rusli Bin NORDIN ; Srikumar CHAKRAVARTHI ; Shivkanya FULORIA ; Neeraj Kumar FULORIA ; Hari Kumar DARNAL ; Dhanalekshmi Unnikrishnan MEENAKSHI ; Shah Alam KHAN ; Mahendran SEKAR ; Kathiresan V. SATHASIVAM ; Yuan Seng WU ; Usha KUMARI ; Kalvatala SUDHAKAR ; Rishabha MALVIYA ; Vipin Kumar SHARMA
Asian Pacific Journal of Tropical Medicine 2021;14(9):401-409
In the current pandemic, COVID-19 patients with predisposing factors are at an increased risk of mucormycosis, an uncommon angioinvasive infection that is caused by fungi with Mucor genus which is mainly found in plants and soil. Mucormycosis development in COVID-19 patient is related to various factors, such as diabetes, immunocompromise and neutropenia. Excessive use of glucocorticoids for the treatment of critically ill COVID-19 patients also leads to opportunistic infections, such as pulmonary aspergillosis. COVID-19 patients with mucormycosis have a very high mortality rate. This review describes the pathogenesis and various treatment approaches for mucormycosis in COVID-19 patients, including medicinal plants, conventional therapies, adjunct and combination therapies.


Result Analysis
Print
Save
E-mail