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[Imported gnathostomiasis acquired in Myanmar].

M Develoux1, P Dekumyoy, E Baygon

  • 1Service de parasitologie, hôpital Tenon, 4, rue de la Chine, 75020 Paris, France. michael.devoux@tnn.ap-hop-paris.fr

Medecine Et Maladies Infectieuses
|May 30, 2006
PubMed
Summary

Gnathostomiasis is a parasitic infection now endemic in Myanmar. A patient relapsed after standard ivermectin treatment, leading to a new double-dose recommendation for this zoonotic disease.

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Area of Science:

  • Medical Parasitology
  • Infectious Diseases
  • Zoonosis Epidemiology

Background:

  • Gnathostomiasis is a parasitic zoonosis caused by nematodes of the genus Gnathostoma.
  • The infection is typically acquired by ingesting undercooked fish or meat containing infective larvae.
  • Previously considered non-endemic, recent outbreaks suggest a changing epidemiological landscape in Southeast Asia.

Observation:

  • A case of cutaneous gnathostomiasis was reported in a patient acquired in Myanmar.
  • The patient presented with symptoms consistent with gnathostomiasis.
  • Despite initial treatment with ivermectin, the patient experienced a relapse after apparent clinical cure.

Findings:

  • Myanmar should be recognized as a country where gnathostomiasis can be acquired.

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  • Standard-dose ivermectin may not be sufficient for complete eradication in all cases.
  • Relapse after ivermectin treatment highlights the need for revised therapeutic strategies.

    • Implications:

    • The geographical distribution of gnathostomiasis needs re-evaluation, including Myanmar in endemic regions.
    • A double-dose regimen of ivermectin is now recommended for treating gnathostomiasis.
    • This finding has significant implications for clinical management and public health surveillance of this parasitic zoonosis in Southeast Asia.