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Biomedical subjects

M G Schultz

Publications and source records attributed to M G Schultz.

At least 19 recordsLinked to original sources
PubMed1989

Malaria in migrants and travellers.

Imported malaria is a growing problem in the world. In part this is a result of greatly increased and more rapid travel and in part a result of a resurgence of malaria in areas partially or completely cleared. Migrants, either refugees or those looking for better opportunities in life, have contributed to the movement of malaria to previously free areas. Failure of travellers to take appropriate action to prevent infection has contributed to the increased incidence of imported malaria. Vectors of malaria may also become travellers and thus contribute to the spread of infection.

Animals↗
PubMed1979

Neurologic complications following the treatment of human Babesia microti infection with diminazene aceturate.

A 65-year-old man infected with Babesia microti failed to respond to therapy with oral chloroquine phosphate. He was then successfully dreated with diminazene aceturate, an experimental anti-protozoal agent. After his recovery from babesiosis, the patient developed acute idiopathic polyneuritis (Landry-Guillain-Barré Syndrome), which was probably related to his diminazene therapy.

Aged↗
PubMed1978

An outbreak of pneumocystis pneumonia in children with acute lymphocytic leukemia.

Between Jan 1 and Oct 31, 1975, a cluster of ten cases of pneumocystis pneumonia occurred in children with acute lymphocytic leukemia (ALL) at the James Whitcomb Riley Hospital for Children in Indianapolis. The risk of infection appeared to be related to the intensity of chemotherapy. Furthermore, illness developed in nine of the ten patients between 30 and 100 days after initiation of therapy, suggesting a period of heightened susceptibility to infection. An indirect immunofluorescent test was used to detect antipneumocystis antibodies in serum samples collected from patients with pneumocystis pneumonia and their contacts. Members of the Riley Hospital staff who had close contact with infected children had a higher prevalence of elevated antibody titers (7/12) than other staff members (2/22; P = .004) or parents of infected patients (0/8; P = .01). This suggests that transmission of pneumocystis may occur within the hospital environment.

Adolescent↗
PubMed1978

Giardiasis in American travelers to Madeira Island, Portugal.

A high incidence of diarrhea was reported in a group of approximately 1,400 Americans who traveled to the Portuguese island of Madeira in October 1976. A mail questionnaire survey revealed that 39% of the responding 859 travelers experienced diarrhea; in 42% of these diarrhea lasted for longer than 1 week. The most frequent accompanying symptoms were abdominal cramps (75%), abdominal distention (72%), nausea (70%), and weight loss (40%). Of all travelers surveyed, 33% developed an illness resembling giardiasis with a median incubation period of 4 days. Of 35 ill patients who had a stool culture, enteric pathogens were recovered from 4 (3 Shigella and 1 Salmonella). On the other hand, of 58 ill patients whose stools were examined for parasites, Giardia lamblia was recovered from 27 (47%). Analysis of the epidemiologic data showed that drinking tap-water on the island was significantly associated with illness; eating ice cream or raw vegetables on the island was also implicated. There was no evidence of continuing transmission of giardiasis in American tourists visiting Madeira 8--12 months after the outbreak.

Aged↗
PubMed1977

Exotic diseases. Ounce of prevention or pound of cure?

With the growth of international travel, exotic diseases have assumed increasing importance to the physician. They can be effectively prevented by the use of commonsense measures. The physician should be prepared to offer advice on food, drink, and use of prophylactid drugs and to give needed immunizations to patients planning to travel. The biggest pitfall in diagnosis of exotic disease is failure to connect a history of travel with the signs and symptoms. An answer to the simple question, "Where have you been?" should arouse suspicion of the correct diagnosis.

Beverages↗
PubMed1977

Epidemiologic investigation of echinococcosis in American Indians living in Arizona and New Mexico.

Ten cases of echinococcosis diagnosed in American Indians in Arizona and New Mexico between 1972 and 1975 were investigated as part of a regional epidemiologic study. Patients were visited at home to discover factors associated with local parasite transmission, to detect possible additional cases among family members, and to perform diagnostic tests on dogs. Six patients were Navajo, 2 Zuni, and 2 Santo Domingo Indians. An additional case in a Navajo man was detected by serologic testing of patients' family members; this was the 20th case diagnosed in the region since 1965. Dogs owned by three of the Navajo patients were infected with Echinococcus granulosus. Arecoline-purge testing of 110 dogs in the Zuni pueblo demonstrated echinococcosis in a single stray dog. The findings at slaughter of Navajo-owned sheep indicate that the infection is enzootic in this intermediate host. The epidemiologic findings suggest that humans were infected from dogs which contracted their infections from two sources. The first was sheep raised locally in rural areas of the Navajo Reservation where the infection is enzootic in the dog-sheep cycle; transmission was apparently facilitated by the widespread practice of home butchering. A second source of human infection was dogs which became infected by eating viscera of sheep of off-reservation origin; these sheep were purchased and butchered by individual families in urban areas of the Navajo Reservation and in the Zuni and Santo Domingo pueblos.

Animals↗
PubMed1977

A communitywide outbreak of giardiasis with evidence of transmission by a municipal water supply.

Three hundred fifty residents of Rome, New York, had laboratory-confirmed cases of giardiasis between 1 November 1974 and 7 June 1975. A random household survey showed an overall attack rate for giardiasis (defined as a diarrheal illness of 5 days or more) of 10.6%. A significant association was discovered between having giardiasis and using city water and between having illness and drinking 1 or more glasses of water a day. The presence of human settlements in the Rome watershed area suggested that the water supply could have been contaminated by untreated human waste. The infectivity of municipal water was confirmed by producing giardiasis in specific pathogen-free dogs fed sediment samples of raw water obtained from an inlet of a city reservoir. A microscopic examination of the water sediments uncovered a Giardia lamblia cyst in one sample. This was the first time that a G. lamblia cyst has been found in municipal water in an epidemic and the first time that such water has been shown to infect laboratory animals.

Animals↗
PubMed1977

An epidemic of pediculosis capitis.

An epidemic due to Pediculus humanus capitis occurred in the public schools of Buffalo, New York, in the winter of 1973. A survey at one elementary school showed that 20% of whites and no blacks were infested, and a city-wide prevalence survey during the academic year September 1972 to May 1973 showed that 7.2% of all pupils were infested. An epidemiological investigation showed that sex, age, race, socioeconomic status, crowding, method of closeting garments, and family size influenced the distribution of pediculosis but that hair length apparently was not a factor. Poverty and ignorance appeared to contribute to the persistence of infestation.

Adolescent↗
PubMed1976

A community outbreak of scabies.

An elementary school in Broward County, Florida, reported an outbreak of scabies in January and February 1975. Investigation identified 23 cases of scabies in schoolchildren, with at least two cases in each grade. The first case had appeared as early as July 1974, but most occurred after December. There was little contact between students in different grades; most transmission was found to have taken place within families and in the community. An additional 28 cases were found in families and contacts; altogether, 51 cases in 24 families were identified on clinical or historical grounds. Infestation was more frequent in children who exchanged clothes with friends or relatives and in those who, on occasion, spent the night with other children.

Child↗
PubMed1976

Echinococcosis in Arizona and New Mexico. Survey of hospital records, 1969-1974.

In 1974, seven cases of human echinococcosis were diagnosed in Arizona and New Mexico. A retrospective survey of Arizona and New Mexico hospitals obtained data on ten additional cases reported for the 5-year period 1969 through 1973. Sixteen cases were diagnosed as Echinococcus granulosus infections and one as E. multilocularis infection. The latter infection was in an Eskimo from Alaska, where E. multilocularis is endemic. All of the 16 E. granulosus cases were probably acquired autochthonously; 14 were diagnosed in American Indians of the Navajo (8 cases), Zuni (4 cases), and Santo Domingo (2 cases) tribes; the remaining 2 cases were diagnosed in non-Indian women. This is the first published account of echinococcosis autochthonous to Arizona and New Mexico. Evidence suggests that the infection may have been introduced only relatively recently to the areas populated by the American Indians and that parasite transmission to humans is increasing.

Adolescent↗