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Parasitic Infections

Parasitic infections are infections caused by a parasite. Parasites are living entities which use another creature, called a host, to survive. While the parasite is helped by this relationship, the host is harmed. The harm to the host is usually minor and not life-threatening, as the parasite cannot survive if it kills its host.

The three most common types of parasites that cause disease in people are:

  • Protozoa – microscopic, one cell creatures. Some examples of protozoal infections include giardiasis, trichomoniasis, and malaria.
  • Worms (called helminths by scientists). Some examples include roundworms, tape worms, and pinworms.
  • Small parasitic bugs (called ectoparasites by scientists). Some examples include head lice, scabies, and bed bugs.

Symptoms

The symptoms of a parasitic infection depend on the type of parasite and where on the body the person is infected. Some symptoms can include:

  • Diarrhoea
  • Stomach cramps
  • Nausea and vomiting
  • Rash
  • Itchy skin
  • Skin sores
  • Fever
  • Feeling very tired
  • Sore or aching muscles
  • Headache
  • Seizures
  • Feeling confused

Causes

A parasite infection is caused by contact with a parasite. Some situations where this is more likely include:

  • Living in an area where there are mosquitoes which carry malaria. This type of mosquito is common in the northeastern areas of South Africa, including parts of KwaZulu-Natal, Mpumalanga, and Limpopo.
  • Eating contaminated food or water
  • Eating food that has not been properly prepared
  • Unsafe sexual practices
  • Close contact with an infected person
  • Contact with soil or water

Risk Factors

Anyone can get a parasitic infection. Infections such as head lice are common worldwide. Some people are at higher risk of having complications from a parasitic infection. Some higher risk people include:

  • A person with HIV (human immunodeficiency virus) or AIDS (acquired immunodeficiency syndrome)
  • Young children or families with young children
  • Pregnant people and their foetus
  • People being treated for cancer
  • People taking medicines to suppress their immune system

Diagnosis

The diagnosis of a parasitic infection requires a healthcare professional. They will ask about their symptoms and perform an examination. They may also request some tests, such as:

  • Bloods
  • Stool sample
  • Urine sample
  • Swabs
  • Scraping of skin
  • Sputum sample (sample of what a person coughs up)
  • A sample of the fluid which surrounds the brain and spinal cord
  • Scans, such as x-ray, CT, or MRI

Complications

Complications from a parasitic infection depend on what type of parasite is involved and where in the body the infection is found. Most parasitic infections do not have long term complications. In rare parasitic infections of the brain, complications can include seizures and even death.

Treatment

Parasitic infections are treated with medications called antiparasitics. Sometimes, an antibiotic or antifungal medication is also needed.

Prevention

The best way to prevent a parasitic infection is to practice good hygiene. This includes washing hands thoroughly after using the toilet and before eating. It also includes food safety techniques, such as thoroughly washing fruit and vegetables before eating them and cooking meat thoroughly. Drinking clean water is very important as well. In places where a person is not sure whether the water is clean, letting it boil for one minute (three minutes in higher altitudes) helps kill any parasites that may cause disease in the water. For people who regularly work in the soil or outdoors, thorough hand washing upon returning home can help prevent parasitic disease. For people who live in areas where malaria is prevalent, sleeping under a mosquito net at night and wearing long sleeves and trousers can help prevent mosquito bites.

 
 
 

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