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Intestinal parasites

Intestinal parasites are important causes of morbidity and mortality, particularly in resource poor settings. Disease accompanying these infections can manifest as a nutritional disturbance. Reduced food intake, impaired digestion, malabsorption, anemia and poor growth rate are among the many possible sequelae that can occur.

In the United States and other developed nations, intestinal parasites are most prevalent among returning travelers, immigrant groups, and immunocompromised hosts.Domestic infection occurs in settings such as community waterborne outbreaks, persons who drink untreated stream water, children and employees of daycare centers, men who have sex with men, and persons eating raw or undercooked beef, pork, or fish.

Most intestinal parasites are treatable.Many, but not all, of the drugs discussed in this chapter are commercially available in the United States.

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