Browsing by Author "Premaratne, U.N."

Now showing 1 - 8 of 8

Anopheles (Cellia) culicifacies: a potential vector of bancroftian filariasis in Sri Lanka
(Museum and Reference Centre, SEAMEO-TROPMED National Centre of Thailand, 1987) Abeyewickreme, W.; Hewadikaram, K.A.; Weerasena, K.H.; Premaratne, U.N.; Ismail, M.M.
Cutaneous leishmaniasis in Sri Lanka. an imported disease linked to the Middle East and African employment boom
(Foundation Tropical and Geographical Medicine, 1990) Naotunne, T. de S.; Rajakulendran, S.; Abeyewickreme, W.; Kulasiri, C.D.; Perera, J.; Premaratne, U.N.; Attygalle, D.; Mendis, K.N.; Wanniarachchi, P.
Cutaneous leishmaniasis acquired by two Sri Lankan nationals while they were employed in Iraq and Northern Nigeria respectively constitutes examples of an imported disease related to the 'Middle East and African employment boom'. In both cases the diagnoses were confirmed by demonstrating the parasites in smears from the lesions and in tissue sections, and by culturing the parasites in vitro. Since leishmaniasis, neither visceral nor cutaneous is prevalent in Sri Lanka the risks of 'introduced' diseases is discussed here in the context of these two cases.
Effect of ivermectin on the development of Wuchereria bancrofti in the vector
(Malaysian Society of Parasitology and Tropical Medicine, 1992) Abeyewickreme, W.; Ismail, M.M.; Premaratne, U.N.; Dissanaike, A.S.
Human infection with Dirofilaria (Nochtiella) repens in Sri Lanka
(Sri Lanka Medical Association, 1993) Dissanaike, A.S.; Premaratne, U.N.; Hettiarachchi, S.; Weerasooriya, M.; Abeyewickreme, W.; Ismail, M.M.
Human dirofilariasis due to Dirofilaria (Nochtiella) repens is a common zoonotic infection in Sri Lanka. Todate 70 cases are on record, and they include 3 expatriates from Russia, England and Korea, who were undoubtedly infected in Sri Lanka. Around 30-60% of dogs are infected with D. repens in various parts of the country and the mosquito vectors are Aedes aegypti, Armigeres subalbatus, Mansonia uniformis and M. annulifera. Unlike in other countries of the old world infection is most common in children under the age of 9 years, the youngest being 4 months old and the scrotum, penis and perianal regions of male children appear to be frequent sites for the worms. Dirofilaria (Dirofilaria) immitis is not present in Sri Lanka though it is present in neighbouring countries like India, and Malaysia.
On an infection of a human eye with Parastrongylus (= Angiostrongylus) sp. in Sri Lanka
(London School of Hygiene and Tropical Medicine, 1993) Durette-Desset, M.C.; Chabaud, A.G.; Cassim, M.H.; Ismail, M.M.; Premaratne, U.N.; Abeyewickreme, W.; Dissanaike, A.S.
A metastrongyle worm extracted from the anterior chamber of the right eye of a patient in Sri Lanka belongs to the genus Parastrongylus and probably to a yet undescribed species, related to P. cantonensis well known to infect man. It is mostly a parasite of rodents, wandering in man and unadapted to this host. Evidence for this lack of adaptation are that the specimen is undergoing necrosis (teratological specimen) and is located in an organ with little immunological defences.
Prolonged clearence of microfilaraemia in patients with bancroftian filariasis after multiple high doses of ivermectin of diethylacarbamizine
(Oxford University Press, 1996) Ismail, M.M.; Weil, G.J.; Jayasinghe, K.S.A.; Premaratne, U.N.; Abeyewickreme, W.; Rajaratnam, H.N.; Sheriff, M.M.R.; Perera, C.S.; Dissanaike, A.S.
In a double-blind trial on 37 asymptomatic microfilaraemic subjects (minimum 400 microfilariae [mf] per mL) with Wuchereria bancrofti infection, the safety, tolerability and macrofilaricidal efficacy of 12 fortnightly doses of ivermectin, 400 microg/kg (ivermectin group), was compared with 12 fortnightly doses of diethylcarbamazine (DEC), 10 mg/kg (DEC group), over a period of 129 weeks after treatment. A control group (LDIC group) was treated with low dose ivermectin to clear microfilaraemia, for ethical reasons. Both ivermectin and DEC in high multiple doses were well tolerated and clinically safe. Macrofilaricidal efficacy was assessed by prolonged clearance of microfilaraemia, appearance of local lesions, and reduction of circulating W. bancrofti adult antigen detected by an antigen capture enzyme-linked immunoassay based on the monoclonal antibody AD12. Mf counts fell more rapidly after ivermectin than after DEC, but low residual mf levels were equivalent in these groups after week 4. Conversely, filarial antigen levels fell more rapidly after DEC than after ivermectin, but low residual antigen levels in these groups were statistically equivalent at all times beyond 12 weeks. Mild, self-limited systemic reactions to therapy were observed in all 3 treatment groups. Local reactions, such as development of scrotal nodules, were observed in several subjects in the DEC and ivermectin groups. These results suggested that high dose ivermectin and DEC both had significant macrofilaricidal activity against W. bancrofti, but neither of these intensive therapeutic regimens consistently produced complete cures. Thus, new drugs or dosing schedules are needed to achieve the goal of killing all filarial parasites in the majority of patients.
Single dose treatment of mixed helminth infections--a comparison of three different regimes
(Sri Lanka Medical Association, 1987) de Silva, D.G.H.; Lionel, N.D.; Premaratne, U.N.; Warnasuriya, N.; Soysa, P.E.; Fonseka, P.H.
No abstract available
Treatment of bancroftian filariasis with ivermectin in Sri Lanka, evaluation of efficacy and adverse reaction
(Malaysian Society of Parasitology and Tropical Medicine, 1991) Ismail, M.M.; Premaratne, U.N.; Abeyewickreme, W.; Jayasinghe, K.S.A.; de Silva, W.A.S.; Atukorala, S.; de Abrew, K.; Dissanaike, A.S.