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Human Pentastomiasis Caused by Armillifer moniliformis in Malaysian Borneo

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  • Faculty of Medicine, Universiti Teknologi MARA, Shah Alam, Selangor, Malaysia; Department of Pathology, Hospital Selayang, Batu Caves, Selangor, Malaysia; Institute of Hygiene and Microbiology, University of Würzburg, Würzburg, Germany
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We report a case of visceral pentastomiasis caused by Armillifer moniliformis in a 70-year-old aboriginal farmer from rural Malaysian Borneo. The patient complained of upper abdominal pain, jaundice, and loss of weight. Radiological investigations and subsequent histopathological examination revealed an adenocarcinoma of the pancreas with an adjacent liver nodule containing a nymph of A. moniliformis. This report constitutes the first documented human pentastomid infection in the whole of Malaysia after nearly 40 years, and it is the third description from Malaysian Borneo. Cases of human and animal pentastomiasis in Malaysia are discussed.

Author Notes

*Address correspondence to Dennis Tappe, Institute of Hygiene and Microbiology, University of Würzburg, Josef Schneider Str. 2, 97080 Würzburg, Germany. E-mail: dtappe@hygiene.uni-wuerzburg.de

Authors' addresses: Baha Latif, Effat Omar, and Chong Chin Heo, Faculty of Medicine, Universiti Teknologi MARA, Shah Alam, Selangor, Malaysia, E-mails: bahalatif@yahoo.com, effatomar@yahoo.com, and chin@salam.uitm.edu.my. Noriah Othman, Department of Pathology, Hospital Selayang, Batu Caves, Selangor, Malaysia, E-mail: noriaho@selayanghospital.gov.my. Dennis Tappe, Institute of Hygiene and Microbiology, University of Würzburg, Würzburg, Germany, E-mail: dtappe@hygiene.uni-wuerzburg.de.

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