What are the most common parasitic infections in seniors?

Parasitic infections in seniors are a significant health concern because aging often weakens the immune system, making older adults more vulnerable to infections that younger people might resist more easily. Parasites are organisms that live on or inside a host, deriving nutrients at the host’s expense, and they can cause a range of illnesses. Among seniors, some parasitic infections are more common due to factors like weakened immunity, chronic illnesses, exposure risks, and sometimes reduced hygiene or living conditions in care facilities.

The most common parasitic infections in seniors include:

**1. Toxoplasmosis**
Toxoplasmosis is caused by the parasite *Toxoplasma gondii*. It is often contracted through undercooked or contaminated meat, polluted water, or contact with cat feces. While many people infected with toxoplasmosis show no symptoms, seniors with weakened immune systems may experience flu-like symptoms such as fever, muscle aches, and swollen lymph nodes. In severe cases, especially in immunocompromised seniors, the infection can affect the brain, causing encephalitis or other neurological problems. Because the parasite can remain dormant in the body for years, reactivation is a risk in older adults whose immune defenses decline.

**2. Giardiasis**
Giardiasis is caused by the protozoan *Giardia lamblia*, which is transmitted through contaminated water or food. It leads to gastrointestinal symptoms such as diarrhea, abdominal cramps, nausea, and weight loss. Seniors are particularly susceptible to dehydration from prolonged diarrhea, which can complicate other chronic health conditions. This infection is common in settings where water sanitation is poor or in communal living environments.

**3. Cryptosporidiosis**
This infection is caused by *Cryptosporidium* parasites, which also spread through contaminated water. It causes watery diarrhea, stomach cramps, and sometimes fever. In seniors, especially those with weakened immune systems, cryptosporidiosis can be severe and prolonged, leading to significant health deterioration.

**4. Trichomoniasis**
Trichomoniasis is a sexually transmitted parasitic infection caused by *Trichomonas vaginalis*. It can cause symptoms similar to urinary tract infections, including painful urination, increased urinary frequency, and pelvic discomfort. Seniors who remain sexually active or those in long-term care facilities may be at risk. Because symptoms can be mild or mistaken for other conditions, it often goes undiagnosed.

**5. Strongyloidiasis**
Strongyloidiasis is caused by the roundworm *Strongyloides stercoralis*. This parasite can live in the intestines for decades, often without symptoms. However, in seniors with compromised immunity, it can cause severe and potentially fatal infections, including widespread dissemination of larvae throughout the body. Infection occurs through contact with contaminated soil, often in tropical or subtropical regions.

**6. Schistosomiasis**
This disease results from infection by blood flukes called schistosomes, which enter the body through skin contact with contaminated freshwater. It can cause rash, fever, and muscle pain initially, but chronic infection may lead to serious complications such as liver damage, kidney failure, and bladder cancer. Seniors who have traveled to or lived in endemic areas may harbor this infection.

**7. Lice and Scabies**
Though not internal parasites, lice and scabies mites are common external parasites that affect seniors, especially those in nursing homes or assisted living facilities. These parasites cause intense itching and skin irritation and can lead to secondary bacterial infections if untreated.

**8. Elephantiasis (Lymphatic Filariasis)**
Caused by filarial worms such as *Wuchereria bancrofti*, elephantiasis is a chronic parasitic infection affecting the lymphatic system. The worms block lymph flow, causing severe swelling of limbs or genita