Fatal case of Plasmodium vivax malaria in a splenectomized patient

Malaria is a major problem in tropical and sub-tropical countries, with high morbidity and mortality. Splenectomy makes patients more susceptible to serious bacterial and parasitic infections. We report for the first time in Iran a fatal case of Plasmodium vivax malaria, confirmed by microscopic and molecular [Semi-nested multiplex PCR] tests in a patient who had undergone splenectomy due to hemolytic anemia

[ correlation between clinical signs and genotypes of giardia duodenalis isolated from patients with giardiasis in Kerman City]

Giardiasis is one of the human parasitic diseases caused by a flagellate protozoan named Giardia duodenalis [G.lamblia]. Giardia is one of the most common organisms causing diarrhea in human and also a common gastrointestinal parasite in vertebrates. A total of 352 stool samples were collected from patients infected with giardiasis referred to health centers in Kerman city. Samples were examined by formalin- ether concentration procedure. First, DNA extraction was performed on 30 stool samples containing adequate Giardia cysts and then PCR-RFLP was done on glultamate dehydrogenase [gdh] marker. Clinical signs of patients were recorded in a questionnaire and their relationships with molecular results were analyzed. The highest rate of infection was in the age group of 0-12 years with significant difference with other age groups [P<0.0001]. The most common clinical signs were abdominal pain [71.7%], diarrhea [69%], abdominal cramping [54.1%] and the least common signs were malaise [20.4%] and fever [16.1%]. Of all 30 isolates, 18 samples [60%] were found as genotype All, 5 ones [16.7%] belonged to Al assemblage and 7 samples [23.3%] were BIII assemblage. There was a significant difference between genotyping of Giardia and clinical signs of diarrhea, abdominal signs and nausea [P<0.05]. Higher prevalence of Giardiasis was found in the age group below 12 years, but clinical signs in different age groups and two sexes were identical. Assemblage A showed correlation with mild intermittent diarrhea and assemblage B had correlation with persistent diarrhea

Molecular characterization of toxoplasma gondii from Bird Hosts

The determination of Toxoplasma gondii prevalence in a variety of domestic birds is thought as a good indicator of distribution of T.gondii ooccyts in the environment. To verify the potential role of domestic birds in circulating toxoplasmosis in Iran, the present study was conducted in Mazandaran Provinces, northern Iran. Latex agglutination test [LA] antibodies were found in 25 of 58 free-ranging chickens [Gallus domesticus] and ducks [Anas sp.]. Also, viable T. gondii was isolated from 7 of 25 seropositive chickens and ducks by bioassay of their brains and hearts into mice. Most of the isolated strains were avirulant to mice. Genotyping of T.gondii isolates using Multiplex PCR for 5 microsatellite markers indicated that 7 isolates were type III. In this study type II and III isolates and mixed genotypes were not found. This study showed that domestic birds could have a potential role in transmitting toxoplasmosis to humans in Iran