ABSTRACT
BACKGROUND Cerebral malaria is a lethal complication of Plasmodium falciparum infections in need of better therapies. Previous work in murine experimental cerebral malaria (ECM) indicated that the combination of artemether plus intraperitoneal whole blood improved vascular integrity and increased survival compared to artemether alone. However, the effects of blood or plasma transfusion administered via the intravenous route have not previously been evaluated in ECM. OBJECTIVES To evaluate the effects of intravenous whole blood compared to intravenous plasma on hematological parameters, vascular integrity, and survival in artemether-treated ECM. METHODS Mice with late-stage ECM received artemether alone or in combination with whole blood or plasma administered via the jugular vein. The outcome measures were hematocrit and platelets; plasma angiopoietin 1, angiopoietin 2, and haptoglobin; blood-brain barrier permeability; and survival. FINDINGS Survival increased from 54% with artemether alone to 90% with the combination of artemether and intravenous whole blood. Intravenous plasma lowered survival to 18%. Intravenous transfusion provided fast and pronounced recoveries of hematocrit, platelets, angiopoietins levels and blood brain barrier integrity. MAIN CONCLUSIONS The outcome of artemether-treated ECM was improved by intravenous whole blood but worsened by intravenous plasma. Compared to prior studies of transfusion via the intraperitoneal route, intravenous administration was more efficacious.
ABSTRACT
Abstract In Brazil, species of the genus Ramphocelus with the presence of various endoparasites have already been reported. Coccidia have been the parasites most frequently found. All species of this genus have similar habitats and ecological niches, which makes parasite transmission easy. The aim of this study was to diagnose the presence of endoparasites in fecal samples from specimens of Ramphocelus carbo that were caught in the Cazumbá-Iracema Extractive Reserve (Cazumbá Resex), in the State of Acre. The specimens (n = 30) were caught in mist nets arranged in different ecosystems of the Reserve. After identification, the bird specimens were placed in cloth bags for a maximum of 30 minutes to collect feces. Among the 22 samples collected, 63.63% (n = 14) were positive for endoparasites. The coccidia were the parasites most frequently. Helminths belonging to Ascaridiidae (Nematoda), Strongylida (Nematoda) and Davaneidae (Cestoda) were recorded for the first time in R. carbo in the State of Acre. Parasites belonging to Strongylida and Davaneidae were recorded for the first time in a species of Ramphocelus. These findings add information on the parasitic fauna of wild birds, since in the Amazon region there are few studies on this subject.
Resumo No Brasil, espécies do gênero Ramphocelus ja foram relatadas com a presença de vários endoparasitos, sendo os coccídios os parasitos mais frequentes. Todas as espécies do gênero possuem habitats e nichos ecológicos semelhantes, facilitando a transmissão desses parasitos. O presente estudo teve como objetivo diagnosticar a presença de endoparasitos em amostras fecais de Ramphocelus carbo capturadas na Reserva Extrativista Cazumbá-Iracema (Resex do Cazumbá), localizada no estado do Acre. Os espécimes (n=30) foram capturados em redes de neblina dispostas em diferentes ecossistemas da Reserva. Após a identificação das aves, os espécimes foram colocadas em sacos de pano por no máximo 30 minutos para coleta das fezes. Das 22 amostras coletadas, 63,63% (n = 14) foram positivas para endoparasitas. Os coccídíos foram os parasitos mais frequentes. Os helmintos Ascaridiidae (Nematoda), Strongylida(Nematoda) e Davaneidae (Cestoda) foram registrados pela primeira vez em R. carbo, no estado do Acre. Strongylida e Davaneidae são registrados pela primeira vez em uma espécie pertencente a Ramphocelus. Esses achados acrescentam informações sobre a fauna parasitária de aves silvestres, pois na Amazônia existem poucos estudos nessa área.