Antígeno nativo y no nativo para determinar la seroprevalencia de Trypanosoma cruzi en mujeres embarazadas en el estado de Morelos, México / Native and non-native antigen to determine the seroprevalence of Trypanosoma cruzi in pregnant women from the state of Morelos, Mexico

INTRODUCCIÓN: La enfermedad de Chagas es una infección parasitaria crónica sistémica, de importancia global, causada por Trypanosoma cruzi. OBJETIVO: Determinar la prevalencia de anticuerpos contra T cruzi en mujeres embarazadas en el estado de Morelos, México. MATERIALES Y MÉTODOS: Se analizaron 1.620 sueros de mujeres embarazadas mediante dos pruebas serológicas: ELISAc (antígeno crudo nativo) y ELISAr (antígeno recombinante, no nativo). Las muestras reactivas se analizaron posteriormente mediante hemaglutinación indirecta (HAI). Se utilizaron dos enfoques de detección, en paralelo (son positivas las muestras reactivas por cualquier método) y en serie (son positivas las muestras confirmadas por HAI). Se evaluaron factores sociodemográficos y de salud asociados a la presencia de anticuerpos contra T. cruzi mediante razones de momios al 95%. RESULTADOS: Se obtuvo una seroprevalencia de 4,87% con el diagnóstico en paralelo y de 0,43% en serie. A partir de los resultados en paralelo las mujeres que fueron atendidas en los hospitales generales de Tetecala y Jojutla tuvieron, respectivamente, 2,2 y 2,0 veces mayor posibilidad de presentar anticuerpos contra T cruzi con respecto a las mujeres que fueron atendidas en el Hospital General de Cuautla. CONCLUSIÓN: La prevalencia de anticuerpos contra T cruzi en mujeres embarazadas en el estado de Morelos fluctuó entre 0,43 y 4,87%, según el antígeno y el abordaje utilizado. Es necesario continuar con la vigilancia de la seroprevalencia de anticuerpos contra T cruzi en mujeres embarazadas en el estado de Morelos, México, con las técnicas de mayor sensibilidad y especificidad disponibles.

BACKGROUND: Chagas disease is a globally important chronic systemic parasitic infection caused by Trypanosoma cruzi. AIM: To determine the prevalence of antibodies against T cruzi in pregnant women from the state of Morelos, México. METHODS: 1,620 sera from pregnant women were analyzed using two serological tests: ELISAc (native crude antigen) and ELISAr (recombinant, non-native antigen). Reactive samples were subsequently analyzed by indirect hemagglutination (IHA). Two detection approaches were used, in parallel (reactive samples by any method are positive) and serial (samples confirmed by IHA are positive). Sociodemographic and health factors associated with the presence of antibodies against T cruzi were evaluated using 95% odds ratios. RESULTS: A seroprevalence of 4.87% was obtained with parallel diagnosis and 0.43% in series. From the parallel results, the women who were attended at the general hospitals of Tetecala and Jojutla had respectively 2.2 and 2.0 times greater chance of presenting antibodies against T cruzi compared to the women who were attended at the General Hospital of Cuautla. CONCLUSION: The prevalence of antibodies against T cruzi in pregnant women from the state of Morelos fluctuated between 0.43 and 4.87%, depending on the antigen and the approach used. It is necessary to continue with the surveillance of the seroprevalence of antibodies against T cruzi in pregnant women from the state of Morelos, Mexico, using the techniques with the highest sensitivity and specificity available.

Application and evaluation of indirect hemagglutination test in the Meriones unguiculatus natural focus of Inner Mongolia / 中华地方病学杂志

Objective To analyze and evaluate the application of indirect hemagglutination test (IHA) method in the epidemic area of Meriones unguiculatus in Inner Mongolia.Methods The plague monitoring summary and epidemic analysis reports of each year in Inner Mongolia from 1996 to 2016 were collected.The serum results of the IHA method were analyzed,including the time,region and the distribution of host animals.Results From 1996 to 2016,a total of 38 096 serum samples were detected from various host animals,and 172 positive samples were detected,with a positive rate of 0.45％.In the 21 years,except 2001 and 2015,the occurrence and prevalence of plague were judged by the IHA method for the remaining 19 years.There were 10 counties detected positive sera by IHA method;the positive results were detected by IHA method in 6 kinds of host animals,including 5 rodents and 1 carnivorous,and the positive rate of Rhombomys opimus was up to 6.17％ (91/1 475),the highest titer of the seropositive host animals was as high as 1:10 240.Conclusions The IHA method is easy to operate and economical.It plays a huge role in the timely detection of the epidemic in systematic monitoring of the Meriones unguiculatus in Inner Mongolia.

Inmunoserología y métodos moleculares para el diagnóstico de Chagas: revisión sistemática rápida / Immunoserology and molecular techniques for diagnosis of Chagas´ disease: rapid systematic review / Imunoserologia e métodos moleculares para o diagnóstico de Chagas: revisão sistemática rápida

Con el objetivo de incrementar la precisión diagnóstica, la Organización Mundial de la Salud recomienda la realización de dos o más pruebas inmunoserológicas para el diagnóstico de la enfermedad de Chagas en etapa crónica. El objetivo de este trabajo fue realizar una revisión sistemática rápida acerca del desempeño de las técnicas inmunoserológicas y métodos moleculares en la población general. Se identificaron 178 estudios de los cuales fueron incluidos nueve. Las técnicas de ELISA mostraron la mayor sensibilidad (82-98%) y especificidad (96-100%). Los métodos rápidos mostraron valores de sensibilidad entre 88-93% y especificidad 97- 100%, mientras que los métodos moleculares (PCR) presentaron niveles muy variables de sensibilidad (22-92%) y especificidad (70-100%). Estos resultados muestran que las técnicas de ELISA cuentan con una sensibilidad y especificidad adecuadas. La PCR, al igual que los métodos rápidos, mostró una gran variabilidad en los resultados, debido principalmente a la heterogeneidad de la técnicas y profusión de métodos elaborados de manera in house.

In order to increase diagnostic accuracy, the World Health Organization recommends performing two or more immunoserological tests for the diagnosis of Chagas disease in chronic stage. The aim of this work was to make a rapid systematic review of the performance of immunoserological techniques and molecular methods in the general population. A total of 178 studies were identified, nine ofwhich were included. ELISA techniques showed the highest sensitivity (82-98%) and specificity (96-100%). Rapid methods presented values of sensitivity between 88-93% and 97-100% of specificity, while the molecular methods (PCR) showed highly variable levels of sensitivity (22-92%) and specificity (70-100%). These results indicate that ELISA techniques have adequate sensitivity and specificity. PCR, as well as rapid methods, showed great variability in the results, mainly due to the heterogeneity of the techniques and abundance of "in-house" methods.

Visando a aumentar a precisão do diagnóstico, a Organização Mundial da Saúde recomenda executar dois ou mais testes imunoserológicos para o diagnóstico na fase crônica da doença de Chagas. O objetivo deste trabalho foi fazer uma revisão sistemática rápida sobre o desempenho de técnicas imunoserológicas e métodos moleculares na população em geral. Foram identificados 178 estudos dos quais se incluíram nove. Técnicas de ELISA mostraram a maior sensibilidade (82-98%) e especificidade (96-100%). Métodos rápidos apresentaram valores de sensibilidade e especificidade de 88-93% e 97-100%, respectivamente enquanto que os métodos moleculares (PCR) tinham níveis extremamente variáveis de sensibilidade (22-92%) e especificidade (70-100%). Estes resultados mostram que as técnicas de ELISA possuem sensibilidade e especificidade adequadas. A PCR, bem como os métodos rápidos, mostrou grande variabilidade nos resultados, principalmente devido à heterogeneidade das técnicas e profusão de métodos desenvolvidos de modo in house.

Altered indirect hemagglutination method for easy serotyping of Haemophilus parasuis / Método de Hemaglutinação Indireta alterado para facilitar a sorotipificação de Haemophilus parasuis

Glässer's disease is an emergent bacterial disease that affects swine husbandries worldwide causing important economic losses. The aetiological agent, Haemophilus parasuis, is currently divided in fifteen serovars but an increasing number of non-typeable serovars have been reported. Indirect hemagglutination (IHA) is indicated as a serotyping method for H. parasuis. In the present study, we describe an additional step that aims to work around a possible obstacle in the original protocol that may compromise the outcome of this assay. We observed that the choice of anticoagulant for blood collection influences and/or impairs spontaneous adsorption of H. parasuis antigens on sheep red blood cells (SRBCs). However, regardless of the anticoagulant used, chemical treatment of SRBCs with tannic acid induces a stable antigen adsorption (sensitization step). The addition of 1% BSA to SRBCs washing buffer and to antisera dilution augments IHA specificity. Tannic acid treated SRBCs combined with thermo-resistant H. parasuis antigens increases the assay resolution. Thus, our results demonstrate an improvement in the technique of H. parasuis serotyping that will prove valuable to understand Glässer's disease epidemiology and to better characterize serovars involved in outbreaks.(AU)

A Doença de Glässer é uma doença bacteriana emergente que afeta a produção de suínos em todo o mundo e causa importantes perdas econômicas. O agente etiológico, Haemophilus parasuis, é atualmente dividido em quinze sorovares; no entanto, um número crescente de cepas não tipificáveis tem sido relatado. O teste de hemaglutinação indireta (IHA) tem sido utilizado para a sorotipificação de H. parasuis. Neste estudo, descrevemos uma alteração no protocolo original de IHA e que supera uma limitação específica que pode comprometer o uso geral deste ensaio. Descobrimos que o tipo de anticoagulante utilizado para coletar os eritrócitos ovinos (SRBCs) pode comprometer a adsorção espontânea dos antígenos do H. parasuis. Por outro lado, o tratamento químico dos SRBCs com ácido tânico promove uma adsorção antigênica estável (passo de sensibilização) e independente do anticoagulante utilizado. O uso de 1% de BSA durante as lavagens dos SRBCs e na diluição dos antissoros incrementa a especificidade da IHA e, a combinação dos SRBCs tratados quimicamente com antígenos de H. parasuis termo-resistentes aumentam a resolução da IHA. Nossos resultados destacam uma melhoria na principal técnica de sorotipificação de H. parasuis, que auxiliará diretamente no entendimento da epidemiologia da Doença de Glässer e na caracterização dos sorovares envolvidos em surtos da doença.(AU)

Seroprevalence of Toxoplasma gondii Infection in Wild Boars, Wild Rabbits, and Wild Chickens in Hubei Province, China

Toxoplasma gondii causes serious infection worldwide in humans and animals. In this study, the seroepidemiology of toxoplasmosis was investigated in wild boars (Sus scrofa) (n=377), wild rabbits (cape hare, Lapus capensis) (n=331), and wild chickens (red junglefwol, Gallus gallus) (n=571) in 4 forested and country sided area of Hubei province of China. For this, blood samples were collected and tested by indirect hemagglutination test (IHA). The seroprevalence was found to be 7.2%, 5.1%, and 12.6% in wild boars, rabbits, and chickens, respectively, with significant differences among these species. The prevalence of T. gondii infection in male and female wild boars was found to be 7.9% and 6.5% (P<0.01), in male and female rabbits was 5.6% and 4.9% (P<0.01), and in male and female chickens was 17.1% and 7.7% (P<0.01), respectively, with significant differences between 2 genders of chickens (P<0.01). The findings of this study may help in planning of the prevention measures against T. gondii infection in wild animals in this area.

Serological diagnosis methods of schistosomiasis japonica at different preva-lence:a meta-analysis / 中国血吸虫病防治杂志

Objective To comprehensively evaluate the effects of indirect hemagglutination test(IHA),enzyme?linked im?munosorbent assay(ELISA),and dipstick dye method(DDIA)in the diagnosis of schistosomiasis japonica at different preva?lence by using Meta?analysis. Methods Through the literature review according to the inclusion and exclusion criteria,a data?base was established,and by using Meta?disc and R software,the Meta?analysis was performed including the threshold test,het?erogeneity test,weighted by the quantitative effect of merger,SROC curve fitting,etc. Results A total of 60 papers were in?cluded in the final analysis. The sensitivities of IHA were 0.84,0.76 and 0.94 in heavy,medium and low endemic areas,and specificities were 0.73,0.64 and 0.73 respectively;the sensitivities of ELISA were 0.88,0.80 and 0.93 in heavy,medium and low endemic areas,and the specificities were 0.59,0.59 and 0.62 respectively;the sensitivities of DDIA were 0.93,0.81 and 0.93 in the heavy,medium and low endemic areas,and specificities were 0.66,0.69 and 0.59 respectively. The weighted sensi?tivities of IHA,ELISA and DDIA were 0.83,0.87 and 0.90 respectively;the weighted specificities were 0.69,0.60 and 0.62 re?spectively. The areas under the curve of SROC were 0.89,0.96 and 0.92 in IHA,ELISA and DDIA respectively. Conclusions In different prevalence,the effectiveness of different methods for serological diagnosis of schistosomiasis is different. The sensi?tivity and specificity of all diagnostic methods of schistosomiasis need to further improve.

SEROPREVALENCE OF Toxoplasma gondii (Nicole & Manceaux, 1909) AND RETROVIRAL STATUS OF CLIENT-OWNED PET CATS (Felis catus, Linnaeus, 1758) IN RIO DE JANEIRO, BRAZIL / Soroprevalência da infecção por Toxoplasma gondii (Nicole & Manceaux, 1909) e a infecção por retrovírus em população urbana de gatos domésticos (Felis catus, Linnaeus, 1758) no Rio de Janeiro, Brazil

Cats, as definitive host, play an important role in the transmission of Toxoplasma gondii. This study aimed to establish the seroprevalence of anti-T. gondii immunoglobulins G and M, and determine the frequency of oocysts in the feces of the domestic cat population in Rio de Janeiro, Brazil. We also aimed to study the association between T. gondii infection and age, sex, breed, lifestyle, diet and retroviral infection. A total of 108 cats were included in the study and fecal samples of 54 of those cats were obtained. Only 5.6% of the cats were seropositive for anti-T. gondii immunoglobulins using the indirect hemagglutination test. None of the 54 cats presented oocysts in their fecal samples. Although not statistically significant, males, mixed-breed, free-roaming and cats aged two years and older were found to be more exposed. Age, lifestyle and the use of litter boxes were found to play an important role as risk factors. Anemia and retroviral infections were independent of T. gondii infection. No antibodies were detected in the majority of cats (94.4%), indicating that those cats had never been exposed to the parasite and, therefore, once infected, they could present the risk of shedding large numbers of oocysts into the environment.

Os gatos, como hospedeiros definitivos, apresentam um papel fundamental na transmissão do Toxoplasma gondii. Nosso estudo teve como objetivo determinar a presença de imunoglobulinas G e M anti-T. gondii, e a frequência de oocistos nas fezes de uma população de gatos domésticos do Rio de Janeiro, Brasil. Objetivou-se ainda estudar a associação da infecção por T. gondii com a idade, sexo, raça, estilo de vida, dieta e infecção por retrovírus. Um total de 108 gatos foi incluído no estudo e 54 amostras de fezes foram obtidas desses animais. Somente 5,6% dos gatos foram sororreagentes para T. gondii, utilizando-se o teste de hemaglutinação indireta. Nenhum dos 54 gatos apresentou oocistos em suas amostras fecais. Embora sem comprovação estatística, machos, sem raça definida, com acesso livre às ruas e gatos com mais de dois anos de idade tenderam a ser mais expostos ao parasito. Idade, estilo de vida e uso de caixa de areia foram considerados importantes fatores de risco. Anemia e infecção por retrovírus não apresentaram relação com infecção por T. gondii. Não foram detectados anticorpos na maioria dos gatos (94,4%), indicando que esses gatos nunca foram expostos ao parasito e que, se infectados, poderão eliminar grande número de oocistos no ambiente.

Seroprevalence of Toxoplasma gondii in cats (Felis catus, Linnaeus 1758) living in Lima, Peru / Soroprevalência de Toxoplasma gondii em gatos (Felis catus, Linnaeus 1758) residentes em Lima, Peru

The aim of this study was to determine the frequency of infection by T. gondii in cats, by examining serum and fecal samples from animals attended at veterinary clinics in the Metropolitan Region of Lima, Peru. We collected and analyzed 154 cat serum samples and 50 fecal samples, regardless of the age, gender or breed. In parallel with the sample collections, the owners answered an epidemiological questionnaire that investigated the following variables: age group, gender, lifestyle (confined, semi-confined or free-living animals), feeding and hunting habits. The serum and fecal samples were analyzed using indirect hemagglutination (IHA) and coproparasitological tests, respectively. IHA showed that the frequency of cat exposure to T. gondii was 11%. Age and gender showed no association with exposure to the parasite. Exposure among the cats was associated with hunting (x2 = 4.98, p = 0.016) and feeding habits (x2 = 13.34, p = 0.001): those fed with raw meat were more exposed than those fed with commercial cat food (x2 = 9.50, p = 0.004) or with homemade food (x2 = 4.1, p = 0.027). The frequency of cats diagnosed in the chronic phase of T. gondii infection was 88% (15/17). No T. gondii oocysts were found in any of the 50 fecal samples examined.

O objetivo do presente trabalho foi determinar a frequência sorológica e coproparasitológica da toxoplasmose em gatos atendidos em clínicas veterinárias na região metropolitana de Lima, Peru. Foram analisadas 154 amostras de soros de gatos e 50 amostras de fezes de gato, independentemente da idade, gênero ou raça. Paralelamente ao ato da coleta, os proprietários responderam a um questionário epidemiológico onde foram tratadas as seguintes variáveis: faixa etária, gênero, estilo de vida (animais confinados, semiconfinados o de vida livre), hábitos alimentares e de caça. Os soros e amostras fecais foram analisados pelos testes de hemaglutinação indireta (HAI) e coproparasitológico, respectivamente. A frequência de gatos expostos foi 11,0%, segundo HAI. As variáveis de faixa etária e sexo não mostraram associação com a exposição ao parasito. A exposição dos animais mostrou associação com hábitos de caçar (x2 = 4.98, p = 0.016) e alimentação (x2 = 13.34, p = 0.001), sendo aqueles alimentados com carne crua os mais expostos, quando comparados aos alimentados com ração (x2 = 9.50, p = 0.004) ou com comida caseira (x2 = 4.1, p = 0.027). A frequência de gatos na fase crônica da infecção por T. gondii foi 88% (15/17). Não foram achados oocistos de Toxoplasma gondii em nenhuma das 50 amostras de fezes.

Infection investigation of Toxoplasma gondii in tree shrews from various sources / 中国比较医学杂志

Objective To investigate the infection status of Toxoplasma gondii in different colonies of tree shrews and then provide the basis for parasitological monitoring .Methods Each of the forty blood samples were randomly collected from three tree shrews colonies : wild origin, domesticated and first generation, respectively.Both indirect hemagglutination test (IHA) and PCR assay were used to detect the Toxoplasma gondii.Results No positive sample of Toxoplasma gondii was detected from either IHA or PCR results .The results from IHA and PCR assays were in coincidence with each other.Conclusions According to the survey none of the tree shrews from the three groups is infected with Toxoplasma gondii.More samples or infection experiments are needed to determine whether tree shrews can be infected with Toxoplasma gondii.

Efficiency of three methods for detecting Toxoplasma IgG antibody / 中国血吸虫病防治杂志

Objective To discuss the test efficiency of three methods for detecting Toxoplasma IgG antibody. Methods To-tally 304 specimens were detected parallelly for Toxoplasma IgG antibody by using the gold marked method,indirect hemagglutina-tion test(IHA),and enzyme-linked immunosorbent assay(ELISA),and the sensitivity,specificity and Youden index of these methods were compared. Results The detection sensitivities of gold marked method,IHA,and ELISA for Toxoplasma IgG anti-body were 85.5%,89.8%and 91.9%respectively(χ2=4.12,P>0.05);the specificities were 92.4%,96.6%and 97.5%respec-tively(χ2=4.06,P>0.05). The detection efficiency and Youden index of ELISA were 94.1%and 0.89 respectively,being high-er than those of IHA and gold marked method. Conclusion The sensitivity and specificity of the ELISA method for Toxoplasma IgG antibody are higher,and in addition,it can be automated. Therefore,it is suitable for large-scale Toxoplasma IgG antibody screening.

Infection by Toxoplasma gondii in Neotropical non-human primates / Infecção por Toxoplasma gondii em primatas neotropicais não-humanos

Toxoplasma gondii (Nicolle et Manceaux, 1909) is an obligatory intracellular protozoan parasite of warm animals, including human and non-human primates. Domestic and wild felids are considered definitive hosts. Several authors have already identified lesions in New World primates caused by T. gondii. Nevertheless, little is known about serological studies on those animals. With this reason, New World non-human primates of the genera Cebus and Callithrix that were apprehended by governmental authorities and sent to the Wildlife Screening Center (Cetas)/IBAMA, at the municipality of Seropédica, state of Rio Janeiro, were bled and sera were submitted to the indirect hemagglutination test for detection of anti-T. gondii antibodies. From 21 sera of Cebus primates, 76.19% (16/21) had anti-T. gondii antibodies. Titles varied from 16 to 2048. In samples from 21 Callithrix, only 4.5% (1/22) had anti-T. gondii antibodies. Only one animal had a title of 32. During all the time those animals were clinical evaluated until sample was collected; none of them had any clinical sign or sequel related to infection by T. gondii. The fact that the origin of these primates is unknown and that there is no information about their feeding habits before captivity makes it difficult to determine the source of T. gondii infection.

Toxoplasma gondii (Nicolle et Manceaux, 1909) é um protozoário parasita intracelular obrigatório de animais homeotérmicos, incluindo primatas humanos e não humanos, e que tem felídeos domésticos e silvestres como hospedeiros definitivos. Inúmeros trabalhos já identificaram lesões causadas por T. gondii em primatas neotropicais, entretanto, poucos estudos abordando a resposta sorológica destes animais ao parasito foram feitos. Com este intuito, primatas neotropicais do gênero Cebus e Callithrix apreendidos por órgãos governamentais e enviados ao Centro de Triagem de Animais Silvestres (Cetas)/IBAMA, no município de Seropédica/RJ, tiveram amostras de sangue coletadas e as alíquotas séricas submetidas ao teste de hemaglutinação indireta para detecção de anticorpos anti-T. gondii. Dos 21 animais do gênero Cebus avaliados, em 76,19% (16/21) das amostras foram identificados anticorpos hemaglutinantes anti-T. gondii. Os títulos hemaglutinantes variaram desde 16 até 2048. Por outro lado, dos 22 primatas do gênero Callithrix cujas amostras séricas foram testadas, apenas 4,5% (1/22) apresentaram anticorpos anti-T. gondii. Apenas o título de 32 foi identificado em um único animal. Durante a avaliação clínica e o tempo em que os animais permaneceram no CETAS, desde a chegada, em nenhum animal foram observados sinais clínicos ou sequelas condizentes com a infecção por T. gondii. O desconhecimento sobre a verdadeira procedência desses símios, bem como os aspectos sanitários relativos à alimentação deles dificulta a determinação da fonte de infecção por T. gondii.

Evaluation on application of common diagnosis methods for schistosomiasis japonica in endemic areas of China Ⅱ Quantitive analysis of detection results for S.japonicum infection by IHA screening method and Kato-Katz technique / 中国血吸虫病防治杂志

Objectives To explore the correlation between the population characteristics of sero-reactivity with quantitative antibody based-IHA and the transmission parameters,such as epidemic situation,transmission status or infection trend in population.Methods The residents in one endemic administrative village were simultaneously examined by Kato-Katz technique for parasitological stool examination,as well as by immuno-diagnostic technique IHA for detection of IgG antibody against soluble egg antigen for two consecutive years.The results of examination were analyzed and compared on the diagnostic parameters of IHA,the correlation of the changes of positive rates and antibody levels of IHA with the changes of infection trend in population and the distribution of antibody levels between 'the true negative' and 'the true positive'.Results When Kato-Katz technique based on 2 stool samples,each read in 3 thick smears,was used as the reference,the overall sensitivity of IHA was high (from 77.27% to 85.48%) with a relatively poor specificity of lower than 60%,the negative predict value (NPV) was excellent of higher than 94%.The specificity of IHA decreased with the increase of the age in different age-groups of population,showing the highest among the younger less than 15 years old.The distribution trends of positive rates of antibody in different age groups by IHA showed similar to that of egg positive rate detected by Kato-Katz although the positive rates of IHA were higher than these by Kato-Katz,which showed that a higher false positive (from 41.90% to 44.56%) and a certain false negative (from 14.52% to 22.73%)existed in IHA.The positive rate of antibody decreased slowly among the individuals with S.japonicum infection,who received treatment.There was an overlap in the distribution of antibody levels between ' the true negative' and ' the true positive'.Conclusions Under the current schistosomiasis epidemic situation in China,IHA is valuable in the epidemiologic surveys.It should be of further deliberation applying IHA as the screening approaches for identification of target individuals for treatment or determination of the infection rate in community and IHA needs to be combined with the parasitological examination.

Soroepidemiologia de Toxoplasma gondii em gatos domiciliados atendidos em clínicas particulares de Porto Alegre, RS, Brasil / Seroepidemiology of Toxoplasma gondii in domestic cats treated in private clinics of Porto Alegre, Brazil

Com o objetivo de contribuir com dados sobre freqüência de anticorpos para Toxoplasma em felinos domiciliados da cidade de Porto Alegre, Rio Grande do Sul, soros de 245 animais foram testados pelas técnicas sorológicas de Hemaglutinação Indireta (HAI) e Imunofluorescência Indireta (IFI). Informações sobre o animal, tais como raça, sexo, idade, acesso ou não à rua e tipo de alimentação, foram avaliadas por meio de questionário epidemiológico e análise estatística para correlacionar com os resultados obtidos na sorologia. Os resultados dos testes mostraram que os valores encontrados foram de 26,9 por cento (HAI) e 37,9 por cento (IFI), inferindo que esses gatos em algum momento de sua vida foram fonte de contaminação ambiental, sendo eliminadores potenciais de oocistos, principalmente aqueles que tiveram livre acesso à rua.

The sera of 245 cats from Porto Alegre, southern Brazil, were tested by indirect hemagglutination (IHA) and indirect immunofluorescence (IIF) in order to determine the frequency of Toxoplasma antibodies. Information such as breed, sex, age and access or not to the street and dietary habits were assessed using an epidemiological questionnaire and also statistical analysis for correlation with the serological results obtained. The test results showed rates of 26,9 and 37,9 percent for IHA and IIF, respectively, suggesting that these cats have acted as a source of environmental contamination at some time during the course of their lifetime, possibly shedding oocysts, especially those with free access to the street.

A Case of Liver Abscess in A Child / 영남의대학술지

Liver abscess in children is rare in developed countries; the incidence is 25 per 100,000 admissions in USA. Common complications are pleural effusion, empyema, pneumonitis, hepatopleural or hepatobronchial fistula, intraperitoneal or intrapericardiac rupture, septic shock, cerebral amebiasis, etc. These complications may lead to death if the management is delayed. However, recent management results in a mortality of less than 15%. We report a case of liver abscess in a child. He manifested with fever and abdominal pain in the right upper quadrant. On computerized tomography scans, multiple cystic lesions were seen in both lobes of the liver and were 5 to 55 mm in size. In laboratory findings, neutrophilic leukocytosis, peripheral eosinophila, elevated values of ESR, C-reactive protein, and elevated serum AST, ALT, ALP and GGT were detected. Furthermore, we determined the organisms in the blood culture and serum. Blood culture was positive for Streptococcus spp., and amebic indirect hemagglutination antibody titer was increased to 1:512.

Imunoglobulinas antitoxoplásmicas e retinocoroidite em suínos / Antitoxoplasmics imunoglubulins and retinochoroiditis in swine

Soro de 200 suínos abatidos em frigorífico, oriundos de rebanhos intensivos, híbridos, em idade de terminação, da região noroeste do RS, Brasil, foram coletados e testados para imunoglobulinas antitoxoplásmicas através da Hemaglutinação Indireta (HAI). Ao mesmo tempo, fez-se a relação entre soro positivos e a formação de lesões de retinocoroidite através de cortes histológicos em globos oculares, usando a coloração de Hematoxilina-Eosina (HE). A prevalência da infecção toxoplásmica, considerando títulos positivos a partir de 1:64, foi de 18 por cento. Os títulos ficaram entre 1:64 (39 por cento); 1:128 (5,5 por cento); 1:256 (39 por cento); 1:512 (5,5 por cento) e 1:1024 (11 por cento). Alterações histopatológicas encontradas em 3 amostras positivas foram: atrofia da retina (1:64 e 1:256) e hiperemia da mácula (1:256). Pelos resultados obtidos, não foi possível estabelecer uma relação entre retinocoroidite e sorologia positiva nestes animais estudados.

Sera samples derived from 200 finishing pigs from confinement herds, hibrids were used. The sera were collected in abattoirs of me North-west region of Rio Grande do Sul state, Brazil. Tested for antitoxoplasmics immunoglobulins using the Indirect Hemagglutination test (IHA). A relation of the positive sera samples and formation of retinochoroiditis in histological studies with Hematoxilin-Eosin (HE) staining was stablished. The prevalence rate of seropositivity toxoplasmic infection was 18 percent, starting from titers 1:64. The titer varied from 1:64 (39 percent); 1:128 (5.5 percent); 1:256 (39 percent); 1:512 (5.5 percent); 1:1024 (11 percent). Histophathogical alterations findings in 3 positive sera samples were: retinal atrophy (1:64; 1:256) and macular hiperemy (1:256). Retinochoroiditis lesions were not found in the present study.