Toxoplasma gondii infection among chronic hepatitis C patients: a case-control study

OBJECTIVE@#To determine the detection rate of anti-Toxoplasma gondii (T. gondii) IgG and IgM in chronic HCV patients attending the Department of Tropical Medicine Mansoura University hospital in Egypt.@*METHODS@#This study included 120 adult chronic HCV patients, 81 decompensate cirrhosis (late-stage) and 39 chronic HCV non cirrhotic patients (early-stage) and 40 healthy blood donors as controls. Serum samples were examined for anti-Toxoplasma IgM and anti-Toxoplasma IgG antibodies by ELISA. Real-time RT-polymerase chain reaction assay was done for quantitation of hepatitis C virus.@*RESULTS@#Anti-T. gondii IgG antibodies were detected in 75 (92.6%) of 81 late-stage cirrhotic patients, 30 (76.9%) of the 39 chronic HCV non cirrhotic patients (early-stage) and in 6 (15%) of 40 controls with statistically significant difference (P<0.001). Anti-T. gondii IgM antibodies were found in 11 (13.6%) in late stage patients, 5 (12.8%) in early stage and in 3 (7.5%) of controls with no statistical significant difference (P=0.610). There was no correlation between stage of fibrosis and IgM or IgG antibodies positivity in our studied groups (P=0.526). High IgG levels significantly correlated with high viral load (P=0.026).@*CONCLUSIONS@#Our findings suggest that the serious opportunistic T. gondii infection represent a potential significant risk for chronic HCV patients. So, toxoplasmosis should be considered in their investigations and follow-up.

Diagnostic criteria for house dust mites sensitized allergic patients

House dust mites [HDM] contain a large number of components that react with IgE in individuals with allergies and induced sensi-tization and allergic diseases. The work aimed to correlate between clinical manifestations of HDM allergic patients and skin prick test [SPT] grading, and to clarify some markers denoting allergic disorders caused by HDM exposure. Thirty allergic patients with positive SPT reaction to HDM were selected, grading of disease severity according to SPT and clinical presentations. The results revealed bronchial asthma [40%], atopic dermatitis [26.7%], rhinitis 20%] and conjunctivitis [13.3%]. Serum ALISA-IgE showed mean level of 398.42 +/- 84.73, 369.87 +/- 86, 332.16 +/- 65.57 and 300.25 +/- 79.39 IU/ml respectively, with highly statistically significant difference between cases and controls [p

T lymphocyte activation and expression of costimulatory molecules in intestinal Ascariasis

This study was carried on 48 patient with Ascriasis and 12 cross matched healthy control persons. All the studied cases were submitted to flow cytometric analysis of peripheral blood mononuclear cells using monoclonal antibodies against CD3, CD4, CD8, CD28, HLA-DR. In this study, there was a significant decrease in CD3, CD4 and expression of costimulatory molecule CD28 on CD8 T lymphocytes but the decrease in CD8 T lymphocytes was insignificant, while the activation marker HLA-DR expression on CD4 T lymphocytes was increased

Present situation of house dust mites in Dakahlia governorate, Egypt

House dust mites are common inhalant allergens, which can precipitate atopic disease episodes. The present study revealed presence of four mites. These are Dermatophagoides farinae, D. pteronyssinus, Acheles gracilis and Ornithonyssus bacoti. Population densities of different live adult mites were investigated in different house habitats. In urban houses, pyroglyphid mites were the predominant in bedrooms and D. farinae was the most abundant. A. gracilis was more abundant in living rooms followed by D. farinae then D. pteronyssinus. A. gracilis was the most prevalent in kitchens. While in rural houses, O. bacoti was the most abundant species followed by pyroglyphid mites. Since Dermatophagoides species and A. gracilis were present in numbers high enough to allow their ecological consideration, their seasonal abundance in urban bed-rooms was investigated and revealed that both D. farinae and D. pteronyssinus have two peaks of abundance, one slightly higher in spring and the second in autumn. A. gracilis has two peaks but the higher occurred in autumn and the second in spring

reflection of control programs of parasitic diseases upon gastrointestinal helminthiasis in Dakahlia governorate, Egypt

The study area included Mansoura city as an urban area and Gogar village as a rural area. One thousand individuals were randomly selected from each area. Different methods of stool examination, perianal swab and urine examination of all participants revealed that the incidence in Mansoura city was in a descending order Heterophyes heterophyes 6.4%; Enterobius vermicularis 3.9%; Hymenolepis nana 2.2%; Schistosoma mansoni 0.5%; Trichostrongylus colubriformis; Strongyloides stercoralis and Fasciola sp. were recorded as 0.2% of each. Taenia saginata, Ascaris lumbricoides and Trichocephalus trichiuris were recorded as 0. 1% of each. Neither Ancylostoma duodenale nor Hymenolepis diminuta was recorded. In Gogar, the parasitic infection was H. hetephyes 4.5%; E. vermicularis 4.1%; H. nana 3.3%; S. mansoni 1.6%; T. colubriformis 0.9%; S. stercoralis 0.5%. Fasciola sp. 0.4%; T. saginata, A. lumbricoides, H. diminuta, A. duodenale and T. trichiuris were recorded as 0.1% of each. None S. haematobium was detected in both areas. So, the infection rates of H. heterophyes, E. vermicularis, H. nana S. mansoni, Fasciola sp., T. colubriformis and S. stercoralis were relatively high the rural than in urban area. This was not surprising since the socioeconomic, hygienic conditions and medical services were relative high in the city than in the village. No doubt, the identifications of parasitosis pave the way for feasible treatment and control measures

Cholestasis in human fascioliasis in Dakahlia governorate, Egypt

This study was conducted to assess cholestasis in human fascioliasis. Twenty five patients, passing Fasciola eggs, were compared to twenty age- and sex-matched healthy controls. All were subjected to thorough clinical examination, stool analysis, complete blood picture, liver function tests [AST, ALT, SAP, GGT and total serum bilirubin]. Autoimmune and viral hepatitis [HCV and HBV] were excluded. All cases were subjected to radiological examinations [chest X-ray and abdominal ultrasonography]. The study revealed significant elevation of liver enzymes in the patients compared to the controls. Calcular and non-calcular cholecystitis were common findings among patients [32% and 24%, respectively]. Ascites [4%] and dilated intrahepatic biliary radicals [32%] were encountered; pleural effusion was detected by chest X-ray in 20% of cases. So, fascioliasis should be considered in the diagnosis of cholestasis in Fasciola endemic areas

Serological diagnosis of trichinealla spiralis in experimentally infected mice

ELISA and IFA tests were used to detect IgG levels in sera of experimentally infected mice with Trichinella spiralis during a period of 12 weeks post infection. A crude saline extract of muscle larvae was used for application of ELISA technique, while the intact T. spiralis muscle larvae were used as an antigen for IFAT. In both tests, T spiralis IgG antibodies could be detected one week post infection in sera of all infected mice. ELISA test showed a sensitivity of 100% during the whole period of the experiment, while its specificity was 93.3%. Meanwhile, IFA test revealed a sensitivity of 100% and a specificity of 85%

Human fascioliasis and anaemia in Dakahlia governorate, Egypt

Fasciola infection [fascioliasis] appeared to be endemic in Egypt. Stool samples of fourty eight patients were coprologically diagnosed. According to Fasciola egg counting per gram stool, the severity of infection was divided into light infection in 60.5%, moderate in 27.1% and severe infection in 12.5%. No significant correlation was detected between severity of infection, and patients' sex. Complete blood picture, reticylocytic count, serum iron, immunological assays as anti-nuclear, anti- smooth muscle antibody, anti-mitochondrial anti-body, anti- DNA tests and rheumatoid factor and occult blood in stool were investigated. Normocytic normochromic anaemia was detected in 62.5% of the fascioliasis patients, microcytic hypochromic anaemia in 3 1.3% and macrocytic one in 6.3%. Highly significant negative correlation [R = -0.68] was detected between haemoglobin concentration and egg count per gram faeces. Human fascioliasis was associated with normocytic normochromic anaemia and to a lesser extent microcytic hypochromic anemia

Blastocystis hominis among symptomatic and asymptomatec individuals in Talkha center, DaKahlia governorate, Egypt

Blastocystis hominis is now getting acceptance as an agent of human intestinal disease. B. hominis in stool samples of symptomatic and asymptomatic individuals was evaluated as a possible cause of gastro-intestinal troubles. B. hominis was found in 106 [10.1%] out of 1050 individuals examined from six villages and one city in Talkha Center, Dakahlia Governorate. The highest infection rate was in Manshayt El-Badawy village [25.47%], whereas Talkha City showed the lowest rate [4.73%]. Age group 10-20 years had higher infection [13.3%]. In twenty- three symptomatic patients, B. hominis represented the only causative parasitic agent. The most common symptoms were diarrhoea [30.4%], abdominal pain [26.1%], flatulence [21.7%], vomiting [13.1%] and fatigue [8.7%]. High concentrations of B. hominis were found in symptomatic patients than in asymptomatic ones with statistical significant difference [8.2 cells/100 x field versus 3.8 respectively]. The mean number of B. hominis was significantly high in patients complaining of diarrhoea and abdominal pain

Some molecular aspects in schistosomiasis mansoni and toxoplasmosis

The IL-2 and IL-4 cytokines production represent cellular Th1 and Th2 immune responses respectively were associated with chronic schistosomiasis mansoni [stages 1-4] and chronic toxoplasmosis gondii. In the hepatosplenic schistosomiasis, the level of IL-2 and disease stage increased in parallel [P< 0.05, <0.01, <0.01 and <0.001 in stages 1, 2, 3 and 4 respectively], whereas, IL- 4 was highly significantly increased in stage 1 than control [P < 0.001], then decreased to lower levels. The mean concentrations of IL-2 and IL-4 in patients with T. gondii were higher compared to control being more marked in Th-2 [P < 0.001] versus IL-4 [P < 0.01]. The data indicated that there are patterns of cytokine expression characteristic of type 1 and type 2 responses in vivo, with the ultimate goal of being able to manipulate the response to minimize inflammation and fibrosis for clinical benefit

Geoparasites in rural Dakahlia Governorate, apreliminary based study for development of the community-based intervention programs

A prospective study was carried out to detect the rural prevalence and intensity of geoparasites in Dakahlia Governorate, Egypt. A total of 1070 soil samples were collected; 571 [53.4%] were infected with one or more parasites. Only 24% of samples were infected with one parasite, 16.4% and 13% with two, and more than two parasites respectively, and the difference was statistically significant. The geoparasites in a descending order of their prevalence were: E. histolytica cysts [9.2%], Toxocara eggs [9.1%], Giardia cysts [7.9%], Cryptosporidium oocysts [6.1%], Trichostrongvius eggs and larvae [5.6%], isospora oocysts [4.3%], Acanthamoeba cysts [4.1%], Naegleria cysts [3.6%], Dust mites [2.7%], H. diminuta eggs [2.7%], Strongyloides free living adults, rhabditiform and filariform larvae [2.3%], H. nana eggs [1.7%], S. mansoni eggs [1.2%], Ascaris eggs [0.6%], Ancylostoma larvae [0.5%], Taenia eggs [0.4%], Trichocephalus eggs [0.4%] and F. gigantica eggs [0.2%]. The prevalence of parasitic infections was significantly higher [P < 0.001] in fields [63.4%] than streets [47.7%] and indoor-yards samples [35.3%]. The intensity of infections was significantly higher [p< 0.001] in streets than fields and indoor-yards [18.1, 9.7 and 1 parasite / 10gm of soil respectively]