Seroprevalence of human cysticercosis in Jataí, Goiás state, Brazil

ABSTRACT The Taenia solium cysticercosis affects millions of people worldwide and is considered a public health problem, especially in developing countries. The diagnosis of neurocysticercosis is complex and involves the analysis of epidemiological, clinical, neuroimaging, and immunological host data. Neurocysticercosis is endemic in Brazil, and is related to the cause of death mainly in the Southeast, South, and Central-West regions. The objective of this study was to determine the seroprevalence of cysticercosis in inhabitants of the city of Jataí, Goiás, in the Central-West region of Brazil from April to August 2012. A total of 529 serum samples were analyzed by enzyme-linked immunosorbent assay for detecting IgG antibodies against T. solium larvae, and Western blotting was used for confirming the diagnosis through the recognition of at least two specific peptides from their serum antibodies. The 351/529 (66.3%) reactive samples were analyzed by enzyme-linked immunosorbent assay and Western blotting confirmed the diagnosis in 73 samples that recognized at least two of the following peptides specific IgG antibodies for cysticercosis: 18, 24, 28-32, 39-42, 47-52, 64-68, and 70 kDa. The seroprevalence of cysticercosis was 13.8% (95% CI 5.9-21.7), demonstrating that the studied area is endemic to this disease.

Genetic variation in the Cytb gene of human cerebral Taenia solium cysticerci recovered from clinically and radiologically heterogeneous patients with neurocysticercosis

Neurocysticercosis (NC) is a clinically and radiologically heterogeneous parasitic disease caused by the establishment of larval Taenia solium in the human central nervous system. Host and/or parasite variations may be related to this observed heterogeneity. Genetic differences between pig and human-derived T. solium cysticerci have been reported previously. In this study, 28 cysticerci were surgically removed from 12 human NC patients, the mitochondrial gene that encodes cytochrome b was amplified from the cysticerci and genetic variations that may be related to NC heterogeneity were characterised. Nine different haplotypes (Ht), which were clustered in four haplogroups (Hg), were identified. Hg 3 and 4 exhibited a tendency to associate with age and gender, respectively. However, no significant associations were found between NC heterogeneity and the different T. solium cysticerci Ht or Hg. Parasite variants obtained from patients with similar NC clinical or radiological features were genetically closer than those found in groups of patients with a different NC profile when using the Mantel test. Overall, this study establishes the presence of genetic differences in the Cytb gene of T. solium isolated from human cysticerci and suggests that parasite variation could contribute to NC heterogeneity. .

Clinical and Pathological Characteristics of Intraocular Cysticercosis

This study aimed to explore the clinical, radiological, and pathological characteristics of intraocular cysticercosis due to Taenia solium metacestode infection. Total 8 patients diagnosed with intraocular cysticercosis at the Red Cross Hospital of Yunnan Province, China were examined retrospectively. Patients with clear dioptic media had undergone fundus chromophotography. All patients underwent B ultrasonography of the ocular region (CT) successive scanning of the orbit and cerebral tissues. Parasites were extracted surgically and then examined pathologically. The fundus chromophotography showed a white and condensing scolex package in the vesicle. The B ultrasonic examination showed a vesicle-like echogenic mass in the vitreous chamber, in which the high-level echo spot was the cysticercus scolex. The pathological examinations showed that the vesicle wall exhibited hyaline degeneration, inflammatory cell infiltration, neuroglial fiber, and glial cell proliferation layers from the inside to the outside. The scolex is round and is composed of the outer tissue (the body wall) and the inner furrow tissue; these tissues migrated together. Primordially differentiated sucking discs were found in one case, but no hooklets were found. The inner scolex tissue was folded like a paper flower. The severity of intraocular disease is closely correlated with the pathophysiological processes of the cysticercus worm. Pathological examination of the intraocular lesions can help to evaluate the course of the disease as well as to provide a scientific basis for effective antiparasitic medication.

Current Status of Human Taeniasis in Lao People's Democratic Republic

Human taeniasis was investigated in Lao People's Democratic Republic (Lao PDR) between 2000 and 2011 as part of the nation's helminthiasis survey. A total of 55,038 inhabitants, including 29,846 school children, were examined using the Kato-Katz and scotch-tape anal swab method, and morphological observation of adult worms. Molecular identification of Taenia tapeworms was performed by multiplex PCR or DNA sequence analysis of the mitochondrial cox1 gene. Taenia eggs were present at a rate of 1.5% (845/55,038) in the subject population. Adult tapeworms were identified as T. solium or T. saginata by analyzing the collectable stool specimens (n=126). Three specimens identified as T. solium were found in Luang Prabang, while the remaining 123 specimens, which were T. saginata, were found in Bokeo, Bolikhamxay, Champasak, Houaphan, Khammouane, Luang Namta, Luang Prabang, Oudomxay, Phongsaly, Saysomboune, Saravane, Savannakhet, Xayaboury, Xekong, Xieng Khouang Province, and Vientiane Municipality.

Genetic polymorphism in Taenia solium metacestodes from different Brazilian geographic areas

The aim of the present study is to investigate genetic polymorphisms in Taenia solium metacestodes from different Brazilian geographical areas and to relate them to antibody recognition in serum samples of neurocysticercosis (NC) patients. Metacestodes were obtained from the Distrito Federal (DF), Bahia, Minas Gerais (MG) and São Paulo (SP) regions of Brazil. Samples of human sera from 49 individuals with NC, 68 individuals with other helminthiasis and 40 healthy volunteers were analysed (157 individuals in total). Antigens were prepared and used in enzyme-linked immunosorbent assay and western blotting assays to detect specific immunoglobulin G antibodies. Genetic distances between metacestode populations were analysed using random amplified polymorphic DNA (RAPD) analysis. Our results show that there was a higher frequency of reactivity in the DF region in the sera from NC patients (p < 0.05), while discrimination between active and inactive NC was seen only in extracts from the MG and SP regions (p < 0.05). Using RAPD, the sample from the DF region presented a greater increase compared to the other regions. A relationship between genetic polymorphisms among T. solium metacestodes from different areas in Brazil and the differences in antibody detection in patients with NC were established.

Comparative evaluation of different immunoassays for the detection of Taenia solium cysticercosis in swine with low parasite burden

Seven swine were experimentally infected with Taenia solium eggs and blood samples from each animal were periodically collected. At the end of the experiment (t140) the animals did not show clinical aspects of cysticercosis or parasites in tongue inspection. All animals were slaughtered and cut into thin slices in searching for cysts. The number of cysts found in each animal varied from 1 to 85. Enzyme-linked immunosorbent assay (ELISA) tests for antibody (Ab) detection and for antigen (Ag) detection were performed, which presented respectively 71 and 57 percent of positivity. By immunoblot (IB), using 18/14(T. crassiceps Ag) or lentil-lectin-purified glycoproteins from T. solium Ag (LLGP) as Ag, five (71 percent) and six (86 percent) animals were positive, respectively. The association between Ag-ELISA with any IB (18/14 or LLGP) allowed the detection of all animals at 140 days post-experimental infection (days p.e.i.). The use of IB 18/14 combined to the Ag-ELISA allowed the detection of all animals since 70 days p.e.i., and the association between IB LLGP and Ag-ELISA allowed the detection of all animals since 112 days p.e.i. While all animals could be considered healthy by conventional screening tests, the use of immunoassays for detecting Ab and Ag showed better accuracy; therefore it would be more useful than usual clinical examination for screening cysticercosis in slightly infected pigs.

Cisticercose suína, teníase e neurocisticercose humana no município de Barbalha, Ceará / Porcine cysticercosis, taeniasis and human neurocysticercosis in municipal district of Barbalha, Ceará

Em Barbalha, Ceará, foram realizados levantamentos de casos de cisticercose suína, teníase e neurocisticercose humana causadas por Taenia solium, e realizou-se uma pesquisa quanto aos sistemas de criação de suínos na região. De 85 suínos abatidos em abatedouro local 4,7 por cento apresentavam cisticercose, a maioria dos cisticercos localizava-se na língua e coração. Entre 2001 e 2004, das 302 criações de suínos denunciadas à vigilância sanitária, 96,6 por cento eram chiqueiros. A teníase, entre 1998 e 2003, correspondeu a 1,1 por cento das verminoses diagnosticadas pela Secretária de Saúde Municipal. Entre 2001 e 2003, os casos de neurocisticercose humana corresponderam a 5 por cento das tomografias de crânio requisitadas nos hospitais da região.

In Barbalha, municipal district of Ceará state, an assessment of cases of porcine cysticercosis, taeniasis and human neurocysticercosis caused by the Taenia solium was performed in order to evaluate the situation of these diseases. It was also carried out a research about the types of swine farms registered in the area. Considering the 85 swine slaughtered at the slaughterhouse of Barbalha, 4.7 percent presented cysticercosis. Most cysticerci were located in the tongue and in the heart. Between 2001 and 2004, from 302 swine farms denounced to the Sanitary Surveillance, 9.6 percent were pigsties. Taeniasis, between 1998 and 2003, corresponded to 1.1 percent of the helminthes diagnosed by the Municipal Health Office. From 2001 to 2003, the cases of human neurocysticercosis corresponded to 5 percent of the skull tomographies requested in the hospitals of the area.

Antígenos de larva de Taenia solium em ELISA para diagnóstico da cisticercose bovina / Taenia solium metacestode antigens in ELISA for the diagnosis of bovine cysticercosis

Foram avaliados alguns parâmetros inerentes ao ELISA, por meio de ensaios de reatividade de soros-controle positivos e negativos para a cisticercose bovina com relação a três tipos de antígenos de larva de Taenia solium: total, de escólex e de membrana. As concentrações de antígeno de 0,25; 0,5; 1; 2 e 4µg por orifício, e as diluições de soro de 1:25, 1:50, 1:100 e 1:200, foram os parâmetros que menos influenciaram no desempenho do teste. A substância bloqueadora, o leite desnatado e as diluições de conjugado, 1:1.250, 1:2.500 e 1:5.000, representaram os melhores indicadores de desempenho do teste. Concluiu-se que essa combinação de critérios deve ser considerada no diagnóstico da cisticercose bovina, em atividades de rotina ou de padronização do referido teste, considerando os três antígenos de larva de T. solium estudados.

Some parameters of ELISA were evaluated using positive and negative bovine sera for cysticercosis and three types of antigens of Taenia solium larvae: total, scolex and membrane. The antigen concentrations (0.25; 0.5; 1; 2 and 4µg/well) and the serum dilutions (1:25, 1:50, 1:100 and 1:200) were the parameters that influenced less the test performance; while blocking substance, skimmed milk, and conjugate dilutions, 1:1.250, 1:2.500 and 1:5.000 were the best indexes of the test performance. It was concluded that this combination of criteria should be considered in the diagnosis of bovine cysticercosis, in routine diagnosis and for the ELISA test standardization.

Tissue parasitic helminthiases are prevalent at Cheongjin, North Korea

We investigated a small-scale serological survey to screen tissue-parasitic helminthiases of North Koreans as one of research programs for re-unification of Korea. Soil-transmitted helminthiases were found highly prevalent among North Korean residents at the border with China. ELISA using 4 tissue-parasitic helminth antigens was applied to 137 residents living in Cheongjin-shi, Hamgyeongbuk-do, North Korea and 133 female refugees in South Korea in 2004-2005. Among a total of 270 samples, 31 (11.5%), 25 (9.3%), and 11 (4.1%) were positive for specific IgG antibodies to antigens of Clonorchis sinensis, Taenia solium metacestode, and sparganum, respectively. The overall positive rate was 21.5%; 38.2% in males and 15.8% in females. The present finding suggests that tissue parasites, such as C. sinensis, T. solium metacestode and sparganum are highly prevalent in some limited areas of North Korea. These foodborne tissue-parasitic helminthiases should be considered for future control measures of parasitic diseases in North Korea.

Determinación por medio de marcadores moleculares SSCP y RAPD de la diversidad genética en la especie Taenia solium en Colombia / Determination by SSPC and RAPD of genetic diversity in Taenia solium especies, main causative agent of teniosis and cysticercosis in Colombia

Utilizando las técnicas moleculares de SSCP y RAPD se pudo evidenciar rápida y claramente la variabilidad genética en Colombia de larvas del céstodo Taenia solium analizando fragmentos de genes de ADN mitocondrial y fragmentos aleatorios de ADN nuclear. El ADN estudiado se obtuvo de ocho aislados de cisticercos de cerdo provenientes de tres departamentos de Colombia: Antioquia, Nariño y Sucre. Los fragmentos obtenidos por PCR de los genes NADH deshidrogenasa 1 (ND1) y citocromo oxidasa c subunidad I (COI) al ser denaturados y analizados en geles no denaturantes de acrilamida, mostraron al menos tres patrones diferentes por cada gen analizado, verificando que estos genes conservados mitocondriales son polimórficos en T. solium colombiana. Por otra parte, los cebadores decaméricos de RAPD produjeron patrones polimórficos, corroboraron la diversidad genética entre los diferentes aislamientos analizados.

Taeniasis-cysticercosis in Southern Ecuador: assessment of infection status using multiple laboratory diagnostic tools

Taenia solium-taeniasis and cysticercosis were studied in the human and porcine populations of a rural community in the Southern Ecuadorian Andes. From the 1059 inhabitants, 800 serum samples and 958 stool samples could be collected. In addition, 646 from the estimated 1148 pigs were tongue inspected. Circulating antigen was detected by enzyme linked immunosorbent assay (Ag-ELISA) in 2.25 percent of the human population, whereas intestinal taeniasis was detected in 1.46 percent by the formalin-ether technique. Following treatment and recovery of tapeworm fragments these were all identified as T. solium. Porcine cysticercosis was diagnosed in 3.56 percent of the pigs by tongue inspection. In addition, enzyme linked immunoelectrotransfer blot (EITB) was performed on a subset group of 100 humans to confirm the results of the Ag-ELISA. One hundred serum samples from pigs were also analysed by EITB. It appeared that 43 and 74 percent of humans and pigs had antibodies against T. solium cysticerci, respectively. It is concluded that contrary to the high exposure of the human population to T. solium that is suggested by EITB, the number of active cysticercosis cases, diagnosed by Ag-ELISA, was low, which may indicate endemic stability. The further use of complementary diagnostic methods for a better understanding of the epidemiology of T. solium is suggested.

Cisticercose em animais abatidos em Sabáudia, Estado do Paraná / Cysticercosis in animals of Sabáudia, Paraná State

The aim of this work was to verify the occurrence of bovine and swine cysticercosis in animals slaughtered at the Abatedouro Municipal de Sabáudia, Paraná State. The number of daily-abated animals, the number of animals with cysticercus and the number and location of the cysticercus in the animals in a period of twelve months were collected. From 1046 swines slaughtered none showed cysticercus, but 36/out of 389 bovines (9.3 percent) were contaminated. Head was the most parasited region, followed by heart, tongue and liver. The absence of contamination observed in swines and the low contamination of the bovines reinforce the efficiency of the control measures accomplished in Paraná State.

Imunodiagnóstico da cisticercose em suíno experimentalmente infectado com ovos de Taenia solium, utilizando antígeno de escólex de Cysticercus cellulosae / Immunodiagnosis of cysticercosis in swine experimentally infected with Taenia solium eggs, using antigen of Cysticercus cellulosae scolex

Colheu-se sangue de sete suínos infectados com ovos de Taenia solium, semanalmente, durante 140 dias, para realizar ELISA no soro, utilizando antígeno de escólex (Es-Tso) de C. cellulosae. Em todos os animais, após o 21º dia pós-infecção, houve incremento significativo de anticorpos IgG, que assim se mantiveram até o final do experimento. A sensibilidade do ELISA variou entre 87,5 e 100 por cento. A necropsia, foram identificados 238 cisticercos. Seis suínos apresentaram pelo menos um cisto no coração, língua ou masseter. Não se observou correlação entre concentração de anticorpos e número de cisticercos identificados.

Blood samples from seven swines infected with eggs of Taenia solium, were collected weekly during a period of 140 days. The ELISA was carried out in serum, using antigen from Cysticercus cellulosae scolex (Es-Tso). The antibody levels for all animals significantly increased and maintained constant from the 21th day post-infection to the end of the experiment. The sensitivity of the ELISA test averaged between 87.5 percent and 100 percent. At the necropsy, 238 cysticerci were identified. Six swines presented at least one cysticercus in one of the organs: heart, tongue or masseter. No correlation between concentration of antibodies and number of identified cysticerci at necropsy, was observed.

Diagnosis of neurocysticercosis by enzyme-linked immunosorbent assay.

Neurocysticercosis, a disease caused by larvae of T solium produces variable and non-specific symptoms. Computerised tomography, magnetic resonance imaging, immunological tests in the serum and cerebrospinal fluid are available options to diagnose the condition. Two hundred serum samples collected and stored frozen at -20 degrees C and were tested for cysticercosis by commercial Melotest cysticercosis kit. Diagnosis was confirmed by other investigations. After the confirmative diagnosis results of ELISA for cysticercosis were compared and the values of sensitivity, specificity, prevalence and precision were obtained along with positive and negative predictive values. Overall prevalence was found to be 10% in this study. Only 26.5% serologically positive cases had neurocysticercosis positively. The positive predictive value of the serological test was only 26.4% suggesting that the diagnosis of neurocysticercosis by ELISA is not reliable in an endemic area.

Oral cysticercosis: case report and review of the literature

A cisticercose é uma doença que ocorre quando o indivíduo é infectado pela larva da Taenia solium, atuando como hospedeiro intermediário ao invés de definitivo. A cisticercose em cavidade oral é rara e seu diagnóstico clínico é difícil. Neste trabalho, é relatado um caso de cisticercose oral em paciente de 23 anos, sexo feminino que apresentou um crescimento indolor na região de dorso de língua. Foi realizada uma biópsia excisional e o exame histopatológico revelou uma cavidade cística apresentando em seu interior a larva.

A seroepidemiological survey of Taenia solium cysticercosis in Nabo, Guangxi Zhuang Autonomous Region, China

We have observed the seropositive rate of Taenia solium cysticercosis in residents at Nabo Village, Tiandong County, Guangxi Zhuang Autonomous Region, China by enzyme linked immunosorbent assay. The village had been found to be a relatively high endemic area of porcine cysticercosis among roaming pigs. Of 202 persons examined four males aged 15, 25, 35 and 41 year-old exhibited absorbance (abs) at 0.18, 0.20, 0.35 and 0.55, respectively. In addition, two females whose ages were 35 and 39 years revealed specific antibody levels of abs 0.26 and 0.41 in their sera. Overall positive rate among the people was 2.97%. All of these persons agreed that they had ingested the pork infected with T. solium metacestode (TsM), while history of proglottid discharge was not noticed from all of them. Three males and one female complained of intermittent headache. Our findings reinforced not only that the prevalence of cysticercosis might be related with roaming pigs infected with TsM but also that behavioral and environmental practices in local community constituted risk factors for transmission of the infection.

Efecto de algunos agentes físicos y químicos sobre el metacéstodo de Taenia solium presente en carne adobada y chorizo / Effects of some chemical and physical agents on the metacestode Taenia solium in spicy meat and sausage

OBJETIVO: Evaluar el efecto de diferentes temperaturas y tiempos, así como de algunos condimentos sobre la viabilidad de metacéstodos de Taenia solium en chorizo y carne adobada. MATERIAL Y MÉTODOS: Este trabajo se llevó a cabo en la Universidad Autónoma de Guerrero, en 1999. En la comunidad de Atzacoaloya, en el municipio de Chilapa de Alvarez, Guerrero, se compró carne de cerdo infectada, con la que se preparó carne adobada y chorizo; sólo se empleó aquélla en la cual se comprobó la viabilidad de los metacéstodos. Los productos obtenidos fueron sometidos a: a) temperatura ambiente durante 12 a 100 horas; b) temperaturas de -10 a 37 °C por 24 horas, y c) ebullición (97 °C) de 1 a 15 minutos. Para determinar el efecto de los condimentos se prepararon lotes con el doble de ingredientes de cada uno. Todas las evaluaciones se realizaron y evaluaron con tres repeticiones. Se establecieron diferencias de proporciones mediante c². RESULTADOS: A temperatura ambiente la menor evaginación fue a las 100 horas para ambos productos (p< 0.05). Por 24 horas a diferentes temperaturas la menor evaginación se dio a -10 °C en carne adobada y a 37 °C para el chorizo (p< 0.05). A temperatura de ebullición del agua se encontró que en ambos no hubo evaginación a partir de los 10 minutos (p< 0.05). En relación con los condimentos, la adición de sal generó la mayor reducción en carne adobada, y de tomillo, para el chorizo (p< 0.05). CONCLUSIONES: Si bien la carne con metacéstodos no debería consumirse, ante el hecho de su comercialización y de que la preparación de chorizos y la adición de pastas pueden ocultar al metacéstodo, es necesaria la cocción adecuada de los productos o consumir chorizo por lo menos cuatro días después de su elaboración y la carne adobada después de cuatro días de refrigeración.

Teniosis y detección de anticuerpos anticisticerco en personas de una comunidad rural del estado de Guerrero / Taeniosis and detection of antibodies against cysticerci among inhabitants of a rural community in Guerrero State, Mexico

OBJETIVO: Determinar la frecuencia de portadores de Taenia sp. y su relación con el diagnóstico de cisticercos en humanos en una comunidad rural del estado de Guerrero, México. MATERIAL Y MÉTODOS: Para detectar portadores de Taenia sp. se analizaron 403 muestras de heces de personas, por medio de ELISA para coproantígenos de Taenia sp., así como 92 muestras de suero para detectar anticuerpos anticisticerco mediante inmunoelectrotransferencia. El diseño del estudio fue transversal y se llevó a cabo durante 1998. Se hizo estadística descriptiva y se estimó razón de momios. RESULTADOS: De 403 muestras de heces evaluadas, cinco resultaron positivas (1.2 por ciento). Sólo en dos de las cinco personas positivas se obtuvo el cestodo adulto. En 3 (3.26 por ciento) de los 92 sueros se encontraron anticuerpos anticisticerco. Del total de sueros, 17 fueron de las personas con diagnóstico positivo a teniosis por coproantígenos o que cohabitaban con ellos (primer grupo), los restantes 75 provenían de personas en quienes no se detectaron casos en las viviendas (segundo grupo). En el primer grupo se detectaron 2 (11.8 por ciento) sueros positivos, mientras que en el segundo sólo 1 (1.3 por ciento) (RM= 9.87, I.C 0.64-295.56, p= 0.086). CONCLUSIONES: La dificultad para obtener el parásito adulto en las personas positivas a coproantígenos puede deberse a características propias de éste que dificultan su expulsión, a que la permanencia del cestodo en su huésped es menor a la esperada o a que el tratamiento fue insuficiente para obtener el parásito, o bien, a problemas de especificidad de la prueba. Es necesario realizar estudios tendientes a evaluar estas posibilidades, lo cual permitiría conocer mejor la dinámica de transmisión de esta parasitosis, con el fin de establecer medidas de prevención y control, además de poder comparar con mayor veracidad la eficacia de las pruebas diagnósticas en condiciones de campo

Number and viability of parasite influence seizure frequency in children with neurocysticercosis

We investigated the relationship between CT findings - number and the viability phase of the parasites - and the seizure frequency in children with neurocysticercosis before and short-term after antiepileptic drug (AED) introduction. We only found a significant interaction between stage of parasitic infection and number of lesions on seizure frequency after AED treatment. Patients with more than five lesions on active or transitional stages had higher seizure frequency predicting a worse short-term prognosis