ASSESMENT OF THE THERAPUTIC EFECT OF LATE AZITHROMYCIN TREATMENT ON CHRONIC MURINE TOXOPLASMOSIS

G. Rashed, Mona E. Nasr, Atef H. ABD EL HAMID, Nagwa S. M. Aly, A. Barakat, Kawkab A. Ahmed, Safaa H. Youssif, Ghada Omar
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Abstract

Toxoplasmosis is a widespread, neglected disease with significant morbidity and mortality. The current study aimed to investigate the potential effectiveness of azithromycin against the cystogenic Me 49 nonvirulent strain of Toxoplasma gondii after the 6 th week post-infection (PI) in chronically infected mice. Fifty laboratory-bred female Swiss albino mice were divided into five groups: G1: Non-Infected, G2: Infected non-treated, G3: Infected and treated by azithromycin 200 mg/kg after the 6 th week PI for 3 days, G4: Infected and treated by azithromycin 200 mg/kg after the 6 th week PI for 10 days and G5: Infected and treated by spiramycin 200 mg/kg after the 6 th week PI for 2 weeks, brain cysts number, size and histopathological changes were evaluated after 2 months. The results showed that treating mice after the 6 th week post-infection with azithromycin for 10 days reduced number and size of brain cysts by 64% & 30%, respectively, but without significant difference as compared with spiramycin-treated ones. Azithromycin treatment for 3 days achieved a greater reduction (34%) in brain cyst size than the group treated with azithromycin for 10 days. But, it caused the least reduction in brain cyst number (10%). Azithromycin treatment for 10 days improved the histopathological changes in cerebral toxoplasmosis.
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晚期阿奇霉素治疗对慢性鼠弓形虫病的疗效评估
弓形虫病是一种被广泛忽视的疾病,发病率和死亡率都很高。本研究旨在探讨阿奇霉素在慢性感染小鼠感染后第 6 周(PI)对致囊性 Me 49 非病毒株弓形虫的潜在疗效。50 只实验室饲养的雌性瑞士白化小鼠被分为 5 组:G1:未感染组;G2:感染后未治疗组;G3:感染后在感染后第 6 周用阿奇霉素 200 毫克/千克治疗 3 天组;G4:感染后在感染后第 6 周用阿奇霉素 200 毫克/千克治疗 10 天组;G5:感染后在感染后第 6 周用螺旋霉素 200 毫克/千克治疗 2 周组,2 个月后评估脑囊肿数量、大小和组织病理学变化。结果表明,感染后第 6 周的小鼠用阿奇霉素治疗 10 天后,脑囊肿的数量和大小分别减少了 64% 和 30%,但与螺旋霉素治疗的小鼠相比无显著差异。与阿奇霉素治疗10天组相比,阿奇霉素治疗3天组的脑囊肿缩小幅度更大(34%)。但是,它导致的脑囊肿数量减少最少(10%)。阿奇霉素治疗10天可改善脑弓形虫病的组织病理学变化。
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