Pathology Activity Booths Used to Promote Colon Health

IF 2.5 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL Journal of the National Medical Association Pub Date : 2024-08-01 DOI:10.1016/j.jnma.2024.07.085
Ange Maxime TCHOUTANG BS, MacDonald BIN Eric, Severin Donald Kamdem, Marie Chrisitne NKUNO, NGUM Lesly NGUM, Arnauld Tepa, Palmer MASUMBE NETONGO
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Abstract

Introduction

Malaria and Typhoid fever are significant diseases in many parts of the world, especially in the tropics and fever is a common sign. Prominent markers for early diagnosis and better comprehension of this pathological association and immunity are vital to reduce mortality, drug resistance and for clinical purposes. We sought to explore the profile of severity, oxidative stress, and inflammatory markers during malaria and typhoid fever co-infection.

Methods

From a cross-sectional study, 81 malaria and/or typhoid fever-positive patients from 288 fever patients were selected. Malaria was diagnosed using a Rapid diagnostic test and microscopy while typhoid fever was diagnosed using a Rapid typhoid test and Widal. Severity, stress level and inflammatory responses were evaluated by hematological analysis using full blood count, erythropoietin, cortisol, IL-10, IL-4 and IFN-γ through ELISA, superoxide dismutase and Catalase activities by spectrophotometer. Data were analyzed using SPPS 26 and PRISM 9 software.

Results

Co-infected patients present significant alterations of red blood cell lines such as thrombocytopenia and anemia. We founded also a significant increase of stress marker cortisol, IFN-γ and IFN-γ/IL-10 ratio compared to other groups, a decrease in anti-oxidant activities and an alteration of erythropoietin production. The levels of IL-10 and IL-4 were higher during mono-infections.

Conclusion

Co-infected subjects show changes in hematological parameters. The presence of malaria and typhoid fever results in a significant increase in stress, alterations in erythropoietin production, anti-oxidants and TH1- cytokine dominance. These findings allow for better management by the clinicians of these infections in the tropics.

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病理活动摊位用于促进结肠健康
导言疟疾和伤寒是世界上许多地区的重要疾病,尤其是在热带地区,发热是一种常见病征。用于早期诊断和更好地理解这种病理关联和免疫的显著标志对于降低死亡率、抗药性和临床目的至关重要。我们试图探究疟疾和伤寒合并感染时的严重程度、氧化应激和炎症标志物的概况。方法从一项横断面研究中,从288名发热患者中挑选出81名疟疾和/或伤寒阳性患者。疟疾通过快速诊断测试和显微镜诊断,伤寒则通过快速伤寒测试和Widal诊断。通过全血细胞计数进行血液学分析,通过酶联免疫吸附试验检测促红细胞生成素、皮质醇、IL-10、IL-4 和 IFN-γ,通过分光光度计检测超氧化物歧化酶和过氧化氢酶活性,对发烧的严重程度、应激水平和炎症反应进行评估。使用 SPPS 26 和 PRISM 9 软件对数据进行分析。我们还发现,与其他组别相比,应激标志物皮质醇、IFN-γ 和 IFN-γ/IL-10 比值明显升高,抗氧化活性降低,促红细胞生成素分泌发生改变。IL-10和IL-4的水平在单一感染时更高。疟疾和伤寒会导致应激显著增加、促红细胞生成素分泌发生变化、抗氧化剂和 TH1- 细胞因子占主导地位。这些发现有助于临床医生更好地处理热带地区的这些感染。
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来源期刊
CiteScore
4.80
自引率
3.00%
发文量
139
审稿时长
98 days
期刊介绍: Journal of the National Medical Association, the official journal of the National Medical Association, is a peer-reviewed publication whose purpose is to address medical care disparities of persons of African descent. The Journal of the National Medical Association is focused on specialized clinical research activities related to the health problems of African Americans and other minority groups. Special emphasis is placed on the application of medical science to improve the healthcare of underserved populations both in the United States and abroad. The Journal has the following objectives: (1) to expand the base of original peer-reviewed literature and the quality of that research on the topic of minority health; (2) to provide greater dissemination of this research; (3) to offer appropriate and timely recognition of the significant contributions of physicians who serve these populations; and (4) to promote engagement by member and non-member physicians in the overall goals and objectives of the National Medical Association.
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