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Comment on "A New Immunogenic Structure of Polyepitopic Fusion against Leishmania major: In Silico Study". 对“一种新的抗利什曼原虫的聚异位融合免疫原性结构:计算机研究”的评论。
IF 0.9 4区 医学 Q4 PARASITOLOGY Pub Date : 2024-10-01 DOI: 10.18502/ijpa.v19i4.17175
Hamidreza Majidiani, Seyyed Amir Hosseini
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引用次数: 0
Molecular Detection and Characterization of Haemonchus spp. in Cattle in Nigeria. 尼日利亚牛Haemonchus属的分子检测与鉴定。
IF 0.9 4区 医学 Q4 PARASITOLOGY Pub Date : 2024-10-01 DOI: 10.18502/ijpa.v19i4.17165
Olamilekan Banwo, Olalekan Jeremiah, Rofiat Adesina, Abraham Adeyemo, Olusegun Fagbohun

Background: Haemonchosis is a major parasitic infestation in ruminant livestock, causing significant economic losses annually. The causative organisms are helminths of the genus Haemonchus spp. Detection of the causative agent is important for effective management and control of the disease. Molecular detection and characterization of parasites is a very dependable approach for parasite identification, especially where morphological characterization is unreliable.

Methods: To detect and characterize Haemonchus species in cases of haemonchosis at a Municipal abattoir in Ibadan, Nigeria; abomasal samples were collected from cattle at the abattoir. Polymerase chain reaction (PCR) was used to detect and amplify 320 bp internal transcribed spacer-2 (ITS-2) and 400 bp external transcribed spacer (ETS) genes of the adult worms in the samples. Multiple sequence alignment and phylogenetic tree reconstruction were carried out to further confirm the presence of the worms.

Results: PCR, multiple sequence alignment, and phylogenetic reconstruction confirmed the presence of H. placei in the abomasal samples and further confirmed the species as a distinct species of bovine worms at the abattoir. Multiple sequence alignment also revealed genetic sites that can be employed to distinguish H. placei from H. contortus and H. similis.

Conclusion: Molecular techniques; PCR and sequence analysis are very important and reliable in the diagnosis of parasitic diseases. This will help to formulate effective control measures for eradication of the parasite.

背景:血友病是反刍家畜的主要寄生虫感染,每年造成重大的经济损失。病原生物为血螨属蠕虫,病原检测对有效管理和控制该病具有重要意义。寄生虫的分子检测和表征是一种非常可靠的寄生虫鉴定方法,特别是在形态表征不可靠的情况下。方法:对尼日利亚伊巴丹市某屠宰场血液病病例进行血蜱检测和鉴定;从屠宰场的牛身上采集了皱胃样本。采用聚合酶链式反应(PCR)检测并扩增成虫320 bp的ITS-2基因和400 bp的ETS基因。多序列比对和系统发育树重建进一步证实了线虫的存在。结果:经PCR、多序列比对和系统发育重建证实,该物种在皱胃样品中存在,并进一步证实该物种是屠宰场牛蠕虫的一个独特物种。多重序列比对还揭示了可用于区分地方猿人、扭曲猿人和相似猿人的遗传位点。结论:分子技术;PCR和序列分析在寄生虫病诊断中具有重要和可靠的应用价值。这将有助于制定有效的根除寄生虫的控制措施。
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引用次数: 0
Coexistence of Giant Hydatid Cyst and Hepatocellular Carcinoma: A Case Report and Literature Review. 巨包虫囊肿与肝细胞癌共存1例报告及文献复习。
IF 0.9 4区 医学 Q4 PARASITOLOGY Pub Date : 2024-10-01 DOI: 10.18502/ijpa.v19i4.17174
Ismail Eren Birol, Sukru Salih Toprak, Fatih Gurel

From a global perspective, hepatocellular carcinoma (HCC) and hydatid cyst disease are both common; however, the endemic and zoonotic nature of hydatid cysts (due to Echinococcus larvae) makes the simultaneous detection of the two conditions a rare occurrence. In this case report, in a 43-year-old male patient, we aim to draw attention to the potential coexistence of HCC and liver hydatid cysts by presenting a case in which HCC tissue was detected in the cyst wall-removed by emergency surgery due to cyst perforation. Hydatid lesions in the liver may exhibit tumor-like growth characteristics. Consequently, identifying a hydatid cyst concomitant with HCC can be challenging, particularly when HCC has developed within the cystic structure. Careful assessment of resected tissues and detailed diagnostic approaches can facilitate the identification of such cases, even if the risk of HCC in patients with hydatid cysts is marginal. It may be advisable to suggest periodic monitoring with HCC-related markers and liver imaging methods.

从全球范围来看,肝细胞癌(HCC)和包虫病都很常见;然而,包虫病的地方性和人畜共患性(由棘球绦虫幼虫引起)使得同时检测这两种情况的情况很少发生。在本病例报告中,我们报告了一名43岁男性患者,通过在因囊肿穿孔而急诊手术切除的囊肿壁中检测到HCC组织,旨在引起人们对HCC和肝包虫囊肿可能共存的关注。肝脏包虫病损可能表现出肿瘤样生长特征。因此,鉴别包虫囊肿伴发HCC可能具有挑战性,特别是当HCC在囊性结构内发展时。对切除组织的仔细评估和详细的诊断方法可以促进此类病例的识别,即使包虫囊肿患者发生HCC的风险很小。建议定期监测hcc相关标志物和肝脏影像学方法。
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引用次数: 0
Prevalence and Clinical Aspects of Trichomonas vaginalis Infection among High-Risk Women in Karaj, Iran. 伊朗卡拉伊高危妇女阴道毛滴虫感染的流行及临床特征
IF 0.9 4区 医学 Q4 PARASITOLOGY Pub Date : 2024-10-01 DOI: 10.18502/ijpa.v19i4.17168
Amir Bairami, Kourosh Kabir, Behrouz Abbasi Alaei, Saeed Bahadory, Mostafa Rezaeian

Background: Trichomoniasis is a common sexually transmitted infection (STI) caused by the protozoan Trichomonas vaginalis, which causes health and emotional damages to the sufferers annually. We aimed to investigate the prevalence of T. vaginalis and its related risk factors among the high-risk women in the city of Karaj, central Iran.

Methods: This cross-sectional study was conducted between October 2021 and September 2022. In all 192 samples were taken from high-risk women referred to the center for vulnerable women and also from women in Fardis Prison of Karaj. All samples were examined by culture and microscopic method.

Results: The overall prevalence of T. vaginalis in high-risk women was estimated at 7.8% (15/192). Subgroup prevalence was also assessed according to the severity of symptoms, and no significant association was observed between the prevalence and the symptoms' severity.

Conclusion: Due to the high prevalence of the parasite among vulnerable/high-risk women, particularly in people with poor socioeconomic conditions, preventive health measures in this high-risk group seem necessary. Nevertheless, given that men have no symptoms but may be carriers of the parasite, the same study is also recommended for men.

背景:滴虫病是由阴道毛滴虫引起的一种常见的性传播感染,每年都会给患者造成健康和情感上的损害。我们的目的是调查伊朗中部卡拉伊市高危妇女中阴道生殖道绦虫的患病率及其相关危险因素。方法:本横断面研究于2021年10月至2022年9月进行。在所有192个样本中,来自转介到弱势妇女中心的高风险妇女和卡拉杰法尔迪斯监狱的妇女。所有样品均采用培养和显微镜检查方法。结果:高危妇女阴道生殖道绦虫的总体患病率估计为7.8%(15/192)。还根据症状的严重程度评估了亚组患病率,未观察到患病率与症状严重程度之间存在显著关联。结论:由于这种寄生虫在易受伤害/高危妇女中,特别是在社会经济条件较差的妇女中流行率很高,因此对这一高危群体采取预防性保健措施似乎是必要的。然而,考虑到男性没有症状,但可能是寄生虫的携带者,同样的研究也建议男性进行。
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引用次数: 0
The Molecular Detection and Therapeutic Management of Pathogenic Theileria luwenshuni Infection in a Goat: A Case Report. 山羊致病性鲁文顺尼伊勒菌感染的分子检测与治疗
IF 0.9 4区 医学 Q4 PARASITOLOGY Pub Date : 2024-10-01 DOI: 10.18502/ijpa.v19i4.17173
Syed Abdul Arif, Deepa Lahkar, Sophia Makdoh Gogoi, Bendangla Changkija, Parikshit Kakati, Lukumoni Buragohain, Mamta Pathak, Tinku Das

A 2-year-old female Assam Hill goat was presented with a clinical history of anorexia, fever, mild anemia, rough body coat, dehydration, tachycardia, dyspnea and swelling of palpable lymph nodes. Hematology revealed low hemoglobin, packed cell volume, red blood cell and thrombocyte count. Biochemical analysis showed increased serum concentration of alanine aminotransferase (ALT), aspartate aminotransferase (AST), creatinine and urea in comparison to the normal reference range. Microscopic examination showed intra-erythrocytic forms of Theileria species. Molecular and phylogenetic analysis of partial 18S rRNA gene sequence confirmed Theileria luwenshuni infection. The goat was treated with buparvaquone and oxytetracycline and recovered uneventfully. A three-month follow-up showed no recurrence. This study reveals the presence of T. luwenshuni in Assam, India and it should be considered in differential diagnosis and as one of the important pathogens of clinically sick goats. The present case report provides a rational approach to diagnosis and treatment for a goat infected with pathogenic T. luwenshuni in Assam, India. To our knowledge, the present communication describes about the first successful therapeutic management of pathogenic T. luwenshuni infection in a goat supported with molecular evidence from Assam, a north-eastern state of India.

2岁阿萨姆山山羊母山羊临床表现为厌食、发热、轻度贫血、体毛粗糙、脱水、心动过速、呼吸困难和可触及淋巴结肿胀。血液学显示低血红蛋白,堆积的细胞体积,红细胞和血小板计数。生化分析显示血清谷丙转氨酶(ALT)、天冬氨酸转氨酶(AST)、肌酐和尿素浓度高于正常参考范围。镜检显示红血球内形态。部分18S rRNA基因序列的分子和系统发育分析证实了鲁文顺尼氏芽孢杆菌感染。山羊经布巴伐酮和土环素治疗后恢复平稳。3个月随访未见复发。本研究表明印度阿萨姆邦存在鲁文舒尼绦虫,在鉴别诊断中应予以考虑,并作为临床患病山羊的重要病原体之一。本病例报告为印度阿萨姆邦一只山羊感染致病性鲁文顺尼绦虫提供了合理的诊断和治疗方法。据我们所知,本通报描述了在印度东北部阿萨姆邦的分子证据支持下,首次成功治疗山羊的致病性卢文顺尼T.感染。
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引用次数: 0
Molecular Diagnosis of Helicobacter pylori Endosymbiont in Acanthamoeba-Positive Samples in Laboratory Conditions and in the Hospital Environments. 实验室条件和医院环境中棘阿米巴阳性样品幽门螺杆菌内共生菌的分子诊断。
IF 0.9 4区 医学 Q4 PARASITOLOGY Pub Date : 2024-10-01 DOI: 10.18502/ijpa.v19i4.17160
Alireza Mohammadi, Abdolhossein Dalimi, Fatemeh Ghafarifar, Majid Pirestani, Majid Akbari

Background: We aimed to identity Helicobacter pylori endosymbiont in Acanthamoeba-positive samples in natural and laboratory conditions.

Methods: Overall, 134 samples were collected from hospital environments. Microscopic and PCR test were used for detection of Acanthamoeba and H. pylori. The real-time PCR method was used to check the active presence of H. pylori within Acanthamoeba under natural conditions from hospital samples and in co-culture laboratory conditions.

Results: The rate of contamination of hospital samples with Acanthamoeba was 44.7%. Out of 42 Acanthamoeba PCR-positive samples, 13 isolates (31%) were positive in terms of H. pylori endosymbiont according to sampling location. H. pylori is able to penetrate and enter the Acanthamoeba parasite.

Conclusion: H. pylori is able to contaminate Acanthamoeba in natural and laboratory conditions. The presence of pathogenic Acanthamoeba in various hospital environments and the hiding of Helicobacter as an endosymbiont inside it can pose a serious threat to the health of hospitalized patients.

背景:我们的目的是在自然和实验室条件下棘阿米巴阳性样品中鉴定幽门螺杆菌内共生菌。方法:在医院环境中采集134份样本。显微镜法和PCR法检测棘阿米巴和幽门螺杆菌。采用实时荧光定量PCR法检测自然条件下医院样本和实验室共培养条件下棘阿米巴中幽门螺杆菌的活性存在。结果:医院标本棘阿米巴污染率为44.7%。在42份棘阿米巴pcr阳性样本中,根据采样位置,幽门螺杆菌内共生菌阳性13株(31%)。幽门螺旋杆菌能够穿透并进入棘阿米巴寄生虫。结论:幽门螺旋杆菌在自然和实验室条件下都能污染棘阿米巴。致病性棘阿米巴存在于各种医院环境中,而作为内共生体的幽门螺杆菌又隐藏在其中,对住院患者的健康构成严重威胁。
{"title":"Molecular Diagnosis of <i>Helicobacter pylori</i> Endosymbiont in <i>Acanthamoeba</i>-Positive Samples in Laboratory Conditions and in the Hospital Environments.","authors":"Alireza Mohammadi, Abdolhossein Dalimi, Fatemeh Ghafarifar, Majid Pirestani, Majid Akbari","doi":"10.18502/ijpa.v19i4.17160","DOIUrl":"10.18502/ijpa.v19i4.17160","url":null,"abstract":"<p><strong>Background: </strong>We aimed to identity <i>Helicobacter pylori</i> endosymbiont in <i>Acanthamoeba</i>-positive samples in natural and laboratory conditions.</p><p><strong>Methods: </strong>Overall, 134 samples were collected from hospital environments. Microscopic and PCR test were used for detection of <i>Acanthamoeba</i> and <i>H. pylori.</i> The real-time PCR method was used to check the active presence of <i>H. pylori</i> within <i>Acanthamoeba</i> under natural conditions from hospital samples and in co-culture laboratory conditions.</p><p><strong>Results: </strong>The rate of contamination of hospital samples with <i>Acanthamoeba</i> was 44.7%. Out of 42 <i>Acanthamoeba</i> PCR-positive samples, 13 isolates (31%) were positive in terms of <i>H. pylori</i> endosymbiont according to sampling location. <i>H. pylori</i> is able to penetrate and enter the <i>Acanthamoeba</i> parasite.</p><p><strong>Conclusion: </strong><i>H. pylori</i> is able to contaminate <i>Acanthamoeba</i> in natural and laboratory conditions. The presence of pathogenic <i>Acanthamoeba</i> in various hospital environments and the hiding of <i>Helicobacter</i> as an endosymbiont inside it can pose a serious threat to the health of hospitalized patients.</p>","PeriodicalId":14669,"journal":{"name":"Iranian Journal of Parasitology","volume":"19 4","pages":"397-407"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142902846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Survival of Trichinella spiralis and T. pseudospiralis in Experimentally Infected Wild Boar Muscle Tissue under Freezing and Environmental Conditions. 旋毛虫和假螺旋绦虫在冻融和环境条件下在实验感染的野猪肌肉组织中的存活。
IF 0.9 4区 医学 Q4 PARASITOLOGY Pub Date : 2024-10-01 DOI: 10.18502/ijpa.v19i4.17166
Clara Bessi, Mariano Emmanuel Ercole, Fernando Adrian Fariña, Francisco Montalvo, Valeria Fassa, Marcelo Acerbo, Miriam Mabel Ribicich, Mariana Inés Pasqualetti

Background: The aim of this study was to investigate the survival of Trichinella spiralis and T. pseudospiralis in decaying wild boar tissue and assess their freezing tolerance in experimentally infected animals.

Methods: The present study was conducted in Buenos Aires City, Argentina during the 2018-2019 period. Two wild boars were used, one infected with 20,000 muscle larvae (ML) of T. spiralis and the other with T. pseudospiralis. Both animals were euthanized 19 weeks post-infection. Limbs from each boar were placed over soil in plastic containers to assess ML survival in decaying tissue, under natural temperature and humidity, shielded from rain. Weekly samples were taken for artificial digestion, and the ML were inoculated into mice to determine their reproductive capacity index (RCI). Additionally, to evaluate the freezing tolerance of the ML, muscle samples were stored at -18°C. Six samples were taken and digested after 2, 4, 7, 9, 11, and 14 days, with subsequent inoculation into mice to assess RCI.

Results: T. spiralis remained infective in decaying wild boar tissue for 11 weeks, while T. pseudospiralis remained infective for only 4 weeks. The freezing tolerance assay showed that T. spiralis ML remain infective for 9 days. However, T. pseudospiralis ML remain infective for only 2 days at -18°C.

Conclusion: The findings highlight the survival strategies of T. spiralis and T. pseudospiralis in different environmental conditions, which may have implications for understanding their transmission dynamics in wild animals.

背景:本研究的目的是研究旋毛虫和假螺旋螺旋体在腐烂野猪组织中的存活情况,并评估它们在实验感染动物中的抗冻能力。方法:本研究于2018-2019年在阿根廷布宜诺斯艾利斯市进行。选用2只野猪,1只感染螺旋螺旋体肌肉幼虫(ML),另1只感染假螺旋螺旋体。两只动物在感染后19周被安乐死。将每只公猪的四肢放在塑料容器的土壤上,以评估ML在腐烂组织中的存活情况,在自然温度和湿度下,避雨。每周取标本进行人工消化,并将ML接种于小鼠体内,测定其生殖能力指数(RCI)。此外,为了评估ML的耐冻性,肌肉样品被保存在-18°C。分别于第2、4、7、9、11和14天取6份样品消化,随后接种小鼠以评估RCI。结果:螺旋体在腐烂的野猪组织中持续感染11周,而假螺旋体仅持续感染4周。耐冻性试验表明,螺旋螺旋体ML在9天内仍具有传染性。然而,假螺旋锥虫ML在-18°C下仅能保持2天的传染性。结论:研究结果揭示了螺旋螺旋体和假螺旋螺旋体在不同环境条件下的生存策略,为进一步了解它们在野生动物中的传播动态提供了理论依据。
{"title":"Survival of <i>Trichinella spiralis</i> and <i>T. pseudospiralis</i> in Experimentally Infected Wild Boar Muscle Tissue under Freezing and Environmental Conditions.","authors":"Clara Bessi, Mariano Emmanuel Ercole, Fernando Adrian Fariña, Francisco Montalvo, Valeria Fassa, Marcelo Acerbo, Miriam Mabel Ribicich, Mariana Inés Pasqualetti","doi":"10.18502/ijpa.v19i4.17166","DOIUrl":"10.18502/ijpa.v19i4.17166","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to investigate the survival of <i>Trichinella spiralis</i> and <i>T. pseudospiralis</i> in decaying wild boar tissue and assess their freezing tolerance in experimentally infected animals.</p><p><strong>Methods: </strong>The present study was conducted in Buenos Aires City, Argentina during the 2018-2019 period. Two wild boars were used, one infected with 20,000 muscle larvae (ML) of <i>T. spiralis</i> and the other with <i>T. pseudospiralis</i>. Both animals were euthanized 19 weeks post-infection. Limbs from each boar were placed over soil in plastic containers to assess ML survival in decaying tissue, under natural temperature and humidity, shielded from rain. Weekly samples were taken for artificial digestion, and the ML were inoculated into mice to determine their reproductive capacity index (RCI). Additionally, to evaluate the freezing tolerance of the ML, muscle samples were stored at -18°C. Six samples were taken and digested after 2, 4, 7, 9, 11, and 14 days, with subsequent inoculation into mice to assess RCI.</p><p><strong>Results: </strong><i>T. spiralis</i> remained infective in decaying wild boar tissue for 11 weeks, while <i>T. pseudospiralis</i> remained infective for only 4 weeks. The freezing tolerance assay showed that <i>T. spiralis</i> ML remain infective for 9 days. However, <i>T. pseudospiralis</i> ML remain infective for only 2 days at -18°C.</p><p><strong>Conclusion: </strong>The findings highlight the survival strategies of <i>T. spiralis</i> and <i>T. pseudospiralis</i> in different environmental conditions, which may have implications for understanding their transmission dynamics in wild animals.</p>","PeriodicalId":14669,"journal":{"name":"Iranian Journal of Parasitology","volume":"19 4","pages":"457-464"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Single Nucleotide Polymorphism of IL-18 (Rs 1946519) in Recurrent Aborted Iraqi Women and Its Association with Toxoplasmosis. 伊拉克反复流产妇女IL-18 (rs1946519)单核苷酸多态性及其与弓形虫病的关系
IF 0.9 4区 医学 Q4 PARASITOLOGY Pub Date : 2024-10-01 DOI: 10.18502/ijpa.v19i4.17161
Sabreen Hadi Fadhil, Entsar Jabbar Saheb

Background: We aimed to shed light on the risks of elevated levels of IL-18 in aborted women with toxoplasmosis by evaluating the risk or protective function of alleles or genotypes for single nucleotide polymorphism (SNP) of IL-18 (rs 1946519), which might be related to the susceptibility to toxoplasmosis.

Methods: IL-18 levels in patient and control blood samples were determined using ELISA, and the SNP IL-18 (ra 1946519) was subjected to the high-resolution method.

Results: Compared to healthy pregnant women (HP), the IL-18 serum levels of recurrent abortion with toxoplasmosis (RAWT), recurrent abortion without toxoplasmosis (RAWOT), and healthy non-pregnant (HNP) women decreased with significant differences. Additionally, a strong association between patients and controls was found in the SNP IL-18 data. RAWT and RAWOT with the genotypes AA and AC had significantly lower IL-18 serum levels than women HP, according to the distribution of IL-18 serum levels by SNP.

Conclusion: The serum level of IL-18 varied by genotype in patients with substantial differences compared to controls, while the SNP of IL-18 has been linked as a risk factor in toxoplasmosis-infected recurrent abortion women.

背景:我们旨在通过评价IL-18单核苷酸多态性(SNP)等位基因或基因型对弓形虫病易感性的风险或保护作用,揭示流产女性弓形虫病患者IL-18水平升高的风险。方法:采用ELISA法检测患者及对照血样中IL-18水平,采用高分辨率法检测IL-18 SNP (ra 1946519)。结果:与健康孕妇(HP)相比,有弓形虫病的复发流产(RAWT)、无弓形虫病的复发流产(RAWOT)和健康非妊娠妇女(HNP)血清IL-18水平均降低,差异有统计学意义。此外,在SNP IL-18数据中发现患者和对照组之间存在很强的相关性。根据IL-18的SNP分布,AA和AC基因型的RAWT和RAWOT的血清IL-18水平明显低于HP女性。结论:与对照组相比,不同基因型患者血清IL-18水平存在显著差异,而IL-18 SNP与弓形虫感染的复发性流产妇女的危险因素有关。
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引用次数: 0
Lung Cyst Hydatid Extracted via Bronchoscopy and the Necessity of Surgery: A Case Report. 支气管镜下肺包虫囊提取术及手术必要性1例。
IF 0.9 4区 医学 Q4 PARASITOLOGY Pub Date : 2024-10-01 DOI: 10.18502/ijpa.v19i4.17170
Oguz Karcioglu, Ayşen Kara, Olcay Kurtulan, Serkan Uysal, Ziya Toros Selçuk

Echinococcus granulosus remains a global public health issue. Although predominantly affecting the liver, the lungs are the second most affected organ and often undergo surgical intervention. Here, a case managed by bronchoscopy and medical therapy is presented. A 26-year-old woman was presented with a cough, hemoptysis, and a 5 kg weight loss in the last two months. Chest imaging identified a 4 cm centrally cystic mass lesion in the middle lobe of the right lung, which was suspicious of lung cancer. Bronchoscopy revealed a whitish, plastic-like object that was difficult to extricate and obstructed the middle lobe bronchus. We removed the material and purulent secretions covering it and opened the middle lobe bronchus totally. The histopathological study verified its consistency with hydatid cyst. There was no evidence of a hydatid cyst on computerized thomography after bronchoscopy. The lesion in the left lobe of the liver, confirmed to be suggestive of a hydatid cyst via ultrasonography, was treated using the PAIR technique. We administered oral albendazole to continue the treatment. It may be a reasonable approach to postpone surgery in order to preserve lung tissue in patients who have undergone complete removal of hydatid cyst material via bronchoscope.

细粒棘球绦虫仍然是一个全球性的公共卫生问题。虽然主要影响肝脏,但肺部是第二个最受影响的器官,通常需要手术干预。在这里,一个病例管理的支气管镜和药物治疗提出。一名26岁女性在过去两个月内出现咳嗽、咯血和体重减轻5公斤。胸部影像学示右肺中叶一4cm中央囊性肿块,怀疑肺癌。支气管镜检查发现难以取出的白色塑料样物体,阻塞了支气管中叶。我们切除了覆盖它的物质和化脓性分泌物,并完全打开了中间支气管。组织病理学检查证实其与包虫囊肿一致。支气管镜检查后计算机断层扫描未发现包虫囊肿。肝左叶病变经超声检查证实为包虫囊肿,采用PAIR技术治疗。我们给予口服阿苯达唑继续治疗。对于经支气管镜完全切除包虫囊肿的患者,推迟手术以保存肺组织可能是一种合理的方法。
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引用次数: 0
Acute Kidney Failure Confused with Thrombocytopenic Thrombocytic Purpura in Malaria: A Case Report. 疟疾患者急性肾衰竭与血小板减少性血小板性紫癜混淆1例。
IF 0.9 4区 医学 Q4 PARASITOLOGY Pub Date : 2024-10-01 DOI: 10.18502/ijpa.v19i4.17171
Pinar Gurkaynak, Nejla Yılmaz Gocen, Ahmet Mert Yanık

Malaria has become widespread, especially in sub-Saharan Africa, owing to disruptions experienced during the Covid-19 pandemic. Both cerebral malaria and acute kidney injury are important indicators of severe malaria. Depending on the degree of acute renal failure, hemodialysis/hemofiltration treatment is required. Our patient was a 22-year-old male from the Republic of Chad. The patient with confusion came to our country 15 days prior and was admitted to the internal medicine intensive care unit. Initially, Thrombocytopenic Thrombocytic Purpura (TTP) was considered because of clinical and laboratory similarities. As the patient had a history of coming from an endemic area, anemia, thrombocytopenia, and splenomegaly, malaria was considered. The patient was diagnosed with falciparum malaria due to the presence of multiple ring-shaped trophozoites and banana gametocytes. The patient with cerebral malaria, hyperparasitemia (parasite load 15%), hyperbilirubinemia and acute kidney injury was considered to have severe malaria. Intravenous artesunate was planned, but since it could not be obtained immediately, oral artemether+lumefantrine was started, and the patient became conscious at the 24th hour of treatment. During the follow-up, the patient's creatinine levels increased to 6.9, and the patient was subjected to hemodialysis several times. After effective hemodialysis and antimalarial treatment, the patient was discharged without sequelae on the 20th day of hospitalization. This case report is thought to be important in that it emphasizes that the diagnosis of malaria may be delayed due to its confusion with microangiopathic hemolytic anemias, and that it emphasizes the importance of correct management of complications.

由于2019冠状病毒病大流行期间的破坏,疟疾已变得普遍,特别是在撒哈拉以南非洲。脑型疟疾和急性肾损伤都是重症疟疾的重要指标。根据急性肾功能衰竭的程度,需要进行血液透析/血液滤过治疗。我们的病人是一名来自乍得共和国的22岁男性。患者于15天前来我国,住内科重症监护室。最初,血小板减少性血小板性紫癜(TTP)被认为是由于临床和实验室的相似性。由于患者有来自疫区、贫血、血小板减少和脾肿大病史,考虑为疟疾。由于存在多个环形滋养体和香蕉配子体,患者被诊断为恶性疟疾。伴有脑型疟疾、高寄生虫血症(寄生虫负荷15%)、高胆红素血症和急性肾损伤的患者被认为是重症疟疾。原计划静脉注射青蒿琥酯,但无法立即获得,于是开始口服蒿甲醚+氨苯曲明,治疗24小时患者恢复意识。随访期间,患者肌酐水平升高至6.9,患者多次接受血液透析。经有效的血液透析和抗疟治疗,患者于住院第20天无后遗症出院。本病例报告被认为是重要的,因为它强调疟疾的诊断可能因与微血管病溶血性贫血相混淆而延误,并强调正确处理并发症的重要性。
{"title":"Acute Kidney Failure Confused with Thrombocytopenic Thrombocytic Purpura in Malaria: A Case Report.","authors":"Pinar Gurkaynak, Nejla Yılmaz Gocen, Ahmet Mert Yanık","doi":"10.18502/ijpa.v19i4.17171","DOIUrl":"10.18502/ijpa.v19i4.17171","url":null,"abstract":"<p><p>Malaria has become widespread, especially in sub-Saharan Africa, owing to disruptions experienced during the Covid-19 pandemic. Both cerebral malaria and acute kidney injury are important indicators of severe malaria. Depending on the degree of acute renal failure, hemodialysis/hemofiltration treatment is required. Our patient was a 22-year-old male from the Republic of Chad. The patient with confusion came to our country 15 days prior and was admitted to the internal medicine intensive care unit. Initially, Thrombocytopenic Thrombocytic Purpura (TTP) was considered because of clinical and laboratory similarities. As the patient had a history of coming from an endemic area, anemia, thrombocytopenia, and splenomegaly, malaria was considered. The patient was diagnosed with <i>falciparum</i> malaria due to the presence of multiple ring-shaped trophozoites and banana gametocytes. The patient with cerebral malaria, hyperparasitemia (parasite load 15%), hyperbilirubinemia and acute kidney injury was considered to have severe malaria. Intravenous artesunate was planned, but since it could not be obtained immediately, oral artemether+lumefantrine was started, and the patient became conscious at the 24th hour of treatment. During the follow-up, the patient's creatinine levels increased to 6.9, and the patient was subjected to hemodialysis several times. After effective hemodialysis and antimalarial treatment, the patient was discharged without sequelae on the 20th day of hospitalization. This case report is thought to be important in that it emphasizes that the diagnosis of malaria may be delayed due to its confusion with microangiopathic hemolytic anemias, and that it emphasizes the importance of correct management of complications.</p>","PeriodicalId":14669,"journal":{"name":"Iranian Journal of Parasitology","volume":"19 4","pages":"489-495"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142902427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Iranian Journal of Parasitology
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