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MYOKINE IRISIN AND ITS METABOLIC ROLE ON TRICHINELLA SPIRALIS IN EXPERIMENTALLY INFECTED MURINE MODEL 鸢尾素及其在旋毛虫感染小鼠模型中的代谢作用
Pub Date : 2023-08-01 DOI: 10.21608/jesp.2023.312176
E. Beshay, O. Mostafa
Trichinella spiralis infects striated muscle cells and causes one of the most important parasitic diseases. The rapidly growing intramuscular larvae depend on insulin signaling pathways to supply their needs of glucose and glycogen. Irisin is a myokine secreted by skeletal muscles during exercise to increase energy expenditure by stimulating glucose uptake and accumulation of glycogen in muscle cells. This study investigated the potential role of irisin during experimental trichinosis. Thirty albino mice were infected orally with T. spiralis (200larva/mouse) and five healthy mice were assigned as normal control. On the 7 th , 14 th , 21 st , 28 th , 35 th , &48 th day post-infection, mice were evaluated regarding the changes in body weight, blood glucose level, serum insulin, histopathological changes, glycogen storage, and immunohistochemical expression of irisin. The results revealed that during the early stage, from the 7 th to 28 th dpi there were gradual insignificant decreases in mice body weight. Blood glucose levels showed significant decreases and the lowest was on the 21 st and 28 th dpi (83.6±3.05 and 95.6±5.08, respectively). Also, during this phase, there were significant increases in serum insulin and the highest was on the 21 st dpi (8.7±0.34). These changes correlated with the development and growth of nurse cells parallel with increased glycogen accumulation and irisin expression in muscle bundles. During the late stage, there were significant decreases in body weight, significant increases in blood glucose levels, and significant decreases in serum insulin. The histopathological examination revealed intense cellular inflammatory infiltrate associated with glycogen depletion. Strong irisin expressions were observed in the inflammatory infiltrates, nerve bundles, and the adjacent adipose tissues while in muscle bundles it decreased. In conclusion, the increased irisin expression in muscle bundles is suggested to increase insulin secretion and responsiveness of T. spiralis -infected muscles to facilitate glucose transport and glycogen accumulation during larval growth. Whereas, during the late stage, irisin affects fat metabolism and might contribute to loss of body weight. The increased irisin expression in the inflammatory infiltrates may have protective and anti-inflammatory roles. However, further studies should be conducted to discover in-depth role of irisin and host-endocrine interplay during T. spiralis infection.
旋毛虫感染横纹肌细胞并引起最重要的寄生虫病之一。快速生长的肌内幼虫依靠胰岛素信号通路来供应其所需的葡萄糖和糖原。鸢尾素是骨骼肌在运动过程中分泌的一种肌肉因子,通过刺激肌肉细胞中葡萄糖的摄取和糖原的积累来增加能量消耗。本研究探讨鸢尾素在实验性旋毛虫病中的潜在作用。采用口腔感染螺旋体的白化小鼠30只(200只/只),健康小鼠5只作为正常对照。分别于感染后第7、14、21、28、35、48天观察小鼠体重、血糖、血清胰岛素、组织病理变化、糖原储存及鸢尾素免疫组化表达。结果显示,在早期,从第7 dpi到第28 dpi,小鼠的体重逐渐下降,但不显著。血糖水平明显降低,第21和28 dpi最低(分别为83.6±3.05和95.6±5.08)。在这一阶段,血清胰岛素显著升高,在第21 dpi时最高(8.7±0.34)。这些变化与肌束中糖原积累和鸢尾素表达增加的护士细胞的发育和生长有关。在晚期,体重显著下降,血糖水平显著升高,血清胰岛素显著降低。组织病理学检查显示强烈的细胞炎症浸润与糖原耗竭有关。炎症浸润、神经束及邻近脂肪组织中鸢尾素表达强烈,肌束中鸢尾素表达减少。综上所述,肌束中鸢尾素表达的增加可能增加了螺旋体感染肌肉的胰岛素分泌和反应性,促进了幼虫生长过程中葡萄糖的运输和糖原的积累。然而,在后期,鸢尾素影响脂肪代谢,可能有助于减轻体重。炎症浸润中鸢尾素表达的增加可能具有保护和抗炎作用。然而,鸢尾素与宿主内分泌相互作用在螺旋体感染中的作用还有待进一步研究。
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引用次数: 0
DIFFERENT DOSES OF INTRANASAL DEXMEDETOMIDINE ON EMERGENCY AGITATION PREVENTION IN CHILDREN UNDERGOING ADENOTONSILLECTOMY UNDER SEVOFLURANE ANESTHESIA 不同剂量右美托咪定鼻内预防七氟醚麻醉下儿童腺扁桃体切除术后的紧急躁动
Pub Date : 2023-08-01 DOI: 10.21608/jesp.2023.312120
Wael Hussein
Emergence agitation (EA) is an aberrant mental condition arises during the transformation from unconsciousness to full awareness and can persist for up to two days in the early postoperative period. This study compare EA in children undergoing adenotonsillectomy. This randomized parallel double-blinded research involved 40 pediatric patients aged 2-10 years old of both sexes were classified by American Society of Anesthesiologists physical status of I, & II undergoing adenotonsillectomy with sevoflurane anesthesia. They were allocated into two groups, GI: received intranasal DEX (2 and GII: received intranasal DEX (3 ). General anesthesia was done by face mask with sevoflurane 6-8% inhalation and maintenance at 2-4%. The results showed that GII had a significantly better Ramsay sedation score, parental separation anxiety scale, Watcha scale emergence delirium, and face mask acceptance scores compared to GI (P<0.05). GII had a significantly lower flacc score compared to GI (P =0.017), but without significant difference between both as to parents' satisfaction scores.
突发性躁动(EA)是一种异常的精神状态,出现在从无意识到完全意识的转变过程中,并可在术后早期持续长达两天。本研究比较了接受腺扁桃体切除术的儿童EA。本随机平行双盲研究纳入40例年龄在2-10岁的男女儿童患者,根据美国麻醉医师协会的身体状况分为I、II级,在七氟醚麻醉下行腺扁桃体切除术。他们被分为两组,GI组:接受鼻内DEX (2), GII组:接受鼻内DEX(3)。全身麻醉采用面罩,吸入6-8%七氟醚,维持在2-4%。结果显示,GII患儿Ramsay镇静评分、父母分离焦虑评分、Watcha出现性谵妄评分、口罩接受评分均显著高于GI (P<0.05)。GII的flacc得分明显低于GI (P =0.017),但两者在父母满意度得分上无显著差异。
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引用次数: 0
AN OVERVIEW ON ALLERGIC REACTIONS TO PATHOGENIC VACCINES 病原性疫苗的过敏反应综述
Pub Date : 2023-08-01 DOI: 10.21608/jesp.2023.312106
Sarya Hawam, A. Abou-elmagd, Mohamed Elshishtawy, T. Morsy
A pathogen is a bacterium, virus, parasite or fungus that inhabits virtually every environment on the planet and can cause diseases to man, animals and plants. Vaccines contain weakened or inactive parts of a particular organism (antigen) that triggers an immune response within the body. Newer vaccines contain the blueprint for producing antigens rather than the antigen itself. Regardless of whether the vaccine is made up of the antigen itself or the blueprint so that the body will produce the antigen, which will not cause the disease in the person receiving the vaccine, but it will prompt the immune system to respond much as it would have on its first reaction to the actual pathogen. They help to create protective antibodies-proteins help in fighting off infections. But, vaccine refusal may result in vaccine-preventable disease in individual and/or outbreaks of vaccine-preventable disease in unvaccinated and vaccinated individuals However, severe allergic reactions to vaccines are rare but do occur. Local reactions involved redness, swelling or irritation at the injection site. These common reactions typically begin within a few hours of the injection and clear up soon after. Systemic ones, which are less common, but potentially more serious develop sneezing, nasal congestion or hives or even throat swelling, wheezing or chest tightness. Anaphylaxis is a rare life-threatening reaction to allergy shots as low blood pressure and trouble breathing begins within 30 minutes of the injection, or even starts later than that. The vast majority of microbes are harmless, and many play essential roles in plant, animal and human health . This overview focuses on immediate-type allergic reactions to human vaccines; and delayed reactions are also briefly discussed overview discussed. The overview on allergic reactions to the new developed parasitic vaccines will be given in due time elsewhere
病原体是一种细菌、病毒、寄生虫或真菌,几乎存在于地球上的每一个环境中,并可能导致人类、动物和植物的疾病。疫苗含有特定生物体(抗原)的弱化或无活性部分,可在体内引发免疫反应。较新的疫苗包含产生抗原的蓝图,而不是抗原本身。不管疫苗是由抗原本身还是蓝图组成的,所以身体会产生抗原,这不会导致接种疫苗的人患病,但它会促使免疫系统做出反应,就像它对实际病原体的第一次反应一样。它们有助于产生保护性抗体——帮助抵抗感染的蛋白质。但是,拒绝接种疫苗可能导致个体出现疫苗可预防的疾病和/或未接种疫苗和接种疫苗的个体出现疫苗可预防疾病的暴发。然而,对疫苗的严重过敏反应很少见,但确实会发生。局部反应包括注射部位的红肿或刺激。这些常见的反应通常在注射后几小时内开始,很快就会消失。不太常见,但可能更严重的是打喷嚏、鼻塞或荨麻疹,甚至喉咙肿胀、喘息或胸闷。过敏反应是一种罕见的危及生命的过敏反应,因为在注射后30分钟内就会出现低血压和呼吸困难,甚至更晚。绝大多数微生物是无害的,许多微生物在植物、动物和人类健康中起着至关重要的作用。本综述侧重于对人类疫苗的立即型过敏反应;并对延迟反应进行了简要讨论。对新开发的寄生虫疫苗的过敏反应的概述将在适当的时候在其他地方给出
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引用次数: 0
TOXOPLASMOSIS IN VACCINATED COVID-19 PATIENTS COVID-19疫苗接种患者的弓形虫病
Pub Date : 2023-08-01 DOI: 10.21608/jesp.2023.312186
M. Gouda, Hind Aboshabaan, A. Abdelgawad, A. Wahed, A. Ibrahim
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引用次数: 0
THERAPEUTIC HERBAL AGENTS: ALLIUM SATIVUM, NIGELLA SATIVA, AND ORIGANUM MAJORANA WITH OR WITHOUT NITAZOXANIDE IN TREATING HUMAN BLASTOCYSTOSIS 治疗性中药:加或不加硝唑肼治疗人囊胚增生的葱、黑草、牛头草
Pub Date : 2023-08-01 DOI: 10.21608/jesp.2023.312108
Amira M B Saleh, M. Salama, E. Fawzy
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引用次数: 0
EFFICACY OF TOPOISOMERASE INHIBITOR II (LEVOFLOXACIN) COMBINED WITH ALLIUM SATIVUM ON EXPERIMENTAL CEREBRAL TOXOPLASMOSIS INFECTED MICE 拓扑异构酶抑制剂ii(左氧氟沙星)联合葱对实验性脑弓形虫感染小鼠的疗效
Pub Date : 2023-08-01 DOI: 10.21608/jesp.2023.312107
E. Beshay, A. Atia, M. Dawoud, S. El-Refai
Toxoplasmosis is a worldwide parasitic disease that affects about one third of the population. The infection may range from asymptomatic to severe deadly in immunocompromised patients. Unfortunately, the available drugs are toxic and cannot eradicate bradyzoites in chronic disease. The study evaluated levofloxacin combined with Allium sativum compared with trimethoprim + sulphamethoxazole to treat experimental cerebral toxoplasmosis in mice infected with Me49 cystogenic strain. The study included normal control group (GI), infected control group (GII), levofloxacin-treated group (GIII) (90 mg/kg/day starting on the 4 th d.p.i. and continued for 7 days), Sutrim-treated group (GIV) (Trimethoprim at a dose 30 mg/kg/day + Sulphamethoxazole at a dose of 150 mg/kg/day starting on 4 th d.p.i and continued for 30 days), and the combined LVX+ A. sativum -treated (GV) (LVX was given as described in GIII and A. sativum was given at a dose of 500mg/kg/day started on the 4 th d.p.i up to 30 days). The experiment was terminated on the 45 th d.p.i. Giemsa-stained impression smears from brain tissues of each mouse were prepared to determine parasitic load. Histopathological and immunohistochemical studies were done. Serum samples were prepared for immunological (IL-10, IL-12, IL-17, IFN-) and bio-chemical studies (iNOS, AST, ALT, urea, creatinine). The best results were obtained in GV, with a significant reduction (92.77%) in brain cyst count with improved histopathological findings. There was a significant decrease in IL-10 and significant increases in IL-12, IL-17, IFN-, iNOS. Liver and renal functions biochemical studies showed safety of this combination.
弓形虫病是一种世界性的寄生虫病,影响约三分之一的人口。在免疫功能低下的患者中,感染可能从无症状到严重致命。不幸的是,现有的药物是有毒的,不能根除慢性疾病中的慢殖子。比较左氧氟沙星联合大蒜与甲氧苄啶+磺胺甲恶唑治疗Me49囊源性菌株感染小鼠实验性脑弓形虫病的疗效。研究分为正常对照组(GI)、感染对照组(GII)、左氧氟沙星治疗组(GIII) (90 mg/kg/d,从第4天开始,持续7 d)、舒美林治疗组(甲氧苄啶30 mg/kg/d +磺胺甲恶唑150 mg/kg/d,从第4天开始,持续30 d)。LVX+ a . sativum -treated (GV) (LVX按GIII中所述给予LVX, a . sativum以500mg/kg/天的剂量给予,从第4天开始,直到30天)。实验于第45天结束,取各组小鼠脑组织giemsa染色印迹片测定寄生负荷。进行组织病理学和免疫组织化学研究。制备血清样品进行免疫学(IL-10、IL-12、IL-17、IFN-)和生化研究(iNOS、AST、ALT、尿素、肌酐)。GV的效果最好,脑囊肿计数明显减少(92.77%),组织病理学检查结果也有所改善。IL-10显著降低,IL-12、IL-17、IFN-、iNOS显著升高。肝肾功能生化研究表明该联合用药是安全的。
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引用次数: 0
EVALUATION OF CLINICAL UTILITY OF DETECTING CIRCULATING TUMOR DNA MUTATION GENE LOCUS TP53 RS28934571 USING REAL TIME PCR AND DROPLET DIGITAL PCR IN EGYPTIAN HEPATOCELLULAR CARCINOMA PATIENTS 实时PCR和数字PCR检测埃及肝癌患者循环肿瘤DNA突变位点tp53 rs28934571的临床应用价值评价
Pub Date : 2023-08-01 DOI: 10.21608/jesp.2023.312105
Safeya Maghraby, A. Ibrahim, Iman Montasser, Zeinab M. Hefny, M. Abdelwahed, Y. Massoud
Liver cancer has been known to be the sixth cause of cancer worldwide. In Egypt, it is the fourth cause of cancer and the second -related mortality . The P53 is considered the guardian of the genome to prevent accumulation of oncogenic mutations that lead to malignant tumor. The study compared the circulating tumor DNA (ctDNA) by targeting hotspot mutation gene locus TP53 rs28934571 (c.747G>T) in normal persons, chronic liver disease patients, and in hepatocellular carcinoma ( HCC) ones to evaluate its diagnostic value and analyses the ctDNA by targeting the hotspot mutation gene locus TP53 rs28934571 (c.747G>T). The results showed that of 100 adults, G1: Eighty (80%) patients were diagnosed as HCC on top of HCV, ten (10%) as HCV patients and ten (10%) healthy controls. All groups were matched as to age and sex. The AST was increased in HCC patients as compared to healthy con-trol ( P =0.018), forty patients (50%) were within Milan criteria, 12 patients (15%) within USCF, 28 (35%) were beyond all of whom 39 (48.75%) patients were child A with mean score of 12.45±5.94. Forty (50%) patients had one focal lesion, 16 patients had two focal lesions, eight patients had four focal lesions and six patients had multiple lesions. The average size of lesion in cm was (5.58±3.66). Among the HCC patients 38 (47.5%) patients developed ascites, 35 (43.75%) patients developed PVT and 9 (11.25%) patients developed encephalopathy . There was no significant difference in genetic typing between HCC patients, HCV ones and healthy controls (p =0.622) .
肝癌已被认为是全球第六大癌症病因。在埃及,它是导致癌症的第四大原因,也是导致死亡的第二大原因。P53被认为是基因组的守护者,可以防止导致恶性肿瘤的致癌突变的积累。本研究通过比较正常人、慢性肝病患者和肝癌患者的热点突变基因位点TP53 rs28934571 (c.747G>T)的循环肿瘤DNA (ctDNA),评价其诊断价值,并分析针对热点突变基因位点TP53 rs28934571 (c.747G>T)的ctDNA。结果显示,在100名成人中,G1: 80例(80%)患者被诊断为HCV之上的HCC, 10例(10%)为HCV患者,10例(10%)为健康对照。所有组的年龄和性别都是匹配的。与健康对照组相比,HCC患者AST增高(P =0.018), 40例(50%)符合米兰标准,12例(15%)符合USCF标准,28例(35%)超出标准,其中儿童A 39例(48.75%),平均评分为12.45±5.94。单灶性病变40例(50%),双灶性病变16例,四灶性病变8例,多发灶性病变6例。病灶大小平均为(5.58±3.66)cm。HCC患者中出现腹水38例(47.5%),PVT 35例(43.75%),脑病9例(11.25%)。HCC患者、HCV患者和健康对照组基因分型差异无统计学意义(p =0.622)。
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引用次数: 0
CIRCULATING CATHODIC ANTIGEN VERSUS MICROSCOPY FOR DIAGNOSING URINARY SCHISTOSOMIASIS AMONG CHILDREN, IN SOHAG UNIVERSITY HOSPITALS 在索哈格大学医院中,循环阴极抗原与显微镜诊断儿童尿路血吸虫病
Pub Date : 2023-08-01 DOI: 10.21608/jesp.2023.312117
Asmaa Abd ellah, Elsayed Mohammed, Abdelkreem Abdalla
Urinary schistosomiasis caused by Schistosoma haematobium constitutes a major public health problem in many tropical and sub-tropical countries. Rapid diagnostic tests are needed for the implementation and monitoring of national schistosomiasis control programs. The study estimated prevalence and risk factors of S. haematobium by the circulating catho-dic antigen test (POC-CCA) versus microscopic urine examinations. A cross-sectional study was conducted on 100 outpatient children aged 3 to 15 years attended Sohag University Hospitals. Demographic data and risk factors were collected using a structured questionnaire. Urine samples were examined by microscopic examination techniques (sedimentation centrifugation and Nucleopore filtration methods) for detection of S. haematobium eggs and by a commercially available cassette test POC-CCA, for detection of S. haematobium circulating cathodic antigens. The results showed that S . haematobium infected children as indicated by microscopy was 23%. The study reported increasing age (OR=6.9-8.3), male (OR= 3.5), living in rural areas (OR=4.1), exposures to canal water (OR=26.4), history of schistosomiasis (OR= 3.3) and history of burning micturition (OR= 7.4) or hematuria (OR= 10.1) as significant risk factors . Using microscopy as the gold standard for S . haematobium detection, sensitivity, specificity, PPV & NPV of POC-CCA tests, were 56.5%, 92.2%, 68.4% & 87.7% respectively with an accuracy 84% and area under curve (AUC) was 0.744. In light cases, the POC CCA detected 52.6%, but in heavy cases it increased to 75% without significant difference (P < 0.412).
在许多热带和亚热带国家,由血血吸虫引起的尿路血吸虫病是一个主要的公共卫生问题。国家血吸虫病控制规划的实施和监测需要快速诊断检测。该研究通过循环阴极抗原试验(POC-CCA)和显微镜尿液检查来估计血红杆菌的患病率和危险因素。对索哈格大学附属医院的100名3至15岁门诊儿童进行了横断面研究。使用结构化问卷收集人口统计数据和危险因素。尿样采用显微镜检查技术(沉降离心和核孔过滤法)检测血链球菌卵,并采用市售盒式测试POC-CCA检测血链球菌循环阴极抗原。结果表明,S。镜检显示感染血球菌的儿童占23%。研究报告年龄增加(OR=6.9-8.3)、男性(OR= 3.5)、居住在农村(OR=4.1)、渠水暴露(OR=26.4)、血吸虫病史(OR= 3.3)、烧灼排尿史(OR= 7.4)或血尿史(OR= 10.1)为显著危险因素。用显微镜作为S。POC-CCA法检测血氧的灵敏度、特异度、PPV和NPV分别为56.5%、92.2%、68.4%和87.7%,准确率为84%,曲线下面积(AUC)为0.744。轻病例POC CCA检出率为52.6%,重病例POC CCA检出率为75%,差异无统计学意义(P < 0.412)。
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引用次数: 0
THERAPEUTIC EFFICACY OF RIFAMPICIN AGAINST TRICHINELLA SPIRALIS IN MICE 利福平对小鼠旋毛虫的治疗效果
Pub Date : 2023-08-01 DOI: 10.21608/jesp.2023.312174
K. Abdallah, Mohammed Saleh, D. Mohammed, Amira Ghannam, A. Madkour, Nagat H. Soliman
The need for new alternative treatment for trichinosis is being motivated by the growing resistance and low bioavailability of current therapies. In this study, experimental mice were used to assess the therapeutic effects of rifampicin alone or in combination with albendazole against Trichinella spiralis . One hundred male mice were classified into five groups of 20 mice each, G1: negative or normal control (non-infected untreated), G2: positive control (infected untreated), G3: drug control (infected and albendazole treated), G4: infected and rifampicin treated, and G5: infected and treated by albendazole and rifampicin combination. Half of the mice were sacrificed on the 10 th day post infection (dpi) for the intestinal phase and the other half were sacrificed on the 40 th dpi for the muscular phase. The treatment effectiveness was evaluated by para-sitological, histological, and biochemical tests in contrast with positive control. Mice given albendazole and rifampicin combination gave a highly significant decrease in T. spiralis intestinal adult count, larval count in muscle and lowered liver activity enzymes. This was documented by the histopathology of liver, muscles and intestines.
由于目前治疗旋毛虫病的耐药和生物利用度低,需要新的替代治疗方法。本研究用实验小鼠评价利福平单用或联合阿苯达唑对旋毛虫的治疗效果。将100只雄性小鼠分为5组,每组20只,G1组为阴性或正常对照组(未感染未治疗),G2组为阳性对照组(感染未治疗),G3组为药物对照组(感染合并阿苯达唑治疗),G4组为感染合并利福平治疗,G5组为感染合并阿苯达唑和利福平联合治疗。一半小鼠在感染后第10天处死,进入肠道期;另一半小鼠在感染后第40天处死,进入肌肉期。与阳性对照相比,通过寄生虫学、组织学和生化试验评估治疗效果。阿苯达唑和利福平联合用药可显著降低小鼠螺旋螺旋体肠道成虫数量和肌肉幼虫数量,降低肝脏酶活性。肝脏、肌肉和肠道的组织病理学证明了这一点。
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引用次数: 0
EPIDEMIC MALARIA: IS IT THREATENING TO EGYPT WITH THE TRAVELERS AND IMMIGRANTS THROUGH THE SOUTHERN BORDERS 流行疟疾:它是否通过南部边境的旅行者和移民威胁到埃及
Pub Date : 2023-08-01 DOI: 10.21608/jesp.2023.312110
T. Morsy, Mambouh EL BAHNASAWY, S. Dahesh, Y. Massoud
Malaria is a serious and sometimes fatal disease caused by Plasmodium species that infects Anopheles mosquito which feeds on humans. But, as malaria parasites live in the RBC, infection also occur by blood transfusion, organ transplantation, shared contaminated needles or stick-injury, and placental transmission with perinatal outcomes such as stillbirth, low birth weight, preterm birth, and small-for-gestational-age neonates. Malaria patients are typically very sick with high fevers, shaking chills, and flu-like illness; but these symptoms may be mild and difficult to diagnose malaria. The severe infection may cause kidney failure, seizures, mental confusion, coma, and death. Man is infected by P. falciparum, P. vivax, P. ovale subspecies, P. malari-ae, & P. knowlesi , with P. falciparum results in severe infections, which may be miss-diagnosed with zoonotic babesiosis. Although malaria can be a deadly disease, illness and death from malaria can usually be prevented.
疟疾是一种严重的、有时是致命的疾病,由疟原虫引起,这种疟原虫感染以人类为食的按蚊。但是,由于疟疾寄生虫生活在红细胞中,输血、器官移植、共用受污染的针头或棍棒伤害以及胎盘传播也会导致围产期结局,如死产、低出生体重、早产和胎龄小的新生儿。疟疾患者通常病情严重,伴有高烧、寒战和流感样疾病;但是这些症状可能很轻微,很难诊断疟疾。严重的感染可能导致肾衰竭、癫痫发作、精神错乱、昏迷和死亡。人感染恶性疟原虫、间日疟原虫、卵形疟原虫亚种、疟疾疟原虫和诺氏疟原虫,恶性疟原虫导致严重感染,可能误诊为人畜共患巴贝斯虫病。虽然疟疾是一种致命的疾病,但疟疾引起的疾病和死亡通常是可以预防的。
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Journal of the Egyptian Society of Parasitology
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