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Diversity of mosquito natural enemies and their feeding efficacy on Aedes vectors.
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-10-01 Epub Date: 2024-11-26 DOI: 10.4103/JVBD.bd_50_24
Dinithi Shyamalee Dissanayake, Chandana Dammika Wijekoon, Hemantha Wegiriya

Background objectives: Mosquito-bome diseases are a major health issue among communities in Asia, and dengue has become a serious public health concern in Sri Lanka with varying magnitude since 1960. With the realization of the failures and limitations of current vector control strategies, the authorities are moving towards simple, low- cost, and eco-friendly vector management methods. Thus, the present study was devised to evaluate the potential densities of mosquito natural enemies in natural water habitats in Galle district, Sri Lanka, and to investigate the feeding efficacy of prominent mosquito natural enemies on main dengue vectors (Aedes sp.) in a laboratory setting.

Methods: The survey was carried out using eight sentinel sites in Galle district, and samples of mosquito natural enemies and mosquito larvae were collected, and identified using taxonomic keys.

Results: Study records, the aquatic insects of family Hydrometridae, Belostomatidae, Notonectidae, Nepidae, Ranat- ridae, and Corixidae as dominant mosquito natural enemies, and Libellulidae and Dytiscidae insects as sub-dominant families. The highest density of the family Hydrometridae was recorded in rural, natural inland, and rocky study sites. The order Hemiptera was recorded as the key order of the mosquitos' natural enemies in Galle district. The family Hydrometridae had the highest density of recorded mosquito natural enemies.

Interpretation conclusion: Aedes aegypti and Ae. albopictus were recorded as abundant vector mosquitoes. Family Nepidae is the most effective natural mosquito predator on Ae. aegypti and Ae. albopictus, and this knowledge will be vital for implementing future biological control strategies for Aedes vectors in Sri Lanka.

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引用次数: 0
Outcome assessment of the implementation of Mass Drug Administration against lymphatic filariasis in Kalaburagi (Gulbarga) Karnataka, India: A cross-sectional survey. 卡纳塔克邦卡拉布拉吉(古尔巴加)地区实施大规模用药防治淋巴丝虫病的成果评估:横断面调查。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-10-01 Epub Date: 2024-11-26 DOI: 10.4103/JVBD.jvbd_67_24
Puttamaligaiah Subhas Babu, Bhoompuram Nagaraja Goud, Shambhulinga B Kambale

Background objectives: Mass Drug Administration (MDA) of Di-Ethyl Carbamazine and Albendazole is an effective strategy recommended by the World Health Organization to prevent transmission and eliminate lymphatic filariasis. Under the National Vector Borne Disease Control Programme (NVBDCP) in India, MDA is carried out as a yearly activity in endemic areas to accelerate the progress towards elimination of lymphatic filariasis. The study was carried with the objective to determine the coverage of MDA against lymphatic filariasis among the eligible population in Kalaburagi district, Karnataka and delineate the common reasons for non-acceptance of MDA.

Methods: Field-based cross-sectional survey was carried out. Cluster sampling of 4 clusters (3 rural and 1 urban) from four different taluks (one cluster from each taluk) of the district reporting high, medium and low coverage of MDA (as reported by District Malaria Office) Members from selected households in all clusters were interviewed regarding MDA administration, directly observed treatment, side effects and any co morbidities which ruled out MDA administration. Responses documented as tally marks in assessment sheets shared by NVBDCP office. Proportions, frequencies, and mean were calculated and inferential statistics were used.

Results: A total of 1263 individuals were assessed for MDA from a total 240 households (60 households in each cluster). The coverage of MDA varied from 90.33% in Heerapur in Kalaburagi Urban to 97.87% in Mogala thanda (Chittapur Taluk).

Interpretation conclusion: MDA Coverage against lymphatic filariasis has improved when compared to previous studies and it has also exceeded the coverage threshold as determined by programme for elimination of lymphatic filariasis.

背景目标:世界卫生组织(WHO)建议,大规模使用二乙基卡巴嗪和阿苯达唑是预防传播和消除淋巴丝虫病的有效策略。根据印度国家病媒传染病控制计划,每年都会在地方病流行地区开展大规模用药活动,以加快消灭淋巴丝虫病的进程。这项研究旨在确定卡拉布拉吉地区符合条件的人群中淋巴丝虫病大规模药物治疗的覆盖率,并找出不接受大规模药物治疗的常见原因:在卡拉布拉吉进行了实地横断面调查。从该地区四个不同的塔尔卡(每个塔尔卡一个群组)的 4 个群组(3 个农村群组和 1 个城市群组)进行分组抽样,这些群组报告了 MDA 的高、中和低覆盖率(根据地区疟疾办公室的报告)。在国家病媒传染病控制计划办公室共享的评估表中,以记分的形式记录了这些答复。计算了比例、频率和平均值,并使用了推理统计:共有 240 个家庭(每个群组 60 个家庭)的 1263 人接受了大规模药物管理评估。MDA 的覆盖率从卡拉布拉吉市 Heerapur 的 90.33% 到 Mogala thanda(Chittapur Taluk)的 97.87% 不等:与之前报告的研究相比,淋巴丝虫病的 MDA 覆盖率有所提高,也超过了消除淋巴丝虫病计划确定的覆盖率阈值。
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引用次数: 0
Chemical composition and mosquitocidal activity of methanolic leaf extracts from Ziziphus mauritiana L. against Aedes aegypti L. and Culex quinquefasciatus Say. 茅膏菜叶甲醇提取物对埃及伊蚊和库蚊的化学成分和杀虫活性
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-10-01 Epub Date: 2024-11-26 DOI: 10.4103/JVBD.jvbd_53_24
Ganesan Sumathi, Thambusamy Pushpanathan, Muthukumar Abhirami

Background objectives: Mosquito vectors are a significant cause of pathogen transmission to both animals and humans. Mosquitoes are responsible for transmitting various diseases, including chikungunya, filariasis, West Nile fever, dengue, malaria, and Zika fever, placing approximately 80% of the world's population at risk of infection at any given time. Controlling mosquitoes has become a multifaceted challenge, influenced by diverse environmental factors such as deforestation, urbanization, and climate change on a global scale. For centuries, medicinal plants have been utilized as bioinsecticides to control insect pests. Ziziphus mauritiana, also known as Chinese apple or Indian jujube is a deciduous thorny tree or shrub. Different parts of the Z. mauritiana plant have been traditionally used to treat various common diseases, a practice still prevalent in India and China.

Methods: In the current investigation, the chemical properties of Z. mauritiana leaf extract were examined through UV-Vis Spectroscopy, Fourier Transform Infra-Red Spectroscopy (FTIR), and GC-MS Analysis. Second and fourth instar larvae, as well as pupae, of Aedes aegypti and Culex quinquefasciatus were subjected to different concentrations of the methanolic extract of Z. mauritiana for 24 h and 48 h to assess larvicidal and pupicidal activity.

Results: The FT-IR spectrum analysis revealed the presence of various functional groups in the chemical compounds extracted from Z. mauritiana , including amines, aromatics, alkanes, alkyls, carbonyls, and carboxylic acids. Additionally, GC-MS analysis identified Isoborneol (25.37%), 4-Acetylbutyric Acid (26.82%), and 2-Vinyl- 9-[Beta-D-Ribofuranosyl] Hypoxanthine (24.24%) as the three major phytoconstitutents in the methanol extracts of Z. mauritiana. Regarding the larvicidal activity, the methanolic extract of Z. mauritiana exhibited LC 50 values of 155.67 mg/L and 208.57 mg/L for second instar larvae, and 177.68 mg/L and 252.13 mg/L for fourth instar larvae of Cx. quinquefasciatus and Ae. aegypti, respectively, after 24 h of exposure. For pupicidal activity, the LC 50 values were 502.02 mg/L and 514.99 mg/L on pupae of Cx. quinquefasciatus and Ae. aegypti, respectively, within 24 h.

Interpretation conclusion: Overall, the GC-MS analysis provides valuable insights into the chemical composition of the Z. mauritiana extract, highlighting its potential as a natural and eco-friendly alternative for combating insect vectors and contributing to integrated mosquito management programs.

背景目标:蚊子媒介是病原体传播给动物和人类的重要原因。蚊子传播各种疾病,包括基孔肯雅热、丝虫病、西尼罗河热、登革热、疟疾和寨卡热,使全球约 80% 的人口在任何时候都面临感染风险。受全球范围内森林砍伐、城市化和气候变化等各种环境因素的影响,控制蚊虫已成为一项多方面的挑战。几个世纪以来,人们一直利用药用植物作为生物杀虫剂来控制害虫。毛酸枣(Ziziphus mauritiana),又名中国苹果或印度枣,是一种落叶多刺乔木或灌木。毛果芸香科植物的不同部分在传统上被用来治疗各种常见疾病,这种做法在印度和中国仍然盛行:在本次研究中,通过紫外可见光谱、傅立叶变换红外光谱(FTIR)和气相色谱-质谱(GC-MS)分析检测了 Z. mauritiana 叶提取物的化学特性。埃及伊蚊和库蚊的二龄和四龄幼虫以及蛹分别在不同浓度的 Z. mauritiana 甲醇提取物作用 24 小时和 48 小时,以评估其杀幼虫和蛹的活性:结果:傅立叶变换红外光谱分析显示,从金丝楠木中提取的化合物中存在多种官能团,包括胺、芳烃、烷烃、烷基、羰基和羧酸。此外,通过气相色谱-质谱分析发现,异龙脑(25.37%)、4-乙酰丁酸(26.82%)和 2-乙烯基-9-[β-D-呋喃核糖基] 次黄嘌呤(24.24%)是毛蕊花甲醇提取物中的三种主要植物成分。在杀幼虫剂活性方面,Z. mauritiana 的甲醇提取物在暴露 24 小时后,对 Cx. quinquefasciatus 和 Ae. aegypti 的二龄幼虫的 LC50 值分别为 155.67 mg/L 和 208.57 mg/L,对四龄幼虫的 LC50 值分别为 177.68 mg/L 和 252.13 mg/L。在杀蛹活性方面,24 小时内,对 Cx. quinquefasciatus 和 Ae. aegypti 蛹的半数致死浓度分别为 502.02 毫克/升和 514.99 毫克/升:总之,气相色谱-质谱分析为了解茅膏菜提取物的化学成分提供了宝贵的信息,凸显了茅膏菜提取物作为一种天然、生态友好型替代品的潜力,可用于抗击昆虫媒介,并为蚊虫综合治理计划做出贡献。
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引用次数: 0
Aedes aegypti oviposition in urban communities in the Northern Chihuahuan Desert. 埃及伊蚊在奇瓦瓦沙漠北部城市社区的产卵情况。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-10-01 Epub Date: 2024-11-26 DOI: 10.4103/JVBD.jvbd_70_24
Adam J Vera, Albert G Soliz, Antonio de la Mora-Covarrubias, Douglas M Watts

Background objectives: Aedes aegypti (Linnaeus) is the vector of multiple arboviruses, the most important being dengue viruses (DENV) that causes more than 90 million cases per year. The expanded range of Ae.aegypti into temperate climates has contributed to the increasing risk of DENV to new human populations. As an effort to better understand the ecology of Ae. aegypti in a temperate climate, larval surveillance was conducted to identify oviposition locations of this species from 2016-2018 in two nonincorporated communities located in El Paso, Texas and Ciudad Juarez, Chihuahua, Mexico.

Methods: This survey was conducted inside and outside private residences examining any possible water holding containers to collect with a dipper, turkey baster, or Pasteur pipette. Larvae and pupae were transported to the laboratory and reared to adults for morphological identification. A total of 601 Ae. aegypti larvae were collected and reared to adults from 24 containers in the Sparks community. In contrast, a total of 68 Ae. aegypti were collected and reared to adults from seven containers in the Anapra community.

Results: In both locations, the predominant container type that yielded immature mosquitoes were plastic buckets. Although the results were based on a small sample size, the finding provided a preliminary understanding of the oviposition sites of Ae. aegypti in two urban communities in a temperate climate region.

Interpretation conclusion: The identification of oviposition sites can be used to develop and implement vector control strategies.

背景目标:埃及伊蚊(Linnaeus)是多种虫媒病毒的传播媒介,其中最重要的是登革热病毒(DENV),每年导致 9000 多万病例。埃及蚁的活动范围扩大到温带气候地区,导致新的人类群体感染 DENV 的风险不断增加。为了更好地了解埃及伊蚊在温带气候中的生态,2016-2018年期间,在得克萨斯州埃尔帕索和墨西哥奇瓦瓦州华雷斯市的两个非合并社区进行了幼虫监测,以确定该物种的产卵地点:本次调查在私人住宅内外进行,检查任何可能的盛水容器,用滴管、火鸡嘴或巴斯德吸管收集。幼虫和蛹被运送到实验室,饲养成虫后进行形态鉴定。在斯帕克斯社区的 24 个容器中,共收集到 601 只埃及蚁幼虫,并将其饲养成成虫。相比之下,在阿纳普拉社区的 7 个容器中共收集到 68 只埃及伊蚊幼虫,并将其饲养成成虫:结果:在这两个地方,产生未成年蚊子的主要容器类型都是塑料桶。虽然结果是基于较小的样本量,但这一发现提供了对温带气候地区两个城市社区埃及姬蚊产卵地点的初步了解:产卵地点的确定可用于制定和实施病媒控制策略。
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引用次数: 0
Methodological and interpretative considerations in the study of the first Kyasanur Forest disease outbreak in Goa, India. 印度果阿首次爆发的 Kyasanur 森林疾病研究中的方法和解释性考虑因素。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-10-01 Epub Date: 2024-11-26 DOI: 10.4103/JVBD.jvbd_113_24
Basil Joy
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引用次数: 0
Single jar for collecting and rearing mosquito life stages: An innovative prototype. 用于收集和饲养蚊子生命阶段的单个罐子:创新原型。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-10-01 Epub Date: 2024-11-26 DOI: 10.4103/JVBD.jvbd_57_24
Neetu Kachhwaha

Background objectives: Mosquitoes vectors are the key threat that spread viruses, bacteria, nematodes, protozoans, and other infections responsible for the transmission of serious public health ailments including dengue, yellow fever, malaria, and chikungunya.

Methods: To rear and cultivate mosquitoes at multiple stages of development (egg, larva, pupa, and adult) to be employed in various biomedical research, an innovative tool mosquito larva adult 2-in-1 rearing jar was designed and developed. The eggs/larvae or adults collected from the field or laboratory cultures can be released into the lower larvae or upper adult-rearing chamber so that they can find a suitable breeding place to oviposit or metamorphose into wrigglers and tumblers attaining the adult stage. Aedes, Anopheles, and Culex are three significant genera (Diptera: Culicidae) that were reared in experiments using this jar (Method I) in contrast to other conventional instruments available (Method II).

Results: Results of one-way ANOVA showed that the prototype was compatible and competitive for rearing, as the data was non-significant when compared in both groups. However, throughout the trials, it was discovered that the prototype had a greater record of mean percentage of adult emergence (98.33), which supports the novelty of the instrument.

Interpretation conclusion: This unique device eliminates the need for multiple tools, causes minimum bodily damage to stages during handling, can be used in both the lab and the field, is inexpensive, lightweight, portable, and requires single manpower to operate.

背景目标:蚊子是传播病毒、细菌、线虫、原生动物和其他感染的主要威胁,它们传播登革热、黄热病、疟疾、基孔肯雅病等严重的公共卫生疾病:为了饲养和培养多个发育阶段(卵、幼虫、蛹和成虫)的蚊子,以用于各种生物医学研究,设计并开发了一种创新工具蚊子幼虫成虫二合一饲养罐。从野外或实验室培养物中采集的卵/幼虫或成虫可被释放到下部的幼虫或上部的成虫饲养室中,这样它们就能找到合适的繁殖地产卵或蜕变成蠕动者和翻滚者,从而达到成虫阶段。伊蚊、按蚊和库蚊是使用这种罐子(方法 I)进行实验饲养的三个重要种属(双翅目:库蚊科),与其他现有的传统仪器(方法 II)进行了对比:单因素方差分析结果表明,原型在饲养方面具有兼容性和竞争性,因为两组数据比较无显著性差异。然而,在整个试验过程中,发现原型的平均成虫出现率(98.33)更高,这证明了该仪器的新颖性:这种独特的仪器无需使用多种工具,在操作过程中对阶段的身体伤害最小,既可在实验室使用,也可在野外使用,价格低廉,轻巧便携,只需一个人操作。
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引用次数: 0
Asymmetrical reproductive interference between Aedes aegypti and Aedes albopictus : Implications for coexistence. 埃及伊蚊与白纹伊蚊之间不对称的生殖干扰:对共存的影响。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-10-01 Epub Date: 2024-11-26 DOI: 10.4103/JVBD.jvbd_40_24
Tanvir Hasan, Sadia Afrin, Afroza Sultana, Ashekul Islam

Background objectives: Aedes aegypti and Ae. albopictus are two sympatric mosquito species that compete with each other for resources when their breeding habitats overlap. This study examines what happens when sympatric Ae. aegypti and Ae. albopictus mosquitoes' mate with each other and other species by looking at insemination rates, fecundity, and hatchability rate.

Methods: We performed controlled mating experiments in laboratory settings, assessing both conspecific and interspecific crosses. We measured insemination rates, egg numbers, and hatching success to examine the reproductive interference dynamics between these two distinct mosquito species.

Results: In the context of conspecific mating, it was observed that both female Ae. aegypti and Ae. albopictus exhibited high insemination rates, with percentages 98% and 94%, respectively. However, interspecific mating exhibited interesting asymmetries as Ae. albopictus males achieved a notable insemination success rate of 28% when mating with Ae. aegypti females, while Ae. aegypti males achieved only an 8% insemination success with Ae. albopictus females. Additionally, females that mated with interspecific males had reduced production of viable eggs compared to conspecific mating. Most notably, interspecific mating resulted in the production of infertile eggs, while conspecific mating led to successful hatching.

Interpretation conclusion: The study reveals that Ae. aegypti and Ae. albopictus can asymmetrically interfere with each other's reproduction, causing a 'satyr' effect. This understanding of interspecific competition and reproductive interference in these mosquito species could impact their coexistence in shared breeding habitats.

背景目标:埃及伊蚊和白纹伊蚊是两种同域蚊子,当它们的繁殖栖息地重叠时,它们会相互竞争资源。本研究通过观察受精率、繁殖力和孵化率,探讨埃及伊蚊和白纹伊蚊相互交配和与其他物种交配时发生的情况:我们在实验室环境中进行了受控交配实验,评估了同种和种间杂交。我们测量了受精率、卵数和孵化成功率,以研究这两种不同蚊子之间的生殖干扰动态:结果:在同种交配中,雌性埃及姬蚊和白纹伊蚊都表现出很高的受精率,分别为 98% 和 94%。然而,种间交配表现出有趣的不对称性:白纹伊蚊雄性与埃及伊蚊雌性交配的受精成功率为 28%,而埃及伊蚊雄性与白纹伊蚊雌性交配的受精成功率仅为 8%。此外,与同种雄性交配相比,与异种雄性交配的雌性产卵量减少。最值得注意的是,种间交配导致产生不孕卵,而同种交配则导致成功孵化:这项研究揭示了埃及伊蚊和白喉伊蚊可以不对称地干扰对方的繁殖,从而造成 "萨梯尔 "效应。对这些蚊子物种的种间竞争和生殖干扰的了解可能会影响它们在共同繁殖栖息地的共存。
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引用次数: 0
The crucial role of immunoblots in distinguishing Lyme disease from tick-borne relapsing fever. 免疫图谱在区分莱姆病和蜱传复发性热病方面的关键作用。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-10-01 Epub Date: 2024-11-26 DOI: 10.4103/JVBD.jvbd_62_24
Zahra Ali Haque, Muhammad Aqib Farooq Khan, Mahnoor Shahzad

Lyme disease (LD) and tick-bome relapsing fever (TBRF), both consequences of Borrelia burgdorferi infection, pose significant public health threats with overlapping symptomatic presentations. A previous study explores the potential of line immunoblots (IBs) as a transformative diagnostic tool for distinguishing between LD and TBRF. By employing strategically designed recombinant proteins on nitrocellulose membrane strips, IBs offer enhanced accuracy in identifying antibodies in patient samples. While serological assays for LD have seen advancements, the diagnostic landscape for TBRF lags behind, necessitating comprehensive diagnostic approaches capable of addressing both conditions. Immunoblots, with their ability to detect antibodies with exceptional precision, not only facilitate accurate diagnosis but also enable tailored patient treatment and monitoring of treatment response. The study underscores the importance of immunoblots in improving diagnostic accuracy and patient outcomes for tick- borne diseases. In conclusion, as research progresses in understanding LD and TBRF, immunoblots emerge not only as diagnostic tool but also as valuable resources for advancing research and refining patient treatment strategies.

莱姆病(Lyme disease,LD)和蜱传复发性热(Tick-borne relapsing fever,TBRF)都是博氏杆菌(Borrelia burgdorferi)感染的后果,它们的症状表现相互重叠,对公共卫生构成了重大威胁。Shah 等人的研究探索了线性免疫印迹(IBs)作为区分 LD 和 TBRF 的变革性诊断工具的潜力。通过在硝酸纤维素膜条上使用战略性设计的重组蛋白,IBs 提高了识别患者样本中抗体的准确性。虽然针对 LD 的血清学检测已经取得了进展,但针对 TBRF 的诊断却相对滞后,因此有必要采用能够同时检测两种病症的综合诊断方法。免疫印迹能精确检测抗体,不仅有助于准确诊断,还能为患者提供量身定制的治疗并监测治疗反应。这项研究强调了免疫印迹在提高蜱传疾病诊断准确性和患者治疗效果方面的重要性。总之,随着对 LD 和 TBRF 认识研究的不断深入,免疫印迹不仅是诊断工具,也是推动研究和完善患者治疗策略的宝贵资源。
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引用次数: 0
Investigation of in vitro and in vivo therapeutic activity of Tarantula cubensis extract (Theranekron®) on Leishmania major. 研究狼蛛提取物(Theranekron®)对大头利什曼原虫的体外和体内治疗活性。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-10-01 Epub Date: 2024-11-26 DOI: 10.4103/JVBD.jvbd_55_24
Elif Akyol, Zübeyda Akın Polat

Background objectives: Cutaneous leishmaniasis (CL) is a vector-borne parasitic disease caused by several species of the protozoan parasite Leishmania. The need for new anti-leishmanial drugs for the treatment of CL is complicated by factors such as high cost, toxicity, potential for resistance and limited long-term use of existing anti-leishmanial drugs. The aim of this study was to investigate the therapeutic effect of Tarantula cubensis alcoholic extract (TCE), which has been shown to have wound-healing, anti-inflammatory, regenerative, resolving and epithelialising effects, on Leishmania major promastigotes in vitro and in vivo in an experimental mouse model of CL.

Methods: The effect of TCE on L. major promastigotes in vitro was investigated after determining non-cytotoxic concentrations of TCE using the XTT method. To establish a CL model, L. major amastigotes were injected into the paws of BALB/c mice. Lesion size and histopathological evaluation were used to assess the effect of treatment.

Results: TCE was found to be effective against L. major promastigotes at 24 h and 48 h at concentrations 250 μg/ mL, 125 μg/mL and 62.5 μg/mL ( P <0.05). TCE was found to be more effective than meglumine antimonate in treating CL in the experimentally induced CL model in BALB/c mice.

Interpretation conclusion: The results suggest that TCE holds promising potential as a therapeutic agent for the treatment of CL. However, further extensive investigations are required to substantiate and expand our understanding in this area.

背景目标:皮肤利什曼病(CL)是一种由多种利什曼原虫引起的媒传寄生虫病。由于现有抗利什曼病药物成本高、毒性大、可能产生抗药性以及长期使用有限等因素,治疗皮肤利什曼病需要新的抗利什曼病药物。本研究的目的是调查立方体毛蛛酒精提取物(TCE)在体外和体内CL小鼠实验模型中对大叶蛛原体的治疗效果,TCE已被证明具有伤口愈合、抗炎、再生、溶解和上皮化作用:方法:在使用 XTT 法测定 TCE 的无细胞毒性浓度后,研究了 TCE 在体外对大肠杆菌原体的影响。为了建立 CL 模型,向 BALB/c 小鼠的爪子中注射大鳞蚊原体。用病变大小和组织病理学评价来评估治疗效果:结果:发现三氯乙烷在24小时和48小时内对大肠杆菌原体有效,浓度分别为250微克/毫升、125微克/毫升和62.5微克/毫升(P解释性结论):研究结果表明,三氯乙烯是一种很有潜力的治疗 CL 的药物。然而,还需要进行进一步的广泛研究,以证实和扩大对这一领域的认识。
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引用次数: 0
The role of clinical and laboratory finding in the differential diagnosis of hantavirus and leptospirosis infections. 临床和实验室发现在汉坦病毒和钩端螺旋体感染的鉴别诊断中的作用。
IF 0.8 4区 医学 Q4 INFECTIOUS DISEASES Pub Date : 2024-10-01 Epub Date: 2024-11-26 DOI: 10.4103/JVBD.jvbd_54_24
Ahmet Melih Şahin, Sinan Çetin, İlknur Şenel, Tuğçegül Erdem-Çakır, Emsal Aydın, Meltem Arzu Yetkin

Background objectives: Hantavirus and leptospirosis infections are zoonotic diseases with similar clinical and laboratory findings. The aim of this study is to identify the distinguishing features of these two diseases, for which a definitive diagnosis can take a long time.

Methods: Between September 2021 and June 2023, a total of 45 patients who were admitted to our hospital and were diagnosed with hemorrhagic fever with renal syndrome (HFRS) or leptospirosis were retrospectively evaluated. Patients were compared in terms of demographic data, clinical, and laboratory parameters. The role of these variables in predicting HFRS or leptospirosis was investigated. The two diseases were compared with regard to outcomes. Receiver operating characteristics were employed for the calculation of cut-off values, sensitivity, specificity, and positive and negative predictive values for parameters showing significant differences. A statistical significance level of p<0.05 was considered.

Results: Fifteen patients diagnosed with HFRS and thirty patients diagnosed with leptospirosis were included in the study. In both groups, hospital admissions were observed with non-specific and similar symptoms. There was no statistically significant difference observed between the two groups in terms of length of hospital stay, blood product transfusion, requirement for hemodialysis, intensive care unit admission, the rate of return to normal renal function and mortality. Elevated ferritin levels were statistically significant in favor of HFRS, while lymphopenia, elevated bilirubin, CRP, and ESR were statistically significant in favor of leptospirosis.

Interpretation conclusion: The use of laboratory findings and clinical symptoms can aid in the challenging task of accurately diagnosing and using appropriate treatment for these two diseases.

背景目标:汉坦病毒和钩端螺旋体感染是人畜共患疾病,具有相似的临床和实验室结果。本研究旨在确定这两种疾病的鉴别特征,因为这两种疾病的明确诊断可能需要很长时间:方法:在 2021 年 9 月至 2023 年 6 月期间,对我院收治的被诊断为 HFRS 或钩端螺旋体病的 45 名患者进行了回顾性评估。对患者的人口统计学数据、临床和实验室参数进行了比较。研究了这些变量在预测 HFRS 或钩端螺旋体病方面的作用。比较了两种疾病的预后。采用接收器操作特征来计算截断值、灵敏度、特异性、阳性预测值和阴性预测值,这些参数显示出显著差异。统计显著性水平为 pResults:研究纳入了 15 名确诊为 HFRS 的患者和 30 名确诊为钩端螺旋体病的患者。两组患者均以非特异性和类似症状入院。两组患者在住院时间、输血量、血液透析需求、入住重症监护室、肾功能恢复正常率和死亡率方面均无统计学差异。铁蛋白水平升高在统计学上对 HFRS 有利,而淋巴细胞减少症、胆红素升高、CRP 和血沉在统计学上对钩端螺旋体病有利:利用实验室结果和临床症状可以帮助准确诊断这两种疾病并采用适当的治疗方法,这是一项具有挑战性的任务。
{"title":"The role of clinical and laboratory finding in the differential diagnosis of hantavirus and leptospirosis infections.","authors":"Ahmet Melih Şahin, Sinan Çetin, İlknur Şenel, Tuğçegül Erdem-Çakır, Emsal Aydın, Meltem Arzu Yetkin","doi":"10.4103/JVBD.jvbd_54_24","DOIUrl":"10.4103/JVBD.jvbd_54_24","url":null,"abstract":"<p><strong>Background objectives: </strong>Hantavirus and leptospirosis infections are zoonotic diseases with similar clinical and laboratory findings. The aim of this study is to identify the distinguishing features of these two diseases, for which a definitive diagnosis can take a long time.</p><p><strong>Methods: </strong>Between September 2021 and June 2023, a total of 45 patients who were admitted to our hospital and were diagnosed with hemorrhagic fever with renal syndrome (HFRS) or leptospirosis were retrospectively evaluated. Patients were compared in terms of demographic data, clinical, and laboratory parameters. The role of these variables in predicting HFRS or leptospirosis was investigated. The two diseases were compared with regard to outcomes. Receiver operating characteristics were employed for the calculation of cut-off values, sensitivity, specificity, and positive and negative predictive values for parameters showing significant differences. A statistical significance level of p<0.05 was considered.</p><p><strong>Results: </strong>Fifteen patients diagnosed with HFRS and thirty patients diagnosed with leptospirosis were included in the study. In both groups, hospital admissions were observed with non-specific and similar symptoms. There was no statistically significant difference observed between the two groups in terms of length of hospital stay, blood product transfusion, requirement for hemodialysis, intensive care unit admission, the rate of return to normal renal function and mortality. Elevated ferritin levels were statistically significant in favor of HFRS, while lymphopenia, elevated bilirubin, CRP, and ESR were statistically significant in favor of leptospirosis.</p><p><strong>Interpretation conclusion: </strong>The use of laboratory findings and clinical symptoms can aid in the challenging task of accurately diagnosing and using appropriate treatment for these two diseases.</p>","PeriodicalId":17660,"journal":{"name":"Journal of Vector Borne Diseases","volume":" ","pages":"601-606"},"PeriodicalIF":0.8,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141759550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Journal of Vector Borne Diseases
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