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Low prevalence of Contracaecum third-stage larvae parasitizing Sea of Galilee fisheries: 1-year survey after 57 years of no information 加利利海渔业收缩虫第三期幼虫寄生率低:57年无信息后1年调查
IF 2.5 Q2 PARASITOLOGY Pub Date : 2023-09-01 DOI: 10.1016/j.fawpar.2023.e00204
Nadav Davidovich , Perla Tedesco , Monica Caffara , Valentina Luci , Alessia Cantori , Danny Morick , Maria Letizia Fioravanti , Andrea Gustinelli

Freshwater and marine ecosystems are a suitable habitat for parasitic nematodes of the genus Contracaecum (family: Anisakidae) to complete their complex life cycle. Several fish species of the Sea of Galilee (Lake Kinneret) were reported in 1964 as second intermediate/paratenic hosts of Contracaecum spp. larvae. The lack of taxonomically relevant morphological features of these larvae hindered their proper identification. Here we report the results of a 1-year survey conducted in 2021, 57 years after the first (and only) such survey. We analyzed 352 specimens from 10 fish species (native and non-native) of the Sea of Galilee (Israel) ichthyofauna. We compared our results with those of the first parasitological survey conducted by Paperna in 1964; the overall prevalence of nematodes referable to Contracaecum larvae was 16.8% and 0.85% in 1964 and in 2021, respectively. Different from the first survey that identified Contracaecum larvae morphologically, we used both morphological and molecular tools. Two wild native cyprinids—Jordan himri (Carasobarbus canis) and Jordan barbel (Luciobarbus longiceps)—were infected (a single specimen each) with Contracaecum quadripapillatum larvae in their abdominal cavity. A single specimen of blue tilapia (Oreochromis aureus) was infected with two larvae of Contracaecum multipapillatum E, localized in the pericardial cavity. The findings of our study, which is part of a large project focused on Contracaecum spp. infecting both piscivorous birds and fish collected in Israel, advance our knowledge about the distribution and host range of this potentially zoonotic parasite in fishery products of the Sea of Galilee.

淡水和海洋生态系统是收缩线虫属寄生线虫完成复杂生命周期的适宜栖息地。1964年,加利利海(Kinneret湖)的几种鱼类被报道为缢蛏幼虫的第二中间/副生殖寄主。这些幼虫缺乏与分类学相关的形态学特征,阻碍了它们的正确鉴定。在此,我们报告了2021年进行的一项为期一年的调查的结果,距第一次(也是唯一一次)此类调查已有57年。本文对加利利海(以色列)鱼类学的10种(本地和非本地)鱼类352份标本进行了分析。我们将我们的结果与Paperna于1964年进行的第一次寄生虫学调查结果进行了比较;1964年和2021年,恙螨幼虫相关线虫总患病率分别为16.8%和0.85%。与第一次调查不同的是,我们使用了形态和分子两种工具。在两种野生本地鲤科动物——约旦鲤科(Carasobarbus canis)和约旦鲤科(Luciobarbus longiceps)——腹腔内感染了四乳头缩膜绦虫幼虫(每一种单独标本)。一只蓝色罗非鱼标本(Oreochromis aureus)感染了位于心包腔内的2只多乳头状缩膜绦虫(contraecum multipapillatum E)。我们的研究结果是一个大型项目的一部分,该项目专注于感染在以色列收集的鱼食性鸟类和鱼类的收缩绦虫,它提高了我们对加利利海渔业产品中这种潜在的人畜共患寄生虫的分布和宿主范围的认识。
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引用次数: 1
Occurrence of digenean parasites in freshwater snails in the Murrumbidgee catchment area, Australia 澳大利亚Murrumbidgee流域淡水蜗牛中迪根线虫的发生。
IF 2.5 Q2 PARASITOLOGY Pub Date : 2023-09-01 DOI: 10.1016/j.fawpar.2023.e00202
Shokoofeh Shamsi , Alice Banfield , Nidhish Francis , Diane P. Barton , Matthew McLellan

Freshwater snails are important hosts in the life cycles of many medically important parasites, particularly for digenetic trematodes such as liver flukes and schistosomes. The current study was conducted to determine the infection of freshwater snails with parasites that can potentially be transmitted to humans within the Murrumbidgee catchment area which is an area of widespread intensive aquaculture in Australia. A total of 116 freshwater snails, belonging to three species (Isidorella hainesii, Glyptophysa novaehollandica and Bullastra lessoni), were examined for the presence of parasites in both man-made and natural environments. The analysis of sequence data, including the internal transcribed spacers (ITS) of nuclear ribosomal DNA, small subunit (18S) ribosomal DNA, and large subunit (28S) ribosomal DNA, indicated that the collected parasites belonged to two distinct genera, namely Clinostomum and Echinostoma. It is noteworthy that species of both of these digenean parasites have the potential to be zoonotic. Cercariae of both Clinostomum and Echinostoma were observed in snails collected from aquaculture settings. It is important to highlight that infectious stages of Clinostomum  has been previously detected in edible fish within Australia. This information raises concerns regarding the potential transmission of these parasites to humans through the consumption of contaminated fish. These findings emphasize the importance of monitoring and controlling the presence of Clinostomum and Echinostoma in aquaculture environments to minimise the risk of zoonotic infections and ensure food safety. Further research and surveillance are needed to better understand the prevalence, transmission dynamics, and potential public health implications associated with these parasites in the context of aquaculture in Australia.

淡水蜗牛是许多医学上重要寄生虫生命周期中的重要宿主,尤其是肝吸虫和血吸虫等双基因吸虫。目前的研究是为了确定淡水蜗牛感染寄生虫的情况,这些寄生虫可能会在Murrumbidgee流域传播给人类,该流域是澳大利亚广泛密集的水产养殖区。共有116只淡水蜗牛,隶属于三个物种(伊西多雷拉·海内西、新霍兰迪Glyptophysa novaehollandica和莱索尼Bullastra lessoni),在人造和自然环境中检测了寄生虫的存在。序列数据分析,包括核核糖体DNA的内部转录间隔区(ITS)、小亚基(18S)核糖体DNA和大亚基(28S)核糖体脱氧核糖核酸,表明收集到的寄生虫属于两个不同的属,即唇口虫属和棘口虫属。值得注意的是,这两种迪涅寄生虫都有可能成为人畜共患疾病。在从水产养殖环境中采集的蜗牛中观察到了唇口虫和棘口虫的尾蚴。需要强调的是,以前在澳大利亚的可食用鱼类中检测到过唇口菌的感染阶段。这些信息引发了人们对这些寄生虫通过食用受污染的鱼类可能传播给人类的担忧。这些发现强调了监测和控制水产养殖环境中唇造口和棘皮瘤存在的重要性,以最大限度地降低人畜共患感染的风险并确保食品安全。需要进一步的研究和监测,以更好地了解澳大利亚水产养殖中与这些寄生虫相关的流行率、传播动态和潜在的公共卫生影响。
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引用次数: 2
Spread of Toxoplasma gondii among animals and humans in Northern Italy: A retrospective analysis in a One-Health framework 意大利北部刚地弓形虫在动物和人类中的传播:同一健康框架下的回顾性分析
IF 2.5 Q2 PARASITOLOGY Pub Date : 2023-09-01 DOI: 10.1016/j.fawpar.2023.e00197
F.M. Dini , S. Morselli , A. Marangoni , R. Taddei , G. Maioli , G. Roncarati , A. Balboni , F. Dondi , F. Lunetta , R. Galuppi

Toxoplasmosis occurs worldwide and is considered one of the most important food-borne parasitic zoonoses. The consumption of undercooked meat containing viable tissue cysts and ingestion of environmental oocyst are the most important sources of infection. The aim of this retrospective study was to evaluate the spread of Toxoplasma gondii in the province of Bologna (Emilia-Romagna region) in northern Italy, with a One Health approach, comparing seropositivity rates in different animal species and in humans over the last 19 and 4 years respectively. Analyses were performed on serological data collected over different periods at three separate locations: Istituto Zooprofilattico Sperimentale della Lombardia e della Emilia-Romagna (IZSLER); Veterinary University Hospital Clinical Pathology Service, Department of Veterinary Medical Sciences, University of Bologna; and Unit of Microbiology, St. Orsola Hospital, Bologna. Most relevant seropositivity rates observed in animals were 15.5% (wild boar), 25% (roe deer), 18.7% (goat), 29.9% (sheep), 9.7% (pigs), 42.9% and 21.8% in cat and dog, respectively. A comprehensive screening was conducted on a population of 36,814 individuals, revealing a prevalence of 20.4%. Among pregnant women, a frequence of 0.39% for active toxoplasmosis was observed. Despite certain limitations, this study provided valuable insights into the extensive distribution of this parasitic infection among diverse animal species and human populations in the province of Bologna. These findings underscore the importance of implementing consistent and proactive toxoplasmosis screening protocols during pregnancy, while emphasizing the critical need for adopting a One Health approach for effective control of this parasitic disease.

弓形虫病发生在世界各地,被认为是最重要的食源性寄生虫病之一。食用含有活组织囊肿的未煮熟肉类和摄入环境卵囊是最重要的感染源。本回顾性研究的目的是评估刚地弓形虫在意大利北部博洛尼亚省(艾米利亚-罗马涅地区)的传播情况,采用“同一个健康”方法,分别比较过去19年和4年不同动物物种和人类的血清阳性率。对三个不同地点不同时期收集的血清学数据进行了分析:伦巴第和艾米利亚-罗马涅实验动物研究所(IZSLER);博洛尼亚大学兽医学系兽医大学附属医院临床病理服务部;博洛尼亚圣奥索拉医院微生物科。动物血清相关阳性率最高的分别为野猪15.5%、狍25%、山羊18.7%、绵羊29.9%、猪9.7%、猫42.9%和狗21.8%。对36,814人进行了全面筛查,发现患病率为20.4%。孕妇弓形虫活动性检出率为0.39%。尽管存在一定的局限性,但本研究为这种寄生虫感染在博洛尼亚省不同动物物种和人群中的广泛分布提供了有价值的见解。这些发现强调了在怀孕期间实施一致和主动的弓形虫病筛查方案的重要性,同时强调了采用“同一个健康”方法来有效控制这种寄生虫病的迫切需要。
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引用次数: 2
Toxoplasma gondii in meat of adult sheep in Spain 西班牙成年绵羊肉中的刚地弓形虫
IF 2.5 Q2 PARASITOLOGY Pub Date : 2023-09-01 DOI: 10.1016/j.fawpar.2023.e00203
María Paz Peris, Amalia Xía García, Juan Antonio Castillo, Juan José Badiola, Nabil Halaihel, María Serrano, María Jesús Gracia

Toxoplasmosis is a zoonotic disease caused by Toxoplasma gondii, an intracellular parasite that presents a worldwide risk. Humans can become infected by ingesting meat infected with T. gondii, and the consumption of infected sheep and goat meat is a significant public health issue. Antibodies against T. gondii have been found in sheep in Spain, indicating the presence of the parasite in the country. However, no previous studies have assessed the presence of T. gondii in sheep meat in Spain. In view of the significance of the transmission of T. gondii through meat consumption and given the lack of previous studies in Spain, we carried out an investigation to evaluate the presence of T. gondii in adult sheep meat (mutton). A total of 216 muscle samples were analyzed by digestion, and a real-time PCR assay was used to determine the presence of T. gondii DNA. A total of 24.5% of the samples were found to be parasitized, indicating that the consumption of sheep meat can present an important risk for human health.

弓形虫病是由刚地弓形虫引起的人畜共患疾病,弓形虫是一种细胞内寄生虫,在世界范围内具有危险。人类可因食用感染弓形虫的肉类而感染弓形虫,食用受感染的绵羊和山羊肉是一个重大的公共卫生问题。在西班牙的绵羊中发现了针对弓形虫的抗体,表明该国存在这种寄生虫。然而,以前没有研究评估过西班牙羊肉中是否存在弓形虫。鉴于弓形虫通过肉类传播的重要性,以及西班牙以往研究的缺乏,我们开展了一项调查,以评估成年羊(羊肉)中弓形虫的存在。通过消化分析216份肌肉样本,并采用实时PCR检测弓形虫DNA的存在。共有24.5%的样本被寄生,表明食用羊肉可能对人类健康构成重要风险。
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引用次数: 0
Giardia and Cryptosporidium in resident wildlife species in Arctic Alaska 阿拉斯加北极地区常住野生动物种中的贾第鞭毛虫和隐孢子虫
IF 2.5 Q2 PARASITOLOGY Pub Date : 2023-09-01 DOI: 10.1016/j.fawpar.2023.e00206
Caroline Van Hemert , Lora R. Ballweber , David R. Sinnett , Todd C. Atwood , Anthony Fischbach , David D. Gustine , Kristy L. Pabilonia

Giardia and Cryptosporidium are zoonotic protozoan parasites that can infect humans and other taxa, including wildlife, often causing gastrointestinal illness. Both have been identified as One Health priorities in the Arctic, where climate change is expected to influence the distribution of many wildlife and zoonotic diseases, but little is known about their prevalence in local wildlife. To help fill information gaps, we collected fecal samples from four wildlife species that occur seasonally on the northern Alaska coastline or in nearshore marine waters—Arctic fox (Vulpes lagopus), polar bear (Ursus maritimus), Pacific walrus (Odobenus rosmarus divergens), and caribou (Rangifer tarandus)—and used immunofluorescence assays to screen for Giardia cysts and Cryptosporidium oocysts. We detected Giardia cysts in 18.3% and Cryptosporidium oocysts in 16.5% of Arctic foxes (n = 109), suggesting that foxes may be potentially important hosts in this region. We also detected Giardia cysts in a single polar bear (12.5%; n = 8), which to our knowledge represents the first such report for this species. Neither parasite was detected in walruses or caribou.

贾第鞭毛虫和隐孢子虫是人畜共患的原生动物寄生虫,可以感染人类和其他类群,包括野生动物,经常引起胃肠道疾病。这两种疾病都被确定为北极地区的“一个健康优先事项”,在北极,气候变化预计会影响许多野生动物和人畜共患疾病的分布,但对它们在当地野生动物中的流行情况知之甚少。为了帮助填补信息空白,我们收集了四种季节性出现在阿拉斯加北部海岸线或近岸海水中的野生动物的粪便样本——北极狐(Vulpes lagopus)、北极熊(Ursus maritimus)、太平洋海象(Odobenus rosmarus divergens)和驯鹿(Rangifer tarandus)——并使用免疫荧光法筛选贾第鞭毛虫囊肿和隐孢子虫卵囊。我们在18.3%的北极狐中检测到贾第鞭毛虫囊肿,在16.5%的北极狐(n = 109)中检测到隐孢子虫卵囊,提示北极狐可能是该地区潜在的重要宿主。我们还在一只北极熊身上检测到贾第鞭毛虫囊肿(12.5%;N = 8),据我们所知,这是该物种的首次报道。在海象和驯鹿身上都没有发现这两种寄生虫。
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引用次数: 0
Occurrence of Cryptosporidium oocysts in commercial oysters in southern Thailand 泰国南部商品牡蛎中隐孢子虫卵囊的发生
IF 2.5 Q2 PARASITOLOGY Pub Date : 2023-09-01 DOI: 10.1016/j.fawpar.2023.e00205
Mayuna Srisuphanunt , Polrat Wilairatana , Nateelak Kooltheat , Thanis Damrongwatanapokin , Panagiotis Karanis

The enteric parasite Cryptosporidium is spread through the fecal-oral pathway, most commonly by the consumption of contaminated water but also through food. Because eating raw or barely cooked shellfish might put consumers at risk for cryptosporidiosis, identifying the parasite in oysters is important for public health. A total of 240 oysters, collected from two shellfish aquaculture sites in Thailand's Gulf coast, Nakhon Si Thammarat and Surat Thani, were tested for the presence of Cryptosporidium. Escherichia coli, enterococci, and thermotolerant coliform total levels were measured to assess seawater quality in the shellfish production regions. Oocysts of Cryptosporidium spp. were detected in 13.8% of the samples processed by immunofluorescence analyses. The detection of Cryptosporidium spp. oocysts in oysters obtained from Surat Thani (17.5%) was higher than in those obtained from Nakhon Si Thammarat (9.2%). The difference in detection of positive samples obtained from Nakhon Si Thammarat and those obtained from Surat Thani may be attributed to the effects of physical, ecological, and anthropogenic conditions, resulting in an increased level of marine water contamination by Cryptosporidium spp. oocysts. These findings demonstrate that native commercial oysters obtained from Thailand's southern Gulf coast contained Cryptosporidium spp. oocysts which might serve as a source of human infection. Consequently, these findings pose a serious public health concern and suggest that more quality control measures need to be implemented by the oyster aquaculture business to ensure the safety of seafood.

肠道寄生虫隐孢子虫通过粪-口途径传播,最常见的途径是饮用受污染的水,但也可通过食物传播。由于生吃或未煮熟的贝类可能会使消费者面临隐孢子虫病的风险,因此确定牡蛎中的寄生虫对公共卫生很重要。从泰国海湾沿岸的两个贝类养殖场Nakhon Si Thammarat和Surat Thani收集的240只牡蛎进行了隐孢子虫检测。测量了贝类产区的大肠杆菌、肠球菌和耐热大肠菌群的总水平,以评估海水质量。免疫荧光法检测隐孢子虫卵囊率为13.8%。素叻他尼牡蛎隐孢子虫卵囊检出率(17.5%)高于那空西塔玛拉(9.2%)。从那空西他玛叻和素叻他尼获得的阳性样本检测结果的差异可能归因于物理、生态和人为条件的影响,导致隐孢子虫卵囊对海水的污染水平增加。这些发现表明,从泰国南部海湾沿岸获得的本地商业牡蛎含有隐孢子虫卵囊,这可能是人类感染的一个来源。因此,这些发现引起了严重的公共卫生问题,并建议牡蛎养殖业需要实施更多的质量控制措施,以确保海产品的安全。
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引用次数: 1
Effects of Lactobacilli acidophilus and/or spiramycin as an adjunct in toxoplasmosis infection challenged with diabetes 嗜酸乳杆菌和/或螺旋霉素作为辅助治疗糖尿病伴弓形虫感染的作用
IF 2.5 Q2 PARASITOLOGY Pub Date : 2023-09-01 DOI: 10.1016/j.fawpar.2023.e00201
Enas A. El Saftawy , Safaa A. Turkistani , Hadel M. Alghabban , Emad A. Albadawi , Basma EA Ibrahim , Suzan Morsy , Mohamed F. Farag , Nashwah S. Al Hariry , Rania Y. Shash , Aly Elkazaz , Noha M. Amin

The current study assessed the anti-parasitic impact of probiotics on Toxoplasma gondii infection either solely or challenged with diabetes in Swiss albino mice. The study design encompassed group-A (diabetic), group-B (non-diabetic), and healthy controls (C). Each group was divided into infected-untreated (subgroup-1); infected and spiramycin-treated (subgroup-2); infected and probiotic-treated (subgroup-3); infected and spiramycin+ probiotic-treated (subgroup-4). Diabetic-untreated animals exhibited acute toxoplasmosis and higher cerebral parasite load. Overall, various treatments reduced intestinal pathology, improved body weight, and decreased mortalities; nevertheless, probiotic + spiramycin exhibited significant differences. On day 7 post-infection both PD-1 and IL-17A demonstrated higher scores in the intestine of diabetic-untreated mice compared with non-diabetics and healthy control; whereas, claudin-1 revealed worsening expression. Likewise, on day 104 post-infection cerebral PD-1 and IL-17A showed increased expressions in diabetic animals. Overall, treatment modalities revealed lower scores of PD-1 and IL-17A in non-diabetic subgroups compared with diabetics. Intestinal and cerebral expressions of IL-17A and PD-1 demonstrated positive correlations with cerebral parasite load. In conclusion, toxoplasmosis when challenged with diabetes showed massive pathological features and higher parasite load in the cerebral tissues. Probiotics are a promising adjunct to spiramycin by ameliorating IL-17A and PD-1 in the intestinal and cerebral tissues, improving the intestinal expression of claudin-1, and efficiently reducing the cerebral parasite load.

目前的研究评估了益生菌对瑞士白化小鼠弓形虫感染的抗寄生作用,无论是单独的还是糖尿病的。研究设计包括a组(糖尿病患者)、b组(非糖尿病患者)和健康对照组(C组)。每组分为感染-未治疗组(亚组1);感染并接受螺旋霉素治疗(亚组2);感染和益生菌治疗(亚组3);感染和螺旋霉素+益生菌治疗(亚组4)。糖尿病未治疗的动物表现出急性弓形虫病和较高的脑寄生虫负荷。总的来说,各种治疗方法减轻了肠道病理,改善了体重,降低了死亡率;然而,益生菌+螺旋霉素表现出显著差异。感染后第7天,与非糖尿病和健康对照组相比,糖尿病治疗小鼠肠道中PD-1和IL-17A的得分更高;而claudin-1表达恶化。同样,感染后第104天,糖尿病动物的脑PD-1和IL-17A表达增加。总体而言,与糖尿病患者相比,治疗方式显示非糖尿病亚组的PD-1和IL-17A评分较低。肠道和大脑IL-17A和PD-1的表达与大脑寄生虫负荷呈正相关。综上所述,糖尿病患者弓形虫病表现出大量的病理特征和较高的脑组织寄生虫负荷。益生菌通过改善肠道和脑组织中的IL-17A和PD-1,提高肠道中cladin -1的表达,有效降低大脑寄生虫负荷,是螺旋霉素的一种很有前景的辅助药物。
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引用次数: 0
Editorial Board Page 编辑委员会页面
IF 2.5 Q2 PARASITOLOGY Pub Date : 2023-06-01 DOI: 10.1016/S2405-6766(23)00011-2
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引用次数: 0
An 11-year epidemiological analysis of schistosomiasis in Ecuador: Investigating a non-endemic, neglected, and challenging-to-identify parasitic disease 厄瓜多尔血吸虫病11年流行病学分析:调查一种非地方性、被忽视且具有挑战性的寄生虫病
IF 2.5 Q2 PARASITOLOGY Pub Date : 2023-06-01 DOI: 10.1016/j.fawpar.2023.e00196
Jorge Vásconez-González , Justin Yeager , Juan S. Izquierdo-Condoy , Raul Fernandez-Naranjo , María-Belén López , María Gabriela Dávila , Simone Cordovez , Andrés López-Cortés , Esteban Ortiz-Prado

Schistosomiasis is a neglected disease caused by parasites of the genus Schistosoma and transmitted by snails of the genus Biomphalaria. At least five species have the potential to infect humans living in or visiting tropical areas worldwide. In Latin America, Schistosoma mansoni is particularly common; however, it has not been reported in Ecuador. In this study, we assess the available official data on schistosomiasis in Ecuador to describe the prevalence of this neglected disease. We conducted a nationwide study to determine the demographic and spatial distribution patterns of schistosomiasis infection in Ecuador, using hospital discharge official data as a proxy for infection incidence from 2011 to 2021. We calculated crude and age-sex-adjusted morbidity and hospital admission rates by region, province, canton, and elevation. In the last decade of available data, schistosomiasis accounted for at least 551 hospital admissions in Ecuador. Women represented 53.7% (n = 296) of cases, equivalent to 3.2 cases per 1,000,000 inhabits. The highest number of cases (61.2%, n = 337) was found in the Coastal region. However, the highest incidence rates were observed in the Amazon region's provinces of Pastaza (173.44 cases/1,000,000).

血吸虫病是一种被忽视的疾病,由血吸虫属的寄生虫引起,并由生物血吸虫病属的蜗牛传播。至少有五种物种有可能感染生活在全球热带地区或访问热带地区的人类。在拉丁美洲,曼氏血吸虫病特别常见;然而,厄瓜多尔尚未报告这种情况。在这项研究中,我们评估了厄瓜多尔血吸虫病的官方数据,以描述这种被忽视的疾病的流行率。我们进行了一项全国性研究,以确定厄瓜多尔血吸虫病感染的人口和空间分布模式,使用出院官方数据作为2011年至2021年感染率的指标。我们按地区、省、州和海拔高度计算了粗发病率和年龄性别调整后的发病率和住院率。在过去十年的可用数据中,厄瓜多尔至少有551人因血吸虫病入院。女性占病例的53.7%(n=296),相当于每1000000个居住区中有3.2个病例。沿海地区的病例数最高(61.2%,n=337)。然而,发病率最高的是亚马逊地区的帕斯塔扎省(173.44例/100万)。
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引用次数: 0
Toxoplasma and Toxocara seropositivity in juvenile idiopathic arthritis and its relation to disease activity and type of therapies 幼年特发性关节炎弓形虫和弓形虫血清阳性及其与疾病活动性和治疗类型的关系
IF 2.5 Q2 PARASITOLOGY Pub Date : 2023-06-01 DOI: 10.1016/j.fawpar.2023.e00195
Doaa A. Salem , Ahmed Hassan Al-Ghamdi , Jameel Mohamed Alghamdi , Amira Ismail , Bakheet A. Alghamdi , Eman Abdelrazek

Juvenile idiopathic arthritis (JIA) is the most frequently encountered autoimmune rheumatic disease in children. To our knowledge, this is the first study aimed to estimate the frequency of Toxoplasma gondii (T. gondii) and Toxocara seropositivity in JIA and assess its relation to the disease activity, IL-10 levels, and type of the received therapies. This study was conducted on 43 JIA patients and 50 cases as a control group. All participants were evaluated by disease activity score (JADAS-27), and the presence of specific IgG and IgM antibodies against T. gondii and IgG against Toxocara species using an enzyme-linked immunosorbent assay. IL-10 serum levels were measured using an ELISA kit. The results show that JIA patients have significantly higher seropositivity for anti-T. gondii IgG compared to control subjects (p = 0.02) and a non-significant difference for Toxocara seropositivity (p = 0.41). All participants were negative for IgM anti-Toxoplasma gondii. Demographic parameters did not significantly affect these seroprevalence frequencies (p > 0.05). IL-10 was significantly higher among JIA patients compared to controls (p = 0.007) and seropositive anti-T. gondii JIA exhibited significantly higher IL-10 levels compared to seronegative ones (p = 0.03). Seropositive anti-T. gondii IgG JIA patients had a significantly higher disease activity score (JADAS-27) than seronegative anti-T. gondii IgG cases (p = 0.02). There was a significant positive correlation between anti-T. gondii IgG and JADAS-27 score (p = 0.009). A significant association was detected between T. gondii infection and DMARDs including the biological therapies (p < 0.05). Overall, this study supports a possible association between T. gondii infection and JIA, IL-10, disease activity score, and DMARDs therapies. It is possible that IL-10 plays a role in the development of JIA and contributes to persistent asymptomatic infection with T. gondii in JIA patients. As a result, a recommendation for screening tests for T. gondii infection among JIA patients is crucial before and during commencing DMARDs therapies and closely monitoring early signs of infection.

幼年特发性关节炎(JIA)是儿童最常见的自身免疫性风湿性疾病。据我们所知,这是第一项旨在估计JIA中弓形虫(T.gondii)和弓形虫血清阳性频率的研究,并评估其与疾病活性、IL-10水平和接受治疗类型的关系。本研究以43例JIA患者和50例作为对照组。所有参与者都通过疾病活性评分(JADAS-27)、针对弓形虫的特异性IgG和IgM抗体的存在以及使用酶联免疫吸附测定法针对弓形虫物种的IgG进行评估。使用ELISA试剂盒测量IL-10血清水平。结果表明,JIA患者血清抗T抗体阳性率明显增高。弓形虫IgG与对照组相比(p=0.02),弓形虫血清阳性率无显著差异(p=0.041)。所有参与者的IgM抗弓形虫抗体均为阴性。人口统计学参数对这些血清流行率没有显著影响(p>0.05)。与对照组(p=0.007)和血清阳性抗-T相比,JIA患者的IL-10显著更高。弓形虫JIA的IL-10水平明显高于血清阴性者(p=0.03)。弓形虫IgG JIA患者的疾病活动性评分(JADAS-27)显著高于血清阴性的抗T。弓形虫IgG病例(p=0.02)。弓形虫IgG和JADAS-27评分(p=0.009)。检测到弓形虫感染与DMARDs(包括生物疗法)之间存在显著关联(p<;0.05)。总体而言,本研究支持弓形虫感染和JIA、IL-10、疾病活动评分和DMARDs疗法之间可能存在关联。IL-10可能在JIA的发展中发挥作用,并导致JIA患者持续无症状感染弓形虫。因此,在开始DMARD治疗之前和期间,建议在JIA患者中进行弓形虫感染筛查测试,并密切监测感染的早期迹象,这一点至关重要。
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引用次数: 1
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Food and Waterborne Parasitology
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