LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 10 of total 32

Search options

  1. Article ; Online: Hotspots and correlates of soil-transmitted helminth infections in a Venezuelan rural community: Which are the "wormy" houses?

    Incani, Renzo Nino / Grillet, María Eugenia / Mughini-Gras, Lapo

    The Journal of infection

    2020  Volume 82, Issue 1, Page(s) 143–149

    Abstract: Objectives: To determine spatial clustering and risk factors for occurrence and intensity of infection for soil-transmitted helminthiasis (STH), namely Ascaris lumbricoides, Trichuris trichiura, Strongyloides stercoralis and hookworms in a Venezuelan ... ...

    Abstract Objectives: To determine spatial clustering and risk factors for occurrence and intensity of infection for soil-transmitted helminthiasis (STH), namely Ascaris lumbricoides, Trichuris trichiura, Strongyloides stercoralis and hookworms in a Venezuelan rural community.
    Methods: MIF-fixed faecal samples were individually collected for STH testing. The Getis-Ord statistic was used to determine significant STH clustering within 25/50/100 m radiuses around houses. Individual- and house-level factors associated with STH occurrence and intensity of infection were determined using generalized estimating equations.
    Results: Significant clusters of "wormy" houses for one or multiple parasites were found at distances of 25-50 m around 13 houses. Risk factors differed between occurrence and intensity of infection. Overcrowding in the house increased occurrence of S. stercoralis, T. trichiura and hookworm infections, while poor housing conditions increased A. lumbricoides infection risk. Overcrowding, poor faecal disposal system, economic dependency and lack of basic services differentially influenced the STHs. The "wormy" houses were mainly those built with waste materials, under economic dependency and lacking indoor water supply.
    Conclusions: STH distribution in a community is clustered, with significant hotspots of STH occurrence and intensity of infection and different associated risk factors. Targeting the "wormy" houses is expected to affect STH morbidity more efficiently.
    MeSH term(s) Animals ; Cross-Sectional Studies ; Feces ; Helminthiasis/epidemiology ; Helminths ; Humans ; Prevalence ; Rural Population ; Soil
    Chemical Substances Soil
    Language English
    Publishing date 2020-12-01
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 424417-5
    ISSN 1532-2742 ; 0163-4453
    ISSN (online) 1532-2742
    ISSN 0163-4453
    DOI 10.1016/j.jinf.2020.10.037
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  2. Article ; Online: Risk of acquiring

    Incani, Renzo Nino / Mughini-Gras, Lapo / Homan, Tobias / Sequera, Ivan / Sequera, Luis / Serrano, Ruth / Sequera, Carlos / Salas, Luis / Salazar, Marisabel / Santos, Paola

    Epidemiology and infection

    2022  Volume 150, Page(s) e151

    Abstract: Soil-transmitted helminths, such ... ...

    Abstract Soil-transmitted helminths, such as
    MeSH term(s) Animals ; Ascariasis/drug therapy ; Ascariasis/epidemiology ; Ascariasis/parasitology ; Ascaris lumbricoides ; Child ; Child, Preschool ; Feces/parasitology ; Helminthiasis/epidemiology ; Helminthiasis/parasitology ; Humans ; Prevalence ; Rural Population ; Soil/parasitology ; Venezuela/epidemiology
    Chemical Substances Soil
    Language English
    Publishing date 2022-07-29
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 632982-2
    ISSN 1469-4409 ; 0950-2688
    ISSN (online) 1469-4409
    ISSN 0950-2688
    DOI 10.1017/S0950268822001273
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  3. Article ; Online: Case Report: Ocular Gnathostomiasis in Venezuela Most Likely Acquired in Texas.

    Benavides, Maria Alejandra / Baldo, Maria Belisa / Tauber, Shachar / Figueiras, Sandra Fernandez / Incani, Renzo Nino / Nawa, Yukifumi

    The American journal of tropical medicine and hygiene

    2018  Volume 99, Issue 4, Page(s) 1028–1032

    Abstract: A 69-year-old male dentist in Caracas, Venezuela, was referred to our Cornea Clinic with a history of pain, photophobia, and blurred vision on his left eye. Routine biomicroscopic examination with a slit lamp showed a worm in the corneal stroma of his ... ...

    Abstract A 69-year-old male dentist in Caracas, Venezuela, was referred to our Cornea Clinic with a history of pain, photophobia, and blurred vision on his left eye. Routine biomicroscopic examination with a slit lamp showed a worm in the corneal stroma of his left eye. The worm was surgically removed and was identified morphologically as
    MeSH term(s) Aged ; Animals ; Cornea/parasitology ; Cornea/surgery ; Female ; Fresh Water/parasitology ; Gnathostoma/isolation & purification ; Gnathostoma/pathogenicity ; Gnathostomiasis/diagnostic imaging ; Gnathostomiasis/parasitology ; Gnathostomiasis/pathology ; Gnathostomiasis/surgery ; Humans ; Larva/pathogenicity ; Male ; Photophobia/diagnostic imaging ; Photophobia/parasitology ; Photophobia/pathology ; Photophobia/surgery ; Texas ; Travel ; Venezuela
    Language English
    Publishing date 2018-09-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2942-7
    ISSN 1476-1645 ; 0002-9637
    ISSN (online) 1476-1645
    ISSN 0002-9637
    DOI 10.4269/ajtmh.18-0492
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  4. Article ; Online: Diagnostic performance of parasitological, immunological and molecular tests for the diagnosis of Schistosoma mansoni infection in a community of low transmission in Venezuela.

    Ferrer, Elizabeth / Villegas, Berenice / Mughini-Gras, Lapo / Hernández, Diego / Jiménez, Verónica / Catalano, Emily / Incani, Renzo Nino

    Acta tropica

    2020  Volume 204, Page(s) 105360

    Abstract: In Venezuela, areas endemic for schistosomiasis are of low transmission, with low parasite loads. Immunological tests often lack specificity and cannot differentiate past from present infections. Molecular tests are an alternative, although validation ... ...

    Abstract In Venezuela, areas endemic for schistosomiasis are of low transmission, with low parasite loads. Immunological tests often lack specificity and cannot differentiate past from present infections. Molecular tests are an alternative, although validation studies in endemic areas are needed. The aim of this study was to determine the performance of parasitological, immunological and molecular tests for the diagnosis of Schistosoma mansoni infection in low-transmission settings. A cross-sectional study was carried out in a rural community located in a schistosomiasis-endemic area of Venezuela to determine the prevalence and diagnostic performance of the Kato-Katz (KK) technique, Circumoval Precipitin Test (COPT), ELISA based on soluble egg antigen (ELISA-SEA) with and without treatment with sodium metaperiodate (ELISA-SEA-SMP), and PCR for amplification of the 121 bp highly repeated sequence of Schistosoma mansoni in faeces, urine and serum samples. The highest prevalence rates were obtained with ELISA-SEA (38.7%), COPT (33.3%), ELISA-SEA-SMP (31.5%), PCR on faeces (21.6%), and KK (17.1%), whereas PCR-based prevalence in urine was 6.2% and no positivity was detected in serum samples. Results showed that ELISA-SEA is the best method for the diagnosis of both current and former infections and that PCR on faeces is the best method for detecting recent transmission. The use of different tests that complement one another also allowed for a better diagnosis of Schistosoma mansoni infection, revealing a relatively high prevalence (33.8%) of schistosomiasis in a community of low transmission.
    MeSH term(s) Adolescent ; Adult ; Age Factors ; Animals ; Antigens, Helminth/immunology ; Child ; Cross-Sectional Studies ; Enzyme-Linked Immunosorbent Assay ; Feces/parasitology ; Female ; Humans ; Male ; Parasite Load ; Prevalence ; Schistosoma mansoni/immunology ; Schistosomiasis mansoni/diagnosis ; Schistosomiasis mansoni/epidemiology ; Sensitivity and Specificity ; Venezuela/epidemiology ; Young Adult
    Chemical Substances Antigens, Helminth
    Language English
    Publishing date 2020-01-27
    Publishing country Netherlands
    Document type Evaluation Study ; Journal Article
    ZDB-ID 210415-5
    ISSN 1873-6254 ; 0001-706X
    ISSN (online) 1873-6254
    ISSN 0001-706X
    DOI 10.1016/j.actatropica.2020.105360
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  5. Article: Diagnostic performance of parasitological, immunological and molecular tests for the diagnosis of Schistosoma mansoni infection in a community of low transmission in Venezuela

    Ferrer, Elizabeth / Villegas, Berenice / Mughini-Gras, Lapo / Hernández, Diego / Jiménez, Verónica / Catalano, Emily / Incani, Renzo Nino

    Acta tropica. 2020 Apr., v. 204

    2020  

    Abstract: In Venezuela, areas endemic for schistosomiasis are of low transmission, with low parasite loads. Immunological tests often lack specificity and cannot differentiate past from present infections. Molecular tests are an alternative, although validation ... ...

    Abstract In Venezuela, areas endemic for schistosomiasis are of low transmission, with low parasite loads. Immunological tests often lack specificity and cannot differentiate past from present infections. Molecular tests are an alternative, although validation studies in endemic areas are needed. The aim of this study was to determine the performance of parasitological, immunological and molecular tests for the diagnosis of Schistosoma mansoni infection in low-transmission settings. A cross-sectional study was carried out in a rural community located in a schistosomiasis-endemic area of Venezuela to determine the prevalence and diagnostic performance of the Kato-Katz (KK) technique, Circumoval Precipitin Test (COPT), ELISA based on soluble egg antigen (ELISA-SEA) with and without treatment with sodium metaperiodate (ELISA-SEA-SMP), and PCR for amplification of the 121 bp highly repeated sequence of Schistosoma mansoni in faeces, urine and serum samples. The highest prevalence rates were obtained with ELISA-SEA (38.7%), COPT (33.3%), ELISA-SEA-SMP (31.5%), PCR on faeces (21.6%), and KK (17.1%), whereas PCR-based prevalence in urine was 6.2% and no positivity was detected in serum samples. Results showed that ELISA-SEA is the best method for the diagnosis of both current and former infections and that PCR on faeces is the best method for detecting recent transmission. The use of different tests that complement one another also allowed for a better diagnosis of Schistosoma mansoni infection, revealing a relatively high prevalence (33.8%) of schistosomiasis in a community of low transmission.
    Keywords Schistosoma mansoni ; antigens ; blood serum ; cross-sectional studies ; eggs ; enzyme-linked immunosorbent assay ; feces ; parasite load ; polymerase chain reaction ; precipitin tests ; rural communities ; schistosomiasis ; sodium ; urine ; Venezuela
    Language English
    Dates of publication 2020-04
    Publishing place Elsevier B.V.
    Document type Article
    ZDB-ID 210415-5
    ISSN 1873-6254 ; 0001-706X
    ISSN (online) 1873-6254
    ISSN 0001-706X
    DOI 10.1016/j.actatropica.2020.105360
    Database NAL-Catalogue (AGRICOLA)

    More links

    Kategorien

  6. Article: Diagnosis of intestinal parasites in a rural community of Venezuela: Advantages and disadvantages of using microscopy or RT-PCR

    Incani, Renzo Nino / Denise Hoek / Elena Pinelli / Elizabeth Ferrer / Jeroen Roelfsema / Lapo Mughini-Gras / Robbert Ramak / Titia Kortbeek

    Acta tropica. 2017 Mar., v. 167

    2017  

    Abstract: A cross-sectional study was carried out to determine the prevalence and diagnostic performance of microscopy and real time PCR (RT-PCR) for 14 intestinal parasites in a Venezuelan rural community with a long history of persistent intestinal parasitic ... ...

    Abstract A cross-sectional study was carried out to determine the prevalence and diagnostic performance of microscopy and real time PCR (RT-PCR) for 14 intestinal parasites in a Venezuelan rural community with a long history of persistent intestinal parasitic infections despite the implementation of regular anthelminthic treatments. A total of 228 participants were included in this study. A multiplex RT-PCR was used for the detection of Dientamoeba fragilis, Giardia intestinalis, Cryptosporidium sp. and a monoplex RT-PCR for Entamoeba histolytica. Furthermore, a multiplex PCR was performed for detection of Ascaris lumbricoides, Strongyloides stercoralis, Necator americanus and Ancylostoma duodenale. Combined microscopy-PCR revealed prevalences of 49.3% for A. lumbricoides, 10.1% for N. americanus (no A. duodenale was detected), 2.0% for S. stercoralis, 40.4% for D. fragilis, 35.1% for G. intestinalis, and 7.9% for E. histolytica/dispar. Significant increases in prevalence at PCR vs. microscopy were found for A. lumbricoides, G. intestinalis and D. fragilis. Other parasites detected by microscopy alone were Trichuris trichiura (25.7%), Enterobius vermicularis (3.4%), Blastocystis sp. (65.8%), and the non-pathogenic Entamoeba coli (28.9%), Entamoeba hartmanni (12.3%), Endolimax nana (19.7%) and Iodamoeba bütschlii (7.5%). Age- but no gender-related differences in prevalences were found for A. lumbricoides, T. trichiura, G. intestinalis, and E. histolytica/dispar. The persistently high prevalences of intestinal helminths are probably related to the high faecal pollution as also evidenced by the high prevalences of non-pathogenic intestinal protozoans. These results highlight the importance of using sensitive diagnostic techniques in combination with microscopy to better estimate the prevalence of intestinal parasites, especially in the case of D. fragilis trophozoites, which deteriorate very rapidly and would be missed by microscopy. In addition, the differentiation between the pathogenic E. histolytica and the non-pathogenic E. dispar can be attained. However, microscopy remains an important diagnostic tool since it can detect other intestinal parasites for which no PCR is available.
    Keywords Ancylostoma ; Ascaris lumbricoides ; Blastocystis ; cross-sectional studies ; Cryptosporidium ; diagnostic techniques ; Entamoeba histolytica ; Enterobius vermicularis ; Giardia lamblia ; helminths ; microscopy ; Necator americanus ; parasitoses ; pollution ; quantitative polymerase chain reaction ; reverse transcriptase polymerase chain reaction ; rural communities ; Strongyloides stercoralis ; Trichuris trichiura ; trophozoites ; Venezuela
    Language English
    Dates of publication 2017-03
    Size p. 64-70.
    Publishing place Elsevier B.V.
    Document type Article
    ZDB-ID 210415-5
    ISSN 1873-6254 ; 0001-706X
    ISSN (online) 1873-6254
    ISSN 0001-706X
    DOI 10.1016/j.actatropica.2016.12.014
    Database NAL-Catalogue (AGRICOLA)

    More links

    Kategorien

  7. Article ; Online: Hyperinfection by Strongyloides stercoralis probably associated with Rituximab in a patient with mantle cell lymphoma and hyper eosinophilia.

    Incani, Renzo Nino / Hernández, Marcos / González, María Elena

    Revista do Instituto de Medicina Tropical de Sao Paulo

    2011  Volume 52, Issue 4, Page(s) 221–224

    Abstract: The first report to our knowledge, of hyperinfection by Strongyloides stercoralis (HS) and hypereosinophilia, associated to immune suppression by Rituximab (the only drug received for the last one year and 10 months), in a patient with mantle-cell ... ...

    Abstract The first report to our knowledge, of hyperinfection by Strongyloides stercoralis (HS) and hypereosinophilia, associated to immune suppression by Rituximab (the only drug received for the last one year and 10 months), in a patient with mantle-cell lymphoma (MCL), is presented. The patient has a 3-year history of MCL, and developed two accesses of HS during 2008, including meningitis, pneumonia and presence of larvae of S. stercoralis in the lungs. We had a unique chance to look at cytotoxicity of filariform larvae in the expectoration after Ivermectin treatment, showing immobilization and death of larvae, associated with eosinophils attached to the cuticle of the parasite.
    MeSH term(s) Animals ; Antibodies, Monoclonal, Murine-Derived/adverse effects ; Antineoplastic Agents/adverse effects ; Antiparasitic Agents/therapeutic use ; Female ; Humans ; Hypereosinophilic Syndrome/immunology ; Immunocompromised Host ; Ivermectin/therapeutic use ; Lymphoma, Mantle-Cell/drug therapy ; Lymphoma, Mantle-Cell/immunology ; Middle Aged ; Rituximab ; Strongyloidiasis/drug therapy ; Strongyloidiasis/immunology ; Superinfection/immunology ; Superinfection/parasitology
    Chemical Substances Antibodies, Monoclonal, Murine-Derived ; Antineoplastic Agents ; Antiparasitic Agents ; Rituximab (4F4X42SYQ6) ; Ivermectin (70288-86-7)
    Language English
    Publishing date 2011-07-09
    Publishing country Brazil
    Document type Case Reports ; Journal Article
    ZDB-ID 128928-7
    ISSN 1678-9946 ; 0036-4665
    ISSN (online) 1678-9946
    ISSN 0036-4665
    DOI 10.1590/s0036-46652010000400011
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  8. Article ; Online: Differential distribution and biochemical characteristics of hydrolases among developmental stages of Schistosoma mansoni may offer new anti-parasite targets.

    Fernández-Delgado, Milagro / Cortez, Jackeline / Sulbarán, Guiden / Matos, César / Incani, Renzo Nino / Ballén, Diana E / Cesari, Italo M

    Parasitology international

    2017  Volume 66, Issue 1, Page(s) 816–820

    Abstract: Schistosoma mansoni enzymes play important roles in host-parasite interactions and are potential targets for immunological and/or pharmacological attack. The aim of this study was to comparatively assess the presence of hydrolytic activities ( ... ...

    Abstract Schistosoma mansoni enzymes play important roles in host-parasite interactions and are potential targets for immunological and/or pharmacological attack. The aim of this study was to comparatively assess the presence of hydrolytic activities (phosphatases, glycosidases, aminopeptidases) in soluble (SF) and membrane (MF) fractions from different S. mansoni developmental stages (schistosomula 0 and 3h, juveniles, and adult worms of 28 and 45days-old, respectively), by using simple enzyme-substrate microassays. Our results show and confirm the prominent presence of alkaline phosphatase (AlP) activity in the MF of all the above parasite stages, highlighting also the relevant presence of MF-associated α-mannosidase (α-MAN) activity in juveniles. A soluble AlP activity, together with β-N-D-acetylglucosaminidase (β-NAG), and α-MAN activities, was detected in SF of schistosomulum 0h. Soluble β-NAG, α-MAN, acid phosphatase (AcP), leucin (LAP) and alanine (AAP) aminopeptidase activities were also seen in the SF of the other different developmental stages. This work shows different soluble and membrane-associated hydrolytic capacities in each S. mansoni developmental stage from schistosomula to adults that might be exploitable as potential new targets for immune and/or chemoprophylactic strategies.
    MeSH term(s) Alkaline Phosphatase/immunology ; Alkaline Phosphatase/isolation & purification ; Alkaline Phosphatase/metabolism ; Aminopeptidases/chemistry ; Aminopeptidases/immunology ; Aminopeptidases/isolation & purification ; Animals ; Cell Membrane/chemistry ; Cell Membrane/enzymology ; Glycoside Hydrolases/immunology ; Glycoside Hydrolases/isolation & purification ; Glycoside Hydrolases/metabolism ; Helminth Proteins/immunology ; Helminth Proteins/metabolism ; Life Cycle Stages ; Schistosoma mansoni/enzymology ; Schistosoma mansoni/growth & development ; Schistosoma mansoni/immunology ; Schistosomiasis mansoni/therapy ; alpha-Mannosidase/immunology ; alpha-Mannosidase/isolation & purification ; alpha-Mannosidase/metabolism
    Chemical Substances Helminth Proteins ; Alkaline Phosphatase (EC 3.1.3.1) ; Glycoside Hydrolases (EC 3.2.1.-) ; alpha-Mannosidase (EC 3.2.1.24) ; Aminopeptidases (EC 3.4.11.-)
    Language English
    Publishing date 2017-02
    Publishing country Netherlands
    Document type Comparative Study ; Journal Article
    ZDB-ID 1363151-2
    ISSN 1873-0329 ; 1383-5769
    ISSN (online) 1873-0329
    ISSN 1383-5769
    DOI 10.1016/j.parint.2016.09.015
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  9. Article ; Online: Diagnosis of intestinal parasites in a rural community of Venezuela: Advantages and disadvantages of using microscopy or RT-PCR.

    Incani, Renzo Nino / Ferrer, Elizabeth / Hoek, Denise / Ramak, Robbert / Roelfsema, Jeroen / Mughini-Gras, Lapo / Kortbeek, Titia / Pinelli, Elena

    Acta tropica

    2017  Volume 167, Page(s) 64–70

    Abstract: A cross-sectional study was carried out to determine the prevalence and diagnostic performance of microscopy and real time PCR (RT-PCR) for 14 intestinal parasites in a Venezuelan rural community with a long history of persistent intestinal parasitic ... ...

    Abstract A cross-sectional study was carried out to determine the prevalence and diagnostic performance of microscopy and real time PCR (RT-PCR) for 14 intestinal parasites in a Venezuelan rural community with a long history of persistent intestinal parasitic infections despite the implementation of regular anthelminthic treatments. A total of 228 participants were included in this study. A multiplex RT-PCR was used for the detection of Dientamoeba fragilis, Giardia intestinalis, Cryptosporidium sp. and a monoplex RT-PCR for Entamoeba histolytica. Furthermore, a multiplex PCR was performed for detection of Ascaris lumbricoides, Strongyloides stercoralis, Necator americanus and Ancylostoma duodenale. Combined microscopy-PCR revealed prevalences of 49.3% for A. lumbricoides, 10.1% for N. americanus (no A. duodenale was detected), 2.0% for S. stercoralis, 40.4% for D. fragilis, 35.1% for G. intestinalis, and 7.9% for E. histolytica/dispar. Significant increases in prevalence at PCR vs. microscopy were found for A. lumbricoides, G. intestinalis and D. fragilis. Other parasites detected by microscopy alone were Trichuris trichiura (25.7%), Enterobius vermicularis (3.4%), Blastocystis sp. (65.8%), and the non-pathogenic Entamoeba coli (28.9%), Entamoeba hartmanni (12.3%), Endolimax nana (19.7%) and Iodamoeba bütschlii (7.5%). Age- but no gender-related differences in prevalences were found for A. lumbricoides, T. trichiura, G. intestinalis, and E. histolytica/dispar. The persistently high prevalences of intestinal helminths are probably related to the high faecal pollution as also evidenced by the high prevalences of non-pathogenic intestinal protozoans. These results highlight the importance of using sensitive diagnostic techniques in combination with microscopy to better estimate the prevalence of intestinal parasites, especially in the case of D. fragilis trophozoites, which deteriorate very rapidly and would be missed by microscopy. In addition, the differentiation between the pathogenic E. histolytica and the non-pathogenic E. dispar can be attained. However, microscopy remains an important diagnostic tool since it can detect other intestinal parasites for which no PCR is available.
    MeSH term(s) Animals ; Cross-Sectional Studies ; Feces/parasitology ; Female ; Helminths/isolation & purification ; Humans ; Intestinal Diseases, Parasitic/diagnosis ; Intestinal Diseases, Parasitic/parasitology ; Male ; Microscopy/methods ; Microscopy/statistics & numerical data ; Multiplex Polymerase Chain Reaction/statistics & numerical data ; Parasites/isolation & purification ; Prevalence ; Real-Time Polymerase Chain Reaction/methods ; Real-Time Polymerase Chain Reaction/statistics & numerical data ; Rural Population ; Venezuela
    Language English
    Publishing date 2017-03
    Publishing country Netherlands
    Document type Comparative Study ; Journal Article
    ZDB-ID 210415-5
    ISSN 1873-6254 ; 0001-706X
    ISSN (online) 1873-6254
    ISSN 0001-706X
    DOI 10.1016/j.actatropica.2016.12.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  10. Article ; Online: Hyperinfection by Strongyloides stercoralis probably associated with Rituximab in a patient with mantle cell lymphoma and hyper eosinophilia Hiperinfección por Strongyloides stercoralis probablemente asociada con Rituximab en una paciente con linfoma e hipereosinofilia

    Renzo Nino Incani / Marcos Hernández / María Elena González

    Revista do Instituto de Medicina Tropical de São Paulo, Vol 52, Iss 4, Pp 221-

    2010  Volume 224

    Abstract: The first report to our knowledge, of hyperinfection by Strongyloides stercoralis (HS) and hypereosinophilia, associated to immune suppression by Rituximab (the only drug received for the last one year and 10 months), in a patient with mantle-cell ... ...

    Abstract The first report to our knowledge, of hyperinfection by Strongyloides stercoralis (HS) and hypereosinophilia, associated to immune suppression by Rituximab (the only drug received for the last one year and 10 months), in a patient with mantle-cell lymphoma (MCL), is presented. The patient has a 3-year history of MCL, and developed two accesses of HS during 2008, including meningitis, pneumonia and presence of larvae of S. stercoralis in the lungs. We had a unique chance to look at cytotoxicity of filariform larvae in the expectoration after Ivermectin treatment, showing immobilization and death of larvae, associated with eosinophils attached to the cuticle of the parasite. Se presenta el primer reporte, hasta donde tengamos información, de hiperinfección por Strongyloides stercoralis (HS) e hipereosinofilia asociados a inmunosupresión por Rituximab (el único medicamento recibido durante 1 año y 10 meses), en un paciente con linfoma de células del manto (LCM). La paciente tuvo una historia de 3 años con LCM, y desarrolló 2 accesos de HS durante el 2008, incluyendo meningitis, neumonía y presencia de larvas de S. stercoralis en los pulmones. Se tuvo la oportunidad única de observar la citotoxicidad contra las larvas filariformes en la expectoración, luego del tratamiento con Ivermectina, mostrando la inmovilización y muerte de las larvas, asociada a la presencia de eosinófilos adheridos a la cutícula del parásito.
    Keywords Strongyloides stercoralis ; Hyperinfection ; Rituximab ; Eosinophilia ; Lung dissemination ; Lymphoma ; Mantle-cell lymphoma ; Arctic medicine. Tropical medicine ; RC955-962
    Language English
    Publishing date 2010-08-01T00:00:00Z
    Publisher Universidade de São Paulo
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    More links

    Kategorien

To top