弓形虫感染对更年期症状和体征的影响。

Influence of Toxoplasma Gondii Infection on Symptoms and Signs of Menopause.

作者信息

Alvarado-Esquivel Cosme, Sánchez-Anguiano Luis Francisco, Hernández-Tinoco Jesús, Calzada-Torres Edwin Adiel, Estrada-Martínez Sergio, Pérez-Álamos Alma Rosa, Vaquera-Enriquez Raquel, Díaz-Herrera Arturo, Segura-Moreno Raúl, de Lourdes Guerrero-Carbajal María, Rentería-López María Guadalupe, García Isabel Beristain, Rábago-Sánchez Elizabeth, Liesenfeld Oliver

机构信息

Faculty of Medicine and Nutrition, Juárez University of Durango State , Avenida Universidad S/N, 34000 Durango, Dgo, Mexico.

Institute for Scientific Research "Dr. Roberto Rivera Damm," Juárez University of Durango State . Avenida Universidad S/N, 34000 Durango, Durango, Mexico.

出版信息

Eur J Microbiol Immunol (Bp). 2016 Jan 27;6(1):49-55. doi: 10.1556/1886.2015.00050. eCollection 2016 Mar.

Abstract

Some symptoms of menopause have also been described in patients with toxoplasmosis. Whether Toxoplasma gondii (T. gondii) infection has any influence on clinical manifestations of menopause is yet unknown. We sought to determine whether T. gondii exposure is associated with symptoms and signs of menopause. We performed a cross-sectional study of women attending a public health center in Durango City, Mexico. Participants were examined for the presence of anti-Toxoplasma IgG and IgM antibodies using enzyme-linked immunoassays. A questionnaire including 47 symptoms and signs potentially associated with menopause was applied. Association of seroprevalence for T. gondii with clinical characteristics of women was assessed by bivariate and multivariate analyses. Bivariate analysis showed that bouts of rapid heartbeat, breast pain, electric shock sensation, dizziness, digestive problems, low back pain, and migraine were associated with seropositivity to either IgG anti-T. gondii alone or both IgG and IgM anti-T. gondii. Breast pain was the only variable that was found to be associated with IgG seropositivity to T. gondii by multivariate analysis: (OR = 2.84; 95% CI: 1.35-5.90; P = 0.005). Our results suggest that T. gondii exposure may influence on the clinical manifestations of menopause. Results deserve further research.

摘要

弓形虫病患者也出现过一些更年期症状。目前尚不清楚弓形虫感染是否会对更年期的临床表现产生影响。我们试图确定接触弓形虫是否与更年期的症状和体征有关。我们对墨西哥杜兰戈市一家公共卫生中心的女性进行了一项横断面研究。使用酶联免疫吸附测定法检测参与者是否存在抗弓形虫IgG和IgM抗体。应用了一份包含47种可能与更年期相关的症状和体征的问卷。通过双变量和多变量分析评估弓形虫血清阳性率与女性临床特征之间的关联。双变量分析显示,心跳过速、乳房疼痛、电击感、头晕、消化问题、腰痛和偏头痛与单独的抗弓形虫IgG或抗弓形虫IgG和IgM血清阳性有关。多变量分析发现,乳房疼痛是唯一与抗弓形虫IgG血清阳性相关的变量:(比值比=2.84;95%置信区间:1.35-5.90;P=0.005)。我们的结果表明,接触弓形虫可能会影响更年期的临床表现。这些结果值得进一步研究。

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