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2013年至2018年伊朗西南部包虫病患者中弓蛔虫病与弓形虫病合并感染及类风湿因子(RF)存在情况的关系

The Relation between Toxocariasis and Toxoplasmosis co-infection and the presence of Rheumatoid Factor (RF) in people with hydatidosis in Southwestern Iran, from 2013 to 2018.

作者信息

Fasihi Karami Maryam, Rafiei Abdollah, Raiesi Omid, Getso Muhammad, Akhlaghi Elham, Jalali Pantea, Shayanfard Mahdi, Beigzadeh Ehsan, Arbat Shirin Khodabakhsh, Mirabedini Zahra, Raissi Vahid

机构信息

1Department of Medical Parasitology and Mycology, Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

2Health Research Institute Infectious and Tropical Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

J Parasit Dis. 2019 Sep;43(3):379-384. doi: 10.1007/s12639-019-01101-x. Epub 2019 Mar 19.

Abstract

Toxoplasmosis, toxocariasis, and hydatidosis are parasite diseases with a very human-like pathway of infection. worldwide including Iran, there are infected people with these infections. Between 2013 and 2018, serum samples were collected from 124 patients with hydatidosis and 124 serums from hydatidiosis free. Samples were examined for the presence of toxocariasis by detecting IgG antibodies, using the ELISA (Enzyme-Linked Immunosorbent Assay) IBL kit and for the presence of IgG antibodies for toxoplasmosis, using the ELISA test. Risk factors such as contact with animal pets; cats and dogs, rural or urban living, age, sex, and Presence of rheumatoid factor (RF) in serum were investigated during the study. The presence of RF was examined using an agglutination test in all confirmed cases of hydatidosis, toxocariasis, and toxoplasmosis. Of the 124 positive cases of hydatidosis, 30 (24.2%), 51 (41.1%) and 15 (12.09%) had toxoplasmosis, toxocariasis and simultaneous infection (toxoplasmosis and toxocariasis), respectively. In people with toxocariasis, rheumatoid factor was reported more frequently than in other cases. The relationship between the prevalence of rheumatoid factor in serum in people with toxocariasis was significant (41.18%). Interaction with dogs and cats and area of residence were identified as risk factors for toxocariasis ( value > 0.005). Although hydatidosis and toxocariasis are Less common infections compare with toxoplasmosis, they are considered a threat to public health in some parts of the world, including Iran. Some factors, such as habitat and interaction with animal pets (dogs and cats), play a more significant role in toxocariasis compared to toxoplasmosis in people with hydatidosis.

摘要

弓形虫病、弓蛔虫病和包虫病是感染途径与人类极为相似的寄生虫病。在包括伊朗在内的全球范围内,都有感染这些疾病的人群。2013年至2018年期间,采集了124例包虫病患者的血清样本以及124例未患包虫病者的血清样本。使用酶联免疫吸附测定(ELISA)IBL试剂盒通过检测IgG抗体来检查样本中是否存在弓蛔虫病,使用ELISA试验检测弓形虫病的IgG抗体。在研究过程中,调查了接触宠物(猫和狗)、城乡居住情况、年龄、性别以及血清中类风湿因子(RF)的存在等危险因素。在所有确诊的包虫病、弓蛔虫病和弓形虫病病例中,使用凝集试验检查RF的存在。在124例包虫病阳性病例中,分别有30例(24.2%)、51例(41.1%)和15例(12.09%)患有弓形虫病、弓蛔虫病和同时感染(弓形虫病和弓蛔虫病)。在患有弓蛔虫病的人群中,类风湿因子的报告频率高于其他病例。患有弓蛔虫病的人群血清中类风湿因子的患病率之间的关系具有显著性(41.18%)。与狗和猫的接触以及居住地区被确定为弓蛔虫病的危险因素(值>0.005)。尽管与弓形虫病相比,包虫病和弓蛔虫病是较不常见的感染,但在包括伊朗在内的世界某些地区,它们被视为对公众健康的威胁。与包虫病患者中的弓形虫病相比,一些因素,如栖息地以及与宠物(狗和猫)的接触,在弓蛔虫病中发挥着更重要的作用。

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