Ali Mona Ibrahim, Abd El Wahab Wegdan Mohamed, Hamdy Doaa Ahmed, Hassan Ahmed
1Department of Medical Parasitology, College of Medicine, Beni-Suef University, Beni-Suef, Egypt.
2Department of Oncology, College of Medicine, Beni-Suef University, Beni-Suef, Egypt.
J Parasit Dis. 2019 Sep;43(3):464-471. doi: 10.1007/s12639-019-01111-9. Epub 2019 Mar 30.
is an opportunistic parasite causing life-threatening diseases in immune-compromised patients. The purpose of the study is to determine the seroprevalence of in chemotherapy receiving cancer patients in relation to different types of malignancies, and to estimate the level of interferon gamma in seropositive and seronegative cancer patients and healthy controls. Anti- IgG and IgM antibodies, and interferon gamma were analyzed in 120 cancer patients receiving chemotherapy (60 having hematological malignancies and 60 with solid organ tumors) and 60 healthy controls using ELISA method. (IgG and IgM) were determined in (66.7% and 9.2%) of the cancer group compared to (33.3% and 6.7%) of the control group with statistical significance only in IgG seropositivity ( < 0.001, OR = 4). Patients with hematological malignancies had higher IgG seropositivity than solid organ tumors (40% vs 26.7%). The difference between the groups was statistically significant ( = 0.002, OR = 3.5). Median level of interferon gamma was in the same range between cancer patients and control group. However, it was highly elevated in seropositive (76 pg/ml) than seronegative (44.5 pg/ml) cases with statistical significance ( < 0.001). infection remains a major threat to cancer patients and still needs proper screening, diagnosis and treatment.
是一种机会性寄生虫,可在免疫功能低下的患者中引发危及生命的疾病。本研究的目的是确定接受化疗的癌症患者中与不同类型恶性肿瘤相关的血清流行率,并估计血清阳性和血清阴性癌症患者及健康对照者中的干扰素γ水平。使用ELISA方法对120例接受化疗的癌症患者(60例患有血液系统恶性肿瘤,60例患有实体器官肿瘤)和60例健康对照者进行了抗IgG和IgM抗体以及干扰素γ的分析。癌症组中(IgG和IgM)的检出率分别为(66.7%和9.2%),而对照组为(33.3%和6.7%),仅IgG血清阳性具有统计学意义(<0.001,OR=4)。血液系统恶性肿瘤患者的IgG血清阳性率高于实体器官肿瘤患者(40%对26.7%)。两组之间的差异具有统计学意义(=0.002,OR=3.5)。癌症患者和对照组之间干扰素γ的中位数水平在同一范围内。然而,血清阳性(76 pg/ml)患者中的干扰素γ水平显著高于血清阴性(44.5 pg/ml)患者(<0.001)。感染仍然是癌症患者的主要威胁,仍需要进行适当的筛查、诊断和治疗。