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哥伦比亚安第斯中部地区不同死因法医血液样本中弓形虫IgG和IgM抗体的流行情况。

Prevalence of IgG and IgM antibodies to Toxoplasma gondii in forensic blood samples from different causes of death in central Andes region in Colombia.

作者信息

Marulanda-Orozco Nathalia, Colon-Montanez Keishla, Ramirez Morgan, Nessim Jennifer, Torres-Morales Elizabeth, Medina Juan Carlos, Hincapie Ofelia Del Socorro, Baquero Miguel, Marín Jose Fernando, Gomez-Marin Jorge E

机构信息

Molecular Parasitology Group (GEPAMOL), Biomedical Research Center, Faculty of Health Sciences, Universidad del Quindío, Colombia.

The College, The University of Chicago, Chicago, IL, USA; Center for Global Health, University of Chicago, Chicago, IL, USA.

出版信息

J Forensic Leg Med. 2025 Jan;109:102795. doi: 10.1016/j.jflm.2024.102795. Epub 2024 Dec 4.

Abstract

INTRODUCTION

The objective of this study was twofold: first, to evaluate the method of sample collection that would enable the measurement of anti-Toxoplasma antibodies in forensic samples, and second, to report the prevalence of antibodies in deceased individuals due to traffic accidents, homicides, and suicides who are brought to the National Institute of Legal Medicine and Forensic Sciences, Western Regional Office (INMLCF) in Armenia, Manizales and Pereira, cities located in the center andes region of Colombia.

METHODS

Initially, we assessed the feasibility of measuring antibodies on filter paper or in Vacutainer tubes. Serum samples from 15 voluntary individuals were collected as controls, and the measurement of antibodies on filter paper was compared with the same samples collected in Vacutainer tubes after two days at room temperature. Subsequently, 42 blood samples were collected from forensic cases involving various causes of death in Manizales, Armenia, and Pereira. Measurement of anti-Toxoplasma IgG and IgM antibodies was performed using the VIDAS II kit from Biomerieux®.

RESULTS

The volunteer samples consistently tested negative when using filter paper, whereas their positivity was preserved when collected in Vacutainer tubes and before 48 h after death. Therefore, the forensic samples were collected using Vacutainer tubes. Out of the 42 forensic blood samples, 19 (45.2 %) tested positive for IgG anti-Toxoplasma antibodies. All samples tested negative for IgM anti-Toxoplasma antibodies. A significant association was observed between antibody positivity and the city of origin, while deaths due to traffic accidents showed a negative association with toxoplasmosis.

CONCLUSIONS

We found that filter paper was unsuitable for collecting samples for post-mortem serological studies. The positivity of antibodies varied significantly depending on the city, and in Manizales, deaths resulting from traffic accidents were not associated with toxoplasmosis.

摘要

引言

本研究有两个目标:第一,评估能够在法医样本中检测抗弓形虫抗体的样本采集方法;第二,报告因交通事故、凶杀和自杀死亡并被送往位于哥伦比亚安第斯中部地区城市马尼萨莱斯、亚美尼亚和佩雷拉的西部地区法医科学研究所国家法律医学和法医学研究所(INMLCF)的死者体内抗体的流行情况。

方法

最初,我们评估了在滤纸或真空采血管中检测抗体的可行性。采集了15名志愿者的血清样本作为对照,并将滤纸样本上抗体的检测结果与室温放置两天后在真空采血管中采集的相同样本进行比较。随后,从马尼萨莱斯、亚美尼亚和佩雷拉涉及各种死因的法医案件中采集了42份血样。使用生物梅里埃公司的VIDAS II试剂盒检测抗弓形虫IgG和IgM抗体。

结果

使用滤纸时,志愿者样本始终检测为阴性,而在真空采血管中采集且在死亡后48小时内保存时,其阳性结果得以保留。因此,法医样本采用真空采血管采集。在42份法医血样中,19份(45.2%)抗弓形虫IgG抗体检测呈阳性。所有样本抗弓形虫IgM抗体检测均为阴性。观察到抗体阳性与来源城市之间存在显著关联,而交通事故导致的死亡与弓形虫病呈负相关。

结论

我们发现滤纸不适用于死后血清学研究的样本采集。抗体阳性率因城市而异,在马尼萨莱斯,交通事故导致的死亡与弓形虫病无关。

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