Cléa de Andrade Chiari

Toxoplasmose humana adquirida através da ingestão de leite de cabra

Acute toxoplasmosis in three members of the same family was related to drinking unpasteurized goats milk. The goats were reared, for milk production in a peri-domestic area. Based on indirect immunofluorescent reactions antibody titers greater than 1: 1024 were recorded in eight out of fifteen animals examined and were highest in the five lactating adult females. Toxoplasma was isolated, by inoculation of mice, from the milk of one these females. Dogs reared in the same house showed no symptoms of acute toxoplasmosis and low antibody titers were detected in these animals. It was also found that the humaninfections could not have been due to the ingestion of food contaminated with oocysts.

Caracterização biológica comparativa das cepas Berenice e Berenice-78 de Trypanosoma cruzi isoladas da mesma paciente em diferentes períodos

The Berenice-78 strain of T. cruzi is very different from the Berenice strain isolated 16 years earlier from the same pacient. The authors verified is high infectivity and low virulence for C3H inbred mice that survived the acute phase of infection. In these animals, it was verified that the tropism of parasites was more accentuated for cardiac and skeletal musculature and the parasitaemic level progressively increased with sucessive blood passages with posterior stability.

Toxoplasmosis and mental retardation--report of a case-control study.

A case-control study evaluating the association between mental retardation and toxoplasmosis was conducted among 845 school children in Belo Horizonte, MG, Brazil. Cases (450) were mentally retarded children attending a public school for special education. Controls (395) were children from the regular public school system. Clinical and anthropometric examinations and interviews were carried out to determine risk factors for toxoplasmosis and mental retardation. Diagnosis of Toxoplasma gondii infection was based upon an indirect immunofluorescent test (IFA); 55% of cases and 29% of controls were positive. The Relative Odds of mental retardation in children with positive serology was 3.0 (95% CI 2.2-4.0). Maternal exposure to cats and contact with soil were associated with an increased risk of mental retardation. Retinochoroiditis was fourfold more prevalent among cases than controls and was only diagnosed in T. gondii IFA positive participants. Congenital toxoplasmosis, in its subclinical form, appears to be an important component in the etiology of mental retardation, especially in high risk (lower socio-economic) groups. The population attributable risk was estimated as 6.0-9.0%, suggesting the amount of mental retardation associated with this infection.

Characterization of two isolates of Trypanosoma cruzi obtained from the patient Berenice, the first human case of Chagas’ disease described by Carlos Chagas in 1909

Abstract Two isolates of Trypanosoma cruzi were obtained from the patient Berenice, the first human case of Chagas’ disease (Chagas 1909), when she was 55 and 71 years old, respectively. The isolates were characterized on the basis of their epimastigote-trypomastigote differentiation in liquid media and of the electrophoretic pattern of EcoR1 digestion products of kinetoplast DNA (k-DNA) minicircles (schizodeme) and isoenzyme patterns (zymodeme). Clear differences were found between the isolates, suggesting the occurrence of a heterogeneous population of T. cruzi in the infection of this patient.

Validity of serology for American Trypanosomiasis with eluates from filter paper

This study evaluates whether blood collected on filter paper kept at 4 degrees C and tested at different intervals of time (1, 7, 15, 30 and 60 days after collection) would present similar results when compared to the serum samples and whether the type of filter paper influences the results. Eluates from filter paper samples were tested for Trypanosoma cruzi antibodies using indirect immunofluorescence antibody test (IFAT), indirect haemagglutination (IHA) and enzyme-linked immunosorbent assay (ELISA) as reference, the antibody titer in sera. Analysis of data showed that results obtained with IFAT, IHA (cut off point = 1:40) and ELISA in sera had similar sensitivity and good concordance among reactions. The use of a multiple linear regression model indicated that titer fall in eluates occurs up to the 7th day after the collection, and it is more marked for samples with lower antibodies titers. However, no significant differences were observed by IFAT, IHA (cut off point = 1:20) and ELISA in the proportion of positive reactions between sera and eluates. The results also showed that Melitta, Klabin or Whatman (reference) filter papers could be indicated for surveys, since they have shown similar capacity of maintenance of anti-T. cruzi immunoglobulins.

Epidemiologia da infecção por Toxoplasma gondii no município de Ribeirão das Neves, MG: I. importância dos animais domésticos como fonte de infecção do T. gondii para o homem

During a six month period (June 1983 to January 1984), a case-control study was carried out to determine if the variables associated with domestic animals contact would be correlated with the prevalence of Toxoplasma gondii infection. A randomized sample of 500 subjects from the population of Ribeirao das Neves, Minas Gerais, Brazil was studied. A statistically significant correlation was found with cat, chicken and pig contact but none with consumption of meat, milk and eggs.

Epidemiology of Schistosoma mansoni infection in a low-endemic area in Brazil: clinical and nutritional characteristics

A cross-sectional case-control study designed to evaluate the role of malnutrition in the association between the intensity of Schistosoma mansoni infection and clinical schistosomiasis, was conducted in an area with both low frequency of infection and low morbidity of schistosomiasis in Brazil. Cases (256) were patients with a positive stool examination for S. mansoni; their geometrical mean number of eggs/gram of feces was 90. Controls (256) were a random sample of the negative participants paired to the cases by age, sex and length of residence in the area. The clinical signs and symptoms found to be associated with S. mansoni infection, comparing cases and controls, were blood in stools and presence of a palpable liver. A linear trend in the relative odds of these signs and symptoms with increasing levels of infection was detected. Adjusting by the level of egg excretion, the existence of an interaction between palpable liver and ethnic group (white) was suggested. No differences in the nutritional status of infected and non-infected participants were found.

Diagnóstico de infecção pelo Trypanosoma cruzi em gambas, naturalmente infectados, pela reação de imunofluorescência indireta

One hundred and sixteen opossums captured in Bambui, MG State, had an indirect fluorescent antibody test (IFAT) to detect circulating Trypanosoma cruzi antibodies. Forty-four of them (37.9%) reacted to T. cruzi, showing, titres rangingfrom 1:10 to 1:320. Theparasite was demonstrated by parasitological examinations in 43 (97.7%) of these opossums. The IFAT presented co-positivity (97.7%) co-negativity (98.6%) and agreement (98.3%) rates when compared to xenodiagnosis and hemoculture. Considering the dilution 1:20 to discriminate reactions from the nonreactive ones, the IFAT is indicated as a diagnostic method, opossums. The IFAT on dry filter paper presented low rates of co-positivity (78.2%), agreement (76.0%) and consistent disagreement related to the non-reactive results.

Eliminação de Toxoplasma gondii pela urina de camundongos durante a fase aguda da infecção experimental

Toxoplasma gondii tachyzoites from an avirulent strain, were used to subcutaneously infect mice (Swiss outbred strain). All died 7 to 9 days after infection (DAI) during acute phase infection. Eighty per cent eliminated T. gondii forms by urine. This was determined through infectivity test in normal mice (bioprove). Interstitial interbular hemorrhage were the more frequently observed lesion in renal histology. Whole erythrocytes could also be seen in some glomerular Bowmanns subcapsular space. T. gondii elimination mechanism is discussed, together with the relationship between these observations and natural toxoplasmosis transmission.Toxoplasma gondii tachizoites from an avirulent strain, were used to subcutaneously infect mice (Swiss outbred strain). All died 7 to 9 days after infection (DAI) during acute phase infection. Eighty per cent eliminated T. gondii forms by urine. This was determined through infectivity test in normal mice (bioprove). Interstitial intertubular hemorrhage were the more frequently observed lesion in renal histology. Whole erythrocytes could also be seen in some glomerular Bowmanns sub-capsular space. T. gondii elimination mechanism is discussed, together with the relationship between these observations and natural toxoplasmosis transmission.

Trypanosomiasis cruzi: a follow-up study of tissue reacting immunoglobulins in infected purebred pinscher dogs

Antibodies against striated muscle (cardiac and skeletal) were studied in serum samples from 36 purebred prepubertal Pinscher dogs (15 Controls without infection and 21 infected with Trypanosoma cruzi from 7 to 400 days after infection with 1000 trypomastigotes/gram body weight of the Colombiana strain by the intraperitoneal route). Although three different immunohistological pattems of tissue-reacting immunoglobulins were found their presence was not correlated with any peculiar characteristics or with the severity of the disease in each particular dog.