LYMPHOEPITHELIOMA-LIKE CARCINOMA OF THE URINARY BLADDER ASSOCIATED WITH SCHISTOSOMIASIS: A CASE REPORT AND REVIEW OF LITERATURE.

Lymphoepithelioma-like carcinoma is an undifferentiated carcinoma with histological features similar to undifferentiated, non-keratinizing carcinoma of the nasopharynx. Lymphoepithelioma-like carcinoma of the urinary bladder is uncommon with a reported. incidence of 0.4% -1.3% of all bladder cancers. This case describes an 80 years old Egyptian male patient presented with recurrent hematuria and necroturia. Cystoscopy revealed a tumor involving the left lateral and the posterior wall of the urinary bladder. The patient underwent transurethral resection of the bladder tumor. Pathological examination showed muscle invasive lymphoepithelioma-like carcinoma associated with schistosomiasis of the urinary bladder. To the best of our knowledge the association of schistosomiasis with lymphoepithelioma-like bladder cancer was not described in the literature before this case report.

Scanning electron microscopic study of trophozoite and cyst stages of Naegleria fowleri.

Whole trophozoites and cysts of axenically cultivated Naegleria fowleri were prepared for study of their surface morphology by scanning electron microscopy (SEM). Trophozoites and cyst stages were studied from Chang's culture media. Some trophozoites were examined after animal inoculation and brain isolation to compare the changes in surface features. Photomicrographs of freeze-dried and critical point-dried organisms fixed with glutaraldehyde were presented along with views of both isolates of trophozoites to compare the surface features. SEM revealed the surface of trophozoites to be undulating, wrinkled and covered at irregular intervals by protruding vesicles. There were also surface extensions which were long and thin in brain isolates which may help in the contact and cytolysis of host cells at some distance from the trophozoite. Some cysts appeared wrinkled while others smooth, and empty cysts were also seen with many pores on the surface.

A preliminary study on the prevalence of parasitic infections in immunocompromised children.

Parasitic infections might become life threatening in immuno-compromised children' The study assessed the parasites' prevalence in different groups of immuno-compromised children. It was conducted on 120 children of whom 90 were inpatients in Tanta University Pediatric Hospital and were divided into 6 groups. GI: malignant diseases, GII: renal diseases, GIII: aggressive corticosteroid therapy, GIV: malnourished, GV: diabetic & GVI: miscellaneous. GVII comprised healthy children as control. Each child was subjected to history taking, clinical examination and examination of 3 stool samples by direct wet smear and a concentration technique. Coproculture and smear staining by a special stain, as well as examination of one blood sample for anti-Toxoplasma antibodies were done. The diagnostic efficacy of an immuno-chromatographic test for Giardia/ Cryptosporidium coproantigen was also assessed. The results revealed parasitic infections in 62.2% of the children in the test groups. Cryptosporidium was the most prevalent (33.3%). Cryptosporidium and Microsporidia were significantly prevalent in GI, Giardia was significantly high in GII, and Strongyloides stercoralis was detected in GIII. Coproantigen detection test showed 100% sensitivity, 87.5% specificity and 95% accuracy for Giardia; and 13.3%, 100%, 35% for Cryptosporidium respectively.

Seroprevalence study of Toxocara canis in selected Egyptian patients.

This study was conducted in order to reveal the seroprevalence of T. canis infection in selected 150 Egyptian patients with presumptive clinical syndromes. They were children (128) with respiratory symptoms or pyrexia of unknown origin (PUO)and adults (22) with PUO. Anti-Toxocara antibodies (IgG) were detected in sera by ELISA. The results showed 6.2% positivity in children. The frequency increased in male gender, those in rural residence and in 6-12 years group versus 1-6 years, and 4% & 13.3% positivity in those with respiratory symptoms and PUO respectively. Adults positivity was 18%. So, male gender and residence in rural regions could be considered as risk factors for transmission of toxocariasis in children.