Circulating cathodic antigen cassette test versus haematuria strip test in diagnosis of urinary schistosomiasis.

Urinary schistosomiasis caused by Schistosoma haematobium constitutes a major public health problem in many tropical and sub-tropical countries. This study was conducted to evaluate circulating cathodic antigen cassette test and haematuria strip test for detection of S. haematobium in urine samples and to evaluate their screening performance among the study population. Microscopy was used as a gold standard. A total of 600 urine samples were examined by microscopy for detection of S. haematobium eggs, screened for microhaematuria using Self-Stik reagent strips and screened for circulating cathodic antigen (CCA) using the urine-CCA cassette test. The specificity of CCA, microhaematuria and macrohaematuria was 96.4, 40.6 and 31.2 % respectively while the sensitivity was 88.2, 99.3 and 100 % respectively which was statistically significant (P < 0.001). These findings suggest that using of urine-CCA cassette test in diagnosis of urinary schistosomiasis is highly specific (96.4 %) compared with the highly sensitive haematuria strip test (100 %). The degree of agreement between microscopic examination and CCA detection was 99.3 % with highly statistically significant difference (P < 0.001). The combination of two techniques could potentially use for screening and mapping of S. haematobium infection.

CLINICAL AND PARASITOLOGICAL STUDIES ON PULMONARY AND HEPATIC HYDATID CYSTS IN HOSPITALIZED CHILDREN AND ADULTS.

A cross sectional study compared the clinical features of the pulmonary and hepatic hydatid cysts in children and adults and evaluated IHAT and ELISA techniques in diagnosis. The results showed that the patients ages were 5-14 years (10.6 ± 3.7) in children and 16-75 years (32.2 ± 14) in adults, patients 34 (75.5%) had liver cysts, 25 (55.5%) had pulmonary cysts and 7 (15.5%) had both liver and lung cysts. In hepatic hydatidosis, 7/34 (20.5%) cases were asymptomatic while others showed variable clinical manifestations. The commonest symptom was localized right hypochondrial pain in 13 (38.2%) and the least one was jaundice in 4 (11.7%). The commonest sign was abdominal masses on the right hypochondrium in 88.2% and the least one was ascites in 5.8%.The commonest symptom of pulmonary hydatidosis was chest pain in 8 (34.7%) followed by cough and hemoptysis pn 4 (17.3%) and the least one was cough and fever (8.6%). Pulmonary hydatid cysts in children were significantly higher in males (17.3%) than females (4.3%), but without significance in adults (26% in male vs. 21.7% in females). Sex difference in hydatid cyst frequencies between adults and children was significant (P < 0.05). Mixed hepatic and pulmonary cysts were less in children than in adults (14.3% vs. 85.7%), with huge pulmonary cysts of 20 cm were more common in children (37.7%) than in adults (17.7%). The high sensitivity (95.5%) of ELISA-IgG recommended this test showed a dependable sero-diagnosing one.

Soil transmitted parasites in Qualyobia Governorate.

The study determined the relation between prevalence of intestinal parasites and soil-transmitted parasites among households in Shiblanga representing a rural area of Qualyobia Governorate and Benha City representing an urban area of the same Governorate. The effect of soil's type on the intensity of parasites and to provide guidance on the prevention and control of soil transmitted parasitic infections for future studies in this field. This study was conducted at Benha City and Shiblanga village representing the urban and rural areas of Qualyobia Governorate. Geoparasites were investigated in-doors, around houses, in the fields and the streets from both areas. One hundred soil samples from Benha city and one hundred soil samples from Shiblanga village were collected .each hundred soil samples was collected in the form of: 25 samples from the fields, 25 samples in-indoor yards, 25 samples the streets, 25 samples around houses. Approximately 200 g soil was collected in plastic bags at 2-10 cm depth from different parts. Stool samples from households in same areas were collected after taken oral consent. All soil samples were screened for parasites using different parasitological methods (Zinc sulphate flotation, ether sédimentation technique, modified Baerman's apparatus and modified Berlese technique). All stool samples were examined using direct smear, formalinether concentration techniques for detection of helminthes eggs, and modified acid-fast staining for detection of protozoa. The results showed that 86/200 soil samples were contaminated with different parasites, the prevalence rate of 43%. Soil samples from Shiblanga village showed higher level of parasitic contamination (56%) and Benha city showed a lower level of contamination by different parasites (30%). Soil samples obtained from Manshiet El-Nour district, Benha revealed the highest level of parasitic contamination. While, in Shiblanga, El-Mansheya district revealed the highest level of parasitic contamination. Clay soil was the most type of soil contaminated by hel-minthes.The10 houses out of 50 houses had the same parasites in the soil and in stool of their households, 8 houses in Shiblinga village and 2 houses in Benha city.

Present situation of Schistosoma haematobium infection among primary school aged children in some areas of Qualyobia governorate-Egypt.

The current study determined the present situation of urinary schistosomiasis among primary school children in some areas of Qualyobia governorate in Egypt using different diagnostic methods, and to study the effect of Schistosoma haematobium infection on growth parameters of the affected children.The Results showed that The prevalence rate of S. haematobium infection among school children was 5.3% (32/600-child). The infection was more prevalent in males (7.3%) than females (3.1%). The mean age of children was 9.0 +/- 1.76. All infected children showed hindered growth parameter in comparison to corresponding children (low height, weight and body mass index (BMI) for age Z-score). Water contact activities were more frequent in males than females (P<0.001). The dipstick test specificity was 96.4% (versus 96.7% by microscopic examination) and the sensitivity was 88.2% (versus 76.5% by microscopic examination), which was statistically significant (P<0.001).

Clinical varieties of Toxocariasis canis in Children's Hospital, Mansoura University: is it an underestimated problem?

Human toxocariasis is a worldwide parasitic disease. Children are more frequently infected because of the closer contact with contaminated soil and relatively frequent geophagia. Toxocariasis in children has variable modes of presentation but clinical diagnosis is difficult. Various clinical phenotypes of toxocariasis in symptomatic children attending Children's Hospital Mansoura University were studied. A total of 480 children were included in the study with mean age 7.24 +/- 4.22 years, 61.9% were boys and 200 age-sex-matched healthy controls. Patients were examined clinically, and the anti-Toxocara antibodies in the blood of children were performed by ELISA using T. canis larval excretory-secretory products as antigen. Eosinophils level in peripheral blood was measured. Sero-positive cases were 12 % of patients and only 3.5% of controls. Statistical analysis showed a significant association between infection and male sex (P <0.001). Sero-positive children were older than the sero-negative (P <0.001). Eosinophilia was detected in 86.2% of sero-positive children. Sero-positivity and degree of eosinophilia were more frequently detected among patients with allergy (bronchial asthma and urticaria). Degree of eosinophilia was found to be positively correlated to the optical density (OD) ELISA of anti-Toxocara IgG.

Experimental study on respiratory cryptosprodiosis.

Cryptosporidiosis has a worldwide geographical and zoological distribution. Cryptosporidium baileyi oocysts were isolated from the bursa of Fabricius (BF) of 4 weeks-old of 100 broilers. Twenty five broiler chicks of 2 day old free from cryptosporidial infection were inoculated intratracheally at a dose of 1 x 10(6) chicks. Five chicks were sacrificed at 4th, 8th, 12th, 16th, and 20th day postinoculation. Selected tissues from bursa of Fabricius, cloaca, colon, caeci and tracheas were taken and examined directly by scraping technique for endogenous stages. The distribution of C. baileyi in different tissues in the case of intratracheal inoculation; trachea 23 (92 %) chicks infected, bursa of Fabricius 21 (84%) chicks, Cloaca 5 (16 %) chicks, Colon 1 (4%) chick and the caeci showing no infection. Daily examination of the intratracheal droppings inoculation was done at the 5th day and lasted for 18-20 days, the patent period.