Seropositivity against pediculosis in children with cervical lymphadenopathy.

Unlike most arthropod ectoparasites, all human lice spend their entire lives on their hosts. This paper aimed to study the correlation between lice infestation and lymphadenopathy on one hand, and the serum levels of immunoglobulins on the other hand. The association of lymphadenopathy (cervical) and lice infestation is explained by the fact that lymph nodes are stimulated as part of an immune response evoked by the saliva secreted by lice. A marked correlation was found between high serum levels of IgE and pediculous children with cervical lymphadenopathy. This may suggest a new aetiological factor for the enlargement of lymph nodes in Egyptian children.

Prevalence of Giardia lamblia antibodies in serum and milk in lactating women from different social classes in Egypt.

Prevalence and levels of systemic and milk antibodies to G. lamblia in the different social classes of the population were studied using the IFAT and nor-partigen immunoglobulin plates. Blood and milk samples were collected simultaneously from lactating women in urban (Cairo) and rural (Benha) areas. Serum IgG was present in 90% of rural low standard mothers, 58% of urban moderate standard mothers, and 25% or urban high standard mothers (P less than 0.01, P less than 0.001 and P less than 0.01). Antilog of mean of antibody titers was significantly higher in the low standard rural mothers than in the urban moderate and high standard ones. Specific secretory IgA antibody in milk was found in 71% of rural low standard mothers, 31% of urban moderate standard mothers, and 16.6% of urban high standard mothers (P less than 0.001, P less than 0.01 and P greater than 0.05). The antilog of mean S-IgA titers was also higher in the low standard rural mothers. The titer levels of S-IgA in the three classes did not show any correlation with the quantitative levels of total IgA in milk, while specific IgG showed a positive correlation with the total serum IgG in the low standard rural mothers only (P less than 0.05). This study documented the widely different antibody response to G. lamblia in individuals living in different social classes.

PIP: Total IgG and secretory IgA antibodies, and specific IgG and S-IgA antibodies against Giardia lamblia were assayed in serum and milk respectively from 118 Egyptian mothers. The women were selected from 3 social classes: 24 of upper class from Cleopatra Hospital, Cairo, 52 of moderate social class from Ain Shams Maternity Hospital, Cairo, and 42 of low social class from Maternal and Infant Welfare Centers in rural Benha. Total IgG and S-IgA antibodies were assayed with the nor-partigen method, and specific G. lamblia antibodies with an indirect fluorescent antibody method. IgG antibodies in serum specific for G. lamblia were present in 62.7% of the total group: 90% from the low, 58% of the moderate, and 25% of the high social groups, all significantly different. Mean total IgG levels were 15.42, 19.81 and 33.5 g/L in the 3 groups (n.s.). Secretory IgA antibodies specific for G. lamblia occurred in 42.3% of the total milk samples: in 71% of the low, 31% of the moderate, and 16.6% of the high social class groups (low group significantly different from moderate and high groups). The mean total IgA level in the milk samples did not differ from normal. While the specific IgG titers were positively correlated with the total IgG content in serum, milk total S-IgA levels were not significantly correlated with specific anti-Giardia lamblia S-IgA titers. These results were similar to those reported from other contexts, and support the advice that women breastfeed their infants through age 2 to confer immunity against Giardia parasites.

Age-related rate of seropositivity of antibody to Giardia lamblia in different age groups in Cairo.

Two hundred and twenty normal individuals were subjected to Giardia lamblia antibody IgG analysis. All subjects were of low socioeconomic standard using Indirect Immunofluorescent Antibody Test (IFAT). According to age the study persons were divided into 4 groups : group I with age in between 6 to 35 months, group II with age in between 3 years and less than 6 years, group III with age group ranged between 6 years and 16 years old and group IV with age above 16 years. The Seropositivity to Giardia infection was (37%) in all age groups, while it was 23%, 52%, 32% and 40% in each of the four age groups respectively. It is a noteworthy that infants after 12 months of age showed seropositivity to Giardia infection which meant that they caught actual infection in this early period of life while infants younger than 12 months were all seronegative to Giardia antibody. Different patterns of age associated acquisition of antibody levels were noted in the study groups. Infants and children showed a progressive acquisition of antibody titre which arrived to the highest level at the adult age group greater than 16 years that was significantly higher than other age groups.

Delta virus and hepatitis B surface antigen in chronic liver diseases.

This work was carried out on 45 patients with chronic liver diseases, including 24 cases of liver cirrhosis and 21 cases of chronic hepatitis. Their ages ranged from 2 to 15 years (median 5). All cases were examined clinically and assessed biochemically for liver function tests. Serological studies were performed to detect hepatitis B surface antigen (HBsAg) and delta IgG antibody (IgG anti-HD) using Enzyme Immunoassay (EIA) technique. The study showed that IgG anti-HD was detected in 8.9% of cases with chronic liver diseases (all positive cases were with liver cirrhosis). On the other hand, HBsAg was detected in 53.3% of cases (54.2% of them with cirrhosis and 45.8% with chronic hepatitis) with no significant association between HBsAg positivity and type of hepatic illness. Moreover, IgG anti-HD was positive in only 4.2% of HBsAg positive cases, while 14.3% of HBsAg negative cases were positive for IgG anti-HD. A significant association was also found between delta positivity and serum glutamic oxaloacetic transferase level (SGOT). We concluded that chronic delta hepatitis appeared to be more severe than other types of chronic viral hepatitis, as all delta positive cases were with liver cirrhosis and had elevated SGOT levels. Screening of delta markers in addition to hepatitis B viral markers could improve the understanding of a number of obscure cases of chronic hepatic illnesses and would help in the control of HBV and consequently HDV infection in the general population.