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1.
Artigo em Inglês | MEDLINE | ID: mdl-30364124

RESUMO

Chikungunya virus (CHIKV) is a re-emergent arthropod-borne virus (arbovirus) that causes a disease characterized primarily by fever, rash and severe persistent polyarthralgia. In the last decade, CHIKV has become a serious public health problem causing several outbreaks around the world. Despite the fact that CHIKV has been around since 1952, our knowledge about immunopathology, innate and adaptive immune response involved in this infectious disease is incomplete. In this review, we provide an updated summary of the current knowledge about immune response to CHIKV and about soluble immunological markers associated with the morbidity, prognosis and chronicity of this arbovirus disease. In addition, we discuss the progress in the research of new vaccines for preventing CHIKV infection and the use of monoclonal antibodies as a promising therapeutic strategy.


Assuntos
Imunidade Adaptativa , Febre de Chikungunya/imunologia , Febre de Chikungunya/patologia , Imunidade Inata , Anticorpos Antivirais/sangue , Febre de Chikungunya/prevenção & controle , Febre de Chikungunya/terapia , Descoberta de Drogas/tendências , Humanos , Imunização Passiva/métodos , Vacinas Virais/imunologia , Vacinas Virais/isolamento & purificação
2.
Braz J Infect Dis ; 14(2): 125-8, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20563436

RESUMO

The family and neighbors of a patient infected with W. bancrofti microfilariae were assessed aiming to evaluate the occurrence of cases of lymphatic filariasis in a non-endemic area in the city of Maceió, in the Brazilian state of Alagoas. The patient had previously lived in an endemic focus; however, he has been living in an area where the parasite has never been detected for the past ten years. Female ingurgitated Culex quinquefasciatus mosquitoes captured in the houses of the microfilaremic individual and of his neighbors in the non-endemic region were also examined by polymerase chain reaction (PCR) technique. The thick blood smear examination, blood membrane filtration, and rapid immunochromatography (antigen search) revealed no infected individuals in the family of the microfilaremic individual. All 334 neighbors undergoing the thick blood smear examination were negative for W. bancrofti microfilariae. In 478 ingurgitated C. quinquefasciatus mosquitoes examined by PCR, no W. bancrofti DNA was detected. The microfilaremic individual had a microfilaremia considered very low according to WHO standards (4 microfilariae/mL of blood). As the vectorial infection depends on microfilaremia, the patient's low parasite load did not determine the contamination of other individuals in the area. Our data have shown that the long-term residence of the microfilaremic individual in the non-endemic region was not sufficient to start a new transmission focus of lymphatic filariasis in Maceió.


Assuntos
Culex/parasitologia , Filariose Linfática/diagnóstico , Wuchereria bancrofti/isolamento & purificação , Animais , Brasil/epidemiologia , Busca de Comunicante/métodos , Filariose Linfática/epidemiologia , Família , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reação em Cadeia da Polimerase
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