Moringa oleifera extract promotes apoptosis-like death in Toxoplasma gondii tachyzoites in vitro.

Toxoplasma gondii is the causative agent of toxoplasmosis, and an important problem of public health. The current treatment for toxoplasmosis is the combination of pyrimethamine and sulphadiazine, which do not act in the chronic phase of toxoplasmosis and have several side-effects. This study evaluated the anti-T. gondii activity and potential mechanism of Moringa oleifera seeds' aqueous extract in vitro. The concentration of M. oleifera extract in HeLa cells was determined by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide cell viability assays. The presence of T. gondii was assessed by quantitative polymerase chain reaction and toluidine blue staining. Pyrimethamine and sulphadiazine were used as drug controls. Modifications in T. gondii morphology and ultrastructure were observed by electron microscopy. In vitro, the M. oleifera extract had no toxic effect on HeLa cells at concentrations below 50 µg mL−1. Moringa oleifera extract inhibits T. gondii invasion and intracellular proliferation with similar results for sulphadiazine + pyrimethamine, and also shows cellular nitric oxide production at a concentration of 30 µg mL−1. Electron microscopy analyses indicated structural and ultrastructural modifications in tachyzoites after treatment. We also observed an increase in reactive oxygen species production and a loss of mitochondrial membrane integrity. Nile Red staining assays demonstrated a lipid accumulation. Annexin V­fluorescein isothiocyanate and propidium iodide staining demonstrated that the main action of M. oleifera extract in T. gondii tachyzoites was compatible with late apoptosis. In conclusion, M. oleifera extract has anti-T. gondii activity in vitro and might be a promising substance for the development of a new anti-T. gondii drug.

Improvement of the coagulation/flocculation process using a combination of Moringa oleifera lam with anionic polymer in water treatment.

The objective of this study is to investigate the impacts of anionic polymer as a flocculant aid on the coagulation/flocculation performance with a saline solution of Moringa oleifera as a coagulant to provide larger flocs and decrease the time sedimentation. For the tests, raw water was used from Pirapó River Basin (Maringá, Paraná, Brazil). Optimization of coagulation/flocculation tests was initially performed in a jar-test with a dosage of M. oleifera Lam (crude extract--MO, oil-extracted with ethanol--MO (et) and hexane--MO (hex) 1% m/v) as the coagulant that ranged from 10 to 60 mg L(-1) and of the anionic polymer 0.1% as a flocculant aid with a dosage that ranged from 0 to 0.4 mg L(-1). The parameters analysed were colour, turbidity and compounds with absorption in UV254nm. In view of the statistical analysis results, MO (hex) with a dosage of 30 mg L(-1) was chosen as a coagulant for the next tests of coagulation/flocculation. When anionic polymer was used alone (0.0 mg L(-1) of MO (hex)), parameters were not removed and there was no generation of heavy flocs as compared with the combination of MO (hex) with the anionic polymer. Statistical analysis showed that MO (hex) obtained the highest removals of the parameters analysed in lower dosages and no significant increase in parameters removal was observed when the polymer dosage was increased. The efficacy of the coagulant +/- anionic polymer was optimal when 30mg L(-1) of MO (hex) was used as a coagulant and 0.1 mg L(-1) of the anionic polymer was used as a flocculant aid, decreasing the time sedimentation from 1 h to 15 min.

Okara and okara modified and functionalized with iron oxide nanoparticles for the removal of Microcystis aeruginosa and cyanotoxin.

Eutrophicating compounds promote the growth of cyanobacteria, which has the potential of releasing toxic compounds. Alternative raw materials, such as residues, have been used in efficient adsorption systems in water treatment. The aim of the present study was to apply the residue Okara in its original form and modified by hydrolysis with immobilization of magnetic nanoparticles as an adsorbent. For the removal, the cyanobacteria Microcystis aeruginosa was chosen, as well as its secondary metabolites, L-amino acids leucine and arginine (MC-LR microcystin), from aqueous solutions. The adsorbents presented a negative surface charge, and the x-ray diffraction (DRX) outcomes successfully demonstrated the immobilization of iron oxide nanoparticles on the adsorbents. The adsorbent with the best result was the Okara hydrolyzed and functionalized with iron oxide, which showed a 47% (qe = 804.166 cel/g) and 85% (qe = 116.94 µg/L) removal for the cyanobacteria cells and chlorophyll-a, respectively. The kinetics study demonstrated a pseudo-first-order adsorption with maximal adsorption in 480 minutes, removing 761 µg/L of chlorophyll-a. In this trial, a low organic material removal has occurred, with a removal rate of 5% (qe = 0.024 mg/g) in the analysis of compounds in absorbance by ultraviolet light (UV) monitored by optical density determination in 254 nm (OD254). Nevertheless, the reaction system with the presence of organic material removed 53,28% of the MC-LR toxin, with adsorption capacities of 2.84 µg/L in a preliminary trial conducted for two hours, arising as a potential and alternative adsorbent with a capacity of removing cyanobacteria and cyanotoxin cells simultaneously.

Modified Moringa oleifera Lam. Seed husks as low-cost biosorbent for atrazine removal.

Atrazine is an herbicide which is widely applied in sugarcane and corn crops. Its frequent use has resulted in environmental impacts, and its traces have been verified in surface and groundwater. Thus, it is necessary to remove this pollutant, and an alternative is the adsorption due to its universal nature, low-cost and ease of operation. Therefore, the objective of the present work was to study the adsorption capacity of atrazine by modified Moringa oleifera Lam. seed husks, a low-cost adsorbent. The biosorbent was subjected to c hemical and thermal treatment and was characterised by structural, morphological and textural analysis, which showed porous and heterogeneous characteristics, with a specific surface area of 5.77 m2 g-1. The kinetic study demonstrated equilibrium at 1200 min, with an adsorption capacity of 1.90 mg g-1 and the best fit was for the pseudo-second-order model. The isotherms were obtained at 298, 308 and 318 K. The Freundlich, Temkin and Langmuir models were applied to the experimental data, the latter being the best. The values of the thermodynamic parameters indicated that the biosorption was spontaneous, endothermic and reversible. The highest adsorption capacity obtained was 10.32 mg g-1, which was higher than several values found in the literature. The biosorbent was regenerated over three cycles, indicating its potential of atrazine removal from surface water.

Increased levels of IL-17A in serum and amniotic fluid of pregnant women with acute toxoplasmosis.

This study detected and compared the levels of Il-17A, IFN-gamma and IL-10 in the amniotic fluid (AF) and serum of pregnant women with acute toxoplasmosis in southern Brazil. It also compared the serum levels of these mediators in pregnant women with acute or chronic toxoplasmosis and with uninfected women. The serological investigations of anti-T. gondii IgM and IgG from the 60 pregnant women were determined by chemiluminescence microparticle immunoassay (CMIA). Twenty patients were uninfected, twenty were in the chronic phase and twenty were in the acute phase of toxoplasmosis. The 20 pregnant women in acute phase all agreed with amniocentesis. Serum and AF cytokines were evaluated by sandwich enzyme-linked immunosorbent assay. The analyzed cytokines showed no significant difference in blood versus amniotic fluid levels of pregnant women in the acute toxoplasmosis. Furthermore, we observed that serum IL-17A was significantly higher in pregnant women in the acute phase of infection compared to pregnant women with chronic toxoplasmosis and seronegative pregnant women. T. gondii DNA was not amplified in any of the samples of amniotic fluid by the nested-PCR reaction. Serum IL-10 levels were also higher in negative pregnant women than in infected pregnant women. Our findings indicate the activation of an inflammatory response to infection by T. gondii and suggest that increased production of IL-17A may be a protective factor against infection of the fetus.

Antiviral therapies: advances and perspectives.

Viral infections cause high morbidity and mortality, threaten public health, and impose a socioeconomic burden. We have seen the recent emergence of SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2), the causative agent of COVID-19 that has already infected more than 29 million people, with more than 900 000 deaths since its identification in December 2019. Considering the significant impact of viral infections, research and development of new antivirals and control strategies are essential. In this paper, we summarize 96 antivirals approved by the Food and Drug Administration between 1987 and 2019. Of these, 49 (51%) are used in treatments against human immunodeficiency virus (HIV), four against human papillomavirus, six against cytomegalovirus, eight against hepatitis B virus, five against influenza, six against herpes simplex virus, 17 against hepatitis C virus and one against respiratory syncytial virus. This review also describes future perspectives for new antiviral therapies such as nanotechnologies, monoclonal antibodies and the CRISPR-Cas system. These strategies are suggested as inhibitors of viral replication by various means, such as direct binding to the viral particle, blocking the infection, changes in intracellular mechanisms or viral genes, preventing replication and virion formation. We also observed that a large number of viral agents have no therapy available and the majority of those approved in the last 32 years are restricted to some groups, especially anti-HIV. Additionally, the emergence of new viruses and strains resistant to available antivirals has necessitated the formulation of new antivirals.

Assessment of the use of Moringa oleifera seed husks for removal of pesticide diuron from contaminated water.

Considering the need for new technologies for the removal of pesticides from the aqueous environment, the Moringa oleifera seed husks (h-MO) were investigated for the diuron adsorption from contaminated water at different temperatures and solute concentrations. The biosorbent used in this study was characterized by chemical, structural and textural analyses. The best experimental condition for the biosorption was determined by evaluating the mass of the biosorbent and the pH solution. We found a good adsorption capacity for the herbicide where the maximum adsorption capacity was 14.74 mg/g at pH 5 and 45°C. In addition, the adsorption process of diuron by the h-MO occurred spontaneously, in which, ΔG° values increased as the temperature increased, meaning that the process tends to a more energetically favourable process at higher temperatures. Both Langmuir and Sips isotherm models presented satisfactory adjustment at all temperatures and the pseudo-second-order model presented the best fit for the experimental results. The application of the intra-particle diffusion model showed that the adsorption process started instantaneously through the boundary layer of the adsorbent and that the pore diffusion step was a limiting step in the process. Finally, the capacity of the h-MO was compared with other adsorbents that had been used for diuron removal from contaminated where it was found that the adsorption capacity of the h-MO is much higher than other natural adsorbents.

The congenital toxoplasmosis burden in Brazil: Systematic review and meta-analysis.

Congenital toxoplasmosis is a zoonosis caused by the intracellular Apicomplexa protozoan Toxoplasma gondii. This infection causes subclinical or clinical lesions, such as retinochoroiditis and central nervous system lesions. The severity of fetal infection is related to the stage of pregnancy and the efficacy of the gestational treatment on fetal infection, whether it is achieved, or if it starts early. South America is the region with the highest burden of congenital toxoplasmosis and the most pathogenic genotypes. Here, we present the results of a comprehensive systematic review and meta-analysis of the congenital toxoplasmosis in Brazil. PubMed, Web of Science, and CAPES databases were used to search for relevant studies that were published between 1 January 2007 and 31 December 2018. The final searching process yielded 21 papers. The studies accounted for 469 children with congenital toxoplasmosis. Of these, 269 (57%) had a diagnosis in the postnatal period. Concerning mothers, 209 (44.6%) underwent prenatal care, but 47 (22.5%) did not receive any drug for toxoplasmosis treatment. There were 226 (48.2%) children with retinochoroiditis; 83 (17.7%) with brain calcifications; 9 (1.9%) with neurosensory auditory dysfunction; and 2 (0.42%) with human immunodeficiency virus coinfection. A total of 460 (98%) children had a medical and multidisciplinary follow-up for at least one year and the most frequent genotype was #11(BRII), found in seven children. There was a statistical correlation between the mother's treatment and asymptomatic children. The gestational treatment seems to protects the fetus since children of mothers who received anti-T. gondii medications have a better prognosis. The retinochoroiditis was the main finding among children, followed by brain calcifications.

Development of a magnetic coagulant based on Moringa oleifera seed extract for water treatment.

In this work, to evaluate the effectiveness of the coagulation/flocculation using a natural coagulant, using Moringa oleifera Lam functionalized with magnetic iron oxide nanoparticles, producing flakes that are attracted by an external magnetic field, thereby allowing a fast settling and separation of the clarified liquid, is proposed. The removal efficiency of the parameters, apparent color, turbidity, and compounds with UV254nm absorption, was evaluated. The magnetic functionalized M. oleifera Lam coagulant could effectively remove 90 % of turbidity, 85 % of apparent color, and 50 % for the compounds with absorption at UV254nm, in surface waters under the influence of an external magnetic field within 30 min. It was found that the coagulation/flocculation treatment using magnetic functionalized M. oleifera Lam coagulant was able to reduce the values of the physico-chemical parameters evaluated with reduced settling time.

Removal of Anabaena flos-aquae in water treatment process using Moringa oleifera and assessment of fatty acid profile of generated sludge.

This study aimed to evaluate the efficiency of the coagulation/flocculation/dissolved air flotation (C/F/DAF) process using the coagulant Moringa oleifera (MO) seed powder, and to analyse the profile of fatty acids present in the generated sludge after treatment. For the tests, deionized water artificially contaminated with cell cultures of Anabaena flos-aquae was used, with a cell density in the order of 10(4) cells mL(-1). C/F/DAF tests were conducted using 'Flotest' equipment. For fatty acid profile analyses, a gas chromatograph equipped with a flame ionization detector was used. It was seen that the optimal dosage (100 mg L(-1)) of MO used in the C/F/DAF process was efficient at removing nearly all A. flos-aquae cells (96.4%). The sludge obtained after treatment contained oleic acid (61.7%) and palmitic acid (10.8%). Thus, a water treatment process using C/F/DAF linked to integral MO powder seed was found to be efficient in removing cells of cyanobacteria, and produced a sludge rich in oleic acid that is a precursor favourable for obtaining quality biodiesel, thus becoming an alternative application for the recycling of such biomass.

WATER FROM DIFFERENT SOURCES USED FOR THE IRRIGATION OF VEGETABLES TO BE MARKETED: RESEARCH ON Cryptosporidium spp., Giardia spp., AND COLIFORMS IN PARANA, BRAZIL.

The aim of this work was to compare, from a parasitological ( Cryptosporidium spp. and Giardia duodenalis), bacteriological (total and thermotolerants coliforms) and physicochemical perspective, water sources used for drinking and irrigation of vegetables intended to be sold for human consumption. From January 2010 to May 2011, samples of different water sources from vegetable producing properties were collected; 100 liters for parasitological analysis, 200 mL for bacteriological analysis, and five liters for physicochemical analysis. Water samples were filtered under vacuum with a kit containing a cellulose acetate membrane filter, 1.2 µm (Millipore(r), Barueri, SP, Brazil). The material retained on the membrane was mechanically extracted and analyzed by direct immunofluorescence (Merifluor(r)kit). From 20 rural properties investigated, 10 had artesian wells (40 samples), 10 had common wells (40 samples), and one had a mine (four samples), the latter contaminated by Cryptosporidium spp. In samples from artesian wells, 90 to 130 meters depth, 42.5% were positive for total coliforms and 5.0% were identified to have abnormal coloration. From the samples of common wells, 14 to 37 meters depth, 87.5% were contaminated with total coliforms, 82.5% were positive for thermotolerant coliforms, and 12.5% had color abnormalities. We did not detect the presence of Giardia spp. or Cryptosporidium spp. in artesian and common wells. The use of artesian or common wells is an important step in the control of the spreading of zoonoses, particularly Cryptosporidium spp. and Giardia spp., as well as artesian wells for coliform control in local production of vegetables to be marketed.

Food handlers as a link in the chain of transmission of Giardia duodenalis and other protozoa in public schools in southern Brazil.

BACKGROUND: Food handlers (FHs) may facilitate transmission and dissemination of pathogens. The importance of FHs as a link in the epidemiological chain of transmission of Giardia duodenalis and other intestinal protozoa was assessed. METHODS: Fecal and subungual material from 27 FHs were analyzed using parasitological methods. G. duodenalis was identified by direct immunofluorescence and genotyped by PCR-RFLP for the bg and gdh genes, and gdh was sequenced. RESULTS: At least one protozoan was detected in 30% (8/27) of the FHs and G. duodenalis (19%; 5/27) was the most common species. The AII and BIV genotypes were found in 20% (1/5) and 60% (3/5) of FHs infected with G. duodenalis, respectively. CONCLUSIONS: FHs can be involved in the chain of transmission of G. duodenalis and other protozoa. GENBANK ACCESSION NUMBERS: KJ741310 - KJ741313.

Identical assemblage of Giardia duodenalis in humans, animals and vegetables in an urban area in southern Brazil indicates a relationship among them.

BACKGROUND: Giardia duodenalis infects humans and other mammals by ingestion of cysts in contaminated water or food, or directly in environments with poor hygiene. Eight assemblages, designated A-H, are described for this species. METHODOLOGY/PRINCIPAL FINDINGS: We investigated by microscopy or by direct immunofluorescence technique the occurrence of G. duodenalis in 380 humans, 34 animals, 44 samples of water and 11 of vegetables. G. duodenalis cysts present in samples were genotyped through PCR-RFLP of ß giardin and glutamate dehydrogenase (gdh) genes and sequencing of gdh. The gdh gene was amplified in 76.5% (26/34) of the human faeces samples with positive microscopy and in 2.9% (1/34) of negative samples. In 70.4% (19/27) of the positive samples were found BIV assemblage. In two samples from dogs with positive microscopy and one negative sample, assemblages BIV, C, and D were found. Cysts of Giardia were not detected in water samples, but three samples used for vegetable irrigation showed total coliforms above the allowed limit, and Escherichia coli was observed in one sample. G. duodenalis BIV was detected in two samples of Lactuca sativa irrigated with this sample of water. BIV was a common genotype, with 100% similarity, between different sources or hosts (humans, animals and vegetables), and the one most often found in humans. CONCLUSIONS/SIGNIFICANCE: This is the first study in Brazil that reports the connection among humans, dogs and vegetables in the transmission dynamics of G. duodenalis in the same geographic area finding identical assemblage. BIV assemblage was the most frequently observed among these different links in the epidemiological chain.

Association between contamination of public squares and seropositivity for Toxocara spp. in children.

A concomitant study was carried out, of the association of positive serology for Toxocara spp. in 90 children who played in public squares used for leisure, with the frequency with which each child used these areas, and the presence of eggs of Toxocara spp. in the sand or grass in these locations. The sand and grass of their peridomiciles and school playgrounds, as well as the feces of their dogs were also analyzed for Toxocara. Serum samples were tested for IgG antibodies to Toxocara canis excreted-secreted larval antigens by ELISA, and blood samples for eosinophilia. The water-sedimentation technique was used to evaluate the presence of parasite eggs in the sand and grass turfs, and in feces of the dogs that also frequented these locations. 16/90 (17.8%) of the children were seropositive for Toxocara spp. There was a positive association between seropositivity in children who played in the public squares six or seven times a week, with a parasite load above 1.1 eggs/g of sand, as well as with contamination of the peridomicile, even at less than 1.0 egg/g of sand. Eosinophilia, the habit of geophagy, age from one to four years, and the presence of parasitized pet dogs were also positively correlated with seropositivity in the children. Eggs were found in 15/15 (100%) of the public squares, 17/90 (18.9%) of the peridomiciles, 3/13 (23.1%) of the schools, and 12/41 (29.3%) of the dogs living in the peridomiciles investigated.

Water from different sources used for the irrigation of vegetables to be marketed: research on Cryptosporidiumspp, giardiaspp, and Coliforms in Parana, Brazil / Água de diferentes fontes utilizadas na irrigação de hortaliças comercializadas: pesquisa de Cryptosporidiumspp, giardiaspp, e coliformes, Paraná, Brasil

SUMMARYThe aim of this work was to compare, from a parasitological ( Cryptosporidiumspp. and Giardia duodenalis), bacteriological (total and thermotolerants coliforms) and physicochemical perspective, water sources used for drinking and irrigation of vegetables intended to be sold for human consumption. From January 2010 to May 2011, samples of different water sources from vegetable producing properties were collected; 100 liters for parasitological analysis, 200 mL for bacteriological analysis, and five liters for physicochemical analysis. Water samples were filtered under vacuum with a kit containing a cellulose acetate membrane filter, 1.2 µm (Millipore(r), Barueri, SP, Brazil). The material retained on the membrane was mechanically extracted and analyzed by direct immunofluorescence (Merifluor(r)kit). From 20 rural properties investigated, 10 had artesian wells (40 samples), 10 had common wells (40 samples), and one had a mine (four samples), the latter contaminated by Cryptosporidiumspp. In samples from artesian wells, 90 to 130 meters depth, 42.5% were positive for total coliforms and 5.0% were identified to have abnormal coloration. From the samples of common wells, 14 to 37 meters depth, 87.5% were contaminated with total coliforms, 82.5% were positive for thermotolerant coliforms, and 12.5% had color abnormalities. We did not detect the presence of Giardiaspp. or Cryptosporidiumspp. in artesian and common wells. The use of artesian or common wells is an important step in the control of the spreading of zoonoses, particularly Cryptosporidiumspp. and Giardiaspp., as well as artesian wells for coliform control in local production of vegetables to be marketed.

RESUMOO objetivo do estudo foi investigar fontes de água utilizadas para consumo e irrigação de hortaliças a serem comercializadas sob o aspecto parasitológico ( Cryptosporidiumspp. e Giardia duodenalis), bacteriológico (coliformes totais e termotolerantes) e físico-químico. De janeiro de 2010 a maio de 2011 foram coletadas amostras de água de diferentes fontes de abastecimento de propriedades produtoras de hortaliças; 100 litros para análise parasitológica, 200 mL para bacteriológica e cinco litros para análise físico-química. As amostras de água foram filtradas a vácuo com um kit de filtragem contendo uma membrana de acetato de celulose, 1,2 µm, (Millipore(r), Barueri, São Paulo, Brasil). O material retido na membrana foi extraído mecanicamente e analisado por imunofluorescência direta (kit Merifluor(r)). De 20 propriedades rurais, 10 tinham poços artesianos (40 amostras), 10 semi-artesianos (40 amostras) e um possuía uma mina (quatro amostras). Esta última contaminada por Cryptosporidiumspp. Das amostras de poços artesianos com 90 a 130 metros de profundidade, 42,5% foram positivas para coliformes totais e 5,0% apresentavam coloração alterada. Em amostras de poços semi-artesianos com 14 a 37 m de profundidade, 87,5% apresentaram coliformes totais, 82,5% termotolerantes, e 12,5% destas amostras tinham alteração de cor. Não foi detectada a presença de Giardiaspp. e Cryptosporidiumspp. em poços artesianos ou semi-artesianos. A utilização de poços artesianos ou semi artesianos constitui importante medida no controle da disseminação de zoonoses, principalmente Cryptosporidiumspp. e Giardiaspp., assim como de poços artesianos para o controle de coliformes, em locais de produção de hortaliças irrigadas, a serem comercializadas.

[Enteropathogens relating to diarrhea in HIV patients on antiretroviral therapy]. / Enteropatógenos relacionados à diarréia em pacientes HIV que fazem uso de terapia anti-retroviral.

The etiology of the diarrheic process in AIDS may be caused by viruses, bacteria, fungi, protozoa or helminths, as well as HIV itself. This study evaluated enteropathogens relating to diarrhea in HIV patients who were on antiretroviral therapy. The parasitological methods used were Faust, Hoffmann and Kinyoun. Isolation and culturing of fungi were carried out in accordance with the methodology recommended by the NCCLS M27-A standard. The yeast species were identified using the polymerase chain reaction (PCR). Bacteria were isolated on MacConkey and SS agar and the species were identified using Enterokit B (Probac do Brasil) and biochemical methods. Forty-nine patients were evaluated: 44.89% presented enteroparasites and 48.1% presented Candida sp, of which 61.5% were Candida albicans, 7.6% were Candida sp and 30.7% were Candida non-albicans. Bacteria were isolated from 72% of the patients, of which 49% were Escherichia coli, 13% Salmonella parathyphi, Klebsiella sp or Proteus and 6% Citrobacter freundii or Yersinia sp. There was high prevalence of Candida sp in HIV patients with diarrhea and non-albicans species were isolated. Their presence could be taken to mean that they were accomplices in or causes of the infection.

Giardia spp. and Cryptosporidium spp. In the Ivaí Indigenous Land, Brazil.

The objective of this study was to investigate the occurrence of cysts of Giardia spp. and oocysts of Cryptosporidium spp. in waters of the Ivaí Indigenous Land, Brazil. Samples of river and spring water and of treated water were filtered and analyzed by direct immunofluorescence (Merifluor kit, Meridian Bioscience, Cincinnati, Ohio). Of 21 samples, 7 from each locality, 3 (3/7, 42.8%) from a river were positive for Giardia (mean concentration 2.57 cysts/L), and 1 (1/7, 14.3%) was positive for Cryptosporidium (6 oocysts/L). From springs, 1 sample (1/7, 14.3%) was positive for Cryptosporidium (6 oocysts/L). One sample (1/7, 14.3%) from treated water was positive for both, with 4 oocysts/L and 2 cysts/L. Giardia was the more frequent protozoan present.

Blastocystis sp. and other intestinal parasites in hemodialysis patients.

Chronic renal insufficiency disease (CRI) leads to uremia in hemodialysis patients and induces a state of immunodepression that results in higher frequencies of infections and diarrhea. Hemodialysis patients resident in the city of Campo Mourão, Paraná, Brazil were analyzed from April 2006 through September 2007 for Blastocystis sp. and other intestinal parasites and for associated diarrhea. Fecal samples from 86 hemodialysis patients and 146 healthy (reference) persons were examined by standard methods for detecting ova, larvae and cysts, which included preservation in 10% formalin and the Kinyoun method. Thirty-three hemodialysis patients (45.1%) and 36 reference individuals (25.7%) were found to be parasitized. The differences in the percentages of parasitism and polyparasitism between the reference group and the chronic renal patients was significant (p= 0.0318 and 0.0019, respectively). Blastocystis sp. (18%-20.1%), Endolimax nana (14%-16.3%), Cryptosporidium sp. (4%-4.7%) and Entamoeba coli (4%-4.7%) were the most frequent protozoa found in the hemodialysis patients. Parasitism was not significantly associated with diarrhea (p=0.9947) or with decreased white blood cell counts (p=0.7046) in these individuals. Because parasitic infections may be an important comorbidity factor in hemodialysis patients, we suggest that parasitological stool examinations, especially for Blastocystis sp. and Cryptosporidium sp., be included in routine medical follow-up examinations of these patients.

Enteropatógenos relacionados à diarréia em pacientes HIV que fazem uso de terapia anti-retroviral / Enteropathogens relating to diarrhea in HIV patients on antiretroviral therapy

A etiologia do processo diarréico na AIDS pode ser causada por vírus, bactérias, fungos, protozoários e helmintos, assim como pelo próprio HIV. Este trabalho avaliou enteropatogenos relacionados à diarréia em pacientes HIV que fazem uso de terapia anti-retroviral. Os métodos parasitológicos utilizados foram Faust, Hoffmann e Kinyoun. O isolamento e cultura dos fungos foram realizados conforme metodologia recomendada por NCCLS M27-A standard. A identificação das espécies de leveduras foi realizada através da reação em cadeia da polimerase. O isolamento de bactérias, foi feito em agar Mac Conkey e agar SS, a identificação das espécies através do Enterokit B (Probac do Brasil) e métodos bioquímicos. Foram avaliados 49 pacientes, 44,9 por cento apresentaram enteroparasitas, 48,1 por cento Candida sp com 61,5 por cento Candida albicans, 7,6 por cento Candida sp e 30,7 por cento Candida não- albicans. Foram isoladas bactérias de 72 por cento dos pacientes, 49 por cento Escherichia coli, 13 por cento Salmonella parathyphi, Klebsiella sp ou Proteus e 6 por cento Citrobacter freundii ou Yersinia sp. Houve alta prevalência de Candida sp nos pacientes HIV com diarréia e foram isoladas espécies não albicans cuja presença pode ser entendida como cúmplice ou causa da infecção.

The etiology of the diarrheic process in AIDS may be caused by viruses, bacteria, fungi, protozoa or helminths, as well as HIV itself. This study evaluated enteropathogens relating to diarrhea in HIV patients who were on antiretroviral therapy. The parasitological methods used were Faust, Hoffmann and Kinyoun. Isolation and culturing of fungi were carried out in accordance with the methodology recommended by the NCCLS M27-A standard. The yeast species were identified using the polymerase chain reaction (PCR). Bacteria were isolated on MacConkey and SS agar and the species were identified using Enterokit B (Probac do Brasil) and biochemical methods. Forty-nine patients were evaluated: 44.89 percent presented enteroparasites and 48.1 percent presented Candida sp, of which 61.5 percent were Candida albicans, 7.6 percent were Candida sp and 30.7 percent were Candida non-albicans. Bacteria were isolated from 72 percent of the patients, of which 49 percent were Escherichia coli, 13 percent Salmonella parathyphi, Klebsiella sp or Proteus and 6 percent Citrobacter freundii or Yersinia sp. There was high prevalence of Candida sp in HIV patients with diarrhea and non-albicans species were isolated. Their presence could be taken to mean that they were accomplices in or causes of the infection.