Microscopy detection and molecular characterisation of Giardia duodenalis infection in outpatients seeking medical care in Egypt.

Introduction: Giardiosis remains one of the most prevalent enteric parasitic infections globally. Earlier molecular-based studies conducted in Egypt have primarily focused on paediatric clinical populations and most were based on single genotyping markers. As a result, there is limited information on the frequency and genetic diversity of G. duodenalis infections in individuals of all age groups. Methods: Individual stool samples (n = 460) from outpatients seeking medical care were collected during January-December 2021 in Kafr El-Sheikh governorate, northern Egypt. Initial screening for the presence of G. duodenalis was conducted by coprological examination. Microscopy-positive samples were further confirmed by real-time PCR. A multilocus sequence typing approach targeted amplification of the glutamate dehydrogenase (gdh), beta-giardin (bg), and triose phosphate isomerase (tpi) genes was used for genotyping purposes. A standardised epidemiological questionnaire was used to gather basic sociodemographic and clinical features of the recruited patients. Results: Giardia duodenalis cysts were observed in 5.4% (25/460, 95% CI: 3.6-7.9) of the stool samples examined by conventional microscopy. The infection was more frequent in children under the age of 10 years and in individuals presenting with diarrhoea but without reaching statistical significance. Stool samples collected during the winter period were more likely to harbour G. duodenalis. All 25 microscopy-positive samples were confirmed by real-time PCR, but genotyping data was only available for 56.0% (14/25) of the isolates. Sequence analyses revealed the presence of assemblages A (78.6%, 11/14) and B (21.4%, 3/14). All assemblage A isolates were identified as sub-assemblage AII, whereas the three assemblage B sequences belonged to the sub-assemblage BIII. Patients with giardiosis presenting with diarrhoea were more frequently infected by the assemblage A of the parasite. Conclusion: This is one of the largest epidemiological studies evaluating G. duodenalis infection in individuals of all age groups in Egypt. Our molecular data suggest that G. duodenalis infections in the surveyed population are primarily of anthropic origin. However, because assemblages A and B are zoonotic, some of the infections identified can have an animal origin. Additional investigations targeting animal (domestic and free-living) and environmental (water) samples are warranted to better understand the epidemiology of giardiosis in Egypt.

Draft genome sequences of four Morganella morganii strains isolated from Colombian colorectal cancer patient stool specimens.

We report the draft genome sequences of four Morganella morganii strains isolated from the stools of four patients diagnosed with colorectal cancer (CRC) in Medellín, Colombia. These genomes represent an important addition to the limited number of genomes of M. morganii strains originating from CRC patients currently available.

The burden of intestinal parasitic infections in Antioquia, Colombia: Impact in childhood growth development and nutritional status.

Gastrointestinal protist (GP) and soil-transmitted helminth (STH) infections cause significant morbidity among children in poor-resource settings of tropical and sub-tropical countries including Colombia. Few prospective transversal studies investigating how GP and STH infections affect growth development and nutritional status during childhood have been conducted in this country, none of them in the Antioquia Department. This microscopy-based study estimated the prevalence of GP and helminth (including STH) infections in faecal samples from schoolchildren (n = 384) collected during April-May 2019 in three municipalities of the Antioquia Department. Demographic, epidemiological, and household data were elicited through face-to-face interviews. Parasite detection was carried out by direct microscopic examination of both fresh smears and concentrated faecal material. Children (aged 6-15 years) also had their haemoglobin (Hb) levels, height and weight data collected, and BMI estimated. Data were analysed using bivariate and multivariate logistic regression analysis. Overall, 60.7 % (233/384) of schoolchildren were infected by at least one intestinal parasitic species. Among GPs, Blastocystis sp. was the most common species found (47.7 %, 95 % CI: 42.6-52.8), followed by G. duodenalis (15.9 %, 95 % CI: 12.4-19.9). Cryptosporidium spp. and Cyclospora cayetanensis were sporadically identified (0.3 %, 95 % CI: 0.1-1.4 each). Among helminths, the most prevalent species found were Trichuris trichiura (6.0 %, 95 % CI: 3.8-8.9) and Enterobius vermicularis (1.0 %, 95 % CI: 0.3-2.6). Hookworms, Ascaris lumbricoides, and Strongyloides stercoralis were found at prevalence rates <1 %. Underweight, overweigh, or obese schoolchildren had 1.2 times greater chance of being infected with intestinal parasites than their counterparts with a healthy weight (P-value: 0.015). Variables significantly associated with an increased likelihood of being infected by intestinal parasites include living in a household with unfinished flouring, not wearing shoes, being in close proximity to rodents, and having improper waste disposal. Relatively simple interventional measures directed towards the improvement of household conditions, access to sanitary toilets, and promoting shoe wearing can significantly reduce childhood infections by GP and helminths in the Antioquia Department.

Prevalence and public health relevance of enteric parasites in domestic dogs and cats in the region of Madrid (Spain) with an emphasis on Giardia duodenalis and Cryptosporidium sp.

BACKGROUND: Pet dogs and cats exert an unquestionable beneficial effect in the well-being of their owners, but can also act as a source of zoonotic infections if improperly cared. OBJECTIVES: We investigated the occurrence, risk factors, genetic variability and zoonotic potential of intestinal parasites in dogs and cats attended in a clinical veterinary setting in Spain. METHODS: Canine (n = 252) and feline (n = 35) faecal samples were collected during 2017-2019 and analysed by coproparasitological methods. A rapid lateral immunochromatographic test (ICT) was used for detecting Giardia duodenalis and Cryptosporidium sp. Samples positive at microscopy examination and/or ICT were reassessed by molecular methods. RESULTS: Overall, 48.8% (123/252) of dogs and 48.6% (17/35) of cats were infected by enteric parasites. In dogs, G. duodenalis was the most prevalent species (40.9%), followed by Cystoisospora sp. (7.1%), and Toxocara canis (5.2%). In cats, Joyeuxiella sp. and Toxocara cati were the dominant species (20.0% each), followed by G. duodenalis (14.3%), D. caninum (5.7%) and Cystoisospora felis and Toxascaris leonina (2.9% each). Pups and kittens were more likely to harbour intestinal parasites and develop clinical signs. Sequence analyses of dog isolates revealed the presence of assemblages A (n = 1), C (n = 4), D (n = 4) and C+D (n = 1) within G. duodenalis; C. parvum (n = 1) and C. canis (n = 4) within Cryptosporidium and PtEb IX (n = 1) in Enterocytozoon bieneusi. A novel C. canis subtype family, named XXi, is reported. CONCLUSIONS: Our results highlight that (i) well-cared dogs carry zoonotic enteric protozoan parasites of public health relevance, (ii) proper hygiene practices and routine veterinary treatment are essential to prevent zoonotic infections, (iii) vulnerable populations should avoid contact with pups/kittens with diarrhoea and (iv) infected dogs might be major contributors to the environmental contamination with soil-transmitted helminths (STHs) eggs.

Molecular characteristics and zoonotic potential of enteric protists in domestic dogs and cats in Egypt.

Introduction: Domestic dogs and cats can be a source of human infection by a wide diversity of zoonotic pathogens including parasites. Genotyping and subtyping tools are useful in assessing the true public health relevance of canine and feline infections by these pathogens. This study investigated the occurrence, genetic diversity, and zoonotic potential of common diarrhea-causing enteric protist parasites in household dogs and cats in Egypt, a country where this information is particularly scarce. Methods: In this prospective, cross-sectional study a total of 352 individual fecal samples were collected from dogs (n = 218) and cats (n = 134) in three Egyptian governorates (Dakahlia, Gharbeya, and Giza) during July-December 2021. Detection and identification of Cryptosporidium spp., Giardia duodenalis, Enterocytozoon bieneusi, and Blastocystis sp. were carried out by PCR and Sanger sequencing. Basic epidemiological variables (geographical origin, sex, age, and breed) were examined for association with occurrence of infection by enteric protists. Results and discussion: The overall prevalence rates of Cryptosporidium spp. and G. duodenalis were 1.8% (95% CI: 0.5-4.6) and 38.5% (95% CI: 32.0-45.3), respectively, in dogs, and 6.0% (95% CI: 2.6-11.4) and 32.1% (95% CI: 24.3-40.7), respectively, in cats. All canine and feline fecal samples analyzed tested negative for E. bieneusi and Blastocystis sp. Dogs from Giza governorate and cats from Dakahlia governorate were at higher risk of infection by Cryptosporidium spp. (p = 0.0006) and G. duodenalis (p = 0.00001), respectively. Sequence analyses identified host-adapted Cryptosporidium canis (n = 4, one of them belonging to novel subtype XXe2) and G. duodenalis assemblages C (n = 1) and D (n = 3) in dogs. In cats the zoonotic C. parvum (n = 5) was more prevalent than host-adapted C. felis (n = 1). Household dogs had a limited (but not negligible) role as source of human giardiasis and cryptosporidiosis, but the unexpected high frequency of zoonotic C. parvum in domestic cats might be a public health concern. This is the first molecular-based description of Cryptosporidium spp. infections in cats in the African continent to date. Molecular epidemiological data provided here can assist health authorities and policy makers in designing and implementing effective campaigns to minimize the transmission of enteric protists in Egypt.

Molecular detection and characterization of Cryptosporidium spp., Giardia duodenalis, and Enterocytozoon bieneusi infections in dromedary camels (Camelus dromedaries) in Egypt.

Introduction: Few studies have investigated the occurrence of microeukaryotic gut parasites in dromedary camels in Egypt, and the majority of these investigations are based on microscopic analysis of fecal material. Methods: Herein, we assessed the occurrence, molecular diversity, and zoonotic potential of protozoan (Cryptosporidium spp. and Giardia duodenalis) and microsporidian (Enterocytozoon bieneusi) pathogens in individual fecal samples (n = 102) of dromedary camels with (n = 26) and without (n = 76) diarrhea from Aswan Governorate, Upper Egypt. Other factors possibly associated with an increased risk of infection (geographical origin, sex, age, and physical condition) were also analyzed. The SSU rRNA or ITS genes were targeted by molecular (PCR and Sanger sequencing) techniques for pathogen detection and species identification. Results and discussion: The most abundant species detected was G. duodenalis (3.9%, 4/102; 95% CI: 1.1-9.7), followed by Cryptosporidium spp. (2.9%, 3/102; 95% CI: 0.6-8.4). All samples tested negative for the presence of E. bieneusi. Sequence analysis data confirmed the presence of zoonotic C. parvum (66.7%, 2/3) and cattle-adapted C. bovis (33.3%, 1/3). These Cryptosporidium isolates, as well as the four Giardia-positive isolates, were unable to be amplified at adequate genotyping markers (Cryptosporidium: gp60; Giardia: gdh, bg, and tpi). Camels younger than 2 years old were significantly more likely to harbor Cryptosporidium infections. This connection was not statistically significant, although two of the three cryptosporidiosis cases were detected in camels with diarrhea. The spread of G. duodenalis infections was unaffected by any risk variables studied. This is the first report of C. parvum and C. bovis in Egyptian camels. The finding of zoonotic C. parvum has public health implications since camels may function as sources of oocyst pollution in the environment and potentially infect livestock and humans. Although preliminary, this study provides useful baseline data on the epidemiology of diarrhea-causing microeukaryotic parasites in Egypt. Further research is required to confirm and expand our findings in other animal populations and geographical regions of the country.

Identification and validation of novel Blastocystis subtype ST41 in a Colombian patient undergoing colorectal cancer screening.

Blastocystis sp. is among the most frequent intestinal protists identified in humans globally. However, characterization of Blastocystis subtype diversity in humans is ongoing. We report here the identification of novel Blastocystis subtype ST41 in a Colombian patient undergoing colorectal cancer screening involving colonoscopy and fecal testing (microscopy, culture, PCR). The full-length ssu rRNA gene sequence of the protist was generated using MinION long-read sequencing technology. The validity of the novel subtype was confirmed via phylogenetic and pairwise distance analyses of the full-length ST41 sequence and all other valid subtypes. The study provides reference material essential for conducting subsequent experimental studies.

Enterocytozoon bieneusi and Encephalitozoon intestinalis (microsporidia) in HIV-positive patients in central Spain.

Microsporidia are fungi-related eukaryotic intracellular parasites that opportunistically infect immunocompromised individuals such as those infected by the human immunodeficiency virus (HIV). Among them, Enterocytozoon bieneusi and Encephalitozoon spp. are the most clinically relevant species. We investigated the occurrence and genetic diversity of microsporidial and protist infections in mostly immunocompetent HIV-positive patients in Madrid, Spain. A structured questionnaire was used to retrieve data on factors potentially associated with an increased risk of infection, including sexual attitudes and sex-risk behaviour. Faecal samples (n = 96) from 81 HIV-positive patients were collected and analysed by molecular (PCR and Sanger sequencing) methods. Two microsporidial pathogens were detected: Ent. bieneusi (2.5%, 95% CI: 0.3-8.6) and Enc.intestinalis (4.9%, 95% CI: 1.4-12.2). The two Ent. bieneusi isolates were identified as zoonotic genotype A. Among protists, Entamoeba dispar was the species most prevalently found (33.3%, 95% CI: 23.2-44.7), followed by Blastocystis spp. (19.8%, 95% CI: 11.7-30.1), Giardia duodenalis (13.6%, 95% CI: 7.0-23.0), and Cryptosporidium spp. and Entamoeba histolytica (2.5%, 95% CI: 0.3-8.6 each). Cyclospora cayetanensis and Cystoisospora belli were not detected. Subtypes ST1 (70.6%, 12/17) and ST3 (29.4%, 5/17) were identified within Blastocystis sp., sub-assemblages AII and BIII (50%, 1/2 each) within G. duodenalis, and Cry. parvum and canine-adapted Cry. canis (50%, 1/2 each) within Cryptosporidium spp. Microsporidial and protist parasites were frequent in well-controlled, mostly immunocompetent HIV-positive patients and should be included in diagnostic algorithms when diarrhoea is present.

Opportunistic microsporidial and protist intestinal infections were relatively common in well-controlled HIV-positive patients in Madrid, Spain. These agents should be suspected and appropriately diagnosed in HIV-positive patients presenting with diarrhoea regardless of their immunological status.

Prevalence and temporal dynamics of Cryptosporidium spp., Giardia duodenalis, and Blastocystis sp. among toddlers attending day-care centres in Spain. A prospective molecular-based longitudinal study.

Giardia duodenalis, Cryptosporidium spp., and Blastocystis sp. are common intestinal eukaryotic parasites affecting children in developed and resource-limited countries. Lack of information on the epidemiology and long-term stability in asymptomatic children complicates interpretation of transmission and pathogenesis. To assess the occurrence, genetic diversity, and temporal dynamics of intestinal eukaryotic parasites in young children, 679 stool samples from 125 toddlers attending six public day-care centres in Central Spain were collected bimonthly within a 1-year period. Detection and identification of species/genotypes were based on PCR and Sanger sequencing methods. Four eukaryotic species were identified: G. duodenalis (2.5‒31.6%), Cryptosporidium spp. (0.0‒2.4%), Blastocystis sp. (2.5‒6.4%), and Entamoeba dispar (0.0‒0.9%). Entamoeba histolytica and Enterocytozoon bieneusi were undetected. Sequence analyses identified assemblage A (63.6%) and B (36.4%) within G. duodenalis (n = 11), C. hominis (40%), C. parvum (40%), and C. wrairi (20%) within Cryptosporidium spp. (n = 5), and ST1 (3.8%), ST2 (46.2%), ST3 (15.4%), and ST4 (34.6%) within Blastocystis sp. (n = 26). Giardia duodenalis sub-assemblage AII/AIII was detected in a toddler for 10 consecutive months. Stable carriage of Blastocystis ST2 allele 9, ST3 allele 34, and ST4 allele 42 was demonstrated in five toddlers for up to 1 year.   Conclusions: Giardia duodenalis and Blastocystis sp. were common in toddlers attending day-care centres in Central Spain. Long-term infection/colonization periods by the same genetic variant were observed for G. duodenalis (up to 10 months) and Blastocystis sp. (up to 12 months). What is Known: • Asymptomatic carriage of G. duodenalis and Blastocystis sp. is frequent in toddlers. • The epidemiology and long-term stability of these eukaryotes in asymptomatic young children is poorly understood. What is New: • Long-term colonization/infection periods by the same genetic variant were described for Blastocystis sp. (up to 12 months) and G. duodenalis (up to 10 months).

Iberian wild leporidae as hosts of zoonotic enteroparasites in Mediterranean ecosystems of Southern Spain.

Wild lagomorphs including rabbits and hares can act as natural carriers or reservoirs of bacterial and parasitic zoonotic diseases. However, little is known on the epidemiology and potential public health significance of intestinal eukaryotes in wild leporids. We examined faecal samples from European wild rabbits (Oryctolagus cuniculus, n = 438) and Iberian hares (Lepus granatensis, n = 111) collected in the Autonomous Region of Andalusia in southern Spain during 2012-2021. We searched for the presence of DNA from the main intestinal protist and microsporidial pathogens of veterinary and public health concerns using molecular methods (PCR followed by Sanger and next-generation sequencing). Giardia duodenalis was the most prevalent species found (27.8%, 153/550; 95% CI: 24.1-31.8), followed by Cryptosporidium spp. (1.3%, 7/550; 95% CI: 0.5-2.6), Blastocystis sp. (1.1%, 6/550; 95% CI: 0.4-2.4) and Encephalitozoon intestinalis (0.2%, 1/550; 95% CI: 0.0-10.1). All samples tested negative for Enterocytozoon bieneusi. Sequence analyses revealed the presence of sub-assemblage BIV (n = 1) within G. duodenalis, and Cryptosporidium cuniculus (n = 6) and Cryptosporidium andersoni (n = 1) within Cryptosporidium. The presence of ruminant-adapted C. andersoni is indicative of a potential cross-species transmission event, although a spurious infection (mechanical carriage) cannot be ruled out. Samples assigned to C. cuniculus belonged to the gp60 subtype families Va (n = 3) and Vb (n = 2). The six Blastocystis-positive samples were identified as ST2 (n = 3) and ST1 + ST2 (n = 3). Our molecular results suggest that wild rabbits and hares were primarily infected by leporid-adapted species of eukaryotic pathogens. However, the occasional findings of zoonotic G. duodenalis sub-assemblage BIV, Blastocystis sp. ST1 and ST2, and Encephalitozoon intestinalis could be of public health relevance.

First report of rodent-adapted Cryptosporidium wrairi in an immunocompetent child, Spain.

Cryptosporidiosis is a leading cause of childhood diarrhoea. Two species, Cryptosporidium hominis and Cryptosporidium parvum, are responsible for most confirmed cases globally. Close contact with pet animals can be an unnoticed source of children infections. We describe a case of infection by rodent-adapted Cryptosporidium wrairi in a 22-month-old immunocompetent toddler with no clinical manifestations in close contact with a pet guinea pig and poor personal hygiene practices in Majadahonda (Madrid, Spain). Attempts to determine the C. wrairi genotype family at the 60-kDa glycoprotein marker failed repeatedly. This is the first description of C. wrairi in a human host. Although a spurious infection cannot be completely ruled out, data presented here suggest that C. wrairi can be transmitted zoonotically.

Wild micromammal host spectrum of zoonotic eukaryotic parasites in Spain. Occurrence and genetic characterisation.

Micromammals have historically been recognized as highly contentious species in terms of the maintenance and transmission of zoonotic pathogens to humans. Limited information is currently available on the epidemiology and potential public health significance of intestinal eukaryotes in wild micromammals. We examined 490 faecal samples, grouped into 155 pools, obtained from 11 micromammal species captured in 11 Spanish provinces for the presence of DNA from Cryptosporidium spp., Giardia duodenalis, Enterocytozoon bieneusi and Blastocystis sp. The presence of Leishmania spp. was investigated in individual spleen samples. All micromammal species investigated harboured infections by at least one eukaryotic parasite, except Apodemus flavicollis, Myodes glareolus, Sorex coronatus and Sciurus vulgaris, but the sample size for these host species was very low. Cryptosporidium spp. was the most prevalent species found (3.7%, 95% confidence interval [CI]: 2.2-5.7), followed by G. duodenalis (2.8%, 95% CI: 1.6-4.6) and E. bieneusi (2.6%, 95% CI: 1.4-4.3). All pooled faecal samples tested negative for Blastocystis sp. Leishmania infantum was identified in 0.41% (95% CI: 0.05-1.46) of the 490 individual spleen samples analysed. Sequence analyses allowed the identification of Cryptosporidium andersoni (5.9%), C. ditrichi (11.7%), C. muris (5.9%), C. parvum (5.9%), C. tyzzeri (5.9%), rat genotypes CR97 (5.9%) and W19 (5.9%), vole genotypes V (11.7%) and VII (5.9%) and Cryptosproridium spp. (35.3%) within Cryptosporidium (n = 17). Known genotypes C (66.7%) and Peru11 (25.0%) and a novel genotype (named MouseSpEb1, 8.3%) were detected within E. bieneusi (n = 12). None of the G. duodenalis-positive samples could be genotyped at the assemblage level. Molecular data indicate that wild micromammals were primarily infected by rodent-adapted species/genotypes of eukaryotic pathogens and thereby have a limited role as a source of human infections. The presence of ruminant-adapted species C. andersoni along with finding C. parvum is indicative of an overlap between domestic/peri-domestic and sylvatic transmission cycles of these agents.

Long-Term Preservation and Storage of Faecal Samples in Whatman® Cards for PCR Detection and Genotyping of Giardia duodenalis and Cryptosporidium hominis.

Preservation and conservation of biological specimens, including faecal samples, is a challenge in remote areas or poor-resource settings where the cold chain cannot be maintained. This study aims at evaluating the suitability of filter cards for long-term storage of faecal samples of animal and human origin positive to the diarrhoea-causing protozoan parasites, Giardia duodenalis and Cryptosporidium hominis. Three commercially available Whatman® Filter Cards were comparatively assessed: the FTA® Classic Card, the FTA® Elute Micro Card, and the 903 Protein Saver Card. Human faecal samples positive to G. duodenalis (n = 5) and C. hominis (n = 5) were used to impregnate the selected cards at given storage (1 month, 3 months, and 6 months) periods and temperature (-20 °C, 4 °C, and room temperature) conditions. Parasite DNA was detected by PCR-based methods. Sensitivity assays and quality control procedures to assess suitability for genotyping purposes were conducted. Overall, all three Whatman® cards were proven useful for the detection and molecular characterisation of G. duodenalis and C. hominis under the evaluated conditions. Whatman® cards represent a simple, safe, and cost-effective option for the transportation, preservation, and storage of faecal samples without the need of the cold chain.

Prevalence of soil transmitted helminths in school-aged children, Colombia, 2012-2013.

BACKGROUND: This study aims to establish the prevalence of soil-transmitted helminth (STH) intestinal infections, nutritional status, and anemia in school children aged 7 to 10 years old in the biogeographic provinces of Colombia in 2012-2013. STH prevalence in the country has not been described within the last 30 years and it is needed in order to establish policies its control in the country. METHODOLOGY: National Survey of STH in school-aged children with a multistage stratified probability sampling was conducted. The overall prevalence and intensity of STH infection, as well as for each parasite, (A. lumbricoides, T. trichiura and hookworms) were calculated for the country and for each of the nine biogeographic provinces. PRINCIPAL FINDINGS: Stool samples were collected from 6045 children in eight out of nine biogeographic provinces. The combined prevalence of STH in the country was 29.6%. T. trichiura was the most prevalent helminth (18.4%), followed by A. lumbricoides (11.3%), and hookworms (6.4%). For A. lumbricoides and hookworms, the highest prevalence values were found in the Amazonía province (58.0% and 35.7%, respectively). Regarding STH intensity, most cases showed moderate intensity (41.3%) for A. lumbricoides, and light intensity, for T. trichiura and hookworms. The national prevalence of anemia in school-aged children was 14.2%, lowest in the Nor-Andina province (3.5%), and highest in the Territorios Insulares oceánicos del Caribe province (45.1%). SIGNIFICANCE: Colombia has a moderate risk of STH infection in school-aged populations, with considerable variation in the prevalence values among the biogeographic provinces. Like any public health issue, this problem should be handled with a comprehensive approach that involves deworming programs and strategies for STH control according to the specific epidemiological and socioeconomic conditions and sanitation service coverage in each biogeographic province. The program should be further supported by intersectoral action to improve living conditions, particularly the excreta disposal, promoted at municipality levels.

Physiological and parasitological implications of living in a city: the case of the white-footed tamarin (Saguinus leucopus).

Among primates, the Neotropical Callitrichid monkeys (tamarins and marmosets) exhibit a particular ability to adapt to disturbed and urbanized environments. However, little is known about physiological and health status in contrasting ecological contexts. An example of adaptation to urban environments is the white-footed tamarin (Saguinus leucopus), an endangered species endemic to the central Andes in North West Colombia. This species was used as a model to contrast physical condition, physiological parameters and the parasite community of wild populations in rural and urban settings. Overall, the tamarins seemed to be in good body condition in both environments; however, urban tamarins exhibited overweight, elevated body mass, and higher cholesterol levels, while rural tamarins showed larger diversity and prevalence of parasites. Variation in several hematological parameters associated with altitude was also observed. Our data provide preliminary evidence of differential physiological responses to urban and rural environments in tamarins. These results may be attributed to nutritional factors, physical activity, and specific parasite-host ecological interactions in these two environments. Also, abundance and diversity of the parasite community in urban environments may be potentially constrained by habitat fragmentation and relatively fewer reservoirs. Finally, significant physiological and ecological disparities between white-footed tamarins occurring in urban and rural habitats as well as physiological response to hypoxia at higher altitudes were evidenced here. This study provides important preliminary information that will be useful to determine the ability of New World primate populations to cope with urban development and rapidly changing environments.

Valoración clínica y parasitológica del tití gris (Primates: Cebidae: Saguinus leucopus) en dos poblaciones naturales presentes en San Carlos y San Rafael (Antioquia, Colombia) / Clinical and parasitological evaluation of White-footed Tamarins (Primates: Cebidae: Saguinusleucopus) from two free-range populations located in San Carlos and San Rafael (Antioquia, Colombia) / Valoração clínica e parasitológica do sagui cinza (Primates: Cebidae: Saguinus leucopus) em duas populações naturais que se encontram em San Carlos e San Rafael (Antioquia, Colômbia)

Resumen El estudio de individuos en cautiverio de primates Neotropicales ha permitido conocer aspectos básicos de su historia natural. Sin embargo las condiciones medioambientales pueden determinar diferencias ecológicas y fisiológicas en poblaciones silvestres. En el caso del tití gris (Saguinus leucopus), primate endémico del noroccidente colombiano, diferentes parámetros fisiológicos han sido evaluados en cautiverio. Con el fin de diagnosticar el estado de salud en condiciones naturales, se evaluaron varias características externas y parámetros fisiológicos, así como la comunidad de parásitos de dos poblaciones naturales. Aunque en general no se detectaron signos de deterioro en las condiciones generales de salud, se identificaron once taxones de parásitos entre helmintos y protozoos, algunos con alta prevalencia (filarias y Trypanosoma spp). Las comunidades de parásitos en cautiverio y en estado silvestre muestran diferencias notables. Igualmente, se identificó una aparente variación entre poblaciones silvestres e incluso entre grupos sociales circundantes con respecto a los perfiles hematológicos y de química sanguínea, que sugiere diferencias en la respuesta fisiológica ante condiciones medioambientales. Ninguna de dichas variables fisiológicas pareció estar relacionada con los parásitos encontrados. Los resultados revelaron una amplia diversidad de parásitos y una elevada tasa de infecciones parasitarias en poblaciones naturales de S. leucopus, que parecen no estar asociadas con indicadores de la condición de salud. Futuros estudios deberán enfatizar en aspectos ecológicos, genéticos y demográficos que determinen las condiciones de salud de S. leucopus en su medio natural. Se recomienda que la rehabilitación de individuos en cautiverio tenga presente posibles diferencias en variables fisiológicas y epidemiológicas entre poblaciones naturales y grupos en cautiverio con el fin de restringir la transmisión de agentes infecciosos entre ...

Abstract While much of the natural history of Neotropical primates has been revealed through studies conducted in captive individuals, environmental factors may impose ecological and physiological differences in free-range populations. For the white-footed tamarin (Saguinus leucopus), a primate endemic to Northwest Colombia, physiological parameters that have been assessed in captivity still remain to be measured in free-range populations. In order to diagnose the health status of this species in a natural environment, we assessed several external traits, measured hematological and blood-chemistry values, and characterized the parasite community of two natural populations. Despite the identification of eleven different parasite taxa and wide distribution of filaria and Trypanosoma spp., we faieled to detect signs of poor health condition. Substantial differences were found between captive and free-range tamarin populations in the composition of their parasite communities. Likewise, hematological and blood-chemistry profiles differed between free-range populations and even between neighboring social groups, suggesting a role of environmental factors in the physiological response. However, none of the physiological parameters varied as a response to parasite infection. Our results revealed a high diversity of parasites and elevated rates of parasitic infections in natural populations of S. leucopus, that do not seem to be associated with indicators of health conditions. Future studies should emphasize on ecological, genetic and demographic factors that determine the health conditions of S. leucopus in the wild. Lastly, geographic variation of physiological profiles and parasite distribution, as well as epidemiological differences between captive and wild populations, should be incorporated in rehabilitation plans of captive tamarins in order to restrict the transmission of infectious agents between populations.

Resumo O estudo de indivíduos em cativeiro de primatas Neotropicais tem permitido conhecer aspectos básicos da história natural. Embora as condições ambientais podem determinar diferenças ecológicas e fisiológicas em populações silvestres. No caso do sagui cinza (Saguinus leucopus), primata endémico do noroeste colombiano, diferentes parâmetros fisiológicos tem sido avaliados em cativeiro. Com o intuito de diagnosticar o estado de saúde em condições naturais, avaliaram-se vários rasgos externos e parâmetros fisiológicos, assim como a comunidade de parasitas de duas populações naturais. Ainda que em geral não se detectassem signos de deterioro nas condições gerais de saúde, identificaram-se onze táxones de parasitas entre helmintos e protozoários, alguns com alta prevalência (filarias e Trypanosoma spp). As comunidades de parasitas em cativeiro e no estado silvestre mostram diferenças notáveis. Igualmente, identificou-se uma aparente variação entre populações silvestres e entre grupos sociais circundantes com respeito aos perfis hematológicos e de química sanguínea, que sugere diferenças na resposta fisiológica diante condições ambientais do médio. Nenhuma das mencionadas variáveis fisiológicas pareceu estar relacionada com as parasitas encontradas. Os resultados revelaram uma grande diversidade de parasitas e uma alta taxa de infecção parasitária em populações naturais de S. leucopus, que não parecem estar associados com indicadores do condição de saúde. Estudos deste tipo no futuro deveram enfatizar em aspectos ecológicos, genéticos e demográficos que determinem as condições de saúde de S. leucopus em seu médio natural. Recomenda-se que a reabilitação de indivíduos em cativeiro tenha presente possíveis diferenças em variáveis fisiológicas e epidemiológicas entre populações naturais e grupos em cativeiro com o fim de restringir a transmissão de agentes infeciosos entre populações.

Virus chikunguña: un nuevo reto para la salud en Colombia / Chikungunya virus: a new health challenge in Colombia

El virus chikunguña ha llamado la atención mundial debido a su reciente reemergencia, la cual ha provocado considerable morbilidad y sufrimiento. Este virus ha causado importantes epidemias en Asia, África y Europa y, desde finales de 2013, se encuentra presente en las Américas. Debido a que los mosquitos del género Aedes, vectores de la enfermedad, se encuentran ampliamente distribuidos en el continente americano, existe un alto riesgo de introducción, invasión y diseminación del virus chikunguña por toda la región de Suramérica. Actualmente no existe vacuna ni tratamiento antiviral para la infección por chikunguña y su presentación clínica suele confundirse con la producida por el virus dengue, principalmente en las zonas tropicales y subtropicales donde éste último es frecuente; sin embargo, es de vital importancia realizar el diagnóstico diferencial entre ambas entidades para garantizar un manejo clínico adecuado. En esta revisión se realiza un abordaje general del virus chikunguña, desde la epidemiología, el agente causal, los vectores, los signos y síntomas de la enfermedad, el diagnóstico clínico y por laboratorio, y la vigilancia epidemiológica; información importante para la preparación y la respuesta ante la eventual aparición de casos de chikunguña en nuestra población, como se espera suceda en un futuro cercano.

Chikungunya virus has drawn worldwide attention due to its recent reemergence causing considerable morbidity and suffering. A number of chikungunya outbreaks have occurred in Asia, Africa, and Europe, and since late 2013, the virus is present in Americas. The mosquitoes in the genus Aedes, the main disease vectors of chikungunya, have a broad distribution throughout the Americas. Therefore, there is a high risk to the virus invasion and spread in South America region. Currently, there is neither a vaccine nor an antiviral treatment available for chikungunya virus infection. The clinical presentation of chikungunya is often confused with dengue fever, especially in tropical and subtropicalareas where this infection is frequent, so doing an appropriate differential diagnosis between both is crucial to ensure an appropriate clinical management. This review include a general view of the chikungunya virus, from the epidemiology, the causative agent, the vectors, the signs and symptoms of the disease, the clinical diagnosis and laboratory and the epidemiological surveillance. This information is important to preparation and response before the eventual introduction of chikungunya in our population, which will probably happen in the near future.

Strongyloides stercoralis: un geohelminto olvidado / Strongyloides stercoralis: a forgotten geohelminth

Strongyloides stercoralis es un parásito que habita en la submucosa intestinal de los hospederos, un geohelminto que desarrolla gran parte de su ciclo de vida en la tierra o el suelo, bajo condiciones de temperatura y humedad propias de los países tropicales. Se estima que en el mundo existen entre 30 a 100 millones de personas infectadas por este nematodo, lo que lo convierte en un geohelminto de importancia médica a nivel mundial. En Colombia éste parásito ha pasado al olvido; pues, pese a ser una prioridad de la Organización Mundial de la Salud/Organización Panamericana de la Salud para el 2015 la eliminación de las enfermedades desatendidas, entre ellas las geohelmintiasis, Strongyloides stercoralis no está incluido dentro del grupo de los geohelmintos para estas organizaciones, dejándolo por fuera de la búsqueda, el diagnóstico y el tratamiento. Además, el diagnóstico de este parásito ha sido controversial debido a que en la actualidad los laboratorios convencionales emplean el coprológico directo para su diagnóstico, pero éste ya ha sido reportado como una técnica de baja sensibilidad para esta parasitosis, y se ha determinado que el aislamiento en placa de agar es la técnica de elección, ya que alcanza una sensibilidad entre el 78% y el 100%, y es sencilla y aplicable en cualquier laboratorio clínico de diagnóstico. Esta revisión pretende hacer un abordaje de la epidemiología, el ciclo de vida, la clínica y el diagnóstico de Strongyloides stercoralis, un agente parasitario de importancia médica en nuestro país.

Strongyloides stercoralis is an intestinal parasite who lives in the submucosa of the hosts. It has considered as a geohelminth that develops a part of its life cycle on soil under conditions of temperatureand humidity common to tropical countries. There are an estimated of 30 to 100 million people infected with this nematode globally, making it of medical importance worldwide. This parasite has been forgotten in Colombia, because although for World Health Organization/Pan American Health Organization are a priority the eradication of neglected diseases, including geohelminth infections, for 2015, Strongyloides stercoralis has not been included in geohelminth group by this organizations. Therefore, it is out of searching, diagnosis, and treatment. Additionally, the diagnosis of this parasite is controversially, because currently laboratories employ the conventional direct microscopic examination to make the diagnostic of Stongyloides stercoralis, a technique that previously reported with low sensitivity for this parasitism. In addition, it has been determined that the isolation in agar plate is the technique of choice for diagnosis, because it reaches sensitivity between 78% and 100% and it is an easy and applicable technique for any clinical diagnostic laboratory. The aim of this review is to make an approximation to the epidemiology, life cycle, clinical and diagnosis of Strongyloides stercoralis, a medically important parasite in our country.