Ocorrência de anticorpos anti-Leishmania spp. em felinos em área endêmica do estado de São Paulo / Occurrence of anti-Leishmania spp antibodies in felines in an endemic area of the State of São Paulo

A leishmaniose visceral (LV) é uma zoonose de grande impacto em saúde pública. A infecção nos gatos tem sido relatada nos países onde a doença é endêmica. Seu papel como reservatório não está satisfatoriamente elucidado, embora a transmissão do parasito de um felino infectado para vetor tenha sido reportada por xenodiagnóstico. O objetivo do trabalho foi avaliar a presença de anticorpos anti-Leishmania spp. em animais da espécie felina em área endêmica para LV (Bauru-SP), por meio dos testes sorológicos de reação de imunofluorescência indireta (RIFI) e ensaio imunoenzimático (ELISA), e associá-los às variáveis: gênero, idade, raça e forma de criação. Foram testados soros de 276 felinos, dos quais 82 foram reagentes pelo método ELISA (29,71%), 17 pelo RIFI (6,15%) e 10 em ambos os testes (3,6%). Houve associação estatística significativa para a variável forma de criação, em que 100% dos animais errantes foram soropositivos a pelo menos um dos testes (P<0,005). Tal associação não foi encontrada para as demais variáveis analisadas (P>0,05). Não houve concordância entre o resultado dos testes, pois o método ELISA é mais sensível que o método RIFI.(AU)

Visceral leishmaniasis (VL) is a zoonosis with a great impact on public health. Infection in cats has been reported in countries where the disease is endemic. Its role as reservoir is not satisfactorily elucidated, although transmission of the parasite from an infected feline to vector has been reported by xenodiagnosis. The objective of this study was to evaluate the presence of anti-Leishmania spp antibodies in feline animals in an area endemic to LV (Bauru-SP), using the serological tests of Indirect Immunofluorescence Reaction (IFR) and ELISA and variables: gender, age, race and form of creation. Samples of 276 felines were tested, of which 82 were ELISA reagents (29,71%), 17 by IFR (6,15%) and 10 in both tests (3,6%). There was a significant statistical association for the variable form of breeding, where 100% of the wandering animals were seropositive to at least one of the tests (P <0,005). Such association was not found for the other variables analyzed (P >0,05). There was no concordance between the results of the tests, since the ELISA method is more sensitive than the RIFI method.(AU)

Valores hematológicos de bugios pretos (Alouatta caraya) de vida livre da região do Alto Rio Paraná, sul do Brasil / Hematologic values of free-ranging black-and-gold howlers monkeys (Alouatta caraya) from the region of Upper Paraná River, Southern Brazil

Descreveram-se os valores hematológicos de bugios pretos (Alouatta caraya) e estabeleceram-se diferenças entre sexo e idade, de 36 animais aparentemente saudáveis, de vida livre da região do Alto Rio Paraná, sul do Brasil. Os animais foram capturados e contidos quimicamente com cloridrato de tiletamina e cloridrato de zolazepam, na dose média de 5,5mg/kg, por via intramuscular. Na comparação entre os sexos, houve diferença para número de hemácias (4,48±1,36 e 3,58±0,91 x10(6)/mm³), maior nas fêmeas, e volume globular médio (90,99±27,65 e 118,36±44,63fL) e número de eosinófilos (0,30±0,24 e 0,76±0,85 x10³/mm³), maior nos machos. O volume globular (39,46±3,53 e 36,69±3,54 por cento) e a proteína total plasmática (7,91±0,53 e 7,40±0,63g/dL) foram significativamente mais baixos nos animais jovens.

The hematologic values and the influence of gender and age were described in 36 free-ranging healthy black-and-gold howler monkeys (Alouatta caraya) from the region of Paraná river, Southern Brazil. The animals were caught with trap models and intramuscularly anesthetized with 5.5mg/kg tilitamine/zolazepam hydrochlorides. The red blood cells were higher in females (4.48±1,36 vs. 3.58±0.91x10(6)/mm³) while mean corpuscular volume (90.99±27.65 and 118.36±44.63 fL) and eosinophils (0.30±0.24 and 0.76±0.85x10³/mm³) were significant higher in males. The packed cell volume (39.46±3.53 and 36.69±3.54 percent) and plasma total protein (7.91±0.53 and 7.40±0.63g/dL) were lower in juveniles.

Factors associated with seropositivity for anti-Toxoplasma gondii antibodies in pregnant women of Londrina, Paraná, Brazil.

The aim of this study was to evaluate associations between seropositivity for IgG and IgM anti-Toxoplasma gondii antibodies and socio-economic and environmental variables in pregnant women of Londrina, state of Paraná, Brazil. We interviewed 492 pregnant women, each of whom answered an epidemiological questionnaire, and collected blood samples for measurement of IgG and IgM anti-T. gondii antibodies by chemiluminescence. A confirmatory diagnosis of acute infection was made by an IgG avidity test. Titres of specific IgG anti-T. gondii were obtained by IFAT. Seropositivity for IgG anti-T. gondii antibodies was observed in 242 women (49.2%) and, of these, six pregnant women (1.2%) showed seropositivity for IgM. Age group, level of education, per capita income, presence of a cat in the house and a habit of eating green vegetables were all factors associated with a greater chance of infection with T. gondii. This study showed that 250 (50.8%) pregnant women were susceptible to T. gondii and considered to be at high risk for toxoplasmosis during pregnancy. Based on the results obtained, is critical to establish a program of health surveillance for toxoplasmosis, in order to contribute to diagnosis and early treatment during the prenatal period. It is also necessary to introduce measures to prevent the Toxoplasma infection in seronegative pregnant women.

Toxoplasma gondii: cloning, sequencing, expression, and antigenic characterization of ROP2, GRA5 and GRA7.

Toxoplasma gondii is an intracellular obligate protozoan, which infects humans and warm-blooded animals. The aim of the present study was to clone the rop2, gra5 and gra7 genes from T. gondii RH strain and to produce recombinant proteins. The rop2, gra5 and gra7 gene fragments produced by polymerase chain reaction were cloned into the pET102/D-TOPO vector which contains thioredoxin and polyhistidine tags at the C- and N-ends, respectively, and is expressed in Escherichia coli BL21(DE-3). The expression fusion proteins were found almost entirely in the insoluble form in the cell lysate. These recombinant proteins were purified with an Ni-NTA column. Concentrations of the recombinant antigens produced in the E. coli BL21-star ranged from 300 to 500 microg/ml growth media, which was used to immunize rabbits. We observed an identity ranging from 96 to 97% when nucleotide sequences were compared to GenBank database sequences. Immunocharacterization of proteins was made by indirect immunofluorescence assay. These proteins will be used for serodiagnosis and vaccination.

Toxoplasma gondii: evaluation of an intranasal vaccine using recombinant proteins against brain cyst formation in BALB/c mice.

The purpose of this work was to evaluate protective activity against brain cyst formation in BALB/c mice intranasally vaccinated with recombinant proteins from Toxoplasma gondii. The recombinant proteins rROP2, rGRA5 and rGRA7 were used in vaccine preparation. Thirty-three female mice were divided into three groups, these animals received two doses by intranasal route at days 0 and 21 as follows; group 1 (G1, n=11) received 12.5 microg of each recombinant protein plus 0.5 microg of cholera toxin, group 2 (G2, n=11) received phosphate buffer saline (PBS) plus 0.5 microg of cholera toxin, and group 3 (G3, n=11) received PBS only. At challenge day (day 33) three animals from each group were euthanatized for IgA measure from intestine. Mice were infected orally with 50 cysts from the VEG strain at day 33. At challenge day the G1 animals had high immunoglobulin A levels, however, they only showed IgG antibody titers against rROP2 and rGRA7. Animals from G1 also exhibited strong resistance to cyst formation compared with the control group (G3, P<0.05). However, we did not observe differences in protection against brain cyst formation between G1 and G2 (P>0.1). These results indicate that intranasal immunization in BALB/c mice with recombinant proteins rROP2, rGRA5 and rGRA7 associated with cholera toxin induced partial protection, when compared with G3, against tissue cyst formation after oral infection with tissue cysts from T. gondii.

Toxoplasma gondii: cloning, sequencing, expression, and antigenic characterization of ROP2, GRA5 and GRA7

Toxoplasma gondii is an intracellular obligate protozoan, which infects humans and warm-blooded animals. The aim of the present study was to clone the rop2, gra5 and gra7 genes from T. gondii RH strain and to produce recombinant proteins. The rop2, gra5 and gra7 gene fragments produced by polymerase chain reaction were cloned into the pET102/D-TOPO® vector which contains thioredoxin and polyhistidine tags at the C- and N-ends, respectively, and is expressed in Escherichia coli BL21(DE-3). The expression fusion proteins were found almost entirely in the insoluble form in the cell lysate. These recombinant proteins were purified with an Ni-NTA column. Concentrations of the recombinant antigens produced in the E. coli BL21-star ranged from 300 to 500 μg/ml growth media, which was used to immunize rabbits. We observed an identity ranging from 96 to 97% when nucleotide sequences were compared to GenBank database sequences. Immunocharacterization of proteins was made by indirect immunofluorescence assay. These proteins will be used for serodiagnosis and vaccination.

Prevalence of Neospora caninum and Toxoplasma gondii in sheep and dogs from Guarapuava farms, Paraná State, Brazil.

Sheep and dog blood samples were collected from nine farms in the county of Guarapuava, Paraná, Brazil. The indirect fluorescent antibody test (IFAT) was used to detect Neospora caninum and Toxoplasma gondii antibodies. Herein, serum samples from 305 sheep were evaluated, being 29 (9.5%) and 157 (51.5%) seropositives to N. caninum and T. gondii, respectively. Seven (29.1%) and five (20.8%) out of 24 dogs were seropositives to N. caninum and T. gondii, respectively. There were no differences among the sheep serology for N. caninum and reproductive problems, management and animal feeding variables, neurological problems and presence of other animals species on the farm (P>or=0.05). The simultaneous frequency of antibodies between N. caninum and T. gondii was 5.2% in the herds. Age, breed, farm size, semi-intensive activity, mineral salt supplementation, water origin, stage of the pregnancy when reproduction problems occurred, neurological problems in lambs, presence of rodents in the food room and pasture cat access were identified as associated factors for the occurrence of toxoplasmosis in sheep (P<0.05). There were no differences among the seropositivity in dogs for N. caninum and T. gondii and breed, age and sex (P>or=0.05). The present work is the first report on serum prevalence of N. caninum in sheep from the state of Paraná, Brazil.

Detection of Toxoplasma gondii by PCR and mouse bioassay in commercial cuts of pork from experimentally infected pigs

The distribution of T. gondii in commercial cuts of pork (ham, tenderloin, spareribs and arm picnic) by PCR and bioassay from experimentally infected pigs, was evaluated. Eighteen mixed breed pigs were divided into two groups (G). The G1 animals (n=10) were infected with 4 x10(4) oocysts of the T. gondii VEG strain and the G2 animals (n=8) were used as control. Pigs of both groups were slaughtered at 59th day after infection, and meat samples were collected for bioassay and PCR. All animals from G1 were positive by at least one or both tests, and all control animals were negative. T. gondii was identified in pork by mouse bioassay and PCR in 27/40 (67.5 percent) and in 9/40 (22.5 percent) of the evaluated samples, respectively. There were no statistical differences in the distribution of tissue cysts from commercial cuts of pork by bioassay (P>0.05). However, statistical differences were observed when mouse bioassay and PCR were compared (P<0.01).

Avaliou-se a presença de T. gondii em cortes comerciais de carne suína (pernil, lombo, costela e paleta), por meio do bioensaio e PCR, em animais experimentalmente inoculados. Dois grupos (G) foram formados. Os animais do G1 (n=10) foram inoculados com 4 x10(4) oocistos da cepa VEG e os do G2 (n=8) permaneceram como grupo-controle, não inoculado. Todos os animais foram abatidos no dia 59 após a infecção, quando foram colhidas as amostras de carne para a realização das provas de bioensaio e da PCR. Todos os suínos do G1 apresentaram-se positivos a pelo menos um dos testes de diagnóstico ou a ambos, e os do grupo-controle permaneceram negativos. Não houve diferenças significativas em relação aos tipos de cortes comerciais e à presença do parasita no bioensaio (P>0,05). O bioensaio foi capaz de detectar T. gondii em 27/40 (67,5 por cento) amostras e a PCR em 9/40 (22,5 por cento). O estudo mostrou diferença entre o bioensaio e a PCR (P<0,01).

Ocorrência de enteroparasitos em amostras de alface (lactuca saliva) comercializadas em porto Murtinho - MS / Enteroparasites occurrence in lettuce samples (lactuca sativa) commercialized in porto Murtinho - MS / Presencia de enteroparásitos en muestras de lechuga (Lactuca sativa) consumidas en porto murtinho - MS

A freqüência de parasitos em hortaliças é de grande importância para a saúde pública, pois fornece dados para a Vigilância Sanitária sobre a real situação higiênico-sanitária desses produtos. O presente trabalho teve como objetivo avaliar a ocorrência de ovos de enteroparasitos em amostras de alface (Lactuca sativa) comercializadas no município de Porto Murtinho, MS, e relacioná-los à origem dos estabelecimentos comerciais. Amostras de alface foram coletadas aleatoriamente em diferentes locais de comércio, sendo eles: hipermercados, frutarias, vendedores ambulantes, mercados, hortas e feiras livres. O material foi processado segundo técnica descrita por Oliveira e Germano (1992). Das 59 amostras de alfaces analisadas, 54 (91,52) foram positivas, sendo 18 (30,5) amostras positivas para Ascaris sp., 13 (22,03) para Trichuris sp, 12 (20,34) para Ancilostomatidae, oito (13,56) para Strongyloides sp. e três (5,09) para Toxocara sp. Com relação à origem dos estabelecimentos que comercializavam alface, 18 amostras foram obtidas diretamente de hortas (dezoito positivas); 12 amostras foram coletadas em frutarias (dez positivas); dez amostras coletadas nos hipermercados (oito positivas); nove amostras de vendedores ambulantes (nove positivas); seis amostras de feiras livres (seis positivas) e quatro amostras coletadas em mercados (três positivas). Estes resultados sugerem que as alfaces comercializadas em Porto Murtinho, Mato Grosso do Sul, apresentam condições higiênicas precárias, evidenciada pela alta freqüência de formas parasitárias encontradas.

Occurrence of parasites in vegetables is very important to the public health, because it supplies information to the Health Surveillance on the real hygienical-sanitary situation of these products and the risks in their production. The aim of this work was to evaluate the occurrence of enteroparasites lettuce samples (Lactuca sativa) commercialized in the town of Porto Murtinho, MS, and to relate it to the origin of the commercial establishments. Samples of lettuce were colleted randomly from different types of commerce: supermarkets, fruits venders, ambulant venders, markets, vegetables gardens and free fairs. The material was processed according to technique describe by Oliveira and Germano (1992). A number of 59 samples of lettuce was analyzed 54 (91.52) positive ones, 18 (30.5) positive samples for Ascaris sp., 13 (22.03) for Trichuris sp., 12 (20.34) for Ancilostomatidae, eight (13.56) for Strongyloides sp. and three (5.09) for Toxocara sp. In reference to the establishments that commercialized lettuce had been collected 18 samples in vegetables gardens and all were positive for some parasite; were collected 12 samples in the fruits venders and ten were positive; in the supermarkets with ten collected samples and eight positive; in ambulant with nine and fairs free with six samples and all positive they; and markets, with four collected samples and three positive. These results suggest that the lettuces marketed in Porto Murtinho, Mato Grosso do Sul, present precarious hygienic conditions, evidenced by the high frequency in found parasitic ways.

La presencia de parásitos en las verduras es de gran importancia al conocimiento de la salud pública, pues proporciona a la Vigilancia de Salud la información de la situación higiénico-sanitaria verdadera de estos productos y los riesgos en su producción. La investigación tuvo como objetivo evaluar la ocurrencia de los huevos de los enteroparásitos en las muestras de lechuga (Lactuca sativa) consumidas en la ciudad de Porto Murtinho, MS, y relacionarla con el origen de los establecimientos comerciales. Las muestras de lechuga fueron recogidas aleatoriamente en diferentes locales del comercio: supermercados, fruterías, vendedores ambulantes, mercados, huertos y ferias libres. El material se procesó según la técnica descripta por Oliveira y Germano (1992). Las 59 muestras de lechugas analisadas 54 (91.52) eran positivas. Tras el análisis se verificó que 54 (91,52) muestras fueron positivas, siendo 18 (30.5) muestras positivas para el Ascaris sp., 13 (22.03) para el Trichuris sp., 12 (20.34) para Ancilostomatidae, 8 (13.56) para el Strongyloides sp. y 3 (5.09) para el Toxocara sp. Con relación al origen de los establecimientos que comercializaban lechuga, 18 muestras fueron obtenidas directamente de huertos (dieciocho positivas); 12 muestras fueron recogidas en fruterías (diez positivas); 10 muestras recogidas en los supermercados (ocho positivas); 09 muestras de vendedores ambulantes (nueve positivas) ; 06 muestras de ferias libres (seis positivas) y 04 muestras recogidas en mercados (tres positivas). Estos resultados sugieren que las lechugas comercializadas en Porto Murtinho, Mato Grosso do Sul, presentan las condiciones higiénicas inciertas, evidenciadas por la alta frecuencia de parásitos encontrados.

Dairy cow abortion associated with Neospora caninum and other infectious agents

Trinta e cinco vacas de rebanhos leiteiros da região Norte do estado do Paraná, com histórico de abortamento, foram pesquisadas sorologicamente para verificar a presença de anticorpos contra Neospora caninum, Toxoplasma gondii, Leptospira spp., Brucella abortus, BHV-1 e BVDV. Vinte e uma vacas apresentaram títulos sorológicos compatíveis com infecção. Todas elas, soropositivas para N. caninum, foram também soropositivas para outros agentes infecciosos, sugerindo a possibilidade de associação desses agentes nos problemas reprodutivos de bovinos, no estado do Paraná.

Occurrence of antibodies to Neospora caninum and Toxoplasma gondii in dairy cattle from the northern region of the Paraná State, Brazil

Foram analisadas, por meio da imunofluorescência indireta, 385 amostras de soros de vacas, pertencentes a 90 propriedades leiteiras de 12 municípios da região Norte do estado do Paraná. Foram observados 45 (12%) sororeagentes ao Neospora caninum e 102 (26%) ao Toxoplasma gondii. Apenas quatro animais apresentaram títulos de anticorpos para ambos os coccídios. Não foi observada diferença significativa na associação entre a sorologia do N. caninum e as variáveis relacionadas ao manejo, produção de leite, problemas reprodutivos, alimentação, presença de cães, gatos e roedores. Os resultados sugerem que neosporose e toxoplasmose estão disseminadas nos rebanhos leiteiros da região Norte do estado do Paraná, e a freqüência simultânea de anticorpos anti-N. caninum e anti-T. gondii, demonstra sua ocorrência independente em vacas leiteiras.

Toxoplasma gondii infections in cats from Paraná, Brazil: seroprevalence, tissue distribution, and biologic and genetic characterization of isolates.

Cats are important in the epidemiology of Toxoplasma gondii because they are the only hosts that can excrete environmentally resistant oocysts. The prevalence of T. gondii was determined in 58 domestic cats from 51 homes from Santa Isabel do Ivai, Parana State, Brazil where a water-associated outbreak of acute toxoplasmosis had occurred in humans. Antibodies to T. gondii were found with the modified agglutination test in 49 of 58 (84.4%) cats at a serum dilution of 1:20. Tissues (brain, heart, and skeletal muscle) of 54 of these cats were bioassayed in T. gondii-free, laboratory-reared cats; T. gondii oocysts were excreted by 33 cats that were fed feline tissues. Brains from these 54 cats were bioassayed in mice; T. gondii was isolated from 7. Skeletal muscles and hearts of 15 cats were also bioassayed in mice; T. gondii was isolated from skeletal muscles of 9 and hearts of 13. The results indicate that T. gondii localizes in muscle tissue more than the brains of cats. In total there were 37 T. gondii isolates from 54 cats. Most isolates of T. gondii were virulent for mice. Genotyping of the 37 isolates of T. gondii, using the SAG2 locus, revealed that 15 isolates were type I and 22 were type III. The absence of type II genotype in cats in this study is consistent with the previous studies on T. gondii isolates from Brazil and is noteworthy because most T. gondii isolates from the United States are type II. These findings support the view that Brazilian and North American T. gondii isolates are genetically distinct. This is the first report of genotyping of T. gondii isolates from the domestic cat.

Characterization of Toxoplasma gondii isolates from free range chickens from Paraná, Brazil.

The prevalence of Toxoplasma gondii in free range chickens is a good indicator of the prevalence of T. gondii oocysts in the environment because chickens feed from the ground. In the present study, prevalence of T. gondii in 40 free range chickens (Gallus domesticus) from a rural area surrounding Paraná, Brazil was assessed. Blood, heart, and brain from each chicken were examined for T. gondii infection. Antibodies to T. gondii, assayed with the modified agglutination test (MAT> or =1:5) were found in 16 chickens. Hearts and brains of seropositive (MAT> or =1:5) chickens were bioassayed in mice. Additionally, hearts and brains of seronegative (MAT<1:5) chickens were bioassayed in two T. gondii-free cats (12 chickens per cat). T. gondii was isolated from 13 of 16 (81%) seropositive chickens. Of the two cats fed tissues pooled form seronegative chickens, one shed T. gondii oocysts. Nine of the 13 T. gondii isolates killed 100% of infected mice. The T. gondii isolate from the cat was also virulent for mice. Genotyping of 13 chicken isolates of T. gondii using the SAG2 locus indicated that seven isolates were type I and six were type III; three of these type III isolates killed all infected mice suggesting that all strains virulent for mice are not type I. The isolate from the feces of the cat fed chicken tissues was type I.

Vaccination of pigs with Toxoplasma gondii antigens incorporated in immunostimulating complexes (iscoms)

Immunity to Toxoplasma gondii was studied in pigs, after vaccination with T. gondii antigens incorporated into immunostimulating complexes. Nine pigs (group 1 - G1) were inoculated subcutaneously with T. gondii iscoms (LIV-5 sample) and three doses were given at 21 and 13 day-intervals. The results were compared in other three groups of nine pigs each: animals in group 2 (G2) were immunized with the LIV-5 antigens without Quil A, animals in group 3 (G3) were inoculated with tachyzoites of RH T. gondii isolate, and animals in group 4 (G4) received no vaccination. Four animals were neither vaccinated nor challenged with T. gondii (group 5 - G5). Thirty days after vaccination, pigs were challenged orally with 5´10(4) oocysts at AS-28 T. gondii isolate. Euthanasia was carried out 47 days after challenge and specimens of the heart, muscle, brain, liver, tongue and retina were inoculated into mice. Three out of nine pigs from G2 and one out of nine pigs from G4 showed hypertermia after the challenge. Antibody response was analysed by indirect fluorescent antibody test. The first iscom immunization (G1) induced low antibody levels, the second and third produced high antibody levels, similarly to the RH isolate infection (G3). Western blotting analysis indicated that the antibody response in animals in G1, after challenge, was more intense than in animals in the non-vaccinated group. T. gondii was not isolated by bioassays from tissues of iscom vaccinated pigs, while recovery was obtained from four animals in G4, one in G2 and one in G3.

Enteroparasites prevalence among daycare and elementary school children of municipal schools, Rolândia, PR, Brazil.

Coproparasitological analyses were performed on 191 daycare children and 434 elementary school children from urban and rural areas in Rolândia, Parana State, Brazil. The overall prevalence of enteroparasites was 15.2 % for daycare children and 52.5% for elementary school children. Risk factors are discussed.

Enteroparasites prevalence among daycare and elementary school children of municipal schools, Rolândia, PR, Brazil

Coproparasitological analyses were performed on 191 daycare children and 434 elementary school children from urban and rural areas in Rolândia, Parana State, Brazil. The overall prevalence of enteroparasites was 15.2 % for daycare children and 52.5% for elementary school children. Risk factors are discussed.

Exames coproparasitológicos realizados em 191 crianças de creches e em 434 alunos da primeira à quarta série das áreas urbana e rural da rede municipal de Rolândia, PR, evidenciaram enteroparasitas em prevalência de 15,2% nas creches e de 52,5% entre os escolares. Fatores de risco são discutidos.

[Serologic survey for leptospirosis and brucellosis in patients from the rural area of Guaraci County, Parana State, Brazil]. / Avaliação sorológica da leptospirose e brucelose em pacientes moradores da área rural do município de Guaraci, Paraná, Brasil.

The present study evaluated patients that were attended at the Health Center of Guaraci Municipality, Paraná State, Brazil. Three (2.6%) patients were leptospirosis positive from a total of 115 samples. No significant statistical differences were observed for risk factors. There was no positive test for brucellosis.

Avaliação sorológica da leptospirose e brucelose em pacientes moradores da área rural do município de Guaraci, Paraná, Brasil / Serologic survey for leptospirosis and brucellosis in patients from the rural area of Guaraci County, Parana State, Brazil

The present study evaluated patients that were attended at the Health Center of Guaraci Municipality, Paraná State, Brazil. Three (2.6%) patients were leptospirosis positive from a total of 115 samples. No significant statistical differences were observed for risk factors. There was no positive test for brucellosis.

Iniciando estudo de alterações patológicas crônicas no pâncreas de hamsters experimentalmente infectados com a cepa Vic de Trypanosoma cruzi, metaplasia oncocítica foi observada em um dos animais infectados. Este é o primeiro relato de oncocitos na doença de Chagas, que poderiam decorrer de resposta regenerativa aberrante ao processo inflamatório pancreático.

[Seroprevalence, epidemiology and ocular evaluation of human toxoplasmosis in the rural zone Jauguapitã (Paraná) Brazil]. / Soroprevalência, epidemiologia e avaliação ocular da toxoplasmose humana na zona rural de Jaguapitã (Paraná), Brasil.

Toxoplasmosis is a protozoal zoonosis common among a great variety of species worldwide. The objective of this study was to assess the presence of toxoplasmosis among 345 residents in a rural area in Jagupitã municipality, Paraná state, Brazil. The frequency of titers in human serum samples was compared with the frequency of titers found in 1,420 samples obtained from various animal species with which local residents came into contact. Titers > or = 16 were considered positive. The highest titer found was 65,536 (1%), and the most frequent titer levels were 256 (29%) and 1,024 (19%). The comparisons between humans and animals revealed a positive and significant correlation between humans and felines (r = 0.78; P = 0.01) and humans and canines (r = 0.64; P = 0.05) in terms of titer distribution. Study participants were also tested with the Amsler grid. Seventy-five of the 345 people (22%) reported some type of ocular degradation. Of these 75, 58 of them (77%) were seropositive for toxoplasmosis. Forty-one of these 58 people underwent an ophthalmologic exam. Of these 41, 9 of them, who were between 34 and 78 years old, presented lesions characteristic of healed chorioretinitis, suggesting ocular toxoplasmosis. None of the 9 had ocular inflammation. Six of the 9 patients (67%) had unilateral lesions; 4 of these 6 presented a titer level of 256. The epidemiological survey showed that the probability of presenting ocular problems was 2.06 times as great for reactive patients as for nonreactive ones. No significant differences were observed in terms of sex, contact with felines or other animals, consumption of raw or rare meat and raw milk, and slaughtering of animals for personal consumption. Our results suggest that toxoplasmosis is common in the region, with a significant incidence of ocular lesions caused by Toxoplasma gondii. Health authorities should increase their monitoring and control activities in order to decrease the risk of toxoplasmic infections, especially among pregnant women.

[Seroepidemiology of toxoplasmosis and ocular evaluation by Amsler grid in patients from the rural area treated at the Jaguapitã county health center, Paraná State, Brazil]. / Soroepidemiologia da toxoplasmose e avaliação ocular pela Tela de Amsler, em pacientes da zona rural, atendidos na unidade de saúde do município de Jaguapitã, PR, Brasil.

In this study, we collected serum from 82 randomly selected patients from a rural area in Jaguapitã county, Paraná State. All sera were subjected to indirect immunofluorescence assay (IFA) to detect IgG antibodies against T. gondii. Serum titers >/=+ 16 were considered positive. Of the 82 evaluated sera, 68 (82.9%) were positive to toxoplasmosis and 14 (17.1%) were non-reactive. The most common titers found were 64 (23/33.8%) and 256 (16/23.5%), the highest titer being 4096 (8/11.8%). The 82 patients were also evaluated by the Amsler Grid test, with 22 (26.8%) patients presenting at least one alteration in this test. Masculinity was found to be a protection factor in the Amsler grid test (OR = 0.21 0.04 < OR < 0. 86 chi2 = 4,98 p = 0,02). There were no significant statistical differences related to the epidemiological investigation. We concluded that T. gondii has a wide distribution in the population studied.