Inmunidad anti-cisticerco en una comunidad indígena del occidente venezolano / Anti-Cysticercus Immunity in an Amerindian Community from Western Venezuela

Para determinar la presencia de anticuerpos anti-cisticerco en una comunidad indígena del occidente venezolano, 93 individuos entre 1-78 años de edad fueron estudiados. La detección de anticuerpos anti cisticerco se realizó mediante la técnica inmunoenzimática de ELISA con extractos antigénicos de fluido vesicular de Taenia crassiceps. Los sueros fueron considerados positivos a diluciones ≥ 1:256 y las heces fueron estudiadas mediante examen parasitológico directo y concentrado. El 27,9% de la población presentó inmunidad anti-cisticerco y todos los grupos etarios fueron positivos. No se observaron diferencias estadísticamente significativas en relación al sexo, ni entre los grupos etarios. En el examen físico y en la historia clínica, no se encontraron datos relevantes de una probable alteración funcional en relación a cisticercosis. El porcentaje general de infección parasitaria fue de un 81,5%, con un marcado poliparasitismo de un 64,6%, con predominio de infección por protozoarios. No se detectaron huevos de Taenia spp. Este es el primer estudio sobre la prevalencia de anticuerpos anti-cisticerco en una comunidad indígena del occidente venezolano, con un alto porcentaje de la prevalencia desde la infancia, sugiriendo una exposición temprana a la cisticercosis. Además, una alta prevalencia de protozoarios y helmintos intestinales, lo que supone un riesgo sanitario considerable en esta población.

To determine the presence of anti-cysticercus antibodies in an Amerindian community in western Venezuela, ninety-three individuals between 1-78 years of age were studied. Anti-cysticercus antibodies were detected using the ELISA immune-enzymatic technique with antigenic extracts of vesicular fluid of Taenia crassiceps. Sera were considered positive at 1:256 dilutions; feces were studied by direct and concentrate parasitological examination. A 27.9% of the population had anti-cysticercus immunity, and all age groups were positives. No statistically significant differences in relation to sex or between age groups were observed. In the physical examination and medical history, no data relevant to a probable functional impairment related to cysticercosis were found. The overall percentage of parasitic infection was 81.5%, with a marked polyparasitism of 64.6% and a predominance of protozoan infection. No Taenia spp eggs were detected. This is the first study on the prevalence of anti-cysticercus antibodies in an indigenous community of western Venezuela with a high percentage of prevalence from childhood, suggesting early exposure to cysticercosis. In addition, a high prevalence of intestinal protozoa and helminthes were found, which supposes a significant health risk in this population.

Detección de protozoos parásitos entéricos, bacteriófagos de E. coli y organismos indicadores de contaminación en camarones comercializados en el estado Zulia / Detection of enteric protozoa parasites, E. coli bacteriophages and fecal pollution Indicator organisms in shrimp sold in the state of Zulia

Se determinó la presencia de Giardia intestinalis y Cryptospodidium parvum, bacteriófagos de Escherichia coli y organismos indicadores de contaminación (OIC), en muestras de camarones para el consumo humano comercializados en el estado Zulia. Los parásitos se concentraron a partir de sistemas digestivos de pools de camarones por la técnica de formol-éter y se cuantificaron por inmunofluorescencia directa. La concentración de los bacteriófagos de E. coli F+ y los OIC se evaluó por técnicas estándar. En este trabajo se detectó la presencia de G. intestinalis, C. parvum, bacteriófagos y E. coli en camarones comercializados en el estado Zulia que cumplían los criterios de la normativa venezolana de calidad sanitaria e inocuidad. Del total de muestras analizadas el 91,5% fueron positivas para G. intestinalis (promedio: 36,6 quistes/100g), 95,3% para C. parvum (promedio: 32,8 ooquistes/100g), 100% para los bacteriófagos de E coli F+ (promedio de 2,8 x 103 UFP/100 g) y 71,5% para E. coli (promedio de 4,3 x 104 NMP/g). Los resultados obtenidos indican que los camarones pueden convertirse en un vehículo para la transmisión de patógenos al hombre y dejan en evidencia la necesidad de la inclusión de un parámetro parasitológico y viral en el control de la calidad microbiológica de estos productos alimenticios.

The presence of G. intestinalis and C. parvum, E. coli F+ bacteriophages and fecal pollution indicator organisms was determined in shrimp for human consumption marketed in the State of Zulia. Parasites were concentrated from the digestive systems of shrimp pools, detected by formalin-ether and quantified by direct immunofluorescence. E. coli F + bacteriophage and pollution indicator organism concentrations were determined by standard techniques. In this work, G. intestinalis, C. parvum, E. coli F + bacteriophages and E. coli were detected in shrimp for human consumption marketed in the State of Zulia that met the quality criteria of Venezuelan health and safety regulations. 91.5% of the samples analyzed were positive for G. intestinalis (average: 36.6 cyst/100g), 95.3% for C parvum (average: 32.8 oocyst/100g), 100% for E coli F + bacteriophages (average: 2.8 x 103 FPFU/100g) and 71.5% for E. coli (average: 4.3 x 104 MPN/g). Results of this research indicate that shrimp can become a vehicle for transmitting pathogens to humans and demonstrate the need for including a parasitic and viral parameter in microbiological quality control for seafood.

Fasciolosis humana en el municipio Mara estado Zulia Venezuela: prevalencia y factores asociados / Human fasciolosis in Mara municipality Zulia state Venezuela: prevalence and asociated factors

La Fasciolosis humana tiene baja frecuencia en Venezuela; sin embargo, el Municipio Mara es una región altamente endémica para fasciolosis bovina y no existen estudios sobre esta infección parasitaria en humanos. Con el propósito de determinar la prevalencia y factores asociados a la fasciolosis humana en el municipio Mara del estado Zulia, se recolectaron un total de 51 muestras de sangre y de heces. Los sueros se procesaron mediante la técnica de ELISA y “Western blot” (WB) con antígenos excreción-secreción de Fasciola hepatica (AFhES). A los sueros que resultaron positivos se les realizó ELISA IgG anti Toxocara spp, Toxoplasma gondii y cisticerosis. Las muestras de heces se concentraron mediante las técnicas de Ritchie y sedimentación rápida. Dos sueros (3,9 por ciento) fueron positivos a la técnica de ELISA AFhES; estos no reconocieron las moléculas específicas del WB-AFhES, detectadas por sueros de pacientes con infección absolutamente demostrada. Ambos individuos resultaron negativos a IgG anti Toxocara spp, Toxoplasma gondii y cisticerosis, así como también a parásitos intestinales. La prevalencia general de las parasitosis intestinales fue de 52,9 por ciento (27/51), siendo más frecuente los protozoarios que los helmintos. No se encontraron huevos de F. hepatica. Los dos individuos positivos a ELISA AFhES tenían en común trabajar en el corte de pasto fresco. Los resultados obtenidos sugieren que la población ha estado en contacto con F. hepatica, en ausencia de una infección activa por la falta de reconocimiento de las moléculas específicas del WB-AFhES y la ausencia de huevos en las heces. La fasciolosis humana tiene una baja frecuencia en Venezuela, razón por la cual no es sospechada su presencia, existiendo poco conocimiento de esta infección por el personal de salud y la población general.

In Venezuela, human Fasciolosis shows a low frequency. However, Mara Municipality is a highly endemic region for bovine fasciolosis and there are no reports of this parasite infection in humans. To determine the prevalence and associated factors to human fasciolosis in Mara municipality - Zulia state, a total of 51 blood and stool samples were collected. Serums were tested by ELISA and Western Blot (WB) assays, with excretion-secretion antigens of Fasciola hepatica (AFhES). The serum samples that resulted positive by these assays were tested by ELISA IgG anti Toxocara sp, Toxoplasma gondii and cysticerosis. Stool samples were concentrated by the Ritchie and rapid sedimentation techniques. Two serum samples were reactive to ELISA AFhES (3.9 percent) and these did not recognize the specific molecules of WB-AFhES detected by serum from patients with an absolutely demonstrated infection. Both participants were not positive to IgG anti Toxocara sp, Toxoplasma gondii, cysticerosis, and stool samples of these were negative to intestinal parasites. The general prevalence of intestinal parasites was 52.9 percent (27/51), being protozoa more frequent than helminthes. No Fasciola eggs were found. The two positives participants had in common that both had worked as fresh pasture cutters. These results suggest that the population had been in contact with F. hepatica, with no active infection because of the lack of specific molecules recognition and the absence of eggs in stool samples. Human fasciolosis has a low frequency in Venezuela and is underestimated and underrecognized by health workers and the general population.

[Cryptosporidium sp infections and other intestinal parasites in food handlers from Zulia state, Venezuela]. / Infección por Cryptosporidium sp y otros parásitos intestinales en manipuladores de alimentos del estado Zulia, Venezuela.

Cryptosporidiosis in food handlers from Venezuela is unknown, being this an important public health problem in immunosuppressed patients. To determine the prevalence of Cryptosporidium sp and other intestinal parasites in food handlers from Zulia State, one hundred nineteen fecal samples were evaluated by wet mount, concentrated according to Ritchie and modified Ziehl-Neelsen staining. Fourteen (11.8%) were positive for Cryptosporidium sp and associated with other protozoosis (P < 0.05), being most frequent Endolimax nana (42.9%). The general prevalence of the intestinal parasitism was 48.7%, emphasizing E. nana (41.2%), followed by Blastocystis hominis (38.7%) and Entamoeba coli (17.6%). The most frequent pathogenic protozoa was Giardia lamblia (13.4%), followed by the complex Entamoeba histolytica/E. dispar (9.2%). 4.1% were positive for intestinal helminthes. The infection by Cryptosporidium sp is frequent in food handlers from Zulia State. Given to the results of this investigation and the nonexistence of studies in this population, is necessary to deepen in the impact of this parasitism in food handlers and the consumers of their products.

Infección por cryptosporidium sp y otros parásitos intestinales en manipulación de alimentos del estado Zulia Venezuela / Crytosporidium sp infections and other intestinales parasites in food handlers from Zulia state Venezuela

La criptosporidiosis en manipuladores de alimentos de Venezuela es desconocida. Con el propósito de determinar la prevalencia de Cryptosporidium y otros parásitos intestinales en manipuladores de alimentos del Estado Zulia, fueron evaluadas 119 muestras fecales mediante examen directo, método de concentración formol-éter y tinción permanente de Ziehl-Neelsen modificada. El 11,8% (14/119) de las muestras fueron positivas a Cryptosporidium. Todos los casos estaban asociados con otros protozoarios (p < 0,05), con mayor frecuencia Endolimax nana (42,9%). La prevalencia general de las parasitosis intestinales fue 48,7%, principalmente E. nana (41,2%), seguida por Blastocystis hominis (38,7%) y Entamoeba coli (17,6%). El monoparasitismo estuvo representado en el 37,9% (22/58) y el poliparasitismo en el 62,1% (36/58). El protozoario patógeno más frecuente fue Giardia lamblia (13,4%), seguido por el complejo Entamoeba histolytica/dispar (9,2%). El 4,1% de las muestras resultó positiva a helmintos con mayor frecuencia Ascaris lumbricoides (2,5%). La infección por Cryptosporidium sp y otros protozoarios es frecuente en los manipuladores de alimentos del Estado Zulia. Es necesario realizar estudios para determinar la relevancia clínica de esta parasitosis en manipuladores de alimentos y los consumidores de sus productos.

Cryptosporidiosis in food handlers from Venezuela is unknown, being this an important public health problem in immunosuppressed patients. To determine the prevalence of Cryptosporidium sp and other intestinal parasites in food handlers from Zulia State, one hundred nineteen fecal samples were evaluated by wet mount, concentrated according to Ritchie and modified Ziehl-Neelsen staining. Fourteen (11.8%) were positive for Cryptosporidium sp and associated with other protozoosis (P < 0.05), being most frequent Endolimax nana (42.9%). The general prevalence of the intestinal parasitism was 48.7%, emphasizing E. nana (41.2%), followed by Blastocystis hominis (38.7%) and Entamoeba coli (17.6%). The most frequent pathogenic protozoa was Giardia lamblia (13.4%), followed by the complex Entamoeba histolytica/E. dispar (9.2%). 4.1% were positive for intestinal helminthes. The infection by Cryptosporidium sp is frequent in food handlers from Zulia State. Given to the results of this investigation and the nonexistence of studies in this population, is necessary to deepen in the impact of this parasitism in food handlers and the consumers of their products.

[Human fasciolosis in Mara municipality, Zulia state. Venezuela: prevalence and asociated factors]. / Fasciolosis humana en el municipio Mara, estado Zulia, Venezuela: prevalencia y factores asociados.

In Venezuela, human Fasciolosis shows a low frequency. However, Mara Municipality is a highly endemic region for bovine fasciolosis and there are no reports of this parasite infection in humans. To determine the prevalence and associated factors to human fasciolosis in Mara municipality - Zulia state, a total of 51 blood and stool samples were collected. Serums were tested by ELISA and Western Blot (WB) assays, with excretion-secretion antigens of Fasciola hepatica (AFhES). The serum samples that resulted positive by these assays were tested by ELISA IgG anti Toxocara sp, Toxoplasma gondii and cysticerosis. Stool samples were concentrated by the Ritchie and rapid sedimentation techniques. Two serum samples were reactive to ELISA AFhES (3.9%) and these did not recognize the specific molecules of WB-AFhES detected by serum from patients with an absolutely demonstrated infection. Both participants were not positive to IgG anti Toxocara sp, Toxoplasma gondii, cysticerosis, and stool samples of these were negative to intestinal parasites. The general prevalence of intestinal parasites was 52.9% (27/51), being protozoa more frequent than helminthes. No Fasciola eggs were found. The two positives participants had in common that both had worked as fresh pasture cutters. These results suggest that the population had been in contact with F. hepatica, with no active infection because of the lack of specific molecules recognition and the absence of eggs in stool samples. Human fasciolosis has a low frequency in Venezuela and is underestimated and underrecognized by health workers and the general population.

[Human T-lymphotropic virus 1 (HTLV-1), strongyloidiasis and scabies. Infections and associations to considerate]. / Virus linfotrópico T humano 1 (HTLV-1), strongyloidiasis y escabiosis. Infecciones y asociaciones a considerar.

Human T-lymphotropic virus 1 (HTLV-1) is classified into the family of Retroviridae and preferentially causes a chronic infection of CD4+ T cells. Most people infected with HTLV-1 remain asymptomatic. However, less than 105 of infected individuals eventually develop any of the associated severe diseases such as inflammatory syndromes, neoplastic diseases and opportunistic infections including Strongyloides stercoralis and Sarcoptes scabiei hyperinfections. Recently, it has been described that a weak Th2 cell-mediated response is associated with HTLV-1 infection and Strongyloides hyperinfection. The evaluation for HTLV-1 in all Norwegian scabies and S. stercoralis hyperinfection cases is highly recommended, especially when no other risk factors are apparent, in order to start a specific therapy against these parasite-virus coinfections.