RESUMO
An experimental Taenia crassiceps mouse model was used to assess the role of Taenia solium metacestode factor (Fac) in human neurocysticercosis. Intraperitoneal infection with T. crassiceps metacestodes or subcutaneous inoculation with a T. crassiceps metacestode factor (Fac) produced significant impairment of performance (learning) in the Barnes maze and induced bilateral hippocampal sclerosis in mice. Several staining techniques revealed important cell dispersion, extensive apoptosis and cell loss in the dentate gyrus, hilus and CA1-CA3 regions of both hippocampi, as well as intense deterioration of the adjacent cortex. An outstanding disruption of its histoarchitecture in the surrounding tissue of all these regions and apoptosis of the endothelial cells were also observed.
Assuntos
Proteínas de Helminto/metabolismo , Hipocampo/parasitologia , Neurocisticercose/parasitologia , Esclerose/parasitologia , Taenia/metabolismo , Teníase/parasitologia , Animais , Apoptose , Feminino , Proteínas de Helminto/genética , Hipocampo/patologia , Hipocampo/fisiopatologia , Humanos , Camundongos , Camundongos Endogâmicos BALB C , Neurocisticercose/fisiopatologia , Esclerose/patologia , Esclerose/fisiopatologia , Taenia/genética , Teníase/patologia , Teníase/fisiopatologiaAssuntos
Predisposição Genética para Doença , Estudo de Associação Genômica Ampla , Histoplasmose/complicações , Histoplasmose/genética , Mediastinite/etiologia , Mediastinite/genética , Esclerose/etiologia , Esclerose/genética , Adulto , Idoso , Feminino , Histoplasmose/epidemiologia , Humanos , Masculino , Mediastinite/epidemiologia , Mediastinite/parasitologia , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Esclerose/epidemiologia , Esclerose/parasitologia , Estados Unidos/epidemiologia , Adulto JovemRESUMO
The objective of this case report is to describe magnetic resonance imaging (MRI) evidence of mesial temporal sclerosis (MTS) in a patient with new onset temporal lobe epilepsy (TLE) and acute neurocysticercosis with multiple cysts. A 56 years old man with new onset headache, Simple Partial Seizures and Complex Partial Seizures underwent CT scan and lumbar puncture as diagnose proceeding. Multiple cysts and meningitis were identified, with a positive immunology for cysticercosis. Seizures were recorded over the left temporal region in a routine EEG. Treatment with albendazole was performed for 21 days, with clinical improvement and seizure remission after 4 months. An MRI scan 11 months after treatment, showed complete resolution of those cystic lesions and a left hippocampal atrophy (HA) with hyperintense T2 signal. The presence of HA and hyperintense T2 signal in this patient has not, to date, been associated with a poor seizure control. CONCLUSIONS: This patient presented with MRI evidence of left MTS after new onset partial seizures of left temporal lobe origin. Although we did not have a previous MRI scan, it is likely that this hippocampal abnormality was due to the acute inflammatory response to cysticercosis associated to repeated partial seizures. This suggests that acute neurocysticercosis associated with repeated seizures may cause MTS and late onset TLE
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Epilepsia do Lobo Temporal/parasitologia , Neurocisticercose/complicações , Doença Aguda , Albendazol/uso terapêutico , Anti-Helmínticos/uso terapêutico , Epilepsia do Lobo Temporal/tratamento farmacológico , Seguimentos , Imageamento por Ressonância Magnética , Neurocisticercose/tratamento farmacológico , Esclerose/tratamento farmacológico , Esclerose/parasitologiaRESUMO
Sclerosing keratitis is the major cause of blindness due to onchocerciasis caused by the parasite Onchocerca volvulus. Although the importance of T cells in the pathogenesis of onchocerciasis has been suggested, their precise role in onchocercal sclerosing keratitis has not yet been defined. Using immunohistological techniques and a murine model of onchocercal sclerosing keratitis, we have performed a temporal analysis of the inflammatory T cells infiltrating into the cornea at Days 4, 7, and 21 following intrastromal challenge with soluble O. volvulus antigens into presensitized mice. The maximum number of CD3+ T cells were observed in the corneal stroma at Day 21 when sclerosing keratitis was most severe. The majority (> 85%) of the CD3+ T cells were CD4+ at all time points. A few infiltrating cells bore IL-2 receptors indicating possible activation of a small fraction of the T cells. These results suggest that CD4+ T cells play an important role in onchocercal sclerosing keratitis.
Assuntos
Linfócitos T CD4-Positivos/imunologia , Córnea/imunologia , Ceratite/imunologia , Ceratite/parasitologia , Onchocerca volvulus/imunologia , Animais , Movimento Celular/imunologia , Técnicas Imunoenzimáticas , Camundongos , Camundongos Endogâmicos A , Oncocercose/imunologia , Esclerose/imunologia , Esclerose/parasitologiaRESUMO
114 autopsy cases found during 3 years in Tomsk are analysed. A relationship between the strictures of the gallbladder duct and the duration and intensity of the opisthorchiasis invasion is established. The opisthorchiasis hinders the evacuation of the bile facilitates the development of the acute and chronic infection and cholelithiasis.