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Toxoplasma gondii & Human Phenotype

Compendium of Known Effects and Ongoing Research

diagnosis

The relationship between pediatric obsessive compulsive disorder and Toxoplasma gondii

February 1, 2020
Memik, N. C., Tamer, G. S., Unver, H., Gundogdu, O. Y.
Journal of Obsessive-Compulsive and Related Disorders 2015, 7: 24 - 28
Click for abstract
The rate of Toxoplasma gondii seropositivity in patients diagnosed with pediatric obsessive compulsive disorder (OCD) is investigated. Toxoplasma avidity levels, antitoxoplasma IgG, and antitoxoplasma IgM are investigated using the enzyme-linked immunosorbent assay (ELISA) method to examine the serums of 42 patients diagnosed with OCD (DSM-IV criteria) and 45 healthy individuals in the control group. Anti-toxoplasma IgG seropositivity was found in two patients (4.8%) among the pediatric OCD cases. Anti-toxoplasma IgM seropositivity was not detected in any patient. The toxoplasma avidity levels in patients determined to have anti-toxoplasma IgG seropositivity were 35 +/- 7.07. In the control group, however, antitoxoplasma IgG seropositivity was detected in four (8.9%) children. However, antitoxoplasma IgM seropositivity was not detected in any of the children, and the toxoplasma avidity level was 33 +/- 2.44. No statistically significant difference was found between the OCD group and the control group in terms of anti-toxoplasma IgG, anti-toxoplasma IgM seropositivity, and toxoplasma avidity level (p > 0.05). The results of our study indicate that toxoplasma infection has no major role in the etiology of pediatric OCD

Tagged: antibodies, childern, compulsion, diagnosis, Epidemiology, mental disorder, obsession, obsessive compulsion disorder, seropozitivity, Toxoplasma gondii, united-states

Mental health

Prevalence and risk factors of Toxoplasma infection – an update in Malaysian pregnant women

January 30, 2020
Chemoh, W., Farhana, M. N. N., Azmi, M. A. N., Lay, K. S., Sawangjaroen, N., Tan, T. C., Chandramathi, S. R., Nissapatorn, V.
Tropical Biomedicine 2019, 36: 694 - 702
Click for abstract
Toxoplasma gondii is a protozoan parasite that is capable of causing a zoonotic disease, known as toxoplasmosis. Vertical transmission of T. gondii from the mother to the fetus, during pregnancy may cause severe complications to the developing fetus. This current study aimed to determine the seroprevalence and investigate the associated risk factors of Toxoplasma infection in pregnant women (n=219) visiting the antenatal clinic at UMMC. While the elevated level of anti-Toxoplasma IgG and IgM antibodies indicates the presence of infection, it fails to differentiate between a past and a recent infection. Thus, the study also demonstrates the usefulness of IgG avidity in validating the timing of infection. The serum samples were tested for the presence of anti-Toxoplasma IgG and IgM antibodies by ELISA test, and the seropositive samples for both anti-Toxoplasma IgG and IgM antibodies were further evaluated by IgG avidity. The results showed that the overall prevalence of T. gondii seropositivity was 34.7%. Of these, 30.6% (67/219) were positive for anti-Toxoplasma IgG antibody only, 2.3% (5/219) were positive for anti-Toxoplasma IgM only, and the remaining 1.8% (4/219) was positive for both anti-Toxoplasma IgG and IgM antibodies. All of the pregnant women who were positive for both anti-Toxoplasma IgG and IgM antibody were found to have past infection when evaluated by IgG avidity. In this study, Malay ethnicity and the number of existing previous children were significantly associated with T. gondii seropositivity (p<0.05). Based on these findings, information and education on the transmission and prevention of congenital toxoplasmosis are very crucial as a public health effort towards a healthier society.

Tagged: diagnosis, pregnat women, risk factors, toxoplasma infection

Reproduction

Is Toxoplasma gondii infection a risk factor for leukemia? An evidence-based meta-analysis

October 6, 2016
Huang, Y., Chang, A. S., Wang, J. S., Zeng, X. Q.,
Medical Science Monitor 2016; 22.
Click for abstract
Background: Possible associations of parasite infection with cancer risk have recently attracted much attention. Published studies concerning the association between Toxoplasma gondii (T. gondii) infection and leukemia risk have generated inconsistent results. In the present study, we aimed to address this topic by conducting a quantitative meta-analysis. Material/Methods: Relevant publications were searched in electronic databases and eligible studies were rigorously screened and selected. Essential information was extracted and the data were pooled. Subgroup analysis on source of controls and detection target was also performed. Results: A total of 6 studies that met the inclusion criteria were selected. The overall data show that T. gondii infection might have an association with increased leukemia risk (OR=3.05; 95% CI=1.83-5.08). Similar results were shown in the subgroups regarding source of controls and detection target. Conclusions: Our results suggest that T. gondii infection might be a risk factor for leukemia, providing new insight into the etiology of leukemia. Future studies with large sample sizes in different geographic areas are needed to confirm this conclusion.

Tagged: association, b1 gene, cancer, children, cholangiocarcinoma, diagnosis, disease susceptibility, exposure, leukemia, meta-analysis, micrornas, prevalence, quality, Toxoplasma

Physical health

Seroprevalence and serointensity of latent Toxoplasma gondii in a sample of elderly adults with and without Alzheimer disease

October 3, 2016
Perry, C. E., Gale, S. D., Erickson, L., Wilson, E., Nielsen, B., Kauwe, J., Hedges, D. W.
Alzheimer Disease and Associated Disorders 2016; 30: 123-126
Click for abstract
Introduction: Latent infection with Toxoplasma gondii has been associated with behavioral and cognitive changes in animal models and in humans. Early findings have suggested an association between latent toxoplasmosis and Alzheimer disease (AD). On the basis of these factors, we sought to determine whether there is an association between latent toxoplasmosis and AD using a large, well-characterized sample of subjects with AD and age-matched and sex-matched controls without dementia. Methods: Using ELISA, we determined anti-T. gondii IgG antibody titers in 114 control subjects and in 105 subjects diagnosed with AD through an Alzheimer's Disease Research Center. Results: There were no group differences between groups in age, ethnicity, or sex. Education and socioeconomic status was slightly higher in the control group. Neither the prevalence of anti-T. gondii IgG antibodies (33% in the nondemented control group compared with 41% in the AD group, P= 0.25) nor log-transformed antibody concentration (106.6 IU/mL in the control group compared with 140.9 IU/mL in the AD group, P= 0.85) differed between the control and AD groups. Discussion: In this sample, we found neither a higher prevalence of latent toxoplasmosis in the AD group compared with the control group nor differences in serum anti-T. gondii IgG titers between groups.

Tagged: alzheimer disease, association, dementia, diagnosis, infection, mechanisms, neurodegeneration, risk factors, Toxoplasma gondii, toxoplasmosis

Cognitive functionsMental health

Seroprevalence of Toxoplasma gondii infection among patients with non-schizophrenic neurodevelopmental disorders in Alexandria, Egypt

October 3, 2016
Shehata AI, Hassanein FI, Abdul-Ghani R
Acta Tropica 2016; 154: 155-159
Click for abstract
Toxoplasma gondii is an opportunistic parasite with neurotropic characteristics that can mediate neurodevelopmental disorders, including mental, behavioral and personality aspects of their hosts. Therefore, the seroprevalence of anti-Toxoplasma antibodies has been studied in patients with different neurological disorders from different localities. On searching online databases, however, we could not find published studies on the seroprevalence of anti-Toxoplasma antibodies among patients with neurodevelopmental disorders in Egypt. Therefore, the present preliminary study was conducted to determine the serological profile of T. gondii infection among patients with non -schizophrenic neurodevelopmental disorders in Alexandria, Egypt. Data and blood samples were collected from 188 patients recruited for the study from four mental rehabilitation centers in the period from July 2014 to March 2015. The overall seropositivity rates of IgM and IgG among patients were 16.5% (31/188) and 50.0% (94/188), respectively. Of the studied patients' characteristics, only age was significantly associated with anti-Toxoplasma IgG seropositivity, with older patients being about twice more likely exposed to infection. However, no statistically significant association was found with IgM. In addition, seropositivity of anti-Toxoplasma IgG, but not IgM, was significantly associated with non-schizophrenic neurodevelopmental disorders; however, neither IgG nor IgM showed a significant association with cognitive impairment as indicated by the intelligence quotient scores.

Tagged: alexandria, antibodies, behavior, cerebral-palsy, children born, deficits, diagnosis, governorate, neurodevelopmental disorder, pregnancy, risk, Schizophrenia, seroprevalence, Toxoplasma gondii

Mental health

Influence of Toxoplasma gondii infection on symptoms and signs of premenstrual syndrome: A cross-sectional study.

September 4, 2016
Alvarado-Esquivel, C., Sanchez-Anguiano, L. F., Hernandez-Tinoco, J., Perez-Alamos, A. R., Rico-Almochantaf, Y. D., Estrada-Martinez, S., Vaquera-Enriquez, R., Diaz-Herrera, A., Ramos-Nevarez, A., Sandoval-Carrillo, A. A., Salas-Pacheco, J. M., Cerrillo-Soto, S. M., Antuna-Salcido, E. I., Liesenfeld, O., Guido-Arreola, C. A.
European Journal of Microbiology and Immunology 2016; 6: 298-305
Click for abstract
Infection with Toxoplasma gondii in brain may cause some symptoms that resemble those in women with premenstrual syndrome. To determine the association of T. gondii infection with symptoms and signs of premenstrual syndrome, we examined 489 women aged 30-40 years old. Sera of participants were analyzed for the presence of anti-Toxoplasma IgG and IgM antibodies using enzyme-linked immunoassays (EIA) and T. gondii DNA by polymerase chain reaction (PCR). Anti-T. gondii IgG antibodies were found in 38 (7.8%) of the women studied. Anti-T. gondii IgM antibodies were found in 13 (34.2%) of the 38 IgG seropositive women. Logistic regression showed two variables associated with seropositivity to T. gondii: presence of diarrhea (odds ratio [OR] = 6.10; 95% confidence interval [CI]: 1.37-27.85; P = 0.01) and weight gain (OR = 2.89; 95% CI: 1.37-6.07; P = 0.005), and two variables associated with high (>150 IU/ml) levels of IgG against T. gondii: presence of diarrhea (OR = 7.40; 95% CI: 1.79-30.46; P = 0.006) and abdominal inflammation (OR = 3.38; 95% CI: 1.13-10.10; P = 0.02). Positivity to EIA IgG and PCR was positively associated with obesity and negatively associated with joint pain by bivariate analysis. Our study for the first time reveals a potential association of T. gondii infection with clinical manifestations of premenstrual syndrome.

Tagged: bowel, cross-sectional study, diagnosis, diarrhea, dysphoric disorder, fatal systemic toxoplasmosis, immunocompromised patients, of-the-literature, patient, premenstrual syndrome, prevalence, seroprevalence, Toxoplasma gondii, women

Mental healthPhysical health

Seroprevalence of Toxoplasma gondii infection among patients with non-schizophrenic neurodevelopmental disorders in Alexandria, Egypt

May 28, 2016
Shehata, A. I., Hassanein, F. I., Abdul-Ghani, R.
Acta Tropica 2016; 154: 155-159
Click for abstract
Toxoplasma gondii is an opportunistic parasite with neurotropic characteristics that can mediate neurodevelopmental disorders, including mental, behavioral and personality aspects of their hosts. Therefore, the seroprevalence of anti-Toxoplasma antibodies has been studied in patients with different neurological disorders from different localities. On searching online databases, however, we could not find published studies on the seroprevalence of anti-Toxoplasma antibodies among patients with neurodevelopmental disorders in Egypt. Therefore, the present preliminary study was conducted to determine the serological profile of T. gondii infection among patients with non -schizophrenic neurodevelopmental disorders in Alexandria, Egypt. Data and blood samples were collected from 188 patients recruited for the study from four mental rehabilitation centers in the period from July 2014 to March 2015. The overall seropositivity rates of IgM and IgG among patients were 16.5% (31/188) and 50.0% (94/188), respectively. Of the studied patients' characteristics, only age was significantly associated with anti-Toxoplasma IgG seropositivity, with older patients being about twice more likely exposed to infection. However, no statistically significant association was found with IgM. In addition, seropositivity of anti-Toxoplasma IgG, but not IgM, was significantly associated with non-schizophrenic neurodevelopmental disorders; however, neither IgG nor IgM showed a significant association with cognitive impairment as indicated by the intelligence quotient scores.

Tagged: alexandria, antibodies, behavior, cerebral-palsy, children born, deficits, diagnosis, governorate, neurodevelopmental disorder, pregnancy, risk, Schizophrenia, seroprevalence, Toxoplasma gondii

Cognitive functionsMental health

Seroprevalence of Toxoplasma gondii infection among patients with non-schizophrenic neurodevelopmental disorders in Alexandria, Egypt

May 24, 2016
Shehata, A.I., Hassanein, F.I., Abdul-Ghani, R.
Acta Tropica 2016;154: 155-159
Click for abstract
Toxoplasma gondii is an opportunistic parasite with neurotropic characteristics that can mediate neurodevelopmental disorders, including mental, behavioral and personality aspects of their hosts. Therefore, the seroprevalence of anti-Toxoplasma antibodies has been studied in patients with different neurological disorders from different localities. On searching online databases, however, we could not find published studies on the seroprevalence of anti-Toxoplasma antibodies among patients with neurodevelopmental disorders in Egypt. Therefore, the present preliminary study was conducted to determine the serological profile of T. gondii infection among patients with non -schizophrenic neurodevelopmental disorders in Alexandria, Egypt. Data and blood samples were collected from 188 patients recruited for the study from four mental rehabilitation centers in the period from July 2014 to March 2015. The overall seropositivity rates of IgM and IgG among patients were 16.5% (31/188) and 50.0% (94/188), respectively. Of the studied patients' characteristics, only age was significantly associated with anti-Toxoplasma IgG seropositivity, with older patients being about twice more likely exposed to infection. However, no statistically significant association was found with IgM. In addition, seropositivity of anti-Toxoplasma IgG, but not IgM, was significantly associated with non-schizophrenic neurodevelopmental disorders; however, neither IgG nor IgM showed a significant association with cognitive impairment as indicated by the intelligence quotient scores.

Tagged: alexandria, antibodies, behavior, cerebral-palsy, children born, deficits, diagnosis, governorate, neurodevelopmental disorder seroprevalence, pregnancy, risk, Schizophrenia, Toxoplasma gondii

BehaviorMental health

Seroprevalence of Toxoplasma gondii infection in patients with Alzheimer’s disease

January 4, 2016
Rashno, M. M., Fallahi, S., Kheirandish, F., Bagheri, S., Kayedi, M. H., Birjandi, M.
Archives of Clinical Infectious Diseases 2016, 11: ARTN e37205 10.5812/archcid.37205
Click for abstract
Background: Toxoplasmosis is one of the most important diseases in humans and animals. Almost one-third of the human population around the world is infected with toxoplasmosis. The agent of this parasitic disease is a protozoan called Toxoplasma gondii (T. gondii) that causes encephalitis in people with suppressed immune systems and abortion, mental retardation and chorioretinitis in the fetus. Alzheimer's disease (AD) is the most important neurodegenerative disease. Objectives: Due to the high prevalence of toxoplasmosis in Iran and evidence on its impact on neurodegenerative diseases, this study was performed to evaluate the T. gondii infection in patients with AD. Patients and Methods: In this case-control study, after selection of alzheimer's patients (APs) referred to Imam Reza psychiatric hospital of Khorramabad, west of Iran, and healthy controls (each group consisted of 87 individuals), using the convenience sampling method and under the supervision of a neurologist, blood samples were taken during July 2014 and January 2015. The collected samples were transferred to the research laboratory of parasitology under cold chain storage and then, the serum samples were separated by centrifugation and were frozen at -20 degrees C until use. The T. gondii IgM and IgG specific antibodies were assessed in serum samples using commercial Enzyme Linked Immunosorbent Assay (ELISA) kits. Results: The overall prevalence of T. gondii infection in patients with AD and the control group, using ELISA assay, was obtained as 66.6% (58/87) and 56.32% (49/87), respectively (P = 0.99). In this study, there was no significant association between T. gondii infection and AD. On the other hand, no statistically significant difference was observed between the two groups in terms of infection with T. gondii (P = 0.99). Conclusions: Higher prevalence of T. gondii in patients with AD compared to controls showed the possible impact of this parasite in AD, which may exacerbate symptoms, and this requires special attention of specialists and patient families.

Tagged: b1 gene, cancer, children, control group, diagnosis, intestinal parasites, isothermal amplification lamp, lorestan, patients with alzheimer's disease, prevalence, Schizophrenia, seroprevalence, Toxoplasma gondii, western iran

Cognitive functionsMental health

Is toxoplasmosis a potential risk factor for liver cirrhosis?

October 9, 2015
El-Henawy, A. A., Razik, A. A., Zakaria, S., Elhammady, D., Saudy, N., Azab, M. S.
Asian Pacific Journal of Tropical Medicine 2015; 8: 768-775
Click for abstract
Objective: To document Toxoplasma gondii (T. gondii) antibody status in patients with liver disease, blood samples were taken from 180 hepatic patients and 180 healthy controls. Methods: Toxoplasma IgG antibody was detected using enzyme-linked immunosorbent assay and histopathological assessment of liver biopsy METAVIR score was applied. Results: Anti-T. gondii IgG antibodies were found in 32.8% of patients and in 22.2% of controls (P=0.02). Toxoplasma scropositivity was significantly associated with lymphadenopathy, history of blood transfusion and reflex impairment in patients. Chronic hepatitis C virus (HCV) and chronic HCV-related cirrhosis groups compared to chronic HBV and chronic HBV-related cirrhosis groups expressed significantly higher prevalence of T. gondii seropositivity (odds ratio (OR) =4; 95% confidence interval (CI): 1.3-12.6; P=0.013, OR=4.8; 95% CI: 1.5-14.9; P=0.006, respectively). Within the chronic HCV group, T. gondii seropositivity significantly associated disease evolution as regards to METAVIR histopathological system for fibrosis and inflammation (OR=19.4; 95% Cl: 2.3-165.2; P=0.0008, OR=0.29; 95% Cl: 0.1-0.8; P=0.01, respectively). Albumin, international normalized ratio (INR) and platelets count were the laboratory parameters significantly altered in Toxoplasma-positive chronic HCV patients (P=0.001, 0.03, 0.04, respectively). Child-Pugh scoring for cirrhosis in chronic HCV group placed the majority of seropositive patient in class C with significant statistical difference compared to Child A reference group (OR=0.08; 95% Cl 0.01-0.5; P=0.003). Conclusions: Toxoplasma seropositivity was high in patients with cirrhosis and associated higher grades of inflammation and necrosis signifying disease evolution, suggesting that cirrhotic patients may thus form a risk group for toxoplasmosis

Tagged: blood-donors, c virus-infection, child-pugh score, chronic viral-hepatitis, congenital toxoplasmosis, diagnosis, disease, gondii infection, hbv, hcv, hepatic stellate cells, ifn-gamma, liver cirrhosis, metavir score, needle-aspiration-cytology, Toxoplasma gondii

Physical health

The relationship between pediatric obsessive compulsive disorder and Toxoplasma gondii

October 6, 2015
Memik, N. C., Tamer, G. S., Unver, H., Gundogdu, O. Y.
Journal of Obsessive-Compulsive and Related Disorders 2015; 7: 24-28
Tagged: antibodies, children, compulsion, diagnosis, Epidemiology, infection, mental-disorders, obsession, obsessive-compulsive disorder, reliability, Schizophrenia, seropositivity, Toxoplasma gondii, united-states

Mental health

Ocular toxoplasmosis past, present and new aspects of an old disease

October 30, 2014
Maenz, M., Schluter, D., Liesenfeld, O., Schares, G., Gross, U., Pleyer, U.
Progress in Retinal and Eye Research 2014; 39: 77-106
Click for abstract
Ocular toxoplasmosis (OT) is considered the most frequent form of infectious posterior uveitis and is caused by the protozoan parasite Toxoplasma gondii. The resulting vision loss frequently incapacitates patients and places a considerable socio-economic burden on societies in particular in developing countries. Although, toxoplasmic retinochoroiditis is a world-wide phenomenon stark regional differences with regard to prevalence and presumably route of infection exist. This review will discuss our current clinical understanding of OT including typical and atypical manifestations, patient characteristics which influence the course of disease and treatment options. Even though, congenital and acquired OT are not regarded as separate entities, certain differences exist, which will be assessed and evaluated in detail. A strong focus is laid on the disease causing parasite T. gondii, since solving the mystery of OT aetiology and the development of improved therapies will not be possibly with clinical science alone, but rather requires a precise understanding of parasitological and immunological pathomechanisms. Additionally, the biology and genetics of T. gondii form the foundation for novel and sophisticated diagnostic methods. Scientific advances in the recent years have shed some light on the different role of T. gondii strains with regard to OT manifestation and severity of disease. Genetic and environmental factors influencing OT will be presented and commonalities between OT and toxoplasmic encephalitis will be briefly discussed. Furthermore, the laboratory tools to study OT are crucial in our understanding of OT. In vivo and in vitro experimental approaches will be summarised and evaluated extensively. Finally, a brief outlook is given in which direction OT research should be headed in the future.

Tagged: Antiprotozoal agents/therapeutic use, diagnosis, differential, humans, ocular/diagnosis/etiology/immunology/therapy, risk factors, Toxoplasma/pathogenicity, toxoplasmosis

Physical health

Seroepidemiology of Toxoplasma gondii infection in drivers involved in road traffic accidents in the metropolitan area of Guadalajara, Jalisco, Mexico

October 10, 2013
Galvan-Ramirez, M. D., Sanchez-Orozco, L. V., Rodriguez, L. R., Rodriguez, S., Roig-Melo, E., Sanroman, R. T., Chiquete, E., Armendariz-Borunda, J.
In: Parasites & Vectors 2013;6:10.1186/1756-3305-6-294
Click for abstract
Background: The prevalence of toxoplasmosis in the general population of Guadalajara, Mexico, is around 32%. Toxoplasmosis can cause ocular lesions and slowing of reaction reflexes. Latent toxoplasmosis has been related with traffic accidents. We aimed to assess the prevalence of anti-Toxoplasma gondii antibodies and visual impairments related with traffic accidents in drivers from the metropolitan Guadalajara. Methods: We prospectively evaluated the prevalence of IgG and IgM anti-T. gondii antibodies in 159 individuals involved in traffic accidents, and in 164 control drivers never involved in accidents. Cases of toxoplasmosis reactivation or acute infection were detected by PCR in a subset of 71 drivers studied for the presence of T. gondii DNA in blood samples. Ophthalmologic examinations were performed in drivers with IgG anti-T. gondii antibodies in search of ocular toxoplasmosis. Results: Fifty-four (34%) traffic accident drivers and 59 (36%) controls were positive to IgG anti-T. gondii antibodies (p = 0.70). Among the 113 seropositive participants, mean anti-T. gondii IgG antibodies titers were higher in traffic accident drivers than in controls (237.9 +/- 308.5 IU/ml vs. 122.9 +/- 112.7 IU/ml, respectively; p = 0.01 by Student's t test, p = 0.037 by Mann-Whitney U test). In multivariate analyses, anti-T. gondii IgG antibody titers were consistently associated with an increased risk of traffic accidents, whereas age showed an inverse association. The presence of IgM-anti-T. gondii antibodies was found in three (1.9%) subjects among traffic accident drives, and in two (1.2%) controls. Three (4.2%) samples were positive for the presence of T. gondii DNA, all among seropositive individuals. No signs of ocular toxoplasmosis were found in the entire cohort. Moreover, no other ocular conditions were found to be associated with the risk of traffic accidents in a multivariate analysis. Conclusions: Anti-T. gondii antibody titers are associated with the risk of traffic accidents. We could not determine any association of ocular toxoplasmosis with traffic accidents. Our results warrant further analyses in order to clarify the link between toxoplasmosis and traffic accidents

Tagged: city, diagnosis, elisa, ocular toxoplasmosis, population, rhd molecule, Schizophrenia, seroprevalence, toxoplasmosis, traffic accidents, women, zoonoses

Behavior

Seroprevalence of Toxoplasma gondii infection in female sterility patients in China

October 19, 2011
Alvarado-Esquivel, C., Torres-Berumen, J. L., Estrada-Martinez, S., Liesenfeld, O., Mercado-Suarez, M. F.
Journal of Parasitology 2011; 97: 529-530
Click for abstract
Toxoplasmosis is an important parasitic disease worldwide and is related to certain psychiatric disorders and sterility. In the present study, serum samples from 882 female sterility patients and 107 pregnant-puerperant women were assayed for anti-T. gondii IgG antibodies using ELISA. The overall T gondii seroprevalence was 14.8%. In the female sterility patients, 15.9% (140/882) were seropositive and, in the pregnant-puerperant women, 5.6% (6/107) were positive for anti-T. gondii IgG antibodies. There was a significant difference between the 2 groups (P < 0.05). The samples were further divided into 5 groups based on age, but no significant difference was found among the 5 groups (P > 0.05). Results of the present study argue for more attention to prevention of T. gondii infection in the female population and, in particular, women of childbearing age.

Tagged: antibodies, diagnosis, pregnancy, reproductive failure, seroepidemiology

Reproduction

Maternal exposure to toxoplasmosis and risk of schizophrenia in adult offspring

October 30, 2005
Brown, A. S., Schaefer, C. A., Quesenberry, C. P., Liu, L. Y., Babulas, V. P., Susser, E. S.
American Journal of Psychiatry 2005; 162: 767-773
Click for abstract
Objective: The authors examined the relationship between maternal antibody to toxoplasmosis and the risk of schizophrenia and other schizophrenia spectrum disorders in offspring. Toxoplasmosis is known to adversely affect fetal brain development. Method: In a nested case-control design of a large birth cohort born between 1959 and 1967, the authors conducted serological assays for Toxoplasma antibody on maternal serum specimens from pregnancies giving rise to 63 cases of schizophrenia and other schizophrenia spectrum disorders and 123 matched comparison subjects. Toxoplasma immunoglobulin (Ig) G antibody was quantified by using the Sabin-Feldman dye test. The Ig titers were classified into three groups: negative (< 1: 16) reference), moderate ( 1: 16 - 1: 64), and high (>= 1: 128). Results: The adjusted odds ratio of schizophrenia/schizophrenia spectrum disorders for subjects with high maternal Toxoplasma IgG antibody titers was 2.61 ( 95% confidence interval = 1.00 - 6.82). There was no association between moderate Toxoplasma Ig antibody titers and the risk of schizophrenia/spectrum disorders. Conclusions: These findings suggest that maternal exposure to toxoplasmosis may be a risk factor for schizophrenia. The findings may be explained by reactivated infection or an effect of the antibody on the developing fetus. Given that toxoplasmosis is a preventable infection, the findings, if replicated, may have implications for reducing the incidence of schizophrenia.

Tagged: antibodies, diagnosis, etiology, gondii infection, maternal exposure, shizophrenia

Mental health

Toxoplasma infection in systemic lupus erythematosus mimicking lupus cerebritis

January 4, 1999
Zamir, D., Amar, M., Groisman, G., Weiner, P.
Mayo Clinic Proceedings 1999; 74:575-578
Click for abstract
An opportunistic infection is a known, although underdiagnosed, complication of systemic lupus erythematosus (SLE). A 48-year-old woman with a recent diagnosis of SLE was admitted to the hospital because of a fever, confused state, and convulsive episode. Her symptoms were interpreted as being compatible with lupus cerebritis. Treatment with methylprednisolone resulted in a temporary improvement in the patient's condition. Nevertheless, during the next few weeks, her physical and mental condition deteriorated, and she died of massive pulmonary emboli, An autopsy revealed no signs of lupus cerebritis; however, disseminated cerebral toxoplasmosis was found. Cerebral toxoplasmosis is a rare complication of SLE that may be misdiagnosed as lupus cerebritis.

Tagged: adults, c-reactive protein, central-nervous-system, diagnosis, meningitis

Physical health

Tumours of the brain and presence of antibodies to Toxoplasma gondii

November 7, 1993
Ryan, P., Hurley, S. F., Johnson, A. M., Salzberg, M., Lee, M. W., North, J. B., Mcneil, J. J., Mcmichael, A. J.
International Journal of Epidemiology 1993; 22: 412-419
Click for abstract
The possible association between prior infection with the protozoan Toxoplasma gondii and development of brain tumours was investigated as part of two Australian population-based case-control studies of adult brain tumours. One study, based in Adelaide, South Australia, collected blood from 73 subjects with glioma, 53 subjects with meningioma and 348 controls. The other study, based in Melbourne, Victoria, collected blood from 44 subjects with glioma and 67 controls. All tumours had been verified histologically. IgG antibodies to T. gondii were measured using Enzyme Linked Immunosorbent Assay (ELISA) techniques. In both the centre-specific and combined analyses, there was no difference between subjects with glioma and controls in the prevalence of antibody test-positivity (35% test-positive in glioma versus 33% in controls, age-, sex- and centre-adjusted odds ratio (OR) = 1.00, 95% confidence interval (CI): 0.64-1.56). In the Adelaide study, there was a statistically significant increased risk of meningioma associated with antibody test-positivity (47% test-positive in meningioma versus 31% in controls, P = 0.02, adjusted OR = 2.09, 95% CI: 1.14-3.83). Our results do not support the hypothesis that antibody positivity to T. gondii is a risk factor for glioma, but suggest that it might be associated with meningioma.

Tagged: childhood, diagnosis, immunosorbent-assay elisa, los-angeles county, meningiomas, nervous system, risk factors, tests, tumors

Physical health

Toxoplasmosis and lupus. A review of the literature apropos of 4 cases

November 8, 1986
Wechsler, B., Le Thi Huong, Du, Vignes, B., Piette, J. C., Chomette, G., Godeau, P.
Annales de Medecine Interne 1986; 137: 324-330
Click for abstract
The authors report 4 cases of toxoplasmosis in patients with acute disseminated lupus erythematosus (ADLE). In one case, a pregnant patient with serology indicative of chronic infection, infected the neonate who died of subacute toxoplasmosis. Although ADLE is a classical cause of immunodepression, toxoplasmosis is a rare complication; only 5 cases were found in a review of the literature. Toxoplasmosis infection may resemble an exacerbation of lupus; an accurate diagnosis is essential as the treatment of the two conditions is radically different. The problems of diagnosis of toxoplasmosis in immunodepressed patients are reviewed and the therapeutic approach, especially in pregnant patients, is discussed. In ADLE, the authors recommend checking toxoplasmosis serology before starting and during treatment with corticosteroids. Special attention should be paid to pregnant women with apparently chronic serological changes as neonatal infection may occur.

Tagged: adolescent, adult, diagnosis, differential, female, humans, immunologic deficiency syndromes/complications/diagnosis, lupus erythematosus, systemic/*complications/diagnosis/immunology, toxoplasmosis/*diagnosis/etiology

Physical health

Topics

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  • Cognitive functions 64
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Recent articles

  • Mortality Patterns of Toxoplasmosis and Its Comorbidities in Tanzania: A 10-Year Retrospective Hospital-Based Survey February 6, 2020
  • The role of latent toxoplasmosis in the aetiopathogenesis of schizophrenia–the risk factor or an indication of a contact with cat? February 6, 2020
  • The Association between Toxoplasma gondii Infection and Risk of Parkinson’s Disease: A Systematic Review and Meta-Analysis February 6, 2020

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