Seroprevalence and Hematological Investigation of Toxoplasmosis in Women of Lahore, Pakistan
Abstract
Abstract Views: 0Background. Toxoplasma gondii is responsible for toxoplasmosis infection. Human beings and most warm-blooded animals are infected by this parasite, though the primary host of this parasite is the felid family. The current study was designed to assess the seroprevalence of toxoplasmosis and to investigate the hematological changes in the female human population of Lahore, Pakistan.
Methodology. For this research, 150 blood samples were collected from women being treated at Sir Ganga Ram Hospital Lahore, along with other details. Of these, 90 samples were selected for the analysis of hematological changes by using a hematology analyzer. The serum of these samples was analyzed to estimate the seroprevalence of toxoplasmosis by using the ELISA technique. All the information was collected with the help of a questionnaire and analyzed to find out the risk factors.
Results. The overall prevalence of toxoplasmosis in the female human population in Lahore was found to be 27%. The prevalence rate was 31% and 24% among pregnant and non-pregnant women, respectively. Similarly, women who underwent abortion had a high prevalence rate (66.6%) as compared to normal pregnant women (25.6%). In pregnant women, infection was more prevalent in the third trimester of pregnancy (43.7%), as compared to the first (28.5%) and second (20%) trimesters. The prevalence rate was higher in those women who had contact with cats or any other pet animal. The hematological parameters of the samples were also examined. In seropositive women, the levels of Hb and PCV declined, while the counts of lymphocytes and neutrophils considerably increased. Abnormal concentration levels of ALT and AST enzymes were also observed in seropositive women.
Conclusion. This study revealed a higher prevalence of toxoplasmosis in pregnant women. Therefore, clinical screening should be encouraged for this infection
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References
Sroka J, Wójcik-Fatla A, Dutkiewicz J. Occurrence of Toxoplasma gondii in water from wells located on farms. Ann Agric Environ Med. 2006;13(1):169–175.
Al-Qurashi AR, Ghandour AM, Obeid OE, et al. Seroepidemiological study of Toxoplasma gondii infection in the human population in the Eastern Region. Saudi Med J. 2001;22(1):13–18.
Ouermi D, Simpore J, Belem AM, et al. Co-infection of Toxoplasma gondii with HBV in HIV-infected and uninfected pregnant women in Burkina Faso. Pak J Biol Sci. 2009;12(17):1188–1193. https://doi. org/10.3923/pjbs.2009.1188.1193
Montoya JG, Liesenfeld O. Toxoplasmosis. Lancet. 2004;363(9425):1965–1976. https:// doi.org/10.1016/S0140-6736(04)16412-X
Feustel SM, Meissner M, Liesenfeld O. Toxoplasma gondii and the blood-brain barrier. Virulence. 2012;3(2):182–192. https://doi.org/ 10.4161/viru.19004
Walker M, Zunt JR. Parasitic central nervous system infections in immunocompromised hosts. Clin Infect Dis. 2005;40(7):1005–1015. https://doi.org/10.1086/428621
Bigna JJ, Tochie JN, Tounouga DN, et al. Global, regional, and country seroprevalence of Toxoplasma gondii in pregnant women: a systematic review, modelling and meta-analysis. Sci Rep. 2020;10:e12102. https:// doi.org/10.1038/s41598-020-69078-9
Dubey JP. History of the discovery of the life cycle of Toxoplasma gondii. Int J Parasitol. 2009;39(8):877–882. https://doi.org/ 10.1016/j.ijpara.2009.01.005
Zhao GH, Zhang MT, Lei LH, et al. Seroprevalence of Toxoplasma gondii infection in dairy goats in Shaanxi Province, Northwestern China. Parasit Vectors. 2011;4(1):e47. https://doi. org/10.1186/1756-3305-4-47
Dubey JP, Jones JL. Toxoplasma gondii infection in humans and animals in the United States. Int J Parasitol. 2008;38(11):1257–1278. https://doi.org/10.1016/j.ijpara.2008.03.007
Wallon M, Peyron F. Congenital Toxoplasmosis: A Plea for a Neglected Disease. Pathogens. 2018;7(1):e25. https://doi.org/10.3390/pathogens7010025
Watanabe S, Aline Rosa Trevizan, Saulo Euclides Silva-Filho, et al. Immunocompetent host develops mild intestinal inflammation in acute infection with Toxoplasma gondii. PLOS ONE. 2018;13(1):e0190155. https://doi.org/ 10.1371/journal.pone.0190155
Chaudhary Z, Ahmed R, Hussain S, et al. Detection of Toxoplasma gondii Infection in Butchers and Buffaloes by Polymerase Chain Reaction and Latex Agglutination Test. Pak J Zool. 2006;38(4):333–336. https://www.zsp.com.pk/pdf38/333-336%20_14_.pdf
Gao Q, Zhang NZ, Zhang FK, et al. Immune response and protective effect against chronic Toxoplasma gondii infection induced by vaccination with a DNA vaccine encoding profilin. BMC Infect Dis. 2018;18(1):e117. https://doi.org/10 .1186/s12879-018-3022-z
Rashno MM, Fallahi S, Arab-Mazar Z, et al. Seromolecular assess of Toxoplasma gondii infection in pregnant women and neonatal umbilical cord blood. Excli J. 2019;18:1–7. https://www.ncbi.nlm. nih.gov/pmc/articles/PMC6449666/
Majid A, Khan S, Jan AH, et al. Chronic toxoplasmosis and possible risk factors associated with pregnant women in Khyber Pakhtunkhwa. Biotechnol Biotechnol Equip. 2016;30(4):733–736. https://doi.org/10.1080/13102818.2016.1175966
Yu CP, Chen BC, Chou YC, et al. The epidemiology of patients with toxoplasmosis and its associated risk factors in Taiwan during the 2007-2020 period. PLoS One. 2023;18(8):e0290769. https://doi.org/ 10.1371/journal.pone.0290769
Khalil HI, Merdaw MA, Abdullah AM, et al. Estimation of Toxoplasma gondii infection by Serological and Immunohistochemical methods in Baghdad City-Iraq. Int J Adv Res. 2016;4(4):272–278. https://doi.org /10.21474/ijar01/132
Tasawar Z, Aziz F, Hussain Lashari M, et al. Seroprevalence of Human Toxoplasmosis in Southern Punjab, Pakistan. Pak J Life Soc Sci. 2012;10(1):48–52
Studenicová C, Bencaiová G, Holková R. Seroprevalence of Toxoplasma gondii antibodies in a healthy population from Slovakia. Eur J Intern Med. 2006;17(7):470–473. https://doi. org/10.1016/j.ejim.2006.07.007
Nijem KI, Al-Amleh S. Seroprevalence and associated risk factors of toxoplasmosis in pregnant women in Hebron district, Palestine. East Mediterr Health J. 2009;15(5):1278–1284.
Dentico P, Volpe A, Putoto G, et al. Toxoplasmosis in Kosovo pregnant women. New Microbiol. 2011;34(2):203–207.
Mwambe B, Mshana SE, Kidenya BR, et al. Sero-prevalence and factors associated with Toxoplasma gondii infection among pregnant women attending antenatal care in Mwanza, Tanzania. Parasit Vectors. 2013;6(1):e222. https://doi.org/ 10.1186/1756-3305-6-222
Marino AM, Percipalle M, Giunta RP, et al. Development and validation of a real-time PCR assay for the detection of Toxoplasma gondii DNA in animal and meat samples. J Vet Diagn Invest. 2017;29(2):203–207. https://doi.org/ 10.1177/1040638716682808
Razaq Mouhamed KA, A. AL Kazzaz AK, M. Idrees AS. Diagnosis of human toxoplasmosis using rapid chromatographic immunoassay and enzyme-linked immuno-sorbent assay (elisa) compared to molecular technique (pcr) as gold standard technique. Int J Curr Microbiol App Sci. 2018;7(1):3150–3155. https://doi. org/10.20546/ijcmas.2018.701.373
Hayat S, Tasawar Z, Akhtar T. Seroprevalence of human toxoplasmosis in kallarwali, muzaffar garh, Pakistan. Gomal J Med Sci. 2014;12(3).
Iqbal J, Khalid N. Detection of acute Toxoplasma gondii infection in early pregnancy by IgG avidity and PCR analysis. J Med Microbiol. 2007;56(11):1495–1499. https://doi. org/10.1099/jmm.0.47260-0
Spalding SM, Amendoeira MR, Klein CH, et al. Serological screening and toxoplasmosis exposure factors among pregnant women in South of Brazil. Rev Soc Bras Med Trop. 2005;38(2):173–177. https://doi.org/ 10.1590/s0037-86822005000200009
Nimri L, Pelloux H, Elkhatib L. Detection of Toxoplasma gondii DNA and specific antibodies in high-risk pregnant women. Am J Trop Med Hyg. 2004;71(6):831–835.
Jeannel D, Niel G, Costagliola D, et al. Epidemiology of toxoplasmosis among pregnant women in the Paris area. Int J Epidemiol. 1988;17(3):595–602. https://doi.org/10.1093/ije/17.3.595
Jones JL, Kruszon-Moran D, Wilson M, et al. Toxoplasma gondii infection in the United States: seroprevalence and risk factors. Am J Epidemiol. 2001;154(4):357–365. https://doi.org/ 10.1093/aje/154.4.357
Rosso F, Les JT, Agudelo A, et al. Prevalence of infection with Toxoplasma gondii among pregnant women in Cali, Colombia, South America. Am J Trop Med Hyg. 2008;78(3):504–508.
G. Zakaria E. Comparative study of hematological changes and therapeutical effect of toxoplasmosis in nineveh’s women and small ruminants. Basrah J Veter Res. 2013;12(1):1–12. https://doi.org/ 10.33762/bvetr.2013.7618
Mahmood O. Effect of Toxoplasmosis on hematological, biochemical and immunological parameters in pregnant women in Tikrit city, Iraq. Tikrit J Pure Sci. 2016;21(3):2415–1726.
Kadir MA, Narmeen RafikHamad. Biochemical parameters in patients with Trichomonasvaginalis and Toxoplasma gondii in Erbil-Iraq. Tikrit J Pharm Sci. 2023;9(2):327–337. https://doi.org/ 10.25130/tjphs.2013.9.2.16.327.327
Nadia, Lemogo Giresse Nino, Yamssi Cédric, et al. Seroprevalence of Toxoplasma gondii IgG and IgM antibodies and associated risk factors among pregnant women consulted in three health centers in Dschang, Cameroon. Parasit Epidemiol Control. 2023;22:e00306. https://doi.org/ 10.1016/j.parepi.2023.e00306
Singh B, Debrah LB, Acheampong G, Debrah AY. Seroprevalence and Risk Factors of Toxoplasma gondii Infection among Pregnant Women in Kumasi: A Cross-Sectional Study at a District-Level Hospital, Ghana. Infect Dis Obs Gynecol. 2021;2021:e6670219. https://doi.org/ 10.1155/2021/6670219
Sadegi Hariri S, Heidari Z, Habibzadeh S, et al. Seroprevalence of Toxoplasma gondii among Pregnant Women in Ardabil, Iran (2021-2022). Iran J Parasitol. 2023;18 (1):93–99. https://doi.org/10.18502/ ijpa.v18i1.12385
Ubaid Hamza M, M. Hameed N, Hasan Al-Zubaidi S, et al. Toxoplasma gondii Seroprevalence Among Pregnant Women in Baghdad During 2021-2022. J Obs Gynecol Cancer Res. 2022;7(6):563–568. https://doi. org/10.30699/jogcr.7.6.563
van den Berg OE, Stanoeva KR, Zonneveld R, et al. Seroprevalence of Toxoplasma gondii and associated risk factors for infection in the Netherlands: third cross-sectional national study. Epidemiol Infect. 2023;151:e136. https://doi.org/10. 1017/S095026882300122X
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