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Acute Giardia infections often cause diarrhea and stomach upset. Chronic infections can lead to malnutrition, micronutrient deficiencies, malabsorption and weight loss. This study assessed the prevalence of G. lambia infection and assessed associated risk factors among immunocompomised patients undergoing chemotherapeutic treatment in southern Brazil. A total of 110 immunocompromised patients in Pelotas, RS, Brazil, consented to participate in this study and were recruited. Socioeconomic and epidemiological profile of patients was collected by questionnaire. The prevalence for Giardia were determined through microscopy by the centrifugation-flotation technique using stool samples of every patient. In addition, the genetic characterization of the parasite was carried out by amplifying and sequencing the glutamate dehydrogenase (gdh) gene. By microscopy, the prevalence of giardiasis was 17.3% (19/110). Furthermore, the DNA sequences revealed that 7 (36.8%) out of 19 isolates belonged to assemblage B, while 6 of them (31.6%) belonged to assemblage C, 5 (26.3%) to assemblage A and 1 (5.3%) to assemblage D. Risk factors (p ≤ 0.05) for giardiasis were schooling level (OR=8.0 (1.02 - 62.91) sharing a house with more than three people (OR=14.1 (3.77 - 52.51), water sources (OR=38.9 (10.4 - 145.7), sewage treatment (OR=14.2 (3.1 - 65.5), waste destination (OR=7.44 (2.0 - 27.3), owning pets (OR=4.6 (1.0 - 21.2) and cultivating a vegetable garden (OR=4.2 (1.3 - 13.6). The prevalence of G. lamblia in immunocompromised patients was considered elevate with the identification of four assemblage of the parasite (A, B, C and D).

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RESUMO

Acute Giardia infections often cause diarrhea and stomach upset. Chronic infections can lead to malnutrition, micronutrient deficiencies, malabsorption and weight loss. This study assessed the prevalence of G. lambia infection and assessed associated risk factors among immunocompomised patients undergoing chemotherapeutic treatment in southern Brazil. A total of 110 immunocompromised patients in Pelotas, RS, Brazil, consented to participate in this study and were recruited. Socioeconomic and epidemiological profile of patients was collected by questionnaire. The prevalence for Giardia were determined through microscopy by the centrifugation-flotation technique using stool samples of every patient. In addition, the genetic characterization of the parasite was carried out by amplifying and sequencing the glutamate dehydrogenase (gdh) gene. By microscopy, the prevalence of giardiasis was 17.3% (19/110). Furthermore, the DNA sequences revealed that 7 (36.8%) out of 19 isolates belonged to assemblage B, while 6 of them (31.6%) belonged to assemblage C, 5 (26.3%) to assemblage A and 1 (5.3%) to assemblage D. Risk factors (p ≤ 0.05) for giardiasis were schooling level (OR=8.0 (1.02 ­ 62.91) sharing a house with more than three people (OR=14.1 (3.77 ­ 52.51), water sources (OR=38.9 (10.4 ­ 145.7), sewage treatment (OR=14.2 (3.1 ­ 65.5), waste destination (OR=7.44 (2.0 ­ 27.3), owning pets (OR=4.6 (1.0 ­ 21.2) and cultivating a vegetable garden (OR=4.2 (1.3 ­ 13.6). The prevalence of G. lamblia in immunocompromised patients was considered elevate with the identification of four assemblage of the parasite (A, B, C and D).

As infecções agudas por Giardia geralmente causam diarreia e dores de estômago. As infecções crônicas podem levar à desnutrição, deficiências de micronutrientes, má absorção e perda de peso. Este estudo avaliou a prevalência da infecção por G. lambia e os fatores de risco associados em pacientes imunocomprometidos em tratamento quimioterápico no sul do Brasil. Um total de 110 pacientes imunocomprometidos de Pelotas, RS, Brasil, consentiram em participar deste estudo e foram recrutados. O perfil socioeconômico e epidemiológico dos pacientes foi coletado por meio de questionário. A prevalência de Giardia foi determinada através de microscopia pela técnica de centrifugação-flutuação utilizando amostras de fezes de cada paciente. Além disso, a caracterização genética do parasita foi realizada pela amplificação e sequenciamento do gene da glutamato desidrogenase (gdh). À microscopia, a prevalência de giardíase foi de 17,3% (19/110). Além disso, as sequências de DNA revelaram que 7 (36,8%) dos 19 isolados pertenciam ao agrupamento B, enquanto 6 deles (31,6%) pertenciam ao agrupamento C, 5 (26,3%) ao agrupamento A e 1 (5,3%) ao agrupamento D. Os fatores de risco (p ≤ 0,05) para giardíase foram, escolaridade (OR=8,0 (1,02 ­ 62,91), dividir casa com mais de três pessoas (OR=14,1 (3,77 ­ 52,51), fontes de água (OR=38,9 (10,4 ­ 145,7), tratamento de esgoto (OR=14,2 (3,1 ­ 65,5), destinação do lixo (OR=7,44 (2,0 ­ 27,3), possuir animais de estimação (OR=4,6 (1,0 ­ 21,2) e cultivar horta (OR=4,2 (1,3 ­ 13.6). A prevalência de G. lamblia em pacientes imunocomprometidos foi considerada elevada com a identificação de quatro conjuntos do parasito (A, B, C e D).

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BACKGROUND: Oral melanomas have some histopathological resemblance with its cutaneous counterpart; however, an aggressive behavior is more common in tumors that occur in the oral cavity. Several markers have been suggested as indicative of tumoral progression and aggressiveness, such as cyclooxygenase 2 (COX-2) and Ki67. MATERIAL AND METHODS: In this study, we have compared the expression of COX-2 and Ki67 in a series of amelanotic (n=7) and melanotic oral melanomas (n=22). The cases were selected from 4 pathology laboratories and submitted to the immunohistochemical (IHC) reactions. We analyzed the IHC staining based on a qualitative - using visual scores; and a computer-assisted method (quantitative) using scanned slides and software for digital analysis. RESULTS: COX-2 was expressed in all oral melanomas; however, its intensity was significantly higher in the amelanotic ones (P<0.001). Similarly, a high Ki67-positivity index was observed in the amelanotic than melanotic ones (P<0.001). CONCLUSIONS: Based on these results, we suggest that amelanotic oral melanomas have marked pro-inflammatory and high-proliferative phenotype, justifying their more aggressive behavior compared with the melanotic ones.

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Free-ranging grey wolves (Canis lupus), which are presently recolonizing Italy, can be parasitized by a diversity of helminths, but have rarely been subject to studies of their parasites. Therefore, this study aims to determine the prevalence of gastrointestinal helminths of road-killed grey wolves from the Piedmont region of Italy. Forty-two wolves were collected and examined for the presence of helminths. We recorded 12 helminth species: nine Nematoda and three Cestoda. The nematodes were: Ancylostoma caninum (7.1%), Capillaria sp. (2.4%), Molineus sp. (2.4%), Pterygodermatites affinis (11.9%), Physaloptera sibirica (9.5%), Toxocara canis (9.5%), Toxascaris leonina (2.4%) and Uncinaria stenocephala (26.2%); the cestodes were: Dipylidium caninum (4.8%), Mesocestoides sp. (4.8%) and Taenia multiceps (76.2%). Physaloptera sibirica had the highest mean intensity and T. multiceps had the highest prevalence. Based on age and sex, no differences in the intensity or prevalence of helminth species were found among the hosts. Molineus sp. was recorded for the first time in wolves from the Palearctic region; P. affinis and P. sibirica are respectively reported for the first time in wolves from Europe and Italy.

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