Molecular and Serological Techniques to Determine the Acute and Chronic Phase of Toxoplasmosis in HIV Patients

BACKGROUND AND OBJECTIVE: Toxoplasma gondii is associated with several complications including neurological problems, ocular damage and encephalitis in immunodeficiency individuals. Early diagnosis of this infection can lead to better management of this disease. Therefore, this study was conducted t...

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Autores principales: F Shokri, R Abbaszadeh, M Rrostamnezhad, S Heydari digeh sara, N Marandi, A Bairami kuzeh konan, M Abolhasani, MJ Gharavi
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Publicado: Babol University of Medical Sciences 2019
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Acceso en línea:https://doaj.org/article/311d759a91ba47aabfffc2a12e04a8f2
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spelling oai:doaj.org-article:311d759a91ba47aabfffc2a12e04a8f22021-11-10T08:30:36ZMolecular and Serological Techniques to Determine the Acute and Chronic Phase of Toxoplasmosis in HIV Patients1561-41072251-7170https://doaj.org/article/311d759a91ba47aabfffc2a12e04a8f22019-12-01T00:00:00Zhttp://jbums.org/article-1-7987-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Toxoplasma gondii is associated with several complications including neurological problems, ocular damage and encephalitis in immunodeficiency individuals. Early diagnosis of this infection can lead to better management of this disease. Therefore, this study was conducted to determine the presence of Toxoplasma gondii with two serologic and molecular methods in HIV-infected individuals. METHODS: In this cross-sectional study, 102 male patients with HIV with a mean age of 40 ± 9.2 years were examined. The serum sample was used for ELISA to determine the acute and chronic phase and cellular samples using Real Time-PCR for determining the acute phase of the disease. The relationship between age groups and the HIV transmission pathway, as well as the age group, was compared with the results of the Toxoplasma gondii test. FINDINGS: Out of 102 samples tested for IgM anti-Toxoplasma gondii antigen by ELFA, all (100%) samples were negative, but for anti-IgG anti-parasite, 44 samples (43.1%) were positive and 58 Sample (56.9%) was negative. Out of 102 samples tested by RT-PCR, all (100%) samples were negative for Toxoplasma DNA. There was a statistically significant relationship between age groups and transmission pathways (p<0.001), as well as between age groups with anti-Toxoplasma gondii IgG levels (p<0.001). CONCLUSION: According to the results of this study, the use of IgM-ELFA and PCR-RT methods for the diagnosis of acute phase and IgG-ELFA in the chronic phase of the disease is important. With the diagnosis of chronic form of toxoplasmosis, preventive treatments can be used in HIV + patients.F ShokriR AbbaszadehM RrostamnezhadS Heydari digeh saraN MarandiA Bairami kuzeh konanM AbolhasaniMJ GharaviBabol University of Medical Sciencesarticlehivtoxoplasma gondiiserological and molecular methodsMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 21, Iss 1, Pp 140-146 (2019)
institution DOAJ
collection DOAJ
language EN
FA
topic hiv
toxoplasma gondii
serological and molecular methods
Medicine
R
Medicine (General)
R5-920
spellingShingle hiv
toxoplasma gondii
serological and molecular methods
Medicine
R
Medicine (General)
R5-920
F Shokri
R Abbaszadeh
M Rrostamnezhad
S Heydari digeh sara
N Marandi
A Bairami kuzeh konan
M Abolhasani
MJ Gharavi
Molecular and Serological Techniques to Determine the Acute and Chronic Phase of Toxoplasmosis in HIV Patients
description BACKGROUND AND OBJECTIVE: Toxoplasma gondii is associated with several complications including neurological problems, ocular damage and encephalitis in immunodeficiency individuals. Early diagnosis of this infection can lead to better management of this disease. Therefore, this study was conducted to determine the presence of Toxoplasma gondii with two serologic and molecular methods in HIV-infected individuals. METHODS: In this cross-sectional study, 102 male patients with HIV with a mean age of 40 ± 9.2 years were examined. The serum sample was used for ELISA to determine the acute and chronic phase and cellular samples using Real Time-PCR for determining the acute phase of the disease. The relationship between age groups and the HIV transmission pathway, as well as the age group, was compared with the results of the Toxoplasma gondii test. FINDINGS: Out of 102 samples tested for IgM anti-Toxoplasma gondii antigen by ELFA, all (100%) samples were negative, but for anti-IgG anti-parasite, 44 samples (43.1%) were positive and 58 Sample (56.9%) was negative. Out of 102 samples tested by RT-PCR, all (100%) samples were negative for Toxoplasma DNA. There was a statistically significant relationship between age groups and transmission pathways (p<0.001), as well as between age groups with anti-Toxoplasma gondii IgG levels (p<0.001). CONCLUSION: According to the results of this study, the use of IgM-ELFA and PCR-RT methods for the diagnosis of acute phase and IgG-ELFA in the chronic phase of the disease is important. With the diagnosis of chronic form of toxoplasmosis, preventive treatments can be used in HIV + patients.
format article
author F Shokri
R Abbaszadeh
M Rrostamnezhad
S Heydari digeh sara
N Marandi
A Bairami kuzeh konan
M Abolhasani
MJ Gharavi
author_facet F Shokri
R Abbaszadeh
M Rrostamnezhad
S Heydari digeh sara
N Marandi
A Bairami kuzeh konan
M Abolhasani
MJ Gharavi
author_sort F Shokri
title Molecular and Serological Techniques to Determine the Acute and Chronic Phase of Toxoplasmosis in HIV Patients
title_short Molecular and Serological Techniques to Determine the Acute and Chronic Phase of Toxoplasmosis in HIV Patients
title_full Molecular and Serological Techniques to Determine the Acute and Chronic Phase of Toxoplasmosis in HIV Patients
title_fullStr Molecular and Serological Techniques to Determine the Acute and Chronic Phase of Toxoplasmosis in HIV Patients
title_full_unstemmed Molecular and Serological Techniques to Determine the Acute and Chronic Phase of Toxoplasmosis in HIV Patients
title_sort molecular and serological techniques to determine the acute and chronic phase of toxoplasmosis in hiv patients
publisher Babol University of Medical Sciences
publishDate 2019
url https://doaj.org/article/311d759a91ba47aabfffc2a12e04a8f2
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