Ultrastructure,development, and host–parasite relationship of a new species of the genus <Emphasis Type="Italic">Pleistophora</Emphasis>—a microsporidian parasite of the marine fish <Emphasis Type="Italic">Epinephelus chlorostignei</Emphasis>

The life cycle of a new microsporidian of the genus Pleistophora is described. This parasite infects the epithelial cells of the gut and the peritoneal cavity of the Red Sea fish, Epinephelus chlorostignei. All stages develop within a special structure, the sporophorocyst, which is covered by a thick dense wall. This wall grows along with the growth of the parasites inside. Meronts are uni- to binucleate, which divide and constantly give rise to sporonts. During transition to sporonts, the cell border of the meronts increases its thickness, temporarily featuring thick irregular projections. Eventually, a uniform thick sporont wall is formed; then, the sporont cells detach themselves from the wall (future wall of the sporophorous vesicle, SPV) and start a series of divisions to produce sporoblasts. The SPV wall is compact, has no pores, and consists of two layers. Mature spores measure about 2.0 × 1.8 μm. They possess a polar filament with 20–28 coils, a posterior vacuole, and a polaroplast made up of an outer part of dense and closely spaced lamellae encircling an inner part of widely spaced lamellae. All morphological and ultrastructural features indicate that the described microsporidian parasite belongs to the genus Pleistophora.     

Evaluation of a PCR-ELISA to detect Wuchereria bancrofti in Culex pipiens from an Egyptian village with a low prevalence of filariasis.

The programmes for the elimination of bancroftian filariasis that have been implemented in the Nile delta of Egypt are expected to lead to substantial reductions in filarial loads in the treated populations. Better methods than those currently available are needed for monitoring the efficacy of these and similar efforts at intervention. A PCR-ELISA was therefore evaluated as an epidemiological tool for the detection of the Wuchereria-bancrofti-specific SspI repeat in pools of Culex pipiens collected in a village with a low prevalence of filarial infection in its human residents (2.1%). Indoor-resting mosquitoes were collected by aspiration from 114 randomly selected houses (during one to nine visits/house) and separated into 673 pools, each of which held the mosquitoes collected during one night from one house. Although 18 (2.7%) of the pools showed PCR inhibition and had to be excluded, filarial DNA was detected, using the PCR-ELISA, in 91 (13.9%) of the 655 remaining mosquito pools. The minimum prevalence of W. bancrofti infection in the mosquitoes caught (assuming one infected mosquito/positive pool) was 2.8%. The mean (S.D.) number of mosquitoes/pool did not vary significantly between positive [5.5 (3.4)] and negative [4.9 (3.5)] pools. The assay detected parasite DNA in mosquitoes from 19.3% of 114 houses when only the first visit was considered and from 73.9% of the 88 houses visited more than once. The PCR-ELISA yielded results comparable with those of the regular PCR-SspI assay. The latter assay is recommended for the routine examination, in laboratories in endemic areas, of mosquito pools from randomly selected houses, as the ELISA component of the PCR-ELISA is exceedingly time-consuming, expensive and requires special equipment.     

Haemonchus longistipes Railliet & Henry, 1909 (Nematoda,Trichostrongylidae) from the Egyptian dromedary,Camelus dromedarius (Artiodactyla: Camelidae), first identification on the basis of light and ultrastructural data

Haemonchus longistipes is a gastrointestinal abomasal nematode which is one of the most prevalent and pathogenic parasites infesting the stomach of ruminants. On the basis of light and ultrastructural data, the objective of the present study was to introduce a first identification of the cameline haemonchosis caused by H. longistipes. Abomasa of 42 Egyptian camels Camelus dromedarius (Artiodactyla: Camelidae) were collected monthly from September 2013 to April 2014 from the main slaughter house of Cairo, Egypt. Adult male and female nematode worms were recovered from 26 (62 %) specimens of the examined abomasa. The parasites were of yellow color; the body was filiform (slender) tapered towards the anterior end in male and towards both ends in female. Buccal capsules absent, the buccal cavity was small with a conspicuous dorsal lancet extended from dorsal wall. The cervical papillae were prominent and spine-like. The body length of the female worm was 16.6–20.5 (18.5?±?0.3) mm. The anterior end to the cervical papillae was 3.19–4.30 (4.12?±?0.5) mm. The vulva of the female had a linguiform process or flap, the tail is without a spine, and the anal pore at the posterior end of the body had a simple dorsal rim. The body of male was 10.4–14.7 (13.9?±?2.0) mm in length. The male bursa had elongated lobes supported by long, slender rays. The small dorsal lobe was asymmetrical with Y-shaped dorsal rays. The spicules were long with a length of 0.52–0.54 (0.53?±?0.05) mm, each provided with a small barb and pore near its extremity. Synlophe was bilaterally and dorsoventrally symmetrical; it extended from cephalic expansion over anterior 50 % of prebursal or prevulvar body and consisted of a maximum of 42 ridges. The described species herein was compared with the three morphologically similar species Haemonchus mitchelli, Haemonchus okapiae, and H. longistipes with their synlophes consist of 42 ridges distributed over the anterior half of the body. These species can be separated by unique structural characteristics of their synlophes, spicules, and copulatory bursa. The most morphologically similar species to the recovered worm was H. longistipes. Also, some of the parameters with regard to morphology and morphometry of this parasite were described for the first time.     

Sarcocystis schneideri n. sp. (Sarcocystidae) infecting the barber skink Eumeces schneideri schneideri (Scincidae) Daudin, 1802. A light and ultrastructural study

The current study provides the first record of infection with Sarcocystis species in the barber skink Eumeces schneideri schneideri (Scincidae) captured from the north region of Egypt around the cities of El-Hamam and Al-Dabaa, Mersa Matruh Governorate, Egypt. Morphology of the parasite cysts was described using light and transmission electron microscopy. Five out of 80 (6.25 %) of the examined skinks were found to be infected. The infection was recorded firstly by light microscopy as spindle-shaped cysts embedded in the muscle tissue. The cysts were microscopic and measured 250–900 μm in length?×?50–100 μm in width (mean, 575?×?75 μm). The validity of this species was confirmed by means of ultrastructural characteristics of the primary cyst wall (0.28 μm thick) which revealed the presence of irregularly shaped crowded and osmiophilic knob-like projections underlined by a thin layer of ground substance measuring 0.15–0.17 μm (mean, 0.16 μm). This layer consisted mainly of fine, dense homogenous granules enclosing the developing metrocytes and merozoites that usually contain nearly all the structures of the apical complex and fill the interior cavity of the cyst. Several septa derived from the ground substance divided the cyst into compartments. The merozoites were banana-shaped and measured 3–5 μm in length and 1.5–2.5 in width with centrally or posteriorly located nuclei. The morphological and morphometric data obtained during study were compared with those recorded previously from organisms within the Scincidae family. It was observed that this parasite possessed some distinguishing characteristics from the comparable species, which should be considered as a new species of the Sarcocystis genus, and the proposed name was Sarcocystis schneideri n. sp. with new host and locality records in Egypt.     

Protective effects of lutein against vancomycin-induced acute renal injury in mice via upregulation of peroxisome proliferator-activated receptor gamma/nuclear factor erythroid 2-related factor 2 and inhibition nuclear factor-kappaB/caspase 3

Vancomycin, an antibiotic used occasionally as a last line of treatment for methicillin-resistant Staphylococcus aureus, is reportedly associated with nephrotoxicity. This study aimed at evaluating the protective effects of lutein against vancomycin-induced acute renal injury. Peroxisome proliferator-activated receptor gamma (PPARγ) and its associated role in renoprotection by lutein was also examined. Male BALB/c mice were divided into six treatment groups: control with normal saline, lutein (200 mg/kg), vancomycin (250 mg/kg), vancomycin (500 mg/kg), vancomycin (250 mg/kg) with lutein, and vancomycin (500 mg/kg) with lutein groups; they were euthanized after 7 days of treatment. Thereafter, samples of blood, urine, and kidney tissue of the mice were analyzed, followed by the determination of levels of N-acetyl-β-D-glucosaminidase (NAG) in the urine, renal creatine kinase; protein carbonyl, malondialdehyde, and caspase-3 in the kidney; and the expression of PPARγ, nuclear factor erythroid 2-related factor 2 (Nrf2), and nuclear factor-kappaB (NF-κB) in renal tissue. Results showed that the levels of protein carbonyl and malondialdehyde, and the activity of NAG, creatine kinase and caspase-3, were significantly increased in the vancomycin-treatment groups. Moreover, the levels of Nrf2 significantly decreased, while NF-κB expression increased. Lutein ameliorated these effects, and significantly increased PPARγ expression. Furthermore, it attenuated vancomycin-induced histological alterations such as, tissue necrosis and hypertrophy. Therefore, we conclude that lutein protects against vancomycin-induced renal injury by potentially upregulating PPARγ/Nrf2 expression in the renal tissues, and consequently downregulating the pathways: inflammation by NF-κB and apoptosis by caspase-3.     

Clinical significance of elevated alpha-foetoprotein (AFP) in patients with chronic hepatitis C without hepatocellular carcinoma in upper EGYPT

Background and study aimsEgypt has the highest prevalence of hepatitis C in the world. Alpha-foetoprotein (AFP) is important in the diagnosis of hepatocellular carcinoma (HCC), but elevated AFP levels have also been observed in chronic hepatitis C (CHC) without HCC. We evaluated the clinical correlation between elevated AFP levels and CHC. We analysed data from a population-based cohort of patients with hepatitis C virus (HCV) infection to assess the prevalence of elevated serum AFP, to determine its association with clinical and virologic parameters and with clinical outcomes.Patients and methodsFrom December 2009 to April 2011, 121 patients with no evidence of HCC with regular abdominal ultrasound or other imaging studies (multislice computed tomography (MSCT) or magnetic resonance imaging (MRI)) were controlled by a chart review.ResultsThe prevalence of elevated AFP ?10 ng ml^?1 was 11.6%. Univariate analysis revealed that fibrosis stage III/IV, alanine aminotransferase (ALT) more than 45 IU l^?1 and platelet count less than 150 × 10⁹ l^?1 were significantly associated with elevated AFP. Multivariate analysis revealed that the independent variable associated with elevated serum AFP was fibrosis stage III/IV, p = 0.015. Multivariate analysis also revealed that AST > 45 IU l^?1 and AFP ?10 ng ml^?1 were associated with advanced fibrosis using a cut-off AFP value >10 ng ml^?1. The sensitivity and specificity of diagnosing fibrosis score III/IV were 26.1% and 97.3%, respectively.ConclusionsElevated AFP levels were observed in 11.65% of patients with CHC. Elevated AFP levels correlated positively with fibrosis stage III/IV; ALT elevation, thrombocytopenia and AFP ?10 ng ml^?1 were associated with advanced fibrosis.     

Renal failure after upper-gastrointestinal bleeding among cirrhotic patients in Upper Egypt

Background and study aimsRenal dysfunction is a common and serious problem in patients with advanced liver disease. The study aims to assess the incidence, risk factors and short-term prognosis of renal failure after upper-gastrointestinal bleeding among cirrhotic patients in Upper Egypt.MethodsWe recruited 159 cirrhotic patients with 168 episodes of upper-gastrointestinal bleeding from Tropical Medicine and Gastroenterology Department, Assiut University Hospital. For all participants, the following were conducted: clinical evaluation, abdominal ultrasonography (US) examination, laboratory investigations and upper endoscopy. Risk factors of renal failure were identified using univariate, then multivariate analysis.ResultsThe incidence of renal failure among bleeding episodes was 28%. Higher risk of renal failure among cirrhotic patients with upper-gastrointestinal bleeding was observed with shock (odds ratio (OR) 0.171, 95% confidence interval (CI) 0.047:0.624), bacterial infection (OR 0.310, 95% CI 107:897), Child-Pugh class C (OR 2.79, 95% CI 1.018:7.62), higher serum bilirubin (OR 0.122, 95% CI 0.000:0.002), lower serum albumin (OR ?0.188, 95% CI ?0.288:?0.056) and raised baseline blood urea (OR 0.181, 95% CI 0.003:0.017) and serum creatinine (OR 0.533, 95% CI 0.002:0.004). Mortality among patients with renal failure was 31.9%.ConclusionRenal failure is a frequent event among cirrhotic patients with upper-gastrointestinal bleeding and there are many contributing factors for its development. Mortality is relatively high among patients with renal failure in cirrhotics with upper-gastrointestinal bleeding.     

First identification of four trypanorhynchid cestodes: Callitetrarhynchus speciouses, Pseudogrillotia sp. (Lacistorhynchidae), Kotorella pronosoma and Nybelinia bisulcata (Tentaculariidae) from Sparidae and Mullidae fish

Four previously unrecognized trypanorhynchids are described based on fish specimens from Sparidae and Mullidae host fish of the Red Sea. From September 2010 to June 2011, 66 specimens of the sea bream Pagrus pagrus (F: Sparidae) and 43 of the red mullet Mullus barbatus (F: Mullidae) were purchased from markets in the Suez and Hurghada cities of the Red Sea. The fishes were measured, and their organs investigated for helminth infections. Forty-one (37.6 %) out of the 109 fish specimens investigated were parasitized with Trypanorhyncha metacestodes, identified as Callitetrarhynchus speciouses Linton 1897, Pseudogrillotia sp. Dollfus 1969, Kotorella pronosoma Stossich 1901 from P. pagrus, and Nybelinia bisulcata Linton 1889 from M. barbatus in the mesentery and peritoneal cavity, with prevalences of 16.5, 11.0, 6.0, and 12.0 %. All of these larval stages were encapsulated larvae in blastocysts. C. speciouses is characterized by an elongated scolex, two bothria, a long postbulbosa, and four elongated bulbs. Pseudogrillotia sp. possesses a scolex with two lateral patelliform bothridia; posterior margins are free, not notched. A long sheath was observed, which was irregularly coiled when tentacles invaginated. N. bisulcata possesses an acraspedote scolex with four bothridia, which are broad, bean-shaped. The tentacles are spirally coiled, supplied with hooks with abruptly turned points. The four tentacles sheaths rose from scolex as two anterior (front) and two posterior (back) which overlap at the apices of bulbs. K. pronosoma is characterized by a short body with a craspedote scolex and four bothridia. The tentacles are short and emerge pairwise. The presence of Trypanorhyncha metacestodes in the muscles does not represent a risk of infection for humans. They have a negative effect on fish esthetics. The repugnant aspect and the prohibition for commercial use by sanitary inspectors, however, cause consumer rejection. Parasites of the order Trypanorhyncha have been recorded in these host fishes for the first time.