scholarly journals A systematic review of historical and current trends in Chagas disease

2021 ◽  
Vol 8 ◽  
pp. 204993612110337
Author(s):  
Diego-Abelardo Álvarez-Hernández ◽  
Rodolfo García-Rodríguez-Arana ◽  
Alejandro Ortiz-Hernández ◽  
Mariana Álvarez-Sánchez ◽  
Meng Wu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Chagas Disease ◽  
Case Reports ◽  
Clinical Manifestations ◽  
Human Case ◽  
Acute Stage ◽  
Diagnostic Tools ◽  
Chronic Stage ◽  
Pubmed Database ◽  
Trypanocidal Drugs

Introduction: Chagas disease (CD) is caused by Trypanosoma cruzi. When acquired, the disease develops in stages. For diagnosis, laboratory confirmation is required, and an extensive assessment of the patient’s health should be performed. Treatment consists of the administration of trypanocidal drugs, which may cause severe adverse effects. The objective of our systematic review was to analyze data contained in the CD published case reports to understand the challenges that patients and clinicians face worldwide. Materials and methods: We performed a systematic review following the PRISMA guidance. PubMed database was explored using the terms ‘American trypanosomiasis’ or ‘Chagas disease’. Results were limited to human case reports written in English or Spanish. A total of 258 reports (322 patients) were included in the analysis. Metadata was obtained from each article. Following this, it was analyzed to obtain descriptive measures. Results: From the sample, 56.2% were males and 43.8% were females. Most cases were from endemic countries (85.4%). The most common clinical manifestations were fever during the acute stage (70.0%), dyspnea during the chronic stage in its cardiac form (53.7%), and constipation during the chronic stage in its digestive form (73.7%). Most patients were diagnosed in the chronic stage (72.0%). Treatment was administered in 56.2% of cases. The mortality rate for the acute stage cases was 24.4%, while for the chronic stage this was 28.4%. Discussion: CD is a parasitic disease endemic to Latin America, with increasing importance due to human and vector migration. In this review, we report reasons for delays in diagnosis and treatment, and trends in medical practices. Community awareness must be increased to improve CD’s diagnoses; health professionals should be appropriately trained to detect and treat infected individuals. Furthermore, public health policies are needed to increase the availability of screening and diagnostic tools, trypanocidal drugs, and, eventually, vaccines.

scholarly journals Villoglandular adenocarcinoma of the uterine cervix: a systematic review and meta-analysis

2021 ◽  
Author(s):  
Anna K. Dietl ◽  
Matthias W. Beckmann ◽  
Konrad Aumann
Keyword(s):  
Systematic Review ◽  
Uterine Cervix ◽  
Case Reports ◽  
Case Series ◽  
Disease Free Survival ◽  
Conservative Group ◽  
Pubmed Database ◽  
Significant Difference ◽  
Stage Ia ◽  
Invasive Management

Abstract Purpose Villoglandular adenocarcinoma (VGA) of the uterine cervix has been classified as a rare subtype of cervical adenocarcinoma with good prognosis. A conservative surgical approach is considered feasible. The main risk factor is the presence of other histologic types of cancer. In this largest systematic review to date, we assess oncological outcomes associated with conservative therapy compared to those associated with invasive management in the treatment of stage Ia and Ib1 VGA. Methods Case series and case reports identified by searching the PubMed database were eligible for inclusion in this review (stage Ia–Ib1). Results A total of 271 patients were included in our literature review. 54 (20%) patients were treated by “conservative management” (conization, simple hysterectomy, and trachelectomy) and 217 (80%) by “invasive management” (radical hysterectomy ± radiation, hysterectomy, and radiation). Recurrences of disease (RODs) were found in the conservative group in two (4%) cases and in the invasive group in nine (4%) cases. There was no significant difference in disease-free survival (DFS) according to conservative or invasive treatment (p = 0.75). The histology of VGA may be complex with underlying usual adenocarcinoma (UAC) combined with VGA. Conclusion The excellent prognosis of pure VGA and the young age of the patients may justify the management of this tumor using a less radical procedure. The histological diagnosis of VGA is a challenge, and pretreatment should not be based solely on a simple punch biopsy but rather a conization with wide tumor-free margins.

scholarly journals 3D mapping of host-parasite-microbiome interactions reveals metabolic determinants of tissue tropism and disease tolerance in Chagas disease

2019 ◽  
Author(s):  
Ekram Hossain ◽  
Sharmily Khanam ◽  
Chaoyi Wu ◽  
Sharon Lostracco-Johnson ◽  
Diane Thomas ◽  
...  
Keyword(s):  
Chagas Disease ◽  
Large Intestine ◽  
Large Scale ◽  
Scale Effects ◽  
Parasitic Infection ◽  
Parasite Burden ◽  
Acute Stage ◽  
Disease Tolerance ◽  
Chronic Stage ◽  
Spatially Resolved

AbstractChagas disease (CD) is a parasitic infection caused by Trypanosoma cruzi protozoa. Over 8 million people worldwide are T. cruzi-positive, 20-30% of which will develop cardiomyopathy, megaoesophagus and/or megacolon. The mechanisms leading to gastrointestinal (GI) symptom development are however poorly understood. To address this issue, we systematically characterized the spatial impact of experimental T. cruzi infection on the microbiome and metabolome across the GI tract. The largest microbiota perturbations were observed in the proximal large intestine in both acute and chronic disease, with chronic-stage effects also observed in the cecum. Strikingly, metabolomic impact of acute-to-chronic stage transition differed depending on the organ, with persistent large-scale effects of infection primarily in the oesophagus and large intestine, providing a potential mechanism for GI pathology tropism in CD. Infection particularly affected acylcarnitine and lipid metabolism. Building on these observations, treatment of infected mice with carnitine-supplemented drinking water prevented acute-stage mortality with no changes in parasite burden. Overall, these results identified a new mechanism of disease tolerance in CD, with potential for the development of new therapeutic regimens. More broadly, these results highlight the potential of spatially-resolved metabolomic approaches to provide insight into disease pathogenesis, with translational applications for infectious disease drug development.

scholarly journals COVID-19 and Influenza Co-infection: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 8 ◽  
Author(s):  
Masoud Dadashi ◽  
Saeedeh Khaleghnejad ◽  
Parisa Abedi Elkhichi ◽  
Mehdi Goudarzi ◽  
Hossein Goudarzi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Case Reports ◽  
Influenza Infection ◽  
Meta Analysis ◽  
Clinical Manifestations ◽  
Case Series ◽  
Influenza Viruses ◽  
Original Research ◽  
Respiratory Pathogens ◽  
Prevalence Studies

Background and Aim: Co-infection of COVID-19 with other respiratory pathogens which may complicate the diagnosis, treatment, and prognosis of COVID-19 emerge new concern. The overlap of COVID-19 and influenza, as two epidemics at the same time can occur in the cold months of the year. The aim of current study was to evaluate the rate of such co-infection as a systematic review and meta-analysis.Methods: A systematic literature search was performed on September 28, 2019 for original research articles published in Medline, Web of Science, and Embase databases from December 2019 to September 2020 using relevant keywords. Patients of all ages with simultaneous COVID-19 and influenza were included. Statistical analysis was performed using STATA 14 software.Results: Eleven prevalence studies with total of 3,070 patients with COVID-19, and 79 patients with concurrent COVID-19 and influenza were selected for final evaluation. The prevalence of influenza infection was 0.8% in patients with confirmed COVID-19. The frequency of influenza virus co-infection among patients with COVID-19 was 4.5% in Asia and 0.4% in the America. Four prevalence studies reported the sex of patients, which were 30 men and 31 women. Prevalence of co-infection with influenza in men and women with COVID-19 was 5.3 and 9.1%, respectively. Eight case reports and 7 case series with a total of 123 patients with COVID-19 were selected, 29 of them (16 men, 13 women) with mean age of 48 years had concurrent infection with influenza viruses A/B. Fever, cough, and shortness of breath were the most common clinical manifestations. Two of 29 patients died (6.9%), and 17 out of 29 patients recovered (58.6%). Oseltamivir and hydroxychloroquine were the most widely used drugs used for 41.4, and 31% of patients, respectively.Conclusion: Although a low proportion of COVID-19 patients have influenza co-infection, however, the importance of such co-infection, especially in high-risk individuals and the elderly, cannot be ignored. We were unable to report the exact rate of simultaneous influenza in COVID-19 patients worldwide due to a lack of data from several countries. Obviously, more studies are needed to evaluate the exact effect of the COVID-19 and influenza co-infection in clinical outcomes.

scholarly journals The epidemiology and clinical manifestations of mucormycosis: a systematic review and meta-analysis of case reports

2019 ◽  
Vol 25 (1) ◽  
pp. 26-34 ◽  
Author(s):  
W. Jeong ◽  
C. Keighley ◽  
R. Wolfe ◽  
W.L. Lee ◽  
M.A. Slavin ◽  
...  
Keyword(s):  
Systematic Review ◽  
Case Reports ◽  
Meta Analysis ◽  
Clinical Manifestations

scholarly journals Tolerance of Benznidazole in Treatment of Chagas' Disease in Adults

2010 ◽  
Vol 54 (11) ◽  
pp. 4896-4899 ◽  
Author(s):  
María-Jesús Pinazo ◽  
José Muñoz ◽  
Elizabeth Posada ◽  
Paulo López-Chejade ◽  
Montserrat Gállego ◽  
...  
Keyword(s):  
Public Health ◽  
Side Effects ◽  
Trypanosoma Cruzi ◽  
European Country ◽  
Chagas Disease ◽  
Health Problem ◽  
Public Health Problem ◽  
Acute Stage ◽  
Chronic Stage

ABSTRACT Chagas’ disease is an emerging public health problem in areas where the disease is not endemic. Treatment with benznidazole has shown efficacy in the acute stage of the disease, but its efficacy in the chronic stage remains controversial, and unwanted side effects are more frequent and severe in adults than in children. This study describes the profile of side effects of benznidazole in a cohort of Trypanosoma cruzi-infected patients in a European country.

scholarly journals Vasculitis induced by biological agents used in rheumatology practice: A systematic review

2021 ◽  
Author(s):  
Camila da Silva Cendon Duran ◽  
Adriane Souza da Paz ◽  
Mittermayer Barreto Santiago
Keyword(s):  
Systematic Review ◽  
Leukocytoclastic Vasculitis ◽  
Case Reports ◽  
Case Series ◽  
Final Analysis ◽  
Infusion Reaction ◽  
Biological Agents ◽  
Necrosis Factor Alpha ◽  
Pubmed Database ◽  
Meta Analyses

Objectives: Biological medications have been used with an increasing frequency to treat rheumatological diseases. Autoimmune events can be induced by these drugs, such as psoriasiform lesions, alopecia, lupus and, vasculitis, which more often affects the skin (small-sized vessels) and eventually other organs. In this review, we describe the clinical profile of patients with vasculitis induced by the main biological agents used in rheumatology. Patients and methods: We performed a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations. The PubMed database was used for searching eligible articles. We included case reports, case series, and letter to the editor of patients on anti-tumor necrosis factor-alpha (anti-TNF-a) molecules, as well as tocilizumab, ustekinumab, secukinumab, rituximab, and abatacept, who had vasculitis induced by these agents. Results: Eighty-one articles were included for final analysis (n=89). Twenty-seven patients were using infliximab, 20 adalimumab, 18 etanercept, seven secukinumab, four certolizumab, four rituximab, three golimumab, three ustekinumab, two abatacept, and one tocilizumab. Unspecific leukocytoclastic vasculitis (LCV) was the most common type of vasculitis (n=37), followed by anti-neutrophil cytoplasmic antibody (ANCA)- associated vasculitis (n=16). The medication was replaced with another biological molecule in 23 cases, with only four relapses. In six cases, the biological was maintained, but vasculitis worsened/persisted in one case, being necessary drug removal. Conclusion: Infections, infusion reaction, cancer, and autoimmune events are well-known side effects of biological therapy. This review demonstrates that vasculitis is another adverse effect of this type of therapy, particularly the anti-TNF-a molecules, and LCV the most reported type of vasculitis.

scholarly journals Peran biomarker saliva dalam deteksi penyakit mulut menggunakan nanoteknologi sebagai metode yang menjanjikanRole of salivary biomarkers in the detection of oral diseases using nanotechnology as a promising method

2021 ◽  
Vol 5 (1) ◽  
pp. 7
Author(s):  
Dewi Zakiawati ◽  
Irna Sufiawati
Keyword(s):  
Systematic Review ◽  
Promising Method ◽  
Oral Disease ◽  
Diagnostic Tools ◽  
Oral Diseases ◽  
Non Invasive ◽  
Salivary Biomarkers ◽  
Pubmed Database ◽  
Threatening Condition

Pendahuluan: Saliva merupakan zat kaya biomarker yang sering digunakan sebagai indikator kesehatan tubuh. Saliva menunjukkan keadaan infeksi, status hormonal, imunologi, nutrisi, metabolisme, bahkan keganasan. Saat ini perkembangan alat diagnostik mengarah pada nanoteknologi, yang populer karena menawarkan prosedur non-invasif, akurat, dan efisien. Evaluasi terhadap deteksi penyakit mulut menggunakan saliva sebagai biomarker, khususnya yang menggunakan teknologi nano perlu dilakukan guna mengetahui sejauh mana metode tersebut membantu dalam ketepatan diagnosis penyakit mulut. Penelitian ini bertujuan untuk membahas peran biomarker saliva dalam mendeteksi penyakit mulut dengan metode nanoteknologi. Metode: Jenis penelitian systematic review. Pencarian research gap menggunakan strategi PICO. PubMed database digunakan untuk pencarian artikel penelitian, dan kata kunci yang digunakan berdasarkan MeSH. Pelaporan hasil riset systematic review menggunakan panduan PRISMA. Penilaian kualitas artikel dianalisis menggunakan QUADAS. Hasil: Deteksi penyakit mulut menggunakan biomarker saliva merupakan alternatif metode non-invasif, selain itu, dengan teknologi nano memperlihatkan hasil yang akurat dalam waktu singkat. Penyakit gigi dan mulut, baik kelainan genetik maupun patogenik, bersifat lokal maupun sistemik, dapat berkembang menjadi kelainan yang mengancam jiwa. Kondisi ini membutuhkan investigasi yang cepat, salah satu caranya adalah dengan mengoptimalkan peran pemeriksaan biomarker saliva menggunakan nanoteknologi. Simpulan: Penerapan nanoteknologi menggunakan biomarker saliva merupakan pilihan metode yang menjanjikan sebagai alat diagnostik baik di riset maupun klinis, khususnya dalam deteksi penyakit mulut.Kata kunci: Alat diagnostik, biomarker, nanoteknologi, penyakit mulut, saliva. ABSTRACTIntroduction: Saliva is a biomarker-rich substance often used as a health indicator of the human body. Saliva shows the state of infection, hormonal status, immunology, nutrition, metabolism, even malignancy. Currently, the development of diagnostic tools leads to nanotechnology, which is popular due to the non-invasive, accurate, and efficient procedures. Evaluation of the detection of oral diseases using saliva as a biomarker, especially those using nanotechnology, needs to be done to determine how this method helps in the accuracy of the diagnosis of oral diseases. This study was aimed to discuss the role of salivary biomarkers in the detection of oral diseases using nanotechnology methods. Methods: type of research is systematic review. Exploration for research gaps were using the PICO strategy, research articles were collected from Pubmed database, and keywords were determined based on MeSH. The results were reported using the PRISMA guidelines, and the quality of the articles was analysed using QUADAS. Results: Detection of oral diseases using salivary biomarkers was an alternative non-invasive method. Additionally, along with nanotechnology enable to show accurate results in a short time. Oral diseases, both genetic and pathogenic, occur locally or systemically and can develop into a life-threatening condition. This situation requires rapid investigation; one of the ways is by optimising the role of salivary biomarker assessment using nanotechnology. Conclusion: The application of nanotechnology using salivary biomarkers is a promising method option as a diagnostic tool in both research and clinical utility, especially in the detection of oral diseases. Keywords: Diagnostic tools, biomarker, nanotechnology, oral disease, saliva.

Orthopedic Injuries and Their Treatment in Children During Earthquakes: A Systematic Review

2015 ◽  
Vol 30 (5) ◽  
pp. 478-485 ◽  
Author(s):  
Ilaria Morelli ◽  
Maria Grazia Sabbadini ◽  
Michelangelo Bortolin
Keyword(s):  
Systematic Review ◽  
Hospital Admissions ◽  
Case Reports ◽  
Lower Limbs ◽  
Standards Of Care ◽  
Body Distribution ◽  
Fractures In Children ◽  
Pubmed Database ◽  
Orthopedic Injuries ◽  
Child Hospital

AbstractOrthopedic injuries commonly affect children during earthquakes, but reports about them are rare. This setting may lead to different standards of care, but guidelines are still missing in this field. A systematic review was performed to: (1) assess type and body distribution of pediatric earthquake-related injuries, treatment performed, length of stay, and complications; and (2) identify starting points to define standards of care.PubMed database was researched for papers (1999-2014 period) in agreement with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement. Inclusion criteria were: English, French, Spanish, or Italian language and data reported about orthopedic lesions in children (≤18 years old). Reviews, letters, commentaries, editorials, and single case reports were excluded. Two independent reviewers selected articles after abstract and full-text reading.Traumatic injuries caused child hospital admissions ranging from 46.9% to 100.0%; 16% to 53% suffered fractures. Lower limbs mostly were involved. Soft-tissue injuries affected 55% of patients. Debridement and external fixation (EF) were the most frequent surgical treatments. Amputation rates varied from 5% to 11%.This study revealed that field hospitals should be prepared to: (1) treat mainly lower extremities fractures in children; and (2) use especially EF techniques. The presence of orthopedic surgeons familiar with pediatric traumatology should be considered.MorelliI, SabbadiniMG, BortolinM. Orthopedic injuries and their treatment in children during earthquakes: a systematic review. Prehosp Disaster Med. 2015;30(5):478–485.

scholarly journals Viscerotropic leishmaniasis: a systematic review of the case reports to highlight spectrum of the infection in endemic countries

2018 ◽  
Vol 4 ◽  
Author(s):  
Amir Abdoli ◽  
Nahid Maspi ◽  
Fatemeh Ghaffarifar ◽  
Vahid Nasiri
Keyword(s):  
Systematic Review ◽  
New World ◽  
Leishmania Donovani ◽  
Case Reports ◽  
Clinical Manifestations ◽  
Parasitic Disease ◽  
Leishmania Chagasi ◽  
Electronic Search ◽  
Co Morbidity ◽  
Causative Agents

AbstractVisceral leishmaniasis is an important neglected parasitic disease that is generally caused byLeishmania infantum,Leishmania donovaniandLeishmania chagasi. However, several causative species of cutaneous leishmaniasis (CL) causes an interstitial form of leishmaniasis which known viscerotropic leishmaniasis. The aim of this paper is a systematic review of the cases of viscerotropic leishmaniasis to present the main causative agents, clinical manifestations, treatment and outcomes of the cases. An electronic search (any date to August 2017) without language restrictions was performed using Medline, PubMed, Scopus and Google Scholar. The searches identified 19 articles with total 30 case reports. Of them, old worldLeishmaniaspecies was reported from 23 (76.7%) cases, including 20 cases ofL. tropicaand three cases ofL. major; whereas new worldLeishmaniaspecies were reported in seven (23.4%) cases. The infection was more prevalent in male (24/30, 80%) than female (5/30, 16.7%) patients. Co-morbidity/co-infection was observed in 13 out of 30 cases (43.4%), which the most of them was HIV/AIDS (10 out of 13 cases, 76.9%). The results suggested that viscerotropic leishmaniasis should be more attended in the endemic countries of CL and in immunocompromised patients in order to exact discrimination from other endemic infectious diseases.

Drug-Induced Takotsubo Cardiomyopathy

2017 ◽  
Vol 22 (6) ◽  
pp. 552-563 ◽  
Author(s):  
Kazuhiko Kido ◽  
Maya Guglin
Keyword(s):  
Systematic Review ◽  
Takotsubo Cardiomyopathy ◽  
Case Reports ◽  
Database Search ◽  
Alternative Therapies ◽  
Drug Induced ◽  
Pubmed Database ◽  
Plausible Hypothesis ◽  
Direct Administration ◽  
Somatic Stress

Background: The most plausible hypothesis for takotsubo cardiomyopathy (TCM) is a catecholamine surge. Direct administration of catecholamines or medications causing catecholamine surge is frequently used in clinical practice. Methods: A Medline/PubMed database search was conducted for case reports or series of drug-induced TCM. All reported cases of drug-induced TCM were systemically identified and analyzed. Results: We identified 157 cases of drug-induced TCM. Fifty-seven (36.3%) cases were related to the administration of exogenous catecholamines. In 50 (31.9%) other cases, there was potential adrenergic effect. This included drugs with adrenergic vasoconstriction properties (3.2%), hyperadrenergic state due to alcohol or opioid withdrawal (7.7%), inhibitors of catecholamine reuptake (14.7%), anaphylactic reaction that is accompanied by catecholamine release (3.2%), and psychological or somatic stress coinciding with the administration of a drug that was thought to be the culprit (3.2%). Overall, 68.2% of these drug-induced TCM cases were catecholamine related. In 14 (8.9%) cases, the likely etiology of cardiomyopathy was chemotherapy-induced coronary vasospasm. Conclusion: Our systematic review showed that over two-thirds of drug-induced TCM cases were due to direct or indirect catecholamine stimulation. The lowest effective dose and shortest duration of catecholamines should be utilized, and alternative therapies should be considered if feasible.

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