scholarly journals Correlation between infection rate of triatominies and Chagas Disease in Southwest of Bahia, Brazil: a warning sign?

2016 ◽  
Vol 88 (3 suppl) ◽  
pp. 1941-1951 ◽  
Author(s):  
ELIEZER A. DA SILVEIRA ◽  
ISRAEL S. RIBEIRO ◽  
MIGUEL S. AMORIM ◽  
DALVA V. ROCHA ◽  
HELDER S. COUTINHO ◽  
...  

ABSTRACT Chagas disease, caused by the Trypanosoma cruzi, has a wide distribution in South America, and its main method of control is the elimination of triatomines. It is presented here the geographic distribution and the rate of natural infection by T. cruzi of triatomines collected and evaluated from 2008 to 2013 in southwest of Bahia. Triatomines were captured in the intradomiciliary and peridomiciliary areas of five cities located in the southwest of Bahia state, identified, and analyzed for the presence of trypanosomatids in their feces. During the study period the number of patients suspected for acute Chagas disease was recovered from the Notifiable Diseases Information System (SINAN). 8966 triatomines were captured and identified as belonging to eight species. Twenty-six presented themselves infected, being Triatoma sordida the most abundant and with the highest percentage of infection by T. cruzi. Tremedal was the city with the highest number of cases of acute Chagas' disease reported to SINAN. All cities showed triatomines infected with T. cruzi, so there is considerable risk of vectorial transmission of Chagas disease in the southwestern Bahia state, evidencing the need for vector transmission control programs and preventive surveillance measures.

Author(s):  
Nilsa Elizabeth Gonzalez Britez ◽  
Kaio Cesar Chaboli Alevi ◽  
Ariane Cristina Caris Garcia ◽  
Clara Elena Martínez Purroy ◽  
Cleber Galvão ◽  
...  

Approximately 150,000 people are living with Chagas disease in Paraguay. Although the country has been since 2008 considered as one of the countries that succeeded in interrupted the vector transmission of Chagas by Triatoma infestans in houses of the eastern region, there are nine other species notified in the country that are potential vectors and also deserve attention from vector control programs. Thus, we carried out an entomoepidemiological study of T. sordida in the eastern and western regions of the country and we developed an identification key for Paraguay's triatomines based on cytogenetic data. Between the years 2003 to 2004, 271 specimens of T. sordida were captured in domestic, peridomestic, and wild ecotopes, with 131 insects caught in the eastern (Alto Paraguay, Boquerón and Pte. Hayes) and 140 in the western region of Paraguay (Guairá and Paraguarí). High rates of peridomicillary infestation were observed for both regions. Besides that, the natural infection of the captured insects was detected by optical microscopy in 12% and 10%, and by PCR in 21% and 20% in the eastern and western regions, respectively. Based on cytogenetic data from nine of ten species notified in Paraguay, an identification key was developed to differentiate all taxa. Thus, given the vectorial importance of T. sordida, we highlight the need for continued attention from Paraguay's vector control programs for this species. Further, we provide a taxonomic key that assists in the correct classification of Paraguayan triatomines.


2013 ◽  
Vol 55 (4) ◽  
pp. 287-289 ◽  
Author(s):  
Arleana do Bom Parto Ferreira de Almeida ◽  
Daphine Ariadne Jesus de Paula ◽  
Maria Luisa Paro Otton ◽  
Felipe Wolf Jaune ◽  
Raquel Aparecida Sales da Cruz ◽  
...  

SUMMARY It is estimated that about 10 million people are infected with Trypanosoma cruzi worldwide, mostly in Latin America and more than 25 million are at risk of acquiring this infection in endemic areas. Dogs are an important reservoir for this pathogen and thus, considered a risk factor for human populations. This report describes one case of Chagas disease in a dog from Cuiabá, Mato Grosso State, Brazil. The diagnosis was obtained by direct examination of trypomastigote forms in blood smears. Amastigotes forms were visualized in microscopy of the bone marrow, lymph nodes, kidneys, liver and brain. The T. cruzi (ZIII) infection was confirmed by Polymerase Chain Reaction, and sequencing. The animal presented multisystemic failure and died. Although acute Chagas disease in humans is not reported in Cuiabá, this is the first report of a canine case in this region. This case represents a warning, to health professionals and authorities, to the possibility of transmission of this zoonosis in Cuiabá.


2008 ◽  
Vol 41 (3) ◽  
pp. 296-300 ◽  
Author(s):  
Juarez Pereira Dias ◽  
Claudilson Bastos ◽  
Eline Araújo ◽  
Ana Verônica Mascarenhas ◽  
Eduardo Martins Netto ◽  
...  

Seven individuals living in a town in the Southwest of Bahia developed sudden signs of cardiac and systemic impairment, with lethality of 28.6%. Serological tests were positive at least in one test in the five patients examined. Forty percent of the Triatoma sordida mynphs found inside or around Trypanosoma cruzi were found by blood culturig in there out five cases the homes of these cases were positive for Trypanosoma cruzi. Transmission probably occurred through consumption of water contaminated with triatomine feces. These findings emphasize the necessity to evaluation the importance of vectors like Triatoma sordida in maintaining the endemicity of this disease.


2020 ◽  
Vol 48 ◽  
Author(s):  
Kaíque Pires Moura da Silva ◽  
Valquíria Tatiele Da Silva Rodrigues ◽  
Gilmar José da Silva Ribeiro Junior ◽  
Ianei De Oliveira Carneiro ◽  
Deusdete Conceição Gomes Júnior ◽  
...  

Background: Chagas Disease (CD) is a parasitic anthropozoonosis caused by the Trypanosoma cruzi (T. cruzi), a protozoan transmitted by insects from the Reduviidae family. Several species of wild and domestic animals, humans included, are susceptible, developing acute clinical signals (myocarditis and cardiac arrhythmias) or chronic signals (drop on the performance and syncope) of the disease. In Brazil, the disease in dogs shows variable indexes of occurrence. The present paper describes the natural infection by T. cruzi in a canine living in the city of Barra, in the state of Bahia, Brazil, a region classified as high risk of vulnerability for the CD in the northeast of Brazil.Case: A 9-year-old male dog, non-specific breed, was referred to the clinic the Veterinary Clinic for Small Animals, at the Veterinary Medical Teaching Hospital), at the Federal University of the West of Bahia. Its owner reported the presence of bloody secretion in the penile region. During the physical exam it was possible to observe an increase in the volume of the penis base. All of the animal’s physiological parameters were within normal levels. Blood samples and cytological laminas from the lesioned area were collected and sent to the Laboratory of Veterinary Clinical Pathology in the same institution. The cytological exam showed monomorphic population of great round cells with a round nucleus, condensed chromatin and one to two prominent nucleolus, abundant and slightly basophilic cytoplasm, with multiple stippled vacuoles, thus confirming a Transmissible venereal tumor (TVT) case. With the blood exam one observed a thrombocytopenia, neutrophilia with a deviation on the left and the presence of a trypomastigote form of Trypanosoma sp. in the blood smears. A complete blood sample was sent to the Laboratory of Pathology and Molecular Biology from the Fiocruz-BA (Oswaldo Cruz Foundation in the State of Bahia), being identified by the PCR technique, T. cruzi.Discussion: During the complete blood count, specifically using the blood smear, the microscopic visualization of the trypomastigote form of the Trypanosoma sp., a hemoparasite of filiform aspect, with undulating membrane over the whole body and free flagellum, confirming a case of trypanosomiasis. Such diagnostics had not been considered up to this moment, as the animal did not present any clinic symptomatology that indicated the pathological condition. The high levels of parasitemia presented by the animal, confirmed by the presence of the protozoan in the blood smear, probably indicate the acute phase of the infection, period in which the multiplication and development of the agent is higher, consequently allowing the visualization of the hemoparasite in the lamina. Although the TVT had proved to be the main derogatory factor of sanity and wellbeing of the animal, one calls the attention in this case for the trypanosomiasis, a zoonosis that causes great risk to the sole health, highlighting that the canine species is taken as an important reservoir of T. cruzi, relevant for the maintenance and interaction among the domestic and wild cycles of the Chagas Disease. This is the first report of a canine naturally infected by T. cruzi in the west Region of the State of Bahia. It is, thus, important to emphasize its significance once dogs can be reservoirs of the protozoan, acting in their life cycle and epidemiological chain of the Chagas Disease, enabling the infection of triatomines and humans. Future studies should be done with the purpose of determining the predominance of the agent in the region of the city of Barra, in the State of Bahia.


2020 ◽  
Author(s):  
Ronghua Xu ◽  
Tingting Zhang ◽  
Qingpeng Zhang

BACKGROUND Internet hospitals, or e-hospitals, as one kind of e-health platforms in China, provided novel channels through which physicians present their medical or health-care knowledge to patients and provide online counseling services. The sustainable development of Internet hospitals and e-health platforms relied on the participation of both the patients and the physicians, especially on the provision of health consultation services by the physicians. OBJECTIVE The objective of our study was to explore the factors motivating Chinese physicians to provide online health counseling services from the perspectives of their online reputation and offline reputation. METHODS We collected the data of 141,030 physicians from 6,173 offline hospitals and 350 cities on WeDoctor, an Internet hospital platform authorized by the China Health and Family Planning Committee. We selected the physicians’ online consultation volume, the total amount of counseling conversations from all channels of the platform, as the investigated dependent variable, reflecting the actual online counseling behaviors of the physicians in the platform. Based on the reputation theories and prior study, we incorporated patients’ feedback as the physicians’ online reputation (i.e. patients’ comments and their satisfaction scores), and incorporated the physicians’ offline professional status as the offline reputation (i.e. professional titles and the rankings of their offline working hospitals). We also delved the moderated effects of the city levels where the physicians lived offline and the number of patients who were watching the physicians online. Eight research hypotheses were proposed. Step-wise linear regression models were used to test our hypotheses. Durbin-Watson test and robustness tests were also conducted to ensure the fitness and reliability of our models. RESULTS As a result of the regression models, we found that, 1) physicians’ online reputation, including the number of comments written by the patients (beta=0.588, P<0.001), the satisfaction scores (beta=0.034, P<0.01), significantly and positively influence physicians’ online counseling behaviors; 2) Physicians’ offline reputation, including their professional titles (beta=-0.084, P<0.001) and the hospital rankings (beta=-0.163, P<0.001), significantly and negatively influence physicians’ online counseling behaviors; 3) the city levels where the physicians lived strengthen the negative effect between their offline hospital rankings and their online consulting services (beta=-0.177, P<0.001), indicating that physicians of higher offline reputation spend less time on online counseling, possibly due to the relative heavier offline workload; 4) the number of watching patients weakens the positive effect between patients’ comments and physicians’ online consulting services (beta=-0.216, P<0.001), indicating that the watching patients may switch the channels from online consultation to offline hospital visits after using the Internet hospitals. CONCLUSIONS This study contributed to the literature on physicians online counseling behaviors in Internet hospitals by verifying the contrasting effects of the online reputation and the offline reputation. It then contributed to the motivation theory by separating the online reputation from the offline reputation when the acting entities have constraints of limited time and effort. This study can also provide practical insights for the hospital managers to better arrange for the online counseling services and for the policy makers to consider the patients’ online feedback into the overall evaluation of the physicians’ reputation.


2009 ◽  
Vol 39 (4) ◽  
pp. 231-232 ◽  
Author(s):  
Henrique de Barros Moreira Beltrão ◽  
Matheus de Paula Cerroni ◽  
Daniel Roberto Coradi de Freitas ◽  
Ana Yecê das Neves Pinto ◽  
Vera da Costa Valente ◽  
...  

Neurosurgery ◽  
1989 ◽  
Vol 24 (1) ◽  
pp. 12-17 ◽  
Author(s):  
Madjid Samii ◽  
Mario Ammirati ◽  
Ahmed Mahran ◽  
Walter Bini ◽  
Abholgasse Sepehrnia

Abstract Twenty-four patients with petroclival meningiomas were operated upon at the neurosurgical clinic of the City Hospital of Hannover between 1978 and 1987. Seventeen were women and seven men; the mean age was 45 years. Symptoms were usually present for more than 2 years before the diagnosis was made. The most common symptom was disturbance of gait; the most common preoperative sign was cranial nerve deficit, mainly of the 7th and 8th nerves. Preoperative neuroradiological evaluation included computed tomography and four-vessel cerebral angiography. Fifteen patients (62%) had a tumor larger than 2.5 cm in its major diameter. The surgical approaches used were the retromastoid, pterional, subtemporal, and combined retromastoid-subtemporal. We developed a modification of the retromastoid-subtemporal approach with preservation of the transverse sinus and used this in the last 2 patients. There was no postoperative death; 11 patients (46%) suffered postoperative complications, mainly in the form of cranial nerve deficits, often reversible. “Total” tumor removal was achieved in 17 patients (71%). Twenty patients (83%) were independent at the time of discharge from the hospital. With accurate neuroradiological evaluation, careful choice of the surgical approach, and sound application of microsurgical techniques, petroclival meningiomas may be “totally” and safely resected in a significant number of patients.


2017 ◽  
Vol 235 ◽  
pp. 176-178 ◽  
Author(s):  
Elenild de Góes Costa ◽  
Soraya Oliveira dos Santos ◽  
Mayira Sojo-Milano ◽  
Ednei C.C. Amador ◽  
Erica Tatto ◽  
...  

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