Asian Pacific Journal of Tropical Medicine

429-430

Authors: Nikhat Khan, Ashok Kumar Mishra, Aparup Das

None.

439-447

Authors: Chadaporn Dunghungzin, Thapana Chontananarth

Objective: To investigate the prevalence of cercarial infections in freshwater snails from several water sources in Nakhon Nayok, Nonthaburi, and Pathum Thani provinces of Central Thailand, and to reconstruct a phylogenetic tree for improved understanding of the relationships in the cercarial stage. Methods: The snail specimens were collected from 34 total sampling sites and investigated for cercarial infections using the crushing method. The cercarial specimens were classified and used for the phylogenetic tree analysis using the Internal Transcribed Spacer 2 (ITS2). Results: A total of 1 921 snail specimens were classified into five families and seven species. The results showed that four snail species were identified as intermediate hosts of the larval stages of trematodes, with an overall prevalence of infection of 2.45% (47/1 921). The infected snail specimens included five groups of the cercarial type: cercariaeum cercariae, echinostome cercaria, megalurous cercaria, parapleurolophocercous cercaria, and xiphidiocercariae. This is particularly true of xiphidiocercariae, which was found to be the dominant type among cercarial infections in bithyniid snails by approximately 38.00%. With regard to molecular identification, the phylogenetic tree was reconstructed using the neighbor-joining method with 10 000 bootstraps and separated the trematodes into three clades: Echinostomatoidea, Microphalloidea and Opisthorchioidea. Conclusions: The study reveals a high prevalence of cercarial infection for each cercarial type and maturation into a definite trematode genus and delineates morphological characteristics and evolutionary trends among each larval trematode in Nakhon Nayok, Nonthaburi and Pathum Thani provinces. In addition, the ITS2 sequence data of cercariae could be used to examine classification of these species at the family level.

456-463

Authors: Steve Harakeh, Wafaa S. Ramadan, Mohammed S. Al Muhayawi, Soad Al Jaouni, Shaker Mousa, Khalid Rehman Hakeem

Objective: To investigate the neuroprotective efficacy of pomegranate and ellagic acid on the histopathological changes in the hippocampus of an aluminium chloride (AlCl3) induced rat model of Alzheimer’s disease. Methods: Sprague Dawley rats were divided into 4 groups (n=10 each): Group栺: serving as negative control; Group栻, Alzheimer model, induced by administration of 17 mg/kg bw AlCl3; Group栿, administered the same dose of AlCl3 with 50 mg/kg of pomegranate peel extract and Group桇: administered ellagic acid (50 mg/kg) in addition to the same dose of AlCl3. The medication given to all groups continued for 28 days. All were given the compounds by gastric gavage. Radial arm maze test, hippocampus antioxidant markers, histopathology of the dentate gyrus, and CA3 of the hippocampus were evaluated. Results: Rats treated with pomegranate peel extract exposed to radial arm maze test showed less number of errors and reduced time needed to reach the criterion. There was an increase in the levels of glutathione, catalase, and total antioxidant capacity and decreased lipid peroxidation products. Histopathological features in dentate gyrus and CA3 as apoptosis and chromatolysis of pyramidal cells and granular layer, respectively, were decreased. Alzheimer characteristic neurofibrillary tangles and senile plaques were reduced. Treatment with ellagic acid ameliorated the pathological results but to a statistically lower level. Conclusions: Pomegranate peel extract alleviates memory deficit and restores antioxidant homeostasis following degenerative changes in the hippocampus induced by aluminium chloride in rats.

467-471

Authors: Fatma Hammami, Makram Koubaa, Mourad Chaari, Rim Chaabouni, Abrakhom Zeyni, Khaoula Rekik, Fatma Smaoui, Mounir Ben Jemaa

Rationale: Haemophagocytic lymphohistiocytosis is a rare complication of malaria, which is often misdiagnosed. Patient concerns: A 30-year-old male was admitted to our department for persistent fever, which began after returning from a stay in Guinea-Conakry. The laboratory investigations revealed a pancytopenia and an elevated C-reactive protein. Peripheral smear examination showed Plasmodium falciparum, therefore confirming the diagnosis of malaria. The laboratory tests showed a worsening pancytopenia. Bone marrow aspiration and biopsy revealed images of hemophagocytosis. Diagnosis: The diagnosis of haemophagocytic lymphohistiocytosis complicating malaria infection was established. Interventions: The patient was treated with artemether-lumefantrine. No immunosuppressant treatment was delivered to the patient. He received antipyretic and antimalarial treatment only. Outcomes and lessons: We report a case of haemophagocytic lymphohistiocytosis trigged by malaria infection and we review all reported cases secondary to Plasmodium falciparum malaria by searching PubMed publications till October 2019. Haemophagocytic lymphohistiocytos secondary to malaria should be suspected even in non-severe cases of malaria.

474-476

Authors: Shih Keng Loong, Nurul Asma Anati Che-Mat-Seri, Nur Hidayana Mahfodz1, Sazaly AbuBakar

None.