Aref Teimouri

Toxoplasmosis, caused by Toxoplasma gondii (T. gondii), is a common zoonotic disease worldwide. Novel therapeutic options are required due to the limited effectiveness and side effects of existing treatments. This study aims to evaluate the in vitro antiparasitic activity of linalool at various concentrations against tachyzoites of the T. gondii RH strain, in comparison with a positive control (saponin 0.2%) and a negative control (no treatment), using flow cytometric analysis. The flow cytometry results revealed a dose-dependent anti-Toxoplasma activity for linalool, with 18.37%, 36.77%, 38.75%, 47.57%, and 50.63% mortality rates at the concentrations of 37.5, 75, 150, 300, and 600 µg/mL, respectively. The mortality rate at the concentration of 1200 µg/mL (74.44%) was slightly higher than that of the positive control group (67.87%). Our findings provide primary evidence for the extracellular potential of linalool against T. gondii tachyzoites. This study provides a rationale for further research to evaluate linalool's intracellular and in vivo efficacy and safety.

Background: Syphacia (rodent pinworm), a common nematode in the colon of rodents, has rarely been reported in humans. The morphological identification of some pinworm species is difficult, especially in those cases where only fragments of worms are recovered. We aimed to identify isolates of Syphacia spp. in rodents using morphological and molecular approaches, and to compare them with human Enterobius vermicularis. Methods: This study was carried out on 10 adult Syphacia worms collected from BALB/c mice and five adult Enterobius vermicularis from humans. Morphological features using existing keys and PCR-sequencing of ITS1 and 5.8s regions were applied to identify Syphacia spp., and its comparison with E. vermicularis. Results: The total length of esophagus, the length and width of esophageal bulb, and the length and width of the right and left cephalic alae of E. vermicularis were larger than Syphacia. These parameters demonstrated significant morphological differences between E. vermicularis and Syphacia. PCR successfully produced amplicons of approximately 414 bp for Syphacia and 473 bp for E. vermicularis. The molecular method identified the Oxyurid nematodes isolated from BALB/c mice as Syphacia obvelata. The pairwise comparison revealed no differences in nucleotide sequences among S. obvelata isolates, and the sequences were identical and exhibited 100% homology. Conclusions: This study demonstrated genetic and morphological differences between E. vermicularis and S. obvelata. Since laboratory mice (Mus musculus) are the specific hosts for S. obvelata, controlling these animals is critical to maintaining public health.

Cerebral toxoplasmosis (CTX) occurs as a latent form of Toxoplasma gondii infection, commonly found in human immunodeficiency virus (HIV)-infected individuals. A proper and timely diagnosis of CTX enables effective treatment, reducing complications and mortality. We aimed to investigate the prevalence, clinical course, and in-hospital mortality rate of CTX in HIV-positive patients admitted to the hospitals of Shiraz University of Medical Sciences (SUMS). This retrospective study included 876 HIV-positive patients admitted to Namazi and Shahid Faghihi hospitals of SUMS from 2013 to 2022. After reviewing the medical records, the clinical data of CTX patients were extracted and analyzed. Overall, 4.00% of HIV-positive patients were diagnosed with toxoplasmosis, with CTX occurring in 2.17%. The mean age of CTX patients was 37.95 ± 9.32 years, with 57.89% males and 42.11% females. The prevalence of CTX in HIV-positive women (4.32%) was significantly higher than in HIV-positive men (1.59%) (p = 0.04). In 57.89% of CTX patients, the disease was the first manifestation of HIV infection. Focal neurological deficit (52.63%), decreased level of consciousness (52.63%), headache (47.37%), and fever (42.11%) were the most common clinical manifestations of CTX. Age was inversely correlated with CTX diagnosis in logistic regression analysis (p < 0.001). CTX had a 21.05% in-hospital mortality rate. Physicians should be aware of the clinical course and high mortality rate of CTX in HIV-positive patients. Our findings also highlight the importance of implementing HIV screening programs, particularly for at-risk young adults. Future studies should address the limitations of this study by employing larger and more diverse samples.

Background: Cystic echinococcosis (CE) is one of the most important neglected diseases and a public health concern worldwide. Due to the poor efficacy of current drugs, novel therapeutic approaches are urgently needed. Objectives: This study evaluated the scolicidal effects of the hydroalcoholic extract of Urtica dioica and the chloroformic extract of Pyrus boissieriana on protoscoleces of CE cysts. Methods: Protoscoleces were aseptically aspirated from the livers of sheep naturally infected with CE cysts. To assess the scolicidal effect of these herbal extracts, various concentrations of both extracts (5, 10, 20, 40, and 80 mg/mL) were added to a suspension of 3 × 103 washed protoscoleces. After 10, 20, 30, 60, and 120 minutes of exposure, eosin stain was added to each tube, and the viability of protoscoleces was evaluated by flame cell motility under a light microscope, as well as impermeability to 0.1% eosin solution. All experiments were performed in triplicate. Results: The scolicidal effects of U. dioica extracts at a concentration of 80 mg/mL were 81% and 89% after 60 and 120 minutes of exposure, respectively. Almost the same results were obtained for P. boissieriana extracts at a concentration of 80 mg/mL (81.33% and 89% after 60 and 120 minutes of exposure, respectively), which were significantly different from the negative control group (P < 0.001). However, the extract of U. dioica exhibited stronger scolicidal effects compared to the extract of P. boissieriana at concentrations lower than 40 mg/mL (P < 0.001). Conclusions: The present findings indicate that both U. dioica and P. boissieriana extracts possess high protoscolicidal activities and could be used as alternative natural medicines in the treatment of CE. However, further studies are required to verify these findings through assessment in animal models and clinical subjects.

Background: This study aimed to determine the therapeutic efficacy of curcumin nanoemulsion (CUR-NE) in mice infected with Echinococcus granulosus sensu stricto protoscoleces. Methods: Forty-two inbred BALB/c mice were divided into seven groups of six animals each. Six groups were inoculated intra-peritoneally with 1500 viable E. granulosus protoscoleces, followed for six months and used as infected groups. The infected groups were named as: CEI1 to CEI6 accordingly. The 7th group was not inoculated and was named cystic echinococcosis noninfected group (CENI7). CEI1 and CEI2 groups received 40 mg/kg/day and 20 mg/kg/day curcumin nanoemulsion (CUR-NE), respectively. CEI3 received nanoemulsion without curcumin (NE-no CUR), CEI4 received curcumin suspension (CUR-S) 40 mg/kg/day, CEI5 received albendazole 150 mg/kg/day and CEI6 received sterile phosphate-buffered saline (PBS). CENI7 group received CUR-NE 40 mg/kg/day. Drugs administration was started after six months post-inoculations of protoscoleces and continued for 60 days in all groups. The secondary CE cyst area was evaluated by computed tomography (CT) scan for each mouse before treatment and on the days 30 and 60 post-treatment. The CT scan measurement results were compared before and after treatment. After the euthanasia of the mice on the 60th day, the cyst area was also measured after autopsy and, the histopathological changes of the secondary cysts for each group were observed. The therapeutic efficacy of CUR-NE in infected groups was evaluated by two methods: CT scan and autopsied cyst measurements. Results: Septal calcification in three groups of infected mice (CEI1, CEI2, and CEI4) was revealed by CT scan. The therapeutic efficacy of CUR-NE 40 mg/kg/day (CEI1 group) was 24.6 ± 26.89% by CT scan measurement and 55.16 ± 32.37% by autopsied cysts measurements. The extensive destructive effects of CUR-NE 40 mg/kg/day (CEI1 group) on the wall layers of secondary CE cysts were confirmed by histopathology. Conclusion: The current study demonstrated a significant therapeutic effect of CUR-NE (40 mg/kg/day) on secondary CE cysts in BALB/c mice. An apparent septal calcification of several cysts revealed by CT scan and the destructive effect on CE cysts observed in histopathology are two critical key factors that suggest curcumin nanoemulsion could be a potential treatment for cystic echinococcosis.

Cystic echinococcosis (CE), is one of the common parasitic infections of domestic animals and humans caused by the larval stages of the tapeworm Echinococcus granulosus. This research aimed to identify of CE cysts in cattle isolates from Shiraz slaughterhouse using molecular technique. Thirty CE cysts isolates were collected and total DNA was extracted from protoscolices or the germinal layer of each cyst followed by polymerase chain reaction (PCR) using cytochrome c oxidase I (cox1) and NADH dehydrogenase subunit 1 (NADH-1) mitochondrial genes (~ 450 bp) and sequencing. The sequence results were compared with available reference sequences in GenBank by BLAST system. Phylogenetic analysis was performed using MEGA 5.0 software and the maximum likelihood method. The results showed that all 30 samples examined in this study were identified as E. granulosus sensu stricto (G1–G3 genotypes) with G1 dominant.

Background: Although the appendix is the most commonly resected and examined intra-abdominal organ, the pathogenesis and etiology of acute nonspecific appendicitis remain enigmatic. This retrospective study aimed to assess the prevalence of parasitic infection in surgically removed appendices and to evaluate the probable associations between the presence of parasites and the occurrence of appendicitis through parasitological and histopathological examinations of the appendectomy specimens. Materials and methods: This retrospective study was carried out from April 2016 to March 2021 among all patients referred to hospitals affiliated with Shiraz University of Medical Sciences, Fars Province, Iran, for appendectomy. Patient information, including age, sex, year of appendectomy, and type of appendicitis, was collected from the available data in the hospital information system database. In positive cases, all pathology reports were retrospectively evaluated for the presence of the parasite and its type, and analytical and descriptive statistics were carried out using SPSS software version 22. Results: A total of 7628 appendectomy materials were evaluated in the present study. Of the total participants, 4528 (59.4%, 95% CI: 58.2–60.5) were males, and 3100 (40.6%, 95% CI: 39.5–41.8) were females. The mean age of participants was 23.87±14.28 years. Overall, Enterobius vermicularis was observed in 20 appendectomy specimens. Fourteen of these patients (70%) were less than 20 years old. Conclusion: This study indicated that E. vermicularis is one of the common infectious agents that could be found in the appendix and may increase the risk of appendicitis. Therefore, in terms of appendicitis, clinicians, and pathologists must be aware of the possible presence of parasitic agents, especially E. vermicularis, to treat and manage the patients sufficiently.

The role of parasites in the pathogenesis of appendicitis has been debated for a long time. To date, several gastrointestinal parasites have been reported as the causes of appendicitis in humans. Taenia infestation of the appendix is uncommon and few cases have been reported in the literature. We reported a case of acute eosinophilic appendicitis (AEA) in a 42-year-old woman caused by T. saginata in northern Iran. The patient was admitted to the emergency department with a 2-day history of acute abdominal pain in her lower right quadrant. Abdominal ultrasonography showed intra-abdominal bleeding and endometrium cysts. Routine hematological tests showed increases in white blood cell (WBC) count of 19.8 × 103 per mcL with 3% eosinophilia. During abdominal laparotomy, peritoneal fluid was bulked with abdominal bleeding due to rupture of the uterine cyst. After investigation of inflammation in the appendix region, patient underwent appendectomy. Histopathological findings showed acute inflammation with eosinophils and a large number of round eggs with flattened segments of the genus Taenia. It is impossible to distinguish between T. saginata and T. solium based solely on egg morphology in the specimens. Therefore, based on history of the patient, which included no consumption of pork, the species was identified as T. saginata. At the three months follow-up, the patient was in good health. In the current study, a case of AEA by T. saginata was reported. However, this was not the first case of acute appendicitis by T. saginata. Further studies are necessary to show roles of parasites in pathogenesis of AEA.