African Journal Of Clinical And Experimental Microbiology
Cytomegalovirus (CMV) is a recognized cause of morbidity and mortality among immunocompromised individuals. This review will concentrate on understanding the pathogenesis, clinical manifestations and laboratory diagnostic options for CMV infection.
Keywords: Review, Cytomegalovirus, Immunosuppressed
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Cytomegalovirus in Immunosuppressed Patients A Silent and Potential Killer
This study detected and subtyped strains of influenza virus from pigs in Lagos, South-western Nigeria. A total of 116 (58 nasal and 58 throat) samples from healthy pigs were analysed from two different sites in Ayedoto farm at Ojo Local Government between June and September, 2010 using reverse transcription polymerase chain reaction (RT-PCR). Influenza virus type A 31(26.7%) was detected. Subtyping was done using RT-PCR with H1, H3 and H5 primers and only subtypes H1 [5(16.1%)] and H5 [5(16.1%)] were detected. No positive detection was made for subtype H3. This research work is the first documented detection of influenza A virus in pigs in Lagos, Nigeria and demonstrates the need for a sustainable surveillance mechanism of swine and other influenza viruses to be able to prevent influenza epidemic in the environment.
Keywords: Subtype, Influenza A, Pig, Lagos
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Otitis media, an inflammation of the middle ear, is a common illness in childhood, and also one of the most frequent reasons for outpatient antimicrobial therapy. This study was undertaken to determine the bacterial etiology of otitis media in our environment and their pattern of antibiotic susceptibility. Between November 2009 and March 2011, ear swabs collected from 132 patients with clinical diagnosis of acute otitis media and chronic suppurative otitis media were subjected to bacteriological analysis. The bacterial pathogens isolated were tested against ten antibiotics using standard bacteriologic techniques.
A total of 142 isolates were recovered from the 132 patients involved in this study. The most frequently isolated organism in acute otitis media and chronic suppurative otitis media was Pseudomonas aeruginosa, (43.7%), followed by Klebsiella species (31.0%), Proteus species (14.1%), Escherichia coli (7%), H.influenzae (2.8%) and Staphylococcus aureus (1.4%). Generally, high resistance rates were recorded against many of the antibiotics tested. However, ciprofloxacin demonstrated the highest susceptibility rates for P.aeruginosa (77.4%) and Klebsiella species (59.1%).All the pathogens demonstrated nil susceptibility towards cefixime except E.coli where the susceptibility rate was 40%.In conclusion, determination of the susceptibility pattern of bacterial pathogens of otitis media is of utmost importance to its effective management.
Key words: Otitis media, bacterial pathogens, resistance pattern
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Trends in the Resistance Pattern of Bacterial Pathogens of Otitis Media in Ibadan, Nigeria.
Detection of AmpC-mediated resistance in Gram negative organisms poses a problem due to misleading results in phenotypic tests. There are no recommended guidelines for detection of this resistance mechanism and there is a need to address this issue as much as the detection of extended spectrum beta lactamases (ESBLs) since both may co-exist and mask each other. Several methods have been used to detect the presence of AmpC β-lactamase production in some isolates but most of these methods are not reliable. There is a need for a reliable method of evaluating the presence of AmpC β-lactamases in clinical isolates. A total of 81 consecutive non repetitive clinical isolates of Escherichia coli(n=40) and Klebsiella spp. (n=41) were screened for AmpC production by disc diffusion method using cefoxitin (30 Zg) disc and confirmed by inhibitor based test using boronic acid as inhibitor. A total of 16 E.coli isolates (40%) and 16 Klebsiella isolates (39.02%) screened harbored AmpC enzymes, of which 43.75% of E.coli and 56.25% of Klebsiella isolates coproduced ESBL enzymes. Pure AmpC production was observed in 56.25% of E.coli and 43.75% of Klebsiella isolates. The inhibitor based test was useful in identifying cefoxitin susceptible AmpC producers and could also effectively differentiate ESBL from AmpC producing isolates.
Keywords: ESBL, antibiotic susceptibility, clinical samples, β-lactam disks.
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Detection of Amp C Beta Lactamases in Clinical Isolates of Escherichia coli and Klebsiella
The Clinotech TB Screen test, a 3rd generation multi-antigen rapid chromatographic immunoassay for detection of IgG antibodies in serum against recombinant protein antigens 38kDa, 16kDa and 6kDa, was assessed for its diagnostic potential for diagnosis of active pulmonary TB in routine TB control programme in Abia State, Nigeria. The overall sensitivity and specificity of Clinotech TB Screen test were 24.1% and 87.8% (95% Confidence intervals [CI]: 14.7-33.5% and 80.6-95.0%) respectively. The positive and Negative Predictive Values (PPV and NPV) were 79.2% and 37.5% respectively. The performance of the test was inferior to that of the sputum smear microscopy which had a sensitivity of 50.0% (95% CI, 39.0%-61.0%) and specificity of 92.3(95% CI: 86.4-98.2%). In 37 culture positive smear positive PTB cases, Clinotech TB Screen test was positive in 18(48.65%). The rapid test showed a very low degree of sensitivity in smear –negative culture positive PTB cases; detecting just one (2.38%) out of 42 cases. These results indicate that the diagnostic value of Clinotech TB Screen test for routine diagnosis of PTB in this setting is limited.
Key words: Tuberculosis, serological tests, immunochromatographic tests, rapid TB tests
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Infection with high risk oncogenic human papillomavirus (HPV) such as HPVs 16 and 18 is the main cause of cervical cancer. The objective of this study was to determine the impact of Chlamydia trachomatis, Herpes simplex virus 2 (HSV 2), Treponema pallidum and some sexual behaviour on malignant progression of cervical lesion in Douala, Cameroon. From July 2009 to January 2010, we performed routine cervical smears to 163 consenting women, who completed a questionnaire on risk factors of cervical cancer. Blood samples were obtained for each of these women and used for the detection of antibodies against Chlamydia trachomatis, HSV 2 and Treponema pallidum. Results obtained showed that 26/163 (17 LSIL and 9 HSIL) of women had abnormal cytology, 75.5% (123/163) had HSV 2 infection, 19% (31/163) infected by Chlamydia trachomatis and 4.3% (7/163) infected by Treponema pallidum. Among the LSIL-positive women 35.3% (6/17) and 94.1% (16/17) were infected with Chlamydia trachomatis and HSV 2 respectively. Among those with HSIL cytology, 22.2% (2/9), 66.7% (6/9) and 11.1% (1/9) respectively had Chlamydia trachomatis, HSV 2 and Treponema pallidum. High parity and pregnancy rate was observed among women with positive cytology. Our finding shown high rate of cervical abnormalities among women infected with HSV 2; and among those with a higher number of parities and pregnancies. These results suggest that further investigations should be made in Cameroon to access real burden of these risk factors in the progression and persistence of cervical lesion.
Key words: risk factors, cervical cancer, HSV 2, Chlamydia trachomatis, sexually transmitted infections.
Interest in immunomodulators is increasing following the recognition that positive immunomodulators could be useful intervention tools in the control of diseases and infections. An attempt to determine the effects of some of the cations on body weight and physiological reactions was carried out. Thirty five female adult New Zealand white rabbits grouped into seven, 5 pairs per each of these cations (Zn 2+, Cu 2+ and Mg 2+ ), and supplemented with 1ml/day of single and double strength concentrations of cation for 24 days; the control was not supplemented with any cation. During the study period the rabbits were fed with Guinea grower mash and water ad libitum. There was regular taking of body weight of the rabbits using a top- loading weighing balance, while feed consumption, rectal temperature, stool frequency, physical appearance and behavioural changes were noted. Weight gradient studies show gradual increase in body weight following cation treatment of rabbits, but after challenging the various groups with oral administration of 0.5 ml of 10 6 CFU / ml of saline suspension of Salmonella. enterica for three exposures on alternative days, there was a progressive decrease in body weight of rabbits. However, there was no significant difference in stool dropping, body weakness, dullness and rough furs in all the groups. Effects were more pronounced in control group than in cation supplemented groups. This result, therefore, provide evidence of the significance of zinc, copper and magnesium oral supplementation in mammals and, of course among these three cations, copper appears to be more effective in improving body weight gain, though the mechanism is not known.
Keyword: Trace elements, Body weight, Physiological responses, Salmonella enterica
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Background: Quantification of the viral burden is an important laboratory tool in the management of hepatitis B virus (HBV)-infected patients. However, widespread use of assays is still hampered by the high cost. Treatment reduces viral load to undetectable levels. HBV infected patients tend to have high HBV DNA levels, and severe liver disease.
Objectives: This study was carried out to determine the pattern of HBV viral load levels of patients assessing management in Nigeria.
Method: Variables included sociodemographics like age, sex, religion, income, educational background and residence. The COBAS Amplicor automated Analyzer (PCR based) was used to assay the virus quantitatively.
Results: 594 patients were tested from 2008 to 2009. Statistical analysis was done using Epi info version 2002 and test of significance by Kruskal-Wallis. Mean age of the patients was 36.8 (ranging from 9 to 69) years. HBV viral titre ranged between 4,145 and 68,011,800 DNA copies/ml.
Conclusion: There was a high occurrence of viral titre in the population studied. High viral load is a risk factor for hepatocellular carcinoma. A policy earmarked to combat this virus in Nigeria is hereby solicited.
Key words: HBV infection, HBV DNA, Nigeria
Artemisinins-based combination therapies (ACTs) are being recommended against uncomplicated malaria in endemic areas of Africa. However, in these areas data on their long term usefulness is limited. It has been demonstrated that ACTs resistance may be due to single nucleotide polymorphisms (SNPs) in the chemotherapeutic target, the SERCA-type ATPase protein (PfATPase6). This study analyzed PfATPase6 mutations in asymptomatic infections from samples collected from Mbita, a malaria endemic region in Kenya. Mutations in A623E and S769N residues were screened with gene specific primers followed by sequencing. The study demonstrates that there is no mutation in Mbita, Kenya because neither A623E nor S769N PfATPase6 mutations were detected. Resurgence of infections in this area could be due to re-infections and not drug failure. The study recommends that other sites be assessed for PfATPase 6 mutations to verify the long-term usefulness of ACT and monitor any emergency of resistance.
Keywords: ACT (Artemisinins-based Combination Therapy), Molecular, Mutations, PfATPase 6
Molecular screening for Plasmodium falciparum resistance markers for artemisinins in Mbita Kenya
Schistosomiasis remains an important parasitic disease worldwide. The level of prevalence of schistosomiasis in the Sogakope district is essentially due to the frequent exposure of the inhabitants to water bodies such as the Lake Volta and other lakes. This research investigated the prevalence of schistosomiasis in Toklokpo (about two kilometres from the bank of the Volta River) and Comboni (situated along the bank of the river Volta) in the Sogakope district. A total of 150 samples of urine were taken: Seventy-five from Toklokpo JHS and 75 from Comboni JHS. Each of the 75 samples was selected randomly from boys and girls. The urine samples were processed by the centrifugal sedimentation technique. The total prevalence of urinary schistosomiasis in the study area was 26%. The prevalence rates of urinary schistosomiasis in the two schools were 12.6% and 13.3% for Comboni JHS and Toklokpo JHS respectively. The highest prevalence occurred in the males between 10-11 years age group. For both sexes, Toklokpo Junior High School recorded higher prevalence of the disease numerically .It is recommended that urgent measure is taken to curb the menace.
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Prevalence of urinary schistosomiasis in Comboni and Toklokpo Junior High Schools (JHS) at Sogakope