A comparison of assays for the detection of Cryptosporidium parvum in the feces of scouring calves

Cryptosporidium parvum is a zoonotic, protozoan parasite that causes potentially life-threatening diarrhea in the host and can be transmitted via the fecal-oral route. C. parvum can infect cattle and may be detected in their feces using a variety of tests. We compared the level of agreement, ease of procedure, and cost among PCR, lateral flow immunoassay, fluorescent antibody, and Kinyoun acid-fast stain direct smear tests. Over the course of 9 mo, 74 calf fecal samples were submitted and tested for C. parvum using all 4 tests. A Fleiss kappa value of 0.813 was obtained, indicating an excellent level of agreement among tests. Overall, the best test based on cost and ease of procedure was the Kinyoun acid-fast stain direct smear.

The Prevalence and Risk Factors of Giardia duodenalis Infection in Cats in Mexico

Aims: Giardia duodenalis is a globally distributed zoonotic protozoan. It has a variable prevalence. This study determines the prevalence of Giardia spp. in cat faecal samples from states of the Mexican Republic. Place and Duration of Study: Was carried out in 23 of the 32 states of the Mexican Republic, from June to December 2019. Methodology: Stool samples from 1591 client-owned cats were analysed for the detection of G. duodenalis (cysts or trophozoites). Faecal samples were analysed by direct smear techniques with and without staining (Lugol) and centrifugal floatation (faust), and were examined under a light microscope. Results: Of the cats sampled, 56.94% were positive for G. duodenalis. Its prevalence was associated and is a risk factor in cats that live with other animals (Chi2= 21.84, p= 0.0001; OR= 1.61, p= 0.0001), with hunting habits (Chi2= 5.53 p= 0.01, OR= 1.27 p= 0.01), with access to the outside (Chi2= 53.06, p= 0.0001; OR= 2.13, p=0.0001) and with the aqueous faeces (Chi2= 12.30, p=0.03; Chi2= 1.71, p= 0.03). Factors for not presenting Giardia spp. in faeces were, not brushing the cat (OR=0.74, p= 0.006), provenance (OR= 0.42, p=0.02), and median height (OR= 0.78, p= 0.01). Age, gender, hair type, coexistence with other cats and other stool findings were not associated as risk factors for infection. Conclusion: This study demonstrated a high overall prevalence of G. duodenalis in cats in Mexico, in addition to an association of its prevalence with risk factors such as cats living with other animals, hunting habits and access to outdoors.

A case report of Sino-orbital Mucormycosis in a COVID-19 patient from eastern India: a “Red-alert” to physicians emphasizing the importance of early microbiological diagnosis

A 65 years old diabetic female, presented with swelling of left eye and multiple discharging sinuses near the inner canthus of the left eye. She had a history of recent COVID-19 infection and was treated with steroids. The pus from peri-orbital sinuses, in KOH stain showed presence of broad, non-septate, right-angle branching fungal filaments. An early microbiological diagnosis of Mucormycosis, based on the direct smear findings substantiated the clinical diagnosis and helped the patient to get timely treatment. We emphasize that a request for an early microbiological diagnosis may affect the outcome in this highly invasive fatal disease.

A Study on Efficacy of Oral Itraconazole in the Treatment of Seborrheic Dermatitis

Seborrheic dermatitis is a common chronic disease. Malassezia yeasts have been implicated in the pathogenesis of this disease. Antifungal agents are known to be effective in the treatment of Malassezia yeast infections. This study was done to evaluate the efficacy of itraconazole in the treatment of seborrheic dermatitis. Sixty patients with Seborrheic dermatitis were evaluated in an open non-comparative study. Patients were treated with itraconazole capsule 100 mg twice a day for a week; then after a 3-week interval 100 mg capsule was given twice a day for 2 days of following months for two consecutive months. Four clinical parameters (Itching, burning erythema, scaling, and seborrhea) were assessed using a 0 to 3-point (0= absent, 1 = mild, 2 = moderate, 3 = severe) score. Mycological evaluation determined the presence of Malassezia spores in the scales using a direct smear. At the end of the initial treatment significant improvement was reported in four clinical parameters: Itching, burning erythema, scaling, and seborrhea. Maintenance therapy led to further improvement slightly. Burning sensation mildly improved during the treatment. The quantity of Malassezia spores present in the direct smear decreased throughout the treatment period. Blood test abnormalities were not found during the treatment. So initial treatment with itraconazole is beneficial in patients with seborrheic dermatitis. Faridpur Med. Coll. J. 2021;16(1):21-24

Comparative Evaluation of Bruker Biotyper and ASTA MicroIDSys for Species Identification in a Clinical Microbiology Laboratory

Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI–TOF MS) has been widely used for microbial identification, because of its speed and accuracy, since its introduction to clinical microbiology laboratories. In this study, we evaluated the performance of ASTA MicroIDSys, a newly developed MALDI–TOF, and compared it with the widely used Bruker Biotyper. Microbial identification with the Bruker Biotyper system was performed by using a direct smear method and the Bruker Biotyper database (reference library version 6.0.0.0). The isolates were also tested in parallel, using the ASTA MicroIDSys system with a direct smear method and the MicroIDSys database, CoreDB v1.26. A total of 914 clinical isolates were recovered from the clinical specimens. Identical results with confidence scores (≥2.0, for the Bruker Biotyper) and acceptable scores (≥140 for the ASTA MicroIDSys) were obtained for 840 (91.9%) isolates. The minor errors were defined as misidentification at the species level, and the rate was 1.1% (9/792) for Bruker Biotyper and 1.6% (13/792) for ASTA MicroIDSys. Major errors were defined as misidentification at the genus level, and the rate was 0.3% (2/792) for both Bruker Biotyper and ASTA MicroIDSys. ASTA MicroIDSys showed reliable performance for microbial identification, which was comparable to that of the Bruker Biotyper. Therefore, ASTA MicroIDSys can be applied for the identification of microorganisms in clinical microbiology laboratories.

HELMINTH FAUNA AND TREATMENT OF REPTILES IN ABAKAN

In recent years, exotic animals have been kept not only in zoos, but also at home quite often. This trend is growing. Special literature and training of specialists in this profile is not enough and a veterinarian who is engaged in private practice has to face the problem of how to correctly diagnose and treat such a patient. The aim of the study was to identify helminth fauna in reptiles in Abakan before and after treatment. During 2019 and 2020, on the basis of the veterinary office of BALTO, Abakan, studies of reptile feces were conducted by the flotation method and the direct smear method. A total of 40 reptiles were studied. We found Ascarididae, Oxyuridae, and Strongyloides. The prevalence of the infection ranged from 25% to 100%. All owners of reptiles were recommended to carry out disinfection of terrariums, and quarterly studies for helminths, and maintain a Pet Passport. It is also necessary to talk to the owner of reptiles about correct maintenance, feeding, and observance of zoohygienic requirements in keeping reptiles. Preventive measures will help the animal live a long and healthy life.

Screening of Strongyloides stercoralis infection in high-risk patients in Khuzestan Province, Southwestern Iran

Background Strongyloidiasis, one of the neglected tropical diseases (NTDs), can be fatal in immunocompromised patients. Available data on Strongyloides stercoralis infection in high-risk patients in Iran are limited. The aim of the present study was to determine the prevalence of S. stercoralis infection and associated risk factors among high-risk patients as well as to evaluate the sensitivity of the diagnostic tests used in the diagnose of S. stercoralis infection. Methods This cross-sectional study was performed from 2019 to 2020 among 300 high-risk patients in Khuzestan Province, southwestern Iran. Patients with autoimmune diseases, uncontrolled diabetes, HIV/AIDS, cancer, organ transplant, hematological malignancy, asthma and chronic obstructive pulmonary disease (COPD) were examined using direct smear examination, formalin-ether concentration, Baermann funnel technique, agar plate culture, and ELISA test. Since agar plate culture was considered the reference diagnostic test, culture-positive samples were confirmed by PCR amplification and the sequencing of the nuclear 18S rDNA (SSU) hypervariable region (HVRIV) of the parasite. Results The prevalence of S. stercoralis infection was 1%, 1.3%, 2%, 2.7%, and 8.7% using direct smear examination, formalin-ether concentration, Baermann funnel technique, agar plate culture, and ELISA test, respectively. All culture-positive samples were confirmed by SSU-PCR. According to the results, the most sensitive test was ELISA, with 100% sensitivity, followed by the Baermann funnel technique with the sensitivity of 75%. Direct smear examination, formalin-ether concentration technique, and Baermann funnel technique had the highest PPV (100%) while the ELISA test had the highest NPV (100%). Significant eosinophilia was observed in the patients whose culture test was positive (7/8; P < 0.05). In the present study, the majority of the positive cases by the agar plate culture had a history of prolonged exposure to soil and of asthma and COPD and were > 60 years old. Conclusions Given that the ELISA test had the highest NPV, the screening of all high-risk patients for S. stercoralis infection in endemic areas is recommended prior to starting corticosteroid therapy with the ELISA test. The results indicate the importance of paying attention to patients with unknown eosinophilia in endemic areas. Ivermectin should be available to strongyloidiasis patients in the endemic areas.