Estimation of ASO titer as an indicator of streptococcal infection precipitating acute adenolymphangitis in brugian lymphatic filariasis.
Identifieur interne : 00B798 ( Main/Exploration ); précédent : 00B797; suivant : 00B799Estimation of ASO titer as an indicator of streptococcal infection precipitating acute adenolymphangitis in brugian lymphatic filariasis.
Auteurs : T K Suma [Inde] ; R K Shenoy ; J. Varghese ; V V Kuttikkal ; V. KumaraswamiSource :
- The Southeast Asian journal of tropical medicine and public health [ 0125-1562 ] ; 1997.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Animaux, Antistreptolysine (isolement et purification), Brugia (isolement et purification), Diagnostic différentiel, Facteurs de l'âge, Facteurs sexuels, Femelle, Filariose lymphatique (diagnostic), Filariose lymphatique (parasitologie), Filariose lymphatique (étiologie), Humains, Infections à streptocoques (), Infections à streptocoques (diagnostic), Maladie aigüe, Mâle, Études cas-témoins.
- MESH :
- diagnostic : Filariose lymphatique, Infections à streptocoques.
- isolement et purification : Antistreptolysine, Brugia.
- parasitologie : Filariose lymphatique.
- étiologie : Filariose lymphatique.
- Adulte, Adulte d'âge moyen, Animaux, Diagnostic différentiel, Facteurs de l'âge, Facteurs sexuels, Femelle, Humains, Infections à streptocoques, Maladie aigüe, Mâle, Études cas-témoins.
English descriptors
- KwdEn :
- Acute Disease, Adult, Age Factors, Animals, Antistreptolysin (isolation & purification), Brugia (isolation & purification), Case-Control Studies, Diagnosis, Differential, Elephantiasis, Filarial (diagnosis), Elephantiasis, Filarial (etiology), Elephantiasis, Filarial (parasitology), Female, Humans, Male, Middle Aged, Sex Factors, Streptococcal Infections (complications), Streptococcal Infections (diagnosis).
- MESH :
- chemical , isolation & purification : Antistreptolysin.
- complications : Streptococcal Infections.
- diagnosis : Elephantiasis, Filarial, Streptococcal Infections.
- etiology : Elephantiasis, Filarial.
- isolation & purification : Brugia.
- parasitology : Elephantiasis, Filarial.
- Acute Disease, Adult, Age Factors, Animals, Case-Control Studies, Diagnosis, Differential, Female, Humans, Male, Middle Aged, Sex Factors.
Abstract
Recurrent episodes of acute adenolymphangitis (ADL) are important clinical manifestations of lymphatic filariasis which contribute significantly to the progression of lymphedema. It is increasingly being recognized that secondary bacterial infections play an important role in the etiology of ADL. We examined the role of streptococcal infection as a precipitating factor of ADL in brugian filariasis, by determining the anti-streptolysin O (ASO) titers and by isolating the causative organism wherever possible. The study population consisted of 30 patients with filariasis related ADL (Group A), 30 patients with chronic filarial edema (Group B) and 60 age and sex matched healthy adults (Group C). ASO titer was estimated by the latex agglutination method at the time of entry into the study, at the 15th day and at 3, 6 and 12 months. ASO titers were persistently elevated in 90% of patients in Group A and a portal of entry for bacterial infection was detected in all of these patients. In Group B only six patients had persistently elevated ASO titers. These patients had grade III lymphedema and three of them had monilial infections in the affected limb. In the control group none had persistently elevated ASO titers. The elevated ASO titers and the detection of a site of entry for bacteria in patients with ADL supports a streptococcal etiology for this condition.
PubMed: 9656409
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">Recurrent episodes of acute adenolymphangitis (ADL) are important clinical manifestations of lymphatic filariasis which contribute significantly to the progression of lymphedema. It is increasingly being recognized that secondary bacterial infections play an important role in the etiology of ADL. We examined the role of streptococcal infection as a precipitating factor of ADL in brugian filariasis, by determining the anti-streptolysin O (ASO) titers and by isolating the causative organism wherever possible. The study population consisted of 30 patients with filariasis related ADL (Group A), 30 patients with chronic filarial edema (Group B) and 60 age and sex matched healthy adults (Group C). ASO titer was estimated by the latex agglutination method at the time of entry into the study, at the 15th day and at 3, 6 and 12 months. ASO titers were persistently elevated in 90% of patients in Group A and a portal of entry for bacterial infection was detected in all of these patients. In Group B only six patients had persistently elevated ASO titers. These patients had grade III lymphedema and three of them had monilial infections in the affected limb. In the control group none had persistently elevated ASO titers. The elevated ASO titers and the detection of a site of entry for bacteria in patients with ADL supports a streptococcal etiology for this condition.</div>
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