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首页> 外文期刊>Current Science: A Fortnightly Journal of Research >Filarial infection in chest disease patients from Wuchereriabancrofti-endemic areas of Uttar Pradesh, India
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Filarial infection in chest disease patients from Wuchereriabancrofti-endemic areas of Uttar Pradesh, India

机译：印度北方邦Wuchereriabancrofti流行地区的胸部疾病患者的丝虫感染

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The study determined the extent of co-occurrence and the influence of filariasis in chest-symptomatic patients from filaria-endemic areas of Uttar Pradesh, India. Patients with chest and respiratory symptoms were categorized on the basis of clinical, radiological, sputum and haematological examinations as cases of tropical pulmonary eosinophilia (TPE) with asthma-type syndrome (n = 36), pleural effusion (PE; n = 13) and pulmonary tuberculosis (PT; n = 36). Twenty-six asymptomatic (Asym) microfilaraemic cases, but without chest symptoms, were included for comparison. Patients were examined for filarial infection by filarial skin test (FST), microfilaria in blood and pleural aspirates and for filaria-specific IgG(4) and IgM in serum. Microfilariae were found in 1.9, 46 and 6% of TPE, PE and PT patients, respectively. FST positivity was shown by 100, 69, 67, and 92 %, filaria-specific IgG4 by 92, 85, 89 and 96 % and filaria-specific IgM by 94, 69, 86, and 77 % of TPE, PE, PT and Asym microfilaraemic cases, respectively. Treatment of some of the chest-symptomatic microfilaraemic or amicrofilaraemic patients (5 to 6 patients in each category) with the antifilarial, diethylcarbamazine, provided considerable improvement in the chest condition. Alterations in the filaria-specific antibody responses further supported that the patients displaying chest symptoms had concurrent filarial infection. The study also indicates that filarial infection may contribute to the aggravation of chest symptoms in non-TPE chest symptomatic patients of filaria-endemic areas.
机译：该研究确定了印度北方邦丝虫病流行地区有胸症状的患者的同时发生程度和丝虫病的影响。根据临床，影像学，痰液和血液学检查，将具有胸部和呼吸系统症状的患者分为哮喘型综合征（n = 36），胸腔积液（PE; n = 13）和热带肺嗜酸性粒细胞增多症（TPE）。肺结核（PT; n = 36）。比较了26例无症状（Asym）微丝虫病病例，但无胸部症状。通过丝状皮肤试验（FST），血液和胸膜抽吸物中的微丝aria以及血清中的丝aria特异性IgG（4）和IgM检查患者的丝虫感染。 TPE，PE和PT患者分别有1.9、46和6％发现微丝aria病。 FST阳性率分别为TPE，PE，PT和TPE的100％，69％，67％和92％，丝虫特异性IgG4的92％，85％，89％和96％以及丝虫特异性IgM的94％，69％，86％和77％非对称性微丝血症病例。用抗丝虫剂二乙基氨基甲嗪治疗一些胸部有症状的微丝或无丝丝病患者（每种类别为5至6例患者），可显着改善胸部状况。丝虫特异性抗体反应的改变进一步支持显示胸部症状的患者同时发生丝虫感染。该研究还表明，丝虫病流行地区的非TPE胸部症状患者中，丝虫感染可能会加剧胸部症状。

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