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انتشار داء المقوسات العيني مع تقييم لبعض جوانب الحالة المناعية في عينة من المرضى العراقيين == Prevalence of Ocular Toxoplasmosis And Evaluation of Some Immune Status Aspects In A Sample of Iraqi Patients
Author name:
عبير فاروق ساكن الحكيم
Supervisor name:
اسراء قاسم العبيدي
General topic:
Biology
Specific topic:
Microbiology - Parasites
Degree:
Master
University:
University of Baghdad - Ibn Al-Haytham College Of Education For Pure Sciences - Department Of Biology
Language:
Arabic
University location:
Baghdad
First pages:
24T2708 - p.pdf
Abstract:
اجريت الدراسة الحالية على 104 مريضا من المراجعين لوحدة الشبكية في مستشفى ابن الهيثم التعليمي للعيون في بغداد للمدة من بداية شهر كانون الاول 2013 لغاية شهر حزيران 2014. قسمت مجموعة المرضى استنادا للتشخيص السريري وفحص اختبار التلازن Latex test الى 50 مصابا | The current study was conducted on 104 patients whose underwent to the retina unit in Ibn Al - Haitham Hospital of Eyes in Baghdad from December 2013 to May 2014. The patients groups were divided according to the clinical diagnosis to 50 patients infected with ocular toxoplasmosis (OT) and 54 patents with uveitis, in addition to these groups acontrol group was also included 96 healthy apparent persons without any infection in their eyes.Some epidemiological characters were studied like age, that showed a little effect on two groups OT (Mean of age 38.07 ± 15.14) and uveitis (Mean of age 35.1 ± 17.6). The two groups were found in range 20 - 40 year while the control group include individuals with different age due to the randomly collection. The occupation factor play arole in the prevalence of infection with highly significant differences (P<0.05) in (house wife, workers) with a percentages 35(70%) 35(64.8%) in OT and uveitis groups respectively but the control group expend to include house wife, workers and officers with a total rate 92.7%.The education level also showed significant differences (P<0.01) among the studied groups, the most of ocular toxoplasmosis and uveitis samples were found in highly frequency at the primary, intermediate and secondary educational level with total rate 74% and 77.81% respectively while the control group was found at the secondary and under graduate educational level in 77.1%. The residency character was also examined and no revealed significant difference (P<0.05).The infection path was also set by the presence of animals especially cats which ware existed leading to statistical differences, p? 0.01 for OT group with rate 18%. The visual activity character showed no significant difference (P?0.05) between the patients of OT and uveitis who affected their visual acuity in right eye while the doubling response was recorded for uveitis patients with rate 55.6% in comparable with OT patients with rate 38% for the left eye. The intra ocular pressure was normal in both groups and for both eyes without significant difference.Latex and ELISA IgG. IgM serological tests were used in this study. The results were showed that latex test is easier and it is appear that OT patients were diagnosis with 100%, while the uveitis patients didn't show any positive result. Control group showed that 21 individuals were infected with rate of 21.9%.ELISA - IgG toxo. antibodies confirmed that the infection rate of OT patients was 39 (78%) versus 11(22%) with negative result, while the study also confirm that uveitis patient that have OT disease was 12 patient from 54 case, 42 case didn't diagnosis for OT. The control group was re - evaluated showed 28 case with toxoplasmosis infection from 96 case which from the subclinical group. The antibodies levels were measure by international unit/ ml for all groups, the IgG level was 3.186 ± 1.703 Iu/ml in positive control group followed by OT patients with 2.927 ± 2.417 and uveitis group 0.637 ± 0.803, finally the negative control group 0.276 ± 0.163. IgM levels were low and its presence didn't have any positive case. This study also showed that there was a relation between the IgG level and the pathological effect on eyes which resulted from infection for both groups OT and uveitis, it was high rate 73.5% with 50 patient, for posterior uveitis causing significant differences (P<0.05) followed by anterior uveitis with rate 13.2%.As for the results of cytokines there was a high level of IFN - ? in positive control group 793.7 ± 3461.6 pg/ml followed by OT group 550.6 ± 210.6 pg/ml, the uveitis group that in infected with ocular toxoplasmosis and negative control recorded 524.1 ± 173.6 and 506.6 ± 104.6 pg/ml levels respectively, this rise in the level of IFN - ? cause a significant differences at (P<0.05) for OT, uveitis (non infected) and positive control groups. TNF - ? recorded arise of its level in positive control group 34.89 ± 12.29 pg/ml followed by OT group 32.24 ± 9.91 pg/ml then positive uveitis group 23.61 ± 12.91 pg/ml after them negative control 14.62 ± 5.43 pg/ml finally negative uveitis group with 7.76 ± 4.04 pg/ml.High level of 1L - 12 was gotin positive control group in a concentration 827.00 ± 224.25 pg/ml followed by OT group with 811.28 ± 179.40 pg/ml. An increase in 1L - 17A was recorded in positive control group with mean 327.65 ± 77.89 pg/ml while converged concentration in OT group 263.73 ± 47.48 and positive uveitis group 252.57 ± 61.55 pg/ml. The lowest level was in negative control group 421.6 ± 168.14 pg/ml. MCP - 1 showed a rise in its level in positive control group 274.09 ± 92.05 pg/ml and reduce in OT patients 217.68 ± 98.70 pg/ml, while the two groups negative and positive uveitis recorded levels 155.71 ± 99.51 and 132.60 ± 99.02 pg/ml respectively. The lowest level was register in negative control 97.56 ± 79.17 pg/ml.
