Evaluation of soluble adhesion molecules in the diagnosis of amoebiasis, giardiasis and toxoplasmosis.
A total of 47 patients with toxoplasmosis (21 cases) with amoebic liver abscess (14 cases) and with giardiasis (12 cases) as well as 14 healthy control were subjected to thorough history taking, clinical examination, stool & urine analysis, complete blood picture, ESR, C-reactive protein, ASO, widal test, blood cultures, liver function tests, serum creatinine, hepatitis viral markers, rheumatoid factor, auto-antibodies, stool culture, rectal snip, chest X-ray, abdominal sonar, level of serum adhesion molecules (sICAM-1, sELAM-1), ELISA detection of Toxoplasma antibodies in serum, liver biopsy, detection and counting of Giardia cysts. In toxoplasmosis group, highly significant increase in serum levels of sICAM-1 (P<0.01) and significant increase in serum levels of sELAM-1 (P<0.05) in comparison to control. However, only sICAM-1 levels were significantly increased in IgM cases more than in IgG cases. In amoebic liver abscess group, both sICAM-1 and sELAM-1 significantly increased when compared with control. In giardiasis group, highly significant increase of serum levels of sELAM-1 was noticed than in control group (P<0.01), while sICAM-1 showed no significant difference (P>0.05). There was no correlation between sELAM-1 and number of cysts in the stool (intensity of infection). Soluble forms of adhesion molecules especially sICAM-1 have the potentiality as good markers of endothelial damage, severity of disease and to less extend load of infection.
el-Shazly
A M
AM
Department of Parasitology, Faculty of Medicine, Mansoura University, Egypt.
Soliman
M
M
el-Kalla
M R
MR
Rezk
H
H
el-Nemr
H
H
Handoussa
A E
AE
el-Aaty
H E
HE
Morsy
T A
TA
D000293:Adolescent; D000328:Adult; D000818:Animals; D015415:Biomarkers / Q000032:analysis / Q000097:blood; D015815:Cell Adhesion Molecules / Q000032:analysis / Q000097:blood*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005873:Giardiasis / Q000097:blood / Q000175:diagnosis*; D006801:Humans; D008101:Liver Abscess, Amebic / Q000097:blood / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D014123:Toxoplasmosis / Q000097:blood / Q000175:diagnosis*
D015415:Biomarkers; D015815:Cell Adhesion Molecules