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Dot-ELISA for the detection of anti-Cysticercus cellulosae antibodies in cerebrospinal fluid using a new solid phase (resin-treated polyester fabric) and Cysticercus longicollis antigens.

A dot-ELISA was developed for the detection of antibodies in CSF in the immunologic diagnosis of human neurocysticercosis, using antigen extracts of the membrane and scolex of Cysticercus cellulosae (M+S-Cc) and, alternately, membrane (M) and vesicular fluid (VF) of Cysticercus longicollis (Cl) covalently bound to a new solid phase consisting of polyester fabric treated with N-methylol-acrylamide resin (dot-RT). The test was performed at room temperature, with reduced incubation times and with no need for special care in the manipulation of the support. The sensitivity rates obtained were 95.1% for antigen Cc and 97.6% for antigen Cl. Specificity was 90.6% when Cc was used, and 96.9% and 100% when M-Cl and VF-Cl were used, respectively. No significant differences in titer were observed between tests carried out with homologous and heterologous antigens. The low cost and easy execution of the dot-RT test using antigen extracts of Cysticercus longicollis indicate the test for use in the immunodiagnosis of human neurocysticercosis.

Animals

Immunoperoxidase for the detection of antibodies in cerebrospinal fluid in neurocysticercosis: use of Cysticercus cellulosae and Cysticercus longicollis particles fixed on microscopy slides.

The ORF strain of Cysticercus longicollis represents an important model for the study of heterologous antigens in the immunodiagnosis of neurocysticcreosis (NC). The immunoperoxidase (IP) technique was standardized using a particulate antigen suspension of Cysticercus longicollis (Cl) and Cysitcercus cellulosae (Cc). Cerebrospinal fluid (CSF) samples were incubated on the antigen fixed to microscopy slides; the conjugate employed was anti-IgG-peroxidase and the enzymatic reaction was started by covering the slides with chromogen solution (diaminobenzidine/H2O2). After washing with distilled water, the slide was stained with 2% malachite green in water. Of the CSF samples from 21 patients with NC, 19 (90.5%) were positive, whereas the 8 CSF samples from the control group (100%) were negative. The results of the [P-C] test applied to 127 CSF samples from patients with suspected NC showed 28.3% reactivity as opposed to 29.1% for the IP-Cc test. The agreement index for the IP test (Cl x Cc) was 94.2%, with no significant difference between the two antigens.

Animals

Cysticercus bovis: pinocytosis in the Cysticercus tegument.

The authors have found that pinocytosis occurs in the tegument of C. bovis from the fourth week after infection. Electron-lucid bladders surrounded by plasma membrane were encountered in the distal cytoplasm. The pinocytosis occurred in form of micropinocytotic bladders only in the bladder tegument but not in the scolex. The bladders appeared first in the superficial part of the distal cytoplasm. During the following periods of development of the larva they were dispersed in the whole distal cytoplasm and were found even in the processes of subtegumental cells and inside these cells near the heterolysosomes.

Animals

[Free amino acid components of cystic fluid of Cysticercus cellulosae].

The free amino acids in the cystic fluid of Cysticercus cellulosae were determined quantitatively by using automatic amino acid analyzer. The cystic fluids of both subcutaneous-muscular Cysticercus cellulosae from 14 pigs and cerebral Cysticercus cellulosae from 10 pigs were detected. Among the 18 amino acids detected, alanine was found to be the predominant amino acid in both of the cystic fluids. The quantities of glycine and proline were higher than other amino acids in subcutaneous-muscular Cysticercus cellulosae, while threonine was higher than the rest in the cerebral Cysticercus cellulosae. A comparison was made between the quantities of amino acids in the fluids of both subcutaneous-muscular and cerebral Cysticercus cellulosae of 7 pigs by the T-test method. The results showed that the quantities of 12 out of 15 amino acids were significantly different, with particular reference to threonine, alanine, serine, and valine, suggesting that the difference in the metabolism of amino acids in Cysticercus may be related to the parasite's location in their respective hosts.

Amino Acids

In vitro hydroxylation of proline in the collagen of the cysticercus of Taenia solium.

1. In vitro hydroxylation of proline in cysticercus collagen was carried out using two different vertebrate enzymes. 2. Chick embryo enzyme is more active on cysticercus collagen than new-born rabbit enzyme. 3. Hydroxylation of cysticercus collagen is more efficient at 40 than at 37 degrees C. 4. No prolyl hydroxylase activity was detected in cysticercus extracts. 5. Collagen from the adult tapeworms Taenia solium and T. saginata lack hydroxyproline. 6. SLS crystallites from T. solium and T. saginata collagen show the same band pattern as cysticercus collagen.

Animals

Enlarging solitary cysticercus granulomas.

Solitary cysticercus granulomas that produce seizures usually measure less than 20 mm in diameter and diminish in size spontaneously. Unlike live cysticercus cysts, they have not been known to increase in size. In a prospective follow-up study of 93 consecutive patients with epilepsy and small solitary lesions (< 20 mm in diameter) enhancing on computerized tomography (CT), 91 were found to have solitary cysticercus granuloma; of these, seven (7.7%) were diagnosed as having an enlarging cysticercus granuloma. Enlarging lesions were defined as those that, on follow-up CT, had increased by more than 50% of their original size but were still less than 20 mm in diameter (Group 1, three patients) or those that had increased to more than 20 mm (Group 2, four patients). Excision biopsy is recommended for Group 2 solitary lesions, regardless of the clinical progression, to eliminate the possibility of other pathologies. However, a trial of albendazole therapy with early CT re-evaluation (within 4 to 6 weeks) may be warranted in those with Group 1 lesions and in selected patients with Group 2 lesions. It is important to recognize the entity of enlarging solitary cysticercus granuloma to avoid mistaking it for a tuberculoma and treating the patient with empiric antituberculous therapy.

Adolescent

[Study on localization of cystic fluid antigen of Cysticercus cellulosae using McAb-IGSS].

A study was undertaken on the localization of specific combination of McAb against cystic fluid antigen of Cysticercus cellulosae by immunogold silver staining method (IGSS). It was shown that the combination sites of McAb F3 were distinct in the frozen and paraffin sections of Cysticercus cellulosae. The black granules in the bladder walls presented double-layer distribution and those in the scolex folded sites concentrated into pieces. The combination sites of McAb labeled by IGSS against cystic fluid antigen of Cysticercus cellulosae were consistent with the distribution of the cell layers of Cysticercus cellulosae. The sections in the control group had scarce and irregular distribution, which could be differentiated distinctly from those in the experimental group.

Animals

Differentiating solitary small cysticercus granulomas and tuberculomas in patients with epilepsy. Clinical and computerized tomographic criteria.

It is commonly believed that differentiating solitary small cysticercus granulomas and small tuberculomas in patients with seizures is difficult without resorting to an excision biopsy. The aim of this study was to formulate clinical and computerized tomography (CT) criteria to distinguish these two entities in patients with epilepsy. Toward this end, clinical and CT data from six consecutive patients with histologically proven small solitary tuberculomas and 25 consecutive patients with histologically proven solitary cysticercus granulomas were compared. Evidence of raised intracranial tension and a progressive focal neurological deficit was seen only in patients with tuberculomas (two of six cases). All tuberculomas were greater than 20 mm in size and five of the six were irregular in outline. Only tuberculomas were associated with a midline shift on CT (four of six cases). All cysticercus granulomas were less than 20 mm in size and 24 (96%) of the 25 were regular in outline, conforming to one of two characteristic patterns. No cysticercus granuloma was associated with a midline shift. Based on the above clinical findings (evidence of raised intracranial tension and a progressive neurological deficit) and CT criteria (size, shape, and association with a midline shift), it is possible to separate these two entities in a majority of patients with seizures and with a single small lesion on CT.

Adolescent

Clinicoradiological and pathological correlations in patients with solitary cysticercus granuloma and epilepsy: focus on presence of the parasite and oedema formation.

A study of the clinical, radiological, and pathological correlations in 43 patients with solitary cysticercus granuloma and epilepsy focused on factors that might help in predicting the presence of the parasite in the granuloma and those that might influence the formation of oedema around the granuloma. The duration of symptoms (< six months and > or = six months) and CT morphology of the granuloma (ring and disc, type A; nodular lesion, type B) were studied as factors that could possibly predict the presence of the parasite in the granuloma. The influence of sex of the patient and the presence of a neutrophilic response in the granuloma on the intensity of oedema around the lesion as seen on CT was also studied. The pathological features were studied in the excised granulomas. The intact or degenerated form of the cysticercus was evident in 22 of 43 specimens. Neither the duration of seizures (P = 0.17) nor the type of lesion on CT (P = 0.16) was predictive of the presence of the parasite in the granuloma. The sex of the patient (P = 0.51) and the neutrophilic response in the specimen (P = 0.73) did not correlate with the degree of oedema on CT indicating that neither of these host factors was a major determinant of oedema production. The findings point to the varied and unpredictable natural history of solitary cysticercus granulomas and the complex nature of host-parasite interactions in individual patients. The inability to predict the presence of the parasite in the granuloma on the basis of the clinical or radiological features precludes a selection of patients with such lesions for cysticidal drug treatment.

Adolescent

The viability of Cysticercus cellulosae in Thai native food (NHAM).

The purpose of this study was to determine the viability of Cysticercus cellulosae in various forms of Thai native food (Nham). Four duplicated experiments were carried out and represent as in the average values. The results revealed that under the room temperature (27-30 degrees C), the intact C. cellulosae in Nham could survive as long as 12-18 hours after preparation while isolated C. cellulosae and C. cellulosae in a piece of 2 X 9 cm. of pork in 0.85% saline could survive as long as 60 and 66 hours, respectively. The Cysticercus in other ingredients of Nham and in saline solution (6%) could be viable for 48-96 and 12-18 hours, respectively. Under the temperature of 4 degrees C, Cysticercus in various recipes could survive for 96 hours while in the controls, it could survive as long as 20-30 days. However, C. cellulosae in various compositions of Nham could be viable 11-20 days which was longer than those in potassium nitrate or salt alone. The findings of this study might infer the suggest that optimum time for consumming Nham in raw condition with safety should be after preparation at least 2-3 days at room temperature.

Cysticercus

Pulmonary cysticercus.

Cysticercus cellulosae, the encysted larva of Taenia solium, is reported in a solitary granulomatous lesion excised from the lung of a 61-year-old woman from Thailand. No extrapulmonary signs of cysticercosis were manifest preoperatively, and the diagnosis was not suspected clinically. Pulmonary cysticercus is rarely diagnosed histologically. When unaccompanied by extrapulmonary disease, a single cysticercus lung lesion may be clinically and radiologically indistinguishable from other granulomata and malignancy.

Animals

The successful removal of a subretinal cysticercus by pars plana vitrectomy.

A 39-year-old woman from Belize presented with recent vision loss in her left eye due to a subretinal cysticercus located near the macula. We are reporting the use of standard vitrectomy instrumentation and techniques to successfully remove the subretinal cysticercus by a transretinal approach. Pars plana vitrectomy with transretinal removal of the cysticercus is a useful alternative to the traditional external sclerotomy.

Adult

Incidence and significance of adverse effects of albendazole therapy in patients with a persistent solitary cysticercus granuloma.

OBJECTIVE: To study the incidence of adverse reactions to albendazole therapy in patients presenting with seizures and a persistent (>3 months after diagnosis), solitary cysticercus granuloma and to determine whether the occurrence of adverse reactions predicted the response of the granuloma to therapy. MATERIAL AND METHODS: In a prospective study, adverse reactions were monitored in 43 patients with a persistent solitary cysticercus granuloma who were treated with albendazole therapy. Steroids were administered prophylactically to 7 patients. Response to albendazole therapy was determined on a post therapy CT scan done within 12 weeks of initiation of therapy. RESULTS: Adverse reactions in the form of headache, vomiting or recurrence of seizures including focal status epilepticus occurred in 15 (34.9%) patients. Adverse reactions occurred in 3 of the 7 patients who received steroids during therapy. The occurrence of side effects was not significantly influenced by steroid therapy (P=0.47). The granuloma responded to therapy in 20 patients (46.5%). Although the granuloma responded to therapy in a larger percentage of patients with side effects than in those without side effects (60% versus 39.3%), this difference was not statistically significant (P=0.16). CONCLUSIONS: Albendazole therapy causes adverse reactions in about a third of patients with a persistent solitary cysticercus granuloma. Occurrence of adverse reactions cannot be prevented with steroid therapy and their occurrence does not predict the response of the granuloma to therapy.

Adolescent

Tissue reaction in the heart of cattle with a spontaneous and artificial Cysticercus bovis infection.

Results of detailed studies on tissue reactions to Cysticercus bovis in the heart of cattle, together with a comparison of findings in animals with spontaneous and experimental infection, and an evaluation of tissue reactions in relation to the location, morphology and morphogenesis of C. bovis provided evidence for the fact that in general, the response of the heart to the presence of C. bovis was an inflammatory reaction characterized by the origin of a pseudoepithelial border and a zone of granulation tissue. Later, when necrotic changes started to affect the cysticercus, the inflammatory reaction started to develop anew. It was accompanied by an exudation and a subsequent resorption. Characteristic features were focal necroses both of the exudate and the inflammatory border followed by a dystrophic calcification, focal necroses and a dystrophic calcification of individual collagenous fibres and groups of these fibres in addition to a regular appearance of necrotic-like foci typical of a reaction to C. bovis. The location of the cysticercus in a certain part of the lymphatic system of the heart and in skeletal muscles was shown to have a considerable effect on the course of the inflammatory reaction. Differences in the development of the inflammatory reaction explained concomitant findings of dead and live cysticerci at the same time after an experimental infection.

Animals

Pars plana vitrectomy for removal of intravitreous Cysticercus.

Pars plana was used for the removal of an intravitreous cysticercus, with minimal postoperative inflammation and an excellent visual result. This approach avoids lens removal and the visualization provided by the operating microscope allows removal of all vitreous humor particles and debris. The aspirated specimens allowed identification of the Taenia solium cysticercus.

Adult