Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-27T09:01:54.745Z Has data issue: false hasContentIssue false

Risk and other factors associated with toxoplasmosis and toxocariasis in pregnant women from southern Brazil

Published online by Cambridge University Press:  14 July 2016

P.C. Santos*
Affiliation:
Laboratory of Parasitology, Faculty of Medicine – FAMED, Area Interdisciplinary Biomedical Sciences (AICB) Federal University of Rio Grande – FURG, Rio Grande, Rio Grande do Sul, Brazil
P.L. Telmo
Affiliation:
Laboratory of Parasitology, Faculty of Medicine – FAMED, Area Interdisciplinary Biomedical Sciences (AICB) Federal University of Rio Grande – FURG, Rio Grande, Rio Grande do Sul, Brazil
L.M. Lehmann
Affiliation:
Laboratory of Parasitology, Faculty of Medicine – FAMED, Area Interdisciplinary Biomedical Sciences (AICB) Federal University of Rio Grande – FURG, Rio Grande, Rio Grande do Sul, Brazil
G.T. Mattos
Affiliation:
Laboratory of Parasitology, Faculty of Medicine – FAMED, Area Interdisciplinary Biomedical Sciences (AICB) Federal University of Rio Grande – FURG, Rio Grande, Rio Grande do Sul, Brazil
G.B. Klafke
Affiliation:
Laboratory of Parasitology, Faculty of Medicine – FAMED, Area Interdisciplinary Biomedical Sciences (AICB) Federal University of Rio Grande – FURG, Rio Grande, Rio Grande do Sul, Brazil
C. Lorenzi
Affiliation:
Laboratory of Parasitology, Faculty of Medicine – FAMED, Area Interdisciplinary Biomedical Sciences (AICB) Federal University of Rio Grande – FURG, Rio Grande, Rio Grande do Sul, Brazil
C. Hirsch
Affiliation:
Laboratory of Parasitology, Faculty of Medicine – FAMED, Area Interdisciplinary Biomedical Sciences (AICB) Federal University of Rio Grande – FURG, Rio Grande, Rio Grande do Sul, Brazil
L. Lemos
Affiliation:
Laboratory of Parasitology, Faculty of Medicine – FAMED, Area Interdisciplinary Biomedical Sciences (AICB) Federal University of Rio Grande – FURG, Rio Grande, Rio Grande do Sul, Brazil
M.E.A. Berne
Affiliation:
Laboratory of Parasitology, Institute of Biology, Department of Microbiology and Parasitology, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil
C.V. Gonçalves
Affiliation:
Obstetric Center, University Hospital of Rio Grande, Rio Grande, Rio Grande do Sul, Brazil
C.J. Scaini
Affiliation:
Laboratory of Parasitology, Faculty of Medicine – FAMED, Area Interdisciplinary Biomedical Sciences (AICB) Federal University of Rio Grande – FURG, Rio Grande, Rio Grande do Sul, Brazil

Abstract

Toxoplasmosis causes complications during pregnancy that have serious effects on fetal development. Thus far, toxocariasis has been reported to spread only via vertical transmission. Nonetheless, the population of pregnant women is also exposed to this infection. Co-infection with both Toxoplasma gondii and Toxocara spp. has been reported in children, but there are no reports of co-infection in the population of pregnant women. The aim of this study was to determine the prevalence of co-infection with T. gondii and Toxocara spp. in pregnant women at a university hospital in southern Brazil, and to identify the risk factors associated with infection by both parasites. Two hundred pregnant women were tested for the presence of anti-T. gondii and anti-Toxocara spp. antibodies and were asked to complete an epidemiological questionnaire. In this study, the co-infection rate observed in the total population of pregnant women was 8%. In addition, women with a positive result for a serology test for Toxocara spp. were at increased risk of infection by T. gondii (P = 0.019). Co-infection with both parasites in pregnant women was associated with low birth weights in neonates. The similar modes of transmission of both parasites could explain the co-infection. Only a few previous studies have investigated this phenomenon. The findings of the present study emphasize the importance of serological diagnosis during prenatal care and further research in this area to identify risk factors associated with this co-infection, and the possible implications of this co-infection during pregnancy and on the health of newborns.

Type
Research Papers
Copyright
Copyright © Cambridge University Press 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aguiar, P.A., Farias, D., Avila, L.F.C., Telmo, P.L., Martins, L.H.R., Berne, M.E.A., Almeida, P.E. & Scaini, C.J. (2015) Transmammary infection in BALB/c mice with chronic toxocariasis. Parasitology International 64, 145147.Google Scholar
Anderson, B.C. (1996) Warning about potential for congenital neural larva migrans. Journal of the American Veterinary Medical Association 208, 185.Google Scholar
Campos, D. Jr, Elefant, G.R., Silva, E.O.M., Gandolfi, L., Jacob, C.M.A., Tofeti, A. & Pratesi, R. (2003) Frequency of seropositivity to Toxocara canis in children of different socioeconomic strata. Revista Sociedade Brasileira Medicina Tropical 36, 509513.Google Scholar
Choi, D., Lim, J.H., Choi, D.C., Lee, K.S., Paik, S.W., Kim, S.H., Choi, Y.H. & Huh, S. (2012) Transmission of Toxocara canis via ingestion of raw cow liver: a cross-sectional study in healthy adults. Korean Journal of Parasitology 50, 2327.Google Scholar
Corrêa, F.M., Chieffi, P.P., Lescano, S.A.Z. & Santos, S.V. (2014) Behavioral and memory changes in Mus musculus coinfected by Toxocara canis and Toxoplasma gondii . Revista Instituto Medicina Tropical São Paulo 56, 353356.Google Scholar
Despommier, D. (2003) Toxocariasis: clinical aspects, epidemiology, medical ecology and molecular aspects. Clinical Microbiology Reviews 16, 265272.Google Scholar
Dubey, J.P. (2004) Toxoplasmosis – a waterborne zoonosis. Veterinary Parasitology 126, 5772.Google Scholar
Ferezin, R.I., Bertolini, D.A. & Demarchi, I.G. (2013) Prevalence of positive serology for HIV, hepatitis B, toxoplasmosis and rubella in pregnant women from the northwestern region of the state of Parana. Revista Brasileira Ginecologia Obstetrícia 35, 6670.Google Scholar
Franscisco, F.M., Souza, S.L., Gennari, S.M., Pinheiro, S.R., Muradian, V. & Soares, R.M. (2006) Seroprevalence of toxoplasmosis in a low-income community in the São Paulo municipality, SP, Brazil. Revista Instituto Medicina tropical São Paulo 48, 167170.Google Scholar
Friedman, J.F., Mital, P., Kanzaria, H.K., Olds, G.R. & Kurtis, J.D. (2007) Schistosomiasis and pregnancy. Trends in Parasitology 23, 159164.Google Scholar
Gallagher, M., Malhotra, I., Mungai, P.L., Wamachi, A.N., Kioko, J.M., Ouma, J.H., Muchiri, E. & King, C.L. (2005) The effects of maternal helminth and malaria infections on mother-to-child HIV transmission. AIDS 19, 18491855.Google Scholar
Hernández, B.R., Escobedo, G., Guzman, C., Ibarra Coronado, E., López Griego, L. & Morales-Montor, J. (2010) Immunoendocrine host–parasite interactions during helminth infections: from the basic knowledge to its possible therapeutic applications. Parasite Immunology 32, 633643.CrossRefGoogle Scholar
Hill, D.E., Chirukandoth, S. & Dubey, J.P. (2005) Biology and epidemiology of Toxoplasma gondii in man and animals. Animal Health Research Reviews 6, 4161.Google Scholar
Hoffmeister, B., Glaeser, S., Flick, H., Pornschlegel, S., Suttorp, N. & Bergmann, F. (2007) Cerebral toxocariasis after consumption of raw duck liver. American Journal of Tropical Medicine and Hygiene 76, 600602.Google Scholar
Imhoff-Kunsch, B. & Briggs, V. (2012) Antihelminthics in pregnancy and maternal, newborn and child health. Paediatric and Perinatal Epidemiology 26, 223238.Google Scholar
Khademvatan, S., Khajeddin, N., Izadi, S. & Yousefi, E. (2014) Investigation of anti-Toxocara and anti-Toxoplasma antibodies in patients with schizophrenia. Schizophrenia Research Treatment. doi: 10.1155/2014/230349.CrossRefGoogle ScholarPubMed
Maffrand, R., Avila-Vazquez, M., Princich, D. & Alasia, P. (2006) Congenital ocular toxocariasis in a premature neonate. Annales de Pediatrie 64, 595604.Google Scholar
Marchioro, A.A., Colli, C.M., Ferreira, E.C., Viol, B.M., Araujo, S.M. & Falavigna-Guilherme, A.L. (2015) Risk factors associated with toxoplasmosis and toxocariasis in populations of children from nine cities in southern Brazil. Journal of Helminthology 89, 428432.Google Scholar
Montoya, J.G. & Remington, J.S. (2008) Management of Toxoplasma gondii infection during pregnancy. Clinical Infectious Diseases 47, 4.Google Scholar
Pappas, G., Roussos, N. & Falagas, M.E. (2009) Toxoplasmosis snapshots: global status of Toxoplasma gondii seroprevalence and implications for pregnancy and congenital toxoplasmosis. International Journal for Parasitology 39, 13851394.Google Scholar
Santos, P.C., Lehmann, L.M., Lorenzi, C., Hirsch, C., Telmo, P.L., Mattos, G.T., Cadore, P.S., Klafke, G.B., Berne, M.E.A., Gonçalves, C.V. & Scaini, C.J. (2015). The seropositivity of Toxocara spp. antibodies in pregnant women attended at the University Hospital in southern Brazil and the factors associated with infection. PLoS ONE 10, e0131058.Google Scholar
Schoenardie, E.R., Scaini, C., Pepe, M.S., Borsuk, S., Avila, L.F., Villela, M., McBride, A.J.A., Borsuk, S. & Berne, M.E.A. (2013a) Vertical transmission of Toxocara canis in successive generations of mice. Revista Brasileira Parasitologia Veterinaria 22, 623626.Google Scholar
Schoenardie, E.R., Scaini, C.J., Brod, C.S., Pepe, M.S., Villela, M.M., McBride, A.J., Borsuk, S. & Berne, M.E. (2013b) Seroprevalence of Toxocara infection in children from southern Brazil. Journal of Parasitology 99, 537539.Google Scholar
Smith, H., Holland, C., Taylor, M., Magnaval, J.F., Schantz, P. & Maizels, R. (2009) How common is human toxocariasis? Towards standardizing our knowledge. Trends Parasitology 25, 182188.Google Scholar
Spellberg, B. & Edwards, J.E. (2001). Type1/Type2 immunity in infectious diseases. Clinical Infectious Diseases 32, 76102.Google Scholar
Sukthana, Y. (2006) Toxoplasmosis: beyond animals to humans. Trends in Parasitology 22, 137142.Google Scholar
Telmo, P.L., Avila, L.F.C., Santos, C.A., Aguiar, P.S., Martins, L.H.R., Berne, M.E.A. & Scaini, C.J. (2015) Elevated transmammary transmission of Toxocara canis larvae in BALB/c mice. Revista Instituto Medicina Tropical São Paulo 57, 8587.Google Scholar
Tenter, A.M. (2009) Toxoplasma gondii in animals used for human consumption. Memorias Instituto Oswaldo Cruz 104, 364369.Google Scholar
Tenter, A.M., Heckerotha, A.R. & Weissb, L.M. (2000) Toxoplasma gondii: from animals to humans. International Journal for Parasitology 30, 12171258.Google Scholar
Tweyongyere, R., Mawa, P.A., Kihembo, M., Jones, F.M., Webb, E.L., Cose, S., Dunne, D.W., Vennervald, B.J. & Elliott, A.M. (2011) Effect of praziquantel treatment of Schistosoma mansoni during pregnancy on immune responses to schistosome antigens among the offspring: results of a randomised, placebo-controlled trial. BMC Infectious Diseases 11, 234.Google Scholar