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112353

Evaluation of different laboratory techniques for diagnosis of intestinal microsporidiosis in diarrheic children

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Last updated: 22 Jan 2023

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Abstract

Background: Microsporidia are a group of obligate intracellular organisms that can infect all animals including man causing disease in both immunocompetent individuals and immunosuppressed patients. The most common microsporidia causing gastrointestinal infection worldwide are Enterocytozoonbieneusi and EncephalitozoonintestinalisObjectives: The present study was designed with the aim of estimating the rate of microsporidia in diarrheic children and the evaluation of different staining techniques and nested polymerase chain reaction (PCR) for the clinical diagnosis of intestinal microsporidiosis. Subjects and Methods: One hundred and fifty diarrheic stool samples were collected from Abou El-Rich children hospital laboratory. Samples were examined by “Ryan-Blue" modified trichrome stain (MTS), modified ZiehlNeelsen (MZN), acid fast trichrome (AFT) stain, and nested polymerase chain reaction (nPCR). Results:Microsporidium spp. was detected in 12 (8%) of samples using MTS. Compared with the other detection techniques the respective sensitivities and specificities of MZN stain was 100% and 98.57%; nPCR was 80% and 100%; and AFT was 85.71% and 97.87%. Conclusion: Using specific staining techniques as MZN and AFT for diagnosis of intestinal microsporidiosis in diarrheal stool samples are nearly as efficacious as PCR, but even better in some cases with the added advantage of being an inexpensive diagnostic method compared to PCR. Another benefit is the detection of other oocyst forming parasites such as Cryptosporidium, which makes staining techniques very suitable for developing countries

DOI

10.21608/puj.2020.26216.1063

Keywords

acid fast trichrome, microsporidia, modified trichrome, nPCR, ZiehlNeelsen

Authors

First Name

Fatima

Last Name

Zahran

MiddleName

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Affiliation

Parasitology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Email

drtima@hotmail.com

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Orcid

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First Name

Ayman

Last Name

Ibrahim

MiddleName

-

Affiliation

Parasitology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Email

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City

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Orcid

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First Name

Hanan

Last Name

Abou-Seri

MiddleName

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Affiliation

Parasitology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt

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Orcid

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Volume

13

Article Issue

2

Related Issue

17195

Issue Date

2020-08-01

Receive Date

2020-03-20

Publish Date

2020-08-01

Page Start

93

Page End

98

Print ISSN

1687-7942

Online ISSN

2090-2646

Link

https://puj.journals.ekb.eg/article_112353.html

Detail API

https://puj.journals.ekb.eg/service?article_code=112353

Order

4

Type

Original Article

Type Code

426

Publication Type

Journal

Publication Title

Parasitologists United Journal

Publication Link

https://puj.journals.ekb.eg/

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Article

Created At

22 Jan 2023