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330763

Is co-infection of intestinal parasites with COVID-19 virus infection affecting its severity?

Article

Last updated: 05 Jan 2025

Subjects

-

Tags

Immune modulation and inflammatory mediators.

Abstract

Corona Virus Disease-2019 (COVID-19) is a global pandemic disease with a spectrum of clinical presentations ranging from asymptomatic to acute respiratory distress syndrome, and multi-organ failure. A case-control study was carried out on 250 COVID-19 patients. Socio-demographic data, clinical features, laboratory findings, and co-parasitic infections were screened to assess the effect of parasitic co-infection on COVID-19 severity. Patients were classified as 135 (54%) moderate, 82 (32.8%) severe, and 33 (13.2%) critical, according to the National Health Commission. COVID-19 was more prevalent in ages between 60 ys and 90 ys (38.4%), males (56.8%), rural areas (52.8%), workers (52.8%), and non-married subjects (54.4%). Lymphopenia and anemia increased with increasing severity of COVID-19. Regarding parasitic co-infection, 49.6% of patients had parasitic infections. The percentage of co-parasitic infections was 71.9%, 29.3%, and 12.1% in moderate, severe, and critical COVID-19 patients, respectively. Co-infections were more common in ages between 20 ys and 40 ys (54.0%), males (65.3%), urban patients (61.3%), workers (65.3%), and married patients (57.3%). The most detected parasites were Blastocystis hominis, Cryptosporidium spp., Entameba coli, and Cyclospora cayetanensis, which were almost mixed parasitic infection. There was an inverse correlation between co-infection with intestinal parasites and COVID-19 virus severity. Parasite-driven immunomodulatory responses may mute the hyperinflammation associated with severe COVID-19 virus infection.

DOI

10.21608/mjmr.2023.247558.1533

Keywords

COVID-19, Intestinal parasites, severity

Authors

First Name

Ekhlas

Last Name

Abdel-Hafeez

MiddleName

Hamed

Affiliation

Department of Parasitology, Faculty of Medicine Minia University Egypt

Email

ekhlasha@yahoo.com

City

Minia

Orcid

-

First Name

Manar

Last Name

Sanadeki

MiddleName

Mostafa

Affiliation

Department of Parasitology, Faculty of Medicine Minia University Egypt

Email

m23_omar@mu.edu.eg

City

Minia

Orcid

0009-0000-3402-8448

First Name

Noha

Last Name

Abdelgelil

MiddleName

Hamed

Affiliation

Department of Parasitology, Faculty of Medicine Minia University Egypt

Email

nohaandel@mu.edu.eg

City

Minia

Orcid

-

First Name

Neama

Last Name

Shaban

MiddleName

Mohamed

Affiliation

Department of Parasitology, Faculty of Medicine Minia University Egypt

Email

nm2923023@gmail.com

City

Minia

Orcid

-

First Name

Reham

Last Name

Abd Rabou

MiddleName

Ahmed Mahmoud

Affiliation

Department of Parasitology, Faculty of Medicine Minia University Egypt

Email

rehamahmad86@yahoo.com

City

Minia

Orcid

-

Volume

34

Article Issue

4

Related Issue

45686

Issue Date

2023-10-01

Receive Date

2023-11-09

Publish Date

2023-10-01

Page Start

113

Page End

122

Online ISSN

2682-4558

Link

https://mjmr.journals.ekb.eg/article_330763.html

Detail API

https://mjmr.journals.ekb.eg/service?article_code=330763

Order

13

Type

Original Article

Type Code

2,212

Publication Type

Journal

Publication Title

Minia Journal of Medical Research

Publication Link

https://mjmr.journals.ekb.eg/

MainTitle

Is co-infection of intestinal parasites with COVID-19 virus infection affecting its severity?

Details

Type

Article

Created At

28 Dec 2024