Seroprevalence of strongyloidiasis and toxocariasis among hypereosinophilic patients seeking care at diagnostic centers in Tehran, Iran

Background: Hypereosinophilia is characterized by an increase in eosinophil levels above the normal range. Secondary hypereosinophilia is frequently seen in helminth infections and allergic conditions. If not diagnosed and managed promptly, eosinophilia can result in various complications impacting...

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Main Authors: Zohre Fakhrieh- Kashan, Eshrat Beigom Kia, Mohammad Taghi Haghi Ashtiani, Seyed Reza Dabaghi, Mohammad Amin Sari, Enayat Darabi
Format: Article
Language:English
Published: Elsevier 2024-11-01
Series:Clinical Epidemiology and Global Health
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Online Access:http://www.sciencedirect.com/science/article/pii/S2213398424003233
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author Zohre Fakhrieh- Kashan
Eshrat Beigom Kia
Mohammad Taghi Haghi Ashtiani
Seyed Reza Dabaghi
Mohammad Amin Sari
Enayat Darabi
author_facet Zohre Fakhrieh- Kashan
Eshrat Beigom Kia
Mohammad Taghi Haghi Ashtiani
Seyed Reza Dabaghi
Mohammad Amin Sari
Enayat Darabi
author_sort Zohre Fakhrieh- Kashan
collection DOAJ
description Background: Hypereosinophilia is characterized by an increase in eosinophil levels above the normal range. Secondary hypereosinophilia is frequently seen in helminth infections and allergic conditions. If not diagnosed and managed promptly, eosinophilia can result in various complications impacting health. The aim of this study was to explore the seroprevalence of Strongyloides stercoralis and Toxocara spp. among hypereosinophilic patients undergoing evaluation at selected diagnostic centers in Tehran. Methods: A comprehensive questionnaire was completed, and a blood sample was collected from each participant. The seropositivity of helminth infections was ascertained through indirect enzyme-linked immunosorbent assay (ELISA) employing commercially procured kits for discerning anti-S. stercoralis and anti-Toxocara spp. IgG antibodies. Statistical analysis was conducted using SPSS 21 software. Results: Of the 135 participants in this study, 61 (45.2 %) were male and 74 (54.8 %) were female. The seropositivity rates for strongyloidiasis and toxocariasis were found to be 9.6 % and 0.74 %, respectively. Among the various underlying medical conditions observed in the participants, Type 2 Diabetes (T2D) was the most prevalent, and it showed a significant association with seropositivity for strongyloidiasis (p < 0.05). Conclusion: The seropositivity for S. stercoralis was higher than that for Toxocara spp.. The significant association between seropositivity for S. stercoralis and diabetes underscores the importance of conducting community-based studies and implementing screening initiatives targeting high-risk populations to assess the seroprevalence of strongyloidiasis.
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spelling doaj-art-596a52218b7b4f6d89c121f43a918dbe2025-08-20T02:57:21ZengElsevierClinical Epidemiology and Global Health2213-39842024-11-013010182610.1016/j.cegh.2024.101826Seroprevalence of strongyloidiasis and toxocariasis among hypereosinophilic patients seeking care at diagnostic centers in Tehran, IranZohre Fakhrieh- Kashan0Eshrat Beigom Kia1Mohammad Taghi Haghi Ashtiani2Seyed Reza Dabaghi3Mohammad Amin Sari4Enayat Darabi5Department of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, IranDepartment of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, IranDepartment of Pathology, Pediatrics Center of Excellence, Children's Medical Center, Tehran University of Medical Sciences, Tehran, IranDepartment of Medical Parasitology and Mycology, School of Medicine, Zanjan University of Medical Science, IranDepartment of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, IranDepartment of Medical Parasitology and Mycology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran; Corresponding author. P.O.Box:1417613151, Tehran, Iran.Background: Hypereosinophilia is characterized by an increase in eosinophil levels above the normal range. Secondary hypereosinophilia is frequently seen in helminth infections and allergic conditions. If not diagnosed and managed promptly, eosinophilia can result in various complications impacting health. The aim of this study was to explore the seroprevalence of Strongyloides stercoralis and Toxocara spp. among hypereosinophilic patients undergoing evaluation at selected diagnostic centers in Tehran. Methods: A comprehensive questionnaire was completed, and a blood sample was collected from each participant. The seropositivity of helminth infections was ascertained through indirect enzyme-linked immunosorbent assay (ELISA) employing commercially procured kits for discerning anti-S. stercoralis and anti-Toxocara spp. IgG antibodies. Statistical analysis was conducted using SPSS 21 software. Results: Of the 135 participants in this study, 61 (45.2 %) were male and 74 (54.8 %) were female. The seropositivity rates for strongyloidiasis and toxocariasis were found to be 9.6 % and 0.74 %, respectively. Among the various underlying medical conditions observed in the participants, Type 2 Diabetes (T2D) was the most prevalent, and it showed a significant association with seropositivity for strongyloidiasis (p < 0.05). Conclusion: The seropositivity for S. stercoralis was higher than that for Toxocara spp.. The significant association between seropositivity for S. stercoralis and diabetes underscores the importance of conducting community-based studies and implementing screening initiatives targeting high-risk populations to assess the seroprevalence of strongyloidiasis.http://www.sciencedirect.com/science/article/pii/S2213398424003233HypereosinophiliaStrongyloides stercoralisToxocara spp.Seropositivity
spellingShingle Zohre Fakhrieh- Kashan
Eshrat Beigom Kia
Mohammad Taghi Haghi Ashtiani
Seyed Reza Dabaghi
Mohammad Amin Sari
Enayat Darabi
Seroprevalence of strongyloidiasis and toxocariasis among hypereosinophilic patients seeking care at diagnostic centers in Tehran, Iran
Clinical Epidemiology and Global Health
Hypereosinophilia
Strongyloides stercoralis
Toxocara spp.
Seropositivity
title Seroprevalence of strongyloidiasis and toxocariasis among hypereosinophilic patients seeking care at diagnostic centers in Tehran, Iran
title_full Seroprevalence of strongyloidiasis and toxocariasis among hypereosinophilic patients seeking care at diagnostic centers in Tehran, Iran
title_fullStr Seroprevalence of strongyloidiasis and toxocariasis among hypereosinophilic patients seeking care at diagnostic centers in Tehran, Iran
title_full_unstemmed Seroprevalence of strongyloidiasis and toxocariasis among hypereosinophilic patients seeking care at diagnostic centers in Tehran, Iran
title_short Seroprevalence of strongyloidiasis and toxocariasis among hypereosinophilic patients seeking care at diagnostic centers in Tehran, Iran
title_sort seroprevalence of strongyloidiasis and toxocariasis among hypereosinophilic patients seeking care at diagnostic centers in tehran iran
topic Hypereosinophilia
Strongyloides stercoralis
Toxocara spp.
Seropositivity
url http://www.sciencedirect.com/science/article/pii/S2213398424003233
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