Seroprevalence of Hepatitis E Virus Among Schistosomiasis mansoni Patients Residing in Endemic Zone in Brazil

The occurrence of hepatitis E virus (HEV) in patients with Schistosomiasis mansoni (SM) is still poorly understood in Brazil. The objective of this study was to estimate the seroprevalence of anti-HEV IgG in patients with SM and its association with the periportal fibrosis (PPF), assessed by serum m...

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Main Authors: Cristiane Tiburtino de Oliveira Gomes, Carolline Araujo Mariz, Andrea Dória Batista, Clarice Neuenschwander Lins de Morais, Lílian Araújo, Ana Virgínia Matos Sá Barreto, Michele Soares Gomes-Gouvêa, Ana Lúcia Domingues, Edmundo Pessoa Lopes
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Tropical Medicine and Infectious Disease
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Online Access:https://www.mdpi.com/2414-6366/9/12/310
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author Cristiane Tiburtino de Oliveira Gomes
Carolline Araujo Mariz
Andrea Dória Batista
Clarice Neuenschwander Lins de Morais
Lílian Araújo
Ana Virgínia Matos Sá Barreto
Michele Soares Gomes-Gouvêa
Ana Lúcia Domingues
Edmundo Pessoa Lopes
author_facet Cristiane Tiburtino de Oliveira Gomes
Carolline Araujo Mariz
Andrea Dória Batista
Clarice Neuenschwander Lins de Morais
Lílian Araújo
Ana Virgínia Matos Sá Barreto
Michele Soares Gomes-Gouvêa
Ana Lúcia Domingues
Edmundo Pessoa Lopes
author_sort Cristiane Tiburtino de Oliveira Gomes
collection DOAJ
description The occurrence of hepatitis E virus (HEV) in patients with Schistosomiasis mansoni (SM) is still poorly understood in Brazil. The objective of this study was to estimate the seroprevalence of anti-HEV IgG in patients with SM and its association with the periportal fibrosis (PPF), assessed by serum markers and ultrasound criteria. This cross-sectional study was carried out in an endemic area in Pernambuco, Brazil, with schistosomal patients who underwent coproscopic survey. Anti-HEV antibody IgG were evaluated by using ELISA (Euroimmun<sup>®,</sup> Lübeck, Germmany). In positive cases, HEV-RNA was tested by using real-time PCR. Among the 286 patients (60.8% women; 56% 18–44 years), 116 (40.6%) had advanced PPF (Niamey pattern D/E/F). Anti-HEV IgG was positive in 15 (5.24%), and all were HEV-RNA negative. Anti-HEV IgG was more frequent in patients with an advanced PPF (D/E/F) pattern (<i>p</i> = 0.034) and those with the largest spleen diameter (<i>p</i> = 0.039). In this study, the occurrence of anti-HEV IgG in patients with SM was higher than described in the same region and more frequent among patients with evidence of advanced liver fibrosis.
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spelling doaj-art-e6bd40ee628349dd90b94725a288a0e72025-08-20T02:01:14ZengMDPI AGTropical Medicine and Infectious Disease2414-63662024-12-0191231010.3390/tropicalmed9120310Seroprevalence of Hepatitis E Virus Among Schistosomiasis mansoni Patients Residing in Endemic Zone in BrazilCristiane Tiburtino de Oliveira Gomes0Carolline Araujo Mariz1Andrea Dória Batista2Clarice Neuenschwander Lins de Morais3Lílian Araújo4Ana Virgínia Matos Sá Barreto5Michele Soares Gomes-Gouvêa6Ana Lúcia Domingues7Edmundo Pessoa Lopes8Postgraduate Program in Tropical Medicine, Center of Medical Sciences, Universidade Federal de Pernambuco (UFPE), Recife 50670-420, PE, BrazilDepartment of Parasitology, Aggeu Magalhães Institute, Fiocruz, Recife 50740-465, PE, BrazilGastroenterology Division, Hospital das Clínicas/EBSERH, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, BrazilDepartment of Virology, Aggeu Magalhães Institute, Fiocruz, Recife 50740-465, PE, BrazilGastroenterology Division, Hospital das Clínicas/EBSERH, Universidade Federal de Pernambuco (UFPE), Recife 50670-901, PE, BrazilDepartment of Health, Maurício de Nassau University Center, Recife 51021-140, PE, BrazilLaboratory of Gastroenterology and Tropical Hepatology (LIM-07), Institute of Tropical Medicine, Faculdade de Medicina da Universidade de São Paulo, São Paulo 05403-000, SP, BrazilPostgraduate Program in Tropical Medicine, Center of Medical Sciences, Universidade Federal de Pernambuco (UFPE), Recife 50670-420, PE, BrazilPostgraduate Program in Tropical Medicine, Center of Medical Sciences, Universidade Federal de Pernambuco (UFPE), Recife 50670-420, PE, BrazilThe occurrence of hepatitis E virus (HEV) in patients with Schistosomiasis mansoni (SM) is still poorly understood in Brazil. The objective of this study was to estimate the seroprevalence of anti-HEV IgG in patients with SM and its association with the periportal fibrosis (PPF), assessed by serum markers and ultrasound criteria. This cross-sectional study was carried out in an endemic area in Pernambuco, Brazil, with schistosomal patients who underwent coproscopic survey. Anti-HEV antibody IgG were evaluated by using ELISA (Euroimmun<sup>®,</sup> Lübeck, Germmany). In positive cases, HEV-RNA was tested by using real-time PCR. Among the 286 patients (60.8% women; 56% 18–44 years), 116 (40.6%) had advanced PPF (Niamey pattern D/E/F). Anti-HEV IgG was positive in 15 (5.24%), and all were HEV-RNA negative. Anti-HEV IgG was more frequent in patients with an advanced PPF (D/E/F) pattern (<i>p</i> = 0.034) and those with the largest spleen diameter (<i>p</i> = 0.039). In this study, the occurrence of anti-HEV IgG in patients with SM was higher than described in the same region and more frequent among patients with evidence of advanced liver fibrosis.https://www.mdpi.com/2414-6366/9/12/310anti-HEVcoinfectionhepatic fibrosishepatitis E virusSchistosomiasis mansoni
spellingShingle Cristiane Tiburtino de Oliveira Gomes
Carolline Araujo Mariz
Andrea Dória Batista
Clarice Neuenschwander Lins de Morais
Lílian Araújo
Ana Virgínia Matos Sá Barreto
Michele Soares Gomes-Gouvêa
Ana Lúcia Domingues
Edmundo Pessoa Lopes
Seroprevalence of Hepatitis E Virus Among Schistosomiasis mansoni Patients Residing in Endemic Zone in Brazil
Tropical Medicine and Infectious Disease
anti-HEV
coinfection
hepatic fibrosis
hepatitis E virus
Schistosomiasis mansoni
title Seroprevalence of Hepatitis E Virus Among Schistosomiasis mansoni Patients Residing in Endemic Zone in Brazil
title_full Seroprevalence of Hepatitis E Virus Among Schistosomiasis mansoni Patients Residing in Endemic Zone in Brazil
title_fullStr Seroprevalence of Hepatitis E Virus Among Schistosomiasis mansoni Patients Residing in Endemic Zone in Brazil
title_full_unstemmed Seroprevalence of Hepatitis E Virus Among Schistosomiasis mansoni Patients Residing in Endemic Zone in Brazil
title_short Seroprevalence of Hepatitis E Virus Among Schistosomiasis mansoni Patients Residing in Endemic Zone in Brazil
title_sort seroprevalence of hepatitis e virus among schistosomiasis mansoni patients residing in endemic zone in brazil
topic anti-HEV
coinfection
hepatic fibrosis
hepatitis E virus
Schistosomiasis mansoni
url https://www.mdpi.com/2414-6366/9/12/310
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