A Study of Certain Physiological Characteristics of Infected Children with Diarrhea Owing to Entamoeba Histolytica and Related Bacteria in Children of Thi-Qar Province

Main Article Content

Zainab Khairullah Aouda Al-Salehy
Dmoaa Majid Nasar
Ahmed Aziz

Abstract

The present study aims to evaluate the physiological characteristics of E. histolytica and common pathogenic bacteria in children under the age of five who are experiencing diarrhoea. The present investigation was carried out at Bint Al-Huda Teaching Hospital for Women and Children and Al-Mousawi Hospital under the jurisdiction of Thi-Qar Province. The present study observed a significant decrease in the count of red blood cells, haemoglobin blood, and hematocrite in patients infected with E. histolytica and pathogenic bacteria, as well as in patients infected with E. histolytica alone, compared to the control groups. However, there was no significant difference within patients for both males and females. The blood parameters of male and female patients with diarrhoea (plate late test) exhibited a statistically significant increase (P ≥ 0.05) in comparison to the control group. There was no statistically significant difference (P ≥ 0.05) observed between male and female patients with diarrhoea produced by E. histolytica and pathogenic bacteria, compared to those with diarrhoea caused only by E. histolytica. There were no significant changes (P ≥ 0.05) in any blood parameters (mean cell volume, mean cell haemoglobin, mean cell haemoglobin concentration) between male and female patients with diarrhoea and the control group. The findings of the study revealed that there was no statistically significant increase (p < 0.05) in the levels of Aspartate aminotransferase, Alanine aminotransferase, and Alkaline phosphatase in patients infected with E. histolytica. However, in patients infected solely with E. histolytica, there was a significant increase in enzyme levels compared to both the pathogenic and control groups. The present study demonstrated a notable elevation in the levels of urea and creatinine among male and female patients diagnosed with diarrhoea in comparison to the control group. However, no statistically significant difference was observed between male and female patients with diarrhoea caused by E. histolytica and pathogenic bacteria, as compared to those with diarrhoea solely caused by E. histolytica.

Article Details

How to Cite
Al-Salehy , Z., Majid, D., & Aziz, A. (2024). A Study of Certain Physiological Characteristics of Infected Children with Diarrhea Owing to Entamoeba Histolytica and Related Bacteria in Children of Thi-Qar Province. International Journal of Pharmaceutical and Bio Medical Science, 4(5), 424–430. https://doi.org/10.47191/ijpbms/v4-i5-03
Section
Articles

References

global burden of diarrhoeal disease, as estimated from studies published between 1992 and 2000. Bulletin of the World Health Organization, 81(3), 197–204.

II. Gilchrist, C. A., Ali, I. K., Kabir, M., Alam, F., Scherbakova, S., Ferlanti, E., Weedall, G. D., Hall, N., Haque, R., Petri, W. A., Jr, & Caler, E. (2012). A Multilocus Sequence Typing System (MLST) reveals a high level of diversity and a genetic component to Entamoeba histolytica virulence. BMC microbiology, 12, 151. https://doi.org/10.1186/1471-2180-12-151

III. Guerin, P. J., Brasher, C., Baron, E., Mic, D., Grimont, F., Ryan, M., Aavitsland, P., & Legros, D. (2004). Case management of a multidrug-resistant Shigella dysenteriae serotype 1 outbreak in a crisis context in Sierra Leone, 1999-2000. Transactions of the Royal Society of Tropical Medicine and Hygiene, 98(11), 635–643. https://doi.org/10.1016/j.trstmh.2004.01.005

IV. Nath, R., Saikia, L., Choudhury, G., & Sharma, D. (2013). Drug resistant Shigella flexneri in & around Dibrugarh, north-east India. The Indian journal of medical research, 137(1), 183–186.

V. Burgess, S. L., & Petri, W. A., Jr (2016). The Intestinal Bacterial Microbiome and E. histolytica Infection. Current tropical medicine reports, 3, 71–74. https://doi.org/10.1007/s40475-016-0083-12-Tanyuksel, M., & Petri, W. A., Jr (2003). Laboratory diagnosis of amebiasis. Clinical microbiology reviews, 16(4), 713–729. https://doi.org/10.1128/CMR.16.4.713-729.2003

VI. Mabbott, N. A., Donaldson, D. S., Ohno, H., Williams, I. R., & Mahajan, A. (2013). Microfold (M) cells: important immunosurveillance posts in the intestinal epithelium. Mucosal immunology, 6(4), 666–677. https://doi.org/10.1038/mi.2013.30

VII. Al-haboobi, Z., Abdul, A., and Al-quraishi, M. (2018). The Pattern of Leucocytes Parameters and C-reactive Protein Findings of G . The Pattern of Leucocytes Parameters and C - reactive Protein Findings of Giardia lamblia and E . histolytica Intestinal Infections in Children. International Journal for Research, 1(2), 5–14.

VIII. Al Laham, N. A., Elyazji, M. S., Al-Haddad, R. J., & Ridwan, F. N. (2015). Possible Hematological Changes Associated with Acute Gastroenteritis among Kindergarten Children in Gaza. Annals of medical and health sciences research, 5(4), 292–298. https://doi.org/10.4103/2141-9248.160191

IX. Obaid, H. M. (2014). The effect of Entamoeba histolytica and Giardia lamblia infection on some human hematological parameters. Journal of Natural Sciences Research, 4(12), 44–48.

X. Tellevik, M. G., Moyo, S. J., Blomberg, B., Hjøllo, T., Maselle, S. Y., Langeland, N., & Hanevik, K. (2015). Prevalence of Cryptosporidium parvum/hominis, Entamoeba histolytica and Giardia lamblia among Young Children with and without Diarrhea in Dar es Salaam, Tanzania. PLoS neglected tropical diseases, 9(10), e0004125. https://doi.org/10.1371/journal.pntd.0004125

XI. Salata, R. A., Pearson, R. D., & Ravdin, J. I. (1985). Interaction of human leukocytes and Entamoeba histolytica. Killing of virulent amebae by the activated macrophage. The Journal of clinical investigation, 76(2), 491–499. https://doi.org/10.1172/JCI111998

XII. Nakada-Tsukui, K., & Nozaki, T. (2016). Immune Response of Amebiasis and Immune Evasion by Entamoeba histolytica. Frontiers in immunology, 7, 175. https://doi.org/10.3389/fimmu.2016.00175

XIII. Begum, S., Quach, J., & Chadee, K. (2015). Immune Evasion Mechanisms of Entamoeba histolytica: Progression to Disease. Frontiers in microbiology, 6, 1394.

https://doi.org/10.3389/fmicb.2015.01394

XIV. Salim, A. R. (2018). Molecular Detection and Prevalence of, Cryptosporidium Parvum, Entamoeba histolytica and Giardia lamblia among Patients with Diarrhea at Al-Rifea city/Thi-Qar Province. Journal of Global Pharma Technology, 12(01).‏

XV. Faust, D. M., Marquay Markiewicz, J., Danckaert, A., Soubigou, G., & Guillen, N. (2011). Human liver sinusoidal endothelial cells respond to interaction with Entamoeba histolytica by changes in morphology, integrin signalling and cell death. Cellular microbiology, 13(7), 1091–1106. https://doi.org/10.1111/j.1462-5822.2011.01604.x

XVI. Saeed, U., Waheed, Y., Ashraf, M., Waheed, U., Anjum, S., & Afzal, M. S. (2015). Estimation of Hepatitis B Virus, Hepatitis C Virus, and Different Clinical Parameters in the Thalassemic Population of Capital Twin Cities of Pakistan. Virology: research and treatment, 6, 11–16. https://doi.org/10.4137/VRT.S31744

XVII. Ordaz-Pichardo, C., León-Sicairos, N., Hernández-Ramírez, V. I., Talamás-Rohana, P., & de la Garza, M. (2012). Effect of bovine lactoferrin in a therapeutic hamster model of hepatic amoebiasis. Biochemistry and cell biology = Biochimie et biologie cellulaire, 90(3), 425–434.

https://doi.org/10.1139/o11-084

XVIII. Helk, E., Bernin, H., Ernst, T., Ittrich, H., Jacobs, T., Heeren, J., Tacke, F., Tannich, E., & Lotter, H. (2013). TNFα-mediated liver destruction by Kupffer cells and Ly6Chi monocytes during Entamoeba histolytica infection. PLoS pathogens, 9(1), e1003096. https://doi.org/10.1371/journal.ppat.1003096

XIX. Mishra, V., Ali, V., Nozaki, T., & Bhakuni, V. (2011). Biophysical characterization of Entamoeba histolytica phosphoserine aminotransferase (EhPSAT): role of cofactor and domains in stability and subunit assembly. European biophysics journal: EBJ, 40(5), 599–610.

https://doi.org/10.1007/s00249-010-0654-3

XX. Zahran, N., Sayed, A., William, I., Mahmoud, O., Sabry, O., & Rafaat, M. (2013). Neutrophil apoptosis: impact of granulocyte macrophage colony stimulating factor on cell survival and viability in chronic kidney disease and hemodialysis patients. Archives of medical science: AMS, 9(6), 984–989. https://doi.org/10.5114/aoms.2013.39789