1.Multidisciplinary biomarkers aggrieve morbidity in schistosomiasis
Noha, M.A. ; Enas, A.E. ; Aly, E. ; Mohamed, A.E
Tropical Biomedicine 2019;36(4):833-844
Background: Biomarkers by definition are measurable molecules that mark the
evidence of certain pathological processes. Collaboration of various biomarkers influences
morbidity of schsitosomiasis in Egypt. Objectives: To identify the biomarkers: CRP, IgE,
hemoglobin, ferritin, vitamin D, and platelets in terms of relationship with active and chronic
schistosomiasis; demographic data, and their interinfluence. Study design: A cross-sectional
study. Methods: Parasitological analysis of stool and urine samples, Indirect Hemagglutination
Test, Enzyme linked Immunoassay, Hematology Analyzer, and Statistical Package SPSS
(Statistical Package for the Social Sciences) version 25. Results: Out of 400 participants, 25%
suffered of schistosomiasis: active S. mansoni infections in 7 cases (1.75%), S. haematobium
infections in 6 cases (1.5%), and chronic schistosomiasis infections in 20 cases (5%). Creactive
protein (CRP) likewise IgE levels were higher in active S. mansoni and S. haematobium
infections when compared with chronic schistosomiasis. IgE levels appeared to affect infection
intensity in S. haematobium. Inversely, hemoglobin (Hb) values were low in active
schistosomiasis and upgraded in chronic infection (*p<0.05). Ferritin levels varied in active
Schistosoma infection and normalized during chronicity. Vitamin D was reduced in active and
chronic schistosomiais. Platelet counts were within normal ranges throughout the study
groups. Distribution of ferritin, vit D, and platelets was statistically insignificant among
Schistosoma infected population. Age affected only hemoglobin, CRP, and IgE biomarkers.
CRP and IgE were in direct relationship together and inversely proportional with hemoglobin
(*P <0.05). Conclusion: Anemia increased proportionally with biomarkers of inflammatory
stress (CRP and IgE) in early infections. Meanwhile, Hb and ferritin (iron stores) improved
during chronicity. Hypovitaminosis-D associated the entire course of schistosomiasis while
platelet counts were not affected.

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