Immune response in a symptomatic case of Tetrapetalonema perstans infection

The immune response in a 49-year-old Italian nun affected by Tetrapetalomena (Dipetalonema) perstans following an eight-year stay in Cameroon is reported. On admission the patient presented with polyarthralgia, conjunctival pruritus and irritation, oedema of the limbs, generalized itching, hypereosi...

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Veröffentlicht in:Transactions of the Royal Society of Tropical Medicine and Hygiene 1984, Vol.78 (4), p.489-491
Hauptverfasser: Almaviva, M., Galli, M., Rizzi, M., Simonelli, E., Negri, C., Vigevani, G.M.
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container_issue 4
container_start_page 489
container_title Transactions of the Royal Society of Tropical Medicine and Hygiene
container_volume 78
creator Almaviva, M.
Galli, M.
Rizzi, M.
Simonelli, E.
Negri, C.
Vigevani, G.M.
description The immune response in a 49-year-old Italian nun affected by Tetrapetalomena (Dipetalonema) perstans following an eight-year stay in Cameroon is reported. On admission the patient presented with polyarthralgia, conjunctival pruritus and irritation, oedema of the limbs, generalized itching, hypereosinophilia and low total IgE titre. During diethylcarbamazine treatment and, subsequently, during mebendazole administration, an exacerbation of her symptoms was observed. At the same time, activation of the alternative complement pathway and the appearance of circulating immune complexes were noted, suggesting a type III hypersensitivity reaction. Circulating immune complexes and diethylcarbamazine-induced release of parasitic antigens may also be considered responsible for the decrease of OKT3 and OKT4 positive lymphocytes.
doi_str_mv 10.1016/0035-9203(84)90069-5
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subjects Antibody Formation
Biological and medical sciences
Cameroon
Diethylcarbamazine - therapeutic use
Dipetalonema Infections - drug therapy
Dipetalonema Infections - immunology
Diseases caused by nematodes
Female
Filariases
Filariasis - immunology
Helminthic diseases
Humans
Immunoglobulin E - biosynthesis
Infectious diseases
Mebendazole - therapeutic use
Medical sciences
Middle Aged
Miscellaneous
Parasitic diseases
Tropical medicine
title Immune response in a symptomatic case of Tetrapetalonema perstans infection
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