Chagas Disease: Increased Parasitemia during Pregnancy Detected by Hemoculture
One hundred fifty-two Trypanosoma cruzi seropositive women were submitted to a single hemoculture; 101 were pregnant, and 51 were not pregnant. Seven tubes from each individual were harvested with liver infusion tryptose (LIT) medium and observed monthly until the fifth month. Hemocultures were posi...
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Veröffentlicht in: | The American journal of tropical medicine and hygiene 2011-04, Vol.84 (4), p.569-574 |
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creator | DA ROCHA SIRIANO, Liliane LUQUETTI, Alejandro Ostermayer AVELAR, Juliana Boaventura MARRA, Neusa Leal DE CASTRO, Ana Maria |
description | One hundred fifty-two Trypanosoma cruzi seropositive women were submitted to a single hemoculture; 101 were pregnant, and 51 were not pregnant. Seven tubes from each individual were harvested with liver infusion tryptose (LIT) medium and observed monthly until the fifth month. Hemocultures were positive in 50% (76 of 152) of the women. Results showed that the positivity was 29.4% (15 of 51) among non-pregnant women and 60.4% (61 of 101) in pregnant women (P < 0.05). In relation to gestational age, there were significant differences in positivity, with a higher proportion of women with positive hemocultures (20 of 25) before 21 weeks and lower after 30 weeks (10 of 21; P = 0.02). We conclude that pregnancy enhances the parasitemia in Chagas disease, with a higher effect early in pregnancy. |
doi_str_mv | 10.4269/ajtmh.2011.10-0015 |
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Seven tubes from each individual were harvested with liver infusion tryptose (LIT) medium and observed monthly until the fifth month. Hemocultures were positive in 50% (76 of 152) of the women. Results showed that the positivity was 29.4% (15 of 51) among non-pregnant women and 60.4% (61 of 101) in pregnant women (P < 0.05). In relation to gestational age, there were significant differences in positivity, with a higher proportion of women with positive hemocultures (20 of 25) before 21 weeks and lower after 30 weeks (10 of 21; P = 0.02). We conclude that pregnancy enhances the parasitemia in Chagas disease, with a higher effect early in pregnancy.</description><identifier>ISSN: 0002-9637</identifier><identifier>EISSN: 1476-1645</identifier><identifier>DOI: 10.4269/ajtmh.2011.10-0015</identifier><identifier>PMID: 21460012</identifier><identifier>CODEN: AJTHAB</identifier><language>eng</language><publisher>Deerfield, IL: American Society of Tropical Medecine and Hygiene</publisher><subject>Adult ; Biological and medical sciences ; Blood - parasitology ; Chagas Disease - blood ; Chagas Disease - parasitology ; Female ; Human protozoal diseases ; Humans ; Infectious diseases ; Medical sciences ; Middle Aged ; Parasitic diseases ; Pregnancy ; Protozoal diseases ; Trypanosoma cruzi ; Trypanosomiasis ; Young Adult</subject><ispartof>The American journal of tropical medicine and hygiene, 2011-04, Vol.84 (4), p.569-574</ispartof><rights>2015 INIST-CNRS</rights><rights>The American Society of Tropical Medicine and Hygiene 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c464t-ab938026dd2fa8c5e5e2b81a3b9503ebf2c71bf671f1b562672995d0aeee319e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3062451/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3062451/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,27929,27930,53796,53798</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24061999$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21460012$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DA ROCHA SIRIANO, Liliane</creatorcontrib><creatorcontrib>LUQUETTI, Alejandro Ostermayer</creatorcontrib><creatorcontrib>AVELAR, Juliana Boaventura</creatorcontrib><creatorcontrib>MARRA, Neusa Leal</creatorcontrib><creatorcontrib>DE CASTRO, Ana Maria</creatorcontrib><title>Chagas Disease: Increased Parasitemia during Pregnancy Detected by Hemoculture</title><title>The American journal of tropical medicine and hygiene</title><addtitle>Am J Trop Med Hyg</addtitle><description>One hundred fifty-two Trypanosoma cruzi seropositive women were submitted to a single hemoculture; 101 were pregnant, and 51 were not pregnant. Seven tubes from each individual were harvested with liver infusion tryptose (LIT) medium and observed monthly until the fifth month. Hemocultures were positive in 50% (76 of 152) of the women. Results showed that the positivity was 29.4% (15 of 51) among non-pregnant women and 60.4% (61 of 101) in pregnant women (P < 0.05). In relation to gestational age, there were significant differences in positivity, with a higher proportion of women with positive hemocultures (20 of 25) before 21 weeks and lower after 30 weeks (10 of 21; P = 0.02). We conclude that pregnancy enhances the parasitemia in Chagas disease, with a higher effect early in pregnancy.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Blood - parasitology</subject><subject>Chagas Disease - blood</subject><subject>Chagas Disease - parasitology</subject><subject>Female</subject><subject>Human protozoal diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Parasitic diseases</subject><subject>Pregnancy</subject><subject>Protozoal diseases</subject><subject>Trypanosoma cruzi</subject><subject>Trypanosomiasis</subject><subject>Young Adult</subject><issn>0002-9637</issn><issn>1476-1645</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQhi0EotvCH-CAckFwydbj2E7MAQltC61UQQ9wtibOZNdVPoqdIO2_x2mXtlw4-euZ1zN6GHsDfC2FNqd4M_W7teAAa-A556CesRXIUuegpXrOVpxzkRtdlEfsOMabRFQC4CU7EiB1OokV-7bZ4RZjduYjYaSP2eXgwrJrsmsMGP1EvcesmYMfttl1oO2Ag9tnZzSRmxJV77ML6kc3d9Mc6BV70WIX6fVhPWE_v5z_2FzkV9-_Xm4-X-VOajnlWJui4kI3jWixcooUiboCLGqjeEF1K1wJdatLaKFWWuhSGKMajkRUgKHihH26z72d654aR8MUsLO3wfcY9nZEb_99GfzObsfftuBaSAUp4P0hIIy_ZoqT7X101HU40DhHW2kOJn0qE_nhvyRwkMA1L1VCxT3qwhhjoPahIeB2UWbvlNlF2XK1KEtFb5-O8lDy11EC3h0AjA67NiQBPj5ykmswxhR_AJ2-oOU</recordid><startdate>20110401</startdate><enddate>20110401</enddate><creator>DA ROCHA SIRIANO, Liliane</creator><creator>LUQUETTI, Alejandro Ostermayer</creator><creator>AVELAR, Juliana Boaventura</creator><creator>MARRA, Neusa Leal</creator><creator>DE CASTRO, Ana Maria</creator><general>American Society of Tropical Medecine and Hygiene</general><general>The American Society of Tropical Medicine and Hygiene</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope><scope>F1W</scope><scope>H95</scope><scope>H97</scope><scope>L.G</scope><scope>M7N</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20110401</creationdate><title>Chagas Disease: Increased Parasitemia during Pregnancy Detected by Hemoculture</title><author>DA ROCHA SIRIANO, Liliane ; LUQUETTI, Alejandro Ostermayer ; AVELAR, Juliana Boaventura ; MARRA, Neusa Leal ; DE CASTRO, Ana Maria</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c464t-ab938026dd2fa8c5e5e2b81a3b9503ebf2c71bf671f1b562672995d0aeee319e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Blood - parasitology</topic><topic>Chagas Disease - blood</topic><topic>Chagas Disease - parasitology</topic><topic>Female</topic><topic>Human protozoal diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Parasitic diseases</topic><topic>Pregnancy</topic><topic>Protozoal diseases</topic><topic>Trypanosoma cruzi</topic><topic>Trypanosomiasis</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DA ROCHA SIRIANO, Liliane</creatorcontrib><creatorcontrib>LUQUETTI, Alejandro Ostermayer</creatorcontrib><creatorcontrib>AVELAR, Juliana Boaventura</creatorcontrib><creatorcontrib>MARRA, Neusa Leal</creatorcontrib><creatorcontrib>DE CASTRO, Ana Maria</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ASFA: Aquatic Sciences and Fisheries Abstracts</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) 1: Biological Sciences & Living Resources</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) 3: Aquatic Pollution & Environmental Quality</collection><collection>Aquatic Science & Fisheries Abstracts (ASFA) Professional</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The American journal of tropical medicine and hygiene</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DA ROCHA SIRIANO, Liliane</au><au>LUQUETTI, Alejandro Ostermayer</au><au>AVELAR, Juliana Boaventura</au><au>MARRA, Neusa Leal</au><au>DE CASTRO, Ana Maria</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chagas Disease: Increased Parasitemia during Pregnancy Detected by Hemoculture</atitle><jtitle>The American journal of tropical medicine and hygiene</jtitle><addtitle>Am J Trop Med Hyg</addtitle><date>2011-04-01</date><risdate>2011</risdate><volume>84</volume><issue>4</issue><spage>569</spage><epage>574</epage><pages>569-574</pages><issn>0002-9637</issn><eissn>1476-1645</eissn><coden>AJTHAB</coden><abstract>One hundred fifty-two Trypanosoma cruzi seropositive women were submitted to a single hemoculture; 101 were pregnant, and 51 were not pregnant. Seven tubes from each individual were harvested with liver infusion tryptose (LIT) medium and observed monthly until the fifth month. Hemocultures were positive in 50% (76 of 152) of the women. Results showed that the positivity was 29.4% (15 of 51) among non-pregnant women and 60.4% (61 of 101) in pregnant women (P < 0.05). In relation to gestational age, there were significant differences in positivity, with a higher proportion of women with positive hemocultures (20 of 25) before 21 weeks and lower after 30 weeks (10 of 21; P = 0.02). We conclude that pregnancy enhances the parasitemia in Chagas disease, with a higher effect early in pregnancy.</abstract><cop>Deerfield, IL</cop><pub>American Society of Tropical Medecine and Hygiene</pub><pmid>21460012</pmid><doi>10.4269/ajtmh.2011.10-0015</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Biological and medical sciences Blood - parasitology Chagas Disease - blood Chagas Disease - parasitology Female Human protozoal diseases Humans Infectious diseases Medical sciences Middle Aged Parasitic diseases Pregnancy Protozoal diseases Trypanosoma cruzi Trypanosomiasis Young Adult |
title | Chagas Disease: Increased Parasitemia during Pregnancy Detected by Hemoculture |
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