TOXOPLASMOSIS AS AN OPPORTUNISTIC PROTOZOAN INFESTATION AND ITS SIGNIFICANCE IN TRANSPLANTATION

The pathogen of toxoplasmosis called Toxoplasma gondii is able to persist for a long time in various human tissues. Toxoplasmosis is referred to as an opportunistic disease, since it presents a danger to the life of the patient for the immune dysfunction. Reactivation of latent infestation in HIV in...

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Main Authors: D. B. Goncharov, N. I. Gabrielyan, E. V. Abbazova, E. S. Ievleva, T. V. Krupenio
Format: Article
Language:Russian
Published: Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov 2016-01-01
Series:Vestnik Transplantologii i Iskusstvennyh Organov
Subjects:
Online Access:https://journal.transpl.ru/vtio/article/view/596
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author D. B. Goncharov
N. I. Gabrielyan
E. V. Abbazova
E. S. Ievleva
T. V. Krupenio
author_facet D. B. Goncharov
N. I. Gabrielyan
E. V. Abbazova
E. S. Ievleva
T. V. Krupenio
author_sort D. B. Goncharov
collection DOAJ
description The pathogen of toxoplasmosis called Toxoplasma gondii is able to persist for a long time in various human tissues. Toxoplasmosis is referred to as an opportunistic disease, since it presents a danger to the life of the patient for the immune dysfunction. Reactivation of latent infestation in HIV infection and transplantation procedures is a serious problem for healthcare. If a dominant clinical form in patients with HIV infection is represented by cerebral toxoplasmosis, then a broader range of lesions is observed after organ transplantation. Toxoplasmosis myocarditis and pericarditis are reliably more frequently observed. This paper analyzes mortality rate in transplantation of various organs, timing of invasive reactivation in the postoperative period and relation between reactivation and withdrawal of preventive drugs. Objectively it is rather difficult to diagnose the disease due to inaccessibility of the pathogen, atypical clinical picture and low sensitivity of laboratory indication methods. In this regard, there is a useful experience of foreign and domestic research studies in searching and using clinical, instrumental, immunological and molecular criteria of reactivation of toxoplasmosis in human immunodeficiency. The given facts convincingly demonstrated the danger of toxoplasmosis; the role of the disease is shown for various fields of medicine, particularly in transplantation of organs and tissues.
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spelling doaj.art-6efc73c94e7d44cead55e126f840e62e2023-03-13T10:37:23ZrusFederal Research Center of Transplantology and Artificial Organs named after V.I.ShumakovVestnik Transplantologii i Iskusstvennyh Organov1995-11912016-01-011749510310.15825/1995-1191-2015-4-95-103511TOXOPLASMOSIS AS AN OPPORTUNISTIC PROTOZOAN INFESTATION AND ITS SIGNIFICANCE IN TRANSPLANTATIOND. B. Goncharov0N. I. Gabrielyan1E. V. Abbazova2E. S. Ievleva3T. V. Krupenio4N.F. Gamaleya Federal Research Center of Epidemiology and Microbiology of the Ministry of Healthcare of Russian Federation, Moscow, Russian FederationV.I. Shumakov Federal Research Center of Transplantology and Artificial Organs of the Ministry of Healthcare of the Russian Federation, Moscow, Russian FederationN.F. Gamaleya Federal Research Center of Epidemiology and Microbiology of the Ministry of Healthcare of Russian Federation, Moscow, Russian FederationN.F. Gamaleya Federal Research Center of Epidemiology and Microbiology of the Ministry of Healthcare of Russian Federation, Moscow, Russian FederationV.I. Shumakov Federal Research Center of Transplantology and Artificial Organs of the Ministry of Healthcare of the Russian Federation, Moscow, Russian FederationThe pathogen of toxoplasmosis called Toxoplasma gondii is able to persist for a long time in various human tissues. Toxoplasmosis is referred to as an opportunistic disease, since it presents a danger to the life of the patient for the immune dysfunction. Reactivation of latent infestation in HIV infection and transplantation procedures is a serious problem for healthcare. If a dominant clinical form in patients with HIV infection is represented by cerebral toxoplasmosis, then a broader range of lesions is observed after organ transplantation. Toxoplasmosis myocarditis and pericarditis are reliably more frequently observed. This paper analyzes mortality rate in transplantation of various organs, timing of invasive reactivation in the postoperative period and relation between reactivation and withdrawal of preventive drugs. Objectively it is rather difficult to diagnose the disease due to inaccessibility of the pathogen, atypical clinical picture and low sensitivity of laboratory indication methods. In this regard, there is a useful experience of foreign and domestic research studies in searching and using clinical, instrumental, immunological and molecular criteria of reactivation of toxoplasmosis in human immunodeficiency. The given facts convincingly demonstrated the danger of toxoplasmosis; the role of the disease is shown for various fields of medicine, particularly in transplantation of organs and tissues.https://journal.transpl.ru/vtio/article/view/596toxoplasmosistoxoplasma gondiitransplantationrecipient of organsimmunosuppressionhiv infectionantibodiesreactivation
spellingShingle D. B. Goncharov
N. I. Gabrielyan
E. V. Abbazova
E. S. Ievleva
T. V. Krupenio
TOXOPLASMOSIS AS AN OPPORTUNISTIC PROTOZOAN INFESTATION AND ITS SIGNIFICANCE IN TRANSPLANTATION
Vestnik Transplantologii i Iskusstvennyh Organov
toxoplasmosis
toxoplasma gondii
transplantation
recipient of organs
immunosuppression
hiv infection
antibodies
reactivation
title TOXOPLASMOSIS AS AN OPPORTUNISTIC PROTOZOAN INFESTATION AND ITS SIGNIFICANCE IN TRANSPLANTATION
title_full TOXOPLASMOSIS AS AN OPPORTUNISTIC PROTOZOAN INFESTATION AND ITS SIGNIFICANCE IN TRANSPLANTATION
title_fullStr TOXOPLASMOSIS AS AN OPPORTUNISTIC PROTOZOAN INFESTATION AND ITS SIGNIFICANCE IN TRANSPLANTATION
title_full_unstemmed TOXOPLASMOSIS AS AN OPPORTUNISTIC PROTOZOAN INFESTATION AND ITS SIGNIFICANCE IN TRANSPLANTATION
title_short TOXOPLASMOSIS AS AN OPPORTUNISTIC PROTOZOAN INFESTATION AND ITS SIGNIFICANCE IN TRANSPLANTATION
title_sort toxoplasmosis as an opportunistic protozoan infestation and its significance in transplantation
topic toxoplasmosis
toxoplasma gondii
transplantation
recipient of organs
immunosuppression
hiv infection
antibodies
reactivation
url https://journal.transpl.ru/vtio/article/view/596
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AT nigabrielyan toxoplasmosisasanopportunisticprotozoaninfestationanditssignificanceintransplantation
AT evabbazova toxoplasmosisasanopportunisticprotozoaninfestationanditssignificanceintransplantation
AT esievleva toxoplasmosisasanopportunisticprotozoaninfestationanditssignificanceintransplantation
AT tvkrupenio toxoplasmosisasanopportunisticprotozoaninfestationanditssignificanceintransplantation