Role of streptococcal infection in the acute pathology of lymphatic filariasis

Growing evidence suggest that secondary bacterial, mainly streptococcal, infections contribute significantly to recurrent episodes of acute adenolymphangitis (ADL| of filarial origin. We examined the role of group A streptococci in the progression of lymphedema in Polynesian patients with filariasis...

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Main Authors: Esterre P., Plichart C., Huin-Blondey M.O., Nguyen L.
Format: Article
Language:English
Published: EDP Sciences 2000-06-01
Series:Parasite
Subjects:
Online Access:http://dx.doi.org/10.1051/parasite/2000072091
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author Esterre P.
Plichart C.
Huin-Blondey M.O.
Nguyen L.
author_facet Esterre P.
Plichart C.
Huin-Blondey M.O.
Nguyen L.
author_sort Esterre P.
collection DOAJ
description Growing evidence suggest that secondary bacterial, mainly streptococcal, infections contribute significantly to recurrent episodes of acute adenolymphangitis (ADL| of filarial origin. We examined the role of group A streptococci in the progression of lymphedema in Polynesian patients with filariasis-related ADL (22 cases) or chronic pathology (10 cases), or with erysipela (10 patients) and, as controls, in 20 healthy adults. Antistreptolysin O (ASLO) and anti-streptodornase B (ASDB) titers were systematically determined in parallel to parasitological and biochemical tests. ASLO and ASDB assays were positive in 100 % of erysipela, 75 % of filarial ADL as compared to 50 % of chronic pathology and 39 % of healthy controls. Interestingly, by opposition to ASLO titers which were not significantly different between the four groups, ASDB titers were higher in ADL (p = 0.019) and erysipela (p = 0.002) than in controls. These results support the hypothesis that recurrent streptococcal infections may have an important role in the pathogenesis of ADL in lymphatic filariasis.
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spelling doaj.art-9ae702f64c1c4abfb205ff357679503b2023-12-02T15:32:24ZengEDP SciencesParasite1252-607X1776-10422000-06-0172919410.1051/parasite/2000072091parasite2000072p91Role of streptococcal infection in the acute pathology of lymphatic filariasisEsterre P.Plichart C.Huin-Blondey M.O.Nguyen L.Growing evidence suggest that secondary bacterial, mainly streptococcal, infections contribute significantly to recurrent episodes of acute adenolymphangitis (ADL| of filarial origin. We examined the role of group A streptococci in the progression of lymphedema in Polynesian patients with filariasis-related ADL (22 cases) or chronic pathology (10 cases), or with erysipela (10 patients) and, as controls, in 20 healthy adults. Antistreptolysin O (ASLO) and anti-streptodornase B (ASDB) titers were systematically determined in parallel to parasitological and biochemical tests. ASLO and ASDB assays were positive in 100 % of erysipela, 75 % of filarial ADL as compared to 50 % of chronic pathology and 39 % of healthy controls. Interestingly, by opposition to ASLO titers which were not significantly different between the four groups, ASDB titers were higher in ADL (p = 0.019) and erysipela (p = 0.002) than in controls. These results support the hypothesis that recurrent streptococcal infections may have an important role in the pathogenesis of ADL in lymphatic filariasis.http://dx.doi.org/10.1051/parasite/2000072091lymphatic filariasisWuchereria bancroftigroup A streptococciacute adenolymphangitisFrench Polynesia
spellingShingle Esterre P.
Plichart C.
Huin-Blondey M.O.
Nguyen L.
Role of streptococcal infection in the acute pathology of lymphatic filariasis
Parasite
lymphatic filariasis
Wuchereria bancrofti
group A streptococci
acute adenolymphangitis
French Polynesia
title Role of streptococcal infection in the acute pathology of lymphatic filariasis
title_full Role of streptococcal infection in the acute pathology of lymphatic filariasis
title_fullStr Role of streptococcal infection in the acute pathology of lymphatic filariasis
title_full_unstemmed Role of streptococcal infection in the acute pathology of lymphatic filariasis
title_short Role of streptococcal infection in the acute pathology of lymphatic filariasis
title_sort role of streptococcal infection in the acute pathology of lymphatic filariasis
topic lymphatic filariasis
Wuchereria bancrofti
group A streptococci
acute adenolymphangitis
French Polynesia
url http://dx.doi.org/10.1051/parasite/2000072091
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