INCIDENCE OF INTESTINAL PARASITES IN CHILDREN WITH CHRONIC SPONTANEOUS URTICARIA

Authors

  • AA BUKHARI Department of Family Medicine, Concept Fertility Centre Multan, Pakistan
  • AA BUKHARI Department of Pathology, Multan Medical and Dental College (MMDC) Multan, Pakistan
  • A AKRAM Department of Microbiology and Molecular Genetics, The Women's University Multan, Pakistan
  • N NAEEM Department of Pathology, Faisalabad Medical University Faisalabad, Pakistan
  • AF ZAFAR College of Food and Nutrition Sciences, Multan Medical and Dental College (MMDC) Multan, Pakistan
  • G ARSHAD College of Food and Nutrition Sciences, Multan Medical and Dental College (MMDC) Multan, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2023i1.454

Keywords:

: Intestinal parasites, pediatric, chronic spontaneous urticaria, anti-parasite therapy

Abstract

This study aimed to investigate the incidence of intestinal parasites in children who have been diagnosed with chronic spontaneous urticaria. A prospective control study was conducted at the Pathology Department of MMDC, Multan. The study included a total of 150 children, both from government and private schools. The children were divided into two groups: group A comprised 80 children diagnosed with chronic spontaneous urticaria, and group B included 70 healthy children. Group A was assessed for intestinal infections, and those with parasites were given anti-parasitic therapy. The outcomes were then evaluated. Out of the participants in group A, 18 (22.5%) had intestinal parasitic infections (IPI), compared to 10 (14.2%) in group B. Although the incidence of IPI was higher in group A, the difference was not statistically significant (P=.181). Blastocystis sp. was found in 14 (17.5%) patients in group A and 10 (14.2%) in group B. The eosinophil percentage in group A was 2% (.6% - 3.7%), and in group B was 1.5% (.6% - 2.2%) (P= .045). The total IgE value in group A was 97.6 IU/mL (ranging from 29-246 IU/mL), and in group B was 31.6 IU/mL (ranging from 14.2-65.8 IU/mL) (P <.001). Patients diagnosed with IPI were treated with metronidazole; out of the 18 patients, 10 (55.5%) saw an end to their urticaria symptoms. The results of this study suggest that Blastocystis sp. and D. fragilis were the most common parasites found in children with urticaria, which can disrupt their lifestyle.

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References

Abdelaziz, M., Sayed, A., Ibrahim, H., and Hegazy, E. (2021). Is Helicobacter pylori infection related to chronic idiopathic urticaria: an updated review. SVU-International Journal of Medical Sciences 4, 162-165.

Abedi, S. H., Fazlzadeh, A., Mollalo, A., Sartip, B., Mahjour, S., Bahadory, S., Taghipour, A., and Rostami, A. (2022). The neglected role of Blastocystis sp. and Giardia lamblia in development of irritable bowel syndrome: A systematic review and meta-analysis. Microbial Pathogenesis 162, 105215.

Arik Yilmaz, E., Karaatmaca, B., Sackesen, C., Sahiner, U. M., Cavkaytar, O., Sekerel, B. E., and Soyer, O. (2016). Parasitic infections in children with chronic spontaneous urticaria. International archives of allergy and immunology 171, 130-135.

Azami, M., Amini Rarani, S., and Kiani, F. (2023). Treatment of Urticaria caused by severe cryptosporidiosis in a 17-month-old child–a case report. BMC Infectious Diseases 23, 461.

Bahrami, F., Babaei, E., Badirzadeh, A., Riabi, T. R., and Abdoli, A. (2020). Blastocystis, urticaria, and skin disorders: review of the current evidences. European Journal of Clinical Microbiology & Infectious Diseases 39, 1027-1042.

Caffarelli, C., Paravati, F., El Hachem, M., Duse, M., Bergamini, M., Simeone, G., Barbagallo, M., Bernardini, R., Bottau, P., and Bugliaro, F. (2019). Management of chronic urticaria in children: a clinical guideline. Italian journal of pediatrics 45, 1-25.

Gereige, J., Chen, C., and Guenechea-Sola, M. (2020). A Systematic Review of Helicobacter pylori Eradication and its Effect on Chronic Idiopathic Urticaria. Journal of Allergy and Clinical Immunology 145, AB202.

Hernández, P. C., Morales, L., Chaparro-Olaya, J., Sarmiento, D., Jaramillo, J. F., Ordoñez, G. A., Cortés, F., and Sánchez, L. K. (2019). Intestinal parasitic infections and associated factors in children of three rural schools in Colombia. A cross-sectional study. PLoS One 14, e0218681.

Kanani, A., Betschel, S. D., and Warrington, R. (2018). Urticaria and angioedema. Allergy, Asthma & Clinical Immunology 14, 1-13.

Kayiran, M. A., and Akdeniz, N. (2019). Diagnosis and treatment of urticaria in primary care. Northern clinics of Istanbul 6, 93.

Kim, H., Hyun, M. C., and Choi, B. S. (2022). Natural history and influencing factors of chronic urticaria in children. Allergy, Asthma & Immunology Research 14, 73.

Kocahan, T., AKINOğlU, B., and HASANOğlU, A. (2019). Effect of intestinal parasites on anaerobic performance and muscle strength in athletes. Medical Journal of Islamic World Academy of Sciences 27, 17-24.

Liu, D. (2021). Molecular Epidemiology of Dientamoeba fragilis. In "Molecular Food Microbiology", pp. 425-430. CRC Press.

Metz, M., Altrichter, S., Buttgereit, T., Fluhr, J. W., Fok, J. S., Hawro, T., Jiao, Q., Kolkhir, P., Krause, K., and Magerl, M. (2021). The Diagnostic Workup in Chronic Spontaneous Urticaria—What to Test and Why. The Journal of Allergy and Clinical Immunology: In Practice 9, 2274-2283.

Tuzer, C., Yegit, O., Ozturk, N. S., Demir, S., Demirpek, U., Boral, O. B., Buyukozturk, S., Gelincik, A., and Colakoglu, B. (2022). Relationship between Blastocystis spp. with Accompanying Food Hypersensitivity and Chronic Spontaneous Urticaria. International Archives of Allergy and Immunology 183, 1259-1269.

Vezir, S., Kaya, F., Vezir, E., Karaosmanoğlu, N., and Adiloğlu, A. K. (2019). Evaluation of intestinal parasites in patients with chronic spontaneous urticaria in a territory hospital in Turkey. The Journal of Infection in Developing Countries 13, 927-932.

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Published

2023-10-14

How to Cite

BUKHARI , A., BUKHARI , A., AKRAM , A., NAEEM , N., ZAFAR , A., & ARSHAD , G. (2023). INCIDENCE OF INTESTINAL PARASITES IN CHILDREN WITH CHRONIC SPONTANEOUS URTICARIA. Biological and Clinical Sciences Research Journal, 2023(1), 454. https://doi.org/10.54112/bcsrj.v2023i1.454

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