Amoebiasis in Pregnancy and the Puerperium

Armon, Peter

doi:10.1111/j.1471-0528.1978.tb10498.x

Cited by 21 publications

(5 citation statements)

References 9 publications

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“…To our knowledge, only six articles have reported perinatal amebic enteritis, including 13 cases of fulminant amebic enteritis (6)(7)(8)(9)(10)(11). These previous cases are similar to our case in that most patients were approximately 30 years of age and had no underlying condition such as immunodeficiency, and only 3 of 13 (23%) patients survived.…”

Section: Discussionsupporting

confidence: 73%

“…Other possible causes include the physiologic changes that occur in pregnancy. For example, pregnancy-related changes such as elevated cholesterol (which is involved in amebic growth), elevated corticosteroids, decreased lung capacity, and changes in blood flow may cause severe disease (7). In addition to these mechanisms, the special condition of pregnancy may complicate early diagnosis and treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Fulminant amebic enteritis is defined as rapid progression to extensive fulllayer necrosis of the colon, resulting in intestinal perforation, megacolon, and multiple organ failure, with a very high mortality rate of 60-80% (5). Although pregnancy is known to be one of the risk factors for fulminant amebic enteritis, there are few reported cases of fulminant amebic enteritis during pregnancy (6)(7)(8)(9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

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Fulminant Amebic Enteritis in the Perinatal Period

et al. 2023

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Pregnancy is a known risk factor for amebic enteritis, which develops into potentially fatal fulminant amebic enteritis in some cases. We describe a case of a 27-year-old non-immunosuppressed pregnant woman with fulminant amebic enteritis complicated with cytomegalovirus enteritis. She improved with intensive care and intravenous metronidazole and ganciclovir but eventually required subtotal colectomy for intestinal stenosis. It is difficult to diagnose amebic enteritis, especially in a non-endemic area. Amebic enteritis must be considered as a differential diagnosis for refractory diarrhea with bloody stools in women in the perinatal period, even those without immunosuppression.

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Section: Discussionsupporting

confidence: 73%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Fulminant Amebic Enteritis in the Perinatal Period

et al. 2023

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“…Notably, for the shared DMRs in gestation length & SCE group, genes were selectively and significantly engaged in the longevity regulating pathway, endocrine-regulated calcium reabsorption and amoebiasis (Fig. 4b ), implying their important roles in pregnancy and calving 45 – 48 . For the shared DMRs in the gestation length & BDE group, genes were significantly engaged in the focal adhesion, insulin secretion and peroxisome (Fig.…”

Section: Resultsmentioning

confidence: 99%

Genetic and epigenetic architecture of paternal origin contribute to gestation length in cattle

Fang

Jiang

et al. 2019

Commun Biol

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The length of gestation can affect offspring health and performance. Both maternal and fetal effects contribute to gestation length; however, paternal contributions to gestation length remain elusive. Using genome-wide association study (GWAS) in 27,214 Holstein bulls with millions of gestation records, here we identify nine paternal genomic loci associated with cattle gestation length. We demonstrate that these GWAS signals are enriched in pathways relevant to embryonic development, and in differentially methylated regions between sperm samples with long and short gestation length. We reveal that gestation length shares genetic and epigenetic architecture in sperm with calving ability, body depth, and conception rate. While several candidate genes are detected in our fine-mapping analysis, we provide evidence indicating ZNF613 as a promising candidate for cattle gestation length. Collectively, our findings support that the paternal genome and epigenome can impact gestation length potentially through regulation of the embryonic development.

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“…Amebiasis during pregnancy is thought to be more severe than in non-pregnant [ 34 ]. In the present study women with amebiasis infection had 2-fold increased odds of preterm delivery compared with the reference group.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of parasitic infections and associations with pregnancy complications and outcomes in northern Tanzania: a registry-based cross-sectional study

Mahande

2016

BMC Infect Dis

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BackgroundParasitic infection(s) during pregnancy have been associated with increased risk of pregnancy complications and adverse outcomes in low resource settings. However, little is known about their influence on pregnancy outcomes. This study aimed to determine the prevalence of parasitic infections and their association with pregnancy complications and adverse outcomes.MethodsA retrospective cross-sectional study was conducted using maternally-linked data from Kilimanjaro Christian Medical Center (KCMC) medical birth registry. Birth records from all women who delivered singleton infants from 2000–2011 were utilized. We excluded multiple gestations and rural medical referral for various medical complications. A total of 30,797 births were evaluated. Data analysis was performed using SPSS version 18.0. Odds ratio (ORs) with 95 % confidence intervals (CIs) for adverse pregnancy outcomes and complications associated with parasitic infections were estimated using multiple logistic regression models. A p-value of less than 5 % was considered statistically significant.ResultsThe most prevalent parasitic infection recorded was malaria (17.0 %), while helminths and amebiasis were infrequently recorded (0.6 % vs. 0.7 %, respectively). Women who had malaria during pregnancy had 13 % increased odds of having a preterm delivery (OR = 1.13; 95 % CI: 1.01–1. 26) as compared to those who were not infected. They also had 33 % increased odds of getting maternal anemia (OR = 1.33; 95 % CI: 1.11–1.72). Likewise, pregnant women who were recorded with helminths infections had 29 % increased odds of having maternal anemia as compared to those who had no helminths infection (OR = 1.29; 95 % CI:0.48–3.53). Moreover, pregnant women who were recorded to have amebiasis had 79 % increased odds of having a preterm delivery as compared to those who had no ameba infection (OR = 1.79; 95 % CI: 1.12–2.91).ConclusionsMalaria was the prevalent parasitic infection in the studied population while helminth and ameba infections were infrequently reported. These parasitic infections were also associated with increased risk of anemia and delivery of a preterm infant. These were the only three infections/infestations which were evaluated. Our analysis revealed that malaria, helminth and ameba infections during pregnancy is dangerous and has life threatening consequences. This highlight the need to provide early diagnosis and treatment for infected women to prevent pregnancy complications and associated adverse pregnancy outcomes.Electronic supplementary materialThe online version of this article (doi:10.1186/s12879-016-1413-6) contains supplementary material, which is available to authorized users.

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Amoebiasis in Pregnancy and the Puerperium

Cited by 21 publications

References 9 publications

Fulminant Amebic Enteritis in the Perinatal Period

Fulminant Amebic Enteritis in the Perinatal Period

Genetic and epigenetic architecture of paternal origin contribute to gestation length in cattle

Prevalence of parasitic infections and associations with pregnancy complications and outcomes in northern Tanzania: a registry-based cross-sectional study

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