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Biomedical subjects

I A Sherlock

Publications and source records attributed to I A Sherlock.

At least 19 recordsLinked to original sources
PubMed1986

An outbreak of Chagas' disease in southwestern Bahia, Brazil.

An outbreak of 20 cases of acute Chagas' disease followed the movement of Triatoma infestans into the county of Riacho de Santana, Bahia, Brazil. The outbreak was unusual in that the majority of cases occurred in adults. Vector control measures were implemented. Three years after the outbreak, a rural community was examined to determine the extent of human infection and disease due to Trypanosoma cruzi. Ninety of 440 residents (20.5%) had serologic evidence of infection, but rates of electrocardiographic (EKG) abnormalities were low. Comparison of age-specific rates of seropositivity and EKG abnormalities with rates from areas with endemic Chagas' disease supported the hypothesis of a recent epidemic. Control measures appear to have interrupted transmission in the region.

Adult↗
PubMed1985

Trypanosoma cruzi: kinetics of metacyclogenesis in adult and nymphal Panstrongylus megistus.

Adult triatomine insects, Panstrongylus megistus, naturally infected with the protozoa, Trypanosoma cruzi, contained significantly more metacyclic trypomastigote forms in their digestive tracts than did P. megistus nymphs. Metacyclics were scarce in all stages of triatomines fed once on infected mammalian hosts and subsequently starved. In contrast, triatomines fed repeatedly on infected mammalian hosts developed prolific T. cruzi infections. Repeatedly fed adults contained 14 X more metacyclics than similarly fed nymphs. Nutritional factors appear to play a key role in regulating metacyclogenesis. Control campaigns designed to alter the age structure of populations of triatomines must take notice of the high transmission potential of the adult stage.

Animals↗
PubMed1985

Association between household triatomine density and incidence of Trypanosoma cruzi infection during a nine-year study in Castro Alves, Bahia, Brazil.

We studied the association between human incidence of Trypanosoma cruzi infection and household infestation density of Panstrongylus megistus in Castro Alves, Bahia, Brazil. During a 9-year period, 19 persons seroconverted; 17 were children, 17 lived in nonplastered houses, and 13 lived in houses infested with triatomines. Although 6 seroconverting persons lived in houses where triatomines could not be found, the risk of seroconversion was significantly greater in infested houses and 16 times greater in densely infested houses (greater than 15 bugs/person-hour of search). The highest rate of seroconversion (6/100 person-years exposure) occurred in houses containing the greatest number of bugs infected with T. cruzi (greater than 6 infected bugs/person-hour). These observations suggest that vector control measures could have a dramatic impact on transmission of T. cruzi by P. megistus.

Antibodies↗
PubMed1984

Megaesophagus and seroreactivity to Trypanosoma cruzi in a rural community in northeast Brazil.

The relationship of symptoms and radiographic abnormalities suggestive of esophageal motility disorders with electrocardiographic (ECG) alterations and seroreactivity to Trypanosoma cruzi was studied in a defined population in a rural area endemic for Chagas' disease in Bahia, Brazil. Between January and June 1981, 680 individuals 5 years of age or older were examined with serologic tests, ECGs and questionnaires for esophageal motility disorder. Of these, 39.9% were seropositive for Chagas' disease. Symptoms of dysphagia occurred 2.5 times more frequently among seropositive individuals than among seronegative individuals. Radiographic esophageal abnormalities were 3.6 times more frequent among seropositive individuals than among seronegative individuals in the symptomatic group. Symptoms and radiographic abnormalities were more common in men than in women although this was not statistically significant. Among seropositive individuals the percentage with symptoms of dysphagia increased with age, with a peak prevalence rate of 23.9% in the 45- to 64-year-old age group. Also, in the seropositive group, 41.7% with X-ray abnormalities of the esophagus and 26.3% with symptoms of dysphagia presented an abnormal ECG.

Adolescent↗
PubMed1983

Host availability limits population density of Panstrongylus megistus.

In order to determine whether host availability limits triatomine population growth, 5th-stage Panstrongylus megistus were maintained in feeding chambers containing 0, 1, 2, or 3 mice. During the 5-day feeding period, triatomines exposed to two or three mice gained significantly more weight than did bugs exposed to one mouse. In addition, half of the bugs exposed to two or three mice molted, as compared to one-fifth of the P. megistus exposed to one mouse. Thus, weight gain and molting were related to host density. In contrast, bug mortality was related to the triatomine-mouse ratio, being greatest among bugs exposed to one mouse. Twenty-nine nonplastered mud-stick houses in a Chagas' disease endemic area were censused and examined for triatomines. About 70% of houses with greater than or equal to 4 persons contained dense bug populations, while only 20% of houses with 1-3 persons were densely infested. Moreover, blood-meal identifications demonstrated that two-thirds of the P. megistus collected from these houses fed on man. The density of triatomines present in infested houses is related to the number of persons available as hosts.

Animals↗
PubMed1983

Factors controlling the volume of feces produced by triatomine vectors of Chagas' disease.

Triatomine species influenced volume of feces produced; Triatoma dimidiata produced the largest volume of feces followed by Panstrongylus megistus, Rhodnius prolixus, and Triatoma infestans. Moreover, stage and sex affected fecal production; 5th-stage female nymphs excreted the largest volume of feces. The amount of blood ingested was significantly correlated with the volume of feces produced in 10 out of 11 experimental groups. Triatome size and volume of feces produced were less closely correlated. Indeed, a "threshold" minimum amount of blood must be ingested before bugs are stimulated to defecate. The defecation habits of triatomines probably influence the vectorial capacity of a triatomine species to a lesser degree than do the density of domestic infestations, host affinity, and the degree of adaptation to the domestic habitat.

Animals↗
PubMed1982

A three-year follow-up study of infection with Trypanosoma cruzi and electrocardiographic abnormalities in a rural community in northeast Brazil.

The relationship between parasitemia, seroreactivity to Trypanosoma cruzi, and electrocardiographic abnormalities was studied in 115 individuals from a rural community in northeast Brazil where Chagas' disease is endemic. Vector control measures were introduced, and after 3 years 106 of the original participants were located and re-examined. Serum antibodies to T. cruzi were measured by complement fixation and indirect fluorescent antibody tests and parasitemia by xenodiagnosis and blood cultures. On both examinations more seropositive children than seropositive adults showed parasitemia, and parasitemia was more likely to persist over the 3-year period in younger individuals. Electrocardiographic (ECG) abnormalities were seen more frequently in seropositive individuals without parasitemia. However, ECG abnormalities, as expected, were more prevalent in older individuals and therefore no specific inverse relationship between ECG findings and parasitemia could be shown. The decreased prevalence of infection noted in younger individuals following the introduction of vector control measures indicates that this approach limited transmission.

Adolescent↗
PubMed1980

Epidemiological aspects of three Trypanosoma cruzi zymodemes in Bahia State, Brazil.

Culture forms of 104 stocks of Trypanosoma cruzi isolated in different regions of the State of Bahia were compared by electrophoresis of six enzymes. The three distinct combinations of isoenzyme patterns seen were designated ZI, Z2 and Z3. In an area of endemic Chagas's disease in eastern Bahia, T. cruzi Z1 was associated with sylvatic mammals and sylvatic triatomines, whereas T. cruzi Z2 was associated with a separate domestic cycleof transmission. T. cruzi Z1 was also found in sylvatic triatomines from other parts of the State. In contrast, in an area of the São Francisco Valley region of western Bahia, both T. cruzi Z1 and Z2 were isolated from man, domestic animals, and peridomestic rats. T. cruzi Z3 was isolated from an armadillo and from Panstrongylus geniculatus, a triatomine commonly found in armadillo burrows. Both T. cruzi Z1 and Z2 appeared to be pathogenic in man: T. cruzi Z1 was isolated from patients with acute Chagas's disease and from a single patient with chronic cardiac manifestations. T. cruzi Z2 was isolated from some asymptomatic individuals but was also associated with acute disease and chronic cardiac and digestive syndromes.

Adult↗
PubMed1979

An outbreak of acute Chagas's disease in the São Francisco Valley region of Bahia, Brazil: triatomine vectors and animal reservoirs of Trypanosoma cruzi.

Following reports of an unusually high incidence of acute Chagas's disease and the appearance of large numbers of Triatoma infestans in the southwestern region of the State of Bahia, triatomine bugs (Hemiptera: Reduviidae) and domestic animals in one of the affected communities were surveyed and examined for infection with Trypanosoma cruzi. Triatoma infestans was prevalent in houses and was also found in peridomestic habitats. T. sordida and T. pseudomaculata occupied peridomestic and sylvatic habitats and T. brasiliensis was found only among rocks far from houses. Panstrongylus megistus, formerly present in the region, was not found. Trypanosoma cruzi was detected in 19.5% of Triatoma infestans, 11.5% of T. sordida, 19% of dogs, 29% of cats and 100% of rats examined. A disproportionate number of early instar bugs were infected with Trypanosoma cruzi, suggesting that a rapid increase in the rate of transmission had recently occurred. The history of the domestic triatomine fauna of the region since 1912 is reviewed, and it is proposed that the relatively recent arrival of Triatoma infestans initiated a domestic cycle linked to peridomestic and sylvatic cycles of Trypanosoma cruzi transmission. Increased human mobility, the use of DDT for malaria control, and drought conditions are considered as factors which might have contributed to the outbreak of human infection.

Animals↗