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Abstract
Background; Enterobiasis (pinworm infection) caused by Enterobius vermicularis is a common parasitic infection prevalent worldwide especially in children. It causes many important symptoms and can lead to digestive problems and lead to malnutrition in children. Aims of the study; Knowing the relationship between levels of cytokine and the severity of infection in children and the extent of the impact of the infection on the child’s health in Iraq. Methodology; A Case-control study included 100 children suffering from infection with the worm E.vermicularis. The ages of the participants ranged from 3 to 10 years. The study included 50 healthy children matched in age and sex to the patient group. 5 ml of blood was collected from each participant at Al-Haboubi Teaching Hospital and at Nasiriyah General Hospital for the period between 3/1/2024 to 10/3/2024. CBC assay using a Sysmex device. Interleukins were examined using enzyme-linked immunosorbent assay. Result; The results showed that there was no statistical significance in age among the participants. While the results of WBC and CRP were significantly high in the patient group, in contrast to PCV and Hb which were significantly low. While interleukin 4 and interleukin 6 results showed a significant increase in the patient group, while interleukin 10 showed a significant decrease. Conclusions; High levels of biomarkers, indicate the immune response that causes by infection with the worm. Anemia due to the pathophysiology of inhibiting appetite and lack of absorption in Intestines for nutrients.
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References
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References
S. N. Al-Bairmani and H. K. Al-Masoudi, "Assessment of the Serum Level of IL-1B, IL-2, and IL-10 in Children Infected with Enterobius vermicularis in Babylon Province," Medical Journal of Babylon, vol. 20, no. 1, pp. 59-63, 2023.
G. Alomashi and A. H. A. Al-Shabbani, "Prevalence of Intestinal Parasitic Infestation in Anemic Patients Attending Al-Diwaniyah Teaching Hospital at Al-Qadisiyah Province/Iraq," International Journal of Pharmaceutical Quality Assurance, vol. 10, no. 3, pp. 60-65, 2019.
L. Barahona Rondón, C. Maguiña Vargas, C. Náquira Velarde, I. A. Terashima, and R. Tello, "Human Blastocystosis: Prospective Study Symptomatology and Associated Epidemiological Factors," Revista de Gastroenterología del Perú, vol. 23, pp. 29-35, 2003.
C. A. Behm and K. S. Ovington, "The Role of Eosinophils in Parasitic Helminth Infections: Insights from Genetically Modified Mice," Parasitology Today, vol. 16, no. 5, pp. 202-209, 2000.
E. Bettelli et al., "Reciprocal Developmental Pathways for the Generation of Pathogenic Effector TH17 and Regulatory T Cells," Nature, vol. 441, no. 7090, pp. 235-238, 2006.
P. Black, "Why Is the Prevalence of Allergy and Autoimmunity Increasing?" Trends in Immunology, vol. 22, no. 9, pp. 354-355, 2001.
H. Bøås, G. Tapia, J. A. Sødahl, T. Rasmussen, and K. S. Rønningen, "Enterobius vermicularis and Risk Factors in Healthy Norwegian Children," Pediatric Infectious Disease Journal, vol. 31, no. 9, pp. 927-930, 2012.
C. N. Burkhart and C. G. Burkhart, "Assessment of Frequency, Transmission, and Genitourinary Complications of Enterobiasis (Pin-Worms)," International Journal of Dermatology, vol. 44, no. 10, pp. 837-840, 2005.
M. Capron and D. Dombrowicz, "Eosinophils, Parasites and Allergy: From the Biological to the Clinical," Journal de la Société de Biologie, vol. 196, no. 1, pp. 23-28, 2002.
D. Carrillo-Quintero, L. Del Otero Sanz, S. Hernández-Egido, and A. M. Martín Sánchez, "Demographic and Clinical Features of Diagnosed Individuals of Enterobiasis in Southern Gran Canaria: Sampling Assessment," Revista Española de Quimioterapia, vol. 29, no. 6, pp. 302-307, 2016.
A. Choudhury, S. Kumar, and P. Pal, "Enterobius vermicularis Infestation of Urinary Tract Leading to Recurrent Urinary Tract Infection," Tropical Parasitology, vol. 7, no. 2, pp. 119-121, 2017.
G. C. Cook, "Enterobius vermicularis Infection," Gut, vol. 35, no. 9, pp. 1159-1162, 1994.
B. Cribier and G. Noacco, "Chronic Urticaria and Infectious Diseases," Annales de Dermatologie et de Vénéréologie, vol. 130, pp. 1S43-1S52, 2003.
J. Dudlová, J. Juriš, V. Jarčuška, V. Vasilková, S. Sumková, and V. Krčméry, "The Incidence of Pinworm Enterobius vermicularis in Pre-School and School Aged Children in Eastern Slovakia," Helminthologia, vol. 55, no. 4, pp. 275-280, 2018.
A. M. Elsawey et al., "Parasitic Infections’ Immunomodulatory Effects and Autoimmune Diseases," Egyptian Academic Journal of Biological Sciences, E. Medical Entomology & Parasitology, vol. 14, no. 2, pp. 27-37, 2022.
F. H. Falcone, A. Loukas, R. J. Quinnell, and D. I. Pritchard, "The Innate Allergenicity of Helminth Parasites," Clinical Reviews in Allergy & Immunology, vol. 26, no. 1, pp. 61-72, 2004.
F. D. Finkelman and J. F. Urban, "The Other Side of the Coin: The Protective Role of the TH2 Cytokines," Journal of Allergy and Clinical Immunology, vol. 107, no. 5, pp. 772-780, 2001.
J. Friesen et al., "Detection of Enterobius vermicularis in Greater Berlin, 2007–2017: Seasonality and Increased Frequency of Detection," European Journal of Clinical Microbiology & Infectious Diseases, vol. 38, no. 4, pp. 719-723, 2019.
A. Giacometti et al., "Prevalence of Intestinal Parasites Among Individuals with Allergic Skin Diseases," Journal of Parasitology, vol. 89, no. 3, pp. 490-492, 2003.
O. González-Moreno, L. Domingo, J. Teixidor, and M. Gracenea, "Prevalence and Associated Factors of Intestinal Parasitisation: A Cross-Sectional Study Among Outpatients with Gastrointestinal Symptoms in Catalonia, Spain," Parasitology Research, vol. 108, no. 1, pp. 87-93, 2011.
A. Hama and Z. I. F. Rahemo, "Intestinal Parasitiosis in Relation to Haemoglobin Concentration Among Primary Schoolchildren in Erbil Province Kurdistan-Iraq," International Science Journal, vol. 1, no. 1, pp. 96-99, 2014.
M. Hamid and A. B. M. Al-Waaly, "Effect of Enterobius vermicularis Parasite on IgE Antibody Levels Among Children in Al-Diwaniyah City, Middle Iraq," Al-Qadisiyah Journal of Pure Science, vol. 24, no. 4, pp. 91-102, 2019.
S. H. He, "Key Role of Mast Cells and Their Major Secretory Products in Inflammatory Bowel Disease," World Journal of Gastroenterology, vol. 10, no. 3, pp. 309-318, 2004.
P. Herrström, K. A. Henricson, A. Råberg, A. Karlsson, and B. Högstedt, "Allergic Disease and the Infestation of Enterobius vermicularis in Swedish Children 4-10 Years of Age," Journal of Investigative Allergology and Clinical Immunology, vol. 11, no. 3, pp. 157-160, 2001.
K. Kubiak, E. Dzika, and Ł. Paukszto, "Enterobiasis Epidemiology and Molecular Characterization of Enterobius vermicularis in Healthy Children in North-Eastern Poland," Helminthologia, vol. 54, no. 4, pp. 284-291, 2017.
C. E. Lawrence, "Is There a Common Mechanism of Gastrointestinal Nematode Expulsion?" Parasite Immunology, vol. 25, no. 5, pp. 271-281, 2003.
R. M. Maizels and M. Yazdanbakhsh, "Immune Regulation by Helminth Parasites: Cellular and Molecular Mechanisms," Nature Reviews Immunology, vol. 3, no. 9, pp. 733-744, 2003.
B. Matthys et al., "Prevalence and Risk Factors of Helminths and Intestinal Protozoa Infections Among Children from Primary Schools in Western Tajikistan," Parasites & Vectors, vol. 4, no. 1, pp. 195, 2011.
K. O. Mohmmed, Z. S. Erzaiq, and W. Y. Azzawi, "The Changes in Blood Count Among Patients with Different Intestinal Parasitic Infections at Erbil City," Tikrit Medical Journal, vol. 21, no. 1, pp. 78-84, 201