Evidence map›Paper›PMID 26811722›Full record

ArticleIranian journal of parasitology

Encephalitozoon cuniculi infection among immunocompromised and immunocompetent humans in Egypt.

Somaia Saif Abu-Akkada, Eman Dorry Hussein El Kerdany, Rasha Fadly Mady, Radwa Galal Diab, Gehan Abd Elatti Khedr, Karam Imam Ashmawy, Wael Mohamed Lotfy

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In one paragraph

Article in Iranian journal of parasitology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.0field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Molecular Detection ofPathogens (Basel, Switzerland) · 2025
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  4. Molecular Detection ofInternational journal of molecular sciences · 2023
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  5. Pathogens (Basel, Switzerland) · 2023
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  6. Article
  7. Review
  8. Chronic Infections in Mammals Due to Microsporidia.Experientia supplementum (2012) · 2022
    Article
  9. Zoonotic Risk ofInternational journal of environmental research and public health · 2021
    Review
  10. Article
  11. Review
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Somaia Saif Abu-AkkadaParasitology Department, Faculty of Veterinary Medicine, Alexandria University, Egypt.
Eman Dorry Hussein El KerdanyMedical Parasitology Department, Faculty of Medicine, Alexandria University, Egypt.
Rasha Fadly MadyMedical Parasitology Department, Faculty of Medicine, Alexandria University, Egypt.
Radwa Galal DiabMedical Parasitology Department, Faculty of Medicine, Alexandria University, Egypt.
Gehan Abd Elatti KhedrClinical Oncology Department, Faculty of Medicine, Alexandria University, Egypt.
Karam Imam AshmawyParasitology Department, Faculty of Veterinary Medicine, Alexandria University, Egypt.
Wael Mohamed LotfyParasitology Department, Medical Research Institute, Alexandria University, Egypt.
Alexandria University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEncephalitozoon cuniculi infects a wide range of homoeothermic animals, including man. Complications due to this microsporidian have been reported only in immunocompromised patients. Reports on E. cuniculi in immunocompetent humans are lacking, most probably, because it is not linked to any clinical manifestations in such hosts. The present work was carried out with the aim of studying, for the first time in Egypt, the prevalence of E. cuniculi infection of urinary tract among non-HIV immunocompromised patients and immunocompetent individuals. It tested also the influence of some factors on the risk of infection.

methodsBlood and urine samples were collected from 88 persons (44 non-HIV immunocompromised patients and 44 subjects as immunocompetent control group). IFAT serological assay and Weber's green modified trichrome stain (MTS) urine smears were carried out. Molecular study by PCR was also performed to detect DNA of E. cuniculi in urine samples. A full history sheet was fulfilled for each subject to test the suspected risk factors.

resultsThe IFAT examination confirmed the presence of antibodies against E. cuniculi in 44.3% of the human subjects. The seroprevalence of E. cuniculi was significantly higher in the immunocompromised patients compared with the immunocompetent individuals (77.3% versus 11.4%). Compared with IFAT (the gold standard), the sensitivity and specificity of Weber's green MTS smears were 69.23% and 89.80%. By using PCR, no positive cases were detected among human subjects.

conclusionA high prevalence of E. cuniculi infection in the studied individuals was noted. Although infection was found in some immunocompetent individuals, the immune status of the host remains the corner stone for occurrence of the infection.

Indexed as

ManMicrosporidiaOpportunisticProtozoa

Identifiers

PMID26811722
PMCPMC4724832
OpenAlexW2206054137

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.