Cerebrospinal fluid changes in tetanus: raised proteins and immunoglobulins in patients with severe disease.

Abstract:

:34 patients with tetanus were studied; all had normal serum proteins and albumin. Only 3 samples of cerebrospinal fluid (CSF) contained cells (a few polymorphonuclear leucocytes). Protein levels in the CSF were elevated in 26 patients (76.5%); 11 cases with clinically mild tetanus had a mean CSF protein of 400 +/- 250 mg/litre (normal 100-400 mg/litre), while the CSF protein levels of 10 patients who died (mean 1596 +/- 985 mg/litre; P less than 0.005) and those of 4 others with severe disease who absconded were much higher (mean 1220 +/- 562 mg/litre; P less than 0.005). As a group, 19 patients with severe disease including the 10 fatal cases also had significantly higher mean CSF protein values (1582 +/- 938 mg/litre; P less than 0.005) than did the mild cases. Immunochemical analysis of the proteins using a radial immunodiffusion assay showed that these proteins were immunoglobulin G (IgG). Polyacrylamide gel electrophoresis demonstrated an oligoclonal gammaglobulin pattern, suggesting intrathecal IgG synthesis in these patients. These studies suggest that measurement of CSF proteins may supplement clinical evaluation in tetanus and that there may be a local immune stimulus (perhaps a tetanus antigen or to some other mitogen) in the central nervous system.

authors

Idoko JA,Amiobonomo AE,Anjorin FI,Oyeyinka GO,Elechi C

doi

10.1016/0035-9203(90)90053-h

subject

Has Abstract

pub_date

1990-07-01 00:00:00

pages

593-4

issue

4

eissn

0035-9203

issn

1878-3503

journal_volume

84

pub_type

杂志文章
  • Are health education interventions effective for the control and prevention of urogenital schistosomiasis in sub-Saharan Africa? A systematic review.

    abstract::An estimated 129 million people are infected with urogenital schistosomiasis in sub-Saharan Africa. Current control recommendations endorse mass administration of praziquantel. Health education is an important component of effective schistosomiasis prevention and control, but there has been limited research on its eff...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章,评审

    doi:10.1093/trstmh/trv008

    authors: Price A,Verma A,Welfare W

    更新日期:2015-04-01 00:00:00

  • Immunity in intestinal helminth infections: present concepts, future directions.

    abstract::Although intestinal helminth and protozoan infections are prevalent throughout the world, their impact is poorly known. Nevertheless, the morbidity and mortality that occur have stimulated research into host resistance and pathogenesis. Unfortunately, despite an increasing knowledge base, the actual effector molecules...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章,评审

    doi:10.1016/0035-9203(86)90372-x

    authors: Befus D

    更新日期:1986-01-01 00:00:00

  • The Pseudomonas aeruginosa product pyochelin interferes with Trypanosoma cruzi infection and multiplication in vitro.

    abstract:BACKGROUND:Bacteria are sources of numerous molecules used in treatment of infectious diseases. We investigated effects of molecules produced by 26 Pseudomonas aeruginosa strains against infection of mammalian cell cultures with Trypanosoma cruzi, the aetiological agent of Chagas disease. METHODS:Vero cells were infec...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1093/trstmh/trz136

    authors: Sass G,Miller Conrad LC,Nguyen TH,Stevens DA

    更新日期:2020-07-01 00:00:00

  • Vaccination against hepatitis B virus in highly endemic areas: waning vaccine-induced immunity and the need for booster doses.

    abstract::A dynamic model of the transmission of hepatitis B virus (HBV) was used to investigate some of the possible implications of the loss of vaccine-induced immunity on the effectiveness of mass HBV vaccination in high endemicity countries. The model, which describes the processes of horizontal and vertical transmission of...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/s0035-9203(96)90539-8

    authors: Edmunds WJ,Medley GF,Nokes DJ

    更新日期:1996-07-01 00:00:00

  • The somnogenic T lymphocyte suppressor prostaglandin D2 is selectively elevated in cerebrospinal fluid of advanced sleeping sickness patients.

    abstract::To help to elucidate the changes induced by Trypanosoma brucei gambiense in the central nervous system (CNS) in advanced sleeping sickness patients, levels of interleukin-1 (IL-1) and prostaglandins D2 (PGD2) and E2 (PGE2) were measured by radioimmunoassay in the cerebrospinal fluid (CSF) from 24 patients diagnosed on...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(90)90085-s

    authors: Pentreath VW,Rees K,Owolabi OA,Philip KA,Doua F

    更新日期:1990-11-01 00:00:00

  • Sero-epidemiology of rubella in Imo State of Nigeria.

    abstract::931 serum samples collected at random from healthy subjects in the four health zones of Imo State were analysed for the presence of rubella haemagglutination inhibition antibodies. Rubella antibodies were present in 625 of the samples giving a prevalence of 66.6%. There was a gradual increase in the prevalence of thes...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(85)90114-2

    authors: Gomwalk NE,Ezeronye OU

    更新日期:1985-01-01 00:00:00

  • Lack of influence of red palm oil on severity of malaria infection in pre-school Nigerian children.

    abstract::Vitamin A supplements are reported to reduce febrile episodes of malaria and parasite counts, especially in children aged 12-36 months. Red palm oil (RPO) is a good source of vitamin A, is rich in alpha- and beta-carotene and is as effective as high-dose retinyl palmitate supplements in improving vitamin A status. In ...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/s0035-9203(02)90312-3

    authors: Cooper KA,Adelekan DA,Esimai AO,Northrop-Clewes CA,Thurnham DI

    更新日期:2002-03-01 00:00:00

  • Chancroid in Nigeria.

    abstract::The present paper records the incidence of chancroid in northern Nigeria. Out of 776 new patients registered at the Special Treatment Clinic (STC) of the Ahmadu Bello University Teaching Hospital (ABUTH) Zaria during February to August 1982, 34 cases (4.38%) were diagnosed as chancroid. Direct smear examination for Ha...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(83)90198-0

    authors: Joshi RM,Lawande RV

    更新日期:1983-01-01 00:00:00

  • Why has the dihydrofolate reductase 164 mutation not consistently been found in Africa yet?

    abstract::Resistance to the antifolate sulfadoxine-pyrimethamine (SP), the current mass-treatment antimalarial drug, is associated with selection of point mutations in dihydrofolate reductase and dihydropteroate synthase. Among these mutations, the leucine 164 dihydrofolate reductase mutation (Leu-164) is associated with higher...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章,评审

    doi:10.1016/j.trstmh.2004.07.002

    authors: Nzila A,Ochong E,Nduati E,Gilbert K,Winstanley P,Ward S,Marsh K

    更新日期:2005-05-01 00:00:00

  • Outcome of children with Japanese encephalitis and predictors of outcome in southwestern China.

    abstract:BACKGROUND:We aimed to investigate the outcome of children with Japanese encephalitis (JE) and to examine the predictors of the outcome. METHODS:We reviewed the medical records of children with laboratory-confirmed Japanese encephalitis hospitalized in Children's Hospital of Chongqing Medical University in 2010. At le...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1093/trstmh/trt064

    authors: Ma J,Jiang L

    更新日期:2013-10-01 00:00:00

  • An outbreak of suspected water-borne epidemic non-A non-B hepatitis in northern Botswana with a high prevalence of hepatitis B carriers and hepatitis delta markers among patients.

    abstract::From June to December 1985 273 cases of hepatitis and jaundice were diagnosed in Maun, northern Botswana. It was known before the outbreak that most adults were immune to hepatitis A virus, most had markers indicating past infection with hepatitis B virus (HBV), there was a mean prevalence of 13.6% (57/418) HBsAg carr...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(89)90731-1

    authors: Byskov J,Wouters JS,Sathekge TJ,Swanepoel R

    更新日期:1989-01-01 00:00:00

  • Seroprevalence of antibodies to repetitive domains of Plasmodium vivax circumsporozoite protein in United Arab Emirates children.

    abstract::The aim of this study was to determine the exposure of child citizens of the United Arab Emirates (UAE) to Plasmodium vivax, and to elucidate if it was related to place of residence or previous international travel to malaria-endemic areas. Blood samples were collected from 1010 primary schoolchildren resident in 7 ou...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/s0035-9203(02)90443-8

    authors: Abu-Zeid YA,Alwash R,Shaheen HM,Bin-Othman SA,Lukic ML,Amiri KM,Charoenvit Y

    更新日期:2002-09-01 00:00:00

  • Accidental envenoming by a Gaboon viper (Bitis gabonica): the haemostatic disturbances observed and investigation of in vitro haemostatic properties of whole venom.

    abstract::We report the successful treatment of envenoming by the Gaboon viper (Bitis gabonica) and include results of in vitro investigations of the haemostatic properties of the whole venom. The patient was admitted to casualty soon after the bite with chest tightness, dizziness, nausea and swelling at the site of the bite an...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(93)90427-r

    authors: McNally T,Conway GS,Jackson L,Theakston RD,Marsh NA,Warrell DA,Young L,Mackie IJ,Machin SJ

    更新日期:1993-01-01 00:00:00

  • Natural swarming behaviour of the molecular M form of Anopheles gambiae.

    abstract::In Anopheles gambiae, as in most species of mosquitoes, mating is initiated in flight. The males aggregate in aerial swarms and conspecific females individually fly to these swarms where they mate with males. In this study, we investigated the swarming behaviour of A. gambiae and conducted 2 surveys in the rice field ...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/s0035-9203(03)80110-4

    authors: Diabate A,Baldet T,Brengues C,Kengne P,Dabire KR,Simard F,Chandre F,Hougard JM,Hemingway J,Ouedraogo JB,Fontenille D

    更新日期:2003-11-01 00:00:00

  • Infant-feeding strategies to prevent post-natal HIV transmission.

    abstract::Promotion of breastfeeding is a key component of infant health policies globally. However, maternal HIV infection is a possible contraindication for breastfeeding since it can result in mother-to-child transmission. Research into infant-feeding strategies which will promote the health of all infants but also protect a...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章,评审

    doi:10.1016/s0035-9203(03)90010-1

    authors: Filteau S

    更新日期:2003-01-01 00:00:00

  • Non-bacterial etiologies of diarrheal diseases in Afghanistan.

    abstract:BACKGROUND:Microbial diarrheal diseases are one of the leading causes of child morbidity and mortality in developing countries. This study aimed to identify the main causes of non-bacterial diarrhea in Afghanistan. METHODS:A total of 699 stools were collected from children aged under 5 years who presented with diarrhe...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1093/trstmh/tru096

    authors: Elyan D,Wasfy M,El Mohammady H,Hassan K,Monestersky J,Noormal B,Oyofo B

    更新日期:2014-08-01 00:00:00

  • Kala-azar in displaced people from southern Sudan: epidemiological, clinical and therapeutic findings.

    abstract::Six hundred and ninety-three patients with kala-azar were seen in Khartoum, Sudan, from January 1989 to February 1990. They were almost exclusively from the Nuer tribe, originating from the western Upper Nile province in southern Sudan, an area not known previously to be endemic for kala-azar. Because of the civil war...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(91)90293-8

    authors: Zijlstra EE,Ali MS,el-Hassan AM,el-Toum IA,Satti M,Ghalib HW,Sondorp E,Winkler A

    更新日期:1991-05-01 00:00:00

  • Cost-effectiveness analysis of diagnostic tests for human visceral leishmaniasis in Brazil.

    abstract:BACKGROUND:The objective of study was to estimate the incremental cost-effectiveness ratio (ICER) of diagnostic options for visceral leishmaniasis (VL) in Brazil. METHODS:Six diagnostic tests were considered: IT LEISH, Kalazar Detect, DAT-LPC (DAT made in the Laboratório de Pesquisas Clínicas), IFAT, PCR and direct ex...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1093/trstmh/trw050

    authors: Machado de Assis TS,Azeredo-da-Silva AL,Werneck GL,Rabello A

    更新日期:2016-08-01 00:00:00

  • Audiometry as a possible indicator of quinine plasma concentration during treatment of malaria.

    abstract::The spread of chloroquine-resistant malaria has led to a resurgence of quinine in clinical use. One of the well-known side effects of quinine, reversible hearing loss, is closely related to the plasma concentration. We suggest that this hearing effect could be used as an aid in therapy control when quinine drug assay ...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(90)90069-q

    authors: Karlsson KK,Hellgren U,Alván G,Rombo L

    更新日期:1990-11-01 00:00:00

  • Multiplex real-time PCR for the detection and quantification of Schistosoma mansoni and S. haematobium infection in stool samples collected in northern Senegal.

    abstract::A multiplex real-time PCR assay for the detection and quantification of Schistosoma mansoni and S. haematobium DNA in faecal samples was developed and evaluated as an alternative diagnostic method to study the epidemiology of schistosomiasis. Primers and probes targeting the cytochrome c oxidase gene were designed for...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/j.trstmh.2007.10.011

    authors: ten Hove RJ,Verweij JJ,Vereecken K,Polman K,Dieye L,van Lieshout L

    更新日期:2008-02-01 00:00:00

  • Comparative evaluation of four serodiagnostic tests for scrub typhus in Thailand.

    abstract::The commercial dot-blot enzyme-linked immunosorbent assay Dip-S-Ticks dipstick test was compared with the indirect immunoperoxidase (IIP) and Weil-Felix (WF) tests for the diagnosis of scrub typhus, using the indirect immunofluorescent antibody test (IFA) as the reference standard. With a panel of 117 positive and 75 ...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/s0035-9203(97)90266-2

    authors: Pradutkanchana J,Silpapojakul K,Paxton H,Pradutkanchana S,Kelly DJ,Strickman D

    更新日期:1997-07-01 00:00:00

  • Simulium neavei-transmitted onchocerciasis: HIV infection increases severity of onchocercal skin disease in a small sample of patients.

    abstract::Onchocercal skin disease was measured in 72 onchocerciasis patients from western Uganda, where Simulium neavei is the main transmitting vector of Onchocerca volvulus. The onchocerciasis patients who were HIV-positive had a higher onchocercal skin score compared with those who were HIV-negative (33.7 vs. 19.4, P < 0.00...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/s0035-9203(03)90157-x

    authors: Kipp W,Bamuhiiga J,Rubaale T

    更新日期:2003-05-01 00:00:00

  • Impaired antibody responses and loss of reactivity to Onchocerca volvulus antigens by HIV-seropositive onchocerciasis patients.

    abstract::The impact of concomitant human immunodeficiency virus (HIV) infection on the antibody response of onchocerciasis patients to Onchocerca volvulus antigens (OvAg) was studied by Western blotting and enzyme linked immunosorbent assay (ELISA). Immunoglobulin G (IgG) antibodies in sera from 45 HIV-sero-positive O. volvulu...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/s0035-9203(96)90488-5

    authors: Tawill SA,Gallin M,Erttmann KD,Kipp W,Bamuhiiga J,Büttner DW

    更新日期:1996-01-01 00:00:00

  • Royal Society of Tropical Medicine and Hygiene Meeting at Manson House, London, 18th January 2001. Pathogen genomes and human health. Mycobacterial genomics.

    abstract::The small size of their genomes made bacterial ideal model organisms for the emerging field of genomics. Elucidating the genome sequences of mycobacteria was particularly attractive owing to the difficulties inherent in their manipulation. The slow growth rate, clumping, and requirement for category III containment ma...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/s0035-9203(02)90222-1

    authors: Gordon SV,Brosch R,Eiglmeier K,Garnier T,Hewinson RG,Cole ST

    更新日期:2002-01-01 00:00:00

  • Onchocerciasis in Sudan: the Southern Darfur focus.

    abstract::The prevalence, intensity and clinical manifestations of onchocerciasis were investigated in three village communities along the Bahr El Arab and its tributaries in Southern Darfur, Western Sudan. Onchocerca volvulus has not been reported from this region before. Over 300 people were examined and the selection of pati...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(86)90252-x

    authors: el Sheikh H,Ghalib H,Hussein SM,Barbiero V,Mustafa MB,Williams JF

    更新日期:1986-01-01 00:00:00

  • Ultrasound and abdominal hydatid disease.

    abstract::Twenty-two hydatid cysts have been accurately located in the abdomens of seven patients by ultrasound B-scanning. Lapartomy has confirmed the presence of 19 of these cysts. Grey-scale techniques do not appear to add appreciably to the ease of diagnosis in this condition. Ultrasound can give the clinician a good idea o...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(77)90201-2

    authors: Vicary FR,Cusick G,Shirley IM,Blackwell RJ

    更新日期:1977-01-01 00:00:00

  • Urban yellow fever epidemic in western Nigeria, 1987.

    abstract::A large epidemic of urban yellow fever occurred in April and May 1987 in Oyo State, western Nigeria. The principal vector was Aedes aegypti, breeding in domestic water containers. The 1987 outbreak followed an epidemic of sylvatic yellow fever in eastern Nigeria the previous year, and probably resulted from introducti...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(89)90518-x

    authors: Nasidi A,Monath TP,DeCock K,Tomori O,Cordellier R,Olaleye OD,Harry TO,Adeniyi JA,Sorungbe AO,Ajose-Coker AO

    更新日期:1989-05-01 00:00:00

  • Kwashiorkor revisited: the pathogenesis of oedema in kwashiorkor and its significance.

    abstract::Cicely Williams, in her original description of kwashiorkor, implied that deficiency of protein in the baby's food could be a main cause of the syndrome. The hallmark of kwashiorkor is oedema. According to the 'classical' theory, an inadequate intake of protein leads to a low plasma albumin concentration, which in tur...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(84)90053-1

    authors: Waterlow JC

    更新日期:1984-01-01 00:00:00

  • Fibroblast stimulating activity of extracts of hepatic granulomata of Schistosoma mansoni-infected rodents with marked or slight hepatic fibrosis.

    abstract::Eight weeks following infection with Schistosoma mansoni ICR strain mice showed much more marked hepatic fibrosis than did C57BL/6 mice or hamsters. None the less, extracts of the hepatic granulomata of these animals had similar fibroblast stimulating activity when assayed in vitro. ...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/0035-9203(85)90369-4

    authors: Cheever AW,Barral-Netto M

    更新日期:1985-01-01 00:00:00

  • Intrathecal cytokine responses in Trypanosoma brucei rhodesiense sleeping sickness patients.

    abstract::Intrathecal cytokine levels and blood-cerebrospinal fluid (CSF) barrier function were studied in 91 Trypanosoma brucei rhodesiense-infected patients. The CSF concentration of the cellular immune activation marker neopterin and the cytokines IL-6 and IL-10 were increased over control and post-treatment levels in all pa...

    journal_title:Transactions of the Royal Society of Tropical Medicine and Hygiene

    pub_type: 杂志文章

    doi:10.1016/j.trstmh.2005.03.013

    authors: Maclean L,Odiit M,Sternberg JM

    更新日期:2006-03-01 00:00:00