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Through a cross-sectional study design, 150 women attending public health centers with a history of stillbirths were examined for anti-Toxoplasma gondii IgG and IgM antibodies in Durango City, Mexico. Bivariate and multivariate analyses were used to assess the association of T. gondii seropositivity with the characteristics of the women with stillbirth history. Of the 150 women (mean age: 32.09 ± 9.16 years) studied, 14 (9.3%) had anti-T. gondii IgG antibodies and six (42.9%) of them were also positive for anti-T. gondii IgM antibodies. Multivariate analysis showed that T. gondii seropositivity was associated with high frequency (4-7 days a week) of eating meat (OR = 5.52; 95% CI: 1.48-20.59; P = 0.01), history of lymphadenopathy (OR = 4.52; 95% CI: 1.14-17.82; P = 0.03), and history of surgery (OR = 8.68; 95% CI: 1.04-72.15; P = 0.04). This is the first study on the seroepidemiology of T. gondii infection in women with a history of stillbirths in Mexico. The association of T. gondii exposure with a history of surgery warrants for further research. Risk factors for T. gondii infection found in the present survey may help to design optimal educational programs to avoid T. gondii infection.

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Through a cross-sectional study design, 326 women with a history of miscarriage were examined for anti-Toxoplasma gondii IgG and IgM antibodies in Durango City, Mexico. Prevalence association with sociodemographic, clinical, and behavioral characteristics in women with miscarriage was also investigated. Twenty-two (6.7%) of the 326 women studied had anti-T. gondii IgG antibodies and two (0.6%) were also positive for anti-T. gondii IgM antibodies. Seroprevalence of T. gondii infection was not influenced by age, birth place, occupation, educational level, or socioeconomic status. In contrast, logistic regression showed that T. gondii exposure was associated with consumption of raw or undercooked meat (OR = 6.84; 95% CI: 1.04-44.95; P = 0.04) and consumption of chicken brains (OR = 18.48; 95% CI: 1.26-269.43; P = 0.03). This is the first study on the seroepidemiology of T. gondii infection in women with a history of miscarriage in Northern Mexico. Of interest, we also observed an association of T. gondii exposure with consumption of chicken brains. Contributing factors for T. gondii exposure found in the present study should be taken into consideration for public health measures to avoid infection with T. gondii and its sequelae.

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PURPOSE: The seroprevalence of infection with the parasite Toxoplasma gondii and the association with risk factors has not been determined in inmates. Through a case-control study, 166 inmates from a state correctional facility in Durango City, Mexico and 166 age- and gender-matched non-incarcerated subjects were examined for the presence of anti-T. gondii IgG and IgM antibodies using enzyme-linked immunoassays. RESULTS: Seroprevalence of anti-T. gondii IgG antibodies was higher in inmates (35, 21.1%) than in controls (14, 8.4%) (OR = 2.90; 95% CI: 1.43-5.94; P = 0.001). Anti-T. gondii IgM antibodies were detected in two (1.2%) inmates and in seven (4.2%) controls (P = 0.17). Multivariate analysis of socio-demographic, incarceration, and behavioral characteristics of inmates revealed that T. gondii seropositivity was associated with being born out of Durango State (OR = 3.91; 95% CI: 1.29-11.79; P = 0.01). In addition, T. gondii seroprevalence was higher (P = 0.03) in inmates that had suffered from injuries (17/56: 30.4%) than those without such history (18/110: 16.4%). CONCLUSIONS: The seroprevalence of T. gondii infection in inmates in Durango City is higher than the seroprevalences found in the general population in the same city, indicating that inmates may represent a new risk group for T. gondii infection. Further research on T. gondii infection in inmates is needed.

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The epidemiology of toxocariasis in humans in Mexico has been poorly explored. There is a lack of information about toxocariasis in Tepehuanos, an indigenous ethnic group in Durango State in northern Mexico. Therefore, the presence of anti-Toxocara immunoglobulin (Ig) G antibodies was determined in 126 rural Tepehuanos using an enzyme-linked immunoassay. Socio-demographic, clinical and behavioural data of the participants were also obtained. Of the 126 Tepehuanos assessed (mean age 32.46 ± 17.36 years), 33 (26.2%) had anti-Toxocara IgG antibodies. Multivariate analysis showed that Toxocara seropositivity was associated with unemployment (students and housewives) (odds ratio (OR) = 3.1; 95% confidence interval (CI) 1.25-7.47). Other socio-demographic and behavioural characteristics, including age, educational level, contact with animals or soil, consumption of unwashed raw fruits and vegetables or untreated water, were not associated with Toxocara seropositivity. Clinical data were similar in seropositive and seronegative Tepehuanos. These results indicate that Toxocara exposure is common among Tepehuanos but Toxocara does not appear to impact on the health of the population. This is the first report of toxocaral infection in Tepehuanos, and of an association of toxocariasis in adults with unemployment. Further research is needed to elucidate the routes of transmission of Toxocara in Tepehuanos, including the role of hygiene practices, canine and feline contacts, paratenic hosts and soil contamination with infective Toxocara eggs.

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Nothing is known of the genetic diversity of Toxoplasma gondii circulating in wildlife in Mexico. In the present study, a mouse virulent T. gondii strain was isolated from the heart of a wild puma (Felis concolor). The puma was found roaming in outskirt of Durango City, Mexico and tranquilized for moving to a zoo. The puma died during translocation and a necropsy examination was performed. The puma had an antibody titer for T. gondii of 200 by the modified agglutination test. Its heart and brain tissue were bioassayed into 2 outbred Swiss Webster (SW) and 1 gamma interferon gene knockout (KO) mouse. The KO mouse and the 2 SW mice that became infected after inoculation with homogenate of puma heart died of acute toxoplasmosis 12, 19 and 20 days p.i. respectively and tachyzoites were found in lungs of all 3 mice. None of the 4 SW and 1 KO mouse inoculated with digest of the puma brain became infected with T. gondii. Tachyzoites from the lungs of mice were propagated in cell cultures. Tachyzoites from cell culture were inoculated into 5 SW; the mice died or had to be killed 14 days p.i. and a cat fed tissues of these mice shed T. gondii oocysts. Results of mortality and infectivity of tachyzoites and oocysts in SW mice indicated that the puma T. gondii strain (designated TgPumaMe1) was virulent for outbred mice. DNA isolated from culture-derived tachyzoites was characterized using 11 PCR-RFLP markers (SAG1, 5'- and 3'-SAG2, alt.SAG2, SAG3, BTUB, GRA6, c22-8, c29-2, L358, PK1 and Apico) revealed a new genotype (ToxoDB PCR-RFLP #222). Isolation of atypical genotype T. gondii from wild puma indicates that mouse virulent strains are circulating in wildlife in Mexico.

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The seroprevalence of Toxoplasma gondii infection in sheep in southern Mexico is largely unknown. Antibodies to T. gondii were determined in serum samples of 429 sheep from 4 farms in 2 geographical regions in Oaxaca State, Mexico, using the modified agglutination test (MAT); 99 (23.1%) of the 429 sheep had positive MAT titers: 1:25 in 35, 1:50 in 18, 1:100 in 7, 1:200 in 1, 1:400 in 3, 1:800 in 10, 1:1,600 in 5, and 1:3,200, or higher, in 20. Seroprevalence of T. gondii infection varied with management, breed of sheep, and location. It was significantly higher in sheep raised under semi-intensive (grazed on cultivated pasture and hay) conditions than in those raised under semi-extensive conditions (grazed on communal natural grass land). The seroprevalence of T. gondii infection was significantly higher in mixed-breed sheep than in pure breeds. Sheep raised in temperate climate in municipalities at 1,560-1,600 m above sea level (Central Valley region) had a significantly higher seroprevalence of T. gondii infection than those raised in semiarid and warm-humid climates in municipalities at 1,020-1,080 m of altitude (Cañada region) (29.8% vs. 7.1%, respectively). This is the first report of T. gondii infection in sheep in Oaxaca State, Mexico.

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Seroprevalence of Toxoplasma gondii infection in goats in Michoacán, Mexico, is largely unknown. Antibodies to T. gondii were determined in 341 dairy goats in Michoacán, Mexico, using the modified agglutination test. Goats were raised in 9 farms in 6 municipalities. Overall, antibodies to Toxoplasma were found in 52 (15.2%) of 341 goats, with titers of 1:25 in 16, 1:50 in 9, 1:100 in 4, 1:200 in 4, 1:400 in 4, 1:800 in 9, 1:1,600 in 3, and 1:3,200 or higher in 3. Seropositive goats were found in all 9 farms sampled, and seroprevalence varied significantly among farms (1.9-90%). Seroprevalence of T. gondii varied with age, municipality, altitude, and climate but not with breed. Increased seroprevalence was found in goats aged 13-24 and 49-86 mo old (25% and 22.9%, respectively). Goats raised in farms in a municipality with semi-warm humid climate at 1,700 m of altitude had the highest seroprevalence (62.1%). This is the first report of T. gondii infection in goats in Michoacán State, Mexico, and of an association of seropositivity to T. gondii and semi-warm humid climate. Results indicate that infected goats are likely an important source of infection with T. gondii in humans in Michoacán State.

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The seroprevalence of Toxoplasma gondii infection in horses in Mexico is unknown. Therefore, antibodies to T. gondii were assessed in 495 horses in Durango State, Mexico, using the modified agglutination test (MAT). Horses were from 18 farms in 3 municipalities in the valley region of Durango State. Antibodies to T. gondii were found in 30 (6.1%) of 495 horses, with MAT titers of 1:25 in 19, 1:50 in 6, and 1:100 in 5. Seropositive horses were found in 8 (44.4%) of 18 farms sampled in all 3 municipalities. Age, gender, and breed of horses did not influence significantly the seroprevalence of T. gondii infection. The seroprevalence in horses was higher in rural (7.8%) versus urban (0%) areas, and in larger herds (30-64 horses, 7.8%) versus smaller ones (3-28, 3.5%). The seroprevalence was higher in stall fed (16.5%) than in pastured horses (3.1%). Results indicate that infected horses represent a potential source of T. gondii infection for humans in Mexico. This is the first report of T. gondii infection in horses in Mexico.

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Pigs are important in the epidemiology of toxoplasmosis in North America. Seroprevalence of Toxoplasma gondii infection in 525 domestic pigs (337 backyard raised, 188 farm raised) in Oaxaca State, Mexico was determined using the modified agglutination test (MAT, cutoff 1:25). Antibodies to T. gondii were found in 58 (17.2%) of the 337 backyard pigs with MAT titers of 1:25 in 10, 1:50 in 12, 1:100 in 18, 1:200 in 6, 1:400 in 6, 1:800 in 3, and 1:1,600 in 3. Seropositive pigs were found in 39 (37.9%) of 103 homes in all 7 municipalities surveyed. Seroprevalence of T. gondii infection in backyard pigs varied with age, gender, geographic region, climate, and altitude. High seroprevalence was found in pigs ≥ 9-mo-old (40%), in females (40%), in pigs from the Istmo region (33.3%), and in those raised in a tropical climate (65%). Seroprevalence was higher (24.5%) in pigs raised at 100-660 m above sea level than in those at 20-60 m of altitude (14.2%). With respect to farm pigs, only 1 (0.5%, MAT titer 1:100) of 188 pigs from 5 farms was positive for anti- T. gondii antibodies. The results affirm that the management system (outdoor vs. indoor system with biosecurity) is a key factor in the epidemiology of porcine toxoplasmosis. Because there is no national system of determining the T. gondii infection status at the time of slaughter, precautions should be taken while handling pig carcasses, and all pork should be cooked thoroughly before human consumption.

Assuntos

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The seroprevalence of Toxoplasma gondii infection in sheep (Ovis aries) in northern Mexico is largely unknown. Antibodies to T. gondii were determined in serum samples from 511 sheep from 8 farms in Durango State, Mexico, using the modified agglutination test (MAT). Sheep were raised in 3 geographical regions, i.e., mountainous (n  =  68), semi-desert (n  =  132), and valley (n  =  311). Overall, T. gondii antibodies were found in 77 (15.1%) of 511 sheep, with MAT titers of 1∶25 in 27, 1∶50 in 10, 1∶100 in 11, 1∶200 in 11, 1∶400 in 8, 1∶800 in 3, 1∶1,600 in 4, and 1∶3,200 in 3. The seroprevalence of T. gondii infection increased significantly with age, indicating post-natal transmission. In contrast, gender, breed, flock size, and geographic region did not significantly influence the seroprevalence. Seropositive sheep were found in 7 of 8 farms sampled. This is the first report of T. gondii infection in sheep in Durango State, Mexico. Results indicate that infected sheep are probably an important source of T. gondii infection for humans in Durango State.

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