Evaluation of some micronutrients in patients infected with Giardia lamblia in Hawler city

Authors

  • Hawre Mustafa bakre Department of microbiology, college of medicine, Hawler Medical University, Erbil, Iraq.
  • Salar Adnan Ahmed Department of clinical biochemistry, college of medicine, Hawler Medical University, Erbil, Iraq.
  • Sharmeen Qadir Faqi Central laboratory- Jamhuri Teaching Hospital, Erbil, Iraq.

DOI:

https://doi.org/10.15218/zjms.2016.0013

Keywords:

Giardia lamblia, Parasite, Micronutrients, Zinc, Iron, Copper

Abstract

Background and objective: The micro aerophilic flagellated protozoan parasite, Giardia lamblia, is the most common intestinal pathogen infecting human and a major diarrheal disease found throughout the world. It can cause acute or chronic diarrhea contributing to nutritional status, growth, and intellectual function. This prospective study evaluated the association between giardiasis and blood minerals disorders in Hawler city. Methods: The present study was carried out at the College of Medicine, Hawler Medical University, via collaborating study between the Department of Biochemistry and the Department of Microbiology. The study was carried out on 50 patients with giardiasis and 65 age and sex matched healthy controls. Examination of fecal samples for detection of Giardia cyst and/or trophozoite was carried out using the direct wet smear, while serum zinc, iron and copper levels were measured for both groups spectrophotometrically using commercial diagnostics kits. Results: The levels of serum zinc and iron in patients infected with Giardia lamblia were significantly lower (P <0.01) compared to normal healthy control, while the differences in the level of serum copper was significantly higher (P <0.01). Conclusion: : In the frame of this work we delineate that Giardia lamblia infection had a significant effect on serum trace elements reflected by, significant decrease in serum zinc and iron levels, whereas the level of copper increased too in a statistically significant manner.

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References

Halliez M, Buret AG. Extra-intestinal and long term consequences of Giardia duodenalis infections. World J Gastroenterol 2013; 19(47):8974-5.

Kilic E, Saraymen R, Miman O, Yazar S. Evaluation of serum copper level during Giardia intestinalis infection. Afr J Microbiol Res 2010; 4:1013-5.

Langford TD, Housley MP, Boes M, Chen J, Kagnoff MF, Gillin FD, et al. Central Importance of Immunoglobulin A in host defense against Giardia spp. Infect Immun 2002; 70 (1): 11-8.

Ayeh-Kumi PF, Quarto S, Kwakye-Nuako G, Kretchy JP, Osafo-Kantanka A, Mortu S. Prevalence of Intestinal Parasitic Infections among Food Vendors in Accra, Ghana. J Trop Med Parasitol 2009; 32(1):111-8.

Al-Sabbawi MH. Giardiasis in the Third World Countries. J of Chin Clin Med 2007; 2:539-40.

Adam RD. Biology of Giardia lamblia. Clin Microbiol Rev 2001; 14:447-75.

Bansal D, Harinderpal SB, Rakesh S. Role of cholesterol in parasitic infections. Journal of diabetes and metabolic disorders 2005; 4:10.

Huang DB, White AC. An updated review on Cryptosporidium and Giardia. Gastroenterol. Clin North Am 2006; 35:291-314.

Demirci M, Delibas N, Altuntas I, Oktem F, Yönden Z. Serum iron, zinc and copper levels and lipid peroxidation in children with chronic giardiasis. J Health Popul Nutr 2003; 21:72-5.

Taşkapan C, Atambay M, Aycan. Serum zinc (Zn) levels in patients with giardiosis. Turkiye Parazitol Derg 2007; 31:14-6.

Abou-Shady O, El Raziky MS, Zaki MM, Mohamed RK. Impact of Giardia lamblia on growth, serum levels of zinc, copper, and iron in Egyptian children. Biol Trace Elem Res 2011: 140:1-6.

Mekhlafi HM, Surin J, Sallam AA, Abdullah AW, Mahdy MA. Giardiasis and poor vitamin: A status among aboriginal school children in rural Malaysia. Am J Trop Med Hyg 2010; 83:523-7.

Shenkin A. Micronutrients in health and disease .Postgrade Med J 2006; 82:559-67.

Anderson J, Mahan LK. Escott-Stump S. (Eds).Krause Food,Nutrition, and Diet therapy, 10th ed W.B. Saunder Harcourt Brace, Philadelphia; 2000.

Hesham MS, Edariah AB, Norhayati M. Intestinal parasitic infections and micronutrient deficiency: A review. Med J Malaysia 2004; 59(2):284-93.

Olivares JL, Fernández R, Fleta J, Rodríguez G, Clavel A. Serum mineral levels in children with intestinal parasitic infection. Dig Dis 2003; 21(3):258-61.

Ertan P, Ysereli K, Kurt O, Balcioğlu IC, Onağ A. Serological levels of zinc, copper and iron elements among Giardia lamblia infected children in Turkey. Pediatr Int 2002; 44(3):286-88.

Culha G, Sangun MK. Serum levels of zinc, copper, iron, cobalt, magnesium and selenium elements in children diagnosed with Giardia intestinalis and Enterobious vermicularis in Hatay,Turkey. Biol Trace Elem Res 2007; 118 (1): 21-26.

Kilic E, Yazar S, Saraymen R. Responsiveness of total content changes of magnesium and zinc status in patients infected with Giardia intestinalis. Biol Trace Elem Res 2003; 96(1-3): 153-8.

Cook JD, Baynes RD, Skikne BS. Iron Deficiency and the Measurement of Iron Status. Nutrition Research Reviews 1992; 5: 198-202.

Garcia LS. Diagnostic Medical Parasitology. 5th ed. Washington, DC: ASM Press; 2007.

Johnsen, R eliasson. Evaluation of a commercially available kit for the colorimetric determination of zinc. Int J Androl 1987; 10(2): 435-40.

TIETZ NW. Text Book of Clinical Chemistry. 3rd Ed. C.A. Burtis, E.R. ashwood, W.B. Saunders (1999)p. 1698-1704.

Pasquinelli F. Diagnostic e Tecniche di Laboratorio, Rossini. 1984, page 1099-1102.

Danial WW. Biostatistics: A foundation for analysis in the health science 3rd .John wiley, 1983.

Quihui L, Morales GG, Méndez RO, Leyva JG, Esparza J, Valencia ME. Could giardiasis be a risk factor for low zinc status in schoolchildren from northwestern Mexico? A cross‑sectional study with longitudinal follow‑up. BMC Public Health 2010; 10:85.

Karakas Z, Demirel N, Tarakcioglu M, Mete N. Serum zinc and copper levels in southeastern Turkish children with giardiasis or amebiasis. Biol Trace Elem Res 2001; 84:11-8.

Cheek DB, McIntosh GH, O’Brien V, Ness D, Green RC. Malnutrition in aboriginal children at Yalata, South Australia. Eur J Clin Nutr 1989; 43: 161-8.

Ankarklev J, Jerlstrom-Hultqvist J, Ringqvist E, Troell K, Svard SG. Behind the smile: Cell biology and disease mechanisms of Giardia species. Nat Rev Microbiol 2010; 8:413-22.

Nash TE1, Mowatt MR. Variant-specific surface proteins of Giardia lamblia are zinc binding proteins. Proc Natl Acad Sci USA. 1993; 90(12): 5489-93.

Buret A, Hardin JA, Olson ME, Gall DG. Pathophysiology of small intestinal malabsorption in gerbils infected with Giardia lamblia. Gastroenterology 1992; 103:506-13.

Linder MC, Hazegh-Azam M. Copper biochemistry and molecular biology. Am J Clin Nutr 1996; 63: 797-811.

Harris ED. Basic and clinical aspects of Cu. Crit Rev Clin Lab Sci 2003; 40: 547-86.

Zarebavani M, Dargahi D, Einollahi N, Dashti N, Mohebali M, Rezaeian M. Serum levels of zinc, copper, vitamin B12, folate and immunoglobulins in individuals with giardiasis. Iran J Public Health 2012; 41(12): 47-53.

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Published

2016-04-03

How to Cite

bakre, H. M., Ahmed, S. A., & Faqi, S. Q. (2016). Evaluation of some micronutrients in patients infected with Giardia lamblia in Hawler city. Zanco Journal of Medical Sciences (Zanco J Med Sci), 20(1), 1228_1232. https://doi.org/10.15218/zjms.2016.0013

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Original Articles