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Ubiquitous parasite of humans and endothermic animals Toxoplasma gondii (type Apicomplexa), identified by Nicolle and Manceaux over 100 years ago, is still an object of numerous extensive studies bringing very interesting and often even surprising observations as that announced in the title [1].
One of the most characteristic features of many intracellular parasite infections is their chronicity indicating that the host immune system is not capable of eradicating the pathogen. Toxoplasma gondii is the most successful parasite worldwide, infecting an extraordinarily broad range of hosts (endothermic animals and humans) and almost all cell types. Recent studies have revealed that in late chronic toxoplasmosis CD8⁺ T lymphocytes become progressively exhausted and this dysfunction is suggested to be responsible for the reactivation of latent infection, which may result in a life-threatening disease in immunocompromised individuals (e.g. neurotoxoplasmosis in AIDS patients). The article presents selected aspects of a new paradigm – T cell exhaustion phenomenon – a progressive dysfunction over time, which makes the host unable to control intracellular pathogen infections or tumours.
Seasonal changes of infection were observed in the case of some species of ectoparasites: Trichodina domerguei domerguei, T. tenuidens, Gyrodactylus arcuatus, and Thersitina gasterostei, as well as for endoparasites: Glugea anomala, Schistocephalus solidus, Diphyllobothrium ditremum, and Proteocephalus filicollis. Same seasonal changes in frequency of developmental stages were observed in the case of females T. gasterostei. The highest level of infection with ectoparasites was observed in spring and summer and was probably an effect of increase of the reproductive activity with increase of temperature. Infection with tapeworms was generally low and was a result of feeding activity and fish diet.
The spleen is a rare location for hydatid cysts with the larvae reaching the site after escaping the hepatic and pulmonary filters. For most surgeons, splenectomy is the primary treatment in such cases which aims at eradicating the disease while decreasing the chances of recurrence by removing the intact cyst. While this is true, the risks of other two parasitic infections are increased, namely malaria and babesiosis. In the case presented here, the spleen was preserved after extirpating the cyst to keep the patient’s immunity against malaria, which is endemic in our region.
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According to literature of the problem, the disturbances of reproductiveness of human in various parasitic infections are discussed. The mechanisms disturbing the proper functioning of the hosts's reproductive system are not sufficiently understood. They may remain in association not only with a direct or indirect effect of the parasite on the host's endocrinal glands and sexual organs, but also with the host's overall reaction to stress or toxic influences. Parasite's activity may lead to abortion or a significant decrease in fetal body weight. Embryo or fetus may be also damaged in an intrauterine infection.
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