Related Experiment Video
Updated: Jun 3, 2026

A Cell Culture Model for Producing High Titer Hepatitis E Virus Stocks
Published on: June 26, 2020
Study onPrevalence of Parasitic Infections Among Hepatitis C Virus Patients in Egypt
Garas Maryam Samwel1,2, Taha Hoda A1, Aboueldahab Marwa M1
1Department of Zoology, Faculty of Science, Ain Shams University, Cairo, Egypt.
Insights
Hepatitis C virus (HCV) co-infections with parasites like Schistosoma, Fasciola, and Toxoplasma significantly alter liver and kidney biomarkers. These viral-parasitic co-infections, especially with high viral loads, impact patient health.
Area of Science:
- Hepatology
- Infectious Diseases
- Biochemistry
Background:
- Hepatitis C virus (HCV) affects millions globally, with frequent co-infections observed with parasites such as Schistosoma mansoni, Fasciola sp., and Toxoplasma gondii.
- These parasitic co-infections can exacerbate liver disease progression in HCV patients.
Purpose of the Study:
- To determine the prevalence of parasitic co-infections in HCV-positive Egyptian individuals.
- To analyze the biochemical changes in liver and kidney function biomarkers associated with these co-infections.
Main Methods:
- Screening of 337 blood samples for HCV (PCR) and parasitic infections (ELISA).
- Monitoring liver function via enzymes (GOT, GPT, GGT, ALK) and proteins (TP, Alb), and kidney function via creatinine, uric acid, urea, Na, and K.
- Categorization of patients by gender and age groups (<21, 21-50, >50 years).
Main Results:
- Prevalence of Schistosoma infection was 41.8% (120/287 HCV cases), Fasciola hepatica was 34.5% (99/287), and T. gondii was 30.3% (87/287).
- Mixed infections were common, with Schistosoma co-infecting with Fasciola, Toxoplasma, or both.
- Specific parasitic infections showed varying prevalence across age groups and genders, with Schistosoma mono-infection highest in males aged 21-50.
Conclusions:
- Parasitic co-infections significantly impact liver enzyme and kidney function parameters in HCV patients.
- The type and species of parasite, as well as viral load, influence the severity of biochemical alterations.
- Serological parameters are notably affected in cases of viral/parasitic co-infections, particularly with high viral loads.
Introduction:
Hepatitis C virus (HCV) is a viral infection affecting 71 million people worldwide. A high prevalence of co-infection has been observed with parasitic infections, such as Schistosoma mansoni, Fasciola sp., and Toxoplasma gondii, all of which can contribute to the progression of liver disease. This study aimed to investigate the prevalence of co-parasitic infections with HCV-positive individuals within Egyptian populations and the resulting biochemical changes in liver and kidney biomarkers.
Materials And Methods:
A total of three hundred and thirty-seven blood samples were screened molecularly for HCV and immunologically for parasitic infections using PCR and ELISA, respectively. Liver functions were monitored by measuring serum levels of glutamic oxaloacetic aminotransferase (GOT), glutamate pyruvate alanine aminotransferase (GPT), gamma-glutamyl transferase (GGT), total protein (TP), albumin (Alb), total bilirubin (T Bil), and alkaline phosphatase (ALK). Kidney functions were evaluated by measuring creatinine, uric acid, urea, sodium (Na), and potassium (K) levels. Patients were categorized by gender and age <21, 21-50, and >50 years. Results indicated that 120 out of 287 HCV-infected cases (41.8%) have Schistosoma infection, of which 57, 31, 24, and 8 cases were mono-infected and co-infected with Fasciola, Toxoplasma, and Fasciola/Toxoplasma, respectively Additionally, 99 patients (34.5%) were infected with Fasciola hepatica infection, of which 51 were mono-infected and 9 were co-infected with Toxoplasma.
Results:
A total of 87 patients (30.3%) tested positive for T. gondii infection, of which 46 cases were mono-infected. Additionally, the proportion of male patients with monoparasitic infection ranged from 78.2% (Toxoplasma) and 84.3% (S. mansoni or F. hepatica). On the other hand, the highest incidences of single infections among males (Fasciola and Toxoplasma) were over the age of 50 years for Fasciola (43.1%) and Toxoplasma (39.1%), respectively. In contrast, S. mansoni mono-infection was most prevalent (42.1%) among males aged 21-50 years.
Conclusion:
Liver enzyme levels (GPT, GOT, Alk, and GGT) and kidney parameters (creatinine and urea) were significantly affected by the type (mono or mixed) and species of parasitic infections in HCV patients. Additionally, most serological parameters were significantly in cases of viral/parasitic co-infections, especially, among patients with high viral loads.
Related Concept Videos
Hepatitis
Amebiasis
Viral Hepatitis I: Introduction
Giardiasis
Malaria
Toxoplasmosis
