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.
Abstract

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