Insights into parasites and COVID-19 co-infections in Iran : a systematic review

© The Author(s) 2024. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene..

BACKGROUND: It is well-documented that using immunosuppressive drugs such as corticosteroids or cytokine blockers in treating coronavirus disease 2019 (COVID-19) increases the risk of co-infections. Here we systematically summarized the cases of COVID-19-associated parasitic infections (CAPIs) in Iran.

METHODS: From 19 February 2020 to 10 May 2023, all studies on Iranian patients suffering from CAPIs were collected from several databases using a systematic search strategy.

RESULTS: Of 540 records, 11 studies remained for data extraction. In this research, most of the studies were related to Lophomonas and Toxoplasma. Of 411 cases of CAPIs, toxoplasmosis (385 [93.7%]) had the highest rate of infection among Iranian patients, followed by blastocystosis (15 [3.6%]), fascioliasis (4 [0.97%]), leishmaniasis (3 [0.7%]), lophomoniasis (3 [0.7%]) and strongyloidiasis (1 [0.2%]). In general, Blastocystis enhanced diarrhoea in patients with COVID-19. Lophomonas, Toxoplasma and Strongyloides increased the severity of COVID-19, but Fasciola decreased its intensity. Patients with a history of cutaneous leishmaniasis showed mild symptoms of COVID-19. Also, patients with a prior history of hydatid cysts were not affected by COVID-19.

CONCLUSIONS: Due to the similar symptoms of some parasitic diseases and COVID-19 and immunosuppressive treatment regimens in these patients that may cause the reactivation or recurrence of parasitic infections, early diagnosis and treatment are required.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Transactions of the Royal Society of Tropical Medicine and Hygiene - (2024) vom: 30. Jan.

Sprache:

Englisch

Beteiligte Personen:

Molaei, Soheila [VerfasserIn]
Asfaram, Shabnam [VerfasserIn]
Mashhadi, Zahra [VerfasserIn]
Mohammadi-Ghalehbin, Behnam [VerfasserIn]
Iranpour, Sohrab [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Iran
Journal Article
Parasite infection
Systematic review

Anmerkungen:

Date Revised 30.01.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1093/trstmh/trae001

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM367789922