Conference Papers
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This collection contains abstracts of conference papers, presented at local and international conferences by the staff of the Faculty of Medicine
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Item Effects of antibiotics on filarial transmission(Sri Lanka College of Microbiologists, 2003) Chandrasena, T.G.A.N.; Taylor, M.J.INTRODUCTION: The symbiosis of filarial nematodes and intracellular Wolbachia bacteria has recently been exploited as a target for therapy of filariasis. OBJECTIVE: To study the effects of antibiotics on filarial transmission in-vitro. METHODS: Two groups of microfilariae (mf) of Brugia pahangi (cat filarial species) were maintained in culture and exposed to 10 µm) solutions of tetracycline and doxycycline respectively, for 48 hours. A control group of Mf was maintained for 48 hours with no added antibiotics except for those routinely included in the culture medium. Mf counts in cultures were determined at the onset of experiment (8000 mf/culture flask). Three groups of Aedes aegypti mosquitoes were artificially infected with the treated and untreated mf by membrane feeding technique (mf concentration; 2000 mf/ml of blood). Mosquito dissections were performed 2 hours and 15 days post-infection to assess mf intake and development in vector hosts. RESULTS: Mf intake was similar in the treated and the control groups {8,5 and 9 mf recovered in 4,3 and 3 mosquitoes from tetracycline(n=6), doxycycline(n=6) and control(n=6) groups respectively}. Mosquitoes fed on tetracycline treated B.pahangi (n=70) were completely free of L3 (infective larvae while in the doxycycline (n=71) and control groups (n=71) the percentage of infection was 1.4% (01 infective larva in 01 mosquito) and 24% (17 infective larvae in 13 mosquitoes) respectively. The infectivity of mosquitoes fed on antibiotic treated Mf was significantly reduced (P value < 0.001). CONCLUSIONS: Exposure of Mf of B.pahangi to physiological concentrations of anti-wolbachia antibiotics even for a brief duration significantly affects their transmission potential.Item Filarial dance sign (FDS) in patients with lymphatic filariasis(Sri Lanka Medical Association, 2008) Premaratna, R.; Chandrasena, T.G.A.N.; Gunawardena, N.K.; de Silva, N.R.; de Silva, H.J.BACKGROUND: Lymphatic filariasis causes acute lymphangitis, epididymo-orchi tis hydrocoele, lymphoedema and nocturnal cough. Diagnostic tests based on circulating filarial antigens (CFA) and filarial antibodies (FAT) have limitations in confirming symptomatic filariasis. Filaria dance sign (FDS) demonstrated using soft tissue ultrasonography permits identification of live adult filarial worms in-situ. OBJECTIVES: FDS, CFA and FAT status in patients with clinical features suggestive of lymphatic filariasis. DESIGN, SETTING AND METHODS: Adult males with symptoms suggestive of filarial infection were subjected to scrotal scans using a Toshiba 7.5MHz soft tissue transducer to elicit the FDS. All subjects were screened for CFA and FAT by NOW® Filariasis (Binax Inc. USA) and On-Site Filariasis IgG/IgM Rapid Test (Biotech. Inc. USA) respectively. RESULTS: Forty eight males, mean age 48.5 yrs (SD: 15.2), presenting with lymphoedema of lower limbs (LL, n=29), lower limb cellulitis with lymphangitis (LCL, n=7), hydrocoele (H, n=7), acute epididymo-orchitis (A.EO, n=3), hydrocoele with lower limb lymphoedema (HLL, n=2) and nocturnal-cough (NC, n=9) were studied. FDS was demonstrated in 38(79%); 7 patients with H, 16 with LL, 5 with LCL, AEO 1 and 9 with NC. Six of 41 (14.6%) patients tested for filarial antibodies were positive for filaria-specific IgG; 2 of them were also positive for filaria-specific IgM. Two of the six IgG positives were negative for FDS. The 4 IgG and FDS positives had LCL (n=2), H (n=l) and AEO (n=l). All were CFA negative CONCLUSIONS: Although time consuming, demonstration of FDS by soft tissue ultrasonography can be useful in confirming symptomatic filariasis compared to FAT and CFA.