Search Results (313)

This research aimed to establish reference intervals and evaluate the influence of age in 56 Nguni cattle raised in Mozambique. Blood samples containing EDTA as anticoagulant were collected. The erythrogram and total leukocyte count were analyzed using the BC-2800 Vet Mindray^® automatic counter. The differential counting of leukocytes was performed in blood smears stained using Giemsa and Mcgruwald’s stain. Statistical analysis was performed using the statistical analysis system (SAS). Analysis of variance was performed using the GLM procedure, and mean contrasts were analyzed using Duncan’s parametric test at 5% significance, with the Shapiro–Wilk and Levene tests for date normalities. The reference intervals for the erythrogram are as follows: red blood cells: 6.78 to 7.40 × 10¹²/L; hemoglobin: 10.77 to 11.36 g/dL; hematocrit: 28.02 to 29.56%; mean corpuscular volume (MCV): 39.91 to 43.02 fL; mean corpuscular hemoglobin (MCH): 15.27 to 16.44 pg; mean corpuscular hemoglobin concentration (MCHC): between 37.86 and 39.10 g/dL; and red blood cell distribution width (RDW): between 16.98 and 19.40%. For leukograms, the following references values were obtained: total leukocytes: between 14,106 and 16,233 × 10⁶/L; basophils: between 32 and 165 × 10⁶/L; eosinophils: between 823 and 1262 × 10⁶/L; band neutrophils: between 25 and 87 × 10⁶/L; segmented neutrophils: between 2510 and 3249 × 10⁶/L; total neutrophils: between 2565 and 3306 × 10⁶/L; lymphocytes: between 9471 and 11,474 × 10⁶/L; and monocytes: between 154 and 296 × 10⁶/L. Age influenced MCV, MCH, leukocytes, eosinophils, and lymphocytes. Leukogram reference intervals of other countries could not be used for the breed of Mozambique without making gross errors. Full article

Trypanosomiasis significantly impacts camel health and productivity, posing a major challenge to food security in regions with large camel populations. In this study, we investigated the microscopic and molecular prevalence, performed phylogenetic analysis, and explored risk factors associated with Trypanosoma evansi (T. evansi) infection in 400 randomly selected suspected camels (Camelus dromedarius) from 10 districts of Punjab, Pakistan. Blood samples were collected for microscopic examination of Giemsa/Field’s-stained smears, and three PCR primer sets (ITS1CF/BR, pMUTec, RoTat 1.2) were used to detect the presence of T. evansi. PCR-based prevalence was higher (14.8%; CI 11.4–18.6) as compared to the microscopic examination (8.3%; CI 5.7–11.4) of samples. The targeted primers amplified DNA fragments of 210, 205, and 478 base pairs, respectively. Phylogenetic analysis showed 100% homology between local isolates and those from India, Sudan, Malaysia, Egypt, and Kenya. Risk analysis identified female gender (OR 2.1) and being in Southern Punjab (OR: 1.9) as significant factors associated with disease. Significantly (p < 0.05) reduced total protein (5.51 ± 0.05), albumin (2.77 ± 0.04), and globulin (2.57 ± 0.06) levels were found in PCR-positive camels. This study provides new molecular and phylogenetic data on T. evansi in Pakistan. Full article

Garlic (Allium sativum) is widely used in human diets and medicine, but its safety for dogs remains uncertain. Heinz bodies in red blood cells are indicators of oxidative damage, which may lead to hemolytic anemia. This study evaluated the effects of different forms and concentrations of garlic on canine erythrocytes in vitro. The experiment consisted of two phases: Phase 1 compared fresh, dried, and granulated garlic, while Phase 2 assessed two concentrations of granulated garlic (0.1 and 0.2 g/mL). Blood from healthy dogs was incubated with ethanol extracts of garlic. Hemolysis was measured spectrophotometrically by hemoglobin release, and blood smears were examined for Heinz bodies and eccentrocytes. All garlic preparations caused hemolysis, most strongly granulated garlic at 0.2 g/mL (p < 0.01). Blood smears confirmed red blood cell damage, with more Heinz bodies and eccentrocytes in dried and granulated garlic samples. In conclusion, the form and concentration of garlic strongly influence its hemolytic activity. Processing methods such as drying and granulation may enhance the release of reactive compounds, increasing the risk of oxidative damage to canine red blood cells. Full article

Malaria remains a considerable challenge to international health, especially in returning travelers from endemic regions where exposure risk may be downplayed. Prompt and accurate diagnosis is crucial, especially when conventional diagnostic techniques are insufficient. This case report presents a 59-year-old man who developed fever, rash, and myalgia after returning from the Amazon rainforest. Initial laboratory tests demonstrated leukopenia, thrombocytopenia, transaminitis, and hyperbilirubinemia. Despite these abnormal results and a clinically suspicious presentation, malaria smears were negative. Since the symptoms did not resolve, a Karius test—a plasma-based microbial cell-free DNA sequencing assay—successfully detected the presence of Plasmodium vivax, thus establishing the diagnosis. The patient needed several treatment regimens for the recurrent attacks, including chloroquine and primaquine, artemether-lumefantrine, and eventually a combination of quinine and doxycycline together with a prolonged course of primaquine. His symptoms resolved completely after the last treatment regimen, along with the normalization of the blood counts and liver function tests. This case demonstrates the limitations of smear microscopy diagnosis in P. vivax infections, highlights the role of molecular diagnostics like the Karius test, and stresses the importance of preventing relapses with adequate hypnozoite clearance. It further highlights the importance of clinician awareness and diligent follow-up in cases of travel-related Malaria, especially those with unusual presentations or recurrent symptoms. Full article

A 12-year-old female captive Malayan tapir (Tapirus indicus) in Thailand presented with clinical signs including depression, anorexia, pale mucous membrane, dark-brown urine, dry feces, and tick infestation. Hematological analysis revealed severe anemia (packed cell volume, PCV = 9%), and blood smear examination suggested blood parasite infection, which was subsequently confirmed as Theileria orientalis using PCR targeting the 18S rRNA gene and sequencing. Treatment consisted of the administration of diminazene aceturate (2.5 mg/kg, IM, q14days for three doses), whole-blood transfusion, fluid therapy, and other supportive care. Clinical improvement was observed within three days post-treatment, including normalization of urine color and a progressive increase in PCV. By Day 42, the PCV had returned to normal (33%), with no observed complications from the medication or blood transfusion. Further screening using PCR targeting the 18S rRNA gene of piroplasmid parasites revealed an 80% apparent prevalence of Theileria infection among sampled tapirs in the same facility, although only one individual exhibited clinical signs. These findings indicate that asymptomatic carriage of T. orientalis can be observed in tapirs and that clinical disease could emerge under stress or immunocompromised conditions. Given the presence of ticks and potential contact with other susceptible species in zoo settings, routine surveillance and preventive tick control are essential for mitigating transmission risks. Full article

Background: Patients with chronic lymphocytic leukemia (CLL) who were not receiving treatment were included in this experimental prospective correlation study. We aimed to elucidate the complex relationship between smudge cells, surface CD20, and soluble CD20 in CLL patients. Methods: We created blood smears from blood samples collected from our patients using a manual technique consistently performed by the same technician. The May–Grunwald Giemsa dye was used to stain all of the slides. The B-cell phenotypic was analyzed using the FacsCanto II flow cytometer (Becton Dickinson, CA, USA) at the time of diagnosis. Competitive Enzyme-Linked Immunoassay (ELISA) was used to quantitatively assess the amounts of soluble CD20/MS4A1. Results: The percentage of smudge cells and soluble CD20 antigen levels were shown to be significantly inversely correlated, suggesting a considerable link (correlation coefficient (r) = −0.51, p = 0.006). Similarly, a significant inverse relationship (r = −0.36, p = 0.04) was found by the Spearman correlation test between the smudge cell ratio and CD20 median fluorescence intensity (MFI) on cell surfaces. Soluble CD20/MS4A1 and surface CD20 MFI were shown to have a weakly positive association that was almost statistically significant (Spearman’s rho = 0.34, p = 0.064). With a sensitivity of 69% and specificity of 86%, we discovered that a cut-off value of 2.2 ng/dL for soluble CD20 predicted higher smudge cells (area under the curve (95% confidence interval (CI)): 0.75 (0.57 to 0.93), p = 0.021). Conclusions: We found a significant inverse association between smudge cells and both surface CD20 and soluble CD20/MS4A1 in our study examining the correlation between smudge cells, soluble CD20, and CD20/MS4A1 in CLL patients. Our findings indicate that soluble CD20 may contribute to understanding the pathophysiology of smudge cells and could be further investigated as a potential prognostic marker in CLL. Full article

Artificial intelligence applications in histopathological diagnostics are rapidly expanding, with particular promise in complex hematological malignancies where diagnostic accuracy remains challenging and subjective. This study undertakes a scoping review to systematically map the extent of research on artificial intelligence applications in histopathological diagnostics of leukemias, examine geographic distribution and methodological approaches, and assess the current state of AI model performance and clinical readiness. A comprehensive search was conducted in the Scopus database covering publications from 2018 to 2025 (as of 12 July 2025), using five targeted search strategies combining AI, histopathology, and leukemia-related terms. Following a three-stage screening protocol, 418 publications were selected from an initial pool of over 75,000 records across multiple countries and research domains. The analysis revealed a marked increase in research output, peaking in 2024 with substantial contributions from India (26.3%), China (17.9%), USA (13.8%), and Saudi Arabia (11.1%). Among 43 documented datasets ranging from 80 to 42,386 images, studies predominantly utilized convolutional neural networks and deep learning approaches. AI models demonstrated high diagnostic accuracy, with 25 end-to-end models achieving an average accuracy of 97.72% compared to 96.34% for 20 classical machine learning approaches. Most studies focused on acute lymphoblastic leukemia detection and subtype classification using blood smear and bone marrow specimens. Despite promising diagnostic performance, significant gaps remain in clinical translation, standardization, and regulatory approval, with none of the reviewed AI systems currently FDA-approved for routine leukemia diagnostics. Future research should prioritize clinical validation studies, standardized datasets, and integration with existing diagnostic workflows to realize the potential of AI in hematopathological practice. Full article

Accurate and rapid detection of Plasmodium falciparum parasites in blood smears is critical for the timely diagnosis and treatment of malaria, particularly in resource-constrained field settings. This paper presents a proof-of-concept solution demonstrating the feasibility of the Google Coral Edge Tensor Processing Unit (TPU) for real-time screening of thin blood smears for P. falciparum infection. We develop and deploy a lightweight deep learning model optimized for edge inference using transfer learning and training data supplied by the NIH. This model is capable of detecting individual parasitized red blood cells (RBCs) with high sensitivity and specificity. In a final deployment, the system will integrate a portable digital microscope and low-power color display with the Coral TPU to perform on-site image capture and classification without reliance on cloud connectivity. We detail the model training process using a curated dataset of annotated smear images, potential future hardware integration for field deployment, and performance benchmarks. Initial tests show that the Coral TPU-based solution achieves an accuracy of 92% in detecting P. falciparum parasites in thin-smear microscopy images, with processing times under 50 ms per identified RBC. This work illustrates the potential of edge AI devices to transform malaria diagnostics in low-resource settings through efficient, affordable, and scalable screening tools. Full article

Eurasian griffon vultures (Gyps fulvus) are endangered scavenger birds. Haemosporidian parasites infect the blood cells and organs of many avian species globally, using blood-sucking insect vectors, and they negatively affect health of birds and subsequently wildlife biodiversity. Fifty-nine vultures were admitted to the Greek wildlife rehabilitation center “ANIMA” and included in this study. Blood samples were collected, and the microscopy of stained blood smears was performed. Moreover, DNA was extracted, samples were screened for Leucocytozoon, Haemoproteus, and Plasmodium spp. following nested PCR protocols, and positive samples were sequenced. The detected haemosporidians are reported for the first time in Eurasian griffon vultures globally. The overall prevalence was 11.9% (Leucocytozoon spp. 5.1%, Haemoproteus spp. 5.1%, Plasmodium spp. 3.4%); this further corroborates the statement that the vultures’ immunity protects them from blood parasites. Notably, new genetic lineages of Leucocytozoon (GYPFUL02), Haemoproteus (GYPFUL01), and Plasmodium (GYPFUL03) species were recorded for the first time. Furthermore, it was the first molecular isolation of Haemoproteus in Old World vultures and Haemoproteus brachiatus was isolated for the first time from a vulture species. Moreover, this demonstrates the first record of Parahaemoproteus genetic lineages in vultures. Results highlight the genetic diversity of haemosporidians in griffon vultures and the need for additional studies. Full article

Background/Objectives: The objective of this in vitro study was to compare and evaluate the in vitro antimicrobial effectiveness of Endosal, Octenisolv, and Endoxal against intracanal Enterococcus faecalis. Methods: The study sample consisted of 84 extracted single-rooted human teeth, which were divided into seven groups (12 roots in each group): Group 1—Endoxal, Group 2—Octenisolv, Group 3—Endosal, Group 4—15% ethylenediaminetetraacetic acid (EDTA), Group 5—2% sodium hypochlorite (NaOCl), Group 6—0.9% sterile saline solution (NaCl), and one positive control group where no irrigant was used. The roots were sterilized within an autoclave for 30 min at 121 °C and then contaminated with E. faecalis bacteria, after instrumentation and removing the smear layer from canals. The root canals were irrigated using a side-vented needle, and then ISO size 40 H-file was used to obtain fine dentine chips. Aliquots taken from the canals were plated on blood agar broth and the plates were incubated for 36 h. Results: In this study, significant differences were observed between the antimicrobial activity of Endoxal, Octenisolv, Endosal, 2% NaOCl, and sterile saline solution. Conclusions: The compound irrigants Endosal, Endoxal, and a novel irrigant containing disodium edetate and octenidine, which were evaluated in this study, exhibited relatively good antimicrobial properties against Enterococcus faecalis. The use of Endosal, Octenisolv or Endoxal appears promising, yet their clinical efficacy remains to be confirmed through further studies. Full article

Recent discovery of menstruation in the Egyptian spiny mouse (Acomys cahirinus) highlighted this species as a feasible model for the study of menstrual cycle physiology. However, reports on active menstrual bleeding in this animal were contradictory, so we set out to reproduce major findings in the field. Using vaginal smear microscopy and occult blood assay, we have failed to detect menstrual bleeding in spiny mice from our colony at Lomonosov Moscow State University. Otherwise, we demonstrated appearance of well-defined decidual cells during the late secretory phase of the cycle that correlated with an increase in serum progesterone. Comparing the uteri of spiny mice from our colony vs. CD1 strain laboratory mice housed in the same animal unit, we have found several noteworthy features: (1) absence of endometrial glands, (2) higher volume of nerve fibers in the endometrium, and (3) spiral-like arteries in myometrium. Taking results of other groups into account, our results highlight putative diversity of menstrual cycles in spiny mice from different colonies and demonstrate important differences in uterus structure compared to M. musculus. Full article

Objective: This study aimed to identify risk factors associated with high-grade cervical intraepithelial neoplasia (CIN3+) in young adults with abnormal Pap smears. Methods: We performed a retrospective chart review of women ≤30 years who underwent loop electrosurgical excision procedure (LEEP) for abnormal Pap results (atypical squamous cells of undetermined significance [ASCUS] or higher), between 2012 and 2022 at Dongtan Sacred Heart Hospital. Clinical characteristics, including age, HPV infection, prior gynecologic surgery, pelvic inflammatory disease (PID), complete blood count, and Pap smear screening history were collected. Women with CIN3+ based on punch biopsy or LEEP were designated as CIN3+. Results: A total of 158 women underwent LEEP. Of these, 61.4% were diagnosed with CIN3+ and 8.2% with invasive cervical cancer. Independent predictors of CIN3+ included age >28 years, smoking, lack of regular Pap screening, and high-risk HPV infection. Subgroup analysis suggested age ≥28 years and neutrophil-to-lymphocyte ratio >2.12 were risk factors for invasive cervical cancer. Conclusions: Young Korean women with abnormal Pap smears and risk factors such as older age, smoking, high-risk HPV infection, and irregular screening histories are at increased risk for CIN3+. These findings highlight the importance of timely intervention; however, because our cohort included only women who underwent LEEP, it may represent a higher-risk subset and thus introduce selection bias. Validation in larger multicenter, prospective studies incorporating fertility and recurrence outcomes are needed before definitive recommendations can be made. Full article

We report the first confirmed case of persistent microfilaremia in a human host infected with Dirofilaria repens. A 54-year-old woman from an endemic area in Croatia presented with peripheral eosinophilia and dermatological symptoms. Over four months, microfilariae were repeatedly detected in her blood using thick smears and Knott’s test, and the diagnosis was molecularly confirmed via COI gene sequencing and detection of Wolbachia endosymbionts. This case provides compelling evidence that D. repens can sustain a complete or near-complete life cycle in humans under specific conditions. Our findings have significant implications for clinical diagnostics, One Health surveillance, and public health interventions. Full article

Background: Erythroblasts have recently been identified as host cells for malarial parasites, revealing a previously underappreciated host–parasite interaction. However, their extremely low abundance in peripheral blood has hindered progress, especially in elucidating the biological significance of parasitized erythroblasts (pEBs) in vivo. Methods: Here, we visualized pEBs in a murine model and established a method to increase their number in peripheral blood by immunizing mice with live Plasmodium yoelii 17XNL, followed by challenge with P. berghei ANKA. Results: Immunized mice were protected from cerebral malaria and survived longer, during which pEBs appeared in circulation and were detected using Giemsa-stained smears. All blood-stage parasite forms were identified within pEBs, including enucleating erythroblasts. Conclusions: This model enables in vivo/ex vivo analysis of pEB biology without bone marrow/spleen isolation, thus lowering technical/ethical barriers for the field. Full article

Background: Recurrent malaria refers to repeated episodes of the disease in the same individual. Plasmodium vivax is known for its ability to relapse due to dormant liver-stage hypnozoites and poses a particular risk to travelers returning from endemic areas. Prompt diagnosis and treatment are crucial to prevent recurrences. Case Presentation: We present the case of a 41-year-old man from Romania who developed Plasmodium vivax malaria after traveling through Southeast Asia without chemoprophylaxis. He presented with fever, chills, myalgia, headache, vomiting, and abdominal pain. Clinical findings included mild jaundice and slight neurological signs. Laboratory tests showed severe thrombocytopenia, elevated bilirubin, inflammatory markers, and borderline creatinine levels. Malaria was confirmed by a rapid diagnostic test and blood smear microscopy. The patient was treated with doxycycline and atovaquone–proguanil. He improved and was discharged, but experienced two relapses, both confirmed as Plasmodium vivax by RT-PCR. Despite receiving primaquine as radical cure after the first Plasmodium vivax malaria relapse, a second relapse occurred. Each episode was managed with blood-stage antimalarial therapy, leading to full clinical and biological recovery. Conclusions: Malaria rarely occurs in non-endemic areas; it should be considered in patients with compatible travel history and symptoms. Given the high relapse potential of Plasmodium vivax, accurate species identification is critical to guide appropriate long-term management. Full article