Publications by authors named "Pedro Fernandez Soto"

Article Synopsis
  • Human endemic mycoses are serious fungal infections that can change their form in response to heat, posing risks to both healthy and immunocompromised individuals.
  • Diagnosing these infections is challenging due to overlapping symptoms, limited traditional diagnostic methods, and lack of access to reliable testing in affected regions.
  • The review discusses key information about these fungi, traditional diagnostic techniques, their pros and cons, and the need for improved diagnostic strategies to lessen the health impact in endemic areas.
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Background: Malaria is the parasitic disease with the highest morbimortality worldwide. The World Health Organization (WHO) estimates that there were approximately 249 million cases in 2022, of which 3.4% were in Angola.

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Wastewater treatment plants (WWTPs) are the final stage of the anthropogenic water cycle where a wide range of chemical and biological markers of human activity can be found. In COVID-19 disease contexts, wastewater surveillance has been used to infer community trends based on viral abundance and SARS-CoV-2 RNA variant composition, which has served to anticipate and establish appropriate protocols to prevent potential viral outbreaks. Numerous studies worldwide have provided reliable and robust tools to detect and quantify SARS-CoV-2 RNA in wastewater, although due to the high dilution and degradation rate of the viral RNA in such samples, the detection limit of the pathogen has been a bottleneck for the proposed protocols so far.

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Background: Species hybridization represents a real concern in terms of parasite transmission, epidemiology and morbidity of schistosomiasis. It is greatly important to better understand the impact of species hybridization for the clinical management.

Methods: A prospective observational study was carried out in sub-Saharan migrants who were diagnosed with confirmed genitourinary schistosomiasis.

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The loop-mediated isothermal amplification (LAMP) technique is a great alternative to PCR-based methods, as it is fast, easy to use and works with high sensitivity and specificity without the need for expensive instruments. However, one of the limitations of LAMP is difficulty in achieving the simultaneous detection of several targets in a single tube, as the methodologies that allow this rely on fluorogenic probes containing specific target sequences, complicating their adaptation and the optimization of assays. Here, we summarize different methods for the development of multiplex LAMP assays based on sequence-specific detection, illustrated with a schematic representation of the technique, and evaluate their practical application based on the real-time detection and quantification of results, the possibility to visualize the results at a glance, the prior stabilization of reaction components, promoting the point-of-care use, the maximum number of specific targets amplified, and the validation of the technique in clinical samples.

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Article Synopsis
  • Migratory flows are leading to increased cases of schistosomiasis in non-endemic countries, prompting a study to assess the effectiveness of the LAMP technique for diagnosing this disease.
  • The study evaluated urine samples from sub-Saharan migrants in Spain, comparing LAMP to a commercial immunochromatographic test and microscopic examination of stool and urine.
  • Results showed that while the LAMP technique had better sensitivity than microscopy for diagnosing urinary schistosomiasis, the immunochromatographic test was more effective overall, suggesting LAMP could improve diagnostics in resource-limited settings.
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Onchocerciasis has been declared eliminated in Ecuador and surveillance measures are of great interest. In this study, we examined the infectivity rates of Simulium exiguum by Onchocerca volvulus in previously hyperendemic areas in Esmeraldas province of Ecuador. These areas had previously undergone mass administration of ivermectin, which led to the interruption of transmission in 2009 and the certification of elimination in 2014.

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  • Strongyloides stercoralis is a widespread but often overlooked tropical disease that can cause mild to severe health issues, especially in immunocompromised individuals.
  • The study evaluated a new and simpler diagnostic method called Strong-LAMP for detecting strongyloidiasis in stool samples from Angola, comparing its effectiveness with traditional laboratory methods in Spain.
  • A total of 192 stool samples were analyzed, with varying detection rates using different methods; Strong-LAMP showed potential for use in low-resource settings, but results indicated a need for further validation.
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Background: The complexity of the Chagas disease and its phases is impossible to have a unique test for both phases and a lot of different epidemiological scenarios. Currently, serology is the reference standard technique; occasionally, results are inconclusive, and a different diagnostic technique is needed. Some guidelines recommend molecular testing.

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  • Malaria is a significant global health issue, particularly in Angola, which is one of the countries heavily affected, leading to high rates of cases and deaths; traditional diagnostic methods, like microscopy and rapid tests, often fall short.
  • The study evaluated the effectiveness of a new diagnostic method called loop-mediated isothermal amplification (LAMP) in detecting malaria from blood samples collected in Cubal, Angola, comparing it to existing methods.
  • Results showed that LAMP was more effective, identifying more positive cases than microscopy and RDTs, achieving an overall accuracy of 84.5% when samples were retested in a Spanish laboratory.
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Article Synopsis
  • * The Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC) and the Spanish Society of Tropical Medicine and International Health (SEMTSI) collaborated to create a consensus document for effectively screening, diagnosing, and treating schistosomiasis.
  • * Experts from both societies contributed to the document by identifying critical questions and forming evidence-based recommendations, which were then approved by their members.
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Crimean-Congo haemorrhagic fever (CCHF) is a potentially lethal tick-borne viral disease with a wide distribution. In Spain, 12 human cases of CCHF have been confirmed, with four deaths. The diagnosis of CCHF is hampered by the nonspecific symptoms, the high genetic diversity of CCHFV, and the biosafety requirements to manage the virus.

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Loop-mediated isothermal amplification (LAMP) is the most popular technology for point-of-care testing applications due its rapid, sensitive and specific detection with simple instrumentation compared to PCR-based methods. Many systems for reading the results of LAMP amplifications exist, including real-time fluorescence detection using fluorophore-labelled probes attached to oligonucleotide sequences complementary to the target nucleic acid. This methodology allows the simultaneous detection of multiple targets (multiplexing) in one LAMP assay.

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Since the onset of the COVID-19 pandemic, over 610 million cases have been diagnosed and it has caused over 6.5 million deaths worldwide. The crisis has forced the scientific community to develop tools for disease control and management at a pace never seen before.

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Nucleic acid amplification diagnostics offer outstanding features of sensitivity and specificity. However, they still lack speed and robustness, require extensive infrastructure, and are neither affordable nor user-friendly. Thus, they have not been extensively applied in point-of-care diagnostics, particularly in low-resource settings.

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Objectives: Loa loa and Mansonella perstans are two very common filarial species in Africa. Although microscopy is the traditional diagnostic method for human filariasis, several polymerase chain reaction (PCR) methods have emerged as an alternative approach for identifying filarial parasites. The aim of this study is to compare three molecular methods and decide which is the most suitable for diagnosing human loiasis and mansonellosis in non-endemic regions using dried blood spot (DBS) as a medium for sample collection and storage.

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Loiasis, caused by the filarial nematode , is endemic in Central and West Africa. has been associated with severe adverse reactions in high -infected individuals receiving ivermectin during mass drug administration programs for the control of onchocerciasis and lymphatic filariasis. Diagnosis of loiasis still depends on microscopy in blood samples, but this is not effective for large-scale surveys.

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Article Synopsis
  • * In a study involving 300 patients at the Hospital of Salamanca, Spain, the N15-RT-LAMP test was used on urine from COVID-19 positive and negative patients, revealing a low positive detection rate of 4%.
  • * The findings indicate that SARS-CoV-2 RNA is rarely found in urine, suggesting that urine may not be a significant route for clearing the virus, especially in patients who have recovered.
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Schistosomiasis is a disease of great medical and veterinary importance in tropical and subtropical regions caused by different species of parasitic flatworms of the genus . The emergence of natural hybrids of schistosomes indicate the risk of possible infection to humans and their zoonotic potential, specifically for and . Hybrid schistosomes have the potential to replace existing species, generate new resistances, pathologies and extending host ranges.

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The SARS-CoV-2 pandemic has forced all countries worldwide to rapidly develop and implement widespread testing to control and manage the Coronavirus Disease 2019 (COVID-19). reverse-transcription (RT)-qPCR is the gold standard molecular diagnostic method for COVID-19, mostly in automated testing platforms. These systems are accurate and effective, but also costly, time-consuming, high-technological, infrastructure-dependent, and currently suffer from commercial reagent supply shortages.

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Neglected Tropical Diseases (NTDs), particularly those caused by parasites, remain a major Public Health problem in tropical and subtropical regions, with 10% of the world population being infected. Their management and control have been traditionally hampered, among other factors, by the difficulty to deploy rapid, specific, and affordable diagnostic tools in low resource settings. This is especially true for complex PCR-based methods.

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Background: Schistosomiasis has been identified as a major public health problem in tropical countries. The present study aimed to investigate the schistosomicidal effects of the methanolic extract of L. and its active component, berberine against on in-vitro experiments.

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Schistosoma mansoni is less susceptible to the antiparasitic drug ivermectin than other helminths. By inhibiting the P-glycoprotein or cytochrome P450 3A in mice host or parasites in a murine model, we aimed at increasing the sensitivity of S. mansoni to the drug and thus preventing infection.

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Human schistosomiasis is one of the most important parasitic diseases, causing around 250 million cases (mostly in Africa) and 280,000-500,000 deaths every year. Due to the limited resources and the far-removed nature of many endemic areas, the implementation of new, sensitive and specific diagnostic tools has had little success. This is particularly true for PCR-based molecular methods that require expensive equipment and trained personnel to be executed.

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Strongyloidiasis is a parasitosis that represents a public health problem, in tropical regions. The present study aimed to investigate the anthelmintic effects of several extracts of Argemone mexicana, as well as its main component berberine (Ber) against the third-stage larvae (L3) of Strongyloides venezuelensis in-vitro experiments. Also, the anti-hemolytic activity of the extract, fractions, and Ber were tested in human erythrocytes.

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