Frequency of Cryptococcal Meningitis in HIV-1 Infected Patients in North Central Nigeria

Background: Cryptococcal meningitis (CM) is the most common severe life threatening fungal infection in AIDS patients. It is an important cause of morbidity and mortality. There is paucity of data on the prevalence of CM in Nigeria. We aimed to determine the frequency of CM, the clinical presentation and immunological profile.Methods: A cross sectional study was carried out at the Jos University Teaching Hospital (JUTH), A total of 100 HIV-1 infected patients suspected of having meningitis or meningoencephalitis were subjected to cerebrospinal fluid (CSF) analysis (including Indian ink preparation and fungal culture by conventional methods) and CD4 count was determined using flow cytometry (count bit Y-R 1004 Partec Muster Germany).Results: The freguency of CM was 36% in our cohort. The commonest clinical presentation included headache (100.0%), neck stiffness (77.8%), fever (72.0%), vomiting (55.6%), personality changes (55.6%), photophobia (27.8%) and convulsions (27.8%). The mean duration of symptoms was 24 ±22 days with a median of 17 days. The mean CD4 count was 89±60 cells/mm3 with a median of 82 cells/mm3.Conclusion: The high prevalence of CM and the associated severe immunosuppression underscores the importance of early diagnosis of HIV infection which may reduce the incidence of CM. There is the urgent need for access to Amphotericin B and fluconazole in resource constrained settings in addition to a wide access to HAART.Key words: Cryptococcal meningitis, HIV, North central Nigeri

Genotoxic, Histopathological and Oxidative Stress Responses in Catfish, Clarias gariepinus, Exposed to Two Antifouling Paints

Background. Antifouling paints are enriched with biocides and employed in the maritime industry to protect moving and fixed surfaces from fouling activities of sea dwelling invertebrates. There is limited information on their effect on the non-target African catfish, Clarias gariepinus, a commonly consumed fish in Lagos. Objectives. This study investigated the effects of two commonly used antifouling paints (Berger TBT-free (A/F783 (H)), reddish brown color and Silka Marine lead based paint, pale orange color) on a non-target catfish species, Clarias gariepinus. Methods. The study involved an initial 96-hour acute toxicity assay followed by chronic toxicity evaluation (using 1/10th and 1/100th 96-hour median lethal concentration (LC>50) values) for 28 days to determine the ability of the paints to induce micronucleus and red blood cell abnormalities, and histopathological as well as oxidative stress effects in the catfish.Examined anti-oxidative stress enzyme activities include superoxide dismutase (SOD), catalase (CAT), reduced glutathione (GSH) and glutathione-s-transferase (GST). Results. Acute toxicity evaluation results indicated that the Berger paint was 16.1-times more toxic than Silka paint with 96-hour LC50 values of 0.71 mg/L and 11.49 mg/L, respectively. Results from the biochemical assay indicated significantly higher (P<0.05) levels of a lipid peroxidation product, malondialdehyde, in Silka-exposed catfish compared to the control. All enzymes showed significantly higher activities in Berger paint-exposed catfish compared to the control. There was evidence of micronucleated and binucleated cells in the red blood cells of fish exposed to both paints. Histopathological assessment indicated that the exposed fish gills showed evidence of abnormalities such as curved lamellae epithelial necrosis, epithelial lifting and hyperplasia. The liver samples of the catfish showed evidence of portal inflammation as well as mild to severe steatosis, while the gonads showed varying percentages of follicle degeneration. Conclusions. The present study combined an array of biomarkers to determine the negative health impacts of two commonly used antifouling paints on non-target catfish inhabiting Lagos Lagoon. Further in situ studies are recommended to determine the current status of the lagoon fish. Ethics Approval. Ethical approval was obtained from the Department of Zoology, University of Lagos, Post-Graduate Committee. Note that this work commenced before the establishment of the University of Lagos Ethical Committee for the use of animals and humans in scientific studies. The committee does not give retroactive approval but stands by existing approvals before its establishment. However, this study followed the World Medical Association principles on the treatment of animals used in research (https://www.wma.net/policies-post/wma-statement-on-animal-use-in-biomedical-research/), and also American Fisheries Society Guidelines for the Use of Fishes in Research (https://fisheries.org/policy-media/science-guidelines/guidelines-for-the-use-of-fishes-in-research/) Competing Interests. The authors declare no competing financial interest