Biomedicines (Jul 2024)

Immunological and Haematological Relevance of Helminths and <i>Mycobacterium tuberculosis</i> Complex Coinfection among Newly Diagnosed Pulmonary Tuberculosis Patients from Bobo-Dioulasso, Burkina Faso

  • Diakourga Arthur Djibougou,
  • Gloria Ivy Mensah,
  • Achille Kaboré,
  • Inoussa Toé,
  • Leon Tinnoga Sawadogo,
  • Palpouguini Felix Lompo,
  • Amariane M. M. Kone,
  • Hervé Hien,
  • Clement Ziemlé Meda,
  • Adjima Combary,
  • Bassirou Bonfoh,
  • Kennedy Kwasi Addo,
  • Adrien Marie-Gaston Belem,
  • Roch Konbobr Dabiré,
  • Jonathan Hoffmann,
  • Matthieu Perreau,
  • Potiandi Serge Diagbouga

DOI
https://doi.org/10.3390/biomedicines12071472
Journal volume & issue
Vol. 12, no. 7
p. 1472

Abstract

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The effect of helminthiasis on host immunity is a neglected area of research, particularly in tuberculosis (TB) infection. This study aimed to evaluate the effect of helminthiasis on immunological and haematological parameters in newly diagnosed TB patients in Bobo-Dioulasso. After all biological analyses, we formed three subpopulations: group 1 (n = 82), as control, were participants without helminthic or Mycobacterium tuberculosis complex infection (Mtb−/Helm−), group 2 (n = 73) were TB patients without helminthic infection (Mtb+/Helm−), and group 3 (n = 22) were TB patients with helminthic infection (Mtb+/Helm+). The proportion of helminth coinfection was 23.16% (22/95) in TB patients, and Schistosoma mansoni infection was found in 77.3% (17/22) cases of helminthiasis observed in this study. A low CD4 T cell count and a low CD4:CD8 ratio were significantly associated with concomitant infection with helminths and the Mtb complex (Mtb+/Helm+) compared to the other groups (p p > 0.05). Lymphopenia, monocytosis, thrombocytosis, and hypochromic microcytic anaemia were the haematological defects observed in the Mtb+/Helm+ and Mtb+/Helm− patients. Exploring these types of immune–haematological biomarkers would be a valuable aid in diagnosing and a better follow-up and monitoring of the tuberculosis–helminthiasis coinfection.

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