Toxoplasmosis is a potentially fatal complication after hematopoietic cell transplantation (HCT). Pre-transplant seropositivity of graft recipient to Toxoplasma gondii (Nicolle et Manceaux, 1908) is an important factor for disease reactivation after HCT. As toxoplasmosis epidemiology varies all over the world, we performed a Polish nationwide retrospective cohort study to determine the seroprevalence of toxoplasmosis in donors and pediatric allogeneic and autologous HCT recipients and the incidence of clinically evident toxoplasmosis in this patient group. Polish adult donors had higher anti-T. gondii seroprevalence than Polish pediatric donors (28% vs 8%; OR = 4.4; p = 0.02) and allo-HCT recipients (28% vs 17%; OR = 1.9; p = 0.01). Clinically apparent disease occurred in 1% of allo-HCT recipients: it was diagnosed by PCR as cerebral and/or ocular toxoplasmosis and successfully treated with antiprotozoal therapy. Regarding current practice, no prospective screening for infection of T. gondii in pediatric HCT centres is being performed, but, vast majority of HCT pediatric patients are receiving anti-T. gondii active prophylaxis. Since pre-HCT T. gondii serology was not assessed in all HCT; recipients, we propose this test should be a standard practice. Standardisation of management with infection of T. gondii in children after HCT is needed.
Treated water from wastewater treatment plants that is increasingly used for irrigation may contain pharmaceuticals and, thus, contaminate soils. Therefore, this study focused on the impact of soil conditions on the root uptake of selected pharmaceuticals and their transformation in a chosen soil–plant system. Green pea plants were planted in 3 soils. Plants were initially irrigated with tap water. Next, they were irrigated for 20 days with a solution of either atenolol (ATE), sulfamethoxazole (SUL), carbamazepine (CAR), or all of these three compounds. The concentrations of pharmaceuticals and their metabolites [atenolol acid (AAC), N1-acetyl sulfamethoxazole (N1AS), N4-acetyl sulfamethoxazole (N4AS), carbamazepine 10,11-epoxide (EPC), 10,11-dihydrocarbamazepine (DHC), trans-10,11- dihydro-10,11-dihydroxy carbamazepine (RTC), and oxcarbazepine (OXC)] in soils and plant tissues were evaluated after harvest. The study confirmed high (CAR), moderate (ATE, AAC, SUL), and minor (N4AC) root uptake of the studied compounds by the green pea plants, nonrestricted transfer of the CAR species into the different plant tissues, and a very high efficiency in metabolizing CAR in the stems and leaves. The results showed neither a synergic nor competitive influence of the application of all compounds in the solution on their uptake by plants. The statistical analysis proved the negative relationships between the CAR sorption coefficients and the concentrations of CAR, EPC, and OXC in the roots (R = –0.916, –0.932, and –0.925, respectively) and stems (R = –0.837, –0.844, and –0.847, respectively).