Professional Documents
Culture Documents
ISSN No:-2456-2165
Abstract:- Kurga or makia-kia is a disease of neonates and 100mg/kg bw , and finally, ITR-3 , which were
infants, common to Plateau, Nassarawa and Kaduna administered aqueous extract of Allium sativum at
states of Nigeria, and said to be more pathological in male 100mg/kg bw. Thereafter, stool and blood samples were
children than female. Although the disease is well known collected for analysis and documentation. The qualitative
among the local population, unfortunately, medical approach revealed 89% of the study respondents,
professionals have often denied the existence of such a affirming the existence of the disease, with only 11%
disease due to the absence of scientific data to back up denying. 78% of the women admitted to have had
such a claim. The disease is characterized by children who were affected by the disease, most of whom
dermatological irregularities such as skin patches, often were between 0 and 6 months old at the time. 94% of such
around the nose and face, skin ulcers and desquamation, parents belief that hospital prescriptions were ineffective
greenish –yellowish mucoid stools, abdominal against the disease, while 76% admitted to taking their
discomforts, anal ulceration, constipation and neonatal affected wards to herbal homes. Ninety percent (90%) of
hemorrhoids. Most parents whose infants were affected the samples obtained from infants who have presented
by the disease often claim that hospital prescriptions were with at least 80% of the disease symptoms revealed E.coli
ineffective, thereby resolving to alternative medicines, isolates. It is thus safe to establish that kurga disease does
prominent amongst which is Acalypha wilkensiana or exist and is caused by E.coli, and could be managed
Allium sativum. Thus, the aim of this study is the effectively by Acalypha wilkensiana and Allium sativum,
‘Evaluation of the effect of co- administration of Acalypha except in cases of co-infection with other pathogens with
wilkensiana and Allium sativum on kurga or makia –kia no registered susceptibility.
disease, provide some scientific basis to ascertain the
existence of the disease and to isolate the causative Keywords:- Kurga, Makia-Kia.
pathogen. The study employed a combination of
qualitative and experimental research design. I. INTRODUCTION
Questionaires were used to sample out the opinions or
experiences of local women within some of the affected Kurga or makia-kia is a disease of neonates common to
areas in order to establish a theory pertaining the Plateau, Nassarawa, Borno and Kaduna states of Nigeria.
diseases. Young albino wistar rats, weighing between 250 Although the disease is well known among the local
to 800g were divided into five groups, with each group, population, unfortunately, medical professionals have often
made up of five young rats. Causative pathogens isolated denied the existence of such a disease, possibly due to the
from stool samples collected from infants who have absence of scientific data to back up such a claim.
shown 85% of the disease symptoms were used to induce
the disease into four of the affected groups , designated as The disease is characterized by dermatological
infected untreated group (IR) , infected treated group ( irregularities such as skin patches (often around the nose and
ITR1), which were administered 100mg/kg bw of the face) ,skin ulcers or desquamation and dryness. Other
extracts mixture, ITR-2 which were administered only symptoms include abdominal discomforts, usually preceding
Acalypha wilkensiana aqueous mixture at a dose of bowel movements, constipation and greenish –yellowish,
Most parents whose neonates or infants were affected Any plant in which one or more of its components
by the disease often claim that hospital prescriptions have contain substances that could deliver therapeutic benefits and
been ineffective, thereby making them resolve to alternative or can be used in the production of useful drugs according to
medicines, prominent among which are A.wilkensiana or Burkil in 2004 is called a medicinal plant. According to Ward
Allium sativum solution. Acalypha wilkensiana is a member and Hetzel, in 1999, all plants existed for human benefits.
of the spurge family (Euphorbiaceae) belonging to the genius Similarly, Gundiza in 1985 documented that the medicinal
Acalypha and is commonly called copper leaf , Joseph’s coat characteristics of plants is dependent on the presence of
and fire dragon.(Chollom 2010). certain phytochemicals such as alkaloids, anthraquinones,
cardiac glycosides, tannins and polyphenols.( Gundiza, M,
Acalypha wilkensiana is a popular outdoor plant native 1985)
to Fiji and nearby islands in the South Pacific, but has spread
to most parts of world , especially the tropics of Africa, Since time immemorial, phytotherapy has been used in
America and Asia.( Gotep et al 2016). the management of various diseases. Herbal medicine is
practiced by about 75- 80% of the world’s population, mostly
The number of diseases reportedly managed by the use in the developing countries. Acalypha wilkensiana,
of A.wilkensiana has made scientists seek the biochemical commonly called Irish petticoat is a plant native to the South
basis of its medicinal importance. Prominent among such Pacific islands and belong to Euphorbiaceae family.(
scientists are Gotep, et al.,(2016) who carried out Ikewuchi et al, 2010)
antimicrobial screening using ethanol extracts of
A.wilkensiana . According to their study , the extract was The value of medicinal plants to the health of
potent against a number of microbial agents such as communities is indispensable; however, plants used in
staphyloccoccus aureus, yersinia enterocolitica, E.choli, traditional settings for the sole purpose of medical therapy
salmonella typhi,pseudomonas aeroginosa and klebsienna are still inadequately studied. Acalypha wilkensiana is used
aerogenes; a great number of which have been accused of singly or as a major constituent of herbal mixtures in
causing GIT diseases ,skin diseases e.t.c. Similarly, traditional society, for the management of a number of
Ikewuchi and Ikewuchi ( 2010) examined the antidiabetic diseases. (Chollom et al 2010).
activity of A.wilkensiana on blood sugar and cholesterol
levels of rat models. According to their findings, aqueous The number of diseases reportedly managed by the use
extracts of A.wilkensian had a lowering effect on the above of A. Wilkensiana has made scientist seek the biochemical
mentioned parameters; thereby making it an alternative of basis of its medicinal importance. Prominent among such
choice in the management of cardiovascular diseases. scientists are Gotep et al .,in 2016 , who carried out in vitro
antimicrobial screening using ethanol extracts of A.
Ogbuchi, et al., (2014) studied the protective effect of Wilkensiana. According to their study , the extract was
A.wilkensiana on biomarkers of oxidative stress in liver potent against a number of microbial agents such as S.
homogenates, using 70% methanol , extract which was Aureus , Yersinia enterocolita, E. Coli , Salmonella Typhi,
administered intraperitoneally in a dose of 50mg/kg and Pseudomonas aeroginosa and Klebsiella Aeroginosa ; a
100mg/kg of the extract for a period of 14days. A significant great number of which have been accused of causing GIT
decrease (p<0.05) in malondialdehyde levels in the liver was diseases , skin diseases e.t.c.. Similarly, Ikewuchi and
registered ; whereas , a significant increase in the activity of Ikewuchi in 2010 examined the antidiabetic activity of A.
superoxide dismutase and catalase in both 50mg/kg and Wilkensiana on blood sugar and cholesterol levels of rats
100mg/kg administered groups compared to control. models . According to their findings, aqueous extracts of
A.wilkensiana had a lowering effect on the above mentioned
Medicinal plant such as Garlic (allium sativum) contain parameters, making it an alternative of choice in the
certain substances which possess chemotherapeutic agents management of cardiovascular diseases.
beneficial to man animals alike. According to Mushin et al (
2007), E.coli and S .aureus showed a great deal of Ogbuchi (2014) studied the protective effect of A.
sensitivity to garlic water extract, just as Cavalito and Bailey Wilkensiana on biomarkers of oxidative stress in liver
( 1944) registered themselves as the first scientists to homogenates , using 70% methanol extract which was
discover that the andtibacterial tendency of garlic was due to administered intraperitoneally in a dose of 50mg/kg and
its allicin content. 100mg /kg of the extracts for a period of 14days. A
significant decrease in which malondialdehyde levels in the
Cellini et al in their 1996 findings demonstrated that liver was registered, whereas a significant increase in the
garlic extracts possess a broad spectrum of antimicrobial activity of superoxide dismutase and catalase in both
activity against certain Gram –ve and Gram +ve bacteria 50mg/kg and 100mg/kg administered groups compared to
such as E.choli, Salmonella , Staphylococcus Streptococcus control. (Ogbuchi et al 2014).
,Klebsiella , Proteus, Bacillus and Clostridium. Similarly,
Group C: Infected treated rats (ITR-1) rats were Dragendor Reagent Test For Alkaloids To 2.0ml of
infected with the disease , fed with normal diet and then extract few drops of the reagent were added and observed for
treated with Acalypha wilkensiana and Allium sativum orange colouration to indicate the presence of alkaloid
extracts mixture for 7days at 100mg/kg body weight. (Sofowora: 1993).
Group D: Infected treated rats (ITR-2) – these group M. Test for Flavonoids Extraction
were also infected with the disease ,fed with normal diet and Five grams (5g) of the sample was completely
then treated with the aqueous extract of acalypha wilkensian destained with acetone. The residue was extracted in warm
at a 100mg/kg body weight for 7 days . water evaporation of the acetone on a water bath. The
mixture was filtered and the filtrate was used for the
Group E : Infected treated rats ( ITR 3) – these groups following test.
were also infected with the disease, then fed with normal
diet and treated with aqueous extract of Allium Sativum at a Lead Acetate Test To 2.0ml of extract, 10% lead
100mg/kg body weight. acetate solution was added and observed for either cream or
light yellow colouration confirmed the presence of flavonoids
I. Feeding of the Animal (Sofowora, 1993).
The rats were fed with normal diets and in addition,
groups C,D and E were treated for 7 days through intragastric N. Test for Tannins Extraction
tube. Three grams (3g) of the powdered sample was boiled in
50ml of distilled water for 3 minutes on a hot plate. The
J. Blood Collection mixture was filtered and the resulting filtrate was used to
The administration of the extract lasted for 7 days, after carry out the following test for tannins.
which the experimental animals were decapitated and their
blood samples collected for analysis. The blood samples were Ferric Chloride Test:
collected into separate test tubes for each of the group: those One mililitre of extract was diluted with 4.0ml water (in
for clinical biochemistry were collected in plain tubes and a ration of 1.4) and few drop of 10% ferric chlororide
allowed to clot for 40 minutes, while that for haematological solution were then added. The solution was then observed for
assays were collected in EDTA bottles, and then prepared blue or green precipitate or colouration to indicate the
accordingly for analysis. presence of tannins (Trease and Evans, 1984).
T. Termination Culture
After the conclusion of the treatment period, fresh stool
samples were collected and re-inoculated from all the three
groups to determine the degree of antimicrobial activity of
the extract mixture, invitro.
U. Culture Technique
A total of ten (10) stool samples were collected from
infants between ages 0 and 12months , who have presented
atleast 80% of the disease symptoms. A primary inoculation
of the samples was done on equal number of petri dishes
containing already prepared DCA media, ready for use, and Fig 1 Isolates Prepared in Broth for Induction of the Disease
then cultured at 37 degree Celsius for a period of 24 hrs.
After 24 hrs, the isolates were purified and re-inoculated in a
less clustered pattern on a secondary DCA media and re-
cultured at 37 degree Celsius for another 24 hrs period.
W. Organism identification
The identification of the specific microbes down to
their species was achieved by subjecting the isolates to a
number of biochemical tests which included, triple sugar iron Fig 2 Culture Isolates from Infant Stool Samples
agar test, citrate test, catalase test, urease test, indole test and
glucose test. Y. Experimental parameters and methods
A number of biochemical parameters were tested and
Catalase test – this is performed to differentiate tabulated from the test subjects from all the four groups.
These parameters include:
staphylococci species from streptococci. It tries to determine
wether or not an organism is able to split H202 to release
oxygen gas. Renal Function Test
Serum Urea –this shall be determined using the method
Indole test –this is a biochemical test carried out to of Tobacco et al., 1979.
differentiate gram negative bacilli or enterobacteria. This is
seen in the organism’s ability to split indole from tryptophan. Principle of test: urea in serum is hydrolysed to
ammonia in the presence of urease. The ammonia is then
measured photometrically by berthelot’s reaction.
10 12 STOOL E.COLI
M =Male F=Female Prm =Primary School Leaving the women admitted to have had children who were affected
Certificate by the disease, most of whom were between 0 and 6 months
old, at the time; suggesting a period of weak or growing
SSCE= Senior School Leaving Certificate ND= immunity. Similarly, 76% of such parents took the affected
National Diploma children to the local herbalist instead of a conventional health
facility, as 94% of them belief that hospital prescription are
HND= Higher National Diploma B.Sc = University ineffective against the disease. This therefore establishes the
Degree fact that kurga or makia –kia disease truly exist and should
be given all the necessary attention possible.
A total of 89% responded in the affirmative to knowing
about the disease, while only 11 % said otherwise. 78% of
Table 4.0 shows the results obtained from the phytochemical screening of Acalypha wilkensiana , Allium Sativum and that
of the aqueous mixture of the two extracts . Alkaloids, tannins, saponins, cardiac glycosides,phenols and anthraquinones were
present, except flavonoids and steroids.
C. Liver, Kidney and Haematological Analtyes in the Study Table 6 Effect of Different Treatment of the Aqueous
Groups Extracts on Liver Enzymes
Six liver, six renal and three haematological analytes GROUP ALP(U/L) ALT(U/L) AST(U/L)
measured during the seven days study period were profiled NC 63.44 ±0.27 55.54±0.26 36.38 ±0.44
and their mean, standard deviation, F- test and P- values were IR 78.06 ±0.13 a 68.74 ± 37.40 ± 0.55 a
tabulated across the four groups and compared with 0.42 a
acceptable reference range after subjecting the experimental ITR-1 70.86±0.09 ab 50.42 ± 31.40 ±0.01 b
b
animals to the extract. 0.26
ITR-2 65.91 ±0.03 60.00 ± 52.74 ±0.04 ac
ac ac
Total proteins (TP) showed no significant variation 0.11
(p>0.05) across the groups ,except for the sharp fall noticed ITR-3 66.18 ± 0.01a 59.00 ± 12.01 ± 0.05x
a
in infected group treated with 100mg/kg bw (ITR-1) ,which 0.21
showed significant drop (p<0.05) when compared with the NC= Normal control. IR = Infected untreated Rats. ITR-1
infected untreated group( IR). Serum Albumin (ALB) levels = Infected treated group with
showed a significant drop (p<0.05) when normal control extract at 100mg/kg bw,
group (NC) was compared infected untreated group (IR). ITR-2= Infected treated group with acalypha wilkensiana
However, a significant rise (p<0.05) was noticed in the ITR-1 extract at 100mg/kg bw.
group as compared with IR . Similarly, a significant rise ITR-3 = Infected treated group with allium sativum extract at
(p<0.05) in haemolysis is observed as seen in the Total 100mg/kg bw.
Bilirubin levels when NC is put side by side with IR , and Data are Mean ± MSD, n =5
again dropped when compared with ITR-1 and ITR-2. a
values are significantly higher when compared with normal
control(p<0.05)
Table 5 Effect of Different Treatment of the Aqueous Plants b
values are significantly lower when compared with infected
Extracts on Some Liver Analytes group (p<0.05)
GR UP TP(g/l) ALB(g/l) T.BIL(mi.mo/l) c
values are significantly higher when compared across the
NC 73.28±0.03 38.2 ±0.24 13.10 ±0.5 groups (p<0.05)
IR 83.24 ±1.42 x 33.6 ±0.46 b 18.54 ±0.42 a x
values not significant when compared with all groups
ITR-1 77.72 ±1.63 x 40.52 ±0.46 b 10.34 ± 0.23 b (p>0.05)
b
ITR-2 69 ± 0.12 36.47 ± 0.20 11.38 ± 0.04 b
ac
The table below showed a significant drop (p<0.05) in
X
ITR-3 71.34± 0.12 37.00±0.02X 12.01± 0.05X Na+ levels when IR group was compared with the ITR-1
group to depict a healthy homeostatic function , just as
NC= Normal control. IR = Infected untreated Rats. ITR-1 metabolic acidosis significantly dropped (p<0.05) between
= Infected treated group with IR and ITR-1 as seen in Hco3- rise.
extract at 100mg/kg bw,
ITR-2= Infected treated group with acalypha wilkensiana
extract at 100mg/kg bw
ITR- 3= Infected treated group with allium sativum
extract at 100mg/kg bw.
Data are Mean ± MSD, n =5
a
values are significantly higher when compared with
normal control(p<0.05)
b
values are significantly lower when compared with
infected group (p<0.05)
c
values are significantly higher when compared across
was observed between IR and ITR-1 to show a healthy ITR-1 37.48 ± 0.30 4.74 ± 0.06ab 3.48 ± 0.07ab
creatinine clearance. x
Plant Extracts on Renal Analytes ITR-3 37.00 ± 0.81a 5.12 ± 0.71a 3.44 ± 0.14x
GROUP Urea Creatinine(µmol/l) Uric
(µmol/l) Acid(µmol/l)
NC 5.40 ± 81.65 ± 0.11 123 ± 0.11 NC= Normal control. IR = Infected untreated Rats. ITR-1 =
0.10 Infected treated
IR 6.52 ± 101.02 ± 0.45a 129± 0.21a group with extract mixture at 100mg/kg bw.
0.29a ITR-2= Infected treated group with acalypha wilkensiana
ITR-1 6.26 ± 78.65 ± 0.21ab 125 ± 0.21ab extract at 100mg/kg bw.
0.15 ITR-3= Infected treated group with allium sativum extract at
ITR-2 5.60 ± 79.10 ± 0.37bx 120 ± 0.31b 100mg/kg bw.
0.01 Data are Mean ± MSD, n=5
a
ITR-3 6.00 ± 78.91 ± 0.12X 121 ± 0.03b values are significanlly higher when compared with normal
0.01 control(p<0.05)
b
values are significantly lower when compared with infected
group (p<0.05)
NC= Normal control. IR = Infected untreated Rats. ITR-1 = c
values are significantly higher when compared across the
Infected treated group with extract mixture at 100mg/kg bw, group (p<0.05)
ITR-2= Infected treated group with acalypha wilkensiana x
values not significant when compared with all groups
extract at 100mg/kg bw.
(p>0.05)
ITR-3 = Infected treated group with allium sativum extract at
100mg/kg bw. The table below shows significant mobilization
Data are Mean ± MSD, n=5 (p<0.05) of IgG and IgM at the onset of bacterial
proliferation as can be seen when normal control group (NC)
was compared with infected group (IR), hence the rapid rise
in serum levels of the above mentioned parameters.
However, the administration of different treatments of the
extracts ,especially co-administration of Acalypha