WorldWideScience

Sample records for ganglionar por rickettsia

  1. Rickettsiosis cutáneo ganglionar por Rickettsia conorii en el Uruguay Cutaneous-ganglionar rickettsiosis by Rickettsia conorii in Uruguay

    OpenAIRE

    Ismael A. Conti-Diaz; Ivonne Rubio; Raúl E. Somma Moreira; Graciela Pérez Bórmida

    1990-01-01

    Se refieren 3 casos autóctonos de rickettsiosis cutáneo ganglionar trasmitidos por garrapatas de perros (Amblyomma maculatum, en uno de ellos) en el Uruguay. Dos de los 3 casos fueron seguramente provocados por Rickettsia conorii de acuerdo a los resultados de la reacción específica de inmunofluorescencia indirecta - IgM, anti R. conorii. Se incluye un tercer paciente no estudiado con tal técnica, por la similitud clínico-epidemiológica, la reactividad del suero frente al Proteus OX 19 y la r...

  2. Rickettsiosis cutáneo ganglionar por Rickettsia conorii en el Uruguay / Cutaneous-ganglionar rickettsiosis by Rickettsia conorii in Uruguay

    Scientific Electronic Library Online (English)

    Ismael A., Conti-Diaz; Ivonne, Rubio; Raúl E., Somma Moreira; Graciela, Pérez Bórmida.

    1990-10-01

    Full Text Available Se refieren 3 casos autóctonos de rickettsiosis cutáneo ganglionar trasmitidos por garrapatas de perros (Amblyomma maculatum, en uno de ellos) en el Uruguay. Dos de los 3 casos fueron seguramente provocados por Rickettsia conorii de acuerdo a los resultados de la reacción específica de inmunofluores [...] cencia indirecta - IgM, anti R. conorii. Se incluye un tercer paciente no estudiado con tal técnica, por la similitud clínico-epidemiológica, la reactividad del suero frente al Proteus OX 19 y la rápida respuesta a la tetraciclina. La no descripción previa de la rickettsiosis por R. conorii en forma autóctona en el área de las Américas confiere especial interés a la comunicación, recomendándose la búsqueda de la afección en otros países de la región. Abstract in english Three autochthonous cases of cutaneous-ganglionar rickettsiosis transmitted by dogs ticks (Amblyomma maculatum in one of them) are reported. Two of the three cases were undoubtely produced by Rickettsia conorii according to the results of the specific indirect immunofluorescence technique IEF-IgM an [...] ti R. conorii. A third case is included due to the clinical epidemiological similarity, the positive serum reactivity with Proteus O x 19 and the rapid response to tetracycline. Autochthonous rickettsiosis by R. conorii has not been previously registered in the American area what confers special interest to this communication. The search of the disease in the other countries of the region is suggested.

  3. Rickettsiosis cutáneo ganglionar por Rickettsia conorii en el Uruguay Cutaneous-ganglionar rickettsiosis by Rickettsia conorii in Uruguay

    Directory of Open Access Journals (Sweden)

    Ismael A. Conti-Diaz

    1990-10-01

    Full Text Available Se refieren 3 casos autóctonos de rickettsiosis cutáneo ganglionar trasmitidos por garrapatas de perros (Amblyomma maculatum, en uno de ellos en el Uruguay. Dos de los 3 casos fueron seguramente provocados por Rickettsia conorii de acuerdo a los resultados de la reacción específica de inmunofluorescencia indirecta - IgM, anti R. conorii. Se incluye un tercer paciente no estudiado con tal técnica, por la similitud clínico-epidemiológica, la reactividad del suero frente al Proteus OX 19 y la rápida respuesta a la tetraciclina. La no descripción previa de la rickettsiosis por R. conorii en forma autóctona en el área de las Américas confiere especial interés a la comunicación, recomendándose la búsqueda de la afección en otros países de la región.Three autochthonous cases of cutaneous-ganglionar rickettsiosis transmitted by dogs ticks (Amblyomma maculatum in one of them are reported. Two of the three cases were undoubtely produced by Rickettsia conorii according to the results of the specific indirect immunofluorescence technique IEF-IgM anti R. conorii. A third case is included due to the clinical epidemiological similarity, the positive serum reactivity with Proteus O x 19 and the rapid response to tetracycline. Autochthonous rickettsiosis by R. conorii has not been previously registered in the American area what confers special interest to this communication. The search of the disease in the other countries of the region is suggested.

  4. Caso probable de fiebre manchada ( Rickettsia felis) transmitida por pulgas / Probable case of flea-borne spotted fever ( Rickettsia felis )

    Scientific Electronic Library Online (English)

    Álvaro A, Faccini-Martínez; Elkin G, Forero-Becerra; Jesús A, Cortés-Vecino; Luis J, Polo-Teran; Jorge H, Jácome; Jimmy J, Vargas; Gustavo, Valbuena; Marylin, Hidalgo.

    2013-09-01

    Full Text Available Rickettsia felis es el agente etiológico de la fiebre manchada transmitida por pulgas, cuyo principal vector y reservorio es Ctenocephalides felis . Típicamente, la enfermedad se presenta como fiebre aguda asociada a cefalea, astenia, exantema máculo-papular generalizado y, en algunos casos, con esc [...] ara de inoculación. En los últimos años, R. felis ha venido adquiriendo un papel importante en la etiología del síndrome febril agudo, calificándola como una enfermedad emergente y subdiagnosticada. La inmunofluorescencia indirecta es actualmente el método diagnóstico de referencia. Sin embargo, esta técnica presenta limitaciones relacionadas con la reacción cruzada que existe entre las diferentes especies del género Rickettsia . En el presente reporte se describe el caso de un paciente de 16 años con síndrome febril agudo secundario a infección probable por R. felis . Abstract in english Rickettsia felis is the etiologic agent of flea-borne spotted fever, with Ctenocephalides felis as its main vector and reservoir. Typically, the disease presents as acute fever associated with headache, asthenia, generalized maculo-papular rash, and in some cases, an inoculation eschar. In recent ye [...] ars, R. felis has acquired an important role in the etiology of the acute febrile syndrome; it is indeed an emerging infectious disease, albeit underdiagnosed. Indirect immunofluorescence assay (IFA) is currently the reference diagnostic method. However, this technique has limitations related to the cross reactivity among different species of rickettsiae. Herein, we describe a case of a 16 year-old patient with an acute febrile syndrome secondary to probable infection with R. felis.

  5. Infección por rickettsia en capibaras (Hydrochoerus hydrochaeris de São Paulo, Brasil: evidencia serológica de infección por Rickettsia bellii y Rickettsia parkeri Rickettsial infection in capybaras (Hydrochoerus hydrochaeris from São Paulo, Brazil: serological evidence for infection by Rickettsia bellii and Rickettsia parkeri

    Directory of Open Access Journals (Sweden)

    Marcelo B. Labruna

    2007-09-01

    Full Text Available Introducción. En Brasil, los capibaras (Hydrochoerus hydrochaeris son importantes huéspedes para garrapatas del género Amblyomma, las cuales transmiten rickettsiosis a humanos y animales. Por lo tanto, estos roedores pueden ser potenciales centinelas para detectar infección por rickettsia.
    Objetivos. Este trabajo evaluó la infección por rickettsia en capibaras de diferentes regiones del estado de São Paulo, donde las rickettsiosis nunca han sido reportadas.
    Materiales y métodos. Se examinarion los sueros de 73 capibaras de seis localidades en São Paulo con la prueba de immunofluorescencia indirecta con antígenos de Rickettsia rickettsii, Rickettsia parkeri y Rickettsia bellii. Los bazos de los capibaras se extrajeron y se analizaron por reacción en cadena de la polimerasa para un fragmento del gene gltA de rickettsia. Las garrapatas se recolectaron de los capibaras y se identificaron hasta especie.
    Resultados. Diecinueve (26,0%, 25 (34,2% y 50 (68,5% sueros de los capibaras reaccionaron con R. rickettsii, R. parkeri y R. bellii, respectivamente. De los 50 sueros que reaccionaron con antígenos de R. bellii, 25 presentaron títulos, por lo menos, cuatro veces mayores que los otros dos antígenos. Estos sueros fueron considerados homólogos de R. bellii. Usando el mismo
    criterio, tres sueros de los capibaras se consideraron homólogos de R. parkeri. Ningún suero se consideró homólogo de R. rickettsii. No se detectó ADN de rickettsia en bazo. Las garrapatas
    recolectadas de los capibaras fueron identificadas como Amblyomma dubitatum y Amblyomma cajennense.
    Conclusiones. Este trabajo reporta la primera evidencia de infección natural por R. bellii en vertebrados y, también, la primera evidencia de infección por R. parkeri en capibaras. Se sabe que R. parkeri infecta y produce enfermedad en humanos; sin embargo, no hay evidencia de infección humana por R. bellii.Introduction. In Brazil, capybaras (Hydrochoerus hydrochaeris are important hosts for Amblyomma ticks, which in turn can transmit rickettsiae to humans and animals. Therefore, capybaras are potential sentinels for rickettsial infection.
    Objective. The present study evaluated rickettsial infection in capybaras in different areas of the state of São Paulo, where rickettsiosis has never been reported.
    Materials and methods. Blood sera from 73 capybaras from six localities in São Paulo were tested by indirect immunofluorescence assay using Rickettsia rickettsii, Rickettsia parkeri, and Rickettsia bellii antigens. Capybara spleens were tested by PCR, targeting a fragment of the rickettsial gltA gene. Ticks were collected from each capybara sample and taxonomically identified to species.
    Results. A total of 94 positively reacting capybara samples, 19 (26.0%, 25 (34.2%, and 50 (68.5% capybara sera reacted to R. rickettsii, R. parkeri, and R. bellii, respectively. Twenty-five capybara sera showed titers to R. bellii at least four-fold higher than to any of the other two antigens. These sera were considered homologous to R. bellii. Using the same criteria, 3 capybara sera were considered homologous to R. parkeri. No sera were be considered homologous to R. rickettsii. No rickettsial DNA was detected in capybara spleen samples. Ticks collected on capybaras were Amblyomma dubitatum and Amblyomma cajennense.
    Conclusions. The first evidence is reported of R. bellii natural infection in vertebrate hosts, and the first evidence of R. parkeri infection in capybaras. While R. parkeri is known to infect and cause disease in humans, no similar evidence for human infection has been indicated by R. bellii.

  6. Infección por rickettsia en capibaras (Hydrochoerus hydrochaeris) de São Paulo, Brasil: evidencia serológica de infección por Rickettsia bellii y Rickettsia parkeri / Rickettsial infection in capybaras (Hydrochoerus hydrochaeris) from São Paulo, Brazil: serological evidence for infection by Rickettsia bellii and Rickettsia parkeri

    Scientific Electronic Library Online (English)

    Richard C, Pacheco; Mauricio C, Horta; Jonas, Moraes-Filho; Alexandre C, Ataliba; Adriano, Pinter; Marcelo B, Labruna.

    2007-09-01

    Full Text Available Introducción. En Brasil, los capibaras (Hydrochoerus hydrochaeris) son importantes huéspedes para garrapatas del género Amblyomma, las cuales transmiten rickettsiosis a humanos y animales. Por lo tanto, estos roedores pueden ser potenciales centinelas para detectar infección por rickettsia. Objetivo [...] s. Este trabajo evaluó la infección por rickettsia en capibaras de diferentes regiones del estado de São Paulo, donde las rickettsiosis nunca han sido reportadas. Materiales y métodos. Se examinarion los sueros de 73 capibaras de seis localidades en São Paulo con la prueba de immunofluorescencia indirecta con antígenos de Rickettsia rickettsii, Rickettsia parkeri y Rickettsia bellii. Los bazos de los capibaras se extrajeron y se analizaron por reacción en cadena de la polimerasa para un fragmento del gene gltA de rickettsia. Las garrapatas se recolectaron de los capibaras y se identificaron hasta especie. Resultados. Diecinueve (26,0%), 25 (34,2%) y 50 (68,5%) sueros de los capibaras reaccionaron con R. rickettsii, R. parkeri y R. bellii, respectivamente. De los 50 sueros que reaccionaron con antígenos de R. bellii, 25 presentaron títulos, por lo menos, cuatro veces mayores que los otros dos antígenos. Estos sueros fueron considerados homólogos de R. bellii. Usando el mismo criterio, tres sueros de los capibaras se consideraron homólogos de R. parkeri. Ningún suero se consideró homólogo de R. rickettsii. No se detectó ADN de rickettsia en bazo. Las garrapatas recolectadas de los capibaras fueron identificadas como Amblyomma dubitatum y Amblyomma cajennense. Conclusiones. Este trabajo reporta la primera evidencia de infección natural por R. bellii en vertebrados y, también, la primera evidencia de infección por R. parkeri en capibaras. Se sabe que R. parkeri infecta y produce enfermedad en humanos; sin embargo, no hay evidencia de infección humana por R. bellii. Abstract in english Introduction. In Brazil, capybaras (Hydrochoerus hydrochaeris) are important hosts for Amblyomma ticks, which in turn can transmit rickettsiae to humans and animals. Therefore, capybaras are potential sentinels for rickettsial infection. Objective. The present study evaluated rickettsial infection i [...] n capybaras in different areas of the state of São Paulo, where rickettsiosis has never been reported. Materials and methods. Blood sera from 73 capybaras from six localities in São Paulo were tested by indirect immunofluorescence assay using Rickettsia rickettsii, Rickettsia parkeri, and Rickettsia bellii antigens. Capybara spleens were tested by PCR, targeting a fragment of the rickettsial gltA gene. Ticks were collected from each capybara sample and taxonomically identified to species. Results. A total of 94 positively reacting capybara samples, 19 (26.0%), 25 (34.2%), and 50 (68.5%) capybara sera reacted to R. rickettsii, R. parkeri, and R. bellii, respectively. Twenty-five capybara sera showed titers to R. bellii at least four-fold higher than to any of the other two antigens. These sera were considered homologous to R. bellii. Using the same criteria, 3 capybara sera were considered homologous to R. parkeri. No sera were be considered homologous to R. rickettsii. No rickettsial DNA was detected in capybara spleen samples. Ticks collected on capybaras were Amblyomma dubitatum and Amblyomma cajennense. Conclusions. The first evidence is reported of R. bellii natural infection in vertebrate hosts, and the first evidence of R. parkeri infection in capybaras. While R. parkeri is known to infect and cause disease in humans, no similar evidence for human infection has been indicated by R. bellii.

  7. Serological evidence of Rickettsia parkeri as the etiological agent of rickettsiosis in Uruguay / Evidência sorológica de Rickettsia parkeri como agente etiológico de rickettsiose no Uruguai

    Scientific Electronic Library Online (English)

    Ismael A., Conti-Díaz; Jonas, Moraes-Filho; Richard C., Pacheco; Marcelo B., Labruna.

    2009-12-01

    Full Text Available São relatados três novos casos humanos de rickettsiose no Uruguai. Os três casos clínicos apresentam manifestações clínicas semelhantes às descritas em casos de infecção por Rickettsia parkeri previamente relatados nos Estados Unidos, tais como: febre moderada ([...] a, escara de inoculação no sítio de fixação do carrapato, linfadenopatia regional e ausência de letalidade. Testes sorológicos de absorção de anticorpos com antígenos de R. parkeri e Rickettsia rickettsii, associados à reação de imunofluorescência indireta, sugerem que os pacientes de dois casos foram infectados por R. parkeri. Evidências clínicas e epidemiológicas, associadas com nossas análises sorológicas, sugerem que R. parkeri é o agente etiológico de casos humanos de febre maculosa no Uruguai, uma doença que tem sido reconhecida naquele país como rickettsiose cutâneo-ganglionar. Abstract in english We report three new rickettsiosis human cases in Uruguay. The three clinical cases presented clinical manifestations similar to previous reported cases of Rickettsia parkeri in the United States; that is mild fever ([...] l lymphadenopathy, and no lethality. Serological antibody-absorption tests with purified antigens of R. parkeri and Rickettsia rickettsii, associated with immunofluorescence assay indicated that the patients in two cases were infected by R. parkeri. Epidemiological and clinical evidences, coupled with our serological analysis, suggest that R. parkeri is the etiological agent of human cases of spotted fever in Uruguay, a disease that has been recognized in that country as cutaneous-ganglionar rickettsiosis.

  8. Pancreatoduodenectomía durante el embarazo por adenocarcinoma de ampolla de Vater y posterior resección de recurrencia ganglionar con buen resultado a corto y largo plazo / Pancreatoduodenectomy for ampullary adenocarcinoma and and re-intervention for ganglinonar recurrency

    Scientific Electronic Library Online (English)

    Gustavo, Reaño Paredes; José, De Vinatea De Cárdenas; Fernando, Revoredo Rego; Fritz, Kometter Barrios; Luis, Villanueva Alegre; José, Arenas Gamio; Mónica, Uribe León.

    2014-07-01

    Full Text Available Mujer de 30 años con 13 semanas de su segunda gestación que se presentó con síntomas de anemia severa, hemorragia digestiva alta, dolor epigástrico y baja de peso. Mediante endoscopía alta se diagnosticó un adenocarcinoma bien diferenciado de ampolla de Vater. Se le practicó pancreato-duodenectomía [...] a las 16 semanas de su embarazo sin complicaciones. Durante el seguimiento se identificó recurrencia ganglionar loco-regional 4 meses después por lo que se le realizó parto por cesárea a las 34 semanas con neonato saludable de 2500 gr. Se decidió reintervención para resección de enfermedad ganglionar la cual se realizó con éxito. Lleva 36 meses de seguimiento sin evidencia de recidiva de la enfermedad. Su hija ha tenido un desarrollo normal. Abstract in english A 30 years old woman in the 13 week of her second pregnancy who had severe anemia, upper gastrointestinal bleeding and weight loss. She was given the endoscopic diagnosis of a well differentiated ampullary adenocarcinoma. She underwent a pancreato duodenectomy during the 16 week of pregnancy without [...] complications. After 4 months of follow up we identified a ganglionar local recurrence so that´s why she underwent a cesarean in the 34 week of pregnancy. The product was a healthy 2500 gr. newborn. We decided a reoperation for the resection of the recurrence and it was carried out successfully. Currently the patient has 36 months of follow up without evidence of recurrence and her baby has a normal grow up.

  9. Vigilancia de la infección por Rickettsia sp. en capibaras (Hydrochoerus hydrochaeris) un modelo potencial de alerta epidemiológica en zonas endémicas / Surveillance of Rickettsia sp. infection in capybaras (Hydrochoerus hydrochaeris) a potential model of epidemiological alert in endemic areas

    Scientific Electronic Library Online (English)

    Jorge, Miranda; Verónica, Contreras; Yésica, Negrete; Marcelo B, Labruna; Salim, Máttar.

    2011-06-01

    Full Text Available Introducción. Los capibaras o chigüiros (Hydrochoerus hydrochaeris) son huéspedes amplificadores de Rickettsia sp. Usualmente se encuentran parasitados por la garrapata Amblyomma cajennense, principal vector de rickettsiosis en Suramérica. Los capibaras pueden ser usados como potenciales centinelas [...] de la circulación de rickettsias. Objetivo. Detectar anticuerpos contra Rickettsia sp. del grupo de las fiebres manchadas en capibaras de una zona rural del municipio de Montería, departamento de Córdoba. Material y métodos. Se analizaron 36 sueros de capibaras de una zona rural de Montería (vereda San Jerónimo) en Córdoba. Para la detección de anticuerpos IgG se practicó inmunofluorescencia indirecta, que utilizó antígenos de la cepa Taiaçu de Rickettsia rickettsii de Brasil. Los sueros de los capibaras fueron diluidos 1:64. Se capturaron las garrapatas que se encontraban parasitando los capibaras y se clasificaron hasta su especie. Resultados. La seroprevalencia contra Rickettsia sp. del grupo de la fiebres manchadas encontrada fue de 22 % (8 capibaras); se encontraron cuatro sueros con título de 1:64, tres sueros con título 1:128 y un suero presentó titulación de 1:512. Todas las garrapatas (n=933) fueron identificadas taxonómicamente como A. cajennense. Conclusión. En Colombia existen zonas endémicas de rickettsiosis y la aparición de brotes anuales lo confirma (Necoclí, 2006; Los Córdobas, 2007, y Altos de Mulatos, 2008). El presente estudio reporta por primera vez la presencia de infección natural por rickettsia del grupo de las fiebres manchadas en capibaras de Colombia. Los hallazgos sugieren que los capibaras pueden ser usados como potenciales centinelas de la circulación de rickettsias y marcadores de las áreas de riesgo para la transmisión de rickettsiosis. Abstract in english Introduction. Capybaras (Hydrochoerus hydrochaeris) are considered amplifying hosts of Rickettsia sp. These rodents are usually parasitized by the tick vector, Amblyomma cajennense, the main vector of rickettsioses in humans and animals in South America. Capybaras can be used as sentinels in detecti [...] on of circulation of rickettsiae. Objective. Antibodies to rickettsiae of spotted fever group were detected in capybaras in a rural area of Cordoba Province, northern Colombia. Materials and methods. Sera were analyzed from 36 capybaras in a rural area of Monteria (village of San Jeronimo) in Córdoba. For the detection of IgG antibodies, indirect immunofluorescence was performed. The antigens were derived from R. rickettsia strain Taiaçu isolated in Brazil. Capybara sera were diluted 1:64 for IFA analysis. Ticks were collected from each capybara (also known as chigüiro) and identified to species. Results. The seroprevalence of spotted fever group Rickettsia was 22% (8 capybaras). Four sera had a titer of 1:64, 3 had a titer of 1:128 and one serum had a titer of 1:512. All ticks removed from the capybaras (n=933) were taxonomically identified as Amblyomma cajennense. Conclusion. Colombia has areas endemic for rickettsioses, as indicated by confirmed annual outbreaks. The current study reports the first evidence of natural rickettsial infection of the spotted fever group in capybaras from Colombia. The findings suggest that capybaras can be used as sentinels for the circulation of rickettsiae and can identify endemic areas for the transmission of rickettsial diseases.

  10. Surveillance of Rickettsia sp. infection in capybaras (Hydrochoerus hydrochaeris a potential model of epidemiological alert in endemic areas Vigilancia de la infección por Rickettsia sp. en capibaras (Hydrochoerus hydrochaeris un modelo potencial de alerta epidemiológica en zonas endémicas

    Directory of Open Access Journals (Sweden)

    Marcelo B. Labruna

    2011-03-01

    Full Text Available Introduction. Capybaras (Hydrochoerus hydrochaeris are considered amplifying hosts of Rickettsia sp. These rodents are usually parasitized by the tick vector, Amblyomma cajennense, the main vector of rickettsioses in humans and animals in South America. Capybaras can be used as sentinels in detection of circulation of rickettsiae.
    Objective. Antibodies to rickettsiae of spotted fever group were detected in capybaras in a rural area of Cordoba Province, northern Colombia.
    Materials and methods. Sera were analyzed from 36 capybaras in a rural area of Monteria (village of San Jeronimo in Córdoba. For the detection of IgG antibodies, indirect immunofluorescence was performed. The antigens were derived from R. rickettsia strain Taiaçu isolated in Brazil. Capybara sera were diluted 1:64 for IFA analysis. Ticks were collected from each capybara (also known as chigüiro and identified to species.
    Results. The seroprevalence of spotted fever group Rickettsia was 22% (8 capybaras. Four sera had a titer of 1:64, 3 had a titer of 1:128 and one serum had a titer of 1:512. All ticks removed from the capybaras (n=933 were taxonomically identified as Amblyomma cajennense.
    Conclusion. Colombia has areas endemic for rickettsioses, as indicated by confirmed annual outbreaks. The current study reports the first evidence of natural rickettsial infection of the spotted fever group in capybaras from Colombia. The findings suggest that capybaras can be used as sentinels for the circulation of rickettsiae and can identify endemic areas for the transmission of rickettsial diseases.

    Introducción. Los capibaras o chigüiros (Hydrochoerus hydrochaeris son huéspedes amplificadores de Rickettsia sp. Usualmente se encuentran parasitados por la garrapata Amblyomma cajennense, principal vector de rickettsiosis en Suramérica. Los capibaras pueden ser usados como potenciales centinelas de la circulación de rickettsias.
    Objetivo. Detectar anticuerpos contra Rickettsia sp. del grupo de las fiebres manchadas en capibaras de una zona rural del municipio de Montería, departamento de Córdoba.
    Material y métodos. Se analizaron 36 sueros de capibaras de una zona rural de Montería (vereda San Jerónimo en Córdoba. Para la detección de anticuerpos IgG se practicó inmunofluorescencia indirecta, que utilizó antígenos de la cepa Taiaçu de Rickettsia rickettsii de Brasil. Los sueros de los capibaras fueron diluidos 1:64. Se capturaron las garrapatas que se encontraban parasitando los capibaras y se clasificaron hasta su especie.
    Resultados. La seroprevalencia contra Rickettsia sp. del grupo de la fiebres manchadas encontrada fue de 22 % (8 capibaras; se encontraron cuatro sueros con título de 1:64, tres sueros con título 1:128 y un suero presentó titulación de 1:512. Todas las garrapatas (n=933 fueron identificadas taxonómicamente como A. cajennense.
    Conclusión. En Colombia existen zonas endémicas de rickettsiosis y la aparición de brotes anuales lo confirma (Necoclí, 2006; Los Córdobas, 2007, y Altos de Mulatos, 2008. El presente estudio reporta por primera vez la presencia de infección natural por rickettsia del grupo de las fiebres manchadas en capibaras de Colombia. Los hallazgos sugieren que los capibaras pueden ser usados como potenciales centinelas de la circulación de rickettsias y marcadores de las áreas de riesgo para la transmisión de rickettsiosis.

  11. Rickettsia parkeri: a Rickettsial pathogen transmitted by ticks in endemic areas for spotted fever rickettsiosis in southern Uruguay Rickettsia parkeri: patógeno rickettsial transmitido por garrapatas en áreas endémicas de rickettsiosis por fiebre manchada en el sur de Uruguay

    Directory of Open Access Journals (Sweden)

    José M. Venzal

    2012-06-01

    Full Text Available At first Rickettsia conorii was implicated as the causative agent of spotted fever in Uruguay diagnosed by serological assays. Later Rickettsia parkeri was detected in human-biting Amblyomma triste ticks using molecular tests. The natural vector of R. conorii, Rhipicephalus sanguineus, has not been studied for the presence of rickettsial organisms in Uruguay. To address this question, 180 R. sanguineus from dogs and 245 A. triste from vegetation (flagging collected in three endemic localities were screened for spotted fever group (SFG rickettsiosis in southern Uruguay. Tick extracted DNA pools were subjected to PCR using primers which amplify a fragment of the rickettsial gltA gene. Positive tick DNA pools with these primers were subjected to a second PCR round with primers targeting a fragment of the ompA gene, which is only present in SFG rickettsiae. No rickettsial DNA was detected in R. sanguineus. However, DNA pools of A. triste were found to be positive for a rickettsial organism in two of the three localities, with prevalences of 11.8% to 37.5% positive pools. DNA sequences generated from these PCR-positive ticks corresponded to R. parkeri. These findings, joint with the aggressiveness shown by A. triste towards humans, support previous data on the involvement of A. triste as vector of human infections caused by R. parkeri in Uruguay.Inicialmente, Rickettsia conorii fue señalada como el agente causal de la fiebre manchada en Uruguay, diagnosticada mediante pruebas serológicas. Posteriormente, Rickettsia parkeri fue detectada mediante técnicas moleculares en garrapatas Amblyomma triste colectadas sobre humanos. El vector natural de R. conorii, Rhipicephalus sanguineus, no ha sido estudiado en cuanto a rickettsias en Uruguay. Para abordar este tema, 180 R. sanguineus fueron colectados sobre perros y 245 A. triste sobre vegetación en tres localidades consideradas endémicas para fiebres manchadas en el sur de Uruguay. El ADN de las garrapatas fue extraído en pools y sometido a una primera PCR utilizando cebadores que amplifican un fragmento del gen gltA, presente en prácticamente todas las especies de Rickettsia. Las muestras positivas fueron sometidas a una segunda PCR con cebadores que amplifican un fragmento del gen ompA, presente sólo en rickettsias del grupo de las fiebres manchadas (GFM. No se detectó ADN rickettsial en R. sanguineus. Sin embargo, muestras de A. triste fueron positivas a rickettsiales en dos de las tres localidades estudiadas, con prevalencias de pools positivos del 11.8 y 37.5% respectivamente. La secuenciación del ADN evidenció la presencia de R. parkeri. Basados en estos resultados junto a los anteriores y la agresividad de A. triste hacia los humanos, se concluye que esta garrapata es vector de rickettsiosis humana por R. parkeri en Uruguay.

  12. Rickettsia parkeri: a Rickettsial pathogen transmitted by ticks in endemic areas for spotted fever rickettsiosis in southern Uruguay / Rickettsia parkeri: patógeno rickettsial transmitido por garrapatas en áreas endémicas de rickettsiosis por fiebre manchada en el sur de Uruguay

    Scientific Electronic Library Online (English)

    José M., Venzal; Agustín, Estrada-Peña; Aránzazu, Portillo; Atilio J., Mangold; Oscar, Castro; Carlos G. De, Souza; María L., Félix; Laura, Pérez-Martínez; Sonia, Santibánez; José A., Oteo.

    2012-06-01

    Full Text Available Inicialmente, Rickettsia conorii fue señalada como el agente causal de la fiebre manchada en Uruguay, diagnosticada mediante pruebas serológicas. Posteriormente, Rickettsia parkeri fue detectada mediante técnicas moleculares en garrapatas Amblyomma triste colectadas sobre humanos. El vector natural [...] de R. conorii, Rhipicephalus sanguineus, no ha sido estudiado en cuanto a rickettsias en Uruguay. Para abordar este tema, 180 R. sanguineus fueron colectados sobre perros y 245 A. triste sobre vegetación en tres localidades consideradas endémicas para fiebres manchadas en el sur de Uruguay. El ADN de las garrapatas fue extraído en pools y sometido a una primera PCR utilizando cebadores que amplifican un fragmento del gen gltA, presente en prácticamente todas las especies de Rickettsia. Las muestras positivas fueron sometidas a una segunda PCR con cebadores que amplifican un fragmento del gen ompA, presente sólo en rickettsias del grupo de las fiebres manchadas (GFM). No se detectó ADN rickettsial en R. sanguineus. Sin embargo, muestras de A. triste fueron positivas a rickettsiales en dos de las tres localidades estudiadas, con prevalencias de pools positivos del 11.8 y 37.5% respectivamente. La secuenciación del ADN evidenció la presencia de R. parkeri. Basados en estos resultados junto a los anteriores y la agresividad de A. triste hacia los humanos, se concluye que esta garrapata es vector de rickettsiosis humana por R. parkeri en Uruguay. Abstract in english At first Rickettsia conorii was implicated as the causative agent of spotted fever in Uruguay diagnosed by serological assays. Later Rickettsia parkeri was detected in human-biting Amblyomma triste ticks using molecular tests. The natural vector of R. conorii, Rhipicephalus sanguineus, has not been [...] studied for the presence of rickettsial organisms in Uruguay. To address this question, 180 R. sanguineus from dogs and 245 A. triste from vegetation (flagging) collected in three endemic localities were screened for spotted fever group (SFG) rickettsiosis in southern Uruguay. Tick extracted DNA pools were subjected to PCR using primers which amplify a fragment of the rickettsial gltA gene. Positive tick DNA pools with these primers were subjected to a second PCR round with primers targeting a fragment of the ompA gene, which is only present in SFG rickettsiae. No rickettsial DNA was detected in R. sanguineus. However, DNA pools of A. triste were found to be positive for a rickettsial organism in two of the three localities, with prevalences of 11.8% to 37.5% positive pools. DNA sequences generated from these PCR-positive ticks corresponded to R. parkeri. These findings, joint with the aggressiveness shown by A. triste towards humans, support previous data on the involvement of A. triste as vector of human infections caused by R. parkeri in Uruguay.

  13. Fiebre manchada por rickettsias en el Delta del Paraná: Una enfermedad emergente / Rickettsial spotted fever in the Paraná Delta: An emerging disease

    Scientific Electronic Library Online (English)

    Alfredo, Seijo; Marisa, Picollo; William, Nicholson; Christopher, Paddock.

    2007-12-01

    Full Text Available Se comunica un caso de fiebre manchada por rickettsia autóctono del delta del Paraná correspondiente a la provincia de Buenos Aires. Luego de cinco días de haber permanecido en una región cercana a la localidad de ingeniero Otamendi, partido de Campana, el paciente presentó un síndrome febril agudo [...] caracterizado por hipertermia con escalofríos y sudoración, mialgias, cefalea, astenia y discreta odinofagia, seguido a las 72 horas por un exantema maculopapuloso congestivo con elementos purpúricos, de distribución universal. En la región preauricular izquierda se observaba una lesión papuloerosiva, producida cinco días antes de iniciada la fiebre por una garrapata adquirida en el lugar. El cuadro clínico remitió rápidamente con la administración de doxiciclina. Por inmunofluorescencia indirecta se identificaron anticuerpos reactivos contra el grupo de rickettsias causantes de fiebres manchadas (CDC, Atlanta, EE.UU.). Se realizan consideraciones sobre la especie de rickettsia, el vector involucrado y la posibilidad que la enfermedad fuera debida a Rickettsia parkeri. Abstract in english We describe a case of rickettsial spotted fever in the Paraná Delta region of Buenos Aires province in Argentina. The patient developed an acute febrile syndrome characterized by myalgias, headache, asthenia and moderate odynophagia, followed by a diffuse macular, papular, and purpuric exanthema. Th [...] e patient had been bitten recently by a tick on the left preauricular region and an erosive papular lesion was evident at the bite site. An indirect immunofluorescence antibody assay identified antibodies reactive with spotted fever group rickettsiae in the patient's serum. The patient improved rapidly with doxycycline. Several considerations relating to the identity of the rickettsial species and tick vector are discussed, including the possibility that this patient's illness may have been caused by Rickettsia parkeri.

  14. Fiebre manchada por rickettsias en el Delta del Paraná: Una enfermedad emergente Rickettsial spotted fever in the Paraná Delta: An emerging disease

    Directory of Open Access Journals (Sweden)

    Alfredo Seijo

    2007-12-01

    Full Text Available Se comunica un caso de fiebre manchada por rickettsia autóctono del delta del Paraná correspondiente a la provincia de Buenos Aires. Luego de cinco días de haber permanecido en una región cercana a la localidad de ingeniero Otamendi, partido de Campana, el paciente presentó un síndrome febril agudo caracterizado por hipertermia con escalofríos y sudoración, mialgias, cefalea, astenia y discreta odinofagia, seguido a las 72 horas por un exantema maculopapuloso congestivo con elementos purpúricos, de distribución universal. En la región preauricular izquierda se observaba una lesión papuloerosiva, producida cinco días antes de iniciada la fiebre por una garrapata adquirida en el lugar. El cuadro clínico remitió rápidamente con la administración de doxiciclina. Por inmunofluorescencia indirecta se identificaron anticuerpos reactivos contra el grupo de rickettsias causantes de fiebres manchadas (CDC, Atlanta, EE.UU.. Se realizan consideraciones sobre la especie de rickettsia, el vector involucrado y la posibilidad que la enfermedad fuera debida a Rickettsia parkeri.We describe a case of rickettsial spotted fever in the Paraná Delta region of Buenos Aires province in Argentina. The patient developed an acute febrile syndrome characterized by myalgias, headache, asthenia and moderate odynophagia, followed by a diffuse macular, papular, and purpuric exanthema. The patient had been bitten recently by a tick on the left preauricular region and an erosive papular lesion was evident at the bite site. An indirect immunofluorescence antibody assay identified antibodies reactive with spotted fever group rickettsiae in the patient's serum. The patient improved rapidly with doxycycline. Several considerations relating to the identity of the rickettsial species and tick vector are discussed, including the possibility that this patient's illness may have been caused by Rickettsia parkeri.

  15. Serological evidence of Rickettsia parkeri as the etiological agent of rickettsiosis in Uruguay Evidência sorológica de Rickettsia parkeri como agente etiológico de rickettsiose no Uruguai

    Directory of Open Access Journals (Sweden)

    Ismael A. Conti-Díaz

    2009-12-01

    Full Text Available We report three new rickettsiosis human cases in Uruguay. The three clinical cases presented clinical manifestations similar to previous reported cases of Rickettsia parkeri in the United States; that is mild fever (São relatados três novos casos humanos de rickettsiose no Uruguai. Os três casos clínicos apresentam manifestações clínicas semelhantes às descritas em casos de infecção por Rickettsia parkeri previamente relatados nos Estados Unidos, tais como: febre moderada (< 40 ºC, mal-estar, cefaléia, exantema, escara de inoculação no sítio de fixação do carrapato, linfadenopatia regional e ausência de letalidade. Testes sorológicos de absorção de anticorpos com antígenos de R. parkeri e Rickettsia rickettsii, associados à reação de imunofluorescência indireta, sugerem que os pacientes de dois casos foram infectados por R. parkeri. Evidências clínicas e epidemiológicas, associadas com nossas análises sorológicas, sugerem que R. parkeri é o agente etiológico de casos humanos de febre maculosa no Uruguai, uma doença que tem sido reconhecida naquele país como rickettsiose cutâneo-ganglionar.

  16. Fatal Brazilian spotless fever caused by Rickettsia rickettsii in a dark-skinned patient Febre maculosa brasileira sem exantema causada por Rickettsia rickettsii em um paciente de cor negra

    Directory of Open Access Journals (Sweden)

    Alexsandra Rodrigues de Mendonça Favacho

    2011-06-01

    Full Text Available Brazilian spotted fever (BSF is the most important and frequent rickettsial disease in Brazil. A fatal case of BSF is reported in a 32-year-old black man, who died of irreversible shock after five days of fever, severe headache and abdominal pain with no rash. Spleen, kidney and heart samples collected at autopsy were positive for Rickettsia rickettsii by PCR and sequencing. The authors emphasize the need for a high index of diagnostic suspicion for spotted fever in black patients. Absence of a skin rash should not dissuade clinicians from considering the possibility of BSF and initiating empirical therapy.Febre maculosa brasileira (FMB é a mais importante e frequente doença rickettsial no Brasil. Relatamos um caso fatal de FMB em um homem negro de 32 anos de idade que morreu de choque irreversível após cinco dias de febre, cefaléia intensa, dor abdominal, e sem evidência de exantema. Amostras de baço, rim e coração coletadas na necropsia foram positivas para Rickettsia rickettsii por PCR e sequenciamento. Os autores ressaltam a necessidade de um alto índice de suspeita diagnóstica para febre maculosa em pacientes negros. Ausência de exantema não deve dissuadir os clínicos de considerar a possibilidade de FMB e iniciar a terapêutica empírica.

  17. Fatal Brazilian spotless fever caused by Rickettsia rickettsii in a dark-skinned patient / Febre maculosa brasileira sem exantema causada por Rickettsia rickettsii em um paciente de cor negra

    Scientific Electronic Library Online (English)

    Alexsandra Rodrigues de Mendonça, Favacho; Tatiana, Rozental; Simone Berger, Calic; Maria Aparecida Mota, Scofield; Elba Regina Sampaio de, Lemos.

    2011-06-01

    Full Text Available Febre maculosa brasileira (FMB) é a mais importante e frequente doença rickettsial no Brasil. Relatamos um caso fatal de FMB em um homem negro de 32 anos de idade que morreu de choque irreversível após cinco dias de febre, cefaléia intensa, dor abdominal, e sem evidência de exantema. Amostras de baç [...] o, rim e coração coletadas na necropsia foram positivas para Rickettsia rickettsii por PCR e sequenciamento. Os autores ressaltam a necessidade de um alto índice de suspeita diagnóstica para febre maculosa em pacientes negros. Ausência de exantema não deve dissuadir os clínicos de considerar a possibilidade de FMB e iniciar a terapêutica empírica. Abstract in english Brazilian spotted fever (BSF) is the most important and frequent rickettsial disease in Brazil. A fatal case of BSF is reported in a 32-year-old black man, who died of irreversible shock after five days of fever, severe headache and abdominal pain with no rash. Spleen, kidney and heart samples colle [...] cted at autopsy were positive for Rickettsia rickettsii by PCR and sequencing. The authors emphasize the need for a high index of diagnostic suspicion for spotted fever in black patients. Absence of a skin rash should not dissuade clinicians from considering the possibility of BSF and initiating empirical therapy.

  18. Study of infection by Rickettsiae of the spotted fever group in humans and ticks in an urban park located in the City of Londrina, State of Paraná, Brazil Estudo da infecção por Rickettsias do grupo da febre maculosa em humanos e carrapatos de um parque urbano na Cidade de Londrina, Estado do Paraná

    Directory of Open Access Journals (Sweden)

    Roberta Santos Toledo

    2011-06-01

    Full Text Available INTRODUCTION: Spotted fevers are emerging zoonoses caused by Rickettsia species in the spotted fever group (SFG. Rickettsia rickettsii is the main etiologic agent of Brazilian spotted fever (BSF and it is transmitted by Amblyomma spp. ticks. METHODS: The study aimed to investigate SFG rickettsiae in the Arthur Thomas Municipal Park in Londrina, PR, by collecting free-living ticks and ticks from capybaras and blood samples from personnel working in these areas. Samples from A. dubitatum and A. cajennense were submitted for PCR in pools to analyze the Rickettsia spp. gltA (citrate synthase gene. RESULTS: All the pools analyzed were negative. Human sera were tested by indirect immunofluorescence assay with R. rickettsii and R. parkeri as antigens. Among the 34 sera analyzed, seven (20.6% were reactive for R. rickettsii: four of these had endpoint titers equal to 64, 2 titers were 128 and 1 titer was 256. None of the samples were reactive for R. parkeri. An epidemiological questionnaire was applied to the park staff, but no statistically significant associations were identified. CONCLUSIONS: The serological studies suggest the presence of Rickettsiae related to SFG that could be infecting the human population studied; however, analysis of the ticks collected was unable to determine which species may be involved in transmission to humans.INTRODUÇÃO: A febre maculosa é uma zoonose emergente causada por espécies de Rickettsia do grupo febre maculosa (GFM. Rickettsia rickettsii é o principal agente etiológico da febre maculosa brasileira (FMB e é transmitida por Amblyomma spp. MÉTODOS: Com o objetivo de obter informações sobre GFM Rickettsiae no Parque Municipal Arthur Thomas em Londrina, PR, carrapatos de vida livre e de capivaras foram coletados, assim como amostras de sangue das pessoas que trabalham no parque. A. dubitatum e A. cajennense foram submetidos à PCR em pools para analises de Rickettsia spp. gltA (citrate synthase gene. RESULTADOS: Todos os pools de carrapatos analizados foram negativos. Soros de humanos foram testados pela imunofluorescência indireta com antigenos de R. rickettsii e R. parkeri. Entre os 34 soros analisados, 7 (20,6% foram positivos para R. rickettsii. Destes, quatro apresentaram títulos iguais a 64, dois iguais a 128 e um, igual a 256, mas nenhum soro reagiu com R. parkeri. Não houve nenhuma associação, estatisticamente significante, entre as variáveis analisadas no questionário epidemiológico fornecido às pessoas que participaram da pesquisa. CONCLUSÕES: Os estudos sorológicos sugerem a presença de alguma Rickettsiae relacionada ao GFM que poderiam estar infectando a população humana estudada. Entretanto, as análises dos carrapatos foram inconclusivas para determinar qual espécie poderia estar envolvida na transmissão para os humanos.

  19. Ecoepidemiología de la infección por rickettsias en roedores, ectoparásitos y humanos en el noroeste de Antioquia, Colombia / Ecoepidemiology of rickettsial infection in rodents, ectoparasites and humans in northeastern Antioquia, Colombia

    Scientific Electronic Library Online (English)

    Juan Carlos, Quintero; Andrés Felipe, Londoño; Francisco J, Díaz; Piedad, Agudelo-Flórez; Margarita, Arboleda; Juan David, Rodas.

    2013-09-01

    Full Text Available Introducción. Las rickettsias son bacterias patógenas usualmente transmitidas por ectoparásitos, como garrapatas, piojos o pulgas. En la última década se presentaron tres brotes de rickettsiosis con casos fatales en la región noroccidental de Antioquia y en un municipio limítrofe de Córdoba. Objetiv [...] o. Describir la ecología y la epidemiología de las infecciones por Rickettsia spp. en el Urabá antioqueño. Materiales y métodos. Se obtuvieron muestras de 354 roedores y se recolectaron 839 ectoparásitos de estos en los municipios de Apartadó, Turbo y Necoclí. Asimismo, se obtuvieron 220 sueros humanos. Estas muestras fueron estudiadas por reacción en cadena de la polimerasa (PCR) e inmunofluorescencia indirecta (IFI) para la detección de infección por rickettsias. Resultados. Por IFI se detectaron anticuerpos antirickettsias en 130 (43 %) de los roedores y en 53 (24 %) de los sueros humanos estudiados. Además, se amplificaron secuencias del gen gltA específicas del género Rickettsia en 23 (6,8 %) muestras de hígado de roedores, las cuales mostraron una similitud del 98,7 % con R. prowazekii . Una secuencia de gltA obtenida de larvas de garrapatas del género Amblyomma sp., tuvo una identidad mayor de 99 % con las secuencias de R. tamurae . Conclusión. Estos resultados demuestran la circulación de rickettsias en roedores, ectoparásitos y humanos en los municipios estudiados. Abstract in english Introduction: Rickettsia spp. are tick, flea or lice-borne pathogenic bacterium, usually carried by rodents. In the last decade three outbreaks of rickettsial disease including fatalities, occurred in the provinces of Antioquia and Córdoba in northwestern Colombia. Objective: The purpose of this stu [...] dy was to perform an ecological and epidemiological description of the Rickettsia spp infection in the recently affected region of Colombia. Materials and methods: Samples were obtained from 354 rodents and their parasites captured in the municipalities of Apartadó, Turbo and Necoclí. Likewise, 220 human sera were also collected, for detection of infection by Rickettsia spp. Results: Indirect immunofluorescence assay (IFA) revealed that 130 (43%) of the rodents and 53 (24%) of the humans produced antibodies to Rickettsia spp. Additionally, rickettsial DNA was amplified by PCR from 23 (6.8%) rodent liver samples using primers directed to the genus specific gltA gene. While gltA sequences from rodent samples exhibited a 98.7% similitude with R . prowazekii, a sequence amplified from larvae of Amblyomma sp exhibited identities of >99% similarity with R. tamurae . Conclusion: These results demonstrate the presence of rickettsia in rodents, ectoparasites and humans throughout the municipalities studied.

  20. Study of infection by Rickettsiae of the spotted fever group in humans and ticks in an urban park located in the City of Londrina, State of Paraná, Brazil / Estudo da infecção por Rickettsias do grupo da febre maculosa em humanos e carrapatos de um parque urbano na Cidade de Londrina, Estado do Paraná

    Scientific Electronic Library Online (English)

    Roberta Santos, Toledo; Katia, Tamekuni; Mauro de Freitas, Silva Filho; Valeska Bender, Haydu; Richard Campos, Pacheco; Marcelo Bahia, Labruna; John Stephen, Dumler; Odilon, Vidotto.

    2011-06-01

    Full Text Available INTRODUÇÃO: A febre maculosa é uma zoonose emergente causada por espécies de Rickettsia do grupo febre maculosa (GFM). Rickettsia rickettsii é o principal agente etiológico da febre maculosa brasileira (FMB) e é transmitida por Amblyomma spp. MÉTODOS: Com o objetivo de obter informações sobre GFM Ri [...] ckettsiae no Parque Municipal Arthur Thomas em Londrina, PR, carrapatos de vida livre e de capivaras foram coletados, assim como amostras de sangue das pessoas que trabalham no parque. A. dubitatum e A. cajennense foram submetidos à PCR em pools para analises de Rickettsia spp. gltA (citrate synthase gene). RESULTADOS: Todos os pools de carrapatos analizados foram negativos. Soros de humanos foram testados pela imunofluorescência indireta com antigenos de R. rickettsii e R. parkeri. Entre os 34 soros analisados, 7 (20,6%) foram positivos para R. rickettsii. Destes, quatro apresentaram títulos iguais a 64, dois iguais a 128 e um, igual a 256, mas nenhum soro reagiu com R. parkeri. Não houve nenhuma associação, estatisticamente significante, entre as variáveis analisadas no questionário epidemiológico fornecido às pessoas que participaram da pesquisa. CONCLUSÕES: Os estudos sorológicos sugerem a presença de alguma Rickettsiae relacionada ao GFM que poderiam estar infectando a população humana estudada. Entretanto, as análises dos carrapatos foram inconclusivas para determinar qual espécie poderia estar envolvida na transmissão para os humanos. Abstract in english INTRODUCTION: Spotted fevers are emerging zoonoses caused by Rickettsia species in the spotted fever group (SFG). Rickettsia rickettsii is the main etiologic agent of Brazilian spotted fever (BSF) and it is transmitted by Amblyomma spp. ticks. METHODS: The study aimed to investigate SFG rickettsiae [...] in the Arthur Thomas Municipal Park in Londrina, PR, by collecting free-living ticks and ticks from capybaras and blood samples from personnel working in these areas. Samples from A. dubitatum and A. cajennense were submitted for PCR in pools to analyze the Rickettsia spp. gltA (citrate synthase gene). RESULTS: All the pools analyzed were negative. Human sera were tested by indirect immunofluorescence assay with R. rickettsii and R. parkeri as antigens. Among the 34 sera analyzed, seven (20.6%) were reactive for R. rickettsii: four of these had endpoint titers equal to 64, 2 titers were 128 and 1 titer was 256. None of the samples were reactive for R. parkeri. An epidemiological questionnaire was applied to the park staff, but no statistically significant associations were identified. CONCLUSIONS: The serological studies suggest the presence of Rickettsiae related to SFG that could be infecting the human population studied; however, analysis of the ticks collected was unable to determine which species may be involved in transmission to humans.

  1. El género Rickettsia como agente de zoonosis en el Cono Sur de Sudamérica

    Scientific Electronic Library Online (English)

    José M, Venza; Santiago, Nava.

    2011-06-01

    Full Text Available As rickettsioses são zoonoses causadas por bactérias do gênero Rickettsia que se classificam em dois grupos: o das febres maculosas e o da febre do tifo. As febres maculosas na maioria são transmitidas por carrapatos, embora algumas sejam transmitidas por pulgas e ácaros. Na febre do tifo os vetores [...] primários são o piolho humano do corpo e a pulga Xenopspylla cheopis. Até o final do século as únicas rickettsioses reconhecidas na América do Sul eram Rickettsia prowazekii, Rickettsia typhi (febre do tifo) e Rickettsia rickettsii (febres maculosas). Porém na última década, através do emprego de modernas técnicas de diagnóstico, foram identificadas varias espécies ou cepas de rickettsias do grupo das febres maculosas, algumas das quais são patogênicas para os seres humanos. No Cone Sul da América do Sul seis espécies de Rickettsia e ao menos quatro cepas de Rickettsia sp. foram detectadas em carrapatos e uma em pulgas. Quatro espécies destas rickettsias, R. rickettsii, Rickettsia parkeri, Rickettsia massiliae e Rickettsia felis e uma cepa de Rickettsia sp. (cepa Mata Atlântica) foram reconhecidas como patogênicas para os seres humanos. Neste trabalho se descrevem casos clínicos causados pelas três principais espécies de rickettsias com importância epidemiológica no Cone Sul da América do Sul: R. rickettsii, R. parkeri e R. massiliae. A informação deste trabalho compreende dados da Argentina, da metade meridional do Brasil, Chile e Uruguai. Paraguai não foi incluído devido à ausência de estudos sobre rickettsias. Abstract in spanish Las rickettsiosis son zoonosis causadas por bacterias del género Rickettsia que se clasifican en dos grupos: el de las fiebres manchadas y el de las fiebres tíficas. Las fiebres manchadas son en su mayoría transmitidas por garrapatas, aunque algunas son transmitidas por pulgas y ácaros. En las fiebr [...] es tíficas los vectores primarios son el piojo humano del cuerpo y la pulga Xenopspylla cheopis. Hasta finales del siglo XX las únicas rickettsiosis reconocidas en Sudamérica eran Rickettsia prowazekii, Rickettsia typhi (fiebres tíficas) y Rickettsia rickettsii (fiebres manchadas). Pero en la última década, mediante el empleo de modernas técnicas de diagnóstico, se han determinado en Sudamérica varias especies o cepas de rickettsias del grupo de las fiebres manchadas, algunas de las cuales son patógenas para humanos. En el Cono Sur de Sudamérica, seis especies de Rickettsia y al menos cuatro cepas de Rickettsia sp. fueron detectadas en garrapatas y una en pulgas. Cuatro especies de estas rickettsias, R. rickettsii, Rickettsia parkeri, Rickettsia massiliae y Rickettsia felis y una cepa de Rickettsia sp. (cepa Mata Atlántica) son reconocidas como patógenas para los humanos. En este trabajo se describen los casos clínicos causados por las tres principales especies de rickettsias con importancia epidemiológica en el Cono Sur de Sudamérica: R. rickettsii, R. parkeri y R. massiliae. La información del trabajo comprende Argentina, la mitad meridional de Brasil, Chile y Uruguay. Paraguay no se incluye debido a la falta absoluta de estudios sobre rickettsias. Abstract in english Rickettsiosis are zoonosis caused by bacterias of the Rickettsia species that are classified into two groups: that of the spotted fever and typhic fever. Spotted fever is mainly transmitted by ticks, although sometimes they are transmitted by fleas and mites. In the typhic fevers primary vectors are [...] the human body louse and the Xenopspylla cheopis flea. Until the end of the 20th century the only Rickettsiosis known in SouthAmerica were Rickettsia prowazekii, Rickettsia (typhic fevers) and Rickettsia Rickettsii (spotted fevers). But in the last decade, by using modern diagnostic techniques, several rickettsias species or strains have been identified in South America, six Rickettsia species and at least four Rickettsia sp. in the South American Southern Cone in ticks and one in fleas. Four of these Rickettsia species: R. rickettsii, Rickettsia

  2. Identificación de una nueva área de infección por Rickettsias del grupo typhi: estudio de un brote de tifus en Huánuco

    Scientific Electronic Library Online (English)

    Rosa, Mostorino E; Elizabeth, Anaya R; Leonardo, Mendoza U; Angel, Rosas A.

    2003-03-01

    Full Text Available Objetivos: Investigar un brote de síndrome febril en el distrito de Punchao mediante una evaluación clínica, laboratorial y entomológica para conocer los factores asociados a la aparición de dicho brote. Materiales y métodos: Debido al reporte de tres pacientes con cuadro clínico febril asociado a c [...] efalea, mialgias y postración en la semana epidemiológica Nº41 del año 2000, procedentes del distrito de Punchao, Humalíes, Huánuco y ante la información de presentación inusual de pacientes febriles en la última semana en dicho lugar, se decidió investigar la naturaleza y características del brote. Se definió como caso a todo paciente con cuadro febril agudo y uno de estos síntomas: cefalea, mialgias o postración; procediéndose a la búsqueda activa de éstos y a la evaluación de presencia de anticuerpos para rickettsias en suero mediante inmunofluorescencia indirecta (IFI). Se capturaron roedores y se colectaron ectoparásitos en las viviendas (roedores, animales domésticos y humanos), a fin de identificar la presencia de Rickettsias en ellos mediante IFI, aislamiento o PCR. Resultados: No se logró el aislamiento del agente causal. Se evidenció circulación de la Rickettsia sp. (serología positiva) tanto en humanos (en casos y en no casos) como en roedores. Se evidenció mayor presencia de malos hábitos de aseo y condiciones inadecuadas de saneamiento básico en los casos (respecto a los no casos) y una disminución de los casos luego del inicio de las medidas de control. Conclusiones: Las evidencias encontradas permitieron identificar un brote de tifus en Punchao, no pudiéndose determinar la especie involucrada debido a que no se aisló el agente causal. Abstract in english Objectives: To assess an outbreak of febrile syndrome in Punchao district through a clinical, laboratorial and entomological evaluation and to find out the factors associated to the occurrence of such outbreak. Materials and methods: Due to the report of three patients from Punchao, Huamalíes (Huanu [...] co) presenting with fever associated to headache, myalgia and postration, on the 41st epidemiological week 2000; and because of an inusual presentation of feverish patients in the last week in such site; we decided to investigate the nature and characteristics of the outbreak. We define as case every patient with a time of illness less than 15 days with fever and one of these symptoms: headache, myalgias and postration and we started actively to look for these cases and to assess the presence of anti-Rickettsias antibodies in serum using IFI. We captured rodents and collected ectoparasites in houses (in rodents, domestic animals and humans), with the purpose of identifying Rickettsias using IFI, isolation and/or PCR. Results: We could not isolate the causal agent. The circulation of Rickettsia (positive serology) in humans (cases and no cases) and in rodents was confirmed. A greater presence of bad habits of cleanliness and inadequate conditions of basic sanitation in cases (in relation to no cases) and a decrease in the number of cases after the beginning of control measures, was evident. Conclusions: The evidences found allowed the identification of a typhus outbreak in Punchao; however, the determination of the involucrated species was not possible because the causal agent was not isolated.

  3. First identification of natural infection of Rickettsia rickettsii in the Rhipicephalus sanguineus tick, in the State of Rio de Janeiro Primeira identificação de infecção natural por Rickettsia rickettsii no carrapato Rhipicephalus sanguineus no Rio de Janeiro

    Directory of Open Access Journals (Sweden)

    Nathalie C. Cunha

    2009-02-01

    Full Text Available The Brazilian Spotted Fever (BSF is a zoonotic disease caused by Rickettsia rickettsii and transmitted by ticks of the genus Amblyomma, more frequently, Amblyomma cajennense. The aim of this paper was to report the first molecular detection of R. rickettsii on R. sanguineus naturally infected in Rio de Janeiro, Brazil. Ticks were collected from dogs in a rural region of Resende municipality, Rio de Janeiro State, Brazil (22º30'9.46"S, 44º42'44.29"WO, where occurred five human cases of BSF in 2006. The ticks were identified under a stereoscopic microscope and separated in pools by stages, species and sex. DNA extraction was carried out using QIAamp DNA Mini Kit (QIAGEN®. The DNA was submitted to PCR amplification using 04 set of primers: Rr190.70p/Rr190.602n (OmpA, 532bp, BG1-21/BG2-20 (OmpB, 650bp, Tz15/Tz16 (17 kDa protein-encoding gene, 246bp and RpCS.877p/RpCS.1258n (gltA, 381bp. PCR products were separated by electrophoresis on 1% agarose gels and visualized under ultraviolet light with ethidium bromide. PCR products of the expected sizes were purified by QIAquick® and sequenced by ABI PRISM®. The generated nucleotide sequences were edited with using Bioedit® software and compared with the corresponding homologous sequences available through GenBank, using Discontiguous Mega Blast (http://www.ncbi.nlm.nih.gov. It was confirmed R. rickettsii by sequencing of the material (GenBank FJ356230. The molecular characterization of R. rickettsii in the tick R. sanguineus emphasizes the role of dogs as carriers of ticks from the environment to home. Moreover, this result suggests that there is a considerable chance for active participation of R. sanguineus as one of tick species in the transmission of R. ricketsii to human being in the Brazilian territory.A Febre Maculosa Brasileira (FMB é uma zoonose causada por Rickettsia rickettsii e transmitida por carrapatos do gênero Amblyomma, mais freqüentemente pela espécie Amblyomma cajennense. Este trabalho tem como objetivo relatar a primeira detecção molecular de R. rickettsii em Rhipicephalus sanguineus naturalmente infectado no Rio de Janeiro, Brasil. Carrapatos foram coletados de cães, procedentes de uma região rural do município de Resende, estado do Rio de Janeiro, Brasil (22º30'9.46"S, 44º42'44.29"WO, onde ocorreram cinco casos humanos de FMB em 2006. Todos os carrapatos foram identificados segundo chave dicotômica, utilizando-se lupa estereoscópica e separados de acordo com estágio, espécie e sexo. Para a extração de DNA utilizou-se o kit comercial QIAamp DNA (QIAGEN ®. O DNA foi submetido à técnica de PCR utilizando 04 conjuntos de iniciadores para a amplificação dos genes: Rr190.70p/Rr190.602n (OmpA, 532bp, BG1-21/BG2-20 (OmpB, 650bp, Tz15/Tz16 (17 kDa gene que codifica a proteína, 246bp e RPCs .877p/RpCS.1258n (gltA, 381bp. Os produtos da PCR foram separados por eletroforese em gel agarose 1% corados com brometo de etídio e visualizados sob luz ultravioleta e, aqueles que apresentaram bandas amplificadas foram purificados utilizando-se o kit comercial QIAquick ® e seqüenciados pelo ABI PRISM®. As seqüências nucleotídicas foram geradas usando Bioedit®, editado em software e comparados os correspondentes homólogos com as sequências disponíveis através GenBank, utilizando Discontiguous Mega Blast (http://www.ncbi.nlm.nih.gov. Confirmou-se R. rickettsii (GenBank FJ356230 no seqüenciamento de apenas um espécime, adulto de carrapato R. sanguineus. A caracterização molecular de R. rickettsii em exemplar de carrapato R. sanguineus confirma que esta espécie pode ter importante papel na transmissão de R. rickettsii para humanos no território brasileiro.

  4. First identification of natural infection of Rickettsia rickettsii in the Rhipicephalus sanguineus tick, in the State of Rio de Janeiro / Primeira identificação de infecção natural por Rickettsia rickettsii no carrapato Rhipicephalus sanguineus no Rio de Janeiro

    Scientific Electronic Library Online (English)

    Nathalie C., Cunha; Adivaldo H., Fonseca; Jania, Rezende; Tatiana, Rozental; Alexsandra R.M., Favacho; Jairo D., Barreira; Carlos L., Massard; Elba R.S., Lemos.

    2009-02-01

    Full Text Available A Febre Maculosa Brasileira (FMB) é uma zoonose causada por Rickettsia rickettsii e transmitida por carrapatos do gênero Amblyomma, mais freqüentemente pela espécie Amblyomma cajennense. Este trabalho tem como objetivo relatar a primeira detecção molecular de R. rickettsii em Rhipicephalus sanguineu [...] s naturalmente infectado no Rio de Janeiro, Brasil. Carrapatos foram coletados de cães, procedentes de uma região rural do município de Resende, estado do Rio de Janeiro, Brasil (22º30'9.46"S, 44º42'44.29"WO), onde ocorreram cinco casos humanos de FMB em 2006. Todos os carrapatos foram identificados segundo chave dicotômica, utilizando-se lupa estereoscópica e separados de acordo com estágio, espécie e sexo. Para a extração de DNA utilizou-se o kit comercial QIAamp DNA (QIAGEN ®). O DNA foi submetido à técnica de PCR utilizando 04 conjuntos de iniciadores para a amplificação dos genes: Rr190.70p/Rr190.602n (OmpA, 532bp), BG1-21/BG2-20 (OmpB, 650bp), Tz15/Tz16 (17 kDa gene que codifica a proteína, 246bp) e RPCs .877p/RpCS.1258n (gltA, 381bp). Os produtos da PCR foram separados por eletroforese em gel agarose 1% corados com brometo de etídio e visualizados sob luz ultravioleta e, aqueles que apresentaram bandas amplificadas foram purificados utilizando-se o kit comercial QIAquick ® e seqüenciados pelo ABI PRISM®. As seqüências nucleotídicas foram geradas usando Bioedit®, editado em software e comparados os correspondentes homólogos com as sequências disponíveis através GenBank, utilizando Discontiguous Mega Blast (http://www.ncbi.nlm.nih.gov). Confirmou-se R. rickettsii (GenBank FJ356230) no seqüenciamento de apenas um espécime, adulto de carrapato R. sanguineus. A caracterização molecular de R. rickettsii em exemplar de carrapato R. sanguineus confirma que esta espécie pode ter importante papel na transmissão de R. rickettsii para humanos no território brasileiro. Abstract in english The Brazilian Spotted Fever (BSF) is a zoonotic disease caused by Rickettsia rickettsii and transmitted by ticks of the genus Amblyomma, more frequently, Amblyomma cajennense. The aim of this paper was to report the first molecular detection of R. rickettsii on R. sanguineus naturally infected in Ri [...] o de Janeiro, Brazil. Ticks were collected from dogs in a rural region of Resende municipality, Rio de Janeiro State, Brazil (22º30'9.46"S, 44º42'44.29"WO), where occurred five human cases of BSF in 2006. The ticks were identified under a stereoscopic microscope and separated in pools by stages, species and sex. DNA extraction was carried out using QIAamp DNA Mini Kit (QIAGEN®). The DNA was submitted to PCR amplification using 04 set of primers: Rr190.70p/Rr190.602n (OmpA, 532bp), BG1-21/BG2-20 (OmpB, 650bp), Tz15/Tz16 (17 kDa protein-encoding gene, 246bp) and RpCS.877p/RpCS.1258n (gltA, 381bp). PCR products were separated by electrophoresis on 1% agarose gels and visualized under ultraviolet light with ethidium bromide. PCR products of the expected sizes were purified by QIAquick® and sequenced by ABI PRISM®. The generated nucleotide sequences were edited with using Bioedit® software and compared with the corresponding homologous sequences available through GenBank, using Discontiguous Mega Blast (http://www.ncbi.nlm.nih.gov). It was confirmed R. rickettsii by sequencing of the material (GenBank FJ356230). The molecular characterization of R. rickettsii in the tick R. sanguineus emphasizes the role of dogs as carriers of ticks from the environment to home. Moreover, this result suggests that there is a considerable chance for active participation of R. sanguineus as one of tick species in the transmission of R. ricketsii to human being in the Brazilian territory.

  5. Epidemiología de rickettsiosis por Rickettsia parkeri y otras especies emergentes o re-emergentes asociadas a la antropización en Latinoamérica / Epidemiology of rickettsioses by Rickettsia parkeri andother emerging and reemerging species associated with anthropization in Latin America

    Scientific Electronic Library Online (English)

    José M, Venzal.

    2013-07-01

    Full Text Available Se describe la importancia regional de Rickettsia parkeri y sus respectivos vectores. Se hace énfasis en los factores de antropización que favorecen la aparición de hospedadores alternativos para las garrapatas en los entornos domésticos y peridomésticos, generando modificaciones en la epidemiología [...] del agente etiológico. También se menciona las modificaciones ecológicas que pueden favorecen el incremento de poblaciones de reservorios para las garrapatas incrementando el riesgo para el ser humano de sufrir enfermedades rickettsiales. Abstract in english A description of the regional importance of Rickettsia parkeri and their vectors is presented. There is emphasis on the factors of anthropization that favor the development of alternative hosts for ticks in domestic and peridomestic environments, generating changes in the epidemiology of the etiolog [...] ical agent. The environmental changes that can promote the increase in populations of tick reservoirs, increasing the risk for humans for rickettsial diseases, is also mentioned.

  6. Environmental infestation and rickettsial infection in ticks in an area endemic for Brazilian spotted fever / Infestacao ambiental e infeccao por rickettsias em carrapatos de area endemica para Febre Maculosa Brasileira

    Scientific Electronic Library Online (English)

    Jose, Brites-Neto; Fernanda Aparecida, Nieri-Bastos; Jardel, Brasil; Keila Maria Roncato, Duarte; Thiago Fernandes, Martins; Cecilia Jose, Verissimo; Amalia Regina Mar, Barbieri; Marcelo Bahia, Labruna.

    2013-09-01

    Full Text Available A Febre Maculosa Brasileira (FMB) é uma antropozoonose endêmica no município de Americana/SP, causada pela bactéria Rickettsia rickettsii e transmitida pelo carrapato Amblyomma cajennense. Este estudo avaliou a fauna de carrapatos e a infecção por riquétsias em carrapatos de vida livre capturados me [...] nsalmente com armadilhas de CO2, em áreas de risco para FMB de Americana, de julho de 2009 a junho de 2010. Duas espécies foram capturadas, A. cajennense (6.122 larvas; 4.265 ninfas; 2.355 adultos) e Amblyomma dubitatum (7.814 larvas; 3.364 ninfas; 1.193 adultos). Os estágios imaturos de A. cajennense e A. dubitatum apresentaram uma distribuição anual semelhante, com larvas de ambas as espécies sendo coletadas em maior número no período de abril a julho e ninfas de junho a outubro. Maior número de adultos de A. cajennense foi coletado de outubro a dezembro, enquanto que os adultos de A. dubitatum foram coletados em número relativamente semelhante durante todo o ano. A infecção por Rickettsia foi avaliada pela PCR em 1157 carrapatos A. cajennense e 1040 A. dubitatum, com apenas 41 (3,9%) A. dubitatum infectados com Rickettsia bellii. Este estudo demonstrou que as áreas de risco para FMB de Americana são caracterizadas por elevadas infestações ambientais de A. cajennense e A. dubitatum. Abstract in english Brazilian spotted fever (BSF), caused by Rickettsia rickettsii, is endemic in the municipality of Americana, southeastern Brazil, where the disease is transmitted by the tick Amblyomma cajennense. This study evaluated the tick fauna and rickettsial infection in free-living ticks that were captured m [...] onthly using dry ice traps in areas endemic for BSF in Americana, from July 2009 to June 2010. Two tick species were captured: A. cajennense (6,122 larvae; 4,265 nymphs; 2,355 adults) and Amblyomma dubitatum (7,814 larvae; 3,364 nymphs; 1,193 adults). The immature stages of A. cajennense and A. dubitatum had similar distribution through the 12-month period, with larvae of both species collected in highest numbers between April and July, and nymphs between June and October. The highest numbers of A. cajennense adults were collected between October and December, whereas A. dubitatum adults were collected in relatively similar numbers throughout the 12-month period. Rickettsial infection was evaluated by means of PCR in 1,157 A. cajennense and 1,040 A. dubitatum ticks; only 41 (3.9%) A. dubitatum were found to be infected by Rickettsia bellii. The present study showed that the areas of Americana that are endemic for BSF are characterized by high environmental burdens of A. cajennense and A. dubitatum.

  7. First identification of natural infection of Rickettsia rickettsii in the Rhipicephalus sanguineus tick, in the State of Rio de Janeiro Primeira identificação de infecção natural por Rickettsia rickettsii no carrapato Rhipicephalus sanguineus no Rio de Janeiro

    OpenAIRE

    Cunha, Nathalie C.; Fonseca, Adivaldo H.; Jania Rezende; Tatiana Rozental; Favacho, Alexsandra R. M.; Barreira, Jairo D.; Massard, Carlos L.; Lemos, Elba R. S.

    2009-01-01

    The Brazilian Spotted Fever (BSF) is a zoonotic disease caused by Rickettsia rickettsii and transmitted by ticks of the genus Amblyomma, more frequently, Amblyomma cajennense. The aim of this paper was to report the first molecular detection of R. rickettsii on R. sanguineus naturally infected in Rio de Janeiro, Brazil. Ticks were collected from dogs in a rural region of Resende municipality, Rio de Janeiro State, Brazil (22º30'9.46"S, 44º42'44.29"WO), where occurred five human cases of BSF...

  8. Species-specific monoclonal antibodies to Rickettsia japonica, a newly identified spotted fever group rickettsia.

    OpenAIRE

    Uchiyama, T.; Uchida, T.; Walker, D. H.

    1990-01-01

    A total of 192 hybridomas were developed from mice immunized with Rickettsia japonica, a newly identified spotted fever group rickettsia pathogenic for humans. Of these hybridomas, 101 were species specific, 37 were spotted fever group reactive, and the other 54 were also reactive with one or more of the other pathogenic species of spotted fever group rickettsiae, Rickettsia akari, Rickettsia australis, Rickettsia conorii, Rickettsia rickettsii, and Rickettsia sibrica. Seven of the species-sp...

  9. Seroprevalence of Rickettsia bellii and Rickettsia felis in dogs, São José dos Pinhais, State of Paraná, Brazil / Soroprevalência de Rickettsia bellii e Rickettsia felis em cães, São José dos Pinhais, Paraná, Brasil

    Scientific Electronic Library Online (English)

    Fernanda Silva, Fortes; Iara, Silveira; Jonas, Moraes-Filho; Ronaldo Viana, Leite; José Edivaldo, Bonacim; Alexander Welker, Biondo; Marcelo Bahia, Labruna; Marcelo Beltrão, Molento.

    2010-12-01

    Full Text Available A febre maculosa brasileira (FMB) é uma zoonose veiculada por carrapatos e causada pela bactéria Rickettsia rickettsii, podendo os cães ser hospedeiros sentinelas para essa bactéria. O objetivo do estudo foi determinar a presença de anticorpos contra Rickettsia spp. em cães de São José dos Pinhais, [...] estado do Paraná, Sul do Brasil. Entre fevereiro de 2006 e julho de 2007, amostras séricas de 364 cães foram coletadas e testadas na diluição de 1:64 por Reação de Imunofluorescência Indireta (RIFI) contra R. rickettsii e R. parkeri. Todos os soros reagentes para pelo menos uma espécie de Rickettsia foram testados contra as seis principais espécies de Rickettsia identificadas no Brasil: R. rickettsii, R. parkeri, R. bellii, R. rhipicephali, R. amblyommii e R. felis. Dezesseis amostras (4,4%) reagiram para pelo menos uma espécie de Rickettsia. Dos animais positivos, dois cães (15,5%) apresentaram títulos sugestivos de exposição a R. bellii. Uma amostra apresentou reação homóloga frente à R. felis, um agente patogênico confirmado para seres humanos. Muito embora os resultados demonstrem uma baixa prevalência de Rickettsia spp. em cães, sugerindo um baixo risco de infecção humana, este estudo relatou pela primeira vez a evidência de exposição a R. bellii e R. felis em cães no Sul do Brasil. Abstract in english Brazilian spotted fever (BSF) is a vector-borne zoonosis caused by Rickettsia rickettsii bacteria. Dogs can be host sentinels for this bacterium. The aim of the study was to determine the presence of antibodies against Rickettsia spp. in dogs from the city of São José dos Pinhais, State of Paraná, S [...] outhern Brazil, where a human case of BSF was first reported in the state. Between February 2006 and July 2007, serum samples from 364 dogs were collected and tested at 1:64 dilutions by indirect immunofluorescence assay (IFA) against R. rickettsii and R. parkeri. All sera that reacted at least to one of Rickettsia species were tested against the six main Rickettsia species identified in Brazil: R. rickettsii, R. parkeri, R. bellii, R. rhipicephali, R. amblyommii and R. felis. Sixteen samples (4.4%) reacted to at least one Rickettsia species. Among positive animals, two dogs (15.5%) showed suggestive titers for R. bellii exposure. One sample had a homologous reaction to R. felis, a confirmed human pathogen. Although Rickettsia spp. circulation in dogs in the area studied may be considered at low prevalence, suggesting low risk of human infection, the present data demonstrate for the first time the exposure of dogs to R. bellii and R. felis in Southern Brazil.

  10. "Candidatus Rickettsia kellyi," India

    OpenAIRE

    Rolain, Jean-marc; Mathai, Elizabeth; Lepidi, Hubert; Somashekar, Hosaagrahara R.; Mathew, Leni G.; Prakash, John A. J.; Raoult, Didier

    2006-01-01

    We report the first laboratory-confirmed human infection due to a new rickettsial genotype in India, "Candidatus Rickettsia kellyi," in a 1-year-old boy with fever and maculopapular rash. The diagnosis was made by serologic testing, polymerase chain reaction detection, and immunohistochemical testing of the organism from a skin biopsy specimen.

  11. Detection of a Rickettsia Closely Related to Rickettsia aeschlimannii, “Rickettsia heilongjiangensis,” Rickettsia sp. Strain RpA4, and Ehrlichia muris in Ticks Collected in Russia and Kazakhstan

    OpenAIRE

    Shpynov, Stanislav; Fournier, Pierre-edouard; Rudakov, Nikolay; Tankibaev, Marat; Tarasevich, Irina; Raoult, Didier

    2004-01-01

    Using PCR, we screened 411 ticks from four genera collected in Russia and Kazakhstan for the presence of rickettsiae and ehrlichiae. In Russia, we detected “Rickettsia heilongjiangensis,” Rickettsia sp. strain RpA4, and Ehrlichia muris. In Kazakhstan, we detected Rickettsia sp. strain RpA4 and a rickettsia closely related to Rickettsia aeschlimannii. These agents should be considered in a differential diagnosis of tick-borne infections in these areas.

  12. Factores predictores de metástasis ganglionar en el carcinoma diferenciado de tiroides

    Scientific Electronic Library Online (English)

    Jorge E, Falco; Alvaro, Otero Muñoz; Manuel R, Montesinos.

    2012-12-01

    Full Text Available Antecedentes: son necesarios factores pronósticos confiables de metástasis ganglionar para adaptar el tratamiento quirúrgico inicial de pacientes con carcinoma diferenciado de tiroides. Objetivo: determinar la frecuencia y factores pronósticos asociados con metástasis ganglionar en pacientes operado [...] s por carcinoma diferenciado de tiroides. Lugar de apicación: práctica privada. Diseño: retrospectivo observacional. Pobación: entre enero de 2000 y agosto de 2010, a 600 pacientes con 639 tumores (39 bilaterales) se les realizó tiroidectomía total y linfadenectomía terapéutica sólo cuando se demostró metástasis por biopsia ganglionar. Método: revisión de historias clínicas e informes patológicos. Resutados: 145 enfermos (22.7 %) tuvieron ganglios histológicamente positivos. El análisis multivariado mostró que la edad menor de 45 años (p = 0.001), adenopatías palpables (p = 0.0001), multicentricidad (p = 0.005) e invasión extracapsular (p = 0.0001) fueron factores de riesgo independientes de metástasis ganglionar. Estos factores, en conjunto, tuvieron una alta especificidad (97 %)y una baja sensibilidad (40 %). Se encontraron metástasis en ganglios yugulares con ganglios centrales negativos ("skip" metástasis) en 29 casos (5.54 %). Concusiones: a pesar de que algunos de los factores estudiados tuvieron valor pronóstico, se requieren variables adicionales para definir mejor el manejo quirúrgico. Abstract in english Background: reliable prognostic factors of lymph node metástasis are needed to adapt initial surgical treatment of patients with differentiated thyroid carcinoma. Objetive: to determine the frequency and predictive factors associated with lymph node metástasis in patients operated on for differentia [...] ted thyroid carcinoma. Setting: prívate practice. Design: retrospective observational. Popuation: between January 2000 and August 2010, 600 patients with 639 tumours (39 bilateral) underwent total thyroidectomy and therapeutic neck dissection only when there was biopsy proved lymph node metástasis. Method: review of clinical records and pathological reports. Resuts: 145 patients (22.7 %) had histologically positive lymph nodes. Multivariate analysis showed that lessthan 45 years (p = 0.001), palpable adenopathy (p = 0.0001), multicentricity (p = 0.005) and extracapsular invasión (p = 0.0001) were independent risk factors of lymph node metástasis. These factors, together, had high specificity (97 %) but low sensibility (40 %). Metástasis in jugular lymph nodes with normal central nodes (skip metástasis) was found in 29 (5.54 %) cases. Concusions: even though some of the factors studied proved to be of prognostic valué, additional variables are needed to better define surgical management.

  13. Rickettsia parkeri and Rickettsia montanensis, Kentucky and Tennessee, USA

    OpenAIRE

    Pagac, Benedict B.; Miller, Melissa K.; Mazzei, Meagan C.; Nielsen, David H.; Jiang, Ju; Richards, Allen L.

    2014-01-01

    We found that 14.3% (15/105) of Amblyomma maculatum and 3.3% (10/299) of Dermacentor variabilis ticks collected at 3 high-use military training sites in west-central Kentucky and northern Tennessee, USA, were infected with Rickettsia parkeri and Rickettsia montanensis, respectively. These findings warrant regional increased public health awareness for rickettsial pathogens and disease.

  14. Novel Rickettsia in Ticks, Tasmania, Australia

    OpenAIRE

    Izzard, Leonard; Graves, Stephen; Cox, Erika; Fenwick, Stan; Unsworth, Nathan; Stenos, John

    2009-01-01

    A novel rickettsia was detected in Ixodes tasmani ticks collected from Tasmanian devils. A total of 55% were positive for the citrate synthase gene by quantitative PCR. According to current criteria for rickettsia speciation, this new rickettsia qualifies as Candidatus Rickettsia tasmanensis, named after the location of its detection.

  15. Rickettsia spp. in Ticks, Poland

    OpenAIRE

    Chmielewski, Tomasz; Podsiadly, Edyta; Karbowiak, Grzegorz; Tylewska-Wierzbanowska, Stanislawa

    2009-01-01

    Ticks are recognized as the main vectors and reservoirs of spotted fever group rickettsiae. We searched for the most prevalent Rickettsia spp. in Poland and found R. slovaca and R. helvetica bacteria in ticks in southern and central Poland; R. raoulti was found in ticks in all parts of Poland.

  16. Fatty Acid Composition of Rickettsiae

    OpenAIRE

    Tzianabos, Theodore; Moss, C. Wayne; McDade, Joseph E.

    1981-01-01

    The fatty acid compositions of selected strains of rickettsiae were studied by gas-liquid chromatography. The profiles of all the rickettsiae except Coxiella burnetii were qualitatively similar. The fatty acid composition of C. burnetii was similar to that of certain Legionella species.

  17. The emerging diversity of Rickettsia

    OpenAIRE

    Perlman, Steve J.; Hunter, Martha S.; Zchori-fein, Einat

    2006-01-01

    The best-known members of the bacterial genus Rickettsia are associates of blood-feeding arthropods that are pathogenic when transmitted to vertebrates. These species include the agents of acute human disease such as typhus and Rocky Mountain spotted fever. However, many other Rickettsia have been uncovered in recent surveys of bacteria associated with arthropods and other invertebrates; the hosts of these bacteria have no relationship with vertebrates. It is therefore perhaps more appropriat...

  18. Genome Sequence of “Rickettsia sibirica subsp. mongolitimonae”

    OpenAIRE

    Sentausa, Erwin; El Karkouri, Khalid; Robert, Catherine; Raoult, Didier; Fournier, Pierre-edouard

    2012-01-01

    Rickettsia sibirica subsp. mongolitimonae” is the agent of lymphangitis-associated rickettsiosis, an emerging human disease that has been diagnosed in Europe and Africa. The present study reports the draft genome of Rickettsia sibirica subsp. mongolitimonae strain HA-91.

  19. Evolution and diversity of Rickettsia bacteria

    OpenAIRE

    Weinert, L. A.; Werren, J. H.; Aebi, A.; Stone, G. N.; Jiggins, F. M.

    2009-01-01

    Background: Rickettsia are intracellular symbionts of eukaryotes that are best known for infecting and causing serious diseases in humans and other mammals. All known vertebrate-associated Rickettsia are vectored by arthropods as part of their life-cycle, and many other Rickettsia are found exclusively in arthropods with no known secondary host. However, little is known about the biology of these latter strains. Here, we have identified 20 new strains of Rickettsia from arthropods, and constr...

  20. Rickettsia typhi IN RODENTS AND R. felis IN FLEAS IN YUCATÁN AS A POSSIBLE CAUSAL AGENT OF UNDEFINED FEBRILE CASES / Rickettsia typhi y R. felis en roedores y sus pulgas en Yucatán como posible agente causal de casos febriles indefinidos

    Scientific Electronic Library Online (English)

    Gaspar, PENICHE-LARA; Karla, DZUL-ROSADO; Carlos, PÉREZ-OSORIO; Jorge, ZAVALA-CASTRO.

    2015-04-01

    Full Text Available Rickettsia typhi es el agente causal del tifo murino; una enfermedad zoonótica transmitida por vector mundialmente distribuida, comúnmente asociada con la presencia de roedores domésticos y silvestres. Los casos humanos de tifo murino en el Estado de Yucatán son frecuentes. Sin embargo, no existe ev [...] idencia de la presencia de Rickettsia typhi en mamíferos o vectores en Yucatán. En la búsqueda de vectores y reservorios de Rickettsia typhi, evaluamos la presencia de bacterias del género Rickettsia en roedores y sus ectoparásitos de un pequeño municipio del estado de Yucatán por medio de técnicas de PCR convencional y secuenciación de ADN. Se identificó la presencia de Rickettsia typhi en muestras de sangre obtenidas de Rattus rattus y reportamos por primera vez la presencia de Rickettsia felis en la pulga Polygenis odiosus colectado de Ototylomys phyllotis. Complementariamente, Rickettsia felis fue detectado en la pulga Ctenocephalides felis parasitando al roedor Peromyscus yucatanicus. No se identificó especie de Rickettsia en las muestras de sangre de O. phyllotis y P. yucatanicus analizados. Nuestros resultados contribuyen también en el conocimiento de ciclo de vida biológico del género Rickettsia. Abstract in english Rickettsia typhi is the causal agent of murine typhus; a worldwide zoonotic and vector-borne infectious disease, commonly associated with the presence of domestic and wild rodents. Human cases of murine typhus in the state of Yucatán are frequent. However, there is no evidence of the presence of Ric [...] kettsia typhi in mammals or vectors in Yucatán. The presence of Rickettsia in rodents and their ectoparasites was evaluated in a small municipality of Yucatán using the conventional polymerase chain reaction technique and sequencing. The study only identified the presence of Rickettsia typhi in blood samples obtained from Rattus rattus and it reported, for the first time, the presence of R. felis in the flea Polygenis odiosus collected from Ototylomys phyllotis rodent. Additionally, Rickettsia felis was detected in the ectoparasite Ctenocephalides felis fleas parasitizing the wild rodent Peromyscus yucatanicus. This study’s results contributed to a better knowledge of Rickettsia epidemiology in Yucatán.

  1. Seroprevalencia de la infección por Borrelia burgdorgferi y Rickettsia conorii en población humana y canina de la zona básica de salud de San Andrés del Rabanedo (León, España) / Seroprevalence of the infection caused by Borrelia burgdorferi and Rickettsia conorii in human and canine population in the basic health area of San Andrés del Rabanedo (León, Spain)

    Scientific Electronic Library Online (English)

    Jaime, Rojo Vázquez.

    1997-03-01

    Full Text Available FUNDAMENTOS: Se estudia la seroprevalencia de la infección por Borrelia burgdorferi y Rickettsia conorii en población humana y canina para conocer la situación de ambas en humanos, al mismo tiempo que la significación del perro, como indicador de la circulación de estos agentes entre aquéllos, en la [...] Zona de Salud de San Andrés del Rabanedo, León. MÉTODO: Se realizó un estudio en 98 sueros humanos y 95 caninos (de diversas razas y aptitudes) frente a B. burgdorferi (títulos de positividad > a 1/128 y > a 1/64 o superiores, respectivamente) y 104 sueros humanos y 84 caninos frente a R. conorii (positividad a título > a 1/64 o superiores en ambas especies) mediante inmunofluorescencia indirecta (IFI). RESULTADOS: Se halló positividad a las dos infecciones, tanto en personas como en perros. Frente a B. burgdorferi fue superior en humanos que en perros y frente a R. conorii fue superior en éstos que en humanos. En personas fue del 4,08% frente a B. burgdorferi y 1% frente a R. conorii; en perros fue del 2,10% frente a B. burgdorferi y del 14,28% frente a R. conorii. Los valores más altos se hallaron en los meses de primavera-verano, salvo en el caso de B. burgdorferi en perros. La seroprevalencia fue mayor en perros dedicados al cuidado de ganado (ovino) que en los de caza y guarda. CONCLUSIONES: Los porcentajes de seroprevalencia hallados en nuestro trabajo, tanto en seres humanos como en caninos, considerados en el ámbito territorial de una zona geográfica semi-rural de la provincia de León, han sido iguales o inferiores a los reseñados para otras provincias, incluida la totalidad de la de León. En perros se halló mayor seroprevalencia frente a R. conorii que frente a B. burgdorferi, lo que indica que es el agente más extendido en nuestra Provincia, como han señalado otros autores. Los valores hallados en seres humanos frente a B. burgdorferi han sido más altos que en perros; la existencia de reacciones cruzadas con otros microorganismos ha podido influenciar estos resultados. Por ello, consideramos necesario realizar más estudios de prevalencia de estas infecciones para una vigilancia epidemiológica adecuada y control de estas zoonosis, dada su repercusión en salud pública. Abstract in english BACKGROUND: Positive results in infections of borrelia burgdorferi and Rickettsia conorii in human and canine population is studied in order to uderstand the situation of both in humans, and at the same time discover the importance of the dog as an indicator of these agents amongst those in the Heal [...] th Area of San Andrés del Rabanedo, León. METHODS: A study was made of 98 human serums and 95 canine serums (dogs of different breeds and capabilities) as regards B. burgdorferi (positive results > at 1/128 and > at 1/64 or above, respectively) and 104 human serums and 84 canine serums as regards R. conorii (postive results at range > at 1/64 or above in both species) by means of indirect Immunofluorescence (IFI). RESULTS: Positivity in both infections was discovered in both humans and dogs. With regard to B. burgdorferi it was higher in humans than in dogs and with regard to R. conorii it was higher in dogs than in humans. In humans it was 4,08% as regards B. burgdorferi and 1% with respect to R. conorii; in dogs it was 2,10% as regards B. burgdorferi and 14,28% regarding R. conorii. The highest values were discovered in the Spring-Summer months except in the case of B. burgdorferi in dogs. Serum prevalence was greater in dogs used to guard other animals (sheep) than those involved in hunting and security. CONCLUSIONS: The percentages of positive results discovered in our work, in humans as well as dogs, estimated in the territorial area of a geographical zone in a semi-rural León province, were equal or inferior to those discovered in other provinces, including ours. In dogs there were larger positive results regarding R. conorii than B. burgdorferi, which indicates that it is the most extended agent within our Province, as other authors have pointed out. The values discover

  2. Laboratory Maintenance of Rickettsia rickettsii

    OpenAIRE

    Ammerman, Nicole C.; Beier-sexton, Magda; Azad, Abdu F.

    2008-01-01

    This unit includes protocols for the laboratory maintenance of the obligate intracellular bacterium Rickettsia rickettsii, including propagation in mammalian cell cultures, as well as isolation, counting, and storage procedures. Regulations for working with R. rickettsii in biosafety level 3 containment are also discussed.

  3. Diagnostic Assay for Rickettsia japonica

    OpenAIRE

    Hanaoka, Nozomu; Matsutani, Minenosuke; Kawabata, Hiroki; Yamamoto, Seigo; Fujita, Hiromi; Sakata, Akiko; Azuma, Yoshinao; Ogawa, Motohiko; Takano, Ai; Watanabe, Haruo; Kishimoto,Toshio; Shirai, Mutsunori; Kurane, Ichiro; Ando, Shuji

    2009-01-01

    We developed a specific and rapid detection system for Rickettsia japonica and R. heilongjiangensis, the causative agents of spotted fever, using a TaqMan minor groove binder probe for a particular open reading frame (ORF) identified by the R. japonica genome project. The target ORF was present only in R. japonica–related strains.

  4. 21 CFR 866.3500 - Rickettsia serological reagents.

    Science.gov (United States)

    2010-04-01

    ...2010-04-01 2010-04-01 false Rickettsia serological reagents. 866.3500...Serological Reagents § 866.3500 Rickettsia serological reagents. (a) Identification. Rickettsia serological reagents are devices...

  5. Genomic Comparison of Rickettsia honei Strain RBT and Other Rickettsia Species

    OpenAIRE

    Xin, Dong; El Karkouri, Khalid; Robert, Catherine; Raoult, Didier; Fournier, Pierre-edouard

    2012-01-01

    Rickettsia honei strain RBT was isolated from a febrile patient on Flinders Island, Australia, in 1991 and has been demonstrated to be the agent of Flinders Island spotted fever, a disease transmitted to humans by ticks. The comparison of this 1.27-Mb genome with other Rickettsia genomes provides additional insight into the mechanisms of evolution in Rickettsia species.

  6. Permeability of Rickettsia prowazekii to NAD.

    OpenAIRE

    Atkinson, W H; Winkler, H. H.

    1989-01-01

    Rickettsia prowazekii accumulated radioactivity from [adenine-2,8-3H]NAD but not from [nicotinamide-4-3H]NAD, which demonstrated that NAD was not taken up intact. Extracellular NAD was hydrolyzed by rickettsiae with the products of hydrolysis, nicotinamide mononucleotide and AMP, appearing in the incubation medium in a time- and temperature-dependent manner. The particulate (membrane) fraction contained 90% of this NAD pyrophosphatase activity. Rickettsiae which had accumulated radiolabel aft...

  7. Vaciamiento ganglionar en carcinoma escamoso transglótico Ganglionic drainage in scaly transglotic carcinoma

    Directory of Open Access Journals (Sweden)

    Juan Carlos Bravo Y

    2006-08-01

    Full Text Available Introducción: El manejo de los ganglios cervicales es fundamental en el tratamiento y pronóstico de los pacientes con carcinoma escamoso de laringe. Existe consenso en realizar vaciamiento ganglionar cervical en ausencia de adenopatías clínicas (NO cuando el riesgo de adenopatías metastásicas ocultas supera el 20%. El carcinoma laríngeo transglótico (CTG se caracteriza por presentar una incidencia de metástasis cervicales ocultas de 30% a 40%. Objetivo: Evaluar los hallazgos histopatológicos en los ganglios cervicales de los pacientes portadores de CTG, analizando la incidencia de metástasis ocultas y su asociación con factores de riesgo. Material y métodos: Estudio retrospectivo mediante la revisión de las fichas clínicas de pacientes portadores de CTG, sin tratamiento previo, manejados quirúrgicamente en el Hospital San Juan de Dios entre los años 1994 y 2002. Resultados: Se evaluaron 20 pacientes, 4 (20% se presentaron con adenopatías clínicas, realizándose en 2 casos vaciamiento radical y en los 2 restantes disección funcional. Los pacientes NO fueron 16 y se les efectuó un vaciamiento funcional bilateral. Se detectaron metástasis ocultas en 12,5% de los pacientes NO. Conclusión: Los carcinomas de ubicación transglótica NO no se beneficiarían de un vaciamiento ganglionar cervicalIntroduction: The handling of the cervical ganglion is basic in the treatment and prognosis of patients with scaly carcinoma of the larynx. There is consensus on doing ganglionic cervical drainage in the absence of clinical adenopathies (NO when the risk of hidden metastasic adenopathies is over 20%. Laryngeal transglotic carcinoma (LTC is characterized for presenting an incidence of hidden cervical metastasis of 30 to 40%. Objective: To evaluate histopathological findings in the LTC patients' cervical ganglions, analyzing the incidence of hidden metastasis and their association with risk factors. Material and methods: Retrospective study through revision of the clinical files ofLTC carrier patients, without previous treatment, surgically treated at the San Juan de Dios Hospital between years 1994 and 2002. Results: 20 patients were evaluated, 4 (20% presented clinical adenopathies, undergoing in 2 cases radical drainage and in the other 2, functional dissection. The NO patients were 16 and a bilateral functional drainage was made. Hidden metastasis were detected in 12,5% on the NO patients. Conclusion: Carcinomas of NO transglotic location did not benefit from a cervical ganglionic drainage

  8. Isolamento de Rickettsia em cultura de células vero / Isolation of Rickettsia in vero cell culture

    Scientific Electronic Library Online (English)

    Heloisa Helena Barbosa, Melles; Silvia, Colombo; Elba Regina Sampaio de, Lemos.

    1999-10-01

    Full Text Available Embora o diagnóstico da febre maculosa baseie-se em sinais e sintomas característicos, o mesmo requer confirmação laboratorial, pois existem alguns diagnósticos diferenciais possíveis como meningococcemia, leptospirose, infecção por enterovírus e febre tifóide. A confirmação laboratorial pode ser fe [...] ita através da pesquisa de anticorpos específicos, possível somente alguns dias após o aparecimento da doença, através do isolamento do agente em amostras de sangue e/ou biópsia de pele, e ainda, de amostras de carrapatos coletados do paciente ou de animais reservatório. O isolamento a partir de sangue ou biópsia de pele resulta em diagnóstico precoce da doença, pois na fase de rickettsemia ainda não há anticorpos detectáveis no sangue. Assim, com o objetivo de facilitar o diagnóstico precoce da febre maculosa, estabelecemos um método de isolamento de rickettsia em cultura de células vero. Para a padronização foi inoculada amostra padrão de Rickettsia rickettsii, cepa Sheyla Smith, cedida pelo CDC. A identificação foi feita através da reação de imunofluorescência indireta. A presença de microrganismos verdes fluorescentes visualizados no interior do citoplasma das células caracterizou o crescimento do agente. Posteriormente, a metodologia foi confirmada pelo isolamento do agente da febre maculosa em amostras de biópsia de pele de paciente proveniente de área endêmica no Estado de São Paulo, bem como, de amostras de carrapato do gênero Amblyomma, considerado o reservatório e transmissor da doença no Brasil. Abstract in english The diagnosis of spotted fever is based on characteristic signs and symptoms but requires laboratorial confirmation because of the possible differencial diagnosis from other diseases like leptospirosis, enterovirosis, meningococcemia and tiphoid fever. Laboratorial confirmation may be done by detect [...] ion of specific antibodies which is possible only 5-10 days after the onset of the symptoms or by the isolation of Rickettsiae from blood and/or skin biopsy and from ticks collected in the patient or in the animal reservoir. The isolation of Rickettsiae from blood or skin biopsy results in an early diagnosis of spotted fever since in the rickettsiemic phase of the disease there is no detectable level of antibodies in the serum. With the purpose of facilitating the diagnosis of Spotted Fever we have standardized the isolation of Rickettsiae in cell culture by a method that is less time consuming and that reduces the biological risks than isolation in guinea pigs. vero cell cultures were inoculated with the Sheyla Smith strain of Rickettsia rickettsii provided by CDC (Atlanta-USA). The identification was performed by indirect immunofluorescence technique. The presence of green fluorescent organisms characterized the growth of the agent. Ulterior confirmation of the methodology was done by isolation of the spotted fever agent from skin biopsy of a patient from an endemic area and from Amblyomma ticks that are the reservoir and vector of the Brazilian spotted fever.

  9. Potassium permeability of Rickettsia prowazekii.

    OpenAIRE

    Winkler, H. H.

    1984-01-01

    The potassium permeability of Rickettsia prowazekii was characterized by chemical measurement of the intracellular sodium and potassium pools and isotopic flux measurements with 86Rb+ as a tracer. R. prowazekii, in contrast to Escherichia coli, did not maintain a high potassium-to-sodium ratio in their cytoplasm except when the potassium-to-sodium ratio in the extracellular medium was high or when the extracellular concentrations of both cations were low (ca. 1 mM). Both influx and efflux ass...

  10. Rickettsia felis: un patógeno emergente en Latinoamérica / Rickettsia felis: an emerging pathogen in Latin America

    Scientific Electronic Library Online (English)

    Jorge E, Zavala Castro.

    2013-07-01

    Full Text Available El primer caso humano infectado con Rickettsia felis fue descrito en un paciente diagnosticado con tifus murino en Estados Unidos en 1994. Los reportes acerca de la presencia de R. felis se han incrementado en los últimos años y ya se ha reportado en la mayoría de los países de América Latina. Los s [...] íntomas y signos de la enfermedad causada por R. felis son inespecíficos y es importante que cada país lo incluya en el diagnóstico diferencial con respecto a otras enfermedades que tienen las mismas manifestaciones clínicas. Abstract in english The first human case of Rickettsia felis was described in 1994, in a patient diagnosed with murine typhus in the United States. Reports about the presence of R. felis have increased in the last years, and it has been reported in most countries of Latin America. Signs and symptoms of disease caused b [...] y R. felis are unspecific, and it is important for each country to include it in the differential diagnosis with other diseases that show the same clinical manifestations.

  11. Rickettsia parkeri in Amblyomma triste from Uruguay

    OpenAIRE

    Venzal, Jose? M.; Portillo, Ara?nzazu; Estrada-pen?a, Agusti?n; Castro, Oscar; Cabrera, Perla A.; Oteo, Jose? A.

    2004-01-01

    Our goal was to detect whether spotted fever group Rickettsia are found in the suspected vector of rickettsioses, Amblyomma triste, in Uruguay. Rickettsia parkeri was detected in A. triste, which suggests that this species could be considered a pathogenic agent responsible for human rickettsioses in Uruguay.

  12. Rickettsia helvetica in Dermacentor reticulatus Ticks

    OpenAIRE

    Dobec, Marinko; Golubic, Dragutin; Punda-polic, Volga; Kaeppeli, Franz; Sievers, Martin

    2009-01-01

    We report on the molecular evidence that Dermacentor reticulatus ticks in Croatia are infected with Rickettsia helvetica (10%) or Rickettsia slovaca (2%) or co-infected with both species (1%). These findings expand the knowledge of the geographic distribution of R. helvetica and D. reticulatus ticks.

  13. Novel Clade of Rickettsia spp. from Leeches

    OpenAIRE

    Kikuchi, Yoshitomo; Sameshima, Shinya; Kitade, Osamu; Kojima, Junichi; Fukatsu, Takema

    2002-01-01

    Intracellular rickettsia-like structures were found in the tissues of a glossiphoniid leech, Torix tagoi, by transmission electron microscopy. Diagnostic PCR analysis using specific primers suggested that of the nine glossiphoniid species examined, two species, T. tagoi and Hemicrepsis marginata, harbored bacteria of the genus Rickettsia. A 1.5-kb eubacterial 16S rRNA gene segment obtained from each of these species was amplified by PCR, cloned, and sequenced. Phylogenetic analysis of the 16S...

  14. PCR MÚLTIPLE ANIDADA PARA DETECCIÓN DE FITOPLASMAS Y RICKETTSIA ASOCIADOS CON LOS SÍNTOMAS DEL COGOLLO ARREPOLLADO (BTS) EN PAPAYO / NESTED PCR MULTIPLEX FOR THE DETECTION OF THE PHYTOPLASMAS AND RICKETTSIA ASSOCIATED WITH BUNCHY TOP SYMPTOM (BTS) IN PAPAYO

    Scientific Electronic Library Online (English)

    K, Acosta; Y, Martínez; L, Zamora; A, Fernández; M.E, Santos-Cervantes; N.E, Leyva-López.

    2011-12-01

    Full Text Available Recientemente, los grupos fitoplasmas 16SrI «Candidatus Phytoplasma asteris»,16SrII «Candidatus Phytoplasma aurantifolia» y rickettsia se asociaron a síntomas del cogollo arrepollado (BTS) del papayo en Cuba. El ADN de muestras de plantas de papayo positivas a fitoplasmas y rickettsia se empleó para [...] optimizar y evaluar un ensayo de PCR múltiple anidada. Se usaron los iniciadores de PCR genéricos para fitoplamas R16mF2/R16mR1en la primera amplificación y en la segunda amplificación una mezcla PBTF1/PBTR1 (específicos para rickettsia) y R16F2n/BPVNr/p86r (específicos para los grupos de fitoplasmas 16SrI y 16SrII). El ensayo de diagnóstico por PCR múltiple anidado permitió la detección simultánea de fitoplasmas y rickettsia en muestras de plantas de papayo de condiciones de campo. Abstract in english Recently, the phytoplasmas groups 16SrI `Candidatus Phytoplasma aurantifolia' and 16SrII group `Candidatus Phytoplasma asteris' and rickettsia were associated with Bunchy Top Symptoms (BTS) of papayo in Cuba. The ADN samples from papaya plants positive to phytoplasma and rickettsia were used for eva [...] luate and optimize nPCR multiplex. Generic primers for amplification of phytoplasma R16mF2/R16mR1 were used in the first reaction. A mixture composed of PBTF1/PBTR1and R16F2n/BPVNr/p86r for rickettsia and phytoplasma (16SrI and 16SrII groups) amplifications were used in the second reaction. The diagnostic assay by the nPCR multiplex permitted the simultaneous detection of phytoplasmas and rickettsias in samples of papaya plants from the field.

  15. Rickettsia species infecting Amblyomma ticks from an area endemic for Brazilian spotted fever in Brazil / Rickettsia infectando carrapatos Amblyomma de uma área endêmica para febre maculosa Brasileira no Brasil

    Scientific Electronic Library Online (English)

    Elizângela, Guedes; Romário Cerqueira, Leite; Richard Campos, Pacheco; Iara, Silveira; Marcelo Bahia, Labruna.

    2011-12-01

    Full Text Available Este trabalho relata infecção por Rickettsia em carrapatos Amblyomma cajennense e Amblyomma dubitatum, colhidos numa área do Estado de Minas Gerais, onde a febre maculosa brasileira (FMB) é considerada endêmica. Para esse estudo, 400 adultos de A. cajennense, 200 adultos de A. dubitatum, 2.000 larva [...] s e 2.000 ninfas de Amblyomma spp. foram colhidas de equinos e da vegetação. Os carrapatos foram testados para infecção por rickettsia através de reação em cadeia pela polimerase (PCR) direcionada a fragmentos de três genes de rickettsia (gltA, ompA, e ompB). Apenas 2 A. cajennense adultos de vida livre, e 4 grupos de ninfas de Amblyomma spp. continham DNA de rickettsia. Os produtos de PCR dos dois adultos de A. cajennense foram idênticos às sequências correspondentes de Rickettsia rickettsii cepa Sheila Smith. Sequências de DNA dos produtos provenientes dos quatro grupos de ninfas de Amblyomma spp. revelaram um novo genótipo, próximo (99,4%) à sequência correspondente de Rickettsia tamurae. Neste trabalho foram achados 2 carrapatos A. cajennense infectados por R. rickettsii que corroboram o caráter endêmico da área de estudo, em que casos de FMB ocorreram recentemente. Em adição, foi reportado, pela primeira vez, um novo genótipo de Rickettsia no Brasil. Abstract in english This study reports rickettsial infection in Amblyomma cajennense and Amblyomma dubitatum ticks collected in an area of the state of Minas Gerais, Brazil, where Brazilian spotted fever is considered endemic. For this purpose, 400 adults of A. cajenennse and 200 adults of A. dubitatum, plus 2,000 larv [...] ae and 2,000 nymphs of Amblyomma spp. were collected from horses and from the vegetation. The ticks were tested for rickettsial infection through polymerase chain reaction (PCR) protocols targeting portions of three rickettsial genes (gltA, ompA, and ompB). Only two free-living A. cajennense adult ticks, and four pools of free-living Amblyomma spp. nymphs were shown to contain rickettsial DNA. PCR products from the two A. cajennense adult ticks were shown to be identical to corresponding sequences of the Rickettsia rickettsii strain Sheila Smith. DNA sequences of gltA-PCR products of the four nymph pools of Amblyomma spp. revealed a new genotype, which was shown to be closest (99.4%) to the corresponding sequence of Rickettsia tamurae. Our findings of two R. rickettsii-infected A. cajennense ticks corroborate the endemic status of the study area, where human cases of BSF were reported recently. In addition, we report for the first time a new Rickettsia genotype in Brazil.

  16. Seroprevalencia de Hantavirus, Rickettsia y Chikungunya en población indígena del municipio de Tuchín, Córdoba / Seroprevalence of Hantavirus, Rickettsia y Chikungunya in the indigenous populationof Tuchín, Córdoba

    Scientific Electronic Library Online (English)

    Samia, Barrera; Surly, Martínez; Vaneza, Tique-Salleg; Jorge, Miranda; Camilo, Guzmán; Salim, Mattar.

    2015-06-01

    Full Text Available Introducción: La vigilancia de las enfermedades transmitidas por vectores es importante para establecer medidas de control en salud pública. Las poblaciones indígenas de Córdoba viven en condiciones geoclimáticas que favorecen la presencia de vectores que podrían permitir la diseminación y aparición [...] de hantavirosis, rickettsiosis y fiebre por el virus Chikungunya. Objetivo: Establecer la seroprevalencia de Hantavirus, Rickettsia sp. y Chikungunya en la población indígena de Tuchín, Córdoba. Materiales y métodos: Se realizó un estudio descriptivo de corte transversal en 190 individuos del resguardo indígena del municipio de Tuchín; el muestreo fue realizado entre agosto y diciembre del 2012. La detección de anticuerpos IgG contra Hantavirus se llevó a cabo con la prueba IgG DxSelectTM (Focus Technologies, EL1600G, California, EE. UU.), anticuerpos IgG contra Rickettsia sp. se determinaron por inmunofluorescencia indirecta y se realizó detección de anticuerpos IgG contra el virus Chikungunya mediante ELISA de captura (Nova-Tec, inmunodiagnostica GmbH, CHIG0590, Alemania). Resultados: De 190 sueros analizados, el 5,2% (10/190) fueron positivos para Rickettsia sp. del grupo de la fiebre manchada, para Hantavirus 7 de 87 (8%) fueron positivos y no se encontraron positivos para Chikungunya. No se encontraron diferencias significativas (p = 0,05) entre los seropositivos de Hantavirus y Rickettsia sp. para las variables género, edad y ocupación. Conclusiones: Los hallazgos demuestran exposición previa a Rickettsia sp. y a Hantavirus en la población indígena de Tuchín. Los resultados pueden ser útiles para establecer una alerta sobre estas fiebres hemorrágicas. Aunque no se hallaron seropositivos para Chikungunya, este fue el primer trabajo de vigilancia epidemiológica realizado en Colombia sobre este virus. Abstract in english Introduction: Vector-borne disease surveillance is important for establishing control measuresin public health. Indigenous populations of Cordoba live in climate conditions that favor the presence of vectors that might allow the spread and emergence of hantavirus cases, rickettsial and Chikungunya f [...] ever. Objective: To establish the prevalence of Hantavirus, Rickettsia sp. and Chikungunya in theindigenous population of Tuchín, Cordoba. Materials and methods: A cross-sectional descriptive study on 190 individuals of the indigenous reservation of the municipality of Tuchín was carried out; the serum samples were collected between August and December of 2012. The following serology tests were performed: antibody IgG against Hantavirus IgG Dx Select TM (Focus Technologies, EL1600G, California, USA); indirect immunofluorescence technique for Rickettsia spotted fever group IgG and ELISA IgG antibodies against Chikungunya virus (Nova-Tec, diagnostic GmbH, CHIG0590, Germany). Results: Out of 190 analyzed sera, 5.2% (10/190) were positive for Rickettsia sp. spotted fever group, Hantavirus 7 of 87 (8.0%) and 0% for Chikungunya. Significant differences among those positive for Hantavirus and Rickettsia sp. for the variables gender, age and occupation were not found. Conclusions: The findings reveal the prevalence of Rickettsia sp. and Hantavirus in the indigenous population of Tuchín. These results are useful to establishing an alert regarding thesehemorrhagic fevers. Although no positive result for Chikungunya virus was found, this is the first epidemiological surveillance study conducted in Colombia on this virus.

  17. Evolution and diversity of Rickettsia bacteria

    OpenAIRE

    Stone Graham N; Aebi Alexandre; Werren John H; Weinert Lucy A; Jiggins Francis M

    2009-01-01

    Abstract Background Rickettsia are intracellular symbionts of eukaryotes that are best known for infecting and causing serious diseases in humans and other mammals. All known vertebrate-associated Rickettsia are vectored by arthropods as part of their life-cycle, and many other Rickettsia are found exclusively in arthropods with no known secondary host. However, little is known about the biology of these latter strains. Here, we have identified 20 new strains of Rickettsia from arthropods, an...

  18. Evolution and diversity of Rickettsia bacteria

    OpenAIRE

    Weinert, Lucy A.; Werren, John H.; Aebi, Alexandre; Stone, Graham N.; Jiggins, Francis M.

    2015-01-01

    Background: Rickettsia are intracellular symbionts of eukaryotes that are best known for infecting and causing serious diseases in humans and other mammals. All known vertebrate-associated Rickettsia are vectored by arthropods as part of their life-cycle, and many other Rickettsia are found exclusively in arthropods with no known secondary host. However, little is known about the biology of these latter strains. Here, we have identified 20 new strains of Rickettsia from arthropods, and const...

  19. Rickettsia bellii infecting Amblyomma sabanerae ticks in El Salvador

    OpenAIRE

    Barbieri, Ama?lia R. M.; Romero, Luis; Labruna, Marcelo B.

    2012-01-01

    Four Amblyomma sabanerae ticks collected from a turtle (Kinosternon sp.) in San Miguel, El Salvador, were found by molecular analysis to be infected by Rickettsia bellii. We provide the first report of Rickettsia bellii in Central America, and the first report of a Rickettsia species in El Salvador.

  20. Rickettsiae in questing Ixodes ricinus ticks in the Czech Republic.

    Czech Academy of Sciences Publication Activity Database

    Venclíková, Kristýna; Rudolf, Ivo; Mendel, Jan; Betášová, Lenka; Hubálek, Zden?k

    2014-01-01

    Ro?. 5, ?. 2 (2014), s. 135-138. ISSN 1877-959X Institutional support: RVO:68081766 Keywords : Ixodes ricinus * Anaplasma phagocytophilum * Rickettsia spp. * Rickettsia helvetica * Rickettsia monacensis * Candidatus Neoehrlichia mikurensis Subject RIV: EE - Microbiology, Virology Impact factor: 2.878, year: 2013

  1. Genome Sequence of Rickettsia gravesii, Isolated from Western Australian Ticks

    OpenAIRE

    Sentausa, Erwin; Abdad, Mohammad Yazid; Robert, Catherine; Stenos, John; Raoult, Didier; Fournier, Pierre-edouard

    2013-01-01

    Rickettsia gravesii is a new Rickettsia species closely related to the human pathogen Rickettsia massiliae. Here, we describe the genome sequence of R. gravesii strain BWI-1, isolated from Amblyomma triguttatum triguttatum ticks collected from humans on Barrow Island, Western Australia.

  2. Assessment of Real-Time PCR Assay for Detection of Rickettsia spp. and Rickettsia rickettsii in Banked Clinical Samples

    OpenAIRE

    Kato, Cecilia Y.; Chung, Ida H.; Robinson, Lauren K.; Austin, Amy L.; Dasch, Gregory A.; Massung, Robert F.

    2013-01-01

    Two novel real-time PCR assays were developed for the detection of Rickettsia spp. One assay detects all tested Rickettsia spp.; the other is specific for Rickettsia rickettsii. Evaluation using DNA from human blood and tissue samples showed both assays to be more sensitive than nested PCR assays currently in use at the CDC.

  3. Detección molecular de Rickettsia massiliae y Anaplasma platys en garrapatas Rhipicephalus sanguineus y caninos domésticos del municipio de Bahía Blanca (Argentina) / Molecular detection of Rickettsia massiliae and Anaplasma platys infecting Rhipicephalus sanguineus ticks and dogs, Bahía Blanca (Argentina)

    Scientific Electronic Library Online (English)

    Gabriel L, Cicuttin; Pablo, Vidal; M, Nazarena De Salvo; Fernando J, Beltrán; Federico E, Gury Dohmen.

    2014-10-01

    Full Text Available Introducción: Las rickettsiosis, ehrlichiosis y anaplasmosis son causadas por bacterias gramnegativas, intracelulares obligadas y transmitidas principalmente por artrópodos. Objetivo: Detectar y caracterizar molecularmente estos patógenos en garrapatas y caninos domésticos del municipio de Bahía Bla [...] nca (provincia de Buenos Aires, Argentina). Material y Métodos: Se estudiaron 56 muestras sanguíneas de caninos, 75 garrapatas Rhipicephalus sanguineus y 7 Amblyomma tigrinum. Las muestras fueron analizadas por RPC para Rickettsia (espacio intergénico 23S-5S ARNr), Ehrlichia y Anaplasma (16S ARNr), y Anaplasma platys (16S ARNr). Resultados: Se detectó positividad a Rickettsia en 12% de R. sanguineus, identificándose por secuenciación a Rickettsia massiliae. Las muestras sanguíneas de los caninos resultaron en 37,5% positivas a A. platys. También se caracterizaron molecularmente por la amplificación del fragmento del gen citrato sintasa (gltA) (género Rickettsia) y del gen groESL (A. platys). Se construyeron árboles filogenéticos utilizando el método del vecino más cercano (neighbor-joining) revelando que las secuencias obtenidas son similares a las de otras regiones geográficas. Conclusión: Los resultados indican la presencia de R. massiliae en garrapatas R. sanguineus en una segunda zona urbana de Sudamérica y la infección por A. platys en caninos, siendo la región más austral de Argentina donde ha sido notificada. Abstract in english Background: Rickettsioses, ehrlichioses and anaplasmoses are caused by Gram negative obligate intracellular bacteria and transmitted mainly by arthropods. Aim: To detect and perform the molecular characterization of these pathogens in ticks and domestic dogs in Bahia Blanca City (Buenos Aires, Argen [...] tina). Methods: Fifty six blood samples from dogs and 82 ticks (75 Rhipicephalus sanguineus and 7 Amblyomma tigrinum) were studied. The samples were analyzed by PCR for Rickettsia (intergenic space 23S-5S rRNA), Ehrlichia/Anaplasma (16S rRNA), and Anaplasma platys (16S rRNA). Results: 12% of R. sanguineus resulted positive for Rickettsia, identified by sequencing as Rickettsia massiliae; and 37.5% of the canine blood samples analyzed were positive for A. platys. Molecular characterization was also performed by amplification of the fragment of the citrate synthase gene (gltA) (Rickettsia genus) and the groESL gene (A. platys). Phylogenetic trees were constructed using the neighbor-joining method. These trees revealed that sequences obtained are similar to those from other geographical regions. Conclusion: The results indicate the presence of R. massiliae in R. sanguineus ticks for the second time in an urban area of South America and A. platys infection in dogs, being the southernmost region of Argentina where it has been notified.

  4. Identificación de Rickettsia andeanae en dos regiones de Chile / Detection of Rickettsia andeanae in two regions of Chile

    Scientific Electronic Library Online (English)

    Katia, Abarca; Javier, López; Gerardo, Acosta-Jamett; Constanza, Martinez-Valdebenito.

    2013-08-01

    Full Text Available Introducción: Candidatus 'Rickettsia andeanae', especie de reciente reconocimiento y rol patógeno no precisado, ha sido identificada en garrapatas del género Amblyomma en Perú, E.U.A. y AArgentina y recientemente en Chile, en un espécimen de Amblyomma triste de un sector rural de Arica. Objetivo: De [...] terminar presencia de agentes rickettsiales en garrapatas de perros domésticos de dos regiones de Chile. Métodos: Estudio transversal, descriptivo, en las regiones de Coquimbo y La Araucanía, con muestreo domiciliario en las ciudades de Coquimbo y AAngol y localidades rurales cercanas, en primavera-verano 2011-2012. Se examinó un perro por vivienda, recolectando garrapatas si estaban presentes; luego de su identificación taxonómica fueron sometidas a amplificación y secuenciación de los genes gltA y ompA. Resultados: Se examinaron 462 perros, 255 tenían garrapatas (55%). En las ciudades se encontró exclusivamente Rhipicephalus sanguineus; en las localidades rurales además Amblyomma tigrinum. Las secuencias obtenidas en 12 especímenes de A. tigrinum correspondieron a Candidatus 'Rickettsia andeanae'. Conclusiones: Se documenta presencia de R. andeanae en dos regiones distantes de Chile, lo que se suma a su reciente hallazgo en el extremo norte del país. Este nuevo agente rickettsial se limita a garrapatas del género Amblyomma y a zonas rurales, lo que concuerda con lo documentado en otros países y con el hábitat de esta garrapata. Abstract in english Introduction: Candidatus 'Rickettsia andeanae' is recently recognized specie, with no attributed pathogenic role so far. It has been reported in Amblyomma ticks from Peru, USA and Argentina, and recently in Chile, in one specimen of Amblyomma triste from a rural locality in Arica. Objective: To dete [...] rmine the presence of rickettsial agents in ticks from domestic dogs from two Chilean regions. Methods: A transversal descriptive study in Coquimbo and La Araucanía regions, consisted in households sampling in the cities of Coquimbo and Aingol and nearby rural localities, in spring-summer 2011-2012. One dog per house was examined and ticks were collected when present; after taxonomic identification, gltA and ompA genes were amplified and sequenced. Results: 462 dogs were examined, 255 had ticks (55%). In the cities just Rhipicephalus sanguineus was found; in rural localities also Amblyomma tigrinum. Obtained sequences in 12 specimens from A. tigrinum corresponded to Candidatus 'Rickettsia andeanae'. Conclusions: We documented the presence of R. andeanae in two distant Chilean regions, which is added to its recently finding in the Northern extreme of the country. This new rickettsial agent limits to Amblyomma ticks and rural areas, as it was reported in other American countries and corresponds with this tick habitat.

  5. Isolamento de Rickettsia em cultura de células vero

    Directory of Open Access Journals (Sweden)

    Melles Heloisa Helena Barbosa

    1999-01-01

    Full Text Available Embora o diagnóstico da febre maculosa baseie-se em sinais e sintomas característicos, o mesmo requer confirmação laboratorial, pois existem alguns diagnósticos diferenciais possíveis como meningococcemia, leptospirose, infecção por enterovírus e febre tifóide. A confirmação laboratorial pode ser feita através da pesquisa de anticorpos específicos, possível somente alguns dias após o aparecimento da doença, através do isolamento do agente em amostras de sangue e/ou biópsia de pele, e ainda, de amostras de carrapatos coletados do paciente ou de animais reservatório. O isolamento a partir de sangue ou biópsia de pele resulta em diagnóstico precoce da doença, pois na fase de rickettsemia ainda não há anticorpos detectáveis no sangue. Assim, com o objetivo de facilitar o diagnóstico precoce da febre maculosa, estabelecemos um método de isolamento de rickettsia em cultura de células vero. Para a padronização foi inoculada amostra padrão de Rickettsia rickettsii, cepa Sheyla Smith, cedida pelo CDC. A identificação foi feita através da reação de imunofluorescência indireta. A presença de microrganismos verdes fluorescentes visualizados no interior do citoplasma das células caracterizou o crescimento do agente. Posteriormente, a metodologia foi confirmada pelo isolamento do agente da febre maculosa em amostras de biópsia de pele de paciente proveniente de área endêmica no Estado de São Paulo, bem como, de amostras de carrapato do gênero Amblyomma, considerado o reservatório e transmissor da doença no Brasil.

  6. Seroprevalencia de Leptospira sp., Rickettsia sp. Ehrlichia sp. en trabajadores rurales del departamento de Sucre, Colombia Seroprevalence of Leptospira sp., Rickettsia sp. and Ehrlichia sp. in rural workers of Sucre, Colombia

    Directory of Open Access Journals (Sweden)

    Rodrigo Ríos

    2008-06-01

    Full Text Available Objective. Determinar la seroprevalencia de Leptospira sp., Rickettsia sp. y Ehrlichia sp. en trabajadores de áreas rurales del departamento de Sucre. Material y métodos. Se realizó un estudio escriptivo, prospectivo, de corte transversal, que pretendió determinar la seroprevalencia e Leptospira sp., Rickettsia sp. y Ehrlichia sp. en 90 trabajadores de áreas rurales del departamento de Sucre. Se estableció la presencia de anticuerpos séricos anti-IgM específicos anti-Leptospira por la técnica de ELISA indirecta. Para la determinación de Rickettsia sp. y Ehrlichia sp. se uso la técnica de inmunofluorescencia indirecta. Resultados. La población evaluada estaba compuesta por 27 (30% ordeñadores, 21 (23% jornaleros, 18 (20% profesionales del campo y 24 (27% que realizaban otras actividades. Ventidós (24% muestras resultaron positivas en alguna de las pruebas. De éstas, 12 (13,3% fueron positivas para Leptospira sp., 7 (7,8% para Rickettsia sp. y 3 (3,3% ara Ehrlichia sp. Conclusión. Este fue el primer estudio que se llevó a cabo en el departamento de Sucre y permitió demostrar que existe una prevalencia importante de Leptospira p.,Rickettsia sp. y Ehrlichia sp.. Los factores de riesgo ocupacional fueron factores determinantes en la seropositividad.Objective. To determine the seroprevalence of Leptospira sp., Rickettsia sp. and Ehrlichia sp. in agricultural workers of Sucre. Methods. A descriptive prospective cross-sectional study was conducted in ninety rural workers of Sucre. Presence of serum antibodies anti-IgM specific anti-Leptospira by indirect ELISA was established. For the determination of Rickettsia and Ehrlichia indirect inmunoflorescence was used. Results.The population was composed by 27 (30% milkers, 21 (23% day workers, 18 farm professionals (20% and 24 (26% workers in others activities. A total of 22 (24% samples were positive to some test. Twelve (13.3% were positive to Leptospira sp., seven (7.8% to Rickettsia sp. and three (3.3% o Ehrlichia sp.. Conclusions. This is the first study carried out in Sucre; there is an important prevalence of Leptospira sp., Rickettsia sp. and Ehrlichia sp..The occupational risk factors were decisive in the seropositivity.

  7. Seroprevalencia de Leptospira sp., Rickettsia sp. Ehrlichia sp. en trabajadores rurales del departamento de Sucre, Colombia / Seroprevalence of Leptospira sp., Rickettsia sp. and Ehrlichia sp. in rural workers of Sucre, Colombia

    Scientific Electronic Library Online (English)

    Rodrigo, Ríos; Sila, Franco; Salim, Mattar; Mary, Urrea; Vaneza, Tique.

    2008-06-01

    Full Text Available Objective. Determinar la seroprevalencia de Leptospira sp., Rickettsia sp. y Ehrlichia sp. en trabajadores de áreas rurales del departamento de Sucre. Material y métodos. Se realizó un estudio escriptivo, prospectivo, de corte transversal, que pretendió determinar la seroprevalencia e Leptospira sp. [...] , Rickettsia sp. y Ehrlichia sp. en 90 trabajadores de áreas rurales del departamento de Sucre. Se estableció la presencia de anticuerpos séricos anti-IgM específicos anti-Leptospira por la técnica de ELISA indirecta. Para la determinación de Rickettsia sp. y Ehrlichia sp. se uso la técnica de inmunofluorescencia indirecta. Resultados. La población evaluada estaba compuesta por 27 (30%) ordeñadores, 21 (23%) jornaleros, 18 (20%) profesionales del campo y 24 (27%) que realizaban otras actividades. Ventidós (24%) muestras resultaron positivas en alguna de las pruebas. De éstas, 12 (13,3%) fueron positivas para Leptospira sp., 7 (7,8%) para Rickettsia sp. y 3 (3,3%) ara Ehrlichia sp. Conclusión. Este fue el primer estudio que se llevó a cabo en el departamento de Sucre y permitió demostrar que existe una prevalencia importante de Leptospira p.,Rickettsia sp. y Ehrlichia sp.. Los factores de riesgo ocupacional fueron factores determinantes en la seropositividad. Abstract in english Objective. To determine the seroprevalence of Leptospira sp., Rickettsia sp. and Ehrlichia sp. in agricultural workers of Sucre. Methods. A descriptive prospective cross-sectional study was conducted in ninety rural workers of Sucre. Presence of serum antibodies anti-IgM specific anti-Leptospira by [...] indirect ELISA was established. For the determination of Rickettsia and Ehrlichia indirect inmunoflorescence was used. Results.The population was composed by 27 (30%) milkers, 21 (23%) day workers, 18 farm professionals (20%) and 24 (26%) workers in others activities. A total of 22 (24%) samples were positive to some test. Twelve (13.3%) were positive to Leptospira sp., seven (7.8%) to Rickettsia sp. and three (3.3%) o Ehrlichia sp.. Conclusions. This is the first study carried out in Sucre; there is an important prevalence of Leptospira sp., Rickettsia sp. and Ehrlichia sp..The occupational risk factors were decisive in the seropositivity.

  8. Molecular detection of Rickettsia felis and Candidatus Rickettsia asemboensis in fleas from human habitats, Asembo, Kenya

    OpenAIRE

    Jiang, Ju; Maina, Alice N.; Knobel, Darryn Leslie; Cleaveland, Sarah; Laudisoit, Anne; Wamburu, Kabura; Ogola, Eric; Parola, Philippe; Breiman, Robert F.; Njenga, M. Kariuki; Richards, Allen L.

    2013-01-01

    The flea-borne rickettsioses murine typhus (Rickettsia typhi) and flea-borne spotted fever (FBSF) (Rickettsia felis) are febrile diseases distributed among humans worldwide. Murine typhus has been known to be endemic to Kenya since the 1950s, but FBSF was only recently documented in northeastern (2010) and western (2012) Kenya. To characterize the potential exposure of humans in Kenya to flea-borne rickettsioses, a total of 330 fleas (134 pools) including 5 species (Xenopsylla che...

  9. Identification of a Novel Uncultured Rickettsia Species Strain (Rickettsia Species Strain Tselenti) in Cyprus

    OpenAIRE

    Sandalakis, Vassilios; Chochlakis, Dimosthenis; Ioannou, Ioannis; Psaroulaki, Anna

    2013-01-01

    In a previous study conducted in Cyprus, various spotted fever group Rickettsia species were detected and identified in ticks by molecular analysis. Among them, a partially characterized Rickettsia species was detected in Hyalomma anatolicum excavatum and Rhipicephalus turanicus ticks. We report characterization of this rickettsial strain by using polymerase chain reaction sequencing analysis of partial citrate synthase A, outer membrane protein A, outer membrane protein B, and 17-kD protein ...

  10. First report on the occurrence of Rickettsia slovaca and Rickettsia raoultii in Dermacentor silvarum in China

    Directory of Open Access Journals (Sweden)

    Tian Zhan-Cheng

    2012-01-01

    Full Text Available Abstract Background Rickettsioses are among both the longest known and most recently recognized infectious diseases. Although new spotted fever group rickettsiae have been isolated in many parts of the world including China, Little is known about the epidemiology of Rickettsia pathogens in ticks from Xinjiang Autonomous Region of China. Methods In an attempt to assess the potential risk of rickettsial infection after exposure to ticks in Xinjiang Uygur Autonomous Region of China, a total of 200 Dermacentor silvarum ticks collected in Xinyuan district were screened by polymerase chain reaction based on the outer membrane protein A gene. Results 22 of the 200 specimens (11% were found to be positive by PCR. Phylogenetic analysis of OmpA sequences identified two rickettsial species, Rickettsia raoultii (4.5% and Rickettsia slovaca (6.5%. Conclusions This study has reported the occurrence of Rickettsia raoultii and Rickettsia slovaca in Xinjiang Autonomous Region of China and suggests that Dermacentor silvarum could be involved in the transmission of rickettsial agents in China. Further studies on the characterization and culture of rickettsial species found in Dermacentor silvarum should be performed to further clarify this. Additionally, the screening of human specimens for rickettsial disease in this region will define the incidence of infection.

  11. Proposal to create subspecies of Rickettsia conorii based on multi-locus sequence typing and an emended description of Rickettsia conorii

    OpenAIRE

    Raoult Didier; Eremeeva Marina; Fournier Pierre-Edouard; Zhu Yong

    2005-01-01

    Abstract Background Rickettsiae closely related to the Malish strain, the reference Rickettsia conorii strain, include Indian tick typhus rickettsia (ITTR), Israeli spotted fever rickettsia (ISFR), and Astrakhan fever rickettsia (AFR). Although closely related genotypically, they are distinct serotypically. Using multilocus sequence typing (MLST), we have recently found that distinct serotypes may not always represent distinct species within the Rickettsia genus. We investigated the possibili...

  12. Rickettsia slovaca infection in humans, Portugal

    OpenAIRE

    Sousa, R.; Pereira, B. I.; Nazareth, C.; Cabral, S.; Ventura, C.; Crespo, P.; Marques, N.; Cunha, S.

    2013-01-01

    Fifteen years after the initial detection of Rickettsia slovaca in ticks in Portugal, 3 autochthonous cases of R. slovaca infection were diagnosed in humans. All patients had an eschar on the scalp and lymphadenopathy; 2 patients had facial edema. R. slovaca infection was confirmed by serologic testing, culture, and PCR.

  13. Rickettsia felis in Fleas, Western Australia

    OpenAIRE

    Schloderer, Drew; Owen, Helen; Clark, Phillip; Stenos, John; Fenwick, Stanley G.

    2006-01-01

    This study is the first confirmation of Rickettsia felis in Australia. The organism was identified from 4 species of fleas obtained from dogs and cats in Western Australia, by using polymerase chain reaction amplification and DNA sequencing of the citrate synthase and outer membrane protein A genes.

  14. Rickettsia felis in Fleas, Western Australia

    Science.gov (United States)

    Schloderer, Drew; Clark, Phillip; Stenos, John; Fenwick, Stanley G.

    2006-01-01

    This study is the first confirmation of Rickettsia felis in Australia. The organism was identified from 4 species of fleas obtained from dogs and cats in Western Australia, by using polymerase chain reaction amplification and DNA sequencing of the citrate synthase and outer membrane protein A genes. PMID:16704850

  15. In Vitro Activities of Telithromycin (HMR 3647) against Rickettsia rickettsii, Rickettsia conorii, Rickettsia africae, Rickettsia typhi, Rickettsia prowazekii, Coxiella burnetii, Bartonella henselae, Bartonella quintana, Bartonella bacilliformis, and Ehrlichia chaffeensis

    OpenAIRE

    Rolain, Jean-marc; Maurin, Max; Bryskier, Andre?; Raoult, Didier

    2000-01-01

    In vitro activities of telithromycin compared to those of erythromycin against Rickettsia spp., Bartonella spp., Coxiella burnetii, and Ehrlichia chaffeensis were determined. Telithromycin was more active than erythromycin against Rickettsia, Bartonella, and Coxiella burnetii, with MICs of 0.5 ?g/ml, 0.003 to 0.015 ?g/ml, and 1 ?g/ml, respectively, but was inactive against Ehrlichia chaffeensis.

  16. Neuroprotección de las células ganglionares de la retina / Retinal ganglion cell neuroprotection in culture

    Scientific Electronic Library Online (English)

    M, García; J, Ruiz Ederra; E, Hernández Barbáchano; JA, Urcola; J, Bilbao; J, Araiz; JA, Durán; E, Vecino.

    2003-03-01

    Full Text Available Objetivo: Estudiar la supervivencia de las células ganglionares de la retina (CGR) de cerdo en cultivo, analizando el posible efecto neuroprotector de las células de Müller de la retina (CMR) y del factor neurotrófico derivado del cerebro (BDNF). Métodos: Las retinas de cerdo adulto fueron disociada [...] s y cultivadas en diferentes condiciones: 1) sobre sustrato de laminina/poli-D-lisina en medio de cultivo químicamente definido; 2) sobre sustrato de laminina/poli-D-lisina en medio químicamente definido al que se añadió BDNF; 3) sobre monocapas de CMR en medio químicamente definido; 4) sobre sustrato de laminina/poli-D-lisina en medio condicionado procedente del sobrenadante de las CMR. Las CGR fueron identificadas mediante inmunocitoquímica, utilizando anticuerpos contra el neurofilamento de 68 kDa, y observadas con un microscopio de fluorescencia. Se analizó la supervivencia para cada condición de cultivo y se clasificaron las CGR en función de su tamaño y del número y longitud de las neuritas. Resultados: La supervivencia de las CGR aumentó cuando las células fueron cultivadas sobre monocapas confluentes de CMR o en medio condicionado. Estas condiciones produjeron un incremento en el área media de las células y un aumento en el número de neuritas emitidas por cada célula, así como en la longitud de las neuritas. Cuando el medio de cultivo se suplementó con BDNF no se obtuvo ningún efecto sobre la supervivencia de las CGR aunque aumentó el tamaño, y el número y longitud de sus neuritas. Conclusión: Nuestro trabajo demuestra que algún/os factor/es secretados por las células de Müller tienen un efecto neuroprotector sobre las CGR in vitro. El BDNF produce también un incremento en el área media de las células y favorece la formación de neuritas, sin embargo no aumenta la supervivencia. Abstract in english Purpose: To study the pig retinal ganglion cell (RGC) survival in culture, analysing the possible neuroprotective effect of retinal Müller glia (RMG) and brain-derived neurotrophic factor (BDNF). Methods: Adult pig retina were dissociated and cultured under different conditions: 1) on laminin/poly-D [...] -lysine-coated coverslips in chemically defined medium (CDM); 2) on laminin/poly-D-lysine-coated coverslips in CMD supplemented with BDNF; 3) on confluent monolayer cultures of RMG in CDM; 4) on laminin/poly-D-lysine substrate in conditioned medium obtained from RMG. RGCs were identified by immunocytochemistry using antibody against 68 kDa neurofilament and observed under an fluorescent microscope. RGCs were classified on the basis of the size, number and length of neurites, and their survival was assayed for each treatment. Results: Confluent RMG substrates and RMG conditioned medium significantly increased the survival of cultured pig RGC. Moreover these two conditions increased the mean area of RGCs and enhanced neurite growth and elongation. Addition of BDNF to culture medium did not modify survival but increased RGC size, neurite number and neurite length. Conclusions: These findings demonstrate that factor(s) secreted by RMG exert beneficial effects on adult RGC survival and neurite regeneration in vitro, and might constitute important agent(s) for RGC neuroprotection. BDNF also increases the mean area of RGCs and enhances neurite growth but it does not increase the survival of RGCs.

  17. Neuroprotección de las células ganglionares de la retina Retinal ganglion cell neuroprotection in culture

    Directory of Open Access Journals (Sweden)

    M García

    2003-03-01

    Full Text Available Objetivo: Estudiar la supervivencia de las células ganglionares de la retina (CGR de cerdo en cultivo, analizando el posible efecto neuroprotector de las células de Müller de la retina (CMR y del factor neurotrófico derivado del cerebro (BDNF. Métodos: Las retinas de cerdo adulto fueron disociadas y cultivadas en diferentes condiciones: 1 sobre sustrato de laminina/poli-D-lisina en medio de cultivo químicamente definido; 2 sobre sustrato de laminina/poli-D-lisina en medio químicamente definido al que se añadió BDNF; 3 sobre monocapas de CMR en medio químicamente definido; 4 sobre sustrato de laminina/poli-D-lisina en medio condicionado procedente del sobrenadante de las CMR. Las CGR fueron identificadas mediante inmunocitoquímica, utilizando anticuerpos contra el neurofilamento de 68 kDa, y observadas con un microscopio de fluorescencia. Se analizó la supervivencia para cada condición de cultivo y se clasificaron las CGR en función de su tamaño y del número y longitud de las neuritas. Resultados: La supervivencia de las CGR aumentó cuando las células fueron cultivadas sobre monocapas confluentes de CMR o en medio condicionado. Estas condiciones produjeron un incremento en el área media de las células y un aumento en el número de neuritas emitidas por cada célula, así como en la longitud de las neuritas. Cuando el medio de cultivo se suplementó con BDNF no se obtuvo ningún efecto sobre la supervivencia de las CGR aunque aumentó el tamaño, y el número y longitud de sus neuritas. Conclusión: Nuestro trabajo demuestra que algún/os factor/es secretados por las células de Müller tienen un efecto neuroprotector sobre las CGR in vitro. El BDNF produce también un incremento en el área media de las células y favorece la formación de neuritas, sin embargo no aumenta la supervivencia.Purpose: To study the pig retinal ganglion cell (RGC survival in culture, analysing the possible neuroprotective effect of retinal Müller glia (RMG and brain-derived neurotrophic factor (BDNF. Methods: Adult pig retina were dissociated and cultured under different conditions: 1 on laminin/poly-D-lysine-coated coverslips in chemically defined medium (CDM; 2 on laminin/poly-D-lysine-coated coverslips in CMD supplemented with BDNF; 3 on confluent monolayer cultures of RMG in CDM; 4 on laminin/poly-D-lysine substrate in conditioned medium obtained from RMG. RGCs were identified by immunocytochemistry using antibody against 68 kDa neurofilament and observed under an fluorescent microscope. RGCs were classified on the basis of the size, number and length of neurites, and their survival was assayed for each treatment. Results: Confluent RMG substrates and RMG conditioned medium significantly increased the survival of cultured pig RGC. Moreover these two conditions increased the mean area of RGCs and enhanced neurite growth and elongation. Addition of BDNF to culture medium did not modify survival but increased RGC size, neurite number and neurite length. Conclusions: These findings demonstrate that factor(s secreted by RMG exert beneficial effects on adult RGC survival and neurite regeneration in vitro, and might constitute important agent(s for RGC neuroprotection. BDNF also increases the mean area of RGCs and enhances neurite growth but it does not increase the survival of RGCs.

  18. Antibodies against rickettsiae from spotted fever groups in horses from two mesoregions in the state of Santa Catarina, Brazil / Anticorpos contra rickettsias do grupo da febre maculosa em equinos de duas mesorregiões de Santa Catarina, Brasil

    Scientific Electronic Library Online (English)

    A.P., Medeiros; A.B., Moura; A.P., Souza; V., Bellato; A.A., Sartor; A., Vieira-Neto; J., Moraes-Filho; M.B., Labruna.

    1713-17-01

    Full Text Available Bactérias do gênero Rickettsia são agentes da Febre Maculosa Brasileira (FMB), uma doença zoonótica, de difícil diagnóstico, rápida evolução e que pode levar o indivíduo à morte. Anticorpos contra Rickettsia spp. em equinos foram pesquisados, por meio da Reação de Imunofluorescência Indireta (RIFI?6 [...] 4), em 150 amostras de sangue colhidas de animais em duas mesorregiões de Santa Catarina (Planalto Serrano e Vale do Itajaí). A ocorrência de anticorpos contra Rickettsia spp. observada em equinos de duas mesorregiões de Santa Catarina foi de 18,66%, ocorrendo reações cruzadas em todas as amostras positivas para, no mínimo, duas das espécies testadas. Isoladamente, de acordo com as espécies, 25 (16,66%) amostras foram positivas para R. rickettsii, 15 (10%) para R. parkeri, 22 (14,66%) para R. amblyommii, 23 (15,33%) para R. rhipicephali, 16 (10,66%) para R. bellii e 19 (12,66%) para R. felis. Somente dois animais resultaram em um sorodiagnóstico conclusivo, um para Rickettsia bellii e outro para R. rickettsii, nas diluições máximas de 1:4096 e 1:512, respectivamente. A ocorrência de anticorpos contra Rickettsia spp. em equinos de duas mesorregiões de Santa Catarina indica a circulação de agentes da FMB nestes animais sentinela e ratificam a importância do estudo da febre maculosa no estado de Santa Catarina. Abstract in english Bacteria of the Rickettsia genus are agents of Brazilian Spotted Fever (BSF), a zoonotic disease which is difficult to diagnose, evolves quickly and can result in death. Antibodies against Rickettsia spp. in horses were studied, by means of Indirect Immunofluorescence Assay (IFAT ?64), in 150 blood [...] samples taken from animals in two Santa Catarina mesoregions (Planalto Serrano and Vale do Itajaí). The overall occurrence of Rickettsia spp. antibodies in horses was 18.66%, with cross-reactivity occurring in all positive samples for at least two of the species tested. Separately, according to the species, 25 (16.66%) samples were positive for R. rickettsii, 15 (10%) for R. parkeri, 22 (14.66%) for R. amblyommii, 23 (15.33%) for R. rhipicephali, 16 (10.66%) for R. bellii and 19 (12.66%) for R. felis. Only two animals resulted in a conclusive serodiagnosis, one for R. bellii and the other for R. rickettsii, at maximum dilutions of 1:4096 and 1:512, respectively. The occurrence of antibodies against Rickettsia spp. in horses from two mesoregions in the state of Santa Catarina indicates the movement of BSF agents in these sentinel animals and confirms the importance of studying spotted fever in the state of Santa Catarina.

  19. Ganglionic Cells Apoptosis in Retinal Layer of Rat Offspring due to Gestational Diabetes / Células Ganglionares Apoptóticas en la Capa de la Retina de Crías de Ratas Debido a la Diabetes Gestacional

    Scientific Electronic Library Online (English)

    Simin, Najafdari; Noorallah, Rezaei; Majid Malekzadeh, Shafaroodi; Soraya, Ghafari; Mohammad Jafar, Golalipour.

    1131-11-01

    Full Text Available Estudios previos en un modelo animal han demostrado los efectos adversos de la diabetes gestacional en la densidad neuronal del hipocampo. El objetivo fue determinar el efecto de la diabetes gestacional en la densidad de las células ganglionares de la retina, en el espesor de la capa de la retina y [...] en la densidad de las células apoptóticas ganglionares, en crías de ratas de 28 días. En este estudio experimental, 10 ratas Wistar fueron asignadas aleatoriamente en grupos control y diabéticos. La diabetes gestacional se indujo a partir de la administración de 40 mg/kg/peso corporal de estreptozotocina en el primer día de la gestación, por vía intraperitoneal. Al grupo control se administró un volumen equivalente de solución salina normal. En el día 28 luego del nacimiento, se seleccionaron aleatoriamente seis crías procedentes de los grupos con diabetes gestacional y controles, se eutanasiaron y se tomaron muestras de los ojos, en forma de secciones de 6 micrómetros, las cuales se tiñeron con H & E. La densidad de las células ganglionares y el número final de células dUTP positivas (TUNEL) se evaluaron a nivel de la capa ganglionar de la retina, en un área de 20.000 mm2. La densidad de las células ganglionares se redujo un 27,4% en la descendencia con diabetes gestacional en comparación con los controles (22,5±1,5 vs. 31,0±0,9, P Abstract in english Previous studies have shown the adverse effects of gestational diabetes on hippocampal neuronal density in animal models. This study was conducted to determine the effect of gestational diabetes on retinal ganglionic cell density, the thickness of the retinal layer and apoptotic ganglionic cell dens [...] ity in 28-day-old of rat offspring. In this experimental study, 10 Wistar rat dams were randomly allocated in control and diabetic groups. Gestational diabetes was induced by 40 mg/kg/body weight of streptozotocin at the first day of gestation, intraperitoneally, dams in control group received an equivalent volume normal saline. At postnatal day 28, six offspring of each gestational diabetes and controls were randomly selected, sacrificed and sections (6 micrometer) were taken from the eye and stained with hematoxylin and eosin. The density of ganglionic cells and the number of dUTP end-labeling (TUNEL)-positive cells were evaluated in 20000 mm2 area of ganglion layer of the retina. The ganglionic cells density were reduced (27.4%) in gestational diabetic offspring in compared to controls (22.5±1.5 vs. 31.0±0.9, P

  20. Rickettsia infection in dogs and Rickettsia parkeri in Amblyomma tigrinum ticks, Cochabamba Department, Bolivia.

    Science.gov (United States)

    Tomassone, Laura; Conte, Valeria; Parrilla, Guillermo; De Meneghi, Daniele

    2010-12-01

    Only few published data are available on ticks and tick-borne zoonotic pathogens in Bolivia. To evaluate rickettsial seroprevalence and infection in dogs and ticks, during February-April 2007, we collected whole blood, sera, and ticks from dogs living in the rural, peri-urban, and urban areas of Cochabamba, Bolivia. Dog sera were subjected to enzyme-linked immunosorbent assay test to detect IgG antibodies against Rickettsia rickettsii and 68.2% of samples were found to be positive (n?=?30; 95% confidence interval [CI]: 52.4-81.4). Blood samples and ticks were tested using polymerase chain reaction to detect spotted fever group (SFG) rickettsiae. One blood sample was positive for Rickettsia parkeri (2.3%; 95% CI: 0.06-12.3). Ticks were collected from 10 dogs and were identified as Amblyomma tigrinum (n?=?44) and Rhipicephalus sanguineus (n?=?1). All A. tigrinum ticks were collected from resident dogs from the rural areas of Cochabamba, whereas R. sanguineus was from a dog originating from Santa Cruz. Of 42 DNA samples extracted from ticks, 23 (54.8%; 95% CI: 38.7-70.1) were polymerase chain reaction positive for Rickettsia spp. Sequencing analysis identified 22 samples as R. parkeri and one as Rickettsia aeschlimannii. Positive ticks (all A. tigrinum) were collected from six dogs, all of which were seropositive. This is the first report of SFG rickettsiae in A. tigrinum, suggesting that this tick-like others species in the Amblyomma maculatum group--may play a role in the biological cycle of Ri. parkeri. The high infection prevalence of SFG rickettsiae in ticks and the even higher seroprevalence in dogs suggest an active circulation of agents of rickettsiosis in the study area, although there are no confirmed cases of infection in humans. Our study supports the use of canine serology as risk indicator for SF rickettsioses. PMID:20426684

  1. Serologic evidence of human Rickettsia infection found in three locations in Panamá / Evidencia serológica de infecciones de Rickettsia en humanos provenientes de tres localidades de Panamá

    Scientific Electronic Library Online (English)

    Sergio E, Bermúdez; Cirilo R, Lyons; Gleydis G, García; Yamitzel L, Zaldíva; Amanda, Gabster; Griselda B, Arteaga.

    2013-09-01

    Full Text Available Introducción. Desde mediados del siglo pasado, se conocen en Panamá casos de rickettsiosis, cuando fueron reportados brotes de tifus en ratones y de fiebres manchadas. A partir de entonces, poca información se tiene sobre su prevalencia en este país, lo cual se debe principalmente a que son confundi [...] dos con otras enfermedades. Objetivos. El objetivo de este trabajo fue demostrar la presencia de rickettsiosis en humanos provenientes de tres localidades de Panamá, que corresponden a zonas agropecuarias, cercanas a bosques, o que trabajaban en zoológicos. Materiales y métodos. Se escogieron tres localidades para este estudio: Tortí (provincia de Panamá), El Valle de Antón (provincia de Coclé) y el Parque Municipal Summit en Ciudad de Panamá. Los voluntarios firmaron un consentimiento informado, además de responder un cuestionario. De cada voluntario se extrajo sangre venosa, la que fue analizada por medio de inmunoflorescencia indirecta, utilizando kits comerciales y láminas sensibilizadas con antígenos cultivados de Rickettsia rickettsii y Rickettsia amblyommii . Resultados. Se tomaron muestras de 97 voluntarios, 25 en Tortí, 37 en El Valle de Antón y 35 en el Parque Municipal Summit. De estos, 38 (39 %) de las muestras fueron positivas en algunas de las dos técnicas practicadas: 8 (32 %) en Tortí, 18 (48 %) en El Valle y 12 (34 %) en el Parque Municipal Summit. Conclusión. Se demuestra una alta prevalencia de anticuerpos contra Rickettsia del grupo de las fiebres manchadas en las tres áreas de estudio, además de presentarse evidencia de títulos para Rickettsia del grupo tifus en El Valle de Antón. Estas zonas podrían considerarse como endémicas por rickettsiosis, ya que existen condiciones que permiten el mantenimiento de las mismas. Abstract in english Introduction: Since the middle of last century, cases of rickettsiosis have been found in Panamá when outbreaks of murine typhus and spotted fever were reported. Since then, little information exists about its prevalence in this country, since it is most often is misdiagnosed as another disease. Obj [...] ectives: The aim of this paper is to demonstrate the presence of Rickettsia infections in humans in three locations in Panamá. These locations are agricultural areas, near forested areas or those who work in zoo. Materials and methods: Three locations where chosen for this study: Tortí, El Valle de Antón and workers in the Summit Municipal Park in Panamá City. All volunteers signed an informed consent and answered a questionnaire. The samples were analyzed for the detection of rickettsial spotted fever and typhus group by the indirect immunofluorescence (using commercial kits) and antigens of Rickettsia rickettsii and R. amblyommii. Results: Blood samples were taken from 97 volunteers in Tortí (25), El Valle de Anton (37) and Summit Municipal Park (35). Of these, a total of 38 (39%) samples reacted to one of the two methods: eight (32%) in Tortí, 18 (48%) in El valle and 12 (34%) in Summit Municipal Park. Conclusion: The results show a high prevalence of antibodies to Rickettsia belonging to the spotted fever group in each of the three study areas, in addition to presenting evidence of the typhus group Rickettsia in El Valle de Anton. These areas could be considered endemic for rickettsiosis as there are conditions for maintaining them.

  2. Isolation of Rickettsia rhipicephali and Rickettsia bellii from Haemaphysalis juxtakochi Ticks in the State of São Paulo, Brazil?

    OpenAIRE

    Labruna, Marcelo B.; Pacheco, Richard C.; Richtzenhain, Leonardo J.; Szabo?, Matias P. J.

    2006-01-01

    In the present study, attempts to isolate Rickettsia in cell culture were performed individually in seven specimens of Haemaphysalis juxtakochi ticks collected in the state of São Paulo (southeastern Brazil). Rickettsia was successfully isolated by the shell vial technique and established in Vero cell culture from six ticks (six isolates). DNA extracted from infected cells of these isolates was tested by PCR and DNA sequencing, using genus-specific Rickettsia primers targeting the genes gltA...

  3. Permeability of Rickettsia prowazekii to NAD

    Energy Technology Data Exchange (ETDEWEB)

    Atkinson, W.H.; Winkler, H.H.

    1989-02-01

    Rickettsia prowazekii accumulated radioactivity from (adenine-2,8-3H)NAD but not from (nicotinamide-4-3H)NAD, which demonstrated that NAD was not taken up intact. Extracellular NAD was hydrolyzed by rickettsiae with the products of hydrolysis, nicotinamide mononucleotide and AMP, appearing in the incubation medium in a time- and temperature-dependent manner. The particulate (membrane) fraction contained 90% of this NAD pyrophosphatase activity. Rickettsiae which had accumulated radiolabel after incubation with (adenine-2,8-3H)NAD were extracted, and the intracellular composition was analyzed by chromatography. The cells contained labeled AMP, ADP, ATP, and NAD. The NAD-derived intracellular AMP was transported via a pathway distinct from and in addition to the previously described AMP translocase. Exogenous AMP (1 mM) inhibited uptake of radioactivity from (adenine-2,8-3H)NAD and hydrolysis of extracellular NAD. AMP increased the percentage of intracellular radiolabel present as NAD. Nicotinamide mononucleotide was not taken up by the rickettsiae, did not inhibit hydrolysis of extracellular NAD, and was not a good inhibitor of the uptake of radiolabel from (adenine-2,8-3H)NAD. Neither AMP nor ATP (both of which are transported) could support the synthesis of intracellular NAD. The presence of intracellular (adenine-2,8-3H)NAD within an organism in which intact NAD could not be transported suggested the resynthesis from AMP of (adenine-2,8-3H)NAD at the locus of NAD hydrolysis and translocation.

  4. Permeability of Rickettsia prowazekii to NAD

    International Nuclear Information System (INIS)

    Rickettsia prowazekii accumulated radioactivity from [adenine-2,8-3H]NAD but not from [nicotinamide-4-3H]NAD, which demonstrated that NAD was not taken up intact. Extracellular NAD was hydrolyzed by rickettsiae with the products of hydrolysis, nicotinamide mononucleotide and AMP, appearing in the incubation medium in a time- and temperature-dependent manner. The particulate (membrane) fraction contained 90% of this NAD pyrophosphatase activity. Rickettsiae which had accumulated radiolabel after incubation with [adenine-2,8-3H]NAD were extracted, and the intracellular composition was analyzed by chromatography. The cells contained labeled AMP, ADP, ATP, and NAD. The NAD-derived intracellular AMP was transported via a pathway distinct from and in addition to the previously described AMP translocase. Exogenous AMP (1 mM) inhibited uptake of radioactivity from [adenine-2,8-3H]NAD and hydrolysis of extracellular NAD. AMP increased the percentage of intracellular radiolabel present as NAD. Nicotinamide mononucleotide was not taken up by the rickettsiae, did not inhibit hydrolysis of extracellular NAD, and was not a good inhibitor of the uptake of radiolabel from [adenine-2,8-3H]NAD. Neither AMP nor ATP (both of which are transported) could support the synthesis of intracellular NAD. The presence of intracellular [adenine-2,8-3H]NAD within an organism in which intact NAD could not be transported suggested the resynthesis from AMP of [adenine-2,8-3H]NAD at the locus of NAD hy[adenine-2,8-3H]NAD at the locus of NAD hydrolysis and translocation

  5. Detection of Rickettsia in Rhipicephalus sanguineus Ticks and Ctenocephalides felis Fleas from Southeastern Tunisia by Reverse Line Blot Assay

    OpenAIRE

    Khrouf, Fatma; M Ghirbi, Youmna; Znazen, Abir; Ben Jemaa, Mounir; Hammami, Adnene; Bouattour, Ali

    2014-01-01

    Ticks (n = 663) and fleas (n = 470) collected from domestic animals from southeastern Tunisia were screened for Rickettsia infection using reverse line blot assay. Evidence of spotted fever group Rickettsia was obtained. We detected Rickettsia felis in fleas, Rickettsia massiliae Bar 29 and the Rickettsia conorii Israeli spotted fever strain in ticks, and Rickettsia conorii subsp. conorii and Rickettsia spp. in both arthropods. The sensitivity of the adopted technique allowed the identificati...

  6. Simultaneous Detection of “Rickettsia mongolotimonae” in a Patient and in a Tick in Greece

    OpenAIRE

    Psaroulaki, Anna; Germanakis, Antonis; Gikas, Achilleas; Scoulica, Efstathia; Tselentis, Yannis

    2005-01-01

    Rickettsia conorii, a spotted fever group rickettsia which is transmitted by Rhipicephalus sp. complex ticks, was considered until now the only pathogenic rickettsia prevalent in Greece. Here, we report the presence of “Rickettsia mongolotimonae” (proposed name) detected simultaneously in a patient and in a Hyalomma anatolicum excavatum tick, sampled on the patient.

  7. Prevalence of Rickettsia Species in Canadian Populations of Dermacentor andersoni and D. variabilis?

    OpenAIRE

    Dergousoff, Shaun J.; Gajadhar, Andrew J. A.; Chilton, Neil B.

    2009-01-01

    We determined the prevalence of rickettsiae in Dermacentor adults at 15 localities in Canada. Rickettsia rickettsii was not detected in any tick, whereas Rickettsia peacockii was present in 76% of Dermacentor andersoni adults and Rickettsia montanensis in 8% of Dermacentor variabilis adults. This host specificity was maintained in localities where both tick species occurred in sympatry.

  8. Sequence and Annotation of Rickettsia sibirica sibirica Genome

    OpenAIRE

    Sentausa, Erwin; El Karkouri, Khalid; Robert, Catherine; Raoult, Didier; Fournier, Pierre-edouard

    2012-01-01

    Rickettsia sibirica sibirica is the causative agent of Siberian or North Asian tick typhus, a tick-borne rickettsiosis known to exist in Siberia and eastern China. Here we present the draft genome of Rickettsia sibirica sibirica strain BJ-90 isolated from Dermacentor sinicus ticks collected in Beijing, China.

  9. The First Human Case of Rickettsia tamurae Infection in Japan

    OpenAIRE

    Imaoka, Kaoru; Kaneko, Sakae; Tabara, Kenji; Kusatake, Kenji; Morita, Eishin

    2011-01-01

    A case of Rickettsia tamurae infection in Japan is reported. A 76-year-old Japanese male had a tick bite which developed to local skin inflammation on his left leg. Anti-rickettsia antibodies were detected in his serum, and R. tamurae DNA was identified in his blood, the lesional skin, and the tick.

  10. High Seroprevalence for Typhus Group Rickettsiae, Southwestern Tanzania

    OpenAIRE

    Dill, Tatjana; Dobler, Gerhard; Saathoff, Elmar; Clowes, Petra; Kroidl, Inge; Ntinginya, Elias; Machibya, Harun; Maboko, Leonard; Lo?scher, Thomas; Hoelscher, Michael; Heinrich, Norbert

    2013-01-01

    Rickettsioses caused by typhus group rickettsiae have been reported in various African regions. We conducted a cross-sectional survey of 1,227 participants from 9 different sites in the Mbeya region, Tanzania; overall seroprevalence of typhus group rickettsiae was 9.3%. Risk factors identified in multivariable analysis included low vegetation density and highway proximity.

  11. Amiloidose ganglionar mediastinal em paciente com sarcoidose / Mediastinal lymph node amyloidosis in a patient with sarcoidosis

    Scientific Electronic Library Online (English)

    Lilian, Schade; Eliane Ribeiro, Carmes; João Adriano de, Barros.

    2007-04-01

    Full Text Available Paciente masculino, 27 anos, com sintomas respiratórios, linfonodomegalia cervical anterior bilateral e hepatomegalia. Os estudos de imagem evidenciaram linfonodomegalia hilar bilateral e infiltrado pulmonar. O paciente foi submetido a biópsias pulmonar e hepática, que evidenciaram presença de granu [...] lomas não caseosos. Também foi submetido à biópsia de linfonodo hilar, que revelou a presença de material amilóide. Os achados clínicos, radiológicos e histopatológicos foram compatíveis com sarcoidose e amiloidose ganglionar. A associação entre sarcoidose e amiloidose é raramente descrita. Abstract in english A 27-year-old male patient presented with respiratory symptoms, bilateral enlargement of the cervical lymph nodes and enlarged liver. In the imaging studies, bilateral enlargement of the hilar nodes was observed, together with pulmonary infiltrate. The patient was submitted to lung and liver biopsie [...] s, which revealed noncaseating granulomas. The clinical, radiological and histopathological findings were consistent with sarcoidosis and lymph node amyloidosis. The combination of sarcoidosis and amyloidosis has rarely been reported.

  12. Serological cross-reaction and cross-protection in guinea pigs infected with Rickettsia rickettsii and Rickettsia montana.

    OpenAIRE

    Feng, W. C.; Waner, J. L.

    1980-01-01

    Antisera produced in guinea pigs inoculated with Rickettsia rickettsii or Rickettsia montana were cross-reactive but sufficiently specific to identify the primary infecting agent. Guinea pigs immunized with R. montana were protected from fatal infection with R. rickettsii, although a few (25%) developed mild fever of short duration.

  13. Factores predictivos de metástasis Ganglionares axilares, en Cáncer de mama menor de 2 centímetros

    Scientific Electronic Library Online (English)

    Alí Josué, Godoy Briceño; Luís, Betancourt; David, Parada; Sergio Osorio, Morales.

    2007-12-01

    Full Text Available OBJETIVOS: Demostrar que existen factores clínicopatológicos para predecir metástasis ganglionares axilares en tumores de mama de más o menos 20 mm, de diámetro y también que la disección axilar es un procedimiento innecesario en la mayoría de estas pacientes, que puede omitirse con seguridad en aqu [...] ellas pacientes con factores pronósticos favorables. MÉTODOS: Se realiza un estudio retrospectivo, revisándose los reportes macroscópicos, microscópicos, e inmunohistoquímica en los bloques celulares de pacientes con carcinoma mamario de tamaño hasta 20 mm tratadas en el Instituto Oncológico "Dr. Luis Razzeti", entre enero 2000 y diciembre de 2003, determinándose factores que influyen en la aparición de metástasis axilares, realizándose análisis de uni y multivariables. RESULTADOS: El trabajo consistió en una población de 121 pacientes, con una edad media de 57 años, 50 (41,32 %) que presentaron metástasis ganglionar axilar; los factores que se relacionaron con ganglios axilares positivos en el análisis de univariables fueron: grado histológico y nuclear, invasión linfovascular, índice mitótico elevado y tumores aneuploides (P Abstract in english OBJECTIVES: To identify and study that existing pathologically factors and clinical predict nodal metastases axillaries in mammary tumors with diameter size more and minor of 20 mm, so demonstrated in the axillaries dissection is an unnecessary procedure in most of these patients, and can omit with [...] surely in patients with favorable predictive factors. METHODS: We realize a retrospective study, review the macroscopic and microscopic reports, and the inmunohistochemestry in the cellular blocks of patients with breast carcinoma with size until 20 mm treated in the Oncology Institute "Dr. Luis Razetti", between January and December of 2000 - 2003, determining factors that influence in the appearance of lymph nodes axillaries positives, making unvaried and multivariate analysis. RESULTS: These work consisted in the studied of 121 patients with mean age 57 years, 50 (41, 32 %) presented axillaries disease nodes metastases; the factors that were related to positive lymph nodes in the unavailable analysis were: histological and nuclear grade, linfovascular invasion, mitotic index high, aneuploid tumors (P

  14. A Novel Rickettsia Species Detected in Vole Ticks (Ixodes angustus) from Western Canada

    OpenAIRE

    Anstead, Clare A.; Chilton, Neil B.

    2013-01-01

    The genomic DNA of ixodid ticks from western Canada was tested by PCR for the presence of Rickettsia. No rickettsiae were detected in Ixodes sculptus, whereas 18% of the I. angustus and 42% of the Dermacentor andersoni organisms examined were PCR positive for Rickettsia. The rickettsiae from each tick species were characterized genetically using multiple genes. Rickettsiae within the D. andersoni organisms had sequences at four genes that matched those of R. peacockii. In contrast, the Ricket...

  15. Tuberculosis ganglionar cervical: ¿Pensamos en ella, o nos sorprende? / Neck node tuberculosis: Do we consider it... or does it pop up?

    Scientific Electronic Library Online (English)

    Miguel Alberto, Rodríguez-Pérez; Fernando, Aguirre-García.

    2012-04-01

    Full Text Available Revisamos las características clínicas, diagnóstico y manejo de la tuberculosis (TB) cervical, así como resaltamos su importancia por su carácter epidémico. Presentamos dos pacientes afectados por tumoraciones laterocervicales subagudas, escasa sintomatología y excelente evolución tras su diagnóstic [...] o de TB ganglionar cervical y tratamiento antibiótico. La TB es una enfermedad que en la actual sociedad globalizada, puede encontrarse prácticamente cualquier especialista, por lo que debemos mantener un alto nivel de alerta y conocerla con detalle, para poder orientar su diagnóstico y facilitar su tratamiento precoz. Abstract in english We review tuberculosis clinical features, diagnosis and management as well as remark the importance of its epidemic nature. Study based on 2 patients suffering from eye-catching subacute neck lumps, sparsely symptomatic and excellent evolution after neck node TB diagnosis and antibiotic therapy TB r [...] epresents a disease that, given our present time globalization, may be faced by many different specialists. That is why we must be on alert and be aware of its profile, in order to guess the right diagnosis and offer therapy.

  16. Evaluation of a PCR Assay for Quantitation of Rickettsia rickettsii and Closely Related Spotted Fever Group Rickettsiae

    OpenAIRE

    Eremeeva, Marina E.; Dasch, Gregory A.; Silverman, David J.

    2003-01-01

    A spotted fever rickettsia quantitative PCR assay (SQ-PCR) was developed for the detection and enumeration of Rickettsia rickettsii and other closely related spotted fever group rickettsiae. The assay is based on fluorescence detection of SYBR Green dye intercalation in a 154-bp fragment of the rOmpA gene during amplification by PCR. As few as 5 copies of the rOmpA gene of R. rickettsii can be detected. SQ-PCR is suitable for quantitation of R. rickettsii and 10 other genotypes of spotted fev...

  17. Detection of Rickettsia felis, Rickettsia typhi, Bartonella Species and Yersinia pestis in Fleas (Siphonaptera) from Africa

    OpenAIRE

    Leulmi, Hamza; Socolovschi, Cristina; Laudisoit, Anne; Houemenou, Gualbert; DAVOUST, Bernard; Bitam, Idir; Raoult, Didier; PAROLA, PHILIPPE

    2014-01-01

    Fleas are associated with many bacterial diseases such as rickettsioses, bartonelloses and plague. These diseases may be severe, and little is known about their prevalence. Accordingly, we believe that our data shed light on the problem of unexplained fevers in tropical and subtropical African areas. Using molecular tools, we surveyed and studied selected flea-borne agents, namely Rickettsia spp. (R. felis and R. typhi), Bartonella spp. and Y. pestis, in fleas collected in Ituri (Linga and Re...

  18. Detección de Rickettsia spp. en Suero y Garrapatas de Mamíferos Silvestres en Cautiverio en Montería, Córdoba -resumen-

    Directory of Open Access Journals (Sweden)

    Dave Wehdeking-Hernández

    2014-12-01

    Full Text Available Las rickettsiosis transmitidas por garrapatas son causadas por bacterias intracelulares pertenecientes al grupo de las fiebres manchadas del género Rickettsia. Estas zoonosis son algunas de las enfermedades transmitidas por vectores de más antiguo conocimiento‚ e incluyen dentro de su ciclo de transmisión diversas especies de mamíferos. No obstante‚ en Colombia existen pocos trabajos enfocados a conocer la dinámica de las rickettsiosis en animales silvestres. El objetivo de este estudio fue detectar‚ por medio de la técnica de PCR en tiempo real‚ la presencia de Rickettsia spp.‚ en muestras de suero y garrapatas colectadas en mamíferos mantenidos en cautiverio en el Centro de Atención y Valoración de Fauna Silvestre de la Corporación autónoma Regional de los Valles del Sinú y San Jorge CAV-CVS‚ entre los años 2009 y 2014. Se obtuvieron muestras de sangre de 14 felinos‚ de las especies Leopardus pardalis (10‚ Puma concolor (3 y Panthera onca (1; de 58 primates‚ correspondientes a las especies Ateles geofroyii (17‚ Alouatta seniculus (14‚ Cebus capucinus (14‚ Saguinus oedipus (6‚ Cebus albifrons (4 Aotus sp. (2 y Ateles belzebuth (1; y de otros mamíferos: Tayassu pecari (1‚ Procyon cancrivorous (1 y Cerdocyon thous (1. En cuanto a las garrapatas‚ se colectaron e identificaron individuos del género Haemaphysalis sp. en un ejemplar de Sylvilagus sp.‚ y de las especies Amblyomma ovale‚ Riphicephalus microplus y Dermacentor nitens en P. concolor. Posteriormente fueron organizadas en pool. No se encontraron muestras de suero positivas a Rickettsia spp. (0/72. Se detectó un pool de garrapatas de la especie A. ovale positivo a este microorganismo. Este es el primer reporte en Colombia de ectoparásitos de Puma concolor positivos a Rickettsia spp. Se requiere continuar con los muestreos de ectoparásitos para determinar si este microorganismo se encuentra circulante entre mamíferos silvestres en el país.

  19. A serological and molecular survey of Babesia vogeli, Ehrlichia canis and Rickettsia spp. among dogs in the state of Maranhão, northeastern Brazil / Detecção sorológica e molecular de Babesia vogeli, Ehrlichia canis e Rickettsia spp. em cães do Estado do Maranhão, Nordeste do Brasil

    Scientific Electronic Library Online (English)

    Andréa Pereira da, Costa; Francisco Borges, Costa; Marcelo Bahia, Labruna; Iara, Silveira; Jonas, Moraes-Filho; João Fábio, Soares; Mariana Granziera, Spolidorio; Rita de Maria Seabra Nogueira de Candanedo, Guerra.

    2015-03-01

    Full Text Available Este estudo avaliou por métodos sorológicos e moleculares a exposição e infecção por agentes transmitidos por carrapatos (Babesia vogeli, Ehrlichia canis, and Rickettsia spp.) em 172 cães de áreas rurais e 150 cães de áreas urbanas do município de Chapadinha, Estado do Maranhão, Nordeste do Brasil. [...] No geral, 16,1% dos cães amostrados (52/322) apresentaram soros reagentes para B. vogeli, com títulos finais variando de 40 a 640. Para E. canis, 14,6% cães (47/322) apresentaram soros reagentes com títulos finais de 80 a 163,840. Anticorpos reativos para pelo menos uma das cinco espécies de Rickettsia foram detectados em 18,9% dos cães (61/322), com os títulos que variam de 64 a 4096. Foram observados altos títulos para Rickettsia amblyommii. Três amostras de sangue canino (0,9%) e 9 (2,8%) foram PCR positivas para Babesia spp e E. canis. Os carrapatos coletados de cães urbanos eram todos Rhipicephalus sanguineus sensulato, e os cães rurais estavam infestados por R. sanguineus s.l , Amblyomma cajennense sensu lato e Amblyomma ovale. Um carrapato A. ovale foi encontrado infectado por Rickettsia bellii. Este estudo fornece um conhecimento epidemiológico para o controle e prevenção de doenças transmitidas por carrapatos de cães em uma região negligenciada do Brasil. Abstract in english This study evaluated exposure and infection by tick-borne agents (Babesia vogeli, Ehrlichia canis and Rickettsia spp.) in 172 dogs in rural areas and 150 dogs in urban areas of the municipality of Chapadinha, state of Maranhão, northeastern Brazil, using molecular and serological methods. Overall, 1 [...] 6.1% of the sampled dogs (52/322) were seroreactive to B. vogeli, with endpoint titers ranging from 40 to 640. For E. canis, 14.6% of the dogs (47/322) were seroreactive, with endpoint titers from 80 to 163,840. Antibodies reactive to at least one of the five species of Rickettsia were detected in 18.9% of the dogs (61/322), with endpoint titers ranging from 64 to 4,096. High endpoint titers were observed for Rickettsia amblyommii. Three (0.9%) and nine (2.8%) canine blood samples were PCR-positive for Babesia spp. and E. canis. The ticks collected from urban dogs were all Rhipicephalus sanguineus sensu lato, whereas the rural dogs were infested by R. sanguineus s.l, Amblyomma cajennense sensu lato and Amblyomma ovale. One A. ovale tick was found to be infected by Rickettsia bellii. This study provides an epidemiological background for controlling and preventing canine tick-borne diseases in a neglected region of Brazil.

  20. Genetic variation in Australian spotted fever group rickettsiae.

    OpenAIRE

    Baird, R. W.; Stenos, J.; Stewart, R.; Hudson, B.; Lloyd, M.; Aiuto, S.; Dwyer, B.

    1996-01-01

    Rickettsiae were isolated by cell culture of buffy coat blood from six patients with spotted fever from southeastern Australia and Flinders Island in Bass Strait. The isolates were genetically compared with two previous Rickettsia australis patient isolates. The genus-specific 17-kDA genes from the isolates were compared after DNA amplification and restriction fragment analysis of the amplified DNA. This comparison revealed that mainland rickettsial isolates from southeastern Australia were i...

  1. Intraocular inflammation as the main manifestation of Rickettsia conorii infection

    Directory of Open Access Journals (Sweden)

    Orduña A

    2011-09-01

    Full Text Available Archimedes LD Agahan1,3, Jenice Torres1, Graciana Fuentes-Páez1, Hernan Martínez-Osorio1, Antonio Orduña2, Margarita Calonge11Ocular Immunology and Uveitis Unit, Institute of Applied Ophthalmobiology (IOBA, 2Microbiology Department, University of Valladolid, Valladolid, Spain; 3Department of Ophthalmology and Visual Sciences, University of the Philippines, Philippine General Hospital, Manila, PhilippinesObjective: To report the clinical features and management of seven cases of intraocular inflammation caused by Rickettsia infection and review published literature.Methods: Rickettsia conorii or Rickettsia spp. infection was diagnosed based on the following criteria: (1 positive serology according to the European Guidelines, (2 titer normalization after specific treatment, and (3 complete resolution of ophthalmic disease and accompanying symptoms after antibiotic therapy.Results: Seven patients were referred for uveitis of unknown etiology. All came from regions where Mediterranean spotted fever is prevalent. One patient met the European guidelines criteria for Rickettsia spp. infection, while the other six cases met the criteria for R. conorii infection. The main symptoms were visual loss, floaters, eye redness, photophobia, and ocular pain. Predominant ophthalmic signs included vasculitis, choroiditis, vitritis, and macular edema. All patients required antibiotic treatment that resulted in the remission of the infection. Doxycycline was the first choice and the only antibiotic used to treat four patients. One patient needed ciprofloxacin as a second antibiotic after not responding to doxycycline. Two patients had doxycycline as a second antibiotic after not responding primarily to sulfonamides (which had been given after 2–3 days of doxycycline gastric intolerance; one of these patients needed ciprofloxacin as a third antibiotic.Conclusion: Intraocular inflammation can occur as the main manifestation of Rickettsia conorii or Rickettsia spp. infection. It should be considered as a differential diagnosis for uveitis especially for patients living in countries where this infection is endemic in the world. Antibiotic treatment remains effective in the management of Rickettsia infection.Keywords: intraocular inflammation, Mediterranean spotted fever, Rickettsia conorii, uveitis

  2. Dynamics of the endosymbiont rickettsia in an insect pest.

    Science.gov (United States)

    Cass, Bodil N; Yallouz, Rachel; Bondy, Elizabeth C; Mozes-Daube, Netta; Horowitz, A Rami; Kelly, Suzanne E; Zchori-Fein, Einat; Hunter, Martha S

    2015-07-01

    A new heritable bacterial association can bring a fresh set of molecular capabilities, providing an insect host with an almost instantaneous genome extension. Increasingly acknowledged as agents of rapid evolution, inherited microbes remain underappreciated players in pest management programs. A Rickettsia bacterium was tracked sweeping through populations of an invasive whitefly provisionally described as the "B" or "MEAM1" of the Bemisia tabaci species complex, in the southwestern USA. In this population, Rickettsia provides strong fitness benefits and distorts whitefly sex ratios under laboratory conditions. In contrast, whiteflies in Israel show few apparent fitness benefits from Rickettsia under laboratory conditions, only slightly decreasing development time. A survey of B. tabaci B samples revealed the distribution of Rickettsia across the cotton-growing regions of Israel and the USA. Thirteen sites from Israel and 22 sites from the USA were sampled. Across the USA, Rickettsia frequencies were heterogeneous among regions, but were generally very high, whereas in Israel, the infection rates were lower and declining. The distinct outcomes of Rickettsia infection in these two countries conform to previously reported phenotypic differences. Intermediate frequencies in some areas in both countries may indicate a cost to infection in certain environments or that the frequencies are in flux. This suggests underlying geographic differences in the interactions between bacterial symbionts and this serious agricultural pest. PMID:25626393

  3. Presence of Rickettsia felis in the Cat Flea from Southwestern Europe1

    OpenAIRE

    Ma?rquez, Francisco J.; Muniain, Miguel A.; Pe?rez, Jesu?s M.; Pacho?n, Jero?nimo

    2002-01-01

    Rickettsia felis, formerly called ELB agent, was identified by using molecular biology techniques in the cat flea (Ctenocephalides felis felis) from southwestern Spain. For the first time this flea-transmitted rickettsia has been detected within its vector in Eurasia.

  4. Genome Sequence of Rickettsia conorii subsp. israelensis, the Agent of Israeli Spotted Fever

    OpenAIRE

    Sentausa, Erwin; El Karkouri, Khalid; Robert, Catherine; Raoult, Didier; Fournier, Pierre-edouard

    2012-01-01

    Rickettsia conorii subsp. israelensis is the agent of Israeli spotted fever. The present study reports the draft genome of Rickettsia conorii subsp. israelensis strain ISTT CDC1, isolated from a Rhipicephalus sanguineus tick collected in Israel.

  5. Genome Sequence of Rickettsia conorii subsp. caspia, the Agent of Astrakhan Fever

    OpenAIRE

    Sentausa, Erwin; El Karkouri, Khalid; Robert, Catherine; Raoult, Didier; Fournier, Pierre-edouard

    2012-01-01

    Rickettsia conorii subsp. caspia is the agent of Astrakhan fever, a spotted fever group rickettsiosis endemic to Astrakhan, Russia. The present study reports the draft genome of Rickettsia conorii subsp. caspia strain A-167.

  6. Exotic Rickettsiae in Ixodes ricinus: fact or artifact?

    OpenAIRE

    Hj, Reimerink Johan; van Overbeek Leo; Fonville Manoj; Tijsse-Klasen Ellen; Sprong Hein

    2010-01-01

    Abstract Several pathogenic Rickettsia species can be transmitted via Ixodes ricinus ticks to humans and animals. Surveys of I. ricinus for the presence of Rickettsiae using part of its 16S rRNA gene yield a plethora of new and different Rickettsia sequences. Interpreting these data is sometimes difficult and presenting these findings as new or potentially pathogenic Rickettsiae should be done with caution: a recent report suggested presence of a known human pathogen, R. australis, in questin...

  7. Rickettsia Symbionts Cause Parthenogenetic Reproduction in the Parasitoid Wasp Pnigalio soemius (Hymenoptera: Eulophidae)?

    OpenAIRE

    Giorgini, M.; Bernardo, U.; Monti, M. M.; Nappo, A. G.; Gebiola, M.

    2010-01-01

    Bacteria in the genus Rickettsia are intracellular symbionts of disparate groups of organisms. Some Rickettsia strains infect vertebrate animals and plants, where they cause diseases, but most strains are vertically inherited symbionts of invertebrates. In insects Rickettsia symbionts are known to have diverse effects on hosts ranging from influencing host fitness to manipulating reproduction. Here we provide evidence that a Rickettsia symbiont causes thelytokous parthenogenesis (in which mot...

  8. Ixodes pacificus Ticks Maintain Embryogenesis and Egg Hatching after Antibiotic Treatment of Rickettsia Endosymbiont

    OpenAIRE

    Kurlovs, Andre H.; Li, Jinze; Cheng, Du; Zhong, Jianmin

    2014-01-01

    Rickettsia is a genus of intracellular bacteria that causes a variety of diseases in humans and other mammals and associates with a diverse group of arthropods. Although Rickettsia appears to be common in ticks, most Rickettsia-tick relationships remain generally uncharacterized. The most intimate of these associations is Rickettsia species phylotype G021, a maternally and transstadially transmitted endosymbiont that resides in 100% of I. pacificus in California. We investigated the effects o...

  9. Detección de Rickettsia spp. en Garrapatas de Myrmecophaga tridactyla de Vida Libre en la Sabana Inundable de Casanare‚ Colombia -resumen-

    Directory of Open Access Journals (Sweden)

    César Rojano-Bolaño

    2014-12-01

    Full Text Available Las bacterias del género Rickettsia son organismos con distribución mundial‚ causantes de algunas enfermedades zoonóticas de gran importancia en salud pública. Sin embargo‚ en Colombia son pocos los estudios enfocados a conocer su distribución y los vectores involucrados. El objetivo de este estudio fue detectar la presencia de Rickettsia spp.‚ en garrapatas colectadas en nueve osos palmeros (Myrmecophaga tridactyla de vida libre en el municipio de Pore‚ Casanare‚ entre los años 2013 y 2014. Los osos palmeros fueron capturados con el método de búsqueda activa‚ para posteriormente ser anestesiados utilizando un dardo con una combinación anestésica consistente en Ketamina 12 mg/kg y Xilacina 0‚5 mg/kg por vía intramuscular. Las garrapatas fueron colectadas directamente de los individuos‚ con ayuda de pinzas. En total se obtuvieron 204 ectoparásitos‚ que fueron almacenados en alcohol al 70%‚ y posteriormente fueron identificados como pertenecientes a la especie Amblyomma cajennense. Las garrapatas se organizaron en 68 pool de tres individuos y fueron analizadas por medio de la técnica de PCR en tiempo real. Se detectaron 12 pool de garrapatas positivos a este microorganismo (17‚6%. Los resultados preliminares de este estudio muestran que Rickettsia spp.‚ bacteria intracelular importante en salud pública‚ se encuentra circulante entre ectoparásitos de animales silvestres en la sabana inundable del municipio de Pore‚ Casanare. Dado que diversos estudios han reportado que los rickettsiales tienen una mayor incidencia en ambientes húmedos‚ se recomienda continuar con los estudios en mamíferos silvestres y sus garrapatas en la sabana natural inundable.

  10. Molecular Detection and Identification of Rickettsia Species in Ixodes pacificus in California

    OpenAIRE

    Phan, Jimmy Ninh; Lu, Casey Roy; Bender, William Garrett; Smoak, Robert Marion; Zhong, Jianmin

    2011-01-01

    We amplified 16S rRNA, gltA, and ompA genes from Ixodes pacificus by polymerase chain reaction. Sequencing, BLAST analysis, and phylogenetic constructions indicated that two Rickettsia phylotypes are present in I. pacificus. While phylotype G021 has high homology to Ixodes scapularis endosymbiotic Rickettsia, phylotype G022 is a deeply branched novel spotted fever group Rickettsia.

  11. Rickettsia infection in dogs and Rickettsia parkeri in Amblyomma tigrinum ticks, Cochabamba Department, Bolivia

    OpenAIRE

    TOMASSONE, Laura; De Meneghi, Daniele

    2010-01-01

    Only few published data are available on ticks and tick-borne zoonotic pathogens in Bolivia. To evaluate rickettsial seroprevalence and infection in dogs and ticks, during February–April 2007, we collected whole blood, sera, and ticks from dogs living in the rural, peri-urban, and urban areas of Cochabamba, Bolivia. Dog sera were subjected to enzyme-linked immunosorbent assay test to detect IgG antibodies against Rickettsia rickettsii and 68.2% of samples were found to be positive...

  12. ISOLATION OF Rickettsia bellii FROM Amblyomma ovale AND Amblyomma incisum TICKS FROM SOUTHERN BRAZIL / AISLAMIENTO DE Rickettsia bellii A PARTIR DE GARRAPATAS Amblyomma ovale Y Amblyomma incisum PROCEDENTES DEL SUR DE BRASIL

    Scientific Electronic Library Online (English)

    Richard, Pacheco; Simone, Rosa; Leonardo, Richtzenhain; Matias P. J., Szabó; Marcelo B, Labruna.

    1273-12-01

    Full Text Available Objetivo. Aislar Rickettsias mediante cultivo celular a partir de muestras de garrapatas Amblyomma ovale y Amblyomma incisum del estado de São Paulo Materiales y métodos. A. ovale y A. incisum adultas de vida libre fueron colectadas en una área de selva tropical Atlántica en el estado de São Paulo, [...] Brazil. Cada garrapata fue sometida a la prueba de hemolinfa, las garrapatas positivas en esta prueba fueron evaluadas con la técnica de shell vial con el propósito de aislar rickettsias en cultivo de células Vero. Pasajes celulares de los aislados fueron identificados genotípicamente por la reacción en cadena por la polimerasa (PCR) dirigidos a fragmentos de tres genes de rickettsias (gltA, htrA y ompA), seguido por secuenciación de ADN. Resultados. Un total de 388 A. incisum y 50 A. ovale fueron colectadas. Por la prueba de hemolinfa, únicamente una A. incisum y una A. ovale fueron positivas. Las Rickettsias fueron exitosamente aisladas de estas garrapatas. Sin embargo, el cultivo continuo en células Vero fue posible sólo para la garrapata A. ovale, debido a contaminación bacteriana en el primer pasaje celular de la muestra de A. incisum. Los productos de PCR fueron obtenidos con los primers gltA y htrA para los dos aislados, no obstante, ningún producto fue obtenido con los primers ompA. Por análisis BLAST, secuencias parciales de gltA y htrA procedentes de los aislados de A. ovale y A. incisum fueron similares a las secuencias correspondientes a R. bellii. Conclusiones. Este es el primer reporte de R. bellii infectando A. incisum y el primer establecimiento exitoso de un aislado de A. ovale. Abstract in english Objective. To isolate and characterize rickettsiae from the ticks Amblyomma ovale and Amblyomma incisum collected in the state of São Paulo. Materials and methods. Adult, free-living A. ovale and A. incisum were collected in an Atlantic rainforest area in the state of São Paulo, Brazil. Each tick wa [...] s tested using the hemolymph assay; samples from positive ticks were placed in shell vials in order to isolate rickettsiae and subsequently grown in Vero cells. Amplification of three rickettsial genes (gltA, htrA and ompA) was attempted using polymerase chain reaction (PCR) for each isolate obtained. Amplicons were subsequently sequenced. Results. A total of 388 A. incisum and 50 A. ovale were collected. Only one A. incisum and one A. ovale were hemolymph-test positive. Rickettsiae were successfully isolated from these ticks; however establishment in Vero cell culture was successful only for the isolate from A. ovale. Bacterial contamination in the first cell passage of the A. incisum isolate precluded successful isolation of the organism. PCR products were obtained with the gltA and htrA primers for the two isolates, but no product was obtained with the ompA primers. By BLAST analysis, partial gltA and htrA sequences of isolates from A. ovale and A. incisum were similar to the corresponding sequences of R. bellii. Conclusions. This is the first report of R. bellii infecting A. incisum and the first successful isolation from A. ovale.

  13. Genotypic characterization of Rickettsiae by DNA probes generated from Rickettsia Prowazekii DNA

    International Nuclear Information System (INIS)

    Southern blot analysis of HindIII-cleaved rickettsial DNA was used for genotypic characterization of the typhus group (TG) species (R. prowazekii, R. typhi, R. canada) and a few species were of the spotted fever group (SFG)rickettsiae (R. sibirica, R. conorii, R. akari). Four different DNA probes were employed. PBH11 and PBH13 probes were morphospecific HindIII fragment of R prowazekii DNA. MW218 probe contained the gene for 51 K antigen and MW264 probe contained the citrate synthase gene of R. prowazekii. All the probes hybridized with the tested TG and SFG rickettsial DNAs, forming from 1 to 5 bands, but they did not with R. tsutsudamushi or C. burnetii DNAs. All the probes demonstrated specific hybridization pattern with TG species and R. akari. PBH11. PBH13 and MW264 probes clearly distinguished R. sibirica and R. conorii from the other tested rickettsiae, but not from each other. However, these two species differed slightly with MW218 probe. Several strains of each species were analyzed in this way and except for strains of R. conorii identical intra-species pattern were obtained. These data lead us to consider the obtained hybridization patterns as criteria for genotypic identification. (author)

  14. Rickettsia sp. closely related to Rickettsia raoultii (Rickettsiales: Rickettsiaceae) in an Amblyomma helvolum (Acarina: Ixodidae) tick from a Varanus salvator (Squamata: Varanidae) in Thailand.

    Science.gov (United States)

    Doornbos, Kathryn; Sumrandee, Chalao; Ruang-Areerate, Toon; Baimai, Visut; Trinachartvanit, Wachareeporn; Ahantarig, Arunee

    2013-01-01

    An engorged female Amblyomma helvolum Koch tick was removed from an adult Varanus salvator Laurenti lizard during field collection in Thailand. After using polymerase chain reaction to amplify three genes (16S rDNA, gltA, and OmpA), we discovered the presence of a Rickettsia sp. of the Spotted Fever Group. Phylogenetic analysis revealed that this Rickettsia sp. is closely related to Rickettsia raoultii Mediannikov. Therefore, we report herein for the first time the detection of a novel Spotted Fever Group Rickettsia in an Amblyomma helvolum from a Varanus salvator in Thailand. PMID:23427674

  15. Detection of Borrelia lusitaniae, Rickettsia sp. IRS3, Rickettsia monacensis, and Anaplasma phagocytophilum in Ixodes ricinus collected in Madeira Island, Portugal.

    Science.gov (United States)

    de Carvalho, Isabel Lopes; Milhano, Natacha; Santos, Ana Sofia; Almeida, Victor; Barros, Silvia C; De Sousa, Rita; Núncio, Maria Sofia

    2008-08-01

    A total of 300 Ixodes ricinus ticks were tested by polymerase chain reaction (PCR) for the presence of Borrelia spp., Rickettsia spp., and Anaplasma phagocytophilum. Sequence analysis demonstrated 8 (2.7%) ticks infected with B. lusitaniae, 60 (20%) with Rickettsia spp., and 1 (0.3%) with A. phagocytophilum. Seven (2.3%) ticks were coinfected with B. lusitaniae and Rickettsia spp., 2 (0.6%) with R. monacensis, and 5 (1.7%) with Rickettsia sp. IRS3. The results of this study suggest simultaneous transmission of multiple tick-borne agents on Madeira Island, Portugal. PMID:18454598

  16. Ixodes ricinus ticks are reservoir hosts for Rickettsia helvetica and potentially carry flea-borne Rickettsia species

    Directory of Open Access Journals (Sweden)

    Gaasenbeek Cor

    2009-09-01

    Full Text Available Abstract Background Hard ticks have been identified as important vectors of rickettsiae causing the spotted fever syndrome. Tick-borne rickettsiae are considered to be emerging, but only limited data are available about their presence in Western Europe, their natural life cycle and their reservoir hosts. Ixodes ricinus, the most prevalent tick species, were collected and tested from different vegetation types and from potential reservoir hosts. In one biotope area, the annual and seasonal variability of rickettsiae infections of the different tick stages were determined for 9 years. Results The DNA of the human pathogen R. conorii as well as R. helvetica, R. sp. IRS and R. bellii-like were found. Unexpectedly, the DNA of the highly pathogenic R. typhi and R. prowazekii and 4 other uncharacterized Rickettsia spp. related to the typhus group were also detected in I. ricinus. The presence of R. helvetica in fleas isolated from small rodents supported our hypothesis that cross-infection can occur under natural conditions, since R. typhi/prowazekii and R. helvetica as well as their vectors share rodents as reservoir hosts. In one biotope, the infection rate with R. helvetica was ~66% for 9 years, and was comparable between larvae, nymphs, and adults. Larvae caught by flagging generally have not yet taken a blood meal from a vertebrate host. The simplest explanation for the comparable prevalence of R. helvetica between the defined tick stages is, that R. helvetica is vertically transmitted through the next generation with high efficiency. The DNA of R. helvetica was also present in whole blood from mice, deer and wild boar. Conclusion Besides R. helvetica, unexpected rickettsiae are found in I. ricinus ticks. We propose that I. ricinus is a major reservoir host for R. helvetica, and that vertebrate hosts play important roles in the further geographical dispersion of rickettsiae.

  17. Gene Sequence-Based Criteria for Identification of New Rickettsia Isolates and Description of Rickettsia heilongjiangensis sp. nov.

    OpenAIRE

    Fournier, Pierre-edouard; Dumler, J. Stephen; Greub, Gilbert; Zhang, Jianzhi; Wu, Yimin; Raoult, Didier

    2003-01-01

    We propose genetic guidelines for the classification of rickettsial isolates at the genus, group, and species levels by using sequences of the 16S rRNA (rrs) gene and four protein-coding genes, the gltA, ompA, and ompB genes and gene D. To be classified as a member of the genus Rickettsia, an isolate should exhibit degrees of rrs and gltA homology with any of the 20 Rickettsia species studied of ?98.1 and ?86.5%, respectively. A member of the typhus group should fulfill at least two of th...

  18. Serological identification of Rickettsia spp from the spotted fever group in capybaras in the region of Campinas - SP - Brazil / Identificação sorológica de Rickettsia spp do grupo da febre maculosa em capivaras na região de Campinas, SP, Brasil

    Scientific Electronic Library Online (English)

    Celso Eduardo de, Souza; Savina Silvana Lacerra de, Souza; Virgília Luna Castor, Lima; Simone Berger, Calic; Maria Cecilia Gibrail Oliveira, Camargo; Elisa San Martin Mouriz, Savani; Sandra Regina Nicoletti, D' Auria; Arício Xavier, Linhares; Natalino Hajime, Yoshinari.

    1694-16-01

    Full Text Available Doenças transmitidas por carrapatos vêm sendo um importante problema de saúde pública no mundo. A Febre Maculosa Brasileira (FMB) representa um sério risco epidemiológico devido às altas taxas de letalidade apresentadas. As capivaras são freqüentemente incriminadas como possíveis reservatórios no ci [...] clo de transmissão da FMB. Nas últimas décadas o número desses animais cresceu intensamente e eles invadiram os espaços humanos. As capivaras intensificam o contato entre carrapatos e seres humanos na medida em que se apresentam muito infestadas por estes parasitos. O objetivo deste estudo é contribuir para o conhecimento do possível papel desempenhado por este roedor na epidemiologia da FMB em algumas áreas da região de Campinas, SP. Foi estudada a infecção das capivaras por rickettsias do grupo da FMB, por meio da análise das freqüências de anticorpos contra este grupo, nestes animais, e dados da vigilância epidemiológica de casos humanos. A freqüência desses anticorpos variou amplamente entre as localidades, entretanto, só foram encontrados soros com anticorpos com titulagem =64 naquelas onde havia notificação de casos humanos. Estes achados sugerem que a capivara poderá ser um animal sentinela. No entanto, devido à ocorrência de reação cruzada entre os microorganismos do grupo de FM estes resultados devem ser interpretados com cautela e são necessários métodos capazes de distinguir rickettsias patogênicas. Abstract in english Diseases transmitted by ticks have been an important health problem all over the world. Brazilian Spotted Fever (BSF) stands for a serious epidemiological concern due to the high mortality rates pointed out. Capybaras are commonly incriminated as possible reservoirs in the BSF transmission cycle. In [...] the last decades the numbers of these animals raised sharply and they have invaded human areas. They intensify the contact between ticks and humans beings. This study aim is to contribute to the possible role performed for this rodent in the BSF epidemiology in some areas located in Campinas region, São Paulo. Cabybaras infected by rickettsiae of BSF group were studied through the analysis of the frequencies of BSF-group rickettisae antibodies titer = 64 by indirect immunofluorescence test (IFA), and data from human cases epidemiological surveillance. The serum frequency positiveness varied greatly according to areas where animals were captured. However it was found serum positiviness only in the areas where human cases of BSF were reported. These findings suggest the capybara may be seen as sentinel animal. Due to presence of serological cross reactivity between microorganisms belonging to SF group, the results must be interpreted carefully and additional methods to distinguish pathogenic rickettsiae are required in our country.

  19. Serological identification of Rickettsia spp from the spotted fever group in capybaras in the region of Campinas - SP - Brazil Identificação sorológica de Rickettsia spp do grupo da febre maculosa em capivaras na região de Campinas, SP, Brasil

    Directory of Open Access Journals (Sweden)

    Celso Eduardo de Souza

    2008-09-01

    Full Text Available Diseases transmitted by ticks have been an important health problem all over the world. Brazilian Spotted Fever (BSF stands for a serious epidemiological concern due to the high mortality rates pointed out. Capybaras are commonly incriminated as possible reservoirs in the BSF transmission cycle. In the last decades the numbers of these animals raised sharply and they have invaded human areas. They intensify the contact between ticks and humans beings. This study aim is to contribute to the possible role performed for this rodent in the BSF epidemiology in some areas located in Campinas region, São Paulo. Cabybaras infected by rickettsiae of BSF group were studied through the analysis of the frequencies of BSF-group rickettisae antibodies titer = 64 by indirect immunofluorescence test (IFA, and data from human cases epidemiological surveillance. The serum frequency positiveness varied greatly according to areas where animals were captured. However it was found serum positiviness only in the areas where human cases of BSF were reported. These findings suggest the capybara may be seen as sentinel animal. Due to presence of serological cross reactivity between microorganisms belonging to SF group, the results must be interpreted carefully and additional methods to distinguish pathogenic rickettsiae are required in our country.Doenças transmitidas por carrapatos vêm sendo um importante problema de saúde pública no mundo. A Febre Maculosa Brasileira (FMB representa um sério risco epidemiológico devido às altas taxas de letalidade apresentadas. As capivaras são freqüentemente incriminadas como possíveis reservatórios no ciclo de transmissão da FMB. Nas últimas décadas o número desses animais cresceu intensamente e eles invadiram os espaços humanos. As capivaras intensificam o contato entre carrapatos e seres humanos na medida em que se apresentam muito infestadas por estes parasitos. O objetivo deste estudo é contribuir para o conhecimento do possível papel desempenhado por este roedor na epidemiologia da FMB em algumas áreas da região de Campinas, SP. Foi estudada a infecção das capivaras por rickettsias do grupo da FMB, por meio da análise das freqüências de anticorpos contra este grupo, nestes animais, e dados da vigilância epidemiológica de casos humanos. A freqüência desses anticorpos variou amplamente entre as localidades, entretanto, só foram encontrados soros com anticorpos com titulagem =64 naquelas onde havia notificação de casos humanos. Estes achados sugerem que a capivara poderá ser um animal sentinela. No entanto, devido à ocorrência de reação cruzada entre os microorganismos do grupo de FM estes resultados devem ser interpretados com cautela e são necessários métodos capazes de distinguir rickettsias patogênicas.

  20. Rickettsia rickettsii Transmission by a Lone Star Tick, North Carolina

    OpenAIRE

    Breitschwerdt, Edward B.; Hegarty, Barbara C.; Maggi, Ricardo G.; Lantos, Paul M.; Aslett, Denise M.; Bradley, Julie M.

    2011-01-01

    Only indirect or circumstantial evidence has been published to support transmission of Rickettsia rickettsii by Amblyomma americanum (lone star) ticks in North America. This study provides molecular evidence that A. americanum ticks can function, although most likely infrequently, as vectors of Rocky Mountain spotted fever for humans.

  1. Rickettsia rickettsii transmission by a lone star tick, North Carolina.

    Science.gov (United States)

    Breitschwerdt, Edward B; Hegarty, Barbara C; Maggi, Ricardo G; Lantos, Paul M; Aslett, Denise M; Bradley, Julie M

    2011-05-01

    Only indirect or circumstantial evidence has been published to support transmission of Rickettsia rickettsii by Amblyomma americanum (lone star) ticks in North America. This study provides molecular evidence that A. americanum ticks can function, although most likely infrequently, as vectors of Rocky Mountain spotted fever for humans. PMID:21529399

  2. Vigilancia Epidemiológica de Rickettsia‚ Ehrlichia y Anaplasma en Fauna Silvestre ex situ e in situ de algunas Regiones de Colombia -resumen-

    Directory of Open Access Journals (Sweden)

    Santiago Monsalve-Buriticá

    2014-12-01

    Full Text Available Las enfermedades causadas por bacterias del orden de los Rickettsiales son trasmitidas por ectoparásitos originados en vida silvestre‚ sin embargo‚ en Colombia no existe una línea base del conocimiento en este sentido. Estos microorganismos intracelulares son causantes de enfermedades transmisibles en pacientes humanos; convirtiéndolas en zoonosis de tipo emergente. Este estudio ha permitido determinar la presencia de microorganismos del orden de los Rickettsiales (Ehrlichia spp.‚ Anaplasma spp.‚ y Rickettsia spp. en ejemplares silvestres de centros de conservación ex situ (Zoológicos‚ CAV y CAVR y en algunas regiones en condiciones in situ del país. De igual manera se identifica la infección de estos microorganismos en ectoparásitos vectores relacionados. Por medio de la técnica PCRrt‚ se detectó la presencia de Rickettsia spp.‚ Anaplasma spp.‚ y Ehrlichia spp.‚ en suero obtenido de mamíferos‚ y garrapatas colectadas de reptiles y mamíferos del Centro de Atención y Valoración de Fauna silvestre de la Corporación Autónoma Regional de los Valles del Sinú y San Jorge CAV-CVS en Montería (Córdoba‚ en osos hormigueros (Myrmecophaga tridactyla en Pore (Casanare‚ y en garrapatas obtenidas en ejemplares de titi gris (Saguinus leucopus y su hábitat en la vereda La Parroquia en Mariquita (Tolima. En Montería‚ los resultados obtenidos en mamíferos demostraron la ausencia de Rickettsia spp. en 72 muestras de suero‚ sin embargo se detectó un pool de garrapatas de la especie Amblyomma ovale positivo a este microorganismo‚ siendo el primer reporte en Colombia de ectoparásitos de Puma concolor positivos a Rickettsia spp.‚ mientras que en reptiles se detectaron 18 pools de garrapatas positivos a Rickettsia spp (90 %. En las garrapatas colectadas de nueve osos palmeros (Myrmecophaga tridactyla de vida libre se detectaron 12 pool de garrapatas positivos a este microorganismo (17‚6 %‚ y en ejemplares de titi gris fue positivo a Rickettsia spp en un pool de garrapatas (50%. Para Anaplasma spp. se detectaron 2 pools de garrapatas positivos a este microorganismo (3‚6% pertenecientes a dos osos palmeros del Casanare. Ningún animal estudiado‚ o ectoparásito ha tenido presencia de Ehrlichia spp. Los resultados obtenidos a la fecha muestran que los microorganismos del orden de los rickettsiales se encuentran circulantes entre garrapatas de animales silvestres en centros de conservación ex situ y en algunas regiones en condiciones in situ. La vigilancia epidemiológica de estos agentes y sus vectores es la clave de una respuesta oportuna y eficiente para prevenir las epidemias causadas por estos patógenos.

  3. Seroprevalencia de Rickettsia sp. en indígenas Wayuü de la Guajira y Kankuamos del Cesar, Colombia / Seroprevalence of Rickettsia sp. in indigenous Wayuü of La Guajira and Kankuamos of Cesar, Colombia

    Scientific Electronic Library Online (English)

    Jully, Ortiz; Jorge, Miranda; Lisay, Ortiz; Yolidy, Navarro; Salim, Mattar.

    2015-03-01

    Full Text Available Objetivo: Determinar la seroprevalencia de Rickettsia sp. del grupo de las fiebres manchadas en indígenas Wayuu (La Guajira) y Kankuamos (Cesar), Colombia. Materiales y métodos: Entre agosto de 2012 y mayo de 2013 se realizó un estudio descriptivo, prospectivo, de corte transversal donde se recolect [...] aron sueros de indígenas Wayuü (n = 171) y Kankuamos (n = 167). Los sueros fueron analizados por IFI para Rickettsia sp. Resultados: La población Wayuü presentó una seroprevalencia del 11% y la Kankuama, del 32%. La mayor seropositividad se obtuvo en mujeres Wayuü (89%), siendo del 65% en Kankuamas. En ambas poblaciones las amas de casa fueron seropositivas en un 34% (25/73). De los seropositivos de la población Wayuü, el 58% (11/19) estaban distribuidos en barrios periféricos de Maicao y el 42% (8/19) en pequeños conglomerados rurales cercanos (rancherías). Los seropositivos de la población Kankuama se distribuyeron de la siguiente forma: 52% (28/54) en Atánquez, 32% (17/54) en Valledupar, 9% (5/54) en La Mina y 7% (4/54) en Pontón. La presencia de garrapatas en los Wayuü fue reportada en el 42%, y en los Kankuamos, en el 96%. Conclusión: Este es el primer estudio de seroprevalencia de Rickettsia en poblaciones indígenas de los departamentos de La Guajira y el Cesar, que permitió demostrar la infección por Rickettsia sp., del grupo de las fiebres manchadas. Los resultados indican una alta seroprevalencia en la población Kankuama y moderada en la población Wayuü. Los datos pueden ser utilizados en los programas de vigilancia y control de síndromes febriles. Abstract in english Objective: To determine the seroprevalence of Rickettsia sp. of Spotted Fever Group (SFG) in indigenous Wayuu (La Guajira) and Kankuamos (Cesar), Colombia. Materials and methods: Between August 2012 and May 2013 a descriptive, prospective, crosssectional study was carried out. Sera from Wayuu (n = 1 [...] 71) and Kankuamos (n = 167) indigenous populations were collected. To determine Rickettsia sp., the samples were analyzed by IFI. Results: The Wayuu population showed a seroprevalence of 11% and Kankuama 32%. Most seropositives were women, 89% and 65% in the Wayuu and Kankuama populations respectively. In both indigenous populations, a seropositivity of 34% (25/73) in housewives was obtained. The highest percentage, 58% (11/19) of seropositives in the Wayuu population were distributed in neighborhoods of Maicao and 42% (8/19) were in nearby small rural settlements. The Kankuama seropositive population was distributed as follows: 52% (28/54) in Atánquez, 32% (17/54) in Valledupar, 9% (5/54) in La Mina and 7% (4/54) in Pontoon. The presence of ticks in the Wayuu population was reported in 42% and Kankuamos in 96% Conclusion: This is the first study on seroprevalence of Rickettsia in indigenous populations of the departments of La Guajira and Cesar. The results indicate a high seroprevalence in the Kankuama population and a moderate seroprevalence in the Wayuu. These data can be important for surveillance and control programs of febrile syndromes.

  4. Actualización en metástasis ganglionar de carcinoma escamoso de cabeza y cuello: Disección ganglionar, ganglio centinela y técnicas de biología molecular / Update in lymph node metastasis from head and neck squamous cell carcinoma: Lymph node dissection, sentinel lymph node and molecular biology techniques

    Scientific Electronic Library Online (English)

    Pablo, Ortega R.

    2008-04-01

    Full Text Available El carcinoma escamoso es la principal neoplasia maligna de cabeza y cuello en los adultos. Esta neoplasia se origina en la mucosa del tracto aerodigestivo superior. Se discute su extensión en superficie y las metástasis a ganglios linfáticos cervicales. El compromiso ganglionar es el principal facto [...] r pronóstico independiente del carcinoma escamoso de cabeza y cuello, pues la presencia de adenopatías metastásicas reduce la sobrevida casi en 50%. La siguiente revisión se centra en tres temas relacionados con las metástasis ganglionares en carcinoma escamoso de cabeza y cuello (CECC): la clasificación de niveles ganglionares y de la disección ganglionar cervical, la técnica del ganglio centinela en el CECC y las técnicas de biología molecular para el diagnóstico del compromiso tumoral ganglionar Abstract in english Squamous cell carcinoma is the main head and neck malignant cancer in adults. This cancer originates from the upper aero digestive tract mucosa. Its surface extension and cervical lymph node metastases are discussed. Lymph node involvement is the main independent prognostic factor in head and neck s [...] quamous cell carcinoma, given that the presence of metastatic nodes reduce survival by approximately 50%. The present review focus on three topics related to lymph nodes metastasis of head and neck squamous cell carcinomas (CECC): Classification of lymph node levels and cervical node dissection, the sentinel lymph node technique in CECC, and the use of molecular biology techniques for diagnosing lymph node involvement

  5. Flying squirrel-associated Rickettsia prowazekii (epidemic typhus rickettsiae) characterized by a specific DNA fragment produced by restriction endonuclease digestion.

    OpenAIRE

    Regnery, R. L.; Fu, Z Y; Spruill, C L

    1986-01-01

    The DNA from flying squirrel-associated Rickettsia prowazekii was characterized by using a specific DNA fragment produced by digestion with the enzyme BamHI. The DNA fragment was cloned into a plasmid vector and used to readily distinguish between available human- and flying squirrel-associated R. prowazekii DNAs derived from crude cytoplasmic extracts.

  6. Coinfections of Rickettsia slovaca and Rickettsia helvetica with Borrelia lusitaniae in ticks collected in a Safari Park, Portugal.

    Science.gov (United States)

    Milhano, Natacha; de Carvalho, Isabel Lopes; Alves, Ana Sofia; Arroube, Sofia; Soares, Jorge; Rodriguez, Pablo; Carolino, Manuela; Núncio, Maria Sofia; Piesman, Joseph; de Sousa, Rita

    2010-12-01

    Borrelia and Rickettsia bacteria are the most important tick-borne agents causing disease in Portugal. Identification and characterization of these circulating agents, mainly in recreational areas, is crucial for the development of preventive measures in response to the gradually increasing exposure of humans to tick vectors. A total of 677 questing ticks including Dermacentor marginatus, Rhipicephalus sanguineus, Ixodes ricinus, Hyalomma lusitanicum, H. marginatum, and Haemaphysalis punctata were collected in a Safari Park in Alentejo, Portugal, to investigate the prevalences of infection and characterize Borrelia and Rickettsia species. From a total of 371 ticks tested by PCR for Borrelia burgdorferi sensu lato (s.l.), of which 247 were tested for Rickettsia, an infection prevalence of 18.3% was found for B. lusitaniae and 55.1% for Rickettsia spp. Sequence analysis of positive amplicons identified the presence of B. lusitaniae (18.3%), R. monacensis strain IRS3 (51.7%), and R. helvetica (48.3%) in I. ricinus. R. slovaca (41.5%), R. raoultii (58.5%), and also B. lusitaniae (21%) were identified in D. marginatus ticks. One (5.9%) H. lusitanicum was infected with B. lusitaniae, and R. massiliae was found in one Rhipicephalus sanguineus. Coinfection was found in 7 (20%) I. ricinus and 34 (23.3%) D. marginatus ticks. We report, for the first time, simultaneous infection with R. helvetica and B. lusitaniae and also R. slovaca, the agent of TIBOLA/DEBONEL, with B. lusitaniae. Additionally, 6 isolates of B. lusitaniae were established, and isolates of Rickettsia were also obtained for the detected species using tick macerates cultured in mammalian and mosquito cell lines. This report describes the detection and isolation of tick-borne agents from a Portuguese Safari Park, highlighting the increased likelihood of infection with multiple agents to potential visitors or staff. PMID:21771525

  7. Rickettsia lusitaniae sp. nov. isolated from the soft tick Ornithodoros erraticus (Acarina: Argasidae).

    Science.gov (United States)

    Milhano, Natacha; Palma, Mariana; Marcili, Arlei; Núncio, Maria Sofia; de Carvalho, Isabel Lopes; de Sousa, Rita

    2014-05-01

    In this study a novel Rickettsia from the spotted fever group, isolated from Ornithodoros erraticus soft ticks collected from pigpens in the south of Portugal, is described. After initial screening revealed Rickettsia-positive ticks, isolation attempts were then performed. Successful isolates were achieved by shell-vial technique using Vero E6 cells at 28°C. Molecular characterization of the isolate was performed based on analysis of five rickettsial genes gltA, ompA, ompB, sca1 and htr with their subsequent concatenation along with other rickettsial species resulting in a clustering of the new isolate with Rickettsia felis and Rickettsia hoogstraalii. The degree of nucleotide sequence similarity with other rickettsiae fulfills the criteria for classification of our isolate as a novel species. The name Rickettsia lusitaniae sp. nov. (=CEVDI PoTiRo) is proposed for this new species found in O. erraticus. PMID:24513450

  8. Large lymph node size harvested as prognostic factor in gastric cancer? / ¿Es el diámetro ganglionar mayor un factor pronóstico en cáncer gástrico?

    Scientific Electronic Library Online (English)

    F., Espín; A., Bianchi; S., Llorca; L., Pulido; J., Feliu; J. de-la, Cruz; E., Palomera; O., García; J., Remon; X., Suñol.

    2010-03-01

    Full Text Available Objetivo: valorar el interés del diámetro del ganglio mayor extirpado como factor pronóstico en los pacientes intervenidos por cáncer gástrico, para determinar si su detección puede ser un factor de interés en el periodo preoperatorio, para indicar tratamiento neoadyuvante. Material y métodos: se an [...] aliza un registro de 128 casos consecutivos de pacientes afectos de adenocarcinoma gástrico resecable, durante un periodo de 10 años en los que en el estudio anatomopatológico se determinó el diámetro del ganglio mayor aislado. Se estudia la relación del mismo con factores pronósticos universalmente aceptados, el grado de penetración, la presencia y extensión de metástasis ganglionares y el estadio TNM, y con la supervivencia a 5 años, estudiándose dos grupos, el grupo I compuesto por aquellos enfermos con diámetro menor o igual a 10 mm, y el grupo II con diámetros superiores a 10 mm. Resultados: no se han detectado diferencias estadísticas respecto a edad y sexo (67,4 vs. 64; p = 0,34 y 66,1 vs. 68,1%; p = 0,27, respectivamente). Existen diferencias significativas entre ambos grupos en el grado de penetración tumoral, T1-T2, (78,1% por 39,1%, p Abstract in english Objective: knowledge regarding prognostic factors in gastric cancer is essential to decide on single patient management. We aim to establish the value of large lymph node size in order to improve perioperative approach. Material and methods: charts of one hundred and twenty-eight consecutive patient [...] s undergoing gastrectomy for resectable gastric cancer were reviewed between January 1996 and December 2005. Patients were split in two groups according to large lymph node size harvested, group I, lymph node size ? 10 mm and group II, lymph node size > 10 mm. Overall five-year survival related to cancer were analyzed as a main endpoint. Prognostic factors as TNM classification and degree of differentiation have been considered. Results: there were no differences regarding age and gender (67.4 vs. 64; p = 0.34 and 66,1 vs. 68,1%; p = 0.27, respectively). Nevertheless, a significant difference has been found according to T1-T2 of TNM stage (78.1 vs. 39.1% p =

  9. Expression of an Epitope-Tagged Virulence Protein in Rickettsia parkeri Using Transposon Insertion

    OpenAIRE

    Welch, Matthew D.; Reed, Shawna C. O.; Lamason, Rebecca L.; Serio, Alisa W.

    2012-01-01

    Despite recent advances in our ability to genetically manipulate Rickettsia, little has been done to employ genetic tools to study the expression and localization of Rickettsia virulence proteins. Using a mariner-based Himar1 transposition system, we expressed an epitope-tagged variant of the actin polymerizing protein RickA under the control of its native promoter in Rickettsia parkeri, allowing the detection of RickA using commercially-available antibodies. Native RickA and epitope-tagged R...

  10. Proteinic and genomic identification of spotted fever group rickettsiae isolated in the former USSR.

    OpenAIRE

    Eremeeva, M. E.; Balayeva, N. M.; Ignatovich, V. F.; Raoult, D.

    1993-01-01

    Sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE), restriction fragment length polymorphism of polymerase chain reaction-amplified genes (RFLP-PCR), and pulsed-field gel electrophoresis (PFGE) were used to identify 25 isolates of spotted fever group rickettsia collected in the former USSR. Six Rickettsia akari isolates which were identical to the MK reference strain from the American Type Culture Collection were found. Also, 14 isolates were found to be Rickettsia sibirica ...

  11. Defining a Core Set of Actin Cytoskeletal Proteins Critical or Actin-Based Motility of Rickettsia

    OpenAIRE

    Serio, Alisa W.; Jeng, Robert L.; Haglund, Cat M.; Reed, Shawna C.; Welch, Matthew D.

    2010-01-01

    Many Rickettsia species are intracellular bacterial pathogens that use actin-based motility for spread during infection. However, while other bacteria assemble actin tails consisting of branched networks, Rickettsia assemble long parallel actin bundles, suggesting the use of a distinct mechanism for exploiting actin. To identify the underlying mechanisms and host factors involved in Rickettsia parkeri actin-based motility, we performed an RNAi screen targeting 115 actin cytoskeletal genes in ...

  12. Serosurveillance of Orientia tsutsugamushi and Rickettsia typhi in Bangladesh.

    Science.gov (United States)

    Maude, Rapeephan R; Maude, Richard J; Ghose, Aniruddha; Amin, M Robed; Islam, M Belalul; Ali, Mohammad; Bari, M Shafiqul; Majumder, M Ishaque; Tanganuchitcharnchai, Ampai; Dondorp, Arjen M; Paris, Daniel H; Bailey, Robin L; Faiz, M Abul; Blacksell, Stuart D; Day, Nicholas P J

    2014-09-01

    Scrub and murine typhus infections are under-diagnosed causes of febrile illness across the tropics, and it is not known how common they are in Bangladesh. We conducted a prospective seroepidemiologic survey across six major teaching hospitals in Bangladesh by using an IgM enzyme-linked immunosorbent assay. Results indicated recent exposure (287 of 1,209, 23.7% seropositive for Orientia tsutsugamushi and 805 of 1,209, 66.6% seropositive for Rickettsia typhi). Seropositive rates were different in each region. However, there was no geographic clustering of seropositive results for both organisms. There was no difference between those from rural or urban areas. Rickettsia typhi seroreactivity was positively correlated with age. Scrub typhus and murine typhus should be considered as possible causes of infection in Bangladesh. PMID:25092819

  13. Detection of ‘‘Candidatus Rickettsia sp. strain Argentina’’and R. bellii in Amblyomma ticks (Acari: Ixodidae) from Northern Argentina

    OpenAIRE

    Tomassone, Laura

    2010-01-01

    Ixodid ticks were collected from vegetation and from humans, wild and domestic mammals in a rural area in the semi-arid Argentine Chaco in late spring 2006 to evaluate their potential role as vectors of Spotted Fever Group (SFG) rickettsiae. A total of 233 adult ticks, identified as Amblyomma parvum, Amblyomma tigrinum and Amblyomma pseudoconcolor, was examined for Rickettsia spp. We identified an SFG rickettsia of unknown pathogenicity, ‘‘Candidatus Rickettsia sp. strain Argentina’’,...

  14. Patterns and Processes of Molecular Evolution in Rickettsia

    OpenAIRE

    Amiri, Haleh

    2002-01-01

    Species of the genus Rickettsia are obligate intracellular parasites of the a-proteobacterial subdivision. It has been suggested that obligate intracellular bacteria have evolved from free-living bacteria with much larger genome sizes. Transitions to intracellular growth habitats are normally associated with radical genomic alterations, particularly genome rearrangements and gene losses. This thesis presents a comparative study of evolutionary processes such as gene rearrangements, deletions ...

  15. Molecular detection of Rickettsia typhi in cats and fleas.

    OpenAIRE

    Nogueras, Maria Mercedes

    2013-01-01

    Background: Rickettsia typhi is the etiological agent of murine typhus (MT), a disease transmitted by two cycles: rat-flea-rat, and peridomestic cycle. Murine typhus is often misdiagnosed and underreported. A correct diagnosis is important because MT can cause severe illness and death. Our previous seroprevalence results pointed to presence of human R. typhi infection in our region; however, no clinical case has been reported. Although cats have been related to MT, no naturally infected cat h...

  16. Taxonomic studies of Rickettsiella, Rickettsia, and Chlamydia using genomic DNA.

    Science.gov (United States)

    Frutos, R; Federici, B A; Revet, B; Bergoin, M

    1994-05-01

    Invertebrate pathogens of the genus Rickettsiella (Order Rickettsiales) undergo a developmental cycle more characteristic of chlamydial organisms (Order Chlamydiales) than of typical rickettsiae. Moreover, among recognized species of Rickettsiella, there is considerable variation in host range and in the ultrastructure and development of the infectious stage, i.e., the elementary body. To begin an analysis of the taxonomic relationships of the invertebrate pathogens belonging to the genus Rickettsiella and of the relationship of these to chlamydiae and other rickettsiae, genomic DNA of representative species was compared with respect to restriction enzyme site polymorphism, DNA-DNA hybridization, G + C ratios, and fine melting profiles. The strains studied included isolates currently classified as Rickettsiella grylli, R. popilliae, R. chironomi, Chlamydia psittaci, C. trachomatis, Coxiella burnetii, and Rickettsia conorii. Reciprocal DNA hybridization studies carried out under high-stringency conditions (65 degrees C) showed homology between R. grylli and R. popilliae isolates but not with the others, including two isolates of R. chironomi from the midge, Chironomus dorsalis, and the scorpion, Buthus occitanus. The R. chironomi isolates shared no detectable homology with each other or with any of the other strains or species. Additionally, no homology was detected between any of the Rickettsiella isolates and the species of Coxiella, Rickettsia, or Chlamydia. Results obtained from the DNA fine melting profiles and G + C ratios corresponded with the results obtained from the DNA hybridization studies. Thus, the present study indicates that, despite similarities in developmental cycles, Rickettsiella and Chlamydia are taxonomically distinct groups appropriately placed in different orders.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:7912708

  17. Outbreaks of Rickettsia felis in Kenya and Senegal, 2010

    Centers for Disease Control (CDC) Podcasts

    2010-06-09

    This podcast describes the outbreak of Rickettsia felis in Kenya between August 2006 and June 2008, and in rural Senegal from November 2008 through July 2009. CDC infectious disease pathologist Dr. Chris Paddock discusses what researchers learned about this flea-borne disease and how to prevent infection.  Created: 6/9/2010 by National Center for Emerging and Zoonotic Infectious Diseases (NCEZID).   Date Released: 6/24/2010.

  18. Rickettsia felis infection in cat fleas Ctenocephalides felis felis

    Scientific Electronic Library Online (English)

    Mauricio C., Horta; Fabio B., Scott; Thaís R., Correia; Julio I., Fernandes; Leonardo J., Richtzenhain; Marcelo B., Labruna.

    2010-10-01

    Full Text Available The present study evaluated the rickettsial infection in a laboratory colony of cat fleas, Ctenocephalides felis felis (Bouche) in Brazil. All flea samples (30 eggs, 30 larvae, 30 cocoons, 30 males, and 30 females) tested by polymerase chain reaction (PCR) were shown to contain rickettsial DNA. PCR [...] products, corresponding to the rickettsial gltA, htrA, ompA and ompB gene partial sequences were sequenced and showed to correspond to Rickettsia felis, indicating that the flea colony was 100% infected by R. felis. The immunofluorescence assay (IFA) showed the presence of R. felis-reactive antibodies in blood sera of 7 (87.5%) out of 8 cats that were regularly used to feed the flea colony. From 15 humans that used to work with the flea colony in the laboratory, 6 (40.0%) reacted positively to R. felis by IFA. Reactive feline and human sera showed low endpoint titers against R. felis, varying from 64 to 256. With the exception of one human serum, all R. felis-reactive sera were also reactive to Rickettsia rickettsii and/or Rickettsia parkeri antigens at similar titers to R. felis. The single human serum that was reactive solely to R. felis had an endpoint titer of 256, indicating that this person was infected by R. felis.

  19. Spotted fever group rickettsiae in ixodid ticks in Oromia, Ethiopia.

    Science.gov (United States)

    Kumsa, Bersissa; Socolovschi, Cristina; Raoult, Didier; Parola, Philippe

    2015-02-01

    In Ethiopia, information on the transmission of human zoonotic pathogens through ixodid ticks remains scarce. To address the occurrence and molecular identity of spotted fever group rickettsiae using molecular tools, a total of 767 ixodid ticks belonging to thirteen different species were collected from domestic animals from September 2011 to March 2014. Rickettsia africae DNA was detected in 30.2% (16/53) Amblyommma variegatum, 28.6% (12/42) Am. gemma, 0.8% (1/119) Am. cohaerens, 18.2% (4/22) Amblyomma larvae, 6.7% (2/60) Amblyomma nymphs, 0.7% (1/139) Rhipicephalus (Boophilus) decoloratus and 25% (1/4) nymphs of Rh. (Bo.) decoloratus. A markedly low prevalence of R. africae was recorded in both Am. cohaerens and Rh. (Bo.) decoloratus (pgemma. The prevalence of R. africae was markedly low in the western districts (Gachi and Abdela) (pgemma were predominantly associated with R. africae, respectively. R. aeschlimannii DNA was detected in 45.4% (5/11) Hyalomma marginatum rufipes and 2.2% (1/46) Hy. truncatum. Moreover, the first report of R. massiliae DNA in 1.9% (1/52) Rhipicephalus praetextatus ticks in Ethiopia is presented herein. Altogether, these results suggest that the transmission of spotted fever group rickettsiae through ixodid ticks is a potential risk for human health in different parts of Ethiopia. Clinicians in this country should consider these pathogens as a potential cause of febrile illness in patients. PMID:25262832

  20. Serological evidence for exposure of dogs to Rickettsia conorii, Rickettsia typhi, and Orientia tsutsugamushi in Sri Lanka.

    Science.gov (United States)

    Nanayakkara, Devathri M; Rajapakse, R P V J; Wickramasinghe, Susiji; Kularatne, Senanayaka A M

    2013-08-01

    Vector-borne rickettsial infection is a major cause of febrile illnesses throughout the world. Although vertebrates hosting the vectors play a vital role in the natural cycle of rickettsiae, studies have not been conducted on them in Sri Lanka. Therefore, the present study was designed to determine the exposure of dog population in Rajawatta, Thambavita, and areas of the Western Slopes and Unawatuna of Sri Lanka to rickettsial pathogens. A total of 123 dog blood samples were collected from those areas. Samples were tested for antibodies against Rickettsia conorii (RC) of the spotted fever group (SFG), Rickettsia typhi (RT) of the typhus group (TG), and Orientia tsutsugamushi (OT) of the scrub typhus group (ST) of rickettsiae by indirect immunofluorescence antibody test (IFA). Samples with titers ? 1:64 were considered as positive in this study. Collectively, 49% dogs were found to have antibodies against the rickettsial agents. Of the dogs, 42%, 24%, and 2% had antibodies against RC, OT, and RT, respectively. The seropositive rate of 100% was observed in areas of the Western Slopes, whereas the lowest rate of 20% was in Unawatuna. Among the positive samples, antibody titers against RC and OT ranged from 1/64 to 1/8192. In contrast, the few dogs that tested positive for RT showed very low titers of 1/64 and 1/128. Results of this study show the extent of exposure to the pathogen and its dispersion in the natural ecology. We suggest that dogs could be acting as reservoirs in the rickettsial transmission cycle or could be effective tracer animals that can be used to detect areas with potential for future outbreaks. PMID:23930973

  1. Serological Evidence for Exposure of Dogs to Rickettsia conorii, Rickettsia typhi, and Orientia tsutsugamushi in Sri Lanka

    OpenAIRE

    Nanayakkara, Devathri M.; Rajapakse, R. P. V. J.; Wickramasinghe, Susiji; Kularatne, Senanayaka A. M.

    2013-01-01

    Vector-borne rickettsial infection is a major cause of febrile illnesses throughout the world. Although vertebrates hosting the vectors play a vital role in the natural cycle of rickettsiae, studies have not been conducted on them in Sri Lanka. Therefore, the present study was designed to determine the exposure of dog population in Rajawatta, Thambavita, and areas of the Western Slopes and Unawatuna of Sri Lanka to rickettsial pathogens. A total of 123 dog blood samples were collected from th...

  2. Use of immunoradiometric analysis to determine Rickettsia antigens in cell cultures and chick embryos

    Energy Technology Data Exchange (ETDEWEB)

    Prozorovskiy, S.V.; Alekseeva, N.V.; Knyazeva, E.N.; Ignatovich, V.F.; Barkhatova, O.T.

    1984-02-01

    A modification of an immunoradiometric analysis to determine Rickettsia antigens in various biological substrates was studied, using rickettsious diagnostricums, egg and cell cultures of Rickettsia. The method was highly sensitive for the determination of minimal quantities of antigens in these substrates. The method appears to be promising for studies related to the detection of microorganisms and their antigens. 5 references.

  3. Molecular characterization of a novel Rickettsia species from Ixodes scapularis in Texas.

    OpenAIRE

    Billings, A. N.; Teltow, G. J.; Weaver, S. C.; Walker, D. H.

    1998-01-01

    A novel Rickettsia species of undetermined pathogenicity was detected in Ixodes scapularis. DNA sequencing showed the highest nucleotide sequence similarities with R. australis for the 17 kDa gene, R. helvetica for gltA, and R. montana for rompA. The new organism, provisionally designated as genotype Cooleyi, is highly divergent in three conserved genes from recognized Rickettsia species.

  4. Serological evidence of typhus group Rickettsia in a homeless population: Houston, Texas

    Science.gov (United States)

    Sera from 176 homeless people in Houston was tested for antibodies against typhus group rickettsiae (TGR). Sera from 19 homeless people were reactive to TGR antigens by ELISA and IFA. Two people had antibodies against Rickettsia prowazekii (epidemic typhus) and the remaining 17 had antibodies agains...

  5. Genome Sequence of Rickettsia australis, the Agent of Queensland Tick Typhus

    OpenAIRE

    Dong, Xin; El Karkouri, Khalid; Robert, Catherine; Raoult, Didier; Fournier, Pierre-edouard

    2012-01-01

    Rickettsia australis strain PhillipsT was isolated in Queensland, Australia, in 1950. It is the tick-borne agent of Queensland tick typhus, a disease endemic in Australia. The 1.29-Mb genome sequence of this bacterium is highly similar to that of Rickettsia akari but contains two plasmids.

  6. Detection of Rickettsia helvetica in ticks collected from European hedgehogs (Erinaceus europaeus, Linnaeus, 1758).

    Science.gov (United States)

    Speck, Stephanie; Perseke, Lea; Petney, Trevor; Skuballa, Jasmin; Pfäffle, Miriam; Taraschewski, Horst; Bunnell, Toni; Essbauer, Sandra; Dobler, Gerhard

    2013-04-01

    The role of wild mammals in the dissemination and maintenance of Rickettsia in nature is still under investigation. European hedgehogs (Erinaceus europaeus) are often heavily infested by tick and flea species that are known to harbor and transmit different Rickettsia spp. We investigated ixodid ticks sampled from European hedgehogs for the presence of Rickettsia. A total of 471 Ixodes ricinus and 755 I. hexagonus were collected from 26 German and 7 British European hedgehogs. These were tested by a genus-specific real-time PCR assay targeting the citrate synthase gene (gltA). The rickettsia minimum infection rate was 11.7% with an increase detected with each parasitic tick stage. No significant difference in Rickettsia prevalence in the 2 Ixodes species was detected. Using sequencing of partial ompB, Rickettsia helvetica was the only species identified. More than half of the hedgehogs carried Rickettsia-positive ticks. In addition, tissue samples from 2/5 hedgehogs (where tissue DNA was available) were PCR-positive. These results show that European hedgehogs are exposed to R. helvetica via infected ticks and might be involved in the natural transmission cycle of this Rickettsia species. PMID:23337491

  7. Primary isolation of spotted fever group rickettsiae from Amblyomma cooperi collected from Hydrochaeris hydrochaeris in Brazil

    Directory of Open Access Journals (Sweden)

    Elba Regina Sampaio de Lemos

    1996-06-01

    Full Text Available This paper reports the first isolation of a spotted fever group rickettsia from an Amblyomma cooperi ixodid collected from a capybara (Hydrochaeris hydrochaeris in an endemic area of spotted fever in the County of Pedreira, State of São Paulo, Brazil. Isolation was performed in Vero cell culture and submitted to immunofluorescence, using antibody from Rickettsia rickettsii-positive human serum.

  8. Primary isolation of spotted fever group rickettsiae from Amblyomma cooperi collected from Hydrochaeris hydrochaeris in Brazil

    Scientific Electronic Library Online (English)

    Elba Regina Sampaio de, Lemos; Heloísa Helena Barbosa, Melles; Sílvia, Colombo; Raimundo Diogo, Machado; José Rodrigues, Coura; Maria Angélica Arpon, Guimarães; Selênio R, Sanseverino; Aline, Moura.

    1996-06-01

    Full Text Available This paper reports the first isolation of a spotted fever group rickettsia from an Amblyomma cooperi ixodid collected from a capybara (Hydrochaeris hydrochaeris) in an endemic area of spotted fever in the County of Pedreira, State of São Paulo, Brazil. Isolation was performed in Vero cell culture an [...] d submitted to immunofluorescence, using antibody from Rickettsia rickettsii-positive human serum.

  9. Gamma-irradiated scrub typhus immunogens: analysis for residual replicating rickettsiae

    International Nuclear Information System (INIS)

    Scrub thyphus immunogens that received inadequate gamma radiation contained residual, viable rickettsiae. The presence of these organisms in the host was masked by the rapid immune response elicited by the large number of inactivated rickettsiae. Transfer of homogenized spleen cells from immunized mice to normal syngeneic recipients provided a sensitive technique for the detection of these viable, replicating organisms

  10. Primary isolation of spotted fever group rickettsiae from Amblyomma cooperi collected from Hydrochaeris hydrochaeris in Brazil

    OpenAIRE

    Elba Regina Sampaio de Lemos; Heloísa Helena Barbosa Melles; Sílvia Colombo; Raimundo Diogo Machado; José Rodrigues Coura; Maria Angélica Arpon Guimarães; Selênio R Sanseverino; Aline Moura

    1996-01-01

    This paper reports the first isolation of a spotted fever group rickettsia from an Amblyomma cooperi ixodid collected from a capybara (Hydrochaeris hydrochaeris) in an endemic area of spotted fever in the County of Pedreira, State of São Paulo, Brazil. Isolation was performed in Vero cell culture and submitted to immunofluorescence, using antibody from Rickettsia rickettsii-positive human serum.

  11. Anti-Rickettsia spp. antibodies in free-ranging and captive capybaras from southern Brazil / Anticorpos anti-Rickettsia spp. em capivaras de vida livre e de cativeiro no Sul do Brasil

    Scientific Electronic Library Online (English)

    Fernanda S., Fortes; Leonilda C., Santos; Zalmir S., Cubas; Ivan R., Barros-Filho; Alexander W., Biondo; Iara, Silveira; Marcelo B., Labruna; Marcelo B., Molento.

    1014-10-01

    Full Text Available As capivaras (Hydrochaeris hydrochaeris) estão entre os principais hospedeiros do carrapato Amblyomma spp., o qual pode transmitir algumas espécies de riquétsias para seres humanos e animais. Como são frequentemente infestadas por carrapatos vetores potenciais, as capivaras podem ser usadas como sen [...] tinelas para riquetsioses, como a Febre Maculosa Brasileira. O objetivo do presente estudo foi determinar a soroprevalência de Rickettsia spp. por meio da reação de Imunofluorescência Indireta (RIFI) em 21 capivaras de vida livre e 10 capivaras de cativeiro do Zoológico do Refúgio Biológico Bela Vista, Itaipu Binacional, Foz do Iguaçu, Brasil. Antígenos de seis espécies de riquétsias já identi[1]icadas no Brasil (Rickettsia rickettsii, R. parkeri, R. bellii, R. rhipicephali, R. amblyommii e R. felis) foram utilizados para a RIFI. Carrapatos de cada capivara foram coletados para posterior identi[1]icação taxonômica. Um total de 19 (61,3%) amostras reagiu a pelo menos uma das espécies testadas. Foi encontrada soropositividade em 14 (45,2%), 12 (38,7%), 5 (16,1%), 4 (12,9%), 3 (9,7%) e 3 (9,7%) animais para R. rickettsii, R. bellii, R. parkeri, R. amblyommii, R. felis e R. rhipicephali, respectivamente. Duas capivaras de cativeiro apresentaram títulos sugestivos de infecção por R. rickettsii e uma amostra apresentou reação homóloga frente à R. parkeri. Apenas uma capivara de vida livre apresentou evidência de infecção por R. bellii. Os carrapatos coletados sobre as capivaras foram identificados como Amblyomma dubitatum e Amblyomma sp. Os resultados evidenciam a circulação de riquétsias na região, sugerindo uma potencial participação da capivara no ciclo de vida desta bactéria. Abstract in english Capybaras (Hydrochaeris hydrochaeris) are among the main hosts of Amblyomma spp. ticks, which is able to transmit Rickettsia species to human beings and animals. Since they are often infested with potential vector ticks, capybaras may be used as sentinels for rickettsiosis, such as the Brazilian Spo [...] tted Fever. The aim of the present study was to determine the prevalence of antibodies against Rickettsia spp. using the indirect immunofluorescence assay (IFA) in 21 free-ranging and 10 captive animals from the Zoological Park of the 'Bela Vista Biological Sanctuary' (BVBS), Itaipu Binational, Foz do Iguaçu, Southern Brazil. Antigens of six rickettsial species already identified in Brazil (Rickettsia rickettsii, R. parkeri, R. bellii, R. rhipicephali, R. amblyommii and R. felis) were used for IFA. Ticks from each capybara were collected for posterior taxonomic identification. A total of 19 (61.3%) samples reacted to at least one of tested species. Seropositivity was found in 14 (45.2%), 12 (38.7%), 5 (16.1%), 4 (12.9%), 3 (9.7%) and 3 (9.7%) animals for R. rickettsii, R. bellii, R. parkeri, R. amblyommii, R. felis and R. rhipicephali, respectively. Two captive capybaras presented suggestive titers of R. rickettsii infection and one sample showed homologous reaction to R. parkeri. Only one free-ranging capybara presented evidence R. bellii infection. Ticks collected on capybaras were identified as Amblyomma dubitatum e Amblyomma sp. Results evidenced the rickettsial circulation in the area, suggesting a potential role of capybaras on bacterial life cycle.

  12. Anti-Rickettsia spp. antibodies in free-ranging and captive capybaras from southern Brazil Anticorpos anti-Rickettsia spp. em capivaras de vida livre e de cativeiro no Sul do Brasil

    Directory of Open Access Journals (Sweden)

    Fernanda S. Fortes

    2011-11-01

    Full Text Available Capybaras (Hydrochaeris hydrochaeris are among the main hosts of Amblyomma spp. ticks, which is able to transmit Rickettsia species to human beings and animals. Since they are often infested with potential vector ticks, capybaras may be used as sentinels for rickettsiosis, such as the Brazilian Spotted Fever. The aim of the present study was to determine the prevalence of antibodies against Rickettsia spp. using the indirect immunofluorescence assay (IFA in 21 free-ranging and 10 captive animals from the Zoological Park of the 'Bela Vista Biological Sanctuary' (BVBS, Itaipu Binational, Foz do Iguaçu, Southern Brazil. Antigens of six rickettsial species already identified in Brazil (Rickettsia rickettsii, R. parkeri, R. bellii, R. rhipicephali, R. amblyommii and R. felis were used for IFA. Ticks from each capybara were collected for posterior taxonomic identification. A total of 19 (61.3% samples reacted to at least one of tested species. Seropositivity was found in 14 (45.2%, 12 (38.7%, 5 (16.1%, 4 (12.9%, 3 (9.7% and 3 (9.7% animals for R. rickettsii, R. bellii, R. parkeri, R. amblyommii, R. felis and R. rhipicephali, respectively. Two captive capybaras presented suggestive titers of R. rickettsii infection and one sample showed homologous reaction to R. parkeri. Only one free-ranging capybara presented evidence R. bellii infection. Ticks collected on capybaras were identified as Amblyomma dubitatum e Amblyomma sp. Results evidenced the rickettsial circulation in the area, suggesting a potential role of capybaras on bacterial life cycle.As capivaras (Hydrochaeris hydrochaeris estão entre os principais hospedeiros do carrapato Amblyomma spp., o qual pode transmitir algumas espécies de riquétsias para seres humanos e animais. Como são frequentemente infestadas por carrapatos vetores potenciais, as capivaras podem ser usadas como sentinelas para riquetsioses, como a Febre Maculosa Brasileira. O objetivo do presente estudo foi determinar a soroprevalência de Rickettsia spp. por meio da reação de Imunofluorescência Indireta (RIFI em 21 capivaras de vida livre e 10 capivaras de cativeiro do Zoológico do Refúgio Biológico Bela Vista, Itaipu Binacional, Foz do Iguaçu, Brasil. Antígenos de seis espécies de riquétsias já identi[1]icadas no Brasil (Rickettsia rickettsii, R. parkeri, R. bellii, R. rhipicephali, R. amblyommii e R. felis foram utilizados para a RIFI. Carrapatos de cada capivara foram coletados para posterior identi[1]icação taxonômica. Um total de 19 (61,3% amostras reagiu a pelo menos uma das espécies testadas. Foi encontrada soropositividade em 14 (45,2%, 12 (38,7%, 5 (16,1%, 4 (12,9%, 3 (9,7% e 3 (9,7% animais para R. rickettsii, R. bellii, R. parkeri, R. amblyommii, R. felis e R. rhipicephali, respectivamente. Duas capivaras de cativeiro apresentaram títulos sugestivos de infecção por R. rickettsii e uma amostra apresentou reação homóloga frente à R. parkeri. Apenas uma capivara de vida livre apresentou evidência de infecção por R. bellii. Os carrapatos coletados sobre as capivaras foram identificados como Amblyomma dubitatum e Amblyomma sp. Os resultados evidenciam a circulação de riquétsias na região, sugerindo uma potencial participação da capivara no ciclo de vida desta bactéria.

  13. Serological survey of Rickettsia sp. in horses and dogs in an non-endemic area in Brazil / Identificação sorológica de Rickettsia sp. em equinos e cães de área não endêmica no Brasil

    Scientific Electronic Library Online (English)

    Fernanda Gonçalves, Batista; Daniella Matos da, Silva; Kerriel Thandile, Green; Louise Boulsfield de Lorenzi, Tezza; Sâmara Pereira de, Vasconcelos; Suelen Graziele Soares de, Carvalho; Iara, Silveira; Jonas, Moraes-Filho; Marcelo Bahia, Labruna; Fernanda Silva, Fortes; Marcelo Beltrão, Molento.

    2010-12-01

    Full Text Available A Febre Maculosa Brasileira (FMB) é uma riquetsiose letal para humanos, causada pela bactéria Rickettsia rickettsii, e é endêmica em algumas regiões brasileiras. Equinos e cães podem participar do ciclo da doença e podem também servir como sentinelas em estudos epidemiológicos. O primeiro caso human [...] o relatado no Estado do Paraná ocorreu em 2005. O presente estudo foi realizado no município de Almirante Tamandaré, região onde não há relatos de casos de FMB. Foram coletadas amostras de sangue de 71 cavalos e 20 cães em nove propriedades rurais na região. Carrapatos também foram colhidos dos animais. Todos os proprietários responderam a um questionário sobre o manejo sanitário dos animais e o conhecimento a respeito da FMB. As amostras de soro foram processadas pela técnica de Reação de Imunofluorescência Indireta (RIFI), utilizando-se os antígenos de R. rickettsii e R. parkeri. Os carrapatos foram analisados por PCR para Rickettsia sp. e todos foram negativos. Seis cavalos (8,45%) e 4 cães (20%) foram identificados como soropositivos. Todos os proprietários desconheciam a relação de carrapatos com a FMB. Embora considerada uma área não endêmica, Almirante Tamandaré é um ambiente vulnerável à FMB e um controle eficiente de carrapatos deve ser implementado. Abstract in english Brazilian Spotted Fever (BSF) is a lethal rickettsiosis in humans caused by the bacteria Rickettsia rickettsii, and is endemic in some areas of Brazil. Horses and dogs are part of the disease's life cycle and they may also serve as sentinel animals in epidemiological studies. The first human BSF cas [...] e in the State of Paraná was reported in 2005. The present study was conducted in the municipality of Almirante Tamandaré, where no previous case of BSF was reported. Serum samples were collected from 71 horses and 20 dogs from nine properties in the area. Ticks were also collected from these animals. All farmers completed a questionnaire about their knowledge of BSF and animal health management. Serum samples were analyzed by indirect immunofluorescent-antibody assay (IFA) using R. rickettsii and R. parkeri as antigens. Ticks were analyzed by PCR for Rickettsia sp., and all of them were PCR-negative. Six horses (8.45%) and 4 dogs (20%) were identified as seropositive. Farmers were not aware of the correlation between the presence of ticks and risk of BSF. Although a non-endemic area, Almirante Tamandaré is a vulnerable environment for BSF and effective tick control measures are required.

  14. Serological survey of Rickettsia sp. in horses and dogs in an non-endemic area in Brazil Identificação sorológica de Rickettsia sp. em equinos e cães de área não endêmica no Brasil

    Directory of Open Access Journals (Sweden)

    Fernanda Gonçalves Batista

    2010-12-01

    Full Text Available Brazilian Spotted Fever (BSF is a lethal rickettsiosis in humans caused by the bacteria Rickettsia rickettsii, and is endemic in some areas of Brazil. Horses and dogs are part of the disease's life cycle and they may also serve as sentinel animals in epidemiological studies. The first human BSF case in the State of Paraná was reported in 2005. The present study was conducted in the municipality of Almirante Tamandaré, where no previous case of BSF was reported. Serum samples were collected from 71 horses and 20 dogs from nine properties in the area. Ticks were also collected from these animals. All farmers completed a questionnaire about their knowledge of BSF and animal health management. Serum samples were analyzed by indirect immunofluorescent-antibody assay (IFA using R. rickettsii and R. parkeri as antigens. Ticks were analyzed by PCR for Rickettsia sp., and all of them were PCR-negative. Six horses (8.45% and 4 dogs (20% were identified as seropositive. Farmers were not aware of the correlation between the presence of ticks and risk of BSF. Although a non-endemic area, Almirante Tamandaré is a vulnerable environment for BSF and effective tick control measures are required.A Febre Maculosa Brasileira (FMB é uma riquetsiose letal para humanos, causada pela bactéria Rickettsia rickettsii, e é endêmica em algumas regiões brasileiras. Equinos e cães podem participar do ciclo da doença e podem também servir como sentinelas em estudos epidemiológicos. O primeiro caso humano relatado no Estado do Paraná ocorreu em 2005. O presente estudo foi realizado no município de Almirante Tamandaré, região onde não há relatos de casos de FMB. Foram coletadas amostras de sangue de 71 cavalos e 20 cães em nove propriedades rurais na região. Carrapatos também foram colhidos dos animais. Todos os proprietários responderam a um questionário sobre o manejo sanitário dos animais e o conhecimento a respeito da FMB. As amostras de soro foram processadas pela técnica de Reação de Imunofluorescência Indireta (RIFI, utilizando-se os antígenos de R. rickettsii e R. parkeri. Os carrapatos foram analisados por PCR para Rickettsia sp. e todos foram negativos. Seis cavalos (8,45% e 4 cães (20% foram identificados como soropositivos. Todos os proprietários desconheciam a relação de carrapatos com a FMB. Embora considerada uma área não endêmica, Almirante Tamandaré é um ambiente vulnerável à FMB e um controle eficiente de carrapatos deve ser implementado.

  15. Evidencia serológica de la presencia de Rickettsias del grupo de la fiebre manchada en la Amazonía del Perú / Serological evidence of spotted fever group-related Rickettsia transmission in the Peruvian Amazon jungle

    Scientific Electronic Library Online (English)

    Moisés, Sihuincha M; Elizabeth, Anaya F; Victoria, Carranza V; Salomón, Durand V.

    2006-10-01

    Full Text Available Con el objetivo de demostrar la existencia de transmisión de Rickettsias del grupo de la fiebre manchada en la Amazonía peruana, se tomaron muestras de sangre a pacientes febriles agudos en establecimientos de salud de la ciudad de Iquitos, la ciudad más poblada de la Amazonía del Perú. Las muestras [...] fueron procesadas mediante inmunofluorescencia indirecta para medir anticuerpos totales e IgG específica para el grupo de fiebre de las manchadas. Entre enero y julio de 2006, se obtuvieron muestras de 250 pacientes. El 37% de las muestras tuvieron títulos positivos de IgG, demostrando así haber tenido contacto con el agente, de ellas, nueve fueron clasificadas como casos agudos, en los que se descartó otras infecciones endémicas como dengue, malaria y leptospirosis. Los casos presentaron una enfermedad febril acompañada de síntomas como tos, sarpullido y hemoptisis. Cuatro casos fueron hospitalizados, dos fueron graves y uno de ellos falleció. En conclusión, existe evidencia serológica de la circulación de Rickettsias del grupo de las fiebre manchada en la Amazonía peruana, por su frecuencia y potencial gravedad debería ser tomada en cuenta como diagnóstico diferencial del síndrome febril agudo en esta región. Abstract in english Blood samples were taken from acutely ill febrile patients in health centers in Iquitos, the most densely populated city in Peruvian Amazon jungle, in order to prove the transmission of spotted fever group-related Rickettsia transmission. Samples were processed using indirect immunofluorescence for [...] measuring total antibodies and specific IgG for the spotted fever group. Between January and July 2006, 250 patients had samples taken. 37% had positive IgG titers showing that these patients had contact with the agent; and out of them, nine were adjudicated as acute cases, where other endemic conditions were ruled out, such as dengue fever, malaria, and leptospirosis. Cases identified had a febrile illness with the following concomitant symptoms and signs: cough, skin rash, and hemoptysis. Four patients were hospitalized, two had severe illness, and one of them ultimately died. We conclude that there is evidence of spotted fever group-related Rickettsia circulation in the Peruvian Amazon jungle, so this condition should be taken into account as a differential diagnosis for acute febrile syndrome in this region.

  16. Changes in immunoferritin labeling of Rickettsia tsutsugamushi after serial cultivation in /sup 60/Co-irradiated BHK cells

    Energy Technology Data Exchange (ETDEWEB)

    Rikihisa, Y.; Rota, T.; Lee, T.H.; MacDonald, A.B.; Ito, S.

    1979-11-01

    The immunolabeling characteritics of Rickettsia tsutsugamushi (Gilliam strain) were examined by using a purified immunoglobulin G fraction of antibody to R. tsutsugamushi raised in rabbits. When rickettsiae in BHK-21 cells infected from yolk sac seed material were immunoferritin labeled, the binding of ferritin was found to be dense and uniform on the outer surface of the rickettsiae in disrupted host cells. Immunolabeling of purified suspensions of extracellular rickettsiae resulted in the uniform ferritin labeling of the microorganism. The immunoferritin labeling of R. tsutsugamushi during successive serial passages in BHK-21 cells revealed decreased labeling with each passage, and by the 10th passage there was no detectable labeling. However, these rickettsiae inoculated back into yolk sacs regained their immunoferritin labeling. Antibody against rickettsiae cultivated in BHK-21 cells continued labeling rickettsiae even after 9 serial passages in BHK-21 cells.

  17. Changes in immunoferritin labeling of Rickettsia tsutsugamushi after serial cultivation in 60Co-irradiated BHK cells

    International Nuclear Information System (INIS)

    The immunolabeling characteritics of Rickettsia tsutsugamushi (Gilliam strain) were examined by using a purified immunoglobulin G fraction of antibody to R. tsutsugamushi raised in rabbits. When rickettsiae in BHK-21 cells infected from yolk sac seed material were immunoferritin labeled, the binding of ferritin was found to be dense and uniform on the outer surface of the rickettsiae in disrupted host cells. Immunolabeling of purified suspensions of extracellular rickettsiae resulted in the uniform ferritin labeling of the microorganism. The immunoferritin labeling of R. tsutsugamushi during successive serial passages in BHK-21 cells revealed decreased labeling with each passage, and by the 10th passage there was no detectable labeling. However, these rickettsiae inoculated back into yolk sacs regained their immunoferritin labeling. Antibody against rickettsiae cultivated in BHK-21 cells continued labeling rickettsiae even after 9 serial passages in BHK-21 cells

  18. Sca1, a previously undescribed paralog from autotransporter protein-encoding genes in Rickettsia species

    Directory of Open Access Journals (Sweden)

    Raoult Didier

    2006-02-01

    Full Text Available Abstract Background Among the 17 genes encoding autotransporter proteins of the "surface cell antigen" (sca family in the currently sequenced Rickettsia genomes, ompA, sca5 (ompB and sca4 (gene D, have been extensively used for identification and phylogenetic purposes for Rickettsia species. However, none of these genes is present in all 20 currently validated Rickettsia species. Of the remaining 14 sca genes, sca1 is the only gene to be present in all nine sequenced Rickettsia genomes. To estimate whether the sca1 gene is present in all Rickettsia species and its usefulness as an identification and phylogenetic tool, we searched for sca1genes in the four published Rickettsia genomes and amplified and sequenced this gene in the remaining 16 validated Rickettsia species. Results Sca1 is the only one of the 17 rickettsial sca genes present in all 20 Rickettsia species. R. prowazekii and R. canadensis exhibit a split sca1 gene whereas the remaining species have a complete gene. Within the sca1 gene, we identified a 488-bp variable sequence fragment that can be amplified using a pair of conserved primers. Sequences of this fragment are specific for each Rickettsia species. The phylogenetic organization of Rickettsia species inferred from the comparison of sca1 sequences strengthens the classification based on the housekeeping gene gltA and is similar to those obtained from the analyses of ompA, sca5 and sca4, thus suggesting similar evolutionary constraints. We also observed that Sca1 protein sequences have evolved under a dual selection pressure: with the exception of typhus group rickettsiae, the amino-terminal part of the protein that encompasses the predicted passenger domain, has evolved under positive selection in rickettsiae. This suggests that the Sca1 protein interacts with the host. In contrast, the C-terminal portion containing the autotransporter domain has evolved under purifying selection. In addition, sca1 is transcribed in R. conorii, and might therefore be functional in this species. Conclusion The sca1 gene, encoding an autotransporter protein that evolves under dual evolution pressure, is the only sca-family gene to be conserved by all Rickettsia species. As such, it is a valuable identification target for these bacteria, especially because rickettsial isolates can be identified by amplification and sequencing of a discriminatory gene fragment using a single primer pair. It may also be used as a phylogenetic tool. However, its current functional status remains to be determined although it was found expressed in R. conorii.

  19. Gene gain and loss events in Rickettsia and Orientia species

    Directory of Open Access Journals (Sweden)

    Raoult Didier

    2011-02-01

    Full Text Available Abstract Background Genome degradation is an ongoing process in all members of the Rickettsiales order, which makes these bacterial species an excellent model for studying reductive evolution through interspecies variation in genome size and gene content. In this study, we evaluated the degree to which gene loss shaped the content of some Rickettsiales genomes. We shed light on the role played by horizontal gene transfers in the genome evolution of Rickettsiales. Results Our phylogenomic tree, based on whole-genome content, presented a topology distinct from that of the whole core gene concatenated phylogenetic tree, suggesting that the gene repertoires involved have different evolutionary histories. Indeed, we present evidence for 3 possible horizontal gene transfer events from various organisms to Orientia and 6 to Rickettsia spp., while we also identified 3 possible horizontal gene transfer events from Rickettsia and Orientia to other bacteria. We found 17 putative genes in Rickettsia spp. that are probably the result of de novo gene creation; 2 of these genes appear to be functional. On the basis of these results, we were able to reconstruct the gene repertoires of "proto-Rickettsiales" and "proto-Rickettsiaceae", which correspond to the ancestors of Rickettsiales and Rickettsiaceae, respectively. Finally, we found that 2,135 genes were lost during the evolution of the Rickettsiaceae to an intracellular lifestyle. Conclusions Our phylogenetic analysis allowed us to track the gene gain and loss events occurring in bacterial genomes during their evolution from a free-living to an intracellular lifestyle. We have shown that the primary mechanism of evolution and specialization in strictly intracellular bacteria is gene loss. Despite the intracellular habitat, we found several horizontal gene transfers between Rickettsiales species and various prokaryotic, viral and eukaryotic species. Open peer review Reviewed by Arcady Mushegian, Eugene V. Koonin and Patrick Forterre. For the full reviews please go to the Reviewers' comments section.

  20. Radioiodination of an outer membrane protein in intact Rickettsia prowazekii

    Energy Technology Data Exchange (ETDEWEB)

    Smith, D.K.; Winkler, H.H.

    1980-08-01

    Intact Rickettsia prowazekii was radiolabeled with the glucose oxidase-lactoperoxidase method of iodination. Separation of the rickettsial extract into cytoplasmic, outer and inner membrane fractions demonstrated that the outer membrane was preferentially labeled. Analysis of the polypeptides of these fractions on high-resolution slab polyacrylamide gels showed that most of the /sup 125/I was in polypeptide T49, an outer membrane constituent. Additional outer membrane polypeptides were iodinated in broken envelope preparations, demonstrating that T49 is uniquely accessible to the external environment and the asymmetric polypeptide organization of the outer membrane.

  1. Radioiodination of an outer membrane protein in intact Rickettsia prowazekii

    International Nuclear Information System (INIS)

    Intact Rickettsia prowazekii was radiolabeled with the glucose oxidase-lactoperoxidase method of iodination. Separation of the rickettsial extract into cytoplasmic, outer and inner membrane fractions demonstrated that the outer membrane was preferentially labeled. Analysis of the polypeptides of these fractions on high-resolution slab polyacrylamide gels showed that most of the 125I was in polypeptide T49, an outer membrane constituent. Additional outer membrane polypeptides were iodinated in broken envelope preparations, demonstrating that T49 is uniquely accessible to the external environment and the asymmetric polypeptide organization of the outer membrane

  2. Characterization of the symbiont Rickettsia in the mirid bug Nesidiocoris tenuis (Reuter) (Heteroptera: Miridae).

    Science.gov (United States)

    Caspi-Fluger, A; Inbar, M; Steinberg, S; Friedmann, Y; Freund, M; Mozes-Daube, N; Zchori-Fein, E

    2014-12-01

    Nesidiocoris tenuis (Reuter) (Heteroptera: Miridae) is an omnivorous insect used for biological control. Augmentative release and conservation of N. tenuis have been used for pest control in tomato crops. Intracellular bacterial symbionts of arthropods are common in nature and have diverse effects on their hosts; in some cases they can dramatically affect biological control. Fingerprinting methods showed that the symbiotic complex associated with N. tenuis includes Wolbachia and Rickettsia. Rickettsia of N. tenuis was further characterized by sequencing the 16S rRNA and gltA bacterial genes, measuring its amount in different developmental stages of the insect by real-time polymerase chain reaction, and localizing the bacteria in the insect's body by fluorescence in situ hybridization. The Rickettsia in N. tenuis exhibited 99 and 96% similarity of both sequenced genes to Rickettsia bellii and Rickettsia reported from Bemisia tabaci, respectively. The highest amount of Rickettsia was measured in the 5th instar and adult, and the symbionts could be detected in the host gut and ovaries. Although the role played by Rickettsia in the biology of N. tenuis is currently unknown, their high amount in the adults and localization in the gut suggest that they may have a nutritional role in this insect. PMID:25062354

  3. Quantitative study of Rickettsia massiliae in Rhipicephalus sanguineus organs.

    Science.gov (United States)

    Milhano, Natacha; Popov, Vsevolod; Vilhena, Manuela; Bouyer, Donald H; de Sousa, Rita; Walker, David H

    2014-10-01

    Rickettsia massiliae, belonging to the spotted fever group of Rickettsia, is a human pathogen causing a similar course of disease to that caused by R. conorii, the originally recognized etiologic agent of Mediterranean spotted fever. In view of this similarity, we performed an ultrastructural study of R. massiliae in organs of Rhipicephalus sanguineus ticks, in order to advance knowledge of the complex dynamics at the tick-pathogen interface in rickettsioses. Adult R. massiliae-infected Rh. sanguineus ticks were fed on uninfected Hartley strain guinea pigs, and five females were collected daily throughout their feeding period up to day 6, and analyzed by quantitative real-time PCR and electron microscopy. An increase in rickettsial content was observed in the salivary glands, particularly in the first two days of feeding, and a plateau was observed between days 3 and 6. Rickettsial organisms were observed in all tick organs analyzed, in higher numbers in the fed state, and statistically significant differences were observed in measurements of the periplasmic layer of R. massiliae in salivary glands of fed and unfed Rh. sanguineus ticks, with increased thickness in the former case. This study provides insight into the interface between R. massiliae and Rh. sanguineus ticks, highlighting the need for analysis of R. massiliae to fully ascertain its place as an important pathogenic agent of a spotted fever rickettsiosis. PMID:25108779

  4. Analysis of the Rickettsia africae genome reveals that virulence acquisition in Rickettsia species may be explained by genome reduction

    Directory of Open Access Journals (Sweden)

    Audic Stéphane

    2009-04-01

    Full Text Available Abstract Background The Rickettsia genus includes 25 validated species, 17 of which are proven human pathogens. Among these, the pathogenicity varies greatly, from the highly virulent R. prowazekii, which causes epidemic typhus and kills its arthropod host, to the mild pathogen R. africae, the agent of African tick-bite fever, which does not affect the fitness of its tick vector. Results We evaluated the clonality of R. africae in 70 patients and 155 ticks, and determined its genome sequence, which comprises a circular chromosome of 1,278,540 bp including a tra operon and an unstable 12,377-bp plasmid. To study the genetic characteristics associated with virulence, we compared this species to R. prowazekii, R. rickettsii and R. conorii. R. africae and R. prowazekii have, respectively, the less and most decayed genomes. Eighteen genes are present only in R. africae including one with a putative protease domain upregulated at 37°C. Conclusion Based on these data, we speculate that a loss of regulatory genes causes an increase of virulence of rickettsial species in ticks and mammals. We also speculate that in Rickettsia species virulence is mostly associated with gene loss. The genome sequence was deposited in GenBank under accession number [GenBank: NZ_AAUY01000001].

  5. Phospholipase A and the interaction of Rickettsia prowazekii and mouse fibroblasts (L-929 cells)

    Energy Technology Data Exchange (ETDEWEB)

    Winkler, H.H.; Miller, E.T.

    1982-10-01

    L-929 cells were killed when approximately 50 viable Rickettsia prowazekii organisms per L-cell were centrifuged onto a monolayer. The glycerophospholipids of the L-cell were hydrolyzed to lysophosphatides and free fatty acids. Concomitantly, there was a loss of membrane integrity as shown by release of lactate dehydrogenase and 86Rb and permeability to trypan blue dye. No glycerophospholipid hydrolysis or cytotoxicity occurred when the rickettsiae were inactivated by heat, UV irradiation, N-ethylmaleimide, or metabolic inhibitors before their addition to the L-929 cells. On the other hand, treatment of the L929 cells with the cytoskeleton agents colchicine or cytochalasin B or with N-ethylmaleimide inhibited neither the phospholipase A activity nor the loss of membrane integrity. Cytochalasin B-treated cells could be damaged by even small numbers of rickettsiae. We suggest that this phospholipase A activity is used by the rickettsiae to escape from the phagosomes into the cytoplasm of host cells.

  6. Phospholipase A and the interaction of Rickettsia prowazekii and mouse fibroblasts (L-929 cells)

    International Nuclear Information System (INIS)

    L-929 cells were killed when approximately 50 viable Rickettsia prowazekii organisms per L-cell were centrifuged onto a monolayer. The glycerophospholipids of the L-cell were hydrolyzed to lysophosphatides and free fatty acids. Concomitantly, there was a loss of membrane integrity as shown by release of lactate dehydrogenase and 86Rb and permeability to trypan blue dye. No glycerophospholipid hydrolysis or cytotoxicity occurred when the rickettsiae were inactivated by heat, UV irradiation, N-ethylmaleimide, or metabolic inhibitors before their addition to the L-929 cells. On the other hand, treatment of the L929 cells with the cytoskeleton agents colchicine or cytochalasin B or with N-ethylmaleimide inhibited neither the phospholipase A activity nor the loss of membrane integrity. Cytochalasin B-treated cells could be damaged by even small numbers of rickettsiae. We suggest that this phospholipase A activity is used by the rickettsiae to escape from the phagosomes into the cytoplasm of host cells

  7. Molecular detection of Rickettsia species in Amblyomma ticks collected from snakes in Thailand.

    Czech Academy of Sciences Publication Activity Database

    Sumrandee, C.; Hirunkanokpun, S.; Doornbos, K.; Kitthawee, S.; Baimai, V.; Grubhoffer, Libor; Trinachartvanit, W.; Ahantarig, A.

    2014-01-01

    Ro?. 5, ?. 6 (2014), s. 632-640. ISSN 1877-959X Institutional support: RVO:60077344 Keywords : Tick * Rickettsia spp. * Amblyomma varanense * Amblyomma helvolum * Snake * Thailand Subject RIV: EB - Genetics ; Molecular Biology Impact factor: 2.878, year: 2013

  8. Comparison of properties of virulent, avirulent, and interferon-resistant Rickettsia prowazekii strains.

    OpenAIRE

    Turco, J; Winkler, H. H.

    1991-01-01

    Several properties of virulent, avirulent, and interferon-resistant Rickettsia prowazekii strains were compared. All of the interferon-resistant rickettsial strains (which were derived from the avirulent Madrid E strain) resembled the virulent Breinl strain in that they grew well in untreated mouse macrophagelike RAW264.7 cells. In contrast, the avirulent Madrid E strain grew poorly in untreated RAW264.7 cells. Pretreatment of interferon-resistant rickettsiae or R. prowazekii Breinl with anti...

  9. Transovarial Transmission of Rickettsia spp. and Organ-Specific Infection of the Whitefly Bemisia tabaci

    OpenAIRE

    Brumin, Marina; Levy, Maggie; Ghanim, Murad

    2012-01-01

    The whitefly Bemisia tabaci is a cosmopolitan insect pest that harbors Portiera aleyrodidarum, the primary obligatory symbiotic bacterium, and several facultative secondary symbionts. Secondary symbionts in B. tabaci are generally associated with the bacteriome, ensuring their vertical transmission; however, Rickettsia is an exception and occupies most of the body cavity, except the bacteriome. The mode of Rickettsia transfer between generations and its subcellular localization in insect orga...

  10. Characterization of a spotted fever group Rickettsia from Ixodes ricinus ticks in Sweden.

    OpenAIRE

    Nilsson, K.; Jaenson, T. G.; Uhnoo, I.; Lindquist, O.; Pettersson, B.; Uhle?n, M.; Friman, G.; Pa?hlson, C.

    1997-01-01

    A spotted fever group rickettsia isolated from the common tick, Ixodes ricinus, was genetically characterized by PCR and genomic sequencing. This study was performed with nymphal and adult ticks collected in southern and central Sweden. I. ricinus is the only North European tick species of medical importance which is regularly collected from humans. No species of the genus Rickettsia has previously been found in Scandinavian ticks, nor has any case of domestic rickettsial infection in humans ...

  11. Lateral gene transfer between obligate intracellular bacteria: Evidence from the Rickettsia massiliae genome

    OpenAIRE

    Blanc, Guillaume; Ogata, Hiroyuki; Robert, Catherine; Audic, Ste?phane; Claverie, Jean-michel; Raoult, Didier

    2007-01-01

    Rickettsia massiliae is a tick-borne obligate intracellular ?-proteobacteria causing spotted fever in humans. Here, we present the sequence of its genome, comprising a 1.3-Mb circular chromosome and a 15.3-kb plasmid. The chromosome exhibits long-range colinearity with the other Spotted Fever Group Rickettsia genomes, except for a large fragment specific to R. massiliae that contains 14 tra genes presumably involved in pilus formation and conjugal DNA transfer. We demonstrate that the tra re...

  12. Horizontal transmission of the insect symbiont Rickettsia is plant-mediated

    OpenAIRE

    Caspi-fluger, Ayelet; Inbar, Moshe; Mozes-daube, Netta; Katzir, Nurit; Portnoy, Vitaly; Belausov, Eduard; Hunter, Martha S.; Zchori-fein, Einat

    2011-01-01

    Bacteria in the genus Rickettsia, best known as vertebrate pathogens vectored by blood-feeding arthropods, can also be found in phytophagous insects. The presence of closely related bacterial symbionts in evolutionarily distant arthropod hosts presupposes a means of horizontal transmission, but no mechanism for this transmission has been described. Using a combination of experiments with live insects, molecular analyses and microscopy, we found that Rickettsia were transferred from an insect ...

  13. Identification of Rickettsia felis in the Salivary Glands of Cat Fleas

    OpenAIRE

    Macaluso, Kevin R.; Pornwiroon, Walairat; Popov, Vsevolod L.; Foil, Lane D.

    2008-01-01

    Rickettsia felis, a flea-associated rickettsial pathogen, has been identified in many tissues, including the digestive and reproductive tissues, within the cat flea, Ctenocephalides felis. We utilized transmission electron microscopy and polymerase chain reaction to identify R. felis in the salivary glands of fed fleas and further define the distribution of R. felis within the arthropod host. We identified Rickettsia-like organisms in salivary glands using electron microscopy. Sequence analys...

  14. Recognition of typhus group rickettsia-infected targets by human lymphokine-activated killer cells.

    OpenAIRE

    Carl, M.; Ching, W. M.; Dasch, G.A.

    1988-01-01

    Lymphokine-activated killer cells caused significant lysis of target cells infected with typhus group rickettsiae (TGR) but not cells infected with Rickettsia tsutsugamushi. Monoclonal and polyclonal antibodies against TGR or TGR-infected cells failed to bind specifically to infected targets, as determined by flow cytometry or by immunoprecipitation of radiolabeled cell surface proteins. Major unaltered antigenic determinants of TGR therefore cannot be detected on the surface of infected targ...

  15. Lysis of cells infected with typhus group rickettsiae by a human cytotoxic T cell clone

    Energy Technology Data Exchange (ETDEWEB)

    Carl, M.; Robbins, F.; Hartzman, R.J.; Dasch, G.A.

    1987-12-15

    Cytolytic human T cells clones generated in response to the intracellular bacterium Rickettsia typhi were characterized. Growing clones were tested for their ability to proliferate specifically in response to antigens derived from typhus group rickettsiae or to lyse targets infected with R. typhi or Rickettsia prowazekii, as measured by /sup 51/Cr-release from target cells. Two clones were able to lyse targets infected with typhus group rickettsiae. One of these clones was more fully characterized because of its rapid growth characteristics. This cytolytic clone was capable of lysing an autologous infected target as well as a target matched for class I and II histocompatibility leukocyte antigens (HLA). It was not capable, however, of lysing either a target mismatched for both class I and II HLA or a target partially matched for class I HLA. In addition, the clone exhibited specificity in that it was able to lyse an autologous target infected with typhus group rickettsiae, but did not lyse an autologous target infected with an antigenically distinct rickettsial species, Rickettsia tsutsugamushi. These results demonstrate, for the first time, that cells infected with intracellular bacteria can be lysed by human cytotoxic T lymphocytes.

  16. Genome sequence of Rickettsia bellii illuminates the role of amoebae in gene exchanges between intracellular pathogens.

    Directory of Open Access Journals (Sweden)

    2006-05-01

    Full Text Available The recently sequenced Rickettsia felis genome revealed an unexpected plasmid carrying several genes usually associated with DNA transfer, suggesting that ancestral rickettsiae might have been endowed with a conjugation apparatus. Here we present the genome sequence of Rickettsia bellii, the earliest diverging species of known rickettsiae. The 1,552,076 base pair-long chromosome does not exhibit the colinearity observed between other rickettsia genomes, and encodes a complete set of putative conjugal DNA transfer genes most similar to homologues found in Protochlamydia amoebophila UWE25, an obligate symbiont of amoebae. The genome exhibits many other genes highly similar to homologues in intracellular bacteria of amoebae. We sought and observed sex pili-like cell surface appendages for R. bellii. We also found that R. bellii very efficiently multiplies in the nucleus of eukaryotic cells and survives in the phagocytic amoeba, Acanthamoeba polyphaga. These results suggest that amoeba-like ancestral protozoa could have served as a genetic "melting pot" where the ancestors of rickettsiae and other bacteria promiscuously exchanged genes, eventually leading to their adaptation to the intracellular lifestyle within eukaryotic cells.

  17. Lysis of cells infected with typhus group rickettsiae by a human cytotoxic T cell clone

    International Nuclear Information System (INIS)

    Cytolytic human T cells clones generated in response to the intracellular bacterium Rickettsia typhi were characterized. Growing clones were tested for their ability to proliferate specifically in response to antigens derived from typhus group rickettsiae or to lyse targets infected with R. typhi or Rickettsia prowazekii, as measured by 51Cr-release from target cells. Two clones were able to lyse targets infected with typhus group rickettsiae. One of these clones was more fully characterized because of its rapid growth characteristics. This cytolytic clone was capable of lysing an autologous infected target as well as a target matched for class I and II histocompatibility leukocyte antigens (HLA). It was not capable, however, of lysing either a target mismatched for both class I and II HLA or a target partially matched for class I HLA. In addition, the clone exhibited specificity in that it was able to lyse an autologous target infected with typhus group rickettsiae, but did not lyse an autologous target infected with an antigenically distinct rickettsial species, Rickettsia tsutsugamushi. These results demonstrate, for the first time, that cells infected with intracellular bacteria can be lysed by human cytotoxic T lymphocytes

  18. Identification and characterization of epitopes on the 120-kilodalton surface protein antigen of Rickettsia prowazekii with synthetic peptides.

    OpenAIRE

    Ching, W. M.; WANG, H.; Jan, B; Dasch, G A

    1996-01-01

    The 120-kDa surface protein antigens (SPAs) of typhus rickettsiae are highly immunogenic and have been shown to be responsible for the species-specific serological reactions of the typhus group rickettsiae. To study the immunochemistry of these proteins, overlapping decapeptides encompassing the whole protein were synthesized on derivatized polyethylene pins. A modified enzyme-linked immunosorbent assay was used to identify epitopes recognized by rabbit hyperimmune antisera to Rickettsia prow...

  19. Detección de Rickettsia spp. en ectoparásitos de animales domésticos y silvestres de la Reserva Natural Privada Cerro Chucantí y comunidades aledañas, Panamá, 2007-2010 / Detection of Rickettsia in ectoparasites of wild and domestic mammals from the Cerro Chucanti private reserve and from neighboring towns, Panamá, 2007-2010

    Scientific Electronic Library Online (English)

    Sergio, Bermúdez; Roberto, Miranda; Yamitze, Zaldívar; Publio, González; Guido, Berguido; Diomedes, Trejos; Juan M, Pascale; Marcelo, Labruna.

    2012-06-01

    Full Text Available Introducción. Los ectoparásitos son los principales vectores de rickettsiosis. En Panamá se tienen escasos datos sobre los artrópodos que pudieran considerarse vectores o reservorios. Objetivos. Presentar datos sobre la presencia de Rickettsia spp. en ectoparásitos de fauna silvestre y animales domé [...] sticos en la Reserva Natural Privada Cerro Chucantí y poblados vecinos. Materiales y métodos. Se revisaron 9 personas, 95 mamíferos domésticos y 48 silvestres. Los animales domésticos se examinaron con anuencia del propietario, mientras que la fauna silvestre se capturó con trampas Sherman y Tomahawk. Se extrajeron 21 especies de ectoparásitos: pulgas, piojos, garrapatas y otros ácaros, los cuales se preservaron en etanol al 95 %. Se extrajo material genético de garrapatas y pulgas para ser analizado por técnicas moleculares en la detección de Rickettsia spp. Resultados. Se practicaron 425 reacciones de PCR, de las cuales, 270 resultaron negativas y 155 positivas. De las positivas, 86 amplificaron para el gen gltA (55 % de las positivas); de estos también amplificaron 41 (26 %) para ompA. Se encontró material genético de Rickettsia amblyommii, en garrapatas de caballos (Amblyomma cajennense, Dermacentor nitens), de perros (Rhipicephalus sanguineus) y ninfas de Amblyomma recolectadas en el bosque. Además, se detectó ADN de R. felis en pulgas Ctenocephalides felis de perros. Conclusiones. Se pudo detectar la presencia de R. amblyommii y R. felis en garrapatas y pulgas de animales domésticos de los poblados cercanos a Cerro Chucantí, aun cuando no se pudo encontrar material genético de Rickettsia en ectoparásitos de la fauna silvestre. Abstract in english Introduction. Ectoparasites are the main vectors of rickettsiosis. In Panama, however, limited data are available concerning the arthropod species that serve as vectors or reservoirs. Objectives. Data are presented concerning the presence of Rickettsia in ectoparasites of wildlife and domestic anima [...] ls in the Cerro Chucantí private nature reserve and in neighboring villages. Materials and methods. Nine humans, 95 domestic mammals and 48 wild mammals were examined. Twenty-one species of ectoparasites were obtained, including fleas, lice, ticks and mites. These were preserved in 95% ethanol. Later, the DNA was extracted from the ticks and fleas and analyzed by molecular techniques to detect presence of Rickettsia. Results. Of a total of 425 PCR reactions, 270 were positive for Rickettsia and 155 negative. Among the positive samples, 86 PCR amplified for the gltA gene (55% of positives) and 41 of these also amplified the ompA gene. DNA of Rickettsiaamblyommii was found in horses ticks (Amblyomma cajennense, Dermacentor nitens), dogs ticks (Rhipicephalus sanguineus) and free living nymphs in the forest. Additionally, DNA of R. felis was found in fleas from dogs Ctenocephalides felis. Conclusions. The presence of R. amblyommii and R. felis was detected in ticks and fleas of domestic animals in villages near Cerro Chucanti; however no Rickettsia DNA was found in ectoparasites of non-domestic wildlife.

  20. Detection of Rickettsia in ectoparasites of wild and domestic mammals from the Private Reserve Cerro Chucanti and neighboring towns, Panamá (2007-2010 Detección de Rickettsia sp. en ectoparásitos de animales domésticos y silvestres de la Reserva Natural Privada Cerro Chucantí y comunidades aledañas, Panamá (2007-2010

    Directory of Open Access Journals (Sweden)

    Sergio Eduardo Bermúdez

    2011-12-01

    Full Text Available Introduction. Ectoparasites are the main vectors of rickettsiosis. In Panama, have limited data on the arthropods that may be considered vectors or reservoirs.
    Objectives. The aim is to present data on the presence of Rickettsia in ectoparasites of wildlife and domestic animals in the Private Natural Reserve Cerro Chucantí and neighboring villages.
    Materials and methods. We evaluated 9 humans, 95 domestic mammals and 48 wild. From these, were 21 species of ectoparasites, including fleas, lice, ticks and mites, which were preserved in 95% ethanol. Genetic material was extracted from ticks and fleas to be analyzed by molecular techniques in the detection of Rickettsia.
    Results. A total of 425 were carried out PCR reactions, of which 270 were positive and 155 negative. The positive, 86 PCR amplified for the gltA gene (55% of positives of these also amplified 41 (26% for ompA. DNA of Rickettsia amblyommii was found in horses ticks (Amblyomma cajennense, Dermacentor nitens, dogs ticks (Rhipicephalus sanguineus and free living nymph in forest. Adicionally, DNA of R. felis was found in dogs fleas Ctenocephalides felis.
    Conclusions. Detected the presence of R. amblyommii and R. felis in ticks and fleas of domestic animals of the villages near Cerro Chucanti, even if they were unable to find genetic material from Rickettsia in ectoparasites of wildlife.

    Introducción. Los ectoparásitos son los principales vectores de rickettsiosis. En Panamá se tienen escasos datos sobre los artrópodos que pudieran ser considerados vectores o reservorios.
    Objetivos. Presentar datos sobre la presencia de Rickettsia en ectoparásitos de fauna silvestre y animales domésticos en la Reserva Natural Privada Cerro Chucantí y poblados vecinos.
    Materiales y métodos. Se revisaron 9 personas, 95 mamíferos domésticos y 48 silvestres. Los animales domésticos fueron revisados con anuencia del propietario, mientras que para la captura de fauna silvestre se capturaron con trampas Sherman y Tomahawk. De estos se extrajeron 21 especies de ectoparásitos: pulgas, piojos, garrapatas y otros ácaros, los cuales fueron preservados en etanol al 95%. Se extrajo material genético de garrapatas y pulgas para ser analizados por técnicas moleculares en la detección de Rickettsia.
    Resultados. Se realizaron 425 reacciones de PCR, de los cuales 270 resultaron negativos y 155 positivos. De los positivos, 86 amplificaron para el gen gltA (55% de los positivos, de estos también amplificaron 41 (26% para ompA. Se encontró material genético de Rickettsia amblyommii, en garrapatas de caballos (Amblyomma cajennense, Dermacentor nitens, de perros (Rhipicephalus sanguineus y ninfas de Amblyomma recolectadas en el bosque. Adicionalmente se detectó ADN de R. felis en pulgas Ctenocephalides felis de perros.
    Conclusiones. Se pudo detectar la presencia de R. amblyommii y R. felis en garrapatas y pulgas de animales domésticos de los poblados cercanos a Cerro Chucanti, aun cuando no se pudo encontrar material genético de Rickettsia en ectoparásitos de fauna silvestre.

  1. Rickettsia felis, an emerging flea-transmitted human pathogen

    Directory of Open Access Journals (Sweden)

    Stephen Graves

    2011-07-01

    Full Text Available Rickettsia felis was first recognised two decades ago and has now been described as endemic to all continents except Antarctica. The rickettsiosis caused by R. felis is known as flea-borne spotted fever or cat-flea typhus. The large number of arthropod species found to harbour R. felis and that may act as potential vectors support the view that it is a pan-global microbe. The main arthropod reservoir and vector is the cat flea, Ctenocephalides felis, yet more than 20 other species of fleas, ticks, and mites species have been reported to harbour R. felis. Few bacterial pathogens of humans have been found associated with such a diverse range of invertebrates. With the projected increase in global temperature over the next century, there is concern that changes to the ecology and distribution of R. felis vectors may adversely impact public health.

  2. Sca1, a previously undescribed paralog from autotransporter protein-encoding genes in Rickettsia species

    OpenAIRE

    Raoult Didier; Blanc Guillaume; Ngwamidiba Maxime; Fournier Pierre-Edouard

    2006-01-01

    Abstract Background Among the 17 genes encoding autotransporter proteins of the "surface cell antigen" (sca) family in the currently sequenced Rickettsia genomes, ompA, sca5 (ompB) and sca4 (gene D), have been extensively used for identification and phylogenetic purposes for Rickettsia species. However, none of these genes is present in all 20 currently validated Rickettsia species. Of the remaining 14 sca genes, sca1 is the only gene to be present in all nine sequenced Rickettsia genomes. To...

  3. Proposal to create subspecies of Rickettsia conorii based on multi-locus sequence typing and an emended description of Rickettsia conorii

    Directory of Open Access Journals (Sweden)

    Raoult Didier

    2005-03-01

    Full Text Available Abstract Background Rickettsiae closely related to the Malish strain, the reference Rickettsia conorii strain, include Indian tick typhus rickettsia (ITTR, Israeli spotted fever rickettsia (ISFR, and Astrakhan fever rickettsia (AFR. Although closely related genotypically, they are distinct serotypically. Using multilocus sequence typing (MLST, we have recently found that distinct serotypes may not always represent distinct species within the Rickettsia genus. We investigated the possibility of classifying rickettsiae closely related to R. conorii as R. conorii subspecies as proposed by the ad hoc committee on reconciliation of approaches to bacterial systematics. For this, we first estimated their genotypic variability by using MLST including the sequencing of 5 genes, of 31 rickettsial isolates closely related to R. conorii strain Malish, 1 ITTR isolate, 2 isolates and 3 tick amplicons of AFR, and 2 ISFR isolates. Then, we selected a representative of each MLST genotype and used multi-spacer typing (MST and mouse serotyping to estimate their degree of taxonomic relatedness. Results Among the 39 isolates or tick amplicons studied, four MLST genotypes were identified: i the Malish type; ii the ITTR type; iii the AFR type; and iv the ISFR type. Among these four MLST genotypes, the pairwise similarity in nucleotide sequence varied from 99.8 to 100%, 99.4 to 100%, 98.2 to 99.8%, 98.4 to 99.8%, and 99.2 to 99.9% for 16S rDNA, gltA, ompA, ompB, and sca4 genes, respectively. Representatives of the 4 MLST types were also classified within four types using MST genotyping as well as mouse serotyping. Conclusion Although homogeneous genotypically, strains within the R. conorii species show MST genotypic, serotypic, and epidemio-clinical dissimilarities. We, therefore, propose to modify the nomenclature of the R. conorii species through the creation of subspecies. We propose the names R. conorii subsp. conorii subsp. nov. (type strain = Malish, ATCC VR-613, R. conorii subspecies indica subsp. nov. (type strain = ATCC VR-597, R. conorii subspecies caspia subsp. nov. (type strain = A-167, and R. conorii subspecies israelensis subsp. nov. (type strain = ISTT CDC1. The description of R. conorii is emended to accomodate the four subspecies.

  4. Identification of rickettsiae from wild rats and cat fleas in Malaysia.

    Science.gov (United States)

    Tay, S T; Mokhtar, A S; Low, K C; Mohd Zain, S N; Jeffery, J; Abdul Aziz, N; Kho, K L

    2014-08-01

    Rickettsioses are emerging zoonotic diseases reported worldwide. In spite of the serological evidence of spotted fever group rickettsioses in febrile patients in Malaysia, limited studies have been conducted to identify the animal reservoirs and vectors of rickettsioses. This study investigated the presence of rickettsiae in the tissue homogenates of 95 wild rats and 589 animal ectoparasites. Using PCR assays targeting the citrate synthase gene (gltA), rickettsial DNA was detected in the tissue homogenates of 13 (13.7%) wild rats. Sequence analysis of the gltA amplicons showed 98.6-100% similarity with those of Rickettsia honei/R. conorii/R. raoultii (Rickettsiales: Rickettsiaceae). Sequence analysis of outer membrane protein A gene (ompA) identified Rickettsia sp. TCM1 strain from two rats. No rickettsia was detected from Laelaps mites, Rhipicephalus sanguineus and Haemaphysalis bispinosa ticks, and Felicola subrostratus lice in this study. R. felis was identified from 32.2% of 177 Ctenocephalides felis fleas. Sequence analysis of the gltA amplicons revealed two genotypes of R. felis (Rf31 and RF2125) in the fleas. As wild rats and cat fleas play an important role in the enzoonotic maintenance of rickettsiae, control of rodent and flea populations may be able to reduce transmission of rickettsioses in the local setting. PMID:25171613

  5. Lysis of typhus-group rickettsia-infected targets by lymphokine activated killers

    Energy Technology Data Exchange (ETDEWEB)

    Carl, M.; Dasch, G.A.

    1986-03-01

    The authors recently described a subset of OKT8, OKT3-positive lymphocytes from typhus-group rickettsia immune individuals which were capable of lysing autologous PHA-blasts or Epstein-Barr virus transformed B cells (LCL) infected with typhus-group rickettsiae. In order to determine if killing by these effectors was HLA-restricted, they stimulated peripheral blood mononuclear cells (PBMC) from typhus-group rickettsia immune individuals in vitro with typhus-group rickettsia-derived antigen for one week and then measured lysis of autologous LCL or HLA-mismatched LCL in a 4-6 hour Cr/sup 51/-release assay. There was significant lysis of both the autologous and the HLA-mismatched infected targets as compared to the corresponding uninfected targets. Since this suggested that the effectors were lymphokine activated killers (LAK) rather than cytotoxic T lymphocytes, they then tested this hypothesis by stimulating PBMC from both immune and non-immune individuals in vitro for one week with purified interleukin 2 and measuring lysis of infected, autologous LCL. PBMC thus treated, from both immune and non-immune individuals, were capable of significantly lysing autologous, infected LCL as compared to the non-infected control. They therefore conclude that targets infected with typhus-group rickettsiae are susceptible to lysis to LAK.

  6. The Facultative Symbiont Rickettsia Protects an Invasive Whitefly against Entomopathogenic Pseudomonas syringae Strains.

    Science.gov (United States)

    Hendry, Tory A; Hunter, Martha S; Baltrus, David A

    2014-12-01

    Facultative endosymbionts can benefit insect hosts in a variety of ways, including context-dependent roles, such as providing defense against pathogens. The role of some symbionts in defense may be overlooked, however, when pathogen infection is transient, sporadic, or asymptomatic. The facultative endosymbiont Rickettsia increases the fitness of the sweet potato whitefly (Bemisia tabaci) in some populations through mechanisms that are not yet understood. In this study, we investigated the role of Rickettsia in mediating the interaction between the sweet potato whitefly and Pseudomonas syringae, a common environmental bacterium, some strains of which are pathogenic to aphids. Our results show that P. syringae multiplies within whiteflies, leading to host death, and that whiteflies infected with Rickettsia show a decreased rate of death due to P. syringae. Experiments using plants coated with P. syringae confirmed that whiteflies can acquire the bacteria at a low rate while feeding, leading to increased mortality, particularly when the whiteflies are not infected with Rickettsia. These results suggest that P. syringae may affect whitefly populations in nature and that Rickettsia can ameliorate this effect. This study highlights the possible importance of interactions among opportunistic environmental pathogens and endosymbionts of insects. PMID:25217020

  7. Lysis of typhus-group rickettsia-infected targets by lymphokine activated killers

    International Nuclear Information System (INIS)

    The authors recently described a subset of OKT8, OKT3-positive lymphocytes from typhus-group rickettsia immune individuals which were capable of lysing autologous PHA-blasts or Epstein-Barr virus transformed B cells (LCL) infected with typhus-group rickettsiae. In order to determine if killing by these effectors was HLA-restricted, they stimulated peripheral blood mononuclear cells (PBMC) from typhus-group rickettsia immune individuals in vitro with typhus-group rickettsia-derived antigen for one week and then measured lysis of autologous LCL or HLA-mismatched LCL in a 4-6 hour Cr51-release assay. There was significant lysis of both the autologous and the HLA-mismatched infected targets as compared to the corresponding uninfected targets. Since this suggested that the effectors were lymphokine activated killers (LAK) rather than cytotoxic T lymphocytes, they then tested this hypothesis by stimulating PBMC from both immune and non-immune individuals in vitro for one week with purified interleukin 2 and measuring lysis of infected, autologous LCL. PBMC thus treated, from both immune and non-immune individuals, were capable of significantly lysing autologous, infected LCL as compared to the non-infected control. They therefore conclude that targets infected with typhus-group rickettsiae are susceptible to lysis to LAK

  8. Rickettsia parkeri infecting free-living Amblyomma triste ticks in the Brazilian Pantanal.

    Science.gov (United States)

    Melo, Andréia L T; Alves, Alvair S; Nieri-Bastos, Fernanda A; Martins, Thiago F; Witter, Rute; Pacheco, Thábata A; Soares, Herbert S; Marcili, Arlei; Chitarra, Cristiane S; Dutra, Valéria; Nakazato, Luciano; Pacheco, Richard C; Labruna, Marcelo B; Aguiar, Daniel M

    2015-04-01

    The present study evaluated the infection of rickettsiae in 151 Rhipicephalus sanguineus, 59 Amblyomma ovale, 166 Amblyomma triste, one Amblyomma dissimile and four Amblyomma dubitatum ticks collected in the municipality of Poconé, State of Mato Grosso, within the Pantanal biome of Brazil. Ticks were individually processed by the hemolymph test with Gimenez staining, isolation of rickettsia in Vero cell culture by the shell vial technique, and polymerase chain reaction (PCR) targeting the citrate synthase rickettsial gene. Through the shell vial technique, rickettsiae were successfully isolated and established in Vero cell culture from one free-living A. triste female tick, which previously showed to contain Rickettsia-like organisms by the hemolymph test. Molecular characterization of the rickettsial isolate was achieved through DNA partial sequences of three rickettsial genes (gltA, ompA, ompB), which showed to be all 100% identical to Rickettsia parkeri. After testing all ticks by PCR, the frequency of R. parkeri infection was 7.23% (12/166) in A. triste adult ticks. The remaining ticks were negative by PCR. This is the first report of in vitro isolation of R. parkeri in the Pantanal biome, confirming the occurrence of this emerging rickettsial pathogen in this natural area of South America. PMID:25650348

  9. Effects of dorsal root ganglion destruction by adriamycin in patients with postherpetic neuralgia / Efeitos da destruição da raiz dorsal ganglionar pela adriamicina em pacientes com neuralgia pós-herpética

    Scientific Electronic Library Online (English)

    He, Chun-jing; Luo, yi-ran; Nie, hao-xiong.

    2012-06-01

    Full Text Available OBJETIVO: Investigar os efeitos da destruição da raiz dorsal ganglionar em pacientes com neuralgia pós-herpética. MÉTODOS: Setenta e dois pacientes selecionados com neuralgia pós-herpética foram randomicamente distribuídos em dois grupos (n=36). Grupo A foi o grupo controle (tratado por injeção) e o [...] grupo B foi o grupo com destruição da raiz dorsal do gânglio pela adriamicina. Os escores da Escala Analógica Visual (VAS), SAS, SF-MPQ escores, efeitos clínicos e segurança terapêutica foram avaliados as antes da terapia, uma semana, três e seis meses após a terapia. Quarenta e quatro pacientes foram avaliados pela análise de intenção-em-tratar. RESULTADOS: A média dos escores de dor na escala de Likert foi significativamente reduzida em cada ponto no grupo B. Pacientes no grupo B relataram efetividade clínica aos seis meses com excelente resposta (16), boa resposta (12), melhora mais insatisfatória ou sem modificações (8). Escores VAS a cada tempo após o procedimento foram melhores em comparação ao pré-operatório. No grupo A não foi observada diferença significativa. Pacientes mostraram melhora nos escores de dormir no grupo B. Houve diferença significante no T2 no grupo A que T1. Não houve diferença significante no grupo A nos tempos T3 e T4 após a cirurgia em relação a antes. Comparação entre os grupos: houve diferença significante entre os grupos A e B a cada tempo após a cirurgia. CONCLUSÕES: A destruição da raiz dorsal ganglionar pela adriamicina sob perspectiva guiada pelo C-arm, a cirurgia pontual foi acurada sem qualquer reação adversa ou complicação séria, que pode efetivamente aliviar a dor em pacientes com neuralgia pós-herpética, mas os efeitos de longo prazo necessitam mais estudos. Abstract in english PURPOSE: To investigate the effects of dorsal root ganglion destruction in patients with postherpetic neuralgia (PHN). METHODS: Seventy-two patients with PHN selected were randomly divided into two groups (n=36). Group A was the control group (treated by injection) and group B was the group of dorsa [...] l root ganglion destruction by adriamycin. Visual analog scale scores (VAS), SAS, SF-MPQ scores. Clinical effects and therapy safety were evaluated before therapy, one week, three and six months after therapy. Forty-four patients were available for intention-to-treat analysis. RESULTS: The average pain scores on the Likert scale were significantly reduced at each point in group B. Patients in group B reported clinical effectiveness at six months as excellent response, good response, improved but unsatisfactory or unchanged 16, 12 and 8.VAS scores at each time point after the operation were lower than that before operation and in group A, there was significant difference. Patients showed significant improvement in sleep scores in group B. There was significant difference at T2 in group A than T1. There was no significant difference in group A at T3, T4 after the operation than that before operation. Between group comparison: there was significant difference between group A and group B at each time point after the operation. CONCLUSIONS: Dorsal root ganglion destruction by adriamycin under guidance of C-arm perspective, the puncture operation was accurate without any adverse reaction or serious complications, which could effectively relieve pain of patients with postherpetic neuralgia, but the long-term effects needed further study.

  10. Effects of dorsal root ganglion destruction by adriamycin in patients with postherpetic neuralgia Efeitos da destruição da raiz dorsal ganglionar pela adriamicina em pacientes com neuralgia pós-herpética

    Directory of Open Access Journals (Sweden)

    He Chun-jing

    2012-06-01

    Full Text Available PURPOSE: To investigate the effects of dorsal root ganglion destruction in patients with postherpetic neuralgia (PHN. METHODS: Seventy-two patients with PHN selected were randomly divided into two groups (n=36. Group A was the control group (treated by injection and group B was the group of dorsal root ganglion destruction by adriamycin. Visual analog scale scores (VAS, SAS, SF-MPQ scores. Clinical effects and therapy safety were evaluated before therapy, one week, three and six months after therapy. Forty-four patients were available for intention-to-treat analysis. RESULTS: The average pain scores on the Likert scale were significantly reduced at each point in group B. Patients in group B reported clinical effectiveness at six months as excellent response, good response, improved but unsatisfactory or unchanged 16, 12 and 8.VAS scores at each time point after the operation were lower than that before operation and in group A, there was significant difference. Patients showed significant improvement in sleep scores in group B. There was significant difference at T2 in group A than T1. There was no significant difference in group A at T3, T4 after the operation than that before operation. Between group comparison: there was significant difference between group A and group B at each time point after the operation. CONCLUSIONS: Dorsal root ganglion destruction by adriamycin under guidance of C-arm perspective, the puncture operation was accurate without any adverse reaction or serious complications, which could effectively relieve pain of patients with postherpetic neuralgia, but the long-term effects needed further study.OBJETIVO: Investigar os efeitos da destruição da raiz dorsal ganglionar em pacientes com neuralgia pós-herpética. MÉTODOS: Setenta e dois pacientes selecionados com neuralgia pós-herpética foram randomicamente distribuídos em dois grupos (n=36. Grupo A foi o grupo controle (tratado por injeção e o grupo B foi o grupo com destruição da raiz dorsal do gânglio pela adriamicina. Os escores da Escala Analógica Visual (VAS, SAS, SF-MPQ escores, efeitos clínicos e segurança terapêutica foram avaliados as antes da terapia, uma semana, três e seis meses após a terapia. Quarenta e quatro pacientes foram avaliados pela análise de intenção-em-tratar. RESULTADOS: A média dos escores de dor na escala de Likert foi significativamente reduzida em cada ponto no grupo B. Pacientes no grupo B relataram efetividade clínica aos seis meses com excelente resposta (16, boa resposta (12, melhora mais insatisfatória ou sem modificações (8. Escores VAS a cada tempo após o procedimento foram melhores em comparação ao pré-operatório. No grupo A não foi observada diferença significativa. Pacientes mostraram melhora nos escores de dormir no grupo B. Houve diferença significante no T2 no grupo A que T1. Não houve diferença significante no grupo A nos tempos T3 e T4 após a cirurgia em relação a antes. Comparação entre os grupos: houve diferença significante entre os grupos A e B a cada tempo após a cirurgia. CONCLUSÕES: A destruição da raiz dorsal ganglionar pela adriamicina sob perspectiva guiada pelo C-arm, a cirurgia pontual foi acurada sem qualquer reação adversa ou complicação séria, que pode efetivamente aliviar a dor em pacientes com neuralgia pós-herpética, mas os efeitos de longo prazo necessitam mais estudos.

  11. Resultados comparativos de la disección ganglionar en cáncer de recto con y sin tratamiento previo del tejido adiposo Comparative results of ganglion dissection in cancer of the rectum with and without prior treatment with adipose tissue

    Directory of Open Access Journals (Sweden)

    I. Amat

    2003-12-01

    Full Text Available Fundamento. El propósito de este estudio es describir los resultados obtenidos mediante dos técnicas de aislamiento de ganglios linfáticos en piezas quirúrgicas de resección anterior por adenocarcinoma de recto. Material y métodos. En una serie de 30 casos consecutivos de pacientes intervenidos por adenocarcinoma de recto hemos realizado una búsqueda de ganglios de forma manual convencional y una segunda tras 24 horas en una solución desengrasante a temperatura ambiente. Resultados. En la primera búsqueda se han aislado 335 ganglios linfáticos con una media que oscila entre 6,46 y 17,58, correspondiendo los valores más bajos a los grupos que habían recibido tratamiento adyuvante previo. En la segunda inclusión, tras la acción de la solución de aclaramiento hemos encontrado nuevos ganglios (85 en un 70% de los casos, en número y tamaño sensiblemente inferior al inicial. Conclusiones. La disección ganglionar manual del tejido adiposo es un método fiable para el aislamiento de ganglios linfáticos en las piezas de resección por adenocarcinoma de recto. La búsqueda de ganglios linfáticos tras la acción de una solución de aclaramiento debe reservarse para los casos en los que no se alcanza el mínimo aconsejado en el estadiaje TNM.Background. The aim of this study is to describe the result obtained through two techniques of isolation of lymphatic lymph nodes in surgical pieces of anterior resection due to adenocarcinoma of the rectum. Material and methods. We carried out a search in a series of 30 consecutive cases of patients operated on for adenocarcinoma of the rectum for lymph nodes first in a manual conventional way and second after 24 hours in a degreasing solution at room temperature. Results. In the first search 335 lymph nodes were lymph nodes isolated, with an average that oscillated between 6.46 and 17.58, with the lower values corresponding to the groups that had received prior adjuvant treatment. In the second inclusion, following the action of the clearing solution, we found new lymph nodes (85 in some 75% of the cases, appreciably lower in number and smaller in size than the initial search. Conclusions. Manual lymph nodes dissection of the adipose tissue is a reliable method for the isolation of lymphatic lymph nodes in pieces of resection due to adenocarcinoma of the rectum. The search for lymphatic ganglions following the action of a clearing solution should be reserved for cases in which the minimum recommended in the TNM staging is not reached.

  12. Thoracic radiographic findings in dogs infected with Rickettsia rickettsii

    International Nuclear Information System (INIS)

    Sixteen beagle dogs were injected intradermally with Rickettsia rickettsii. The dogs were divided into four groups (n = 4): 1) infected, non-treated control; 2) infected, treated with doxycycline; 3) infected, treated with doxycycline and an anti-inflammatory dose of corticosteroid; and 4) infected, treated with doxycycline and an immunosuppressive dose of corticosteroid. Thoracic radiographs were made and ocular fluorescein angiography was performed on days 6, 10, 17 post-inoculation. A mild interstitial lung opacity was noted in 4/16 dogs on day 6, 5/16 on day 10 and 3/16 on day 17 post-inoculation. Increased retinal vascular permeability was noted in 8/16 dogs on day 6, 3/16 on day 10 and 1/16 on day 17 post-inoculation. Correlation between the presence of radiographic and retinal lesions was not significant (p = 0.08). Eleven, naturally infected, dogs with thoracic radiographs and a final diagnosis of RMSF were also evaluated. Four of the 11 dogs had an unstructured interstitial pattern. Dogs with acute, experimentally-infected or naturally-occurring RMSF may have subtle pulmonary changes characterized by an unstructured interstitial pattern

  13. Molecular detection of Rickettsia amblyommii in Amblyomma americanum parasitizing humans.

    Science.gov (United States)

    Jiang, Ju; Yarina, Tamasin; Miller, Melissa K; Stromdahl, Ellen Y; Richards, Allen L

    2010-05-01

    A quantitative real-time polymerase chain reaction assay to detect and quantify a portion of the outer membrane protein B gene (ompB) of Rickettsia amblyommii was employed to assess the threat of R. amblyommii exposure to humans parasitized by Amblyomma americanum (the lone star tick). A total of 72 pools of lone star ticks removed from humans were acquired from two collections and used in this study: 44 pools of A. americanum submitted to the Department of Defense Human Tick Test Kit Program in 2003 collected from 220 individuals from 14 states, and 28 pools of A. americanum representing 120 ticks obtained from boy scouts and adult leaders at the Boy Scouts of America National Jamboree held at Fort A.P. Hill, Virginia, in 2005. Of the 72 lone star tick pools representing 340 lone star ticks, 58 pools (80.5%) were positive for R. amblyommii. In addition, individual A. americanum ticks parasitizing humans collected as part of the Department of Defense Human Tick Test Kit Program in 2002 and 2003 from 17 states were evaluated. It was found that 244 of 367 (66.5%) individual A. americanum ticks tested positive for the presence of R. amblyommii DNA. These results clearly show that lone star ticks parasitizing humans are highly infected with R. amblyommii, which may potentiate rickettsial infection of and possibly disease in humans. PMID:19877809

  14. Detection of Rickettsia africae in Rhipicephalus (Boophilus) decoloratus ticks from the Republic of Botswana, South Africa.

    Science.gov (United States)

    Portillo, Aránzazu; Pérez-Martínez, Laura; Santibáñez, Sonia; Blanco, José R; Ibarra, Valvanera; Oteo, José A

    2007-08-01

    A total of 53 engorged adult ticks belonging to the species Rhipicephalus (Boophilus) decoloratus (N = 9), Rhipicephalus evertsi evertsi (N = 27), Rhipicephalus appendiculatus (N = 9), Amblyomma hebraeum (N = 5), and Hyalomma marginatum turanicum (N = 3), were removed from oryx in Botswana (South Africa). They were tested for the presence of spotted fever group (SFG) Rickettsia and Anaplasma phagocytophilum using polymerase chain reaction (PCR). Seventy-seven percent of R. decoloratus as well as twenty percent of A. hebraeum were positive for ompA, gltA and 16S rRNA SFG Rickettsia PCR assays. All nucleotide sequences were homologous to Rickettsia africae, the agent of African tick-bite fever (ATBF). None of the tested ticks was positive for 16S rRNA A. phagocytophilum PCR assays. These results suggest for the first time that R. decoloratus ticks may be reservoirs of R. africae, and support the ATBF risk in this area. PMID:17690416

  15. Molecular evidence of Rickettsia felis infection in dogs from northern territory, Australia

    Directory of Open Access Journals (Sweden)

    Rees Robert L

    2011-10-01

    Full Text Available Abstract The prevalence of spotted fever group rickettsial infection in dogs from a remote indigenous community in the Northern Territory (NT was determined using molecular tools. Blood samples collected from 130 dogs in the community of Maningrida were subjected to a spotted fever group (SFG-specific PCR targeting the ompB gene followed by a Rickettsia felis-specific PCR targeting the gltA gene of R. felis. Rickettsia felis ompB and gltA genes were amplified from the blood of 3 dogs. This study is the first report of R. felis infection in indigenous community dogs in NT.

  16. Molecular evidence of Rickettsia felis infection in dogs from northern territory, Australia

    OpenAIRE

    Rees Robert L; O'Leary Caroline A; Thompson Mary F; Kopp Steven R; Hii Sze-Fui; Traub Rebecca J

    2011-01-01

    Abstract The prevalence of spotted fever group rickettsial infection in dogs from a remote indigenous community in the Northern Territory (NT) was determined using molecular tools. Blood samples collected from 130 dogs in the community of Maningrida were subjected to a spotted fever group (SFG)-specific PCR targeting the ompB gene followed by a Rickettsia felis-specific PCR targeting the gltA gene of R. felis. Rickettsia felis ompB and gltA genes were amplified from the blood of 3 dogs. This ...

  17. Isolation and Identification of Rickettsia massiliae from Rhipicephalus sanguineus Ticks Collected in Arizona

    OpenAIRE

    Eremeeva, Marina E.; Bosserman, Elizabeth A.; Demma, Linda J.; Zambrano, Maria L.; Blau, Dianna M.; Dasch, Gregory A.

    2006-01-01

    Twenty Rhipicephalus sanguineus ticks collected in eastern Arizona were tested by PCR assay to establish their infection rate with spotted fever group rickettsiae. With a nested PCR assay which detects a fragment of the Rickettsia genus-specific 17-kDa antigen gene (htrA), five ticks (25%) were found to contain rickettsial DNA. One rickettsial isolate was obtained from these ticks by inoculating a suspension of a triturated tick into monolayers of Vero E6 monkey kidney cells and XTC-2 clawed ...

  18. Phylogenetic Placement of Rickettsiae from the Ticks Amblyomma americanum and Ixodes scapularis†

    OpenAIRE

    Weller, Susan J.; Baldridge, Gerald D.; Munderloh, Ulrike G.; Noda, Hiroaki; Simser, Jason; Kurtti, Timothy J.

    1998-01-01

    A rickettsial isolate (isolate MOAa) belonging to the spotted fever group (SFG) was obtained from the lone star tick Amblyomma americanum. We used PCR to characterize the genes for the rickettsial outer membrane proteins rOmpA and rOmpB. We sequenced the PCR products (domains I of both the rompA gene and the rompB gene) of MOAa and WB-8-2, another rickettsial isolate from A. americanum. To place MOAa and WB-8-2 and two other nonpathogenic isolates (Rickettsia rickettsii Hlp2 and Rickettsia mo...

  19. Coexistência de linfadenite axilar tuberculosa e metástase ganglionar de carcinoma lobular de mama: relato de um caso / Coexistence of axillary tuberculous lymphadenitis and ganglionic metastasis in mammary lobular carcinoma: a case report

    Scientific Electronic Library Online (English)

    José Juvenal, Linhares; Eduardo Camargo, Millen; Marcelo, Antonini; Pedro César, Fagundes; Pedro Gustavo, Falcão; Joaquim Teodoro de, Araújo Neto.

    2005-07-01

    Full Text Available Relato do caso de uma mulher com 83 anos apresentando nódulo e retração de pele na mama direita com oito meses de evolução. Ao exame físico verificou-se nódulo sólido de 5 cm, localizado no quadrante súpero-lateral de mama direita, associado a presença de retração de pele correspondente e linfonodos [...] axilares não coalescentes ipsilaterais. O resultado da mamografia evidenciou nódulo de 4 cm de diâmetro irregular no quadrante súpero-lateral da mama direita (bi-rads V). Estádio clínico: T2N1M0 (IIB). O tratamento cirúrgico incluiu mastectomia radical modificada (à Maden) com dissecção axilar níveis I, II e III. Avaliação histopatológica demonstrou a presença de carcinoma lobular infiltrativo que mediu 2,5 cm (T2), presença de linfadenite granulomatosa causada por tuberculose em linfonodos dos níveis I, II e III, associados a metástase de carcinoma lobular em um único nível linfático, nível I. Estádio patológico: pT2pN1aM0. A paciente recebeu tratamento para tuberculose ganglionar com rifampicina, isoniazida e pirazinamida por um ano. Foram solicitados receptores hormonais, os quais mostraram-se positivos, sendo feito terapia adjuvante com tamoxifeno. Durante o primeiro ano de seguimento a paciente evoluiu bem, sem sinais de recidiva local ou metástases a distância. Abstract in english Report of a case of an 83-year-old woman presenting a nodule and skin retraction in the right breast for eight months. On physical examination, a solid nodule of 5 cm was observed, located in the upper-lateral quadrant of the right breast, associated with skin retraction and ipsilateral lymph nodes. [...] Mammographic findings showed irregularly limited nodules of 4 cm in the upper-lateral quadrant of the right breast (bi-rads V). Clinical staging: T2N1M0 (IIB). Surgical treatment included a modified radical mastectomy with axillary dissection levels I, II, and III. Histopathologic evaluation demonstrated the presence of an infiltrating lobular carcinoma measuring 2.5 cm (T2), presence of granulomatous lymphadenitis caused by tuberculosis in level I, II, and III lymph nodes, associated with lobular carcinoma metastasis in a single level I lymph node. Pathologic staging: pT2pN1aM0. The treatment for the axillary tuberculous lymphadenitis was done with rifampin, isoniazid and pyrazinamide for one year. Hormone receptors were positive, and adjuvant therapy was initiated with tamoxifen. During the first year of follow-up the patient had no signal of local recurrence or distant metastases.

  20. Coexistência de linfadenite axilar tuberculosa e metástase ganglionar de carcinoma lobular de mama: relato de um caso Coexistence of axillary tuberculous lymphadenitis and ganglionic metastasis in mammary lobular carcinoma: a case report

    Directory of Open Access Journals (Sweden)

    José Juvenal Linhares

    2005-07-01

    Full Text Available Relato do caso de uma mulher com 83 anos apresentando nódulo e retração de pele na mama direita com oito meses de evolução. Ao exame físico verificou-se nódulo sólido de 5 cm, localizado no quadrante súpero-lateral de mama direita, associado a presença de retração de pele correspondente e linfonodos axilares não coalescentes ipsilaterais. O resultado da mamografia evidenciou nódulo de 4 cm de diâmetro irregular no quadrante súpero-lateral da mama direita (bi-rads V. Estádio clínico: T2N1M0 (IIB. O tratamento cirúrgico incluiu mastectomia radical modificada (à Maden com dissecção axilar níveis I, II e III. Avaliação histopatológica demonstrou a presença de carcinoma lobular infiltrativo que mediu 2,5 cm (T2, presença de linfadenite granulomatosa causada por tuberculose em linfonodos dos níveis I, II e III, associados a metástase de carcinoma lobular em um único nível linfático, nível I. Estádio patológico: pT2pN1aM0. A paciente recebeu tratamento para tuberculose ganglionar com rifampicina, isoniazida e pirazinamida por um ano. Foram solicitados receptores hormonais, os quais mostraram-se positivos, sendo feito terapia adjuvante com tamoxifeno. Durante o primeiro ano de seguimento a paciente evoluiu bem, sem sinais de recidiva local ou metástases a distância.Report of a case of an 83-year-old woman presenting a nodule and skin retraction in the right breast for eight months. On physical examination, a solid nodule of 5 cm was observed, located in the upper-lateral quadrant of the right breast, associated with skin retraction and ipsilateral lymph nodes. Mammographic findings showed irregularly limited nodules of 4 cm in the upper-lateral quadrant of the right breast (bi-rads V. Clinical staging: T2N1M0 (IIB. Surgical treatment included a modified radical mastectomy with axillary dissection levels I, II, and III. Histopathologic evaluation demonstrated the presence of an infiltrating lobular carcinoma measuring 2.5 cm (T2, presence of granulomatous lymphadenitis caused by tuberculosis in level I, II, and III lymph nodes, associated with lobular carcinoma metastasis in a single level I lymph node. Pathologic staging: pT2pN1aM0. The treatment for the axillary tuberculous lymphadenitis was done with rifampin, isoniazid and pyrazinamide for one year. Hormone receptors were positive, and adjuvant therapy was initiated with tamoxifen. During the first year of follow-up the patient had no signal of local recurrence or distant metastases.

  1. Analysis of the Rickettsia africae genome reveals that virulence acquisition in Rickettsia species may be explained by genome reduction

    OpenAIRE

    Audic Stéphane; Parola Philippe; Socolovschi Cristina; Renesto Patricia; Giumelli Bernadette; Robert Catherine; Leroy Quentin; El Karkouri Khalid; Fournier Pierre-Edouard; Raoult Didier

    2009-01-01

    Abstract Background The Rickettsia genus includes 25 validated species, 17 of which are proven human pathogens. Among these, the pathogenicity varies greatly, from the highly virulent R. prowazekii, which causes epidemic typhus and kills its arthropod host, to the mild pathogen R. africae, the agent of African tick-bite fever, which does not affect the fitness of its tick vector. Results We evaluated the clonality of R. africae in 70 patients and 155 ticks, and determined its genome sequence,...

  2. High Rates of Rickettsia parkeri Infection in Gulf Coast Ticks (Amblyomma maculatum) and Identification of “Candidatus Rickettsia Andeanae” from Fairfax County, Virginia

    OpenAIRE

    Fornadel, Christen M.; Zhang, Xing; Smith, Joshua D.; Paddock, Christopher D.; Arias, Jorge R.; Norris, Douglas E.

    2011-01-01

    The Gulf Coast tick, Amblyomma maculatum, is a vector of Rickettsia parkeri, a recently identified human pathogen that causes a disease with clinical symptoms that resemble a mild form of Rocky Mountain spotted fever. Because the prevalence of R. parkeri infection in geographically distinct populations of A. maculatum is not fully understood, A. maculatum specimens collected as part of a tick and pathogen surveillance system in Fairfax County, Virginia, were screened to determine pathogen inf...

  3. Rickettsia infection in five areas of the state of São Paulo, Brazil

    Scientific Electronic Library Online (English)

    Maurício C, Horta; Marcelo B, Labruna; Adriano, Pinter; Pedro M, Linardi; Teresinha T S, Schumaker.

    2007-11-01

    Full Text Available This study investigated rickettsial infection in animals, humans, ticks, and fleas collected in five areas of the state of São Paulo. Eight flea species (Adoratopsylla antiquorum antiquorum, Ctenocephalides felis felis, Polygenis atopus, Polygenis rimatus, Polygenis roberti roberti, Polygenis tripus [...] , Rhopalopsyllus lugubris, and Rhopalopsyllus lutzi lutzi), and five tick species (Amblyomma aureolatum, Amblyomma cajennense, Amblyomma dubitatum, Ixodes loricatus, and Rhipicephalus sanguineus) were collected from dogs, cats, and opossums. Rickettsia felis was the only rickettsia found infecting fleas, whereas Rickettsia bellii was the only agent infecting ticks, but no animal or human blood was shown to contain rickettsial DNA. Testing animal and human sera by indirect immunofluorescence assay against four rickettsia antigens (R. rickettsii, R. parkeri, R. felis, and R. bellii), some opossum, dog, horse, and human sera reacted to R. rickettsii with titers at least four-fold higher than to the other three rickettsial antigens. These sera were considered to have a predominant antibody response to R. rickettsii. Using the same criteria, opossum, dog, and horse sera showed predominant antibody response to R. parkeri or a very closely related genotype. Our serological results suggest that both R. rickettsii and R. parkeri infected animals and/or humans in the studied areas.

  4. TRANSCRIPTIONAL ANALYSIS OF RICKETTSIA PROWAZEKII INVASION GENE HOMOLOG (INVA) DURING HOST CELL INFECTION

    Science.gov (United States)

    An invasion gene homolog, invA, of Rickettsia prowazekii has recently been identified to encode a member of Nudix hydrolase subfamily which acts specifically on dinucleoside oligophosphates (NpnN, n³ 5), a group of cellular signaling molecules known as "alarmones". InvA is thought to enhance intrace...

  5. Rickettsia bellii in ticks Amblyomma varium Koch, 1844, from birds in Peru.

    Czech Academy of Sciences Publication Activity Database

    Ogrzewalska, M.; Literák, I.; Cárdenas-Callirgos, J. M.; ?apek, Miroslav; Labruna, M. B.

    2012-01-01

    Ro?. 3, ?. 4 (2012), s. 254-256. ISSN 1877-959X R&D Projects: GA AV ?R IAA601690901; GA MŠk LC06073 Institutional support: RVO:68081766 Keywords : Rickettsia bellii * ticks * Amblyomma calcaratum * birds * Peru Subject RIV: EG - Zoology Impact factor: 2.353, year: 2012

  6. A novel fluorescent in situ hybridization technique for detection of Rickettsia spp. in archival samples

    DEFF Research Database (Denmark)

    Svendsen, Claus Bo; Boye, Mette

    2009-01-01

    A novel, sensitive and specific method for detecting Rickettsia spp. in archival samples is described. The method involves the use of fluorescently marked oligonucleotide probes for in situ hybridization. Specific hybridization of Ricekttsia was found without problems of cross-reactions with bacterial species shown to cross-react serologically.

  7. Rickettsia infection in five areas of the state of São Paulo, Brazil

    Directory of Open Access Journals (Sweden)

    Maurício C Horta

    2007-11-01

    Full Text Available This study investigated rickettsial infection in animals, humans, ticks, and fleas collected in five areas of the state of São Paulo. Eight flea species (Adoratopsylla antiquorum antiquorum, Ctenocephalides felis felis, Polygenis atopus, Polygenis rimatus, Polygenis roberti roberti, Polygenis tripus, Rhopalopsyllus lugubris, and Rhopalopsyllus lutzi lutzi, and five tick species (Amblyomma aureolatum, Amblyomma cajennense, Amblyomma dubitatum, Ixodes loricatus, and Rhipicephalus sanguineus were collected from dogs, cats, and opossums. Rickettsia felis was the only rickettsia found infecting fleas, whereas Rickettsia bellii was the only agent infecting ticks, but no animal or human blood was shown to contain rickettsial DNA. Testing animal and human sera by indirect immunofluorescence assay against four rickettsia antigens (R. rickettsii, R. parkeri, R. felis, and R. bellii, some opossum, dog, horse, and human sera reacted to R. rickettsii with titers at least four-fold higher than to the other three rickettsial antigens. These sera were considered to have a predominant antibody response to R. rickettsii. Using the same criteria, opossum, dog, and horse sera showed predominant antibody response to R. parkeri or a very closely related genotype. Our serological results suggest that both R. rickettsii and R. parkeri infected animals and/or humans in the studied areas.

  8. Rickettsia buchneri sp. nov., a rickettsial endosymbiont of the blacklegged tick Ixodes scapularis.

    Science.gov (United States)

    Kurtti, Timothy J; Felsheim, Roderick F; Burkhardt, Nicole Y; Oliver, Jonathan D; Heu, Chan C; Munderloh, Ulrike G

    2015-03-01

    We obtained a rickettsial isolate from the ovaries of the blacklegged tick, Ixodes scapularis. The isolate (ISO7(T)) was grown in the Ixodes ricinus embryonic cell line IRE11. We characterized the isolate by transmission electron microscopy and gene sequencing. Phylogenetic analysis of 11 housekeeping genes demonstrated that the isolate fulfils the criteria to be classified as a representative of a novel rickettsial species closely related to 'Rickettsia monacensis'. These rickettsiae form a clade separate from other species of rickettsiae. Gene sequences indicated that several genes important in rickettsial motility, invasiveness and temperature adaptation were mutated (e.g. sca2, rickA, hsp22, pldA and htrA). We propose the name Rickettsia buchneri sp. nov. for this bacterium that infects the ovaries of the tick I. scapularis to acknowledge the pioneering contributions of Professor Paul Buchner (1886-1978) to research on bacterial symbionts. The type strain of R. buchneri sp. nov. is strain ISO-7(T) (?=?DSM 29016(T)?=?ATCC VR-1814(T)). PMID:25563918

  9. Rickettsia rickettsii (Rickettsiales: Rickettsiaceae) in Amblyomma americanum (Acari: Ixodidae) from Kansas.

    Science.gov (United States)

    Berrada, Zenda L; Goethert, Heidi K; Cunningham, Jenny; Telford, Sam R

    2011-03-01

    The role of lone star ticks as vectors for Rocky Mountain spotted fever (RMSF) remains poorly described. We compared the entomological inoculation rates (EIRs) for Rickettsia spp. for representative sites in Missouri and Kansas, states that frequently report RMSF each year. Host-seeking ticks were collected during 2006 and pooled tick homogenates analyzed by polymerase chain reaction to detect probable R. rickettsii, with confirmation for multiple gene targets performed on individual ticks from pools that screened positive. Of 870 adult and nymphal lone star ticks, Amblyomma americanum (L.), 0.46% contained DNA of Rickettsia rickettsii. Interestingly, two of these positive ticks were concurrently infected by R. amblyommii. More than 90% of lone star tick pools contained R. amblyommii DNA. Of 169 dog ticks that were analyzed, none were infected by R. rickettsii. The entomological inoculation rate for spotted fever group (SFG) rickettsiae within lone star ticks was an order of magnitude greater than that for dog ticks. We conclude that lone star ticks may be epidemiologically significant vectors of Rocky Mountain spotted fever and of spotted fever group rickettsiae. PMID:21485390

  10. Rickettsia typhi and R. felis in Rat Fleas (Xenopsylla cheopis), Oahu, Hawaii

    OpenAIRE

    Eremeeva, Marina E.; Warashina, Wesley R.; Sturgeon, Michele M.; Buchholz, Arlene E.; Olmsted, Gregory K.; Park, Sarah Y.; Effler, Paul V; Karpathy, Sandor E.

    2008-01-01

    Rickettsia typhi (prevalence 1.9%) and R. felis (prevalence 24.8%) DNA were detected in rat fleas (Xenopsylla cheopis) collected from mice on Oahu Island, Hawaii. The low prevalence of R. typhi on Oahu suggests that R. felis may be a more common cause of rickettsiosis than R. typhi in Hawaii.

  11. Bacteria of the genus Rickettsia in ticks (Acari: Ixodidae) collected from birds in Costa Rica.

    Czech Academy of Sciences Publication Activity Database

    Ogrzewalska, M.; Literák, I.; ?apek, Miroslav; Sychra, O.; Calderón, V. Á.; Rodríguez, B. C.; Prudencio, C.; Martins, T. F.; Labruna, M. B.

    2015-01-01

    Ro?. 6, ?. 4 (2015), s. 478-482. ISSN 1877-959X R&D Projects: GA AV ?R IAA601690901 Institutional support: RVO:68081766 Keywords : Rickettsia * Ticks * Birds * Ixodes * Amblyomma * Costa Rica Subject RIV: EG - Zoology Impact factor: 2.878, year: 2013

  12. Detection of flea-borne Rickettsia species in the Western Himalayan region of India.

    Science.gov (United States)

    Chahota, R; Thakur, S D; Sharma, M; Mittra, S

    2015-01-01

    Human infections by various rickettsial species are frequently reported globally. We investigated a flea-borne rickettsial outbreak infecting 300 people in Western Himalayan region of India. Arthropod vectors (ticks and fleas) and animal and human blood samples from affected households were analysed by gltA and ompB genes based polymerase chain reaction (PCR). Rat flea (Ceratophyllus fasciatus) samples were found harbouring a Rickettsia sp. Phylogenetic analysis based on gltA gene using PHYLIP revealed that the detected Rickettsia sp. has 100% identity with SE313 and RF2125 strains of Rickettsia sp. of flea origin from Egypt and Thai-Myanmar border, respectively and cf1 and 5 strains from fleas and lice from the USA. But, the nucleotide sequence of genetically variable gene ompB of R14 strain was found closely related to cf9 strain, reported from Ctenocephalides felis fleas. These results highlight the public health importance of such newly discovered or less recognised Rickettsia species/strains, harboured by arthropod vectors like fleas. PMID:26068348

  13. Pesquisa de Rickettsia spp em carrapatos Amblyomma cajennense e Amblyomma dubitatum no Estado de São Paulo Survey of Rickettsia spp in the ticks Amblyomma cajennense and Amblyomma dubitatum in the State of São Paulo

    Directory of Open Access Journals (Sweden)

    Richard Campos Pacheco

    2009-06-01

    Full Text Available Foi pesquisada a presença de riquétsias em 3.545 carrapatos Amblyomma cajennense e 2.666 Amblyomma dubitatum. Através do teste de hemolinfa, reação em cadeia pela polimerase e isolamento de rickettsia em cultivo celular, todos os Amblyomma cajennense foram negativos, sendo que 634 (23,8% Amblyomma dubitatum mostraram-se infectados com Rickettsia bellii.The presence of rickettsial infection was surveyed in 3,545 Amblyomma cajennense ticks and 2,666 Amblyomma dubitatum ticks. Using the hemolymph test, polymerase chain reaction and isolation of Rickettsia in cell cultures, all of the Amblyomma cajennense were negative, whereas 634 (23.8% of the Amblyomma dubitatum ticks were shown to be infected with Rickettsia bellii.

  14. Pesquisa de Rickettsia spp em carrapatos Amblyomma cajennense e Amblyomma dubitatum no Estado de São Paulo / Survey of Rickettsia spp in the ticks Amblyomma cajennense and Amblyomma dubitatum in the State of São Paulo

    Scientific Electronic Library Online (English)

    Richard Campos, Pacheco; Maurício Cláudio, Horta; Adriano, Pinter; Jonas, Moraes-Filho; Thiago Fernandes, Martins; Marcello Schiavo, Nardi; Savina Silvana Aparecida Lacerra de, Souza; Celso Eduardo de, Souza; Matias Pablo Juan, Szabó; Leonardo José, Richtzenhain; Marcelo Bahia, Labruna.

    2009-06-01

    Full Text Available Foi pesquisada a presença de riquétsias em 3.545 carrapatos Amblyomma cajennense e 2.666 Amblyomma dubitatum. Através do teste de hemolinfa, reação em cadeia pela polimerase e isolamento de rickettsia em cultivo celular, todos os Amblyomma cajennense foram negativos, sendo que 634 (23,8%) Amblyomma [...] dubitatum mostraram-se infectados com Rickettsia bellii. Abstract in english The presence of rickettsial infection was surveyed in 3,545 Amblyomma cajennense ticks and 2,666 Amblyomma dubitatum ticks. Using the hemolymph test, polymerase chain reaction and isolation of Rickettsia in cell cultures, all of the Amblyomma cajennense were negative, whereas 634 (23.8%) of the Ambl [...] yomma dubitatum ticks were shown to be infected with Rickettsia bellii.

  15. Ixodes ricinus ticks are reservoir hosts for Rickettsia helvetica and potentially carry flea-borne Rickettsia species

    OpenAIRE

    Gaasenbeek Cor; Borgsteede Fred; Brandenburg Afke H; Reusken Chantal; Fonville Manoj; Wielinga Peter R; Sprong Hein; Wb, Giessen Joke

    2009-01-01

    Abstract Background Hard ticks have been identified as important vectors of rickettsiae causing the spotted fever syndrome. Tick-borne rickettsiae are considered to be emerging, but only limited data are available about their presence in Western Europe, their natural life cycle and their reservoir hosts. Ixodes ricinus, the most prevalent tick species, were collected and tested from different vegetation types and from potential reservoir hosts. In one biotope area, the annual and seasonal var...

  16. Genome Sequencing of Four Strains of Rickettsia prowazekii, the Causative Agent of Epidemic Typhus, Including One Flying Squirrel Isolate

    OpenAIRE

    Bishop-Lilly, Kimberly A; Ge, Hong; Butani, Amy; Osborne, Brian; Verratti, Kathleen; Mokashi, Vishwesh; Nagarajan, Niranjan; Pop, Mihai; Read, Timothy D.; Richards, Allen L.

    2013-01-01

    Rickettsia prowazekii is a notable intracellular pathogen, the agent of epidemic typhus, and a potential biothreat agent. We present here whole-genome sequence data for four strains of R. prowazekii, including one from a flying squirrel.

  17. Closing the gaps between genotype and phenotype in Rickettsia rickettsii.

    Science.gov (United States)

    Eremeeva, Marina E; Dasch, Gregory A

    2009-05-01

    Rocky Mountain spotted fever (RMSF) caused by Rickettsia rickettsii is a severe rickettsiosis that occurs in nearly every state of the continental USA. RMSF is endemic in Central and Southern America, with recent well-documented cases in Mexico, Costa Rica, Panama, Colombia, Brazil, and Argentina. RMSF is the most malignant among known rickettsioses causing severe multiorgan dysfunction and high case fatality rates, which can reach 73% in untreated cases. Variations in pathogenic biotypes of R. rickettsii isolates have been described, and potential correlations of these differences to various clinical manifestations of RMSF have been suggested. We have recently reported on a method of genetic comparison employing sequence differences in intergenic regions (IGR typing) in isolates of R. rickettsii of human, tick, and animal origin. The grouping obtained correlated well with 2 other genotyping systems we have developed, which target the presence and distribution of variable numbers of tandem repeats (TR) and insertion/deletion (INDEL) events. Twenty-five total genotypes of R. rickettsii in 4 primary groups could be distinguished: isolates from Montana, isolates associated with Rhipicephalus sanguineus ticks and human infections in Arizona, other isolates from the USA where Dermacentor variabilis is thought to be the primary vector, and the isolates primarily associated with Amblyomma ticks from Central and South America. In addition, isolate Hlp#2, which is often considered to be a nonpathogenic isolate of R. rickettsii and closely related serotype 364D, exhibited the most diversity from the other isolates compared, and they differ significantly from each other. Because complex interactions underlie the pathogenesis of R. rickettsii in vivo, it is difficult to define the causality of individual events that occur in infected vertebrate hosts and humans. Many microbial factors are likely to contribute to the varied ability of R. rickettsii to cause cellular injury; some of them may also contribute importantly to its virulence for vertebrate hosts and may be linked to the variable genetic markers we have identified. Since circulation of R. rickettsii in nature includes vertical transstadial and transovarial transmission within tick vectors and horizontal passages through vertebrate hosts, it is plausible that isolates of different virulence arose when they became isolated during adaptation to novel vertebrate and tick hosts. Characterization of the physiologically important changes in rickettsial gene expression that occur immediately after tick-to-human or tick-to-animal transitions may require development of new experimental systems. PMID:19538260

  18. Implication of the Bacterial Endosymbiont Rickettsia spp. in Interactions of the Whitefly Bemisia tabaci with Tomato yellow leaf curl virus

    OpenAIRE

    Kliot, Adi; Cilia, Michelle; Czosnek, Henryk; Ghanim, Murad

    2014-01-01

    Numerous animal and plant viruses are transmitted by arthropod vectors in a persistent, circulative manner. Tomato yellow leaf curl virus (TYLCV) is transmitted by the sweet potato whitefly Bemisia tabaci. We report here that infection with Rickettsia spp., a facultative endosymbiont of whiteflies, altered TYLCV-B. tabaci interactions. A B. tabaci strain infected with Rickettsia acquired more TYLCV from infected plants, retained the virus longer, and exhibited nearly double the transmission e...

  19. Determination of genome sizes of Rickettsia spp. within the spotted fever group, using pulsed-field gel electrophoresis.

    OpenAIRE

    Roux, V.; Drancourt, M.; Raoult, D.

    1992-01-01

    The chromosome lengths of six spotted fever group Rickettsia species (Rickettsia rickettsii, R. conorii, R. rhipicephali, R. sibirica, R. australis, and R. akari) were estimated by pulsed-field gel electrophoresis. The genome size of R. rickettsii was about 2,100 kb, but the chromosome lengths of the five other species were, surprisingly, much lower and ranged between 1,200 and 1,300 kb.

  20. Interaction of Rickettsia felis with histone H2B facilitates the infection of a tick cell line

    OpenAIRE

    Thepparit, Chutima; Bourchookarn, Apichai; Petchampai, Natthida; Barker, Steven A.; Macaluso, Kevin R.

    2010-01-01

    Haematophagous arthropods are the primary vectors in the transmission of Rickettsia, yet the molecular mechanisms mediating the rickettsial infection of arthropods remain elusive. This study utilized a biotinylated protein pull-down assay together with LC-MS/MS to identify interaction between Ixodes scapularis histone H2B and Rickettsia felis. Co-immunoprecipitation of histone with rickettsial cell lysate demonstrated the association of H2B with R. felis proteins, including outer-membrane pro...

  1. Rickettsia Symbiont in the Pea Aphid Acyrthosiphon pisum: Novel Cellular Tropism, Effect on Host Fitness, and Interaction with the Essential Symbiont Buchnera

    OpenAIRE

    Sakurai, Makiko; Koga, Ryuichi; Tsuchida, Tsutomu; Meng, Xian-ying; Fukatsu, Takema

    2005-01-01

    In natural populations of the pea aphid Acyrthosiphon pisum, a facultative bacterial symbiont of the genus Rickettsia has been detected at considerable infection frequencies worldwide. We investigated the effects of the Rickettsia symbiont on the host aphid and also on the coexisting essential symbiont Buchnera. In situ hybridization revealed that the Rickettsia symbiont was specifically localized in two types of host cells specialized for endosymbiosis: secondary mycetocytes and sheath cells...

  2. Orientia, rickettsia, and leptospira pathogens as causes of CNS infections in Laos : a prospective study

    DEFF Research Database (Denmark)

    Dittrich, Sabine; Rattanavong, Sayaphet

    2015-01-01

    BACKGROUND: Scrub typhus (caused by Orientia tsutsugamushi), murine typhus (caused by Rickettsia typhi), and leptospirosis are common causes of febrile illness in Asia; meningitis and meningoencephalitis are severe complications. However, scarce data exist for the burden of these pathogens in patients with CNS disease in endemic countries. Laos is representative of vast economically poor rural areas in Asia with little medical information to guide public health policy. We assessed whether these pathogens are important causes of CNS infections in Laos. METHODS: Between Jan 10, 2003, and Nov 25, 2011, we enrolled 1112 consecutive patients of all ages admitted with CNS symptoms or signs requiring a lumbar puncture at Mahosot Hospital, Vientiane, Laos. Microbiological examinations (culture, PCR, and serology) targeted so-called conventional bacterial infections (Streptococcus pneumoniae, Neisseria meningitidis, Haemophilus influenzae, S suis) and O tsutsugamushi, Rickettsia typhi/Rickettsia spp, and Leptospira spp infections in blood or cerebrospinal fluid (CSF). We analysed and compared causes and clinical and CSF characteristics between patient groups. FINDINGS: 1051 (95%) of 1112 patients who presented had CSF available for analysis, of whom 254 (24%) had a CNS infection attributable to a bacterial or fungal pathogen. 90 (35%) of these 254 infections were caused by O tsutsugamushi, R typhi/Rickettsia spp, or Leptospira spp. These pathogens were significantly more frequent than conventional bacterial infections (90/1051 [9%] vs 42/1051 [4%]; p<0·0001) by use of conservative diagnostic definitions. CNS infections had a high mortality (236/876 [27%]), with 18% (13/71) for R typhi/Rickettsia spp, O tsutsugamushi, and Leptospira spp combined, and 33% (13/39) for conventional bacterial infections (p=0·076). INTERPRETATION: Our data suggest that R typhi/Rickettsia spp, O tsutsugamushi, and Leptospira spp infections are important causes of CNS infections in Laos. Antibiotics, such as tetracyclines, needed for the treatment of murine typhus and scrub typhus, are not routinely advised for empirical treatment of CNS infections. These severely neglected infections represent a potentially large proportion of treatable CNS disease burden across vast endemic areas and need more attention. FUNDING: Wellcome Trust UK.

  3. Real-time PCR duplex assay for Rickettsia prowazekii and Borrelia recurrentis.

    Science.gov (United States)

    Jiang, Ju; Temenak, Joseph J; Richards, Allen L

    2003-06-01

    Rickettsia prowazekii, the etiologic agent for epidemic typhus, and Borrelia recurrentis, the etiologic agent of relapsing fever, both utilize the same vector, the human body louse (Pediculus humanus), to transmit human disease. We have developed an assay to detect both bacterial pathogens in a single tube utilizing real-time PCR. Assays for both agents are specific. The R. prowazekii and B. recurrentis assays do not detect nucleic acid from R. typhi, R. canada, or any of eight spotted fever rickettsiae. In addition they did not react with Neorickettsia risticii, N. sennetsu, Franciscella persica, Bartonella quintana, Legionella pneumophila, Proteus mirabilis, Salmonella enterica, Escherichia coli, and Staphylococcus aureus. Moreover, the B. recurrentis assay did not detect B. duttonii, B. coriaceae, B. afzelii, B. garinii, B. hermsii, or B. burgdorferi nucleic acid. Both assays detected repeatedly only R. prowazekii or B. recurrentis either when tested alone or together in one test tube. PMID:12860643

  4. Evidence of spotted fever group rickettsiae in state of Rio de Janeiro, Brazil

    Directory of Open Access Journals (Sweden)

    ROZENTAL Tatiana

    2002-01-01

    Full Text Available Ticks were obtained from dogs from February to September of 1999 at weekly intervals, in the County of Piraí, State of Rio de Janeiro. Four hundred seventy four ixodids were taxonomically identified, 103 Amblyomma cajennense, seven Amblyomma ovale, 209 Rhipicephalus sanguineus, and 155 Amblyomma sp. An hemolymph test associated with Giemsa's stain revealed two specimens in 163 ticks tested (R. sanguineus and Amblyomma sp, containing rickettsia-like organisms. Direct immunofluorescence verified the presence of spotted fever group rickettsia in one specimen of R. sanguineus. Considering the limited information on rickettsiosis in Brazil, principally in relation to the vectors involved in perpetuating it in foci, these preliminary results give us an idea on the importance of infection in ticks, allowing to expand our knowledge on this zoonosis.

  5. Tests on ticks from wild birds collected in the eastern United States for rickettsiae and viruses

    Science.gov (United States)

    Clifford, C.M.; Sonenshine, D.E.; Atwood, E.L.; Robbins, C.S.; Hughes, L.E.

    1969-01-01

    Results of tests for rickettsiae and viruses on 4,266 ticks taken from more than 10,000 birds, comprising 150 species, in the eastern United States indicated the presence of two agents: Rickettsia rickettsii and an agent of the typhus group. Infection with R. rickettsii was indicated in 24 pools of Haemaphysalis leporispalustris, five pools of Ixodes dentatus, one pool of Ixodes brunneus, and two pools that contained both I. dentatus and H. leporispalustris. The pools positive for R. rickettsii were from a variety of locations in the eastern U. S. The typhus-group agent was demonstrated only once, in a single pool of H. leporispalustris taken at Kent Point, Maryland. A strain of R. rickettsii was isolated from a pool of 21 larval H. leporispalustris collected at Ocean City, Maryland. This agent possessed several characteristics of other strains of low virulence isolated previously in this region by various authors.

  6. Molecular Detection of Rickettsia africae in Amblyomma variegatum Collected from Sudan.

    Science.gov (United States)

    Nakao, Ryo; Qiu, Yongjin; Salim, Bashir; Hassan, Shawgi Mohamed; Sugimoto, Chihiro

    2015-05-01

    Despite the increasing awareness of the importance of emerging vector-borne diseases, human tick-borne diseases, particularly rickettsial infections, are overlooked, especially in the countries such as Sudan with limited resources to perform molecular-based surveys. This study aimed at detection and genetic characterization of Rickettsia spp. in ticks collected from Sudan. The samples were first screened for the presence of rickettsial agents by gltA real-time PCR and subsequently characterized by gltA and ompA PCR and size-based multispacer typing. The results demonstrated the wide distribution of Rickettsia africae and/or closely related species across Sudan. The results of this report highlight the need for careful consideration of rickettsial infections in patients with nonmalarial febrile illness in this country. Nationwide surveillance on ticks associated with human rickettsial infections in Sudan is warranted. PMID:25988442

  7. Outbreak of Rickettsia africae infections in participants of an adventure race in South Africa.

    Science.gov (United States)

    Fournier, P E; Roux, V; Caumes, E; Donzel, M; Raoult, D

    1998-08-01

    African tick-bite fever, caused by Rickettsia africae and transmitted by Amblyomma ticks, is an emerging rickettsiosis in southern Africa. Because of increased tourism to this area, several cases in tourists have been reported recently. We report 13 cases of R. africae infection diagnosed in France that occurred in competitors returning from an adventure race in South Africa and compare our data with previously reported findings. Most of our patients presented with fever, headache, multiple inoculation eschars, and regional lymphadenopathies, but only 15.4% had a cutaneous rash. Diagnosis was confirmed either by isolation of R. africae from an eschar biopsy specimen or by serological methods, including cross-adsorption between R. africae and Rickettsia conorii. The purpose of this study was to raise physicians' awareness of R. africae infections in an attempt to facilitate the rapid diagnosis and treatment of imported African tick-bite fever in developed countries. PMID:9709882

  8. Genomic and proteinic characterization of strain S, a rickettsia isolated from Rhipicephalus sanguineus ticks in Armenia.

    OpenAIRE

    Eremeeva, M.; Balayeva, N.; Roux, V.; Ignatovich, V.; Kotsinjan, M.; Raoult, D.

    1995-01-01

    Strain S, a spotted fever group (SFG) rickettsia isolated from Rhipicephalus sanguineus ticks collected in Armenia, was identified. Microimmunofluorescence, sodium dodecyl sulfate-polyacrylamide gel protein electrophoresis and Western immunoblotting, PCR and then restriction fragment length polymorphism analysis, pulsed-field gel electrophoresis, and 16S rRNA gene sequencing were used to compare strain S with reference isolates. Strain S was found to possess proteinic, antigenic, and genomic ...

  9. Evidence of Extensive Homologous Recombination in the Core Genome of Rickettsia

    OpenAIRE

    Fangqing Zhao; Jinyu Wu; Qiyu Bao; Tonghai Yu

    2009-01-01

    The important role of homologous recombination has been extensively demonstrated to be fundamental for genetic variation in bacterial genomes. In contrast to extracellular or facultative intracellular bacteria, obligate intracellular bacteria are considered to be less prone to recombination, especially for their core genomes. In Rickettsia, only antigen-related genes were identified to have experienced homologous recombination. In this study, we employed evolutionary genomic approaches to inv...

  10. Taxonomic Relationships among Spotted Fever Group Rickettsiae as Revealed by Antigenic Analysis with Monoclonal Antibodies

    OpenAIRE

    Xu, Wenbin; Raoult, Didier

    1998-01-01

    The spotted fever group (SFG) is made up of more than 20 different rickettsial species and strains. Study of the taxonomic relationships among the group has been attempted by phenotypic, genotypic, and phylogenetic analyses. In this study, we determined taxonomic relationships among the SFG rickettsiae by comparative analysis of immunogenic epitopes reactive against a panel of monoclonal antibodies. A total of 98 monoclonal antibodies, which were directed against epitopes on the major immunod...

  11. Immune responses to Rickettsia akari infection in congenitally athymic nude mice.

    OpenAIRE

    Kenyon, R. H.; Pedersen, C. E.

    1980-01-01

    Athymic BALB/c nude mice and euthymic BALB/c mice were infected with Rickettsia akari by the intraperitoneal route. The rickettsialpox infection was terminated in euthymic mice with only two intraperitoneal injections of the antibiotic oxytetracycline, whereas prolonged treatment was necessary to terminate the infection in athymic mice. Both athymic and euthymic mice produced specific antibody, but athymic mice were still susceptible to reinfection. Killed R. akari served as a protective immu...

  12. Why Are There So Few Rickettsia conorii conorii-Infected Rhipicephalus sanguineus Ticks in the Wild?

    OpenAIRE

    Socolovschi, Cristina; Gaudart, Jean; Bitam, Idir; Huynh, Thi Phong; Raoult, Didier; PAROLA, PHILIPPE

    2012-01-01

    The bacterium Rickettsia conorii conorii is the etiological agent of Mediterranean spotted fever (MSF), which is a life-threatening infectious disease that is transmitted by Rhipicephalus sanguineus, the brown dog tick. Rh. sanguineus-R. conorii conorii relationships in the wild are still poorly understood one century after the discovery of the disease. In this study, we collected naturally infected ticks from the houses of people afflicted by MSF in Algeria. Colonies of both infected and non...

  13. Bacterial diversity in Amblyomma americanum (Acari: Ixodidae) with a focus on members of the genus Rickettsia.

    Science.gov (United States)

    Heise, Stephanie R; Elshahed, M S; Little, S E

    2010-03-01

    The lone star tick, Amblyomma americanum (Acari: Ixodidae), is commonly reported from people and animals throughout the eastern U.S. and is associated with transmission of a number of emerging diseases. To better define the microbial communities within lone star ticks, 16S rRNA gene based analysis using bacteria-wide primers, followed by sequencing of individual clones (n = 449) was used to identify the most common bacterial operational taxonomic units (OTUs) present within colony-reared and wild A. americanum. The colony-reared ticks contained primarily sequence affiliated with members of the genus Coxiella (89%; 81/91), common endosymbionts of ticks, and Brevibacterium (11%; 10/91). Similarly, analysis of clones from unfed wild lone star ticks revealed that 96.7% (89/92) of all the OTUs identified were affiliated with Coxiella-like endosymbionts, as compared with only 5.1-11.7% (5/98-9/77) of those identified from wild lone star ticks after feeding. In contrast, the proportion of OTUs identified as Rickettsia sp. in wild-caught ticks increased from 2.2% (2/92) before feeding to as high as 46.8% (36/77) after feeding, and all Rickettsia spp. sequences recovered were most similar to those described from the spotted fever group Rickettsia, specifically R. amblyommii and R. massiliae. Additional characterization of the Rickettsiales tick community by polymerase chain reaction, cloning, and sequencing of 17 kDa and gltA genes confirmed these initial findings and suggested that novel Rickettsia spp. are likely present in these ticks. These data provide insight into the overall, as well as the rickettsial community of wild lone star ticks and may ultimately aid in identification of novel pathogens transmitted by A. americanum. PMID:20380308

  14. Deamination of deoxycytidine nucleotides by the obligate intracytoplasmic bacterium Rickettsia prowazekii.

    OpenAIRE

    Speed, R R; Winkler, H. H.

    1991-01-01

    Thymidylate biosynthesis via the methylation of dUMP is required for DNA replication in Rickettsia prowazekii, an obligate intracytoplasmic bacterium. In theory, dUMP synthesis could occur either by the deamination of deoxycytidine nucleotides or by the reduction of uridine nucleotides. Accordingly, the incorporation of both radiolabeled cytidine and uridine into the thymidylate of R. prowazekii was examined. After DNA hydrolysis and high-performance liquid chromatography, it was determined t...

  15. ISOLATION OF Rickettsia bellii FROM Amblyomma ovale AND Amblyomma incisum TICKS FROM SOUTHERN BRAZIL

    Directory of Open Access Journals (Sweden)

    Richard Pacheco

    2008-08-01

    Full Text Available Objective. To isolate and characterize rickettsiae from the ticks Amblyomma ovale and Amblyomma incisum collected in the state of São Paulo. Materials and methods. Adult, free-living A. ovale and A. incisum were collected in an Atlantic rainforest area in the state of São Paulo, Brazil. Each tick was tested using the hemolymph assay; samples from positive ticks were placed in shell vials in order to isolate rickettsiae and subsequently grown in Vero cells. Amplification of three rickettsial genes (gltA, htrA and ompA was attempted using polymerase chain reaction (PCR for each isolate obtained. Amplicons were subsequently sequenced. Results. A total of 388 A. incisum and 50 A. ovale were collected. Only one A. incisum and one A. ovale were hemolymph-test positive. Rickettsiae were successfully isolated from these ticks; however establishment in Vero cell culture was successful only for the isolate from A. ovale. Bacterial contamination in the first cell passage of the A. incisum isolate precluded successful isolation of the organism. PCR products were obtained with the gltA and htrA primers for the two isolates, but no product was obtained with the ompA primers. By BLAST analysis, partial gltA and htrA sequences of isolates from A. ovale and A. incisum were similar to the corresponding sequences of R. bellii. Conclusions. This is the first report of R. bellii infecting A. incisum and the first successful isolation from A. ovale.

  16. Spotted fever group Rickettsia infecting ticks (Acari: Ixodidae) in the state of Santa Catarina, Brazil

    Scientific Electronic Library Online (English)

    Alessandra Pereira, Medeiros; Antonio Pereira de, Souza; Anderson Barbosa de, Moura; Marcia Sangaletti, Lavina; Valdomiro, Bellato; Amélia Aparecida, Sartor; Fernanda Aparecida, Nieri-Bastos; Leonardo José, Richtzenhain; Marcelo Bahia, Labruna.

    2011-12-01

    Full Text Available During 2006-2008, a total of 260 adult ticks were collected from domestic and wild animals in different regions of the state of Santa Catarina (SC), Brazil, including areas where human cases of Brazilian spotted fever have been reported. Collected ticks belonging to nine species (Amblyomma aureolatu [...] m, Amblyomma cajennense, Amblyomma dubitatum, Amblyomma longirostre, Amblyomma ovale, Amblyomma tigrinum, Dermacentor nitens, Rhipicephalus microplus and Rhipicephalus sanguineus) were tested by polymerase chain reaction (PCR) for rickettsial infection. Overall, eight (3.1%) ticks were found to be infected with Rickettsia species. After sequencing the PCR products, we determined that the sequences generated from three A. aureolatum, one A. ovale and one R. sanguineus from the municipality of Blumenau, one A. ovale from the municipality of Águas Mornas and one A. ovale from the municipality of Urussanga were identical to the corresponding partial rickettsial ompA gene sequence of Rickettsia parkeri strain Atlantic rainforest. The sequence generated from one A. longirostre from Blumenau was 100% identical to the corresponding partial rickettsial ompA gene sequence of Rickettsia amblyommii strain AL. Because R. parkeri strain Atlantic rainforest was recently shown to have caused two cases of human spotted fever in other states of Brazil, the role of this rickettsial agent as a possible etiological agent of spotted fever in SC is discussed.

  17. Isolation and identification of Rickettsia massiliae from Rhipicephalus sanguineus ticks collected in Arizona.

    Science.gov (United States)

    Eremeeva, Marina E; Bosserman, Elizabeth A; Demma, Linda J; Zambrano, Maria L; Blau, Dianna M; Dasch, Gregory A

    2006-08-01

    Twenty Rhipicephalus sanguineus ticks collected in eastern Arizona were tested by PCR assay to establish their infection rate with spotted fever group rickettsiae. With a nested PCR assay which detects a fragment of the Rickettsia genus-specific 17-kDa antigen gene (htrA), five ticks (25%) were found to contain rickettsial DNA. One rickettsial isolate was obtained from these ticks by inoculating a suspension of a triturated tick into monolayers of Vero E6 monkey kidney cells and XTC-2 clawed toad cells, and its cell culture and genotypic characteristics were determined. Fragments of the 16S rRNA, GltA, rOmpA, rOmpB, and Sca4 genes had 100%, 100%, 99%, 99%, and 99%, respectively, nucleotide similarity to Rickettsia massiliae strain Bar29, previously isolated from R. sanguineus in Catalonia, Spain (L. Beati et al., J. Clin. Microbiol. 34:2688-2694, 1996). The new isolate, AZT80, does not elicit cytotoxic effects in Vero cells and causes a persistent infection in XTC-2 cells. The AZT80 strain is susceptible to doxycycline but resistant to rifampin and erythromycin. Whether R. massiliae AZT80 is pathogenic or infectious for dogs and humans or can cause seroconversion to spotted fever group antigens in the United States is unknown. PMID:16885311

  18. Ganglion cells in circumscribed astrocytic tumors: possible implication in classification and prognosis / Implicação da presença de células ganglionares na classificação e evolução de tumores astrocíticos circunscritos

    Scientific Electronic Library Online (English)

    Veronica Goulart, Moreira; Nathalie Henriques Silva, Canedo; Leila Maria Cardão, Chimelli.

    2013-06-01

    Full Text Available INTRODUÇÃO: As neoplasias circunscritas incluem astrocitoma pilocítico (AP), xantoastrocitoma pleomórfico (XP) e ganglioglioma (GG), que compartilham diversas semelhanças, sendo o AP o de melhor prognóstico. Como as células ganglionares (CG) no GG podem ser escassas e os GGs podem recidivar ou evolu [...] ir (grau III), é fundamental o diagnóstico preciso. OBJETIVOS: Identificar CG e corpos granulares eosinofílicos (CGE) em AP e XP, avaliar sua implicação na evolução e comparar com o GG. MÉTODOS: Análise retrospectiva dos aspectos radiológicos, morfológicos e evolutivos (tempo livre de doença, recidiva e óbito) de 30 casos (14 AP, oito XP, oito GG). Cortes corados com hematoxilina e eosina (HE) foram revistos para a identificação da presença de CG neoplásicas e CGE. Estes foram imunomarcados para sinaptofisina (SIN) e neurofilamento (NF) e, em casos selecionados, para glial fibrillary acidic protein (GFAP). RESULTADOS: Seis AP foram reclassificados para GG pela presença de CG (HE ou imunomarcação). Alguns CGE, semelhantes às CG degeneradas, também imunomarcaram para SIN/NF, a maioria sendo negativa para GFAP. O tempo médio livre de doença foi de 62,16 meses. Quatro tumores recidivaram; um deles evoluiu para óbito. Todos os XP possuíam CG, sugerindo que são variantes de GG, dos quais quatro recidivaram (um óbito). O tempo médio livre de doença foi de 69 meses. O aspecto radiológico foi predominantemente cístico. CONCLUSÃO: Sugerimos que AP e XP com CG ou CGE imunopositivos para marcadores neuronais possam ser variantes de GG e alguns CGE representem CG degeneradas; entretanto, a presença de CG ganglionares parece não modificar o comportamento biológico dessas neoplasias. Abstract in english INTRODUCTION: Glial and neuroglial cell neoplasms comprise pilocytic astrocytoma (PA), pleomorphic xanthoastrocytoma (PXA) and ganglioglioma (GG), which share various similarities, though PA has better prognosis. As ganglion cells (GC) may be scarce in GG and these gangliogliomas may recur or progre [...] ss to grade III, an accurate diagnosis is essential. OBJECTIVES: The aim was to identify GC and eosinophilic granular bodies (EGB) in PA and PXA, to evaluate its effect on patient’s outcome and compare them with GG. METHODS: A retrospective analysis of radiological, morphological and follow-up aspects (disease free-survival, recurrence and death) of 30 cases (14 PA, 8 PXA, 8 GG). Hematoxylin and eosin (HE) stained sections were reviewed to identify the presence of neoplastic GC and EGB. They were immunostained for synaptophysin (SYN) and neurofilament (NF). Glial fibrillary acidic protein (GFAP) immunostaining was performed in selected cases. RESULTS: Six PA were reclassified as GG due to the presence of GC by HE or immunohistochemistry. Some EGB resembling degenerate GC were also immunostained for SYN/NF and most of them were negative for GFAP. The mean disease-free survival was 62.16 months. Four tumors recurred and one patient died. All PXA had GC, suggesting that they were variants of GG, 4 of which recurred and one patient died. Mean disease-free survival was 69 months. The radiological aspect was predominantly cystic. CONCLUSION: We propose that PA and PXA with GC or with EGB immunopositive for neuronal markers could be variants of GG, and some EGB may represent degenerate GC. However, the presence of GC does not seem to modify the biological behavior of these neoplasms.

  19. Prevalence of Rickettsiales (Anaplasma phagocytophilum and Rickettsia spp.) in hard ticks (Ixodes ricinus) in the city of Hamburg, Germany.

    Science.gov (United States)

    May, Kathrin; Strube, Christina

    2014-06-01

    To narrow the gap of missing knowledge on Rickettsia spp. and Anaplasma phagocytophilum infections in ticks in northwestern Germany and, at the same time, to provide first prevalence data on these pathogens in the city of Hamburg, a total of 1,400 questing Ixodes ricinus ticks were collected at ten different public green areas from April until October 2011. Ticks were examined using probe-based quantitative real-time PCR. A percentage of 3.6% (51/1,400) ticks were tested positive for A. phagocytophilum infections divided into 2.1% (3/141) adults [1.7% (1/60) females and 2.5% (2/81) males] and 3.8% (48/1,259) nymphs. The percentage of infected ticks per sampling site varied statistically significantly from 0.7% (1/140) to 12.1% (17/140), whereas between sampling months, no statistically significant differences were observed (2.0-6.5%, 4-13/140). The overall Rickettsia spp. infection rate was 52.5% (735/1,400). In adult ticks, Rickettsia spp. infection rate was 56% (79/141) divided into 61.7% (37/60) infected females and 51.9% (42/81) infected males. Nymphs showed an infection rate of 52.1% (656/1,259). In contrast to A. phagocytophilum infections, no statistically significant differences in Rickettsia spp. infection rates among sampling sites (44.3-63.6%, 62-89/140) were observed, whereas seasonal variations were obvious: the percentage of Rickettsia-positive ticks was significantly lower in April (36.5%, 73/200) and May (29.5%, 59/200) compared to the summer and fall months (55.0-64.5%, 110-129/200). Rickettsia species differentiation via real-time pyrosequencing revealed Rickettsia helvetica as the only occurring species. Co-infections with both Rickettsia spp. and A. phagocytophilum were detected in 2.0% (28/1,400) of the ticks. The present study revealed that in the city of Hamburg, the tick infection rate with A. phagocytophilum is comparable with other German data, whereas the Rickettsia spp. infection rate of 52.5% is by far the highest prevalence detected in Germany so far. As the city of Hamburg has 1.8 million inhabitants and attracts millions of tourists every year, the potential health risk should not be underestimated. PMID:24728556

  20. Detection of anti: Rickettsia spp. antibodies in domestic chickens of extensive breeding in an endemic area for spotted fever in the state of Rio Grande do Sul, Brazil / Detecção de anticorpos anti: Rickettsia spp. em galinhas domésticas de criação extensiva em uma área endêmica para febre maculosa no estado do Rio Grande do Sul, Brasil

    Scientific Electronic Library Online (English)

    Jonas Fernandes, Maciel; Felipe da Silva, Krawczak; Caroline Sobotyk de, Oliveira; Jonas, Moraes-Filho; Marcelo Bahia, Labruna; Sônia de Avila, Botton; Fernanda Silveira Flores, Vogel; Luis Antonio, Sangioni.

    2037-20-01

    Full Text Available Este estudo teve como objetivo pesquisar anticorpos anti-Rickettsia spp. em soros de galinhas domésticas (Gallus gallus domesticus) de criação extensiva, provenientes de área considerada endêmica para febre maculosa no estado do Rio Grande do Sul. Foram coletadas 300 amostras de sangue e os soros ob [...] tidos foram testados para anticorpos anti-Rickettsia spp. pela Reação de Imunofluorescência Indireta (RIFI). A ocorrência de anticorpos anti-Rickettsia spp. observada foi de 1,33% (4/300), com títulos variando de 64 a 256 para Rickettsia rickettsii, Rickettsia parkeri e/ou Rickettsia bellii. Os resultados sugerem que essas galinhas domésticas não participam como reservatório e/ou hospedeiro amplificador na epidemiologia da febre maculosa na área endêmica. O presente estudo consiste na primeira pesquisa sorológica em Gallus gallus domesticus para rickettsia do grupo da febre maculosa no Brasil. Abstract in english The goal of this study was to investigate anti-Rickettsia spp. antibodies in sera of domestic chickens (Gallus gallus domesticus) of extensive breeding in Cerro Largo county, considered an endemic area for spotted fever in the State of Rio Grande do Sul, Brazil. Three hundred blood samples were coll [...] ected and anti-Rickettsia spp. antibodies were evaluated by indirect immunofluorescence assay (IFA) in the sera obtained. The occurrence of anti-Rickettsia spp. antibodies detected in this study was 1.33% (4/300), with endpoint titers ranging from 64 to 256 for Rickettsia rickettsiii, R. parkeri and/or R. bellii. The results suggest these domestic chickens do not participate as a reservoir and/or amplifying host in the epidemiology of spotted fever in that endemic area. The present study consists in the first serological survey in Gallus gallus domesticus to Rickettsiae-spotted fever group in Brazil.

  1. Aproximación clínica y principales rickettsiosis transmitidas por garrapatas presentes en Latinoamérica / Clinical approach and main tick-borne rickettsiosis present in Latin America

    Scientific Electronic Library Online (English)

    Katia, Abarca; José A, Oteo.

    2014-10-01

    Full Text Available Las rickettsiosis transmitidas por garrapatas son infecciones potencialmente letales, que en Latinoamérica tienen carácter emergente y re-emergente. Hasta hace escasos años, la única rickettsiosis transmitida por garrapatas era causada por Rickettsia rickettsii, pero en la actualidad existen otras e [...] species como R. parkeri y R. massiliae que están provocando enfermedad en humanos en la región. Por otro lado, se están describiendo candidatos a nuevas especies de Rickettsia, que aunque no han probado su patogenicidad deben considerarse como potencialmente patógenos. Dado que el diagnóstico microbiológico puede tardar días o semanas, resulta fundamental una alta sospecha clínica y la instauración precoz de un tratamiento adecuado. En esta revisión se detalla la distribución y principales manifestaciones clínicas de las rickettsiosis transmitidas por garrapatas en Latinoamérica. Se ha incluido una sección sobre la infección por R. felis, por haberse encontrado esta especie en garrapatas, y no haberse aclarado el papel de este vector en su ciclo epidemiológico. Abstract in english Tick-borne rickettsial diseases are potentially life threatening infections that in Latin America have an emerging and reemerging character. Until few years ago, Rickettsia rickettsia was the only tick-borne rickettsia present in America; but nowadays several other species such as R. parkeri and R. [...] massiliae are causing disease in humans in the region. In addition, new species are being described; although their pathogenicity has not been confirmed they should be considered as potential pathogens. Since the microbiological diagnosis of rickettsioses can take days or weeks, a high clinical suspicion and early start of appropriate treatment are crucial. In this review the distribution and main clinical manifestations of tick-borne rickettsial diseases in Latin America are detailed. Since R. felis has been found in ticks and the role of this vector has not been clarified, we have included a section about this pathogen.

  2. Detection of "Rickettsia sp. strain Uilenbergi" and "Rickettsia sp. strain Davousti" in Amblyomma tholloni ticks from elephants in Africa

    OpenAIRE

    Jeffery Kathryn; Rolain Jean-Marc; Parola Philippe; Matsumoto Kotaro; Raoult Didier

    2007-01-01

    Abstract Background To date, 6 tick-borne rickettsiae pathogenic for humans are known to occur in Africa and 4 of them were first identified in ticks before being recognized as human pathogens. Results We examined 33 and 5 Amblyomma tholloni ticks from African elephants in the Central African Republic and Gabon, respectively, by PCR amplification and sequencing of a part of gltA and ompA genes of the genus Rickettsia. The partial sequences of gltA and ompA genes detected in tick in Gabon had ...

  3. The influence of temperature and pH on the growth of Rickettsia conorii in irradiated mammalian cells

    International Nuclear Information System (INIS)

    The temperature range for optimum growth of Rickettsia conorii in suspension culture of gamma-irradiated L cells was 32 to 38 degC, resulting in rickettsial doubling times between 4.1 and 6.0 hrs. An asynchronous release of Rickettsia conorii from host cells was suggested by the constant increase in percent cells infected over a 36 hrs period. Rickettsial growth was optimal at neutral to slightly alkaline extracellular pH levels. A moderately acidic pH, however, resulted in an increase in doubling time from 4.1 to 7.8 hrs. (author)

  4. Experimental infection of dogs with a Brazilian strain of Rickettsia rickettsii: clinical and laboratory findings

    Scientific Electronic Library Online (English)

    Eliane M, Piranda; João Luis H, Faccini; Adriano, Pinter; Tais B, Saito; Richard C, Pacheco; Mitika K, Hagiwara; Marcelo B, Labruna.

    2008-11-01

    Full Text Available The bacterium Rickettsia rickettsii is the etiological agent of an acute, severe disease called Rocky Mountain spotted fever in the United States or Brazilian spotted fever (BSF) in Brazil. In addition to these two countries, the disease has also been reported to affect humans in Mexico, Costa Rica, [...] Panama, Colombia and Argentina. Like humans, dogs are also susceptible to R. rickettsii infection. However, despite the wide distribution of R. rickettsii in the Western Hemisphere, reports of R. rickettsii-induced illness in dogs has been restricted to the United States. The present study evaluated the pathogenicity for dogs of a South American strain of R. rickettsii. Three groups of dogs were evaluated: group 1 (G1) was inoculated ip with R. rickettsii; group 2 (G2) was infested by R. rickettsii-infected ticks; and the control group (G3) was infested by uninfected ticks. During the study, no clinical abnormalities, Rickettsia DNA or R. rickettsii-reactive antibodies were detected in G3. In contrast, all G1 and G2 dogs developed signs of rickettsial infection, i.e., fever, lethargy, anorexia, ocular lesions, thrombocytopenia, anemia and detectable levels of Rickettsia DNA and R. rickettsii-reactive antibodies in their blood. Rickettsemia started 3-8 days after inoculation or tick infestation and lasted for 3-13 days. Our results indicate that a Brazilian strain of R. rickettsii is pathogenic for dogs, suggesting that canine clinical illness due to R. rickettsii has been unreported in Brazil and possibly in the other South American countries where BSF has been reported among humans.

  5. Experimental infection of dogs with a Brazilian strain of Rickettsia rickettsii: clinical and laboratory findings

    Directory of Open Access Journals (Sweden)

    Eliane M Piranda

    2008-11-01

    Full Text Available The bacterium Rickettsia rickettsii is the etiological agent of an acute, severe disease called Rocky Mountain spotted fever in the United States or Brazilian spotted fever (BSF in Brazil. In addition to these two countries, the disease has also been reported to affect humans in Mexico, Costa Rica, Panama, Colombia and Argentina. Like humans, dogs are also susceptible to R. rickettsii infection. However, despite the wide distribution of R. rickettsii in the Western Hemisphere, reports of R. rickettsii-induced illness in dogs has been restricted to the United States. The present study evaluated the pathogenicity for dogs of a South American strain of R. rickettsii. Three groups of dogs were evaluated: group 1 (G1 was inoculated ip with R. rickettsii; group 2 (G2 was infested by R. rickettsii-infected ticks; and the control group (G3 was infested by uninfected ticks. During the study, no clinical abnormalities, Rickettsia DNA or R. rickettsii-reactive antibodies were detected in G3. In contrast, all G1 and G2 dogs developed signs of rickettsial infection, i.e., fever, lethargy, anorexia, ocular lesions, thrombocytopenia, anemia and detectable levels of Rickettsia DNA and R. rickettsii-reactive antibodies in their blood. Rickettsemia started 3-8 days after inoculation or tick infestation and lasted for 3-13 days. Our results indicate that a Brazilian strain of R. rickettsii is pathogenic for dogs, suggesting that canine clinical illness due to R. rickettsii has been unreported in Brazil and possibly in the other South American countries where BSF has been reported among humans.

  6. Genomic and comparative genomic analyses of Rickettsia heilongjiangensis provide insight into its evolution and pathogenesis.

    Science.gov (United States)

    Duan, Changsong; Xiong, Xiaolu; Qi, Yong; Gong, Wenping; Jiao, Jun; Wen, Bohai

    2014-08-01

    Rickettsia heilongjiangensis, the causative agent of far eastern spotted fever, is an obligate intracellular gram-negative bacterium that belongs to the spotted fever group rickettsiae. To understand the evolution and pathogenesis of R. heilongjiangensis, we analyzed its genome and compared it with other rickettsial genomes available in GenBank. The R. heilongjiangensis chromosome contains 1333 genes, including 1297 protein coding genes and 36 RNA coding genes. The genome also contains 121 pseudogenes, 54 insertion sequences, and 39 tandem repeats. Sixteen genes encoding the major components of the type IV secretion systems were identified in the R. heilongjiangensis genome. In total, 37 ?-barrel outer membrane proteins were predicted in the genome, eight of which have been previously confirmed to be outer membrane proteins. In addition, 266 potential virulence factor genes, seven partially deleted antibiotic resistance genes, and a genomic island were identified in the genome. The codon usage in the genome is compatible with its low GC content, and the amino acid usage shows apparent bias. A comparative genomic analysis showed that R. heilongjiangensis and R. japonica share one unique fragment that may be a target sequence for a diagnostic assay. The orthologs of 37 genes of R. heilongjiangensis were found in pathogenic R. rickettsii str. Sheila Smith but not in non-pathogenic R. rickettsii str. Iowa, which may explain why R. heilongjiangensis is pathogenic. Pan-genome analysis showed that R. heilongjiangensis and 42 other rickettsiae strains share 693 core genes with a pan-genome size of 4837 genes. The pan-genome-based phylogeny showed that R. heilongjiangensis was closely related to R. japonica. PMID:24924907

  7. Índice ganglionar y número de linfonodos metastásicos como factores pronósticos en cáncer de colon / Lymph node index as a prognostic factor for survival in stage III colon cancer

    Scientific Electronic Library Online (English)

    GUILLERMO, BANNURA C; CLAUDIO, VARGAS S; ALEJANDRO, BARRERA E; CARLOS, MELO L; JAIME, CONTRERAS P.

    2011-10-01

    Full Text Available Introducción: El índice ganglionar (IG) se ha propuesto como un factor pronóstico mejor que el número de LN positivos en cáncer de colon estadio III. El objetivo es comparar estos factores en una serie clínica. Pacientes y Método: Se incluyen todos los pacientes estadio III resecados con intención c [...] urativa (R0). Se compara la sobrevida según el número de LN positivos y el IG mediante el análisis de las curvas ROC. Resultados: Se trata de 115 pacientes con un promedio de edad de 67,9 años (extremos 25-91), el 63,4% mujeres. El compromiso en profundidad del tumor fue T2 en 3 casos, T3 en 93 casos y T4 en 19. El promedio de ganglios positivos fue 3,4 (extremos 1-34). El índice ganglionar promedio fue 0,237 (DE: 0,197; extremos 0,031-0,882) y la mediana fue 0,1666. El 74% de los pacientes tenía 1 a 3 ganglios positivos (N1) y el 26% 4 o más ganglios positivos (N2). El seguimiento promedio fue de 67 meses (extremos 5-216), durante el cual fallecen 29 pacientes. El área bajo la curva ROC del número de LN afectados (0,703; IC 95%:0,58-082) fue levemente mayor que el área bajo la curva ROC del IG (0,690; IC 95%:0,57-0,81) (p = 0,63). Al compararlas en forma dicotómica, el IG (OR: 19,96; IC 95%:1,51-253,6) muestra una mayor capacidad de discriminación que el número de LN afectados (OR: 2,55; IC 95%: 0,86-7,55). Conclusión: El número de LN metastásicos y el IG son factores pronósticos relevantes en la planificación de la adyuvancia del cáncer de colon estadio III. Abstract in english Background: The lymph node ratio in malignant tumors corresponds to the ratio between the number of involved lymph nodes and the number of examined lymph nodes. This ratio may be a good prognostic index in stage III colon cancer. Aim: To compare the lymph node ratio with the absolute number of posit [...] ive lymph nodes as prognostic factors in stage III colon cancer. Material and Methods: Analysis of 115 patients aged 25 to 91 years (63% women) with a stage III colon cancer operated between 1991 and 2007. Survival according to the absolute number of positive lymph nodes and the lymph node index was calculated. The area under receiver operating characteristic (ROC) curves obtained after a COX regression analysis of survival, was used to analyze the prognostic value of each parameter. Results: Lymph node involvement was classified as T2 in three, T3 in 93 and T4 in 19 patients. The mean number of positive lymph nodes was 3.4 (range 1 to 34) and the mean lymph node index was 0.237 ± 0.197 (range 0.031-0.882). Seventy four percent of patients had one to three positive lymph nodes and 24% had more than three. During a mean follow up of 67 months (range 5-216), 29 patients died. In survival analysis, the area under the ROC curve for the number of involved lymph nodes (0.703, 95 confidence intervals (CI) 0.58-0.82) was slightly better than the area for lymph node index (0.69, 95% CI 0.57-0.81). Using a dichotomy analysis, a lymph node index over 0.31 had a higher discriminating value for survival (odds ratio (OR) 19.96 91% CI 1.51-253.6) than the presence of 12 or more involved lymph nodes (OR 2.55 95% CI 0.86-7.55). Conclusions: The lymph node index and the absolute number of involved lymph nodes are prognostic factors in stage III colon cancer.

  8. Dissemination of Spotted Fever Rickettsia Agents in Europe by Migrating Birds

    OpenAIRE

    Elfving, Karin; Olsen, Bjo?rn; Bergstro?m, Sven; Waldenstro?m, Jonas; Lundkvist, A?ke; Sjo?stedt, Anders; Mejlon, Hans; Nilsson, Kenneth

    2010-01-01

    Migratory birds are known to play a role as long-distance vectors for many microorganisms. To investigate whether this is true of rickettsial agents as well, we characterized tick infestation and gathered ticks from 13,260 migratory passerine birds in Sweden. A total of 1127 Ixodes spp. ticks were removed from these birds and the extracted DNA from 957 of them was available for analyses. The DNA was assayed for detection of Rickettsia spp. using real-time PCR, followed by DNA sequencing for s...

  9. A chimeric disposition of the elongation factor genes in Rickettsia prowazekii.

    OpenAIRE

    Syva?nen, A. C.; Amiri, H.; Jamal, A.; Andersson, S. G.; Kurland, C. G.

    1996-01-01

    An exceptional disposition of the elongation factor genes is observed in Rickettsia prowazekii, in which there is only one tuf gene, which is distant from the lone fus gene. In contrast, the closely related bacterium Agrobacterium tumefaciens has the normal bacterial arrangement of two tuf genes, of which one is tightly linked to the fus gene. Analysis of the flanking sequences of the single tuf gene in R. prowazekii shows that it is preceded by two of the four tRNA genes located in the 5' re...

  10. Cosmid cloning of Rickettsia prowazekii antigens in Escherichia coli K-12.

    OpenAIRE

    Krause, D. C.; Winkler, H. H.; Wood, D. O.

    1985-01-01

    Rickettsia prowazekii DNA was partially digested with Sau3A or HindIII, ligated with the cosmid vector pHC79, packaged in vitro, and transduced into Escherichia coli HB101. Cosmid cloning of Sau3A-digested rickettsial DNA yielded 1,288 ampicillin-resistant colonies; 798 cosmid clones resulted with HindIII-digested rickettsial DNA. Chimeric cosmid DNA was extracted from the latter gene bank, digested to completion with HindIII, and compared by agarose gel electrophoresis with a HindIII digest ...

  11. Rickettsia Species Infecting Amblyomma cooperi Ticks from an Area in the State of São Paulo, Brazil, Where Brazilian Spotted Fever Is Endemic

    OpenAIRE

    Labruna, Marcelo B.; Whitworth, Ted; Horta, Mauri?cio C.; Bouyer, Donald H.; Mcbride, Jere W.; Pinter, Adriano; Popov, Vsevolod; Gennari, Solange M.; Walker, David H.

    2004-01-01

    Owing to the potential role of the tick Amblyomma cooperi in the enzootic cycle of Rickettsia rickettsii, the etiologic agent of Brazilian spotted fever (BSF), this study evaluated infection by Rickettsia species in A. cooperi ticks collected from an area in Brazil where BSF is endemic. Among a total of 40 A. cooperi adult ticks collected in an area of BSF endemicity in the state of São Paulo, PCR analysis detected DNA of Rickettsia bellii in 16 ticks (40%), and 3 other ticks (7.5%) were pos...

  12. Infection of the whitefly Bemisia tabaci with Rickettsia spp. alters its interactions with Tomato yellow leaf curl virus

    Science.gov (United States)

    Numerous animal and plant viruses are transmitted by arthropod vectors in a persistent, circulative manner. Tomato yellow leaf curl virus (TYLCV) is transmitted by the sweet potato whitefly Bemisia tabaci. Here we report that infection with Rickettsia spp., a facultative endosymbiont of whiteflies...

  13. Molecular identification of Rickettsia felis in ticks and fleas from an endemic area for Brazilian Spotted Fever

    Scientific Electronic Library Online (English)

    KA, Oliveira; LS, Oliveira; CCA, Dias; A, Silva Jr; MR, Almeida; G, Almada; DH, Bouyer; MAM, Galvão; CL, Mafra.

    2008-03-01

    Full Text Available Rickettsioses are arthropod-borne diseases caused by parasites from the Order Rickettsiales. The most prevalent rickettsial disease in Brazil is Brazilian Spotted Fever (BSF). This work intends the molecular detection of those agents in ectoparasites from an endemic area of BSF in the state of Espír [...] ito Santo. A total of 502 ectoparasites, among them Amblyomma cajennense, Amblyomma dubitatum (A. cooperi), Riphicephalus sanguineus, Anocentor nitens and Ctenocephalides felis, was collected from domestic animals and the environment and separated in 152 lots according to the origin. Rickettsia sp. was detected in pools of all collected species by amplification of 17kDa protein-encoding gene fragments. The products of PCR amplification of three samples were sequenced, and Rickettsia felis was identified in R. sanguineus and C. felis. These results confirm the presence of Rickettsia felis in areas previously known as endemic for BSF, disease caused by Rickettsia rickettsii. Moreover, they show the needing of further studies for deeper knowledge of R. felis-spotted fever epidemiology and differentiation of these diseases in Brazil.

  14. Case report: Co-infection of Rickettsia rickettsii and Streptococcus pyogenes: is fatal Rocky Mountain spotted fever underdiagnosed?

    Science.gov (United States)

    Raczniak, Gregory A; Kato, Cecilia; Chung, Ida H; Austin, Amy; McQuiston, Jennifer H; Weis, Erica; Levy, Craig; Carvalho, Maria da Gloria S; Mitchell, Audrey; Bjork, Adam; Regan, Joanna J

    2014-12-01

    Rocky Mountain spotted fever, a tick-borne disease caused by Rickettsia rickettsii, is challenging to diagnose and rapidly fatal if not treated. We describe a decedent who was co-infected with group A ?-hemolytic streptococcus and R. rickettsii. Fatal cases of Rocky Mountain spotted fever may be underreported because they present as difficult to diagnose co-infections. PMID:25331804

  15. Multispacer Typing (MST) of Spotted Fever Group Rickettsiae Isolated from Humans and Rats in Chengmai County, Hainan Province, China.

    Science.gov (United States)

    Cheng, Xueqin; Jin, Yuming; Lao, Shijun; Huang, Changhe; Huang, Fang; Jia, Pengben; Zhang, Lijuan

    2014-09-01

    Spotted fever caused by spotted fever group rickettsiae (SFGR) is found throughout China. During 2007-2008, 28 human SFGR isolates and 34 rat SFGR isolates including 15 isolates from Rattus fulvescens, 5 isolates from R. edwardsi, 7 isolates from Callosciurus erythraeus roberti and 7 isolates from Dremomys rufigenis) were obtained from L929 cell culture. Previous research indicated that the 62 strains of SFGR mentioned above shared not only the same serophenotype but also 100% of identity sequences of 16S rRNA, gltA, ompA, groEL and 17KD, which enabled us to apply multispacer typing (MST) to the 62 SFGR isolates in the study. Six primer pairs, which were used for typing of Rickettsia rickettsii and Rickettsia conorii, were chosen, and the results exhibited greater nucleotide polymorphisms among the 62 isolates tested. A total of 48 distinct genotypes were identified. The dominant genotype, represented by h3 isolates, accounted for 21.7% (13/60) of the isolates tested, and the remaining 47 genotypes were all unique. Phylogenetic analysis showed that all the 48 genotypes could be classified in the same clade, while the genetically related strain, R. heilongjiangensis, was close but not the same as the cluster. We concluded that the genetically diverse of spotted fever group rickettsiae strains are endemic in Chengmai County, Hainan Province, China. PMID:25324688

  16. Molecular detection of Rickettsia bellii in Amblyomma rotundatum from imported red-footed tortoise (Chelonoides carbonaria).

    Science.gov (United States)

    Erster, Oran; Roth, Asael; Avni, Zvi; King, Rony; Shkap, Varda

    2015-06-01

    Introduction of exotic ticks and pathogens through international animal trade (farm animals and pets) is a serious threat to public health and local fauna. Rapid and correct identification of potential threats is an important step on the way to conduct an efficient control of imported pests. In this report we describe the molecular identification of the neotropic tick Amblyomma rotundatum intercepted from red-footed tortoise (Chelonoides carbonaria), imported to Israel from Florida, USA. Molecular analysis of the ticks conducted upon their identification, revealed that they were infected with Rickettsia bellii. Following their collection, the ticks were examined morphologically and five molecular markers were used to determine their taxonomic identity: cytochrome c oxidase subunit 1 (COX1), cytochrome b (CytB), 12S rRNA, 16S rRNA and internal transcribed sequence 2 (ITS-2). Molecular analysis indicated that all of the collected ticks were Amblyomma rotundatum. Using rickettsial gltA (citrate synthase) gene in real-time PCR analysis we found that approximately 25% of the intercepted ticks (8 of 33) were infected with Rickettsia bellii. It is concluded that accurate and timely identification of imported exotic ticks prevented their introduction to Israel, and that use of molecular tools may further improve the response to such potential threats. PMID:25865033

  17. Isolation and characterization of the dnaA gene of Rickettsia prowazekii

    International Nuclear Information System (INIS)

    The dnaA gene encoding the initiator protein of DNA replication was isolated from the obligate intracellular bacterium, Rickettsia prowazekii. Comparison of the deduced amino acid sequence of R. prowazekii DnaA with other bacterial DnaA proteins revealed extensive similarity. However, the rickettsial sequence is unique in the number of basic lysine residues found within a highly conserved portion of the putative DNA binding region, suggesting that the rickettsial protein may recognize a DNA sequence that differs from the consensus DnaA box sequence identified in other bacteria. Consensus DnaA box sequences, found upstream of many bacterial dnaA genes, were not identified upstream of rickettsial dnaA gene. In addition, gene organization within this region differed from that of other bacteria. The putative start of transcription of the rickettsial dnaA gene was localized to a site 522 nucleotides upstream of the DnaA start codon. Key words: Rickettsia prowazekii; dnaA gene; initiator protein (authors)

  18. Pathogenic Rickettsia Species Acquire Vitronectin from Human Serum to Promote Resistance to Complement-mediated Killing

    Science.gov (United States)

    Riley, Sean P.; Patterson, Jennifer L.; Nava, Samantha; Martinez, Juan J.

    2014-01-01

    SUMMARY Bacteria of the genus Rickettsia are transmitted from arthropod vectors and primarily infect cells of the mammalian endothelial system. Throughout this infectious cycle, the bacteria are exposed to the deleterious effects of serum complement. Using Rickettsia conorii, the etiologic agent of Mediterranean spotted fever (MSF), as a model rickettsial species, we have previously demonstrated that this class of pathogen interacts with human factor H to mediate partial survival in human serum. Herein, we demonstrate that R. conorii also interacts with the terminal complement complex inhibitor vitronectin (Vn). We further demonstrate that an evolutionarily conserved rickettsial antigen, Adr1/RC1281, interacts with human vitronectin and is sufficient to mediate resistance to serum killing when expressed at the outer-membrane of serum sensitive E. coli. Adr1 is an integral outer-membrane protein whose structure is predicted to contain eight membrane-embedded ?-strands and four “loop” regions that are exposed to extracellular milieu. Site-directed mutagenesis of Adr1 revealed that at least two predicted “loop” regions are required to mediate resistance to complement-mediated killing and vitronectin acquisition. These results demonstrate that rickettsial species have evolved multiple mechanisms to evade complement deposition and that evasion of killing in serum is an evolutionarily conserved virulence attribute for this genus of obligate intracellular pathogens. PMID:24286496

  19. Molecular Detection of Rickettsia felis in Different Flea Species from Caldas, Colombia

    Science.gov (United States)

    Ramírez-Hernández, Alejandro; Montoya, Viviana; Martínez, Alejandra; Pérez, Jorge E.; Mercado, Marcela; de la Ossa, Alberto; Vélez, Carolina; Estrada, Gloria; Correa, Maria I.; Duque, Laura; Ariza, Juan S.; Henao, Cesar; Valbuena, Gustavo; Hidalgo, Marylin

    2013-01-01

    Rickettsioses caused by Rickettsia felis are an emergent global threat. Historically, the northern region of the province of Caldas in Colombia has reported murine typhus cases, and recently, serological studies confirmed high seroprevalence for both R. felis and R. typhi. In the present study, fleas from seven municipalities were collected from dogs, cats, and mice. DNA was extracted and amplified by polymerase chain reaction (PCR) to identify gltA, ompB, and 17kD genes. Positive samples were sequenced to identify the species of Rickettsia. Of 1,341 fleas, Ctenocephalides felis was the most prevalent (76.7%). Positive PCR results in the three genes were evidenced in C. felis (minimum infection rates; 5.3%), C. canis (9.2%), and Pulex irritans (10.0%). Basic Local Alignment Search Tool (BLAST) analyses of sequences showed high identity values (> 98%) with R. felis, and all were highly related by phylogenetic analyses. This work shows the first detection of R. felis in fleas collected from animals in Colombia. PMID:23878183

  20. A cluster of Rickettsia rickettsii infection at an animal shelter in an urban area of Brazil.

    Science.gov (United States)

    Rozental, T; Ferreira, M S; Gomes, R; Costa, C M; Barbosa, P R A; Bezerra, I O; Garcia, M H O; Oliveira E Cruz, D M; Galliez, R; Oliveira, S; Brasil, P; Rezende, T; DE Lemos, E R S

    2015-08-01

    Rickettsia rickettsii infection is being increasingly recognized as an important cause of fatal acute illness in Brazil, where this tick-borne disease is designated Brazilian spotted fever (BSF). In this study we report five fatal cases of BSF in employees of an animal shelter in an urban area in the municipality of Rio de Janeiro in southeast Brazil after a natural disaster on 11 January 2011. Four of the cases occurred from 27 January to 11 April 2011, while the fifth fatal case was identified in April 2012. Three cases were confirmed by molecular analysis and two by epidemiological linkage. An investigation of BSF was performed in the animal shelter, and blood samples were collected from 115 employees and 117 randomly selected dogs. The presence of high levels (1024-4096) of antibodies against spotted fever group rickettsiae was found in three (2·6%) employees and 114 (97·5%) dogs. These findings emphasize the need to consider BSF as a possible cause of undifferentiated febrile illness, especially dengue and leptospirosis, in patients occupationally exposed to dogs heavily infested by ticks, mainly working at kennels and animal shelters that have inadequate space for the animals housed and frequently providing an environment conducive to exposure to pathogens such as R. rickettsii. PMID:25483025

  1. Effects of Monocular Deprivation on the Dendritic Features of Retinal Ganglion Cells / Efectos de la Privación Monocular sobre las Características Dendríticas de las Células Ganglionares de la Retina

    Scientific Electronic Library Online (English)

    Philip, Mwachaka; Hassan, Saidi; Paul, Odula; Pamela, Mandela.

    1144-11-01

    Full Text Available La privación monocular de la visión resulta en cambios anatómicos en la corteza visual en favor del ojo no privado. Aunque la retina forma parte de la vía visual, hay escasez de datos sobre el efecto de la privación monocular en su estructura. El objetivo de esta investigación fue describir los efec [...] tos de la privación monocular en las características de las dendritas de las células ganglionares de la retina. Se diseñó un estudio cuasi-experimental. Se examinaron 30 conejos (18 experimentales, 12 controles). La privación monocular se logró a través de la sutura unilateral del párpado en los animales de experimentación. Los conejos fueron observados durante tres semanas. Cada semana, 6 animales experimentales y 3 control fueron eutanasiados, donde se obtuvo la retina y fue procesada para realizar microscopía óptica. Las microfotografías de la retina fueron tomadas con una cámara digital y luego se utilizó el software FIJI para su análisis. El número de dendritas primarias, terminales y el área del campo de dendritas en los ojos no privados aumentó un 66,7% (p=0,385), 400% (p=0,002), y 88,4% (p=0,523), respectivamente. Los ojos no privados, tenían 114,3% más dendritas terminales (p=0,002) en comparación con los controles. Entre los ojos privados, todas las variables medidas tuvieron un aumento gradual en las dos primeras semanas, seguido de descenso con mayor privación. No se observaron diferencias estadísticamente significativas entre los ojos privados y el grupo control. En conclusion, la privación monocular produce un aumento de los contactos sinápticos en los ojos no privados, con cambios recíprocos que se manifiestan en los ojos privados de la visión. Abstract in english Monocular deprivation results in anatomical changes in the visual cortex in favor of the non-deprived eye. Although the retina forms part of the visual pathway, there is scarcity of data on the effect of monocular deprivation on its structure. The objective of this study was to describe the effects [...] of monocular deprivation on the retinal ganglion cell dendritic features. The study design was quasi-experimental. 30 rabbits (18 experimental, 12 controls) were examined. Monocular deprivation was achieved through unilateral lid suture in the experimental animals. The rabbits were observed for three weeks. Each week, 6 experimental and 3 control animals were euthanized, their retina harvested and processed for light microscopy. Photomicrographs of the retina were taken using a digital camera then entered into FIJI software for analysis. The number of primary branches, terminal branches and dendritic field area among the non-deprived eyes increased by 66.7%(p=0.385), 400%(p=0.002), and 88.4%(p=0.523) respectively. Non-deprived eyes had 114.3% more terminal dendrites (p=0.002) compared to controls. Among deprived eyes, all variables measured had a gradual rise in the first two weeks followed by decline with further deprivation. There were no statistically significant differences noted between the deprived and control eyes. Monocular deprivation results in increase in synaptic contacts in the non-deprived eye, with reciprocal changes occurring in the deprived eye.

  2. Molecular detection of Rickettsia aeschlimannii in Hyalomma spp. ticks from camels (Camelus dromedarius) in Nigeria, West Africa.

    Science.gov (United States)

    Kamani, J; Baneth, G; Apanaskevich, D A; Mumcuoglu, K Y; Harrus, S

    2015-06-01

    Several species of the spotted fever group rickettsiae have been identified as emerging pathogens throughout the world, including in Africa. In this study, 197 Hyalomma ticks (Ixodida: Ixodidae) collected from 51 camels (Camelus dromedarius) in Kano, northern Nigeria, were screened by amplification and sequencing of the citrate synthase (gltA), outer membrane protein A (ompA) and 17-kDa antigen gene fragments. Rickettsia sp. gltA fragments were detected in 43.3% (42/97) of the tick pools tested. Rickettsial ompA gene fragments (189?bp and 630?bp) were detected in 64.3% (n?=?27) and 23.8% (n?=?10) of the gltA-positive tick pools by real-time and conventional polymerase chain reaction (PCR), respectively. The amplicons were 99-100% identical to Rickettsia aeschlimannii TR/Orkun-H and R.?aeschlimannii strain EgyRickHimp-El-Arish in GenBank. Furthermore, 17-kDa antigen gene fragments of 214?bp and 265?bp were detected in 59.5% (n?=?25) and 38.1% (n?=?16), respectively, of tick pools, and sequences were identical to one another and 99-100% identical to those of the R.?aeschlimannii strain Ibadan A1 in GenBank. None of the Hyalomma impressum ticks collected were positive for Rickettsia sp. DNA. Rickettsia sp. gltA fragments (133?bp) were detected in 18.8% of camel blood samples, but all samples were negative for the other genes targeted. This is the first report to describe the molecular detection of R.?aeschlimannii in Hyalomma spp. ticks from camels in Nigeria. PMID:25565180

  3. Serosurvey for tick-borne diseases in dogs from the Eastern Amazon, Brazil / Pesquisa Sorologica por doencas transmitidas por carrapatos em caes da Amazonia oriental, Brasil

    Scientific Electronic Library Online (English)

    Mariana Granziera, Spolidorio; Antonio Humberto Hamad, Minervino; Samantha Yuri Oshiro Branco, Valadas; Herbert Sousa, Soares; Kedson Alessandri Lobo, Neves; Marcelo Bahia, Labruna; Mucio Flavio Barbosa, Ribeiro; Solange Maria, Gennari.

    2013-06-25

    Full Text Available Ehrliquiose canina e babesiose canina são as doenças parasitárias transmitidas por carrapatos de maior prevalência em cães do Brasil. Poucos estudos pesquisaram doenças transmitidas por carrapatos na região da Amazônia brasileira. Um total de 129 amostras de sangue foram colhidas de cães da Amazônia [...] oriental brasileira. Setenta e dois cães eram de áreas rurais de 19 municípios do Estado do Pará, e 57 amostras foram colhidas de cães errantes vadios da área urbana do município de Santarém-PA. As amostras de soro foram submetidas ao ensaio de imunofluorescência indireta, com antígenos de Babesia canis vogeli, Ehrlichia canis, e seis espécies de Rickettsia. A frequência de cães com anticorpos anti-B. canis vogeli, anti-E. canis, e anti-Rickettsia spp. foi de 42,6%, 16,2% e 31,7%, respectivamente. Anticorpos anti-B. canis vogeli foram detectados em 59,6% dos cães urbanos, e em 29,1% dos cães rurais (P Abstract in english Canine ehrlichiosis and babesiosis are the most prevalent tick-borne diseases in Brazilian dogs. Few studies have focused attention in surveying tick-borne diseases in the Brazilian Amazon region. A total of 129 blood samples were collected from dogs living in the Brazilian eastern Amazon. Seventy-t [...] wo samples from dogs from rural areas of 19 municipalities and 57 samples from urban stray dogs from Santarém municipality were collected. Serum samples were submitted to Indirect Immunofluorescence Assay (IFA) with antigens of Babesia canis vogeli, Ehrlichia canis, and six Rickettsia species. The frequency of dogs containing anti-B. canis vogeli, anti-E. canis, and anti-Rickettsia spp. antibodies was 42.6%, 16.2%, and 31.7%, respectively. Anti-B. canis vogeli antibodies were detected in 59.6% of the urban dogs, and in 29.1% of the rural dogs (P

  4. Discovery of a Protective Rickettsia prowazekii Antigen Recognized by CD8+ T Cells, RP884, Using an In Vivo Screening Platform

    OpenAIRE

    Gazi, Michal; Caro-gomez, Erika; Goez, Yenny; Cespedes, Maria A.; Hidalgo, Marylin; Correa, Paula; Valbuena, Gustavo

    2013-01-01

    Rickettsia prowazekii has been tested for biological warfare due to the high mortality that it produces after aerosol transmission of very low numbers of rickettsiae. Epidemic typhus, the infection caused by these obligately intracellular bacteria, continues to be a threat because it is difficult to diagnose due to initial non-specific symptoms and the lack of commercial diagnostic tests that are sensitive and specific during the initial clinical presentation. A vaccine to prevent epidemic ty...

  5. Identification of tlc and gltA mRNAs and determination of in situ RNA half-life in Rickettsia prowazekii.

    OpenAIRE

    Cai, J.; Winkler, H. H.

    1993-01-01

    RNAs of Rickettsia prowazekii, an obligate intracytoplasmic bacterium, have been identified and analyzed by an RNase protection assay. Total RNA, a mixture of host cell RNA and rickettsial RNA, was isolated from rickettsia-infected mouse L929 cells by the hot-phenol method. After hybridization with specific antisense RNA probes and digestion with RNase, the protected products were analyzed by electrophoresis and autoradiography. The results show that there is only one mRNA species for the ATP...

  6. Rickettsia in Synanthropic and Domestic Animals and Their Hosts from Two Areas of Low Endemicity for Brazilian Spotted Fever in the Eastern Region of Minas Gerais, Brazil

    OpenAIRE

    Milagres, Bruno S.; Padilha, Amanda F.; Barcelos, Rafael M.; Gomes, Gabriel G.; Montandon, Carlos E.; Pena, Dárlen C. H.; Nieri Bastos, Fernanda A.; Silveira, Iara; Pacheco, Richard; Labruna, Marcelo B; BOUYER, DONALD H.; Freitas, Renata N.; Walker, David H.; Cláudio L. Mafra; Galvao, Márcio A. M.

    2010-01-01

    The aim of this study was to understand the current epidemiology of rickettsial diseases in two rickettsial-endemic regions in Brazil. In the municipalities of Pingo D'Agua and Santa Cruz do Escalvado, among serum samples obtained from horses and dogs, reactivity by immunofluorescent assay against spotted fever group rickettsiae was verified. In some serum samples from opossums (Didelphis aurita) captured in Santa Cruz do Escalvado, serologic response against rickettsiae was also verified. Po...

  7. Morphometric and quantitative characterization of atrial ganglion neurons from the intercaval region in dogs with dilated cardiomyopathy / Caracterização morfométrica e quantitativa dos neurônios ganglionares atriais da faixa intercaval de cães com cardiomiopatia dilatada

    Scientific Electronic Library Online (English)

    A.A., Camacho; R., Oliveira-Alves; R.P., Klein; M.G., Sousa.

    1394-13-01

    Full Text Available Avaliaram-se quantitativa, morfométrica e qualitativamente os neurônios atriais da faixa intercaval de cães com cardiomiopatia dilatada (CMD). Os neurônios dos gânglios nervosos de cães com CMD eram maiores que os dos cães controle. A histopatologia do miocárdio ventricular e dos neurônios gangliona [...] res confirmou a CMD e demonstrou evidente processo degenerativo neuronal ganglionar. Cães com CMD em fase crônica apresentavam cardioneuropatia secundária, provavelmente pela privação da inervação parassimpática cardíaca. Abstract in english The quantity, morphometry, and quality of atrial neurons from the intercaval region in dogs with dilated cardiomyopathy (DCM) were evaluated. Dogs with DCM had greater ganglion neurons than control dogs. The histologic evaluation of the ventricular myocardium and ganglion neurons confirmed DCM and s [...] howed the degeneration of ganglion neurons. Dogs with chronic DCM had a secondary cardioneuropathy owing to impaired parasympathetic neural control.

  8. Serosurvey of antibodies against spotted fever group Rickettsia spp. in horse farms in Northern Paraná, Brazil Soroprevalência de anticorpos contra Rickettsia spp. do grupo febre maculosa em equinos de haras no Norte do Paraná, Brasil

    Directory of Open Access Journals (Sweden)

    Katia Tamekuni

    2010-12-01

    Full Text Available Brazilian spotted fever (BSF is an emerging disease most likely caused by Rickettsia rickettsii. The objective of the present study was to estimate the seroprevalence of BSF rickettsia infections in equines from six horse farms located in Londrina County, Paraná, Southern Brazil. Six owners of horse farms situated in Cambé, Santa Fé, Guaraci and Londrina municipalities participated in the study. All farms were located in areas where BSF has not been reported. A total of 273 horses were sampled and their sera were tested by indirect Immunofluorescence assay (IFA using R. rickettsii and R. parkeri antigens. Titers equal to and greater than 64 were considered positive. Of 273 sera tested, 15 (5.5% reacted to R. rickettsii and 5 (1.8% to R. parkeri. Five out of the six farms studied revealed seropositive animals and seropositivity rate ranged from 0 to 13%. The titers ranged from 64 to 512, and four samples had a titer of 512. Nine animals reacted to R. rickettsii with titers four-fold higher than those for R. parkeri. These results suggest that horses in Northern Paraná may have been exposed to rickettsiae identical or closely related to R. rickettsii.Febre Maculosa Brasileira (FMB é uma doença emergente, sendo Rickettsia rickettsii o seu principal agente etiológico. O objetivo deste estudo foi determinar a soroprevalência de rickettsia do grupo da febre maculosa em equinos de seis haras localizados nos municípios de Cambé, Santa Fé, Guaraci e Londrina. As propriedades eram localizadas na região Norte do Paraná onde casos de FMB ainda não foram diagnosticados. Foram colhidas amostras de sangue de 273 equinos, e os soros foram testados pela RIFI, usando R. rickettsii e R. parkeri como antígenos, considerando-se como positivos títulos >64. Entre 273 soros, 15 (5,5% reagiram contra R. rickettsii e 5 (1,8% para R. parkeri. Cinco de seis haras estudados tinham animais reativos, e a taxa de sororreatividade variou de 0 a 13%. Os títulos variaram de 64 para 512, e três amostras apresentaram título de 512. Nove animais reagiram para R. rickettsii com títulos quatro vezes maiores que para R. parkeri. Esses resultados sugerem que equinos no Norte do Estado do Paraná, Brasil, podem ter sido expostos a uma rickettsia idêntica ou muito próxima a R. rickettsii.

  9. Serosurvey of antibodies against spotted fever group Rickettsia spp. in horse farms in Northern Paraná, Brazil / Soroprevalência de anticorpos contra Rickettsia spp. do grupo febre maculosa em equinos de haras no Norte do Paraná, Brasil

    Scientific Electronic Library Online (English)

    Katia, Tamekuni; Roberta dos Santos, Toledo; Mauro de Freitas, Silva Filho; Valeska Bender, Haydu; Richard Campos, Pacheco; José Henrique, Cavicchioli; Marcelo Bahia, Labruna; John Stephen, Dumler; Odilon, Vidotto.

    2010-12-01

    Full Text Available Febre Maculosa Brasileira (FMB) é uma doença emergente, sendo Rickettsia rickettsii o seu principal agente etiológico. O objetivo deste estudo foi determinar a soroprevalência de rickettsia do grupo da febre maculosa em equinos de seis haras localizados nos municípios de Cambé, Santa Fé, Guaraci e L [...] ondrina. As propriedades eram localizadas na região Norte do Paraná onde casos de FMB ainda não foram diagnosticados. Foram colhidas amostras de sangue de 273 equinos, e os soros foram testados pela RIFI, usando R. rickettsii e R. parkeri como antígenos, considerando-se como positivos títulos >64. Entre 273 soros, 15 (5,5%) reagiram contra R. rickettsii e 5 (1,8%) para R. parkeri. Cinco de seis haras estudados tinham animais reativos, e a taxa de sororreatividade variou de 0 a 13%. Os títulos variaram de 64 para 512, e três amostras apresentaram título de 512. Nove animais reagiram para R. rickettsii com títulos quatro vezes maiores que para R. parkeri. Esses resultados sugerem que equinos no Norte do Estado do Paraná, Brasil, podem ter sido expostos a uma rickettsia idêntica ou muito próxima a R. rickettsii. Abstract in english Brazilian spotted fever (BSF) is an emerging disease most likely caused by Rickettsia rickettsii. The objective of the present study was to estimate the seroprevalence of BSF rickettsia infections in equines from six horse farms located in Londrina County, Paraná, Southern Brazil. Six owners of hors [...] e farms situated in Cambé, Santa Fé, Guaraci and Londrina municipalities participated in the study. All farms were located in areas where BSF has not been reported. A total of 273 horses were sampled and their sera were tested by indirect Immunofluorescence assay (IFA) using R. rickettsii and R. parkeri antigens. Titers equal to and greater than 64 were considered positive. Of 273 sera tested, 15 (5.5%) reacted to R. rickettsii and 5 (1.8%) to R. parkeri. Five out of the six farms studied revealed seropositive animals and seropositivity rate ranged from 0 to 13%. The titers ranged from 64 to 512, and four samples had a titer of 512. Nine animals reacted to R. rickettsii with titers four-fold higher than those for R. parkeri. These results suggest that horses in Northern Paraná may have been exposed to rickettsiae identical or closely related to R. rickettsii.

  10. Evaluación de dos técnicas para la detección molecular de rickettsia asociada a la enfermedad del cogollo arrepollado del papayo en Cuba / Evaluation of two techniques for the molecular diagnosis of rickettsia associated to papaya bunchy top disease in Cuba

    Scientific Electronic Library Online (English)

    Lester, Hernández-Rodríguez; Edel, Pérez López; Maritza, Luis Pantoja; Inés, Peña Bárzaga.

    2014-08-01

    Full Text Available El objetivo de este estudio fue optimizar una técnica de diagnóstico para rickettsia-PBT, bacteria asociada a la enfermedad cogollo arrepollado del papayo (PBT), basada en la hibridación de ácidos nucleicos no radiactiva (HANS-PBT), y comparar la factibilidad de su uso con respecto a la PCR convenci [...] onal. Se optimizó un procedimiento de HANS-PBT que permitió la detección específica de hasta 15 pg de ADN del gen sdhA de rickettsia-PBT. La evaluación de 141 controles caracterizados mediante PCR convencional (PCR-PBT), mostró parámetros de desempeño de la HANS-PBT favorables, con una especificidad diagnóstica (ED) de 97,2% y sensibilidad diagnóstica (SD) de 98,5%. Los análisis simultáneos mediante las dos técnicas de 179 muestras colectadas mayormente en plantaciones del occidente de Cuba evidenciaron la presencia de rickettsia-PBT en 118 plantas. Los parámetros de desempeño de la PCR-PBT y HANS-PBT en la evaluación de estas muestras fueron similares, 96% y 98% de ED, 89% y 75% de SD, respectivamente. Aunque la HANS-PBT mostró valores de sensibilidad menores a la PCR-PBT, es factible su uso para programas de mejoramiento genético o prospecciones en estudios epidemiológicos de la diseminación de la bacteria. Abstract in english The aim of this study was to develop a technique based on non radioactive nucleic acid hybridization for the diagnosis of rickettsia-PBT bacterium associated to the papaya bunchy top disease (NASH-PBT), and to evaluate its use compared with the conventional PCR. The optimized NASH-PBT method allowed [...] the specific detection of 15 pg of sdhA gen DNA of rickettsia-PBT. The validation parameters in the evaluation of 141 controls previously characterized by PCR evidenced the reliability of the technique, showing diagnosis sensitivity (DS) of 97.2% and diagnosis specificity (DE) of 98.5%. The simultaneous analysis by the NASH-PBT and conventional PCR (PCR-PBT) of 179 samples recovered from commercial fields, mostly of the western region of Cuba, evidenced the presence of rickettsia-PBT in 118 plants. The parameters of validations of PCR-PBT and NASH-PBT in the analysis of these samples were 89% and 75% for DS and 96% and 98% for DE, respectively. Despite the lower sensibility value showed respect to NASH-PBT PCR-PBT, its use for genetic improvement programs or surveys in epidemiological studies of this pathogen is realiable.

  11. Antibodies to Rickettsia rickettsii, Rickettsia typhi, Coxiella burnetii, Bartonella henselae, Bartonella quintana, and Ehrlichia chaffeensis among healthy population in Minas Gerais, Brazil

    Scientific Electronic Library Online (English)

    Paulo Sérgio Gonçalves da, Costa; Marcos Emilio, Brigatte; Dirceu Bartolomeu, Greco.

    2005-12-01

    Full Text Available Rickettsial diseases except those belonging to spotted fever group rickettsioses are poorly studied in South America particularly in Brazil where few epidemiological reports have been published. We describe a serosurvey for Rickettsia rickettsii, R. typhi, Coxiella burnetii, Bartonella henselae, B. [...] quintana, and Ehrlichia chaffeensis in 437 healthy people from a Brazilian rural community. The serum samples were tested by indirected micro-immunoflourescence technique and a cutoff titer of 1:64 was used. The seroprevalence rates for R. rickettsii, R. typhi, C. burnetii, B. henselae, B. quintana, and E. chaffeensis were respectively 1.6% (7 samples); 1.1% (5 samples); 3.9% (17 samples); 13.7% (60 samples); 12.8% (56 samples), and 10.5% (46 samples). Frequent multiple/cross-reactivity was observed in this study. Age over 40 years old, urban profession, and rural residence were significantly associated with some but not all infections rate. Low seropositivity rates for R. rickettsii, R. typhi, and C. burnetii contrasted with higher rates of seropositivity for B. quintana, B. henselae, and E. chaffeensis. These results show that all tested rickettsial species or antigenically closely related possible exist in this particular region.

  12. Antibodies to Rickettsia rickettsii, Rickettsia typhi, Coxiella burnetii, Bartonella henselae, Bartonella quintana, and Ehrlichia chaffeensis among healthy population in Minas Gerais, Brazil

    Directory of Open Access Journals (Sweden)

    Paulo Sérgio Gonçalves da Costa

    2005-12-01

    Full Text Available Rickettsial diseases except those belonging to spotted fever group rickettsioses are poorly studied in South America particularly in Brazil where few epidemiological reports have been published. We describe a serosurvey for Rickettsia rickettsii, R. typhi, Coxiella burnetii, Bartonella henselae, B. quintana, and Ehrlichia chaffeensis in 437 healthy people from a Brazilian rural community. The serum samples were tested by indirected micro-immunoflourescence technique and a cutoff titer of 1:64 was used. The seroprevalence rates for R. rickettsii, R. typhi, C. burnetii, B. henselae, B. quintana, and E. chaffeensis were respectively 1.6% (7 samples; 1.1% (5 samples; 3.9% (17 samples; 13.7% (60 samples; 12.8% (56 samples, and 10.5% (46 samples. Frequent multiple/cross-reactivity was observed in this study. Age over 40 years old, urban profession, and rural residence were significantly associated with some but not all infections rate. Low seropositivity rates for R. rickettsii, R. typhi, and C. burnetii contrasted with higher rates of seropositivity for B. quintana, B. henselae, and E. chaffeensis. These results show that all tested rickettsial species or antigenically closely related possible exist in this particular region.

  13. Featured Organism: Reductive Evolution in Bacteria: Buchnera sp., Rickettsia Prowazekii and Mycobacterium Leprae

    Directory of Open Access Journals (Sweden)

    Jo Wixon

    2001-01-01

    Full Text Available Obligate intracellular bacteria commonly have much reduced genome sizes compared to their nearest free-living relatives. One reason for this is reductive evolution: the loss of genes rendered non-essential due to the intracellular habitat. This can occur because of the presence of orthologous genes in the host, combined with the ability of the bacteria to import the protein or metabolite products of the host genes. In this article we take a look at three such bacteria whose genomes have been fully sequenced. Buchnera is an endosymbiont of the pea aphid, Acyrthosiphon pisum, the relationship between these two organisms being so essential that neither can reproduce in the absence of the other. Rickettsia prowazekii is the causative agent of louse-borne typhus in humans and Mycobacterium leprae infection of humans leads to leprosy. Both of these human pathogens have fastidious growth requirements, which has made them very difficult to study.

  14. Candidatus Rickettsia andeanae, a spotted fever group agent infecting Amblyomma parvum ticks in two Brazilian biomes

    Scientific Electronic Library Online (English)

    Fernanda Aparecida, Nieri-Bastos; Marcos Gomes, Lopes; Paulo Henrique Duarte, Cançado; Giselle Ayres Razera, Rossa; João Luiz Horácio, Faccini; Solange Maria, Gennari; Marcelo Bahia, Labruna.

    2014-04-01

    Full Text Available Adult ticks of the species Amblyomma parvum were collected from the vegetation in the Pantanal biome (state of Mato Grosso do Sul) and from horses in the Cerrado biome (state of Piauí) in Brazil. The ticks were individually tested for rickettsial infection via polymerase chain reaction (PCR) targeti [...] ng three rickettsial genes, gltA, ompA and ompB. Overall, 63.5% (40/63) and 66.7% (2/3) of A. parvum ticks from Pantanal and Cerrado, respectively, contained rickettsial DNA, which were all confirmed by DNA sequencing to be 100% identical to the corresponding fragments of the gltA, ompA and ompB genes of Candidatus Rickettsia andeanae. This report is the first to describe Ca. R. andeanae in Brazil.

  15. Rickettsia africae infection complicated with painful sacral syndrome in an Italian traveller returning from Zimbabwe

    Directory of Open Access Journals (Sweden)

    Lorenzo Zammarchi

    2014-12-01

    Full Text Available We report a case of Rickettsia africae infection complicated with painful sacral syndrome in an Italian traveller returning from Zimbabwe. The patient presented with fever, a tache noire on the left leg, and a neurological syndrome characterized by severe pain of the left leg, predominantly located in the left dorsal thigh and radiating to the calf; she had urinary retention and faecal incontinence. The diagnosis of R. africae was confirmed by polymerase chain reaction on a skin biopsy. The severe left leg pain persisted despite a complete course of doxycycline. A 4-month course of corticosteroids and the addition of carbamazepine was needed to achieve the control of pain. This case highlights the possibility of severe manifestations of R. africae infection and the possibility of a complex pathogenesis of the neurological syndrome, due perhaps to both the direct damage induced by R. africae and an immune-mediated mechanism.

  16. The Effects of Beta Rays (Tritium) on the Growth of Rickettsiae and Influenza Virus

    International Nuclear Information System (INIS)

    The growth of Rickettsia mooseri (murine typhus) was increased greatly in embryonate eggs containing tritium oxide at levels of 180, 90 and 45 mc/egg and slightly in eggs containing 22.5 mc/egg; the infections in those given 11.2 mc/egg did not differ from the control. The growth of Rickettsia akari (rickettsial pox) was inhibited completely in eggs containing tritium oxide at levels of 180, 90 and 45 mc/egg, and partially in groups containing 22.5 and 11.2 mc/egg. Results similar to the above were obtained following the inoculation of tritium oxide, 1 mc per 108 cells, into monoclayer cultures of KB cells infected with R. mooseri or R. akari. A decrease in the latent period for the release of influenza virus from the chorioallantoic membranes of embryonate eggs followed the injection of tritium oxide prior to infection with virus. A thousand-fold increase of virus in the chorioallantoic fluids of treated eggs was found 2 h after the inoculation of the infective agent. When detectable amounts of virus appeared in the chorioallantoic fluids of the control eggs, 8 h after infection, the ID50 of the tritium-treated eggs was 10-5,6; both series had an ID50 of 10-7.5 24 h after infection. The amounts of virus in the membranes -of the tritium-treated eggs was increased also. This virus was liberated by removing and washing the membranes, drying the membranes by vacuum sublimation at low temperatures and rupturing the cells of the membranes by rehydration with distilled water. (author)

  17. Serosurvey for tick-borne diseases in dogs from the Eastern Amazon, Brazil Pesquisa Sorológica por doenças transmitidas por carrapatos em cães da Amazônia oriental, Brasil

    Directory of Open Access Journals (Sweden)

    Mariana Granziera Spolidorio

    Full Text Available Canine ehrlichiosis and babesiosis are the most prevalent tick-borne diseases in Brazilian dogs. Few studies have focused attention in surveying tick-borne diseases in the Brazilian Amazon region. A total of 129 blood samples were collected from dogs living in the Brazilian eastern Amazon. Seventy-two samples from dogs from rural areas of 19 municipalities and 57 samples from urban stray dogs from Santarém municipality were collected. Serum samples were submitted to Indirect Immunofluorescence Assay (IFA with antigens of Babesia canis vogeli, Ehrlichia canis, and six Rickettsia species. The frequency of dogs containing anti-B. canis vogeli, anti-E. canis, and anti-Rickettsia spp. antibodies was 42.6%, 16.2%, and 31.7%, respectively. Anti-B. canis vogeli antibodies were detected in 59.6% of the urban dogs, and in 29.1% of the rural dogs (P Ehrliquiose canina e babesiose canina são as doenças parasitárias transmitidas por carrapatos de maior prevalência em cães do Brasil. Poucos estudos pesquisaram doenças transmitidas por carrapatos na região da Amazônia brasileira. Um total de 129 amostras de sangue foram colhidas de cães da Amazônia oriental brasileira. Setenta e dois cães eram de áreas rurais de 19 municípios do Estado do Pará, e 57 amostras foram colhidas de cães errantes vadios da área urbana do município de Santarém-PA. As amostras de soro foram submetidas ao ensaio de imunofluorescência indireta, com antígenos de Babesia canis vogeli, Ehrlichia canis, e seis espécies de Rickettsia. A frequência de cães com anticorpos anti-B. canis vogeli, anti-E. canis, e anti-Rickettsia spp. foi de 42,6%, 16,2% e 31,7%, respectivamente. Anticorpos anti-B. canis vogeli foram detectados em 59,6% dos cães urbanos, e em 29,1% dos cães rurais (P < 0.05. Para E. canis, a soroprevalência foi parecida entre os cães urbanos (15,7% e rurais (16,6%. Para Rickettsia spp., cães rurais apresentaram prevalência (P < 0.05 significativamente maior (40,3% do que os cães urbanos (21,1%. Esse primeiro estudo sobre agentes transmitidos por carrapatos entre cães da Amazônia oriental brasileira indica que estes animais estão expostos a vários agentes. Estes incluem Babesia principalmente na área urbana, Riquétsias do grupo da Febre Maculosa principalmente nas áreas rurais, e Erliquia em cães de ambas as áreas, rural e urbana.

  18. Characterization of rickettsia rickettsii in a case of Fatal Brazilian spotted fever in the city of Rio de Janeiro, Brazil

    Directory of Open Access Journals (Sweden)

    Cristiane Lamas

    2008-04-01

    Full Text Available A lethal case of Brazilian spotted fever (BSF is presented. Clinical features were initially of gastrointestinal involvement and evolved with progression to septic shock, meningoencephalitis and death on the 6th day of illness. Indirect immunofluorescence assay (IFA for spotted fever group rickettsia (SFGR was non-reactive. Diagnosis was confirmed by the polymerase chain reaction (PCR and the nucleotide sequencing of a fragment of the ompA gene showed 100% homology to Rickettsia rickettsii. BSF has not been reported in the city of Rio de Janeiro in the last three decades, and the present description should alert the clinicians to its presence in urban Rio de Janeiro, and to the differential diagnosis with dengue fever, gastroenteritis, leptospirosis and bacterial septic shock, among others.

  19. Atypical fulminant Rickettsia rickettsii infection (Brazilian spotted fever) presenting as septic shock and Adult Respiratory Distress Syndrome

    Scientific Electronic Library Online (English)

    Paulo Sérgio Gonçalves da, Costa; Marcos Emilio, Brigatte; Edmilton Pereira de, Almeida; Lena Márcia de Carvalho, Valle.

    2002-04-01

    Full Text Available Brazilian spotted fever, caused by Rickettsia rickettsii, has been increasingly reported in Brazil especially in the southeastern states. The severe and fulminant forms of the disease are not unusual but most of the reported fatal cases have shown some typical clinical clue, which leads the attendin [...] g physician to a correct diagnosis. We report a probable case of atypical fulminant Brazilian spotted fever that presented full-blown septic shock associated with Adult Respiratory Distress Syndrome (ARDS) and delayed uncharacteristic rash with an over four-fold increase in reciprocal IgM, but not IgG titer against Rickettsia rickettsii. Brazilian practitioners should be aware of the possibility of Brazilian spotted fever as a cause of fulminant primary sepsis with ARDS; improved laboratory methods are necessary for the rapid diagnosis of such cases.

  20. Molecular detection of hemoprotozoa and Rickettsia species in arthropods collected from wild animals in the Burgos Province, Spain

    OpenAIRE

    Lledó, Lourdes; Giménez-Pardo, Consuelo; Domínguez-Peñafiel, Gerardo; de Sousa, Rita; Gegúndez, Maria Isabep; Casado, Nieves; Criado, Angel

    2010-01-01

    Limited information on the presence of bacterial and hematozoan infections in parasitic arthropods from Spain is available. In an attempt to address this issue, the prevalence of Theileria, Babesia, Hepatozoon, and Rickettsia species was investigated by polymerase chain reaction plus sequencing. In a survey for zoonotic pathogens in ectoparasites, 42 wild animals (which included rodents, carnivores, Sciuridae, and Cervidae) were captured in Burgos (Spain). A total of 256 arthropods (including...

  1. Tick-borne zoonotic pathogens in ticks feeding on the common nightingale including a novel strain of Rickettsia sp.

    Czech Academy of Sciences Publication Activity Database

    Dubská, L.; Literák, I.; Kverek, P.; Roubalová, Eva; Kocianova, E.; Taragelova, V.

    2012-01-01

    Ro?. 3, ?. 4 (2012), s. 265-268. ISSN 1877-959X Grant ostatní: MSM(CZ) MSM6215712402 Institutional support: RVO:60077344 Keywords : tick * Ixodes ricinus * Borrelia garinii * Anaplasma phagocytophilum * Rickettsia helvetica * Babesia sp. EU1 * Common nightingale Subject RIV: GJ - Animal Vermins ; Diseases, Veterinary Medicine Impact factor: 2.353, year: 2012 http://www.sciencedirect.com/science/article/pii/S1877959X12000556

  2. Rickettsia rickettsii isolation from naturally infected Amblyomma parvum ticks by centrifugation in a 24-well culture plate technique

    OpenAIRE

    K. Dzul-Rosado; G. Peniche-Lara; R. Tello-Martín; Zavala-Velázquez, J.; R. de Campos Pacheco; Labruna, M. B.; E.C. Sánchez; J. Zavala-Castro

    2013-01-01

    Rocky Mountain spotted fever is an acute illness caused by Rickettsia rickettsii (R. rickettsii) and is transmitted by the bite of ticks of the genera Dermacentor, Amblyomma and Rhipicephalus. The illness results in a high mortality rate and may be easily confused with other febrile syndromes. In Yucatan State, Mexico, childhood cases with a high mortality have been reported. In this work we report the isolation of a Mexican R. rickettsii strain from a tick egg mass using an alternative meth...

  3. Lawsonia intracellularis Contains a Gene Encoding a Functional Rickettsia-Like ATP/ADP Translocase for Host Exploitation?

    OpenAIRE

    Schmitz-Esser, Stephan; Haferkamp, Ilka; Knab, Silvia; Penz, Thomas; Ast, Michelle; Kohl, Christian; Wagner, Michael; Horn, Matthias

    2008-01-01

    ATP/ADP translocases are a hallmark of obligate intracellular pathogens related to chlamydiae and rickettsiae. These proteins catalyze the highly specific exchange of bacterial ADP against host ATP and thus allow bacteria to exploit their hosts' energy pool, a process also referred to as energy parasitism. The genome sequence of the obligate intracellular pathogen Lawsonia intracellularis (Deltaproteobacteria), responsible for one of the most economically important diseases in the swine indus...

  4. Multispacer Typing (MST) of Spotted Fever Group Rickettsiae Isolated from Humans and Rats in Chengmai County, Hainan Province, China

    OpenAIRE

    Cheng, Xueqin; Jin, Yuming; Lao, Shijun; Huang, Changhe; Huang, Fang; Jia, Pengben; Zhang, Lijuan

    2014-01-01

    Spotted fever caused by spotted fever group rickettsiae (SFGR) is found throughout China. During 2007–2008, 28 human SFGR isolates and 34 rat SFGR isolates including 15 isolates from Rattus fulvescens, 5 isolates from R. edwardsi, 7 isolates from Callosciurus erythraeus roberti and 7 isolates from Dremomys rufigenis) were obtained from L929 cell culture. Previous research indicated that the 62 strains of SFGR mentioned above shared not only the same serophenotype but also 100% of identity s...

  5. Guías Latinoamericanas de la RIICER para el diagnóstico de las rickettsiosis transmitidas por garrapatas / Latinamerican guidelines of RIICER for diagnosis of tick-borne rickettsioses

    Scientific Electronic Library Online (English)

    José A, Oteo; Santiago, Nava; Rita de, Sousa; Salim, Mattar; José M, Venzal; Katia, Abarca; Marcelo B, Labruna; Jorge, Zavala-Castro.

    2014-02-01

    Full Text Available Las rickettsiosis transmitidas por garrapatas son afecciones de distribución mundial, que por diferentes motivos se pueden considerar emergentes y reemergentes. Hasta hace escasos años la única rickettsiosis transmitida por garrapatas en Latinoamérica era la infección por Rickettsia rickettsii, pero [...] en la actualidad y fundamentalmente, gracias a la incorporación de nuevas herramientas para el diagnóstico microbiológico como la reacción en cadena de la polimerasa y secuenciación o el cultivo celular rápido en tubo cerrado, se han descrito e involucrado otras especies de Rickettsia en la producción de patología humana. En estas guías se detallan y describen las diferentes técnicas utilizadas para el diagnóstico microbiológico de las rickettsiosis. Además, se incluye una sección en la que se detallan las especies más importantes de garrapatas duras relacionadas con las rickettsiosis en Latinoamérica, con claves para su clasificación taxonómica. Abstract in english Tick-borne rickettsioses are worldwide infectious diseases that are considered emerging and re-emerging. Until recently the only tick-borne rickettsiosis present in Latin America was Rickettsia rickettsii infection, but to date, with the incorporation of new tools as PCR and sequencing and the quick [...] cellular close tube cultures (Shell-vial), new species has been involved as human pathogens. In these guidelines, we offer an update of the microbiological assays for diagnosing rickettsioses. Besides we have included a section in which the most important hard ticks involved in human rickettsioses in Latinoamerica are detailed.

  6. Metástasis ganglionar tardía de carcinoma de células renales: Aportación de un caso / Late lymoh node metastasis in renal cell carcinoma: Case report

    Scientific Electronic Library Online (English)

    José Miguel, Giménez Bachs; Juan Gabriel, Lorenzo Romero; José María, Pastor Guzmán; María José, Donate Moreno; Héctor, Pastor Navarro; Pedro, Carrión López; Antonio Santiago, Salinas Sánchez; Julio Antonio, Virseda Rodríguez.

    2007-06-01

    Full Text Available Objetivo: Presentar un caso de metástasis tardía por carcinoma de células renales tratado con cirugía radical. Método/Resultados: Paciente intervenido de nefrectomía radical y linfadenectomía por tumor renal que 6 años después de la cirugía, en un control rutinario presentó metástasis a nivel gangli [...] onar regional. Tras tratamiento con inmunoterapia, que se suspendió por intolerancia, se decidió cirugía de la masa adenopática metastásica. Conclusión: El cáncer renal constituye un tumor imprevisible en cuanto a su comportamiento, de manera que puede metastatizar en cualquier momento de su evolución, incluso tras cirugía radical y tras varios años libres de enfermedad. La cirugía de las metástasis del cáncer renal constituyen una opción terapéutica con buenos resultados a largo plazo, cuando éstas son únicas y accesibles a la cirugía. Abstract in english Objective: To report one case of late metastasis of a clear cell carcinoma treated by radical surgery. Methods/Results: Patient with history of radical nephrectomy and lymphadenectomy six years before presenting with regional lymph node metastasis in a follow-up diagnostic test. After treatment with [...] immunotherapy, stopped because of intolerance, surgery of the metastatic lymph node mass was decided. Conclusions: Renal cancer is an unpredictable tumor in terms of oncological behaviour, so that it may metastasize any time in its evolution, even after radical surgery and several years free of disease. Surgery for the metastases of renal cancer is a good therapeutic option, with good long-term results, when they are isolated and accessible to surgery.

  7. La detección de Bartonella spp. y Rickettsia spp. en pulgas, garrapatas y piojos recolectados en las zonas rurales de Perú / Detection of Bartonella spp. and Rickettsia spp. in fleas, ticks and lice collected in rural areas of Peru

    Scientific Electronic Library Online (English)

    Abraham G, Cáceres; Carlos P, Padilla Rojas; Javier, Arias Stella; Gerardo, Huatuco Crisanto; Antero, Gonzales Pérez.

    2013-08-01

    Full Text Available La Bartonellosis y la Rickettsiosis son enfermedades comúnmente reportadas en Perú. Con el propósito de detectar Bartonella sp. y Rickettsia sp. especímenes de pulgas, garrapatas y piojos de cinco localidades del Perú (Marizagua, Cajaruro, Jamalca, Lonya Grande and El Milagro) fueron colectadas y an [...] alizadas. Para la detección se usó PCR y una posterior confirmación con secuenciamiento de DNA. Los especímenes colectados fueron agrupados en 102 pools (76 Ctenocephalides felis, dos Ctenocephalides canis, 16Pulex irritans, cinco Pediculus humanus, dos Rhiphicephalus sanguineus, y un Boophilus spp.). Bartonella fue detectada en 17 pools (seis de C. felis, nueve de P. irritans, uno de C. canis, y uno de P. humanus). Rickettsia fue detectada en 76 pools (62 de C. felis, 10 de P. irritans, dos de P. humanus, y dos de C. canis). Bartonella clarridgeiae fue detectada en C. felis (5.3% especímenes), C. canis (50%) y P. irritans (12.5%). Bartonella rochalimae fue detectada en C. felis (1.3%) y P. irritans (12.5%). Además, se detectó B. henselae en C. felis (1.3%) y P. humanus (20%). Bartonella spp. también se encontró en P. irritans (31,3%). Además, se detectó R. felis en C. felis (76.3%), C. canis (100%) y P. irritans (37.5%), y Rickettsia spp. se detectó en C. felis (5,3%), P. irritans (25%) y P. humanus (40%). Estos resultados demuestran la circulación de estas bacterias en el Perú Abstract in english Bartonellosis and rickettsiosis are commonly reported in Peru. In order to detect Bartonella sp. and Rickettsia sp. in fleas, ticks and lice, specimens from five distinct locations in Peru (Marizagua, Cajaruro, Jamalca, Lonya Grande and El Milagro) were collected and screened for the presence of the [...] se bacteria using PCR and later confirmation by DNA sequencing. The specimens collected were distributed in 102 pools (76 Ctenocephalides felis, 2 Ctenocephalides canis, 16Pulex irritans, 5 Pediculus humanus, 2 Rhiphicephalus sanguineus, and 1 Boophilus spp.), whereBartonella was detected in 17 pools (6 of C. felis, 9 of P. irritans, 1 of C. canis, and 1 P. humanus). Also, Rickettsia was detected in 76 pools (62 C. felis, 10 P. irritans, 2 P. humanus, and 2 C. canis). Bartonella clarridgeiae was detected in C. felis, C. canis and P. irritans pools at 5.3%, 50% and 12.5%, respectively. Bartonella rochalimae was detected in one C. felis and two P. irritans pools at 1.3% and 12.5%, respectively. Furthermore, B. henselae was detected in one C. felis pool and one P. humanus pool corresponding to 1.3% and 20%, respectively; andBartonella spp. was also found in 5 pools of P. irritans at 31.3%. Additionally, R. felis was detected in C. felis, C. canis and P. irritans pools at 76.3%, 100% and 37.5%, respectively; and Rickettsia spp. was detected in C. felis, P. irritans and P. humanus pools at 5.3%, 25% and 40%, respectively. These results demonstrate the circulation of these bacteria in Peru

  8. Tuberculosis ganglionar a forma de fiebre de origen desconocido: a propósito de un caso Ganglionary tuberculosis as fever of unknown origin: apropos of a case

    Directory of Open Access Journals (Sweden)

    Manuel A. Fernández Arias

    2007-12-01

    Full Text Available La tuberculosis, tanto en su forma pulmonar como extrapulmonar constituye una enfermedad reemergente al nivel mundial, asociada con insuficiencias de los programas de control sanitario o con el síndrome de inmunodeficiencia adquirida. El modo de presentación de las formas extrapulmonares se relaciona con síntomas constitucionales, que incluyen la fiebre y con signos dependientes del órgano afectado. Se presentó el caso de una adenitis granulomatosa en etapa o categoría 3, grupo integrado por aquellos casos nuevos de formas menos grave de tuberculosis extrapulmonar (TBe con confirmación histopatológica del bacilo. Se enfatizó sobre la presentación a forma de fiebre de origen desconocido (FOD, al reunir los criterios necesarios por haber estado ingresada en otro centro hospitalario por más de 1 mes, sin haber llegado al diagnóstico a pesar de haber sido estudiada, y se resaltó la necesidad imperiosa de la búsqueda de este diagnóstico ante todo paciente con cuadro adénico febril e historia familiar de TB.Tuberculosis, both in its pulmonary and extrapulmonary form is a reemerging disease in the world associated with insufficiencies of the health control programs or with the acquired immunodeficiency syndrome. The mode of presentation of the extrapulmonary forms is related to constitutional symptoms that include fever, and to signs depending on the affected organ. The case of a stage III granulomatous adenitis, a group composed of those new cases of less severe forms of extrapulmonary tuberculosis with histopathological confirmation of the bacillus, was presented. Emphasis was made on the presentation as a FUO, on having the necessary criteria for having been admitted in another hospital for more than a month without a definitive diagnosis despite having been studied. The pressing need to search this diagnosis in every patient with febrile adenic picture and family history of TB was stressed.

  9. Tuberculosis ganglionar a forma de fiebre de origen desconocido: a propósito de un caso / Ganglionary tuberculosis as fever of unknown origin: apropos of a case

    Scientific Electronic Library Online (English)

    Manuel A., Fernández Arias; Alfredo, Vázquez Vigoa; Julieta, Sánchez Ruiz; Julio César, Pérez Suárez.

    2007-12-01

    Full Text Available La tuberculosis, tanto en su forma pulmonar como extrapulmonar constituye una enfermedad reemergente al nivel mundial, asociada con insuficiencias de los programas de control sanitario o con el síndrome de inmunodeficiencia adquirida. El modo de presentación de las formas extrapulmonares se relacion [...] a con síntomas constitucionales, que incluyen la fiebre y con signos dependientes del órgano afectado. Se presentó el caso de una adenitis granulomatosa en etapa o categoría 3, grupo integrado por aquellos casos nuevos de formas menos grave de tuberculosis extrapulmonar (TBe) con confirmación histopatológica del bacilo. Se enfatizó sobre la presentación a forma de fiebre de origen desconocido (FOD), al reunir los criterios necesarios por haber estado ingresada en otro centro hospitalario por más de 1 mes, sin haber llegado al diagnóstico a pesar de haber sido estudiada, y se resaltó la necesidad imperiosa de la búsqueda de este diagnóstico ante todo paciente con cuadro adénico febril e historia familiar de TB. Abstract in english Tuberculosis, both in its pulmonary and extrapulmonary form is a reemerging disease in the world associated with insufficiencies of the health control programs or with the acquired immunodeficiency syndrome. The mode of presentation of the extrapulmonary forms is related to constitutional symptoms t [...] hat include fever, and to signs depending on the affected organ. The case of a stage III granulomatous adenitis, a group composed of those new cases of less severe forms of extrapulmonary tuberculosis with histopathological confirmation of the bacillus, was presented. Emphasis was made on the presentation as a FUO, on having the necessary criteria for having been admitted in another hospital for more than a month without a definitive diagnosis despite having been studied. The pressing need to search this diagnosis in every patient with febrile adenic picture and family history of TB was stressed.

  10. Lyme borreliosis spirochetes and spotted fever group rickettsiae in ixodid ticks from Pianosa island, Tuscany Archipelago, Italy.

    Science.gov (United States)

    Tomassone, L; Grego, E; Auricchio, D; Iori, A; Giannini, F; Rambozzi, L

    2013-02-01

    A study on tick fauna and tick-borne pathogens was undertaken in Pianosa, an island in the Tuscany Archipelago that constitutes an important stopping and nesting point for migratory birds. Ticks were removed from feral cats and a few terrestrial birds, and host-seeking ticks were collected by dragging. A total of 89 ticks were found on animals: 57 Ixodes ventalloi Gil Collado, 1936 and 32 Ixodes acuminatus Neumann, 1901. Host-seeking ticks were 354 Hyalomma spp. larvae and 18 Hyalomma spp. adults, identified as Hyalomma marginatum C.L. Koch, 1844 (n=11) and 7 Hyalomma detritum Schulze, 1919 (n=7). A sample of adult ticks was subjected to molecular analyses to look for Rickettsia spp. and Borrelia burgdorferi sensu lato (s.l.). Sequence analysis of the 5S-23S intergenic spacer region and OspA gene of B. burgdorferi s.l.-positive samples showed the presence of Borrelia spielmanii (n=3; 3.7%, 95% confidence interval [CI] 0.08-10.4) and Borrelia valaisiana (n=13; 13.6%, 95% CI 7.0-23.0) in Ixodes ticks from cats and terrestrial birds. Ixodes spp. were also infected by Rickettsia helvetica (n=19; 23.4%, 95% CI 14.7-34.2). Finally, we detected Rickettsia aeschlimannii in 3 out of 12 host-seeking Hyalomma spp. adults tested (25%, 95% CI 5.5-57.2). Our study shows the presence of several tick-borne pathogens in Pianosa. Hyalomma spp. and Ixodes ticks other than I. ricinus seem to be involved in their epidemiological cycle, and birds could contribute to the pathogen dispersal along their migration routes. This is the first finding of B. spielmanii in Italy. We hypothesize the involvement of peridomestic rodents or hedgehogs in its maintenance in Pianosa. PMID:23289398

  11. Molecular identification of Rickettsia parkeri infecting Amblyomma triste ticks in an area of Argentina where cases of rickettsiosis were diagnosed

    OpenAIRE

    Gabriel Cicuttin; Santiago Nava

    2013-01-01

    Specimens of the hard tick Amblyomma triste were found infected with Rickettsia parkeri in an area of Argentina (General Lavalle, Buenos Aires Province) where cases of human illness attributed to this microorganism have been reported. Molecular detection of R. parkeri was based on polymerase chain reactions that amplify a ca. 400-bp fragment of the 23S-5S intergenic spacer and a ca. 500-bp fragment of the gene encoding a 190-kDa outer membrane protein. Three (6.97%) of 43 A. triste ticks were...

  12. Cosmid cloning of Rickettsia prowazekii antigens in Escherichia coli K-12.

    Science.gov (United States)

    Krause, D C; Winkler, H H; Wood, D O

    1985-01-01

    Rickettsia prowazekii DNA was partially digested with Sau3A or HindIII, ligated with the cosmid vector pHC79, packaged in vitro, and transduced into Escherichia coli HB101. Cosmid cloning of Sau3A-digested rickettsial DNA yielded 1,288 ampicillin-resistant colonies; 798 cosmid clones resulted with HindIII-digested rickettsial DNA. Chimeric cosmid DNA was extracted from the latter gene bank, digested to completion with HindIII, and compared by agarose gel electrophoresis with a HindIII digest of rickettsial genomic DNA. The two digestion profiles were quite similar in their overall banding patterns, indicating that the clone bank was significantly representative of the rickettsial genome. When both clone banks were screened for expression of rickettsial antigens by enzyme-linked immunosorbent assay with goat anti-R. prowazekii serum, ca. 20% of the clones reacted positively. Two clones were randomly selected for more detailed analysis. Each contained a large chimeric plasmid (40.2 and 38.1 kilobases) which apparently yielded smaller deletion derivatives (13.6 and 12.6 kilobases) when transformed into an E. coli minicell strain. Each recombinant plasmid directed the synthesis of new protein species not observed in control minicells. One of the clones produced a 51,000-dalton protein in minicells, which comigrated with a protein reactive with anti-R. prowazekii serum. This protein was not present in negative controls. When antibodies to this protein were incubated with a Western blot of rickettsial total protein, they bound to a 52,000-dalton polypeptide. Hence, the cloned rickettsial gene product in E. coli corresponds to a protein of similar size in R. prowazekii. This study demonstrates the feasibility of cosmid cloning of rickettsial antigens in E. coli. PMID:2981194

  13. Genetic Diversity of the Invasive Gall Wasp Leptocybe invasa (Hymenoptera: Eulophidae) and of its Rickettsia Endosymbiont, and Associated Sex-Ratio Differences.

    Science.gov (United States)

    Nugnes, Francesco; Gebiola, Marco; Monti, Maurilia Maria; Gualtieri, Liberata; Giorgini, Massimo; Wang, Jianguo; Bernardo, Umberto

    2015-01-01

    The blue-gum chalcid Leptocybe invasa Fisher & LaSalle (Hymenoptera: Eulophidae) is a gall wasp pest of Eucalyptus species, likely native to Australia. Over the past 15 years it has invaded 39 countries on all continents where eucalypts are grown. The worldwide invasion of the blue gum chalcid was attributed to a single thelytokous morphospecies formally described in 2004. Subsequently, however, males have been recorded in several countries and the sex ratio of field populations has been found to be highly variable in different areas. In order to find an explanation for such sex ratio differences, populations of L. invasa from a broad geographical area were screened for the symbionts currently known as reproductive manipulators, and both wasps and symbionts were genetically characterized using multiple genes. Molecular analyses suggested that L. invasa is in fact a complex of two cryptic species involved in the rapid and efficient spread of the wasp, the first recovered from the Mediterranean region and South America, the latter from China. All screened specimens were infected by endosymbiotic bacteria belonging to the genus Rickettsia. Two closely related Rickettsia strains were found, each infecting one of the two putative cryptic species of L. invasa and associated with different average sex ratios. Rickettsia were found to be localized in the female reproductive tissues and transovarially transmitted, suggesting a possible role of Rickettsia as the causal agent of thelytokous parthenogenesis in L. invasa. Implications for the variation of sex ratio and for the management of L. invasa are discussed. PMID:25970681

  14. A serological and molecular survey of Babesia vogeli, Ehrlichia canis and Rickettsia spp. among dogs in the state of Maranhão, northeastern Brazil.

    Science.gov (United States)

    Costa, Andréa Pereira da; Costa, Francisco Borges; Labruna, Marcelo Bahia; Silveira, Iara; Moraes-Filho, Jonas; Soares, João Fábio; Spolidorio, Mariana Granziera; Guerra, Rita de Maria Seabra Nogueira de Candanedo

    2015-01-01

    This study evaluated exposure and infection by tick-borne agents (Babesia vogeli, Ehrlichia canis and Rickettsia spp.) in 172 dogs in rural areas and 150 dogs in urban areas of the municipality of Chapadinha, state of Maranhão, northeastern Brazil, using molecular and serological methods. Overall, 16.1% of the sampled dogs (52/322) were seroreactive to B. vogeli, with endpoint titers ranging from 40 to 640. For E. canis, 14.6% of the dogs (47/322) were seroreactive, with endpoint titers from 80 to 163,840. Antibodies reactive to at least one of the five species of Rickettsia were detected in 18.9% of the dogs (61/322), with endpoint titers ranging from 64 to 4,096. High endpoint titers were observed for Rickettsia amblyommii. Three (0.9%) and nine (2.8%) canine blood samples were PCR-positive for Babesia spp. and E. canis. The ticks collected from urban dogs were all Rhipicephalus sanguineus sensu lato, whereas the rural dogs were infested by R. sanguineus s.l, Amblyomma cajennense sensu lato and Amblyomma ovale. One A. ovale tick was found to be infected by Rickettsia bellii. This study provides an epidemiological background for controlling and preventing canine tick-borne diseases in a neglected region of Brazil. PMID:25909250

  15. Distribution and infection frequency of 'Candidatus Rickettsia amblyommii' in Maryland populations of the lone star tick (Amblyomma americanum) and culture in an Anopheles gambiae mosquito cell line.

    Science.gov (United States)

    Zhang, Xing; Ren, Xiaoxia; Norris, Douglas E; Rasgon, Jason L

    2012-02-01

    Amblyomma americanum (the lone star tick) is a broadly distributed tick that transmits multiple pathogens of humans and domestic animals. 'Candidatus Rickettsia amblyommii' is a spotted-fever group rickettsial species that is potentially associated with human disease. In 2008 and 2009, we assayed over 500 unfed adult ticks from 19 Maryland populations for the presence of 'Candidatus R. amblyommii'. Infection frequencies ranged from 33% to 100%, with an average infection rate of 60% in 2008 and 69% in 2009. Infection frequencies did not differ statistically between sexes. To develop a system in which to study 'Candidatus R. amblyommii' in the laboratory, we used a cell line developed from Anopheles gambiae mosquitoes (Sua5B) to isolate and culture 'Candidatus R. amblyommii' from field-collected A. americanum ticks from 2 localities in Maryland. After infection, Sua5B cells were infected for more than 40 passages. Infection was confirmed by Rickettsia-specific PCR, gene sequencing, and Rickettsia-specific fluorescence in situ hybridization (FISH). These data show that 'Candidatus R. amblyommii' is widespread in Maryland A. americanum populations and that Sua5B cells are a useful tool for culturing Rickettsia infections from wild ticks. PMID:22309857

  16. Hispid cotton rats (Sigmodon hispidus) as a source for infecting immature Dermacentor variabilis (Acari: Ixodidae) with Rickettsia rickettsii.

    Science.gov (United States)

    Gage, K L; Burgdorfer, W; Hopla, C E

    1990-07-01

    Hispid cotton rats (Sigmodon hispidus Say and Ord) were susceptible to infection with Rickettsia rickettsii Wolbach under laboratory conditions and were capable of serving as sources for infecting ticks with rickettsiae. Cotton rats developed rickettsemias that could be detected for as long as 6 h following intraperitoneal inoculation of 10(5) plaque-forming units (PFUs) of R. rickettsii (Morgan strain). An estimate of the median infectious dose (ID50) was made by inoculating six groups (eight animals per group) with serial dilutions of 10(1) to 10(6) PFUs. In this experiment, cotton rats became infected after exposure to relatively few organisms (ID50 = 37 PFUs). None of the 48 cotton rats succumbed to infection, and only 6 of the 48 rats failed to seroconvert. Dermacentor variabilis (Say) larvae were fed on rickettsemic cotton rats to determine whether this species could serve as a source for infecting ticks with R. rickettsii. A small percentage (0.9-3.0%) of larval ticks that fed on three of the four cotton rats had R. rickettsii in their tissues when examined as nymphs. A fourth cotton rat died 7 d after inoculation with R. rickettsii and infected a much higher percentage of ticks (64.0%) than the other three animals. PMID:2117665

  17. Análisis de las recidivas locorregionales por cáncer de mama / Analysis of locoregional relapses from breast cancer

    Scientific Electronic Library Online (English)

    Oscar Alberto, Pérez Gutiérrez; Narciso, Montejo Viamontes; Loys, Jorge Lázaro; Rafael, Castro Cruz; Amauris, Estrada González.

    2012-12-01

    Full Text Available Introducción: la recidiva locorregional, luego de una intervención quirúrgica por cáncer de mama, es una gran preocupación para el paciente y una frustración para el cirujano actuante. Objetivos: realizar un estudio descriptivo de las variables asociadas a la recurrencia tumoral, en 949 pacientes op [...] eradas. Métodos: se confeccionó una base de datos con las pacientes operadas desde 2005 hasta 2010, se identificaron las variables y análisis univariables y multivariables para determinar si existió asociación estadística. Resultados: se apreció que la incidencia fue de 4,4 %. La intervención quirúrgica previa más frecuente fue la mastectomía radical modificada en 52,4 %, y 26,2 % de los casos que tenían metástasis ganglionares axilares en ese momento. El tipo histológico más frecuente fue el carcinoma ductal infiltrante, de alto grado de malignidad. La infiltración vascular y linfática estuvo presente en 42,8 %. El tratamiento definitivo más empleado fue la exéresis de la recidiva más radioterapia. El análisis multivariables solo asoció la metástasis ganglionar con la reaparición de la enfermedad. Conclusiones: la metástasis ganglionar axilar sigue siendo un factor de mal pronóstico en el seguimiento extenso de la paciente. Abstract in english Introduction: locoregional relapses after a breast cancer surgery is a big concern for the patient and a frustration to the performing surgeon. Objectives: to perform a descriptive study of the tumor recurrence-associated variables in 949 surgical patients. Methods: a database containing the data fr [...] om operated patients in the period of 2005 through 2010 was made; the variables were identified and the univariate and multivariate analyses allowed determining the probable statistical association. Results: at was observed that the incidence of locoregional recurrence was 4.4 %. The most common previous surgery was modified radical mastectomy in 52.4 % and 26.2 % of cases with axillary ganglionic metastasis at that time. The most frequent histological type was highly malignant infiltrating bile duct carcinoma. The vascular and lymphatic infiltration occurred in 42.8 % of patients. The most used treatment was removal of recurrence plus radiotherapy. The multivariate analysis was associated only to ganglionic metastasis with the reappearance of disease. Conclusions: axillary ganglionic metastasis is still a factor indicating bad prognosis in the long follow-up of a patient.

  18. Análisis de las recidivas locorregionales por cáncer de mama Analysis of locoregional relapses from breast cancer

    Directory of Open Access Journals (Sweden)

    Oscar Alberto Pérez Gutiérrez

    2012-12-01

    Full Text Available Introducción: la recidiva locorregional, luego de una intervención quirúrgica por cáncer de mama, es una gran preocupación para el paciente y una frustración para el cirujano actuante. Objetivos: realizar un estudio descriptivo de las variables asociadas a la recurrencia tumoral, en 949 pacientes operadas. Métodos: se confeccionó una base de datos con las pacientes operadas desde 2005 hasta 2010, se identificaron las variables y análisis univariables y multivariables para determinar si existió asociación estadística. Resultados: se apreció que la incidencia fue de 4,4 %. La intervención quirúrgica previa más frecuente fue la mastectomía radical modificada en 52,4 %, y 26,2 % de los casos que tenían metástasis ganglionares axilares en ese momento. El tipo histológico más frecuente fue el carcinoma ductal infiltrante, de alto grado de malignidad. La infiltración vascular y linfática estuvo presente en 42,8 %. El tratamiento definitivo más empleado fue la exéresis de la recidiva más radioterapia. El análisis multivariables solo asoció la metástasis ganglionar con la reaparición de la enfermedad. Conclusiones: la metástasis ganglionar axilar sigue siendo un factor de mal pronóstico en el seguimiento extenso de la paciente.Introduction: locoregional relapses after a breast cancer surgery is a big concern for the patient and a frustration to the performing surgeon. Objectives: to perform a descriptive study of the tumor recurrence-associated variables in 949 surgical patients. Methods: a database containing the data from operated patients in the period of 2005 through 2010 was made; the variables were identified and the univariate and multivariate analyses allowed determining the probable statistical association. Results: at was observed that the incidence of locoregional recurrence was 4.4 %. The most common previous surgery was modified radical mastectomy in 52.4 % and 26.2 % of cases with axillary ganglionic metastasis at that time. The most frequent histological type was highly malignant infiltrating bile duct carcinoma. The vascular and lymphatic infiltration occurred in 42.8 % of patients. The most used treatment was removal of recurrence plus radiotherapy. The multivariate analysis was associated only to ganglionic metastasis with the reappearance of disease. Conclusions: axillary ganglionic metastasis is still a factor indicating bad prognosis in the long follow-up of a patient.

  19. Characterization of rickettsia rickettsii in a case of Fatal Brazilian spotted fever in the city of Rio de Janeiro, Brazil

    Scientific Electronic Library Online (English)

    Cristiane, Lamas; Alexsandra, Favacho; Tatiana, Rozental; Márcio N., Bóia; Andrei H., Kirsten; Alexandro, Guterres; Jairo, Barreira; Elba Regina S. de, Lemos.

    2008-04-01

    Full Text Available A lethal case of Brazilian spotted fever (BSF) is presented. Clinical features were initially of gastrointestinal involvement and evolved with progression to septic shock, meningoencephalitis and death on the 6th day of illness. Indirect immunofluorescence assay (IFA) for spotted fever group rickett [...] sia (SFGR) was non-reactive. Diagnosis was confirmed by the polymerase chain reaction (PCR) and the nucleotide sequencing of a fragment of the ompA gene showed 100% homology to Rickettsia rickettsii. BSF has not been reported in the city of Rio de Janeiro in the last three decades, and the present description should alert the clinicians to its presence in urban Rio de Janeiro, and to the differential diagnosis with dengue fever, gastroenteritis, leptospirosis and bacterial septic shock, among others.

  20. Molecular detection of Rickettsia, Borrelia, and Babesia species in Ixodes ricinus sampled in northeastern, central, and insular areas of Italy.

    Science.gov (United States)

    Castro, Lyda R; Gabrielli, Simona; Iori, Albertina; Cancrini, Gabriella

    2015-07-01

    The aim of the present study was to provide insight into the diversity of tick-borne pathogens circulating in Italy, carried/transmitted by Ixodes ricinus, one of the most abundant tick species in the country. A total of 447 specimens sampled in five areas of northeastern, central and insular Italy were analysed by polymerase chain reaction and sequencing for the presence of rickettsiae, borreliae and babesiae. Several rickettsial species of the spotted fever group of zoonotic concern and other zoonotic pathogens were found, such as Borrelia burgdorferi s.s., Borrelia afzelii, Borrelia garinii, and Babesia venatorum. These findings confirm a wide distribution of tick-borne bacterial and protozoan species in Italy, and highlight the sanitary importance of I. ricinus, often recorded as feeding on humans. PMID:25784072

  1. A study of the presence of B. burgdorferi, Anaplasma (previously Ehrlichia) phagocytophilum, Rickettsia, and Babesia in Ixodes ricinus collected within the territory of Belluno, Italy.

    Science.gov (United States)

    Piccolin, G; Benedetti, G; Doglioni, C; Lorenzato, C; Mancuso, S; Papa, N; Pitton, L; Ramon, M C; Zasio, C; Bertiato, G

    2006-01-01

    In the years 2000 and 2001, we sampled ticks in order to establish the distribution of Ixodes ricinus in the province of Belluno; 5987 tick samples from 244 sites throughout the province were gathered, by dragging for a 5-min period. In 40 sites, seasonal variations and cycle stages of the parasites were studied at monthly intervals from March to September. A polymerase chain reaction (PCR) technique was used to identify the tick-infected sites. Of 1931 individual ticks, 8.23% were positive for Borrelia burgdorferi, 4.4% were positive for Ehrlichia, 1.6% were positive for Rickettsia, and 1.6% were positive for Babesia. The co-presence of Borrelia and Ehrlichia (1.2%) and Babesia (0.5%), Borrelia, Ehrlichia and Rickettsia (0.1%) was also found. PMID:16584324

  2. Distribution of Rickettsia rickettsii in ovary cells of Rhipicephalus sanguineus (Latreille1806) (Acari: Ixodidae)

    OpenAIRE

    da Silva Costa Luís; Nunes Pablo; Soares João; Labruna Marcelo; Camargo-Mathias Maria

    2011-01-01

    Abstract Background Considering the fact that the dog tick, Rhipicephalus sanguineus, has a great potential to become the vector of Brazilian Spotted Fever (BSF) for humans, the present study aimed to describe the distribution of the bacterium Rickettsia rickettsii, the etiological agent of BSF, in different regions of the ovaries of R. sanguineus using histological techniques. The ovaries were obtained from positive females confirmed by the hemolymph test and fed in the nymph stage on guinea...

  3. Occurrence of Rickettsia felis in dog and cat fleas (Ctenocephalides felis) from Italy

    OpenAIRE

    Rinaldi Laura; Furnari Carmelo; Maioli Giulia; Porcellato Elena; Montarsi Fabrizio; Capelli Gioia; Oliva Gaetano; Otranto Domenico

    2009-01-01

    Abstract Rickettsia felis is an obligate intracellular bacterium belonging to the spotted fever group, suspected to cause a murine typhus-like illness in humans, with a cosmopolitan distribution. This study was designed to estimate presence and occurrence of this pathogen in fleas collected from dogs and cats in different areas of Italy. Two species of fleas were identified, Ctenocephalides felis (80.3%) and Ctenocephalides canis (19.7%). Overall, 320 fleas (257 C. felis and 63 C. canis) coll...

  4. Absence of zoonotic Bartonella species in questing ticks: First detection of Bartonella clarridgeiae and Rickettsia felis in cat fleas in the Netherlands

    Directory of Open Access Journals (Sweden)

    Reimerink Johan R

    2011-04-01

    Full Text Available Abstract Background Awareness for flea- and tick-borne infections has grown in recent years and the range of microorganisms associated with these ectoparasites is rising. Bartonella henselae, the causative agent of Cat Scratch Disease, and other Bartonella species have been reported in fleas and ticks. The role of Ixodes ricinus ticks in the natural cycle of Bartonella spp. and the transmission of these bacteria to humans is unclear. Rickettsia spp. have also been reported from as well ticks as also from fleas. However, to date no flea-borne Rickettsia spp. were reported from the Netherlands. Here, the presence of Bartonellaceae and Rickettsiae in ectoparasites was investigated using molecular detection and identification on part of the gltA- and 16S rRNA-genes. Results The zoonotic Bartonella clarridgeiae and Rickettsia felis were detected for the first time in Dutch cat fleas. B. henselae was found in cat fleas and B. schoenbuchensis in ticks and keds feeding on deer. Two Bartonella species, previously identified in rodents, were found in wild mice and their fleas. However, none of these microorganisms were found in 1719 questing Ixodes ricinus ticks. Notably, the gltA gene amplified from DNA lysates of approximately 10% of the questing nymph and adult ticks was similar to that of an uncultured Bartonella-related species found in other hard tick species. The gltA gene of this Bartonella-related species was also detected in questing larvae for which a 16S rRNA gene PCR also tested positive for "Candidatus Midichloria mitochondrii". The gltA-gene of the Bartonella-related species found in I. ricinus may therefore be from this endosymbiont. Conclusions We conclude that the risk of acquiring Cat Scratch Disease or a related bartonellosis from questing ticks in the Netherlands is negligible. On the other hand fleas and deer keds are probable vectors for associated Bartonella species between animals and might also transmit Bartonella spp. to humans.

  5. Comparative Evaluation of Infected and Noninfected Amblyomma triste Ticks with Rickettsia parkeri, the Agent of an Emerging Rickettsiosis in the New World

    OpenAIRE

    M. B. Labruna; Dias, R.A.; Moraes-Filho, J.; Soares, H. S.; J. F. Soares; F. A. Nieri-Bastos; R. C. Pacheco; M. P. J. Szabó

    2013-01-01

    The distribution of Rickettsia parkeri in South America has been associated with Amblyomma triste ticks. The present study evaluated under laboratory conditions two colonies of A. triste: one started from engorged females that were naturally infected by R. parkeri (designated as infected group); the other started from noninfected females (designated as control group). Both colonies were reared in parallel for five consecutive generations. Tick-naïve domestic rabbits were used for feeding of e...

  6. Distribution and infection frequency of `Candidatus Rickettsia amblyommii' in Maryland populations of the lone star tick (Amblyomma americanum) and culture in an Anopheles gambiae mosquito cell line

    OpenAIRE

    Zhang, Xing; Ren, Xiaoxia; Norris, Douglas E.; Rasgon, Jason L.

    2011-01-01

    Amblyomma americanum (the lone star tick) is a broadly distributed tick that transmits multiple pathogens of humans and domestic animals. `Candidatus Rickettsia amblyommii' is a spotted-fever group rickettsial species that is potentially associated with human disease. In 2008 and 2009, we assayed over 500 unfed adult ticks from 19 Maryland populations for the presence of `Candidatus R. amblyommii'. Infection frequencies ranged from 33% to 100%, with an average infection rate of 60% in 2008 an...

  7. Transmission of Rickettsia tsutsugamushi strains among humans, wild rodents, and trombiculid mites in an area of Japan in which tsutsugamushi disease is newly endemic.

    OpenAIRE

    Yamashita, T.; Kasuya, S.; Noda, N.; Nagano, I.; Kang, J. S.

    1994-01-01

    Thirty-two newly isolated strains of Rickettsia tsutsugamushi, 14 from patients with tsutsugamushi disease, 12 from wild rodents, and 6 from trombiculid mites parasitizing rodents in Gifu Prefecture, Japan, were examined for reactivities to 12 monoclonal antibodies by an indirect fluorescent-antibody test to classify their antigenicities. All of the isolates could be classified into one of six groups (KN-1, KN-2, KN-3, GJ-1, R158, and R161) according to their reactivities to the monoclonal an...

  8. Transcriptional regulation of the gltA and tlc genes in Rickettsia prowazekii growing in a respiration-deficient host cell

    International Nuclear Information System (INIS)

    The regulation of the citrate synthase (gltA) and ATP/ADP translocase (tlc) genes of the obligate intracellular bacterium, Rickettsia prowazekii, was analyzed in rickettsia-infected respiration-deficient G14 cells. The level of the gltA mRNAII and the tlc mRNA was much lower in the total RNA isolated from the infected G 14 cells grown in 1 g/1 glucose (low glucose, GL) medium than in that from infected G 14 cells grown in 4.5 g/l glucose (high glucose, GH) medium. However, the level of the gltA mRNAI relative to 16 S rRNA was the same in GL and GH media. An increase in the level of the gltA mRNAII and the tlc mRNA could be observed as early as 2 hrs after shifting from GL to GH medium. We conclude that, under these experimental conditions, the tlc promoter and the gltA promoter P2, but not gltA promoter P1, were transcriptionally regulated. Key words: Rickettsia prowazekii; gltA gene; tlC gene; transcriptional regulation; G 14 cells (authors)

  9. Occurrence of Babesia spp., Rickettsia spp. and Bartonella spp. in Ixodes ricinus in Bavarian public parks, Germany

    Directory of Open Access Journals (Sweden)

    Mahling Monia

    2011-07-01

    Full Text Available Abstract Background Only limited information is available about the occurrence of ticks and tick-borne pathogens in public parks, which are areas strongly influenced by human beings. For this reason, Ixodes ricinus were collected in public parks of different Bavarian cities in a 2-year survey (2009 and 2010 and screened for DNA of Babesia spp., Rickettsia spp. and Bartonella spp. by PCR. Species identification was performed by sequence analysis and alignment with existing sequences in GenBank. Additionally, coinfections with Anaplasma phagocytophilum were investigated. Results The following prevalences were detected: Babesia spp.: 0.4% (n = 17, including one pool of two larvae in 2009 and 0.5 to 0.7% (n = 11, including one pool of five larvae in 2010; Rickettsia spp.: 6.4 to 7.7% (n = 285, including 16 pools of 76 larvae in 2009. DNA of Bartonella spp. in I. ricinus in Bavarian public parks could not be identified. Sequence analysis revealed the following species: Babesia sp. EU1 (n = 25, B. divergens (n = 1, B. divergens/capreoli (n = 1, B. gibsoni-like (n = 1, R. helvetica (n = 272, R. monacensis IrR/Munich (n = 12 and unspecified R. monacensis (n = 1. The majority of coinfections were R. helvetica with A. phagocytophilum (n = 27, but coinfections between Babesia spp. and A. phagocytophilum, or Babesia spp. and R. helvetica were also detected. Conclusions I. ricinus ticks in urban areas of Germany harbor several tick-borne pathogens and coinfections were also observed. Public parks are of particularly great interest regarding the epidemiology of tick-borne pathogens, because of differences in both the prevalence of pathogens in ticks as well as a varying species arrangement when compared to woodland areas. The record of DNA of a Babesia gibsoni-like pathogen detected in I. ricinus suggests that I. ricinus may harbor and transmit more Babesia spp. than previously known. Because of their high recreational value for human beings, urban green areas are likely to remain in the research focus on public health issues.

  10. Anticorpos anti-rickettsias do grupo da febre maculosa em equídeos e caninos no norte do Estado do Paraná, Brasil / Anti rickettsia-antibody for spotted fever group in horses and dogs in the North of Paraná Stated, Brazil

    Scientific Electronic Library Online (English)

    F.H., Otomura; L.A., Sangioni; R.C., Pacheco; M.B., Labruna; J.A., Galhardo; M.G., Ribeiro; U., Teodoro.

    2010-06-01

    Full Text Available [...] Abstract in english The Brazilian Spotted Fever (BSF) is a zoonosis that can be fatal if not trteated. As there are few studies of the BSF in the Paraná State, the occurrence of BSF was serologically investigated in dogs and horses by indirect immunofluorescence assay (IFA), in the North of that State, in animals that [...] are regarded as sentinels for BSF. A total of 241 samples of sera of equine, four of asinine, and 29 of dogs were collected in nine farms of three municipalities in the North of Paraná: Arapongas, Douradina, and Umuarama. From fifteen samples of equine serum with positive titres for RIFI, eight (53.3 %) had titre of 64 against R. rickettsii, two (13.3 %) 128 against R. rickettsii, and five (33.3 %) were reactants for R. parkeri and R. rickettsii, with titres ranging from 64 to 2048, and 128 to 1024, respectively. The results showed that domestic animals, sentinels for BSF, are under low exposition to ticks infected with spotted fever group Rickettsia, indicating low risk of human infection by these agents in the studied area.

  11. Crystal structure of the DNA-bound VapBC2 antitoxin/toxin pair from Rickettsia felis

    Science.gov (United States)

    Maté, María J.; Vincentelli, Renaud; Foos, Nicolas; Raoult, Didier; Cambillau, Christian; Ortiz-Lombardía, Miguel

    2012-01-01

    Besides their commonly attributed role in the maintenance of low-copy number plasmids, toxin/antitoxin (TA) loci, also called ‘addiction modules’, have been found in chromosomes and associated to a number of biological functions such as: reduction of protein synthesis, gene regulation and retardation of cell growth under nutritional stress. The recent discovery of TA loci in obligatory intracellular species of the Rickettsia genus has prompted new research to establish whether they work as stress response elements or as addiction systems that might be toxic for the host cell. VapBC2 is a TA locus from R. felis, a pathogen responsible for flea-borne spotted fever in humans. The VapC2 toxin is a PIN-domain protein, whereas the antitoxin, VapB2, belongs to the family of swapped-hairpin ?-barrel DNA-binding proteins. We have used a combination of biophysical and structural methods to characterize this new toxin/antitoxin pair. Our results show how VapB2 can block the VapC2 toxin. They provide a first structural description of the interaction between a swapped-hairpin ?-barrel protein and DNA. Finally, these results suggest how the VapC2/VapB2 molar ratio can control the self-regulation of the TA locus transcription. PMID:22140099

  12. Molecular identification of Rickettsia parkeri infecting Amblyomma triste ticks in an area of Argentina where cases of rickettsiosis were diagnosed

    Scientific Electronic Library Online (English)

    Gabriel, Cicuttin; Santiago, Nava.

    2013-02-01

    Full Text Available Specimens of the hard tick Amblyomma triste were found infected with Rickettsia parkeri in an area of Argentina (General Lavalle, Buenos Aires Province) where cases of human illness attributed to this microorganism have been reported. Molecular detection of R. parkeri was based on polymerase chain r [...] eactions that amplify a ca. 400-bp fragment of the 23S-5S intergenic spacer and a ca. 500-bp fragment of the gene encoding a 190-kDa outer membrane protein. Three (6.97%) of 43 A. triste ticks were determined to be positive for R. parkeri. These results provide strong evidence that A. triste is the vector of R. parkeri in the study area. The findings of this work have epidemiological relevance because human parasitism by A. triste ticks has been frequently recorded in some riparian areas of Argentina and Uruguay and new cases of R. parkeri rickettsiosis might arise in the South American localities where humans are exposed to the bites of this tick species.

  13. In vitro isolation and infection intensity of Rickettsia parkeri in Amblyomma triste ticks from the Paraná River Delta region, Argentina.

    Science.gov (United States)

    Monje, Lucas D; Nava, Santiago; Antoniazzi, Leandro R; Colombo, Valeria C; Beldomenico, Pablo M

    2014-10-01

    In the present study, we report the first in vitro isolation and infection intensity of Rickettsia parkeri in Amblyomma triste ticks from Argentina. No genetic differences in the molecular targets evaluated were found between R. parkeri isolates from Argentina and those R. parkeri isolates reported in Uruguay and Brazil, both obtained from A. triste. Only a minor difference was observed when compared to R. parkeri isolated from Amblyomma maculatum from United States. Moreover, the prevalence of infection by R. parkeri in ticks collected from the vegetation in the Paraná Delta was high (20.4%). Interestingly, the distribution of R. parkeri infection intensity observed in A. triste ticks was distinctly bimodal, with approximately 60% of the infected ticks presenting high rickettsial loads (3.8×10(5)-4.5×10(7) ompA copies/tick) and the remainder with low rickettsial levels (5.6×10(1)-6.5×10(3) ompA copies/tick). This bimodality in R. parkeri infection intensity in ticks could determine differences in the severity of the disease, but also be important for the infection dynamics of this pathogen. Further research exploring the distribution of rickettsial infection levels in ticks, as well as its determinants and implications, is warranted. PMID:25113981

  14. Molecular identification of Rickettsia parkeri infecting Amblyomma triste ticks in an area of Argentina where cases of rickettsiosis were diagnosed

    Science.gov (United States)

    Cicuttin, Gabriel; Nava, Santiago

    2013-01-01

    Specimens of the hard tick Amblyomma triste were found infected with Rickettsia parkeri in an area of Argentina (General Lavalle, Buenos Aires Province) where cases of human illness attributed to this microorganism have been reported. Molecular detection of R. parkeri was based on polymerase chain reactions that amplify a ca. 400-bp fragment of the 23S-5S intergenic spacer and a ca. 500-bp fragment of the gene encoding a 190-kDa outer membrane protein. Three (6.97%) of 43 A. triste ticks were determined to be positive for R. parkeri. These results provide strong evidence that A. triste is the vector of R. parkeri in the study area. The findings of this work have epidemiological relevance because human parasitism by A. triste ticks has been frequently recorded in some riparian areas of Argentina and Uruguay and new cases of R. parkeri rickettsiosis might arise in the South American localities where humans are exposed to the bites of this tick species. PMID:23440128

  15. Geographical distribution and prevalence of selected Borrelia, Ehrlichia, and Rickettsia infections in Amblyomma americanum (Acari: Ixodidae) in New Jersey.

    Science.gov (United States)

    Schulze, Terry L; Jordan, Robert A; White, Jeffrey C; Roegner, Vivien E; Healy, Sean P

    2011-09-01

    We used published accounts to describe the known statewide distribution of the lone star tick, Amblyomma americanum, in New Jersey and field surveys to characterize the geographical range of A. americanum and selected A. americanum-transmitted pathogens in Monmouth County, the hypothesized northern limit of the species distribution. Ticks were collected using standardized methods from 50 widely dispersed public access areas within 18 municipalities to produce estimates of relative abundance among sites. Collected A. americanum adults were stored at -80 degrees C until processed for DNA extraction. Individual ticks were subjected to polymerase chain reaction analyses to detect the presence of Ehrlichia chaffeensis, E. ewingii, Rickettsia amblyommii, and Borrelia lonestari. The range of A. americanum was generally limited to the southern half of New Jersey. Within Monmouth County, we collected A. americanum from 9 of 18 municipalities (50%) and 24 (48%) of the surveyed properties. We found at least 1 pathogen at 17 (70.8%) sites located within 6 of 9 municipalities, while all 4 target pathogens were detected in 5 of those 6 (83.3%) municipalities. The geographical distribution of A. americanum and its associated pathogens appeared to be restricted to the southern portion of the county. Possible factors governing the distribution are discussed. PMID:22017087

  16. Tratamiento adyuvante con quimioterapia y radioterapia luego de gastrectomía y disección ganglionar D2 en pacientes con cáncer gástrico en el Instituto Nacional de Enfermedades Neoplásicas, Lima, Perú / Adjuvant chemo radiotherapy after gastrectomy and D2 lymphadenectomy in patients with gastric cancer in the National Institute of Cancer, Lima, Peru

    Scientific Electronic Library Online (English)

    Paola, Montenegro; Lourdes, Flores; Shirley, Quintana; Luís, Casanova; Eloy, Ruíz; Jorge, León; Raúl, Mantilla.

    2013-01-01

    Full Text Available Introducción: La quimio radioterapia adyuvante es una alternativa de tratamiento especialmente para pacientes con cirugías inferiores a D2. El estudio INT016 estableció la quimio radioterapia adyuvante como el cuidado estándar para adenocarcinoma resecado de alto riesgo del estómago en Estados Unido [...] s, sin embargo, se vio obstaculizado por la cirugía sub óptima. Existe controversia acerca de la eficacia de esta terapia adyuvante en pacientes sometidos a linfandenectomía D2. En nuestra institución la linfandenectomía D2 es la cirugía estándar para cáncer gástrico. Objetivo: Demostrar que la terapia adyuvante de quimio y radioterapia en pacientes con cáncer gástrico sometidos a gastrectomía y disección ganglionar D2 es efectiva. Materiales y métodos: Estudio retrospectivo de pacientes con adenocarcinoma gástrico estadío II a IV M0 quienes se sometieron a resección curativa en el Instituto Nacional de Enfermedades Neoplásicas, Lima-Perú en el periodo 2001 a 2006. El tratamiento estándar en la Institución es la linfandenectomía D2 y quimio radioterapia adyuvante de acuerdo al INT016. Las curvas de sobrevida fueron estimadas con el método Kaplan-Meier y comparadas con la prueba logrank. Resultados: 84 pacientes fueron incluidos 60,7% hombres y 39,3% mujeres. La edad media fue 49,5 años. Los estadios patológicos fueron T1-T2 (15,5%), T3-T4 (84,5%), N0-N1 (10,7%), N2-N3 (89,3%). Linfandenectomía D2 fue desarrollada en todos los pacientes. Encontramos una sobrevida libre de enfermedad a 3 años de 17% y una sobrevida global de 23,9%. Cuando se analiza por subgrupos, la sobrevida global en los grupos N1, N2 y N3 fueron 66,7%, 58,9% y 18,3%, respectivamente y la sobrevida libre de enfermedad fue 100%, 51,9% y 16,3%, respectivamente. Conclusiones: La quimio radioterapia adyuvante podría ser una alternativa para disminuir el riesgo de muerte y recaída a tres años principalmente en pacientes con ganglios positivos N1-N2, quienes se sometieron a resección curativa con linfandenectomía D2, pero la recurrencia fue más frecuente en ganglios positivos N3, la quimioterapia en este grupo de pacientes podría ser una alternativa para disminuir la tasa de recaída. Abstract in english Introduction: Adjuvant chemo radiotherapy is the standard treatment in Western countries in gastric cancer patients submitted to curative resection. INT0116 pivotal trial established adjuvant chemo radiation as the standard care for resected high risk adenocarcinoma of the stomach in US however was [...] hampered by suboptimal surgery. There is controversial data about efficacy of this adjuvant therapy in patients who have undergone D2 lymphadenectomy predominantly. In our hospital D2 lymphadenectomy is standard surgery for gastric cancer. Objective: To prove that chemo and radio therapy post gastrectomy and D2 linphadenectomy in patients’ with gastric cancer is effective. Material and methods: Retrospective study with gastric adenocarcinoma patients stage II to IV M0 who underwent curative resection at INEN (Instituto Nacional de Enfermedades Neoplasicas) Lima-Peru between 2001 and 2006. Standard treatment at institution is D2 lymphadenectomy. Chemo radiotherapy according to INT0116 was given like adjuvant therapy. Survival curves were calculated according to Kaplan-Meier method and compared with log-rank test. Results: 84 patients were included 60.7% male and 39.3% female. Mean age was 49.5 years old. The pathologic stages were T1-T2 (15.5%), T3-T4 (84.5%), N0-N1 (10.7%), N2-N3 (89.3%). D2 lymphadenectomy was performed in all patients. The 3-year DFS was 17% and 3-year overall survival was 23.9%. However when we analyzed by subgroups the overall survival, was in group N1 (66.7%) and in group N2 (58.9%) and N3 (18.3%) and 3 years DFS by subgroups were N1 (100%), N2 (51.9%) and N3 (16.3%). Conclusions: Adjuvant chemo radiotherapy decreased risk of death and relapse to three years mainly in patients with node positive N1-N2, who underwent curative resection with D2 lymphadenectomy, but recurrence wa

  17. Tick-borne diseases in North Carolina: is "Rickettsia amblyommii" a possible cause of rickettsiosis reported as Rocky Mountain spotted fever?

    Science.gov (United States)

    Apperson, Charles S; Engber, Barry; Nicholson, William L; Mead, Daniel G; Engel, Jeffrey; Yabsley, Michael J; Dail, Kathy; Johnson, Joey; Watson, D Wesley

    2008-10-01

    Cases of Rocky Mountain spotted fever (RMSF) in North Carolina have escalated markedly since 2000. In 2005, we identified a county in the Piedmont region with high case numbers of RMSF. We collected ticks and examined them for bacterial pathogens using molecular methods to determine if a novel tick vector or spotted fever group rickettsiae (SFGR) might be emerging. Amblyomma americanum, the lone star tick, comprised 99.6% of 6,502 specimens collected in suburban landscapes. In contrast, Dermacentor variabilis, the American dog tick, a principal vector of Rickettsia rickettsii, comprised ticks collected. Eleven of 25 lone star tick pools tested were infected with "Rickettsia amblyommii," an informally named SFGR. Sera from patients from the same county who were presumptively diagnosed by local physicians with a tick-borne illness were tested by an indirect immunofluorescence antibody (IFA) assay to confirm clinical diagnoses. Three of six patients classified as probable RMSF cases demonstrated a fourfold or greater rise in IgG class antibody titers between paired acute and convalescent sera to "R. amblyommii" antigens, but not to R. rickettsii antigens. White-tailed deer, Odocoileus virginianus, are preferred hosts of lone star ticks. Blood samples collected from hunter-killed deer from the same county were tested by IFA test for antibodies to Ehrlichia chaffeensis and "R. amblyommii." Twenty-eight (87%) of 32 deer were positive for antibodies to E. chaffeensis, but only 1 (3%) of the deer exhibited antibodies to "R. amblyommii," suggesting that deer are not the source of "R. amblyommii" infection for lone star ticks. We propose that some cases of rickettsiosis reported as RMSF may have been caused by "R. amblyommii" transmitted through the bite of A. americanum. PMID:18447622

  18. Survey of canine tick-borne diseases in Lábrea, Brazilian Amazon: ‘accidental’ findings of Dirofilaria immitis infection / Pesquisa de agentes transmitidos por carrapatos em cães de Lábrea, Amazonas: achados “acidentais” de Dirofilaria immitis

    Scientific Electronic Library Online (English)

    Herbert Sousa, Soares; Luis Marcelo Aranha, Camargo; Solange Maria, Gennari; Marcelo Bahia, Labruna.

    2014-12-01

    Full Text Available Amostras de sangue foram coletadas de 99 cães domésticos de áreas urbana e rural do município de Lábrea, estado do Amazonas. Soros caninos foram testados pela técnica de imunofluorescência indireta contra Rickettsia spp., resultando em apenas 3,0% (1/33) e 7,6% (5/66) de cães soropositivos nas áreas [...] urbana e rural, respectivamente. DNA foi extraído do sangue canino e testado por diferentes protocolos da PCR para detecção de protozoários dos gêneros Babesia e Hepatozoon, e bactérias dos gêneros Rickettsia e Ehrlichia e da família Anaplasmataceae. Todas as amostras foram negativas nos protocolos de PCR para os gêneros Babesia, Hepatozoon, Ehrlichia e Rickettsia. Para Anaplasmataceae, 3% (1/33) e 39,4% (26/66) dos cães de áreas urbana e rural, respectivamente, geraram sequências de DNA 100% idênticas ao endosimbionte Wolbachia de Dirofilaria immitis. Posteriormente, as amostras foram testadas pela PCR para nematódeos filarídeos, resultando em 18,2% (6/33) e 57,6% (38/66) de amostras positivas nas áreas urbana e rural, respectivamente. Os produtos geraram sequências de DNA 100% idênticas a D. immitis. Em contraste com várias outras regiões do Brasil, infecções transmitidas por carrapatos foram raras em Lábrea. Por outro lado, as frequências de infecção por D. immitis estiveram entre as mais altas relatadas na América do Sul. Abstract in english Blood samples were collected from 99 domestic dogs from the urban and rural areas of the Lábrea municipality, state of Amazonas, Brazil. Canine serum samples were tested by immunofluorescence assay against Rickettsia spp., which revealed that only 3.0% (1/33) and 7.6% (5/66) of the dogs from urban a [...] nd rural areas, respectively, reacted positively to at least one Rickettsia species. DNA was extracted from canine blood and tested by a battery of PCR assays targeting protozoa of the genera Babesia and Hepatozoon, and bacteria of the genera Rickettsia and Ehrlichia and family Anaplasmataceae. All samples were negative in the PCR assays targeting the genera Babesia, Hepatozoon, Ehrlichia and Rickettsia. For Anaplasmataceae, 3% (1/33) and 39.4% (26/66) of the urban and rural dogs, respectively, yielded amplicons that generated DNA sequences 100% identical to the corresponding sequence of Wolbachia endosymbiont of Dirofilaria immitis. Because of these results, all canine DNA samples were further tested in a PCR assay targeting filarial nematodes, which was positive for 18.2% (6/33) and 57.6% (38/66) urban and rural dogs, respectively. Filarial-PCR products generated DNA sequences 100% identical to D. immitis. While tick-borne infections were rare in Lábrea, D. immitis infection rates were among the highest reported in South America.

  19. Seroreactivity for spotted fever rickettsiae and co-infections with other tick-borne agents among habitants in central and southern Sweden

    OpenAIRE

    Lindblom, A.; Wallme?nius, K.; Nordberg, M.; Forsberg, P.; Eliasson, I.; Pa?hlson, C.; Nilsson, K.

    2012-01-01

    Patients seeking medical care with erythema migrans or flu-like symptoms after suspected or observed tick bite in the southeast of Sweden and previously investigated for Borrelia spp. and/or Anaplasma sp. were retrospectively examined for serological evidence of rickettsial infection (Study 1). Twenty of 206 patients had IgG and/or IgM antibodies to Rickettsia spp. equal to or higher than the cut-off titre of 1:64. Seven of these 20 patients showed seroconversion indicative of recent or curre...

  20. Early diagnosis of severe Mediterranean spotted fever cases by nested-PCR detecting spotted fever Rickettsiae 17-kD common antigen gene.

    Science.gov (United States)

    Ergas, David; Sthoeger, Zev M; Zev Sthoeger, M; Keysary, Avi; Strenger, Carmela; Leitner, Moshe; Zimhony, Oren

    2008-01-01

    We describe 3 cases of Mediterranean spotted fever (MSF) who presented with severe sepsis, in 2 of which the clinical diagnosis was unclear at presentation. In each case the diagnosis of MSF was made using a nested-PCR assay for Rickettsia conorii 17-kD protein gene. The nested-PCR based diagnosis preceded the serological results of MSF that were all negative at admission. The early diagnosis of MSF by specific PCR will facilitate an early institution of appropriate therapy, saving unnecessary tests and medications. PMID:18759156

  1. High Seroprevalence for Spotted Fever Group Rickettsiae, Is Associated with Higher Temperatures and Rural Environment in Mbeya Region, Southwestern Tanzania

    Science.gov (United States)

    Dobler, Gerhard; Clowes, Petra; Kroidl, Inge; Starke, Mandy; Ntinginya, Nyanda Elias; Maboko, Leonard; Löscher, Thomas; Hoelscher, Michael; Saathoff, Elmar

    2015-01-01

    Background Rickettsioses are endemic in sub-Sahara Africa. Burden of disease, risk factors and transmission are hitherto sparsely described. Methods From the EMINI (Evaluating and Monitoring the Impact of New Interventions) population cohort, we randomly selected 1,228 persons above the age of 5 years from the nine participating communities in Mbeya region, Southwestern Tanzania, stratified by age, altitude of residence and ownership of domestic mammals, to conduct a cross-sectional seroprevalence study in. The aim was to estimate the seroprevalence of IgG antibodies against Spotted Fever Group (SFG) rickettsiae and to assess socioeconomic and environmental risk factors. Serology (indirect immunofluorescence) was performed at a dilution of 1:64. Results SFG-seropositivity in the cohort was found to be 67.9% (range among nine sites: 42.8–91.4%). Multivariable analysis revealed an association with age (prevalence ratio, PR per 10 years: 1.08; 95% CI 1.06–1.10), warmer temperatures (PR per °C: 1.38; 1.11–1.71), male gender (PR 1.08; 1.00–1.16), and low population density (PR per 1.000 persons/km²increase 0.96; 0.94–0.99). At higher elevations, higher cattle density was associated with higher seroprevalence. Conclusion SFG rickettsial infection seems to be common in the more rural population of Mbeya Region. Spread seems to be further limited by temperature and higher elevation. Examination of the contribution of SFG to febrile illnesses seems warranted in a prospective study to estimate the disease burden in the population. This will also allow determination of the causative pathogens. PMID:25849718

  2. Dose-response model of murine typhus (Rickettsia typhi: time post inoculation and host age dependency analysis

    Directory of Open Access Journals (Sweden)

    Tamrakar Sushil B

    2012-03-01

    Full Text Available Abstract Background Rickettsia typhi (R. mooseri is the causative agent of murine typhus. It is one of the most widely distributed flea-borne diseases with a relatively mild febrile initial illness with six to 14 days of incubation period. The bacterium is gram negative and an obligate intracellular pathogen. The disease is transmitted to humans and vertebrate host through fleabites or via contact with infected feces. This paper develops dose-response models of different routes of exposure for typhus in rodents. Methods Data from published articles were analyzed using parametric dose-response relationship models. Dose-response relationships were fit to data using the method of maximum likelihood estimation (MLE. Results Dose-response models quantifying the effects of different ages of rats and time post inoculation in BALB/c mice were analyzed in the study. Both the adult rats (inoculated intradermally and newborn rats (inoculated subcutaneously were best fit by exponential models and both distributions could be described by a single dose-response relationship. The BALB/C mice inoculated subcutaneously were best fit by Beta-Poisson models. The time post inoculation analysis showed that there was a definite time and response relationship existed in this case. Conclusions Intradermally or subcutaneously inoculated rats (adult and newborn models suggest that less than 1 plaque-forming unit (PFU (1.33 to 0.38 in 95% confidence limits of the pathogen is enough to seroconvert 50% of the exposed population on average. For the BALB/c mouse time post inoculation model, an average dose of 0.28 plaque-forming units (PFU (0.75 to 0.11 in 95% confidence limits will seroconvert 50% of the exposed mice.

  3. por láser

    Directory of Open Access Journals (Sweden)

    Mayra Garcimu\\u00F1o

    2013-01-01

    Full Text Available En el presente trabajo, la técnica Espectroscopia de plasmas producidos por láser (Laser-induced breakdown spectroscopy –LIBS– se aplicó a la determinación cuan- titativa de Na en agua natural dulce, de interés en agricultura para el estudio de la alcalinidad de aguas de regadío. Para efectuar el análisis, se prepararon soluciones con concentraciones conocidas del analito, se mezclaron con óxido de calcio y se compactaron en pastillas sólidas. Los plasmas se produjeron en aire a presión atmos- férica utilizando un láser pulsado Nd:YAG. Se construyó una curva de calibración y se calculó el límite de detección. Se analizaron muestras de agua natural y los resultados se compararon con los obtenidos mediante espectroscopia de absorción atómica. Se demostró la factibilidad del método para la determinación de Na en agua natural dulce.

  4. Avaliação do protocolo PCR4 de Marchetti em tecidos parafinizados para o diagnóstico da tuberculose cutânea e ganglionar Evaluation of Marchetti PCR4 amplification assay to the diagnosis of cutaneous and lymph node tuberculosis from formalin-fixed paraffin-embedded tissue

    Directory of Open Access Journals (Sweden)

    Luciana Botinelly Mendonça Fujimoto

    2007-06-01

    Full Text Available INTRODUÇÃO: A tuberculose cutaneoganglionar (TbCG corresponde a 25,4% dos casos de tuberculose (Tb extrapulmonar no estado do Amazonas. Os métodos tradicionais, bacteriológicos e histopatológicos envolvem algumas dificuldades diagnósticas, e a reação em cadeia da polimerase (PCR surge como método alternativo, podendo propiciar resultados específicos e em menor tempo. Nesse sentido, verificou-se a acurácia do protocolo PCR4 de Marchetti et al. no diagnóstico da TbCG comparativamente aos métodos bacteriológicos e histopatológicos. MATERIAIS E MÉTODOS: Realizou-se o nested-PCR com oligonucleotídeos para a IS6110 do complexo do M. tuberculosis em 83 amostras parafinizadas, sendo 52 cutâneas e 31 ganglionares, de pacientes clinicamente suspeitos de TbCG. Todos os casos foram avaliados pelos métodos bacteriológicos e histopatológicos. Foi realizada análise da acurácia entre os resultados obtidos na PCR em relação ao cultivo e à histopatologia. RESULTADOS E DISCUSSÃO: A positividade da PCR em todos os casos estudados foi de 50,6% (42/83, sendo de 59,6% (31/52 em amostras cutâneas e de 35,5% (11/31 nas ganglionares. Em ambos os grupos foram observados resultados falso-positivos e falso-negativos. Algumas hipóteses que podem justificar estes resultados estão relacionadas à presença da IS6110 em micobactérias ambientais da região amazônica e à não-padronização da amostra de DNA amplificado. CONCLUSÃO: O protocolo em avaliação apresentou positividade em percentual semelhante a diferentes protocolos existentes na literatura. Sugere-se o uso da PCR em tecidos parafinizados associada com o cultivo ou com a histopatologia para o diagnóstico definitivo de Tb ganglionar. Para as lesões cutâneas continua sendo necessária a busca de protocolo que amplie a acurácia do método.BACKGROUND: Cutaneous lymph node tuberculosis (CLTb represents 25.4% of all cases of extra-pulmonary Tb in the state of Amazonas. The current methods of diagnose including bacteriological and histopathological assays involve some technical difficulties, and the polymerase chain reaction - PCR arise as an alternative method allowing specific results faster than the others. In this context the accuracy of PCR4 Marchetti et al. protocol was compared with traditional methods. MATERIAL AND METHOD: Nested-PCR for IS6110 (123 pb were applied on 83 CLTb suspicious formalin fixed and paraffin embedded samples of tissues (52 cutaneous and 31 lymph node, obtained from 1997 to 2002. All cases were evaluated by bacteriological and histopathological methods. Accuracy analyses were carried out between the PCR amplification results and those related on bacteriological and histopathological methods. RESULTS AND DISCUSSIONS: Positive results of PCR4 were about 50.6% (59.6% in cutaneous samples and of 35.5% in lymph nodes samples. In both groups were observed false-negative and false-positive results. Some hypotheses that explain those results are related to the presence of IS6110 in environmental mycobacterias in the Amazon region and the absence of standardized DNA concentration to amplification assays. CONCLUSIONS: The proposed protocol was as positive as others ones available in the literature. Definitive Tb diagnostic can be obtained on lymph node paraffin embedded PCR in association with bacteriological or histopathological method. A better accuracy of an amplification assay applied to cutaneous Tb suspicious lesions has to be still under research.

  5. Avaliação do protocolo PCR4 de Marchetti em tecidos parafinizados para o diagnóstico da tuberculose cutânea e ganglionar / Evaluation of Marchetti PCR4 amplification assay to the diagnosis of cutaneous and lymph node tuberculosis from formalin-fixed paraffin-embedded tissue

    Scientific Electronic Library Online (English)

    Luciana Botinelly Mendonça, Fujimoto; Júlia Ignez, Salem; Maurício Morishi, Ogusku; Luiz Carlos de Lima, Ferreira.

    2007-06-01

    Full Text Available INTRODUÇÃO: A tuberculose cutaneoganglionar (TbCG) corresponde a 25,4% dos casos de tuberculose (Tb) extrapulmonar no estado do Amazonas. Os métodos tradicionais, bacteriológicos e histopatológicos envolvem algumas dificuldades diagnósticas, e a reação em cadeia da polimerase (PCR) surge como método [...] alternativo, podendo propiciar resultados específicos e em menor tempo. Nesse sentido, verificou-se a acurácia do protocolo PCR4 de Marchetti et al. no diagnóstico da TbCG comparativamente aos métodos bacteriológicos e histopatológicos. MATERIAIS E MÉTODOS: Realizou-se o nested-PCR com oligonucleotídeos para a IS6110 do complexo do M. tuberculosis em 83 amostras parafinizadas, sendo 52 cutâneas e 31 ganglionares, de pacientes clinicamente suspeitos de TbCG. Todos os casos foram avaliados pelos métodos bacteriológicos e histopatológicos. Foi realizada análise da acurácia entre os resultados obtidos na PCR em relação ao cultivo e à histopatologia. RESULTADOS E DISCUSSÃO: A positividade da PCR em todos os casos estudados foi de 50,6% (42/83), sendo de 59,6% (31/52) em amostras cutâneas e de 35,5% (11/31) nas ganglionares. Em ambos os grupos foram observados resultados falso-positivos e falso-negativos. Algumas hipóteses que podem justificar estes resultados estão relacionadas à presença da IS6110 em micobactérias ambientais da região amazônica e à não-padronização da amostra de DNA amplificado. CONCLUSÃO: O protocolo em avaliação apresentou positividade em percentual semelhante a diferentes protocolos existentes na literatura. Sugere-se o uso da PCR em tecidos parafinizados associada com o cultivo ou com a histopatologia para o diagnóstico definitivo de Tb ganglionar. Para as lesões cutâneas continua sendo necessária a busca de protocolo que amplie a acurácia do método. Abstract in english BACKGROUND: Cutaneous lymph node tuberculosis (CLTb) represents 25.4% of all cases of extra-pulmonary Tb in the state of Amazonas. The current methods of diagnose including bacteriological and histopathological assays involve some technical difficulties, and the polymerase chain reaction - PCR arise [...] as an alternative method allowing specific results faster than the others. In this context the accuracy of PCR4 Marchetti et al. protocol was compared with traditional methods. MATERIAL AND METHOD: Nested-PCR for IS6110 (123 pb) were applied on 83 CLTb suspicious formalin fixed and paraffin embedded samples of tissues (52 cutaneous and 31 lymph node), obtained from 1997 to 2002. All cases were evaluated by bacteriological and histopathological methods. Accuracy analyses were carried out between the PCR amplification results and those related on bacteriological and histopathological methods. RESULTS AND DISCUSSIONS: Positive results of PCR4 were about 50.6% (59.6% in cutaneous samples and of 35.5% in lymph nodes samples). In both groups were observed false-negative and false-positive results. Some hypotheses that explain those results are related to the presence of IS6110 in environmental mycobacterias in the Amazon region and the absence of standardized DNA concentration to amplification assays. CONCLUSIONS: The proposed protocol was as positive as others ones available in the literature. Definitive Tb diagnostic can be obtained on lymph node paraffin embedded PCR in association with bacteriological or histopathological method. A better accuracy of an amplification assay applied to cutaneous Tb suspicious lesions has to be still under research.

  6. Amputación interescapulotorácica por cromomicosis y carcinoma epidermoide / Amputation interscapulothracique pourchr4omomycose et6 carcinome épidermoide / Interscapulothoracic amputation by chromomycosis and epidermoid carcinoma

    Scientific Electronic Library Online (English)

    Hiralio, Collazo Álvarez; Eridán, González Velázquez; Andrés G, Pardillo Morales; Stephen Yecc, Collazo Marín.

    2001-12-01

    Full Text Available Paciente del sexo masculino y blanco de 74 años de edad, con lesión dermatológica hiperpigmentada y verrucosa de más de 25 años de evolución en codo y antebrazo izquierdo; asimismo posee otra de piel en forma de coliflor y cuya evolución es reciente. Ambas presentaron diagnóstico histopatológico de [...] cromomicosis. El tratamiento inicial fue la exéresis con margen oncológico de la lesión en forma de coliflor y la electrofulguración, curetaje del resto de la lesión y tratamiento antimicótico. En un período de 5 meses el enfermo presenta evolución tórpida con toma del estado general y elefantiasis del miembro superior izquierdo hasta región supraclavicular que obliga a realizarle amputación interescapulotorácica por la técnica de Berger para mejorar la calidad de vida. El diagnóstico histopatológico de los paquetes ganglionares resecados mostró metástasis de un carcinoma epidermoide. Abstract in english The case of a 74-year-old white male patient with a hyperpigmented and verrucose dermatological injury of more than 25 years of evolution in his left elbow and forearm is reported. He also has another cauliflower-like skin injury of recent evolution. Both presented histopathological diagnosis of chr [...] omomycosis. The initial treatment was exeresis with oncological margin of the cauliflower-like injury and electrofulguration, curettage of the rest of the injury and antimycotic treatment. In 5 months, the patient had a torpid evolution with taking of the general state and elephantiasis of the upper left extremity to the supraclavicular region that led to the interscapulothoracic amputation by Berger’s technique to improve his quality of life. The histopathological diagnosis of the resected ganglionar packages showed metastasis of an epidermoid carcinoma.

  7. Factores asociados al pronóstico de pacientes operados por cáncer gástrico avanzado Pathological factors associated with survival in advanced gastric cancer

    Directory of Open Access Journals (Sweden)

    ÓSCAR TAPIA E

    2011-04-01

    Full Text Available Introducción: El estudio de la pieza operatoria de pacientes resecados por cáncer gástrico (CG ha permitido identificar variables anatomo-patológicas con valor pronóstico en la supervivencia (SV y recurrencia de estos pacientes, siendo el compromiso ganglionar linfático y nivel de infiltración tumoral, los factores más relevantes identificados. El objetivo de este estudio es determinar asociación entre variables clínicas y morfológicas con la SV de pacientes resecados por CG avanzado (CGA. Material y Método: Estudio de cohorte retrospectiva. Se estudiaron variables clínicas y morfológicas de 299 pacientes operados por CGA entre enero de 1986-diciembre de 2001. Los datos fueron obtenidos desde la Unidad de Anatomía Patológica del Hospital Hernán Henríquez Aravena de Temuco. Se aplicó estadística descriptiva y analítica; confección de curvas de supervivencia, y finalmente se aplicaron modelos de regresión logística para realizar ajuste, calcular odds ratios y sus respectivos intervalos de confianza de 95%o. Resultados: La cohorte tuvo una mediana de edad de 63 años y el 68% de ella correspondió al género masculino. Con una mediana de seguimiento de 21 meses (1 a 206, se observó una SV actuarial global a 5 y 10 años de 39% y 34% respectivamente. En el análisis bivariado, se verificó asociación con la SV en: etapa tumoral macroscópica, localization y tamaño tumoral, tipo según Bormann, nivel de infiltración, grado de diferenciación histológico, tipo histológico según Lauren, Ming y Nakamura, estado ganglionar linfático (N, estadio TNM y resultado de la resección realizada. Conclusiones: Las variables mencionadas deben ser cuidadosamente evaluadas al momento de decidir terapias en pacientes con CGA.Background: The degree of tumor infiltration and lymph node involvement are the most relevant pathological features to determine prognosis of advanced gastric cancer. Aim: To determine the association between clinical and pathological features of advanced gastric cancer and patient survival. Material and Methods: The pathological records of patients with advanced gastric cancer subjected to gastrectomy and lymph node excision between 1986 and 2007 were analyzed. Follow up was performed according to data in the clinical records and death certificates obtained at the Chilean National Death Registry. The main outcome analyzed was survival after surgery. Results: The records of 299 patients aged 62 ± 11 years (68% males, were analyzed. Mean follow up ranged from 1 to 206 months. Five and 10 years actuarial survival was 39 and 34%, respectively. The pathological predictors of survival were microscopic tumor stage, tumor size and location, Bormann classification, infiltration level, degree of differentiation, pathological type of tumor according to Lauren, Ming y Nakamura, lymph node involvement and the absence of residual tumor after surgical excision. Conclusions: The pathological study of the surgical piece in advanced gastric cancer has important prognostic implications.

  8. Factores asociados al pronóstico de pacientes operados por cáncer gástrico avanzado / Pathological factors associated with survival in advanced gastric cancer

    Scientific Electronic Library Online (English)

    ÓSCAR, TAPIA E; JUAN CARLOS, ROA S; CARLOS, MANTEROLA D; VALENTINA, PUGA A; MIGUEL, VILLASECA H; JUAN CARLOS, ARAYA O.

    2011-04-01

    Full Text Available Introducción: El estudio de la pieza operatoria de pacientes resecados por cáncer gástrico (CG) ha permitido identificar variables anatomo-patológicas con valor pronóstico en la supervivencia (SV) y recurrencia de estos pacientes, siendo el compromiso ganglionar linfático y nivel de infiltración tum [...] oral, los factores más relevantes identificados. El objetivo de este estudio es determinar asociación entre variables clínicas y morfológicas con la SV de pacientes resecados por CG avanzado (CGA). Material y Método: Estudio de cohorte retrospectiva. Se estudiaron variables clínicas y morfológicas de 299 pacientes operados por CGA entre enero de 1986-diciembre de 2001. Los datos fueron obtenidos desde la Unidad de Anatomía Patológica del Hospital Hernán Henríquez Aravena de Temuco. Se aplicó estadística descriptiva y analítica; confección de curvas de supervivencia, y finalmente se aplicaron modelos de regresión logística para realizar ajuste, calcular odds ratios y sus respectivos intervalos de confianza de 95%o. Resultados: La cohorte tuvo una mediana de edad de 63 años y el 68% de ella correspondió al género masculino. Con una mediana de seguimiento de 21 meses (1 a 206), se observó una SV actuarial global a 5 y 10 años de 39% y 34% respectivamente. En el análisis bivariado, se verificó asociación con la SV en: etapa tumoral macroscópica, localization y tamaño tumoral, tipo según Bormann, nivel de infiltración, grado de diferenciación histológico, tipo histológico según Lauren, Ming y Nakamura, estado ganglionar linfático (N), estadio TNM y resultado de la resección realizada. Conclusiones: Las variables mencionadas deben ser cuidadosamente evaluadas al momento de decidir terapias en pacientes con CGA. Abstract in english Background: The degree of tumor infiltration and lymph node involvement are the most relevant pathological features to determine prognosis of advanced gastric cancer. Aim: To determine the association between clinical and pathological features of advanced gastric cancer and patient survival. Materia [...] l and Methods: The pathological records of patients with advanced gastric cancer subjected to gastrectomy and lymph node excision between 1986 and 2007 were analyzed. Follow up was performed according to data in the clinical records and death certificates obtained at the Chilean National Death Registry. The main outcome analyzed was survival after surgery. Results: The records of 299 patients aged 62 ± 11 years (68% males), were analyzed. Mean follow up ranged from 1 to 206 months. Five and 10 years actuarial survival was 39 and 34%, respectively. The pathological predictors of survival were microscopic tumor stage, tumor size and location, Bormann classification, infiltration level, degree of differentiation, pathological type of tumor according to Lauren, Ming y Nakamura, lymph node involvement and the absence of residual tumor after surgical excision. Conclusions: The pathological study of the surgical piece in advanced gastric cancer has important prognostic implications.

  9. Rickettsiosis transmitidas por garrapatas en las Américas: avances clínicos y epidemiológicos, y retos en el diagnóstico / Tick-borne rickettsioses in the Americas: clinical and epidemiological advances, and diagnostic challenges

    Scientific Electronic Library Online (English)

    Marylin, Hidalgo; Álvaro A, Faccini-Martínez; Gustavo, Valbuena.

    2013-09-01

    Full Text Available Las rickettsiosis son entidades clínicas de tipo zoonótico, causadas por bacterias intracelulares estrictas de los géneros Rickettsia y Orientia, pertenecientes a la familia Rickettsiaceae. Su ecología está determinada por factores ambientales y la presencia de vectores específicos que condicionan e [...] l establecimiento y la epidemiología en diferentes regiones del mundo. En las Américas, durante el siglo XX, únicamente eran reconocidas tres de estas enfermedades: la fiebre manchada de las Montañas Rocosas, el tifus epidémico y el tifus endémico, Sin embargo, a partir del año 2000 se han descrito mas de 10 especies diferentes previamente desconocidas en este continente, tanto en artrópodos como en casos clínicos, hecho que permite clasificarlas como entidades clínicas emergentes y reemergentes. Dadas las manifestaciones clínicas de las enfermedades causadas por rickettsias, siendo la gran mayoría inespecíficas y, por lo mismo, compartidas con otras enfermedades infecciosas, especialmente virales y bacterianas, han sido enmarcadas entre los diagnósticos diferenciales del síndrome febril agudo, tanto en áreas urbanas como tropicales. En la actualidad, se cuenta con métodos diagnósticos directos e indirectos, que son útiles en la identificación del agente infeccioso, en este caso, causante de rickettsiosis. Abstract in english Rickettsioses are a group of zoonotic diseases caused by strict intracellular bacteria of the genus Rickettsia and Orientia which belong to the Rickettsiaceae family. Their ecology is influenced by environmental factors and the presence of specific vectors that determine the establishment and epidem [...] iology in different world regions. In America, during the 20 th century, only three of these diseases were recognized: Rocky Mountain spotted fever, epidemic typhus and endemic typhus. However, since 2000, more than 10 different species that had previously been unknown in this continent have been described, both in arthropods and in clinical cases, fact that classifies them as emerging and re-emerging diseases. Given the clinical manifestations of the diseases caused by rickettsias, being the majority unspecific and, therefore, shared with other infectious diseases, especially viral and bacterial, they have been framed within the differential diagnoses of acute febrile syndrome in urban and tropical areas. Nowadays, there are direct and indirect diagnostic methods, which are useful in the definition of the infectious agent, in this case, the cause of rickettsioses.

  10. Tuberculosis ganglionar cervical simulando una enfermedad de Kikuchi: Reporte de un caso y revisión de la literatura / Cervical lymph node tuberculosis simulating Kikuchi's disease: A case report and review of the literature

    Scientific Electronic Library Online (English)

    Lisbeth, Valoyes G; Iván, García D; Amadeo, Muntané S; Paloma, Mora M; Lucía, Aja R.

    Full Text Available La linfadenitis cervical tuberculosa es la manifestación más común de tuberculosis en cabeza y cuello. La enfermedad de Kikuchi es una enfermedad rara que consiste en una linfadenitis necrotizante histocitiaria. La presentación clínica en ambas entidades suele consistir en una o más masas cervicales [...] dolorosas, que pueden ser duras o fluctuantes. Los hallazgos por imagen no permiten distinguir de manera absoluta la linfadenitis tuberculosa de la enfermedad de Kikuchi. Por lo tanto es imprescindible para interpretar los hallazgos por imagen no sólo conocer el origen demográfico del paciente, sino su estado inmunológico con respecto a la tuberculosis y el estudio histopatológico y microbiológico de las adenopatías. Abstract in english Tuberculous cervical lymphadenitis is the most common manifestation of tuberculosis in the head and neck. Kikuchi's disease is a rare disease that is histocitiaria necrotizing lymphadenitis. The clinical presentation in both entities is usually a painful neck masses or more, which can be hard or flu [...] ctuating. The imaging findings do not distinguish in absolute tuberculous lymphadenitis Kikuchi's disease. Therefore it is essential to interpret the imaging findings not only know the origin of the patient population, but their immune status with regard to Tuberculosis and histopathological and microbiological lymphadenopathy.

  11. Spotted fever from Rickettsia typhi in an older woman: a case report from a geographic area where it would not be expected.

    Science.gov (United States)

    Luciani, Filippo; Cione, Erika; Corsonello, Andrea; Guido, Francesca; De Santis, Salvatore; Cannataro, Roberto; Perri, Mariarita; Caroleo, Maria Cristina; Cannataro, Anna Maria

    2014-10-01

    We describe the case of a 75-year-old woman presenting with spotted fever followed by acute renal failure and septic shock. The infection was caused by Rickettsia typhi, not reported in Calabria district (southern Italy) since World War II. The diagnosis of murine typhus was made 3 days after admission and was based solely on clinical criteria when her worsening condition required a prompt move to the intensive care unit. Therapy with tigecycline was then started immediately and the patient improved dramatically. The diagnosis of murine typhus was confirmed 10 days after admission by immunofluorescence assay. Our case is an example of how the diagnosis of murine typhus is challenging. However, in the case of a disease lacking specific symptoms, clinicians should never forget that, even in geographic areas considered free of flea-borne diseases, the components of the enzootic cycle are present and the diagnosis should never be underestimated. PMID:25111740

  12. Primeiro caso de febre maculosa brasileira branda associada à artrite / First report of mild Brazilian spotted fever associated to arthritis

    Scientific Electronic Library Online (English)

    Virgínia Lucia Nazario, Bonoldi; Roberta Gonçalves, Marangoni; Giancarla, Gauditano; Jonas, Moraes-Filho; Marcelo Bahia, Labruna; Natalino Hajime, Yoshinari.

    2014-06-01

    Full Text Available Descrevemos o primeiro caso brasileiro de Riquetsiose branda, agravada por monoartrite em joelho, em adulto jovem picado por carrapato na perna esquerda na região de Camburi, localizada no município de São Sebastião, sul da região costeira do estado de São Paulo, Mata Atlântica, Brasil. O paciente a [...] presentou uma escara de inoculação no local da picada do carrapato, associada ao aumento ganglionar em virilha esquerda, febre, poliartralgia, cefaleia e erupção macular. Vinte dias após o episódio da picada de carrapato, o paciente apresentou monoartrite em joelho direito. O diagnóstico de Riquetsiose branda foi estabelecido pela análise imunológica sequencial em amostras de soro e líquido sinovial, tendo sido empregada a técnica de imunofluorescência (IF) indireta para anticorpos reativos contra Rickettsia parkeri e Rickettsia rickettsii. A Riquetsiose branda é uma zoonose emergente, que deve ser investigada pelos médicos, incluindo reumatologistas, em pacientes que apresentem erupção macular, febre e, eventualmente, artrite, após visita ao sul da região costeira da Mata Atlântica no Brasil. Abstract in english We describe the first Brazilian case of mild Rickettsiosis, complicated by knee monoarthritis, in young adult bitten by a tick on his left leg in Camburi zone, located in São Sebastião municipality, southern coastal region of the State of São Paulo, in the Atlantic rainforest region, Brazil. The pat [...] ient developed inoculation eschar at the tick bite site associated with enlarged lymph nodes in the left groin, fever, polyarthralgia, headache and macular rash. Twenty days after tick bite episode, he displayed monoarthritis in his right knee. The diagnosis of mild Rickettsiosis was established by sequential immunological analysis in serum and synovial fluid, using the indirect immunofluorescence (IF) assay for antibodies reactive with Rickettsia parkeri and Rickettsia rickettsii. The mild Rickettsiosis is an emerging zoonosis, that must be investigated by physicians, including rheumatologists, in patients that present macular rash, fever and eventually arthritis, after visiting the southern coastal Atlantic rainforest region in Brazil.

  13. Study of the Five Rickettsia prowazekii Proteins Annotated as ATP/ADP Translocases (Tlc): Only Tlc1 Transports ATP/ADP, While Tlc4 and Tlc5 Transport Other Ribonucleotides

    OpenAIRE

    Audia, Jonathon P.; Winkler, Herbert H.

    2006-01-01

    The obligate intracytoplasmic pathogen Rickettsia prowazekii relies on the transport of many essential compounds from the cytoplasm of the eukaryotic host cell in lieu of de novo synthesis, an evolutionary outcome undoubtedly linked to obligatory growth in this metabolite-replete niche. The paradigm for the study of rickettsial transport systems is the ATP/ADP translocase Tlc1, which exchanges bacterial ADP for host cell ATP as a source of energy, rather than as a source of adenylate. Interes...

  14. Ulcera lingual como signo único de infección recurrente por micobacteria en un paciente con VIH/SIDA / Lingual ulcer as the only sign of recurrent mycobacterial infection in an HIV/AIDS-infected patient

    Scientific Electronic Library Online (English)

    Velia, Ramírez Amador; Gabriela, Anaya Saavedra; Imelda, González Ramírez; Juan Luis, Mosqueda Gómez; Lilly, Esquivel Pedraza; Edgardo, Reyes Gutiérrez; Juan, Sierra Madero.

    2005-04-01

    Full Text Available Se describe un paciente con VIH/SIDA en el que se identificó una infección por micobacteria en la mucosa bucal, probablemente tuberculosis, en un centro de referencia para VIH/SIDA de la Ciudad de México. El propósito del presente informe es describir los hallazgos clínicos e histológicos en un paci [...] ente con VIH/SIDA, quien después de haber sido tratado exitosamente para tuberculosis ganglionar 4 años antes, presentó una úlcera lingual como único signo que sugirió recurrencia de infección por micobacteria, probablemente tuberculosis. Hombre de 39 años de edad, atendido desde 1991 en el Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", por el diagnóstico de infección con VIH. En 1999, el paciente presentó tuberculosis ganglionar, recibiendo tratamiento antifímico con involución de las adenopatías y desaparición de los síntomas sistémicos. En mayo del 2003 acudió a consulta por presentar una úlcera superficial en lengua, dolorosa, de 4 meses de evolución, de 0.7 cm. de diámetro, bien circunscrita, crateriforme, con bordes ligeramente elevados, irregulares e indurados. El estudio histopatológico mostró inflamación granulomatosa crónica con células gigantes multinucleadas sugestivas de infección por micobacteria, lo cual hizo pensar en recurrencia de tuberculosis, por lo que se indicó rifampicina, pirazinamida, etambutol y estreptomicina. En junio del 2003 el paciente inició TARAA, que incluyó dos ITRAN y un ITRNN. La lesión lingual evolucionó favorablemente, con cicatrización parcial a la primera semana y remisión total a los 45 días del inicio del tratamiento antifímico; a los 7 meses de seguimiento permanece sin lesión. El presente caso tiene la particularidad de que la úlcera lingual fue la única manifestación de infección por micobacteria, sugestiva de tuberculosis, en un paciente con VIH/SIDA, que pudo ocurrir como resultado de la recurrencia del episodio previo de TB ganglionar. Abstract in english The report describes an HIV/AIDS patient seen at a referral center in Mexico City, in whom a mycobacterial infection in the oral mucosa, probably tuberculosis (TB) was identified. The purpose is to describe the clinical and histological findings in an HIV-infected patient, who after being treated su [...] ccessfully for tuberculous lymphangitis 4 years ago, presented with a lingual ulcer as the only suggestive sign of recurrence of mycobacterial infection, probably M. tuberculosis. A 39-year-old man seen inthe HIV clinic of the Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán" in Mexico City since 1991 for HIV infection. In 1999 the patient developed tuberculous lymphangitis; he was managed with a 4-drug regimen for 12 months, with improvement of local and systemic symptoms. In May of 2003, the patient presented a painful superficial lingual ulcer, 0.7 cm in diameter, well circumscribed, crateriform with slightly elevated, irregular and indurated borders, of 4 months duration. The histopathological examination showed chronic granulomatous inflammation with giant multinucleated cells, suggestive of mycobacterial infection, and recurrence of TB was considered. Rifampin, isoniazide, pyrazinamide, ethambutol and streptomycin were administered. The lingual lesion improved with partial healing at the first week and total remission at 45 days after the beginning of the antituberculous treatment. In June, 2003, the patient began highly active antiretroviral therapy (HAART) that included two NRTIs and one NNRTI. At 7 months of follow-up, the patient remains free of lingual lesions. The particularity of the present case is that the lingual ulcer was the only sign of infection by mycobacteria, suggestive of TB, in an HIV/AIDS patient that probably represented a recurrence of a previous episode.

  15. Cuantificación de ADN como factor pronóstico en un caso de Carcinoma de células Acinares de parótida diagnosticado por PAAF / DNA quantification as prognostic factor in a case of Acinar Cell Carcinoma of the parotid gland, diagnosed by FNA

    Scientific Electronic Library Online (English)

    Javier, Azúa Romeo; Juan Carlos, Sánchez Garnica; Javier, Azúa Blanco; Mayte, Tovar Lázaro.

    2005-10-01

    Full Text Available Presentamos el caso de un varón de 43 años de edad que consulta por una tumoración preauricular derecha dolorosa a la palpación que, según refiere, tiene más de tres años de evolución. Se realiza punción aspiración con aguja fina que informa de compatible con carcinoma de células acinares, por lo qu [...] e se realiza cuantificación de ADN por citometría de imagen. Los parámetros biológicos estudiados (ploidía, fase S, células por encima de 5c) indican que se trata de una lesión de bajo grado de malignidad. Con estos datos se practica parotidectomía total conservadora del facial, sin vaciamiento ganglionar. El paciente se encuentra, un año después, asintomático y libre de signos tumorales residuales. Abstract in english Hereby we present a case of a 43-years-old male who complained of a three years history preauricular painful mass. Fine needle aspiration cytology was performed, diagnosing of compatible with acinar cell carcinoma, thus DNA quantification by image cytometry was carried out. Biological parameters stu [...] died (ploidy, S-phase, 5-c exceeding rate) showed that it is a low grade of malignancy lesion. Total parotidectomy conservative of facial nerve was recommended, without regional lymphadenectomy. Patient remains, one year later, asymptomatic and free of disease.

  16. Pecoma pélvico del ligamento ancho con metástasis ganglionares: presentación de un caso y revisión de la literatura / Pelvic PEcoma of the broad ligament with lymph node metastasis: Case report and bibliographic review

    Scientific Electronic Library Online (English)

    Raul, Tobalina Bonis; Tomás, Pérez Domínguez; Fernanda, Relea Calatayud; Enrique, Cazenave Jiménez; M. A., Piris; Nemesio, Jiménez López-Lucendo.

    2008-08-01

    Full Text Available Objetivos: Describimos y documentamos el primer caso de PEComa publicado en España según la base de datos Pub Med. Y revisamos la bibliografía existente sobre este tipo de tumores. Métodos/Resultados: Se Trata de una paciente de 39 años con un tumor pélvico de 9 cms. descubierto en una revisión gine [...] cológica rutinaria. El TAC muestra múltiples adenopatías periaórticas que se extienden hasta vena renal izquierda El diagnóstico de PEComa se obtiene por punción con aguja gruesa. Se realiza exéresis del tumor junto a anexo izquierdo y linfadenectomía aortoiliaca. El resultado patológico confirma el diagnóstico tras la inmunohistoquímica con actina de músculo liso y HMB-45. No recibió tratamiento adyuvante. Tras un año de seguimiento la paciente no muestra en el TAC signos de recidiva. Se realiza una amplia búsqueda bibliográfica en Pub Med encontrando 73 referencias a este tipo de tumor cuyas conclusiones se exponen en este articulo. Conclusiones: El tumor de celulas epitelioides perivasculares, PEComa, es una neoplasia mesenquimal de muy baja incidencia y con malignidad incierta. Tumores muy raros: el angiomiolipoma epitelioide, la linfangioleiomiomatosis, el linfangiomioma, el tumor miomelanocitico del ligamento falciforme, el tumor pulmonar de celulas claras "de azucar" y su variante extrapulmonar; son antiguas descripciones de lo que ahora es una única entidad tumoral denominada PEComa. Aun no de ha descrito la célula que en tejidos normales da origen a este tumor. Afectando principalmente a mujeres en edad media, pueden encontrarse en cualquier lugar anatómico. Su tratamiento es quirúrgico aunque se desconoce el papel de la linfadenectomía y del tratamiento adyuvantes. Abstract in english Objective: We describe and document the first case of PEcoma published in Spain following the PubMed database. We review the bibliography about these tumors. Methods/Results: 39-year-old female patient with a 9 cm pelvic tumor discovered in a routine gynecologic review. CT scan showed multiple peria [...] ortic adenopathies extending up to the left renal vein. The diagnosis of PEcoma was obtained by needle biopsy. Tumor excision including left annex and aortoiliac lymphadenectomy were performed. Pathology confirmed the diagnosis after immunohistochemical study with smooth muscle actin and HMB-45. No adjuvant treatment was given. After one year of follow-up the patient does not show signs of recurrence of the CT scan. A PubMed search was performed finding 73 references about this kind of tumor the conclusions of which are exposed in this article. Conclusions: Perivascular epithelioid cell tumor, PEcoma, is a very low incidence mesenchymal neoplasia with uncertain malignancy. Very rare tumors such as epithelioid angiomyolipoma, lymphangioleiomyomatosis, lymphangiomyoma, myelomelanocytic tumor of the falciform ligament, "sugar" clear cell lung tumor and its extrapulmonary variant are all descriptions of what is now a unique tumoral entity named PEcoma. It has not been described yet the normal tissue cell giving origin to this tumor. It affects mainly middle age women, and may appear in any anatomical site. Treatment is surgical, although the role of lymphadenectomy and adjuvant treatment is unknown.

  17. Linfadenitis de causa tuberculosa: diagnóstico por punción aspirativa con aguja fina / Lymphadenitis of tuberculosis etiology: diagnosis by fine needle aspiration biopsy

    Scientific Electronic Library Online (English)

    Odalys, Durruthy Wilson; Nayvis, Suazo Valle; Daysi, Perón Ortiz.

    2011-12-01

    Full Text Available Fundamento: la tuberculosis es un problema serio de salud mundial. La propagación de la infección por el VIH agudiza su impacto. La tuberculosis extrapulmonar supone el 10-20 % del total que padecen los enfermos inmunocompetentes. Caso clínico: se presenta un paciente de treinta y dos años de edad, [...] sexo masculino, raza mestiza, procedente del área rural, con antecedentes de ser paciente con VIH/SIDA, que es ingresado en los servicios de atención clínica del hospital Universitario Manuel Ascunce Domenech, por presentar adenopatías latero- cervical derecha e inguinales, de dos meses de evolución, fiebre inicial de 39?C, tos escasa, sin expectoración. Para la confirmación del diagnóstico clínico inicial de posible tuberculosis ganglionar, se indica entre los complementarios, la Punción Aspirativa con Aguja Fina y se realiza cultivo microbiológico de la muestra obtenida. Conclusiones: el presente tema adquiere importancia en la actualidad, en la que el diagnóstico rápido de la enfermedad tuberculosa es una necesidad, evita tratamientos innecesarios, posibilita el cultivo y permite seleccionar qué pacientes requieren biopsias ganglionares y estudio histopatológico para diagnóstico diferencial y definitivo de la enfermedad. Así como constituye una herramienta más de confirmación del diagnóstico clínico de sospecha, a menos costo. Abstract in english Background: tuberculosis (TB) is a serious worldwide health problem. The spread of HIV infection increases its impact. Extrapulmonary tuberculosis accounts for 10-20 % of TB which suffers inmmunocompetent patients. Clinical case: a 32 years old, male patient, Afro-American descendent, coming from a [...] rural area with a history of HIV/AIDS patient is presented. The patient was admitted in the internal medicine service at the Manuel Ascunce Domenech University Hospital, presenting right laterocervical and inguinal adenopathies of two month of evolution, fever of 39oC, intermittent cough without expectoration. To confirm the initial clinical diagnosis of possible ganglial tuberculosis, fine-needle aspiration biopsy was recommended as a complementary examination and microbiological culture of the sample was performed. Conclusions: this patient´s case has developed importance today, in which quick diagnosis of tuberculosis is a necessity, avoiding unnecessary treatments, enables microbiological culture and allows selecting which patients require ganglion biopsies and histopathological study for differential and definitive diagnosis of the disease. As well as, it is one tool for confirmation of clinical diagnosis of suspicion, at lower cost.

  18. Factores morfológicos asociados al pronóstico de pacientes operados por cáncer gástrico incipiente Pathological features associated with survival in early gastric cancer

    Directory of Open Access Journals (Sweden)

    ÓSCAR TAPIA E

    2011-04-01

    Full Text Available Introducción: El cáncer gástrico incipiente (CGI es aquel que compromete la mucosa o submucosa gástrica independientemente del compromiso ganglionar linfático, estimándose su prevalencia en Chile inferior al 20%o. El objetivo de este estudio es determinar prevalencia de CGI y asociación de variables biode-mográficas y morfológicas con la supervivencia (SV de pacientes resecados por CGI. Material y Método: Estudio de cohorte retrospectiva. Se estudiaron variables biodemográficas y morfológicas de 106 pacientes resecados por CGI entre 1986-2007. Se aplicó estadística descriptiva y analítica; confección de curvas de SV, y finalmente se aplicaron modelos de regresión logística para realizar ajuste, calcular odds ratio y sus respectivos intervalos de confianza de 95%. Resultados: 15% correspondió a CGI. La mediana de edad fue 63 años y el 60% correspondió a género masculino con una SV global a 5 años de 91%. Se observaron diferencias estadísticas significativas entre tumores mucosos y submucosos en cuanto a la localización tumoral y compromiso linfonodal junto con presentarse el compromiso nodal más frecuentemente en tumores > 35mm poco diferenciados y difusos de Lauren. El análisis multivariado identificó como factores asociados a la SV: tamaño tumoral, grado de diferenciación histológica en su variedad poco diferenciado, tipo difuso de Lauren y compromiso ganglionar linfático. Conclusiones: Se verificó una prevalencia de CGI de 15%, los que resecados presentan SV de 91% a 5 años. El compromiso linfonodal es un factor asociado a la SV; y además, se relaciona con tamaño tumoral, tipo histológico según Lauren, grado de diferenciación histológico y nivel de infiltración.Background: Early gastric cancer corresponds to those tumors that only involve mucosa and submuco-sa. It is associated with a high survival rate. Aim: To determine pathological factors associated with survival in early gastric cancer. Material and Methods: Analysis of pathological records of 106 patients, with a median age of 63 years (60%> males, subjected to a gastrectomy for early gastric cancer. Follow up was performed according to data in the clinical records and death certificates obtained at the Chilean National Death Registry. Results: Five years global survival of patients was 91%o. Lymph node involvement was more common among tumors bigger than 35 mm, with a low degree of differentiation and among those tumors classified as diffuse according to Lauren. Survival was significantly lower for bigger tumors, those with of a low degree of differentiation, diffuse tumors according to Lauren and those with lymph node involvement. Conclusions: Early gastric cancer has a high five years survival. Bigger tumors, those with a low degree of differentiation and those with lymph node involvement are associated with lower survival rates.

  19. Factores morfológicos asociados al pronóstico de pacientes operados por cáncer gástrico incipiente / Pathological features associated with survival in early gastric cancer

    Scientific Electronic Library Online (English)

    ÓSCAR, TAPIA E; PATRICIA, GARCÍA M; CARLOS, MANTEROLA D; MIGUEL, VILLASECA H; JUAN CARLOS, ARAYA O; JUAN CARLOS, ROA S.

    2011-04-01

    Full Text Available Introducción: El cáncer gástrico incipiente (CGI) es aquel que compromete la mucosa o submucosa gástrica independientemente del compromiso ganglionar linfático, estimándose su prevalencia en Chile inferior al 20%o. El objetivo de este estudio es determinar prevalencia de CGI y asociación de variable [...] s biode-mográficas y morfológicas con la supervivencia (SV) de pacientes resecados por CGI. Material y Método: Estudio de cohorte retrospectiva. Se estudiaron variables biodemográficas y morfológicas de 106 pacientes resecados por CGI entre 1986-2007. Se aplicó estadística descriptiva y analítica; confección de curvas de SV, y finalmente se aplicaron modelos de regresión logística para realizar ajuste, calcular odds ratio y sus respectivos intervalos de confianza de 95%. Resultados: 15% correspondió a CGI. La mediana de edad fue 63 años y el 60% correspondió a género masculino con una SV global a 5 años de 91%. Se observaron diferencias estadísticas significativas entre tumores mucosos y submucosos en cuanto a la localización tumoral y compromiso linfonodal junto con presentarse el compromiso nodal más frecuentemente en tumores > 35mm poco diferenciados y difusos de Lauren. El análisis multivariado identificó como factores asociados a la SV: tamaño tumoral, grado de diferenciación histológica en su variedad poco diferenciado, tipo difuso de Lauren y compromiso ganglionar linfático. Conclusiones: Se verificó una prevalencia de CGI de 15%, los que resecados presentan SV de 91% a 5 años. El compromiso linfonodal es un factor asociado a la SV; y además, se relaciona con tamaño tumoral, tipo histológico según Lauren, grado de diferenciación histológico y nivel de infiltración. Abstract in english Background: Early gastric cancer corresponds to those tumors that only involve mucosa and submuco-sa. It is associated with a high survival rate. Aim: To determine pathological factors associated with survival in early gastric cancer. Material and Methods: Analysis of pathological records of 106 pat [...] ients, with a median age of 63 years (60%> males), subjected to a gastrectomy for early gastric cancer. Follow up was performed according to data in the clinical records and death certificates obtained at the Chilean National Death Registry. Results: Five years global survival of patients was 91%o. Lymph node involvement was more common among tumors bigger than 35 mm, with a low degree of differentiation and among those tumors classified as diffuse according to Lauren. Survival was significantly lower for bigger tumors, those with of a low degree of differentiation, diffuse tumors according to Lauren and those with lymph node involvement. Conclusions: Early gastric cancer has a high five years survival. Bigger tumors, those with a low degree of differentiation and those with lymph node involvement are associated with lower survival rates.

  20. Síndrome de Frey por submaxilectomía y tratamiento con toxina botulínica Frey syndrome secondary to submaxillectomy and botulinic treatment

    Directory of Open Access Journals (Sweden)

    Alejandra Baéz

    2007-10-01

    Full Text Available El síndrome de Frey (SF se caracteriza por rubor, calor y sudación en la región maseterina y geniana durante las comidas. El SF se observa en el 20-60% de los pacientes sometidos a parotidectomía. Presentamos un caso con SF secundario a la ablación de la glándula submaxilar en un varón de 30 años de edad, sin antecedentes patológicos, que consultó en el año 2000 por adenopatía cervical izquierda. La misma fue biopsiada y la anatomía patológica informó carcinoma medular de tiroides. El paciente presentaba múltiples metástasis hepáticas y pulmonares, motivo por el cual recibió tratamiento quimioterápico con cisplatino plus doxorrubicina (seis ciclos con respuesta completa, finalizando dicho esquema en marzo del 2002. En julio del 2002 se realizó tiroidectomía total más vaciamiento ganglionar izquierdo con resección de la glándula submaxilar. Durante la cirugía se lesionó la rama mentoniana del nervio cervicofacial, rama del VII par craneal. En septiembre del 2004 consultó por episodios de sudación durante las comidas en la región submaxilar izquierda. Se realizó prueba de Minor y luego se procedió a aplicar toxina botulínica tipo A en la región afectada, a razón de 2.5 UI por punto (cm², a un total de 17 puntos. El control a los 21 días demostró más de un 95% de efectividad en la resolución del SF. El efecto duró un año, y una segunda reinfiltración mostró similar respuesta. No hallamos descripciones anteriores de SF en región submaxilar; se presenta su tratamiento satisfactorio con toxina botulínica tipo A.A case of Frey syndrome (FS secondary to submaxillar gland exeresis is presented and the results of the treatment with botulinum toxin (BTX type A. FS is a condition of sweating cheek and preauricular area during mealtime as a sequel detected in about 20-60% of patients after parotidectomy. The clinical symptoms include swelling, flushing and hyperhidrosis. The treatment choice for this condition is intracutaneous injection of BTX type A which blocks acetylcholine release at the sweat glands. A 30-year-old man, with thyroid medullar carcinoma diagnosed in 2002 received 6 cicles of cisplatin plus doxorubicin previous to the thyroidectomy with anterolateral neck dissection. During surgery the left ramus marginalis mandibulae was damaged. Two years later the patient referred sweating in submaxillar region during meals. CT scan demonstrated the absence of left submaxillar gland. Minor's test disclosed the affected area and BTX type A was injected (2.5 U/cm²/17 points. A twenty-one-day control showed a 95% reduction of the affected skin area. Persistent efficacy was observed up to one year followup time when he was reinjected. The FS, also known as "gustatory hyperhidrosis", was probably first reported by M. Duphenix in 1757. Lucja Frey considered its physiopathology as a disorder of both sympathetic and parasympathetic innervation. In our case the FS was caused by a misdirected regeneration of postganglionic parasympathetic nerve fibers that arrised from the nervus lingualis rami ganglionares of the nervus trigeminus. After nerve injury the colinergic parasympathetic fibers seek out colinergic receptors -sympathetic receptors of the skin- innervating sweat glands and small skin vessels. All previous cases were located at masseter region post-parotidectomy. We have not found any description of FS in the submaxillary region. The self-assessed efficacy of the treatment with a hyperhidrosis disease severity scale revealed a very satisfied patient at 20 months follow-up after being injected twice with BTX type A.

  1. Síndrome de Frey por submaxilectomía y tratamiento con toxina botulínica / Frey syndrome secondary to submaxillectomy and botulinic treatment

    Scientific Electronic Library Online (English)

    Alejandra, Baéz; Julieta, Paleari; María Nöel, Durán; Tamara, Rudy; Inés, Califano; Nicolás, Barbosa; Ignacio, Casas Parera.

    2007-10-01

    Full Text Available El síndrome de Frey (SF) se caracteriza por rubor, calor y sudación en la región maseterina y geniana durante las comidas. El SF se observa en el 20-60% de los pacientes sometidos a parotidectomía. Presentamos un caso con SF secundario a la ablación de la glándula submaxilar en un varón de 30 años d [...] e edad, sin antecedentes patológicos, que consultó en el año 2000 por adenopatía cervical izquierda. La misma fue biopsiada y la anatomía patológica informó carcinoma medular de tiroides. El paciente presentaba múltiples metástasis hepáticas y pulmonares, motivo por el cual recibió tratamiento quimioterápico con cisplatino plus doxorrubicina (seis ciclos) con respuesta completa, finalizando dicho esquema en marzo del 2002. En julio del 2002 se realizó tiroidectomía total más vaciamiento ganglionar izquierdo con resección de la glándula submaxilar. Durante la cirugía se lesionó la rama mentoniana del nervio cervicofacial, rama del VII par craneal. En septiembre del 2004 consultó por episodios de sudación durante las comidas en la región submaxilar izquierda. Se realizó prueba de Minor y luego se procedió a aplicar toxina botulínica tipo A en la región afectada, a razón de 2.5 UI por punto (cm²), a un total de 17 puntos. El control a los 21 días demostró más de un 95% de efectividad en la resolución del SF. El efecto duró un año, y una segunda reinfiltración mostró similar respuesta. No hallamos descripciones anteriores de SF en región submaxilar; se presenta su tratamiento satisfactorio con toxina botulínica tipo A. Abstract in english A case of Frey syndrome (FS) secondary to submaxillar gland exeresis is presented and the results of the treatment with botulinum toxin (BTX) type A. FS is a condition of sweating cheek and preauricular area during mealtime as a sequel detected in about 20-60% of patients after parotidectomy. The cl [...] inical symptoms include swelling, flushing and hyperhidrosis. The treatment choice for this condition is intracutaneous injection of BTX type A which blocks acetylcholine release at the sweat glands. A 30-year-old man, with thyroid medullar carcinoma diagnosed in 2002 received 6 cicles of cisplatin plus doxorubicin previous to the thyroidectomy with anterolateral neck dissection. During surgery the left ramus marginalis mandibulae was damaged. Two years later the patient referred sweating in submaxillar region during meals. CT scan demonstrated the absence of left submaxillar gland. Minor's test disclosed the affected area and BTX type A was injected (2.5 U/cm²/17 points). A twenty-one-day control showed a 95% reduction of the affected skin area. Persistent efficacy was observed up to one year followup time when he was reinjected. The FS, also known as "gustatory hyperhidrosis", was probably first reported by M. Duphenix in 1757. Lucja Frey considered its physiopathology as a disorder of both sympathetic and parasympathetic innervation. In our case the FS was caused by a misdirected regeneration of postganglionic parasympathetic nerve fibers that arrised from the nervus lingualis rami ganglionares of the nervus trigeminus. After nerve injury the colinergic parasympathetic fibers seek out colinergic receptors -sympathetic receptors of the skin- innervating sweat glands and small skin vessels. All previous cases were located at masseter region post-parotidectomy. We have not found any description of FS in the submaxillary region. The self-assessed efficacy of the treatment with a hyperhidrosis disease severity scale revealed a very satisfied patient at 20 months follow-up after being injected twice with BTX type A.

  2. Valoración del análisis de la pieza operatoria en el cáncer gástrico por el cirujano Concordance between the surgical piece observation by the surgeon and final pathological report for gastric cancer

    Directory of Open Access Journals (Sweden)

    MARCO CERONI V

    2011-08-01

    Full Text Available Introducción: La disección de la pieza operatoria (PO en forma sistemática en la cirugía por cáncer gástrico (CG permite al cirujano obtener información de los bordes, compromiso linfonodal y estandarizar. Objetivos: 1 Determinar la concordancia de los hallazgos de la PO disecada por el cirujano y el informe patológico final; 2 Determinar el porcentaje de retracción del estómago; 3 Mostrar una forma de registrar la PO en el CG. Material y Método: Estudio prospectivo de los pacientes operados con intención curativa desde septiembre de 2009 hasta mayo de 2010. Se etapificó con TNM de 2010. De la PO se registró el tamaño del estómago por curvatura menor, límite oral (LO, límite caudal (LC, profundidad, aspecto macroscópico, diámetro tumoral, grupos ganglionares comprometidos y cantidad de ganglios comprometidos. Se compararon estas variables con el informe patológico. El análisis de concordancia se realizó con el test de Kappa y el test de Lin. Resultados: Fueron estudiados 48 pacientes, 74% hombres, la edad promedio fue 63,7 años (DE 9,8, 59,5% fueron gastrectomías totales. El promedio de ganglios disecados fue 30,18 (DE 11,8. Se obtiene una buena concordancia para la profundidad del tumor (Kappa = 0,64, aspecto macroscópico (Kappa = 0,69 y tamaño tumoral (Lin = 0,84. Y una mala concordancia para el compromiso ganglionar (Kappa = 0,21. El porcentaje de retracción del largo por curvatura menor fue 24,3%, del LO fue 30,1%, del LC fue 22%. Conclusión: La concordancia de la PO es buena en la profundidad, aspecto macroscópico del tumor y diámetro tumoral, pero es mala en el compromiso ganglionar. Se determina que la retracción del estómago es mayor al 24%.Background: The systematic dissection of the surgical piece, performed by the surgeon during surgical treatment of gastric cancer, gives information about borders and lymph node involvement. Aim: To determine the concordance between the findings of the surgeon during initial dissection and the final pathological report. Material and Methods: Prospective study of 48 patients aged 64 ± 10 years (74% males subjected to curative surgery for gastric cancer. Patients were staged according to 2010 TNM classification. Stomach size from the lesser curvature, oral and caudal limits, macroscopic aspect, tumor diameter and lymph node involvement were determined by the surgeon observing the surgical piece. The concordance of this observation with the final pathological report was assessed. Results: Fifty nine percent of patients were subjected to a total gastrectomy and there was a mean of 30 lymph nodes excised. There was a good concordance between surgeon observation and final pathological report for tumor depth (Kappa = 0.64, macroscopic aspect (Kappa = 0.69 and tumor size (Lin = 0.84. There was a bad concordance for lymph node involvement (Kappa = 0.21. The percentage of retraction of lesser curvature length was 24%, 30% for oral and 22% for caudal limits. Conclusions: There is a good concordance between surgeon observation and pathological report for macroscopic aspect, tumor size and depth but the concordance for lymph node involvement is bad.

  3. Valoración del análisis de la pieza operatoria en el cáncer gástrico por el cirujano / Concordance between the surgical piece observation by the surgeon and final pathological report for gastric cancer

    Scientific Electronic Library Online (English)

    MARCO, CERONI V; CARLOS, GARCÍA C; RODRIGO, VALLEJOS H; JAIME, ZAMARIN M; CARLOS, BENAVIDES C; HÉCTOR, CID B; PATRICIO, RUBILAR O; MARÍA ISABEL, QUIJADA G; FRANCISCA, SOLAR A; IGNACIO, SOLAR A.

    2011-08-01

    Full Text Available Introducción: La disección de la pieza operatoria (PO) en forma sistemática en la cirugía por cáncer gástrico (CG) permite al cirujano obtener información de los bordes, compromiso linfonodal y estandarizar. Objetivos: 1) Determinar la concordancia de los hallazgos de la PO disecada por el cirujano [...] y el informe patológico final; 2) Determinar el porcentaje de retracción del estómago; 3) Mostrar una forma de registrar la PO en el CG. Material y Método: Estudio prospectivo de los pacientes operados con intención curativa desde septiembre de 2009 hasta mayo de 2010. Se etapificó con TNM de 2010. De la PO se registró el tamaño del estómago por curvatura menor, límite oral (LO), límite caudal (LC), profundidad, aspecto macroscópico, diámetro tumoral, grupos ganglionares comprometidos y cantidad de ganglios comprometidos. Se compararon estas variables con el informe patológico. El análisis de concordancia se realizó con el test de Kappa y el test de Lin. Resultados: Fueron estudiados 48 pacientes, 74% hombres, la edad promedio fue 63,7 años (DE 9,8), 59,5% fueron gastrectomías totales. El promedio de ganglios disecados fue 30,18 (DE 11,8). Se obtiene una buena concordancia para la profundidad del tumor (Kappa = 0,64), aspecto macroscópico (Kappa = 0,69) y tamaño tumoral (Lin = 0,84). Y una mala concordancia para el compromiso ganglionar (Kappa = 0,21). El porcentaje de retracción del largo por curvatura menor fue 24,3%, del LO fue 30,1%, del LC fue 22%. Conclusión: La concordancia de la PO es buena en la profundidad, aspecto macroscópico del tumor y diámetro tumoral, pero es mala en el compromiso ganglionar. Se determina que la retracción del estómago es mayor al 24%. Abstract in english Background: The systematic dissection of the surgical piece, performed by the surgeon during surgical treatment of gastric cancer, gives information about borders and lymph node involvement. Aim: To determine the concordance between the findings of the surgeon during initial dissection and the final [...] pathological report. Material and Methods: Prospective study of 48 patients aged 64 ± 10 years (74% males) subjected to curative surgery for gastric cancer. Patients were staged according to 2010 TNM classification. Stomach size from the lesser curvature, oral and caudal limits, macroscopic aspect, tumor diameter and lymph node involvement were determined by the surgeon observing the surgical piece. The concordance of this observation with the final pathological report was assessed. Results: Fifty nine percent of patients were subjected to a total gastrectomy and there was a mean of 30 lymph nodes excised. There was a good concordance between surgeon observation and final pathological report for tumor depth (Kappa = 0.64), macroscopic aspect (Kappa = 0.69) and tumor size (Lin = 0.84). There was a bad concordance for lymph node involvement (Kappa = 0.21). The percentage of retraction of lesser curvature length was 24%, 30% for oral and 22% for caudal limits. Conclusions: There is a good concordance between surgeon observation and pathological report for macroscopic aspect, tumor size and depth but the concordance for lymph node involvement is bad.

  4. Integrated morphological and molecular identification of cat fleas (Ctenocephalides felis) and dog fleas (Ctenocephalides canis) vectoring Rickettsia felis in central Europe.

    Science.gov (United States)

    Lawrence, Andrea L; Hii, Sze-Fui; Jirsová, Dagmar; Panáková, Lucia; Ionic?, Angela M; Gilchrist, Katrina; Modrý, David; Mihalca, Andrei D; Webb, Cameron E; Traub, Rebecca J; Šlapeta, Jan

    2015-06-15

    Fleas of the genus Ctenocephalides are the most common ectoparasites infesting dogs and cats world-wide. The species Ctenocephalides felis and Ctenocephalides canis are competent vectors for zoonotic pathogens such as Rickettsia felis and Bartonella spp. Improved knowledge on the diversity and phylogenetics of fleas is important for understanding flea-borne pathogen transmission cycles. Fleas infesting privately owned dogs and cats from the Czech Republic (n=97) and Romania (n=66) were subjected to morphological and molecular identification and phylogenetic analysis. There were a total of 59 (60.82%) cat fleas (Ctenocephalides felis felis), 30 (30.93%) dog fleas (Ctenocephalides canis), 7 (7.22%) European chicken fleas (Ceratophyllus gallinae) and 1 (1.03%) northern rat flea (Nosopsyllus fasciatus) collected in the Czech Republic. Both C. canis and C. felis felis were identified in Romania. Mitochondrial DNA sequencing at the cox1 gene on a cohort of 40 fleas revealed the cosmopolitan C. felis felis clade represented by cox1 haplotype 1 is present in the Czech Republic. A new C. felis felis clade from both the Czech Republic and Romania is also reported. A high proportion of C. canis was observed from dogs and cats in the current study and phylogeny revealed that C. canis forms a sister clade to the oriental cat flea Ctenocephalides orientis (syn. C. felis orientis). Out of 33 fleas tested, representing C. felis felis, C. canis and Ce. gallinae, 7 (21.2%) were positive for R. felis using diagnostic real-time PCR targeting the gltA gene and a conventional PCR targeting the ompB gene. No samples tested positive for Bartonella spp. using a diagnostic real-time PCR assay targeting ssrA gene. This study confirms high genetic diversity of C. felis felis globally and serves as a foundation to understand the implication for zoonotic disease carriage and transmission by the flea genus Ctenocephalides. PMID:25899079

  5. Prevalence of Ehrlichia canis, Anaplasma platys, Babesia canis vogeli, Hepatozoon canis, Bartonella vinsonii berkhoffii, and Rickettsia spp. in dogs from Grenada.

    Science.gov (United States)

    Yabsley, Michael J; McKibben, John; Macpherson, Calum N; Cattan, Peggy F; Cherry, Natalie A; Hegarty, Barbara C; Breitschwerdt, Edward B; O'Connor, Tom; Chandrashekar, Ramaswamy; Paterson, Tara; Perea, Marta Lanza; Ball, Geoffrey; Friesen, Stanley; Goedde, Jill; Henderson, Brooke; Sylvester, Wayne

    2008-02-14

    To identify the tick-borne pathogens in dogs from Grenada, we conducted a serologic survey for Ehrlichia canis in 2004 (104 dogs) and a comprehensive serologic and molecular survey for a variety of tick-borne pathogens in 2006 (73 dogs). In 2004 and 2006, 44 and 32 dogs (42.3% and 43.8%) were seropositive for E. canis, respectively. In 2006, several tick-borne pathogens were identified by serology and PCR. DNA of E. canis, Anaplasma platys, Babesia canis vogeli, Hepatozoon canis, and Bartonella sp. were identified in 18 (24.7%), 14 (19.2%), 5 (7%), 5 (7%), and 1 (1.4%) dogs, respectively. Six (8.2%) dogs were seropositive for Bartonella vinsonii subsp. berkhoffii. All dogs were seronegative and PCR-negative for Rickettsia spp. Coinfection with two or three pathogens was observed in eight dogs. Partial 16S rRNA E. canis and A. platys sequences were identical to sequences in GenBank. Partial 18S rRNA gene sequences from the Grenadian H. canis were identical to each other and had one possible mismatch (ambiguous base) from H. canis detected from Spain and Brazil. Grenadian B. c. vogeli sequences were identical to B. c. vogeli from Brazil and Japan. All of the detected pathogens are transmitted, or suspected to be transmitted, by Rhipicephalus sanguineus. Results of this study indicate that dogs from Grenada are infected with multiple tick-borne pathogens; therefore, tick-borne diseases should be included as differentials for dogs exhibiting thrombocytopenia, leukopenia, fever, or lethargy. One pathogen, E. canis, is also of potential public health significance. PMID:18160223

  6. Ehrlichia and spotted fever group Rickettsiae surveillance in Amblyomma americanum in Virginia through use of a novel six-plex real-time PCR assay.

    Science.gov (United States)

    Gaines, David N; Operario, Darwin J; Stroup, Suzanne; Stromdahl, Ellen; Wright, Chelsea; Gaff, Holly; Broyhill, James; Smith, Joshua; Norris, Douglas E; Henning, Tyler; Lucas, Agape; Houpt, Eric

    2014-05-01

    The population of the lone star tick Amblyomma americanum has expanded in North America over the last several decades. It is known to be an aggressive and nondiscriminatory biter and is by far the most common human-biting tick encountered in Virginia. Few studies of human pathogen prevalence in ticks have been conducted in our state since the mid-twentieth century. We developed a six-plex real-time PCR assay to detect three Ehrlichia species (E. chaffeensis, E. ewingii, and Panola Mountain Ehrlichia) and three spotted fever group Rickettsiae (SFGR; R. amblyommii, R. parkeri, and R. rickettsii) and used it to test A. americanum from around the state. Our studies revealed a presence of all three Ehrlichia species (0-24.5%) and a high prevalence (50-80%) of R. amblyommii, a presumptively nonpathogenic SFGR, in all regions surveyed. R. parkeri, previously only detected in Virginia's Amblyomma maculatum ticks, was found in A. americanum in several surveyed areas within two regions having established A. maculatum populations. R. rickettsii was not found in any sample tested. Our study provides the first state-wide screening of A. americanum ticks in recent history and indicates that human exposure to R. amblyommii and to Ehrlichiae may be common. The high prevalence of R. amblyommii, serological cross-reactivity of all SFGR members, and the apparent rarity of R. rickettsii in human biting ticks across the eastern United States suggest that clinical cases of tick-borne disease, including ehrlichiosis, may be commonly misdiagnosed as Rocky Mountain spotted fever, and that suspicion of other SFGR as well as Ehrlichia should be increased. These data may be of relevance to other regions where A. americanum is prevalent. PMID:24746145

  7. (phoenicopterus roseus por intoxicación aguda por plomo

    Directory of Open Access Journals (Sweden)

    D Romero

    2007-01-01

    Full Text Available La presencia de plomo en el medio ambiente es un hecho indiscutible. Ello es objeto de gran interés sanitario pues repercute tanto en la salud de los animales como en la del ser humano. El plumbismo es una intoxicación que puede afectar a cualquier especie animal. En el ámbito de la fauna silvestre se asocia principalmente a la actividad cinegética en los humedales y a la ingestión de plomo metálico por parte de las aves que frecuentan estos ecosistemas. En España cada año mueren decenas de miles de aves acuáticas como consecuencia de la ingesta de perdigones de plomo. En los individuos capturados enfermos se pueden observar signos clínicos, mientras que a partir de muestras de cadáveres se obtienen datos sobre niveles tisulares de plomo. Sin embargo la evaluación de lesiones anatomopatológicas en animales de vida silvestre es difícil de realizar por la dificultad de encontrar animales recién muertos o afectados de un cuadro agudo mortal. La reproducción de esta patología en animales de experimentación se suele realizar en cisnes, palomas o patos, pero no en flamencos, por lo que no es usual disponer de datos histológicos en esta especie. En este trabajo presentamos la clínica, analítica y estudio microscópico de diferentes tejidos de un flamenco común (Phoenicopterus roseus muerto por plumbismo.

  8. ¿Inconstitucionalidad por omisión?

    Directory of Open Access Journals (Sweden)

    Alfredo Quispe Correa

    2006-01-01

    Full Text Available El autor realiza un análisis del sistema peruano de control de constitucionalidad desarrollado en control abstracto por el Tribunal Constitucional y en control concreto por los tribunales de justicia, para luego centrar su análisis sobre la inconstitucionalidad por omisión, considerando la doctrina desarrollada en la materia, planteando sus reservas en la materia, especialmente cuando el tribunal constitucional se convierte en legislador positivo.

  9. por medio de soldadura

    Directory of Open Access Journals (Sweden)

    Alberto Zapata Meneses

    2007-01-01

    Full Text Available El desgaste es un fenómeno de degradación de los diferentes materiales por efectos de abrasión, impacto, fatiga, erosión y corrosión entre otros. Este fenómeno acarrea grandes perdidas económicas por deterioro de elementos de máquinas y equipo industrial, asimismo una altísima cuota en impacto ambiental. Para contrarrestar los efectos nocivos generados por desgaste, surge la reconstrucción y mantenimiento de materiales por soldadura. Se tiene un molino vertical ATOX 32.5 para molienda de caliza con un juego de 6 placas borde de mesa, se hicieron aplicaciones de placas con revestimientos de soldadura con carburos de cromo y carburos complejos en las zonas más críticas.

  10. Serosurvey of Rickettsia spp. in dogs and humans from an endemic area for Brazilian spotted fever in the State of São Paulo, Brazil Sorologia para Rickettsia spp. em cães e humanos de uma área endêmica para febre maculosa brasileira no Estado de São Paulo, Brasil

    Directory of Open Access Journals (Sweden)

    Adriano Pinter

    2008-02-01

    Full Text Available The present study provides a rickettsial serosurvey in 25 dogs and 35 humans in an endemic area for Brazilian spotted fever in the State of São Paulo, where the tick Amblyomma aureolatum is the main vector. Testing canine and human sera by indirect immunofluorescence against four Rickettsia antigens (R. rickettsii, R. parkeri, R. felis and R. bellii showed that 16 (64% of canine sera and 1 (2.8% of human sera reacted to at least one of these rickettsial antigens with titers ³ 64. Seven canine sera and the single reactive human serum showed titers to R. rickettsii at least four times those of any of the other three antigens. The antibody titers in these 7 animals and 1 human were attributed to stimulation by R. rickettsii infection. No positive canine or human serum was attributed to stimulation by R. parkeri, R. felis, or R. bellii. Our serological results showed that dogs are important sentinels for the presence of R. rickettsii in areas where the tick A. aureolatum is the main vector of Brazilian spotted fever.Este estudo avaliou a ocorrência de anticorpos anti-Rickettsia em 25 cães e 35 humanos, em uma área endêmica para a febre maculosa brasileira no Estado de São Paulo, onde o principal vetor é o carrapato Amblyomma aureolatum. Soros dos cães e humanos foram testados pela técnica de imunofluorescência indireta contra quatro antígenos de riquétsias (R. rickettsii, R. parkeri, R. felis, R. bellii, mostrando que soros de 16 (64% cães e 1 (2,8% humano reagiram com títulos ³ 64 para pelo menos um dos antígenos de riquétsias. Sete soros caninos e o único soro humano reativo demonstraram títulos para R. rickettsii no mínimo quatro vezes maior do que aqueles para os outros antígenos de riquétsias. Os títulos de anticorpos nesses cães e um humano foram considerados homólogos a R. rickettsii, enquanto que nenhum soro de cão ou humano foi considerado reativamente homólogo para R. parkeri, R. felis ou R. bellii. Os resultados sorológicos mostraram que cães são importantes sentinelas para a presença da bactéria R. rickettsii em áreas onde o carrapato A. aureolatum é o principal vetor da febre maculosa brasileira.

  11. Infecções humanas causadas por poxvirus relacionados ao vírus vaccinia no Brasil / Human infections caused by vaccinia-like poxviruses in Brazil

    Scientific Electronic Library Online (English)

    Hermann G., Schatzmayr; Renata Vitória Campos, Costa; Márcia Cristina Rosa, Gonçalves; Débora Ferreira, Barreto; Valéria Holmo, Batista; Manuel Enderson Vieira, Silva; Luis Armando Calvão, Brust; Ortrud Monika, Barth.

    2009-12-01

    Full Text Available A partir de 1999, infecções humanas por Orthopoxvirus vem sendo observadas em pelo menos oito estados no país, com a formação de vesículas as quais evoluem para pústulas e crostas, principalmente nos membros superiores e face, após contacto com bovinos apresentando lesões semelhantes no úbere. Alem [...] das lesões na pele, foram descritas nos pacientes reações ganglionares axilares por vezes dolorosas, febre, cefaléia, fadiga, desidratação, anorexia, sudorese, artralgia e mialgia, evoluindo o quadro por três a quatro semanas. Lesão vulvar bem como transmissão intrafamiliar foram igualmente descritas. Estudos moleculares demonstraram que os poxvirus identificados são geneticamente relacionados a amostras do vírus vaccinia utilizadas no passado, nas campanhas de vacinação. Especimens clínicos de 80 infecções humanas foram estudados no laboratório e a infecção por orthopoxvirus confirmada em 68 casos. São apresentadas lesões observadas em pacientes bem como discutidas as implicações desta zoonose no Brasil. Abstract in english Since 1999, human infection caused by Orthopoxvirus has been observed in at least eight Brazilian states, with the presence of vesicles that evolve to pustules and crusts, especially on the hands, arms and face, after contact with cows showing comparable lesions on the udder. In addition to the skin [...] lesions, there have been descriptions of patients with axillary ganglionic reactions that are sometimes painful, along with fever, headache, fatigue, dehydration, anorexia, sudoresis, arthralgia and muscle pain. The condition evolves over a three to four-week period. Vulvar lesions and transmission within families have also been described. Molecular studies have shown that the poxviruses identified are genetically related to vaccinia virus samples that were used in vaccination campaigns in the past. Clinical specimens from 80 human infections were studied in the laboratory, and orthopoxvirus infections were confirmed in 68 cases. The lesions observed in these patients are presented and the implications of this zoonosis in Brazil are discussed.

  12. Infecções humanas causadas por poxvirus relacionados ao vírus vaccinia no Brasil Human infections caused by vaccinia-like poxviruses in Brazil

    Directory of Open Access Journals (Sweden)

    Hermann G. Schatzmayr

    2009-12-01

    Full Text Available A partir de 1999, infecções humanas por Orthopoxvirus vem sendo observadas em pelo menos oito estados no país, com a formação de vesículas as quais evoluem para pústulas e crostas, principalmente nos membros superiores e face, após contacto com bovinos apresentando lesões semelhantes no úbere. Alem das lesões na pele, foram descritas nos pacientes reações ganglionares axilares por vezes dolorosas, febre, cefaléia, fadiga, desidratação, anorexia, sudorese, artralgia e mialgia, evoluindo o quadro por três a quatro semanas. Lesão vulvar bem como transmissão intrafamiliar foram igualmente descritas. Estudos moleculares demonstraram que os poxvirus identificados são geneticamente relacionados a amostras do vírus vaccinia utilizadas no passado, nas campanhas de vacinação. Especimens clínicos de 80 infecções humanas foram estudados no laboratório e a infecção por orthopoxvirus confirmada em 68 casos. São apresentadas lesões observadas em pacientes bem como discutidas as implicações desta zoonose no Brasil.Since 1999, human infection caused by Orthopoxvirus has been observed in at least eight Brazilian states, with the presence of vesicles that evolve to pustules and crusts, especially on the hands, arms and face, after contact with cows showing comparable lesions on the udder. In addition to the skin lesions, there have been descriptions of patients with axillary ganglionic reactions that are sometimes painful, along with fever, headache, fatigue, dehydration, anorexia, sudoresis, arthralgia and muscle pain. The condition evolves over a three to four-week period. Vulvar lesions and transmission within families have also been described. Molecular studies have shown that the poxviruses identified are genetically related to vaccinia virus samples that were used in vaccination campaigns in the past. Clinical specimens from 80 human infections were studied in the laboratory, and orthopoxvirus infections were confirmed in 68 cases. The lesions observed in these patients are presented and the implications of this zoonosis in Brazil are discussed.

  13. Comportamiento de la visión de color en pacientes sospechosos de glaucoma y glaucomatosos como daño precoz de las células ganglionares de la retina / Colour vision of patients suspected of and diagnosed with glaucoma as an early damage of ganglionary cells of the retina

    Scientific Electronic Library Online (English)

    José Alberto, Cabrera Martínez; Jorge, Martínez Ribalta; Melba, Márquez Fernández; Abel, Cabrera Martínez.

    2007-06-01

    Full Text Available Se realizó un estudio descriptivo y analítico en 60 pacientes (sospechosos de glaucoma y con diagnóstico de glaucoma crónico simple estadio inicial) que concurrieron a la consulta de Oftalmología del Hospital Militar Central "Dr. Carlos J. Finlay" en el período comprendido entre los años 2003 y 2006 [...] . La muestra se conformó con 30 pacientes con sospecha de glaucoma y 30 con diagnóstico de glaucoma que cumplieron los requisitos de inclusión y exclusión. Los primeros 30 pacientes de cada grupo que fueron atendidos durante ese período fueron los seleccionados. Se les aplicaron diferentes test para evaluar la visión de colores, como daño precoz de las células ganglionares de la retina. Se consideró sospechoso de glaucoma todo paciente que tuviese al menos tres de los más importantes factores de riesgos (HTO, edad mayor de 40 años, raza negra y antecedentes familiares de primer grado que padezcan la enfermedad). Se diagnosticó como glaucomatoso aquel paciente que presentó síntomas y signos de la enfermedad y alteraciones incipientes del campo visual (aumento mancha ciega, escalón nasal o escotoma Seidel). También se utilizó en el estudio una muestra de 31 sujetos supuestamente sanos de la investigación realizada en el Hospital "Hermanos Ameijeiras" bajo las mismas condiciones de exploración como grupo control -que se tituló "Estudio de la visión cromática en una población sana". El método de evaluación de los pacientes consistió en un examen inicial oftalmológico donde se recogieron sus datos generales paciente, síntomas y signos clínicos hallados, así como factores de riesgo de la enfermedad. Se constató que los sujetos sanos no presentaban alteraciones en relación con los colores y que los sospechosos y glaucomatosos sí las presentaron en un índice significativo Abstract in english A descriptive analytical study of 60 patients suspected of glaucoma and diagnosed with simple chronic glaucoma at initial stage, who went to the Ophtalmology service of “Dr. Carlos J. Finlay” Military Hospital in the period from 2003 to 2006. The sample covered 30 patients suspected of and 30 patien [...] ts diagnosed with glaucoma that fulfilled inclusion and exclusion requirements. The first 30 patients of each group seen in that period were selected. Several tests were apppied to evaluate colour vision, as an early damage in ganglionary cells of the retina. Every patient having at least three important risk factors (high blood pressure, age over 40 years, black race and family history of first degree relatives suffering the dissease) was considered suspect of having glaucoma. The patients were diagnosed as glaucomatous when they presented with symptoms and signs of the disease and incipient alterations of the visual field (increase of blind stain, nasal step or Seidel scotoma). This study also used a sample of 31 supposedly healthy subjects, who had participated as control group under the same exploratory conditions in a prior research study at “Hermanos Ameijeiras” hospital. The title of that research was “Study of chromatic vision in a healthy population”. The evaluation method consisted of an initial ophthalmological exam where general data, clinical symptoms and signs as well as risk factors were collected. It was observed that healthy subjects did not present alterations in relation to colours and that individuals suspected of and diagnosed with glaucoma did have a significant index

  14. Coexistencia de linfoma plasmablástico, sarcoma de Kaposi y enfermedad de Castleman en un paciente con infección por virus de inmunodeficiencia humana / Coexistence of plasmablastic lymphoma, Kaposi sarcoma and Castleman disease in a patient with HIV infection

    Scientific Electronic Library Online (English)

    Alejandro, Avilés-Salas; Patricia, Cornejo-Juárez; Pedro de J, Sobrevilla-Calvo.

    2011-02-01

    Full Text Available El linfoma plasmablástico (LP) es un linfoma de células B poco común que está fuertemente asociado con la infección por el virus de inmunodeficiencia humana (VIH), y muestra una afinidad característica de presentación extra-ganglionar en la cavidad oral. Informamos el caso de un LP afectando el estó [...] mago en un paciente masculino de 36 años de edad con infección por VIH, asociado con sarcoma de Kaposi (SK) en áreas adyacentes al linfoma. Tenía el antecedente de enfermedad de Castleman y SK en una biopsia de ganglio linfático. Abstract in english Plasmablastic lymphoma (PL) is an uncommon B-cell lymphoma that is strongly associated with human immunodeficiency virus (HIV) infection, and displays distinctive affinity for extranodal presentation in the oral cavity. We report the case of a PL involving the stomach in a 36 year-old man HIV+ patie [...] nt, associated with Kaposi sarcoma (KS) in sections adjacent to lymphoma. He had a positive history of Castleman disease and KS in a lymphoid node biopsy.

  15. Otro humanismo por articular

    Scientific Electronic Library Online (English)

    Enrique, Díaz Álvarez.

    2011-08-01

    Full Text Available Partiendo de un contexto de intenso contacto intercultural marcado por la globalización económica, un profundo proceso de urbanización mundial y las amplias migraciones humanas, el presente artículo aboga por des-velar el carácter nacional-etnocéntrico que ha marcado al humanismo clásico, para propo [...] ner articular uno de corte pluralista, que incorpore y esté atento a otros relatos y formas de vida no occidentalocéntricas. El reto parece claro: una época marcada por la incomprensión y el conflicto de interpretaciones exige pensar en formas de comunicarse y solidarizarse entre diversos.

  16. Acuerdo por la discreción

    Directory of Open Access Journals (Sweden)

    Yeny Serrano

    2006-01-01

    Full Text Available En este artículo se propone un análisis del texto del Acuerdo por la discreción firmado en 1999 por 32 directores de medios de comunicación para ?elevar el nivel de calidad y responsabilidad en el cubrimiento y difusión de hechos violentos?. Se analizan los factores que impiden que este Acuerdo produzca cambios efectivos en la práctica profesional informativa y se presenta un modelo (Lemieux, 2000 que tiene en cuenta las variables que influyen en la producción del discurso informativo mediático.

  17. Miotoxicidade por organofosforados

    OpenAIRE

    Cavaliere Maria J.; Calore Edenilson E.; Perez Nilda M.; Rodrigues Puga Flávio

    1996-01-01

    Os organofosforados são um grupo de compostos químicos amplamente utilizados em agropecuária como inseticidas, ocasionando intoxicações acidentais em animais e humanos, e mesmo sendo utilizados em tentativas de suicídio. A toxicidade desses produtos decorre sobretudo de insuficiência cárdio-respiratória por compromentimento do sistema nervoso autônomo. Sabe-se que alguns destes compostos induzem em animais de experimentação e em humanos, uma miopatia caracterizada por degeneraçã...

  18. Constrição campimétrica causada por vigabatrin / Visual field constriction caused by vigabatrin

    Scientific Electronic Library Online (English)

    Mário Luiz Ribeiro, Monteiro; Hélio Benito, Scapolan.

    2000-10-01

    Full Text Available Objetivo: Descrever dois pacientes que apresentaram constrição campimétrica importante e determinar a origem desta alteração visual causada pelo uso de vigabatrin, um anticonvulsivante que atua aumentando a concentração do ácido gama-aminobutírico no sistema nervoso central. Métodos: Os pacientes fo [...] ram submetidos a exame e neuroftalmológico completo, avaliação cuidadosa da retina, campo visual com perímetro de Goldmann, tomografia computadorizada de crânio e órbitas, eletrorretinograma (ERG), imagem por ressonância magnética (1 paciente) e potencial visual evocado (1 paciente). Resultados: A acuidade visual se mostrou preservada; o primeiro paciente apresentava campo visual restrito à área central de 20 a 30 graus centrais e o segundo uma constrição leve a moderada. Os exames de neuroimagem foram normais assim como o potencial visual evocado. Observou-se palidez discreta de papila em 3 olhos estudados e estreitamento arteriolar muito discreto dos vasos retinianos. O ERG revelou alterações importantes caracterizada por redução da onda b (caso 1) e dos potenciais oscilatórios (caso 2). Conclusões: As alterações visuais causadas pelo vigabatrin são devidas a uma alteração retiniana, envolvendo provavelmente as células amácrimas, bipolares e ganglionares mas não se acompanham de uma alteração significativa à fundoscopia. Pacientes recebendo esta medicação devem ser seguidos de perto especialmente através da avaliação do campo visual central e periférico. Abstract in english Purpose: To describe two patients who presented with severe campimetric constriction and to determine the source of visual symptoms caused by vigabatrin, an anticonvulsant medication that increases brain gamma-aminobutyric acid. Methods: Patients were submitted to a complete neuroophthalmologic eval [...] uation as well as a careful retina examination, Goldmann perimetry, computerized tomography of the brain and orbits, electroretinograms (ERG), magnetic ressonance imaging (1 patient) and visual evoked potential (1 patient). Results: Visual acuity was normal; the first patient had the visual field restricted to the 20 to 30 degree central area and the second, a mild to moderate constriction. Neuroimaging examinations were normal as well as the visual evoked potential. Mild optic disc pallor (3 eyes) and very slight retinal arteriolar narrowing was observed. ERG showed reduction of the b wave (case 1) and oscillatory potential responses (case 2). Conclusions: Visual alterations caused by vigabatrin are due to a retina dysfunction presumably involving the amacrine, bipolar and ganglion cells but there are no significant pathologic findings on fundoscopic examination. Patients receiving this medication should be followed closely with periodic central and peripheral visual field testing.

  19. Síndrome pulmonar por hantavirus

    Scientific Electronic Library Online (English)

    2003-08-01

    Full Text Available Resumo Apresenta-se o primeiro caso clínico no Uruguai de síndrome pulmonar por hantavirus em uma criança. Trata-se de uma criança de 9 anos, que apresentou as manifestações clínicas, radiológicas e de laboratório caraterísticas da doença, permitindo suspeitar o diagnóstico no Departamento de Emergê [...] ncia Pediátrica, confirmando-se posteriormente, pela presença da inmunoglobulina M e G específica para hantavirus, por técnica de ELISA. A evolução foi favorável com terapia de apoio cardio-respiratória sem requerer assistência respiratória mecânica Abstract in spanish Resumen Se presenta el primer caso clínico en Uruguay de síndrome pulmonar por hantavirus en un niño. Se trata de un niño de 9 años que presentó las manifestaciones clínicas, radiológicas y de laboratorio características de la enfermedad, permitiendo sospechar el diagnóstico en el Departamento de Em [...] ergencia Pediátrica, confirmándose posteriormente por la detección de inmunoglobulina M y G específica para hantavirus por técnica de ELISA. La evolución fue favorable, con terapia de sostén cardiorrespiratoria sin requerir asistencia respiratoria mecánica Abstract in english We present the first pediatric uruguayan case of hantavirus pulmonary syndrome. The patient is a 9 year old child who presented with typical clinical, radiological and laboratory findings of the disease. These features were the diagnostic clues at the Pediatric Emergency Departement. The diagnosis w [...] as confirmed by detection of hantaviurs-specific inmunoglobulin M and G by ELISA technique. The clinical course was satisfactory with cardiopulmonary therapy which didn’t require mechanical ventilation

  20. causada por Fusarium moniliforme

    Directory of Open Access Journals (Sweden)

    Mariano Mendoza Elos

    2006-01-01

    Full Text Available El objetivo de éste trabajo fue determinar la resistencia horizontal de 134 líneas S1 de maíz al hongo Fusarium moniliforme. La enfermedad fue inducida mediante inoculación en la etapa de floración masculina bajo condiciones de campo utilizando la técnica del palillo. Las líneas se evaluaron en México en 2002. La estimación de la enfermedad se hizo en dos ocasiones con una separación de 20 días. Las evaluaciones mostraron que las líneas Roque-801, 804, 1103 y 1405 fueron resistentes en la primera evaluación. Las tasas de incremento de la enfermedad variaron de 0,01 a 0,229 por unidad por día. Las líneas mostraron bajos niveles de enfermedad de 0 a 1 % en la primera evaluación. En la segunda evaluación, los niveles de enfermedad variaron de 49 a 100 %. En un programa de mejoramiento genético estas líneas pueden ser utilizadas para mejorar la resistencia horizontal del maíz a la pudrición del tallo causada por Fusarium moniliforme

  1. Comparação entre diversos antígenos para o diagnóstico de Anaplasma marginale por ELISA / Comparison between several antigens for diagnosis of Anaplasma marginale by ELISA

    Scientific Electronic Library Online (English)

    Carlos A.N., Ramos; Flábio R., Araújo; Ingrid I.F., Souza; Daniel S., Guedes Jr; Renato H.M., Oliveira; Thaís A., Farias; Jaqueline B., Oliveira; Leucio C., Alves; Maria A.G., Faustino.

    2010-01-01

    Full Text Available Anaplasmose bovina é uma doença com grande importância nas regiões tropicais e subtropicais do mundo por determinar perdas econômicas devido à mortalidade e redução da produtividade. É causada por Anaplasma marginale, uma riquétsia intraeritrocítica obrigatória cujo controle requer, além de uma vaci [...] na eficiente, uma acurada identificação de bovinos cronicamente infectados. Apesar de existirem atualmente diversos métodos de diagnóstico dessa riquétsia, os métodos sorológicos, em particular o ensaio de imunoadsorção enzimática-ELISAs, são os mais utilizados devido à sua versatilidade e praticidade. No entanto, devido ao grande número de antígenos disponíveis, atualmente torna-se necessária uma avaliação para definir quais antígenos apresentam um melhor desempenho no diagnóstico da anaplasmose. Soros de bovinos positivos e negativos para A. marginale por PCR, e soros de animais provenientes do Brasil e Costa Rica, foram testados em ELISAs baseados em MSP1a, MSP2 e MSP5 recombinantes, um pool das três proteínas recombinantes, e antígeno de lisado de corpúsculos iniciais da riquétsia (CI). Utilizando soro de bovinos positivos para A. marginale por PCR, uma maior sensibilidade foi observada no ELISA CI. No entanto, uma maior especificidade, com soro de bovinos negativos a PCR, foi observada com os ELISAs recombinantes. O porcentual de bovinos positivos do Brasil e Costa Rica foi maior com ELISA CI. Razões para essas diferenças são discutidas. Abstract in english Bovine anaplasmosis is a major disease in tropical and subtropical regions of the world by determine economical loss due mortality and productive reduction. The disease is caused by Anaplasma marginale, an intraerythrocytic rickettsia whose control requires, besides an efficient vaccine, the accurat [...] e identification of chronically infected cattle. Although the existence of diverse methods of diagnosis of this rickettsia, the serological methods, in particular the enzyme immunosorbent assays (ELISAs), are the most used due to its versatility and practice. However, due to the high number of antigens currently available, an evaluation becomes necessary to define which antigens present the better performance in the diagnosis of anaplasmosis. Sera from cattle positive or negative to A. marginale by PCR, and sera from cattle proceeding from Brazil and Costa Rica, were tested by ELISAs based in recombinant MSP1a, MSP2, and MSP5, a pool of the three recombinant proteins, and initial body lisate antigen (CI). Using sera from A. marginale positive cattle by PCR, the highest sensitivity was shown by CI ELISA. Nevertheless, the highest specificity, with sera from negative cattle by PCR, was shown by recombinants ELISAs. The percentiles of positive cattle from Brazil and Costa Rica were higher with CI ELISA. Reasons for such differences were discussed.

  2. Comparação entre diversos antígenos para o diagnóstico de Anaplasma marginale por ELISA Comparison between several antigens for diagnosis of Anaplasma marginale by ELISA

    Directory of Open Access Journals (Sweden)

    Carlos A.N. Ramos

    2010-01-01

    Full Text Available Anaplasmose bovina é uma doença com grande importância nas regiões tropicais e subtropicais do mundo por determinar perdas econômicas devido à mortalidade e redução da produtividade. É causada por Anaplasma marginale, uma riquétsia intraeritrocítica obrigatória cujo controle requer, além de uma vacina eficiente, uma acurada identificação de bovinos cronicamente infectados. Apesar de existirem atualmente diversos métodos de diagnóstico dessa riquétsia, os métodos sorológicos, em particular o ensaio de imunoadsorção enzimática-ELISAs, são os mais utilizados devido à sua versatilidade e praticidade. No entanto, devido ao grande número de antígenos disponíveis, atualmente torna-se necessária uma avaliação para definir quais antígenos apresentam um melhor desempenho no diagnóstico da anaplasmose. Soros de bovinos positivos e negativos para A. marginale por PCR, e soros de animais provenientes do Brasil e Costa Rica, foram testados em ELISAs baseados em MSP1a, MSP2 e MSP5 recombinantes, um pool das três proteínas recombinantes, e antígeno de lisado de corpúsculos iniciais da riquétsia (CI. Utilizando soro de bovinos positivos para A. marginale por PCR, uma maior sensibilidade foi observada no ELISA CI. No entanto, uma maior especificidade, com soro de bovinos negativos a PCR, foi observada com os ELISAs recombinantes. O porcentual de bovinos positivos do Brasil e Costa Rica foi maior com ELISA CI. Razões para essas diferenças são discutidas.Bovine anaplasmosis is a major disease in tropical and subtropical regions of the world by determine economical loss due mortality and productive reduction. The disease is caused by Anaplasma marginale, an intraerythrocytic rickettsia whose control requires, besides an efficient vaccine, the accurate identification of chronically infected cattle. Although the existence of diverse methods of diagnosis of this rickettsia, the serological methods, in particular the enzyme immunosorbent assays (ELISAs, are the most used due to its versatility and practice. However, due to the high number of antigens currently available, an evaluation becomes necessary to define which antigens present the better performance in the diagnosis of anaplasmosis. Sera from cattle positive or negative to A. marginale by PCR, and sera from cattle proceeding from Brazil and Costa Rica, were tested by ELISAs based in recombinant MSP1a, MSP2, and MSP5, a pool of the three recombinant proteins, and initial body lisate antigen (CI. Using sera from A. marginale positive cattle by PCR, the highest sensitivity was shown by CI ELISA. Nevertheless, the highest specificity, with sera from negative cattle by PCR, was shown by recombinants ELISAs. The percentiles of positive cattle from Brazil and Costa Rica were higher with CI ELISA. Reasons for such differences were discussed.

  3. Intoxicación por Paraquat

    Scientific Electronic Library Online (English)

    Glenda, Viales López.

    2014-12-01

    Full Text Available El paraquat es un herbicida bipiridílico que actúa por contacto, se presenta en forma líquida en concentraciones del 20% para uso agrícola. Su nombre químico es eI 1-1´-dimetil-4-4- bipiridilo, con el nombre comercial de Gramoxone. La intoxicación por paraquat tiene una tasa de mortalidad elevada. L [...] a intoxicación grave se caracteriza por la afectación de múltiples órganos, principalmente los pulmones, los riñones y el hígado. El pulmón es el órgano diana en la intoxicación por paraquat y la insuficiencia respiratoria con fibrosis pulmonar aguda es la causa más común de muerte. Abstract in english Paraquat (1-1´-dimetil-4-4-bipyridylium dichloride) is still widely used in Costa Rica as a contact herbicide and is marketed as a 20% aqueous solution (Gramoxone) .Paraquat poisoning carries a high mortality rate. Severe paraquat poisoning is characterized by multiple-organ involvement, mainly the [...] lungs, kidneys, liver. The lung is a major target organ in paraquat poisoning, and respiratory failure from acute pulmonary fibrosis is the most common cause of death.

  4. Infección por Chlamydia trachomatis

    Directory of Open Access Journals (Sweden)

    María Teresa Urbina

    2010-06-01

    Full Text Available Objetivo: Determinar la prevalencia de la infección por Chlamydia trachomatis en una población de parejas infértiles. Validar la eficacia del diagnóstico de anticuerpos anti Chlamydia para tratar, prevenir y controlar la infección por C. trachomatis. Justificar la necesidad de implementar el monitoreo de rutina para administrar el tratamiento oportuno de la infección por C. trachomatis. Métodos: Se determinó la prevalencia de la infección por Chlamydia trachomatis en 4 619 pacientes, 2 607 mujeres y 2 012 hombres en edades reproductivas, entre 1999 y 2008 por problemas de infertilidad. Se detectaron anticuerpos anti-Chlamydia trachomatis (IgG, IgA e IgM por SeroELISA (Savyon Diagnostics Ltd. de 1999 a 2005; desde 2006 hasta 2008 se utilizó el kit InmunoComb II (Orgenics. Ambiente: Centro de fertilidad UNIFERTES, Caracas, Venezuela. Resultados: Se encontró una prevalencia en mujeres de 25,40 ± 6,26 %; y en los hombres de 31,12 ± 2,88 %. Conclusiones: La prevalencia de la infección por C. trachomatis en parejas infértiles es alta y no ha disminuido en los últimos 10 años. Se recomienda implementar en Venezuela un monitoreo de rutina para el diagnóstico de C. trachomatis, incluyendo su determinación en el control ginecológico anual y en las evaluaciones urológicas a hombres jóvenes, a fin de prevenir que la infección pase a ser crónica.Objectives: To determine the prevalence of Chlamydia trachomatis infection in infertile couples. To evaluate the efficiency of the Chlamydia trachomatis screening programs. To establish the need of implementing the routine early diagnosis and opportune treatment of the infection. Methods: Prevalence of Chlamydia trachomatis infection was determined in 4 019 patients, 1 991 women and 2 012 men in reproductive agesbetween 1999 and 2008. Anti-chlamydia and C.trachomatis antobodies (IgG, IgA and IgM were detected by SeroELISA (Savyon Diagnostics Ltd. from 1999 to 2005; and by the ImmunoComb II kit (Orgenics from 2006 to 2008. Setting: Fertility clinic UNIFERTES in Caracas, Venezuela. Results: A prevalence of 25,40 ± 6,26 % was found in women and a prevalence of 31,12 ± 2,88 % was found in men. Conclusions: Prevalence of the C. trachomatis infection in infertile couples is high and has not decreased over the last 10 years. Implementation of routine screening programs for C. trachomatis detection is recommended, including its assessment in annual gynecological controls, as well as in urologic evaluations in young men, in order to prevent the infection from being chronic.

  5. Intoxicación por paraquat

    Directory of Open Access Journals (Sweden)

    Norma A. Hern\\u00E1ndez Hern\\u00E1ndez

    2000-01-01

    Full Text Available En el periodo comprendido de 1996 a 1999, se revisaron los expedientes clínicos de enfermos intoxicados por biperidilos (Paraquat, para determinar las principales manifestaciones, complicaciones, tratamiento y pronóstico del tóxico. Se realizó un estudio retrospectivo, transversal, descriptivo y observacional, en el área de Medicina Interna del Hospital General ?Dr. Gustavo A. Rovirosa Pérez.? Se estudiaron 18 pacientes con intoxicación por paraquat, dos se excluyeron para fines de evolución pero no de mortalidad por datos incompletos en el expediente. De los l6 pacientes estudiados con intoxicación por biperidilos (Paraquat, el sexo masculino ocupó el mayor número, l3 hombres (81.25% y 3 mujeres, con un rango de edad de 15 a 74 años. El producto químico comercial más utilizado fue el Gramoxone, siendo la principal vía de intoxicación la oral, en 93.75% con cantidades variables entre 3 y 750cc. Las principales manifestaciones al ingreso se incluyeron en la fase 1, que consiste en inflamación, edema y ulceración de la capa mucosa de tubo digestivo, y fase 2 con daño hepático y renal. Las principales complicaciones fueron a nivel digestivo, renal, hepático y pulmonar. El tratamiento incluyó medidas básicas de urgencias, generales y, en algunos casos especiales diálisis peritoneal aguda. Conclusiones. Los factores predisponentes fueron intento suicida por depresión reactiva breve y alcoholismo. La complicación pulmonar fue determinante en la mortalidad, debido a que el tejido pulmonar adquiere más concentración del tóxico que otros tejidos. A pesar de su alta toxicidad, la mortalidad fue del 56%. El tratamiento debe ser vigoroso e iniciado tan rápido como sea posible.

  6. Mortalidad por intoxicaciones agudas causadas por plaguicidas

    Scientific Electronic Library Online (English)

    María Luisa, González Valiente; Belina, Capote Marrero; Enma, Rodríguez Durán.

    2001-08-01

    Full Text Available Los plaguicidas se utilizan a gran escala mundialmente desde hace más de cinco décadas. Uno de los principales problemas derivados de su uso es la alta incidencia de intoxicaciones agudas y muertes que se producen anualmente. Cuba no escapa a esta problemática. La investigación fue descriptiva y ret [...] rospectiva. Las fuentes de datos fueron: Sistema Automatizado de Mortalidad de la Dirección Nacional de Estadísticas del Ministerio de Salud Pública y certificados de defunción. El universo lo constituyó la totalidad de los fallecidos ocurridos en Cuba durante el trienio 1995-1997. Los plaguicidas originaron 576 muertes. En los adultos el sexo masculino fue el más afectado (361) y en los menores de 15 a no se observaron diferencias significativas entre sexos. En los niños el riesgo superior fue en los menores que 4 a. En los hombres se observaron diferencias significativas respecto a las mujeres en casi todos los grupos de edades. Los mayores riesgos en el hombre se localizaron a partir de los 25 a, en las mujeres fue de 15 a 25 a. Los años de vida potencialmente perdidos ascendieron a 17 551. Las circunstancias voluntarias por suicidio representaron 88 % de este tipo de muerte. Ser localizó la mayor frecuencia en trabajadores agrícolas, amas de casa y personas sin vínculo laboral. Los productos más involucrados fueron organofosforados y derivados del piridilo. Abstract in english Pesticides have been largely used in the world for more than 5 decades. One of the main problems derived from its use is the high incidence of acute poisonings and deaths that occur every year. Cuba is also affected by this problem so, a descriptive and retrospective research was made. The data sour [...] ces were the Automated Mortality System of the National Statistics Division of the Ministry of Public Health and death certificates. All the deaths occurred in Cuba during 1995-1997 were analyzed . The pesticides caused 576 deaths. Male adults were the most affected (361). There were no significant differences in individuals under 15 of both sexes. In children, the highest risk was in those under 4. Marked differences were observed between men and women in almost every age group.The highest risks were found in men aged 25 and over and in women aged 15-25. The potentially lost years of life amounted to 17 551. The voluntary circunstances for suicide accounted for 88 % of this type of death. It was more frequent among agricultural workers, housewives and person who did not work. The most used products were the organophosphorus insecticides and the pyridylos derivates.

  7. Mortalidad por intoxicaciones agudas causadas por plaguicidas

    Directory of Open Access Journals (Sweden)

    María Luisa González Valiente

    2001-08-01

    Full Text Available Los plaguicidas se utilizan a gran escala mundialmente desde hace más de cinco décadas. Uno de los principales problemas derivados de su uso es la alta incidencia de intoxicaciones agudas y muertes que se producen anualmente. Cuba no escapa a esta problemática. La investigación fue descriptiva y retrospectiva. Las fuentes de datos fueron: Sistema Automatizado de Mortalidad de la Dirección Nacional de Estadísticas del Ministerio de Salud Pública y certificados de defunción. El universo lo constituyó la totalidad de los fallecidos ocurridos en Cuba durante el trienio 1995-1997. Los plaguicidas originaron 576 muertes. En los adultos el sexo masculino fue el más afectado (361 y en los menores de 15 a no se observaron diferencias significativas entre sexos. En los niños el riesgo superior fue en los menores que 4 a. En los hombres se observaron diferencias significativas respecto a las mujeres en casi todos los grupos de edades. Los mayores riesgos en el hombre se localizaron a partir de los 25 a, en las mujeres fue de 15 a 25 a. Los años de vida potencialmente perdidos ascendieron a 17 551. Las circunstancias voluntarias por suicidio representaron 88 % de este tipo de muerte. Ser localizó la mayor frecuencia en trabajadores agrícolas, amas de casa y personas sin vínculo laboral. Los productos más involucrados fueron organofosforados y derivados del piridilo.Pesticides have been largely used in the world for more than 5 decades. One of the main problems derived from its use is the high incidence of acute poisonings and deaths that occur every year. Cuba is also affected by this problem so, a descriptive and retrospective research was made. The data sources were the Automated Mortality System of the National Statistics Division of the Ministry of Public Health and death certificates. All the deaths occurred in Cuba during 1995-1997 were analyzed . The pesticides caused 576 deaths. Male adults were the most affected (361. There were no significant differences in individuals under 15 of both sexes. In children, the highest risk was in those under 4. Marked differences were observed between men and women in almost every age group.The highest risks were found in men aged 25 and over and in women aged 15-25. The potentially lost years of life amounted to 17 551. The voluntary circunstances for suicide accounted for 88 % of this type of death. It was more frequent among agricultural workers, housewives and person who did not work. The most used products were the organophosphorus insecticides and the pyridylos derivates.

  8. Infecciones por citomegalovirus

    Directory of Open Access Journals (Sweden)

    Ana Gloria Díaz Martínez

    1998-06-01

    Full Text Available Se ofrece una revisión actualizada sobre la infección por citomegalovirus a partir de la consulta de artículos referidos de 1990 a 1996 en las bases de datos MEDLINE, LILACS, Literatura Cubana de Medicina y Noticias de Salud. Se revisaron 37 artículos. Se abordan los aspectos más importantes de las manifestaciones clínicas, el diagnóstico, el tratamiento, así como la prevención y los métodos de control para evitar las enfermedades citomegálicas

  9. Regulación por precios tope

    Directory of Open Access Journals (Sweden)

    Gerardo Soto Carrillo

    2009-06-01

    Full Text Available El presente trabajo describe las principales características del mecanismo de regulación por precios tope, incluyendo su ubicación dentro de las posibilidades de acción regulatoria, las críticas que se han planteado al mismo, así como los mecanismos complementarios utilizados y los riesgos involucrados en su desarrollo.---This article describes the main characteristics of the price cap regime of price regulation, including its location among other regulatory possibilities, critics received, complementary mechanisms and risks involved in its development.

  10. La lucha por Guayaquil

    Directory of Open Access Journals (Sweden)

    Felipe Burbano de Lara

    2009-01-01

    Full Text Available En el contexto del referendo constitucional del 2008 en Ecuador, este texto analiza la disputa entre Rafael Correa, presidente del Gobierno ecuatoriano y principal líder de Alianza País, y el alcalde la ciudad más grande del país, Jaime Nebot. Disputa que es examinada a partir de tres ejes: la lucha contra el neoliberalismo, la construcción de un proyecto estatal nacional y la búsqueda por una por una hegemonía política de Alianza País. Se profundiza en las nociones de autonomía y globalización que sirvieron de eje al discurso del alcalde, frente al modelo de autonomía propuesto por el Gobierno.In the context of Ecuador's 2008 Constitutional Referendum, this text analyses the dispute between Rafael Correa –the President of the Ecuadorian government and the figurehead of Alianza País– and the mayor of the largest city in the country, Jaime Nebot. The argument will be developed along three fronts: the battle against neoliberalism, the construction of a national state project, and the search for the political hegemony of Alianza País. The article examines the concepts of autonomy and globalization that were central to Nebot's discourse and contrasts them with the autonomous model put forward by the government.

  11. colonización por glomus intraradices

    Directory of Open Access Journals (Sweden)

    Guillermo Rodr\\u00EDguez Hern\\u00E1ndez

    2007-01-01

    Full Text Available El presente estudio es el primer reporte sobre la inducción de raíces transformadas por Agrobacterium rhizogenes en Agave salmiana Otto, así como del establecimiento de un hongo micorrízico en las mismas. Para lograr lo anterior se inocularon plantas germinadas in vitro con diferentes concentraciones de bacteria y de acetosiringona en varios sitios (hoja, tallo y raíz. El tiempo de cocultivo en oscuridad fue de 6 d. Las raíces transformadas se presentaron a los 25 d después de la inoculación. La mayor eficiencia de transformación resultó de la inoculación al tallo con 1x109 bacterias mL-1 y 200 µM de acetosiringona, condiciones en las que se obtuvo 63 % de raíces transformadas. La naturaleza transgénica de las raíces generadas se verificó mediante un ensayo histoquímico para detectar actividad de GUS y los transgenes se amplificaron en muestras de ADN de raíz a través de PCR. Se detectó actividad de GUS en 80 % de los tejidos probados, mientras que los genes rolB y nptII se amplificaron en 60 % de las muestras de ADN analizadas por PCR. Se demostró la capacidad de Glomus intraradices para colonizar in vitro las raíces transformadas de A. salmiana, con una eficiencia de colonización de 70 %. Se logró la recuperación de esporas hijas, con un promedio de 300 esporas hijas por cultivo, a los 6 meses de iniciada la inoculación.

  12. Lucro por ação

    Directory of Open Access Journals (Sweden)

    Gabriel Moreira Campos

    2001-08-01

    Full Text Available Este trabalho tem por objetivo demonstrar os principais conceitos acerca do Lucro por Ação (Earnings per Share, o qual se apresenta como um quociente de grande utilidade nas entidades. Serão demonstrados aspectos sobre o assunto presentes no Brasil, bem como as normas aplicáveis nos Estados Unidos, emanadas do Financial Accounting Standards Board (FASB, e as normas internacionais, emanadas do International Accounting Standards Committee (IASC. De forma a possibilitar uma visualização mais completa dos conceitos envolvidos, serão desenvolvidos exemplos de sua aplicação. O Lucro (Resultado por Ação pode ser calculado em sua forma básica e em sua forma diluída. Na forma básica, não são considerados os efeitos dos instrumentos potencialmente dilutivos, ao passo que, no cálculo do Lucro (Resultado por Ação Diluído, são. Como instrumentos financeiros potencialmente dilutivos temos as ações preferenciais conversíveis, as debêntures conversíveis e os bônus de subscrição, que podem ser convertidos em ações ordinárias, caracterizando, assim, o próprio potencial dilutivo desses instrumentos. Dessa forma, o trabalho em questão foi dividido em três partes principais, sendo que nas duas últimas constam os referidos exemplos de cálculo do Lucro por Ação em sua forma básica e em sua forma diluída: • aspectos observados no Brasil; • normas emanadas do FASB; • normas emanadas do IASC.The objective of this paper is to demonstrate the principal concepts about Earnings per Share, which is presented as a quotient of great usefulness for the companies. The subject is presented in three parts: in the first part, we will demonstrate relevant aspects that are present in Brazil. In the second part, the applicable standards in the United States will be discussed, which are issued by the Financial Accounting Standards Board (FASB. In the third part, the international standards are dealt with, which are issued by the International Accounting Standards Committee (IASC. In order to make it possible to visualize the concepts involved in a more complete way, examples of their application will be developed. Earnings per Share can be calculated in its basic form and in its diluted form. In the basic form, the effects of the potentially diluted instruments are not considered, while, in the calculation of the Diluted Earnings per Share, they are. Examples of potentially diluted financial instruments are convertible preferred stocks, convertible debentures and subscription bonuses, which can be turned into ordinary stocks, characterizing in this way the diluted potential of these instruments.

  13. Lucro por ação

    Scientific Electronic Library Online (English)

    Gabriel Moreira, Campos; Luciano Márcio, Scherer.

    2001-08-01

    Full Text Available Este trabalho tem por objetivo demonstrar os principais conceitos acerca do Lucro por Ação (Earnings per Share), o qual se apresenta como um quociente de grande utilidade nas entidades. Serão demonstrados aspectos sobre o assunto presentes no Brasil, bem como as normas aplicáveis nos Estados Unidos, [...] emanadas do Financial Accounting Standards Board (FASB), e as normas internacionais, emanadas do International Accounting Standards Committee (IASC). De forma a possibilitar uma visualização mais completa dos conceitos envolvidos, serão desenvolvidos exemplos de sua aplicação. O Lucro (Resultado) por Ação pode ser calculado em sua forma básica e em sua forma diluída. Na forma básica, não são considerados os efeitos dos instrumentos potencialmente dilutivos, ao passo que, no cálculo do Lucro (Resultado) por Ação Diluído, são. Como instrumentos financeiros potencialmente dilutivos temos as ações preferenciais conversíveis, as debêntures conversíveis e os bônus de subscrição, que podem ser convertidos em ações ordinárias, caracterizando, assim, o próprio potencial dilutivo desses instrumentos. Dessa forma, o trabalho em questão foi dividido em três partes principais, sendo que nas duas últimas constam os referidos exemplos de cálculo do Lucro por Ação em sua forma básica e em sua forma diluída: • aspectos observados no Brasil; • normas emanadas do FASB; • normas emanadas do IASC. Abstract in english The objective of this paper is to demonstrate the principal concepts about Earnings per Share, which is presented as a quotient of great usefulness for the companies. The subject is presented in three parts: in the first part, we will demonstrate relevant aspects that are present in Brazil. In the s [...] econd part, the applicable standards in the United States will be discussed, which are issued by the Financial Accounting Standards Board (FASB). In the third part, the international standards are dealt with, which are issued by the International Accounting Standards Committee (IASC). In order to make it possible to visualize the concepts involved in a more complete way, examples of their application will be developed. Earnings per Share can be calculated in its basic form and in its diluted form. In the basic form, the effects of the potentially diluted instruments are not considered, while, in the calculation of the Diluted Earnings per Share, they are. Examples of potentially diluted financial instruments are convertible preferred stocks, convertible debentures and subscription bonuses, which can be turned into ordinary stocks, characterizing in this way the diluted potential of these instruments.

  14. Papel del Tecnólogo en Medicina Nuclear en el desarrollo de técnicas centellográficas, de cirugía radioguiada y moleculares. Trabajo distinguido con el Premio al mejor trabajo presentado por Tecnólogo

    Directory of Open Access Journals (Sweden)

    Álvarez, Bettina.

    2006-04-01

    Full Text Available En nuestro centro el Tecnólogo en Medicina Nuclear interviene activamente en el desarrollo y evaluación de metodologías de Medicina Nuclear y de Biología Molecular vinculadas con la estrategia del ganglio centinela (GC. El objetivo del presente trabajo fue el de validar las técnicas nucleares y moleculares utilizadas mediante parámetros clínicos y pronósticos conocidos de la enfermedad. Incluimos prospectivamente 40 pacientes con melanoma clínicamente localizado, con un espesor medio de Breslow de 3.6 mm (rango: 0.5-15.0 mm. La edad media de los pacientes fue de 54.2 años (rango: 24-82 años, siendo 25 del sexo femenino. Se utilizó como radiofármaco al 99mTc – nanocoloide de albúmina, realizando el estudio linfocentellográfico 16-18 horas antes de la cirugía, con una dosis total de 111-185 MBq. Se adquirieron imágenes secuenciales de 5 minutos en gama cámara, continuando hasta una hora post inyección de no visualizarse precozmente drenaje. Una vez localizado el(los GC, realizamos vistas ortogonales a los efectos de localizar dichos ganglios en el espacio tridimensional. Los territorios ganglionares identificados mediante linfocentellografía fueron explorados quirúrgicamente mediante la ayuda de una sonda gama intraoperatoria. La radiactividad ganglionar y de los tejidos adyacentes fue medida in vivo y verificada ex vivo luego de la resección. Una relación de conteo ganglio/fondo mayor a 2 in vivo y mayor a 10 veces ex vivo fue considerada a los efectos de considerar un ganglio como GC. Los mismos fueron analizados mediante histopatología y en 14 pacientes se estudió además la expresión mediante RT-PCR, de los marcadores TIR, MART-1 y MIA, usando un protocolo de una fase con 35 ciclos de amplificación. Los experimentos fueron realizados en duplicado e incluyeron controles positivos y negativos. Los GC fueron identificados en 38/39 pacientes operables (97.4%, extirpándose una media de 1.3 ganglios. Se diagnosticaron metástasis ganglionares por histopatología en 9 pacientes (24%. Se constató una asociación significativa entre el compromiso metastásico del GC y la presencia de recaída de la enfermedad (p=0.019, durante un período de seguimiento medio de 40.8 meses (rango: 6.7-94.6 meses. Solamente una paciente presentó recaída en un territorio correspondiente a un GC negativo. La RT-PCR resultó positiva en GC de 2/14 (14%, 3/14 (21% y 6/14 (43% pacientes, para los marcadores MART-1, MIA y TIR, respectivamente. En esta muestra, todos los GC positivos por histopatología (n=3 resultaron también positivos por RT-PCR. Los GC con positividad para por lo menos un marcador, correspondieron a pacientes con espesor de Breslow significativamente mayor (4.27±1.60 mm que aquellos con un estudio molecular negativo (2.31±1.21 mm, p=0.024. Concluimos que las características evolutivas y clínico-biológicas de la muestra estudiada son similares a las obtenidas por los grandes estudios multicéntricos, validando la metodología utilizada.In our center the Technician in Nuclear Medicine participates in the development and evaluation of Nuclear Medicine and Molecular Biology linked methodologies, with the strategy of the sentinel lymph node (SLN. The aim of the present work is to validate nuclear and molecular methods, using known clinical and prognostic illness parameters. We included prospectively 40 patients with clinically localized melanoma, with an average of 3.6 mm (status: 0.5-15.0 mm Breslow thickness. The middle age of the patients was 54.2 years (status: 24-82 years, 25 females and 15 males. The tracer used was 99mTc labeled albumin nanocolloid, doing a lymphoscintigraphy 16-18 hours before the surgery, with a total dose of 111-185 MBq. Sequential images were acquired every 5 minutes in a gamma camera during an hour post injection or until drainage was visualzed.Once a SLN was located, we did an orthogonal view to locate the nodals in the three-dimensional space. The nodal territories identified by means of lymphoscintigraphy were explored surgically employing an intra

  15. Brazo robótico controlado por electromiografía

    Directory of Open Access Journals (Sweden)

    Javier Villamizar Pinz\\u00F3n

    2012-01-01

    Full Text Available En el presente trabajo se describe la construcción de un brazo robótico controlado por señales Electromiográficas EMG, las cuales son tomadas por los electrodos que son conectados al brazo del paciente. Esas señales, son controladas por unos sensores superficiales de EMG. Los biopotenciales que pasan por los músculos del brazo son controlados por el Dispositivo microcontrolado marca Arduino, en el cual dependiendo de la diferencia de potencial que circule por el músculo va activar los servomotores que controlan el brazo robótico. Se utilizan 4 servomotores y sensores de EMG para darle 8 grados de libertad al brazo robótico.

  16. Las imágenes por venir

    Scientific Electronic Library Online (English)

    Hugo, Salas.

    2012-03-01

    Full Text Available A partir de uma análise das conceições e modos de ensino e aprendizagem que se desprendem da analogia proposta pelo término alfabetizão, o artigo empreende uma crítica das atuais condições de transmissão do saber nas carreiras de Cinema e televisão, Design de Imagem e Som, e Design Audiovisual, disc [...] utindo o cariz deshistorizante de seus conteúdos, como assim também a primazia concedida ao código cinematográfico. A análise da enunciação, por sua vez, leva a um proponho sobre as implicancias políticas da construção de subjetividade que supõe a habilitação profissional, para finalmente propor uma idéia diferente de comunicação audiovisual a partir da noção de escritura. Abstract in spanish A partir de un análisis de las concepciones y modos de enseñanza y aprendizaje que se desprenden de la analogía propuesta por el término alfabetización, el artículo emprende una crítica de las actuales condiciones de transmisión del saber en las carreras de Cine y televisión, Diseño de imagen y soni [...] do y Diseño audiovisual, discutiendo el cariz deshistorizante de sus contenidos, como así también la primacía concedida al código cinematográfico. El análisis de la enunciación, por su parte, lleva a un planteo sobre las implicancias políticas de la construcción de subjetividad que supone la habilitación profesional, para finalmente proponer una idea distinta de comunicación audiovisual a partir de la noción de escritura. Abstract in english The article undertakes a critic of the present conditions of knowledge transmission in the careers of Cinema and Television, Sound and Image Design and Audiovisual Design, from an analysis of the conceptions and ways of teaching and learning that come off the analogy proposed by the term alphabetiza [...] tion. On the other hand, the analysis of enunciation, takes to a raise on the political implicancies about the construction of subjectivity in the professional qualification. Finally, the article offers a different idea of audiovisual communication after the notion of writing.

  17. integrada por computador - CIM

    Directory of Open Access Journals (Sweden)

    Sigilfredo Arregoc\\u00E9s C.

    2007-01-01

    Full Text Available Existe una gran demanda de productos debido a la globalización. Los CIM pueden reconfigurarse rápidamente para una variedad de productos, configurando celdas de manufactura, las celdas generan diferentes capas de control. El área de control de la celda se encuentra en la parte más baja del CIM e incluye PLC?s para el control de la celda que involucra: Robots y diferentes tipos de máquinas automáticas. Este articulo presenta una solución al problema del control secuencial de una celda conformada por tres máquinas: Taladrado, indexado y transporte, utilizando modelos en Redes de Petri programada en lenguaje GRAPH-S7 para PLC SIEMENS S7

  18. Choque séptico por ehrliquiosis

    Scientific Electronic Library Online (English)

    Viviana, Hernández-de Mezerville; Juan I, Padilla-Cuadra.

    2007-04-01

    Full Text Available La ehrliquiosis humana es una infección zoonótica transmitida por "garrapatas duras" causada por Anaplasma sp y Ehrlichia sp. Puede presentarse como un cuadro pseudogripal con fiebre, malestar general, mialgias y cefalea o hasta un choque séptico con falla multiorgánica y muerte. La mitad de los pac [...] ientes requieren atención hospitalaria en algún momento y se reporta una mortalidad de hasta el 5% secundaria a enfermedades oportunistas o a hemorragias. El diagnóstico se puede sospechar visualizando las mórulas intracitoplasmáticas en las células afectadas en frotis de sangre periférica, y se confirma con serología, con cultivos o con detección molecular. El tratamiento de elección es la doxiciclina con buena respuesta clínica. Se reporta un caso probable de ehrliquiosis humana asociado a choque séptico y falla multiorgánica tratado exitosamente en el Hospital Dr. Rafael Angel Calderón Guardia. Abstract in english Human ehrlichiosis is a tick-borne infectious disease caused by Anaplasma sp and Ehrlichia sp. The presentation can range from a flu-like syndrome with fever, malaise, myalgia and headache to a septic shock state with multiorganic dysfunction. Half the patients require in- hospital care and the mort [...] ality rate is 5% as a result of opportunistic infections or hemorrhage. The diagnosis can be made by the visualization of intracytoplasmatic morulae in the blood smear, serology, cultives or polymerase chain reaction. The treatment of choice is doxycicline and generally carries a good response. We report a case of human ehrlichiosis associated with septic shock and multiorganic dysfunction successfully treated at the Calderon Guardia Hospital.

  19. Intoxicación aguda por heroína

    Scientific Electronic Library Online (English)

    Guillermo, Porras-Morales.

    2004-03-01

    Full Text Available La intoxicación por opiáceos se presenta casi siempre como consecuencia de una sobredosis accidental de un derivado de éstos, usualmente la heroína por inyección. Otras formas de intoxicación, a las que no somos ajenos en nuestro medio, son los llamados correos de drogas, "body packers" o mulas, uti [...] lizados en el tráfico internacional de transporte de drogas. En estos casos la droga es generalmente tragada, envuelta en condones, que pueden contener heroína o cocaína. Su ruptura puede conducir a toxicidad severa y letal. Los antecedente de un viaje reciente en avión en un paciente con cuadro clínico de intoxicación, pueden justificar la indicación de una radiografía de abdomen como método diagnóstico e incluso la cirugía para limpieza intestinal como parte de su abordaje terapéutico. Abstract in english Most of opioid related deaths for overdose are accidental and are primarily due to intravenous heroin use. Other forms of poisoning may occur in the so called body packers ("mulas"), who are used in international drug transportation. These patients generally swallow small quantities of wrapped cocai [...] ne or heroin in an attempt to smuggle the drugs across international borders. Their breakage can lead to severe and lethal toxicity. The history of a recent a flight in a patient with a clinical syndrome of poisoning, should justify the indication of abdominal x-rays for diagnosis and also surgery for "intestinal cleaning" as part of his therapeutic approach.

  20. Choque séptico por ehrliquiosis

    Directory of Open Access Journals (Sweden)

    Viviana Hernández-de Mezerville

    2007-04-01

    Full Text Available La ehrliquiosis humana es una infección zoonótica transmitida por "garrapatas duras" causada por Anaplasma sp y Ehrlichia sp. Puede presentarse como un cuadro pseudogripal con fiebre, malestar general, mialgias y cefalea o hasta un choque séptico con falla multiorgánica y muerte. La mitad de los pacientes requieren atención hospitalaria en algún momento y se reporta una mortalidad de hasta el 5% secundaria a enfermedades oportunistas o a hemorragias. El diagnóstico se puede sospechar visualizando las mórulas intracitoplasmáticas en las células afectadas en frotis de sangre periférica, y se confirma con serología, con cultivos o con detección molecular. El tratamiento de elección es la doxiciclina con buena respuesta clínica. Se reporta un caso probable de ehrliquiosis humana asociado a choque séptico y falla multiorgánica tratado exitosamente en el Hospital Dr. Rafael Angel Calderón Guardia.Human ehrlichiosis is a tick-borne infectious disease caused by Anaplasma sp and Ehrlichia sp. The presentation can range from a flu-like syndrome with fever, malaise, myalgia and headache to a septic shock state with multiorganic dysfunction. Half the patients require in- hospital care and the mortality rate is 5% as a result of opportunistic infections or hemorrhage. The diagnosis can be made by the visualization of intracytoplasmatic morulae in the blood smear, serology, cultives or polymerase chain reaction. The treatment of choice is doxycicline and generally carries a good response. We report a case of human ehrlichiosis associated with septic shock and multiorganic dysfunction successfully treated at the Calderon Guardia Hospital.

  1. revelada por marcadores RAPD

    Directory of Open Access Journals (Sweden)

    Azucena del Carmen Gonz\\u00E1lez-Horta

    2005-01-01

    Full Text Available El manzano (Malus domestica Borkh. es uno de los frutales de clima templado de mayor importancia en México, con 62 000 ha cultivadas en 2003, de las cuales alrededor de 700 se encuentran establecidas en el estado de Querétaro. La anarquía en la introducción de variedades cultivadas e híbridos por parte de los productores y las dependencias de gobierno, ha propiciado el desconocimiento de la identidad algunos de éstos, además, se ignora si los materiales introducidos se encuentran injertados sobre portainjertos clonales resistentes al pulgón lanígero (Eriosoma lanigerum, plaga importante en la región. Con el fin de evaluar la diversidad genética del manzano, se colectaron 65 muestras que incluyen variedades cultivadas, materiales criollos, híbridos y portainjertos de manzano y se analizaron por medio de marcadores moleculares tipo RAPD (ADN polimórfico amplificado al azar. Se seleccionaron 10 oligonucleótidos para el análisis del ADN. Se amplificaron 113 bandas polimórficas y 29 monomórficas. El análisis de conglomerados mostró que la mayor disimilitud entre genotipos fue de 0.71. Las muestras se separaron en dos conglomerados. El primero incluye casi todas las muestras relacionadas con la variedad `Golden Delicious´, mientras que el segundo grupo incluye la mayoría de las muestras correspondientes a manzanas rojas y portainjertos clonales. Los resultados indican que la diversidad genética del manzano en la región es importante y que el método RAPD permite agrupar genotipos con características comunes, lo que facilitará la identificación genética de variedades.

  2. Analgesia por acupuntura

    Directory of Open Access Journals (Sweden)

    José Antonio Cabana Salazar

    2004-03-01

    Full Text Available La acupuntura, técnica milenaria de amplia utilización en la práctica médica diaria, tiene como característica más sobresaliente el potente efecto analgésico que produce el cual constituye la base de la analgesia quirúrgica acupuntural, por lo que se realizó una revisión de las principales teorías que desde el punto de vista de la medicina occidental tratan de darle explicación.The most important characteristic of acupuncture, a millennary technique widely used in the daily medical practice, is the powerful analgesic effect that it produces and that is the basis of acupunctural surgical analgesia. Therefore, it was made a review of the main theories that from the point of view of the western medicine try to explain it.

  3. Identificação determinística por subespaços

    Scientific Electronic Library Online (English)

    S.D.M., Borjas; C., Garcia.

    2012-12-01

    Full Text Available Neste artigo é apresentada uma visão geral sobre o problema de identificação por subespaços em malha aberta. Existem diversos algoritmos que solucionam este problema (MOESP, DSR, N4SID, CVA). Baseado nos métodos MOESP e N4SID os autores apresentam um algoritmo alternativo para identificar sistemas d [...] eterminísticos operando em malha aberta. Dois processos simulados, um SISO e um MIMO são usados para mostrar o desempenho deste algoritmo. Abstract in english This paper presents an overview of the subspa e identif ation problem in open loop. There are several algorithms that solve this problem (MOESP, DSR, N4SID, CVA). Based on the methods MOESP and N4SID the authors propose an alternative algorithm to identify deterministic systems operating in open loo [...] p. Two simulated process, one SISO and one MIMO are used to show the performance of this algorithm.

  4. ¿Por qué historia política?

    Directory of Open Access Journals (Sweden)

    Josefina Mac Gregor

    1999-01-01

    Full Text Available Es el estudio de la Historia Politica en México, la reflexión a que nos invita la autora, considerando que en los aiios setentas y ochentas, hay una crisis de la Historia respecto a otras disciplinas sociales, al considerársele como un "auxiliar" de Cstas, y no como la Ciencia Social que en realidad es. Sólo existían dos posibles interpretaciones de la historia: el marxismo y la escuela de los Annales, limitando asi las posibilidades de análisis amplios y profundos en la Historia Política, además de que ésta se consideraba irrelevante y desprestigiada. Por lo tanto, es hoy en día una necesidad imperiosa para la historiografia mexicana, el abordar temas que no se han analizado más que someramente, tales como los poderes ejecutivo y judicial, la participación de las secretarias de Estado, etc., proporcionándole a la Historia Política, la importancia que tiene dentro de las ramas de la Historia.

  5. Intoxicación por carbamazepina

    Scientific Electronic Library Online (English)

    LAURA, PROTASIO; ELINA, PIZZORNO; OSVALDO, BELLO.

    2005-05-01

    Full Text Available Se presenta el caso clínico de un paciente de 13 años, portador de una epilepsia secundaria en tratamiento irregular con carbamazepina que consultó en el Departamento de Emergencia por presentar convulsiones y coma. En el momento de la admisión se consideraron varias hipótesis diagnósticas. Se const [...] ataron cifras muy elevadas de carbamazepina en sangre y el adolescente relató, luego de recuperar la conciencia, que había ingerido el fármaco intencionalmente. Recibió tratamiento con medidas de sostén y tuvo buena evolución clínica. Abstract in english Hereby we present the case of a 13-year-old boy who, suffering from secondary epilepsy, was receiving an irregular treatement with carbamazepine. At the moment he arrived at our department, several hypothesis concerning his diagnosis were evaluated. The blood analysis showed high levels of carbamaze [...] pine and after the patient had regained consciousness he claimed that he had taken the medicine intentionally. Treatment was based on life support measures and activated charcoal showing optimal response.

  6. fluidizado por proceso autotérmico

    Directory of Open Access Journals (Sweden)

    ZULAMITA ZAPATA BENABITHE

    2005-01-01

    Full Text Available El presente trabajo se basa en el estudio de la producción de carbón activado a partir de carbón mineral subbituminoso en un reactor de lecho fluidizado por proceso autotérmico. El carbón utilizado provino de la región de Amagá (Antioquia - Colombia y fue activado en dos reactores de lecho fluidizado de diferente diámetro interno, 10 cm y 22 cm. Los valores del área superficial específica y el volumen de poro de las muestras activadas fueron determinados a partir de las isotermas de N2 y CO2. Los resultados experimentales mostraron que los valores de áreas superficiales BET y DR y del Índice de Yodo se encontraron alrededor de 460 m2/g (SBET, 490 m2/g (SDR y 460 mg I2/g carbón.

  7. Portable exhausters POR-004 SKID B, POR-005 SKID C, POR-006 SKID D storage plan

    International Nuclear Information System (INIS)

    This document provides a storage plan for portable exhausters POR-004 SKID B, POR-005 SKID C, AND POR-006 SKID D. The exhausters will be stored until they are needed by the TWRS (Tank Waste Remediation Systems) Saltwell Pumping Program. The storage plan provides criteria for portable exhauster storage, periodic inspections during storage, and retrieval from storage

  8. Autoagresión por quemaduras

    Scientific Electronic Library Online (English)

    Iris, Montes de Oca; José Manuel, Martínez Camejo; Páusides, Calixté Semanat; Angel L, Selva Suárez.

    1996-04-01

    Full Text Available Se realizó un estudio epidemiológico transversal en los casos de autoagresión por quemaduras, que acudieron al Cuerpo de Guardia del Servicio de Quemados del Hospital "Dr. Ernesto Guevara de la Serna", durante el período comprendido entre los meses de febrero de 1993 y febrero de 1994, con la finali [...] dad de determinar el comportamiento de algunas variables de interés en estos casos. El universo de estudio lo constituyeron 57 casos, cuya información se recolectó de la gráfica general del paciente quemado (Modelo 71-05) y de los registros estadísticos del Servicio de Quemados del Hospital. Como fundamentales resultados y conclusiones se obtienen las siguientes: la mayor frecuencia de casos se encontró en las edades comprendidas entre 15 y 24 años; el sexo femenino resultó ser el más afectado en todos los grupos de edades. La cocina fue el lugar donde se efectuó el acto con mayor frecuencia. Se encontró un alto grado de asociación entre la supervivencia y la presencia de antecedentes de intentos suicidas. Presentaron la mayor incidencia por municipios los de Puerto Padre y Jobabo; el alcohol y el kerosene fueron los agentes causales más utilizados. En la casuística predominaron los grandes quemados. Abstract in english A transversal epidemiological study of the cases of self-aggression by burns, who received medical attention at the Emergency Department of the Burns Service of the "Dr. Ernesto Guevara de la Serna" Hospital from February, 1993 to February, 1994, was carried out aimed at determining the behaviour of [...] some variables of interest in these cases. Fifty seven cases were studied and the information was collected from the general graph of the burn patient (Model 71-05), and from the statistical records of the Burns Service of the hospital. The main results and conclusions reached are the following: the highest frequency of cases was found in ages between 15 and 24; women were the most affected in all age groups; and kitchen was the place where the self-aggression was committed most of the times. A high degree of association between survival and the presence of previous suicide attempts was detected. Puerto Padre and Jobabo were the municipalities with greatest incidence; whereas alcohol and kerosene were the most used agents. Deep burns predominate in the casuistics.

  9. ENTEROCLISIS POR TOMOGRAFIA COMPUTADA

    Scientific Electronic Library Online (English)

    Andrés, O' Brien S.

    Full Text Available La enteroclisis por tomografia computada (E-TC) es una técnica de reciente uso que consiste en la realización de una tomografia computada (TC) multidetector de abdomen y pelvis, posterior a la administración de 2 litros de agua a través de una sonda nasoenteral e inyección de medio de contraste endo [...] venoso. Ello permite una adecuada distensión y visualización de las asas de intestino delgado. Sus principales indicaciones son: Sospecha de en-fermedad inflamatoria intestinal, neoplasias de intestino delgado, hemorragia digestiva con estudio endoscópico negativo y obstrucción parcial intestinal. Se ha reportado un alto rendimiento, es rápida y agrega sobre otras técnicas de estudio de intestino la ventaja de poder visualizar alteraciones extraintestinales Abstract in english CT Enteroclysis is a new technique consisting in a MDCT of the abdomen and pelvis after the administration of water, through a nasojejunal tube, and intravenous contrast, resulting in adecuate distension and visualisation of the small bowel wall. The use of this technique is especially recommended i [...] n patients with gastrointestinal bleeding of unknown etiology, possible neoplastic process of the small bowel, partial small bowel obstruction and inflammatory bowel disease. It is fast, has a high accuracy and has the capability of depicting extraintestinal findings

  10. Rickettsiosis variceliforme o viruela rickettsiósica / Varicelliform rickettsiosis or rickettsial pox

    Scientific Electronic Library Online (English)

    Alicia, Navarro Carrillo; Pilar, Amores Valenciano; Aranzazu, Romero Cebrián; Mª Teresa, Bartolomé Navarro; Encarnación, Cuesta Vizcaíno.

    2011-10-01

    Full Text Available El género de las Rickettsias tiene como característica ser bacterias gramnegativas intracelulares que precisan de un vector para su transmisión. Las fiebres exantemáticas producidas por Rickettsias son endémicas en nuestra región (Albacete), sobre todo en áreas rurales. Se presenta el caso de un pac [...] iente con una variedad inusual de enfermedad producida por Rickettsias, caracterizada por lesiones papulovesiculosas. Abstract in english Rickettsia is a genus of intracellular, gram-negative bacteria that requires a vector for transmission. Spotted fever caused by Rickettsia is endemic in our region (Albacete), especially in rural areas. We present a patient with an unusual variety of Rickettsial disease, characterised by papulovesic [...] ular lesions.

  11. Chloroform-Methanol Residue of Coxiella burnetii Markedly Potentiated the Specific Immunoprotection Elicited by a Recombinant Protein Fragment rOmpB-4 Derived from Outer Membrane Protein B of Rickettsia rickettsii in C3H/HeN Mice.

    Science.gov (United States)

    Gong, Wenping; Wang, Pengcheng; Xiong, Xiaolu; Jiao, Jun; Yang, Xiaomei; Wen, Bohai

    2015-01-01

    The obligate intracellular bacteria, Rickettsia rickettsii and Coxiella burnetii, are the potential agents of bio-warfare/bio-terrorism. Here C3H/HeN mice were immunized with a recombinant protein fragment rOmp-4 derived from outer membrane protein B, a major protective antigen of R. rickettsii, combined with chloroform-methanol residue (CMR) extracted from phase I C. burnetii organisms, a safer Q fever vaccine. These immunized mice had significantly higher levels of IgG1 and IgG2a to rOmpB-4 and interferon-? (IFN-?) and tumor necrosis factor-? (TNF-?), two crucial cytokines in resisting intracellular bacterial infection, as well as significantly lower rickettsial loads and slighter pathological lesions in organs after challenge with R. rickettsii, compared with mice immunized with rOmpB-4 or CMR alone. Additionally, after challenge with C. burnetii, the coxiella loads in the organs of these mice were significantly lower than those of mice immunized with rOmpB-4 alone. Our results prove that CMR could markedly potentiate enhance the rOmpB-4-specific immunoprotection by promoting specific and non-specific immunoresponses and the immunization with the protective antigen of R. rickettsii combined with CMR of C. burnetii could confer effective protection against infection of R. rickettsii or C. burnetii. PMID:25909586

  12. Síndrome DRESS por carbamazepina

    Scientific Electronic Library Online (English)

    Julio, Magliano; Mariela, Álvarez; Marina, Salmentón.

    2009-12-01

    Full Text Available El síndrome DRESS (Drug Rash with Eosinophilia and Systemic Symptoms) es una reacción adversa grave a medicamentos. Consiste en una erupción cutánea, acompañada de fiebre, compromiso multivisceral y eosinofilia. Con una incidencia de 1/10.000 en individuos expuestos a los fármacos implicados y con u [...] na mortalidad de un 10%-30% de los casos. Se presenta un caso clínico de una niña de 12 años, epiléptica, que a las 4 semanas de iniciar tratamiento con carbamazepina presenta fiebre y odinofagia, agregando exantema cutáneo con compromiso sistémico. Se realizó diagnóstico de síndrome DRESS, con buena respuesta al tratamiento instaurado. El síndrome DRESS es una reacción adversa grave, potencialmente mortal, cuyo inicio muchas veces se confunde con cuadros virales, por lo que hay que tener presente este síndrome ante un paciente que inicia tratamiento con anticonvulsivantes y desarrolla exantema febril Abstract in english DRESS syndrome is a severe adverse reaction to drugs. The presentation consists of a skin rash, fever, eosynophilia and multiorganic failure. The incidence is 1/10000 and the mortality rate is between 10 to 30%. A case of a 12 year old epileptic patient who started with fever, sore throat and a skin [...] rash with sistemic compromise after 4 weeks of starting treatment with carbamazepine is presented. DRESS syndrome was diagnosed having a good evolution with the treatment done. DRESS syndrome is a severe adverse reaction, potencially mortal, which can be confused with other causes of skin rash such as viral diseases.Pediatricians should be alert to the symptoms in a children who started taking antiepileptic drugs.

  13. por inmovilización forzada

    Directory of Open Access Journals (Sweden)

    Gloria Sicilia Argumedo

    2007-01-01

    Full Text Available En este estudio se evaluó la capacidad del pirofosfato de tiamina (PPT o vitamina B1 activada, para prevenir el daño que provoca el estrés por inmovilización forzada sobre las neuronas del hipocampo de ratas. Se trabajó con ratas macho de 21 días de edad, que fueron asignadas a cuatro grupos con diez ratas cada uno: Grupo testigo (T, Grupo estrés crónico (EC, Grupo estrés crónico + PPT (EC + PPT y Grupo de pirofosfato de tiamina (PPT. Las variables analizadas fueron: peso corporal, longitud de la dendrita apical, ejes mayor y menor del soma neuronal, así como el promedio de ramifi caciones y de espinas dendríticas. Los resultados muestran disminuciones estadísticamente signifi cativas variables de 20% a 40% en el peso corporal, en todos los grupos respecto del grupo T. Para los niveles de corticosterona sérica se observaron disminuciones estadísticamente signifi cativas de 16.3% en el Grupo EC + PPT y de 20.5% en el Grupo PPT, ambas con respecto al grupo T. En cuanto al diámetro del eje menor, se observó un incremento signifi cativo de 6.5% en el Grupo EC + PPT con respecto al Grupo T; otras disminuciones estadísticamente signifi cativas encontradas fueron: la longitud dendrítica de 32.1% en el Grupo EC con respecto al Grupo T, de 27.2% en el Grupo EC en relación con el Grupo EC + PPT y de 30.2% en el Grupo EC, respecto del PPT. Finalmente, en el número de espinas se encontraron disminuciones estadísticamente signifi cativas de 59.4% en el Grupo EC en relación con el Grupo T, de 50.8% en el Grupo EC con respecto al Grupo EC + PPT, y de 57.7% en el Grupo E, respecto del Grupo PPT. De acuerdo con los resultados, se concluye que el PPT actúa previniendo el incremento de los niveles de corticosterona sérica en ratas con estrés, a las que se les suministró PPT, lo cual preserva la integridad neuronal en las variables estudiadas, como la longitud dendrítica y el promedio de espinas dendríticas.

  14. Por que sou rondoniano

    Directory of Open Access Journals (Sweden)

    Mércio Pereira Gomes

    2009-01-01

    Full Text Available Numa revisão contextualizada no tempo e projetada pelos seus resultados, a obra do sertanista marechal Cândido Rondon (1867-1958 é avaliada positivamente pela dedicação à causa dos povos indígenas do Brasil, pela formação de uma ética de respeito do brasileiro para com os índios e pela institucionalização do dever do Estado brasileiro de proteger, assistir e ajudar os povos indígenas a manterem-se coesos e autônomos e ao mesmo tempo se projetarem no mundo mais amplo. A vida de Rondon é acompanhada desde a sua formação como cadete da Escola Militar, como membro da Igreja do Apostolado Positivista, como comandante da Expedição Rondon (1907-1930, que levou o telégrafo de Cuiabá a Porto Velho, e especialmente como criador e dirigente-mor do Serviço de Proteção aos Índios (SPI, 1910-1967. Rondon é o criador da expressão "Morrer se preciso for, matar nunca", que pautou a ação de indigenistas brasileiros que fizeram os primeiros contatos com muitos povos indígenas desde 1910. E muitos morreram seguindo essa norma, numa clara demonstração do novo espírito humanista criado pela atitude rondoniana. O indigenismo brasileiro implantado por Rondon teve altos e baixos ao longo de quase cem anos, que hoje prossegue pela Fundação Nacional do Índio (Funai. De fato, muitos povos indígenas perderam suas terras e muitos foram dizimados no século XX, mas os mais de 220 que sobreviveram vêm crescendo em número, obtendo suas terras (13% do território nacional e conquistando novos espaços político-culturais no Brasil.This paper reviews the life and work of Brazilian Indianist Marshall Cândido Rondon. Rondon's life is marked by a profound dedication to the Brazilian Indian cause and to instilling in Brazilians a respect for Indian peoples. He influenced the Brazilian government in shaping a policy of protecting, assisting, and helping Indian peoples retain cohesive, self-determined societies. He also encouraged Indians to project their destinies onto a larger political context. The paper follows Rondon during his days as a cadet in the Military School; as a devout member of the Church of the Positivist Apostolate; as commander of the Rondon Expedition (1907-1930, which stretched the telegraph from Cuiabá to Porto Velho; and especially as the founder and leader of the Indian Protection Service (1910-1967. The Indian Protection Service is the precursor to today's National Indian Foundation (Funai, founded in 1967. Rondon is the creator of the expression "Die if you must, never kill" which, since 1910, has served as the motto for many of the Brazilian indianists who made the first contacts with Indian peoples. Many of them died in service for the Indian cause, demonstrating the high purpose of this new kind of humanistic vision. The Indian policy established by Rondon has experienced ups and downs throughout the last 100 years. Indeed, several Indian tribes became extinct and many lost their lands in the 20th Century. However, of the more than 220 tribes that survive today the vast majority are growing in numbers, have had most of their lands demarcated (amounting to 13% of the Brazilian territory and are conquering space in the Brazilian cultural-political panorama.

  15. Por que sou rondoniano

    Scientific Electronic Library Online (English)

    Mércio Pereira, Gomes.

    Full Text Available Numa revisão contextualizada no tempo e projetada pelos seus resultados, a obra do sertanista marechal Cândido Rondon (1867-1958) é avaliada positivamente pela dedicação à causa dos povos indígenas do Brasil, pela formação de uma ética de respeito do brasileiro para com os índios e pela instituciona [...] lização do dever do Estado brasileiro de proteger, assistir e ajudar os povos indígenas a manterem-se coesos e autônomos e ao mesmo tempo se projetarem no mundo mais amplo. A vida de Rondon é acompanhada desde a sua formação como cadete da Escola Militar, como membro da Igreja do Apostolado Positivista, como comandante da Expedição Rondon (1907-1930), que levou o telégrafo de Cuiabá a Porto Velho, e especialmente como criador e dirigente-mor do Serviço de Proteção aos Índios (SPI, 1910-1967). Rondon é o criador da expressão "Morrer se preciso for, matar nunca", que pautou a ação de indigenistas brasileiros que fizeram os primeiros contatos com muitos povos indígenas desde 1910. E muitos morreram seguindo essa norma, numa clara demonstração do novo espírito humanista criado pela atitude rondoniana. O indigenismo brasileiro implantado por Rondon teve altos e baixos ao longo de quase cem anos, que hoje prossegue pela Fundação Nacional do Índio (Funai). De fato, muitos povos indígenas perderam suas terras e muitos foram dizimados no século XX, mas os mais de 220 que sobreviveram vêm crescendo em número, obtendo suas terras (13% do território nacional) e conquistando novos espaços político-culturais no Brasil. Abstract in english This paper reviews the life and work of Brazilian Indianist Marshall Cândido Rondon. Rondon's life is marked by a profound dedication to the Brazilian Indian cause and to instilling in Brazilians a respect for Indian peoples. He influenced the Brazilian government in shaping a policy of protecting, [...] assisting, and helping Indian peoples retain cohesive, self-determined societies. He also encouraged Indians to project their destinies onto a larger political context. The paper follows Rondon during his days as a cadet in the Military School; as a devout member of the Church of the Positivist Apostolate; as commander of the Rondon Expedition (1907-1930), which stretched the telegraph from Cuiabá to Porto Velho; and especially as the founder and leader of the Indian Protection Service (1910-1967). The Indian Protection Service is the precursor to today's National Indian Foundation (Funai), founded in 1967). Rondon is the creator of the expression "Die if you must, never kill" which, since 1910, has served as the motto for many of the Brazilian indianists who made the first contacts with Indian peoples. Many of them died in service for the Indian cause, demonstrating the high purpose of this new kind of humanistic vision. The Indian policy established by Rondon has experienced ups and downs throughout the last 100 years. Indeed, several Indian tribes became extinct and many lost their lands in the 20th Century. However, of the more than 220 tribes that survive today the vast majority are growing in numbers, have had most of their lands demarcated (amounting to 13% of the Brazilian territory) and are conquering space in the Brazilian cultural-political panorama.

  16. DETECCCIÓN DE Anaplasma marginale EN BOVINOS, MEDIANTE LA AMPLIFICACIÓN POR PCR DEL GEN msp5 / DETECTION OF Anaplasma marginale IN BOVINE, USING THE msp5 GENE AMPLIFICATION BY PCR

    Scientific Electronic Library Online (English)

    Belkis, Corona; Siomara, Martínez.

    2011-04-01

    Full Text Available Anaplasma marginale es una rickettsia del genogrupo II de las Ehrlichias, que parasita los eritrocitos maduros del ganado bovino. Hasta el momento no se cuenta con un método de control eficaz contra la enfermedad, por lo que resulta de gran importancia desarrollar un inmunógeno capaz de prevenir la [...] infección con este patógeno. A esto se le agrega la necesidad de contar con técnicas de diagnóstico más sensibles para ser utilizadas en el movimiento internacional de ganado hacia zonas libres de la enfermedad, que permitan la detección de animales portadores, así como para conocer la prevalencia de la enfermedad en las regiones tropicales y subtropicales. El gen msp5 está representado en el genoma como una simple copia, altamente conservado entre todas las especies de Anaplasma y todas las cepas de A. marginale, por lo que resulta un importante candidato para ser utilizado en el diagnóstico. En el presente trabajo se realizó la amplificación por PCR de dicho gen para la detección de Anaplasma marginale en 113 animales sin síntomas clínicos de la enfermedad, de los cuales 96 resultaron positivos para Anaplasma marginale, resultando el ensayo altamente sensible y específico. Abstract in english Anaplasma marginale is a rickettsia of Ehrlichias genogroup II. It parasites mature erythrocytes in bovines. There is not still an effective control method against the disease; thus it is of great importance to develop an immunogene able to prevent infection by this pathogen. There is also a need of [...] having more sensitive diagnostic techniques which allow the detection of carrier animals in order to be used in cattle international movement towards areas free of the disease; as well as to know the prevalence of the disease in tropical and subtropical regions. Gene msp5 is represented in the genome as a simple copy; it is highly preserved among all Anaplasma species and all A. marginale strains; thus it is an important candidate for being used in diagnostic. In this paper, the amplification by PCR of such gene was carried out for the detection of Anaplasma marginale in 113 animals without clinical symptoms, from which 96 were positive to this microorganism, being the assay highly sensitive and specific.

  17. Internamentos por Linfadenite Cervical num Serviço de Pediatria Geral / Admissions for cervical lymphadenitis in a General Paediatrics Unit

    Scientific Electronic Library Online (English)

    David, Lito; Diana, Pignatelli; Ana Sofia, Simões; Alexandra, Carvalho; Florbela, Cunha.

    2013-12-01

    Full Text Available Introdução: A Linfadenite Cervical (LAC) é uma entidade comum na idade pediátrica. As formas agudas bilaterais são as mais frequentes, de etiologia viral e autolimitadas. As agudas unilaterais são habitualmente bacterianas, provocadas pelo Streptococcus pyogenes e Staphylococcus aureus. Nas subaguda [...] s/crónicas a Bartonella, as Mycobacteria e o Toxoplasma devem ser etiologias consideradas. Objetivos: Caracterização de população de crianças internadas numa enfermagem de Pediatria Geral por LAC. Material e métodos: Estudo comparativo retrospetivo de uma amostra de conveniência que inclui as crianças internadas, entre Março de 1999 e Fevereiro de 2010. Resultados e Discussão: Identificaram-se 61 crianças, 88,5% do sexo feminino. A LAC aguda correspondeu a 88,5% dos casos, das quais 57,4% foram unilaterais. A forma subaguda/crónica ocorreu em 11,5%. A idade nas formas agudas foi significativamente inferior à das subagudas/crónicas (p=0,034). A etiologia bacteriana equivaleu a 96,7% sendo as restantes, uma mononucleose infeciosa e uma toxoplasmose ganglionar. O S. aureus e S. pyogenes corresponderam a 66,6% dos agentes bacterianos isolados. Identificaram-se três casos de LAC por Mycobacterium tuberculosis, dois por Bartonella henselae e dois por Ricketsia conorii. As infeções prévias da cabeça e pescoço estiveram presentes em 27 (44,3%). Documentaram-se infeções virais predisponentes em cinco casos. As localizações cervical e submandibular foram as mais frequentes, 47,5% e 44,3%, respetivamente. Evidenciou-se febre em 85,2% das crianças, sintomas regionais (torcicolo e trismos) em 45% e flutuação em 29%. Houve necessidade de drenagem cirúrgica em 24,6% dos doentes, em seis (9,8%) realizou-se citologia aspirativa e em 45 exames de imagem. A leucocitose (>15000/?L) e a proteína C reativa positiva (>3,0 mg/dL) verificaram-se em 83,6% e 65,5% dos casos, respetivamente. O S. pyogenes e o S. aureus cursaram com mais sinais inflamatórios e maior necessidade de drenagem cirúrgica (p=0,01). Os antibióticos foram utilizados em todos os doentes sendo o mais frequente a amoxicilina/ácido clavulânico (57,3%). A flucloxacilina administrou-se em 19,7% dos casos. A evolução foi favorável em todos os casos. Conclusão: O diagnóstico etiológico da LAC não é fácil na maioria dos casos. Embora a grande maioria das crianças com LAC não seja internada, existem alguns casos que, pela necessidade de investigação complementar ou de tratamento o sejam. Portugal é um país de média incidência de Tuberculose pelo que esta doença deve ser considerada, com especial atenção para a emergência de M. tuberculosis multirresistentes. Abstract in english Introduction: Cervical lymphadenitis (CL) is a common condition in children. Acute bilateral CL is the most frequent presentation, usually self-limited and caused by virus. Acute unilateral CL is commonly bacterial, most frequently caused by Streptococcus pyogenes and Staphylococcus aureus. Bartonel [...] la, Mycobacteria and Toxoplasma must be considered when the CL is subacute/chronic. Objective: Characterization of children with CL hospitalized in a paediatric unit. Population and methods: Retrospective comparative study of a convenience sample that includes inpatient children, between March 1999 and February 2010. Results and Discussion: Sixty-one patients were identified, 88,5% female. All CL were infectious. Acute CL was observed in 88,5% of cases (57,4% unilateral and 31,1% bilateral). Subacute/chronic CL occurred in 11,5%. The average age in acute cases was significantly lower than in subacute /chronic ones (p=0,034). Bacterial CL occurred in 96,7% and the remaining cases included infectious mononucleosis (n=1) and ganglionar toxoplasmosis (n=1). S. aureus and S. pyogenes were isolated in 66,6% of the patients. In addition, Mycobacterium tuberculosis was identified in three cases, Bartonella henselae in two and Ricketsia conorii in two. Previous head and neck infections were found in 27 patients (44,3%) with CL. Precedi

  18. Kerion Celsi por Microsporum gypseum

    OpenAIRE

    Melo-Monteiro Coaraci; Martins Carlos José; Monteiro Cristina de Sousa; Paiva Maria Bandeira de Melo; Fagundes Renato de Oliveira

    2003-01-01

    Os autores apresentam um caso de Kerion Celsi por Microsporum gypseum em criança do sexo masculino,de 3 anos de idade, natural e procedente do Rio de Janeiro. Revisa-se a literatura, demonstrando a importância do caso.

  19. Aborto eqüino por Leptospira sp.

    OpenAIRE

    Pescador Caroline Argenta; Corbellini Luís Gustavo; Loretti Alexandre Paulino; Wunder Júnior Elsio; Frantz Fernanda Junges; Driemeier David

    2004-01-01

    Descreve-se um caso de aborto eqüino por Leptospira sp. em um feto de 6 meses proveniente de um estabelecimento localizado próximo a Porto Alegre/RS. As lesões macroscópicas se caracterizaram por icterícia e hemorragias distribuídas difusamente sobre a pele, mucosa oral, tecido subcutâneo, pulmão, coração e sistema gastrintestinal. O fígado estava aumentado de tamanho, friável e de coloração amarelada. Os rins apresentavam hemorragias petequiais na superfície capsular e na supe...

  20. Quercetin protects the retina by reducing apoptosis due to ischemia-reperfusion injury in a rat model / Quercetina protege a retina reduzindo a apoptose consequente à lesão por isquemia e reperfusão em um modelo de rato

    Scientific Electronic Library Online (English)

    Sedat, Arikan; Ismail, Ersan; Turan, Karaca; Selcuk, Kara; Baran, Gencer; Ihsan, Karaboga; Tufan, Hasan Ali.

    2015-04-01

    Full Text Available Objetivo: O objetivo deste estudo é investigar o efeito da quercetina, contra a morte celular por apoptose induzida por lesão consequente à isquemia-reperfusão (I/R) na retina de ratos. Método: Vinte e quatro ratos foram divididos em quatro grupos iguais: controle, isquêmico, solvente e quercetina. [...] O modelo lesão por I/R foi realizado por meio da elevação da pressão intraocular acima da pressão de perfusão, em todos os grupos. Injecções intraperitoneais de 20 mg/kg de quercetina ou sulfóxido de dimetilo (DMSO) foram realizadas nos grupos quercetina e solvente, respectivamente, imediatamente antes da lesão por I/R, permitindo que as retinas fossem reperfundidas. Quarenta e oito horas após a lesão, as espessuras de camada de células ganglionares da retina (RGCL), camada nuclear interna (INL), camada plexiforme interna (IPL), camada plexiforme externa (OPL), e a camada nuclear externa (ONL) foram medidas em todos os grupos. Além disso, o número de células TUNEL (+) e caspase-3 (+) tanto na camada nuclear interna quanto na camada nuclear externa foi avaliada em todos os grupos. Resultados: A administração de quercetina diminuiu o afinamento de todas as camadas da retina em comparação com o grupo isquêmico. A espessura média da camada nuclear interna nos grupos quercetina e isquêmico foi de 21 ± 5,6 µm e 16 ± 6,4 µm, respectivamente (p Abstract in english Purpose: This study aimed to investigate the effect of quercetin on apoptotic cell death induced by ischemia-reperfusion (I/R) injury in the rat retina. Methods: Twenty-four rats were divided into four equal groups: control, ischemic, solvent, and quercetin. I/R injury was achieved by elevating the [...] intraocular pressure above the perfusion pressure. Intraperitoneal injections of 20 mg/kg of quercetin and dimethyl sulfoxide (DMSO) were performed in the quercetin and solvent groups, respectively, immediately prior to I/R injury, and the researchers allowed for the retinas to be reperfused. Forty-eight hours after injury, the thicknesses of the retinal ganglion cell layer (RGCL), inner nuclear layer (INL), inner plexiform layer (IPL), outer plexiform layer (OPL), and outer nuclear layer (ONL) were measured in all groups. Moreover, the numbers of terminal deoxynucleotidyl transferase dUTP nick-end-labeled [TUNEL (+)] cells and caspase-3 (+) cells in both INL and ONL were evaluated in all groups. Results: The administration of quercetin was found to reduce the thinning of all retinal layers. The mean thickness of INL in the quercetin and ischemic groups was 21 ± 5.6 µm and 16 ± 6.4 µm, respectively (P

  1. Impact of the total number of harvested lymph nodes after colon cancer resections on survival in patients without involved lymph node Influencia del número total de ganglios analizados tras cirugía de resección en el cáncer de colon sobre la supervivencia en pacientes sin afectación ganglionar

    Directory of Open Access Journals (Sweden)

    M. I. Rivadulla-Serrano

    2010-05-01

    Full Text Available Background: the total number of harvested lymph nodes has been demonstrated to be of prognostic significance for colon cancer. Differences can occur in the total number of harvested lymph nodes between different specialists (surgeons and pathologists. Objective: the aim of this study was to analyse if, in our centre, the number of analysed lymph nodes in patients with colon cancer that are classified as pN0 is also related to survival. Material and methods: a retrospective study was designed, where 148 patients with colon adenocarcinoma (pN0 of TNM classification who underwent elective surgery between 1 January 1995 and 31 December 2001, with curative intent were included. Three groups were created according to the number of analysed lymph nodes ( 14 lymph nodes. For survival analysis the Kaplan-Meier and CUSUM curves methods were used. Results: the total number of analysed lymph nodes was 1,493 (mean 10.1 lymph nodes per patient. The rate of 5-years survival was 63.0% in the group with 14 lymph nodes: 91.8% (p Introducción: el número total de ganglios analizados ha demostrado su influencia pronóstica en el cáncer de colon. Pueden existir grandes diferencias en el número de ganglios obtenidos por diferentes especialistas (cirujanos y anatomopatólogos. Objetivo: el objetivo del presente estudio fue analizar si, en nuestro medio, el número de ganglios analizados en pacientes con cáncer de colon clasificados como pN0 se relaciona también con la supervivencia. Material y métodos: estudio retrospectivo, con inclusión de 148 pacientes con adenocarcinoma de colon (pN0 de la clasificación TNM intervenidos de forma programada con intención curativa entre 1 de enero de 1995 y 31 de diciembre de 2001. Se establecieron 3 grupos según el número de ganglios analizados ( 14 ganglios. Para el análisis de la supervivencia se utilizaron el método de Kaplan Meier y las gráficas CUSUM. Resultados: el número total de ganglios analizados fue 1.493 (media 10,1 ganglios por paciente. La supervivencia a 5 años fue del 63,0% en el grupo con 14 ganglios analizados (p < 0,01. La influencia pronóstica se mantuvo en el análisis multivariante. Conclusión: en nuestro medio, la obtención de un mayor número de ganglios analizados se relaciona con una mayor supervivencia a los 5 años en pacientes con cáncer de colon clasificados como pN0. Parece razonable recomendar la obtención de tantos ganglios como sea posible en este tipo de cirugía y no recomendar un número mínimo de ganglios que se deberían analizar.

  2. Impact of the total number of harvested lymph nodes after colon cancer resections on survival in patients without involved lymph node / Influencia del número total de ganglios analizados tras cirugía de resección en el cáncer de colon sobre la supervivencia en pacientes sin afectación ganglionar

    Scientific Electronic Library Online (English)

    M. I., Rivadulla-Serrano; D., Martínez-Ramos; M., Armengol-Carrasco; J., Escrig-Sos; J. M., Daroca-José; G. A., Paiva-Coronel; C., Fortea-Sanchís; J. L., Salvador-Sanchis.

    2010-05-01

    Full Text Available Introducción: el número total de ganglios analizados ha demostrado su influencia pronóstica en el cáncer de colon. Pueden existir grandes diferencias en el número de ganglios obtenidos por diferentes especialistas (cirujanos y anatomopatólogos). Objetivo: el objetivo del presente estudio fue analiza [...] r si, en nuestro medio, el número de ganglios analizados en pacientes con cáncer de colon clasificados como pN0 se relaciona también con la supervivencia. Material y métodos: estudio retrospectivo, con inclusión de 148 pacientes con adenocarcinoma de colon (pN0 de la clasificación TNM) intervenidos de forma programada con intención curativa entre 1 de enero de 1995 y 31 de diciembre de 2001. Se establecieron 3 grupos según el número de ganglios analizados ( 14 ganglios). Para el análisis de la supervivencia se utilizaron el método de Kaplan Meier y las gráficas CUSUM. Resultados: el número total de ganglios analizados fue 1.493 (media 10,1 ganglios por paciente). La supervivencia a 5 años fue del 63,0% en el grupo con 14 ganglios analizados (p Abstract in english Background: the total number of harvested lymph nodes has been demonstrated to be of prognostic significance for colon cancer. Differences can occur in the total number of harvested lymph nodes between different specialists (surgeons and pathologists). Objective: the aim of this study was to analyse [...] if, in our centre, the number of analysed lymph nodes in patients with colon cancer that are classified as pN0 is also related to survival. Material and methods: a retrospective study was designed, where 148 patients with colon adenocarcinoma (pN0 of TNM classification) who underwent elective surgery between 1 January 1995 and 31 December 2001, with curative intent were included. Three groups were created according to the number of analysed lymph nodes ( 14 lymph nodes). For survival analysis the Kaplan-Meier and CUSUM curves methods were used. Results: the total number of analysed lymph nodes was 1,493 (mean 10.1 lymph nodes per patient). The rate of 5-years survival was 63.0% in the group with 14 lymph nodes: 91.8% (p

  3. Mortalidad por envenenamiento en niños

    Directory of Open Access Journals (Sweden)

    Híjar Martha

    1998-01-01

    Full Text Available Objetivo. Conocer el panorama de las muertes por envenenamiento en niños de 0-14 años ocurridas en la República mexicana, entre 1979 y 1994. Material y métodos. Se utilizaron fuentes secundarias. Las variables analizadas fueron: edad, sexo, año, causa externa de traumatismos y envenenamientos, de la IX Clasificación Internacional de Enfermedades: E850-E858, E860-E869 y E905. Mediante un modelo de regresión Poisson se analizaron tendencias por causa específica y se obtuvieron riesgos relativos según edad, sexo y entidad federativa. Resultados. Hubo un total de 11 272 defunciones en menores de 15 años; las principales causas fueron el envenenamiento y las reacciones tóxicas causadas por plantas y animales venenosos (E905, el envenenamiento accidental por gas de uso doméstico y por monóxido de carbono (E868 y el envenenamiento accidental por otras drogas (E858. El grupo de edad que presentó los mayores riesgos, para las causas mencionadas, fue el de menores de un año con un riesgo relativo (RR de 29.6, IC95% 29.2-33.4; RR 3.47, IC95% 2.86-4.22, y RR 31.86, IC95% 24.8-40.9. El riesgo fue similar en ambos sexos, salvo para la causa E905. El estado de Aguascalientes se situó sistemáticamente entre los de mayor riesgo para todas las causas analizadas, mientras que Nuevo León siempre se ubicó entre los de riesgo más bajo. Conclusiones. El envenenamiento constituye una importante causa de muerte en los niños; el riesgo se incrementa al disminuir la edad. Considerando que esas muertes son potencialmente evitables y que la mayor parte de los envenenamientos ocurren en el hogar, para prevenirlos, se recomienda a los familiares vigilar y mantener fuera de peligro al niño. Por otra parte, la multicausalidad del fenómeno requiere que su prevención se realice desde una perspectiva multidisciplinaria que genere una cultura y un ambiente de seguridad en la sociedad.

  4. Celulitis por citomegalovirus Cytomegalovirus cellulitis

    Directory of Open Access Journals (Sweden)

    A. Ruiz Lascano

    2002-12-01

    Full Text Available Las lesiones cutáneas por citomegalovirus (CMV son infrecuentes y a menudo una manifestación tardía de una enfermedad sistémica, que generalmente anuncia un curso fatal. Comunicamos un caso de celulitis por CMV: una mujer de 70 años con trasplante renal efectuado 1 mes antes de la consulta, terapia inmunosupresora con ciclosporina A y metilprednisona. La paciente ingresó por fiebre, dolor e impotencia funcional en pierna derecha. Comprobamos la existencia de una placa de 8 por 4 cm eritematoedematosa. La tratamos con antibióticos sin mejoría, por lo que realizamos un estudio histopatológico de piel que mostró cambios citopáticos compatibles con infección por CMV. Los cultivos bacteriológicos y micológicos fueron negativos. La inmunohistoquímica específica para CMV y el estudio de reacción en cadena de la polimerasa (PCR de la biopsia de piel fueron positivas, al igual que la antigenemia. El tratamiento con ganciclovir produjo la mejoría del cuadro clínico. En la literatura revisada no hemos encontrado la celulitis como manifestación de enfermedad cutánea por CMV.Cutaneous lesions in CMV infection are rare, often a late manifestation of systemic infection, and usually herald a fatal course. A 70 year-old woman received a kidney transplantation one month before consulting and immunosuppressive therapy that included cyclosporine A and methylprednisone. She complained of fever, local pain in her right leg, and an erythematous and swelling plaque. She was treated with intravenous antibiotics without improvement. A skin biopsy was performed and the tissue obtained was sent for bacterial and fungal cultures as well as for histological examination. Cultures were negative. The biopsy showed CMV cytopathic changes. Immunoperoxidase staining was positive for CMV and polymerase chain reaction (PCR testing revealed CMV DNA. She was treated with ganciclovir with resolution of the lesion. CMV cellulitis is a rare cutaneous manifestation which has not been previously reported.

  5. Celulitis por citomegalovirus / Cytomegalovirus cellulitis

    Scientific Electronic Library Online (English)

    A., Ruiz Lascano; R., Kuznitzky; I., Garay; M., Kurpis; P., Massari.

    2002-12-01

    Full Text Available Las lesiones cutáneas por citomegalovirus (CMV) son infrecuentes y a menudo una manifestación tardía de una enfermedad sistémica, que generalmente anuncia un curso fatal. Comunicamos un caso de celulitis por CMV: una mujer de 70 años con trasplante renal efectuado 1 mes antes de la consulta, terapia [...] inmunosupresora con ciclosporina A y metilprednisona. La paciente ingresó por fiebre, dolor e impotencia funcional en pierna derecha. Comprobamos la existencia de una placa de 8 por 4 cm eritematoedematosa. La tratamos con antibióticos sin mejoría, por lo que realizamos un estudio histopatológico de piel que mostró cambios citopáticos compatibles con infección por CMV. Los cultivos bacteriológicos y micológicos fueron negativos. La inmunohistoquímica específica para CMV y el estudio de reacción en cadena de la polimerasa (PCR) de la biopsia de piel fueron positivas, al igual que la antigenemia. El tratamiento con ganciclovir produjo la mejoría del cuadro clínico. En la literatura revisada no hemos encontrado la celulitis como manifestación de enfermedad cutánea por CMV. Abstract in english Cutaneous lesions in CMV infection are rare, often a late manifestation of systemic infection, and usually herald a fatal course. A 70 year-old woman received a kidney transplantation one month before consulting and immunosuppressive therapy that included cyclosporine A and methylprednisone. She com [...] plained of fever, local pain in her right leg, and an erythematous and swelling plaque. She was treated with intravenous antibiotics without improvement. A skin biopsy was performed and the tissue obtained was sent for bacterial and fungal cultures as well as for histological examination. Cultures were negative. The biopsy showed CMV cytopathic changes. Immunoperoxidase staining was positive for CMV and polymerase chain reaction (PCR) testing revealed CMV DNA. She was treated with ganciclovir with resolution of the lesion. CMV cellulitis is a rare cutaneous manifestation which has not been previously reported.

  6. Doença da arranhadura do gato por Bartonella quintana em lactente: uma apresentação incomum

    Directory of Open Access Journals (Sweden)

    Azevedo Zina Maria Almeida de

    2000-01-01

    Full Text Available Relato de caso de doença da arranhadura do gato (DAG, em um paciente lactente, com história epidemiológica negativa, descrevendo o rastreamento diagnóstico, a imagem ao ultra-som, a evolução clínica e o prognóstico. B. quintana foi identificada em aspirado de secreção ganglionar pelo método de PCR. B. henselae, embora seja o agente causal habitualmente responsável pela DAG, não foi isolada. Os autores concluem que a pesquisa de B. quintana e B. henselae deve ser incluída na investigação de adenites, principalmente quando a evolução é subaguda, mesmo em lactentes e, ainda que a história epidemiológica seja negativa.

  7. Alterações oftálmicas associadas à intoxicação experimental por closantel em caprinos / Ophthalmic changes associated with the experimental poisoning by closantel in caprine

    Scientific Electronic Library Online (English)

    R., Ecco; C.S.L., Barros; D.L., Graça.

    2008-02-01

    Full Text Available Alterações oftálmicas foram experimentalmente induzidas em caprinos após superdosagem com o anti-helmíntico closantel. Foram usados cinco caprinos com sete a oito meses de idade, produtos do cruzamento da raça Saanen com a Pardo Alpino. Os animais mostraram sinais de intoxicação entre quatro e cinco [...] dias após a administração do closantel. Os sinais clínicos caracterizaram-se principalmente por distúrbios neurológicos centrais e cegueira. Ao exame clínico, observaram-se midríase bilateral, perda do reflexo pupilar à luz e cegueira bilateral. À oftalmoscopia indireta, foram observadas degeneração aguda de retina e papiledema. As alterações crônicas mostravam disco óptico acinzentado, atrofia de vasos e da retina. Nos fundos tapetal e não-tapetal notavam-se áreas de despigmentação e lesões irregulares castanho-amareladas. As alterações histológicas consistiam em perda dos neurônios da camada ganglionar e das células da camada nuclear interna e externa da retina. As alterações agudas no nervo óptico e na substância branca do encéfalo foram de degeneração espongiforme. As alterações crônicas do nervo óptico caracterizavam-se por extensa necrose e infiltração de células Gitter. Abstract in english Ophthalmic alterations were experimentally induced after overdose with the anthelmintic closantel. Five seven to eight- months-old, Saanen x Alpine caprine were used. The animals showed clinical signs of toxicosis four to five days after the administration of closantel. Clinical signs were primarily [...] characterized by central nervous disturbances and blindness. Clinically, bilateral mydriasis, loss of pupillary light reflex, and blindness were observed. At indirect ophthalmoscopic examination, there was acute retinal degeneration and papilledema. Chronic ocular changes consisted of paleness of the optic disc, vascular atrophy, and retinal atrophy. Areas of pigment loss and irregular yellowish-brown foci were present in the tapetal and non-tapetal fundus. Histological alterations consisted of neuronal loss in the ganglion cell layer and depletion of cells in both the outer and inner nuclear layers of the retina. Acute changes of spongy degeneration were noted in the optic nerve and in the cerebral white matter. Chronic lesions in the optic nerve were characterized by extensive necrosis and infiltration by Gitter cells.

  8. Alterações oftálmicas associadas à intoxicação experimental por closantel em caprinos Ophthalmic changes associated with the experimental poisoning by closantel in caprine

    Directory of Open Access Journals (Sweden)

    R. Ecco

    2008-02-01

    Full Text Available Alterações oftálmicas foram experimentalmente induzidas em caprinos após superdosagem com o anti-helmíntico closantel. Foram usados cinco caprinos com sete a oito meses de idade, produtos do cruzamento da raça Saanen com a Pardo Alpino. Os animais mostraram sinais de intoxicação entre quatro e cinco dias após a administração do closantel. Os sinais clínicos caracterizaram-se principalmente por distúrbios neurológicos centrais e cegueira. Ao exame clínico, observaram-se midríase bilateral, perda do reflexo pupilar à luz e cegueira bilateral. À oftalmoscopia indireta, foram observadas degeneração aguda de retina e papiledema. As alterações crônicas mostravam disco óptico acinzentado, atrofia de vasos e da retina. Nos fundos tapetal e não-tapetal notavam-se áreas de despigmentação e lesões irregulares castanho-amareladas. As alterações histológicas consistiam em perda dos neurônios da camada ganglionar e das células da camada nuclear interna e externa da retina. As alterações agudas no nervo óptico e na substância branca do encéfalo foram de degeneração espongiforme. As alterações crônicas do nervo óptico caracterizavam-se por extensa necrose e infiltração de células Gitter.Ophthalmic alterations were experimentally induced after overdose with the anthelmintic closantel. Five seven to eight- months-old, Saanen x Alpine caprine were used. The animals showed clinical signs of toxicosis four to five days after the administration of closantel. Clinical signs were primarily characterized by central nervous disturbances and blindness. Clinically, bilateral mydriasis, loss of pupillary light reflex, and blindness were observed. At indirect ophthalmoscopic examination, there was acute retinal degeneration and papilledema. Chronic ocular changes consisted of paleness of the optic disc, vascular atrophy, and retinal atrophy. Areas of pigment loss and irregular yellowish-brown foci were present in the tapetal and non-tapetal fundus. Histological alterations consisted of neuronal loss in the ganglion cell layer and depletion of cells in both the outer and inner nuclear layers of the retina. Acute changes of spongy degeneration were noted in the optic nerve and in the cerebral white matter. Chronic lesions in the optic nerve were characterized by extensive necrosis and infiltration by Gitter cells.

  9. Pneumopatia causada por Mycobacterium kansasii

    Directory of Open Access Journals (Sweden)

    Morrone Nelson

    2003-01-01

    Full Text Available INTRODUÇÃO: O Mycobacterium kansasii é uma micobactéria não tuberculosa que pode causar colonização ou infecção pulmonar. OBJETIVO: Relatar experiência com doença pulmonar causada pelo M. kansasii em uma série de seis pacientes diagnosticados ao longo de cinco anos. MÉTODO: Entre junho de 1995 e junho de 2000 foram admitidos 1.349 pacientes no Dispensário do Ipiranga Ari Nogueira da Silva-Sanatorinhos, com o diagnóstico de tuberculose pulmonar, dos quais seis tiveram cultura positiva para M. kansasii. RESULTADOS: Cinco pacientes eram homens e a idade variou entre 25 e 77 anos. Todos apresentavam pneumopatia crônica e eram sintomáticos respiratórios com teste negativo para síndrome de imunodeficiência humana. As radiografias de tórax eram compatíveis com a presença de doença pulmonar prévia: cavidades de paredes finas foram notadas em todos e espessamento pleural subjacente às cavidades foi observado em dois pacientes. Todos foram tratados inicialmente com isoniazida, rifampicina, pirazinamida (INH-RMP-PZA e etambutol (EMB foi introduzido precocemente em dois pacientes por intolerância à pirazinamida, enquanto que em outros dois a introdução foi feita ao ser conhecido o resultado da cultura. Todos os pacientes foram tratados por mais de nove meses, tendo sido observada recidiva em um deles. Um paciente com silicose faleceu após dois anos por insuficiência respiratória, depois de ter sido considerado curado. CONCLUSÕES: A micobacteriose por M. kansasii foi encontrada com baixa freqüência, podendo estar relacionada às características dos pacientes encaminhados ao nosso serviço. O esquema INH-RMP-PZA, com substituição eventual da PZA por etambutol, mostrou sucesso terapêutico.

  10. Adenitis mesentérica por Yersinia enterocolítica

    Scientific Electronic Library Online (English)

    Lorena, Pardo; María Inés, Mota; Gustavo, Giachetto; María, Parada; Catalina, Pírez; Gustavo, Varela.

    2007-12-01

    Full Text Available Resumo Descreve-se pela primeira vez no Uruguai um caso de adenite mesentérica. A paciente era uma menina de 3 anos de idade e a adenite estava associada a uma infecçao por Yersinia enterocolítica. A cepa recuperada do coprocultivo correspondia ao sorotipo patogênico 4/O:3, apresentando também o pla [...] smidio de virulência. Abstract in spanish Resumen Se presenta por primera vez en nuestro país un caso de adenitis mesentérica en una niña de 3 años asociado a infección por Yersinia enterocolítica. La cepa recuperada del coprocultivo correspondió al bioserotipo patogénico 4/O:3 y presentó además el plásmido de virulencia. [...] Abstract in english Summary The first case of mesenteric adenitis in our country was reported in a 3-year old girl infected by Yersinia enterocolítica. A stool culture was obtained and we recovered pathogenic bioserotype 4/O:3 strains, having also found virulence plasmid. [...

  11. Se los por se lo

    Directory of Open Access Journals (Sweden)

    José Luis Rivarola

    1985-12-01

    Full Text Available El sistema de la conjugación "objetiva" plantea interesantesproblemas que fueron tratados en parte por K. Heger (1966 en suestudio comparativo del francés y del español. De la comparaciónse desprende, por ejemplo, que en español hay un cierto número deambigüedades que no permiten establecer un "paradigma tan completo y unívoco" como en el caso del francés. Dentro de estas ambigüedades se encuentran las que propicia el gramema se: "El morfema [gramema] se funciona no sólo como pronombre reflexivo, sinotambién como variante combinatoria del pronombre personal complemento indirecto de la tercera persona.

  12. posteriori por el Tribunal Constitucional

    Directory of Open Access Journals (Sweden)

    Teodoro Ribera Neumann

    2007-01-01

    Full Text Available Este trabajo clarifica la posición de los tratados internacionales en el orden jurídico chileno y analiza los argumentos a favor y en contra de la procedencia del control de constitucionalidad a posteriori de los tratados internacionales por el Tribunal Constitucional, concluyendo que dicha herramienta jurídica es procedente sobre la base de la reforma a la Constitución de 2005.

  13. Carburización gaseosa por generación endotérmica

    OpenAIRE

    Álvaro Castro P

    2012-01-01

    Este artículo presenta los factores más importantes que regulan el proceso de carburización gaseosa en aceros por generación endotérmica a partir de gas propane y hace parte de la linea de investigación "Tratamientos Termoquímicos en los Aceros" la cual desarrolla la Sección de Metalurgia. adscrita al Instituto de Ensayos e Investigación.

  14. Intoxicación por metales Metal poisoning

    Directory of Open Access Journals (Sweden)

    A. Ferrer

    2003-01-01

    Full Text Available Los metales están entre los tóxicos más antiguos conocidos por el hombre. En el industrializado mundo actual las fuentes de exposición a metales son ubicuas tanto en el campo laboral como a partir de agua, los alimentos o el ambiente contaminados. Su toxicidad está caracterizada por el elemento metálico en cuestión pero se ve modificada por el tipo de compuesto, orgánico o inorgánico y sus características de hidro o liposolubilidad, que determina su toxicocinética y por tanto sus posibilidad de alcanzar sus dianas. Las biomoléculas más afectadas por los metales son las proteínas con actividad enzimática por lo que su patología es multisistema. Los principales sistemas afectados son el gastrointestinal, neurológico central y periférico, hemático y renal. Algunos de los compuestos metálicos son carcinógenos. Los metales se benefician de un tratamiento condicionado por su reactividad química. Pueden ser inactivados y eliminados mediante la administración de substancias quelantes que producen con ellos moléculas complejas, atóxicas y excretables. Los principales agentes quelantes son: BAL (British Anti-Lewisite o dimercaprol, DMPS (ácido 2,3-dimercapto-1-propanosulfonico y DMSA (ácido meso-2,3-dimercatosuccínico o Succimer, EDTA, Penicilamina (ß,ß-dimetilcisteína y Desferoxamina. Se exponen a continuación las características toxicocinéticas, mecanismo de acción, clínica y tratamiento de alguno de los metales y metaloides más relevantes: plomo, mercurio y arsénico.Metals are amongst the oldest toxic substances known to man. In today’s industrialized world the sources of exposure to metals are ubiquitous both in the field of work and from polluted water, foodstuffs and the environment. Their toxicity is characterized by the metallic element in question, but this is modified by the type of compound, whether organic or inorganic, and its characteristics of hydrosolubility and liposolubility, which determines its toxicokinetics and thus the possibilities of it reaching its targets. The biomolecules most affected by metals are the proteins with enzymatic activity, which is why their pathology is multisystemic. The principal systems affected are the gastrointestinal, central and peripheral neurological, haematic and renal. Some metallic compounds are carcinogenic. Metals’s treatment is conditioned by their chemical reactivity. They can be deactivated and eliminated by the administering of chelating agents that produce complex molecules, which are non-toxic and can be excreted. The principal chelating agents are: BAL (British Anti-Lewisite or dimercaprol DMPS (2,3-Dimercapto-1-propanesulfonic Acid and DMSA (meso-2,3-Dimercaptosuccinic or Succimer, EDTA, Penicilamine (ß,ß-dimethylcysteine and Deferoxamine. Toxicokinetic characteristics, mechanism of action, clinical picture and treatment of some of the most relevant metals and metalloids: lead, mercury and arsenic, are considered.

  15. Intoxicación por metales / Metal poisoning

    Scientific Electronic Library Online (English)

    A., Ferrer.

    Full Text Available Los metales están entre los tóxicos más antiguos conocidos por el hombre. En el industrializado mundo actual las fuentes de exposición a metales son ubicuas tanto en el campo laboral como a partir de agua, los alimentos o el ambiente contaminados. Su toxicidad está caracterizada por el elemento metá [...] lico en cuestión pero se ve modificada por el tipo de compuesto, orgánico o inorgánico y sus características de hidro o liposolubilidad, que determina su toxicocinética y por tanto sus posibilidad de alcanzar sus dianas. Las biomoléculas más afectadas por los metales son las proteínas con actividad enzimática por lo que su patología es multisistema. Los principales sistemas afectados son el gastrointestinal, neurológico central y periférico, hemático y renal. Algunos de los compuestos metálicos son carcinógenos. Los metales se benefician de un tratamiento condicionado por su reactividad química. Pueden ser inactivados y eliminados mediante la administración de substancias quelantes que producen con ellos moléculas complejas, atóxicas y excretables. Los principales agentes quelantes son: BAL (British Anti-Lewisite o dimercaprol), DMPS (ácido 2,3-dimercapto-1-propanosulfonico) y DMSA (ácido meso-2,3-dimercatosuccínico o Succimer), EDTA, Penicilamina (ß,ß-dimetilcisteína) y Desferoxamina. Se exponen a continuación las características toxicocinéticas, mecanismo de acción, clínica y tratamiento de alguno de los metales y metaloides más relevantes: plomo, mercurio y arsénico. Abstract in english Metals are amongst the oldest toxic substances known to man. In today’s industrialized world the sources of exposure to metals are ubiquitous both in the field of work and from polluted water, foodstuffs and the environment. Their toxicity is characterized by the metallic element in question, but th [...] is is modified by the type of compound, whether organic or inorganic, and its characteristics of hydrosolubility and liposolubility, which determines its toxicokinetics and thus the possibilities of it reaching its targets. The biomolecules most affected by metals are the proteins with enzymatic activity, which is why their pathology is multisystemic. The principal systems affected are the gastrointestinal, central and peripheral neurological, haematic and renal. Some metallic compounds are carcinogenic. Metals’s treatment is conditioned by their chemical reactivity. They can be deactivated and eliminated by the administering of chelating agents that produce complex molecules, which are non-toxic and can be excreted. The principal chelating agents are: BAL (British Anti-Lewisite or dimercaprol) DMPS (2,3-Dimercapto-1-propanesulfonic Acid) and DMSA (meso-2,3-Dimercaptosuccinic or Succimer), EDTA, Penicilamine (ß,ß-dimethylcysteine) and Deferoxamine. Toxicokinetic characteristics, mechanism of action, clinical picture and treatment of some of the most relevant metals and metalloids: lead, mercury and arsenic, are considered.

  16. Caracterización de humedales artificiales por fluorescencia inducida por láser

    Directory of Open Access Journals (Sweden)

    Diego F. Garc\\u00EDa

    2011-01-01

    Full Text Available Se desarrolló un método óptico para conocer el comportamiento hidrodinámico de un humedal artificial de flujo sub-superficial, en el régimen de dispersión. El humedal fue construido en el municipio de Ginebra (Valle, por la Universidad del Valle y el Instituto CINARA. El método utiliza la técnica de fluorescencia inducida por láser (LIF con trazadores fluorescentes. Se usa Rodamina WT como trazador y un láser de Nd: YAG (@ 532 nm; 25 mW. como fuente de excitación. Se presentan las curvas de la dependencia temporal de la función de distribución de intensidad de fluorescencia, que permiten determinar el comportamiento dispersivo de las partículas del agua residual dentro del humedal.

  17. Colitis por desviación / Diversión colitis

    Scientific Electronic Library Online (English)

    María Claudia, Quiroga G; William, Otero R; Jorge Eduardo, Caminos P; Martín, Gómez.

    2007-06-30

    Full Text Available La colitis por desviación es la alteración inflamatoria de la mucosa colorrectal que se produce por la desviaciónde las heces (cd), la cual priva a los "colonocitos" de su principal substrato metabólico, como son los ácidos grasos de cadena corta, producidos por la fermentación bacteriana de almidon [...] es y proteínas. Se presenta el caso de una paciente con esta alteración. La mucosa del área desfuncionalizada tiene alteraciones muy variadas: eritema, hemorragias petequiales, fiabilidad con sangrado fácil, nodularidad (por hiperplasia de folículos linfoides) y ocasionalmente ulceraciones aftoides. Los cambios histológicos dependen de la enfermedad subyacente previa a la desviación. Cuando la mucosa previa ES normal, la inflamación está confinada a la mucosa y se caracteriza por infiltrado linfoplasmocitario, mínima distorsión de la arquitectura de las criptas y la característica hiperplasia linfoide. Ocasionalmente puede haber abscesos de las criptas acompañados por depleción de moco. Los cambios inflamatorios crónicos aparecen dentro de los tres meses de la desviación. Esta entidad puede ser asintomática o presentar diarrea escasa con sangrado rectal o secreción de moco o dolor abdominal. Se debe diferenciar de la colitis crónica de cualquier etiología. En casos de enfermedad inflamatoria previa (colitis ulcerativa o enfermedad de Crohn), el principal diagnóstico diferencial, hay recurrencia de la enfermedad en la mucosa que ha sido privada de la materia fecal la cual le provee sus substratos metabólicos. El tratamiento frecuentemente ofrecido son los enemas con ácidos grasos de cadena corta (acético, propiónico y butírico), aunque los resultados son contradictorios. Abstract in english Fecal stream diversion is the cause of inflammatory bowel disease secondary to the absence of luminal short chain fatty acids that provide nutrients to the colonocyte. The endoscopic findings include edema, erythema, and friability. Ulceration and nodularity could appear. The pathology findings are [...] variable, and depend on the pre-existing disease. The inflammatory changes become apparent three months after surgical diversion. The patient can appear asymptomatic, and progressively abdominal pain, mucoid and bloody discharge are the subsequent manifestations. Differential diagnosis includes any chronic colitis, ulcerative colitis, and Crohn’s disease, and the fist one is the previous disease. The treatment frequently offered is short chain fatty acids by rectal enemas, but trial results are contradictory.

  18. Colitis por desviación Diversión colitis

    Directory of Open Access Journals (Sweden)

    María Claudia Quiroga G

    Full Text Available La colitis por desviación es la alteración inflamatoria de la mucosa colorrectal que se produce por la desviaciónde las heces (cd, la cual priva a los "colonocitos" de su principal substrato metabólico, como son los ácidos grasos de cadena corta, producidos por la fermentación bacteriana de almidones y proteínas. Se presenta el caso de una paciente con esta alteración. La mucosa del área desfuncionalizada tiene alteraciones muy variadas: eritema, hemorragias petequiales, fiabilidad con sangrado fácil, nodularidad (por hiperplasia de folículos linfoides y ocasionalmente ulceraciones aftoides. Los cambios histológicos dependen de la enfermedad subyacente previa a la desviación. Cuando la mucosa previa ES normal, la inflamación está confinada a la mucosa y se caracteriza por infiltrado linfoplasmocitario, mínima distorsión de la arquitectura de las criptas y la característica hiperplasia linfoide. Ocasionalmente puede haber abscesos de las criptas acompañados por depleción de moco. Los cambios inflamatorios crónicos aparecen dentro de los tres meses de la desviación. Esta entidad puede ser asintomática o presentar diarrea escasa con sangrado rectal o secreción de moco o dolor abdominal. Se debe diferenciar de la colitis crónica de cualquier etiología. En casos de enfermedad inflamatoria previa (colitis ulcerativa o enfermedad de Crohn, el principal diagnóstico diferencial, hay recurrencia de la enfermedad en la mucosa que ha sido privada de la materia fecal la cual le provee sus substratos metabólicos. El tratamiento frecuentemente ofrecido son los enemas con ácidos grasos de cadena corta (acético, propiónico y butírico, aunque los resultados son contradictorios.Fecal stream diversion is the cause of inflammatory bowel disease secondary to the absence of luminal short chain fatty acids that provide nutrients to the colonocyte. The endoscopic findings include edema, erythema, and friability. Ulceration and nodularity could appear. The pathology findings are variable, and depend on the pre-existing disease. The inflammatory changes become apparent three months after surgical diversion. The patient can appear asymptomatic, and progressively abdominal pain, mucoid and bloody discharge are the subsequent manifestations. Differential diagnosis includes any chronic colitis, ulcerative colitis, and Crohn’s disease, and the fist one is the previous disease. The treatment frequently offered is short chain fatty acids by rectal enemas, but trial results are contradictory.

  19. toxicidad neuroendocrina inducida por cadmio

    Directory of Open Access Journals (Sweden)

    A Romero

    2008-01-01

    Full Text Available El cadmio es un agente químico tóxico importante debido a su creciente nivel en el medio ambiente como resultado de prácticas industriales y agrícolas. Como perturbador endocrino, el cadmio modifica la secreción de hormonas hipofisarias. Los efectos indirectos del cadmio provocan la generación de especies reactivas de oxígeno y reducen la actividad de las proteínas implicadas en las defensas antioxidantes. La melatonina es conocida como un potente antioxidante, scavenger de radicales libres y quelante de metales sintetizada en la glándula pineal. De esta manera, las acciones antioxidantes de esta indolamina protegen frente a la peroxidación lipídica y el daño oxidativo de los radicales y de sus productos tóxicos. Los trabajos recopilados en esta revisión ponen de manifiesto la capacidad antioxidante de la melatonina y, por lo tanto, su posible papel protector frente a la toxicidad del cadmio en lo que se refiere al estrés oxidativo y peroxidación lipídica inducidos por la exposición a este metal.

  20. Encefalitis aguda: Manifestaciones neuropsiquiátricas como expresión de infección por virus de influenza / Acute encephalitis: Neuropsychiatric manifestations as expression of influenza virus infection

    Scientific Electronic Library Online (English)

    Noris, Moreno-Flagge; Vicente, Bayard; Evelia, Quirós; Tomás, Alonso.

    Full Text Available El objetivo fue revisar la encefalitis en niños y adolescentes, su etiología, manifestaciones clínicas, fisiopatología, métodos diagnósticos y tratamiento, enfatizando las manifestaciones neuropsiquiátricas de la encefalitis durante una epidemia de influenza. La encefalitis se considera una inflamac [...] ión del sistema nervioso central (SNC) que compromete el cerebro. Se manifiesta usualmente por cefaleas, fiebre y trastorno del estado de conciencia. Puede además manifestarse por convulsiones, cambios en la personalidad y manifestaciones obsesivas (síntomas neuropsiquiátricos). Las manifestaciones dependerán del tipo de virus y las células afectadas. La encefalitis puede ser causada por una gran variedad de agentes infecciosos incluyendo virus, bacterias, hongos y parásitos. Causas virales de encefalitis incluyen herpesvirus, arbovirus, rabia y enterovirus. Casos establecidos de bacterias incluyen Borrelia burgdorferi y rickettsia y el Mycoplasma neumoniae, al cual se atribuyen varios casos de encefalitis. Otros agentes como el hongo Coccidioides immitis e Histoplasma capsulatum pueden también generarla. Más de 100 agentes se han asociado a encefalitis. El diagnóstico de encefalitis constituye un reto para el clínico, y su etiología infecciosa usualmente se identifica entre el 40% al 70% de casos. El diagnóstico se hace con absoluta certeza sólo con una biopsia cerebral. La epidemiología depende de ciertos factores como la edad, la localización geográfica, la época del año, las condiciones climáticas y la inmunocompetencia del huésped. El tratamiento temprano puede disminuir el riesgo de muerte y las secuelas. Describimos cuatro pacientes con encefalitis y manifestaciones neuropsiquiátricas durante una epidemia de influenza, con el fin de alertar sobre esta asociación. Abstract in english The aim is to review the encephalitis in infants and adolescents as well as its etiology, clinical manifestation, epidemiology, physiopathology, diagnostic methods and treatment, and the neuropsyquiatric signs appearing an influenza epidemy. Encephalitis is an inflammation of the central nervous sys [...] tem (CNS) which involves the brain. The clinical manifestations usually are: headache, fever and confusional stage. It could also be manifested as seizures, personality changes, or psiqyiatric symptoms. The clinical manifestations are related to the virus and the cell type affected in the brain. A meningitis or encephalopathy need to be ruled out. It could be present as an epidemic or isolated form, beeing this the most frequent form. It could be produced by a great variety of infections agents including virus, bacterias, fungal and parasitic. Viral causes are herpesvirus, arbovirus, rabies and enterovirus. Bacterias such as Borrelia burgdorferi, Rickettsia and Mycoplasma neumoniae. Some fungal causes are: Coccidioides immitis and Histoplasma capsulatum. More than 100 agents are related to encephalitis. The diagnosis of encephalitis is a challenge for the clinician and its infectious etiology is clear in only 40 to 70% of all cases. The diagnosis of encephalitis can be established with absolute certainty only by the microscopic examination of brain tissue. Epidemiology is related to age of the patients, geographic area, season, weather or the host immune system. Early intervention can reduce the mortality rate and sequels. We describe four patients with encephalitis and neuropsychiatric symptoms during an influenza epidemic.

  1. Encefalitis aguda: Manifestaciones neuropsiquiátricas como expresión de infección por virus de influenza Acute encephalitis: Neuropsychiatric manifestations as expression of influenza virus infection

    Directory of Open Access Journals (Sweden)

    Noris Moreno-Flagge

    2009-01-01

    Full Text Available El objetivo fue revisar la encefalitis en niños y adolescentes, su etiología, manifestaciones clínicas, fisiopatología, métodos diagnósticos y tratamiento, enfatizando las manifestaciones neuropsiquiátricas de la encefalitis durante una epidemia de influenza. La encefalitis se considera una inflamación del sistema nervioso central (SNC que compromete el cerebro. Se manifiesta usualmente por cefaleas, fiebre y trastorno del estado de conciencia. Puede además manifestarse por convulsiones, cambios en la personalidad y manifestaciones obsesivas (síntomas neuropsiquiátricos. Las manifestaciones dependerán del tipo de virus y las células afectadas. La encefalitis puede ser causada por una gran variedad de agentes infecciosos incluyendo virus, bacterias, hongos y parásitos. Causas virales de encefalitis incluyen herpesvirus, arbovirus, rabia y enterovirus. Casos establecidos de bacterias incluyen Borrelia burgdorferi y rickettsia y el Mycoplasma neumoniae, al cual se atribuyen varios casos de encefalitis. Otros agentes como el hongo Coccidioides immitis e Histoplasma capsulatum pueden también generarla. Más de 100 agentes se han asociado a encefalitis. El diagnóstico de encefalitis constituye un reto para el clínico, y su etiología infecciosa usualmente se identifica entre el 40% al 70% de casos. El diagnóstico se hace con absoluta certeza sólo con una biopsia cerebral. La epidemiología depende de ciertos factores como la edad, la localización geográfica, la época del año, las condiciones climáticas y la inmunocompetencia del huésped. El tratamiento temprano puede disminuir el riesgo de muerte y las secuelas. Describimos cuatro pacientes con encefalitis y manifestaciones neuropsiquiátricas durante una epidemia de influenza, con el fin de alertar sobre esta asociación.The aim is to review the encephalitis in infants and adolescents as well as its etiology, clinical manifestation, epidemiology, physiopathology, diagnostic methods and treatment, and the neuropsyquiatric signs appearing an influenza epidemy. Encephalitis is an inflammation of the central nervous system (CNS which involves the brain. The clinical manifestations usually are: headache, fever and confusional stage. It could also be manifested as seizures, personality changes, or psiqyiatric symptoms. The clinical manifestations are related to the virus and the cell type affected in the brain. A meningitis or encephalopathy need to be ruled out. It could be present as an epidemic or isolated form, beeing this the most frequent form. It could be produced by a great variety of infections agents including virus, bacterias, fungal and parasitic. Viral causes are herpesvirus, arbovirus, rabies and enterovirus. Bacterias such as Borrelia burgdorferi, Rickettsia and Mycoplasma neumoniae. Some fungal causes are: Coccidioides immitis and Histoplasma capsulatum. More than 100 agents are related to encephalitis. The diagnosis of encephalitis is a challenge for the clinician and its infectious etiology is clear in only 40 to 70% of all cases. The diagnosis of encephalitis can be established with absolute certainty only by the microscopic examination of brain tissue. Epidemiology is related to age of the patients, geographic area, season, weather or the host immune system. Early intervention can reduce the mortality rate and sequels. We describe four patients with encephalitis and neuropsychiatric symptoms during an influenza epidemic.

  2. Quemadura por rayo / Lightning burn

    Scientific Electronic Library Online (English)

    Enrique J., Moya Rosa; Yadira, Moya Corrales.

    2013-12-01

    Full Text Available Fundamento: las quemaduras eléctricas producidas por fenómenos atmosféricos probablemente fueron las primeras y tiene una alta mortalidad. Objetivo: describir el cuadro clínico de un paciente que presentó una descarga eléctrica natural y sobrevivió al evento. Caso clínico: paciente de 37 años de eda [...] d, masculino, sin antecedentes patológicos, fue alcanzado por un rayo que conllevó a la pérdida de conciencia por varios minutos, así como quemaduras en cara, zonas del tronco anterior y posterior y miembro superior derecho que se diagnosticaron como lesiones dérmicas A de un 22 % de superficie corporal quemada, con pérdida de conciencia momentánea y complicación renal y oftalmológica posteriormente, sobrevivió al evento inicial. Conclusiones: las quemaduras por electricidad natural o fulguraciones constituyen un evento dramático con graves complicaciones y alta mortalidad. Abstract in english Background: electric burns produced by atmospheric phenomena were probably the first type of burn and have a high mortality. Objective: to describe the clinical manifestations of a patient who got a natural discharge and survived. Clinical case: a thirty-seven-year-old male patient without pathologi [...] cal records was struck by a lightning that caused the loss of consciousness for some minutes, as well as burns of the face, the torso, the back, and the right fore limb that were diagnosed as A dermic lesions of a 22 % of the body burned. Subsequently, the patient presented momentary loss of consciousness, and ophthalmic and kidney complications. He survived the initial event. Conclusions: burns by natural electricity and fulgurations constitute a dramatic event with severe complications and a high mortality.

  3. Toxicidad por óxido de etileno

    Directory of Open Access Journals (Sweden)

    Téllez M. Jairo A.

    1993-08-01

    Full Text Available

    El óxido de etileno, es un compuesto epóxido gaseoso, ampliamente utilizado en nuestro medio como agente esterilizante y de desinfección en instituciones hospitalarias. Los estudios realizados en varios países han demostrado efectos sobre la salud humana, caracterizados por  hipersensibilidad dérmica, irritación del tracto respiratorio, irritación ocular, excitación del S.N.C. y se asocia con presencia de abortos expontáneos, aberraciones cromosómicas e irritación crónica de laringe y tráquea en personal expuesto ocupacionalmente.

  4. Tuberculosis por inoculación / Inoculation tuberculosis

    Scientific Electronic Library Online (English)

    Carlos Mario, Boccia; Marisa, Gutiérrez; Daniel, Benedetti; Darío, Rey; Graciela, Faccioli; José, González.

    2012-12-01

    Full Text Available Una bacterióloga sufrió un accidente por punción con una aguja con jeringa que contenía una cepa de Mycobacterium tuberculosis en un dedo de la mano. La zona de la punción se inflamó y la expresión del dedo 15 días después del accidente arrojó una gota de pus que puesta al microscopio permitió obser [...] var 3 bacilos ácidoalcohol resistentes con la técnica de Ziehl-Neelsen. Se diagnosticó tuberculosis por inoculación accidental y fue tratada como tal. Se discuten las características de este caso encuadrado como tuberculosis cutánea, cuando se produce como infección exógena por inoculación directa. Abstract in english A bacteriologist suffered a puncture accident while manipulating a Mycobacterium tuberculosis strain, affecting a finger. The involved area swelled and a drop of pus came out after pressure on the finger 15 days afterwards. This was stained by Ziehl Neelsen technique, and three acid-fast bacilli wer [...] e observed. Tuberculosis was diagnosed, and proper treatment was started. We discuss the case, classified as cutaneous tuberculosis produced by exogenous infection through accidental direct inoculation.

  5. Fisiología cerebral por imágenes: Difusión por tensión - tractografía

    Scientific Electronic Library Online (English)

    Manuel, Martínez; Alberto, Prosen; Carlo, Castillo; Carlos J, Morales; Claudio, Bruno.

    2007-06-01

    Full Text Available Objetivo. Analizar la contribución de la difusión por tensión-tractografía a la información acerca de la integridad y función de los grandes tractos de fibras de la sustancia blanca en sujetos normales y en algunos casos patológicos. Material y método. Se analizan los estudios de difusión por tensió [...] n tractografía obtenidos por un resonador de 1.5 T, PHILIPS Intera Achieva. Con secuencias de tractografía, scan de 7 minutos, TR-6.707, TE-89, VOXEL en mm 1.44 x 1.44 x 300, GAP 0.3, FOV 230 mm, Slice 3, adquisiciones 4, Matriz 112 x 116, con técnica de EPI, Single Shot, utilizando 16 direcciones en diez voluntarios normales y en tres pacientes uno con un angioma, otro con un oligodendroastrocitoma y otro con una lesión axonal difusa. Resultados. En todos los casos normales se pudieron visualizar los tractos de la sustancia blanca hemisférica. En los pacientes, se observó el desplazamiento de las fibras en uno, el desplazamiento y la no infiltración en otro y en el tercero, la destrucción parcial de los tractos. Conclusión. La difusión por tensión-tractografía es de gran utilidad para valorar los fascículos o haces elocuentes, e incluso estudiar su estado funcional (Fracción Anisotrópica). Abstract in english Objective: to analyze the contribution of diffusion MR tractography imaging to determine the value of the integrity and function of the great tracts of fibers in the white matter in healthy volunteers and patients. Material and method: diffusion MR tractography imaging was analyzed using with a 1.5- [...] T , PHILIPS Intera Archieva, 7 min. of scans, TR-6.707, TE-89, 1.44 x 1.44 x 300 mm VOXEL, 0.3 GAP, 230 mm FOV, 3 mm thick slices ,acquisition 4, 112 x 116 MATRIX, EPI tec., Single Shot 16 directions in 10 healthy volunteers and 3 patients, one of them with angioma malformation, another one with oligodendroglioma, and the last case with diffuse axonal injury. Results: the tracts in the white matter were observed in all healthy volunteers. Regarding to patients, we observed displacement of fiber in one of them, displacement and non-infiltration in another one, and partial damage of the tracts in the last one. Conclusion: diffusion MR tractography imaging is of great value for observed the fiber and beam elocuent, including their functional state.

  6. Analgesia caudal continua guiada por ultrasonido en una paciente de 4 años / Caudal anesthesia ultrasound-guided continuos flow in patient 4 years

    Scientific Electronic Library Online (English)

    A., Beltrán Franco; M. M., Pelaez Hernández; C. E., Restrepo-Garcés; C. M., Gómez Bermúdez; G. A., Molina.

    2013-02-01

    Full Text Available La epidural caudal es la técnica más popular en anestesia y analgesia regional pediátrica. El empleo de una guía ecográfica en este procedimiento, aunque aún no es un estándar, podría disminuir los riesgos inherentes a la técnica tradicional y ofrecer algunas ventajas. Nosotros describimos el caso d [...] e una niña de 4 años sometida a una resección de un rabdomiosarcoma en muslo izquierdo con metástasis ganglionar inguinal e implantación de catéteres para braquiterapia; a quien se le colocó un catéter caudal para analgesia postoperatoria continua, usando la ultrasonografía (US) como método para guiar la colocación de dicho catéter. Después de inducir anestesia general, se realizó un escaneo ecográfico previo de la zona sacra identificando la anatomía, posteriormente después de implementar las medidas antisépticas y asépticas se colocó un catéter caudal guiado por US en tiempo real y con modo Doppler color se confirmó la posición en el espacio epidural caudal al inyectar una dosis en bolo de mezcla anestésica. Se presentó un adecuado control del dolor postoperatorio. El uso de US es una excelente alternativa a las técnicas clásicas fundamentadas en anatomía para la inserción de catéteres epidurales continuos en pediatría y permite ciertas ventajas que las técnicas a ciegas no pueden brindar. Abstract in english Caudal epidural is the most popular regional analgesia and anesthesia technique in pediatrics. The use of ultrasound (US) guidance in this procedure, is not yet the standard, but could reduce the risks related with the traditional approach and offer some advantages. We described a case of a 4-years- [...] old patient undergoing a resection of a rabdomyosarcome on the left thigh plus inguinal metastatic nodes and implantation of brachitherapy catheters, in whom a continous caudal epidural catheter was placed under US guidance. After general anesthesia induction, a scout scanning identified the anatomy and afterwards, using strict aseptic techniques a caudal catheter was indwelling under the US guidance on real time and using the Doppler mode confirm the position of it inside the caudal epidural space with a local anesthetic bolus. There was an optimal pain control after surgery. The use of US as a guidance tool for caudal epidural catheter placement is an excellent alternative to the classic anatomical landmarks and give some advantages compare with those blind techniques.

  7. Shock séptico por Shigella flexneri

    Scientific Electronic Library Online (English)

    Santiago, Ayala Torales; Rodolfo P, Moreno; José L, Araguas; C. Gustavo, Caprotta; Roberto M, Pena.

    2006-08-01

    Full Text Available Las infecciones gastrointestinales por Shigella flexneri y el compromiso neurológico ocasionado por su toxina son de presentación frecuente en los países en desarrollo. Las infecciones que suceden fuera del sistema gastrointestinal son raras, más aun en pacientes inmunocompetentes. Caso clínico: Una [...] niña de 4 años de edad es derivada a terapia intensiva pediátrica por presentar un estado convulsivo. Presentaba como antecedente una gastroenteritis mucosanguinolenta y fiebre de 48 horas de evolución. Ingresó a emergencias con convulsiones tonicoclónicas generalizadas y shock. El cuadro se asumió como shock séptico y requirió asistencia respiratoria mecánica, expansiones con cristaloides a 80 ml/kg e inotrópicos. En los cultivos se obtuvo desarrollo de Shigella flexneri. La evolución fue buena, permaneció siete días en terapia intensiva, pasó luego a internación de pediatría donde egresó el día catorce. Abstract in english Gastrointestinal infections by Shigella flexneri and the neurological compromise caused by its toxine are frequent in developping countries. Infections appearing out of the gastrointestinal tract are rare, specially in immunocompetent patients. Clinical case: A 4 year old girl was transferred to a p [...] ediatric intensive care unit because of a convulsive status with a history of mucous-bloody gastroenteritis and fever for 48 hours. She had been admitted to the emergency room with generalized tonic-clonic seizures and shock. The picture was assumed as septic shock, requiring mechanical respiratory assistance, expansions with crystaloids and inotropics. Cultures grew Shigella flexneri. The outcome was good. The patient stayed in the intensive care unit for 7 days and then was referred to a pediatric general ward, which she left on the 14th day after admission.

  8. TRATAMIENTO QUIRÚRGICO DEL MEGAESÓFAGO SIGMOIDEO, GRADO IV POR ACALASIA / SURGICAL TREATMENT OF SIGMOID MEGAESOPHAGUS, ACHALASIA BY GRADE IV

    Scientific Electronic Library Online (English)

    Edgar, Ledezma Gálvez.

    2013-12-01

    Full Text Available La Acalasia presenta ausencia del peristaltismo esofágico, falta de relajación del esfínter esofágico Inferior y una zona de alta presión en el esófago distal, con compromiso del plexo mioentérico y degeneración ganglionar, determinan alteraciones severas en la deglución. Para el tratamiento quirúrg [...] ico se han propuesto múltiples técnicas operatorias con la finalidad de restablecer la alimentación oral en pacientes que presentan dificultad del pasaje de los mismos. En el Instituto Gastroenterológico Boliviano Japonés - de La Paz se ha incluido 4 pacientes con diagnóstico de Acalasia en el grado IV avanzado, con diversos grados de afectación nutricional. (3 pacientes por enfermedad chagásica y 1 paciente afectado por estenosis cáustica del esófago distal), edad comprendida entre los 45 y 60 años. Se realizo esofagoectomía distal y anastomosis esófago - gástrica T-T . resección del esófago distal con acalasia, y a nivel del área dilatada del esófago una anastomosis con el fondo gástrico T-T, con piloroplastia añadida. Dos casos con yeyunostomía de alimentación preoperatoria. Los resultados postoperatorios son altamente satisfactorios, seguimiento de 7 meses y 12 meses, con controles clínicos, radiológicos contrastados y endoscopia, se comprobó tubolización del estómago ascendido, con buena tolerancia a la dieta y ausencia de reflujo gastroesofágico. El procedimiento quirúrgico utilizado con morbimortalidad ausentes, es un aporte de la medicina boliviana, ya que no se han descrito técnicas similares en la revisión de la literatura mundial y con una ventaja clara frente a las técnicas quirúrgicas clásicas, en los que la esofagoectomía total tiene un alto riesgo para el tratamiento de la acalasia de grado avanzado. Abstract in english Achalasia presents The absence of esophageal peristalsis, lack of Lower Esophageal sphincter relaxation and an area of high pressure in the distal esophagus, with involvement of the myentericplexus and ganglionic degeneration, determines severe alterations in swallowing. For surgical treatment multi [...] ple operative techniques have been proposed with the aim of restoring oral feeding in patients who have difficulty passage thereof. In the Japanese-Bolivian Gastroenterological Institute of city La Paz- Bolivia, inclusion of 4 patients diagnosed with achalasia in grade IV advanced, with varying degrees of nutritional impairment. (3 patients for Chagas disease and 1 patient affected by distal esophageal caustic stenosis), aged between 45 and 60 años. The esofagoectomy distal anastomosis performed esophageal - gastric TT. with resection distal esophagus with achalasia, dilated area level and esophageal anastomosis with the gastric fundus TT, with pyloroplasty. Twos cases with preoperative feeding jejunostomy. Postoperative results are highly satisfactory, follow up of 7 months and 12 months, with clinical, radiological and endoscopic contrasted, the stomach was found tube promoted, with good tolerance to the diet. The surgical procedure used morbidity absent, is contributed Bolivian medicine since no similar techniques are described in the review of the world literature a clear advantage over conventional surgical techniques, in which the aggregate has esofagoectomy a high risk for the treatment of achalasia of advanced degree.

  9. Pneumonia por bacilo de Friedlander

    Scientific Electronic Library Online (English)

    Adrelirio José Rios, Gonçalves; Lucia Emi, Suzuki; Adilson Sarmet, Moreira.

    1970-08-01

    Full Text Available Os autores apresentam e discutem um caso de pneumonia por bacilo de Friedlander. Chamam a atenção para suas principais complicações e prognóstico. Enfatizam a história natural da doença e o aspecto radiológico por serem elementos de suma importância, no estabelecimento diagnóstico. Discutem o diagnó [...] stico diferencial do ponto de vista radiográfico e uma análise dos principais sinais radiológicos da condição é feita. Chamam ainda a atenção para a multiplicidade de microorganismos capazes de originar necrose do parênquima pulmonar. Finalizam analisando o papel atual da Klebsiella no determinismo de infecções hospitalares e tentam uma orientação terapêutica nas formas agudas. Abstract in english The authors present a case of pneumonia by Friedlander's bacillus. They emphasize its main complieations and prognostic, describing the natural history of the disease and radiological picture, because they are important clues for the diagnosis. An analysis of the principal radiological signs of the [...] condition is carried out and considered for differential diagnosis. They call attention for the multiplicity of microorganisms able to produce pulmonary necrosis, and finally state the role of Klebsiella as an etiological agent in the today's hospital infections, also giving a therapeutic approach for the acute forms.

  10. Intoxicación por plaguicidas / Pesticide poisoning

    Scientific Electronic Library Online (English)

    A., Ferrer.

    Full Text Available Los plaguicidas son una de las familias de productos químicos más ampliamente empleadas por el hombre. Se han usado sobre todo para combatir plagas por su acción sobre las cosechas o como vectores de enfermedades transmisibles. Los plaguicidas pueden clasificarse en función de su empleo (insecticida [...] s, fungicidas, herbicidas, raticidas…) o de su familia química (organoclorados, organofosforados, carbamatos, piretoides, compuestos bipiridílicos, sales inorgánicas…). Todos ellos son biocidas lo que implica, habitualmente una alta toxicidad humana que ha sido motivo de preocupación desde mitad del siglo XX debido al amplio e indiscriminado empleo de estos productos. La exposición a los plaguicidas puede tener efectos agudos, crónicos y a largo plazo. Algunos compuestos organoclorados (como el DDT) fueron los primeros en ser empleado en fumigaciones masivas para combatir la malaria y han debido ser prohibidos debido a su capacidad de bioacumulación y persistencia medioambiental. El peligro representado por la generalizada presencia de estos agentes, se ha demostrado en los numerosos episodios de epidemias tóxicas humanas, productoras de alta morbi-mortalidad, descritas por casi todas las familias químicas: insecticidas y fungicidas organoclorados, insecticidas organofosforados y carbamatos, fungicidas organomercuriales y sales inorgánicas. Estos episodios se han producido sobre todo por vía alimentaria y en el terreno profesional. Otras causas de preocupación sanitaria son su capacidad carcinogénica y de ocasionar alteraciones reproductivas. Se presentan las principales características de algunas de las familias más relevantes. Abstract in english Pesticides are one of the families of chemical products most widely used by man. They have been used above all to combat pests because of their effect on harvests and as vectors of transmissible diseases. Pesticides can be classified according to their use (insecticides, fungicides, herbicides, rati [...] cides…) or by their chemical family (organochlorates, organophosphates, carbamates, pyrethroids, Bipyridilium compounds, inorganic salts…). All of them are biocides, which normally implies a high toxicity for humans, which has been a cause for concern since the mid-XX century due to the widespread and indiscriminate use of these products. Exposure to pesticides can have effects that are acute, chronic and long-term. Some organochlorate compounds (such as DDT) were the first to be used in massive fumigations to fight malaria and have had to be banned because of their capacity for bioaccumulation and environmental persistence. The danger represented by the widespread presence of these agents has been demonstrated in numerous episodes of human toxic epidemics, producers of a high morbidity/mortality, described for nearly all chemical families: organochlorate insecticides and fungicides, organophosphate and carbamate insecticides, organomercurial fungicides and inorganic salts. These episodes have above all been caused through the ingestion of foodstuffs and in the occupational field. Other causes of health concern are their carcinogenic capacity and occasional reproductive alterations. The principal characteristics of some of the most relevant families are presented.

  11. Intoxicación por plaguicidas Pesticide poisoning

    Directory of Open Access Journals (Sweden)

    A. Ferrer

    2003-01-01

    Full Text Available Los plaguicidas son una de las familias de productos químicos más ampliamente empleadas por el hombre. Se han usado sobre todo para combatir plagas por su acción sobre las cosechas o como vectores de enfermedades transmisibles. Los plaguicidas pueden clasificarse en función de su empleo (insecticidas, fungicidas, herbicidas, raticidas… o de su familia química (organoclorados, organofosforados, carbamatos, piretoides, compuestos bipiridílicos, sales inorgánicas…. Todos ellos son biocidas lo que implica, habitualmente una alta toxicidad humana que ha sido motivo de preocupación desde mitad del siglo XX debido al amplio e indiscriminado empleo de estos productos. La exposición a los plaguicidas puede tener efectos agudos, crónicos y a largo plazo. Algunos compuestos organoclorados (como el DDT fueron los primeros en ser empleado en fumigaciones masivas para combatir la malaria y han debido ser prohibidos debido a su capacidad de bioacumulación y persistencia medioambiental. El peligro representado por la generalizada presencia de estos agentes, se ha demostrado en los numerosos episodios de epidemias tóxicas humanas, productoras de alta morbi-mortalidad, descritas por casi todas las familias químicas: insecticidas y fungicidas organoclorados, insecticidas organofosforados y carbamatos, fungicidas organomercuriales y sales inorgánicas. Estos episodios se han producido sobre todo por vía alimentaria y en el terreno profesional. Otras causas de preocupación sanitaria son su capacidad carcinogénica y de ocasionar alteraciones reproductivas. Se presentan las principales características de algunas de las familias más relevantes.Pesticides are one of the families of chemical products most widely used by man. They have been used above all to combat pests because of their effect on harvests and as vectors of transmissible diseases. Pesticides can be classified according to their use (insecticides, fungicides, herbicides, raticides… or by their chemical family (organochlorates, organophosphates, carbamates, pyrethroids, Bipyridilium compounds, inorganic salts…. All of them are biocides, which normally implies a high toxicity for humans, which has been a cause for concern since the mid-XX century due to the widespread and indiscriminate use of these products. Exposure to pesticides can have effects that are acute, chronic and long-term. Some organochlorate compounds (such as DDT were the first to be used in massive fumigations to fight malaria and have had to be banned because of their capacity for bioaccumulation and environmental persistence. The danger represented by the widespread presence of these agents has been demonstrated in numerous episodes of human toxic epidemics, producers of a high morbidity/mortality, described for nearly all chemical families: organochlorate insecticides and fungicides, organophosphate and carbamate insecticides, organomercurial fungicides and inorganic salts. These episodes have above all been caused through the ingestion of foodstuffs and in the occupational field. Other causes of health concern are their carcinogenic capacity and occasional reproductive alterations. The principal characteristics of some of the most relevant families are presented.

  12. REANASTOMOSIS TUBÁRICA POR VÍA LAPAROSCÓPICA

    Directory of Open Access Journals (Sweden)

    Juan Raúl Escalona M

    2006-01-01

    Full Text Available Antecedentes: La esterilización tubárica se realiza en un número importante de pacientes jóvenes que por diferentes motivos desean posteriormente un nuevo embarazo, porcentaje que varía entre el 1,3-15%. Hasta ahora la cirugía ha sido la primera alternativa de tratamiento y gracias a la evolución de la técnica y el desarrollo de material quirúrgico, es posible de realizar por vía laparoscópica. Objetivos: Hacer una síntesis de la historia y técnicas utilizadas en la reanastomosis tubárica, los criterios de selección, el estudio preoperatorio, los factores pronósticos y comparar los resultados de la laparotomía y la laparoscopia. Métodos: Se realiza búsqueda en base de datos Medline PubMed usando las palabras clave: tubal anastomosis, reversal of esterilization, infertility, microsurgery, tubal esterilization; se seleccionan todas aquellas publicaciones tipo review de reanastomosis tubárica con microcirugía abierta y todas aquellas de reanastomosis por vía laparoscópica. Resultados: La reanastomosis tubárica por laparotomía con técnica microquirúrgica tiene un éxito entre 60 y 90% de tasas de embarazo. Las primeras publicaciones de la técnica laparoscópica no presentan resultados satisfactorios, sin embargo casuísticas más numerosas y especialmente las que muestran la técnica microlaparoscópica tienen resultados similares con todas las ventajas de la laparoscopia. Conclusión: La recanalización tubaria por vía laparoscopica es una técnica factible, probada y exitosa, alternativa a la laparotomía, sin embargo, para su implementación con resultados satisfactorios es necesario contar con equipamiento apropiado, experiencia previa en cirugía abierta y entrenamiento en cirugía endoscópicaBackground: Tubal ligation is used in a large number of young patients, who frequently want a new pregnancy, the percentage rate ranges from 1.3 to 15%. Until now the standard treatment has been the microsurgical tubal anastomosis through laparotomy, however, the development of new techniques and instruments allowed a laparoscopic approach for this surgery. Objectives: to make a synthesis of the hystory and operatory technics in laparoscopic tubal anastomosis to evaluate the inclusions criteria, the preoperative work-up, the factors of prognosis and to make a comparison between laparotomy and laparoscopy. Methods: We make a search in medline database (PubMed, with the key words: tubal anastomosis, reversal of sterilization, infertility, microsurgery, tubal sterilization, and selecting all of the review publications in microsurgical tubal reanastomosis by laparotomy and all of publications of the laparoscopic technic. Results: The microsurgical tubal anastomosis through laparotomy has a pregnancy rate ranging from 70% to 80%. The first publications whith the laparoscopic technic show dissapointed results, however, papers with bigger casuistics and with the microlaparoscopic technic show the same results that the open technic with all of the advantages of the laparoscopy. Conclusion: Laparoscopic tubal reversal is a feasible, tested and successful alternative to the traditional surgery performed by laparotomy, however, to achieve a successful outcome it is necessary a meticulous surgical technique, adequate equipment and extensive experience with tubal anastomosis by laparotomy and advances laparoscopic techniques

  13. Neumonía lipoidea por exposición laboral

    Scientific Electronic Library Online (English)

    Ana Elena, Núñez Ocampo.

    2014-12-01

    Full Text Available La neum