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. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. Epidemiología de rickettsiosis por Rickettsia parkeri y otras especies emergentes o re-emergentes asociadas a la antropización en Latinoamérica

    Directory of Open Access Journals (Sweden)

    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.

  16. 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

  17. 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.

  18. 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.

  19. 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.

  20. 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

    Nathalie C. Cunha; ADIVALDO H FONSECA; Jania de Rezende; Tatiana Rozental; Favacho, Alexsandra R.m.; Jairo D. Barreira; Massard, Carlos L; Elba R.S. Lemos

    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 i...

  1. 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.

  2. 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

    Directory of Open Access Journals (Sweden)

    Rojo Vázquez Jaime

    1997-01-01

    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.

  3. 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.

  4. 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.

  5. 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.

  6. Rickettsia parkeri Rickettsiosis, Argentina

    OpenAIRE

    Romer, Yamila; Alfredo C. Seijo; Crudo, Favio; Nicholson, William L; Varela-Stokes, Andrea; Lash, R Ryan; Paddock, Christopher D.

    2011-01-01

    Rickettsia parkeri, a recently identified cause of spotted fever rickettsiosis in the United States, has been found in Amblyomma triste ticks in several countries of South America, including Argentina, where it is believed to cause disease in humans. We describe the clinical and epidemiologic characteristics of 2 patients in Argentina with confirmed R. parkeri infection and 7 additional patients with suspected R. parkeri rickettsiosis identified at 1 hospital during 2004–2009. The frequenc...

  7. 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.

  8. 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.

  9. Febre maculosa: isolamento de Rickettsia em amostra de biópsia de pele / Spotted fever: Rickettsia isolation in skin biopsy sample

    Scientific Electronic Library Online (English)

    Heloisa Helana B., Melles; Silvia, Colombo; Marcos Vinícius da, Silva.

    1992-02-01

    Full Text Available Presença de Rickettsia na pele de doente de Febre Maculosa foi evidenciada por inoculação intraperitoneal em cobaio. O diagnóstico sorológico por imunoflüorescência indireta revelou diferença de título de anticorpos específicos para Rickettsia rickettsii, de 4 vezes entre a 1º e a 3º amostra. Imunog [...] lobulina M (IgM) específica foi detectada nas amostras de sangue, evidência de infecção em atividade ou recente. Foi também detectada a presença de anticorpos específicos para R. rickettsii no soro dos cobaios inoculados. Abstract in english A 2 years old child living in an area of the State of São Paulo, known in the past as endemic for rickettsiosis developed clinical evidences of spotted fever after a tick bite. Rickettsiae were isolated from guinea pigs inoculated with a skin homogenate. In sera tested by indirect immunofluorescence [...] with Rickettsia rickettsii standard antigen, IgG specific antibody titers raised from 1:512 in the first sample to 1:2048 in the third one; IgM specific antibody titer was 1:128 in the three samples. Also positive were sera obtained from the inoculated guinea pigs. In the last 20 years no other case of rickettsial spotted fever has been confirmed by isolation of the agent in Brasil. To our knowlwdge, there are no previous reports of isolation of Rickettsiae through inoculation of skin biopsy homogenates.

  10. O estadiamento ganglionar na actualidade / Node staging today

    Scientific Electronic Library Online (English)

    José Luís, Fougo; Fernando, Osório; Susy, Costa; André, Magalhães.

    2013-12-01

    Full Text Available A necessidade de realizar Esvaziamento Ganglionar Axilar quando o Gânglio Sentinela está metastizado, em doentes com Cancro da Mama, está a ser questionada. A maior parte dos doentes não apresenta metástases adicionais em Gânglios Não Sentinela e, em muito casos, a decisão de realizar tratamentos ad [...] juvantes não necessita da informação adicional fornecida pelo estudo dos gânglios axilares. A publicação recente do ensaio randomizado ACOSOG Z0011veio relançar a discussão sobre a necessidade e a utilidade do Esvaziamento Ganglionar Axilar. Abstract in english The need to perform an Axillary Dissection when the Sentinel Node is metastasized, in Breast Cancer patients, is being questioned. Most part of the patients do not have any additional metastasis in the Non Sentinel Nodes and, in many cases, the decision to perform adjuvant treatments is not dependen [...] t on the axillary nodes analysis. The recent publication of the randomized trial ACOSOG Z0011 launched the discussion on the need and usefulness of the axillary lymph node dissection.

  11. Immunoproteomic profiling of Rickettsia parkeri and Rickettsia amblyommii.

    Science.gov (United States)

    Pornwiroon, Walairat; Bourchookarn, Apichai; Paddock, Christopher D; Macaluso, Kevin R

    2015-09-01

    Rickettsia parkeri is an Amblyomma-associated, spotted fever group Rickettsia species that causes an eschar-associated, febrile illness in multiple countries throughout the Western Hemisphere. Many other rickettsial species of known or uncertain pathogenicity have been detected in Amblyomma spp. ticks in the Americas, including Rickettsia amblyommii, "Candidatus Rickettsia andeanae" and Rickettsia rickettsii. In this study, we utilized an immunoproteomic approach to compare antigenic profiles of low-passage isolates of R. parkeri and R. amblyommii with serum specimens from patients with PCR- and culture-confirmed infections with R. parkeri. Five immunoreactive proteins of R. amblyommii and nine immunoreactive proteins of R. parkeri were identified by matrix-assisted laser desorption ionization tandem time-of-flight mass spectrometry. Four of these, including the outer membrane protein (Omp) A, OmpB, translation initiation factor IF-2, and cell division protein FtsZ, were antigens common to both rickettsiae. Serum specimens from patients with R. parkeri rickettsiosis reacted specifically with cysteinyl-tRNA synthetase, DNA-directed RNA polymerase subunit alpha, putative sigma (54) modulation protein, chaperonin GroEL, and elongation factor Tu of R. parkeri which have been reported as virulence factors in other bacterial species. Unique antigens identified in this study may be useful for further development of the better serological assays for diagnosing infection caused by R. parkeri. PMID:26234571

  12. Ganglio postcentinela en melanoma: nuevo método diagnóstico para la detección de metástasis ganglionares pélvicas Postsentinel lymph node in melanoma: a new diagnostic method for detection of metastatic pelvic lymph nodes

    Directory of Open Access Journals (Sweden)

    Eduardo Torregroza-Diazgranados

    2007-03-01

    Full Text Available Los ganglios inguinales son el primer sitio de afectación metastásica del melanoma primario de las extremidades inferiores. Cuando se comprueba metástasis ganglionares inguinales no es claro si solamente se debe realizar linfadenectomía inguinal superficial (linfadenectomía ganglionar limitada o si por el contrario, se debe efectuar linfadenectomía pélvica (cadena ganglionar ilíaca externa y obturador, además de la linfadenectomía inguinal superficial (linfadenectomía ganglionar extendida o combinada. Se propone al ganglio postcentinela como nuevo método diagnóstico capaz de predecir el compromiso ganglionar pélvico y así reducir el número de vaciamientos pélvicos innecesarios.Inguinal nodes are the first site of metastatic location of a primary melanoma of the lower extremities. Once inguinal metastatic lymph nodes are demonstrated, it is still not clear if the best conduct is to perform a superficial inguinal lymphadenectomy (limited lymphadenectomy or, on the contrary, a pelvic lymphadenectomy (extended or combined inguinal lymphadenectomy. It is proposed the postsentinel node as anew diagnostic method capable of predicting pelvic node involvement and thus reducing the number of unnecessary pelvic dissections.

  13. Ganglio postcentinela en melanoma: nuevo método diagnóstico para la detección de metástasis ganglionares pélvicas / Postsentinel lymph node in melanoma: a new diagnostic method for detection of metastatic pelvic lymph nodes

    Scientific Electronic Library Online (English)

    Eduardo, Torregroza-Diazgranados; Javier Ángel, Aristizábal; Luis Fernando, Viaña; Juan David, Figueroa.

    2007-03-01

    Full Text Available Los ganglios inguinales son el primer sitio de afectación metastásica del melanoma primario de las extremidades inferiores. Cuando se comprueba metástasis ganglionares inguinales no es claro si solamente se debe realizar linfadenectomía inguinal superficial (linfadenectomía ganglionar limitada) o si [...] por el contrario, se debe efectuar linfadenectomía pélvica (cadena ganglionar ilíaca externa y obturador), además de la linfadenectomía inguinal superficial (linfadenectomía ganglionar extendida o combinada). Se propone al ganglio postcentinela como nuevo método diagnóstico capaz de predecir el compromiso ganglionar pélvico y así reducir el número de vaciamientos pélvicos innecesarios. Abstract in english Inguinal nodes are the first site of metastatic location of a primary melanoma of the lower extremities. Once inguinal metastatic lymph nodes are demonstrated, it is still not clear if the best conduct is to perform a superficial inguinal lymphadenectomy (limited lymphadenectomy) or, on the contrary [...] , a pelvic lymphadenectomy (extended or combined inguinal lymphadenectomy). It is proposed the postsentinel node as anew diagnostic method capable of predicting pelvic node involvement and thus reducing the number of unnecessary pelvic dissections.

  14. Rickettsiae in Gulf Coast Ticks, Arkansas, USA

    OpenAIRE

    Trout, Rebecca; Steelman, C. Dayton; Szalanski, Allen L.; Williamson, Phillip C

    2010-01-01

    To determine the cause of spotted fever cases in the southern United States, we screened Gulf Coast ticks (Amblyomma maculatum) collected in Arkansas for rickettsiae. Of the screened ticks, 30% had PCR amplicons consistent with Rickettsia parkeri or Candidatus Rickettsia amblyommii.

  15. 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.

  16. 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

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

    Scientific Electronic Library Online (English)

    Juan, Carlos Bravo Y; Mariela C, Torrente A; Loreto A, Nicklas D.

    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 ocult [...] as 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 cervical Abstract in english Introduction: 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

  18. 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

  19. 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...

  20. 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.

  1. 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.

  2. 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.

  3. 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.

  4. 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: 2.718, year: 2014

  5. Molecular detection of Rickettsia conorii and other zoonotic spotted fever group rickettsiae in ticks, Romania.

    Science.gov (United States)

    Ionita, Mariana; Silaghi, Cornelia; Mitrea, Ioan Liviu; Edouard, Sophie; Parola, Philippe; Pfister, Kurt

    2016-02-01

    The diverse tick fauna as well as the abundance of tick populations in Romania represent potential risks for both human and animal health. Spotted fever group (SFG) rickettsiae are recognized as important agents of emerging human tick-borne diseases worldwide. However, the epidemiology of rickettsial diseases has been poorly investigated in Romania. In urban habitats, companion animals which are frequently exposed to tick infestation, play a role in maintenance of tick populations and as reservoirs of tick-borne pathogens. Therefore, the aim of the present study was to investigate the occurrence of SFG rickettsiae in ticks infesting dogs in a greater urban area in South-eastern Romania. Adult ixodid ticks (n=205), including Rhipicephalus sanguineus sensu lato (n=120), Dermacentor reticulatus (n=76) and Ixodes ricinus (n=9) were collected from naturally infested dogs and were screened for SFG rickettsiae using conventional PCR followed by sequencing. Additionally, ticks were screened for DNA of Babesia spp., Hepatozoon spp., Ehrlichia canis, and Anaplasma platys. Four zoonotic SFG rickettsiae were identified: Rickettsia raoultii (16%) and Rickettsia slovaca (3%) in D. reticulatus, Rickettsia monacensis (11%) in I. ricinus, and Rickettsia conorii (0.8%) in Rh. sanguineus s.l. Moreover, pathogens of veterinary importance, such as B. canis (21%) in D. reticulatus and E. canis (7.5%) in Rh. sanguineus s.l. were identified. The findings expand the knowledge on distribution of SFG rickettsiae as well as canine pathogens in Romania. Additionally, this is the first report describing the molecular detection of R. conorii in ticks from Romania. PMID:26507182

  6. 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.

  7. 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.

  8. Spotted fever group Rickettsiae in ticks in Cyprus.

    Science.gov (United States)

    Chochlakis, Dimosthenis; Ioannou, Ioannis; Sandalakis, Vassilios; Dimitriou, Theodoros; Kassinis, Nikolaos; Papadopoulos, Byron; Tselentis, Yannis; Psaroulaki, Anna

    2012-02-01

    In two surveys conducted from March 1999 to March 2001 and from January 2004 to December 2006, a total of 3,950 ticks (belonging to ten different species) were collected from seven domestic and wild animals (goat, sheep, cattle, dog, fox, hare, and mouflon) from different localities throughout Cyprus. In order to establish their infection rate with Spotted Fever Rickettsiae (SFG), ticks were pooled and tested by polymerase chain reaction targeting gltA and ompA genes, followed by sequencing analysis. When tick pools tested positive, individual ticks were then tested one by one, and of the 3,950 ticks screened, rickettsial DNA was identified in 315 ticks (infection rate, 8%). Five SFG Rickettsiae were identified: Rickettsia aeschlimannii in Hyalomma marginatum marginatum, Rickettsia massiliae in Rhipicephalus turanicus and Rhipicephalus sanguineus, Rickettsia sibirica mongolotimonae in Hyalomma anatolicum excavatum, and a Rickettsia endosymbiont of Haemaphysalis sulcata (later described as Rickettsia hoogstraalii) in Haemaphysalis punctata. Two additional genes, 17 kDa and ompB, were targeted to characterize a new genotype of "Candidatus Rickettsia barbariae" genotype in R. turanicus, designated here as "Candidatus Rickettsia barbariae" Cretocypriensis. These results confirm the presence of a spectrum of SFG Rickettsiae on the island. Further studies are necessary to gain better knowledge on the epidemiology of SFG Rickettsiae in Cyprus. PMID:21833539

  9. 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.

  10. 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.

  11. Kinetics of Antibody Responses in Rickettsia africae and Rickettsia conorii Infections

    OpenAIRE

    Fournier, Pierre-Edouard; Jensenius, Mogens; Laferl, Herman; Vene, Sirka; Raoult, Didier

    2002-01-01

    African tick-bite fever, caused by Rickettsia africae, is the most common tick-borne rickettsiosis in sub-Saharan Africa. Mediterranean spotted fever due to Rickettsia conorii also occurs in the region but is more prevalent in Mediterranean countries. Using microimmunofluorescence, we compared the development of immunoglobulin G (IgG) and IgM titers in 48 patients with African tick-bite fever and 48 patients with Mediterranean spotted fever. Doxycycline treatment within 7 days from the onset ...

  12. 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...

  13. 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.

  14. 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.

  15. 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.

  16. 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.

    2014-12-01

    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

  17. Rickettsia felis in Fleas, Western Australia

    OpenAIRE

    Schloderer, Drew; Owen (nee Watts), Helen; Clark, Phillip; Stenos, John; Stanley G. Fenwick

    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.

  18. Rickettsia honei Infection in Human, Nepal, 2009

    OpenAIRE

    Murphy, Holly; Renvoisé, Aurélie; Pandey, Prativa; Parola, Philippe; Raoult, Didier

    2011-01-01

    We report a case of Rickettsia honei infection in a human in Nepal. The patient had severe illness and many clinical features typical of Flinders Island spotted fever. Diagnosis was confirmed by indirect immunofluorescent assay with serum and molecular biological techniques. Flinders Island spotted fever may be an endemic rickettsiosis in Nepal.

  19. 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, André; 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.

  20. Detection of Rickettsia and Anaplasma from hard ticks in Thailand.

    Science.gov (United States)

    Malaisri, Premnika; Hirunkanokpun, Supanee; Baimai, Visut; Trinachartvanit, Wachareeporn; Ahantarig, Arunee

    2015-12-01

    We collected a total of 169 adult hard ticks and 120 nymphs from under the leaves of plants located along tourist nature trails in ten localities. The results present data examining the vector competence of ticks of different genera and the presence of Rickettsia and Anaplasma species. The ticks belonged to three genera, Amblyomma, Dermacentor, and Haemaphysalis, comprising 11 species. Rickettsia bacteria were detected at three collection sites, while Anaplasma bacteria were detected at only one site. Phylogenetic analysis revealed new rickettsia genotypes from Thailand that were closely related to Rickettsia tamurae, Rickettsia monacensis, and Rickettsia montana. This study was also the first to show that Anaplasma bacteria are found in Haemaphysalis shimoga ticks and are closely related evolutionarily to Anaplasma bovis. These results provide additional information for the geographical distribution of tick species and tick-borne bacteria in Thailand and can therefore be applied for ecotourism management. PMID:26611960

  1. Isolation of Rickettsia prowazekii with reduced sensitivity to gamma interferon.

    OpenAIRE

    Turco, J.; Winkler, H. H.

    1989-01-01

    The growth of Rickettsia prowazekii Madrid E was monitored in mouse L929 cells subcultured for several weeks in the presence of gamma interferon (IFN-gamma) to determine whether the rickettsiae would be eliminated from or would persist in these cultures. R. prowazekii exhibited two distinct patterns in these IFN-gamma-treated cultures. In some cases, IFN-gamma-induced inhibition of rickettsial growth led to elimination of the rickettsiae from the L929 cell cultures; in other cases, the initia...

  2. 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.

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

    Directory of Open Access Journals (Sweden)

    Jeffery Kathryn

    2007-08-01

    Full Text Available 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 99.1% similarity with those of R. heilongjiangensis and 97.1% with those of Rickettsia sp. HL-93 strain, respectively. The partial gltA and ompA gene sequences detected in tick in the Central African Republic were 98.9% and 95.1% similar to those of Rickettsia sp. DnS14 strain and R. massiliae, respectively. Phylogenetic analysis showed Rickettsia sp. detected in Gabon clusters with R. japonica and R. heilongjiangensis in a phylogenetic tree based on the partial gltA and ompA genes. The genotype of the Rickettsia sp. detected in the Central African Republic is close to those of R. massiliae group in the phylogenetic tree based on partial gltA gene sequences, and distantly related to other rickettsiae in the tree based on partial ompA gene. Conclusion The degrees of similarity of partial gltA and ompA genes with recognized species indicate the rickettsiae detected in this study may be new species although we could only study the partial sequences of 2 genes regarding the amount of DNA that was available. We propose the Rickettsia sp. detected in Gabon be provisionally named "Rickettsia sp. stain Davousti" and Rickettsia sp. detected in the Central African Republic be named "Rickettsia sp. strain Uilenbergi".

  4. Malacoplaquia vesical con afectación ganglionar y curso agresivo / Bladder malacoplaquia with nodal involvement and agressive course

    Scientific Electronic Library Online (English)

    B., Pozo Mengual; F.J., Burgos Revilla; G., Briones Mardones; A., Linares Quevedo; M., García-Cosio Piqueras.

    2003-02-01

    Full Text Available La malacoplaquia es un proceso inflamatorio granulomatoso crónico poco frecuente. En el tracto urinario es más frecuente en el sexo femenino, estando afectada la vejiga en el 75 % de los casos. La extensión pélvica de la malacoplaquia es muy poco frecuente y aún menos frecuente es la afectación gang [...] lionar a nivel pelviano y retroperitoneal. Se presenta el segundo caso en la literatura de malacoplaquia vesical con afectación extravesical y ganglionar pelviana. Abstract in english Malacoplakia is an unusual chronical granulomatous disorder. In the urinary tract is more frequent in female, in 75 percent of cases involve the bladder. Pelvis extension of this disease is infrequent, and even less frequent is the involvement of pelvic and retroperitoneal lymph nodes. We present th [...] e second case in the literature of bladder malacoplakia with extravesical and pelvic node involvement.

  5. 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.

  6. 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

  7. 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 hydrolysis and translocation

  8. Race and Rickettsiae: A United States Perspective

    OpenAIRE

    Dahlgren, F. Scott; Moonesinghe, Ramal; McQuiston, Jennifer H.

    2011-01-01

    US surveillance programs for Rocky Mountain spotted fever (RMSF), ehrlichiosis, and anaplasmosis collect demographic data on patients, including race and ethnicity. Reporting of these diseases among race groups is not uniform across the United States. Because a laboratory confirmation is required to meet the national surveillance case definition, reporting may be influenced by a patient's access to healthcare. Determining the association between race and ethnicity with incidence of rickettsia...

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

    Directory of Open Access Journals (Sweden)

    F. Espín

    2010-03-01

    Full Text Available 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 patients 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 = 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 analiza 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 < 0,001, en el porcentaje de pacientes sin metástasis ganglionares (62,7 vs. 30,5%; p < 0,001, así como en el porcentaje de estadios precoces (Ia y Ib, 57,6% por 17,4, p < 0,001. La supervivencia global acumulada a los 60 meses fue significativa entre ambos grupos (p log-rank = 0,0003, aunque sin alcanzar significación estadística en los pacientes N+ (p < 0,006. Conclusiones: la relación del diámetro ganglionar mayor puede ser un factor pronóstico útil y junto con otros factores pronósticos facilitaría la valoración de quimioterapia neoadyuvante. Su detección mediante exploraciones complementarias adquiriría por consiguiente un mayor interés.

  10. 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.

  11. Spotted-Fever Group Rickettsia in Dermacentor variabilis, Maryland

    OpenAIRE

    Ammerman, Nicole C; SWANSON, KATHERINE I.; Anderson, Jennifer M.; Schwartz, Timothy R; Seaberg, Eric C.; Glass, Gregory E.; Norris, Douglas E

    2004-01-01

    Three-hundred ninety-two adult Dermacentor variabilis were collected from six Maryland counties during the spring, summer, and fall of 2002. Infection prevalence for spotted fever group Rickettsia was 3.8%, as determined by polymerase chain reaction. Single strand conformational polymorphism (SSCP) analysis followed by sequencing indicated that all infections represented a single rickettsial taxon, Rickettsia montanensis.

  12. 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.

  13. Rickettsia Species in Ticks Removed from Humans in Istanbul, Turkey

    Science.gov (United States)

    Gargili, Aysen; Palomar, Ana M.; Midilli, Kenan; Portillo, Aránzazu; Kar, S?rr?

    2012-01-01

    Abstract A total of 167 ticks collected from humans in Istanbul (Turkey) in 2006 were screened for Rickettsia species, and nested PCRs targeting gltA and ompA rickettsial fragment genes were carried out. Rickettsia monacensis (51), R. aeschlimannii (8), R. conorii subsp. conorii (3), R. helvetica (2), R. raoultii (1), R. africae (1), R. felis (1), and other Rickettsia spp. (2), were detected. To our knowledge, these Rickettsia species (except R. conorii) had never been reported in ticks removed from humans in Turkey. The presence of R. africae also had not been previously described, either in Hyalomma ticks or in any European tick species. In addition, R. aeschlimannii and R. felis had not been found associated with Rhipicephalus bursa specimens. The presence of human pathogenic Rickettsia in ticks removed from humans provides information about the risk of tick-borne rickettsioses in Turkey. PMID:22925016

  14. 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.

  15. Detección molecular de Rickettsia massiliae y Anaplasma platys en garrapatas Rhipicephalus sanguineus y caninos domésticos del municipio de Bahía Blanca (Argentina

    Directory of Open Access Journals (Sweden)

    Gabriel L Cicuttin

    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 Blanca (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.

  16. Caracterização de Rickettsia spp. circulante em foco silencioso de febre maculosa brasileira no Município de Caratinga, Minas Gerais, Brasil Characterization of Rickettsia spp. circulating in a silent peri-urban focus for Brazilian spotted fever in Caratinga, Minas Gerais, Brazil

    OpenAIRE

    Luciane Daniele Cardoso; Renata Nascimento Freitas; Cláudio Lísias Mafra; Cristiane Vilas Boas Neves; Fátima Cristina Bacellar Figueira; Marcelo Bahia Labruna; Gennari, Solange M.; David Hughes Walker; Márcio Antônio Moreira Galvão

    2006-01-01

    O objetivo deste trabalho foi caracterizar Rickettsia spp. circulante em artrópodes vetores no Município de Caratinga, Minas Gerais, Brasil, por meio da PCR, e investigar a presença de anticorpos para riquétsias do grupo da febre maculosa em cães e eqüinos. 2.610 ectoparasitos foram coletados e identificados taxonomicamente. Amostras de DNA obtidas desses vetores foram submetidas à PCR e seqüenciamento. Em pulgas do gênero Ctenocephalides e em carrapatos Amblyomma cajennense foram identificad...

  17. A ocorrência de riquetsioses do grupo Rickettsia rickettsii Occurrence of rickettsiosis of the group Rickettsia rickettsii

    OpenAIRE

    Dalva A. Portari Mancini; Elvira M. Mendes Nascimento; Valéria Rosa Tavares; Murillo Adelino Soares

    1983-01-01

    Foi realizada revisão da literatura com objetivo de atualizar as informações sobre a ocorrência de riquetsioses do grupo Rickettsia rickettsii. Verificou-se que nos EUA e Europa, a incidência da febre maculosa, vem aumentando desde 1970 até hoje. No Brasil, foi relatado um caso presuntivo, no estado da Bahia, em 1979. Com relação a prevenção, controle e tratamento dessa doença é salientada a importância de informações relacionadas com indivíduos expostos a picadas de carrapatos, notificação d...

  18. Caracterização de Rickettsia spp. circulante em foco silencioso de febre maculosa brasileira no Município de Caratinga, Minas Gerais, Brasil

    OpenAIRE

    Cardoso Luciane Daniele; Freitas Renata Nascimento; Mafra Cláudio Lísias; Neves Cristiane Vilas Boas; Figueira Fátima Cristina Bacellar; Labruna Marcelo Bahia; Gennari Solange M.; Walker David Hughes; Galvão Márcio Antônio Moreira

    2006-01-01

    O objetivo deste trabalho foi caracterizar Rickettsia spp. circulante em artrópodes vetores no Município de Caratinga, Minas Gerais, Brasil, por meio da PCR, e investigar a presença de anticorpos para riquétsias do grupo da febre maculosa em cães e eqüinos. 2.610 ectoparasitos foram coletados e identificados taxonomicamente. Amostras de DNA obtidas desses vetores foram submetidas à PCR e seqüenciamento. Em pulgas do gênero Ctenocephalides e em carrapatos Amblyomma cajennense foram identificad...

  19. 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.

  20. 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.

  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. First molecular detection of Rickettsia felis in fleas from Algeria.

    Science.gov (United States)

    Bitam, Idir; Parola, Philippe; De La Cruz, Katharina Dittmar; Matsumoto, Koutaro; Baziz, Belkacem; Rolain, Jean-Marc; Belkaid, Miloud; Raoult, Didier

    2006-04-01

    Fleas collected in Algeria in the district of Oran between July and September 2003 were tested by polymerase chain reaction for the presence of Rickettsia spp. DNA using primers amplifying gltA and OmpA genes. Two gltA sequences identical to those of an emerging pathogen, Rickettsia felis, were detected including i) R. felis California 2 in Ctenocephalides canis from rodents and ii) R. felis RF2125 in Archeopsylla erinacei from hedgehogs. PMID:16606979

  3. Rickettsia species in fleas collected from small mammals in Slovakia.

    Science.gov (United States)

    Špitalská, Eva; Boldiš, Vojtech; Mošanský, Ladislav; Sparagano, Olivier; Stanko, Michal

    2015-11-01

    Epidemiological and epizootiological studies of Rickettsia felis and other Rickettsia spp. are very important, because their natural cycle has not yet been established completely. In total, 315 fleas (Siphonaptera) of 11 species of Ceratophyllidae, Hystrichopsyllidae and Leptopsyllidae families were tested for the presence of Rickettsia species and Coxiella burnetii with conventional and specific quantitative real-time PCR assays. Fleas were collected from five rodent hosts (Myodes glareolus, Apodemus flavicollis, Apodemus agrarius, Microtus subterraneus, Microtus arvalis) and three shrew species (Sorex araneus, Neomys fodiens, Crocidura suaveolens) captured in Eastern and Southern Slovakia. Overall, Rickettsia spp. was found in 10.8 % (34/315) of the tested fleas of Ctenophthalmus agyrtes, Ctenophthalmus solutus, Ctenophthalmus uncinatus and Nosopsyllus fasciatus species. Infected fleas were coming from A. flavicollis, A. agrarius, and M. glareolus captured in Eastern Slovakia. C. burnetii was not found in any fleas. R. felis, Rickettsia helvetica, unidentified Rickettsia, and rickettsial endosymbionts were identified in fleas infesting small mammals in the Košice region, Eastern Slovakia. This study is the first report of R. felis infection in C. solutus male flea collected from A. agrarius in Slovakia. PMID:26346455

  4. Comparative susceptibility to mouse interferons of Rickettsia tsutsugamushi strains with different virulence in mice and of Rickettsia rickettsii.

    OpenAIRE

    Hanson, B

    1991-01-01

    Three strains of Rickettsia tsutsugamushi (Karp, Gilliam, and TA716, representing three virulence types in mice) were examined for their sensitivity to the inhibitory effects of recombinant gamma interferon (IFN-gamma) and purified IFN-alpha/beta in two cultured mouse fibroblast cell lines. The susceptibilities of another species, Rickettsia rickettsii, and of encephalomyocarditis virus (EMCV) were also tested for comparative purposes. IFN-gamma inhibited rickettsial replication in only one o...

  5. Genetic variability of Rickettsia spp. in Ixodes persulcatus/Ixodes trianguliceps sympatric areas from Western Siberia, Russia: Identification of a new Candidatus Rickettsia species.

    Science.gov (United States)

    Igolkina, Yana P; Rar, Vera A; Yakimenko, Valeriy V; Malkova, Marina G; Tancev, Aleksey K; Tikunov, Artem Yu; Epikhina, Tamara I; Tikunova, Nina V

    2015-08-01

    Rickettsia spp. are the causative agents of a number of diseases in humans. These bacteria are transmitted by arthropods, including ixodid ticks. DNA of several Rickettsia spp. was identified in Ixodes persulcatus ticks, however, the association of Ixodes trianguliceps ticks with Rickettsia spp. is unknown. In our study, blood samples of small mammals (n=108), unfed adult I. persulcatus ticks (n=136), and I. persulcatus (n=12) and I. trianguliceps (n=34) ticks feeding on voles were collected in two I. persulcatus/I. trianguliceps sympatric areas in Western Siberia. Using nested PCR, ticks and blood samples were studied for the presence of Rickettsia spp. Three distinct Rickettsia species were found in ticks, but no Rickettsia species were found in the blood of examined voles. Candidatus Rickettsia tarasevichiae DNA was detected in 89.7% of unfed I. persulcatus, 91.7% of engorged I. persulcatus and 14.7% of I. trianguliceps ticks. Rickettsia helvetica DNA was detected in 5.9% of I. trianguliceps ticks. In addition, a new Rickettsia genetic variant was found in 32.4% of I. trianguliceps ticks. Sequence analysis of the 16S rRNA, gltA, ompA, ?mpB and sca4 genes was performed and, in accordance with genetic criteria, a new Rickettsia genetic variant was classified as a new Candidatus Rickettsia species. We propose to name this species Candidatus Rickettsia uralica, according to the territory where this species was initially identified. Candidatus Rickettsia uralica was found to belong to the spotted fever group. The data obtained in this study leads us to propose that Candidatus Rickettsia uralica is associated with I. trianguliceps ticks. PMID:26190452

  6. Comparación de la Tomografía Axial Computarizada con el estudio anatomopatológico en el estadiaje ganglionar del cáncer de pulmón

    Scientific Electronic Library Online (English)

    M., López Mata; J., Valencia Julve; N., Bascón Santaló; C., Velilla Millán; R., Escó Barón; M., García Álvarez.

    2005-07-01

    Full Text Available PROPÓSITO: Evaluar la Sensibilidad, Especificidad, Valor predictivo positivo y Valor Predictivo Negativo de la Tomografia Axial Computarizada (TAC) en el estadiaje ganglionar del cáncer de pulmón. MATERIAL Y MÉTODOS: Se han analizado 30 pacientes diagnosticados de carcinoma pulmonar entre Mayo de 20 [...] 03 y Mayo de 2004. A todos los pacientes se les realizó una TAC torácica, valorando la afectación ganglionar mediastínica. A su vez, se les realizó o una mediastinoscopia o una resección pulmonar más linfadenectomía mediastínica, obteniendo así material para el estudio anatomo-patológico para confirmar o no la afectación ganglionar mediastínica y correlacionarla con los hallazgos de la TAC. RESULTADOS: Hemos obtenido una Sensibilidad del 72,2%, una Especificidad del 100%, un valor predictivo positivo del 100% y un valor predictivo negativo del 70,6% para la TAC, utilizando como "gold standar" el estudio anatomopatológico. CONCLUSIONES: La TAC torácica se considera una prueba de imagen de rutina en el diagnóstico del cáncer de pulmón; pero en muchos casos no es capaz de estadiar correctamente la afectación ganglionar mediastínica. Es en estos casos, donde es necesario realizar pruebas invasivas como la mediastinoscopia. Actualmente, la aparición de la PET permite estadiar mejor el tumor, ofreciendo mejor tratamiento a cada paciente, y en determinados casos evitar técnicas diagnósticas invasivas. Abstract in english PURPOSE: To analise the sensitivity, specificity, and positive and negative predictive values of the computerized axial tomography (CT) in nodal stages of lung carcinoma. MATERIAL AND METHODS: Thirty patients suffering from lung carcinoma were analysed between May 2003 and May 2004. CT screening of [...] the thorax was made to all the patients. Mediastinoscopy or lung resection samples plus systematic node dissection were performed, and the efficiency of CT analysed by comparing the obtained data with the histopathology results of nodal affection shown by mediastinoscopy and lymph node dissection. RESULTS: The sensitivity, specificity, and positive and negative predictive value of the computerized axial tomography (CT) for nodal staging involved in lung carcinoma were 72.2%, 100%, 100% and 70,6% respectively. CONCLUSIONS: CT of the thorax is considered a usual imaging technique in lung carcinoma diagnosis; but in some cases it does not focalise correctly the nodal staging involved in lung carcinoma. In theses cases, it is necessarry to perform invasive techniques such as mediastinoscopy. At present, positron emission tomography (PET) is the technique that better permits to focalise the tumor offering the best data for the therapy of each patient, and avoiding invasive diagnosis techniques.

  7. 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.

  8. 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.

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

    OpenAIRE

    TOMASSONE, Laura; Meneghi, Daniele de

    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...

  10. 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.

    2008-05-01

    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.

  11. Rickettsia conorii israelensis in Rhipicephalus sanguineus ticks, Sardinia, Italy.

    Science.gov (United States)

    Chisu, Valentina; Masala, Giovanna; Foxi, Cipriano; Socolovschi, Cristina; Raoult, Didier; Parola, Philippe

    2014-06-01

    The presence of tick-borne Rickettsia spp. was examined by PCR using DNA samples extracted from 254 ticks collected from mammals originating from northern and eastern Sardinia, Italy. The spotted fever group rickettsial agent Rickettsia conorii israelensis was detected in 3 Rhipicephalus sanguineus ticks from a dog for the first time in this geographical area. In addition, Ri. massiliae, Ri. slovaca, and Ri. aeschlimannii were detected in Rh. turanicus, Rh. sanguineus, Dermacentor marginatus, and Hyalomma marginatum marginatum ticks from dogs, goats, wild boar, and horse. Moreover, Candidatus Rickettsia barbariae was detected in 2 Rh. turanicus ticks from goats. The detection of Ri. conorii israelensis, an emergent agent which causes Israeli spotted fever, increases our knowledge on tick-borne rickettsioses in Sardinia. PMID:24852264

  12. 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.

  13. 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 ...

  14. 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 =

  15. A ocorrência de riquetsioses do grupo Rickettsia rickettsii / Occurrence of rickettsiosis of the group Rickettsia rickettsii

    Scientific Electronic Library Online (English)

    Dalva A. Portari, Mancini; Elvira M. Mendes, Nascimento; Valéria Rosa, Tavares; Murillo Adelino, Soares.

    1983-12-01

    Full Text Available Foi realizada revisão da literatura com objetivo de atualizar as informações sobre a ocorrência de riquetsioses do grupo Rickettsia rickettsii. Verificou-se que nos EUA e Europa, a incidência da febre maculosa, vem aumentando desde 1970 até hoje. No Brasil, foi relatado um caso presuntivo, no estado [...] da Bahia, em 1979. Com relação a prevenção, controle e tratamento dessa doença é salientada a importância de informações relacionadas com indivíduos expostos a picadas de carrapatos, notificação de novos casos, fatores ecológicos, técnicas laboratoriais mais específicas para a identificação do agente etiológico, e a antibioticoterapia mais eficiente. A vacinação é ainda referida como meio mais favorável na prevenção da doença, devendo ser administrada aos indivíduos de alto risco. No Brasil, faltam informações precisas sobre a ocorrência de R. rickettsii. Abstract in english A search of the literature to update the available information on the occurrence of rickettsiosis caused by the Rickettsia rickettsii group was made. It was verified that the incidence of spotted fever has had an increase in the U.S.A. and Europe since 1970. In Brazil, a presumptive case was reporte [...] d in the State of Bahia, in 1979. Regarding the prevention, control and treatment of this disease, importance is given to data related to individuals exposed to tick bites, report of new cases, ecological factors, more specific laboratorial procedures for the identification of the etiological agent, and a more efficient antibiotic therapy. Vaccination is still regarded as the most adequate means for the prevention of the disease, and should be aimed at groups of individuals at high risk. In Brazil, there is a lack of more precise information on the occurrence of R. rickettsii.

  16. 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.

  17. 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.

    2008-09-01

    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.

  18. 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.

  19. Seroprevalence of Rickettsia spp. in Equids and Molecular Detection of 'Candidatus Rickettsia amblyommii' in Amblyomma cajennense Sensu Lato Ticks From the Pantanal Region of Mato Grosso, Brazil.

    Science.gov (United States)

    Alves, Alvair Da S; Melo, Andréia L T; Amorim, Marcus V; Borges, Alice M C M; Gaíva E Silva, Lucas; Martins, Thiago F; Labruna, Marcelo B; Aguiar, Daniel M; Pacheco, Richard C

    2014-11-01

    The aim of the study was to evaluate exposure of equids to rickettsial agents (Rickettsia rickettsii, Rickettsia parkeri, 'Candidatus Rickettsia amblyommii', Rickettsia rhipicephali, and Rickettsia bellii) and rickettsial infection in ticks of a Pantanal region of Brazil. Sera of 547 equids (500 horses and 47 donkeys) were evaluated by indirect immunofluorescence assay. In total, 665 adults and 106 nymphal pools of Amblyomma cajennense F. sensu lato, 10 Dermacentor nitens Neumann ticks, and 88 larval pools of Amblyomma sp. were tested by polymerase chain reaction (PCR). Overall, 337 (61.6%) equids were reactive (titer ?64) to at least one antigen of Rickettsia spp. The prevalence values for Rickettsia were 66%, and the highest endpoint titers were observed for 'Ca. R. amblyommii'. By PCR 3 (0.45%) A. cajennense s.l. females were positive for 'Ca. R. amblyommii'. Minimum infection rates of 0.75% for nymphs and 0.34% for larvae were calculated. Positive samples of ticks have had a fragment of the 16S mitochondrial rRNA gene sequenced and sequences showed 99% identity to Amblyomma sculptum Berlese. This study reports a wide exposure of equids to Rickettsia agents, and PCR evidence of infection with 'Ca. R. amblyommii', for the first time, in A. sculptum. PMID:26309313

  20. New Tick Defensin Isoform and Antimicrobial Gene Expression in Response to Rickettsia montanensis Challenge?

    OpenAIRE

    Ceraul, Shane M; Dreher-Lesnick, Sheila M.; Gillespie, Joseph J.; Rahman, M Sayeedur; Azad, Abdu F.

    2007-01-01

    Recent studies aimed at elucidating the rickettsia-tick interaction have discovered that the spotted fever group rickettsia Rickettsia montanensis, a relative of R. rickettsii, the etiologic agent of Rocky Mountain spotted fever, induces differential gene expression patterns in the ovaries of the hard tick Dermacentor variabilis. Here we describe a new defensin isoform, defensin-2, and the expression patterns of genes for three antimicrobials, defensin-1 (vsnA1), defensin-2, and lysozyme, in ...

  1. Rickettsia felis from Cat Fleas: Isolation and Culture in a Tick-Derived Cell Line

    OpenAIRE

    Pornwiroon, Walairat; Pourciau, Susan S.; Foil, Lane D; Macaluso, Kevin R

    2006-01-01

    Rickettsia felis, the etiologic agent of spotted fever, is maintained in cat fleas by vertical transmission and resembles other tick-borne spotted fever group rickettsiae. In the present study, we utilized an Ixodes scapularis-derived tick cell line, ISE6, to achieve isolation and propagation of R. felis. A cytopathic effect of increased vacuolization was commonly observed in R. felis-infected cells, while lysis of host cells was not evident despite large numbers of rickettsiae. Electron micr...

  2. 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 ...

  3. Detection of a novel Rickettsia (Alphaproteobacteria: Rickettsiales) in rotund ticks (Ixodes kingi) from Saskatchewan, Canada.

    Science.gov (United States)

    Anstead, Clare A; Chilton, Neil B

    2013-04-01

    A novel Rickettsia was detected in the rotund tick, Ixodes kingi Bishopp, 1911, based on comparative DNA sequence analyses of 4 genes; the rickettsial-specific 17-kDa antigen gene, citrate synthase gene (gltA), the outer surface membrane protein A gene (ompA), and the 16S rRNA gene. The rickettsiae in I. kingi differed in nucleotide sequence from those of other Rickettsia species by 5.8-18.3% for the 17-kDa gene, 0.9-13.9% for gltA, 5.5-22.8% for ompA, and 0.9-1.6% for the 16S rRNA gene. Phylogenetic analyses of the sequence data revealed that this putative new species of Rickettsia, provisionally named Candidatus Rickettsia kingi, does not belong to the spotted fever group or typhus group of rickettsiae, but represents a sister taxon to R. canadensis and Candidatus Rickettsia tarasevichiae. This novel Rickettsia was found in 60 of the 87 (69%) ticks examined, which included all feeding life cycle stages of I. kingi. Although adult I. kingi occasionally parasitize dogs and humans, it remains to be determined if this Rickettsia is pathogenic to these host species. PMID:23419865

  4. Seroprevalence of spotted fever group Rickettsiae in dogs in Germany.

    Science.gov (United States)

    Wächter, Miriam; Pfeffer, Martin; Schulz, Nicole; Balling, Anneliese; Chirek, Aleksandra; Bach, Jan-Peter; Moritz, Andreas; Kohn, Barbara; Pachnicke, Stefan; Silaghi, Cornelia

    2015-03-01

    Tick-transmitted spotted fever group Rickettsiae (SFGR) are considered emerging disease pathogens in Europe. To assess the situation in Germany, a seroepidemiologic survey of dogs (n=605, which have never left Germany) was conducted to determine the prevalence of antibodies to SFGR. For this purpose, a commercially available enzyme-linked immunosorbent assay (ELISA) test for all SFGR was used. A total of 78% of the dogs were positive for antibodies of the SFGR, and there was a positive correlation between age, tick-infestation, and seropositivity. There was no correlation between clinical state, location, and seropositivity, suggesting that infection with rickettsia is neither related to the health condition of the dogs nor to their abode in Germany. According to our results, all of Germany can be considered as an endemic area for SFGR. This should be taken into account when assessing the epidemiology of human rickettsioses and their impact on public health. PMID:25793474

  5. Latex-Rickettsia rickettsii test reactivity in seropositive patients.

    OpenAIRE

    Hechemy, K E; Rubin, B B

    1983-01-01

    In correlating results obtained from a new latex-Rickettsia rickettsii test with results obtained from a reference microimmunofluorescence test for Rocky Mountain spotted fever, we found that for seropositive patients each microimmunofluorescence titer (up to 4,096) was usually double the median titer obtained from the latex-R. rickettsii test. The pattern of immunoserological response indicated that latex-R. rickettsii is reactive with sera containing either anti-R. rickettsii immunoglobulin...

  6. Experimental Infection of Amblyomma aureolatum Ticks with Rickettsia rickettsii

    OpenAIRE

    Labruna, Marcelo B.; Ogrzewalska, Maria; Soares, João F; Martins, Thiago F.; Soares, Herbert S.; Moraes-Filho, Jonas; Nieri-Bastos, Fernanda A.; Almeida, Aliny P.; Pinter, Adriano

    2011-01-01

    We experimentally infected Amblyomma aureolatum ticks with the bacterium Rickettsia rickettsii, the etiologic agent of Rocky Mountain spotted fever (RMSF). These ticks are a vector for RMSF in Brazil. R. rickettsii was efficiently conserved by both transstadial maintenance and vertical (transovarial) transmission to 100% of the ticks through 4 laboratory generations. However, lower reproductive performance and survival of infected females was attributed to R. rickettsii infection. Therefore, ...

  7. 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.

  8. Identification and partial characterization of Rickettsia tsutsugamushi major protein immunogens.

    OpenAIRE

    Hanson, B

    1985-01-01

    Strains of Rickettsia tsutsugamushi so far examined have either three or four quantitatively predominant proteins, which apparently are surface proteins and which range in size between 50 and 63 kilodaltons. These polypeptides also were the major immunogens detected by polyacrylamide gel electrophoresis of extracted rickettsial proteins which had been precipitated by hyperimmune rabbit sera. The major proteins from different rickettsial strains share some epitopes, as evidenced by the lack of...

  9. 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.

  10. Detection of Rickettsia bellii and Rickettsia amblyommii in Amblyomma longirostre (Acari: Ixodidae) from Bahia state, Northeast Brazil.

    Science.gov (United States)

    McIntosh, Douglas; Bezerra, Rodrigo Alves; Luz, Hermes Ribeiro; Faccini, João Luiz Horacio; Gaiotto, Fernanda Amato; Giné, Gastón Andrés Fernandez; Albuquerque, George Rego

    2015-01-01

    Studies investigating rickettsial infections in ticks parasitizing wild animals in the Northeast region of Brazil have been confined to the detection of Rickettsia amblyommii in immature stages of Amblyomma longirostre collected from birds in the state of Bahia, and in immatures and females of Amblyomma auriculariumcollected from the striped hog-nosed skunk (Conepatus semistriatus) and armadillos (Euphractus sexcinctus) in the state of Pernambuco. The current study extends the distribution of R. amblyommii (strain Aranha), which was detected in A. longirostre collected from the thin-spined porcupine Chaetomys subspinosus and the hairy dwarf porcupine Coendou insidiosus. In addition, we report the first detection of Rickettsia bellii in adults of A. longirostre collected from C. insidiosus in the state of Bahia. PMID:26413074

  11. Analysis of antigenic characteristics of Rickettsia tsutsugamushi Boryong strain and antigenic heterogeneity of Rickettsia tsutsugamushi using monoclonal antibodies.

    OpenAIRE

    Park, C. S.; Kim, I C; Lee, J B; Choi, M. S.; Choi, S. B.; Chang, W H; Kim, I.

    1993-01-01

    Twenty-four monoclonal antibodies were produced by immunizing BALB/c mice with Rickettsia tsutsugamushi Boryong strain and used for the analysis of antigenic characteristics of R.tsutsugamushi Boryong strain and antigenic heterogeneity of R.tsutsugamushi by indirect immunofluorescent(IF) test. R. tsutsugamushi Kato, Karp, Gilliam, TA686, TA716, TA763, TC586, TH1817, and Boryong were used for the analysis of antigenic heterogeneity of R.tsutsugamushi. Five monoclonal antibodies were reactive w...

  12. A Kunitz Protease Inhibitor from Dermacentor variabilis, a Vector for Spotted Fever Group Rickettsiae, Limits Rickettsia montanensis Invasion ? †

    OpenAIRE

    Ceraul, Shane M; Chung, Ashley; Sears, Khandra T.; Popov, Vsevolod L.; Beier-Sexton, Magda; Rahman, M Sayeedur; Azad, Abdu F.

    2010-01-01

    A defining facet of tick-Rickettsia symbioses is the molecular strategy employed by each partner to ensure its own survival. Ticks must control rickettsial colonization to avoid immediate death. In the current study, we show that rickettsial abundance in the tick midgut increases once the expression of a Kunitz-type serine protease inhibitor from the American dog tick (Dermacentor variabilis) (DvKPI) is suppressed by small interfering RNA (siRNA). A series of in vitro invasion assays suggeste...

  13. Spotted fever group rickettsiae detected in immature stages of ticks parasitizing on Iberian endemic lizard Lacerta schreiberi Bedriaga, 1878.

    Czech Academy of Sciences Publication Activity Database

    Kubelová, M.; Papoušek, I.; B?lohlávek, T.; Goüy de Bellocq, Joëlle; Baird, Stuart J. E.; Široký, P.

    2015-01-01

    Ro?. 6, ?. 6 (2015), s. 711-714. ISSN 1877-959X Institutional support: RVO:68081766 Keywords : Spotted fever group rickettsiae * Rickettsia monacensis * Rickettsia helvetica * Ixodes ricinus * Lacerta schreiberi Subject RIV: EG - Zoology Impact factor: 2.718, year: 2014

  14. Genome Sequence of Rickettsia hoogstraalii, a Geographically Widely Distributed Tick-Associated Bacterium

    OpenAIRE

    Sentausa, Erwin; El Karkouri, Khalid; Nguyen, Thi-Tien; Caputo, Aurélia; Raoult, Didier; Fournier, Pierre-Edouard

    2014-01-01

    Rickettsia hoogstraalii is a tick-associated member of the spotted fever group rickettsiae that is geographically widely distributed. We report here the draft genome of R. hoogstraalii strain CroaticaT (=DSM 22243 = UTMB 00003), which was isolated from Haemaphysalis sulcata ticks collected in Croatia.

  15. Rickettsia fells infection in febrile patients, Western Kenya, 2007-2010

    OpenAIRE

    Maina, Alice N.; Knobel, Darryn Leslie; Jiang, Ju; Halliday, Jo E.B; Feikin, Daniel R; Cleaveland, Sarah; Ng’ang’a, Zipporah; Junghae, Muthoni; Breiman, Robert F; Richards, Allen L.; Njenga, M Kariuki

    2012-01-01

    To determine previous exposure and incidence of rickettsial infections in western Kenya during 2007–2010, we conducted hospital-based surveillance. Antibodies against rickettsiae were detected in 57.4% of previously collected serum samples. In a 2008–2010 prospective study, Rickettsia felis DNA was 2.2× more likely to be detected in febrile than in afebrile persons.

  16. Rickettsia spp. in Seabird Ticks from Western Indian Ocean Islands, 2011–2012

    OpenAIRE

    Dietrich, Muriel; Lebarbenchon, Camille; Jaeger, Audrey; Le Rouzic, Céline; Bastien, Matthieu; Lagadec, Erwan; McCoy, Karen D.; Pascalis, Hervé; Le Corre, Matthieu; Dellagi, Koussay; Tortosa, Pablo

    2014-01-01

    We found a diversity of Rickettsia spp. in seabird ticks from 6 tropical islands. The bacteria showed strong host specificity and sequence similarity with strains in other regions. Seabird ticks may be key reservoirs for pathogenic Rickettsia spp., and bird hosts may have a role in dispersing ticks and tick-associated infectious agents over large distances.

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

    DEFF Research Database (Denmark)

    Svendsen, Claus Bo; Boye, Mette; Struve, Carsten; Krogfelt, Karen A

    2008-01-01

    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 Rickettsia was found without problems of cross-reactions with bacterial species shown to cross-react serologically.

  18. 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.

    2011-11-01

    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.

  19. 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.

  20. 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.

  1. 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.

  2. Transcriptional regulation in the obligate intracytoplasmic bacterium Rickettsia prowazekii.

    OpenAIRE

    Cai, J.; Winkler, H. H.

    1996-01-01

    Transcriptional regulation was demonstrated in Rickettsia prowazekii, an obligate intracytoplasmic bacterium. The level of citrate synthase (gltA) mRNA II, from promoter P2, was greater in the total RNA isolated from heavily infected L929 cells than in moderately infected L929 cells; conversely, the level of ATP/ADP translocase (tlc) mRNA was greater in moderately infected cells. The level of gltA mRNA I, from promoter P1, did not change under these conditions. The chemical half-lives of gltA...

  3. Shell-vial culture and real-time PCR applied to Rickettsia typhi and Rickettsia felis detection.

    Science.gov (United States)

    Segura, Ferran; Pons, Immaculada; Pla, Júlia; Nogueras, María-Mercedes

    2015-11-01

    Murine typhus is a zoonosis transmitted by fleas, whose etiological agent is Rickettsia typhi. Rickettsia felis infection can produces similar symptoms. Both are intracellular microorganisms. Therefore, their diagnosis is difficult and their infections can be misdiagnosed. Early diagnosis prevents severity and inappropriate treatment regimens. Serology can't be applied during the early stages of infection because it requires seroconversion. Shell-vial (SV) culture assay is a powerful tool to detect Rickettsia. The aim of the study was to optimize SV using a real-time PCR as monitoring method. Moreover, the study analyzes which antibiotics are useful to isolate these microorganisms from fleas avoiding contamination by other bacteria. For the first purpose, SVs were inoculated with each microorganism. They were incubated at different temperatures and monitored by real-time PCR and classical methods (Gimenez staining and indirect immunofluorescence assay). R. typhi grew at all temperatures. R. felis grew at 28 and 32 °C. Real-time PCR was more sensitive than classical methods and it detected microorganisms much earlier. Besides, the assay sensitivity was improved by increasing the number of SV. For the second purpose, microorganisms and fleas were incubated and monitored in different concentrations of antibiotics. Gentamicin, sufamethoxazole, trimethoprim were useful for R. typhi isolation. Gentamicin, streptomycin, penicillin, and amphotericin B were useful for R. felis isolation. Finally, the optimized conditions were used to isolate R. felis from fleas collected at a veterinary clinic. R. felis was isolated at 28 and 32 °C. However, successful establishment of cultures were not possible probably due to sub-optimal conditions of samples. PMID:26289162

  4. Genetic characterization and transovarial transmission of a typhus-like rickettsia found in cat fleas.

    OpenAIRE

    Azad, A. F.; Sacci, J.B.; Nelson, W. M.; Dasch, G. A.; Schmidtmann, E T; Carl, M

    1992-01-01

    The identification of apparently fastidious microorganisms is often problematic. DNA from a rickettsia-like agent (called the ELB agent) present in cat fleas could be amplified by PCR with conserved primers derived from rickettsial 17-kDa common protein antigen and citrate synthase genes but not spotted fever group 190-kDa antigen gene. Alu I sites in both the 17-kDa and citrate synthase PCR products obtained with the rickettsia-like agent and Rickettsia typhi were different even though both ...

  5. 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].

  6. Experimental infection of the opossum Didelphis aurita by Rickettsia felis, Rickettsia bellii, and Rickettsia parkeri and evaluation of the transmission of the infection to ticks Amblyomma cajennense and Amblyomma dubitatum.

    Science.gov (United States)

    Horta, Maurício C; Sabatini, Guilherme S; Moraes-Filho, Jonas; Ogrzewalska, Maria; Canal, Raoní B; Pacheco, Richard C; Martins, Thiago F; Matushima, Eliana R; Labruna, Marcelo B

    2010-12-01

    This work evaluated the infection of opossums (Didelphis aurita) by Rickettsia felis, Rickettsia bellii, and Rickettsia parkeri and their role as amplifier hosts for horizontal transmission to Amblyomma cajennense and/or Amblyomma dubitatum ticks. Infection in D. aurita was induced by intraperitoneal inoculation with R. felis (n?=?4 opossums), R. bellii (n?=?4), and R. parkeri (n?=?2). Another group of six opossums were inoculated intraperitoneally with Leibovitz-15 sterile culture medium, representing the uninfected groups (n?=?2 opossums simultaneously to each infected group). Opossum blood samples collected during the study were used for DNA extraction, followed by real-time polymerase chain reaction targeting the rickettsial gene gltA, hematology, and detection of Rickettsia spp.-reactive antibodies by indirect immunofluorescence assay. Opossums were infested with uninfected A. cajennense and/or A. dubitatum for 30 days postinoculation (DPI). Flat ticks molted from ticks fed on opossums were allowed to feed on uninfected rabbits, which were tested for seroconversion by immunofluorescence assay. Samples of flat ticks were also tested by real-time polymerase chain reaction. Inoculated opossums showed no clinical abnormalities. Antibodies to Rickettsia spp. were first detected at the second to fourth DPI, with detectable titers until the 150th DPI. Rickettsemia was detected only in one opossum inoculated with R. parkeri, at the eighth DPI. Only one A. cajennense tick (2.0%) previously fed on a R. parkeri-inoculated opossum became infected. None of the rabbits infested with opossum-derived ticks seroconverted. The study demonstrated that R. felis, R. bellii, and R. parkeri were capable to produce antibody response in opossums, however, with undetectable rickettsemia for R. felis and R. bellii, and very low rickettsemia for R. parkeri. Further studies must be done with different strains of these rickettsiae, most importantly the strains that have never gone through in vitro passages. PMID:20455783

  7. Complete Genome Sequence of Rickettsia heilongjiangensis, an Emerging Tick-Transmitted Human Pathogen

    OpenAIRE

    Duan, Changsong; Tong, Yigang; Yong HUANG; Wang, Xile; Xiong, Xiaolu; Wen, Bohai

    2011-01-01

    Rickettsia heilongjiangensis is an emerging tick-transmitted human pathogen causing far-Eastern spotted fever. Here we report the complete sequence and the main features of the genome of R. heilongjiangensis (strain 054).

  8. Spotted fever group rickettsiae in ticks collected from wild animals in Israel.

    Science.gov (United States)

    Keysary, Avi; Eremeeva, Marina E; Leitner, Moshe; Din, Adi Beth; Wikswo, Mary E; Mumcuoglu, Kosta Y; Inbar, Moshe; Wallach, Arian D; Shanas, Uri; King, Roni; Waner, Trevor

    2011-11-01

    We report molecular evidence for the presence of spotted fever group rickettsiae (SFGR) in ticks collected from roe deer, addax, red foxes, and wild boars in Israel. Rickettsia aeschlimannii was detected in Hyalomma marginatum and Hyalomma detritum while Rickettsia massiliae was present in Rhipicephalus turanicus ticks. Furthermore, a novel uncultured SFGR was detected in Haemaphysalis adleri and Haemaphysalis parva ticks from golden jackals. The pathogenicity of the novel SFGR for humans is unknown; however, the presence of multiple SFGR agents should be considered when serological surveillance data from Israel are interpreted because of significant antigenic cross-reactivity among Rickettsia. The epidemiology and ecology of SFGR in Israel appear to be more complicated than was previously believed. PMID:22049050

  9. Prevalence and diversity of human pathogenic rickettsiae in urban versus rural habitats, Hungary.

    Science.gov (United States)

    Szekeres, Sándor; Docters van Leeuwen, Arieke; Rigó, Krisztina; Jablonszky, Mónika; Majoros, Gábor; Sprong, Hein; Földvári, Gábor

    2016-02-01

    Tick-borne rickettsioses belong to the important emerging infectious diseases worldwide. We investigated the potential human exposure to rickettsiae by determining their presence in questing ticks collected in an urban park of Budapest and a popular hunting and recreational forest area in southern Hungary. Differences were found in the infectious risk between the two habitats. Rickettsia monacensis and Rickettsia helvetica were identified with sequencing in questing Ixodes ricinus, the only ticks species collected in the city park. Female I. ricinus had a particularly high prevalence of R. helvetica (45 %). Tick community was more diverse in the rural habitat with Dermacentor reticulatus ticks having especially high percentage (58 %) of Rickettsia raoultii infection. We conclude that despite the distinct eco-epidemiological traits, the risk (hazard and exposure) of acquiring human pathogenic rickettsial infections in both the urban and the rural study sites exists. PMID:26613759

  10. 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: 2.718, year: 2014

  11. Characterization of Spotted Fever Group Rickettsiae in Flea and Tick Specimens from Northern Peru

    OpenAIRE

    Patrick J. Blair; Jiang, Ju; Schoeler, George B.; Moron, Cecilia; Anaya, Elizabeth; Cespedes, Manuel; Cruz, Christopher; Felices, Vidal; Guevara, Carolina; Mendoza, Leonardo; Villaseca, Pablo; Sumner, John W.; Richards, Allen L.; Olson, James G.

    2004-01-01

    Evidence of spotted fever group (SFG) rickettsiae was obtained from flea pools and individual ticks collected at three sites in northwestern Peru within the focus of an outbreak of febrile disease in humans attributed, in part, to SFG rickettsia infections. Molecular identification of the etiologic agents from these samples was determined after partial sequencing of the 17-kDa common antigen gene (htrA) as well as pairwise nucleotide sequence homology with one or more of the following genes: ...

  12. Feeding by Amblyomma maculatum (Acari: Ixodidae) Enhances Rickettsia parkeri (Rickettsiales: Rickettsiaceae) Infection in the Skin

    OpenAIRE

    Grasperge, Britton J.; Timothy W. Morgan; Paddock, Christopher D.; Peterson, Karin E.; Macaluso, Kevin R

    2014-01-01

    Rickettsia parkeri Luckman (Rickettsiales: Rickettsiaceae), a member of the spotted fever group of Rickettsia, is the tick-borne causative agent of a newly recognized, eschar-associated rickettsiosis. Because of its relatively recent designation as a pathogen, few studies have examined the pathogenesis of transmission of R. parkeri to the vertebrate host. To further elucidate the role of tick feeding in rickettsial infection of vertebrates, nymphal Amblyomma maculatum Koch (Acari: Ixodidae) w...

  13. Spotted fever group Rickettsia in brown dog ticks Rhipicephalus sanguineus in southwestern Spain

    OpenAIRE

    Márquez, F.J.; Rodríguez-Liébana, J.J.; Soriguer, Ramón C; Muniain, M.A.; Bernabeu-Wittel, M; Caruz, Antonio; Contreras-Chova, F.

    2008-01-01

    A total of 2,229 adults ticks (1,428 males and 801 females) belonging to the brown dog tick, Rhipicephalus sanguineus Latreille, 1806, collected from dogs in Seville province (Andalusia), distributed in 500 lots ranging from one to eight specimens per lot, were examined for the presence of rickettsiae by molecular techniques. Specific rickettsiae DNA were detected in 90 lots (18%) of ticks tested. Sequence analysis of amplicons revealed that R. sanguineus ticks were infected exclusively with ...

  14. 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 ...

  15. 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...

  16. Cloned mouse interferon-gamma inhibits the growth of Rickettsia prowazekii in cultured mouse fibroblasts

    OpenAIRE

    1983-01-01

    The effect of treating cultured mouse fibroblasts (L929 cells) with cloned mouse interferon-gamma on the growth of Rickettsia prowazekii within the fibroblasts was studied. Within 48 h after infection, rickettsiae were cleared from a substantial proportion of the initially infected cells and rickettsial growth was inhibited in those cells that remained infected, when L929 cells were treated with cloned mouse interferon-gamma both before and after infection. When L929 cells were treated with c...

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

    OpenAIRE

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

    1982-01-01

    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-...

  18. Inhibition of the growth of Rickettsia prowazekii in cultured fibroblasts by lymphokines

    OpenAIRE

    1983-01-01

    The effect of lymphokine treatment of mouse and human fibroblast cell lines on the growth of Rickettsia prowazekii within the fibroblasts was studied. Treatment of mouse L929 cells with concanavalin A- or antigen- induced mouse lymphokines both before and after infection with R. prowazekii led to clearance of the rickettsiae from a substantial proportion of the cells and suppression of rickettsial growth in those cells which remained infected. Similar but less dramatic anti- rickettsial effec...

  19. Susceptibility of Rickettsia tsutsugamushi Gilliam to gamma interferon in cultured mouse cells.

    OpenAIRE

    Hanson, B

    1991-01-01

    Recombinant rodent gamma interferon (IFN-gamma) inhibited the infection of cultured BALB/3T3 mouse fibroblasts by Rickettsia tsutsugamushi Gilliam, apparently mainly by clearance of intracellular rickettsiae. No significant effect on rickettsial entry into the cells was noted; IFN-gamma was toxic to infected cells, as measured by the capacity of treated, infected cells to attach to the surfaces of culture vessels. In a small proportion of IFN-gamma-treated cells, rickettsial replication appea...

  20. Rickettsia typhi IN RODENTS AND R. felis IN FLEAS IN YUCATÁN AS A POSSIBLE CAUSAL AGENT OF UNDEFINED FEBRILE CASES

    Science.gov (United States)

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

    2015-01-01

    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 Rickettsia 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. PMID:25923891

  1. 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.

  2. Heterogeneity of CD4-positive human T-cell clones which recognize the surface protein antigen of Rickettsia typhi.

    OpenAIRE

    Carl, M; Vaidya, S; Robbins, F M; Ching, W M; Hartzman, R J; Dasch, G. A.

    1989-01-01

    Immunity to the typhus group of rickettsiae is largely dependent on the effector function of several classes of T lymphocytes, including those which produce gamma interferon. Since the surface protein antigen (SPA) derived from typhus group rickettsiae has been shown to be an effective immunogen in animal models, human T-cell clones specific for the SPA of Rickettsia typhi were isolated and tested for their antigenic specificity, as well as for their ability to produce gamma interferon. Eight...

  3. ESCCAR international congress on Rickettsia and other intracellular bacteria.

    Science.gov (United States)

    de Barsy, Marie; Bertelli, Claire; Jacquier, Nicolas; Kebbi-Beghdadi, Carole; Greub, Gilbert

    2015-10-01

    The European Society for the study of Chlamydia, Coxiella, Anaplasma and Rickettsia (ESCCAR) held his triennial international meeting in Lausanne. This meeting gathered 165 scientists from 28 countries and all 5 continents, allowing efficient networking and major scientific exchanges. Topics covered include molecular and cellular microbiology, genomics, as well as epidemiology, veterinary and human medicine. Several breakthroughs have been revealed at the meeting, such as (i) the presence of CRISPR (the "prokaryotic immune system") in chlamydiae, (ii) an Anaplasma effector involved in host chromatin remodelling, (iii) the polarity of the type III secretion system of chlamydiae during the entry process revealed by cryo-electron tomography. Moreover, the ESCCAR meeting was a unique opportunity to be exposed to cutting-edge science and to listen to comprehensive talks on current hot topics. PMID:26297854

  4. 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.

  5. 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.

  6. Development of three quantitative real-time PCR assays for the detection of Rickettsia raoultii, Rickettsia slovaca, and Rickettsia aeschlimannii and their validation with ticks from the country of Georgia and the Republic of Azerbaijan.

    Science.gov (United States)

    Jiang, Ju; You, Brian J; Liu, Evan; Apte, Anisha; Yarina, Tamasin R; Myers, Todd E; Lee, John S; Francesconi, Stephen C; O'Guinn, Monica L; Tsertsvadze, Nikoloz; Vephkhvadze, Nino; Babuadze, Giorgi; Sidamonidze, Ketevan; Kokhreidze, Maka; Donduashvili, Marina; Onashvili, Tinatin; Ismayilov, Afrail; Agayev, Nigar; Aliyev, Mubariz; Muttalibov, Nizam; Richards, Allen L

    2012-12-01

    A previous surveillance study of human pathogens within ticks collected in the country of Georgia showed a relatively high infection rate for Rickettsia raoultii, R. slovaca, and R. aeschlimannii. These 3 spotted fever group rickettsiae are human pathogens: R. raoultii and R. slovaca cause tick-borne lymphadenopathy (TIBOLA), and R. aeschlimannii causes an infection characterized by fever and maculopapular rash. Three quantitative real-time polymerase chain reaction (qPCR) assays, Rraoul, Rslov, and Raesch were developed and optimized to detect R. raoultii, R. slovaca, and R. aeschlimannii, respectively, by targeting fragments of the outer membrane protein B gene (ompB) using species-specific molecular beacon or TaqMan probes. The 3 qPCR assays showed 100% specificity when tested against a rickettsiae DNA panel (n=20) and a bacteria DNA panel (n=12). The limit of detection was found to be at least 3 copies per reaction for all assays. Validation of the assays using previously investigated tick nucleic acid preparations, which included Rickettsia-free tick samples, tick samples that contain R. raoultii, R. slovaca, R. aeschlimannii, and other Rickettsia spp., gave 100% sensitivity for all 3 qPCR assays. In addition, a total of 65 tick nucleic acid preparations (representing 259 individual ticks) collected from the country of Georgia and the Republic of Azerbaijan in 2009 was tested using the 3 qPCR assays. R. raoultii, R. slovaca, and R. aeschlimannii were not detected in any ticks (n=31) from the Republic of Azerbaijan, but in the ticks from the country of Georgia (n=228) the minimal infection rate for R. raoultii and R. slovaca in Dermacentor marginatus was 10% and 4%, respectively, and for R. aeschlimannii in Haemaphysalis sulcata and Hyalomma spp. it was 1.9% and 20%, respectively. PMID:23182543

  7. 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.

  8. Molecular characterization of 'Candidatus Rickettsia vini' in Ixodes arboricola from the Czech Republic and Slovakia.

    Science.gov (United States)

    Novakova, Marketa; Bulkova, Alexandra; Costa, Francisco B; Kristin, Anton; Krist, Milos; Krause, Frantisek; Liznarova, Eva; Labruna, Marcelo B; Literak, Ivan

    2015-04-01

    The aim of this study was to analyze the prevalence of rickettsiae in the tree-hole tick Ixodes arboricola in the Czech Republic and Slovakia. During May to September of 2009 and 2013, bird boxes belonging to three different areas were screened for ticks. In total, 454 nestlings and 109 nests of 10 hole-breeding bird species were examined. Ticks were found on Ficedula albicollis, Parus major, Cyanistes caeruleus and Sitta europaea and/or in their nests. In total, 166 ticks (17 nymphs, 10 males and 139 females) were found at 3 areas (arithmetic mean±standard error: 55.3±45.9). All ticks were tested for the presence of Rickettsia species by polymerase chain reaction targeting the rickettsial genes gltA, ompA, ompB and htrA and amplicon sequencing. All individuals except 3 nymphs were infected with 'Candidatus Rickettsia vini'. Multilocus sequence typing showed closest proximity to Rickettsia japonica and Rickettsia heilongjiangensis cluster. The presence of 'Ca. R. vini' is reported for the first time in Slovakia. PMID:25769386

  9. 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

  10. 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.

  11. 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

  12. Transmembrane electrical potential in Rickettsia prowazekii and its relationship to lysine transport.

    OpenAIRE

    Zahorchak, R J; Winkler, H. H.

    1983-01-01

    The transmembrane electrical potential (delta psi) generated by Rickettsia prowazekii metabolizing glutamic acid or ATP was determined by flow dialysis with the lipophilic cation tetraphenylphosphonium and with lysine. At pH 7.0, the rickettsiae generated a delta psi as measured by tetraphenylphosphonium distribution of 90 mV. Under similar conditions, cells of R.prowazekii concentrated lysine to a gradient indicating a delta psi of 90 mV. Energy-starved cells of R. prowazekii were able to ut...

  13. Detection of Rickettsia massiliae in Rhipicephalus sanguineus from the eastern United States.

    Science.gov (United States)

    Fornadel, Christen M; Smith, Joshua D; Zawada, Sonya E; Arias, Jorge R; Norris, Douglas E

    2013-01-01

    We report the first evidence of Rickettsia massiliae in the brown dog tick, Rhipicephalus sanguineus, from the East Coast of the United States. As part of routine pathogen surveillance, DNA samples from ixodid ticks were tested for spotted fever group rickettsiae by nested PCR. A R. massiliae-positive tick was collected off a beagle mix recently rescued from North Carolina. Infection was confirmed by partial sequence analysis of the htrA, gltA, ompB, ompA, and sca4 genes, which had 100% identity to a R. massiliae isolate from Arizona. PMID:23199270

  14. Detection of Rickettsia massiliae in Rhipicephalus sanguineus from the Eastern United States

    OpenAIRE

    FORNADEL, CHRISTEN M.; Smith, Joshua D.; Zawada, Sonya E.; ARIAS, JORGE R.; Norris, Douglas E

    2013-01-01

    We report the first evidence of Rickettsia massiliae in the brown dog tick, Rhipicephalus sanguineus, from the East Coast of the United States. As part of routine pathogen surveillance, DNA samples from ixodid ticks were tested for spotted fever group rickettsiae by nested PCR. A R. massiliae-positive tick was collected off a beagle mix recently rescued from North Carolina. Infection was confirmed by partial sequence analysis of the htrA, gltA, ompB, ompA, and sca4 genes, which had 100% ident...

  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. Evidence of spotted fever group rickettsiae in state of Rio de Janeiro, Brazil Evidência de rickettsiae do grupo da febre maculosa no Estado do Rio de Janeiro, Brasil

    OpenAIRE

    ROZENTAL Tatiana; Maria Cristina BUSTAMANTE; Amorim, Marinete; Serra-Freire, Nicolau Maués; Elba Regina Sampaio de LEMOS

    2002-01-01

    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 verifi...

  17. 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...

  18. Selection of Alpha/Beta Interferon- and Gamma Interferon-Resistant Rickettsiae by Passage of Rickettsia prowazekii in L929 Cells

    OpenAIRE

    1991-01-01

    The ability of endogenously produced alpha/beta interferon (IFN-alpha/beta) to inhibit rickettsial growth in infected L929 cell cultures was evaluated by comparing the growth of Rickettsia prowazekii Madrid E in untreated cultures and cultures treated with anti-mouse IFN (alpha + beta) serum. The endogenously produced IFN was neutralized, and rickettsial growth was enhanced in the antiserum-treated cultures. This inhibitory effect of endogenously produced IFN-alpha/beta was used to select ric...

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

    Science.gov (United States)

    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. PMID:18826827

  20. 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.

  1. Rickettsia typhi and R. felis in rat fleas (Xenopsylla cheopis), Oahu, Hawaii.

    Science.gov (United States)

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

    2008-10-01

    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. PMID:18826827

  2. Aneruptive Fever Associated with Antibodies to Rickettsia helvetica in Europe and Thailand†

    OpenAIRE

    Fournier, Pierre-Edouard; Allombert, Caroline; Supputamongkol, Yupin; Caruso, Giuseppe; Brouqui, Philippe; Raoult, Didier

    2004-01-01

    We report that eight patients from France, Italy, and Thailand had serological evidence of Rickettsia helvetica infection. The infection presented as a mild disease in the warm season and was associated with fever, headache, and myalgia but not with a cutaneous rash. R. helvetica should be suspected in patients with unexplained fever, especially following a bite from an Ixodes sp. tick.

  3. Tick infestation and spotted-fever group Rickettsia in shelter dogs, California, 2009.

    Science.gov (United States)

    Fritz, C L; Kriner, P; Garcia, D; Padgett, K A; Espinosa, A; Chase, R; Hu, R; Messenger, S L

    2012-02-01

    In response to an outbreak of Rocky Mountain spotted fever (RMSF) in Baja California in early 2009, dogs at two shelters in neighbouring Imperial County, California, were evaluated for ectoparasites. Brown dog ticks (Rhipicephalus sanguineus), a recognized vector for RMSF, were found on 35 (30%) of 116 dogs but all ticks tested negative for Rickettsia rickettsii by PCR. PMID:21824367

  4. Rickettsia slovaca in Dermacentor marginatus ticks and Tick Borne Lymphadenopathy in Tuscany, central Italy

    OpenAIRE

    Mannelli, Alessandro; TOMASSONE, Laura; Bertolotti, Luigi

    2008-01-01

    Of 263 patients in Tuscany, Italy, from whom ticks were removed during July 2005–May 2007, fi ve showed signs of tick-borne lymphadenopathy. Of the ticks, 17 were Dermacentor marginatus; 6 (35.3%) of these were identifi ed by sequence analysis as containing Rickettsia slovaca. Tickborne lymphadenopathy occurs in this area.

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

    DEFF Research Database (Denmark)

    Svendsen, Claus Bo; Boye, Mette; Struve, Carsten; Krogfelt, Karen A.

    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.

  6. 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

  7. Transformation Frequency of a mariner-Based Transposon in Rickettsia rickettsii ? §

    OpenAIRE

    Clark, Tina R.; Lackey, Amanda M.; Kleba, Betsy; Driskell, Lonnie O.; Lutter, Erika I.; Martens, Craig; Wood, David O.; Hackstadt, Ted

    2011-01-01

    Transformation frequencies of a mariner-based transposon system in Rickettsia rickettsii were determined using a plaque assay system for enumeration and isolation of mutants. Sequence analysis of insertion sites in both R. rickettsii and R. prowazekii indicated that insertions were random. Transposon mutagenesis provides a useful tool for rickettsial research.

  8. 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: 2.718, year: 2014

  9. 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.

  10. Pathogenic potential of a Costa Rican strain of 'Candidatus Rickettsia amblyommii' in guinea pigs (Cavia porcellus) and protective immunity against Rickettsia rickettsii.

    Science.gov (United States)

    Rivas, Juan J; Moreira-Soto, Andrés; Alvarado, Gilberth; Taylor, Lizeth; Calderón-Arguedas, Olger; Hun, Laya; Corrales-Aguilar, Eugenia; Morales, Juan Alberto; Troyo, Adriana

    2015-09-01

    'Candidatus Rickettsia amblyommii' is a spotted fever group rickettsia that is not considered pathogenic, although there is serologic evidence of possible infection in animals and humans. The aim of this study was to evaluate the pathogenic potential of a Costa Rican strain of 'Candidatus R. amblyommii' in guinea pigs and determine its capacity to generate protective immunity against a subsequent infection with a local strain of Rickettsia rickettsii isolated from a human case. Six guinea pigs were inoculated with 'Candidatus R. amblyommii' strain 9-CC-3-1 and two controls with cell culture medium. Health status was evaluated, and necropsies were executed at days 2, 4, and 13. Blood and tissues were processed by PCR to detect the gltA gene, and end titers of anti-'Candidatus R. amblyommii' IgG were determined by indirect immunofluorescence. To evaluate protective immunity, another 5 guinea pigs were infected with 'Candidatus R. amblyommii' (IGPs). After 4 weeks, these 5 IGPs and 3 controls (CGPs) were inoculated with pathogenic R. rickettsii. Clinical signs and titers of anti-Rickettsia IgG were determined. IgG titers reached 1:512 at day 13 post-infection with 'Candidatus R. amblyommii'. On day 2 after inoculation, two guinea pigs had enlarged testicles and 'Candidatus R. amblyommii' DNA was detected in testicles. Histopathology confirmed piogranulomatous orchitis with perivascular inflammatory infiltrate in the epididymis. In the protective immunity assay, anti-Rickettsia IgG end titers after R. rickettsii infection were lower in IGPs than in CGPs. IGPs exhibited only transient fever, while CGP showed signs of severe disease and mortality. R. rickettsii was detected in testicles and blood of CGPs. Results show that the strain 9-CC-3-1 of 'Candidatus R. amblyommii' was able to generate pathology and an antibody response in guinea pigs. Moreover, its capacity to generate protective immunity against R. rickettsii may modulate the epidemiology and severity of Rocky Mountain spotted fever in areas where both species circulate. PMID:26210090

  11. "Rickettsia amblyommii" and R. montanensis infection in dogs following natural exposure to ticks.

    Science.gov (United States)

    Barrett, Anne; Little, Susan E; Shaw, Edward

    2014-01-01

    To determine the risk of canine infection with spotted fever group (SFG) Rickettsia spp. following natural tick exposure, 10 dogs determined to be free of evidence of exposure to or infection with tick-borne disease agents were exposed to ticks via weekly walks in a wooded area in north-central Oklahoma. After each walk, dogs were examined and the number and species of ticks present were recorded. The dogs were then returned to outdoor kennels to allow the infestations and subsequent transmission of any pathogens to proceed. Serum samples and whole blood were collected from each dog twice weekly for 121 days and evaluated via indirect fluorescence antibody (IFA) for antibodies reactive to Rickettsia rickettsii, R. montanensis, and "R. amblyommii," and by PCR for evidence of Rickettsia spp. Dogs became infested with a total of 57-108 ticks over the entire 8-week infestation period (weekly average tick infestation=12.0±4.1). The great majority of the ticks present were Amblyomma americanum (90.5%), with a small number of Dermacentor variabilis and A. maculatum also identified. All (10/10) dogs seroconverted to R. rickettsii, R. montanensis, and "R. amblyommii," with mean maximum inverse titers of 1176, 1448, and 6654, respectively, for all dogs in the study. Maximum inverse titers to "R. amblyommii" ranged from 4096 to 16,384 and were higher in 9/10 dogs than maximum inverse titers to R. rickettsii or R. montanensis. Sequence-confirmed SFG Rickettsia spp. (R. montanensis and "R. amblyommii") were occasionally, but not consistently, identified from whole blood by PCR. Taken together, our data suggest that, in areas where A. americanum is common, antibodies reactive to R. rickettsii in dogs may be due instead to infection with "R. amblyommii" or other, closely related SFG Rickettsia spp. PMID:24359419

  12. 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.

  13. 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

    OpenAIRE

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

    2011-01-01

    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 an...

  14. Rickettsiae of the spotted fever group associated with the host-parasite system Oryctolagus cuniculi/Rhipicephalus pusillus.

    Science.gov (United States)

    Ciceroni, L; Pinto, A; Rossi, C; Khoury, C; Rivosecchi, L; Stella, E; Cacciapuoti, B

    1988-08-01

    Wild rabbits--Oryctolagus cuniculi--living in large numbers in a protected zone of Tuscany, the park of Migliarino--San Rossore--Massaciuccoli, showed to be carriers of the hard tick Rhipicephalus pusillus, previously observed in North Africa and Sicily. Antibodies to Rickettsia conorii and R. slovaca were detected in 78.9 per cent of the wild rabbits captured in that area. Seroconversion towards R. conorii was also observed in guinea pigs inoculated with homogenates of R. pusillus parasitizing the wild rabbits. These results identify an ecological niche of rickettsiae of the Spotted fever group in the host-parasite system O. cuniculi/R. pusillus. Attempts to isolate rickettsiae from the ticks and the wild rabbits were unsuccessful both in the egg yolk sac and in the guinea pig. This failure probably shows the low pathogenicity of the rickettsiae parasitizing the biosystem O. cuniculi/R. pusillus. PMID:3195257

  15. Importation of exotic ticks and tick-borne spotted fever group rickettsiae into the United States by migrating songbirds

    OpenAIRE

    Mukherjee, Nabanita; Beati, Lorenza; Sellers, Michael; Burton, Laquita; Adamson, Steven; Robbins, Richard G.; Moore, Frank; KARIM, SHAHID

    2013-01-01

    Birds are capable of carrying ticks and, consequently, tick-transmitted microorganisms over long distances and across geographical barriers such as oceans and deserts. Ticks are hosts for several species of spotted fever group rickettsiae (SFGR), which can be transmitted to vertebrates during blood meals. In this study, the prevalence of this group of rickettsiae was examined in ticks infesting migratory songbirds by using polymerase chain reaction (PCR). During the 2009 and 2010 spring migra...

  16. Dual Mechanisms of Metabolite Acquisition by the Obligate Intracytosolic Pathogen Rickettsia prowazekii Reveal Novel Aspects of Triose Phosphate Transport

    OpenAIRE

    Frohlich, Kyla M.; Audia, Jonathon P.

    2013-01-01

    Rickettsia prowazekii is an obligate intracytosolic pathogen and the causative agent of epidemic typhus fever in humans. As an evolutionary model of intracellular pathogenesis, rickettsiae are notorious for their use of transport systems that parasitize eukaryotic host cell biochemical pathways. Rickettsial transport systems for substrates found only in eukaryotic cell cytoplasm are uncommon among free-living microorganisms and often possess distinctive mechanisms. We previously reported that...

  17. RC1339/APRc from Rickettsia conorii Is a Novel Aspartic Protease with Properties of Retropepsin-Like Enzymes

    OpenAIRE

    Cruz, Rui; Huesgen, Pitter; Riley, Sean P; Wlodawer, Alexander; Faro, Carlos; Overall, Christopher M; Martinez, Juan J.; Simões, Isaura

    2014-01-01

    Members of the species Rickettsia are obligate intracellular, gram-negative, arthropod-borne pathogens of humans and other mammals. The life-threatening character of diseases caused by many Rickettsia species and the lack of reliable protective vaccine against rickettsioses strengthens the importance of identifying new protein factors for the potential development of innovative therapeutic tools. Herein, we report the identification and characterization of a novel membrane-embedded retropepsi...

  18. Nitric Oxide-Mediated Inhibition of the Ability of Rickettsia prowazekii To Infect Mouse Fibroblasts and Mouse Macrophagelike Cells

    OpenAIRE

    Turco, Jenifer; Liu, Hua; Gottlieb, Sheldon F.; Winkler, Herbert H.

    1998-01-01

    The role of the nitric oxide synthase (NOS) pathway in inhibiting the ability of Rickettsia prowazekii to initially infect (invade) mouse cytokine-treated, fibroblastic L929 cells and macrophagelike RAW264.7 cells and the ability of nitric oxide (NO) to damage isolated rickettsiae were investigated. Substantial amounts of nitrite (a degradation product of NO) were produced and the initial rickettsial infection was suppressed in cultures of L929 cells treated with crude lymphokine preparations...

  19. 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.

    Science.gov (United States)

    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; Mafra, Cláudio L; Galvao, Márcio A M

    2010-12-01

    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. Polymerase chain reaction identified rickettsiae only in ticks and fleas obtained in Santa Cruz do Escalvado. Rickettsiae in samples had 100% sequence homology with Rickettsia felis. These results highlight the importance of marsupials in maintenance of the sylvatic cycle of rickettsial disease and potential integration with the domestic cycle. Our data also support the importance of horses and dogs as sentinels in monitoring circulation of rickettsiae in an urban area. PMID:21118939

  20. 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.

  1. 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

    Directory of Open Access Journals (Sweden)

    GUILLERMO BANNURA C

    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 curativa (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.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 positive 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.

  2. Isolation by a sensitive centrifugation cell culture system of 52 strains of spotted fever group rickettsiae from ticks collected in France.

    OpenAIRE

    Péter, O.; Raoult, D.; Gilot, B

    1990-01-01

    Boutonneuse fever caused by Rickettsia conorii is transmitted mainly by the brown dog tick, Rhipicephalus sanguineus. We collected 540 ticks in Marseille, France, and tried to isolate as many strains of rickettsia as possible. Ticks were evaluated for the presence of rickettsia by the hemolymph test and by a new culture system, the centrifugation-shell vial technique. We avoided contamination in the culture system. Prior to ticks being submitted to the hemolymph test, they were disinfected. O...

  3. 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...

  4. 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.

  5. First molecular detection of Rickettsia parkeri in Amblyomma tigrinum and Amblyomma dubitatum ticks from Uruguay.

    Science.gov (United States)

    Lado, Paula; Castro, Oscar; Labruna, Marcelo B; Venzal, José M

    2014-10-01

    Rickettsia parkei is the etiological agent of spotted fever in Uruguay, where is transmitted to humans by the tick Amblyomma triste. In the present study, ticks were collected from capybaras (Hydrochoerus hydrochaeris) and domestic dogs during 2011-2012 in different parts of Uruguay. Three out of 11 (27.3%) Amblyomma dubitatum ticks collected from capybaras, and 4 out of 6 (66.7%) Amblyomma tigrinum ticks collected from dogs were shown by molecular analyses to be infected by Rickettsia parkeri strain Maculatum 20. Until the present work, A. triste was the only tick species that was found infected by R. parkeri in Uruguay. This is the first report of R. parkeri infecting these two tick species in Uruguay, expanding the current distribution of this rickettsial pathogen in the country. PMID:25108780

  6. 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.

  7. 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...

  8. [An indirect hemagglutinin test for Rickettsia prowazekii cultivated by the Weigl method].

    Science.gov (United States)

    Klymchuk, M D

    2001-01-01

    The technology of preparing of a new ready for use diagnosticum for IHAT on the basis of polysaccharide of Rickettsia prowazekii cultivated by the Weight method has been developed. Technological conditions have been worked out, experimental series of the diagnosticum have been made and tested, high stability during the storage was confirmed which allows it to be recommended for the epidemic typhus laboratory diagnostics. PMID:11785264

  9. Ehrlichia phagocytophila genogroup rickettsiae in ixodid ticks from California collected in 1995 and 1996.

    OpenAIRE

    Barlough, J E; Madigan, J. E.; Kramer, V. L.; Clover, J R; Hui, L T; Webb, J P; Vredevoe, L K

    1997-01-01

    A total of 1,246 ixodid ticks collected in 1995 and 1996 from seven California counties were examined for the presence of Ehrlichia phagocytophila genogroup rickettsiae by using a nested PCR technique. Of 1,112 adult Ixodes pacificus Cooley and Kohls ticks tested, nine pools, each containing five ticks, were positive (minimum percentage of ticks harboring detectable ehrlichiae, 0.8%). Positive ticks were limited to four of the seven counties (Sonoma, El Dorado, Santa Cruz, and Orange). In San...

  10. Orientia, rickettsia, and leptospira pathogens as causes of CNS infections in Laos

    DEFF Research Database (Denmark)

    Dittrich, Sabine; Rattanavong, Sayaphet; Lee, Sue J; Panyanivong, Phonepasith; Craig, Scott B; Tulsiani, Suhella; Blacksell, Stuart D; Dance, David A B; Dubot-Pérès, Audrey; Sengduangphachanh, Amphone; Phoumin, Phonelavanh; Paris, Daniel H; Newton, Paul N

    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 ...

  11. Acquisition of glucose by Rickettsia prowazekii through the nucleotide intermediate uridine 5'-diphosphoglucose.

    OpenAIRE

    Winkler, H. H.; Daugherty, R. M.

    1986-01-01

    The ability of Rickettsia prowazekii to transport potential sources of the glucose moiety of bacterial polysaccharides was determined. Transport was determined both by filtration assays and by centrifugation through nonaqueous layers. Uridine 5'-diphosphoglucose (UDPG) was transported, whereas glucose was not transported; the uptake of glucose phosphates, although greater than that for glucose, was markedly lower than the transport of UDPG. Furthermore, the activities of hexokinase and phosph...

  12. Genomic study of Rickettsia akari by pulsed-field gel electrophoresis.

    OpenAIRE

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

    1995-01-01

    Pulsed-field gel electrophoresis of SmaI-, EagI-, and BssHII-digested DNA was used to perform restriction fragment length polymorphism analysis of Rickettsia akari strains isolated from humans, rodents, and mites in the United States and Ukraine. Although some differences in biological and serological characteristics were present between strains, the genomic studies demonstrated a high degree of intraspecies homogeneity of R. akari isolates. Our results confirm the value of pulsed-field gel e...

  13. Detection of Leishmania infantum, Babesia canis, and rickettsiae in ticks removed from dogs living in Italy.

    Science.gov (United States)

    Trotta, Michele; Nicetto, Martina; Fogliazza, Alessandro; Montarsi, Fabrizio; Caldin, Marco; Furlanello, Tommaso; Solano-Gallego, Laia

    2012-12-01

    The aims of this study were to determine natural infections by Anaplasma phagocytophilum/Anaplasma platys, Bartonella henselae, Ehrlichia canis, Leishmania infantum, Rickettsia spp., Babesia spp., and Hepatozoon spp. by molecular methods in ticks (n=91) removed from dogs with clinical signs and laboratory abnormalities compatible with tick-borne diseases (n=22) living in Italy and to assess the distribution and species of ticks encountered. Ticks from dogs living in southern Italy were all identified as Rhipicephalus sanguineus (n=25), ticks from central Italy included Rh. sanguineus (n=8) and Ixodes ricinus (n=9), ticks from northern Italy included Rh. sanguineus (n=45), Dermacentor marginatus (n=3), and one I. ricinus. Leishmania infantum, Rickettsia spp., and Babesia canis were the only pathogens detected in 7 (8%), 4 (4%), and 2 (2%) out of 91 ticks, respectively. L. infantum was detected in I. ricinus from central Italy and in Rh. sanguineus from northern and central Italy. Rickettsia conorii and Ri. massiliae were detected in Rh. sanguineus ticks from central and southern Italy (Sicily), respectively. Bab. canis was detected in D. marginatus ticks from northern Italy. PMID:23182545

  14. 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.

  15. Disrupting protein expression with Peptide Nucleic Acids reduces infection by obligate intracellular Rickettsia.

    Science.gov (United States)

    Pelc, Rebecca S; McClure, Jennifer C; Kaur, Simran J; Sears, Khandra T; Rahman, M Sayeedur; Ceraul, Shane M

    2015-01-01

    Peptide Nucleic Acids (PNAs) are single-stranded synthetic nucleic acids with a pseudopeptide backbone in lieu of the phosphodiester linked sugar and phosphate found in traditional oligos. PNA designed complementary to the bacterial Shine-Dalgarno or start codon regions of mRNA disrupts translation resulting in the transient reduction in protein expression. This study examines the use of PNA technology to interrupt protein expression in obligate intracellular Rickettsia sp. Their historically intractable genetic system limits characterization of protein function. We designed PNA targeting mRNA for rOmpB from Rickettsia typhi and rickA from Rickettsia montanensis, ubiquitous factors important for infection. Using an in vitro translation system and competitive binding assays, we determined that our PNAs bind target regions. Electroporation of R. typhi and R. montanensis with PNA specific to rOmpB and rickA, respectively, reduced the bacteria's ability to infect host cells. These studies open the possibility of using PNA to suppress protein synthesis in obligate intracellular bacteria. PMID:25781160

  16. Linfadenitis por micobacterias en pediatría

    Scientific Electronic Library Online (English)

    Griselda, Berberian; Alejandro, Santillán Iturrez; Lidia, Casimir; María Teresa, Rosanova.

    2005-02-01

    Full Text Available Introducción. La linfadenitis es un problema común en niños y adolescentes. Entre las causas infecciosas se encuentran las micobacterias; por lo tanto, es importante establecer el tipo prevalente de acuerdo con la epidemiología local, ya que estudios realizados en EE.UU. y Europa muestran un franco [...] predominio de las micobacterias atípicas como causa de linfadenitis en menores de 5 años. Este estudio se realizó con el objetivo de conocer las características epidemiológicas, clínicas, microbiológicas y evolutivas de las linfadenitis por micobacterias en pediatría. Población, material y métodos. Estudio retrospectivo descriptivo realizado durante el período comprendido entre febrero de 1989 y diciembre de 2001, cuyo criterio de inclusión fueron niños con muestras ganglionares periféricas con aislamiento de micobacterias entre el primer mes mes y los 18 años de edad. Resultados. De los 29 pacientes, 70% fueron mujeres, con un rango de 7 a 228 meses (mediana: 101meses). El 70% provenía de la provincia de Buenos Aires; 24 pacientes (83%) eran huéspedes normales, 15 pacientes (52%) presentaron síntomas sistémicos. El tiempo de evolución hasta el diagnóstico tuvo una mediana de 60 días; 16 pacientes (55%) habían recibido antibióticos previamente. La linfadenopatía unilateral cervical fue la forma más común de presentación, en 22 pacientes (75%). Se halló otra localización extraganglionar en 16 (55%); la pulmonar fue la más frecuente, en 15 pacientes (94%). La PPD fue positiva en 12 (41%). La eritrosedimentación estaba acelerada en 21 (73%). Se realizó exéresis ganglionar en 23 pacientes (80%), y la punción para el diagnóstico en los 6 niños restantes. El aislamiento microbiológico se realizó a partir de muestras ganglionares exclusivas en 21 pacientes (72%) y asociadas a muestras pulmonares en 8 (27%). Se aisló Mycobacterium tuberculosis en 25 pacientes (86%), todos sensibles a tuberculostáticos de primera línea. Se halló Mycobacterium avium intracellulare en 3 de los 4 niños restantes. La evolución fue favorable en todos los casos. Conclusiones. La localización cervical unilateral fue la más frecuente. El hallazgo de Mycobacterium tuberculosis fue prevalernte, independientemente de la edad. Abstract in english Lymphadenitis is a common problem in children and adolescents. Mycobacteria are an important cause of lymphadenitis. In the USA and Europe, lymphadenitis due to atypical mycobacteria are more common in children younger than 5 years old. It is important to assess the epidemiology of mycobacterial lym [...] phadenitis for every country. Population, material and methods. All patients admitted to the Hospital de Pediatría J.P. Garrahan from January 1989 to December 2001, between one month and 18 years of age, with lymphadenitis with positive cultures for mycobacteria were included. Results. Twenty nine patients were included. Seventy percent were female. The median age was 101 months (r: 7-228 months). 24 patients (83%) were normal hosts. Systemic syntoms were present in 15 (52%). The median time from the onset of the disease to diagnosis was 60 days. Sixteen patients had received previous antibiotics. Cervical localization was seen most frequently in 22 patients (75%). Lung involvment was detected in 15 (94%). PPD was positive in 12 (41%). VSG was accelerated in 21 patients (73%). Complete excision of the enlarged lymph node was performed in 23 patients (80%), and needle biopsy in 6. In 21 (72%), the causative Mycobacterium could be cultured in the lymph node alone. Mycobacterium tuberculosis was isolated in 25 patients (86%). All strains were sensitive to first-line drugs. Mycobacterium aviumintracellulare was isolated in 3 patients. Outcome was good in all cases. Conclusions. Cervical localization was the most frequent. Mycobacterium tuberculosis was the most common pathogen in all ages.

  17. Spotted fever group rickettsiae detected in immature stages of ticks parasitizing on Iberian endemic lizard Lacerta schreiberi Bedriaga, 1878.

    Science.gov (United States)

    Kubelová, Michaela; Papoušek, Ivo; B?lohlávek, Tomáš; de Bellocq, Joëlle Goüy; Baird, Stuart J E; Široký, Pavel

    2015-09-01

    Spotted fever rickettsioses are tick-borne diseases of growing public health concern. The prevalence of rickettsia-infected ticks and their ability to parasitize humans significantly influence the risk of human infection. Altogether 466 Ixodes ricinus ticks (428 nymphs and 38 larvae) collected from 73 Lacerta schreiberi lizards were examined by PCR targeting the citrate synthetase gene gltA for the presence of Rickettsia spp. Rickettsial DNA was detected in 47% of nymphs and 31.6% of larvae. They were subsequently subjected to a second PCR reaction using primers derived from the outer membrane protein rOmpA encoding gene (ompA) to detect spotted fever group rickettsiae (SFG). This analysis shows that 41.4% of nymphs and 7.9% of larvae collected from the lizards contain DNA of SFG rickettsiae. Sequencing of 43 randomly selected samples revealed two different haplotypes, both closely related to R. monacensis (39 and 4 samples, respectively). The remaining ompA negative Rickettsia spp. samples were determined to be R. helvetica based on sequencing of ompB and gltA fragments. Our results indicate that the role of Iberian endemic lizard L. schreiberi and its ectoparasites in the ecology and epidemiology of zoonotic SFG rickettsioses may be appreciable. PMID:26141751

  18. Assessment of prevalence and distribution of spotted fever group rickettsiae in Manitoba, Canada, in the American dog tick, Dermacentor variabilis (Acari: Ixodidae).

    Science.gov (United States)

    Yunik, Matthew E M; Galloway, Terry D; Lindsay, L Robbin

    2015-02-01

    Little is known about the distribution and prevalence of the spotted fever group rickettsiae in Canada. We conducted active surveillance for tick-associated rickettsiae in 10 localities in Manitoba. A total of 1044 adult American dog ticks, Dermacentor variabilis (Acari: Ixodidae), were collected and screened for spotted fever group rickettsiae. Rickettsia montanensis was the only species of rickettsia detected. The mean prevalence of infection was 9.8% (range, 0.00-21.74% among localities). The proportion of infected male and female ticks was not significantly different; however, tick populations near the northern limit of D. variabilis distribution in Manitoba had a lower prevalence of infection compared to tick populations from more southern localities in the province. PMID:25700040

  19. 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.

  20. Prevalence of vectors of the spotted fever group Rickettsiae and murine typhus in a Bedouin town in Israel.

    Science.gov (United States)

    Mumcuoglu, K Y; Ioffe-Uspensky, I; Alkrinawi, S; Sarov, B; Manor, E; Galun, R

    2001-05-01

    A survey of the vectors of spotted fever group Rickettsiae and of murine typhus was carried out in Rahat, a Bedouin town in the Negev Desert, where the diseases are endemic. Houses with known cases of spotted fever group Rickettsiae or murine typhus were compared with those without reported clinical cases. A neighboring Jewish community, Lehavim, where no cases of spotted fever group Rickettsiae and murine typhus were reported in recent years, was used as a control. In the houses of patients with spotted fever group Rickettsiae in Rahat, an average of 7.4 times more ticks were found than in control houses. Out of 190 ticks isolated from sheep and goats or caught by flagging in Rahat, 90% were Rhipicephalus sanguineus (Latreille), 7.9% Rhipicephalus turanicus Pomerantzev, and 2.1% were Hyalomma sp. In the houses of patients with murine typhus, three times more rats were caught and, on the average, each rat was infested with 2.2 times more fleas than rats in the control houses. Out of 323 fleas collected from 35 Norwegian rats (Rattus norvegicus Berkenhout), 191 were Xenopsylla cheopis Rothschild and 132 Echidnophaga murina Tiraboschi. Thus, there was a six to seven times higher probability of encountering a tick or flea vector where infections had occurred than in control houses in Rahat. The percentage of rats seropositive to Rickettsia typhi was similar in study and control households (78.3 and 76.2, respectively). In the control settlement, Lehavim, only three Mus musculus L. were caught, which were not infested with ectoparasites and their sera were negative for murine typhus. Out of 10 dogs examined in this settlement, 15 R. sanguineus and eight specimens of the cat flea (Ctenocephalides felis felis Bouché) were isolated. No rats were caught in this settlement. These data indicate that there is a correlation among the density of domestic animals, their ectoparasites, and the incidence of spotted fever group Rickettsiae and murine typhus in Rahat. PMID:11372975

  1. Natural infection, transovarial transmission, and transstadial survival of Rickettsia bellii in the Tick Ixodes loricatus (Acari: Ixodidae) from Brazil.

    Science.gov (United States)

    Horta, Mauricio C; Pinter, Adriano; Schumaker, Teresinha T S; Labruna, Marcelo B

    2006-10-01

    An Ixodes loricatus engorged female, infected with Rickettsia bellii, was collected from an opossum (Didelphis aurita) in Mogi das Cruzes, São Paulo State, Brazil. Two consecutive laboratory tick generations (F(1) and F(2)) reared from this single engorged female were evaluated for Rickettsia infection by polymerase chain reaction (PCR) targeting specific Rickettsia genes. Immature ticks fed on naïve Wistar rats (Rattus norvegicus) and adult ticks fed on opossum (D. aurita), both free of ticks and rickettsial infection. PCR performed on individual ticks from the F(1) (20 larvae, 10 nymphs, and 10 adults) and the F(2) (30 larvae, 30 nymphs, and 15 adults) yielded expected bands compatible with Rickettsia. All the PCR products that were sequenced, targeting gltA gene, resulted in sequences identical to each other and 99.7% (349/350) similar to the corresponding sequence of R. bellii in GenBank. The R. bellii infection on ticks from the second laboratory generation (F(2)) was confirmed by other PCR protocols and successful isolation of R. bellii in cell culture. We report for the first time a Rickettsia species infecting I. loricatus, and the first report of R. bellii in the tick genus Ixodes. We conclude that there was an efficient transovarial transmission and transstadial survival of this Rickettsia species in the tick I. loricatus. Our results suggest that R. bellii might be maintained in nature solely by transovarial transmission and transstadial survival in ticks (no amplifier vertebrate host is needed), since there has been no direct or indirect evidence of infection of vertebrate hosts by R. bellii. PMID:17114723

  2. 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.

    2014-12-01

    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.

  3. 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.

  4. 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.

  5. Differentiation Between Virulent and Avirulent Strains of Rickettsia prowazekii by Macrophage-Like Cell Lines

    OpenAIRE

    Turco, Jenifer; Winkler, Herbert H.

    1982-01-01

    The growth of avirulent (E) and virulent (Breinl) strains of Rickettsia prowazekii was compared in four mouse macrophage-like cell lines (RAW264.7, J774.1, P388D1, and PU5), one human macrophage-like cell line (U937-1), and the mouse fibroblast line L929. The E and Breinl strains grew equally well in L929 cells. However, all of the mouse macrophage-like cell lines clearly differentiated between the two strains by restricting the growth of the E strain relative to that of the Breinl strain. A ...

  6. Interferencia de la tiroglobulina en la determinación de anticuerpos antitiroglobulina en el líquido de lavado de aguja de punción ganglionar / Thyroglobulin Interference in the Determination of Thiroglobulin Antibody in Wash-Out Fluid from Fine Needle Aspiration Biopsy of Lymph Node

    Scientific Electronic Library Online (English)

    N, Ibáñez; A.C, Cavallo; F, Smithuis; M, Negueruela; E, Beattie; R, Lambertini; C, Aranda; A, Oneto.

    2014-04-01

    Full Text Available La interferencia producida por los anticuerpos antitiroglobulina (aTg) en la determinación de Tiroglobulina (Tg) ha sido bien estudiada, sin embargo la interferencia que puede producir esta última sobre la determinación de los anticuerpos no está clara. Objetivo: Investigar la interferencia que la T [...] g puede producir sobre la determinación de los aTg en el líquido de lavado de aguja de punción ganglionar. Material y Métodos: Se estudiaron retrospectivamente las muestras provenientes de la punción de adenopatías cervicales sospechosas de 19 pacientes tiroidectomizados por Cáncer Diferenciado de Tiroides (CDT). La punción se realizó con aguja 22 G bajo guía ecográfica y luego de la preparación del extendido para el estudio citológico se procedió al lavado de la aguja con 500 µl de solución fisiológica para determinar Tg y aTg. La medición de Tg se hizo por ensayo quimioluminiscente. Los aTg se midieron utilizando dos ensayos uno no competitivo quimioluminiscente (Q) y otro competitivo electroquimioluminiscente (Eq). Se consideraron aTg negativos valores 4.000 UI/ml cuando se midieron por el método competitivo (Eq), siendo estos valores proporcionales a la concentración de Tg en la muestra. Se observó una falta de linealidad cuando se realizó ensayo de dilución a muestras de concentración elevada de aTg medidas por Eq. Los aTg por Eq se negativizaron a concentraciones de Tg inferiores a 3.000 ng/ml. Los aTg medidos por Q arrojaron valores negativos en todas las diluciones. Todos estos pacientes presentaban aTg negativos en suero por Q y Eq. Conclusión: Las altas concentraciones de Tg interfieren en la medición de aTg cuando los mismos son medidos por un método competitivo. La interferencia es proporcional a las concentraciones de Tg presentes en la muestra. Se recomienda que en los líquidos de lavado de aguja de punción ganglionar los aTg sean medidos por un método no competitivo ya que no parece estar interferido por las altas concentraciones de Tg característica de los ganglios metastásicos. La detección de esta interferencia no modificó el diagnóstico ni la conducta clínica en ningún caso, sin embargo es importante conocerla con el fin de no concluir erróneamente sobre la positividad de los anticuerpos en los ganglios cuando estos son medidos por un ensayo competitivo. Rev Argent Endocrinol Metab 51:1-7, 2014 Los autores declaran no poseer conflictos de interés. Abstract in english Thyroglobulin antibodies (TgAb) interference with thyroglobulin (Tg) measurements has been well studied; however, Tg interference with TgAb is unclear. Objective: To investigate how TgAb may interfere with Tg measurement in the washout fluid from lymph node fine-needle aspiration biopsy. Materials a [...] nd Methods: We retrospectively studied the samples obtained by aspiration of suspicious cervical lymph nodes from 19 patients post thyroidectomy for Differentiated Thyroid Cancer (DTC). The puncture was performed with a 22 G needle under ultrasound guidance. After preparation of cytological specimens, the needle was washed with 500 ul of saline solution to determine Tg and TgAb. Tg was measured by chemilumi­nescent assay and TgAb was measured using two assays: a non-competitive chemiluminescent assay (Q) and a competitive electrochemiluminescence assay (Eq). Values of TgAb below 20 UI/ml were considered negative. Appropriate dilutions of the sample of one of the patients were performed in order to study interference. Results: In all samples tested, concentrations showed very high Tg values (range: 15.185 - 1.141.275 ng/ml). TgAb results were negative in all the samples measured by the non-competitive method. Results were clearly positive in a range of 106 to > 4.000 IU/ml when the competitive assay (Eq) was used, being proportional to Tg concentrations in the samples. A lack of linearity was observed when a dilution assay was performed in samples of high TgAb concentrations measured by Eq. When Tg concentrations were below 3.000 ng / ml, TgAb became negative when measured by

  7. 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

  8. Spotted fever group rickettsiae in ticks and fleas from the Democratic Republic of the Congo.

    Science.gov (United States)

    Mediannikov, Oleg; Davoust, Bernard; Socolovschi, Cristina; Tshilolo, Léon; Raoult, Didier; Parola, Philippe

    2012-12-01

    Little is known about the prevalence of spotted fever group (SFG) rickettsiae in ticks and fleas in the Democratic Republic of the Congo. In 2008, 12 Amblyomma compressum ticks were collected from 3 pangolins (Manis gigantea). Two Haemaphysalis punctaleachi ticks were collected from 2 African civets (Civettictis civetta congica), and one was collected from an antelope (Onotragus leche). A total of 111 Rhipicephalus sanguineus ticks, 23 Ctenocephalides canis fleas, 39 C. felis fleas, and 5 Trichodectes canis lice were sampled from 19 dogs. One C. canis flea was collected from a human. Six of the 12 A. compressum ticks were positive for rickettsial DNA, as determined by genus-specific qPCR. The ompA gene sequences amplified from positive samples showed 100% homology with Rickettsia africae (GenBank accession number CP001612). The detection of Ri. africae in A. compressum ticks, which are highly specialized parasites of pangolins, is consistent with our previous data showing the presence of Ri. africae in A. compressum ticks from Liberia. No other ticks contained rickettsial DNA. A total of 9 C. canis fleas (39%, 9/23) and 37 C. felis fleas (95%, 37/39) that was collected from dogs and one C. canis flea collected from a human harbored Ri. felis. PMID:23137572

  9. Bartonella and Rickettsia in arthropods from the Lao PDR and from Borneo, Malaysia.

    Science.gov (United States)

    Kernif, Tahar; Socolovschi, Cristina; Wells, Konstans; Lakim, Maklarin B; Inthalad, Saythong; Slesak, Günther; Boudebouch, Najma; Beaucournu, Jean-Claude; Newton, Paul N; Raoult, Didier; Parola, Philippe

    2012-01-01

    Rickettsioses and bartonelloses are arthropod-borne diseases of mammals with widespread geographical distributions. Yet their occurrence in specific regions, their association with different vectors and hosts and the infection rate of arthropod-vectors with these agents remain poorly studied in South-east Asia. We conducted entomological field surveys in the Lao PDR (Laos) and Borneo, Malaysia by surveying fleas, ticks, and lice from domestic dogs and collected additional samples from domestic cows and pigs in Laos. Rickettsia felis was detected by real-time PCR with similar overall flea infection rate in Laos (76.6%, 69/90) and Borneo (74.4%, 268/360). Both of the encountered flea vectors Ctenocephalides orientis and Ctenocephalides felis felis were infected with R. felis. The degrees of similarity of partial gltA and ompA genes with recognized species indicate the rickettsia detected in two Boophilus spp. ticks collected from a cow in Laos may be a new species. Isolation and further characterization will be necessary to specify it as a new species. Bartonella clarridgeiae was detected in 3/90 (3.3%) and 2/360 (0.6%) of examined fleas from Laos and Borneo, respectively. Two fleas collected in Laos and one flea collected in Borneo were co-infected with both R. felis and B. clarridgeiae. Further investigations are needed in order to isolate these agents and to determine their epidemiology and aetiological role in unknown fever in patients from these areas. PMID:22153360

  10. 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

  11. Epidemiology of Rickettsia sp. strain Atlantic rainforest in a spotted fever-endemic area of southern Brazil.

    Science.gov (United States)

    Barbieri, Amalia R M; Filho, Jonas M; Nieri-Bastos, Fernanda A; Souza, Julio C; Szabó, Matias P J; Labruna, Marcelo B

    2014-10-01

    The present study was performed in Vila Itoupava, an area of the state of Santa Catarina, southern Brazil, in which a tick-borne spotted fever illness has been endemic since 2003. Notably, both the etiological agent and the vector of these spotted fever cases remain unknown. During January 2011, humans, domestic dogs, and their ticks were sampled in households that are typically surrounded by highly preserved Atlantic rainforest fragments. Ticks collected from dogs were Amblyomma ovale (34% prevalence), Amblyomma aureolatum (18.9%), and Rhipicephalus sanguineus (3.8%). A total of 7.8% (6/77) A. ovale and 9.3% (4/43) A. aureolatum were infected by Rickettsia sp. strain Atlantic rainforest, a Rickettsia parkeri-like agent recently shown to cause spotted fever illness in southeastern Brazil. Overall, 67.3% (35/52) of the dogs were seroreactive to spotted fever group rickettsiae, mostly with highest endpoint titers to R. parkeri. Among humans, 46.7% (7/15) reacted serologically to rickettsiae at low to moderate endpoint titers. Because canine seroreactivity to R. parkeri was strongly associated with frequent contact with forests (the preferred habitat for A. ovale and A. aureolatum), it is concluded that sampled dogs have been infected by strain Atlantic rainforest through the parasitism of these tick species. The present study provides epidemiological evidence that the spotted fever in the study area has been caused by Rickettsia sp. strain Atlantic rainforest, transmitted to humans by either A. ovale or A. aureolatum. Further studies encompassing direct diagnostic methods on clinical specimens from patients are needed to confirm the above epidemiological evidence. PMID:25108786

  12. Effects of homologous and heterologous immunization on the reservoir competence of domestic dogs for Rickettsia conorii (israelensis).

    Science.gov (United States)

    Levin, M L; Zemtsova, G E; Montgomery, M; Killmaster, L F

    2014-02-01

    A number of spotted fever group (SFG) rickettsiae cause serious infections in humans. Several antigenically related rickettsial agents may coexist within the same geographical area, and humans or vertebrate hosts may be sequentially exposed to multiple SFG agents. We assessed whether exposure of a vertebrate reservoir to one SFG Rickettsia will affect the host's immune response to a related pathogen and the efficiency of transmission to uninfected ticks. Two pairs of dogs were each infected with either Rickettsia massiliae or Rickettsia conorii israelensis, and their immune response was monitored twice weekly by IFA. The four immunized dogs and a pair of naïve dogs were each challenged with R. conorii israelensis-infected Rhipicephalus sanguineus nymphs. Uninfected Rh. sanguineus larvae were acquisition-fed on the dogs on days 1, 7, and 14 post-challenge. These ticks were tested for the presence of rickettsial DNA after molting to the nymphal stage. The naive dogs became infected with R. conorii israelensis and were infectious to ticks for at least 3 weeks, whereas reservoir competence of dogs previously infected with either R. massiliae or R. conorii was significantly diminished. This opens an opportunity for decreasing the efficiency of transmission and propagation of pathogenic Rickettsia in natural foci by immunizing the primary hosts with closely related nonpathogenic SFG bacteria. However, neither homologous immunization nor cross-immunization significantly affected the efficiency of R. conorii transmission between cofeeding infected nymphs and uninfected larvae. At high densities of ticks, the efficiency of cofeeding transmission may be sufficient for yearly amplification and persistent circulation of a rickettsial pathogen in the vector population. PMID:24201056

  13. 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

  14. High Prevalence of Rickettsia africae Variants in Amblyomma variegatum Ticks from Domestic Mammals in Rural Western Kenya: Implications for Human Health

    OpenAIRE

    Maina, Alice N.; Jiang, Ju; Omulo, Sylvia A.; Cutler, Sally J.; Ade, Fredrick; Ogola, Eric; Feikin, Daniel R; Njenga, M Kariuki; Cleaveland, Sarah; Mpoke, Solomon; Ng'ang'a, Zipporah; Breiman, Robert F; Knobel, Darryn L; Richards, Allen L.

    2014-01-01

    Tick-borne spotted fever group (SFG) rickettsioses are emerging human diseases caused by obligate intracellular Gram-negative bacteria of the genus Rickettsia. Despite being important causes of systemic febrile illnesses in travelers returning from sub-Saharan Africa, little is known about the reservoir hosts of these pathogens. We conducted surveys for rickettsiae in domestic animals and ticks in a rural setting in western Kenya. Of the 100 serum specimens tested from each species of domesti...

  15. 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...

  16. Hemocytic rickettsia-like organisms in ticks: serologic reactivity with antisera to Ehrlichiae and detection of DNA of agent of human granulocytic ehrlichiosis by PCR.

    OpenAIRE

    Magnarelli, L A; Stafford, K C; Mather, T.N.; Yeh, M T; Horn, K D; Dumler, J. S.

    1995-01-01

    Ixodid ticks were collected from Connecticut, Massachusetts, Missouri, Pennsylvania, Rhode Island, and British Columbia (Canada) during 1991 to 1994 to determine the prevalence of infection with hemocytic (blood cell), rickettsia-like organisms. Hemolymph obtained from these ticks was analyzed by direct and indirect fluorescent antibody (FA) staining methods with dog, horse, or human sera containing antibodies to Ehrlichia canis, Ehrlichia equi, or Rickettsia rickettsii. Of the 693 nymphal an...

  17. 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.

  18. 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.

  19. 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.

  20. Feeding period required by Amblyomma aureolatum ticks for transmission of Rickettsia rickettsii to vertebrate hosts.

    Science.gov (United States)

    Saraiva, Danilo G; Soares, Herbert S; Soares, João Fábio; Labruna, Marcelo B

    2014-09-01

    Rocky Mountain spotted fever is endemic to the São Paulo metropolitan area, Brazil, where the etiologic agent, Rickettsia rickettsii, is transmitted to humans by adult Amblyomma aureolatum ticks. We determined the minimal feeding period required by A. aureolatum nymphs and adults to transmit R. rickettsii to guinea pigs. Unfed nymphs and unfed adult ticks had to be attached to the host for >10 hours to transmit R. rickettsii. In contrast, fed ticks needed a minimum of 10 minutes of attachment to transmit R. rickettsii to hosts. Most confirmed infections of Rocky Mountain spotted fever in humans in the São Paulo metropolitan area have been associated with contact with domestic dogs, the main host of A. aureolatum adult ticks. The typical expectation that transmission of tickborne bacteria to humans as well as to dogs requires ?2 hours of tick attachment may discourage persons from immediately removing them and result in transmission of this lethal bacterium. PMID:25148391

  1. 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.

  2. Identification of CD8 T-Lymphocyte Epitopes in OmpB of Rickettsia conorii

    OpenAIRE

    Li, Zhen; Díaz-Montero, C Marcela; Valbuena, Gustavo; Yu, Xue-jie; Olano, Juan P; Feng, Hui-Min; Walker, David H

    2003-01-01

    The 1.2-kb DNA fragment of the Rickettsia conorii outer membrane protein B gene (OmpB451-846) was subcloned using site-specific PCR primers and expressed as six smaller fragments: OmpB458-652, OmpB595-744, OmpB595-654, OmpB645-692, OmpB689-744, and OmpB739-848. NCTC cells transfected with a mammalian expression vector expressing the fragments OmpB689-744 and OmpB739-848 stimulated immune anti-R. conorii CD8 T lymphocytes, suggesting the presence of CD8 T-lymphocyte-stimulating epitopes on the...

  3. Rickettsia raoultii in Haemaphysalis erinacei from marbled polecats, China-Kazakhstan border.

    Science.gov (United States)

    Guo, Li-Ping; Mu, Lu-Meng; Xu, Jun; Jiang, Su-Hua; Wang, An-Dong; Chen, Chuang-Fu; Guo, Gang; Zhang, Wan-Jiang; Wang, Yuan-Zhi

    2015-01-01

    We found Rickettsia raoultii DNA in 2 out of 32 (6.25 %) Haemaphysalis erinacei ticks. Result showed that the sequences of five genes (17-kDa, gltA, ompA, rrs, and ompB) were 100 % identity with that of R. Raoultii in GenBank. This study is the first report on the presence of R. raoultii in H. erinacei from wild marbled polecat, Vormela peregusna. Our findings suggest that H. erinacei parasitizing wild marbled polecat may serve as reservoir and carriers for R. raoultii in areas around the China-Kazakhstan border. The transmission of tick-borne diseases originated from wildlife should not be underestimated in border region. PMID:26383238

  4. 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.

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

    Science.gov (United States)

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

    2014-04-01

    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) targeting 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. PMID:24714968

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

    Directory of Open Access Journals (Sweden)

    Fernanda Aparecida Nieri-Bastos

    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 targeting 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.

  7. 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.

  8. 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)

  9. 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.

  10. 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.

  11. 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; 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...

  12. Spotted fever Rickettsia species in Hyalomma and Ixodes ticks infesting migratory birds in the European Mediterranean area

    OpenAIRE

    Wallmenius, Katarina; Barboutis, Christos; Fransson, Thord; Jaenson, Thomas G.T.; Lindgren, Per-Eric; Nyström, Fredrik; Olsen, Bjorn; Salaneck, Erik; Nilsson, Kenneth

    2014-01-01

    Background: A few billion birds migrate annually between their breeding grounds in Europe and their wintering grounds in Africa. Many bird species are tick-infested, and as a result of their innate migratory behavior, they contribute significantly to the geographic distribution of pathogens, including spotted fever rickettsiae. The aim of the present study was to characterize, in samples from two consecutive years, the potential role of migrant birds captured in Europe as disseminators of Ric...

  13. 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...

  14. 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

  15. Crystal structure of the DNA-bound VapBC2 antitoxin/toxin pair from Rickettsia felis

    OpenAIRE

    Maté, María J.; Vincentelli, Renaud; Foos, Nicolas; Raoult, Didier; Cambillau, Christian; Ortiz-Lombardía, Miguel

    2011-01-01

    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 st...

  16. Rickettsia parkeri Transmission to Amblyomma americanum by Cofeeding with Amblyomma maculatum (Acari: Ixodidae) and Potential for Spillover.

    Science.gov (United States)

    Wright, Chelsea L; Sonenshine, Daniel E; Gaff, Holly D; Hynes, Wayne L

    2015-09-01

    Amblyomma americanum (L.) is a human-biting ixodid tick distributed throughout much of the southeastern United States. Rickettsia parkeri is a member of the spotted fever group rickettsiae and causes a febrile illness in humans commonly referred to as "Tidewater spotted fever" or "R. parkeri rickettsiosis." Although the Gulf Coast tick, Amblyomma maculatum Koch, is the primary vector of R. parkeri, a small proportion of A. americanum have also been shown to harbor R. parkeri. The purpose of this investigation was to determine whether R. parkeri is spilling over into A. americanum in eastern Virginia and also to determine through laboratory experiments, whether A. americanum can acquire R. parkeri by cofeeding alongside infected ticks. Of 317 wild-caught, flat adult A. americanum tested from 29 counties and independent cities in coastal Virginia, a single female A. americanum was positive for R. parkeri, suggesting that R. parkeri is spilling over into this species, but at very low rates (<1.0%). Laboratory studies using guinea pigs indicated that nymphal A. americanum were able to acquire R. parkeri while feeding alongside infected A. maculatum and then transstadially maintain the infection. Nymphal A. americanum infected with Rickettsia amblyommii, however, were less likely to acquire R. parkeri, suggesting that infection with R. amblyommii may prevent R. parkeri from establishing infection in A. americanum. PMID:26336226

  17. Molecular characterization of Rickettsia massiliae and Anaplasma platys infecting Rhipicephalus sanguineus ticks and domestic dogs, Buenos Aires (Argentina).

    Science.gov (United States)

    Cicuttin, Gabriel L; Brambati, Diego F; Rodríguez Eugui, Juan I; Lebrero, Cecilia González; De Salvo, María N; Beltrán, Fernando J; Gury Dohmen, Federico E; Jado, Isabel; Anda, Pedro

    2014-09-01

    Rickettsioses, ehrlichioses and anaplasmoses are emerging diseases that are mainly transmitted by arthropods and that affect humans and animals. The aim of the present study was to use molecular techniques to detect and characterize those pathogens in dogs and ticks from Buenos Aires city. We studied 207 Rhipicephalus sanguineus ticks and 52 canine blood samples from poor neighborhoods of Buenos Aires city. The samples were molecularly screened for the genera Rickettsia, Ehrlichia, and Anaplasma by PCR and sequencing. DNA of Rickettsia massiliae (3.4%) and Anaplasma platys (13.5%) was detected in ticks and blood samples, respectively. For characterization, the positive samples were subjected to amplification of a fragment of the 190-kDa outer membrane protein gene (spotted fever group rickettsiae) and a fragment of the groESL gene (specific for A. platys). A phylogenetic tree was constructed using the neighbor-joining method, revealing that the sequences were closely related to those of strains from other geographic regions. The results indicate that human and animal pathogens are abundant in dogs and their ticks in Buenos Aires city and portray the potentially high risk of human exposure to infection with these agents, especially in poor neighborhoods, where there is close contact with animals in an environment of poor health conditions. PMID:24907186

  18. Rickettsia parkeri: a Rickettsial pathogen transmitted by ticks in endemic areas for spotted fever rickettsiosis in southern Uruguay.

    Science.gov (United States)

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

    2012-01-01

    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. PMID:22634883

  19. Rickettsia parkeri: a Rickettsial pathogen transmitted by ticks in endemic areas for spotted fever rickettsiosis in southern 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.

  20. Rickettsia felis (Rickettsiales: Rickettsiaceae) in Ctenocephalides felis felis (Siphonaptera: Pulicidae) in the State of São Paulo, Brazil / Rickettsia felis (Rickettsiales: Rickettsiaceae) em Ctenocephalides felis felis (Siphonaptera: Pulicidae) no estado de São Paulo

    Scientific Electronic Library Online (English)

    M.C., Horta; A., Pinter; A., Cortez; R.M., Soares; S.M., Gennari; T.T.S., Schumaker; M.B., Labruna.

    2005-06-01

    Full Text Available Amostras de 10 e 14 pulgas Ctenocephalides felis felis foram coletadas de cães nos municípios de Pedreira e Mogi das Cruzes, respectivamente, no estado de São Paulo, para pesquisa de Rickettsia spp. As pulgas foram individualmente submetidas à reação em cadeia pela polimerase, tendo como alvo os gen [...] es 17-kDa e 190-kDa (OmpA) de Rickettsia, sendo esse último específico para o GFM. Nove pulgas de Pedreira (90%) e quatro pulgas de Mogi das Cruzes (28%) foram positivas para o gene 17-kDa, e oito pulgas de Pedreira (80%) e quatro de Mogi das Cruzes (28%) foram positivas para o gene 190-kDa. As seqüências de nucleotídeos do gene 190-kDa de uma pulga de Pedreira e de uma pulga de Mogi das Cruzes foram 100% idênticas; quando comparadas com dados existentes no GenBank, foram 100% idênticas com a seqüência parcial do gene 190-kDa de Rickettsia felis. Esse foi o primeiro relato de sua ocorrência no estado de São Paulo. Abstract in english Samples of 10 and 14 Ctenocephalides felis felis fleas were collected on dogs from Pedreira and Mogi das Cruzes municipalities, respectively, in the State of São Paulo, Brazil, for detection of Rickettsia spp. Individual fleas were submitted to Polymerase Chain Reaction targeting the 17-kDa and the [...] 190-kDa (OmpA) genes of Rickettsiae. This later gene is specific for spotted fever group. Nine fleas from Pedreira (90%) and four fleas from Mogi das Cruzes (28%) were positive for the 17-kDa gene, and eight fleas from Pedreira (80%) and four from Mogi das Cruzes (28%) were positive for 190-kDa gene. The nucleotide sequence of the 190-kDa products of one flea from Pedreira and one flea from Mogi das Cruzes were 100% identical to each other, and when compared to the GenBank Data, they were 100% identical to the 190-kDa sequence of R. felis. This was the first report of its occurrence in the State of São Paulo.

  1. In vitro isolation from Amblyomma ovale (Acari: Ixodidae) and ecological aspects of the Atlantic rainforest Rickettsia, the causative agent of a novel spotted fever rickettsiosis in Brazil.

    Science.gov (United States)

    Szabó, M P J; Nieri-Bastos, F A; Spolidorio, M G; Martins, T F; Barbieri, A M; Labruna, M B

    2013-05-01

    Recently, a novel human rickettsiosis, namely Atlantic rainforest spotted fever, was described in Brazil. We herein report results of a survey led around the index case in an Atlantic rainforest reserve in Peruibe municipality, southeastern Brazil. A Rickettsia parkeri-like agent (Rickettsia sp. Atlantic rainforest genotype) and Ricketsia bellii were isolated from adult Amblyomma ovale ticks collected from dogs. Molecular evidence of infection with strain Atlantic rainforest was obtained for 30 (12.9%) of 232 A. ovale adult ticks collected from dogs. As many as 88.6% of the 35 examined dogs had anti-Rickettsia antibodies, with endpoint titres at their highest to R. parkeri. High correlation among antibody titres in dogs, A. ovale infestations, and access to rainforest was observed. Amblyomma ovale subadults were found predominantly on a rodent species (Euryoryzomys russatus). From 17 E. russatus tested, 6 (35.3%) displayed anti-Rickettsia antibodies, with endpoint titres highest to R. parkeri. It is concluded that Atlantic rainforest genotype circulates in this Atlantic rainforest area at relatively high levels. Dogs get infected when bitten by A. ovale ticks in the forest, and carry infected ticks to households. The role of E. russatus as an amplifier host of Rickettsia to A. ovale ticks deserves investigation. PMID:23363571

  2. 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.

  3. Solution structure of the cold-shock-like protein from Rickettsia rickettsii

    International Nuclear Information System (INIS)

    The solution structure of the cold-shock-like protein from R. rickettsii, the causative agent of Rocky Mountain spotted fever, is reported. Rocky Mountain spotted fever is caused by Rickettsia rickettsii infection. R. rickettsii can be transmitted to mammals, including humans, through the bite of an infected hard-bodied tick of the family Ixodidae. Since the R. rickettsii genome contains only one cold-shock-like protein and given the essential nature of cold-shock proteins in other bacteria, the structure of the cold-shock-like protein from R. rickettsii was investigated. With the exception of a short ?-helix found between ?-strands 3 and 4, the solution structure of the R. rickettsii cold-shock-like protein has the typical Greek-key five-stranded ?-barrel structure found in most cold-shock domains. Additionally, the R. rickettsii cold-shock-like protein, with a ?G of unfolding of 18.4 kJ mol?1, has a similar stability when compared with other bacterial cold-shock proteins

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

    Directory of Open Access Journals (Sweden)

    da Silva Costa Luís

    2011-11-01

    Full Text Available 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 pigs inoculated with R. rickettsii. Results The results showed a general distribution of R. rickettsii in the ovary cells, being found in oocytes in all stages of development (I, II, III, IV and V most commonly in the periphery of the oocyte and also in the cytoplasm of pedicel cells. Conclusions The histological analysis of the ovaries of R. sanguineus infected females confirmed the presence of the bacterium, indicating that the infection can interfere negatively in the process of reproduction of the ticks, once alterations were detected both in the shape and cell structure of the oocytes which contained bacteria.

  5. Rickettsia felis in cat fleas, Ctenocephalides felis parasitizing opossums, San Bernardino County, California.

    Science.gov (United States)

    Abramowicz, K F; Wekesa, J W; Nwadike, C N; Zambrano, M L; Karpathy, S E; Cecil, D; Burns, J; Hu, R; Eremeeva, M E

    2012-12-01

    Los Angeles and Orange Counties are known endemic areas for murine typhus in California; however, no recent reports of flea-borne rickettsioses are known from adjacent San Bernardino County. Sixty-five opossums (Didelphis virginiana) were trapped in the suburban residential and industrial zones of the southwestern part of San Bernardino County in 2007. Sixty out of 65 opossums were infested with fleas, primarily cat fleas, Ctenocephalides felis (Bouché, 1835). The flea minimum infection rate with Rickettsia felis was 13.3% in pooled samples and the prevalence was 23.7% in single fleas, with two gltA genotypes detected. In spite of historic records of murine typhus in this area, no evidence for circulation of R. typhi in fleas was found during the present study. Factors contributing to the absence of R. typhi in these cat fleas in contrast to its presence in cat fleas from Orange and Los Angeles Counties are unknown and need to be investigated further in San Bernardino County. PMID:22712460

  6. Molecular evidence of Ehrlichia canis and Rickettsia massiliae in ixodid ticks of carnivores from South Hungary.

    Science.gov (United States)

    Hornok, Sándor; Fuente, José; Horváth, Gábor; Fernández de Mera, Isabel G; Wijnveld, Michiel; Tánczos, Balázs; Farkas, Róbert; Jongejan, Frans

    2013-03-01

    To monitor the emergence of thermophilic, Mediterranean ixodid tick species and tick-borne pathogens in southern Hungary, 348 ticks were collected from shepherd dogs, red foxes and golden jackals during the summer of 2011. Golden jackals shared tick species with both the dog and the red fox in the region. Dermacentor nymphs were collected exclusively from dogs, and the sequence identification of these ticks indicated that dogs are preferred hosts of both D. reticulatus and D. marginatus nymphs, unlike previously reported. Subadults of three ixodid species were selected for reverse line blot hybridisation (RLB) analysis to screen their vector potential for 40 pathogens/groups. Results were negative for Anaplasma, Babesia and Theileria spp. Investigation of D. marginatus nymphs revealed the presence of Ehrlichia canis, Rickettsia massiliae and Borrelia afzelii for the first time in this tick species. These findings broaden the range of those tick-borne agents, which are typically transmitted by Rhipicephalus sanguineus, but may also have Dermacentor spp. as potential or alternative vectors. Ehrlichiacanis was also newly detected in Ixodes canisuga larvae from red foxes. In absence of transovarial transmission in ticks this implies that Eurasian red foxes may play a reservoir role in the epidemiology of canine ehrlichiosis. PMID:23439290

  7. Possible Role of Rickettsia felis in Acute Febrile Illness among Children in Gabon

    Science.gov (United States)

    Mourembou, Gaël; Lekana-Douki, Jean Bernard; Mediannikov, Oleg; Nzondo, Sydney Maghendji; Kouna, Lady Charlene; Essone, Jean Claude Biteghe Bi; Fenollar, Florence

    2015-01-01

    Rickettsia felis has been reported to be a cause of fever in sub-Saharan Africa, but this association has been poorly evaluated in Gabon. We assessed the prevalence of this bacterium among children DNA samples from 410 febrile children and 60 afebrile children were analyzed by quantitative PCR. Overall, the prevalence of R. felis among febrile and afebrile children was 10.2% (42/410 children) and 3.3% (2/60 children), respectively. Prevalence differed among febrile children living in areas that are urban (Franceville, 1.3% [1/77]), semiurban (Koulamoutou, 2.1% [3/141]), and rural (Lastourville, 11.2% [15/134]; Fougamou, 39.7% [23/58]). Furthermore, in a rural area (Fougamou), R. felis was significantly more prevalent in febrile (39.7% [23/58]) than afebrile children (5.0% [1/20]). Additional studies are needed to better understand the pathogenic role of R. felis in this part of the world. PMID:26402580

  8. 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

  9. Cytokine sensitivity and methylation of lysine in Rickettsia prowazekii EVir and interferon-resistant R. prowazekii strains.

    OpenAIRE

    Turco, J.; Winkler, H. H.

    1994-01-01

    Modified Rickettsia prowazekii strains have been derived from the avirulent Madrid E strain by passage in the lungs of white mice (strain EVir) or by selection for resistance to gamma interferon (IFN-gamma) (strains 427-19 and 87-17) or alpha/beta interferon (IFN-alpha/beta) (strains 83-2P, 60P, 103-2P, and 110-1P). Compared with the Madrid E strain, strain EVir has increased virulence (N. M. Balayeva and V. N. Nikolskaya, J. Hyg. Epidemiol. Microbiol. Immunol. 17:11-20, 1973) and a different...

  10. Structure of 3-ketoacyl-(acyl-carrier-protein) reductase from Rickettsia prowazekii at 2.25 Å resolution

    International Nuclear Information System (INIS)

    The R. prowazekii 3-ketoacyl-(acyl-carrier-protein) reductase is similar to those from other prokaryotic pathogens but differs significantly from the mammalian orthologue, strengthening its case as a potential drug target. Rickettsia prowazekii, a parasitic Gram-negative bacterium, is in the second-highest biodefense category of pathogens of the National Institute of Allergy and Infectious Diseases, but only a handful of structures have been deposited in the PDB for this bacterium; to date, all of these have been solved by the SSGCID. Owing to its small genome (about 800 protein-coding genes), it relies on the host for many basic biosynthetic processes, hindering the identification of potential antipathogenic drug targets. However, like many bacteria and plants, its metabolism does depend upon the type II fatty-acid synthesis (FAS) pathway for lipogenesis, whereas the predominant form of fatty-acid biosynthesis in humans is via the type I pathway. Here, the structure of the third enzyme in the FAS pathway, 3-ketoacyl-(acyl-carrier-protein) reductase, is reported at a resolution of 2.25 Å. Its fold is highly similar to those of the existing structures from some well characterized pathogens, such as Mycobacterium tuberculosis and Burkholderia pseudomallei, but differs significantly from the analogous mammalian structure. Hence, drugs known to target the enzymes of pathogenic bacteria may serve as potential leads against Rickettsia, which is responsible for spotted fever and typhus and is found throughout the world

  11. Structure of fumarate hydratase from Rickettsia prowazekii, the agent of typhus and suspected relative of the mitochondria

    International Nuclear Information System (INIS)

    Fumarate hydratase is an enzyme of the tricarboxylic acid cycle, one of the metabolic pathways characteristic of the mitochondria. The structure of R. prowazekii class II fumarate hydratase is reported at 2.4 Å resolution and is compared with the available structure of the human homolog. Rickettsiae are obligate intracellular parasites of eukaryotic cells that are the causative agents responsible for spotted fever and typhus. Their small genome (about 800 protein-coding genes) is highly conserved across species and has been postulated as the ancestor of the mitochondria. No genes that are required for glycolysis are found in the Rickettsia prowazekii or mitochondrial genomes, but a complete set of genes encoding components of the tricarboxylic acid cycle and the respiratory-chain complex is found in both. A 2.4 Å resolution crystal structure of R. prowazekii fumarate hydratase, an enzyme catalyzing the third step of the tricarboxylic acid cycle pathway that ultimately converts phosphoenolpyruvate into succinyl-CoA, has been solved. A structure alignment with human mitochondrial fumarate hydratase highlights the close similarity between R. prowazekii and mitochondrial enzymes

  12. Serologic and Molecular Prevalence of Rickettsia helvetica and Anaplasma phagocytophilum in Wild Cervids and Domestic Mammals in the Central Parts of Sweden.

    Science.gov (United States)

    Elfving, Karin; Malmsten, Jonas; Dalin, Anne-Marie; Nilsson, Kenneth

    2015-09-01

    Both Rickettsia helvetica and Anaplasma phagocytophilum are common in Ixodes ricinus ticks in Sweden. Knowledge is limited regarding different animal species' competence to act as reservoirs for these organism. For this reason, blood samples were collected from wild cervids (roe deer, moose) and domestic mammals (horse, cat, dog) in central Sweden, and sera were tested using immunofluorescence assay to detect antibodies against spotted fever rickettsiae using Rickettsia helvetica as antigen. Sera with a titer ?1:64 were considered as positive, and 23.1% (104/450) of the animals scored positive. The prevalence of seropositivity was 21.5% (23/107) in roe deer, 23.3% (21/90) in moose, 36.5% (23/63) in horses, 22.1% (19/90) in cats, and 17.0% (17/100) in dogs. PCR analysis of 113 spleen samples from moose and sheep from the corresponding areas were all negative for rickettsial DNA. In roe deer, 85% (91/107) also tested seropositive for A. phagocytophilum with a titer cutoff of 1:128. The findings indicate that the surveyed animal species are commonly exposed to rickettsiae and roe deer also to A. phagocytophilum. PMID:26378972

  13. Validación de la punción aspiración con aguja fina (PAAF) en el diagnóstico de linfadenitis tuberculosa en pacientes con infección por el virus de la inmunodeficiencia humana (VIH)

    Scientific Electronic Library Online (English)

    Susana G, Cabrera; Virginia, Ortega; Julio C, Medina; Gabriela, Gualco; Marcelo, Viola; Graciela, Pérez; María L., Musto; Justino, Zeballos; Eduardo, Savio.

    2009-09-01

    Full Text Available Resumo Introdução: a punção-aspiração com agulha fina (PAAF) de gânglio linfático é uma técnica simples, rápida e de baixo custo para a obtenção de amostras para diagnóstico. Objetivo: o objetivo deste trabalho foi validar a PAAF no diagnóstico de linfadenite tuberculosa (TB) em pacientes infectados [...] pelo vírus da imunodeficiência humana (VIH), utilizando como "gold standard" o cultivo de Mycobacterium tuberculosis em biopsia ganglionar ou a histopatologia com resposta ao tratamento específico. Material e método: estudo clínico-patológico prospectivo. Foram incluídos pacientes portadores de VIH, com consentimento informado prévio, maiores de 18 anos, com adenomegalias superficiais maiores que 2 cm, atendidos na Cátedra de Doenças Infecciosas entre outubro de 2004 e dezembro de 2006. Em cada gânglio foi realizada PAAF e biopsia. Nas amostras citológicas e histopatológicas foram realizadas as colorações habituais, Ziehl-Neelsen e cultivos para micobacterias. Foi definida como citologia sugestiva de linfadenite TB: 1) linfadenite reativa com necrose; 2) linfadenite reativa com células epitelioides e/ou macrófagos e/ou células gigantes multinucleadas; com ou sem bacilos ácido-álcool resistentes no exame direto com coloração de Ziehl-Neelsen. Resultados: dos 30 pacientes incluídos, 23 apresentaram TB ganglionar. Nos sete pacientes restantes a PAAF descartou o diagnóstico de TB em seis, evitando tratamentos desnecessários, e indicando exame histológico para diagnóstico definitivo. A sensibilidade, especificidade, valor preditivo positivo e valor preditivo negativo da PAAF para o diagnóstico de linfadenite TB foram respectivamente 95%, 86%, 95% e 86%. O coeficiente de concordância de Kappa entre ambos procedimentos foi de 90%. Conclusões: a PAAF de gânglio linfático em pacientes VIH tem alto rendimento como técnica diagnóstica de TB ganglionar. Permite também selecionar os pacientes que necessitam biopsia ganglionar para diagnóstico definitivo, evitando sua realização sistemática em todos os pacientes com adenomegalias. Abstract in spanish Resumen Introducción: la punción aspiración aguja fina (PAAF) de ganglio linfático es una técnica sencilla, rápida y de bajo costo para la obtención de muestras para diagnóstico. Objetivo: el objetivo del estudio fue validar la PAAF en el diagnóstico de linfadenitis tuberculosa (TB) en pacientes inf [...] ectados por el virus de la inmunodeficiencia humana (VIH), utilizando como "gold standard" el cultivo de Mycobacterium tuberculosis en biopsia ganglionar o la histopatología más la respuesta al tratamiento específico. Material y método: estudio clínico-patológico prospectivo. Se incluyeron pacientes VIH infectados, previo consentimiento informado, mayores a 18 años, con adenomegalias superficiales mayores a 2 cm, asistidos en la Cátedra de Enfermedades Infecciosas entre octubre de 2004 y diciembre de 2006. Se realizó PAAF y biopsia del mismo ganglio. En las muestras citológicas e histopatológicas se realizaron tinciones habituales, Ziehl-Neelsen y cultivos para micobacterias. Se definió como citología sugestiva de linfadenitis TB: 1) linfadenitis reactiva con necrosis; 2) linfadenitis reactiva con células epitelioides y/o macrófagos y/o células gigantes multinucleadas; con o sin bacilos ácido-alcohol resistentes en el directo con tinción de Ziehl-Neelsen. Resultados: de 30 pacientes incluidos, 23 correspondieron a una TB ganglionar. En los siete pacientes restantes la PAAF descartó el diagnóstico de TB en seis, evitando tratamientos innecesarios, e indicando estudio histológico para diagnóstico definitivo. La sensibilidad, especificidad, valor predictivo positivo y valor predictivo negativo de la PAAF para el diagnóstico de linfadenitis TB fue de 95%, 86%, 95% y 86%, respectivamente. El coeficiente de concordancia de Kappa entre ambos procedimientos fue de 90%. Conclusiones: la PAAF de ganglio linfático en pacientes VIH tiene un elevado rendimiento como técnica diagnóstica de TB

  14. Are Apodemus spp. mice and Myodes glareolus reservoirs for Borrelia miyamotoi, Candidatus Neoehrlichia mikurensis, Rickettsia helvetica, R. monacensis and Anaplasma phagocytophilum?

    Science.gov (United States)

    Burri, C; Schumann, O; Schumann, C; Gern, L

    2014-04-01

    In Europe, in addition to Borrelia burgdorferi sensu lato and tick-borne encephalitis (TBE) virus, other zoonotic pathogens, like B. miyamotoi, a species related to the relapsing fever spirochaetes, Candidatus Neoehrlichia mikurensis (N. mikurensis), Rickettsia helvetica, Rickettsia monacensis, and Anaplasma phagocytophilum have been reported in the ixodid tick Ixodes ricinus. No study was conducted to identify reservoir hosts for these pathogens. Here, we investigated the role played by wild rodents in the natural transmission cycle of B. miyamotoi, N. mikurensis, R. helvetica, R. monacensis, and A. phagocytophilum in Switzerland. In 2011 and 2012, small mammals were captured in an area where these pathogens occur in questing ticks. Ixodes ricinus ticks infesting captured small mammals were analysed after their moult by PCR followed by reverse line blot to detect the different pathogens. Xenodiagnostic larvae were used to evaluate the role of rodents as reservoirs and analysed after their moult. Most of the 108 captured rodents (95.4%) were infested by I. ricinus ticks; 4.9%, 3.9%, 24.0%, and 0% of the rodents were infested by Borrelia, N. mikurensis, Rickettsia spp., and A. phagocytophilum-infected larvae, respectively. Borrelia afzelii, B. miyamotoi, N. mikurensis, Rickettsia spp., and A. phagocytophilum were detected in 2.8%, 0.17%, 2.6%, 6.8%, and 0% of the ticks attached to rodents, respectively. Borrelia afzelii was transmitted by 4 rodents to 41.2% of the xenodiagnostic ticks, B. miyamotoi by 3 rodents to 23.8%, and N. mikurensis was transmitted by 6 rodents to 41.0% of the xenodiagnostic ticks. None of the tested rodent transmitted Rickettsia spp. or A. phagocytophilum to I. ricinus xenodiagnostic larvae. This study showed that rodents are reservoir hosts for B. miyamotoi and N. mikurensis in Europe. PMID:24582511

  15. 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.

  16. 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.

  17. Detection of Rickettsia and Ehrlichia spp. in Ticks Associated with Exotic Reptiles and Amphibians Imported into Japan

    Science.gov (United States)

    Andoh, Masako; Sakata, Akiko; Takano, Ai; Kawabata, Hiroki; Fujita, Hiromi; Une, Yumi; Goka, Koichi; Kishimoto, Toshio; Ando, Shuji

    2015-01-01

    One of the major routes of transmission of rickettsial and ehrlichial diseases is via ticks that infest numerous host species, including humans. Besides mammals, reptiles and amphibians also carry ticks that may harbor Rickettsia and Ehrlichia strains that are pathogenic to humans. Furthermore, reptiles and amphibians are exempt from quarantine in Japan, thus facilitating the entry of parasites and pathogens to the country through import. Accordingly, in the current study, we examined the presence of Rickettsia and Ehrlichia spp. genes in ticks associated with reptiles and amphibians originating from outside Japan. Ninety-three ticks representing nine tick species (genera Amblyomma and Hyalomma) were isolated from at least 28 animals spanning 10 species and originating from 12 countries (Ghana, Jordan, Madagascar, Panama, Russia, Sri Lanka, Sudan, Suriname, Tanzania, Togo, Uzbekistan, and Zambia). None of the nine tick species are indigenous in Japan. The genes encoding the common rickettsial 17-kDa antigen, citrate synthase (gltA), and outer membrane protein A (ompA) were positively detected in 45.2% (42/93), 40.9% (38/93), and 23.7% (22/93) of the ticks, respectively, by polymerase chain reaction (PCR). The genes encoding ehrlichial heat shock protein (groEL) and major outer membrane protein (omp-1) were PCR-positive in 7.5% (7/93) and 2.2% (2/93) of the ticks, respectively. The p44 gene, which encodes the Anaplasma outer membrane protein, was not detected. Phylogenetic analysis showed that several of the rickettsial and ehrlichial sequences isolated in this study were highly similar to human pathogen genes, including agents not previously detected in Japan. These data demonstrate the global transportation of pathogenic Rickettsia and Ehrlichia through reptile- and amphibian-associated ticks. These imported animals have potential to transfer pathogens into human life. These results highlight the need to control the international transportation of known and potential pathogens carried by ticks in reptiles, amphibians, and other animals, in order to improve national and international public health. PMID:26207382

  18. Rickettsiae-infected Ticks in an Endemic Area of Spotted Fever in the State of Minas Gerais, Brazil

    Scientific Electronic Library Online (English)

    Elba Regina Sampaio de, Lemos; Raimundo Diogo, Machado; Fernando Dias de Ávila, Pires; Sérgio Lisboa, Machado; Lígia Maria Cantarino da, Costa; José Rodrigues, Coura.

    1997-07-01

    Full Text Available A study on tick-borne rickettsiosis was developed in the county of Santa Cruz do Escalvado, State of Minas Gerais, Brazil, where a clinical case of the disease, confirmed by necropsy, had been reported. Of the 1,254 ticks collected, 1,061 belonged to the Amblyomma genus, 57 to the Rhipicephalus sang [...] uineus species, 81 to Boophilus microplus, and 46 to Anocentor nitens. The hemolymph test associated with Giménez staining showed that 18 of the 221 A. cajennense specimens, 1 of the 16 R. sanguineus, 1 of the 22 B. microplus, 3 of the A. nitens, and 1 of the A. ovale contained rickettsia-like microorganisms. Only 3 A. cajennense ticks were positive under direct immunofluorescence. A. cajennense was the only species found on humans

  19. Rickettsia parkeri Rickettsiosis in Different Ecological Regions of Argentina and Its Association with Amblyomma tigrinum as a Potential Vector

    Science.gov (United States)

    Romer, Yamila; Nava, Santiago; Govedic, Francisco; Cicuttin, Gabriel; Denison, Amy M.; Singleton, Joseph; Kelly, Aubree J.; Kato, Cecilia Y.; Paddock, Christopher D.

    2014-01-01

    Rickettsia parkeri, a newly recognized tick-borne pathogen of humans in the Americas, is a confirmed cause of spotted fever group rickettsiosis in Argentina. Until recently, almost all cases of R. parkeri rickettsiosis in Argentina have originated from the Paraná River Delta, where entomological surveys have identified populations of R. parkeri-infected Amblyomma triste ticks. In this report, we describe confirmed cases of R. parkeri rickettsiosis from Córdoba and La Rioja provinces, which are located several hundred kilometers inland, and in a more arid ecological region, where A. triste ticks do not occur. Additionally, we identified questing A. tigrinum ticks naturally infected with R. parkeri in Córdoba province. These data provide evidence that another human-biting tick species serves as a potential vector of R. parkeri in Argentina and possibly, other countries of South America. PMID:25349376

  20. 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.

  1. Prevalence of Bartonella species, hemoplasmas, and Rickettsia felis DNA in blood and fleas of cats in Bangkok, Thailand.

    Science.gov (United States)

    Assarasakorn, S; Veir, J K; Hawley, J R; Brewer, M M; Morris, A K; Hill, A E; Lappin, M R

    2012-12-01

    Flea infestations are common in Thailand, but little is known about the flea-borne infections. Fifty flea pools and 153 blood samples were collected from client-owned cats between June and August 2009 from veterinary hospitals in Bangkok, Thailand. Total DNA was extracted from all samples, and then assessed by conventional PCR assays. The prevalence rates of Bartonella spp. in blood and flea samples were 17% and 32%, respectively, with DNA of Bartonella henselae and Bartonella clarridgeiae being amplified most commonly. Bartonella koehlerae DNA was amplified for the first time in Thailand. Hemoplasma DNA was amplified from 23% and 34% of blood samples and flea pools, respectively, with 'Candidatus Mycoplasma haemominutum' and Mycoplasma haemofelis being detected most frequently. All samples were negative for Rickettsia felis. Prevalence rate of B. henselae DNA was increased 6.9 times in cats with flea infestation. Cats administered flea control products were 4.2 times less likely to be Bartonella-infected. PMID:22521739

  2. The prevalence of Bartonella, hemoplasma, and Rickettsia felis infections in domestic cats and in cat fleas in Ontario.

    Science.gov (United States)

    Kamrani, Ali; Parreira, Valeria R; Greenwood, Janice; Prescott, John F

    2008-10-01

    The prevalence of persistent bacteremic Bartonella spp. and hemoplasma infections was determined in healthy pet cats in Ontario. Blood samples from healthy cats sent to a diagnostic laboratory for routine health assessment over the course of 1 y were tested for Bartonella spp. using both polymerase chain reaction (PCR) and blood culture, and for the presence of hemoplasma by PCR. The overall prevalence of Bartonella spp. by PCR and by culture combined was 4.3% (28/646) [3.7% (24/646) Bartonella henselae, 0.6% (4/646) Bartonella clarridgeiae]. The novel B. henselae PCR developed for this study demonstrated nearly twice the sensitivity of bacterial isolation. The overall prevalence of hemoplasma was 4% (30/742) [3.3% (25/742) Candidatus Mycoplasma haemominutum, 0.7% (5/742) Mycoplasma haemofelis]. There was no significant difference between the prevalence of infection by season or by age ( 2 y). Candidatus Mycoplasma turicensis was identified, for the first time in Canada, in 1 cat. The prevalence of Bartonella (58%) and hemoplasma (47% M. haemofelis, 13% M. haemominutum) in blood from a small sampling (n = 45) of stray cats was considerably higher than that found in healthy pet cats. The prevalence of Rickettsia felis in cat fleas was also assessed. A pool of fleas from each of 50 flea-infested cats was analyzed for the presence of R. felis by PCR. Rickettsia felis was confirmed, for the first time in Canada, in 9 of the 50 samples. Therefore, the prevalence of Bartonella and hemoplasma infection in healthy pet cats is relatively low. Further, the control of cat fleas is important because of the public health significance of Bartonella and R. felis infection. PMID:19086373

  3. Seroprevalence and risk factors to Ehrlichia spp. and Rickettsia spp. in dogs from the Pantanal Region of Mato Grosso State, Brazil.

    Science.gov (United States)

    Melo, Andréia L T; Martins, Thiago F; Horta, Maurício C; Moraes-Filho, Jonas; Pacheco, Richard C; Labruna, Marcelo B; Aguiar, Daniel M

    2011-12-01

    Sera of 320 dogs from urban and rural areas of a Pantanal region of Brazil were evaluated for rickettsial (Rickettsia rickettsii, R. parkeri, R. amblyommii, R. rhipicephali, R. felis, and R. bellii) and ehrlichial (Ehrlichia canis) infection by the immunofluorescence assay (IFA). Risk factors for ehrlichiosis or rickettsiosis were also evaluated. Positive reaction against Ehrlichia spp. was detected in 227 (70.9%) dogs, 119 (74.3%) from an urban area and 108 (67.5%) from rural areas (P>0.05). For Rickettsia spp., 152 (47.5%) dogs were positive, 31 (19.3%) from urban and 121 (75.6%) from rural areas (Pdogs were found parasitized by the tick Rhipicephalus sanguineus, infestations on rural dogs were predominated by Amblyomma cajenennse. Rickettsial infection was significantly higher (Pdogs, in dogs with hunting practice, or in A. cajennense-infested dogs. PMID:22108015

  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. 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...

  6. Prevalence of infection with Rickettsia helvetica in Ixodes ricinus ticks feeding on non-rickettsiemic rodent hosts in sylvatic habitats of west-central Poland.

    Science.gov (United States)

    Biernat, Beata; Sta?czak, Joanna; Michalik, Jerzy; Sikora, Bo?ena; Wierzbicka, Anna

    2016-02-01

    Ixodes ricinus is the most prevalent and widely distributed tick species in European countries and plays a principal role in transmission of a wide range of microbial pathogens. It is also a main vector and reservoir of Rickettsia spp. of the spotted fever group with the infection level ranging in Poland from 1.3% to 11.4%. Nevertheless, little research has been conducted so far to identify reservoir hosts for these pathogens. A survey was undertaken to investigate the presence of Rickettsia spp. in wild small rodents and detached I. ricinus. Rodents, Apodemus flavicollis mice and Myodes glareolus voles were captured in typically sylvatic habitats of west-central Poland. Blood samples and collected ticks were analyzed by conventional, semi-nested and nested PCRs. Rickettsial species were determined by sequence analysis of obtained fragments of gltA and 16S rRNA genes. A total of 2339 immature I. ricinus (mostly larvae) were collected from 158 animals. Proportion of hosts carrying ticks was 84%, being higher for A. flavicollis than for M. glareolus. Rickettsia helvetica, the only species identified, was detected in 8% of 12 nymphs and in at least 10.7% (MIR) of 804 larvae investigated. Prevalence of infected ticks on both rodent species was comparable (10.8 vs. 9%). None of blood samples tested was positive for Rickettsia spp. The results showed that in sylvatic habitats the level of infestation with larval I. ricinus was higher in A. flavicollis mice in comparison with M. glareolus voles. They show that R. helvetica frequently occurred in ticks feeding on rodents. Positive immature ticks were collected from non-rickettsiemic hosts what might suggest a vertical route of their infection (transovarial and/or transstadial) or a very short-lasting rickettsiemia in rodents. A natural vertebrate reservoir host for R. helvetica remains to be determined. PMID:26515058

  7. Rickettsia prowazekii Uses an sn-Glycerol-3-Phosphate Dehydrogenase and a Novel Dihydroxyacetone Phosphate Transport System To Supply Triose Phosphate for Phospholipid Biosynthesis ?

    OpenAIRE

    Frohlich, Kyla M.; Roberts, Rosemary A. W.; Housley, Nicole A.; Audia, Jonathon P.

    2010-01-01

    Rickettsia prowazekii is an obligate intracellular pathogen that possesses a small genome and a highly refined repertoire of biochemical pathways compared to those of free-living bacteria. Here we describe a novel biochemical pathway that relies on rickettsial transport of host cytosolic dihydroxyacetone phosphate (DHAP) and its subsequent conversion to sn-glycerol-3-phosphate (G3P) for synthesis of phospholipids. This rickettsial pathway compensates for the evolutionary loss of rickettsial g...

  8. Gamma-interferon-induced inhibition of the growth of Rickettsia prowazekii in fibroblasts cannot be explained by the degradation of tryptophan or other amino acids.

    OpenAIRE

    Turco, J.; Winkler, H. H.

    1986-01-01

    We examined the role of amino acid deprivation in gamma-interferon-induced (IFN-gamma) suppression of the growth of Rickettsia prowazekii in mouse L929 cells and human fibroblasts by measuring the amino acid pools in untreated and IFN-gamma-treated cells. In recombinant IFN-gamma-treated cultures of human fibroblasts, tryptophan was undetectable in both the intracellular pool and the extracellular medium. In contrast, tryptophan was not depleted from the intracellular pool or the extracellula...

  9. Two pathogens and one disease: detection and identification of flea-borne Rickettsiae in areas endemic for murine typhus in California.

    Science.gov (United States)

    Eremeeva, Marina E; Karpathy, Sandor E; Krueger, Laura; Hayes, Erica K; Williams, Ashley M; Zaldivar, Yamitzel; Bennett, Stephen; Cummings, Robert; Tilzer, Art; Velten, Robert K; Kerr, Nelson; Dasch, Gregory A; Hu, Renjie

    2012-11-01

    Results of an environmental assessment conducted in a newly emergent focus of murine typhus in southern California are described. Opossums, Didelphis virginiana Kerr, infested with cat fleas, Ctenocephalides felis Buché, in the suburban area were abundant. Animal and flea specimens were tested for the DNA of two flea-borne rickettsiae, Rickettsia typhi and Rickettsia felis. R. felis was commonly detected in fleas collected throughout this area while R. typhi was found at a much lower prevalence in the vicinity of just 7 of 14 case-patient homes identified. DNA of R. felis, but not R. typhi, was detected in renal, hepatic, and pulmonary tissues of opossums. In contrast, there were no hematologic polymerase chain reaction findings of R. felis or R. typhi in opossums, rats, and cats within the endemic area studied. Our data suggest a significant probability of human exposure to R. felis in the area studied; however, disease caused by this agent is not recognized by the medical community and may be misdiagnosed as murine typhus using nondiscriminatory serologic methods. PMID:23270180

  10. 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

  11. 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.

  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. Borrelia burgdorferi sensu lato and co-infections with Anaplasma phagocytophilum and Rickettsia spp. in Ixodes ricinus in Hamburg, Germany.

    Science.gov (United States)

    May, K; Jordan, D; Fingerle, V; Strube, C

    2015-12-01

    To obtain initial data on Borrelia burgdorferi sensu lato (Spirochaetales: Spirochaetaceae) in Ixodes ricinus (Ixodida: Ixodidae) ticks in Hamburg, Germany, 1400 questing ticks were collected by flagging at 10 different public recreation areas in 2011 and analysed using probe-based quantitative real-time polymerase chain reaction. The overall rate of infection with B. burgdorferi s.l. was 34.1%; 30.0% of adults were infected (36.7% of females and 26.0% of males), as were 34.5% of nymphs. Significant differences in tick infection rates were observed between the spring and summer/autumn months, as well as among sampling locations. Borrelia genospecies identification by reverse line blotting was successful in 43.6% of positive tick samples. The most frequent genospecies was Borrelia garinii/Borrelia bavariensis, followed by Borrelia afzelii, Borrelia valaisiana, B. burgdorferi sensu stricto, Borrelia spielmanii, Borrelia bissettii and Borrelia lusitaniae. Based on previously published data, co-infection of Borrelia and Rickettsiales spp. was determined in 25.8% of ticks. Overall, 22.9% of ticks were co-infected with Rickettsia spp. (Rickettsiales: Rickettsiaceae), 1.7% with Anaplasma phagocytophilum (Rickettsiales: Anaplasmataceae), and 1.2% with both pathogens. Study results show a high prevalence of Borrelia-positive ticks in recreation areas in the northern German city of Hamburg and the potential health risk to humans in these areas should not be underestimated. PMID:26096626

  14. ‘Candidatus Megaira polyxenophila’ gen. nov., sp. nov.: Considerations on Evolutionary History, Host Range and Shift of Early Divergent Rickettsiae

    Science.gov (United States)

    Vannini, Claudia; Galati, Stefano; Schweikert, Michael; Görtz, Hans-Dieter; Verni, Franco; Petroni, Giulio

    2013-01-01

    “Neglected Rickettsiaceae” (i.e. those harboured by non-hematophagous eukaryotic hosts) display greater phylogenetic variability and more widespread dispersal than pathogenic ones; yet, the knowledge about their actual host range and host shift mechanism is scarce. The present work reports the characterization following the full-cycle rRNA approach (SSU rRNA sequence, specific in situ hybridization, and ultrastructure) of a novel rickettsial bacterium, herewith proposed as 'Candidatus Megaira polyxenophila' gen. nov., sp. nov. We found it in association with four different free-living ciliates (Diophrys oligothrix, Euplotes octocarinatus, Paramecium caudatum, and Spirostomum sp., all belonging to Alveolata, Ciliophora); furthermore it was recently observed as intracellular occurring in Carteria cerasiformis and Pleodorina japonica (Chlorophyceae, Chlorophyta). Phylogenetic analyses demonstrated the belonging of the candidate new genus to the family Rickettsiaceae (Alphaproteobacteria, Rickettsiales) as a sister group of the genus Rickettsia. In situ observations revealed the ability of the candidate new species to colonize either nuclear or cytoplasmic compartments, depending on the host organism. The presence of the same bacterial species within different, evolutionary distant, hosts indicates that 'Candidatus Megaira polyxenophila' recently underwent several distinct host shifts, thus suggesting the existence of horizontal transmission pathways. We consider these findings as indicative of an unexpected spread of rickettsial infections in aquatic communities, possibly by means of trophic interactions, and hence propose a new interpretation of the origin and phylogenetic diversification of rickettsial bacteria. PMID:23977321

  15. 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.

  16. 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.

  17. Rickettsiae of spotted fever group, Borrelia valaisiana, and Coxiella burnetii in ticks on passerine birds and mammals from the Camargue in the south of France.

    Science.gov (United States)

    Socolovschi, Cristina; Reynaud, Pierre; Kernif, Tahar; Raoult, Didier; Parola, Philippe

    2012-12-01

    Ticks are obligate hematophagous arthropods that have a limited mobility, but can be transported over large geographical distances by wild and domestic mammals and birds. In this study, we analyze the presence of emerging zoonotic bacteria in ticks collected from passerine birds and mammals present in the Camargue, in the south of France, which is a major rallying point for birds migrating from Eurasia and Africa. The presence of Coxiella burnetii, Rickettsia, Borrelia, and Bartonella was examined by real-time PCR on DNA samples extracted from 118 ticks. Rickettsia massiliae was detected in ticks from Passer domesticus, Ri. aeschlimannii in ticks from Acrocephalus scirpaceus and Luscinia megarhynchos, and Borrelia valaisiana in one tick from Turdus merula. In addition, Ri. massiliae, Ri. slovaca, Candidatus Ri. barbariae, and C. burnetii were detected in ticks from dogs, horses, cats, and humans. No Bartonella DNA was detected in these samples. The migratory birds may play a role in the transmission of infectious diseases and contribute to the geographic distribution of Ri. aeschlimannii, Bo. valaisiana, and C. burnetii. The role of birds in spreading Rh. sanguineus ticks infected with Ri. massiliae needs to be clarified by complementary studies. This is the first detection of Candidatus Ri. barbariae in Rh. sanguineus from the south of France. PMID:23141104

  18. por láser

    Directory of Open Access Journals (Sweden)

    Mayra Garcimuño

    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.

  19. 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.

  20. 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.

  1. 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.

  2. 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.

  3. Linfadenopatía por silicona en una paciente con prótesis mamarias Silicone-induced lymphadenopathy in a patient suffering from mammary prosthesis: a case report

    Directory of Open Access Journals (Sweden)

    Germán García-Soto

    2006-06-01

    Full Text Available Se presenta el caso de una mujer de 47 años, con adenopatías axilares izquierdas, sin antecedentes médicos y a quien se le habían colocado implantes mamarios 8 años antes con fines estéticos. Se realizó resección ganglionar y la patología reportó células gigantes multinucleadas tipo cuerpo extraño, con abundantes vacuolas citoplasmáticas y linfocitos polimorfonucleares con lo que se estableció el diagnóstico de adenopatía por silicona y se procedió a la remoción y cambio de la prótesis. La biopsia por aspiración con aguja fina (BACAF de los ganglios linfáticos que drenan el sitio donde se localiza la prótesis puede hacer el diagnóstico de linfadenopatía por silicona y a la vez permite descartar la presencia de un proceso maligno que pudiera coincidir en algunas pacientes.This is a case report of a 47-year old woman having no antecedents of disease, but a surgical history of silicone breast-implants 8 years beforehand. The patient’s complaint concerned the left axillary lymph nodes. A ganglion resection was done and fine needle aspiration biopsy (FNAB revealed giant multinucleated cells having abundant cytoplasmatic vacuoles and polymorphonuclear lymphocytes leading to a diagnosis of silicon-induced adenopathy. The prosthesis was then removed and changed. Lymph node FNAB is able to diagnose silicone lymphadenopathy and excludes malignant neoplasm.

  4. 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.

  5. Detection of Rickettsia rickettsii in the tick Amblyomma cajennense in a new Brazilian spotted fever-endemic area in the state of Minas Gerais

    Scientific Electronic Library Online (English)

    Elizângela, Guedes; Romário C, Leite; Márcia CA, Prata; Richard C, Pacheco; David H, Walker; Marcelo B, Labruna.

    2005-12-01

    Full Text Available The present study evaluated rickettsial infection in Amblyomma spp. ticks collected in a farm in Coronel Pacheco, a Brazilian spotted fever (BSF) endemic area. A total of 78 A. cajennense and 78 A. dubitatum free-living adult ticks were collected and tested by polymerase chain reaction (PCR) targeti [...] ng a fragment of the rickettsial gene gltA. Only one pool of three A. cajennense ticks showed the expected product by PCR. This pool was further tested by PCR using sets of primers targeting the rickettsial genes gltA, ompA, and ompB. All reactions yielded the expected bands that by sequencing, showed 100% identity to the corresponding sequences of the Rickettsia rickettsii gene fragments gltA (1063-bp), ompA (457-bp), and ompB (720-bp). The minimal infection rate of R. rickettii in the A. cajennense population was 1.28% (at least one infected tick within 78 ticks).The present study showed molecular evidence for the presence of R. rickettsii in A. cajennense from a BSF-endemic area in Coronel Pacheco, state of Minas Gerais. Although R. rickettsii has been previously reported infecting A. cajennense ticks in Brazil and other Latin American countries, the present study performed the first molecular characterization of R. rickettsii from the tick A. cajennense.

  6. 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.

  7. 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.

  8. Miocarditis por dengue

    Directory of Open Access Journals (Sweden)

    Ricardo Amador García Hernández

    2013-06-01

    Full Text Available El dengue es un arbovirus transmitido por el Aedes aegypti, produce los cuadros clínicos de dengue clásico, dengue hemorrágico y síndrome de choque por dengue, aisladamente se reportan casos de miocarditis. Se presentó un paciente con antecedentes de dengue clásico que manifestó dolor precordial asociado a cambios electrocardiográficos y fue ingresado en este hospital por síndrome coronario agudo probable, al cual se le diagnosticó clínicamente miocarditis por dengue.

  9. 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.

  10. Role of the nitric oxide synthase pathway in inhibition of growth of interferon-sensitive and interferon-resistant Rickettsia prowazekii strains in L929 cells treated with tumor necrosis factor alpha and gamma interferon.

    OpenAIRE

    Turco, J.; Winkler, H. H.

    1993-01-01

    The ability of tumor necrosis factor alpha (TNF-alpha) alone and in combination with gamma interferon (IFN-gamma) to inhibit the growth of interferon-sensitive and -resistant Rickettsia prowazekii strains in mouse L929 cells was examined, and the possible role of the nitric oxide synthase pathway in the suppression of rickettsial growth induced by TNF-alpha, IFN-gamma, or both cytokines was evaluated. TNF-alpha inhibited the growth of strains Madrid E (IFN-gamma sensitive and alpha/beta inter...

  11. Lipofuscinose ceróide neuronal: relato de quatro casos com estudo por histoquímica retal, microscopia eletrônica de conjuntiva e necrópsia / Neuronal ceroid lipofuscinosis: report of four cases with study by rectal histochemistry, conjunctival electron microscopy, and autopsy

    Scientific Electronic Library Online (English)

    Luiz Fernando Bleggi, Torres; , Isac Bruck; Sérgio, Antoniuk; Lubomira, Oliva; Lúcia de, Noronha; José Luiz Pinto, Pereira.

    1994-03-01

    Full Text Available Os autores relatam os achados neuropatológicos e clínicos de quatro casos de lipofuscinose ceróide ou doença de Batten. Dois casos foram estudados por necrópsia: o encéfalo mostrou atrofia e neurônios contendo pigmento citoplasmático com características tintoriais de lipofuscina. Um caso foi diagnos [...] ticado por estudo histoquímico de biópsia retal, em material congelado em nitrogênio líquido demonstrando-se células ganglionares mioentéricas contendo acúmulo citoplasmático de material granular fosfatase ácida positivo, bem como em grande número de macrófagos do córion. O quarto caso foi diagnosticado por microscopia eletrônica de biópsia de conjuntiva, com identificação de inclusões curvelíneas membranáceas e tipo impressão digital. Abstract in english The authors present the neuropathological and clinical findings of four cases of ceroid lipofuscinosis or Batten's disease. In two cases the autopsy findings showed brain atrophy and nerve cells packed with cytoplasmic granules compatible with lipofuscin. One case was diagnosed by histochemical tech [...] niques in frozen sections of rectal biopsy which showed myoenteric ganglion cells with cytoplasmic acid phosphatase positive material as well as numerous macrophages filled with lipofuscin in the mucosae. The fourth case was diagnosed by electron microscopy of conjunctival biopsy which showed cytoplasmic inclusions of membranous, curvilinear and fingerprint types.

  12. 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.

  13. 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.

  14. 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

    Directory of Open Access Journals (Sweden)

    José Alberto 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 significativoA 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 patients 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

  15. 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

  16. Experimental infection of opossums Didelphis aurita by Rickettsia rickettsii and evaluation of the transmission of the infection to ticks Amblyomma cajennense.

    Science.gov (United States)

    Horta, Maurício C; Moraes-Filho, Jonas; Casagrande, Renata A; Saito, Tais B; Rosa, Simone C; Ogrzewalska, Maria; Matushima, Eliana R; Labruna, Marcelo B

    2009-02-01

    The present study evaluated the infection of opossums (Didelphis aurita) by Rickettsia rickettsii and their role as amplifier hosts for horizontal transmission of R. rickettsii to Amblyomma cajennense ticks. Three groups of opossums were evaluated: on day 0, group 1 (G1) was inoculated intraperitoneally with R. rickettsii; group 2 (G2) was infested by R. rickettsii-infected ticks; and group 3 (G3) was the uninfected control group. Opossum rectal temperature was measured daily. Blood samples were collected every 2 to 4 days during 30 days, and used to (1) inoculate guinea pigs intraperitoneally; (2) extract DNA followed by real-time polymerase chain reaction (PCR) targeting the rickettsial gene gltA; (3) study hematology; (4) detect R. rickettsii-reactive antibodies by indirect immunofluorescence assay (IFA). Blood was also collected every 10 days from days 30 to 180, to be tested by serology. Opossums were infested by uninfected A. cajennense larvae and nymphs from days 3 to 15. Engorged ticks were collected and allowed to molt in an incubator. Thereafter, the subsequent flat ticks were allowed to feed on uninfected rabbits, which were tested for seroconversion by IFA. Samples of flat ticks were also tested by real-time PCR. All G1 and G2 opossums became infected by R. rickettsii, as demonstrated by realtime PCR or/and guinea pig inoculation, but they showed no clinical abnormality. Rickettsemia was first detected at days 2 to 8, lasting intermittently till days 1 to 30. Approximately 18% and 5% of the flat ticks previously fed on G1 and G2 opossums, respectively, became infected by R. rickettsii, but only the rabbits infested with G1-derived ticks seroconverted. The study demonstrated that R. rickettsii was capable of infecting opossums without causing illness and developing rickettsemia capable of causing infection in guinea pigs and ticks, although the infection rate in ticks was low. PMID:18945194

  17. 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

    Scientific Electronic Library Online (English)

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

    2008-02-01

    Full Text Available 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. Abstract in english 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.

  18. 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.

  19. Necrosis cutánea por warfarina

    Directory of Open Access Journals (Sweden)

    Edison Muñoz

    2012-09-01

    Full Text Available La necrosis cutánea por warfarina aparece entre 0.01-0.1% de los pacientes, afecta más a mujeres con obesidad y antecedentes de enfermedad tromboembólica luego del quinto día de su inicio. Se debe a un imbalance transitorio de los sistemas anticoagulante y procoagulante, caracterizado por flictenas hemorrágicas en zonas con tejido graso. Reportamos el caso de una necrosis cutánea por warfarina con un desenlace fatal. (Acta Med Colomb 2012; 37: 138-141.

  20. (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.

  1. Experimental infection of capybaras Hydrochoerus hydrochaeris by Rickettsia rickettsii and evaluation of the transmission of the infection to ticks Amblyomma cajennense.

    Science.gov (United States)

    Souza, Celso E; Moraes-Filho, Jonas; Ogrzewalska, Maria; Uchoa, Franscisco C; Horta, Mauricio C; Souza, Savina S L; Borba, Renata C M; Labruna, Marcelo B

    2009-04-01

    The present study evaluated the infection of capybaras (Hydrochoerus hydrochaeris) by Rickettsia rickettsii and their role as amplifier hosts for horizontal transmission of R. rickettsii to Amblyomma cajennense ticks. Two groups of two capybaras each were evaluated: on day 0, group 1 (G1) was infested by R. rickettsii-infected ticks, and group 2 (G2) was inoculated intraperitoneally with R. rickettsii. Two additional groups were control groups, not exposed to R. rickettsii, being CG1 group the control of G1, and CG2 group the control of G2. Capybara rectal temperature was measured daily. Blood samples were collected every 3 days during 30 days, and used to (i) inoculate guinea pigs intraperitoneally; (ii) DNA extraction followed by real-time PCR targeting the rickettsial gene gltA; (iii) hematology; (iv) detection of R. rickettsii-reactive antibodies by indirect immunofluorescence assay (IFA). Blood was also collected from G1 capybaras every approximately 10-30 days till the 146th day, to be tested by serology. Capybaras were infested by uninfected A. cajennense nymphs from the 3rd to the 18th day. Engorged nymphs were collected, allowed to molt to adults in an incubator. Thereafter, the subsequent flat ticks were tested by PCR. All G1 and G2 capybaras became infected by R. rickettsii, as demonstrated by guinea pig inoculation and seroconversion, but they showed no fever. Rickettsemia was continually detected from the 6th (G2 capybaras) or 9th (G1 capybaras) to the 18th day post inoculation or infestation with R. rickettsii-infected ticks. A total of 20-25% and 30-35% of the flat ticks previously fed on G1 and G2 capybaras, respectively, became infected by R. rickettsii. The study demonstrated that R. rickettsii was capable to infect capybaras without causing clinical illness, inducing rickettsemia capable to cause infection in guinea pigs and ticks. Our results indicate that capybaras act as amplifier host of R. rickettsii for A. cajennense ticks in Brazil. PMID:19147293

  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. 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.

  4. 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.

  5. 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.

  6. Infección por Chlamydia trachomatis

    Scientific Electronic Library Online (English)

    María Teresa, Urbina; Randolfo, Medina; Gladys, Muñoz; Victoria, Sánchez; Isaac, Benjamín; Jorge, Lerner.

    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 monitor [...] eo 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. Abstract in english 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.

  7. Intoxicación por paraquat

    Directory of Open Access Journals (Sweden)

    Norma A. Hernández Hernández

    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.

  8. 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.

  9. 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.

  10. 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.

  11. colonización por glomus intraradices

    Directory of Open Access Journals (Sweden)

    Guillermo Rodríguez Hernández

    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. 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.

  13. 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.

  14. 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.

  15. Brazo robótico controlado por electromiografía

    Directory of Open Access Journals (Sweden)

    Javier Villamizar Pinzón

    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. Intoxicación aguda por heroína

    Directory of Open Access Journals (Sweden)

    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, utilizados 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.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 cocaine 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.

  18. 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.

  19. 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.

  20. Onicomicosis por hongos fuliginosos

    Directory of Open Access Journals (Sweden)

    Ingrid Salas-Campos

    2009-12-01

    Full Text Available Justificación y objetivo: Las infecciones de las uñas producidas por hongos son un problema de frecuente consulta dermatológica. Los dermatofitos son la mayor causa de estas infecciones, siendo Trichophyton rubrum el agente etiológico más importante. Sin embargo, los hongos no dermatofitos, tanto hialinos como fuliginosos, pueden ser también responsables de estos cuadros clínicos. Debido a que estos hongos tienden a ser resistentes a los antimicóticos comúnmente usados para tratar las onicomicosis, es que se hace indispensable que el clínico se asegure por medio de un examen de laboratorio de la etiología de la infección. Métodos: Se estudiaron tres casos de pacientes con lesiones en uñas, que acudieron al laboratorio de Micología Médica, Facultad de Microbiología, Universidad de Costa Rica. Se realizaron los análisis de rutina para aislamiento e identificación de hongos patógenos. Resultados: En los tres casos estudiados se observó al examen directo micelio fuliginoso. En uno de los casos se aisló e identificó Scytalidium dimidiatum, hongo que presenta resistencia a los antifúngicos utilizados para tratar onicomicosis. Conclusión. El reporte de hongos diferentes a los dermatofitos como agentes etiológicos de onicomicosis es importante para que el médico pueda elegir el tratamiento más recomendado para este tipo de infección.

  1. 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.

  2. Fiebre por antibióticos

    Scientific Electronic Library Online (English)

    Fiorella, Mollo; Stella, Gutiérrez.

    2006-10-01

    Full Text Available La fiebre por medicamentos es una reacción adversa que desaparece al discontinuar el fármaco sin dejar secuelas. Los antibióticos constituyen una causa frecuente de la misma. Objetivo: describir la prevalencia de fiebre por antibióticos en niños hospitalizados y sus características clínico-evolutiva [...] s. Metodología: se realizó un estudio descriptivo con todos los niños ingresados a la Clínica Pediátrica “A” del Centro Hospitalario Pereira Rossell entre el 1 de agosto de 2000 y el 1 de octubre de 2003 con diagnóstico de fiebre por antibióticos en el curso de su hospitalización. Se registraron las características clínicas de los pacientes, el tipo de fiebre, el tiempo transcurrido en realizar el diagnóstico, la conducta tomada y el resultado. Se calculó el porcentaje de fiebre por antibióticos con su respectivo intervalo de confianza del 95%. Se utilizaron medianas como medidas de tendencia central. Resultados: el diagnóstico se realizó en ocho pacientes correspondiendo al 0,26% de la población (IC95% 0,10-0,49). La fiebre tuvo dos formas de presentación: seis niños, luego de un período variable de apirexia reinstalaron picos febriles; otros dos nunca dejaron de hacer fiebre a pesar de su buena evolución. Las curvas térmicas no siguieron ningún patrón específico. La temperatura máxima fue mayor de 39ºC para cinco de ellos. El tiempo transcurrido para el diagnóstico tuvo una mediana de 3,5 días. La conducta fue reemplazar el antibiótico sensibilizante por otro con desaparición de la fiebre entre 1 a 6 días. El diagnóstico y manejo oportuno de esta reacción adversa se basa en la sospecha clínica frente a un paciente con buen estado general y que recibe en forma prolongada un antibiótico sensibilizante Abstract in english Drug induced fever is an adverse reaction that ceases with no consequences when the drug involved is discontinued. Antibiotics are the leading cause of such reactions. Objective: to describe the prevalence of antibiotic induced fever in hospitalized children and determine the clinical characteristic [...] s and course of such episodes. Methodology: a descriptive study was performed in all children admitted at the ¨Clinic A Department¨of the Centro Hospitalario Pereira Rossell with the diagnosis of antibiotic induced fever from August 1, 2000 until October 1, 2003. The following characteristics were recorded: patients´clinical characteristics, nature of the fever, time taken to make the diagnosis, treatment and outcomes. The percentage of disease in patients on antibiotic therapy and its 95% confidence interval was calculated. Medians were used as measurements of central trends. Results: the diagnosis was made in eight patients, accounting for 0.26% of the population (95% CI 0,10 - 0,49). Fever had two forms of onset: while six children presented fever peaks after afebrile periods of variable duration, the other two continued having fever despite their good clinical and radiological course. Temperature curves did not follow any specific pattern. Maximum temperatures varied, being over 39 in five of them. Median time for diagnosis was 3,5 days. The antibiotic involved was replaced by another one and fever resolved in 1 to 6 days in all patients. Diagnosis and management of this adverse reaction can be made clinically when a patient that has been treated with an antibiotic continues having fever despite their good health.

  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. 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.

  6. 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.

  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. Autoagresión por quemaduras

    Directory of Open Access Journals (Sweden)

    Iris Montes de Oca

    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 finalidad 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.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.

  10. 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

  11. Extração por fluido supercrítico

    Scientific Electronic Library Online (English)

    Aldo Adolar, Maul; Roberto, Wasicky; Elfriede Marianne, Bacchi.

    Full Text Available Acima de uma certa temperatura e pressão repre­sentados pelo ponto crítico, os gases não mais podem ser liquefeitos e em função do aumento da densidade passam para o que alguns consideram um estado intermediário entre o líquido e o gasoso: tornam-se "supercríticos" e podem então agir em par­te como [...] solventes. 0 dióxido de carbono em estado supercrítico pode dissolver ou incorporar a maioria das moléculas orgânicas. Já utilizado na indústria agroalimentar, está agora entrando na indústria farmacêutica. O presente trabalho tem como objetivo apresentar o atual estágio de utilização, as vantagens e desvantagens, princípios e perspectivas de aplicação da tecnologia de extração por fluidos supercríticos, principalmente dióxido de carbono , de uma manei­ra ampla, na obtenção de insumos farmacêuticos e fitoterápicos. Abstract in english The present study evaluated the antimicrobial activity of the 70% hydroalcoholic extract from Leonurus sibiricus l., Lamiaceae. The antimicrobial activity was determined throught the minimum inhibitory concentration (MIC). The extract of Leonurus sibiricus l. was active against Candida albicans, Sta [...] phylococcus aureus and Pseudomonas aeruginosa.

  12. Secagem por spray: uma revisão

    OpenAIRE

    Arlan Caldas Pereira Silveira; Ítalo Tuler Perrone; Paulo Henrique Rodrigues Júnior; Antônio Fernandes de Carvalho

    2013-01-01

    O objetivo deste artigo foi apresentar os princípios da secagem por spray e os mais recentes resultados de pesquisas na área de leite e derivados. Visando abranger este assunto, o artigo foi dividido em seis partes: introdução, princípios da secagem por spray, atomização, secagem em estágios, resultados de pesquisas e conclusão.

  13. Neuropatía periférica inducida por quimioterapia

    Science.gov (United States)

    El dolor y malestar causado por la neuropatía periférica es una de las razones más frecuentes por las cuales los pacientes con cáncer abandonan el tratamiento prematuramente. Los investigadores están trabajando para mejorar nuevas opciones de detección, tratamiento y prevención para los pacientes.

  14. 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

  15. 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.

  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 superfície de corte...

  20. por el Tribunal Constitucional chileno

    Directory of Open Access Journals (Sweden)

    Marisol Peña Torres

    2008-01-01

    Full Text Available La modificación introducida por la reforma constitucional de agosto de 1989 al artículo 5º de la Constitución chilena sentó un criterio decisivo en la incorporación del derecho internacional de los derechos humanos al ordenamiento jurídico interno. El artículo examina la jurisprudencia del Tribunal Constitucional antes y después de esa reforma distinguiendo entre la aplicación del Derecho Internacional de los Derechos Humanos por haberse invocado en la acción deducida y la aplicación de principios y criterios hermenéuticos extraídos del mismo.

  1. Intoxicación por gases Gas poisoning

    Directory of Open Access Journals (Sweden)

    I Santiago

    2003-01-01

    Full Text Available La intoxicación por gases en nuestro medio es un problema importante debido a su alta incidencia. En el caso concreto de la intoxicación por monóxido de carbono, es la principal causa de muerte por intoxicación involuntaria en nuestro medio, muchas veces coexistiendo con una intoxicación por cianuro. Ambas intoxicaciones pueden ser de carácter grave, basándose su diagnóstico en la mera sospecha del médico. Además, su importancia radica en que ambas intoxicaciones tienen un tratamiento concreto. La oxigenoterapia normo o hiperbárica es el tratamiento de elección de la intoxicación por monóxido de carbono. En el caso de la intoxicación por cianuro, la hidroxocobalamina es hoy día el tratamiento de elección, ya que ha demostrado ser un eficaz antídoto.Poisoning by gases in our area is an important problem due to its high incidence. In the specific case of carbon monoxide poisoning, this is the main cause of death by poisoning in our environment, on many occasions coexisting with cyanide poisoning. Both poisonings can be severe, their diagnosis being based on the mere suspicions of the doctor. Besides, their importance lies in the fact that both poisonings have a very specific treatment. Normo or hyperbaric oxygenotherapy is the treatment for carbon monoxide poisoning. In the case of cyanide poisoning, hydroxocobalamin is nowadays the treatment of choice, since it has proved itself to be an efficient antidote.

  2. 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

  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. 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.

  5. 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.

  6. 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.

  7. 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.

  8. Surtos de enfermidades transmitidas por alimentos causados por Salmonella Enteritidis

    OpenAIRE

    Peresi Jacqueline T.M.; Almeida Ivete A Z.C.; Lima Sonia I.; Marques Denise F.; Rodrigues Elisabete C.A.; Fernandes Sueli A.; Gelli Dilma S.; Irino Kinue

    1998-01-01

    OBJETIVO: São descritos surtos de salmonelose notificados no período de julho de 1993 a junho de 1997 na região Noroeste do Estado de São Paulo, Brasil, tendo em vista os vários surtos de veiculação alimentar ocasionados por Salmonella nessa região. MÉTODO: Foram obtidos 19 inquéritos epidemiológicos para análise de dados, 87 amostras de fezes e 38 amostras de alimentos, incluindo 12 de ovos para análise microbiológica. Cepas de Salmonella foram submetidas a sorotipagem, fagotipagem e teste d...

  9. 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.

  10. 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.

  11. Hipoglucemia inducida por carcinoma adrenal

    Directory of Open Access Journals (Sweden)

    Jimena Soutelo

    2013-08-01

    Full Text Available El carcinoma suprarrenal es una neoplasia maligna infrecuente y de mal pronóstico. La presentación clínica más común es originada por la producción hormonal excesiva, mientras que el desarrollo de hipoglucemia sintomática es excepcional. Presentamos el caso de una mujer de 37 años que ingresó al hospital por síntomas de hipoglucemias graves, hipertensión arterial, hipopotasemia y amenorrea secundaria. En el laboratorio se halló hipoglucemia con insulina inhibida y niveles de andrógenos en rango tumoral. La tomografía computarizada (TC de abdomen y pelvis mostró voluminosa formación heterogénea de aspecto sólido sin plano de clivaje con respecto al parénquima hepático e intenso realce con contraste. Luego de la extirpación de la masa retroperitoneal, evolucionó con valores de glucemia y potasemia normales, estabilizó la presión arterial y recuperó los ciclos menstruales.

  12. 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.

  13. Clonagem de canistel por estaquia

    Directory of Open Access Journals (Sweden)

    Fernando Marcelo Chiamolera

    2014-09-01

    Full Text Available O canistel é nativo do sul do México e América Central e seus frutos apresentam elevado teor de carotenoides e vitamina A. Sua propagação é feita via sementes, resultando em considerável variabilidade genética entre os indivíduos, sendo a propagação vegetativa preferível, a fim de fixar características desejáveis. Assim, o objetivo deste trabalho foi avaliar a propagação vegetativa por estaquia de ramos semi-herbáceos de canistel, em função de quatro genótipos e quatro concentrações de AIB. Foram utilizadas estacas semiherbáceas apicais, mantidas com um par de folhas, sob nebulização intermitente, por 120 dias. O delineamento experimental foi o inteiramente casualizado, em esquema fatorial 4×4 (genótipos de canistel × concentrações de AIB, com quatro repetições e dez estacas por parcela. Foram avaliados a porcentagem de sobrevivência, a retenção foliar, o enraizamento, o calejamento, o número e o comprimento médio de raízes por estaca. O genótipo PC-1 foi superior aos demais, em todas as variáveis avaliadas, com destaque para o enraizamento das estacas, superior a 60%. As concentrações de AIB (0; 1.000; 3.000 e 5.000 mg L-1 não influenciaram na sobrevivência, retenção foliar e enraizamento das estacas, mas aumentaram o número e o comprimento de raízes em relação ao tratamento-controle (sem AIB. Há diferença na capacidade de enraizamento das estacas entre os genótipos de canistel, sendo a melhor resposta obtida com PC-1. A concentração de 3.000 mg L-1 de AIB resulta em maior número e comprimento de raízes nas estacas de canistel.

  14. 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.

  15. 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.

  16. Compromiso ganglionar extracapsular en pacientes con cáncer gástrico: determinación del valor pronóstico

    Directory of Open Access Journals (Sweden)

    Oscar Tapia E

    2011-08-01

    Full Text Available Background: Extracapsular lymph node involvement has a negative prognosis in malignant tumors. Aim: To assess the prognostic importance of extracapsular lymph node involvement in patients with gastric cancer with lymph node metastases. Material and Methods: Clinical and morphological features and survival of patients with gastric cancer and lymph node involvement operated between 1986 and 2003, were analyzed. Patients with and without extracapsular involvement were compared. Results: During the study period, 459 gastrectomies were performed, 312 patients (68% had lymph node involvement and 144 (31% had extracapsular involvement. Patients with and without extracapsular involvement were followed for a median of 10 (range 1 to 120 and 41 (range 1 to 193 months, respectively. Five years actuarial survival for patients with and without extracapsular involvement was 23 and 40% respectively. Extracapsular lymph node involvement and level of wall infiltration were identified as prognostic factors using a multivariate analysis. Conclusions: Extracapsular lymph node involvement is an independent risk factor for mortality among patients with gastric cancer.

  17. Mortalidad intrahospitalaria por accidente cerebrovascular

    Directory of Open Access Journals (Sweden)

    Federico Rodríguez Lucci

    2013-08-01

    Full Text Available La mortalidad global por accidente cerebrovascular (ACV ha disminuido en las últimas tres décadas, probablemente debido a un mejor control de los factores de riesgo vascular. La mortalidad hospitalaria por ACV ha sido tradicionalmente estimada entre 6 y 14% en la mayoría de las series comunicadas. Sin embargo, los datos de ensayos clínicos recientes sugieren que esta cifra sería sustancialmente menor. Se revisaron datos de pacientes internados con diagnóstico de ACV del Banco de Datos de Stroke de FLENI y los registros institucionales de mortalidad entre los años 2000 y 2010. Los subtipos de ACV isquémicos se clasificaron según criterios TOAST y los ACV hemorrágicos en hematomas intrapanquimatosos, hemorragias subaracnoideas aneurismáticas, malformaciones arteriovenosas y otros hematomas intraparenquimatosos. Se analizaron 1514 pacientes, 1079 (71% con ACV isquémico (grandes vasos 39%, cardioembólicos 27%, lacunares 9%, etiología indeterminada 14%, otras etiologías 11% y 435 (29% con ACV hemorrágico (intraparenquimatosos 27%, hemorragia subaracnoidea 30%, malformaciones arteriovenosas 25% y otros hematomas espontáneos 18%. Se registraron 38 muertes intrahospitalarias (17 ACV isquémicos y 21 ACV hemorrágicos, representando una mortalidad global del 2.5% (1.7% en ACV isquémicos y 4.8% en ACV hemorrágicos. No se registraron muertes asociadas al uso de fibrinolíticos endovenosos. La mortalidad intrahospitalaria en pacientes con ACV isquémico y hemorrágico en nuestro centro fue baja. El manejo en un centro dedicado a las enfermedades neurológicas y el enfoque multidisciplinario por personal médico y no médico entrenado en el cuidado de la enfermedad cerebrovascular podrían explicar, al menos en parte, estos resultados.

  18. Hiposalivación inducida por drogas antihipertensivas

    Scientific Electronic Library Online (English)

    Natanael Átilas, Aleva; Monica, Costa Armond; Robson Morais, Fernandes; Adair, Ribero; Rodrigo, Generoso.

    2009-03-01

    Full Text Available El presente estudio tuvo por objetivo alertar y orientar al cirujano dentista cuanto a los efectos colaterales de medicamentos antihipertensivos en la boca. Método: Fueron seleccionados 150 pacientes (75 del sexo masculino y 75 del sexo femenino), de la edad entre 17 y 91 años, portadores de hiperte [...] nsión arterial sistémica del Programa de Control de Hipertensión Arterial de una Unidad Básica de Salud. La hipo salivación fue evaluada a través de examen clínico intraoral y de cuestionario. Resultados: se evidenciaron que más de la mitad de la muestra presentó la boca seca, siendo la mayoría del sexo masculino, cerca de 50% de los pacientes utilizaban más de una droga. Las drogas más utilizadas por el sexo masculino fueron: hidroclorotiazida, nifedipina y metildopa, mientras que en el sexo femenino fueron: hidroclorotiazida, clohidrato de propranolol y metildopa. Conclusión: la secreción salival es influenciada por la acción de drogas antihipertensivas y que el cirujano dentista debe estar preparado para el diagnóstico y tratamiento de los efectos colaterales bucales de estas drogas.

  19. Neumonía lipoidea por exposición laboral

    Directory of Open Access Journals (Sweden)

    Ana Elena Núñez Ocampo

    2014-12-01

    Full Text Available La neumonía lipoidea es una condición poco común que resulta de la presencia de lípidos en el interior del espacio alveolar. Según la fuente de los lípidos se ha clasificado en endógena y exógena y esta a su vez según la presentación en aguda y crónica. La neumonía lipoidea exógena se produce por aspiración o inhalación de sustancias oleosas, suele presentarse en pacientes con predisposición a broncoaspiración por alteraciones anatómicas o neurológicas, sin embargo se puede presentar en pacientes sanos que están expuestos a este tipo de sustancias y suele ser en el medio laboral. La fisiopatología es secundaria a una respuesta de cuerpo extraño que termina en fibrosis pulmonar. Los síntomas que produce al igual que manifestaciones al examen físico son inespecíficos y los hallazgos en los exámenes de laboratorio y gabinete también lo son, esto hace que sea una patología poco diagnosticada; sin embargo, haciendo una buena historia clínica e historia laboral se puede sospechar su diagnóstico en el caso de los médicos tratantes o establecer una relación de causalidad en el caso del médico forense. Presentación de caso: Se expone el caso de masculino de 34 años de edad referido por un caso de riesgo laboral, el mismo sin antecedentes patológicos conocidos, quien estuvo expuesto al humo del vehículo que conducía, posteriormente inicia con síntomas respiratorios inespecíficos y finalmente es diagnosticado con neumonía lipoidea.

  20. 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.

  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. 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.

  3. INTOXICACIÓN POR ORGANOFOSFORADOS INTOXICAÇÃO POR ORGANOFOSFORADO ORGANOPHOSPHORUS POISONING

    Directory of Open Access Journals (Sweden)

    DANIEL G FERNÁNDEZ A.

    2010-06-01

    Full Text Available Los compuestos organofosforados son un grupo de sustancias orgánicas derivadas de la estructura química del fósforo y tienen un gran número de aplicaciones y utilidades. Han sido utilizados como aditivos del petróleo, disolventes, en las industrias de colorantes, barnices, cuero artificial, aislantes eléctricos, impermeabilizantes, ablandadores de plásticos, fungicidas, insecticidas entre otros. Dado su amplia distribución y uso en diferentes industrias y en la agricultura, es muy frecuente que se presenten intoxicaciones accidentales por estos compuestos; además, como son sustancias que están al alcance de las personas, han sido empleadas como tóxicos en suicidios. El cuadro de intoxicación genera un síndrome clínico característico, con síntomas colinérgicos secundarios a la estimulación de los receptores de acetilcolina. El manejo médico de estos pacientes puede significar la diferencia entre la vida y la muerte, por lo que es importante que todo el personal de salud en los servicios de urgencias esté capacitado para reconocer el cuadro de intoxicación y manejarlo rápidamente en forma adecuada.Os compostos organofosforados sãoum grupo de substânciasorgânicas derivadas da estrutura química de fósforo e temum grande número de aplicações e usos. Têm sido utilizados como aditivos para óleos, solventes, indústrias de tintas, vernizes, couro artificial, isolaçãoelétrica, impermeabilização, amaciadores de plástico, fungicidas, inseticidas, entre outros. Dada a suaampladistribuição e uso em diferentes indústrias e na agricultura, é muitocomum ter intoxicaçõesacidentais por essescompostos, alémdisso, substâncias que estãodisponíveis para os indivíduos, têm sido usadas como substância tóxica emsuicídios. O quadro de intoxicaçãoproduzuma síndrome clínica característica, comsintomas colinérgica secundários à estimulação dos receptores de acetilcolina. A conduta médica destes pacientes pode significar a diferença entre a vida eamorte, por isso é importante que todo o pessoal de saúde nos serviços de emergênciasejatreinado para reconhecer a figura de intoxicação e rapidamente tratar adequadamente.Organophosphorus compounds are a group of organic substances derived from the chemical structure of phosphorus. They have a large number of applications and utilities. They are used as oil additives, solvents, in the industry of dyes, varnishes, artificial leather, electrical insulation, waterproofing, plastic softeners, fungicides and others. Given its wide distribution and use in different industries and trades, organophosphorus compounds can be taken accidentally causing intoxication and can be used with the intention to commit suicide. The intoxication with organophosphorus compounds produces a characteristic clinical syndrome with cholinergic symptoms after stimulation of acetylcholine receptors. The medical management of these patients could make the difference between life and death, hence the physician and all health personnel in the emergency department should be able to recognize and manage poisoning symptomatology properly.

  4. INTOXICACIÓN POR ORGANOFOSFORADOS / ORGANOPHOSPHORUS POISONING / INTOXICAÇÃO POR ORGANOFOSFORADO

    Scientific Electronic Library Online (English)

    DANIEL G, FERNÁNDEZ A.; LILIANA C., MANCIPE G.; DIANA C., FERNÁNDEZ A..

    2010-06-01

    Full Text Available Os compostos organofosforados sãoum grupo de substânciasorgânicas derivadas da estrutura química de fósforo e temum grande número de aplicações e usos. Têm sido utilizados como aditivos para óleos, solventes, indústrias de tintas, vernizes, couro artificial, isolaçãoelétrica, impermeabilização, amac [...] iadores de plástico, fungicidas, inseticidas, entre outros. Dada a suaampladistribuição e uso em diferentes indústrias e na agricultura, é muitocomum ter intoxicaçõesacidentais por essescompostos, alémdisso, substâncias que estãodisponíveis para os indivíduos, têm sido usadas como substância tóxica emsuicídios. O quadro de intoxicaçãoproduzuma síndrome clínica característica, comsintomas colinérgica secundários à estimulação dos receptores de acetilcolina. A conduta médica destes pacientes pode significar a diferença entre a vida eamorte, por isso é importante que todo o pessoal de saúde nos serviços de emergênciasejatreinado para reconhecer a figura de intoxicação e rapidamente tratar adequadamente. Abstract in spanish Los compuestos organofosforados son un grupo de sustancias orgánicas derivadas de la estructura química del fósforo y tienen un gran número de aplicaciones y utilidades. Han sido utilizados como aditivos del petróleo, disolventes, en las industrias de colorantes, barnices, cuero artificial, aislante [...] s eléctricos, impermeabilizantes, ablandadores de plásticos, fungicidas, insecticidas entre otros. Dado su amplia distribución y uso en diferentes industrias y en la agricultura, es muy frecuente que se presenten intoxicaciones accidentales por estos compuestos; además, como son sustancias que están al alcance de las personas, han sido empleadas como tóxicos en suicidios. El cuadro de intoxicación genera un síndrome clínico característico, con síntomas colinérgicos secundarios a la estimulación de los receptores de acetilcolina. El manejo médico de estos pacientes puede significar la diferencia entre la vida y la muerte, por lo que es importante que todo el personal de salud en los servicios de urgencias esté capacitado para reconocer el cuadro de intoxicación y manejarlo rápidamente en forma adecuada. Abstract in english Organophosphorus compounds are a group of organic substances derived from the chemical structure of phosphorus. They have a large number of applications and utilities. They are used as oil additives, solvents, in the industry of dyes, varnishes, artificial leather, electrical insulation, waterproofi [...] ng, plastic softeners, fungicides and others. Given its wide distribution and use in different industries and trades, organophosphorus compounds can be taken accidentally causing intoxication and can be used with the intention to commit suicide. The intoxication with organophosphorus compounds produces a characteristic clinical syndrome with cholinergic symptoms after stimulation of acetylcholine receptors. The medical management of these patients could make the difference between life and death, hence the physician and all health personnel in the emergency department should be able to recognize and manage poisoning symptomatology properly.

  5. 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.

  6. Analgesia caudal continua guiada por ultrasonido en una paciente de 4 años Caudal anesthesia ultrasound-guided continuos flow in patient 4 years

    Directory of Open Access Journals (Sweden)

    A. Beltrán Franco

    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 de 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.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. DESAJUSTE EDUCATIVO POR REGIONES EN COLOMBIA: ¿COMPETENCIA POR SALARIOS O POR PUESTOS DE TRABAJO?

    Scientific Electronic Library Online (English)

    Maribel, Castillo Caicedo.

    2007-06-01

    Full Text Available Este trabajo aporta una perspectiva del fenómeno de la sobreeducación, entendida como un desajuste por exceso, entre el nivel educativo alcanzado por el individuo y el exigido por el puesto de trabajo en el cual se desempeña; esto se debe a que existe una demanda laboral estrecha de puestos de traba [...] jo para personas calificadas en Colombia. Se analizan las contribuciones empíricas existentes y el debate sobre las mismas; se examinan las teorías que permiten explicar la existencia de un desajuste educativo y se realiza una revisión de la literatura internacional y nacional sobre el tema. Adicionalmente, se plantean una serie de hipótesis para desarrollar un esquema que permita determinar el comportamiento del individuo en el fenómeno de la sobreeducación. Abstract in english This article deals with the phenomena of over-education, understood as being an excessive imbalance between the educational level reached by an individual and that demanded by the job which such individual may be performing; this is due to limited job demand for qualified people in Colombia. Existin [...] g empirical contributions and the debate concerning them are analysed; theories explaining the current educational imbalance are examined and the international and national literature on the topic is reviewed. Some hypotheses are proposed for developing scheme leading to determining an individual’s behaviour in the over-education phenomena.

  8. Determinación de polisacáridos por filtración por gel de celulosa

    Directory of Open Access Journals (Sweden)

    E. L. Ramos

    2005-01-01

    Full Text Available Se valora el uso de la filtración por geles de celulosa para la determinación de polisacáridos en la caña y sus productos. Los geles se preparan por entrecruzamiento de la celulosa para obtener el grado de porosidad necesario y lograr la exclusión de las fracciones polisacáridas mayores de 5 000 ua. Se logra separar de manera eficiente a los polisacáridos y especialmente a las dextranas desde las soluciones de alto contenido de sacarosa que son frecuentes en la industria azucarera. Se demuestra la capacidad de uno de los geles obtenidos, que se ha nombrado CELEF3, de aislar cuantitativamente a las dextranas nativas desde soluciones de sacarosa al 10 %. El estudio estadístico de los resultados de la determinación del contenido de dextranas en jugos de caña y azúcares crudo, usando simultáneamente CELEF3 o Sephadex G-50, demuestra que no se observan diferencias significativas. Se oferta a CELEF3 como un sustituto del Sephadex G-50 para el control de calidad de la caña y sus productos.

  9. 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.

  10. Por una sociología pública Por una sociología pública

    Directory of Open Access Journals (Sweden)

    Michael Burawoy

    2005-09-01

    Full Text Available Responding to the growing gap between the sociological ethos and the world we study, the challenge of public sociology is to engage multiple publics in multiple ways. These public sociologies should not be left out in the cold, but brought into the framework of our discipline. In this way we make public sociology a visible and legitimate enterprise, and, thereby, invigorate the discipline as a whole. Accordingly, if we map out the division of sociological labor, we discover antagonistic interdependence among four types of knowledge: profes- sional, critical, policy, and public. In the best of all worlds the flourishing of each type of sociology is a condition for the flourishing of all, but they can just as easily assume pathological forms or become victims of exclusion and subordination. This field of power beckons us to explore the relations among the four types of sociology as they vary historically and nationally, and as they provide the template for divergent individual careers. Finally, comparing disciplines points to the umbilical chord that connects sociology to the world of publics, underlining sociology’s particular interest in the defense of civil society, itself beleaguered by the encroachment of markets and states.En respuesta a la creciente separación entre el ethos sociológico y el mundo que estudiamos, el desafío para la sociología pública son las diferentes formas en las que comprometerse con sus públicos. Estas sociologías públicas no deberían estar en los márgenes sino que deberían formar parte del marco de trabajo de nuestra disciplina. De esta manera haremos de la sociología pública una empresa legítima y visible y, por ende, reforzaremos en todo su conjunto a nuestra disciplina. Según esto, si observamos la división del trabajo sociológico, descubriremos una interdependencia antagónica entre cuatro tipos de conocimiento, a saber: profesional, crítico, práctico y público. En el mejor de los mundos posibles, el florecimiento de cada uno de los tipos de sociología es condición fundamental para el florecimiento de todos ellos, A pesar de que puedan asumir formas patológicas o ser víctimas de exclusiones o subordinaciones. Este campo de poder nos impulsa a explorar las relaciones entre los cuatro tipos de sociología según su transformación histórica y nacional, así como la manera en que permiten carreras individuales divergentes. Por último, la comparación entre disciplinas apunta al cordón umbilical que conecta la sociología con el mundo de los públicos, subrayando el interés particular de la sociología en la defensa de la sociedad civil afectada por la acción de los mercados y Estados.

  11. Coriorretinitis por toxoplasma en niños

    Directory of Open Access Journals (Sweden)

    Ida González Núñez

    1999-08-01

    Full Text Available En un período de 5 años fueron atendidos en el Instituto de Medicina Tropical "Pedro Kourí", 21 niños con lesiones oculares, debidas al toxoplasma (coriorretinitis por toxoplasma. De los 21 niños, 5 presentaron lesiones en ambos ojos (23,8 %, y 16 (76,1 % en un solo ojo (9 en el ojo izquierdo y 7 en el ojo derecho. El 42,8 % (9 llegó con lesiones activas con resultados satisfactorios al tratamiento médico, y el 57,1 % (12 con lesiones cicatrizadas, que en este estadio no necesitan tratamiento. Todos los niños fueron seguidos por consulta externa con una evolución favorable.In a period of 5 years, 21 children with ocular lesions caused by toxoplasma (chorioretinitis due to toxoplasma were seen at "Pedro Kourí" Tropical Medicine Institute. Of the 21 children, 5 (23,8 % had lesions in both eyes and 16 (76,1 % in one eye (9 in the left eye and 7 in the right one. 9 children (42,8 % initially had active lesions that responded satisfactorily to medical treatment whereas 12 (57,1 % came to the hospital with healed lesions that did not require any treatment. They were all followed up as outpatients with favorable evolution in all cases.

  12. Educación por competencias en odontología

    Scientific Electronic Library Online (English)

    Luis Alonso, Calatrava Oramas.

    2010-03-01

    Full Text Available Actualmente, la educación por competencias es claramente una tendencia, la cual se extiende a la mayoría de los centros educativos. Su presencia dentro del panorama educativo requiere ser estudiada, para conocerla y comprenderla, además de identificar las opciones que hay para su implementación y pa [...] ra elegir la que pueda adecuarse a las características propias del país. El modelo educativo por competencias profesionales integradas para la educación superior es una opción que busca generar procesos formativos de mayor calidad, pero sin perder de vista las necesidades de la sociedad, de la profesión, del desarrollo disciplinar y del trabajo académico Abstract in english At the moment, the education by competitions is clearly a tendency, which extends to most of the educative centers. Its presence within the educative panorama requires to be studied, to know it and to include/understand it, besides to identify the options that its implementation are and to choose th [...] e one that can be adapted to the own characteristics of the country. The educative model by integrated professional competitions for the superior education is an option that it looks for to generate processes of greater quality, but without losing the necessities of the society, the profession, and the development to discipline and the academic work

  13. Coriorretinitis por toxoplasma en niños

    Scientific Electronic Library Online (English)

    Ida, González Núñez; Manuel, Díaz Jidy; Jorge, Pérez Ávila.

    1999-08-01

    Full Text Available En un período de 5 años fueron atendidos en el Instituto de Medicina Tropical "Pedro Kourí", 21 niños con lesiones oculares, debidas al toxoplasma (coriorretinitis por toxoplasma). De los 21 niños, 5 presentaron lesiones en ambos ojos (23,8 %), y 16 (76,1 %) en un solo ojo (9 en el ojo izquierdo y 7 [...] en el ojo derecho). El 42,8 % (9) llegó con lesiones activas con resultados satisfactorios al tratamiento médico, y el 57,1 % (12) con lesiones cicatrizadas, que en este estadio no necesitan tratamiento. Todos los niños fueron seguidos por consulta externa con una evolución favorable. Abstract in english In a period of 5 years, 21 children with ocular lesions caused by toxoplasma (chorioretinitis due to toxoplasma) were seen at "Pedro Kourí" Tropical Medicine Institute. Of the 21 children, 5 (23,8 %) had lesions in both eyes and 16 (76,1 %) in one eye (9 in the left eye and 7 in the right one). 9 ch [...] ildren (42,8 %) initially had active lesions that responded satisfactorily to medical treatment whereas 12 (57,1 %) came to the hospital with healed lesions that did not require any treatment. They were all followed up as outpatients with favorable evolution in all cases.

  14. Intoxicación por plomo en humanos

    Directory of Open Access Journals (Sweden)

    Pedro A Poma

    2008-06-01

    Full Text Available El plomo es un metal que se ha usado extensamente desde la antigüedad, por lo que se le puede demostrar en la mayoría de personas. Este metal afecta sistemas, órganos y tejidos y su efecto puede ser proporcional a la cantidad presente en el organismo. Pero los umbrales de sus efectos tóxicos varían en diferentes individuos. Los niños generalmente absorben una mayor proporción del plomo y con un efecto más severo que los adultos, porque están en un proceso activo de desarrollo y por ciertas características fisiológicas, patológicas y de conducta. Los servicios de salud pública pueden identificar áreas en que la población tiene un riesgo mayor de intoxicación con plomo y establecer condiciones para el despistaje, identificación temprana y tratamiento de las personas afectadas. La determinación de plomo en sangre venosa es la prueba más sensible de exposición al plomo. Se recomienda que los niveles en sangre se mantengan debajo de 10 µg/dL. Este artículo revisa las fuentes de contaminación, efectos, diagnóstico y tratamiento del plomo.

  15. 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.

  16. 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

  17. 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.

  18. Miotoxicidade por organofosforados Organophosphate myotoxicity

    Directory of Open Access Journals (Sweden)

    Maria J. Cavaliere

    1996-06-01

    Full Text Available 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 degeneração de células musculares, comprometendo sobretudo a musculatura respiratória. Baseado no fato de que este comprometimento contribui para a piora da função respiratória, propõe-se um protocolo de avaliação rotineira de miotoxicidade por compostos organofosforados, através de uma bateria mínima e suficiente de colorações e reações histoquímicas para quantificação da necrose muscular. Utilizaram-se como modelo experimental, grupos de ratos albinos (Wistar intoxicados com o organofosforado paraoxon, com e sem antídotos (atropina ou pralidoxima. Verificou-se nos grupos tratados com paraoxon e paraoxon mais atropina, necrose de fibras musculares no diafragma, que atingia em determinadas áreas até 15% das fibras. No grupo tratado com paraoxon mais pralidoxima, a necrose foi mínima, evidenciando o papel mioprotetor deste último antídoto.Organophosphates comprise a group of chemical compounds extensively used in farming as insecticides, which cause accidental poisoning in animals and men and are also used in suicide attempts. The toxicity of these compounds is due especially to the cardiac and respiratory impairment in consequence of autonomic nervous system disorders. However, it is known that some of these products induce a myopathy in experimental animals and humans. This myopathy is characterized by muscle cell degeneration, involving above all the respiratory muscles. Based on the fact that this involvement certainly enhances the respiratory impairment, this study offers an experimental method for routine evaluation of organophosphate myotoxicity, using a minimal and sufficient battery of stains and histochemical reactions, for muscle necrosis quantification. For this purpose, albino rats (Wistar treated with the organophosphate paraoxon, were used both with and without antidotes (atropine or pralidoxime. Muscle fiber necrosis in the diaphragm of the rats treated with paraoxon or paraoxon and atropine, that affected about 15% of the fibers in some areas, was detected. In the group treated with paraoxon and pralidoxime, a minimal necrosis was seen, revealing a protective role of this later antidote during the development of myopathy.

  19. Intoxicación por drogas / Drug poisoning

    Scientific Electronic Library Online (English)

    I., Gainza; S., Nogué; C., Martínez Velasco; R. S., Hoffman; G., Burillo-Putze; A., Dueñas; J., Gómez; M. A., Pinillos.

    Full Text Available El consumo de drogas ilegales en nuestro país ha experimentado un notable cambio en los últimos años, relegando a la heroína e incorporando la cocaína, los derivados anfetamínicos como el "éxtasis" (MDMA), el "éxtasis líquido" (GHB) y, en menor medida, la ketamina. Se lleva a cabo una revisión de la [...] intoxicación aguda por opiáceos y de su tratamiento en los servicios de urgencias, teniendo en cuenta el descenso progresivo de los casos que se presentan con el advenimiento de nuevas formas de administración, así como la presencia de nuevas drogas adictivas que han dado lugar a un desplazamiento en los hábitos de consumo. Se expone la intoxicación por cocaína haciendo referencia a la clínica, el diagnóstico y el tratamiento. Se realiza una revisión sobre el cannabis y sus derivados, la historia de su consumo y preparaciones utilizadas, los efectos que producen en los distintos sistemas del organismo y sus principales mecanismos de acción. Por último se comentan los efectos del LSD y de las setas alucinógenas. Abstract in english A review is made of acute poisoning by opiates and its treatment in the emergency services, bearing in mind the progressive decline in the number of cases presented with the arrival of new forms of their administration, as well as the presence of new addictive drugs that have resulted in a shift in [...] consumption habits. Reference is also made to the way in which the different types of existing substances originated, with the aim of achieving a better understanding of their use and in order to administer the most suitable treatment when poisoning occurs. Cocaine poisoning is discussed, with reference to its clinical picture, diagnosis and treatment. The consumption of illegal drugs in our country has undergone a notable change in recent years, with heroin being relegated and the incorporation of cocaine, amphetamine derivatives such as "ecstasy" (MDMA), "liquid ecstasy" (GHB) and, to a lesser extent, ketamine. A review is made of cannabis and its derivates, from the history of its consumption and the preparations employed to the effects produced in the different bodily systems. A brief explanation is also given of its metabolites and its principal mechanisms of action. Finally, we comment on the effects of LSD and hallucinogenic mushrooms.

  20. Intoxicación por drogas Drug poisoning

    Directory of Open Access Journals (Sweden)

    I. Gainza

    2003-01-01

    Full Text Available El consumo de drogas ilegales en nuestro país ha experimentado un notable cambio en los últimos años, relegando a la heroína e incorporando la cocaína, los derivados anfetamínicos como el "éxtasis" (MDMA, el "éxtasis líquido" (GHB y, en menor medida, la ketamina. Se lleva a cabo una revisión de la intoxicación aguda por opiáceos y de su tratamiento en los servicios de urgencias, teniendo en cuenta el descenso progresivo de los casos que se presentan con el advenimiento de nuevas formas de administración, así como la presencia de nuevas drogas adictivas que han dado lugar a un desplazamiento en los hábitos de consumo. Se expone la intoxicación por cocaína haciendo referencia a la clínica, el diagnóstico y el tratamiento. Se realiza una revisión sobre el cannabis y sus derivados, la historia de su consumo y preparaciones utilizadas, los efectos que producen en los distintos sistemas del organismo y sus principales mecanismos de acción. Por último se comentan los efectos del LSD y de las setas alucinógenas.A review is made of acute poisoning by opiates and its treatment in the emergency services, bearing in mind the progressive decline in the number of cases presented with the arrival of new forms of their administration, as well as the presence of new addictive drugs that have resulted in a shift in consumption habits. Reference is also made to the way in which the different types of existing substances originated, with the aim of achieving a better understanding of their use and in order to administer the most suitable treatment when poisoning occurs. Cocaine poisoning is discussed, with reference to its clinical picture, diagnosis and treatment. The consumption of illegal drugs in our country has undergone a notable change in recent years, with heroin being relegated and the incorporation of cocaine, amphetamine derivatives such as "ecstasy" (MDMA, "liquid ecstasy" (GHB and, to a lesser extent, ketamine. A review is made of cannabis and its derivates, from the history of its consumption and the preparations employed to the effects produced in the different bodily systems. A brief explanation is also given of its metabolites and its principal mechanisms of action. Finally, we comment on the effects of LSD and hallucinogenic mushrooms.

  1. Neumonía lipoidea por exposición laboral

    Scientific Electronic Library Online (English)

    Ana Elena, Núñez Ocampo.

    2014-12-01

    Full Text Available La neumonía lipoidea es una condición poco común que resulta de la presencia de lípidos en el interior del espacio alveolar. Según la fuente de los lípidos se ha clasificado en endógena y exógena y esta a su vez según la presentación en aguda y crónica. La neumonía lipoidea exógena se produce por as [...] piración o inhalación de sustancias oleosas, suele presentarse en pacientes con predisposición a broncoaspiración por alteraciones anatómicas o neurológicas, sin embargo se puede presentar en pacientes sanos que están expuestos a este tipo de sustancias y suele ser en el medio laboral. La fisiopatología es secundaria a una respuesta de cuerpo extraño que termina en fibrosis pulmonar. Los síntomas que produce al igual que manifestaciones al examen físico son inespecíficos y los hallazgos en los exámenes de laboratorio y gabinete también lo son, esto hace que sea una patología poco diagnosticada; sin embargo, haciendo una buena historia clínica e historia laboral se puede sospechar su diagnóstico en el caso de los médicos tratantes o establecer una relación de causalidad en el caso del médico forense. Presentación de caso: Se expone el caso de masculino de 34 años de edad referido por un caso de riesgo laboral, el mismo sin antecedentes patológicos conocidos, quien estuvo expuesto al humo del vehículo que conducía, posteriormente inicia con síntomas respiratorios inespecíficos y finalmente es diagnosticado con neumonía lipoidea. Abstract in english The lipoid pneumonia is an uncommon condition that results from the presence of lipids within the alveolar space. According to the source of lipids has been classified into endogenous and exogenous, and this in turn according to the presentation in acute and chronic. Exogenous lipoid pneumonia is ca [...] used by inhalation or aspiration of oily substances, usually seen in patients predisposed to aspiration for anatomical or neurological disorders, but also can occur in healthy patients who are exposed to these substances and are usually cases of occupational exposure. The pathophysiology is secondary to a foreign body response that ends in pulmonary fibrosis. Symptoms and physical examinations findings are nonspecific as well as laboratory and cabinet tests, this makes it a disease underdiagnosed; however, doing a good history and labor history may suspect the diagnosis in the case of treating physicians or establish a causal link if the case of the forensic medical. Case presentation: Male 34 years of age are exposed, referred by a case of occupational risk, the same with no known medical history, who was exposed to the vehicle driven smoke then begins with nonspecific respiratory symptoms and finally is diagnosed with lipoid pneumonia.

  2. DIOSCÓRIDES RESCATADO POR LOS ÁRABES

    Directory of Open Access Journals (Sweden)

    Ricardo H Elía

    2009-01-01

    Full Text Available La historia oficial afirma que Occidente heredó directamente el legado cultural de Grecia y Roma. Pero si la mayoría de los manuscritos griegos y latinos fueron destruidos a partir del saqueo de la Biblioteca de Alejandría en 391, los archivos de Roma fueron devastados en sendas ocasiones entre 410 y 476 por visigodos y hérulos, y los escasos vestigios clásicos que quedaban en Atenas fueron arrasados por Justiniano I en 529, ¿cuál fue la conexión que logró transmitir esa literatura y pudo ser aprovechada en un período anterior al renacimiento? La salvación de las piezas literarias se realizó durante ochocientos afios de activa y responsable tarea de recopilación por parte de los árabes durante la línea de tiempo que oscila entre 650-1450 en la que fueron rescatados, traducidos y retransmitidos hacia los cuatro puntos cardinales. Los científicos árabes, al igual que Arquímedes o Herón, nunca se separaron del saber empírico, por el contrario, lo profundizaron. El movimiento científico árabe no sólo interpretó el saber de los antiguos sino desarrolló una nueva ciencia donde la razón sustentaba a la fe y viceversa. Esta fue la base esencial que permitió construir el Renacimiento y la Ilustración, que a su vez posibilitaron la Modernidad. En este contexto, fue de capital importancia la traducción al árabe de la obra de Dioscórides ya que no sólo fue de gran utilidad para la farmacología y medicina en el mundo musulmán sino que a través de éste las recetas del médico griego de Nerón reingresaron a la Europa latina donde fueron recibidas como una panacea.Official history affirms that the West directly inherited the cultural legacy of Greece and Rome. But if most of the Greek and latin manuscripts they were destroyed at the sacking of the Library of Alexandria in 391, the archives of Rome were devastated in several occasions between 410 and 476 by Visigoth and heruls, and the little classic vestiges that were in Athens were devastated by Justinian in 529, which was the connection that managed to transmit that Literature and could be taken advantage of it in a period previous to the Renaissance? The salvation of the literary mastepieces was made during eight hundred years od active and responsible task of compilation by the Arabs during the time line that oscillates between 650-1450 in that were rescued, translated and relayed towards the four cardinal points. The Arab scientists, like Archimedes or Hero, never separated of the empirical knowledge, on the contrary, they deepened it. The Arab scientific movement not only interpreted the knowledge of the old ones but it developed the new science where the reason sustained the faith and vice versa. This was the essential base that allowed to construct to the Renaissance and the Illustration, that made possible Modernity as well. In this context, it was of capital importance the translation to the Arab of the work of Dioscorides since it was not only very useful for the pharmacology and medicine in the Muslim World but that through this one the recipes of the Greek physician of Nero turned back to latin Europe where were received like a panacea.

  3. por virus de la rabia

    Directory of Open Access Journals (Sweden)

    Ma. Esther Morales Mart\\u00EDnez

    2006-01-01

    Full Text Available La rabia es una enfermedad contagiosa que ataca a animales y humanos, se transmite por la mordedura de un animal infectado con el virus de la rabia y aunque causa daño letal, su estructura no es muy compleja, pues sólo presenta cinco proteínas: G, N, P, L y M2. Dada la necesidad de contar con una herramienta para mejorar la efectividad de una vacuna contra la rabia, este trabajo se avocó al estudio de la proteína N, que es la proteína que se produce inicialmente y en mayor cantidad cuando se replican nuevas partículas virales. Esta revisión proporciona evidencia de la importancia inmunológica, estructura y maduración de esta proteína. El trabajo propone que para mejorar la respuesta inmune en las vacunas contra la rabia, se debe considerar a la proteína N.

  4. Nefropatía por medios de contraste Nefropatía por medios de contraste

    Directory of Open Access Journals (Sweden)

    Marcelo Aguirre Caicedo

    2007-06-01

    Full Text Available La nefropatía por medios de contraste es una causa importante de falla renal aguda en el ámbito hospitalario, generando altos costos al sistema de salud, morbilidad significativa y una mortalidad considerable. Se trata de un desorden iatrogénico consistente en un aumento absoluto (>0.5 mg o relativo (>25% de la creatinina sérica comparado con el basal, que ocurre dentro de las 24-48 horas después de la exposición a un medio de contraste, en ausencia de otra causa de lesión renal aguda. Son muchos los factores de riesgos que pueden predisponer para su presentación clínica. Se han experimentado una gran cantidad de estrategias preventivas, con el propósito de reducir la carga en términos de morbilidad y mortalidad derivadas de esta condición patológica, sin embargo, los resultados no son alentadores. Dentro de estas estrategias algunas han sido claramente inefectivas como el manitol, péptido atrial natriurético, teofilina, prostaglandina E y antagonistas de endotelina, en tanto que otros como la furosemida y dopamina son potencialmente dañinas. La evidencia actual soporta el uso de la infusión intravenosa de solución salina a 0.9% a 1 cc/kg/hora, 12 horas antes y 12 horas después de la aplicación del medio de contraste, haciendo una vigilancia estricta del balance hídrico. Por otra parte los datos obtenidos de los estudios clínicos para evaluar el efecto de la N-acetilcisteína en la prevención de la nefropatía por contraste, no son concluyentes (incluso contradictorios, sin embargo, la carencia de efectos secundarios y el potencial efecto benéfico, permite su uso rutinario como medida preventiva especialmente en pacientes de alto riesgo. Adicionalmente, si la premura del tiempo no permite la hidratación previa, la literatura soporta preferiblemente el uso de bicarbonato intravenoso isotónico una hora previa al procedimiento y continuar durante seis horas después del mismo.Nephropathy due to contrast means is an important cause of acute renal failure in the hospital environment, generating hight costs in the health care system, a significant morbidity and considerable mortality, it is considered to be an iatrogenic disorder that produces an absolute increase L (>0.5 mg or relative increase (>25% of serum creatinine as compared to the basal pattern and takes place within 24 to 48 hours after exposure to a contrast mean, in absence of another cause of acute renal insufficiency. There are many risk factors that can predispose to its clinical presentation. Many preventive strategies have been tried to reduce the load in terms of morbidity and mortality derived from this pathologic condition, however, the results are not encouraging. Some of these strategies have been clearly ineffective such as peptide manitol, natriuretic atrial peptide, theophiline, prostaglandin E and endotheline antagonists, whereas others such as furosemide and dopamine are potentially harmful. The evidence supports the use of the intravenous infusion of saline solution 0.9% a Icc/kg(hour, 12 hours before and 12 hours after giving the contrast mean, with a strict suveillance of the water balance. On the other hand, the data obtained from clinical trials to assess the effects of N-acetilcisteine in the prevention of nephropathy due to contrast means, are not concluding, (even contradictory; however, the lack of secondary effects and the potential beneficial effect, allows its use on a routine basis as a preventive measure especially in high risk patents. Additional to that, if the lack of time does not allow previous hydration, the literature rather supports the use of isotomic intravenous bicarbonate one hour before the procedure, and continuing during 6 hours after it.

  5. Nefropatía por medios de contraste / Nefropatía por medios de contraste

    Scientific Electronic Library Online (English)

    Marcelo, Aguirre Caicedo.

    2007-06-01

    Full Text Available La nefropatía por medios de contraste es una causa importante de falla renal aguda en el ámbito hospitalario, generando altos costos al sistema de salud, morbilidad significativa y una mortalidad considerable. Se trata de un desorden iatrogénico consistente en un aumento absoluto (>0.5 mg) o relativ [...] o (>25%) de la creatinina sérica comparado con el basal, que ocurre dentro de las 24-48 horas después de la exposición a un medio de contraste, en ausencia de otra causa de lesión renal aguda. Son muchos los factores de riesgos que pueden predisponer para su presentación clínica. Se han experimentado una gran cantidad de estrategias preventivas, con el propósito de reducir la carga en términos de morbilidad y mortalidad derivadas de esta condición patológica, sin embargo, los resultados no son alentadores. Dentro de estas estrategias algunas han sido claramente inefectivas como el manitol, péptido atrial natriurético, teofilina, prostaglandina E y antagonistas de endotelina, en tanto que otros como la furosemida y dopamina son potencialmente dañinas. La evidencia actual soporta el uso de la infusión intravenosa de solución salina a 0.9% a 1 cc/kg/hora, 12 horas antes y 12 horas después de la aplicación del medio de contraste, haciendo una vigilancia estricta del balance hídrico. Por otra parte los datos obtenidos de los estudios clínicos para evaluar el efecto de la N-acetilcisteína en la prevención de la nefropatía por contraste, no son concluyentes (incluso contradictorios), sin embargo, la carencia de efectos secundarios y el potencial efecto benéfico, permite su uso rutinario como medida preventiva especialmente en pacientes de alto riesgo. Adicionalmente, si la premura del tiempo no permite la hidratación previa, la literatura soporta preferiblemente el uso de bicarbonato intravenoso isotónico una hora previa al procedimiento y continuar durante seis horas después del mismo. Abstract in english Nephropathy due to contrast means is an important cause of acute renal failure in the hospital environment, generating hight costs in the health care system, a significant morbidity and considerable mortality, it is considered to be an iatrogenic disorder that produces an absolute increase L (>0.5 m [...] g) or relative increase (>25%) of serum creatinine as compared to the basal pattern and takes place within 24 to 48 hours after exposure to a contrast mean, in absence of another cause of acute renal insufficiency. There are many risk factors that can predispose to its clinical presentation. Many preventive strategies have been tried to reduce the load in terms of morbidity and mortality derived from this pathologic condition, however, the results are not encouraging. Some of these strategies have been clearly ineffective such as peptide manitol, natriuretic atrial peptide, theophiline, prostaglandin E and endotheline antagonists, whereas others such as furosemide and dopamine are potentially harmful. The evidence supports the use of the intravenous infusion of saline solution 0.9% a Icc/kg(hour, 12 hours before and 12 hours after giving the contrast mean, with a strict suveillance of the water balance. On the other hand, the data obtained from clinical trials to assess the effects of N-acetilcisteine in the prevention of nephropathy due to contrast means, are not concluding, (even contradictory); however, the lack of secondary effects and the potential beneficial effect, allows its use on a routine basis as a preventive measure especially in high risk patents. Additional to that, if the lack of time does not allow previous hydration, the literature rather supports the use of isotomic intravenous bicarbonate one hour before the procedure, and continuing during 6 hours after it.

  6. Características clínicas, factores de riesgo y perfil de susceptibilidad de las infecciones por micobacterias documentadas por cultivo, en un hospital universitario de alta complejidad en Medellín (Colombia) / Clinical features, risk factors and susceptibility profile of mycobacterial infections documented by culture in a university hospital of high complexity in Medellin (Colombia)

    Scientific Electronic Library Online (English)

    Franco E, Montufar Andrade; Carolina, Aguilar Londoño; Carolina, Saldarriaga Acevedo; Alicia, Quiroga Echeverri; Carlos E, Builes Montaño; Miguel A, Mesa Navas; Olga L, Molina Upegüi; John J, Zuleta Tobón.

    2014-12-01

    Full Text Available Introducción: Tuberculosis (TBC) es aún una entidad de alta prevalencia y mortalidad en el mundo. La resistencia ascendente a fármacos es un problema de salud pública. Además se describen con mayor frecuencia infecciones por micobacterias no tuberculosas (MNT) en áreas de alta prevalencia de TBC. Ob [...] jetivos: Determinar características epidemiológicas, clínicas y microbiológicas de las infecciones por micobacterias documentadas por cultivo. Materiales y Métodos: Estudio observacional, descriptivo, en pacientes hospitalizados. Resultados: De 187 pacientes, en 90,9% se identificó complejo M. tuberculosis y en 9,1% MNT; 64% fueron hombres. Edad promedio 40 años (rango 1-88 años). Las principales co-morbilidades fueron infección por VIH/SIDA (23,5%), uso de corticoesteroides (13,3%) y enfermedad renal crónica (9,6%). Las formas clínicas fueron pulmonares (56,6%), extra-pulmonares (23,9%) y diseminadas (19,2%). El compromiso extra-pulmonar más frecuente fue ganglionar (7,4%) y gastrointestinal (7%). En M. tuberculosis 10,6% fueron multidrogoresistentes (MDR) y 2,12% con resistencia extendida (XDR). Mycobacterium avium y M. abscessus fueron las MNT más frecuentes. La mortalidad general fue 10%. Conclusiones: Inmuno-supresión es el principal factor de riesgo para enfermedad extrapulmonar y/o diseminada y la resistencia a fármacos en pacientes hospitalizados con TBC es llamativa, con mayor incidencia de MDR y XDR. Las infecciones por MNT no son infrecuentes en nuestro medio. Abstract in english Introduction: Tuberculosis (TB) remains an entity of high prevalence and mortality worldwide. The rising drug resistance is a public health problem. Besides, non-tuberculosis mycobacterial (NTM) infections are described with increasing frequency in areas of high prevalence of TB. Objectives: To dete [...] rmine epidemiological, clinical and microbiological characteristics of mycobacterial infections documented by culture. Materials and Methods: An observational, descriptive study in hospitalized patients. Results: M. tuberculosis complex was identified in 90,9% of 187 patients; 9,1% had NTM, 64% were male and the mean age was 40 years (range 1-88 years). The main co-morbidities were HIV / AIDS (23.5%), use of corticosteroids (13.3%) and chronic kidney disease (9.6%). Clinical forms were pulmonary (56.6%), extra-pulmonary (23.9%) and disseminated (19.2 The most common extra-pulmonary compromise was nodal (7.4%) and gastrointestinal (7%). 10.6% of M. tuberculosis were multi-drugresistant (MDR) and 2.12% had extended drug resistance (XDR). Mycobacterium avium andM. abscessus were the most frequent NTM. Overall mortality was 10%. Conclusions: In our study immune suppression is the main risk factor for extrapulmonary and disseminated disease. Resistance, MDR and XDR is higher in inpatients with TB. MNT infections are not uncommon in our country.

  7. Intoxicación por alcoholes / Alcohol intoxication

    Scientific Electronic Library Online (English)

    J., Roldán; C., Frauca; A., Dueñas.

    Full Text Available La intoxicación etílica es la primera toxicomanía en muchos países del mundo. Afecta a todos los tramos de edad, en los dos sexos y en casi todos los grupos sociales. La mortalidad asociada sólo a la intoxicación etílica aguda es excepcional, pero puede ser un importante factor si coexiste con inges [...] ta de otras drogas de abuso. Es responsable directo de más de la mitad de los accidentes de tráfico. El diagnóstico es fácil por la anamnesis y la clínica y se puede confirmar determinando el nivel de etanol en sangre. El tratamiento es de sostén, intentando proteger al paciente de complicaciones secundarias. El metanol o alcohol de quemar se utiliza como disolvente, encontrándose también como adulterante de bebidas alcohólicas. La intoxicación vía oral es la más frecuente. Oxidado en el hígado a través de la enzima alcohol deshidrogenasa, la toxicidad se debe a sus metabolitos, formaldehído y ácido fórmico. La clínica consiste fundamentalmente en cefalea, náuseas, vómitos, hipotensión y depresión del SNC. El nervio óptico es especialmente sensible pudiendo producirse una ceguera total e irreversible. El etilenglicol se utiliza como disolvente y anticongelante; la toxicidad se debe a la acumulación de sus metabolitos. La clínica incluye síntomas comunes con la intoxicación metílica. Puede ocurrir fallo renal por necrosis tubular y depósito de cristales de oxalato. Abstract in english Alcohol intoxication is the principal drug addiction in many countries of the world. It affects all age groups, both sexes and almost all social groups. Mortality associated with acute alcohol poisoning on its own is exceptional, but it can be an important factor if it coexists with recreational dru [...] gs. It is directly responsible for more than half of traffic accidents. Diagnosis is easy by means of anamnesis and clinical examination, and can be confirmed by determining the level of ethanol in the bloodstream. Supportive care is the best therapy in order to protect the patient from secondary complications. Methanol, or alcohol fuel, is used as a solvent, and can also be found as an adulterant of alcoholic drinks. Poisoning by oral means is the most frequent. Oxidized in the liver through dehydrogenase enzyme alcohol, toxicity is due to its metabolites, formaldehyde and formic acid. The clinical picture basically consists of cephalea, nausea, vomiting, hypotension and depression of the central nervous system. The optic nerve is especially sensitive, with total and irreversible blindness as a possible result. Ethylenglicol is used as a solvent and as an antifreeze; toxicity is due to an accumulation of its metabolites. The clinical picture includes symptoms that are held in common with methylalcohol intoxication. Kidney failure due to tubular necrosis and the deposit of oxalate crystals can occur.

  8. Intoxicación por alcoholes Alcohol intoxication

    Directory of Open Access Journals (Sweden)

    J. Roldán

    2003-01-01

    Full Text Available La intoxicación etílica es la primera toxicomanía en muchos países del mundo. Afecta a todos los tramos de edad, en los dos sexos y en casi todos los grupos sociales. La mortalidad asociada sólo a la intoxicación etílica aguda es excepcional, pero puede ser un importante factor si coexiste con ingesta de otras drogas de abuso. Es responsable directo de más de la mitad de los accidentes de tráfico. El diagnóstico es fácil por la anamnesis y la clínica y se puede confirmar determinando el nivel de etanol en sangre. El tratamiento es de sostén, intentando proteger al paciente de complicaciones secundarias. El metanol o alcohol de quemar se utiliza como disolvente, encontrándose también como adulterante de bebidas alcohólicas. La intoxicación vía oral es la más frecuente. Oxidado en el hígado a través de la enzima alcohol deshidrogenasa, la toxicidad se debe a sus metabolitos, formaldehído y ácido fórmico. La clínica consiste fundamentalmente en cefalea, náuseas, vómitos, hipotensión y depresión del SNC. El nervio óptico es especialmente sensible pudiendo producirse una ceguera total e irreversible. El etilenglicol se utiliza como disolvente y anticongelante; la toxicidad se debe a la acumulación de sus metabolitos. La clínica incluye síntomas comunes con la intoxicación metílica. Puede ocurrir fallo renal por necrosis tubular y depósito de cristales de oxalato.Alcohol intoxication is the principal drug addiction in many countries of the world. It affects all age groups, both sexes and almost all social groups. Mortality associated with acute alcohol poisoning on its own is exceptional, but it can be an important factor if it coexists with recreational drugs. It is directly responsible for more than half of traffic accidents. Diagnosis is easy by means of anamnesis and clinical examination, and can be confirmed by determining the level of ethanol in the bloodstream. Supportive care is the best therapy in order to protect the patient from secondary complications. Methanol, or alcohol fuel, is used as a solvent, and can also be found as an adulterant of alcoholic drinks. Poisoning by oral means is the most frequent. Oxidized in the liver through dehydrogenase enzyme alcohol, toxicity is due to its metabolites, formaldehyde and formic acid. The clinical picture basically consists of cephalea, nausea, vomiting, hypotension and depression of the central nervous system. The optic nerve is especially sensitive, with total and irreversible blindness as a possible result. Ethylenglicol is used as a solvent and as an antifreeze; toxicity is due to an accumulation of its metabolites. The clinical picture includes symptoms that are held in common with methylalcohol intoxication. Kidney failure due to tubular necrosis and the deposit of oxalate crystals can occur.

  9. Uveítis inducida por fármacos Drug induced uveitis

    OpenAIRE

    J Cano Parra; M. Díaz-Llopis

    2005-01-01

    Objetivo: Revisión de la literatura de los casos de uveítis inducida por fármacos. Métodos: Aplicación de los criterios de la OMS y de Naranjo para clasificar según lo publicado en la literatura los casos de uveítis inducida por fármacos en reacciones de causalidad cierta, probable y posible. Descripción de los cuadros clínicos de uveítis asociados a cada fármaco. Resultados: Uveítis de causalidad cierta son la causadas: por bifosfonatos, topiramato y metipranolol tópico. Uveítis de causalida...

  10. Retinopatía proliferativa por radiación Profilerative radiation retinopathy

    OpenAIRE

    J Suárez Baraza; J García González; J Calzado Hinojosa; J Miralles de Imperial

    2003-01-01

    Caso Clínico: Mujer de treinta años, tratada con radioterapia por un glioma frontal tres años atrás, que refería déficit de agudeza visual en el ojo izquierdo (OI). Presentaba una retinopatía isquémica proliferante en OI y no proliferante en el derecho, lo cual fue confirmado mediante angiografía fluoresceínica. La paciente fue panfotocoagulada, quedando estabilizada la agudeza visual Discusión: La retinopatía por radiación puede aparecer muchos años después de aplicada ésta, por lo que los p...

  11. Perfiles de compradores españoles por teléfono móvil

    Directory of Open Access Journals (Sweden)

    Blanca L\\u00F3pez-Catal\\u00E1n

    2013-01-01

    Full Text Available El teléfono móvil es un instrumento de marketing de gran potencial para las empresas por su alta penetración en el mercado y características de interactividad, personalización, ubicuidad, localización y conveniencia. Nuestro objetivo es averiguar el perfil del comprador por teléfono móvil en función de la confianza, la compatibilidad del estilo de vida con la compra por móvil, el entretenimiento, la personalización, la seguridad y la influencia del grupo. Asimismo, caracterizamos a los grupos mediante variables sociodemográficas. Recogimos información de encuestas a 447 compradores españoles por móvil.

  12. Bullying: un fenómeno por transformar

    Directory of Open Access Journals (Sweden)

    Alicia del Carmen Rodríguez Díaz

    2013-10-01

    Full Text Available Title: Bullying: a phenomenon to transform.ResumenEl Bullying escolar es una práctica de abuso prolongado y constante tanto física, psicológica y emocional de una persona o grupo hacia un par en situación de desventaja. Una práctica de violencia observada en las escuelas de Colombia, pero con escaso estudio y poca intervención. Los modelos de medición e intervención diseñados en su mayoría provienen de entornos culturales diferentes al de nuestro país, como intervenciones curriculares, en habilidades sociales individuales y las multicomponentes que han mostrado ser efectivas en sus países de origen, pero que requieren ser ajustadas al contexto nacional y regional, lo que sugiere la necesidad de emplear una visión contemporánea y propia en el estudio de una problemática que por años ha afectado a niños, niñas y jóvenes convirtiéndose en una conducta habitual en las escuelas del territorio nacional. (DUAZARY 2012 No. 1, 98 - 104AbstractSchool bullying is a practice of long and constant abuse physical, psychological and emotional of a person or group to a couple at a disadvantage and powerlessness. Bullying is a practice of violence seen in Colombians schools, but with little study and little intervention. The measurement and intervention models designed mostly come from different cultural backgrounds to our country and curricular interventions, social skills and multicomponent individual have proven effective in their countries of origin, but need to be adjusted to national context and region, suggesting the need to use a contemporary and own in the study of a problem that for years has affected children and young people becoming habitual behavior in schools in the country.Key words: Stalking; violence; aggression.

  13. ¿La parte por el todo ?

    Directory of Open Access Journals (Sweden)

    Pénélope Laurent

    2011-07-01

    Full Text Available La lectura de la obra de Juan José Saer construye en el lector una memoria que le confiere una impresión de unidad al conjunto. Este dispositivo de lectura, particularmente presente en los textos saerianos, tiende a borrar su multiplicidad y su fragmentación, que se tratará aquí de recalcar. Siguiendo la perspectiva adoptada por Georges Didi-Huberman, se puede vislumbrar en los fragmentos saerianos el destello poético que resiste, frágil, –a la manera de las luciérnagas de Pasolini–, al poder totalitario, al “todo”.L’œuvre de Juan José Saer se construit sur un dispositif de lecture particulier qui active sans cesse la mémoire du lecteur et qui tend à lui donner une impression d’unité globale, effaçant la multiplicité et la fragmentation pourtant caractéristiques des textes saériens, qu’il s’agit ici de souligner. Si l’on adopte la perspective proposée par Georges Didi-Huberman, on sera en mesure de percevoir dans les fragments saériens l’éclat poétique qui résiste, fragile, à la façon des lucioles de Pasolini, au pouvoir totalitaire, au « tout ».The reading of Juan José Saer’s opus creates in the reader a memory that confers an impression of unity upon the ensemble. This reading device, particularly present in Saer’s texts, tends to erase their multiplicity and their fragmentation, which we want here to underline. Following the perspective adopted by Georges Didi-Huberman, we perceive in Saer’s fragments the poetic sparkle that resists, fragile – as in Pasolini’s lucciole –, totalitarian power, “totality”.

  14. Calefaccion centralizada por biomasa, Cuéllar

    Directory of Open Access Journals (Sweden)

    Verdú Pérez, Jesús

    2001-10-01

    Full Text Available A plant of municipal central heating feeded with residual biomass, has been created in Cuéllar (Segovia, Spain, in order to demostrate its technical viability and to make more confortable the life of village inhabitants. Those residual biomass used as combustible, comes from the pine seeds, the key industry in the area. The calorific energy generated by combustion of those pine seeds, serves to heat the water to be send later through different pipes crossing the village. So, heating services and sanitary hot water are used according to the moment of the year. The study of the operative plant, allow us to discern the more adecuated operation parameters. reaching a total thermical yield of 60%. So its technical and economical viability concerning other traditional combustibles, its big environmental contribution to the production of energy, in addition to the social advantages -1ike the creation of new working jobs and the development of alternative activities in agricultura1 and forest areas- have contributed to present this plant as a model to be extended to other areas with potential biomass.Con el fin de demostrar su viabilidad técnica y económica y dar servicio a los habitantes de la localidad, se ha instalado en Cuéllar (Segovia, España, una planta de calefacción municipal alimentada con biomasa residual. Como combustible utiliza los residuos biomásicos procedentes de la industria piñonera de la zona. La energía calorífica generada por el proceso de combustión de éstos, calienta agua que es distribuida a través de un circuito de tuberías aisladas a través de la ciudad. Se proporcionan así los servicios de calefacción y agua caliente sanitaria según la época del año. El estudio de la operación de la planta, ha permitido caracterizar los parámetros de funcionamiento más adecuados. habiéndose obtenido un rendimiento térmico total de la instalación del 60%. quedando justificada su viabilidad técnica y económica respecto a otros combustibles tradicionales. Su gran contribución medioambiental a la producción de energía. además de las ventajas sociales como la creación de puestos de trabajo y desarrollo de actividades alternativas en zonas agrícolas y forestales, hacen que esta instalación sirva de modelo para su desarrollo en otras poblaciones con potencial de biomasa.

  15. Ceratite bilateral por Acanthamoeba: relato de caso

    OpenAIRE

    Obeid Wilson Nahmatallah; Araújo Rogério de; Vieira Luiz Antonio; Machado Marco Antonio de Campos

    2003-01-01

    A ceratite por Acanthamoeba é uma infecção ocular grave que, apesar dos recentes progressos no diagnóstico e tratamento, ainda provoca prolongada morbidade e perda da acuidade visual. Relatamos um caso de ceratite bilateral por Acanthamoeba em usuário de lentes de contato, que é o primeiro caso descrito na literatura brasileira.

  16. Epidemiologia das infecções hematogênicas por Candida spp

    Directory of Open Access Journals (Sweden)

    Colombo Arnaldo Lopes

    2003-01-01

    Full Text Available O gênero Candida spp é responsável por cerca de 80% das infecções fúngicas no ambiente hospitalar e constitui causa relevante de infecções de corrente sanguínea. Nos Estados Unidos da América, Candida spp é a quarta causa mais comum de infecções de corrente sanguínea, respondendo por cerca de 8% dos casos das infecções documentadas neste sítio. Espécies não-albicans respondem hoje por ao menos 50% das infecções invasivas por Candida spp, apresentando peculiaridades de história natural e sensibilidade a antifúngicos. A mortalidade geral de fungemias por Candida spp é da ordem de 40 a 60%, tornado esta complicação infecciosa um grande desafio para os clínicos que trabalham em hospitais terciários em diferentes países.

  17. Portable exhauster POR-007/Skid E and POR-008/Skid F storage plan

    International Nuclear Information System (INIS)

    This document provides storage requirements for 1,000 CFM portable exhausters POR-O07/Skid E and POR-008/Skid F. These requirements are presented in three parts: preparation for storage, storage maintenance and testing, and retrieval from storage. The exhauster component identification numbers listed in this document contain the prefix POR-007 or POR-008 depending on which exhauster is being used

  18. Abdomen agudo por mucocele apendicular perforado

    Directory of Open Access Journals (Sweden)

    Mario Mella Laborde

    2012-01-01

    Full Text Available Las neoplasias mucinosas apendiculares son raras, representando entre 0,2% y 0,3% de todas las apendicectomías realizadas. Afecta a gente de mediana edad sin predilección por sexos. Se presenta hasta en un 30% a 50% de los casos como una apendicitis. El diagnóstico definitivo es histológico. Se recomienda evitar el uso de la laparoscopía por riesgo de diseminación de la mucina. El tratamiento de elección es la apendicectomía abierta. En los casos donde existan signos de malignidad, está indicada la hemicolectomía derecha. Se recomienda el seguimiento a largo plazo por el riesgo de neoplasias asociadas.

  19. Miocarditis por dengue / Dengue fever myocarditis

    Scientific Electronic Library Online (English)

    Ricardo Amador, García Hernández; Fidel, Espinosa Rivera; Lianet, Rivero Seriel.

    2013-06-01

    Full Text Available El dengue es un arbovirus transmitido por el Aedes aegypti, produce los cuadros clínicos de dengue clásico, dengue hemorrágico y síndrome de choque por dengue, aisladamente se reportan casos de miocarditis. Se presentó un paciente con antecedentes de dengue clásico que manifestó dolor precordial aso [...] ciado a cambios electrocardiográficos y fue ingresado en este hospital por síndrome coronario agudo probable, al cual se le diagnosticó clínicamente miocarditis por dengue. Abstract in english Dengue is an arbovirus transmitted by the Aedes Aegypti mosquito that produces the clinical picture of classical dengue fever, hemorrhagic dengue fever and dengue shock syndrome. In an isolated form, cases of myocarditis are reported. We presented a case about a patient with antecedents of classical [...] dengue fever and chest pain associated to electrocardiograph changes who was admitted to this hospital presenting a probable acute coronary syndrome. Myocarditis following dengue fever was clinically diagnosed.

  20. 14 Nobel, preocupados por el CERN

    CERN Multimedia

    Rivera, A

    2003-01-01

    "E l presidente del Consejo del CERN (Laboratorio Europeo de Fisica de Particulas, junto a Ginebra), Maurice Bourquin, ha recibido una carta firmada por un grupo de cientificos muy especiales: 14 premios Nobel de Fisica" (1 page).

  1. Patogénesis de la infección por Helicobacter pylori

    Directory of Open Access Journals (Sweden)

    Lidice González López

    2011-12-01

    Full Text Available La infección por Helicobacter pylori afecta a más del 50 % de la población mundial y constituye la causa principal del desarrollo de afecciones como úlceras gástricas y duodenales, y el cáncer gástrico. Aún así, se conoce que la mayoría de las personas infectadas no desarrollan ninguna de estas enfermedades porque la patogénesis inducida por este microorganismo depende de diferentes factores que incluyen características del hospedero, el ambiente en el que se desarrolla y la cepa infectante. En este trabajo se revisó y actualizó el tema de la patogénesis de la infección por H. pylori para ampliar el conocimiento de los principales factores que conducen al desarrollo de las afecciones severas y, por tanto, coadyuvar al mejor tratamiento de esta infección en nuestra población, que tiene alta prevalencia de H. pylori.

  2. Pedro Teixeira y su viaje por Mesopotamia

    Directory of Open Access Journals (Sweden)

    Fuente del Pilar, José Javier

    2005-04-01

    Full Text Available Pedro Teixeira es un integrante notable de la ilustre nómina de los viajeros portugueses que, a finales del s, XVI y principios del XVII, ensancharon para Occidente las fronteras del mundo. Su conocimiento en España se debe a la publicación en 1994 de su obra «Relaciones del Origen, Descendencia y Sucesión de los Reyes de Persia, y de Harmuz, y de un viaje hecho por el autor dende la India hasta Italia por tierra», en edición realizada por el profesor Eduardo Barajas Sala, lamentablemente fallecido en 1997. En este artículo se ofrece una reseña biográfica de Pedro Teixeira, y un análisis del viaje narrado por el autor en la última parte de sus «Relaciones »: el que desde Ormuz le conducirá, a través de Mesopotamia, hasta la costa del Mediterráneo.…

  3. Mortalidade por leucemias relacionada à industrialização

    OpenAIRE

    Leal Carmen Helena Seoane; Wünsch Filho Victor

    2002-01-01

    OBJETIVO: Analisar a distribuição espacial da mortalidade por leucemia na população, buscando identificar agregados e estabelecer sua relação com os níveis de industrialização. MÉTODOS: O estudo foi realizado nas 43 regiões de governo do Estado de São Paulo, no qüinqüênio 1991-1995. Foi construído um "índice de industrialização relativo à leucemia" (IIRL) baseado no número de indústrias e empregos industriais por 100.000 habitantes, valor adicionado fiscal, variedade de ramos industriais e in...

  4. Disputa por la ciudad, elecciones 2015

    Directory of Open Access Journals (Sweden)

    Alfonso Revilla Basurto

    2015-01-01

    Full Text Available La disputa por la ciudad se planteó sustancialmente en el terreno del enfrentamiento de las izquierdas partidistas y no por el avance o fortalecimiento de una oposición política proveniente del pri , del pan o de otras fuerzas opositoras. Más bien, los partidos de oposición en la ciudad esperaron avanzar sobre el recuento de los daños que dejó el enfrentamiento entre el prd y Morena.

  5. A demanda por energia elétrica no Brasil

    OpenAIRE

    Cristiane Alkmin Junqueira Schmidt; Marcos A. M. Lima

    2004-01-01

    O objetivo do presente trabalho é estimar, por cointegração, as elasticidades, preço e renda, de longo prazo da demanda por energia elétrica nas três classes de consumo: residencial, comercial e industrial. Os resultados obtidos estão de acordo com outros resultados empíricos de que a elasticidade-renda deve ser igual ou superior à unidade e que a elasticidade-preço deve ter uma magnitude inferior a um, em módulo. Além disso são realizadas previsões para o consumo de energia elétrica para o p...

  6. Mortalidad por causas externas en Medellín, 1999-2006

    Directory of Open Access Journals (Sweden)

    Doris Cardona Arango

    2008-01-01

    Full Text Available Caracterizar el comportamiento de la mortalidad por causas externas en la ciudad de Medellín, Colombia, entre 1999-2006, según sexo, edad y causa básica de muerte fue el objetivo de este estudio descriptivo longitudinal, con fuente de información secundaria de 22 128 registros de defunción por causas externas. El análisis realizado es univariado y bivariado por sexo, grupos de edad y causa de muerte. Las causas externas registradas en el periodo fueron: 72.9 por ciento por homicidio; 15.3 por ciento, accidente de transporte; 7.3 por ciento, traumatismos; 4.2 por ciento, por suicidio, y por otras causas, 0.4 por ciento. La mayor tasa de mortalidad se presentó en el grupo de edad de 20 a 24 años (27.6 por cien mil habitantes, hecho que merece especial consideración por las implicaciones sociales, familiares y laborales que representa el fallecimiento de una persona en su etapa productiva.

  7. Transmisión de Anaplasma marginale por garrapatas

    Directory of Open Access Journals (Sweden)

    Kelly A. Brayton

    2012-01-01

    Full Text Available Anaplasma marginale, patógeno de distribución mundial, es transmitido por garrapatas Ixódidas. Comprender su complejo desarrollo dentro de la garrapata vector, permitirá la predicción de brotes y ofrecerá oportunidades para controlar su transmisión. En este trabajo se revisa su ciclo básico de desarrollo junto con los estudios recientes acerca de las diferencias de transmisión entre cepas, que delinean aspectos de la interacción patógeno - vector. Bacterias, virus o protozoarios transmitidos por artrópodos causan enfermedades severas, tanto en humanos como en animales. Las enfermedades infecciosas transmitidas por garrapatas, entre las que incluimos a la Anaplasmosis (A. marginale, babesiosis (Babesia bigemina, B. bovis, B. divergens y Theileriosis (Theileria annulata, T. parva, se encuentran entre las más importantes en el ámbito mundial, con pérdidas cercanas a los siete mil millones de dólares anualmente; y, a pesar de su impacto, permanecen escasamente bajo control, basado primordialmente en la aplicación de acaricidas, para interrumpir su transmisión. La aparición de garrapatas resistentes a múltiples sustancias acaricidas, representa una amenaza en este tipo de control y, como resultado, hay un resurgimiento de la investigación para el desarrollo de nuevas estrategias para su control. Nuevas opciones para prevenir la transmisión de patógenos de animales por garrapatas, será el resultado de entender las interacciones garrapata patógeno; proceso que culmina con el desarrollo de la infección y transmisión exitosa. En todos los casos de patógenos transmitidos por garrapatas, el desarrollo de la infección se realiza coordinamente a los momentos de adhesión y alimentación del vector sobre el animal. Esto sucede por la interdependencia en la señalización entre el patógeno y el vector al alimentarse y, por ello, será susceptible de intervención.

  8. Nuevos riesgos tóxicos por exposición a nanopartículas

    Directory of Open Access Journals (Sweden)

    D Gutiérrez-Praena

    2009-01-01

    Full Text Available La nanotecnología es una ciencia multidisciplinar que está teniendo un gran auge en la actualidad, ya que proporciona productos (nanopartículas con nuevas propiedades fisicoquímicas, que son las que hacen que tengan una gran cantidad de aplicaciones. La exposición humana a estas nanopartículas se puede producir principalmente por las vías respiratoria (nanopartículas suspendidas en el aire, dérmica (nanopartículas ambientales, cosméticos y oral(alimentos, agua. Por vía pulmonar las nanopartículas activan los mecanismos de defensa o son internalizadas en los intersticios. Por vía dérmica se pueden acumular en el estrato córneo o en los folículos pilosos, o bien atravesarlo y acumularse en la dermis. Por vía oral pueden ser absorbidas por las células epiteliales del intestino. La exposición también se puede producir a través de la instrumentación médica o prácticas clínicas, ya que se usan, por ejemplo, en el tratamiento y diagnóstico del cáncer de mama y en el control de infecciones en cirugía. Una vez las nanopartículas han sido absorbidas, se distribuyen por vía sanguínea y linfática, alcanzando diferentes órganos, tales como huesos, riñones, páncreas, bazo, hígado y corazón, en los que quedan retenidas y ejercen sus efectos tóxicos, aunque esto también se utiliza como una forma de vectorización de fármacos. La toxicidad de estas nanopartículas depende, entre otros factores, de su persistencia en los órganos y de si el hospedador puede provocar una respuesta biológica para eliminarlas. Los mecanismos de toxicidad no se conocen con exactitud, aunque parece ser que se incluyen daño en membranas celulares, disrupción del potencial de membrana, oxidación de proteínas, genotoxicidad, formación de especies reactivas de oxígeno e inflamación. Estudios sobre las vías respiratorias han mostrado disminución de la viabilidad celular in vitro, producción de estrés oxidativo e inflamación. En la piel se ha demostrado toxicidad y estrés oxidativo, pero otros autores destacan la ausencia de irritación y reacciones alérgicas. A nivel gastrointestinal in vitro se han observado reducción de la viabilidad celular y alteración del ADN, entre otros. Respecto a la legislación, actualmente no existen directrices específicas sobre nanotecnología y nanomateriales, en espera de un mayor conocimiento científico de sus efectos sobre la salud pública. La investigación en este campo es, por tanto, un aspecto prioritario en la actualidad que va a determinar la relación riesgo/beneficio de su uso y por tanto su futuro, que parece potencialmente prometedor.

  9. CISTECTOMÍA RADICAL POR CÁNCER VESICAL EN UN HOSPITAL DOCENTE-ASISTENCIAL: ANÁLISIS DE RESULTADOS PERIOPERATORIOS / Radical cystectomy for bladder cancer in a state teaching hospital: analysis of perioperative outcomes

    Scientific Electronic Library Online (English)

    Rodrigo, Canales R; Carlos, Iturriaga V; Orosmán, Canales S; Rodrigo, Guamán O; Pía, Michael L; Ricardo, Susaeta S; Gustavo, Salgado B; Camilo, Sandoval H; Mauricio, Gómez-Lobo F; Daniel, Ruiz-Tagle P; Marcelo, Marconi T; Álvaro, Vidal F.

    2014-08-01

    Full Text Available Objetivos: Estudiamos una serie de pacientes sometidos a cistectomía radical (CR) por cáncer vesical para examinar factores pronósticos y analizar los resultados perioperatorios, estableciendo así un punto de referencia para futuras evaluaciones. Material y Método: Estudio retrospectivo de 46 pacien [...] tes sometidos a CR por cáncer vesical entre julio de 2003 y septiembre de 2012, evaluando características demográficas, comorbilidades, riesgo anestésico y condición clínica, lapso entre la resección transuretral (RTU) y la cistectomía, tiempos operatorios, sangrado y transfusiones, técnica quirúrgica utilizada, manejo nutricional, resultados anatomopatológicos, estada hospitalaria y complicaciones. Estas últimas fueron detalladas según tipo y frecuencia y catalogadas como precoces (durante los primeros 30 días) o tardías. Además, se utilizó la clasificación de Clavien-Dindo para reportar las complicaciones postoperatorias. Se estimaron las tasas de mortalidad a 30, 60 y 90 días post cistectomía. Resultados: El promedio de edad fue 70 años (49-88) y la media de la clasificación ASA fue 2,7. El promedio entre la RTU y la cistectomía fue 68,2 días. Los tiempos operatorios promedio fueron de 194 min la ureterostomía cutánea, 320 el conducto ileal y 342 la neovejiga. Un 60,8% tenía un pT > 2 y un 41% compromiso ganglionar. Hubo 19,5% de márgenes positivos. Un 23,9% tuvo complicaciones grado 3 ó 4 según Clavien-Dindo. La mortalidad global a 90 días fue 17,3%. Conclusiones: la CR se asoció a una elevada morbimortalidad, lo que parece explicarse por un estado avanzado de la enfermedad y por la alta presencia de factores de mal pronóstico. Abstract in english Introduction: A number of patients have been studied after undergoing Radical Cystectomy (RC) for bladder cancer, to review prognostic factors and analyze perioperative outcomes. A contemporary benchmark was established for future comparisons. Material and Methods: Retrospective study of 46 patients [...] that underwent RC for bladder cancer between July 2003 and September 2012, assessing demographic characteristics, comorbidities, anesthetic risk and clinical status, interval between transurethral resection (TUR) and cystectomy, operative times, bleeding and transfusions, surgical technique, nutritional management, pathologic findings, hospital stay and complications. Complications were detailed by type and frequency and classified as early (within 30 days) or late. In addition, we used the Clavien-Dindo classification for reporting postoperative complications. Mortality rates at 30, 60 and 90 days after cystectomy were estimated. Results: Average patient age was 70 years (49-88) and mean ASA classification was 2.7. The average between TUR and cystectomy was 68.2 days (median = 57.5 days). Mean operative time for cutaneous ureterostomy was 194 minutes, 320 for ileal conduit and 342 for neobladder. 60.8% had pathological stage major than pT2 and 41% had nodal involvement. There were 19.5% of positive margins. The 23.9% had Clavien-Dindo postoperative complications grade 3 or 4. The 90-day global mortality was 17.3%. Conclusions: CR was associated with a high morbidity and mortality, which seems to be explained by an advanced stage of the disease and the high presence of poor prognostic factors.

  10. GLOMERULONEFRITIS POR INMUNOCOMPLEJOS EN LA ENDOCARDITIS INFECCIOSA

    Scientific Electronic Library Online (English)

    Rommer Alex, Ortega Martínez; Paola Cecilia, Rodríguez Gil; Ricardo, Silvestre Arze; Luis, Mercado Maldonado; Juan Pablo, Barrenechea.

    Full Text Available Los pacientes con endocarditis infecciosa pueden desarrollar tres diferentes formas de enfermedad renal: Glomerulonefritis postinfecciosa mediada por complejos inmunes, nefritis intersticial aguda inducida por drogas o necrosis tubular aguda por aminoglucósidos y la enfermedad embólica renal. La glo [...] merulonefritis mediada por inmunocomplejos es similar a la glomerulonefritis post Estreptocócica o la glomerulonefritis membranoproliferativa con antigenemia larga y persistente. Las manifestaciones clínicas son similares a las de aquellos pacientes con otras formas de glomerulonefritis aguda. Presentamos el caso de una paciente que cumplió los requisitos para entrar dentro el grupo de glomerulonefritis por complejos inmunes, destacando el hecho de presentar alteraciones en la función renal y sedimento urinario disipadas con la resolución de la patología de base. Abstract in english Patients with infective endocarditis can develop three different forms of renal disease: post infectious immune complex mediated glomerulonephritis, drug induced acute intersticial nephritis or acute tubular necrosis due to aminoglucoside toxicity and renal embolic disease. Inmune complex glomerulon [...] ephritis is similar to post estreptococal glomerulonephritis or membrano proliferative glomerulonephritis with long standing and persistent antigenemia. The clinical manifestations are similar to those of other forms of glomerulonephritis. We present the case of a patient who fulfilled most criteria of immune complex mediated glomerulonephritis. emphasizing the fact that the alterations in renal function and urinary sediment resolved with the resolution of the primary disease.

  11. Extracción de sustancias asistida por ultrasonido (EUA

    Directory of Open Access Journals (Sweden)

    Rocío Azuola

    2007-11-01

    Full Text Available Compuestos presentes en los vegetales con propiedades funcionales o tecnológicas, han cobrado gran importancia en los mercados de alimentos, farmacéuticos y cosméticos. Se buscan métodos eficientes, económicos y favorables al ambiente para la extracción de estas sustancias. Se ha realizado un estudio bibliográfico de las publicaciones recientes sobre diferentes métodos de extracción y su comparación a las extracciones asistidas por ultrasonido (EAU con el fin de evaluar su eficacia y viabilidad industrial. Se ha encontrado que la EAU es más eficiente que los métodos de extracción tradicionales, y más económica y sencilla que los métodos de extracción no tradicionales como la extracción asistida por microondas, por lo cual se comprueba su viabilidad industrial.

  12. GRAVIDADE DE INTOXICAÇÕES POR SANEANTES CLANDESTINOS

    Directory of Open Access Journals (Sweden)

    Jessica Adrielle Teixeira Santos

    2011-01-01

    Full Text Available El presente estudio tuvo como objetivo analizar las intoxicaciones por saneantes comercializados clandestinamente, reportadas en el Centro de Control de Intoxicaciones del Hospital Universitario Regional de Maringá. Es un estudio cuantitativo, con análisis retrospectivo de registros epidemiológicos de personas intoxicadas por estos agentes, en el período de enero de 2005 a diciembre de 2009. De los 118 casos reportados, la mayoría (74-62,7% se produjeron en varones, 105 (88,9% necesitaron de asistencia en unidades de atención de emergencia y hospitalización de alta complejidad, en 14 casos (11,8% requirieron de Cuidados Intensivos, y se reportaron cinco óbitos, todos por intoxicación intencional. Los resultados demuestran la gravedad y la letalidad de este tipo de intoxicación, sugieren la necesidad de medidas urgentes de fiscalización y control de la Vigilancia Sanitaria, así como de medidas para la educación de los consumidores, haciendo hincapié en el papel educativo de la Enfermería

  13. Por que rir da Filosofia Política?: Abertura

    Directory of Open Access Journals (Sweden)

    Lessa Renato

    1998-01-01

    Full Text Available As diferentes intervenções que compuseram este debate têm como referência comum uma reflexão sobre os lugares da Filosofia Política na tradição disciplinar que designamos como Ciência Política. Recusando a perspectiva que dissocia a Filosofia Política da dimensão empiricamente orientada da disciplina, os argumentos apresentados destacam o papel de fertilização de formas de vida cumprido pela primeira. A agenda dos pesquisadores devotados à boa faina da investigação empírica foi, e segue sendo, em grande medida definida e configurada por exercícios prévios de invenção social e política e por decisões de ordem ontológica, epistemológica e retórica. Neste sentido, a distinção entre ciência e filosofia é, além de obscurantista e marcada por enorme otimismo epistemológico, sintoma de um desconhecimento forte com relação à história do conhecimento político.

  14. Colesteatoma mediante difusión por resonancia magnética

    Scientific Electronic Library Online (English)

    A.M., Granados Sánchez; S., Santamaría; M., Valenzuela; J.C., Castro.

    2014-12-01

    Full Text Available El colesteatoma se caracteriza por el acúmulo de detritus de queratina en el oído/peñasco. Puede ser congénito o adquirido, siendo este último el más frecuente. Recientemente las técnicas de difusión (DWI) por resonancia magnética (RM) han ayudado al diagnóstico por imágenes en los casos en los que [...] la tomografía computada (TC) no es concluyente y, en el escenario posquirúrgico, cuando la TC no logra discriminar entre el tejido inflamatorio y la enfermedad residual o recidivante. Abstract in english Cholesteatoma is characterized by anaggregate of keratin debris. It might be congenital or acquired (most frequent). Diffusion weighted techniques (DWI) by magnetic resonance (MR) have recently play a role in diagnostic imaging of cholesteatoma, specifically in cases where computed tomography (CT) i [...] s inconclusive, and in post surgical states to differentiate between inflammatory tissue and relapsing or residual disease.

  15. Uveítis inducida por fármacos / Drug induced uveitis

    Scientific Electronic Library Online (English)

    J, Cano Parra; M, Díaz-Llopis.

    2005-03-01

    Full Text Available Objetivo: Revisión de la literatura de los casos de uveítis inducida por fármacos. Métodos: Aplicación de los criterios de la OMS y de Naranjo para clasificar según lo publicado en la literatura los casos de uveítis inducida por fármacos en reacciones de causalidad cierta, probable y posible. Descri [...] pción de los cuadros clínicos de uveítis asociados a cada fármaco. Resultados: Uveítis de causalidad cierta son la causadas: por bifosfonatos, topiramato y metipranolol tópico. Uveítis de causalidad probable: Rifabutina, sulfonamidas, cidofovir, inmunorrecuperación por terapia HAART, corticoides tópicos, latanoprost y acetato de triamcinolona intravítreo. Uveítis de causalidad sólo posible por: bimatoprost, travopost, brimonidina, otras medicaciones tópicas y fármacos intraoculares, síndrome TINU asociado a AINES, contraste yodado no iónico (iopamidol), dietilcarbamazepina, interleukina 3 y 6, contraceptivos orales, quinidina vacunas y cobalto, ibuprofeno y moxifloxacino. Conclusiones: La uveítis inducida por fármacos es una entidad de baja frecuencia, que produce uveítis principalmente anterior solamente, con afectación moderada de agudeza visual y que cuando se suspende el fármaco no tiene recurrencias. Abstract in english Purpose:To review the world literature about drug induced uveitis. Methods: We used the OMS and Naranjo criteria of causality of adverse drug reactions to classify the causes of drug induced uveitis. These have been classified into certain, probable and possible causes. We described the clinical fea [...] tures associated with each drug. Results: Certain causes of uveitis are byphosphonates, topiramato and metipranolol eyedrops. Probable causes are rifabutin, sulfonamides, cidofovir, immunorecovery in patients following HAART therapy, topical corticosteroids, latanoprost, and intravitreous triamcinolone acetate. Possible causes of uveitis include bimatoprost, travoprost, brimonidine, other eyedrops and intraocular drugs, tubulointerstitial nephritis and uveitis (TINU) produced by nonsteroidal drugs, iopamidol, diethylcarbamazepine, interleukins 3 and 6, oral contraceptives, quinidine, vaccines and cobalt, ibuprofen and moxifloxacin. Conclusion: Drug induced uveitis is an entity of low incidence, anterior iridocyclitis is the commonest clinical picture, visual acuity is moderately diminished, and if use of the drug is ceased uveitis does not recur.

  16. Neumonía por Pneumocystis jirovecii Pneumocystic jirovecii pneumonia

    Directory of Open Access Journals (Sweden)

    Yaimara Zunen Hernández Puentes

    2010-06-01

    Full Text Available OBJETIVO: presentar un caso atípico de una paciente VIH negativo, fallecida por Pneumocystis jirovecii, más frecuente en personas infectadas por el virus del SIDA y postrasplantados. DESCRIPCIÓN: se presenta una paciente con antecedentes de alcoholismo, asma, con síntomas respiratorios y fiebre, VIH negativo, con evolución tórpida que fallece a los 11 días del ingreso. Pulmones: enfisema periférico, zonas dispersas de aspecto rojo carnoso entre mezclado con zonas poco aireadas, empastadas. INTERVENCIÓN: se realizó autopsia clínica encontrándose como causa directa de la muerte, neumonía por Pneumocystis jirovecii, diagnosticado con coloración de hematoxilina y eosina donde se observó presencia del edema espumoso característico. Se corroboró con coloración de plata metenamina donde se pudo observar el microorganismo. CONCLUSIONES: el caso presentó como causa directa de la muerte una neumonía por Pneumocystis jirovecii, patógeno oportunista reportado con frecuencia como causa de muerte en pacientes infectados por el VIH-SIDA y en inmunocomprometidos por otras causas, como los trasplantados.OBJECTIVE: to present the atypical case of a HIV-negative patient, deceased from Pneumocystis jirovecii more frequent in persons infected with the AIDS virus and in those underwent transplantation. DESCRIPTION: a patient with a history of alcoholism, asthma, respiratory symptoms and fever, HIV-negative, with a torpid course deceased at 11 days after admission. Lung: peripheral emphysema, scattered zones of a fleshy red appearance mixed with not much aired zones and impasted. INTERVENTION: a clinical necropsy was carried out where the direct cause of death was from Pneumocystis jirovecii, diagnosed using hematoxylin-esosin stain proving the presence of a characteristic foamy edema. In the silver methenamine stain it was possible to corroborate the presence of the microorganism. CONCLUSIONS: in this case the leading cause of death was Pneumocystis jirovecii pneumonia, an opportunistic pathogen frequently reported a cause of death in HIV-AIDS patients and also in those immunocompromised due to other causes, e.g. those with transplantation.

  17. Neumonía por Pneumocystis jirovecii / Pneumocystic jirovecii pneumonia

    Scientific Electronic Library Online (English)

    Yaimara, Zunen Hernández Puentes; Bárbara Mercedes Paula, Piñera; Mercedes, Salinas Olivares; William, Vila González; Midalys, Casa de Valle Castro.

    2010-06-01

    Full Text Available OBJETIVO: presentar un caso atípico de una paciente VIH negativo, fallecida por Pneumocystis jirovecii, más frecuente en personas infectadas por el virus del SIDA y postrasplantados. DESCRIPCIÓN: se presenta una paciente con antecedentes de alcoholismo, asma, con síntomas respiratorios y fiebre, VIH [...] negativo, con evolución tórpida que fallece a los 11 días del ingreso. Pulmones: enfisema periférico, zonas dispersas de aspecto rojo carnoso entre mezclado con zonas poco aireadas, empastadas. INTERVENCIÓN: se realizó autopsia clínica encontrándose como causa directa de la muerte, neumonía por Pneumocystis jirovecii, diagnosticado con coloración de hematoxilina y eosina donde se observó presencia del edema espumoso característico. Se corroboró con coloración de plata metenamina donde se pudo observar el microorganismo. CONCLUSIONES: el caso presentó como causa directa de la muerte una neumonía por Pneumocystis jirovecii, patógeno oportunista reportado con frecuencia como causa de muerte en pacientes infectados por el VIH-SIDA y en inmunocomprometidos por otras causas, como los trasplantados. Abstract in english OBJECTIVE: to present the atypical case of a HIV-negative patient, deceased from Pneumocystis jirovecii more frequent in persons infected with the AIDS virus and in those underwent transplantation. DESCRIPTION: a patient with a history of alcoholism, asthma, respiratory symptoms and fever, HIV-negat [...] ive, with a torpid course deceased at 11 days after admission. Lung: peripheral emphysema, scattered zones of a fleshy red appearance mixed with not much aired zones and impasted. INTERVENTION: a clinical necropsy was carried out where the direct cause of death was from Pneumocystis jirovecii, diagnosed using hematoxylin-esosin stain proving the presence of a characteristic foamy edema. In the silver methenamine stain it was possible to corroborate the presence of the microorganism. CONCLUSIONS: in this case the leading cause of death was Pneumocystis jirovecii pneumonia, an opportunistic pathogen frequently reported a cause of death in HIV-AIDS patients and also in those immunocompromised due to other causes, e.g. those with transplantation.

  18. Composición corporal por bioimpedancia en adolescentes jujeños

    Directory of Open Access Journals (Sweden)

    Quispe, Yolanda

    2005-01-01

    Full Text Available Debido al aumento de prevalencia de obesidad en niños y adolescentes existe un interés creciente por la evaluación de la composición corporal por distintos métodos. Uno de los más utilizados por su inocuidad, bajo costo y dificultad técnica y alta precisión y reproducibilidad es la bioimpedancia eléctrica (BI. El objetivo de este trabajo fue evaluar por BI el porcentaje de masa grasa (%MG y de masa libre de grasa (%MLG en adolescentes jujeños. Los datos provinieron de 272 estudiantes (157 mujeres y 115 varones de 12 a 16 años de edad asistentes a una escuela de un barrio periférico de San Salvador de Jujuy. La BI se midió con un analizador BF-905 (Maltron, 50kHZ y configuración tetrapolar. Las diferencias entre sexos y edades se establecieron con ANOVA. Se constataron las diferencias intersexuales esperadas, siendo el %MLG en varones mayor que en mujeres, lo contrario sucede con el %MG. No se observaron diferencias estadísticamente significativa por edad en ambos compartimentos en mujeres, mientras que en hombres la diferencia fue estadísticamente significativa entre 14 y 16 años. El %MG promedio en varones de 12 a 16 años fue el siguiente: 16.4, 15.1, 12.4, 14.2, 19.2. En mujeres fue: 22.6, 26.7, 27.1, 26.5, 29.9. No existen antecedentes de estudios similares en poblaciones de adolescentes jujeños. Generalmente se evalúa el peso corporal sin considerar sus compartimentos, modificables por factores ambientales (altura geográfica, nutrición, etc. y biológicos (étnicos, edad, sexo, etc.. La BI posibilitaría estimar fácilmente la variación intra e interpoblacional de la composición corporal y su relación con estos factores en las poblaciones jujeñas.

  19. Cistectomía radical laparoscópica asistida por robot: evaluación de los resultados funcionales y oncológicos / Robotic-Assisted Laparoscopic Radical Cystectomy: Evaluation of Functional and Oncological Results

    Scientific Electronic Library Online (English)

    A., Treiyer; M., Saar; B., Kopper; J., Kamradt; S., Siemer; M., Stöckle.

    2011-03-01

    Full Text Available Objetivo: Presentamos nuestra experiencia en cistectomía radical robótica informando sobre los resultados quirúrgicos, tanto desde el punto de vista oncológico como funcional. Material y método: Entre enero de 2007 y agosto de 2010 fueron operados en nuestra institución un total de 84 pacientes (70 [...] hombres y 14 mujeres) con diagnóstico histopatológico de cáncer de vejiga invasor no metastásico. Evaluamos variables quirúrgicas, el tiempo de recuperación intrahospitalario, los hallazgos patológicos y las complicaciones peri y postoperatorias. Resultados: La edad media de la población en estudio fue 65,6 años (rango: 28-82). En 62 pacientes se realizó derivación urinaria con ureteroileostomía tipo Wallace, los 22 pacientes restantes recibieron una neovejiga ileal tipo Studer. El tiempo promedio de cirugía fue de 261 minutos (rango: 243-618) y la pérdida promedio de sangre intraoperatoria fue de 298ml (rango 50-2.000). Un 29, 38, 26 y 7% presentaron estadios histopatológicos postoperatorios pT1, pT2, pT3 y pT4, respectivamente. El 15% de los pacientes operados presentó metástasis locales a nivel ganglionar. El número de ganglios linfáticos resecados por procedimiento quirúrgico fue de 14,47 (rango: 1-33). En dos casos (2,4%) se registraron márgenes quirúrgicos positivos. El tiempo promedio de aparición de flatos fue 2,12 días, evacuación intestinal postoperatoria 2,87 y alta médica 17,7(10-33). Un total de 45 pacientes presentaron complicaciones perioperatorias. De estos sólo un 11,9% tuvo complicaciones mayores (Clavien III o mayor) que necesitaron de un tratamiento más invasivo. El tiempo promedio de seguimiento fue de 16,7 meses. Durante ese período 10 pacientes (11%) presentaron recidiva del tumor vesical, de los cuales dos (2,38%) fallecieron. Conclusión: Nuestra experiencia con cistectomía radical robótica en el tratamiento del cáncer de vejiga sugiere que en manos adecuadas este procedimiento proporciona resultados quirúrgicos y patológicos aceptables. Abstract in english Purpose: Radical cystectomy remains the most effective treatment for patients with localized, invasive bladder cancer and recurrent noninvasive disease. We report our experience with 84 consecutive cases of robotic assisted laparoscopic radical cystectomy with regard to perioperative results, pathol [...] ogical outcomes and surgical complications. Materials and methods: A total of 84 consecutive patients (70 male and 14 female) underwent robotic radical cystectomy and urinary diversion at our institution from January 2007 to August 2010 for clinically localized bladder cancer. Outcome measures evaluated included operative variables, hospital recovery, pathological outcomes and complication rate. Results: Mean age of this cohort was 65.5 years (range 28 to 82). Of the patients 62 underwent ileal conduit diversion, 22 received a neobladder. Mean operating room time for all patients was 261min. (range: 243-618min.) and mean surgical blood loss was 298ml (range: 50-2000ml). 29% of the cases were pT1 or less disease, 38% were pT2, 26% and 7% were pT3 and T4 disease respectively, 15% were node positive. Mean number of lymph nodes removed was 15 (range 1 to 33). In 2 cases (2.4%) there was a positive surgical margin. Mean days to flatus were 2.12, bowel movement 2.87 and discharge home 17.7 (range: 10-33). There were 45 postoperative complications with 11.9% having a major complication (Clavien grade 3 or higher). At a mean followup of 16.7 months 10 patients (11%) had disease recurrence and 2 died of disease. Conclusions: Our experience with robotic radical cystectomy for the treatment of bladder cancer suggests that in proper hands this procedure provides acceptable surgical and pathological outcomes.

  20. Loop-mediated isothermal amplification assay for the detection of Ehrlichia canis DNA in blood samples from dogs / Ensayo de amplificación isotérmica de ADN mediada por asas para la detección del ADN de Ehrlichia canis en muestras de sangre de perros

    Scientific Electronic Library Online (English)

    SA, Faggion; AR, Salvador; KL, Jacobino; LFB, Bortolotto; MB, Lopes; M, Silva; EV, Santos; AL, Fachin; SC, França; M, Marins.

    Full Text Available La bacteria rickettsia Ehrlichia canis es el agente etiológico de la ehrlichiosis monocítica canina, una de las más importantes enfermedades caninas transmitidas por garrapatas. En este estudio, un ensayo de amplificación isotérmica de ADN mediada por asas (LAMP) se desarrolló para la detección del [...] ADN de E. canis usando iniciadores LAMP enfocando el operón groESL. Se produjeron reacciones a 60°C por 60 min y los resultados se visualizaron por electroforesis en gel. Se obtuvo una exitosa amplificación al usar ADN plasmídico conteniendo un fragmento del operón groESL y ADN extraído de muestras de sangre que dieron positivo para E. canis vía PCR en tiempo real. La especificidad de amplificación fue confirmada por la enzima de restricción EcoRI de sitios internos en iniciadores LAMP y no se observó ninguna reactividad cruzada con muestras de sangre positivas para Babesia spp., otro agente patógeno común transmitido por garrapatas. El alto costo de análisis de ácido nucleico es uno de los inconvenientes para su uso a gran escala como pruebas diagnósticas rutinarias. El ensayo LAMP para E. canis desarrollado aquí es una alternativa interesante para PCR, una vez que no requiere un termociclador programado y, consecuentemente, reduce costos para el laboratorio clínico veterinario. Abstract in english The rickettsial bacterium Ehrlichia canis is the etiological agent of canine monocytic ehrlichiosis, one of the most important canine tick-borne diseases in the world. In this study, a loop-mediated isothermal amplification (LAMP) assay was developed for detection of E. canis DNA using LAMP primers [...] targeting the groESL operon. Reactions were performed at 60°C for 60 min and the results were visualized by gel electrophoresis. Successful amplification was obtained using plasmid DNA containing a fragment of the groESL operon and DNA extracted from blood samples that tested positive for E. canis by real-time PCR. The specificity of amplification was confirmed by EcoRI restriction of internal sites in the LAMP primers and no cross-reactivity with blood samples positive for Babesia spp., another common tick-borne pathogen, was observed. The high cost of nucleic acid tests (NAT) is one of the disadvantages for their large-scale use as routine diagnostic tests. The E. canis LAMP assay developed here is an interesting alternative to PCR since it does not require a thermocycler, thus reducing costs for the veterinary clinical laboratory.

  1. Modelo híbrido de refrigeración solar por absorción

    Directory of Open Access Journals (Sweden)

    José Manuel Garibay-Cisneros

    2011-01-01

    Full Text Available Se muestra un modelo híbrido de refrigeración solar por absorción. Trata de un sistema que utiliza energía solar como gas metano, este último se emplea únicamente cuando no se tenga suficiente energía solar para operar el equipo de refrigeración, para el que se utiliza amoniaco como sustancia refrigerante.

  2. Modelagem geoestatística da infecção por Ascaris lumbricoides

    Directory of Open Access Journals (Sweden)

    Fortes Bruno de Paula Menezes Drumond

    2004-01-01

    Full Text Available O estudo tem por objetivo modelar a distribuição espacial da ocorrência de ascaríase, utilizando mapas de risco mediante técnicas de geoprocessamento e análise geoestatística. Com base no banco de dados do PAISQUA, foram selecionados 19 setores censitários do Rio de Janeiro. Foram amostradas e georreferenciadas, no centróide de seu respectivo domicílio, 1.550 crianças com idade de 1 a 9 anos. Mapas de risco de Ascaris lumbricoides foram gerados usando krigagem indicadora. Com base na validação cruzada, os valores estimados foram comparados aos observados por intermédio da curva ROC. Um modelo de semivariograma isotrópico esférico com alcance de 30m e efeito pepita de 50% foi empregado na krigagem ordinária indicadora para a construção de um mapa de probabilidade de infecção por A. lumbricoides. A acurácia global, mensurada por meio da área sob a curva ROC, mostrou-se significativa. O uso da krigagem ordinária indicadora permitiu a modelagem de mapas de risco valendo-se da amostra de uma variável indicadora. O emprego das técnicas de análise estatística espacial mostrou-se adequado na predição da ocorrência do fenômeno, não ficando restrita a delimitações político-administrativas da região.

  3. Intoxicación crónica por plomo / Chronic lead poisoning

    Scientific Electronic Library Online (English)

    F. J., Fernández-Fernández; C., González-González; E., Ameneiros-Lago; F. S., Martínez-Debén; G., Pía; P., Sesma.

    2002-03-01

    Full Text Available Los estudios epidemiológicos han puesto de manifiesto una disminución progresiva en las concentraciones de plomo en sangre en las poblaciones de países desarrollados. Este descenso en la plumbemia se explica por la puesta en marcha de medidas legislativas encaminadas a disminuir la concentración de [...] plomo medio-ambiental. Como resultado, la intoxicación por plomo se ha descrito con una menor frecuencia en los últimos años. Presentamos tres pacientes con intoxicación crónica por plomo debida al uso en la alimentación de agua contaminada por tuberías de plomo. Abstract in english Epidemiologic studies have shown a steady decrease in the blood lead concentrations in populations from developed countries. This decrease is due to the promulgation of legislative measures designed to reduce sources of environmental lead exposure. As a result, during the last several years, lead po [...] isoning has been reported with a minor frequency. We describe here three patients with chronic lead poisoning owing to chronic ingestion of water contaminated by lead pipes.

  4. sobrevida de ratas intoxicadas por paraquat

    Directory of Open Access Journals (Sweden)

    Y. Aular

    2005-01-01

    Full Text Available La vitamina C (VC y la trimetazidina (TMZ como antioxidantes y la posible acción intiinflamatoria de esta última podrían ser de utilidad en la intoxicación por paraquat. Por tal razón se decidió evaluar el efecto de esta asociación en los niveles de VC, peso y sobrevida de ratas intoxicadas por paraquat, para ello se diseñó un estudio con 56 ratas divididas en 8 grupos: A (control negativo; B (control positivo, recibieron 11 mg/Kg. de paraquat IP; C (pre tratadas con 28.5mg/Kg. VC oral; D (tratadas con 28.5mg/Kg. VC post intoxicación; E (pre tratadas con 5mg/Kg. TMZ oral; F (tratadas con 5mg/Kg. TMZ post intoxicación; G (pre tratadas con VC- TMZ; H (tratadas con VC- TMZ post intoxicación. Se determinaron niveles de VC, cambios de peso y sobrevida en los grupos experimentales durante 31 días. Los resultados mostraron el día 24 de experimentación: disminución de los niveles de VC en el grupo E (p<0.05 y aumento en el grupo G (p< 0.001, sobrevida de 62.5% (grupo G, 50% (grupos E y H y 25% (grupos C y D. Se concluye que la asociación VC- TMZ aumentó la sobrevida de ratas intoxicadas por paraquat

  5. Meningitis por Streptococcus suis / Streptococcus suis meningitis

    Scientific Electronic Library Online (English)

    D. E., Geffner Sclarsky; R., Moreno Muñoz; Mª.S., Campillo Alpera; F.J., Pardo Serrano; A., Gómez Gómez; Mª.D., Martínez-Lozano.

    2001-06-01

    Full Text Available La infección humana por Streptococcus suis (S. suis) es una zoonosis, con un riesgo ocupacional conocido y que suele presentarse como meningitis purulenta, que tiene baja mortalidad y frecuentes secuelas de hipoacusia y ataxia. Se han publicado menos de 150 casos humanos desde el informe original de [...] hace 30 años. Hay una reconocida distribución geográfica viviendo la mayoría de los afectados en el norte de Europa y el sudeste Asiático. En España se han comunicado dos pacientes con enfermedad por S. suis. Presentamos dos pacientes con meningitis por S. suis, que acudieron a nuestro hospital en el plazo de un mes. Ambos eran hombres con exposición laboral a cerdos. Presentaron hipoacusia neurosensorial y ataxia de la marcha. Un paciente tuvo parálisis facial periférica y diplopía por paresia del sexto par contralateral con resolución completa a los tres meses. Lo excepcional de la meningitis por S. suis en nuestro país, no debe hacernos olvidar la importancia de registrar el riesgo laboral en la anamnesis. Abstract in english Human infection by Streptococcus suis (S. suis) is a zoonosis, with a known occupational risk and clinical presentation mainly as a purulent meningitis with low mortality and frequent hearing loss and ataxia sequela. Less than 150 human cases have been reported since original one thirty years ago. T [...] here is a geographical distribution most patients living in northen Europe and south Asia. S. suis disease in human has been reported in two patients in Spain the last years. We present two patients with S. suis meningitis, both were men with occupation related by pork meet, and good outcome. They come at our hospital in a lapse of one month. Both had neurosensorial hearing loss and walking ataxia. One patient had peripheral facial paralysis and diplopia because of paresia of contralateral sixth nerve, with complete resolution at three months.The rare presentation of S. suis meningitis in our country must not forget us to record the working risk at anamnesis.

  6. Trastorno por uso de sustancias y su relación con el trastorno por déficit de atención

    Directory of Open Access Journals (Sweden)

    O. Enrique Aguilar-Bustos

    2014-01-01

    Full Text Available El trastorno por déficit de atención e hiperactividad y el trastorno por uso de sustancias frecuentemente se presentan en un mismo individuo. Ambos padecimientos tienen bases anatómicas y funcionales comunes, lo que produce que su tratamiento sea más complejo cuando concurren. En ambos casos se presenta disminución de la actividad en la corteza prefrontal dorsolateral (encargada de la inhibición de respuestas y una actividad aumentada de estructuras subcorticales (relacionadas con los procesos de valoración de la recompensa. El trastorno por déficit de atención e hiperactividad es un factor que aumenta el riesgo de desa - rrollar trastorno por uso de sustancias en algún momento de la vida, por lo que resulta fundamental dar el tratamiento adecuado desde etapas tempranas. Un medio para tratar el trastorno por déficit de atención e hiperactividad es la administración de psicoestimulantes que, contrario a la opinión popular, protegen contra el desarrollo de trastorno por uso de sustancias, no lo favorecen. Adicionalmente, es importante contar con programas de estimulación cognitiva que ayuden al paciente a superar sus deficiencias neuropsicológicas.

  7. El estrés por temperatura provoca necrosis en tabaco negro; cuantificación por análisis de imágenes

    OpenAIRE

    Eduardo Ortega; Adriana Navarro Borrell; Rosa Rodés; Patricia Ortega-Rodés

    2009-01-01

    El tabaco negro (Nicotiana tabacum L.) es un importante cultivo económico en Cuba por su uso en la manufacturade puros Habanos. Factores bióticos y abióticos lo afectan, de ahí que sea valioso el estudio de los daños fisiológicos que le produce el estrés. El objetivo de este trabajo fue cuantificar los efectos del estrés por temperatura sobre el daño por necrosis en hojas, y determinar la acumulación de peróxido de hidrógeno (H2O2) in situ en los tejidos de Nicotiana tabacum L. (variedad Haba...

  8. Intoxicação experimental por Ateleia glazioviana (Leg.Papilionoideae) em ovinos

    OpenAIRE

    Stigger Adriana Lücke; Barros Claudio S. L.; Langohr Ingeborg Maria; Barros Severo S. de

    2001-01-01

    Sete ovelhas receberam as folhas de Ateleia glazioviana em doses predeterminadas. Um outro ovino serviu de controle. As quantidades totais (g/kg/peso corporal) de planta consumidas pelos ovinos foram 75 por 60 dias (Ovino 6), 125 por 25 dias (Ovino 4), 130 por 13 dias (Ovino 7), 150 por 60 dias (Ovino 5), 180 por 18 dias (Ovino 3), 330 por 33 dias (Ovino 2) e 375 por 25 dias (Ovino 1). Seis ovinos receberam folhas verdes e o Ovino 7 recebeu folhas dessecadas. Cinco ovinos (Ovinos 1-4 e 7) des...

  9. Dermatoses provocadas por plantas (fitodermatoses Dermatosis due to plants (phytodermatosis

    Directory of Open Access Journals (Sweden)

    Vitor Manoel Silva dos Reis

    2010-08-01

    Full Text Available As dermatoses causadas por plantas são relativamente comuns no nosso meio e podem ocorrer por diversos mecanismos patogênicos. São descritas dermatoses por trauma físico, por ação farmacológica, mediadas por IgE, por irritação, por ação conjunta da luz e por sensibilização. Também são descritas na introdução desta revisão as pseudofitodermatoses causadas por elementos veiculados pelas plantas e, por isso, aparentemente causadas pelas plantas.Dermatosis caused by plants is relatively common and may occur by various pathogenic mechanisms. Dermatitis due to physical trauma, pharmacological action, irritation, sensitization, mediated by IgE and induced by light are described. Pseudophytodermatosis caused by plant-delivered elements is also described in the introduction to this work.

  10. Hepatotoxicidad por Fármacos / Drug-induced hepatotoxicity

    Scientific Electronic Library Online (English)

    Francisco, Tejada Cifuentes.

    2010-10-01

    Full Text Available El daño hepático causado por medicamentos, drogas de abuso o remedios medicamentosos (productos de herboristería, etc.) se está convirtiendo en un importante problema de salud pública que afecta a los pacientes, médicos, industria farmacéutica y agencias reguladoras. El daño hepático inducido por dr [...] ogas es la causa más común de muerte por fallo hepático agudo y representa alrededor del 10% de casos de fallo hepático agudo a nivel mundial. La hepatotoxicidad por medicamentos es la principal reacción adversa implicada en el abandono del desarrollo de futuros medicamentos en la fase preclínica o clínica, denegación de registros por parte de las agencias reguladoras, y retirada del mercado o restricciones de uso después de ser registrado. La mayor parte de la información se obtiene de los datos referidos a las agencias reguladoras a través del sistema de notificación voluntaria (tarjeta amarilla) y por la información aparecida en las revistas médicas, pero esto probablemente es sólo la "punta del iceberg". El reconocimiento y diagnóstico de la hepatotoxicidad es a menudo difícil y largo en el tiempo, debido a la necesidad de excluir numerosas causas alternativas de daño hepático. Abstract in english Liver injury caused by medicines, recreational drugs, or non-standardized medical remedies (such as herbal products) is becoming a serious public health problem that affects patients, physicians, the pharmaceutical industry, and government regulators. Drug induced liver injury is the most common cau [...] se of death from acute liver failure and accounts for approximately 10% of cases of acute liver failure worldwide. Hepatotoxicity is the most frequent adverse drug event leading to abandonment of otherwise promising new drug candidates during the preclinical or clinical development stage, failure of drugs to obtain marketing authorisation approval by the regulatory agencies, and recall or restriction of prescription drugs after initial approval. The bulk of information is derived from the cases reported to the regulatory agencies by the spontaneous reporting system (yellow card) and those published in medical journals, but this is very probably only "the tip of the iceberg". The recognition and diagnosis of hepatotoxicity are often difficult and delayed due to the need to exclude more common competing causes of liver injury.

  11. Shock tóxico no menstrual por Staphylococcus aureus

    Scientific Electronic Library Online (English)

    Ana C., Blanco; Marisol S., Moreno Goity; María C., Orsi; Lidia, Albano.

    2005-10-01

    Full Text Available El síndrome de shock tóxico por Staphylococcus aureus es una enfermedad sistémica multiorgánica provocada por estafilococos productores de exotoxina. Comunicamos este caso porque es una patología infrecuente en la edad pediátrica. Historia clínica: paciente de 8 años derivada a la unidad de terapia [...] intensiva pediátrica por obstrucción respiratoria alta, taquipnea, tiraje generalizado, aleteo nasal, taquicardia, mala perfusión periférica, pulsos débiles, sensorio irritable, erupción cutánea con lesiones ampollares y edema generalizado a predominio facial que comenzaron durante las doce horas previas a la internación. Cinco días antes presentó luxación de hombro izquierdo por lo cual recibió analgesia intramuscular. Empeoró su estado general, comenzando con dificultad respiratoria creciente. Se realizó tratamiento con corticoides endovenosos y adrenalina subcutánea; se asumió el cuadro como shock anafiláctico por fármacos. Al ingreso se realizó intubación endotraqueal, colocación de antibióticos EV (por sospecha de sepsis) e inotrópicos. La paciente desarrolló falla multiorgánica, aislándose Staphylococcus aureus. Falleció a los 15 días de internación. Esta patología infrecuente requiere alta sospecha clínica, diagnóstico precoz y tratamiento inmediato para evitar la morbilidad y la mortalidad. Abstract in english Staphylococcal toxic shock syndrome is a multiorganic disease caused by staphylococcal exotoxins. We present this case because this is an unusual disorder in the pediatric age. Case report: this patient was an eight years old female, who was referred to our pediatric intensive care unit because of h [...] igh respiratory obstruction, respiratory distress, tachycardia, poor peripheral perfusion, altered mental status, skin rash with blisters and generalized edema with facial predominance that started in the twelve hours previous to the admission. Five days before the onset of the disease she presented a luxation of the left shoulder and she had received intramuscular analgesia. Her clinical course deteriorated, increasing her respiratory distress. She was treated with intravenous corticosteroids and subcutaneous epinephrine, assuming the disease as an anaphylactic shock. At admission endotracheal intubation was performed, and intravenous antibiotics (for suspection of sepsis) and inotropics were administered. The patient developed multiorganic failure, isolating in all cultures Staphylococcus aureus. The patient died on day fifteen. This unusual pathology, requires a high clinical suspicion, rapid diagnosis and prompt therapy to avoid its morbidity and mortality.

  12. Responsabilidad por violación de la buena fe en la sociedad por acciones simplificada

    Directory of Open Access Journals (Sweden)

    Nicolás Polanía Tello

    2012-12-01

    Full Text Available La sociedad por acciones simplificada –SAS–, como los demás esquemas societarios, se funda en y está informada por el principio de la buena fe. Pero a diferencia de los