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Sample records for cardiopulmonar por hantavirus

  1. Neumonías atípicas graves y diagnóstico diferencial con el síndrome cardiopulmonar por hantavirus. Experiencia clínica en tres casos confirmados SEVERE ATYPICAL PNEUMONIA AND DIFFERENTIAL DIAGNOSIS WITH HANTAVIRUS CARDIOPULMONARY SYNDROME. CLINICAL EXPERIENCE WITH THREE CONFIRMED CASE

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    CONSTANZA CASTILLO H

    2003-04-01

    Full Text Available Los agentes atípicos, especialmente Mycoplasma pneumoniae, Chlamydia pneumoniae y Legionella sp eventualmente pueden causar neumonías adquiridas en la comunidad (NAC graves. En Chile, en el diagnóstico diferencial se debe incluir además el síndrome cardiopulmonar causado por hantavirus (SCPH. Describimos el cuadro clínico de tres pacientes con fiebre alta, disnea, insuficiencia respiratoria aguda e infiltrados intersticiales difusos en la radiografía de tórax, que requirieron de cuidados intensivos. En los tres casos, el diagnóstico diferencial incluyó NAC graves y SCPH. Los antecedentes epidemiológicos y la clínica son de gran utilidad en el diagnóstico diferencial entre NAC graves y SCPH. El hemograma es el examen de laboratorio de mayor utilidad en el diagnóstico precoz del SCPH, considerando que ~87% de los pacientes tiene hemoconcentración, leucocitosis y plaquetopenia. Estos hallazgos son extremadamente infrecuentes en pacientes con neumonía adquirida en la comunidad. El diagnóstico definitivo de NAC causada por agentes atípicos debe ser confirmada por exámenes serológicos. Dos de nuestros pacientes tuvieron títulos altos de anticuerpos-anti Mycoplasma pneumoniae al ingreso, y uno de ellos títulos altos de anticuerpos anti-Chlamydia pneumoniaeAtypical bacteria, mainly Mycoplasma pneumoniae, Chlamydia pneumoniae, and Legionella species can eventually cause serious community-acquired pneumonias (CAP. In Chile, the differential diagnosis also include the hantavirus cardiopulmonary syndrome (HCPS. We describe the clinical features of three patients which developed high fever, dispnea, acute respiratory failure and diffuse interstitial infiltrates on the chest radiographs, requiring intensive care assistance. On three cases, the differential diagnosis included severe CAP and HCPS. The epidemiological backround and clinical profile are useful to distinguish severe CAP and HCPS. The blood count is the most valuable

  2. Síndrome cardiopulmonar por hantavírus no Triângulo Mineiro e Alto Paranaíba, Minas Gerais, 1998-2005: aspectos clínico-epidemiológicos de 23 casos Hantavirus cardiopulmonary syndrome in the Triângulo Mineiro and Alto Paranaíba regions, State of Minas Gerais, 1998-2005: clinical-epidemiological aspects of 23 cases

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    Jean Ezequiel Limongi

    2007-06-01

    Full Text Available Foram analisados os achados epidemiológicos, clínicos, laboratoriais e terapêuticos de 23 casos de síndrome cardiopulmonar por hantavírus, identificados sorologicamente ou por imunohistoquímica em hospitais do município de Uberlândia, Minas Gerais. Febre (100%, dispnéia (100% e mialgias (78% foram os sintomas mais frequentemente observados nesta casuística. Os sinais físicos mais prevalentes foram hipotensão (65% e taquicardia (65%. Achados laboratoriais mais comuns incluíram trombocitopenia (96%, hemoconcentração (83% e leucocitose (74%. Valores anormais de enzimas hepáticas foram encontrados em todos os pacientes testados e alterações em radiografias de tórax foram muito (95,6% freqüentes. Em 55,5% dos pacientes, foi necessário intubação orotraqueal e suporte hemodinâmico. O presente estudo confirmou o padrão sazonal da síndrome cardiopulmonar por hantavírus na região de Uberlândia e o envolvimento, no ciclo de transmissão da doença, de grupos profissionais considerados de baixo risco de infecção. A alta (39% taxa de letalidade e a gravidade da doença observadas neste estudo podem estar associadas ao atendimento tardio dos pacientes.The epidemiological, clinical, laboratory and treatment findings from 23 cases of hantavirus cardiopulmonary syndrome were analyzed. These cases were identified either serologically or immunohistochemically in hospitals in the municipality of Uberlândia, State of Minas Gerais. Fever (100%, dyspnea (100% and myalgia (78% were the symptoms most frequently observed in this sample. The most prevalent physical signs were hypotension (65% and tachycardia (65%. The most common laboratory findings included thrombocytopenia (96%, hemoconcentration (83% and leukocytosis (74%. Abnormal values for liver enzymes were found in all the patients tested and abnormalities in chest radiography were very frequent (95.6%. In 55.5% of the patients, orotracheal intubation and hemodynamic support were

  3. Síndrome pulmonar por hantavirus Andes en Chile CARDIOPULMONARY SYNDROME DUE TO ANDES VIRUS IN CHILE

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    CONSTANZA CASTILLO H.

    2002-01-01

    Full Text Available Desde 1993 han ocurrido 204 casos de Síndrome Cardiopulmonar por Hantavirus (SCPH en Chile. Los brotes epidémicos comenzaron en el sur y avanzan hacia el norte del país. Los más afectados son varones jóvenes, obreros agrícolas o forestales. En Chile, el SCPH es causado por el virus Andes, cuyo reservorio es el Oligorizomys longicaudatus (ratón de cola larga, que se distribuye desde la III Región al sur. El cuadro clínico es similar al descrito en EE.UU., caracterizado por una fase prodrómica que simula un estado gripal o cuadro gastrointestinal febril y que agrava por la aparición de edema pulmonar agudo e inestabilidad hemodinámica (fase cardiopulmonar. Sin embargo, cursa con mayores alteraciones hemorragí-paras y compromiso renal. La mortalidad inicial fue sobre 50% y actualmente es de alrededor del 33,3%. La presente revisión incluye: historia de la enfermedad, reservorio, modos de transmisión, patogenia, cuadro clínico, diagnóstico, tratamiento y medidas de prevenciónSince 1993, 204 cases of Hantavirus cardiopulmonary syndrome (HCPS occurred in Chile. Epidemic began in the south and moved thereafter to the northern regions. The disease affected predominantly young males, who worked in agricultural labours or as timber workers. The HCPS in Chile is caused by the Andes virus. The reservoir is the wild rat Oligoryzomis longicaudatus distributed from the III to the XII Region. The clinical features are similar to those described for Sin Nombre Virus. The disease has a prodromal stage characterised by fever, muscular pain, with or without gastrointestinal manifestations, followed by the rapid onset of respiratory insufficiency and haemodynamic unstability. Andes virus courses more often with haemorrhagic disorders and overt renal failure, than Sin Nombre Virus. The initial mortality was over 50% and declined to 33,3% in the last year. History of hantavirus-diseases, reservoir, and mode of contagion, pathogenesis, clinical

  4. Hantavirus

    Science.gov (United States)

    ... life-threatening viral infection spread to humans by rodents. It has symptoms similar to influenza. ... Hantavirus is carried by rodents, especially deer mice. The virus is found in their urine and feces, but it does not make the animal sick. ...

  5. Tratamento bem-sucedido da síndrome cardiopulmonar por hantavírus com uso de hemofiltração de alto volume

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    Guillermo Bugedo

    Full Text Available RESUMO A síndrome cardiopulmonar por hantavírus tem elevada taxa de mortalidade. Sugere-se que uma conexão precoce com oxigenação por membrana extracorpórea melhore os resultados. Relatamos o caso de uma paciente que apresentou síndrome cardiopulmonar por hantavírus e choque refratário, que preenchia os critérios para oxigenação por membrana extracorpórea e que teve resposta satisfatória com uso de hemofiltração contínua de alto volume. A implantação de hemofiltração contínua de alto volume, juntamente da ventilação protetora, reverteu o choque dentro de poucas horas e pode ter levado à recuperação. Em pacientes com síndrome cardiopulmonar por hantavírus, um curso rápido de hemofiltração contínua de alto volume pode ajudar a diferenciar pacientes que podem ser tratados com cuidados convencionais da unidade de terapia intensiva dos que necessitarão de terapias mais complexas, como oxigenação por membrana extracorpórea.

  6. Diagnóstico virológico y molecular de virus transmitidos por roedores. Hantavirus y arenavirus

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    Silvana Levis

    2010-04-01

    Full Text Available Los hantavirus (familia Bunyaviridae y arenavirus (familia Arenaviridae son virus de roedores; cada uno de ellos parece estar estrictamente asociado con una especie de roedor en la que causa una infección persistente y asintomática. En las Américas tienen como reservorios primarios a roedores de la sub-familia Sigmodontinae, y son causantes de síndrome pulmonar por Hantavirus (SPH y fiebres hemorrágicas, respectivamente (1,2. El número de estos virus identificados en los últimos años ha aumentado significativamente; actualmente, el género Hantavirus está compuesto por más de 28 tipos diferentes, mientras que al menos 23 arenavirus conforman el género Arenavirus. Entre los hantavirus asociados con SPH se destacan el virus Sin Nombre en Norteamérica, y los virus Andes, Laguna Negra, Caño Delgadito, Araraquara y Juquitiba, en el cono sur de América, entre otros (2. Los arenavirus asociados a fiebres hemorrágicas reconocidos en Sud América al presente son: Junín (Argentina, Guanarito (Venezuela, Sabiá (Brasil, y Machupo y Chapare (Bolivia (3.

  7. Síndrome pulmonar e cardiovascular por hantavírus Hantavirus pulmonary and cardiovascular syndrome

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    Mariangela Pimentel Pincelli

    2003-10-01

    Full Text Available A síndrome pulmonar e cardiovascular por hantavírus é uma doença de conhecimento relativamente recente e freqüentemente fatal, apresentando-se como síndrome do desconforto respiratório agudo. No Brasil, desde o primeiro surto, relatado em novembro/dezembro de 1993, em Juquitiba, 226 casos já foram registrados pela Fundação Nacional da Saúde. A doença afeta indivíduos previamente hígidos, apresentando-se com pródromo febril e sintomas semelhantes aos de um resfriado comum, podendo rapidamente evoluir para edema pulmonar, insuficiência respiratória aguda e choque. A hemoconcentração e a plaquetopenia são comuns da síndrome pulmonar e cardiovascular por hantavírus, e o quadro radiológico típico é de um infiltrado intersticial bilateral difuso, que progride rapidamente para consolidações alveolares, paralelamente à piora do quadro clínico. A mortalidade inicial era em torno de 75% e declinou para aproximadamente 35%, nos últimos anos. Os pacientes que sobrevivem geralmente recuperam-se completamente, cerca de uma semana após o estabelecimento do quadro respiratório. O agente causal, não reconhecido até há pouco, foi identificado como um hantavírus, cujo reservatório natural são animais roedores da família Muridae, subfamília Sigmodontinae. O tratamento específico antiviral ainda não é bem estabelecido, estando em estudo a eficácia de ribavirina. Cuidados de terapia intensiva como ventilação mecânica e monitoramento hemodinâmico invasivo são necessários nas formas mais graves da doença. Essas medidas, se instituídas precocemente, podem melhorar o prognóstico e a sobrevida dos pacientes com síndrome pulmonar e cardiovascular por hantavírus.Hantavirus pulmonary and cardiovascular syndrome is a recently identified and often fatal disease, which presents as acute respiratory distress syndrome (ARDS. Since the first outbreak, in Nov/Dec 1993, in Juquitiba, Brazil, 226 cases have been registered by

  8. Hantaviroses Hantaviruses

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    Marcelo Simão Ferreira

    2003-01-01

    Full Text Available As hantaviroses constituem infecções zoonóticas amplamente distribuídas em todo o mundo. A febre hemorrágica com síndrome renal mostra-se endêmica na Ásia e Europa, acometendo milharea de pessoas anualmente. A síndrome cardiopulmonar pelo hantavírus, reconhecida como entidade clínica desde 1993, representa o protótipo das doenças emergentes e encontra-se distribuída em diversos países do continente americano, inclusive o Brasil. Ambas são transmitidas ao homem através da inalação de partículas virais eliminadas nas fezes e urina de roedores domésticos e silvestres. Trata-se de doenças sistêmicas febris que podem acometer vários órgãos, destacando-se o rim na febre hemorrágica com síndrome renal e os pulmões e o coração na síndrome cardiopulmonar. A taxa de letalidade da hantavirose americana alcança 50%. Diagnostica-se as hantaviroses através de provas sorológicas imunoenzimáticas ao identificar-se anticorpos específicos das classes IgM e IgG. Não há tratamento específico. Recomenda-se hidratação cuidadosa, indicação precoce de diálise nas formas renais e administração de drogas vasoativas nos períodos de hipotensão e choque. A administração de corticoesteróides e da ribavirina está sendo avaliada em estudos controlados. O número de casos dessas viroses tem crescido no Brasil ano a ano, e cumpre alertar os profissionais de saúde sobre a ocorrência dessas entidades nos vários estados do país, possibilitando diagnóstico precoce e tratamento adequado nos casos suspeitos da doença.Hantaviruses are zoonotic diseases that affect humans and have a worldwide distribution. The hemorrhagic fever associated with renal syndrome occurs endemically in the Asian and European continents affecting housauds of people every year. Hantavirus cardiopulmonary syndrome, recognized as a clinical entity since 1993, represents the prototype of emerging diseases and is distributed in countries of the American

  9. Síndrome cardio pulmonar por hanta virus. Reporte de un caso.

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    Gabriel Abudinén A.

    2013-01-01

    Full Text Available Las “hantavirosis” son enfermedades infecciosas zoonóticas producidas por diferentes virus del género Hantavirus, la transmisión biológica está mediada por roedores y comprende principalmente dos cuadros clínicos: fiebre hemorrágica con síndrome renal, y síndrome Cardio-pulmonar por Hantavirus, siendo este último más frencuente en Latinoamérica y que puede llevar a la muerte en tan solo 72hrs de iniciado el cuadro clínico.Se presenta paciente de 32 años con antecedentes de haber acampado 15 días antes en una zona rural, consulta por un cuadro de síndrome Cardio-pulmonar por Hantavirus de 4 días de evolución con hipoxemia y manejo con ventilación mecánica no invasiva en Unidad de Cuidados Intermedios del Hospital Regional de Rancagua, Chile; de evolución positiva y con alta hospitalaria a los 4 días, siendo favorable su evolución por la sospecha diagnostica y tratamiento precoz y certero.

  10. Serologic survey for hantavirus infections among wild animals in rural areas of São Paulo State, Brazil Inquérito sorológico para infecções por arbovírus em animais silvestres de áreas rurais do Estado de São Paulo, Brasil

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    Nicolina Silvana ROMANO-LIEBER

    2001-12-01

    Full Text Available A serosurvey was conducted in wild animals captured close to two areas where hantavirus cardiopulmonary syndrome (HCPS occurred in São Paulo State, Brazil. Serum samples from a total of 43 mammals were tested for antibodies reactive with Sin Nombre (SN hantavirus using a strip immunoblot assay. RNAs from the blood clots of the positive samples were submitted to reverse transcriptase-polymerase chain reaction (RT-PCR. Two rodents of the genus Oligoryzomys were positive for hantavirus antibodies. These animals were captured in the Iguape region and represented 16.7% (2/12 of the sera from rodents and 100.0% (2/2 of the Oligoryzomys captured in that area. RT-PCR failed to amplify any viral cDNA. These results are in agreement with other data that suggest that members of this genus are important reservoirs of hantaviruses in Brazil.Realizou-se inquérito sorológico em animais silvestres capturados em áreas próximas a duas regiões do Estado de São Paulo, Brasil, onde ocorreram casos de Síndrome Cardiopulmonar por Hantavírus (HCPS. Pesquisou-se a presença de anticorpos para o vírus Sin Nombre (SNV em amostras de soro de 43 mamíferos, utilizando-se a técnica de Strip Immunoblot Assay (SIA. Empregou-se a técnica de reação em cadeia de polimerase - transcriptase reversa (RT-PCR nos coágulos sangüíneos dos espécimes positivos. Dois roedores do gênero Oligoryzomys apresentaram anticorpos para hantavírus. Esses animais foram capturados na região de Iguape e representavam 16,7% (2/12 dos roedores e 100,0% dos Oligoryzomys capturados naquela área. O RT-PCR não detectou cDNA viral nas amostras. Os resultados estão de acordo com outros trabalhos que sugerem que membros desse gênero são importantes reservatórios de hantavírus no Brasil.

  11. Evidencia serológica de infección por hantavirus (bunyaviridae: hantavirus) en roedores del departamento de sucre, colombia

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    Arroyo Mejia, Stiven; Corrales Aldana, Homer; Perez Jimenez, Julia; Alvarez García, Lercy; Castellar Martínez, Anaís; Blanco Tuirán, Pedro

    2013-01-01

    Objetivo Determinar la frecuencia de anticuerpos específicos a hantavirus en roedores del municipio de San Marcos, departamento de Sucre. Métodos Se capturaron 144 roedores con trampas Sherman® en áreas urbanas y rurales del municipio de San Marcos, desde diciembre de 2007 hasta julio de 2009. Los anticuerpos Ig G específicos contra el Virus Sin Nombre (VSN) fueron detectados en muestras de plasma mediante ELISA indirecto. Resultados La seroprevalencia de anticuerpos contra hantavirus fue de...

  12. Epidemiología de las infecciones por arena y hantavirus del Nuevo Mundo

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    Noemí Pini

    2010-04-01

    Full Text Available En la última década el reconocimiento de un número de brotes o casos aislados de fiebres hemorrágicas virales (FHV ha alertado sobre la amenaza de estas enfermedades como potenciales infecciones emergentes. El concepto de FHV resulta relativamente moderno, si se considera que muchas de las enfermedades que agrupamos bajo este síndrome eran claramente conocidas por el hombre desde muchos siglos atrás (1. Su carácter de infecciones emergentes es, sin duda, verdadero si se tiene en cuenta que su reconocimiento se ha incrementado significativamente. Observadas, sin embargo, desde el ángulo de los agentes que las producen, el concepto de “nuevo” no es tal: los virus causantes de estas enfermedadeses probable que sean más antiguos que nuestra propia especie humana.

  13. Hantavirus del nuevo mundo: Ecología y epidemiología de un virus emergente en latinoamérica The New-World Hantaviruses: Ecology and epidemiology of an emerging virus in Latin America

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    Henry Puerta

    2006-08-01

    Full Text Available Los hantavirus son un grupo de patógenos emergentes (familia Bunyaviridae; género Hantavirus identificados como agentes etiológicos de la Fiebre Hemorrágica con Síndrome Renal (FHSR en Europa y Asia y el Síndrome Cardiopulmonar por Hantavirus (SCPH en las Américas. La FHSR está relacionada con roedores de las subfamilias Murinae y Arvicolinae y el SCPH con roedores de las subfamilias Sigmodontinae y Arvicolinae. Desde la identificación del SCPH en los EE.UU. en 1993, muchos casos de SCPH y un número cada vez mayor de hantavirus y sus roedores reservorios han sido identificados en Centro y Sud América. Estudios epidemiológicos han demostrado diferencias notables en las seroprevalencias de anticuerpos en humanos y roedores reservorios que oscilan entre el 1% y más del 40%. Hasta ahora han sido notificados en toda América más de 1500 casos de SCPH y aproximadamente más de 15 variantes de hantavirus genética y serológicamente distintos asociados a roedores sigmodontinos. Las formas clínicas leves-autolimitadas, moderadas y graves de la enfermedad, los antecedentes de transmisión persona a persona y una incidencia mayor de manifestaciones clínicas extrapulmonares que se diferencian de la enfermedad clásica descrita por primera vez en EE.UU., son aspectos importantes sobre la epidemiología de los hantavirus y el SCPH en Latinoamérica; sin embargo, la historia completa de los hantavirus está aún por escribirse, debido a la naturaleza dinámica de estos virus y sus patologías, y a la complejidad de los factores que intervienen en su aparición, establecimiento y diseminación en poblaciones humanas y animales. Latinoamérica continúa representando la porción del continente con una oportunidad única y desafiante para el estudio de la relación de los hantavirus con sus huéspedes reservorios naturales y las interacciones virus-roedor-humano. Probablemente más hantavirus podrían ser descritos en el futuro, y ser

  14. Serologic survey of hantavirus in a rural population from the northern State of Mato Grosso, Brazil Pesquisa sorológica para hantavírus em uma população rural do norte do Estado do Mato Grosso, Brasil

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    Ioni Oliveira Santos

    2012-01-01

    Full Text Available INTRODUCTION: Hantavirus is a genus of ribonucleic acid (RNA viruses included in the family Bunyaviridae. Hantaviruses are rodent-borne zoonoses that, in the last 18 years, became an emergent public health problem in the Americas, causing a severe cardiopulmonary syndrome. This disease has no specific treatment and has a high case fatality. The transmission of hantavirus to man occurs by inhaling aerosols of rodent excreta. The aim of this study was to determine the prevalence of antibodies to hantavirus in the population of the rural settlement of Tupã in the county of Marcelândia, State of Mato Grosso, Brazil. METHODS: The participants of the serologic survey were visited at their homes and selected randomly among the settlement population. Blood samples of the participants were collected by venopuncture. The serum samples were tested by an IgG-ELISA using an N recombinant protein of Araraquara hantavirus as antigen, using the protocol previously established by Figueiredo et al. RESULTS: IgG antibodies to hantavirus were detected in 7 (13% of the 54 participants. The positivity was higher among men. It was observed that there was an association of seropositivity to hantavirus within the participants born in the south of Brazil. CONCLUSIONS: The results suggest that, in this rural area, everyone is exposed to the same risk of becoming infected with hantavirus, and, therefore, there is a need to intensify surveillance activities and education of the local people to prevent this viral infection.INTRODUÇÃO: Hantavirus é um gênero de vírus RNA incluído na família Bunyaviridae. Hantaviroses são zoonoses transmitidas por roedores que nos últimos 18 anos tornou-se um problema emergente da saúde pública nas Américas causando uma síndrome cardiopulmonar. Esta doença não tem nenhum tratamento específico e apresenta alta letalidade. A transmissão do hantavirus ao homem ocorre pela inalação de aerossóis dos excrementos de roedores. O

  15. Hantaviruses in Africa.

    Science.gov (United States)

    Witkowski, Peter T; Klempa, Boris; Ithete, Ndapewa L; Auste, Brita; Mfune, John K E; Hoveka, Julia; Matthee, Sonja; Preiser, Wolfgang; Kruger, Detlev H

    2014-07-17

    This paper summarizes the progress in the search for hantaviruses and hantavirus infections in Africa. After having collected molecular evidence of an indigenous African hantavirus in 2006, an intensive investigation for new hantaviruses has been started in small mammals. Various novel hantaviruses have been molecularly identified not only in rodents but also in shrews and bats. In addition, the first African hantavirus, Sangassou virus, has been isolated and functionally characterized in cell culture. Less is known about the ability of these hantaviruses to infect humans and to cause diseases. To date, no hantavirus genetic material could be amplified from patients' specimens collected in Africa. Serological studies in West Africa, based on a battery of screening and confirmatory assays, led to the detection of hantavirus antibodies in the human population and in patients with putative hantavirus disease. In addition to this overview, we present original data from seroepidemiological and field studies conducted in the Southern part of Africa. A human seroprevalence rate of 1.0% (n=1442) was detected in the South African Cape Region whereas no molecular evidence for the presence of hantavirus was found in 2500 small animals trapped in South Africa and Namibia.

  16. [Hantavirus infections].

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    Strady, C; Jaussaud, R; Remy, G; Penalba, C

    2005-03-12

    Hantaviruses are cosmopolite anthropozoonosis considered as an emerging disease. Four pathogenic types for humans and part of the Bunyaviridae species are hosted by rodents and have been isolated: the Sin nombre virus responsible for the severe American respiratory form; the Hantaan and Seoul viruses responsible for hemorrhagic fevers with renal syndrome (HFRS) of severe to moderate expression in Asia and also in the Balkans; the Puumala virus responsible for HFRS of moderate expression or the socalled nephropathia epidemica in Europe. The Puumala virus is responsible for a minor form of the disease that is observed in areas of the Occidental sector of the ex-URSS, in Scandinavia and in the rest of Europe, notably in the North-East of France. The epidemic episodes occur every three years. They follow the proliferation of rodents, notably russet voles, the reservoir hosts, and their degree of infection. The concept of an occupation at risk in 20 to 49 year-old men (working in forests, agriculture, living near a forest, contact with wood) in an endemic area has not always been found. Its clinical form can vary greatly in its presentation. Basically it is a severe algic influenza syndrome accompanied by acute myopia in 38% of cases, but is nearly pathognomonic in the context. Respiratory involvement is frequent but benign. The initial syndrome can suggest an abdominal or urological surgical emergency, which is source of diagnostic and therapeutic errors. Early biological examination reveals thrombopenia and proteinuria. Then more or less severe acute kidney failure appears in slightly more than 50% of cases. Although it usually regresses with symptomatic treatment, after effects remain in some patients. The environmental changes, the geographical distribution depending on the biotope, the dynamics and behaviour of rodents and the viral circulation between them and its transmission to human beings and its risk factors must continue to be studied in order to gain

  17. Hantavirus Pulmonary Syndrome (HPS)

    Science.gov (United States)

    ... Clinical Information General Hantavirus Technical/Clinical Information Ecology Virology Airborne Transmission HPS Technical/Clinical Information Clinical Manifestation Treatment Histopathology Pathology/ Pathogenesis Diagnostics ...

  18. Hantaviruses as emergent zoonoses

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    LS Ullmann

    2008-01-01

    Full Text Available Hantaviruses belong to the Bunyaviridae family, which consists of vector-borne viruses. These viruses can provoke two infection types: hemorrhagic fever with renal syndrome (HFRS - which occurs in the Old World - and hantavirus cardiopulmonary syndrome (HCPS - an emergent zoonosis that can be found in many countries of the western hemisphere. Rodents are hantavirus reservoirs and each species seems to host a different virus type. Humans acquire the infection by inhaling contaminated aerosol particles eliminated by infected animals. The factors involved in the emergence of hantavirus infections in the human population include ecological modifications and changes in human activities. The most important risk factor is contact between man and rodents, as a result of agricultural, forestry or military activities. Rodent control remains the primary strategy for preventing hantavirus diseases, including via health education and hygienic habits.

  19. Hantaviruses and climate change.

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    Klempa, B

    2009-06-01

    Most hantaviruses are rodent-borne emerging viruses. They cause two significant human diseases, haemorrhagic fever with renal syndrome in Asia and Europe, and hantavirus cardiopulmonary syndrome in the Americas. Very recently, several novel hantaviruses with unknown pathogenic potential have been identified in Africa and in a variety of insectivores (shrews and a mole). Because there is very limited information available on the possible impact of climate change on all of these highly dangerous pathogens, it is timely to review this aspect of their epidemiology. It can reasonably be concluded that climate change should influence hantaviruses through impacts on the hantavirus reservoir host populations. We can anticipate changes in the size and frequency of hantavirus outbreaks, the spectrum of hantavirus species and geographical distribution (mediated by changes in population densities), and species composition and geographical distribution of their reservoir hosts. The early effects of global warming have already been observed in different geographical areas of Europe. Elevated average temperatures in West-Central Europe have been associated with more frequent Puumala hantavirus outbreaks, through high seed production (mast year) and high bank vole densities. On the other hand, warm winters in Scandinavia have led to a decline in vole populations as a result of the missing protective snow cover. Additional effects can be caused by increased intensity and frequency of extreme climatic events, or by changes in human behaviour leading to higher risk of human virus exposure. Regardless of the extent of climate change, it is difficult to predict the impact on hantavirus survival, emergence and epidemiology. Nevertheless, hantaviruses will undoubtedly remain a significant public health threat for several decades to come.

  20. Respostas cardiopulmonares agudas de mulheres no treinamento de força

    Directory of Open Access Journals (Sweden)

    Márcio Antônio Gonsalves Sindorf

    2013-02-01

    Full Text Available OBJETIVO: Investigar as respostas cardiopulmonares de uma sessão de treinamento de força em mulheres jovens. MÉTODO: Participaram do estudo 23 mulheres, com idade entre 18 e 29 anos. Todas as voluntárias foram submetidas aos seguintes testes: cardiopulmonar e de uma repetição máxima (1-RM. O protocolo de treinamento de força teve ênfase em hipertrofia muscular, três séries de oito a 12 repetições a 70% de 1-RM, com intervalos de um minuto e 30 segundos entre as séries. Durante a sessão de treinamento foi realizada a medida das variáveis cardiopulmonares por meio de analisador de gases metabólicos e módulo de telemetria. RESULTADOS: Os resultados do consumo de oxigênio da sessão de treinamento foram de 8,43 ± 1,76 ml/kg/min e da frequência cardíaca de 108,08 ± 15,26 bpm. Os resultados do consumo de oxigênio e da frequência cardíaca do treino foram inferiores (p < 0,01 ao do limiar ventilatório e das reservas do consumo de oxigênio e da frequência cardíaca. CONCLUSÃO: Os dados obtidos indicam que o presente protocolo de treinamento de força proporcionou pequena sobrecarga ao sistema cardiorrespiratório de mulheres jovens.

  1. New guidelines for cardiopulmonary resuscitation Nuevas directrices para la resucitación cardiopulmonar Novas diretrizes da ressuscitação cardiopulmonar

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    Maria Celia Barcellos Dalri

    2008-12-01

    Full Text Available Cardiopulmonary arrest (CPA poses a severe threat to life; cardiopulmonary resuscitation (CPR represents a challenge for research and assessment by nurses and their team. This study presents the most recent international recommendations for care in case of cardiopulmonary heart arrest, based on the 2005 Guidelines by the American Heart Association (AHA. These CPR guidelines are based on a large-scale review process, organized by the International Liaison Committee on Resuscitation (ILCOR. High-quality basic and advanced CPR maneuvers can save lives.La parada cardiorrespiratoria (PCR es una ocurrencia que presenta una grave amenaza a la vida; la resucitación cardiopulmonar (RCP representa un desafío para la investigación y la evaluación por parte del enfermero y su equipo. Este estudio presenta las más recientes recomendaciones internacionales sobre la atención a la parada cardiorrespiratoria, basada en las Directrices de 2005 de la American Heart Asociation (AHA. Esas directrices sobre RCP se fundamentan en un proceso de revisión extenso, organizado por el International Liasion Committee on Resuscitation (ILCOR. Las maniobras básicas y avanzadas de RCP ofrecidas con calidad pueden salvar vidas.A parada cardiorrespiratória (PCR é intercorrência de grave ameaça à vida; a ressuscitação cardiopulmonar (RCP representa desafio para a investigação e a avaliação por parte do enfermeiro e sua equipe. Esse estudo apresenta as mais recentes recomendações internacionais sobre atendimento da parada cardiorrespiratória, baseado nas Diretrizes de 2005 da American Heart Association (AHA. Essas diretrizes sobre RCP fundamentam-se num processo de revisão extenso, organizado pelo International Liasion Committee on Resuscitation (ILCOR. As manobras básicas e avançadas de RCP com qualidade podem salvar vidas.

  2. Morbimortalidad cardiopulmonar en pacientes con lupus eritematoso sistémico

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    Alicia Aquino Valdovinos

    2015-08-01

    Full Text Available Los pacientes con diagnóstico de lupus eritematoso sistémico (LES presentan una elevada morbi-mortalidad asociada a las manifestaciones cardiopulmonares que se desarrollan durante la evolución de la enfermedad. En este sentido, se han descrito dos picos de incidencia de mortalidad de esta enfermedad inmunológica. El primer pico está relacionado a la actividad de la enfermedad y se observa durante los tres primeros años posteriores al diagnóstico. El segundo pico está relacionado principalmente a las complicaciones cardiopulmonares y se presenta entre los 4 y 20 años posteriores al diagnóstico. Si bien la mortalidad temprana ha disminuido gracias a un mayor conocimiento de la fisiopatología de la enfermedad y al uso de terapias inmunosupresoras, la mortalidad tardía presenta un aumento progresivo de su frecuencia a pesar del avance en el manejo terapéutico. El estudio de estas complicaciones se ha convertido en un tema de gran interés debido a su efecto negativo en el pronóstico de los pacientes que las presentan. Algunos estudios epidemiológicos sugieren que los pacientes con LES tienen un mayor riesgo cardiovascular al ser comparados con la población sana. En este sentido, se ha descrito que estos presentan un mayor riesgo de desarrollar eventos cardiovasculares (infarto agudo del miocardio, accidente cerebro vascular y enfermedad arterial periférica en comparación con la población general. De forma asociada, se ha objetivado que la presencia de manifestaciones pleuro-pulmonares (pleuritis lúpica, neumonitis, hemorragia pulmonar, embolismo pulmonar e hipertensión pulmonar aumenta la morbimortalidad de los pacientes con LES. El conocimiento adecuado de las complicaciones cardiopulmonares en los pacientes con diagnóstico de lupus eritematoso sistémico permitirá realizar un manejo individualizado y por lo tanto más eficaz, permitiendo disminuir la morbilidad asociada a las citadas complicaciones. El objetivo de este

  3. Preparado cardiopulmonar Heart and lung experimental preservatnio

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    Jarbas Jakson Dinkhuysen

    1986-08-01

    Full Text Available Trata-se de um método de preservação do conjunto coraçâo-pulmâo isolado em condições fisiológicas. Após abertura do tórax, é instituída a autoperfusâo ex-corpore que se obtém pela canulação do tronco braquicefálico e veia cava superior, conectando-se a um reservatório situado a 1 metro de altura, de tal maneira que, pela contração ventricular esquerda, o sangue é impulsionado ao reservatório, retorna ao coração direito e segue as vias normais, passando pelos pulmões, onde é oxigenado. A seguir, sem qualquer interrupção dos batimentos e da ventilação, o bloco é retirado do tórax e acondicionado no Recipiente para Conservação e Transporte do Conjunto Cardiopulmonar à temperatura normal. Foram empregados 28 cães, com peso entre 18 e 28 kg, tendo sido feito 8 preservações, para se testar o método, e 10 preservações, para transplante cardiopulmonar em 10 cães receptores. Foram monitorizados, continuamente, eletrocardiograma, pressão intraórtica, pressão ventricular esquerda, DP/DT, índice tempo-tensáo e trabalho cardíaco que mostraram valores estáveis e satisfatórios, tanto na fase de preservação, quanto após o transplante. Os gases sangüíneos guardaram relação com as diferentes misturas administradas à ventilação. A análise microscópica de fragmentos do músculo cardíaco e tecido pulmonar retirado ao final dos procedimentos não revelou alterações significativas decorrentes do método.A simple method is presented which proved to be effective for maintaining the heart and lungs viable and functioning in good hemodynamic and metabolic conditions outside of the body, for a period of up to 7 hours. After this, the heart-lung preparation is transplanted to another animal which maintains good parameters also for 3 hours. The hemodynamic, biochemical and histological features of this preparation are presented. In conclusion, preservation of a heart-lung allograft in a dynamic state provides

  4. Síndrome pulmonar por hantavírus com disfunção de múltiplos órgãos: relato de caso Hantavirus pulmonary syndrome with multiple organ dysfunctions: case report

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    Marcelo Spegiorin Moreno

    2007-12-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: A hantavirose é uma zoonose que apresenta distribuição mundial e sua transmissão está relacionada com o íntimo contato com roedores. Causa dois tipos de doença: a febre hemorrágica com síndrome renal (FHSR, endêmica na Ásia e Europa e a síndrome pulmonar por hantavírus (SPH, encontrada no continente americano, inclusive no Brasil, com elevadas taxas de mortalidade. O objetivo deste estudo foi relatar um caso de SPH com disfunção de múltiplos órgãos, que recebeu tratamento intensivo precoce e reanimação guiada por parâmetros de fluxo e de perfusão tecidual. RELATO DO CASO: Paciente do sexo masculino, 36 anos, iniciou quadro febril inespecífico, dispnéia progressiva, hipóxia grave e insuficiência respiratória aguda. Apresentava infiltrado interstício-alveolar difuso na radiografia de tórax. Evoluiu com disfunção de múltiplos órgãos (pulmonar, renal, hematológica, cardiovascular e metabólica. Recebeu tratamento e monitorização hemodinâmica invasiva precoces. As alterações laboratoriais mais importantes foram plaquetopenia, elevação dos níveis de hematócrito e hemoglobina, leucocitose, elevação de transaminases, de lactado desidrogenase e sorologia positiva para hantavírus (ELISA IgM positivo. O paciente apresentou reversão das disfunções orgânicas, recebendo alta hospitalar após 21 dias de hospitalização. CONCLUSÕES: A reanimação precoce e agressiva dirigida por metas levou à reversão da síndrome de falência de múltiplos órgãos e a um desfecho clínico favorável, apesar da gravidade da doença.BACKGROUND AND OBJECTIVES: Hantavirus infection is a zoonose with worldwide distribution. The transmission is related to the intimal contact with rodents. It causes two syndromes: hemorrhagic fever with renal syndrome (HFRS, endemic in Asia and Europe and the Hantavirus pulmonary syndrome (HPS, found in the American continent, including Brazil, with high mortality

  5. Hantavirus Pulmonary Syndrome

    Centers for Disease Control (CDC) Podcasts

    2011-07-14

    Dr. Adam MacNeil, epidemiologist with Viral Special Pathogens Branch at CDC, discusses hantavirus pulmonary syndrome.  Created: 7/14/2011 by National Center for Emerging Zoonotic and Infectious Diseases (NCEZID).   Date Released: 7/18/2011.

  6. Preventing Hantavirus Pulmonary Syndrome (HPS)

    Science.gov (United States)

    ... Clinical Information General Hantavirus Technical/Clinical Information Ecology Virology Airborne Transmission HPS Technical/Clinical Information Clinical Manifestation Treatment Histopathology Pathology/ Pathogenesis Diagnostics ...

  7. La reanimación cerebro cardiopulmonar: estado del arte

    OpenAIRE

    Laura Catalina Leal-Forero; Luz Catherine Martínez-Malo; José Ricardo Navarro-Vargas

    2014-01-01

    Las maniobras de reanimación cerebro- cardiopulmonares son efectivas a largo plazo cuando se preserva la función del cerebro. La comunidad ha progresado en el conocimiento de la cadena de sobrevida o supervivencia, sin embargo, hace falta mayor conocimiento de la preservación de la función cerebral y la protección sistémica para que el síndrome isquemia-reperfusión (que se presenta después del paro o cuando el corazón ha recuperado su circulación de manera espontánea), no limite los esfuerzos...

  8. Diagnosis of hantavirus infection in humans.

    Science.gov (United States)

    Mattar, Salim; Guzmán, Camilo; Figueiredo, Luis Tadeu

    2015-08-01

    Rodent-borne hantaviruses (family Bunyaviridae, genus Hantavirus) cause hantavirus pulmonary syndrome in the Americas and hemorrhagic fever with renal syndrome in Europe and Asia. The viruses are transmitted to humans mainly by inhalation of virus-contaminated aerosols of rodent excreta and secreta. Classic clinical hemorrhagic fever with renal syndrome occurs in five phases: fever, hypotension, oliguria, polyuria, and convalescence. Hantavirus pulmonary syndrome is a severe acute disease that is associated with respiratory failure, pulmonary edema and cardiogenic shock. The diagnosis of hantavirus infections in humans is based on clinical and epidemiological information as well as laboratory tests. We review diagnosis for hantavirus infections based on serology, PCR, immunochemistry and virus culture.

  9. Hantaviruses in Serbia and Montenegro.

    Science.gov (United States)

    Papa, Anna; Bojovic, Bojana; Antoniadis, Antonis

    2006-06-01

    Hantaviruses are endemic in the Balkan Peninsula. An outbreak of hemorrhagic fever with renal syndrome occurred in 2002 in Serbia and Montenegro. The epidemiologic characteristics and genetic relatedness of Dobrava/Belgrade virus strains responsible for most cases are described.

  10. Diagnosis of hantavirus infection in humans and rodents in Ribeirão Preto, State of São Paulo, Brazil Diagnóstico de infecção por hantavírus em humanos e roedores em Ribeirão Preto, Estado de São Paulo

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    Glauciane Garcia de Figueiredo

    2010-08-01

    Full Text Available INTRODUCTION: Hantavirus pulmonary and cardiovascular syndrome (HPCS is an emerging serious disease in the Americas. Hantaviruses (Bunyaviridae are the causative agents of this syndrome and are mainly transmitted through inhalation of aerosols containing the excreta of wild rodents. In the Ribeirão Preto region (state of São Paulo, Brazil, HPCS has been reported since 1998, caused by the Araraquara virus (ARAV, for which Necromys lasiurus is the rodent reservoir. This study aimed to show diagnostic results relating to infection in humans and rodents, obtained at the Virology Research Center of the Ribeirão Preto School of Medicine, University of São Paulo, between 2005 and 2008. METHODS: HPCS was diagnosed by means of ELISA and/or RT-PCR in 11 (21.2% out of 52 suspected cases, and 54.4% of these were fatal. Furthermore, 595 wild rodents (Necromys lasiurus, Akodon sp, Calomys tener and Oligoryzomys sp were caught between 2005 and 2008. RESULTS: Fifteen (2.5% of these rodents presented antibodies for hantavirus, as follows: Necromys lasiurus (4%, Calomys tener (1.9% and Akodon sp (1.5%. Nucleotide sequences obtained through RT-PCR from one HPCS patient and one Calomys tener rodent were compared with hantavirus sequences from GenBank, which showed that both were homologous with ARAV. CONCLUSIONS: This work corroborates previous studies showing that ARAV is the hantavirus causing HPCS in the Ribeirão Preto region. It also shows that rodents infected with hantavirus represent a constant risk of transmission of this virus to man.INTRODUÇÃO: A síndrome pulmonar e cardiovascular por hantavírus é uma doença grave emergente nas Américas. Os hantavírus, Bunyaviridae, são os agentes causadores desta síndrome, causadas, principalmente, pela inalação de aerossóis dos dejetos de roedores silvestres. Na região de Ribeirão Preto, a SPCVH, causada pelo vírus Araraquara, tem sido diagnosticada, desde 1998. O roedor-reservatório do ARAV é o

  11. La reanimación cerebro cardiopulmonar: estado del arte

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    Laura Catalina Leal-Forero

    2014-01-01

    Full Text Available Las maniobras de reanimación cerebro- cardiopulmonares son efectivas a largo plazo cuando se preserva la función del cerebro. La comunidad ha progresado en el conocimiento de la cadena de sobrevida o supervivencia, sin embargo, hace falta mayor conocimiento de la preservación de la función cerebral y la protección sistémica para que el síndrome isquemia-reperfusión (que se presenta después del paro o cuando el corazón ha recuperado su circulación de manera espontánea, no limite los esfuerzos de una reanimación aparentemente exitosa.

  12. Uncovering the mysteries of hantavirus infections.

    Science.gov (United States)

    Vaheri, Antti; Strandin, Tomas; Hepojoki, Jussi; Sironen, Tarja; Henttonen, Heikki; Mäkelä, Satu; Mustonen, Jukka

    2013-08-01

    Hantaviruses are negative-sense single-stranded RNA viruses that infect many species of rodents, shrews, moles and bats. Infection in these reservoir hosts is almost asymptomatic, but some rodent-borne hantaviruses also infect humans, causing either haemorrhagic fever with renal syndrome (HFRS) or hantavirus cardiopulmonary syndrome (HCPS). In this Review, we discuss the basic molecular properties and cell biology of hantaviruses and offer an overview of virus-induced pathology, in particular vascular leakage and immunopathology.

  13. Forma grave da síndrome pulmonar e cardiovascular por hantavírus tratada com pressurização positiva através de máscara facial Severe form of hantavirus cardiopulmonary syndrome managed with continuous positive airway plessure through facial mask

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    Mariangela Pimentel Pincelli

    2004-06-01

    Full Text Available O primeiro surto no Brasil da síndrome pulmonar e cardiovascular por hantavírus foi descrito em Juquitiba (SP, em 1993. Desde então têm sido descritos novos casos, especialmente nos estados do sul e sudeste do país. Em 2002 ocorreu a observação dos primeiros três casos em São Carlos (SP. Um dos pacientes recebeu suporte respiratório sem intubação traqueal, utilizando-se pressão positiva contínua nas vias aéreas (CPAP através de máscara facial. Este é o primeiro caso grave descrito de insuficiência respiratória por hantavírus em que houve sucesso com essa terapêutica ventilatória.In 1993 the first Brazilian cluster of Hantavirus Cardiopulmonary Syndrome (HCPS was described in Juquitiba, SP. Since then, there have been descriptions of new cases specially on the southeast and south states of Brazil. Only in 2002 there were observed the first three cases of HCPS in our city: São Carlos. One of our patients was successfully supported with CPAP through facial mask. This is the first severe case of acute respiratory failure induced by Hantavirus that was successfully managed with this kind of respiratory strategy.

  14. Respostas cardiopulmonares agudas de mulheres no treinamento de força Acute cardiopulmonary responses of women in strength training

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    Márcio Antônio Gonsalves Sindorf

    2013-02-01

    Full Text Available OBJETIVO: Investigar as respostas cardiopulmonares de uma sessão de treinamento de força em mulheres jovens. MÉTODO: Participaram do estudo 23 mulheres, com idade entre 18 e 29 anos. Todas as voluntárias foram submetidas aos seguintes testes: cardiopulmonar e de uma repetição máxima (1-RM. O protocolo de treinamento de força teve ênfase em hipertrofia muscular, três séries de oito a 12 repetições a 70% de 1-RM, com intervalos de um minuto e 30 segundos entre as séries. Durante a sessão de treinamento foi realizada a medida das variáveis cardiopulmonares por meio de analisador de gases metabólicos e módulo de telemetria. RESULTADOS: Os resultados do consumo de oxigênio da sessão de treinamento foram de 8,43 ± 1,76 ml/kg/min e da frequência cardíaca de 108,08 ± 15,26 bpm. Os resultados do consumo de oxigênio e da frequência cardíaca do treino foram inferiores (p OBJETIVE: Investigate the cardiopulmonary responses of one strength training session in young women. METHOD: Twenty-three women aged between 18 and 29 years participated in this study. All the volunteers were submitted to the following tests: cardiopulmonary and one-repetition maximum (1-RM. The strength training protocol had emphasis on muscular hypertrophy, three sets from eight to twelve repetitions under 70% of 1-RM, with a one minute thirty-second break between sets. During the training session, the cardiopulmonary variables were measured with a metabolic gas analyzer and a telemetry module. RESULTS: The results of the oxygen consumption in the training session were from 8.43 + 1.76 ml/kg/min and of the heart rate of 108.08 + 15.26 bpm. The results of the oxygen consumption and of the heart rate in the training were lower (p < 0.01 than in the ventilatory threshold and of the oxygen consumption and the heart rate reserves. CONCLUSION: The obtained data show that the present protocol of strength training provided low overload to the cardiopulmonary system of

  15. Conserved Endonuclease Function of Hantavirus L Polymerase

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    Sylvia Rothenberger

    2016-05-01

    Full Text Available Hantaviruses are important emerging pathogens belonging to the Bunyaviridae family. Like other segmented negative strand RNA viruses, the RNA-dependent RNA polymerase (RdRp also known as L protein of hantaviruses lacks an intrinsic “capping activity”. Hantaviruses therefore employ a “cap snatching” strategy acquiring short 5′ RNA sequences bearing 5′cap structures by endonucleolytic cleavage from host cell transcripts. The viral endonuclease activity implicated in cap snatching of hantaviruses has been mapped to the N-terminal domain of the L protein. Using a combination of molecular modeling and structure–function analysis we confirm and extend these findings providing evidence for high conservation of the L endonuclease between Old and New World hantaviruses. Recombinant hantavirus L endonuclease showed catalytic activity and a defined cation preference shared by other viral endonucleases. Based on the previously reported remarkably high activity of hantavirus L endonuclease, we established a cell-based assay for the hantavirus endonuclase function. The robustness of the assay and its high-throughput compatible format makes it suitable for small molecule drug screens to identify novel inhibitors of hantavirus endonuclease. Based on the high degree of similarity to RdRp endonucleases, some candidate inhibitors may be broadly active against hantaviruses and other emerging human pathogenic Bunyaviruses.

  16. Hantavirus Pulmonary Syndrome in Manitoba

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    L Robbin Lindsay

    2001-01-01

    Full Text Available The first confirmed case of hantavirus pulmonary syndrome in Manitoba was diagnosed in 1999. To define better the risk of exposure to hantaviruses in this area, the clinical features and epidemiological factors pertaining to this case were described, and a serological survey of rodents collected near the patient's residence was undertaken. Small mammals were collected using live traps, were anesthetized via inhalation of isoflurane and were bled. Human and mouse serologies were undertaken using an ELISA to detect hantavirus-specific immunoglobulin G and/or immunoglobulin M antibodies. In addition, a full medical and epidemiological assessment, as well as individual risk factor and exposure analysis, were conducted. A 27-year-old Manitoba woman presented with severe respiratory distress and diffuse bilateral air space disease radiologically. Despite extremely aggressive measures, including mechanical ventilation, antibiotics, fluid management and inotropic support, the patient's condition rapidly deteriorated, and she died 8 h after admission. Hantavirus pulmonary syndrome was confirmed by the detection of immunoglobulin M and immunoglobulin G antibodies to the Sin Nombre virus (SNV in her sera and by the demonstration of SNV genomic sequences in her lung tissue. Exposure to hantavirus likely occurred in and around the home or in the rural area in which she resided. A total of 252 small mammals, primarily deer mice (Peromyscus maniculatus, were collected from 17 different sites at or near where the patient lived. Antibodies to SNV were detected in 28 of 244 (11.5% deer mice, which were collected within 9 km of the residence of the fatal case, indicating that these rodents are a significant reservoir for SNV in this area.

  17. Hantavirus in new geographic regions, Sweden

    OpenAIRE

    2016-01-01

    In Sweden, human cases of Puumala hantavirus (PUUV) infections are reported from the northern endemic regions. We found hantavirus-specific antibodies in yellow-necked mice (Apodemus flavicollis) trapped in human dwellings in the surroundings of the cities of Uppsala and Stockholm, which are situated far south from the traditional endemic areas of PUUV. Because the yellow-necked mouse is the most common rodent in human dwellings, hantaviruses in this rodent species may be important for the pu...

  18. Novel Insights on Hantavirus Evolution: The Dichotomy in Evolutionary Pressures Acting on Different Hantavirus Segments.

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    Sathish Sankar

    Full Text Available Hantaviruses are important emerging zoonotic pathogens. The current understanding of hantavirus evolution is complicated by the lack of consensus on co-divergence of hantaviruses with their animal hosts. In addition, hantaviruses have long-term associations with their reservoir hosts. Analyzing the relative abundance of dinucleotides may shed new light on hantavirus evolution. We studied the relative abundance of dinucleotides and the evolutionary pressures shaping different hantavirus segments.A total of 118 sequences were analyzed; this includes 51 sequences of the S segment, 43 sequences of the M segment and 23 sequences of the L segment. The relative abundance of dinucleotides, effective codon number (ENC, codon usage biases were analyzed. Standard methods were used to investigate the relative roles of mutational pressure and translational selection on the three hantavirus segments.All three segments of hantaviruses are CpG depleted. Mutational pressure is the predominant evolutionary force leading to CpG depletion among hantaviruses. Interestingly, the S segment of hantaviruses is GpU depleted and in contrast to CpG depletion, the depletion of GpU dinucleotides from the S segment is driven by translational selection. Our findings also suggest that mutational pressure is the primary evolutionary pressure acting on the S and the M segments of hantaviruses. While translational selection plays a key role in shaping the evolution of the L segment. Our findings highlight how different evolutionary pressures may contribute disproportionally to the evolution of the three hantavirus segments. These findings provide new insights on the current understanding of hantavirus evolution.There is a dichotomy among evolutionary pressures shaping a the relative abundance of different dinucleotides in hantavirus genomes b the evolution of the three hantavirus segments.

  19. Reported Cases of HPS (Hantavirus Pulmonary Syndrome)

    Science.gov (United States)

    ... Clinical Information General Hantavirus Technical/Clinical Information Ecology Virology Airborne Transmission HPS Technical/Clinical Information Clinical Manifestation Treatment Histopathology Pathology/ Pathogenesis Diagnostics ...

  20. Diagnosing and Treating Hantavirus Pulmonary Syndrome (HPS)

    Science.gov (United States)

    ... Clinical Information General Hantavirus Technical/Clinical Information Ecology Virology Airborne Transmission HPS Technical/Clinical Information Clinical Manifestation Treatment Histopathology Pathology/ Pathogenesis Diagnostics ...

  1. How People Get Hantavirus Pulmonary Syndrome (HPS)

    Science.gov (United States)

    ... Clinical Information General Hantavirus Technical/Clinical Information Ecology Virology Airborne Transmission HPS Technical/Clinical Information Clinical Manifestation Treatment Histopathology Pathology/ Pathogenesis Diagnostics ...

  2. Estudantes de medicina ensinam ressuscitação cardiopulmonar a alunos do fundamental

    Directory of Open Access Journals (Sweden)

    Lucas Gaspar Ribeiro

    2013-10-01

    Full Text Available FUNDAMENTO: Doenças do sistema circulatório são a causa mais comum de óbitos no Brasil. Devido ao fato de a população geral ser normalmente a primeira a identificar problemas relacionados ao sistema circulatório, é importante que ela seja treinada. No entanto, o treinamento é um desafio por causa do número de pessoas a serem treinadas e da manutenção do treinamento. OBJETIVOS: Avaliar a entrega do programa de treinamento de ressuscitação cardiopulmonar (RCP ministrada por estudantes de medicina e avaliar o conhecimento prévio de RCP, além de retenção imediata e tardia de treinamento em RCP entre alunos do fundamental. MÉTODOS: Foram selecionadas duas escolas públicas e duas escolas privadas. O treinamento de RCP consistiu em uma vídeo-aula seguida de prática com bonecos, sob a supervisão de estudantes de medicina. Questionários de múltipla escolha foram fornecidos previamente, logo em seguida e 6 meses após o treinamento de RCP. As perguntas estavam relacionadas ao conhecimento geral, à sequência de procedimentos e ao método de administração de cada componente (ventilação, compressão torácica, e desfibrilação automática externa. Os instrutores realizaram uma discussão em grupo após as sessões para identificar os possíveis problemas encontrados. RESULTADOS: No total, 147 alunos concluíram o monitoramento de 6 meses. Os alunos de escola pública tinham menos conhecimento prévio, mas a diferença desapareceu logo após o treinamento. Após o período de 6 meses de monitoramento, esses alunos de escola pública demonstraram menor retenção. O principal problema encontrado foi ensinar a ressuscitação boca-a-boca. CONCLUSÕES: O método usado por estudantes de medicina para ensinar alunos do fundamental foi baseado na técnica do "ver e praticar". Este método foi eficaz na retenção imediata e tardia do conhecimento adquirido. A maior retenção de conhecimento entre os alunos de escola privada pode

  3. Treatment of Hantavirus Pulmonary Syndrome

    Science.gov (United States)

    2007-10-14

    Clinical syndrome Hantaviruses cause a spectrum of vascular-leak syndromes n humans ranging from proteinuria to pulmonary edema and rank hemorrhage...of fatal illness. The illness is haracterized by fever and vascular leakage resulting in noncar- iogenic pulmonary edema followed in severe cases by...cardiopulmonary syndrome (HCPS) o emphasize the important role of cardiogenic shock; among ospitalized patients, death almost invariably results from

  4. Human hantavirus infections in the Netherlands.

    Science.gov (United States)

    Sane, Jussi; Reimerink, Johan; Harms, Margriet; Bakker, Jacinta; Mughini-Gras, Lapo; Schimmer, Barbara; van Pelt, Wilfrid

    2014-12-01

    We report the recent epidemiology and estimated seroprevalence of human hantavirus infections in the Netherlands. Sixty-two cases were reported during December 2008-December 2013. The estimated seroprevalence in the screened municipalities in 2006-2007 was 1.7% (95% CI 1.3%-2.3%). Findings suggest that hantavirus infections are underdiagnosed in the Netherlands.

  5. Hantavirus Regulation of Type I Interferon Responses

    Directory of Open Access Journals (Sweden)

    Valery Matthys

    2012-01-01

    Full Text Available Hantaviruses primarily infect human endothelial cells (ECs and cause two highly lethal human diseases. Early addition of Type I interferon (IFN to ECs blocks hantavirus replication and thus for hantaviruses to be pathogenic they need to prevent early interferon induction. PHV replication is blocked in human ECs, but not inhibited in IFN deficient VeroE6 cells and consistent with this, infecting ECs with PHV results in the early induction of IFNβ and an array of interferon stimulated genes (ISGs. In contrast, ANDV, HTNV, NY-1V and TULV hantaviruses, inhibit early ISG induction and successfully replicate within human ECs. Hantavirus inhibition of IFN responses has been attributed to several viral proteins including regulation by the Gn proteins cytoplasmic tail (Gn-T. The Gn-T interferes with the formation of STING-TBK1-TRAF3 complexes required for IRF3 activation and IFN induction, while the PHV Gn-T fails to alter this complex or regulate IFN induction. These findings indicate that interfering with early IFN induction is necessary for hantaviruses to replicate in human ECs, and suggest that additional determinants are required for hantaviruses to be pathogenic. The mechanism by which Gn-Ts disrupt IFN signaling is likely to reveal potential therapeutic interventions and suggest protein targets for attenuating hantaviruses.

  6. The fundamental role of endothelial cells in hantavirus pathogenesis

    OpenAIRE

    Jussi eHepojoki; Antti eVaheri; Tomas eStrandin

    2014-01-01

    Hantavirus, a genus of rodent- and insectivore-borne viruses in the family Bunyaviridae, is a group of emerging zoonotic pathogens. Hantaviruses cause hemorrhagic fever with renal syndrome and hantavirus cardiopulmonary syndrome in man, often with severe consequences. Vascular leakage is evident in severe hantavirus infections, and increased permeability contributes to the pathogenesis. This review summarizes the current knowledge on hantavirus interactions with hematopoietic and endothelial ...

  7. Hitos sobre el test cardiopulmonar de ejercicio Cardiopulmonary exercise test

    Directory of Open Access Journals (Sweden)

    RODRIGO SOTO F

    2008-01-01

    Full Text Available El test cardiopulmonar de ejercicio TCPE (CPET en la literatura anglosajona evalúa aspectos dinámicos de la la fisiología cardiorespiratoria, en contraste, las pruebas funcionales estáticas no reproducen la condición activa de un individuo. No obstante su complejo montaje e interpretación, en el último decenio ha habido un creciente interés en aplicarlo en la detección de mecanismos de disnea. Al respecto, la curva flujo/volumen dinámica permite demostrar limitación de flujos e hiperinflación dinámica, también esta prueba permite profundizar en el análisis del intercambio gaseoso en ejercicio. La utilidad de estas pruebas en la evaluación funcional pre-operatoria compleja es destacada. Dada su alta reproducibilidad, el TCPE continúa siendo un alto referente en pruebas cardíacas de esfuerzo. Publicaciones cardiológicas enfatizan su valor pronóstico como indicador de sobrevida, seguimiento de terapias y enlistado para trasplante en insuficiencia cardíaca congestiva, utilizando parámetros máximos y submáximos. Entre los primeros el consumo cumbre o punta de oxígeno, y en los submáximos el equivalente ventilatorio de anhídrido carbónico y el consumo de oxígeno en el umbral lácticoCardiopulmonary exercise test (CPET evaluates cardiorespiratory function in dynamic conditions, in contrast to static pulmonary function tests which can not reproduce the dynamic situation of an individual. Despite its complex implementation there has been growing interest in CPET in evaluating the mechanisms of dyspnoea With this respect dynamic flow/volume curve is useful in identifying expiratory airflow limitation and dynamic hyperinflation. Besides gas exchange analysis during exercise deepens the quality of information in that subject. Its utility for decision making in complex perioperative evaluation can not be overemphasized. Considering its high reproducibility, this method is a highly valuable tool in cardiac stress testing. Several

  8. Discovery of hantaviruses in bats and insectivores and the evolution of the genus Hantavirus.

    Science.gov (United States)

    Zhang, Yong-Zhen

    2014-07-17

    Hantaviruses are among the most important zoonotic pathogens of humans, causing either hemorrhagic fever with renal syndrome (HFRS) or hantavirus pulmonary syndrome (HPS). From the period 1964-2006 almost all hantaviruses had been identified in rodents, with the exception of Thottapalayam virus (TPMV) isolated from shrews sampled in India. As a consequence, rodents were considered as the natural reservoir hosts. However, over the past seven years, most of the newly found hantavirus genotypes have been from either shrews or moles. Remarkably, in recent years divergent hantaviruses have also been identified in bats sampled from both Africa and Asia. All these data indicate that hantaviruses have a broad range of natural reservoir hosts. Phylogenetic analyses of the available sequences of hantaviruses suggest that hantaviruses might have first appeared in Chiroptera (bats) or Soricomorpha (moles and shrews), before emerging in rodent species. Although rodent hantaviruses cluster according to whether their hosts are members of the Murinae and Cricetidae, the phylogenetic histories of the viruses are not always congruent with those of their hosts, indicating that cross-species transmission events have occurred at all taxonomic levels. In sum, both cross-species transmission and co-divergence have produced the high genetic diversity of hantaviruses described to date.

  9. Hantavirus interferon regulation and virulence determinants.

    Science.gov (United States)

    Mackow, Erich R; Dalrymple, Nadine A; Cimica, Velasco; Matthys, Valery; Gorbunova, Elena; Gavrilovskaya, Irina

    2014-07-17

    Hantaviruses predominantly replicate in primary human endothelial cells and cause 2 diseases characterized by altered barrier functions of vascular endothelium. Most hantaviruses restrict the early induction of interferon-β (IFNβ) and interferon stimulated genes (ISGs) within human endothelial cells to permit their successful replication. PHV fails to regulate IFN induction within human endothelial cells which self-limits PHV replication and its potential as a human pathogen. These findings, and the altered regulation of endothelial cell barrier functions by pathogenic hantaviruses, suggest that virulence is determined by the ability of hantaviruses to alter key signaling pathways within human endothelial cells. Our findings indicate that the Gn protein from ANDV, but not PHV, inhibits TBK1 directed ISRE, kB and IFNβ induction through virulence determinants in the Gn cytoplasmic tail (GnT) that inhibit TBK1 directed IRF3 phosphorylation. Further studies indicate that in response to hypoxia induced VEGF, ANDV infection enhances the permeability and adherens junction internalization of microvascular and lymphatic endothelial cells. These hypoxia/VEGF directed responses are rapamycin sensitive and directed by mTOR signaling pathways. These results demonstrate the presence of at least two hantavirus virulence determinants that act on endothelial cell signaling pathways: one that regulates antiviral IFN signaling responses, and a second that enhances normal hypoxia-VEGF-mTOR signaling pathways to facilitate endothelial cell permeability. These findings suggest signaling pathways as potential targets for therapeutic regulation of vascular deficits that contribute to hantavirus diseases and viral protein targets for attenuating pathogenic hantaviruses.

  10. Hantavirus in new geographic regions, Sweden

    Directory of Open Access Journals (Sweden)

    Mare Lõhmus

    2016-06-01

    Full Text Available In Sweden, human cases of Puumala hantavirus (PUUV infections are reported from the northern endemic regions. We found hantavirus-specific antibodies in yellow-necked mice (Apodemus flavicollis trapped in human dwellings in the surroundings of the cities of Uppsala and Stockholm, which are situated far south from the traditional endemic areas of PUUV. Because the yellow-necked mouse is the most common rodent in human dwellings, hantaviruses in this rodent species may be important for the public health.

  11. [Prognostic factors in hantavirus infections].

    Science.gov (United States)

    Kaya, Selçuk

    2014-01-01

    The hantaviruses classified in Hantavirus genus of Bunyaviridae family, may cause two different types of clinical conditions, namely hemorrhagic fever with renal syndrome (HFRS) and hantavirus pulmonary syndrome (HPS). Mortality may reach up to 40% in these infections. Hantavirus subtypes (Sin Nombre, Hantaan, Seoul, Puumala, Dobrava, etc) with different virulences represent one of the most significant factors affecting the mortality. Additionally, many other factors including age, gender, humoral immune response, genetic factors, patient's clinical and laboratory findings, transfusion, mechanical ventilation requirement, antiviral treatment and immunotherapy administered to the patient are prognostically important. Increasing age had an unfavorable effect on mortality. While the disease is commonly observed in the male gender, mortality rate is higher in the female gender. The higher the emergent neutralizing antibody response, the virus spread, the number of the infected cells and the cytotoxic T lymphocyte-mediated injury will be lower. The requirement for dialysis is reported to be higher with a poorer prognosis in individuals with HLA-B8, -DR3, -DQ2 alleles, and those with HLA-B27 allele usually experience a milder clinical course. Clinically, the risk of mortality increases in patients with multiple, central nervous system hemorrhage, sepsis, disseminated intravascular coagulation (DIC) and secondary infection. The presence of adult respiratory distress syndrome (ARDS), the requirement for mechanical ventilation, the presence of dyspnea and hemoconcentration in HPS are reported to be the most important prognostic factors associated with death. The correlation of severity and the transfusion requirement with mortality was demonstrated. High serum levels of white blood cells, blood urea nitrogen (BUN), creatinine phophokinase (CPK), C-reactive protein (CRP), prothrombin time (PT), activated partial thromboplastin time (aPTT), D-dimer and INR (International

  12. [Human hantavirus diseases - still neglected zoonoses?].

    Science.gov (United States)

    Vrbovská, V; Chalupa, P; Straková, P; Hubálek, Z; Rudolf, I

    2015-10-01

    Hantavirus disease is the most common rodent-borne viral infection in the Czech Republic, with a mean annual incidence of 0.02 cases per 100 000 population and specific antibodies detected in 1% of the human population. Four hantaviruses (Puumala, Dobrava-Belgrade, Tula, and Seewis) circulate in this country, of which Puumala virus (responsible for a mild form of hemorrhagic fever with renal syndrome called nephropathia epidemica) and Dobrava-Belgrade virus (causing haemorrhagic fever with renal syndrome) have been proven to cause human disease. The aim of this study is to provide a comprehensive review of the hantaviruses occurring in the Czech Republic, based on the literature published during the past three decades, including their geographical distribution and clinical symptoms. The recent detection of Tula virus in an immunocompromised person as well as reports of Seoul virus infections in Europe highlight the possible emergence of neglected hantavirus infections in the foreseeable future.

  13. Signs and Symptoms for Hantavirus Pulmonary Syndrome (HPS)

    Science.gov (United States)

    ... page: About CDC.gov . Hantavirus Share Compartir Signs & Symptoms for Hantavirus Pulmonary Syndrome (HPS) Due to the ... urine, droppings, or saliva of infected rodents. Early Symptoms Early symptoms include fatigue, fever and muscle aches, ...

  14. Serological diagnosis with recombinant N antigen for hantavirus infection.

    Science.gov (United States)

    Yoshimatsu, Kumiko; Arikawa, Jiro

    2014-07-17

    Hantaviruses are causative agents of two rodent-borne zoonoses, hemorrhagic fever with renal syndrome (HFRS) and nephropathia epidemica (NE) in the Old World and hantavirus pulmonary syndrome (HPS) in the New World. Serological examinations to detect hantavirus antibodies have been most widely used for surveillance among humans and rodent reservoirs. Here, we will review antigenic structure of nucleocapsid (N) protein of hantaviruses and application of recombinant N protein as diagnostic antigen for screening and serotyping.

  15. Hemorrhagic fever with renal syndrome and coexisting hantavirus pulmonary syndrome

    Directory of Open Access Journals (Sweden)

    Young Min Hong

    2012-06-01

    Full Text Available Hemorrhagic fever with renal syndrome (HFRS is an acute viral disease with fever, hemorrhage and renal failure caused by hantavirus infection. Hantavirus induces HFRS or hantavirus pulmonary syndrome (HPS. HPS progression to a life-threatening pulmonary disease is found primarily in the USA and very rarely in South Korea. Here, we report a case of HFRS and coexisting HPS.

  16. Andes hantavirus variant in rodents, southern Amazon Basin, Peru.

    Science.gov (United States)

    Razuri, Hugo; Tokarz, Rafal; Ghersi, Bruno M; Salmon-Mulanovich, Gabriela; Guezala, M Claudia; Albujar, Christian; Mendoza, A Patricia; Tinoco, Yeny O; Cruz, Christopher; Silva, Maria; Vasquez, Alicia; Pacheco, Víctor; Ströher, Ute; Guerrero, Lisa Wiggleton; Cannon, Deborah; Nichol, Stuart T; Hirschberg, David L; Lipkin, W Ian; Bausch, Daniel G; Montgomery, Joel M

    2014-02-01

    We investigated hantaviruses in rodents in the southern Amazon Basin of Peru and identified an Andes virus variant from Neacomys spinosus mice. This finding extends the known range of this virus in South America and the range of recognized hantaviruses in Peru. Further studies of the epizoology of hantaviruses in this region are warranted.

  17. Seroprevalencia de hantavirus en roedores y casos humanos en el sur de la Argentina Hantavirus seroprevalence in rodents and human cases in southern Argentina

    Directory of Open Access Journals (Sweden)

    Edmundo Larrieu

    2003-04-01

    Full Text Available En la Provincia de Río Negro, Argentina, se presentaron casos humanos de síndrome pulmonar por hantavirus (SPH en la región de la cordillera andino patagónica. El virus Andes ha sido identificado en la región, tanto en el roedor Oligoryzomys longicaudatus como en seres humanos, demostrándose la transmisión principalmente del roedor al hombre y la factibilidad de la transmisión de persona a persona. El objetivo del presente trabajo es presentar nueva información sobre especies de roedores portadores de hantavirus en Argentina, su prevalencia de anticuerpos para hantavirus (período 1999-2001 y la relación del tamaño de las poblaciones de roedores y su seroprevalencia con la ocurrencia de casos humanos (período 1996-2001. Para ello, se procedió a la colocación de 3973 trampas para captura viva de roedores, tipo sherman en seis operativos efectuados entre octubre de 1999 y mayo de 2001. Se obtuvieron muestras de sangre de los roedores las que fueron procesadas mediante enzimoinmunoensayo con antígenos elaborados a partir de virus Andes. Una síntesis de los resultados indica 397 roedores capturados, con un éxito de trampeo del 10% y una prevalencia de anticuerpos contra hantavirus del 1.0%. Se observaron importantes diferencias en las especies capturadas en cada una de las regiones. Se capturaron O. longicaudatus y A. Olivaceus seropositivos y O. flavescens y C. Laucha potencialmente portadores de hantavirus Se registraron 6 casos humanos en el período 1993-1995 (correspondientes a estudios retrospectivos, 21 casos se notificaron en el período 1996-1998 y 6 en el período 1999-2001 Se analiza la correlación entre ocurrencia de casos humanos, seroprevalencia en roedores y éxito de trampeo.In the Province of Río Negro, Argentina, human cases of hantavirus pulmonary syndrome (HPS have occurred in the region of the Patagonian Andean range. The Andes virus has been identified in the region, both in the rodent Oligoryzomys

  18. Evidence of Hantavirus Infection Among Bats in Brazil.

    Science.gov (United States)

    Sabino-Santos, Gilberto; Maia, Felipe Gonçalves Motta; Vieira, Thallyta Maria; de Lara Muylaert, Renata; Lima, Sabrina Miranda; Gonçalves, Cristieli Barros; Barroso, Patricia Doerl; Melo, Maria Norma; Jonsson, Colleen B; Goodin, Douglas; Salazar-Bravo, Jorge; Figueiredo, Luiz Tadeu Moraes

    2015-08-01

    Hantaviruses are zoonotic viruses harbored by rodents, bats, and shrews. At present, only rodent-borne hantaviruses are associated with severe illness in humans. New species of hantaviruses have been recently identified in bats and shrews greatly expanding the potential reservoirs and ranges of these viruses. Brazil has one of the highest incidences of hantavirus cardiopulmonary syndrome in South America, hence it is critical to know what is the prevalence of hantaviruses in Brazil. Although much is known about rodent reservoirs, little is known regarding bats. We captured 270 bats from February 2012 to April 2014. Serum was screened for the presence of antibodies against a recombinant nucleoprotein (rN) of Araraquara virus (ARAQV). The prevalence of antibody to hantavirus was 9/53 with an overall seroprevalence of 17%. Previous studies have shown only insectivorous bats to harbor hantavirus; however, in our study, of the nine seropositive bats, five were frugivorous, one was carnivorous, and three were sanguivorous phyllostomid bats.

  19. Obesidad infantil y su relación con indicadores cardiopulmonares en escolares mexicanos

    OpenAIRE

    José Arias-Rico; Sandy Marlene Cortés-Cortés; Esther Ramírez-Moreno; Ma. Luisa Sánchez-Padilla; Reyna Cristina Jiménez-Sánchez; Teresita de Jesús Saucedo-Molina

    2016-01-01

    Objetivo: determinar la relación entre obesidad y anormalidades de parámetros cardiopulmonares en escolares. Materiales y mé- todos: participaron 78 escolares entre 5 a 11 años de edad, 47 hombres (60,3 % ) y 31 mujeres (39,7 % ), pertenecientes a una escuela primaria particular de la ciudad de Pachuca (México). Se evaluó: índice de masa corporal (IMC), circunferencia de cintura (CC), grasa corporal (GC), frecuencia cardiaca (FC), presión arterial (PA), frecu...

  20. O custo direto do programa de treinamento em ressuscitação cardiopulmonar em um hospital universitário El costo directo del programa de entrenamiento em resucitación cardiopulmonar en un hospital universitário The direct cost of the cardiopulmonary resuscitation training program in a university hospital

    Directory of Open Access Journals (Sweden)

    Nadia Nasser Follador

    2007-03-01

    Full Text Available A presente pesquisa teve por objetivo mapear o processo de treinamento compartilhado em ressuscitação cardiopulmonar para técnicos e auxiliares de enfermagem da UTI e Semi-Intensiva de Adulto do HU-USP, e aferir os custos diretos das principais atividades do processo. Trata-se de um estudo exploratório, retrospectivo, de levantamento documental, nos moldes de estudo de caso. Seus resultados mostraram que o custo direto total do programa de treinamento em ressuscitação cardio-pulmonar foi de R$ 9.081,44. O custo direto com pessoal representou 96,74% e com material 3,26%. No subprocesso planejamento do treinamento, o enfermeiro instrutor-assistencial teve o maior custo direto do pessoal com R$ 5.451,60 (62,04%. Os custos diretos relacionados com o material utilizado foram maiores, também, no subprocesso planejamento do treinamento, R$ 188,80 (63,73%. O custo total por treinando foi de R$ 206,40.En la presente investigación se tuvo como objetivo mapear el proceso de entrenamiento compartido en resucitación cardio-pulmonar para técnicos y auxiliares de enfermería de la UCI y Semi Intensiva de Adulto del HU-USP y cotejar los costos directos de las principales actividades del proceso. Se trata de un estudio exploratorio, retrospectivo, de levantamiento documental, en los moldes del estudio de caso. Sus resultados mostraron que el costo directo total del programa de entrenamiento en resucitación cardiopulmonar fue de R$ 9.081,44. El costo directo con personal representó el 96,74% y con material el 3,26%. En el subproceso planificación del entrenamiento, el enfermero instructor asistencial tuvo el mayor costo directo del personal con R$ 5.451,60 (62,04%. Los costos directos relacionados con el material utilizado fueron mayores, también, en el subproceso planificación del entrenamiento, R$ 188,80 (63,73%. El costo total por entrenado fue de R$ 206,40.This study was aimed at mapping the process of shared training in cardiopulmonary

  1. Discovery of hantaviruses and of the Hantavirus genus: personal and historical perspectives of the Presidents of the International Society of Hantaviruses.

    Science.gov (United States)

    Lee, Ho Wang; Vaheri, Antti; Schmaljohn, Connie S

    2014-07-17

    We three authors, the two past presidents (HWL and AV) and the current president (CSS) of the International Society for Hantaviruses (ISH) have attended most of the nine International Conferences on HFRS, HPS and Hantaviruses (Table 1). These conferences have provided a forum for a synergistic group of clinicians, basic researchers, mammalogists, epidemiologists and ecologists to share their expertise and interests in all aspects of hantavirus research. Much of what is now hantavirus dogma was only conjecture when HWL organized the first conference in Seoul, Korea in 1989. Herein, we provide our reflections on key events in hantavirus research. As we come from distinct areas of the world and have had individual historical experiences, we certainly have our own geocentric opinions about the key events. Nevertheless, we agree that the discovery of hantaviruses has taken an interesting and unpredictable track to where we are today.

  2. Desempenho em teste cardiopulmonar de adolescentes: peso normal e excesso de peso

    Directory of Open Access Journals (Sweden)

    Kamilla Bolonha Gomes

    2014-06-01

    Full Text Available INTRODUÇÃO: Sabe-se que o excesso de peso interfere no desempenho físico do cotidiano do adolescente e, consequentemente, na aptidão física e na capacidade cardiorrespiratória. OBJETIVO: O estudo objetivou identificar e comparar os valores das variáveis cardiorrespiratórias no limiar anaeróbico ventilatório (LAV de adolescentes com peso normal e excesso de peso. MÉTODOS: A amostra foi composta por 140 adolescentes de ambos os sexos entre 10 e 14 anos, escolares do município de Vitória, ES, Brasil. Foram mensuradas massa corporal e estatura para cálculo do índice de massa corporal (IMC. Os adolescentes foram divididos em grupo peso normal (GPN e grupo excesso de peso (GEP, realizaram um eletrocardiograma de repouso e um teste cardiopulmonar de exercício em esteira ergométrica (Inbrasport Super ATL utilizando o ergoespirômetro MedGraphics Corporation e o protocolo de rampa. O LAV foi identificado pelo método V-slope e/ou equivalente ventilatório de oxigênio (VE/VO2. Foram analisadas as seguintes variáveis no LAV: consumo de oxigênio (VO2LAV ml.kg-1.min-1, frequência cardíaca (FCLAV bpm, percentuais do consumo máximo de oxigênio (%VO2máxLAV e da FC máxima (%FCmáxLAV, e velocidade (VelLAV km/h, além do consumo máximo de oxigênio (VO2máx ml.kg-1.min-1 e FC máxima (FCmáx. Foi realizado teste t de Student nas comparações entre os grupos, considerando p<0,05 para significância estatística. RESULTADOS: O GPN apresentou valores significativamente maiores no LAV para VO2 ml.kg-1.min-1 (20,0 ±6,4 vs 15,8 ±5,7 e velocidade (7,1 ±0,9km/h vs 6,2 ±1,1km/h, e para o VO2máx (44,6 ±7,6 vs 36,0 ±6,4 quando comparado ao GEP. CONCLUSÃO: Os dados sugerem que adolescentes com excesso de peso apresentam prejuízo na aptidão cardiorrespiratória não somente ao nível máximo, mas também ao nível submáximo (LAV quando comparados aos adolescentes com peso normal.

  3. Hantavirus pulmonary syndrome in a postpartum woman

    Science.gov (United States)

    Murthy, Pooja R.; Ucchil, Rajesh; Shah, Unmil; Chaudhari, Dipak

    2016-01-01

    Hantavirus infection, a rare disease diagnosed in India and carries a very high mortality. There are no reports of this infection in association with pregnancy or postpartum period in our country. We present a case of a 30-year-old female diagnosed to have hantavirus pulmonary syndrome in the postpartum period. We intend to create awareness about this infection and consider it in the differential diagnosis of patients presenting with acute respiratory distress syndrome and multiorgan dysfunction in association with pregnancy and postpartum period. PMID:27688634

  4. Complicaciones cardiopulmonares en anemia de células falciformes

    OpenAIRE

    Rojas-Jiménez,Sara; Lopera-Valle,Johan; Yabur-Espítia,Mirna

    2013-01-01

    La anemia de células falciformes, considerada la enfermedad genética más prevalente entre los afroamericanos, es una entidad con patrón de herencia autosómico recesivo, que se caracteriza por la producción de hemoglobina S. Esta proteína anormal se polimeriza y facilita la formación de agregados fibrilares que alteran la morfología eritrocitaria. La elevada rigidez de los hematíes impide su tránsito adecuado a través de la microcirculación, lo que conlleva hemólisis y aumento de la viscosidad...

  5. Revisión de las iniciativas llevadas a cabo en España para implementar la enseñanza de la reanimación cardiopulmonar básica en las escuelas Review of initiatives carried out in Spain to implement teaching of basic cardiopulmonary reanimation in schools

    OpenAIRE

    Ò. Miró; DÍAZ, N.; X. Escalada; F.J. Pérez Pueyo; Sánchez, M.

    2012-01-01

    La parada cardiorrespiratoria (PCR) es una situación de máxima urgencia médica que potencialmente puede revertirse si se inician maniobras de reanimación cardiopulmonar (RCP) básica de forma inmediata. Sin embargo, esto sucede en menos del 25% de las PCR presenciadas por los testigos, por lo que es necesario incrementar el conocimiento de estas maniobras en la población general. Una forma de que este conocimiento pueda alcanzar a toda la población es introducir su enseñanza durante la educaci...

  6. Hantavirus Infection in the Republic of Georgia

    Science.gov (United States)

    2009-09-01

    diagnosis of acute renal failure. Patient’s fluid input and output were closely regulated, and his con- dition improved gradually without dialysis...Vizjak A. Hantavirus nephropathy . J Am Soc Nephrol. 2008;19:1653–8. DOI: 10.1681/ASN.2007091022 Address for correspondence: Tinatin Kuchuloria

  7. Hantaviral proteins: structure, functions and role in hantavirus infection

    Directory of Open Access Journals (Sweden)

    Musalwa eMuyangwa

    2015-11-01

    Full Text Available Hantaviruses are the members of the family Bunyaviridae that are naturally maintained in the populations of small mammals, mostly rodents. Most of these viruses can easily infect humans through contact with aerosols or dust generated by contaminated animal waste products. Depending on the particular hantavirus involved, human infection could result in either Hemorrhagic Fever with Renal Syndrome (HFRS or in Hantavirus Cardiopulmonary Syndrome (HCPS. In the past few years, clinical cases of the hantavirus caused diseases have been on the rise. Understanding structure of the hantavirus genome and the functions of the key viral proteins is critical for the therapeutic agents’ research. This paper gives a brief overview of the current knowledge on the structure and properties of the hantavirus nucleoprotein and the glycoproteins.

  8. Hantaviruses: an emerging public health threat in India? A review

    Indian Academy of Sciences (India)

    S Chandy; P Abraham; G Sridharan

    2008-11-01

    The emerging viral diseases haemorrhagic fever with renal syndrome (HFRS) and hantavirus cardiopulmonary syndrome (HCPS) are a cause of global concern as they are increasingly reported from newer regions of the world. The hantavirus species causing HFRS include Hantaan virus, Seoul virus, Puumala virus, and Dobrava-Belgrade virus while Sin Nombre virus was responsible for the 1993 outbreak of HCPS in the Four Corners Region of the US. Humans are accidental hosts and get infected by aerosols generated from contaminated urine, feces and saliva of infected rodents. Rodents are the natural hosts of these viruses and develop persistent infection. Human to human infections are rare and the evolution of the virus depends largely on that of the rodent host. The first hantavirus isolate to be cultured, Thottapalayam virus, is the only indigenous isolate from India, isolated from an insectivore in 1964 in Vellore, South India. Research on hantaviruses in India has been slow but steady since 2005. Serological investigation of patients with pyrexic illness revealed presence of anti-hantavirus IgM antibodies in 14.7% of them. The seropositivity of hantavirus infections in the general population is about 4% and people who live and work in close proximity with rodents have a greater risk of acquiring hantavirus infections. Molecular and serological evidence of hantavirus infections in rodents and man has also been documented in this country. The present review on hantaviruses is to increase awareness of these emerging pathogens and the threats they pose to the public health system.

  9. Phylogenetic Relationship of Necoclí Virus to Other South American Hantaviruses (Bunyaviridae: Hantavirus).

    Science.gov (United States)

    Montoya-Ruiz, Carolina; Cajimat, Maria N B; Milazzo, Mary Louise; Diaz, Francisco J; Rodas, Juan David; Valbuena, Gustavo; Fulhorst, Charles F

    2015-07-01

    The results of a previous study suggested that Cherrie's cane rat (Zygodontomys cherriei) is the principal host of Necoclí virus (family Bunyaviridae, genus Hantavirus) in Colombia. Bayesian analyses of complete nucleocapsid protein gene sequences and complete glycoprotein precursor gene sequences in this study confirmed that Necoclí virus is phylogenetically closely related to Maporal virus, which is principally associated with the delicate pygmy rice rat (Oligoryzomys delicatus) in western Venezuela. In pairwise comparisons, nonidentities between the complete amino acid sequence of the nucleocapsid protein of Necoclí virus and the complete amino acid sequences of the nucleocapsid proteins of other hantaviruses were ≥8.7%. Likewise, nonidentities between the complete amino acid sequence of the glycoprotein precursor of Necoclí virus and the complete amino acid sequences of the glycoprotein precursors of other hantaviruses were ≥11.7%. Collectively, the unique association of Necoclí virus with Z. cherriei in Colombia, results of the Bayesian analyses of complete nucleocapsid protein gene sequences and complete glycoprotein precursor gene sequences, and results of the pairwise comparisons of amino acid sequences strongly support the notion that Necoclí virus represents a novel species in the genus Hantavirus. Further work is needed to determine whether Calabazo virus (a hantavirus associated with Z. brevicauda cherriei in Panama) and Necoclí virus are conspecific.

  10. Obesidad infantil y su relación con indicadores cardiopulmonares en escolares mexicanos

    Directory of Open Access Journals (Sweden)

    José Arias-Rico

    2016-01-01

    Full Text Available Objetivo: determinar la relación entre obesidad y anormalidades de parámetros cardiopulmonares en escolares. Materiales y mé- todos: participaron 78 escolares entre 5 a 11 años de edad, 47 hombres (60,3 % y 31 mujeres (39,7 % , pertenecientes a una escuela primaria particular de la ciudad de Pachuca (México. Se evaluó: índice de masa corporal (IMC, circunferencia de cintura (CC, grasa corporal (GC, frecuencia cardiaca (FC, presión arterial (PA, frecuencia respiratoria (FR y espirometría. Se emplearon las pruebas estadísticas chi-cuadrado (x2, odds ratio y correlación de Spearman (rs. Resultados: 23,1 % de los escolares evaluados presentaron sobrepeso y 29,5 %, obesidad. El 38,5 y 11,5 % presentaron FC y PA superiores a los parámetros normales, respectivamente; 3,8 % de la población presentó FR arriba del promedio y 11,5 % mostró valores espirométricos anormales. Se encontraron relaciones entre IMC con GC y CC, GC y CC, CC y FC, GC y PA, y FC y FR. Conclusiones: las prevalencias de sobrepeso y obesidad obtenidas en este estudio fueron altas. Los niños con sobrepeso u obesidad podrían tener mayor riesgo de presentar anormalidades cardiopulmonares en comparación con niños de peso normal. Se sugiere continuar con estudios en el tema en una muestra más amplia.

  11. Spatial spread of the Hantavirus infection

    Science.gov (United States)

    Reinoso, José A.; de la Rubia, F. Javier

    2015-03-01

    The spatial propagation of Hantavirus-infected mice is considered a serious threat for public health. We analyze the spatial spread of the infected mice by including diffusion in the stage-dependent model for Hantavirus infection recently proposed by Reinoso and de la Rubia [Phys. Rev. E 87, 042706 (2013), 10.1103/PhysRevE.87.042706]. We consider a general scenario in which mice propagate in fronts from their refugia to the surroundings and find an expression for the speed of the front of infected mice. We also introduce a depletion time that measures the time scale for an appreciable impoverishment of the environment conditions and show how this new situation may change the spreading of the infection significantly.

  12. Outbreaks of Hantavirus induced by seasonality

    Science.gov (United States)

    Buceta, J.; Escudero, C.; de La Rubia, F. J.; Lindenberg, Katja

    2004-02-01

    Using a model for rodent population dynamics, we study outbreaks of Hantavirus infection induced by the alternation of seasons. Neither season by itself satisfies the environmental requirements for propagation of the disease. This result can be explained in terms of the seasonal interruption of the relaxation process of the mouse population toward equilibrium, and may shed light on the reported connection between climate variations and outbreaks of the disease.

  13. Spatiotemporal patterns in the Hantavirus infection

    Science.gov (United States)

    Abramson, G.; Kenkre, V. M.

    2002-07-01

    We present a model of the infection of Hantavirus in deer mouse, Peromyscus maniculatus, based on biological observations of the system in the North American Southwest. The results of the analysis shed light on relevant observations of the biological system, such as the sporadical disappearance of the infection, and the existence of foci or ``refugia'' that perform as reservoirs of the virus when environmental conditions are less than optimal.

  14. Serologic evidence for human hantavirus infection in Peru.

    Science.gov (United States)

    Castillo Oré, Roger M; Forshey, Brett M; Huaman, Alfredo; Villaran, Manuel V; Long, Kanya C; Kochel, Tadeusz J; Guevara, Carolina; Montgomery, Joel M; Alvarez, Carlos A; Vilcarromero, Stalin; Morrison, Amy C; Halsey, Eric S

    2012-08-01

    While human illness associated with hantavirus infection has been documented in many countries of South America, evidence for hantavirus transmission in Peru has been limited to the isolation of Rio Mamore virus from a pigmy mouse rat (Oligoryzomys microtis) in the Amazon city of Iquitos. To address the possibility of human hantavirus exposure in the region, we screened febrile patients reporting to health clinics in Iquitos from 2007 to 2010 for serological evidence of recent hantavirus infection. In addition, we conducted a serological survey for hantavirus-reactive IgG among healthy participants residing in Iquitos and rural areas surrounding the city. Through the febrile surveillance study, we identified 15 participants (0.3%; 15/5174) with IgM reactive to hantavirus (Andes virus) antigen, all with relatively mild, self-limited illness. From the cross-sectional serosurvey we found that 1.7% (36/2063) of residents of the Iquitos area had serum IgG reactive to one or more hantaviruses, with a higher prevalence in the urban population (2.2%, compared to 1.1% in rural areas). These results suggest that human infection with hantavirus has occurred in Peru.

  15. Hantavirus in Indian Country: The First Decade in Review

    Science.gov (United States)

    Pottinger, Richard

    2005-01-01

    Hantavirus, caused due to close contact with mice in a dwelling, first emerged in the spring of 1993 on the Navajo Reservation and although it is by no means an Indian disease, there are four times as many cases of hantavirus pulmonary syndrome (HPS) among non-Indians. Inadequate rural housing, especially common in western Indian Country,…

  16. Hantavirus infections in The Netherlands: epidemiology and disease.

    NARCIS (Netherlands)

    J. Groen (Jan); M.N. Gerding; J.G.M. Jordans; J.P.G. Clement; J.H.M. Nieuwenhuijs; A.D.M.E. Osterhaus (Albert)

    1995-01-01

    textabstractA serological survey for the prevalence of hantavirus infections in The Netherlands was carried out on > 10,000 sera, from selected human populations, and different feral and domestic animal species. Hantavirus-specific antibodies were found in about 1% of patients suspected of acute lep

  17. Tula hantavirus infection in immunocompromised host, Czech Republic.

    Science.gov (United States)

    Zelená, Hana; Mrázek, Jakub; Kuhn, Tomáš

    2013-11-01

    We report molecular evidence of Tula hantavirus as an etiologic agent of pulmonary-renal syndrome in an immunocompromised patient. Acute hantavirus infection was confirmed by using serologic and molecular methods. Sequencing revealed Tula virus genome RNA in the patient's blood. This case shows that Tula virus can cause serious disease in humans.

  18. Sympatry of 2 hantavirus strains, paraguay, 2003-2007.

    Science.gov (United States)

    Chu, Yong Kyu; Goodin, Douglas; Owen, Robert D; Koch, David; Jonsson, Colleen B

    2009-12-01

    To explore geographic and host-taxonomic patterns of hantaviruses in Paraguay, we established sampling sites in the Mbaracayu Biosphere Reserve. We detected Jabora virus and Itapua37/Juquitiba-related virus in locations approximately 20 m apart in different years, which suggested sympatry of 2 distinct hantaviruses.

  19. Epidemiology of Hantavirus Infections in the United States

    Science.gov (United States)

    1991-06-08

    dissemination of a novel zoonosis by means of international shipping. Rat- borne hantaviruses were subsequently detected in the United States, and two isolates...Ypersele de Strihou, C., Mery, J. P. 1989. Hantavirus- related acute interstitial nephritis in Western Europe. Expansion of a world-wide zoonosis

  20. Hantavirus infection among wild small mammals in Vellore, south India.

    Science.gov (United States)

    Chandy, S; Ulrich, R G; Schlegel, M; Petraityte, R; Sasnauskas, K; Prakash, D J; Balraj, V; Abraham, P; Sridharan, G

    2013-08-01

    Wild indigenous small mammals including 83 rodents (bandicoot and black rats, and house mice) and a shrew captured from multiple sites in Vellore, south India, were tested for serological and molecular evidence of hantavirus infection. Indirect immunofluorescence assay (IFA) using Hantaan virus (HTNV) antigen indicated hantavirus-reactive antibodies in 16 (19.3%) of 83 rodents (bandicoot and black rats). Western blot (WB) using Thailand virus (THAIV) antigen confirmed hantavirus-reactive antibodies in nine of the 16 HTNV IFA-positive rodents. Reverse transcription polymerase chain reaction (RT-PCR) of lung and kidney tissue of captured mammals resulted in the detection of partial S segment sequence in a bandicoot rat. This study complements our earlier reports on hantavirus epidemiology in south India and documents first laboratory evidence for rodent-associated hantaviruses in south India.

  1. Hantavirus immunology of rodent reservoirs: current status and future directions.

    Science.gov (United States)

    Schountz, Tony; Prescott, Joseph

    2014-03-14

    Hantaviruses are hosted by rodents, insectivores and bats. Several rodent-borne hantaviruses cause two diseases that share many features in humans, hemorrhagic fever with renal syndrome in Eurasia or hantavirus cardiopulmonary syndrome in the Americas. It is thought that the immune response plays a significant contributory role in these diseases. However, in reservoir hosts that have been closely examined, little or no pathology occurs and infection is persistent despite evidence of adaptive immune responses. Because most hantavirus reservoirs are not model organisms, it is difficult to conduct meaningful experiments that might shed light on how the viruses evade sterilizing immune responses and why immunopathology does not occur. Despite these limitations, recent advances in instrumentation and bioinformatics will have a dramatic impact on understanding reservoir host responses to hantaviruses by employing a systems biology approach to identify important pathways that mediate virus/reservoir relationships.

  2. Survey for antibody to hantaviruses in Tamaulipas, Mexico.

    Science.gov (United States)

    Castro-Arellano, Iván; Suzán, Gerardo; León, Rita Flores; Jiménez, Ricardo Morales; Lacher, Thomas E

    2009-01-01

    Wild rodents (n=248) were trapped in two ecologically distinct sites at El Cielo Biosphere Reserve in the state of Tamaulipas, Mexico, during the summer of 2003. Samples from 199 individuals were tested for Hantavirus antibodies by an indirect enzyme-linked immunosorbent assay (ELISA). Hantavirus antibodies to recombinant Sin Nombre virus nucleocapsid protein were found in seven rodents (3.5%) of a single species, Peromyscus levipes. Antibody-positive rodents were found only in the Cloud Forest site, which had lower rodent species diversity than the Tropical Subdecidous Forest site. Although the identity of the virus in P. levipes remains to be determined, our study provides further evidence that Hantavirus antibody-positive individuals are prevalent in the rodent fauna of Mexico. This is the first survey for Hantavirus antibodies in the rodent fauna of Tamaulipas and the first report of P. levipes as a potential host for a Hantavirus.

  3. Evidence of human hantavirus infection and zoonotic investigation of hantavirus prevalence in rodents in western Java, Indonesia.

    Science.gov (United States)

    Kosasih, Herman; Ibrahim, Ima Nurisa; Wicaksana, Rudi; Alisjahbana, Bachti; Hoo, Yumilia; Yo, Iing H; Antonjaya, Ungke; Widjaja, Susana; Winoto, Imelda; Williams, Maya; Blair, Patrick J

    2011-06-01

    During febrile surveillance in the western Java City of Bandung, Indonesia, a patient with clinical symptoms consistent with hantavirus infection was found to have elevated titers of hantavirus-specific immunoglobulin M (IgM) and IgG antibodies. A subsequent epizoological investigation demonstrated a higher prevalence of hantavirus IgG antibodies in rodents trapped in the vicinity of the patient's home compared with rodents from a control area (13.2% vs. 4.7%, p = 0.036). The Old World Seoul hantavirus was detected by reverse transcriptase-polymerase chain reaction in the organs of 71% of the seropositive rodents tested. This is the first report of a Seoul virus infection in Indonesia supported by clinical, serological, and epizoological evidences. These findings suggest that hantavirus infection should be on the clinical differential diagnosis when acutely ill febrile patients report for care in western Java.

  4. Surveillance of hantaviruses in Poland: a study of animal reservoirs and human hantavirus disease in Subcarpathia.

    Science.gov (United States)

    Michalski, Aleksander; Niemcewicz, Marcin; Bielawska-Drózd, Agata; Nowakowska, Anna; Gaweł, Jerzy; Pitucha, Grzegorz; Joniec, Justyna; Zielonka, Katarzyna; Marciniak-Niemcewicz, Anna; Kocik, Janusz

    2014-07-01

    The first cluster of hemorrhagic fever with renal syndrome (HFRS) in Poland was identified in 2007 in the Subcarpathian region. The natural environment of this area is a key habitat for hantavirus vectors. The animal reservoir of existing human HFRS clusters was studied to assess the occurrence of viruses (including Tula virus, Puumala virus, and Dobrava-Belgrade virus) among rodents. We examined 70 suspected human cases with symptoms corresponding to the clinical picture of HFRS. Serological analysis (indirect immunofluorescence assay and immunoblot) confirmed the presence of anti-hantavirus antibodies in 18 patients, which were surveyed with regard to developed symptoms and presumed rodent contact. Seroepidemiological analysis of newly confirmed human cases was performed, putative areas of human exposure were studied, and 194 rodents were subsequently captured from identified areas. Internal organs (lungs, heart, spleen, bladder, and kidneys) were collected from 64 Apodemus flavicollis, 55 Apodemus agrarius, 40 Myodes glareolus, 21 Mus musculus, and 14 Microtus arvalis and tested for the presence of hantavirus RNA by reverse transcription and subsequent real-time PCR. Positive samples were also tested by indirect immunofluorescence. Animal reservoir surveillance enabled the first detection of Puumala virus and Dobrava-Belgrade virus among animals in Poland. Furthermore, some places where rodents were captured correlated with areas of residence of laboratory-confirmed human cases and likely detected virus species. Moreover, three species of hantaviruses coexisting in a relatively small area were identified.

  5. Potential geographic distribution of hantavirus reservoirs in Brazil.

    Science.gov (United States)

    de Oliveira, Stefan Vilges; Escobar, Luis E; Peterson, A Townsend; Gurgel-Gonçalves, Rodrigo

    2013-01-01

    Hantavirus cardiopulmonary syndrome is an emerging zoonosis in Brazil. Human infections occur via inhalation of aerosolized viral particles from excreta of infected wild rodents. Necromys lasiurus and Oligoryzomys nigripes appear to be the main reservoirs of hantavirus in the Atlantic Forest and Cerrado biomes. We estimated and compared ecological niches of the two rodent species, and analyzed environmental factors influencing their occurrence, to understand the geography of hantavirus transmission. N. lasiurus showed a wide potential distribution in Brazil, in the Cerrado, Caatinga, and Atlantic Forest biomes. Highest climate suitability for O. nigripes was observed along the Brazilian Atlantic coast. Maximum temperature in the warmest months and annual precipitation were the variables that most influence the distributions of N. lasiurus and O. nigripes, respectively. Models based on occurrences of infected rodents estimated a broader area of risk for hantavirus transmission in southeastern and southern Brazil, coinciding with the distribution of human cases of hantavirus cardiopulmonary syndrome. We found no demonstrable environmental differences among occurrence sites for the rodents and for human cases of hantavirus. However, areas of northern and northeastern Brazil are also apparently suitable for the two species, without broad coincidence with human cases. Modeling of niches and distributions of rodent reservoirs indicates potential for transmission of hantavirus across virtually all of Brazil outside the Amazon Basin.

  6. Potential geographic distribution of hantavirus reservoirs in Brazil.

    Directory of Open Access Journals (Sweden)

    Stefan Vilges de Oliveira

    Full Text Available Hantavirus cardiopulmonary syndrome is an emerging zoonosis in Brazil. Human infections occur via inhalation of aerosolized viral particles from excreta of infected wild rodents. Necromys lasiurus and Oligoryzomys nigripes appear to be the main reservoirs of hantavirus in the Atlantic Forest and Cerrado biomes. We estimated and compared ecological niches of the two rodent species, and analyzed environmental factors influencing their occurrence, to understand the geography of hantavirus transmission. N. lasiurus showed a wide potential distribution in Brazil, in the Cerrado, Caatinga, and Atlantic Forest biomes. Highest climate suitability for O. nigripes was observed along the Brazilian Atlantic coast. Maximum temperature in the warmest months and annual precipitation were the variables that most influence the distributions of N. lasiurus and O. nigripes, respectively. Models based on occurrences of infected rodents estimated a broader area of risk for hantavirus transmission in southeastern and southern Brazil, coinciding with the distribution of human cases of hantavirus cardiopulmonary syndrome. We found no demonstrable environmental differences among occurrence sites for the rodents and for human cases of hantavirus. However, areas of northern and northeastern Brazil are also apparently suitable for the two species, without broad coincidence with human cases. Modeling of niches and distributions of rodent reservoirs indicates potential for transmission of hantavirus across virtually all of Brazil outside the Amazon Basin.

  7. Hantavirus Fever without Pulmonary Syndrome in Panama

    Science.gov (United States)

    Armien, Blas; Pascale, Juan M.; Muñoz, Carlos; Mariñas, Jamileth; Núñez, Heydy; Herrera, Milagro; Trujillo, José; Sánchez, Deyanira; Mendoza, Yaxelis; Hjelle, Brian; Koster, Frederick

    2013-01-01

    In Panama, hantavirus pulmonary syndrome (HPS) is caused by Choclo virus, a species phylogenetically related to Andes and Maporal viruses. Up to 60% of the population has been positive for specific serum antibody in community-based surveys, but mortality is very uncommon. In four western Panama clinics, we tested individuals presenting with a severe febrile prodrome for acute hantavirus (HV) infection by immunoglobulin M enzyme-linked immunosorbent assay and reverse transcription polymerase chain reaction as well as clinically similar infections, such as dengue and leptospirosis. From 2006 to 2009, at least 21% of 117 patients diagnosed with HV infection had HV Fever (HF) with no evidence of pulmonary edema (no respiratory distress or radiographic lung infiltrates), and 44% of patients had very mild HPS (radiographic pulmonary edema but no respiratory insufficiency). HV infection caused by Choclo virus in Panama presents often as HF, which contrasts with HV in the Americas but is consistent with the high seroprevalence in endemic regions. PMID:23836565

  8. Parasitoses gastrointestinais e cardiopulmonares em cães : estudo epidemiológico em canis de Portugal Continental

    OpenAIRE

    Félix, Liliana Isabel Branco

    2015-01-01

    Dissertação de Mestrado Integrado em Medicina Veterinária As parasitoses gastrointestinais e cardiopulmonares de canídeos assumem um importante papel na medida em que apresentam distribuição mundial e impacto em Saúde Pública e animal. Dados sobre a situação epidemiológica em Portugal são escassos e pontuais, motivo pelo qual se procedeu ao estudo de larga escala de norte a sul de Portugal. Entre Maio e Setembro de 2014 procedeu-se à colheita de 200 amostras fecais e 265 amostras de san...

  9. Un modelo de formación en reanimación cardiopulmonar pediátrica para personal sanitario

    OpenAIRE

    Manrique Martínez, Juan Ignacio

    2015-01-01

    Introducción: La reanimacion cardiopulmonar se ha convertido en estos ultimos años en un pilar fundamental para la supervivencia de multitud de adultos y niños en situación de riesgo vital. En España, la Sociedad Española de Medicina Intensiva y Unidades Coronarias (SEMIUC) puso en marcha en 1986 el Plan Nacional de Difusión y Enseñanza de la RCP, a través de este ambicioso y bien planificado sistema educativo se lograron difundir los conocimientos de la RCP en nuestro país, pero dirigido cas...

  10. Dispositius mecànics de compressions toràciques a la reanimació cardiopulmonar

    OpenAIRE

    Esteban Sebastià, Xavier

    2016-01-01

    Treball final de Grau en Infermeria. Codi: IN1138. Curs acadèmic 2015-2016 Introducció: Existeixen situacions en què les circumstàncies de la reanimació cardiopulmonar suposen un risc per a la seguretat dels reanimadors o per a la correcta realització de la mateixa. Una opció existent que pot solucionar aquest problema són els dispositius mecànics de compressions toràciques, els quals realitzen les compressions toràciques automàticament. Objectius: L’objectiu d’aquest estudi és realitza...

  11. Reanimación cardiopulmonar presenciada en el contexto hospitalario mexicano: un estudio de caso en pacientes y familiares

    OpenAIRE

    2010-01-01

    En este artículo se plantea el estudio de la reanimación cardiopulmonar presenciada (RCPp) como objeto de análisis en el marco de las reconfiguraciones culturales actuales. De la opinión de 90 pacientes que ingresaron a Urgencias y 90 familiares que aceptaron participar en una encuesta, se encontró consenso cultural entre los familiares y pacientes a favor de la RCPp. Se rescata esta experiencia a partir de una mirada que va más allá de la racionalidad técnica, para establecer algunas bases q...

  12. Phylogenetic Relationship of Necoclí Virus to Other South American Hantaviruses (Bunyaviridae: Hantavirus)

    OpenAIRE

    Montoya-Ruiz, Carolina; Cajimat, Maria N. B.; Milazzo, Mary Louise; DIAZ, FRANCISCO J.; Rodas, Juan David; Valbuena, Gustavo; Fulhorst, Charles F.

    2015-01-01

    The results of a previous study suggested that Cherrie's cane rat (Zygodontomys cherriei) is the principal host of Necoclí virus (family Bunyaviridae, genus Hantavirus) in Colombia. Bayesian analyses of complete nucleocapsid protein gene sequences and complete glycoprotein precursor gene sequences in this study confirmed that Necoclí virus is phylogenetically closely related to Maporal virus, which is principally associated with the delicate pygmy rice rat (Oligoryzomys delicatus) in western ...

  13. Recent Evidence of Hantavirus Circulation in the American Tropic

    Directory of Open Access Journals (Sweden)

    Carolina Montoya-Ruiz

    2014-03-01

    Full Text Available Hantaan virus was discovered in Korea during the 1970s while other similar viruses were later reported in Asia and Europe. There was no information about hantavirus human infection in the Americas until 1993 when an outbreak was described in the United States. This event promoted new studies to find hantaviruses in the Americas. At first, many studies were conducted in Brazil, Argentina, Chile, Uruguay and Paraguay, while other Latin American countries began to report the presence of these agents towards the end of the 20th century. More than 30 hantaviruses have been reported in the Western Hemisphere with more frequent cases registered in the southern cone (Argentina, Chile, Uruguay, Paraguay, Bolivia and Brazil. However there was an important outbreak in 2000 in Panama and some rare events have been described in Peru, Venezuela and French Guiana. Since hantaviruses have only recently emerged as a potential threat in the tropical zones of the Americas, this review compiles recent hantavirus reports in Central America, the Caribbean islands and the northern region of South America. These studies have generated the discovery of new hantaviruses and could help to anticipate the presentation of possible future outbreaks in the region.

  14. Kinship, dispersal and hantavirus transmission in bank and common voles.

    Science.gov (United States)

    Deter, J; Chaval, Y; Galan, M; Gauffre, B; Morand, S; Henttonen, H; Laakkonen, J; Voutilainen, L; Charbonnel, N; Cosson, J-F

    2008-01-01

    Hantaviruses are among the main emerging infectious agents in Europe. Their mode of transmission in natura is still not well known. In particular, social features and behaviours could be crucial for understanding the persistence and the spread of hantaviruses in rodent populations. Here, we investigated the importance of kinclustering and dispersal in hantavirus transmission by combining a fine-scale spatiotemporal survey (4 km2) and a population genetics approach. Two specific host-hantavirus systems were identified and monitored: the bank vole Myodes, earlier Clethrionomys glareolus--Puumala virus and the common vole Microtus arvalis--Tula virus. Sex, age and landscape characteristics significantly influenced the spatial distribution of infections in voles. The absence of temporal stability in the spatial distributions of viruses suggested that dispersal is likely to play a role in virus propagation. Analysing vole kinship from microsatellite markers, we found that infected voles were more closely related to each other than non-infected ones. Winter kin-clustering, shared colonies within matrilineages or delayed dispersal could explain this pattern. These two last results hold, whatever the host-hantavirus system considered. This supports the roles of relatedness and dispersal as general features for hantavirus transmission.

  15. Hantavirus infection prevalence in wild rodents and human anti-hantavirus serological profiles from different geographic areas of South Brazil.

    Science.gov (United States)

    Raboni, Sonia M; Delfraro, Adriana; de Borba, Luana; Teixeira, Bernardo R; Stella, Vanessa; de Araujo, Marina R; Carstensen, Suzana; Rubio, Giselia; Maron, Angela; Lemos, Elba R S; D'Andrea, Paulo S; Duarte dos Santos, Claudia N

    2012-08-01

    Paraná state presents the fourth highest number of accumulated cases of hantavirus pulmonary syndrome in Brazil. To map the risk areas for hantavirus transmission we carried out a study based on rodent trapping and determined the anti-hantavirus seroprevalence in these animals and in the inhabitants of these localities. Overall seroprevalence in rodents and humans were 2.5% and 2.4%, respectively. Eighty-two percent of the seropositive rodents were genetically analyzed. Phylogenetic analyses revealed that hantaviruses from rodent samples cluster with Araucária (Juquitiba-like) or Jaborá hantavirus genotypes. The Jaborá strain was identified in Akodon serrensis and Akodon montensis, whereas the Araucária strain was detected in Oligoryzomys nigripes, Oxymycterus judex, A. montensis, and Akodon paranaensis, with the latter species being identified for the first time as a natural host. These findings expose the complex relationships between virus and reservoirs in Brazil, which could have an impact on hantavirus transmission dynamics in nature and human epidemiology.

  16. Qualidade das anotações de enfermagem relacionadas à ressuscitação cardiopulmonar comparadas ao modelo Utstein Calidad de las anotaciones de enfermería relacionadas a la resucitación cardiopulmonar comparadas con el modelo Utstein Quality of nursing records related to cardiopulmonary resuscitation compared to the Utstein model

    Directory of Open Access Journals (Sweden)

    Ana Paula Fernandes

    2010-01-01

    Full Text Available OBJETIVO: Analisar a qualidade das anotações de enfermagem relacionadas à ressuscitação cardiopulmonar, comparando-as ao protocolo validado Utstein, em um hospital universitário. MÉTODOS: Estudo retrospectivo, exploratório, descritivo, de abordagem quantitativa, realizado por meio de consulta a prontuários de pacientes que sofreram parada cardiorrespiratória (PCR seguida de óbito. A coleta de dados foi realizada no período de 1° de maio a 30 de junho de 2009. RESULTADOS: Dos 144 prontuários consultados, 74 foram dispensados por não haver nenhuma informação registrada dos itens a serem estudados e, 70 constituíram a amostra do estudo. Nestes, não havia anotações referentes à causa imediata da PCR (92%, intervenções realizadas na tentativa de recuperação cardiorrespiratória (RCP (71%, ritmo inicial de PCR (59%, hora dos eventos (16%, drogas utilizadas (50% e profissionais envolvidos na RCP (88%. CONCLUSÕES: As anotações foram escassas e, frequentemente, não realizadas. A utilização do modelo Utstein favorece a anotação sequencial dos eventos, evitando a perda de dados.OBJETIVO: Analizar la calidad de las anotaciones de enfermería relacionadas a la resucitación cardiopulmonar, comparándolas con el protocolo validado Utstein, en un hospital universitario. MÉTODOS: Estudio retrospectivo, exploratorio, descriptivo, de abordaje cuantitativo, realizado por medio de consulta a fichas de pacientes que sufrieron parada cardiorespiratoria (PCR seguida de muerte. Los datos fueron recolectados en el período de 1° de mayo a 30 de junio de 2009. RESULTADOS: Entre las 144 fichas consultadas, 74 fueron liberadas por no haber ninguna información registrada de los ítems a ser estudiados y, 70 constituyeron la muestra del estudio. En estas, no habían anotaciones sobre la causa inmediata de la PCR (92%, intervenciones realizadas tratando de recuperar la parada cardiorespiratoria (RPC (71%, ritmo inicial de PCR (59%, hora de

  17. Can hantavirus infections be predicted on admission to hospital?

    Science.gov (United States)

    Kaya, Selçuk; Çağlayık, Dilek Yağcı; Uyar, Yavuz; Yılmaz, Hava; Engin, Aynur; Öngürü, Pınar; Yılmaz, Gurdal; Köksal, Iftihar

    2012-11-01

    The aim of this study was to investigate the predictive factors which contribute to diagnosis of hantavirus infection. One hundred patients from rural areas hospitalized with a preliminary diagnosis of hantavirus infection from different hospitals in Turkey were investigated. Hantavirus infection was confirmed in 20 patients (Group 1) using immunofluorescence and immunoblot assays at the Refik Saydam National Public Health Agency. Hantaviruses were not detected in the serum of the remaining 80 patients, other infectious and non-infectious diseases being diagnosed in this group (Group 2). Patients' demographic characteristics and clinical and laboratory data on admission were examined and compared between the two groups. Fever, proteinuria, hematuria, lethargy-weakness, and nausea-vomiting were the most frequent symptoms and findings in Group 1, seen in almost all patients. Proteinuria, hematuria, muscle pain, diarrhea/abdominal pain, hypotension, shock, and sweating were observed at significantly higher levels in Group 1 compared to Group 2. Serum urea, creatinine, uric acid, lactate dehydrogenase (LDH), aspartate transaminase (AST), alkaline phosphatase (ALP), and C-reactive protein (CRP) were significantly higher, but serum platelet counts were lower in Group 1 patients. Area beneath the receiver operating characteristics (ROC) curve analysis was used to calculate the discriminative ability of various laboratory values to identify patients with hantavirus infection. This analysis revealed that, serum CRP had a 100% negative predictive value, whilst, platelet, and creatinine had 75% and 70% positive predictive values for the diagnosis of hantavirus infection. In summary, laboratory markers used in clinical practice are of great importance predicting hantavirus infections.

  18. I diretriz de ressuscitação cardiopulmonar e cuidados cardiovasculares de emergência da Sociedade Brasileira de Cardiologia: resumo executivo

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    Maria Margarita Gonzalez

    2013-02-01

    Full Text Available Apesar de avanços nos últimos anos relacionados à prevenção e a tratamento, muitas são as vidas perdidas anualmente no Brasil relacionado à parada cardíaca e a eventos cardiovasculares em geral. O Suporte Básico de Vida envolve o atendimento às emergências cardiovasculares principalmente em ambiente pré-hospitalar, enfatizando reconhecimento e realização precoces das manobras de ressuscitação cardiopulmonar com foco na realização de compressões torácicas de boa qualidade, assim como na rápida desfibrilação, por meio da implementação dos programas de acesso público à desfibrilação. Esses aspectos são de fundamental importância e podem fazer diferença no desfecho dos casos como sobrevida hospitalar sem sequelas neurológicas. O início precoce do Suporte Avançado de Vida em Cardiologia também possui papel essencial, mantendo, durante todo o atendimento, a qualidade das compressões torácicas, adequado manejo da via aérea, tratamento específico dos diferentes ritmos de parada, desfibrilação, avaliação e tratamento das possíveis causas. Mais recentemente dá-se ênfase a cuidados pós-ressuscitação, visando reduzir a mortalidade por meio do reconhecimento precoce e tratamento da síndrome pós-parada cardíaca. A hipotermia terapêutica tem demonstrado melhora significativa da lesão neurológica e deve ser realizada em indivíduos comatosos pós-parada cardíaca. Para os médicos que trabalham na emergência ou unidade de terapia intensiva é de grande importância o aperfeiçoamento no tratamento desses pacientes por meio de treinamentos específicos, possibilitando maiores chances de sucesso e maior sobrevida.

  19. Teste de esforco cardiopulmonar na insuficiencia cardiaca de fracao de ejecao normal

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    Jose Antonio Caldas Teixeira

    2014-01-01

    Full Text Available INTRODUÇÃO: O teste de esforço cardiopulmonar (TECP fornece dados que orientam tratamento, prognóstico e tomadas de decisões. Entretanto, seu uso na insuficiência cardíaca de fração de ejeção normal (ICFEN ainda não está bem esclarecido, em especial considerando novas variáveis que vêm despontando. OBJETIVOS: Comparar o comportamento das principais variáveis diagnósticas e prognósticas do TECP entre dois grupos: pacientes com insuficiência cardíaca de fração de ejeção reduzida (ICFER e pacientes com ICFEN. MÉTODOS: Foram avaliados 36 pacientes com insuficiência cardíaca em classe funcional II-III da NYAH: 20 com ICFEN e 16 com ICFER do ambulatório de insuficiência cardíaca do Hospital Universitário Antônio Pedro (UFF. Os pacientes do Grupo ICFER selecionados foram os com FE < 35% e os do grupo ICFEN seguiram os critérios diagnósticos da Sociedade Europeia de Cardiologia de 2007. Realizou-se TECP, em esteira com protocolo de rampa, com analisador de gases VO2000. Foram aplicados teste t de Student, Mann-Whitney, teste de Fisher, modelo linear generalizado e de Cochran-Mantel-Haenszel para as análises estatísticas. RESULTADOS: O grupo ICFEN apresentou níveis mais elevados da pressão arterial em repouso, na resposta ao esforço, na potência circulatória e ventilatória, além de um maior tempo de recuperação da cinética do consumo de oxigênio. Não houve diferença em relação a outras variáveis prognósticas do TECP para o grupo ICFER. CONCLUSÕES: A pressão arterial de repouso e em esforço, a potência circulatória e ventilatória e a cinética de recuperação do VO2 (T1/2 foram as variáveis que apresentaram maior valor discriminativo entre os grupos pelo TECP.

  20. Antibody levels to hantavirus in inhabitants of western Santa Catarina State, Brazil.

    Science.gov (United States)

    Souza, William Marciel de; Machado, Alex Martins; Disner, Geonildo Rodrigo; Boff, Everton; Machado, Aline Rafaela da Silva Rodrigues; Padua, Michelly de; Figueiredo, Luiz Tadeu Moraes; Miranda, Gustavo Borba de

    2012-08-01

    Hantavirus cardiopulmonary syndrome (HCPS) is an infectious disease caused by hantaviruses of the family Bunyaviridae, and is transmitted by aerosols of excreta of infected rodents. The aim of the present study was to determine antibody levels to hantavirus in the population that lives at frontier of Brazil and Argentina. Participated of the study 405 individuals living in the municipalities of Bandeirante, Santa Helena, Princesa and Tunapolis, state of Santa Catarina, Brazil. IgG antibodies to hantavirus were analyzed in sera by an ELISA that uses a recombinant N protein of Araraquara hantavirus as antigen. The results were also confirmed by immunofluorescent test. Eight individuals showed antibodies to hantavirus (1.97% positivity), with serum titers ranging from 100 to 800. Six seropositives were males, older than 30 years and farmers. Our results reinforce previous data on hantavirus circulation and human infections in the southern border of Brazil with Argentina.

  1. Hantavirus cardiopulmonary syndrome successfully treated with high-volume hemofiltration

    Science.gov (United States)

    Bugedo, Guillermo; Florez, Jorge; Ferres, Marcela; Roessler, Eric; Bruhn, Alejandro

    2016-01-01

    Hantavirus cardiopulmonary syndrome has a high mortality rate, and early connection to extracorporeal membrane oxygenation has been suggested to improve outcomes. We report the case of a patient with demonstrated Hantavirus cardiopulmonary syndrome and refractory shock who fulfilled the criteria for extracorporeal membrane oxygenation and responded successfully to high volume continuous hemofiltration. The implementation of high volume continuous hemofiltration along with protective ventilation reversed the shock within a few hours and may have prompted recovery. In patients with Hantavirus cardiopulmonary syndrome, a short course of high volume continuous hemofiltration may help differentiate patients who can be treated with conventional intensive care unit management from those who will require more complex therapies, such as extracorporeal membrane oxygenation. PMID:27410413

  2. Maporal Hantavirus Causes Mild Pathology in Deer Mice (Peromyscus maniculatus)

    Science.gov (United States)

    McGuire, Amanda; Miedema, Kaitlyn; Fauver, Joseph R.; Rico, Amber; Aboellail, Tawfik; Quackenbush, Sandra L.; Hawkinson, Ann; Schountz, Tony

    2016-01-01

    Rodent-borne hantaviruses can cause two human diseases with many pathological similarities: hantavirus cardiopulmonary syndrome (HCPS) in the western hemisphere and hemorrhagic fever with renal syndrome in the eastern hemisphere. Each virus is hosted by specific reservoir species without conspicuous disease. HCPS-causing hantaviruses require animal biosafety level-4 (ABSL-4) containment, which substantially limits experimental research of interactions between the viruses and their reservoir hosts. Maporal virus (MAPV) is a South American hantavirus not known to cause disease in humans, thus it can be manipulated under ABSL-3 conditions. The aim of this study was to develop an ABSL-3 hantavirus infection model using the deer mouse (Peromyscus maniculatus), the natural reservoir host of Sin Nombre virus (SNV), and a virus that is pathogenic in another animal model to examine immune response of a reservoir host species. Deer mice were inoculated with MAPV, and viral RNA was detected in several organs of all deer mice during the 56 day experiment. Infected animals generated both nucleocapsid-specific and neutralizing antibodies. Histopathological lesions were minimal to mild with the peak of the lesions detected at 7–14 days postinfection, mainly in the lungs, heart, and liver. Low to modest levels of cytokine gene expression were detected in spleens and lungs of infected deer mice, and deer mouse primary pulmonary cells generated with endothelial cell growth factors were susceptible to MAPV with viral RNA accumulating in the cellular fraction compared to infected Vero cells. Most features resembled that of SNV infection of deer mice, suggesting this model may be an ABSL-3 surrogate for studying the host response of a New World hantavirus reservoir. PMID:27763552

  3. Maporal Hantavirus Causes Mild Pathology in Deer Mice (Peromyscus maniculatus

    Directory of Open Access Journals (Sweden)

    Amanda McGuire

    2016-10-01

    Full Text Available Rodent-borne hantaviruses can cause two human diseases with many pathological similarities: hantavirus cardiopulmonary syndrome (HCPS in the western hemisphere and hemorrhagic fever with renal syndrome in the eastern hemisphere. Each virus is hosted by specific reservoir species without conspicuous disease. HCPS-causing hantaviruses require animal biosafety level-4 (ABSL-4 containment, which substantially limits experimental research of interactions between the viruses and their reservoir hosts. Maporal virus (MAPV is a South American hantavirus not known to cause disease in humans, thus it can be manipulated under ABSL-3 conditions. The aim of this study was to develop an ABSL-3 hantavirus infection model using the deer mouse (Peromyscus maniculatus, the natural reservoir host of Sin Nombre virus (SNV, and a virus that is pathogenic in another animal model to examine immune response of a reservoir host species. Deer mice were inoculated with MAPV, and viral RNA was detected in several organs of all deer mice during the 56 day experiment. Infected animals generated both nucleocapsid-specific and neutralizing antibodies. Histopathological lesions were minimal to mild with the peak of the lesions detected at 7–14 days postinfection, mainly in the lungs, heart, and liver. Low to modest levels of cytokine gene expression were detected in spleens and lungs of infected deer mice, and deer mouse primary pulmonary cells generated with endothelial cell growth factors were susceptible to MAPV with viral RNA accumulating in the cellular fraction compared to infected Vero cells. Most features resembled that of SNV infection of deer mice, suggesting this model may be an ABSL-3 surrogate for studying the host response of a New World hantavirus reservoir.

  4. Experimental infection of Rio Mamore hantavirus in Sigmodontinae rodents

    Science.gov (United States)

    de Souza, William Marciel; Machado, Alex Martins; Figueiredo, Luiz Tadeu Moraes

    2016-01-01

    This study shows an experimental spillover infection ofSigmodontinae rodents with Rio Mamore hantavirus (RIOMV).Necromys lasiurus and Akodon sp were infected with 103 RNA copies of RIOMV by intraperitoneal administration. The viral genome was detected in heart, lung, and kidney tissues 18 days after infection (ai), and viral excretion in urine and faeces began at four and six ai, respectively. These results reveal that urine and faeces of infected rodents contain the virus for at least 18 days. It is possible that inhaled aerosols of these excreta could transmit hantavirus to humans and other animals. PMID:27223653

  5. Ressuscitação cardiopulmonar na gestação: uma revisão integrativa

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    Cássia Regina Vancini-Campanharo

    2016-12-01

    Full Text Available O objetivo deste estudo foi identificar dados sobre atendimento à parada cardiorrespiratória na gestação. Foi realizada uma revisão integrativa de artigos publicados entre 2010 e 2015, em português, inglês e espanhol com a utilização dos seguintes descritores: “Parada Cardíaca”; “Ressuscitação Cardiopulmonar”; “Gestante” e “Gestação”, nas seguintes bases de dados: MEDLINE, LILACS, IBECS e CUMED. A idade gestacional variou de 10 a 41 semanas, as etiologias mais comuns da parada cardiorrespiratória foram embolia pulmonar e trauma, os ritmos foram fibrilação ventricular e atividade elétrica sem pulso e o tempo em parada cardiorrespiratória variou de 15 a 60 minutos. O tratamento foi ressuscitação cardiopulmonar, intubação, administração de epinefrina e cesárea de emergência. Os desfechos mais observados nas mães e recém-nascidos foram alta e bom estado neurológico. Conclui-se que protocolos de atendimento específicos podem respaldar e auxiliar a tomada de decisão da equipe durante a ressuscitação cardiopulmonar, aumentando a sobrevida e diminuindo o dano neurológico nestas pacientes.

  6. Could hantavirus circulation superpose areas of highly endemic vaccinia virus outbreaks? A retrospective seroepidemiological study in State of Minas Gerais

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    Giliane de Souza Trindade

    2014-12-01

    Full Text Available Introduction Hantavirus infections have been described in several regions in Brazil through seroepidemiological studies. Usually, populations are associated with rural and wild environment mainly due to close contact to species of Sigmodontinae rodents, considered hantavirus reservoirs. Methods A retrospective serosurvey was conducted to access the hantavirus seroprevalence in people living in regions affected by bovine vaccinia outbreaks. Results Sera from 53 patients were analyzed and none of them presented anti-hantavirus IgG antibodies. Conclusions This study presents an opportunity to analyze seronegativity despite close and recurrent contact with known hantavirus reservoirs. Aspects of hantavirus and bovine vaccinia emergence are also discussed.

  7. Avaliação da aptidão cardiopulmonar em indivíduos com hemiparesia após acidente vascular encefálico

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    Angélica Cristiane Ovando

    2011-02-01

    Full Text Available FUNDAMENTO: Devido à hemiparesia, a avaliação da aptidão cardiorrespiratória de indivíduos após acidente vascular encefálico (AVE, por meio de testes ergométricos com protocolos convencionais, tem se tornado um desafio. OBJETIVO: Realizar teste cardiopulmonar (TCP em hemiparéticos para uma avaliação pré-participação visando uma criteriosa prescrição de exercício aeróbico. MÉTODOS: Participaram do estudo 8 indivíduos com hemiparesia crônica, que foram submetidos a TCP realizado com protocolo individualizado em rampa, desenvolvido a partir da informação da velocidade de marcha dos indivíduos previamente avaliados em teste de pista. Foi considerada a proposta de inclinação variando entre 0 e 10,0%, velocidade inicial correspondente a 70,0% do ritmo de caminhada confortável e velocidade máxima 40,0% superior à velocidade máxima no teste de pista, na expectativa de que o TCP, com este incremento gradativo e constante da intensidade, durasse entre 6 e 8 minutos. RESULTADOS: Em 100,0% dos avaliados, o motivo para a interrupção do teste foi fadiga periférica. O VO2 de pico alcançado foi de 20,6 ± 5,7 ml/kg.min. O Limiar I foi identificado em todos os exames, situando-se em 82,64 ± 4,78% da FC de pico e 73,31 ± 4,97% do VO2 de pico. O quociente respiratório (R do grupo foi de 0,96 ± 0,09, e três dos 8 indivíduos (37,5% atingiram R superior a 1,00, sendo o Limiar II identificado nestes sujeitos. Foram encontradas relações positivas entre variáveis do TCP e escores de equilíbrio, desempenho no teste de caminhada de 6 minutos e velocidade de marcha no solo. CONCLUSÃO: O teste mostrou ser útil para prescrição de atividade física nesses indivíduos.

  8. ÍNDICE DA QUALIDADE DO SONO DE PITTSBURGH PARA USO NA REABILITAÇÃO CARDIOPULMONAR E METABÓLICA

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    Pablo Antonio Bertasso de Araujo

    2015-12-01

    Full Text Available Introdução A qualidade do sono constitui-se em parâmetro relevante na avaliação da saúde em geral, sendo um fator relevante na determinação do risco das doenças cardiovasculares. Objetivo Validar a versão adaptada do questionário de avaliação do Índice de Qualidade do Sono de Pittsburgh (PSQI para uso em programas de reabilitação cardiopulmonar e metabólica (RCPM. Métodos Estudo descritivo transversal realizado com 101 pacientes de ambos os sexos, com média de idade de 66,05 (± 13,9 anos. Para a análise estatística foi considerado intervalo de confiança de 95% e valor de significância p <0,05; para a análise de consistência interna foi utilizado o coeficiente de alfa de Cronbach e para a análise da relação entre componentes e itens com o escore total do questionário foi utilizado o coeficiente de correlação de Spearman. Resultados Todos os componentes do questionário apresentaram boa consistência interna com valor de 0,72. Os componentes que mais se relacionaram com o escore total foram "duração do sono" e "qualidade subjetiva do sono", sendo que o componente que menos se relacionou foi "alterações do sono". Dentre os itens a variação foi de 0,584 no item "durante a última semana, em geral, como você classificaria a qualidade do seu sono?", até -0,611 no item "durante a última semana, quantas horas você conseguia dormir durante a noite?". Foi possível observar que os itens "tossir ou roncar muito alto" e "frequência para dificuldades do sono por outras razões" não apresentaram correlação com o escore total do questionário. Conclusão A versão adaptada do PSQI mostrou-se válida para ser utilizada na avaliação do sono em programas de RCPM.

  9. The first established focus of hantavirus infection in Poland, 2007.

    Science.gov (United States)

    Nowakowska, Anna; Heyman, Paul; Knap, Józef Piotr; Burzyński, Waldemar; Witas, Małgorzata

    2009-01-01

    The first hantavirus infection outbreak in Poland (with different seroetiology) was identified between August-December 2007. Thirteen cases were reported in southeast Poland: 12 cases in the Carpathians bordering with northeast Slovakia, mainly in the forested areas of the Bieszczady mountains, and one case approximately 100-120 kilometres north from the others, in the adjacent Sub-Carpathian region. Four additional cases of past infection were identified retrospectively, based on the presence of the hantavirus specific IgG antibodies. Thus, the total number of infections identified in this area amounts to 17. Most probably, this number does not constitute the real hantavirus participation in the infections in this area. Considerable evidence for the probable participation of Dobrava virus (10 cases out of 17) and Puumala virus (3 cases out of 17) in the hantavirus diseases has been revealed. There were no fatal infections. However, out of 13 symptomatic cases, major HFRS clinical manifestations were observed in 10 cases and a typical nephropathia epidemica in the next 3 cases. Haemorrhagic diathesis was observed in 9 patients. Five patients underwent haemodialysis treatment due to acute renal failure. One, a female patient, haemodialysed in 10th week of gravidity, managed to maintain pregnancy and remains under interdisciplinary care.

  10. Epidemiology and laboratory diagnosis of Hantavirus (HTV) infections.

    NARCIS (Netherlands)

    J.P.G. Clement; P. McKenna; J. Groen (Jan); A.D.M.E. Osterhaus (Albert); P. Colson; T. Vervoort; G. van der Groen (Guido); H.W. Lee

    1995-01-01

    textabstractHantavirus (HTV) is recently discovered "hemorrhagic fever virus" belonging to the Bunyaviridae family, which is spread throughout the world by wild rodents and/or laboratory rats. During an epidemic in the Belgian-French Ardennes in 1993, more than 200 acute cases were recorded of the m

  11. Detection of Dobrava hantavirus RNA in Apodemus mice in Bulgaria.

    Science.gov (United States)

    Christova, Iva; Plyusnina, Angelina; Gladnishka, Teodora; Kalvatchev, Nikolay; Trifonova, Iva; Dimitrov, Hristo; Mitkovska, Vesela; Mohareb, Emad; Plyusnin, Alexander

    2015-02-01

    Several Hantaviruses cause hemorrhagic fever with renal syndrome (HFRS) in Europe: Dobrava-Belgrade virus (DOBV), Puumala, Saaremaa, Sochi, and Seoul virus. Although HFRS is endemic in Bulgaria, genome sequences of hantaviruses have never been detected in wild rodents. To identify rodent reservoirs, a total of 691 rodents from three endemic regions were trapped in 2011-2012 and screened by TaqMan RT-PCR for detection of hantaviral genomic RNA. Partial small (S) and/or large (L)-segment sequences were recovered from six Apodemus mice: five of the species A. flavicollis and one A. agrarius. Phylogenetic analysis revealed that all recovered sequences belonged to DOBV. On the phylogenetic trees, the novel Bulgarian hantavirus sequences clustered together with sequences of established previously DOBV variants recovered from Bulgarian HFRS patients and also with variants found in wild rodents trapped in Slovenia, Greece, and Slovakia. One of the novel Bulgarian DOBV S-sequences from A. agrarius was related closely to DOBV sequences recovered from A. flavicollis, suggesting a spillover of DOBV from its natural host to A. agrarius mice. The results of this study confirmed the circulation of DOBV in wild rodents in Bulgaria. The complexity of the epidemiological situation in the Balkans requires further studies of hantaviruses in rodent hosts and human HFRS cases.

  12. Serosurvey of pathogenic hantaviruses among forestry workers in Hungary

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    Miklós Oldal

    2014-10-01

    Full Text Available Objectives: The aim of the study was to survey the prevalence of human hantavirus infections among forestry workers, who are considered a risk population for contracting the disease. Sera collected from volunteers were tested for antibodies against Dobrava-Belgrade (DOBV and Puumala (PUUV viruses. Material and Methods: For serological analyses, full capsid proteins of DOBV and PUUV viruses were produced in a bacterial expression system, while Ni-resin was used for protein purification. Samples were screened for anti-hantavirus antibodies by ELISA, results were confirmed by Western blot analysis. Results: A total of 835 samples collected from 750 males and 85 females were tested by indirect ELISA and positive test results were confirmed by Western blot assay. Out of the 45 ELISA-reactive samples, 38 were confirmed by Western blot analysis. The regional distribution of seropositive individuals was as follows: 1.9% (2/107 in the Danube-Tisza Plateau (Great Plains, 3.1% (10/321 in the Southern Transdanubian region, 5.2% (13/248 in the Northern Transdanubian, and 8.2% (13/159 in the North Hungarian Mountains. Conclusions: Our data show marked geographic differences in seroprevalence of pathogenic hantaviruses within Hungary, indicating elevated exposure to hantavirus infections in some areas.

  13. Reporting Hantavirus: A Study of Intercultural Environmental Journalism.

    Science.gov (United States)

    Valenti, JoAnn M.

    A study examined media coverage of hantavirus in three Southwestern regional newspapers, including interviews with journalists and sources involved in the coverage, and implications of the media's portrayal of Navajo culture. Content review of regional coverage--67 articles in three regional newspapers were reviewed in the first year of a new…

  14. Population ecology of hantavirus rodent hosts in southern Brazil.

    Science.gov (United States)

    Teixeira, Bernardo R; Loureiro, Nathalie; Strecht, Liana; Gentile, Rosana; Oliveira, Renata C; Guterres, Alexandro; Fernandes, Jorlan; Mattos, Luciana H B V; Raboni, Sonia M; Rubio, Giselia; Bonvicino, Cibele R; dos Santos, Claudia N Duarte; Lemos, Elba R S; D'Andrea, Paulo S

    2014-08-01

    In this study we analyze population dynamics of hantavirus rodent hosts and prevalence of infection over a 2-year period in Southern Brazil, a region with a high incidence of hantavirus pulmonary syndrome. The 14 small mammal species captured were composed of 10 rodents and four marsupials, the six most abundant species being Akodon serrensis, Oxymycterus judex, Akodon montensis, Akodon paranaensis, Oligoryzomys nigripes, and Thaptomys nigrita. These species displayed a similar pattern with increasing population sizes in fall/winter caused by recruitment and both, increase in reproductive activity and higher hantavirus prevalence in spring/summer. Specific associations between A. montensis/Jaborá Virus (JABV) and O. nigripes/Juquitiba-like Virus (JUQV-like) and spillover infections between A. paranaensis/JABV, A. serrensis/JABV, and A. paranaensis/JUQV-like were observed. Spillover infection in secondary hosts seems to play an important role in maintaining JABV and JUQV-like in the hantavirus sylvatic cycle mainly during periods of low prevalence in primary hosts.

  15. Viral load of patients with hantavirus pulmonary syndrome in Argentina.

    Science.gov (United States)

    Bellomo, Carla María; Pires-Marczeski, Fanny Clara; Padula, Paula Julieta

    2015-11-01

    Hantavirus causes severe illness including pneumonia, which leads to hospitalization and often death. At present, there is no specific treatment available. The hantavirus pathogenesis is not well understood, but most likely both virus-mediated and host-mediated mechanisms, are involved. The aim of this study was to correlate viral load in samples of hantavirus pulmonary syndrome cases and hantavirus infected individuals, with clinical epidemiological parameters and disease outcome. The variables that could potentially be related with viral load were analyzed. The retrospective study included 73 cases or household contacts, with different clinical evolution. Viral load was measured by reverse-transcription and real time polymerase chain reaction. There was no statistically significant association between blood viral RNA levels and severity of disease. However, viral load was inversely correlated with IgG response in a statistically significant manner. The level of viral RNA was significantly higher in patients infected with Andes virus South lineage, and was markedly low in persons infected with Laguna Negra virus. These results suggest that the infecting viral genotype is associated with disease severity, and that high viral load is associated with a low specific IgG response. Sex, age and disease severity were not related with viral load. Further investigations increasing strikingly the number of cases and also limiting the variables to be studied are necessary.

  16. Hantavirus pulmonary syndrome outbreak, Brazil, December 2009-January 2010.

    Science.gov (United States)

    Terças, Ana Cláudia Pereira; Atanaka dos Santos, Marina; Pignatti, Marta Gislene; Espinosa, Mariano Martinez; Via, Alba Valéria Gomes de Melo; Menegatti, Jaqueline Aparecida

    2013-11-01

    An outbreak of hantavirus pulmonary syndrome occurred in the Sobradinho Indian settlement of the Kayabí ethnic group in northern Mato Grosso during December 2009-January 2010. We conducted a retrospective study to clarify the outbreak's epidemiologic and clinical characteristics. Results suggest a relationship between the outbreak and deforestation and farming expansion in indigenous areas.

  17. Rodent-borne hantaviruses in Cambodia, Lao PDR, and Thailand.

    Science.gov (United States)

    Blasdell, Kim; Cosson, Jean François; Chaval, Yannick; Herbreteau, Vincent; Douangboupha, Bounneuang; Jittapalapong, Sathaporn; Lundqvist, Ake; Hugot, Jean-Pierre; Morand, Serge; Buchy, Philippe

    2011-12-01

    In order to evaluate the circulation of hantaviruses present in southeast Asia, a large scale survey of small mammal species was carried out at seven main sites in the region (Cambodia, Lao People's Democratic Republic, and Thailand). Small scale opportunistic trapping was also performed at an eighth site (Cambodia). Using a standard IFA test, IgG antibodies reacting to Hantaan virus antigens were detected at six sites. Antibody prevalence at each site varied from 0 to 5.6% with antibodies detected in several rodent species (Bandicota indica, B. savilei, Maxomys surifer, Mus caroli, M. cookii, Rattus exulans, R. nitidius, R. norvegicus, and R. tanezumi). When site seroprevalence was compared with site species richness, seropositive animals were found more frequently at sites with lower species richness. In order to confirm which hantavirus species were present, a subset of samples was also subjected to RT-PCR. Hantaviral RNA was detected at a single site from each country. Sequencing confirmed the presence of two hantavirus species, Thailand and Seoul viruses, including one sample (from Lao PDR) representing a highly divergent strain of Seoul virus. This is the first molecular evidence of hantavirus in Lao PDR and the first reported L segment sequence data for Thailand virus.

  18. Hantavirus nephropathy as a pseudo-import pathology from Ecuador.

    Science.gov (United States)

    Demeester, R; Bottieau, E; Van Esbroeck, M; Pourkarim, M R; Maes, P; Clement, J

    2010-01-01

    We report a case of hantavirus infection (nephropathia epidemica) diagnosed in a Belgian backpacker returning from a trekking expedition in Ecuador, after likely heavy exposure to rodents. Because of epidemiological inconsistency, molecular investigation was performed and revealed a Puumala infection acquired during very limited exposure in Belgium upon return.

  19. Structure of the Hantavirus Nucleoprotein Provides Insights into the Mechanism of RNA Encapsidation.

    Science.gov (United States)

    Olal, Daniel; Daumke, Oliver

    2016-03-08

    Hantaviruses are etiological agents of life-threatening hemorrhagic fever with renal syndrome and hantavirus cardiopulmonary syndrome. The nucleoprotein (N) of hantavirus is essential for viral transcription and replication, thus representing an attractive target for therapeutic intervention. We have determined the crystal structure of hantavirus N to 3.2 Å resolution. The structure reveals a two-lobed, mostly α-helical structure that is distantly related to that of orthobunyavirus Ns. A basic RNA binding pocket is located at the intersection between the two lobes. We provide evidence that oligomerization is mediated by amino- and C-terminal arms that bind to the adjacent monomers. Based on these findings, we suggest a model for the oligomeric ribonucleoprotein (RNP) complex. Our structure provides mechanistic insights into RNA encapsidation in the genus Hantavirus and constitutes a template for drug discovery efforts aimed at combating hantavirus infections.

  20. Hantavirus infections among overnight visitors to Yosemite National Park, California, USA, 2012.

    Science.gov (United States)

    Núñez, Jonathan J; Fritz, Curtis L; Knust, Barbara; Buttke, Danielle; Enge, Barryett; Novak, Mark G; Kramer, Vicki; Osadebe, Lynda; Messenger, Sharon; Albariño, César G; Ströher, Ute; Niemela, Michael; Amman, Brian R; Wong, David; Manning, Craig R; Nichol, Stuart T; Rollin, Pierre E; Xia, Dongxiang; Watt, James P; Vugia, Duc J

    2014-03-01

    In summer 2012, an outbreak of hantavirus infections occurred among overnight visitors to Yosemite National Park in California, USA. An investigation encompassing clinical, epidemiologic, laboratory, and environmental factors identified 10 cases among residents of 3 states. Eight case-patients experienced hantavirus pulmonary syndrome, of whom 5 required intensive care with ventilatory support and 3 died. Staying overnight in a signature tent cabin (9 case-patients) was significantly associated with becoming infected with hantavirus (phantavirus infection in areas inhabited by deer mice.

  1. Adenovirus Vectors Expressing Hantavirus Proteins Protect Hamsters against Lethal Challenge with Andes Virus ▿

    OpenAIRE

    2009-01-01

    Hantaviruses infect humans following aerosolization from rodent feces and urine, producing hemorrhagic fever with renal syndrome and hantavirus pulmonary syndrome. Due to the high rates of mortality and lack of therapies, vaccines are urgently needed. Nonreplicating adenovirus (Ad) vectors that express Andes hantavirus (ANDV) nucleocapsid protein (AdN) or glycoproteins (AdGN and AdGC) were constructed. Ad vectors were tested for their ability to protect Syrian hamsters from a lethal ANDV infe...

  2. Serological evidence of hantavirus infection in rural and urban regions in the state of Amazonas, Brazil

    Directory of Open Access Journals (Sweden)

    João Bosco Lima Gimaque

    2012-02-01

    Full Text Available Hantavirus disease is caused by the hantavirus, which is an RNA virus belonging to the family Bunyaviridae. Hantavirus disease is an anthropozoonotic infection transmitted through the inhalation of aerosols from the excreta of hantavirus-infected rodents. In the county of Itacoatiara in the state of Amazonas (AM, Brazil, the first human cases of hantavirus pulmonary and cardiovascular syndrome were described in July 2004. These first cases were followed by two fatal cases, one in the municipality of Maués in 2005 and another in Itacoatiara in 2007. In this study, we investigated the antibody levels to hantavirus in a population of 1,731 individuals from four different counties of AM. Sera were tested by IgG/IgM- enzyme-linked immune-sorbent assay using a recombinant nucleocapsid protein of the Araraquara hantavirus as an antigen. Ten sera were IgG positive to hantavirus (0.6%. Among the positive sera, 0.8% (1/122, 0.4% (1/256, 0.2% (1/556 and 0.9% (7/797 were from Atalaia do Norte, Careiro Castanho, Itacoatiara and Lábrea, respectively. None of the sera in this survey were IgM-positive. Because these counties are distributed in different areas of AM, we can assume that infected individuals are found throughout the entire state, which suggests that hantavirus disease could be a local emerging health problem.

  3. Phylogeny and origins of hantaviruses harbored by bats, insectivores, and rodents.

    Directory of Open Access Journals (Sweden)

    Wen-Ping Guo

    2013-02-01

    Full Text Available Hantaviruses are among the most important zoonotic pathogens of humans and the subject of heightened global attention. Despite the importance of hantaviruses for public health, there is no consensus on their evolutionary history and especially the frequency of virus-host co-divergence versus cross-species virus transmission. Documenting the extent of hantavirus biodiversity, and particularly their range of mammalian hosts, is critical to resolving this issue. Here, we describe four novel hantaviruses (Huangpi virus, Lianghe virus, Longquan virus, and Yakeshi virus sampled from bats and shrews in China, and which are distinct from other known hantaviruses. Huangpi virus was found in Pipistrellus abramus, Lianghe virus in Anourosorex squamipes, Longquan virus in Rhinolophus affinis, Rhinolophus sinicus, and Rhinolophus monoceros, and Yakeshi virus in Sorex isodon, respectively. A phylogenetic analysis of the available diversity of hantaviruses reveals the existence of four phylogroups that infect a range of mammalian hosts, as well as the occurrence of ancient reassortment events between the phylogroups. Notably, the phylogenetic histories of the viruses are not always congruent with those of their hosts, suggesting that cross-species transmission has played a major role during hantavirus evolution and at all taxonomic levels, although we also noted some evidence for virus-host co-divergence. Our phylogenetic analysis also suggests that hantaviruses might have first appeared in Chiroptera (bats or Soricomorpha (moles and shrews, before emerging in rodent species. Overall, these data indicate that bats are likely to be important natural reservoir hosts of hantaviruses.

  4. Novel camelid antibody fragments targeting recombinant nucleoprotein of Araucaria hantavirus: a prototype for an early diagnosis of Hantavirus Pulmonary Syndrome.

    Directory of Open Access Journals (Sweden)

    Soraya S Pereira

    Full Text Available In addition to conventional antibodies, camelids produce immunoglobulins G composed exclusively of heavy chains in which the antigen binding site is formed only by single domains called VHH. Their particular characteristics make VHHs interesting tools for drug-delivery, passive immunotherapy and high-throughput diagnosis. Hantaviruses are rodent-borne viruses of the Bunyaviridae family. Two clinical forms of the infection are known. Hemorrhagic Fever with Renal Syndrome (HFRS is present in the Old World, while Hantavirus Pulmonary Syndrome (HPS is found on the American continent. There is no specific treatment for HPS and its diagnosis is carried out by molecular or serological techniques, using mainly monoclonal antibodies or hantavirus nucleoprotein (N to detect IgM and IgG in patient serum. This study proposes the use of camelid VHHs to develop alternative methods for diagnosing and confirming HPS. Phage display technology was employed to obtain VHHs. After immunizing one Lama glama against the recombinant N protein (prNΔ₈₅ of a Brazilian hantavirus strain, VHH regions were isolated to construct an immune library. VHHs were displayed fused to the M13KO7 phage coat protein III and the selection steps were performed on immobilized prNΔ₈₅. After selection, eighty clones recognized specifically the N protein. These were sequenced, grouped based mainly on the CDRs, and five clones were analyzed by western blot (WB, surface plasmon resonance (SPR device, and ELISA. Besides the ability to recognize prNΔ85 by WB, all selected clones showed affinity constants in the nanomolar range. Additionaly, the clone KC329705 is able to detect prNΔ₈₅ in solution, as well as the native viral antigen. Findings support the hypothesis that selected VHHs could be a powerful tool in the development of rapid and accurate HPS diagnostic assays, which are essential to provide supportive care to patients and reduce the high mortality rate associated with

  5. Novel camelid antibody fragments targeting recombinant nucleoprotein of Araucaria hantavirus: a prototype for an early diagnosis of Hantavirus Pulmonary Syndrome.

    Science.gov (United States)

    Pereira, Soraya S; Moreira-Dill, Leandro S; Morais, Michelle S S; Prado, Nidiane D R; Barros, Marcos L; Koishi, Andrea C; Mazarrotto, Giovanny A C A; Gonçalves, Giselle M; Zuliani, Juliana P; Calderon, Leonardo A; Soares, Andreimar M; Pereira da Silva, Luiz H; Duarte dos Santos, Claudia N; Fernandes, Carla F C; Stabeli, Rodrigo G

    2014-01-01

    In addition to conventional antibodies, camelids produce immunoglobulins G composed exclusively of heavy chains in which the antigen binding site is formed only by single domains called VHH. Their particular characteristics make VHHs interesting tools for drug-delivery, passive immunotherapy and high-throughput diagnosis. Hantaviruses are rodent-borne viruses of the Bunyaviridae family. Two clinical forms of the infection are known. Hemorrhagic Fever with Renal Syndrome (HFRS) is present in the Old World, while Hantavirus Pulmonary Syndrome (HPS) is found on the American continent. There is no specific treatment for HPS and its diagnosis is carried out by molecular or serological techniques, using mainly monoclonal antibodies or hantavirus nucleoprotein (N) to detect IgM and IgG in patient serum. This study proposes the use of camelid VHHs to develop alternative methods for diagnosing and confirming HPS. Phage display technology was employed to obtain VHHs. After immunizing one Lama glama against the recombinant N protein (prNΔ₈₅) of a Brazilian hantavirus strain, VHH regions were isolated to construct an immune library. VHHs were displayed fused to the M13KO7 phage coat protein III and the selection steps were performed on immobilized prNΔ₈₅. After selection, eighty clones recognized specifically the N protein. These were sequenced, grouped based mainly on the CDRs, and five clones were analyzed by western blot (WB), surface plasmon resonance (SPR) device, and ELISA. Besides the ability to recognize prNΔ85 by WB, all selected clones showed affinity constants in the nanomolar range. Additionaly, the clone KC329705 is able to detect prNΔ₈₅ in solution, as well as the native viral antigen. Findings support the hypothesis that selected VHHs could be a powerful tool in the development of rapid and accurate HPS diagnostic assays, which are essential to provide supportive care to patients and reduce the high mortality rate associated with hantavirus

  6. Resposta cronotrópica ao teste cardiopulmonar após o uso de cimetidina Effects of cimetidine on chronotropic response to cardiopulmonary exercise t esting

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    Gicela Risso Rocha

    2006-03-01

    Full Text Available OBJETIVO: Testar a hipótese, por meio de ensaio clínico randomizado, de que a administração de cimetidina altera a resposta cronotrópica ao exercício. MÉTODOS: Foram selecionados 24 indivíduos saudáveis, com idade entre 20 e 68 anos, não-atletas, os quais concordaram em ser submetidos a testes cardiopulmonares, após uso de placebo e de cimetidina, 400 mg, duas vezes ao dia, durante uma semana. Os testes foram realizados em esteira rolante, com protocolo de rampa com análises diretas dos gases expirados. Foi avaliada freqüência cardíaca máxima atingida, além da freqüência cardíaca de repouso e do limiar anaeróbico. RESULTADOS: Os indivíduos estudados foram igualmente distribuídos por sexo, com idade média (± desvio padrão de 43 ±11 anos. Os exames com placebo e com cimetidina tiveram igual duração (578±90 seg vs 603±131 seg e igual VO2 pico (35±8 ml/kg.min vs 35±8 ml/kg.min. A administração de cimetidina não apresentou efeito significativo na freqüência cardíaca de repouso (75±10 vs 74±8 bpm, no pico do esforço (176±12 vs 176±11 bpm e, da mesma forma, também não houve diferença entre as variações das freqüências cardíacas (pico - repouso, nos dois estudos (101±14 vs 101±13 bpm. CONCLUSÃO: A administração de cimetidina por sete dias não altera a resposta cronotrópica ao exercício.OBJECTIVE: To test the hypothesis that the administration of cimetidine will modify the chronotropic response to exercise testing through a random clinical trial. METHODS: The study selected 24 eligible healthy subjects, ages between 20 and 68 years, not athletes, who agreed to undergo cardiopulmonary exercise testing after the administration of placebo and 400 mg of cimetidine twice a day for one week. The tests were performed on a treadmill using a ramp protocol and direct analysis of the expired gases. Peak, resting and anaerobic threshold heart rate were recorded. RESULTS: The twenty subjects studied were

  7. Experimental evidence for reduced rodent diversity causing increased hantavirus prevalence.

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    Gerardo Suzán

    Full Text Available Emerging and re-emerging infectious diseases have become a major global environmental problem with important public health, economic, and political consequences. The etiologic agents of most emerging infectious diseases are zoonotic, and anthropogenic environmental changes that affect wildlife communities are increasingly implicated in disease emergence and spread. Although increased disease incidence has been correlated with biodiversity loss for several zoonoses, experimental tests in these systems are lacking. We manipulated small-mammal biodiversity by removing non-reservoir species in replicated field plots in Panama, where zoonotic hantaviruses are endemic. Both infection prevalence of hantaviruses in wild reservoir (rodent populations and reservoir population density increased where small-mammal species diversity was reduced. Regardless of other variables that affect the prevalence of directly transmitted infections in natural communities, high biodiversity is important in reducing transmission of zoonotic pathogens among wildlife hosts. Our results have wide applications in both conservation biology and infectious disease management.

  8. Hantavirus Pulmonary Syndrome: Report of Four Alberta Cases

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    Ameeta E Singh

    1995-01-01

    Full Text Available Four Alberta cases of hantavirus pulmonary syndrome are reported. Three cases required intensive care, with one experiencing a fulminant course resulting in death. A fourth case with milder illness was identified after epidemiological investigations. Ribavirin was used in one patient who experienced a successful outcome. A recent open label trial has not supported the efficacy of this drug. The epidemiology of Peromyscus maniculatus, the primary rodent host, and the clinical features of this syndrome are summarized.

  9. Hantavirus infections in Europe and their impact on public health.

    Science.gov (United States)

    Vaheri, Antti; Henttonen, Heikki; Voutilainen, Liina; Mustonen, Jukka; Sironen, Tarja; Vapalahti, Olli

    2013-01-01

    Hantaviruses (genus Hantavirus, family Bunyaviridae) are enveloped tri-segmented negative-stranded RNA viruses each carried by a specific rodent or insectivore host species. Several different hantaviruses known to infect humans circulate in Europe. The most common is Puumala (PUUV) carried by the bank vole; another two important, genetically closely related ones are Dobrava-Belgrade (DOBV) and Saaremaa viruses (SAAV) carried by Apodemus mice (species names follow the International Committee on Taxonomy of Viruses nomenclature). Of the two hantaviral diseases, hemorrhagic fever with renal syndrome (HFRS) and hantaviral cardiopulmonary syndrome, the European viruses cause only HFRS: DOBV with often severe symptoms and a high case fatality rate, and PUUV and SAAV more often mild disease. More than 10,000 HFRS cases are diagnosed annually in Europe and in increasing numbers. Whether this is because of increasing recognition by the medical community or due to environmental factors such as climate change, or both, is not known. Nevertheless, in large areas of Europe, the population has a considerable seroprevalence but only relatively few HFRS cases are reported. Moreover, no epidemiological data are available from many countries. We know now that cardiac, pulmonary, ocular and hormonal disorders are, besides renal changes, common during the acute stage of PUUV and DOBV infection. About 5% of hospitalized PUUV and 16%-48% of DOBV patients require dialysis and some prolonged intensive-care treatment. Although PUUV-HFRS has a low case fatality rate, complications and long-term hormonal, renal, and cardiovascular consequences commonly occur. No vaccine or specific therapy is in general use in Europe. We conclude that hantaviruses have a significant impact on public health in Europe.

  10. Hantavirus Reservoirs: Current Status with an Emphasis on Data from Brazil

    Directory of Open Access Journals (Sweden)

    Renata Carvalho de Oliveira

    2014-04-01

    Full Text Available Since the recognition of hantavirus as the agent responsible for haemorrhagic fever in Eurasia in the 1970s and, 20 years later, the descovery of hantavirus pulmonary syndrome in the Americas, the genus Hantavirus has been continually described throughout the World in a variety of wild animals. The diversity of wild animals infected with hantaviruses has only recently come into focus as a result of expanded wildlife studies. The known reservoirs are more than 80, belonging to 51 species of rodents, 7 bats (order Chiroptera and 20 shrews and moles (order Soricomorpha. More than 80genetically related viruses have been classified within Hantavirus genus; 25 recognized as human pathogens responsible for a large spectrum of diseases in the Old and New World. In Brazil, where the diversity of mammals and especially rodents is considered one of the largest in the world, 9 hantavirus genotypes have been identified in 12 rodent species belonging to the genus Akodon, Calomys, Holochilus, Oligoryzomys, Oxymycterus, Necromys and Rattus. Considering the increasing number of animals that have been implicated as reservoirs of different hantaviruses, the understanding of this diversity is important for evaluating the risk of distinct hantavirus species as human pathogens.

  11. A small-scale survey of hantavirus in mammals from eastern Poland.

    Science.gov (United States)

    Wójcik-Fatla, Angelina; Zając, Violetta; Knap, Józef P; Sroka, Jacek; Cisak, Ewa; Sawczyn, Anna; Dutkiewicz, Jacek

    2013-01-01

    Samples of 30 dead small mammals each were collected on area 'A' located in eastern Poland which is exposed to flooding by the Vistula river, and on the area 'B', also located in eastern Poland but not exposed to flooding. Kidneys and livers of the mammals were examined by the PCR and nested PCR methods for the presence of hantavirus RNA. Out of 7 species of small mammals examined, the presence of hantaviruses was detected in 4 of them. Hantavirus prevalence was low in Apodemus agrarius (2.6%), the most numerous mammal species, whereas in the remaining 3 positive species (Microtus agrestis, Myodes glareolus, Sorex araneus) this was 12.5-100%. The presence of hantaviruses was detected only in the animals found on area 'A' exposed to flooding, and their prevalence was statistically greater compared to area 'B' not exposed to flooding (16.7% vs. 0%, p=0.0345). The overall positivity of the examined small mammals population from the areas 'A' and 'B' was 8.3%. The sequence analysis of the samples positive for hantavirus proved that the amplified products showed 77-86% homology with the L segment sequence of hantavirus Fusong-Mf-731 isolated from Microtus fortis in China. The presented study is the first to demonstrate the occurrence of hantavirus infection in small mammals from eastern Poland, and the first to demonstrate the significant relationship between flooding and the prevalence of hantaviruses in small mammals.

  12. Hantavirus-infection confers resistance to cytotoxic lymphocyte-mediated apoptosis.

    Directory of Open Access Journals (Sweden)

    Shawon Gupta

    2013-03-01

    Full Text Available Hantaviruses cause hemorrhagic fever with renal syndrome (HFRS and hantavirus cardio-pulmonary syndrome (HCPS; also called hantavirus pulmonary syndrome (HPS, both human diseases with high case-fatality rates. Endothelial cells are the main targets for hantaviruses. An intriguing observation in patients with HFRS and HCPS is that on one hand the virus infection leads to strong activation of CD8 T cells and NK cells, on the other hand no obvious destruction of infected endothelial cells is observed. Here, we provide an explanation for this dichotomy by showing that hantavirus-infected endothelial cells are protected from cytotoxic lymphocyte-mediated induction of apoptosis. When dissecting potential mechanisms behind this phenomenon, we discovered that the hantavirus nucleocapsid protein inhibits the enzymatic activity of both granzyme B and caspase 3. This provides a tentative explanation for the hantavirus-mediated block of cytotoxic granule-mediated apoptosis-induction, and hence the protection of infected cells from cytotoxic lymphocytes. These findings may explain why infected endothelial cells in hantavirus-infected patients are not destroyed by the strong cytotoxic lymphocyte response.

  13. Hantavirus-infection confers resistance to cytotoxic lymphocyte-mediated apoptosis.

    Science.gov (United States)

    Gupta, Shawon; Braun, Monika; Tischler, Nicole D; Stoltz, Malin; Sundström, Karin B; Björkström, Niklas K; Ljunggren, Hans-Gustaf; Klingström, Jonas

    2013-03-01

    Hantaviruses cause hemorrhagic fever with renal syndrome (HFRS) and hantavirus cardio-pulmonary syndrome (HCPS; also called hantavirus pulmonary syndrome (HPS)), both human diseases with high case-fatality rates. Endothelial cells are the main targets for hantaviruses. An intriguing observation in patients with HFRS and HCPS is that on one hand the virus infection leads to strong activation of CD8 T cells and NK cells, on the other hand no obvious destruction of infected endothelial cells is observed. Here, we provide an explanation for this dichotomy by showing that hantavirus-infected endothelial cells are protected from cytotoxic lymphocyte-mediated induction of apoptosis. When dissecting potential mechanisms behind this phenomenon, we discovered that the hantavirus nucleocapsid protein inhibits the enzymatic activity of both granzyme B and caspase 3. This provides a tentative explanation for the hantavirus-mediated block of cytotoxic granule-mediated apoptosis-induction, and hence the protection of infected cells from cytotoxic lymphocytes. These findings may explain why infected endothelial cells in hantavirus-infected patients are not destroyed by the strong cytotoxic lymphocyte response.

  14. Hantavirus reservoirs: current status with an emphasis on data from Brazil.

    Science.gov (United States)

    de Oliveira, Renata Carvalho; Guterres, Alexandro; Fernandes, Jorlan; D'Andrea, Paulo Sérgio; Bonvicino, Cibele Rodrigues; de Lemos, Elba Regina Sampaio

    2014-04-29

    Since the recognition of hantavirus as the agent responsible for haemorrhagic fever in Eurasia in the 1970s and, 20 years later, the descovery of hantavirus pulmonary syndrome in the Americas, the genus Hantavirus has been continually described throughout the World in a variety of wild animals. The diversity of wild animals infected with hantaviruses has only recently come into focus as a result of expanded wildlife studies. The known reservoirs are more than 80, belonging to 51 species of rodents, 7 bats (order Chiroptera) and 20 shrews and moles (order Soricomorpha). More than 80 genetically related viruses have been classified within Hantavirus genus; 25 recognized as human pathogens responsible for a large spectrum of diseases in the Old and New World. In Brazil, where the diversity of mammals and especially rodents is considered one of the largest in the world, 9 hantavirus genotypes have been identified in 12 rodent species belonging to the genus Akodon, Calomys, Holochilus, Oligoryzomys, Oxymycterus, Necromys and Rattus. Considering the increasing number of animals that have been implicated as reservoirs of different hantaviruses, the understanding of this diversity is important for evaluating the risk of distinct hantavirus species as human pathogens.

  15. Hantavirus pulmonary syndrome and rodent reservoirs in the savanna-like biome of Brazil's southeastern region.

    Science.gov (United States)

    Limongi, J E; Oliveira, R C; Guterres, A; Costa Neto, S F; Fernandes, J; Vicente, L H B; Coelho, M G; Ramos, V N; Ferreira, M S; Bonvicino, C R; D'Andrea, P S; Lemos, E R S

    2016-04-01

    This paper describes the diversity of rodent fauna in an area endemic for hantavirus cardiopulmonary syndrome (HCPS) in Brazil, the population dynamics and the relationship of rodents with hantavirus in the Cerrado (savanna-like) biome. Additionally, an analysis is made of the partial S segment sequences of the hantaviruses obtained from serologically confirmed human HCPS cases and from rodent specimens. Rodents were collected during four campaigns. Human serum samples were collected from suspected cases of HCPS at hospitals in the state of Minas Gerais. The samples antibody-reactive by ELISA were processed by RT-PCR. The PCR product was amplified and sequenced. Hantavirus was detected only in Necromys lasiurus, the wild rodent species most prevalent in the Cerrado biome (min-max: 50-83·7%). All the six human serum samples were hantavirus seropositive and five showed amplified PCR products. The analysis of the nucleotide sequences showed the circulation of a single genotype, the Araraquara hantavirus. The environmental changes that have occurred in the Cerrado biome in recent decades have favoured N. lasiurus in interspecific competition of habitats, thus increasing the risk of contact between humans and rodent species infected with hantavirus. Our data corroborate the definition of N. lasiurus as the main hantavirus reservoir in the Cerrado biome.

  16. [Hantavirus as important emerging agents in South America].

    Science.gov (United States)

    Ondoño, Andrés F; Levis, Silvana; Rodas, Juan D

    2011-01-01

    The dawning of the 20th century was marked by the emergence of new infectious disease agents and the appearance of others previously thought controlled. Both phenomena were possibly connected with ecological disturbances that led to the recognition of a dramatic climate change, of which the effects are only now becoming noticeable. Among the variety of agents to be considered, the many new viruses stand out, not only for their numerical proliferation, but also for their genetic versatility. It is this quality that provides them dexterity for evolving new strategies and adaptations to changing environmental conditions. Recently, some of the most ubiquitous and well-publicized viral agents in the American continents have been the rodent-borne viruses, and among these are the hantaviruses, etiological agents of pulmonary syndromes. Approximately 18 hantaviruses (belonging to the family Bunyaviridae), have been discovered in South America during the last 20 years, and although most of them cause persistent infections and subclinical infections in wild rodents (particularly members of the subfamily Sigmodontinae) and humans respectively; some others might also be highly lethal for humans. The goal herein is to review the state of the art regarding general aspects of hantaviruses and the diseases they cause around the world, highlighting the most recent findings in Colombia. Finally, the many unanswered questions will be recognized and highlighted concerning clinical importance and socio-economic impact of these agents on quality of public health in Colombia.

  17. Hantavirus testing in small mammal populations of northcentral New Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Biggs, J.; Bennett, K.; Foxx, T. [and others

    1995-07-01

    In 1993, an outbreak of a new strain of hantavirus in the southwestern US indicated that deer mice (Peromyscus maniculatus) was the primary carrier of the virus. In 1993 and 1994, the Ecological Studies Team (EST) at Los Alamos National Laboratory surveyed small mammal populations in Los Alamos County, New Mexico, primarily for ecological risk assessment (ecorisk) studies. At the request of the Centers for Disease Control (CDC) and the School of Medicine at the University of New Mexico, EST also collected blood samples from captured animals for use in determining seroprevalence of hantavirus in this region due to the recent outbreak of this virus in the four-comers region of the Southwest. The deer mouse was the most commonly captured species during the tripping sessions. Other species sampled included harvest mice (Reithrodontomys megalotis), least chipmunk (Eutamias minimus), long-tailed vole (Microtus longicaudus), Mexican woodrat (Neotoma mexicana), and brush mouse (Peromyscus boylii). The team collected blood samples from tripped animals following CDC`s suggested guidelines. Results of the 1993 and 1994 hantavirus testing identified a total overall seroprevalence of approximately 5.5% and 4.2%, respectively. The highest seroprevalence rates were found in deer mice seri (3--6%), but results on several species were inconclusive; further studies will be necessary, to quantify seroprevalence rates in those species. Seroprevalence rates for Los Alamos County were much lower than elsewhere in the region.

  18. Hantavirus infection suppresses thrombospondin-1 expression in cultured endothelial cells in a strain-specific manner

    Directory of Open Access Journals (Sweden)

    Svetlana F Khaiboullina

    2016-07-01

    Full Text Available Hantavirus infection is associated with two frequently fatal diseases in humans: hemorrhagic fever with renal syndrome (HFRS and hantavirus pulmonary syndrome (HPS. The pathogenesis of hantavirus infection is complex and not fully understood; however, it is believed to involve virus-induced hyperinflammatory immune responses. Thrombospondin-1 (THBS1 is a large homotrimeric protein that plays a putative role in regulating blood homeostasis. Hyperresponsiveness to inflammatory stimuli has also been associated with defects in the THBS1 gene. Our data suggest that hantavirus infection of human umbilical cord vein endothelial cells (HUVEC suppress the accumulation of THBS1 in the extracellular matrix. Additionally, this suppression is dependent on virus replication, implying a direct mechanism of action. Our data also imply that the pathogenic Andes and Hantaan strains inhibit THBS1 expression while the non-pathogenic Prospect Hill strain showed little inhibition. These observations suggest that a dysregulation of THBS1 may contribute to the pathogenesis of hantavirus infection.

  19. Molecular method for the detection of Andes hantavirus infection: validation for clinical diagnostics

    Science.gov (United States)

    Vial, Cecilia; Martinez-Valdebenito, Constanza; Rios, Susana; Martinez, Jessica; Vial, Pablo; Ferres, Marcela; Rivera, Juan Carlos; Perez, Ruth; Valdivieso, Francisca

    2016-01-01

    Hantavirus Cardiopulmonary Syndrome is a severe disease caused by exposure to New World hantaviruses. Early diagnosis is difficult due to the lack of specific initial symptoms. Anti-hantavirus antibodies are usually negative until late in the febrile prodrome or the beginning of cardiopulmonary phase while Andes hantavirus (ANDV) RNA genome can be detected before symptoms onset. We analyzed the effectiveness of RTqPCR as a diagnostic tool detecting ANDV-Sout genome in peripheral blood cells from 78 confirmed hantavirus patients and 166 negative controls. Our results indicate that RTqPCR had a low detection limit (~10 copies), with a specificity of 100% and a sensitivity of 94.9%. This suggests the potential for establishing RT-qPCR as the assay of choice for early diagnosis, promoting early effective care of patients and improve other important aspects of ANDV infection management, such as compliance of biosafety recommendations for health personnel in order to avoid nosocomial transmission. PMID:26508102

  20. Genetic evidence of hantavirus infections in wild rodents from northwestern Colombia.

    Science.gov (United States)

    Londoño, Andres F; Díaz, Francisco J; Agudelo-Flórez, Piedad; Levis, Silvana; Rodas, Juan D

    2011-06-01

    This report builds on recent serological evidence for the presence of hantavirus in northern Colombia by providing sequence-specific and phylogenetic data of hantavirus infections in wild rodents. From August 2007 to August 2008, 354 rodent specimens representing four families were collected in the northwestern Antioquia region of Colombia. Antibodies reactive to Sin Nombre virus and Maciel virus antigens by IgG enzyme-linked immunosorbent assay were found in 15 of 109 (14%) Cherries cane rats (Zygodontomys cherriei), the only sigmodontinae rodents captured. Lung tissue samples from 11 of the 15 seropositive rodents were RT-polymerase chain reaction positive for hantavirus RNA, using primers for the S and M genome segments. Eight of these amplicons were sequenced and phylogenetic analyses indicated RNA of a hantavirus closely related to Calabazo virus, previously found in Panama. This is the first report of the genetic characterization of a hantavirus in rodents in Colombia.

  1. Insuficiência cardíaca: comparação entre o teste de caminhada de seis minutos e o teste cardiopulmonar

    Directory of Open Access Journals (Sweden)

    Eduardo Elias Vieira de Carvalho

    2011-07-01

    Full Text Available FUNDAMENTO: A insuficiência cardíaca crônica (IC é uma síndrome complexa caracterizada pela redução do débito cardíaco em relação às necessidades metabólicas do organismo, bem como alterações metabólicas e do eixo neuro-hormonal. Sintomas como fadiga muscular e dispneia são notórios e os testes de esforço são amplamente utilizados para a avaliação da capacidade funcional, prognóstico e eficácia das intervenções terapêuticas nessa síndrome. OBJETIVO: Avaliar a reprodutibilidade do teste de caminhada de seis minutos (TC6' em pacientes com IC e correlacionar a magnitude das variáveis atingidas no pico do esforço do TC6' com as de um teste cardiopulmonar (TCP. MÉTODOS: Foram estudados 16 pacientes (12 homens e 4 mulheres com diagnóstico de IC CF I-II (NYHA. Os voluntários foram submetidos a dois testes TC6' (TC6'1 e TC6'2 com intervalo de 30 minutos entre eles; posteriormente realizaram um TCP máximo. RESULTADOS: Todas as variáveis obtidas nos dois TC6' mostraram-se significantes, com altas correlações: distância percorrida (DP (r = 0,93; p < 0,0001, frequência cardíaca (FC (r = 0,89; p < 0,0001, consumo de oxigênio (VO2 (r = 0,93; p < 0,0001 e escala de percepção de esforço (r = 0,85; p < 0,0001. Por sua vez, todas as variáveis analisadas no TC6' mostraram correlações moderadas e significantes com as variáveis obtidas no TCP, a saber: FC pico (r = 0,66; p = 0,005; VO2 (r = 0,57; p = 0,02 e VO2 no TCP e DP no TC6'2 (r = 0,70; p = 0,002. CONCLUSÃO: O TC6' foi reprodutível nesse grupo de pacientes com IC (NYHA - I-II e se correlacionou com o TCP. Sendo assim, apresenta-se como ferramenta de avaliação fidedigna, constituindo-se numa alternativa adequada, segura e de baixo custo para a prescrição de exercícios físicos aeróbicos em pacientes com IC.

  2. Insuficiência cardíaca: comparação entre o teste de caminhada de seis minutos e o teste cardiopulmonar Insuficiencia cardíaca: comparación entre el test de esfuerzo de seis minutos y el test cardiopulmonar Heart failure: comparison between six-minute walk test and cardiopulmonary test

    Directory of Open Access Journals (Sweden)

    Eduardo Elias Vieira de Carvalho

    2011-07-01

    Full Text Available FUNDAMENTO: A insuficiência cardíaca crônica (IC é uma síndrome complexa caracterizada pela redução do débito cardíaco em relação às necessidades metabólicas do organismo, bem como alterações metabólicas e do eixo neuro-hormonal. Sintomas como fadiga muscular e dispneia são notórios e os testes de esforço são amplamente utilizados para a avaliação da capacidade funcional, prognóstico e eficácia das intervenções terapêuticas nessa síndrome. OBJETIVO: Avaliar a reprodutibilidade do teste de caminhada de seis minutos (TC6' em pacientes com IC e correlacionar a magnitude das variáveis atingidas no pico do esforço do TC6' com as de um teste cardiopulmonar (TCP. MÉTODOS: Foram estudados 16 pacientes (12 homens e 4 mulheres com diagnóstico de IC CF I-II (NYHA. Os voluntários foram submetidos a dois testes TC6' (TC6'1 e TC6'2 com intervalo de 30 minutos entre eles; posteriormente realizaram um TCP máximo. RESULTADOS: Todas as variáveis obtidas nos dois TC6' mostraram-se significantes, com altas correlações: distância percorrida (DP (r = 0,93; p FUNDAMENTO: La insuficiencia cardíaca crónica (IC, es un síndrome complejo que se caracteriza por la reducción del débito cardíaco con relación a las necesidades metabólicas del organismo, como también por las alteraciones metabólicas y del eje neuro hormonal. Los síntomas como el cansancio muscular y la disnea son notables y los test de esfuerzo son ampliamente utilizados para la evaluación de la capacidad funcional, pronóstico y eficacia de las intervenciones terapéuticas en ese síndrome. OBJETIVO: Evaluar la reproductibilidad del test de esfuerzo de seis minutos (TE6' en pacientes con IC y correlacionar la magnitud de las variables alcanzadas en el pico del esfuerzo del TE6' con las de un test cardiopulmonar (TECP. MÉTODOS: Se estudiaron 16 pacientes (12 hombres y 4 mujeres con un diagnóstico de IC CF I-II (NYHA. Los voluntarios se sometieron a dos test TE

  3. Ressuscitação cardiopulmonar com a utilização do desfibrilador externo semi-automático: avaliação do processo ensino-aprendizagem Resucitador cardiopulmonar con utilización del disfibrilador externo semiautomático: evaluación del proceso enseñanza-aprendizaje Cardiopulmonary resuscitation with semi-automated external defibrillator: assessment of the teaching-learning process

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    Ana Maria Kazue Miyadahira

    2008-09-01

    Full Text Available Estudos demonstram que a sobrevida após uma parada cardíaca diminui 10% para cada minuto de atraso na desfibrilação, e que a taxa de sobrevivência é de 98% quando ela é conseguida em 30 segundos. No atendimento de uma parada cardíaca, é primordial que seja incluído no treinamento a utilização dos desfibriladores externos semi-automáticos (DEA. O objetivo deste estudo foi comparar a Habilidade Psicomotora e o Conhecimento Teórico de leigos na técnica da ressuscitação cardiopulmonar (RCP utilizando o DEA, antes e após treinamento. A amostra constituiu-se de 40 funcionários administrativos de uma instituição pública que receberam treinamento da técnica da RCP, utilizando o DEA, em laboratório. O aumento significativo de acertos nos itens do instrumento de avaliação da Habilidade Psicomotora e do Conhecimento Teórico, após o treinamento, indica que houve melhora no desempenho dos participantes.Los estudios demuestran que la sobrevida después de un paro cardíaco disminuye el 10% por cada minuto de atraso en la desfibrilación y que la tasa de supervivencia es del 98% cuando se consigue en 30 segundos. En la atención de un paro cardíaco es primordial que se incluya en la capacitación la utilización de los desfibriladores externos semi-automáticos (DEA. El objetivo de este estudio fue comparar la Habilidad Psicomotora y el Conocimiento Teórico de legos en la técnica de la resucitación cardiopulmonar (RCP utilizando el DEA, antes y después de la capacitación. La muestra estuvo formada por 40 empleados administrativos de una institución pública que recibieron capitación en la técnica de RCP, utilizando el DEA, en laboratorio. El aumento significativo de aciertos en los ítems del instrumento de evaluación de la habilidad Psicomotora y del Conocimiento teórico, después de la capacitación, indica que hubo mejora en el desempeño de los participantes para realizar la RCP con el uso del DEA.Studies demonstrate

  4. Serologic survey on hantavirus in blood donors from the state of Santa Catarina, Brazil.

    Science.gov (United States)

    Cordova, Caio Maurício Mendes de; Figueiredo, Luiz Tadeu Moraes

    2014-01-01

    Emergent diseases such as Hantavirus Cardio-pulmonary Syndrome (HCPS) are able to create a significant impact on human populations due to their seriousness and high fatality rate. Santa Catarina, located in the South of Brazil, is the leading state for HCPS with 267 reported cases from 1999 to 2011. We present here a serological survey on hantavirus in blood donors from different cities of the state of Santa Catarina, with an IgG-ELISA using a recombinant nucleocapsid protein from Araraquara hantavirus as an antigen. In total, 314 donors from blood banks participated in the study, geographically covering the whole state. Among these, 14 individuals (4.4%) had antibodies to hantavirus: four of 50 (8% positivity) from Blumenau, four of 52 (7.6%) from Joinville, three of 50 (6%) from Florianópolis, two of 50 (4%) from Chapecó and one of 35 (2.8%) from Joaçaba. It is possible that hantaviruses are circulating across almost the whole state, with important epidemiological implications. Considering that the seropositive blood donors are healthy individuals, it is possible that hantaviruses may be causing unrecognized infections, which are either asymptomatic or clinically nonspecific, in addition to HCPS. It is also possible that more than one hantavirus type could be circulating in this region, causing mostly benign infections.

  5. Changes in Diversification Patterns and Signatures of Selection during the Evolution of Murinae-Associated Hantaviruses

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    Guillaume Castel

    2014-03-01

    Full Text Available In the last 50 years, hantaviruses have significantly affected public health worldwide, but the exact extent of the distribution of hantavirus diseases, species and lineages and the risk of their emergence into new geographic areas are still poorly known. In particular, the determinants of molecular evolution of hantaviruses circulating in different geographical areas or different host species are poorly documented. Yet, this understanding is essential for the establishment of more accurate scenarios of hantavirus emergence under different climatic and environmental constraints. In this study, we focused on Murinae-associated hantaviruses (mainly Seoul Dobrava and Hantaan virus using sequences available in GenBank and conducted several complementary phylogenetic inferences. We sought for signatures of selection and changes in patterns and rates of diversification in order to characterize hantaviruses’ molecular evolution at different geographical scales (global and local. We then investigated whether these events were localized in particular geographic areas. Our phylogenetic analyses supported the assumption that RNA virus molecular variations were under strong evolutionary constraints and revealed changes in patterns of diversification during the evolutionary history of hantaviruses. These analyses provide new knowledge on the molecular evolution of hantaviruses at different scales of time and space.

  6. Molecular characterization of two hantavirus strains from different rattus species in Singapore

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    Kek Relus

    2010-01-01

    Full Text Available Abstract Background Hantaviruses cause human disease in endemic regions around the world. Outbreaks of hantaviral diseases have been associated with changes in rodent population density and adaptation to human settlements leading to their proliferation in close proximity to human dwellings. In a parallel study initiated to determine the prevalence of pathogens in Singapore's wild rodent population, 1206 rodents were trapped and screened. The findings established a hantavirus seroprevalence of 34%. This paper describes the molecular characterization of hantaviruses from Rattus norvegicus and Rattus tanezumi, the predominant rodents caught in urban Singapore. Methodology Pan-hanta RT-PCR performed on samples of Rattus norvegicus and Rattus tanezumi indicated that 27 (2.24% of the animals were positive. sequence analysis of the S and M segments established that two different hantavirus strains circulate in the rodent population of Singapore. Notably, the hantavirus strains found in Rattus norvegicus clusters with other Asian Seoul virus sequences, while the virus strains found in Rattus tanezumi had the highest sequence similarity to the Serang virus from Rattus tanezumi in Indonesia, followed by Cambodian hantavirus isolates and the Thailand virus isolated from Bandicota indica. Conclusions Sequence analysis of the S and M segments of hantavirus strains found in Rattus norvegicus (Seoul virus strain Singapore and Rattus tanezumi (Serang virus strain Jurong TJK/06 revealed that two genetically different hantavirus strains were found in rodents of Singapore. Evidently, together with Serang, Cambodian and Thailand virus the Jurong virus forms a distinct phylogroup. Interestingly, these highly similar virus strains have been identified in different rodent hosts. Further studies are underway to analyze the public health significance of finding hantavirus strains in Singapore rodents.

  7. [Hantavirus pulmonary syndrome in Buenos Aires, 2009-2014].

    Science.gov (United States)

    Iglesias, Ayelén A; Bellomo, Carla M; Martínez, Valeria P

    2016-01-01

    Andes virus is the causative agent of hantavirus pulmonary syndrome (HPS) in Argentina and neighboring countries. In our country four different areas are affected: Northwest, Southwest, Central and Northeast, where distinct Andes virus genotypes were characterized. Three genotypes were described in Buenos Aires province (Central area): AND-Buenos Aires, AND-Lechiguanas and AND-Plata. In this work, we considered all HPS cases confirmed by ELISA and real time RT-PCR during the period 2009-2014 in Buenos Aires province. The annual distribution, fatality rate and geographic distribution were analyzed. We also analyzed the genotypes involved by RT-PCR and nucleotide sequencing. Finally we evaluated epidemiological data in order to establish the route of transmission. We analyzed 1386 suspect cases of hantavirus infection from Buenos Aires province and we confirmed 88 cases of Hantavirus Pulmonary Syndrome during 2009-2014. The overall average was 14.3 cases per year. The occurrence of a HPS outbreak was confirmed in Buenos Aires province during 2013, showing a 3 fold increase in case number compared to the annual average between 2009 and 2012, tending to normalize during 2014. The overall lethality was 25.6%, with a maximum value of 45.5% in 2011. Genotype analysis was performed in 30.7% of confirmed cases, AND-BsAs show the highest incidence, it was characterized in 72% of the studied cases. Epidemiological data and results of viral genome comparison strongly suggest person-to-person transmission in the three clusters of two cases described in our study.

  8. Development of a minigenome system for Andes virus, a New World hantavirus.

    Science.gov (United States)

    Brown, Kyle S; Ebihara, Hideki; Feldmann, Heinz

    2012-11-01

    The development of reverse genetics systems for negative-stranded RNA viruses is a rapidly evolving field that has greatly advanced the study of the many different aspects of the viral life cycle. Andes virus (ANDV) is a highly pathogenic hantavirus found in South America that causes hantavirus pulmonary syndrome but to date remains poorly characterized due to the lack of a reverse genetics system for genetic manipulation. Here, we describe the first successful minigenome system for a New World hantavirus, as well as many of the obstacles that still exist in the development of such a system.

  9. Hantavirus pulmonary syndrome in a Chilean patient with recent travel in Bolivia.

    Science.gov (United States)

    Espinoza, R; Vial, P; Noriega, L M; Johnson, A; Nichol, S T; Rollin, P E; Wells, R; Zaki, S; Reynolds, E; Ksiazek, T G

    1998-01-01

    A case of hantavirus pulmonary syndrome (HPS) was serologically confirmed in a critically ill patient in Santiago, Chile. The patient's clinical course had many similarities to that of other HPS patients in North and South America but was complicated by acute severe renal failure. The patient's history included self-reported urban and probable rural rodent exposure during travel in Bolivia. Comparison of a viral sequence from an acute-phase serum sample with other known hantaviruses showed that the hantavirus nucleic acid sequence from the patient was very similar to a virus recently isolated from rodents associated with HPS cases in Paraguay.

  10. Hantavirus Pulmonary Syndrome: Report of the First Canadian Paediatric Case

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    Bonita E Lee

    1998-01-01

    Full Text Available Hantavirus pulmonary syndrome (HPS was first recognized as a severe respiratory illness transmitted through rodent excreta in the southwestern United States in 1993. As of November 1997, 175 cases have been reported in the United States. The mortality rate of this disease has been reported to be as high as 52% in the United States, and the majority of the cases (94% involved adults. Twenty-one cases have been recognized in Canada. This paper describes the first Canadian paediatric case and discusses some of the clinical features of this disease.

  11. Effects of internal fluctuations on the spreading of Hantavirus

    Science.gov (United States)

    Escudero, C.; Buceta, J.; de La Rubia, F. J.; Lindenberg, Katja

    2004-12-01

    We study the spread of Hantavirus over a host population of deer mice using a population dynamics model. We show that taking into account the internal fluctuations in the mouse population due to its discrete character strongly alters the behavior of the system. In addition to the familiar transition present in the deterministic model, the inclusion of internal fluctuations leads to the emergence of an additional deterministically hidden transition. We determine parameter values that lead to maximal propagation of the disease and discuss some implications for disease prevention policies.

  12. Hantavirus pulmonary syndrome in a highly endemic area of Brazil.

    Science.gov (United States)

    Oliveira, R C; Sant'ana, M M; Guterres, A; Fernandes, J; Hillesheim, N L F K; Lucini, C; Gomes, R; Lamas, C; Bochner, R; Zeccer, S; DE Lemos, E R S

    2016-04-01

    Hantavirus pulmonary syndrome (HPS) is the most frequently reported fatal rodent-borne disease in Brazil, with the majority of cases occurring in Santa Catarina. We analysed the clinical, laboratory and epidemiological data of the 251 confirmed cases of HPS in Santa Catarina in 1999-2011. The number of cases ranged from 10 to 47 per year, with the highest incidences in 2004-2006. Gastrointestinal tract manifestations were found in >60% of the cases, potentially confounding diagnosis and leading to inappropriate therapy. Dyspnoea, acute respiratory failure, renal failure, increased serum creatinine and urea levels, increased haematocrits and the presence of pulmonary interstitial infiltrate were significantly more common in HPS patients who died. In addition, we demonstrated that the six cases from the midwest region of the state were associated with Juquitiba virus genotype. The case-fatality rate in this region, 19·2%, was lower than that recorded for other mesoregions. In the multivariate analysis increase of serum creatinine and urea was associated with death by HPS. Our findings help elucidate the epidemiology of HPS in Brazil, where mast seeding of bamboo can trigger rodent population eruptions and subsequent human HPS outbreaks. We also emphasize the need for molecular confirmation of the hantavirus genotype of human cases for a better understanding of the mortality-related factors associated with HPS cases in Brazil.

  13. Arenaviruses and hantaviruses: from epidemiology and genomics to antivirals.

    Science.gov (United States)

    Charrel, R N; Coutard, B; Baronti, C; Canard, B; Nougairede, A; Frangeul, A; Morin, B; Jamal, S; Schmidt, C L; Hilgenfeld, R; Klempa, B; de Lamballerie, X

    2011-05-01

    The arenaviruses and hantaviruses are segmented genome RNA viruses that are hosted by rodents. Due to their association with rodents, they are globally widespread and can infect humans via direct or indirect routes of transmission, causing considerable human morbidity and mortality. Nevertheless, despite their obvious and emerging importance as pathogens, there are currently no effective antiviral drugs (except ribavirin which proved effective against Lassa virus) with which to treat humans infected by any of these viruses. The EU-funded VIZIER project (Comparative Structural Genomics of Viral Enzymes Involved in Replication) was instigated with an ultimate view of contributing to the development of antiviral therapies for RNA viruses, including the arenaviruses and bunyaviruses. This review highlights some of the major features of the arenaviruses and hantaviruses that have been investigated during recent years. After describing their classification and epidemiology, we review progress in understanding the genomics as well as the structure and function of replicative enzymes achieved under the VIZIER program and the development of new disease control strategies.

  14. Old World hantaviruses in rodents in New Orleans, Louisiana.

    Science.gov (United States)

    Cross, Robert W; Waffa, Bradley; Freeman, Ashley; Riegel, Claudia; Moses, Lina M; Bennett, Andrew; Safronetz, David; Fischer, Elizabeth R; Feldmann, Heinz; Voss, Thomas G; Bausch, Daniel G

    2014-05-01

    Seoul virus, an Old World hantavirus, is maintained in brown rats and causes a mild form of hemorrhagic fever with renal syndrome (HFRS) in humans. We captured rodents in New Orleans, Louisiana and tested them for the presence of Old World hantaviruses by reverse transcription polymerase chain reaction (RT-PCR) with sequencing, cell culture, and electron microscopy; 6 (3.4%) of 178 rodents captured--all brown rats--were positive for a Seoul virus variant previously coined Tchoupitoulas virus, which was noted in rodents in New Orleans in the 1980s. The finding of Tchoupitoulas virus in New Orleans over 25 years since its first discovery suggests stable endemicity in the city. Although the degree to which this virus causes human infection and disease remains unknown, repeated demonstration of Seoul virus in rodent populations, recent cases of laboratory-confirmed HFRS in some US cities, and a possible link with hypertensive renal disease warrant additional investigation in both rodents and humans.

  15. Serological Survey of Hantavirus in Inhabitants from Tropical and Subtropical Areas of Brazil

    Science.gov (United States)

    Pereira, Alexandre; Santo Pietro Pereira, Aparecida; Lazaro Moreli, Marcos; Marcelo Aranha Camargo, Luís; Schiavo Nardi, Marcello; Farah Tófoli, Cristina; Araujo, Jansen; Mara Dutra, Lilia; Lopes Ometto, Tatiana; Hurtado, Renata; Carmona de Jesus Maués, Fábio; Zingano Hinke, Tiene; Jaber Mahmud, Sati; Correia Lima, Monica; Tadeu Moraes Figueiredo, Luiz; Luiz Durigon, Edison

    2016-01-01

    Brazil has reported more than 1,600 cases of hantavirus cardiopulmonary syndrome (HPS) since 1993, with a 39% rate of reported fatalities. Using a recombinant nucleocapsid protein of Araraquara virus, we performed ELISA to detect IgG antibodies against hantavirus in human sera. The aim of this study was to analyze hantavirus antibody levels in inhabitants from a tropical area (Amazon region) in Rondônia state and a subtropical (Atlantic Rain Forest) region in São Paulo state, Brazil. A total of 1,310 serum samples were obtained between 2003 and 2008 and tested by IgG-ELISA, and 82 samples (6.2%), of which 62 were from the tropical area (5.8%) and 20 from the subtropical area (8.3%), tested positive. Higher levels of hantavirus antibody were observed in inhabitants of the populous subtropical areas compared with those from the tropical areas in Brazil. PMID:27034670

  16. Hantavirus-induced disruption of the endothelial barrier: Neutrophils are on the payroll

    Directory of Open Access Journals (Sweden)

    Günther eSchönrich

    2015-03-01

    Full Text Available Viral hemorrhagic fever caused by hantaviruses is an emerging infectious disease for which suita-ble treatments are not available. In order to improve this situation a better understanding of han-taviral pathogenesis is urgently required. Hantaviruses infect endothelial cell layers in vitro with-out causing any cytopathogenic effect and without increasing permeability. This implies that the mechanisms underlying vascular hyperpermeability in hantavirus-associated disease are more complex and that immune mechanisms play an important role. In this review we highlight the lat-est developments in hantavirus-induced immunopathogenesis. A possible contribution of neutro-phils has been neglected so far. For this reason, we place special emphasis on the pathogenic role of neutrophils in disrupting the endothelial barrier.

  17. Seewis virus, a genetically distinct hantavirus in the Eurasian common shrew (Sorex araneus

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    Hilbe Monika

    2007-10-01

    Full Text Available Abstract More than 20 years ago, hantaviral antigens were reported in tissues of the Eurasian common shrew (Sorex araneus, Eurasian water shrew (Neomys fodiens and common mole (Talpa europea, suggesting that insectivores, or soricomorphs, might serve as reservoirs of unique hantaviruses. Using RT-PCR, sequences of a genetically distinct hantavirus, designated Seewis virus (SWSV, were amplified from lung tissue of a Eurasian common shrew, captured in October 2006 in Graubünden, Switzerland. Pair-wise analysis of the full-length S and partial M and L segments of SWSV indicated approximately 55%–72% similarity with hantaviruses harbored by Murinae, Arvicolinae, Neotominae and Sigmodontinae rodents. Phylogenetically, SWSV grouped with other recently identified shrew-borne hantaviruses. Intensified efforts are underway to clarify the genetic diversity of SWSV throughout the geographic range of the Eurasian common shrew, as well as to determine its relevance to human health.

  18. Hantavirus-induced pathogenesis in mice with a humanized immune system.

    Science.gov (United States)

    Kobak, Lidija; Raftery, Martin J; Voigt, Sebastian; Kühl, Anja A; Kilic, Ergin; Kurth, Andreas; Witkowski, Peter; Hofmann, Jörg; Nitsche, Andreas; Schaade, Lars; Krüger, Detlev H; Schönrich, Günther

    2015-06-01

    Hantaviruses are emerging zoonotic pathogens that can cause severe disease in humans. Clinical observations suggest that human immune components contribute to hantavirus-induced pathology. To address this issue we generated mice with a humanized immune system. Hantavirus infection of these animals resulted in systemic infection associated with weight loss, decreased activity, ruffled fur and inflammatory infiltrates of lung tissue. Intriguingly, after infection, humanized mice harbouring human leukocyte antigen (HLA) class I-restricted human CD8+ T cells started to lose weight earlier (day 10) than HLA class I-negative humanized mice (day 15). Moreover, in these mice the number of human platelets dropped by 77 % whereas the number of murine platelets did not change, illustrating how differences between rodent and human haemato-lymphoid systems may contribute to disease development. To our knowledge this is the first description of a humanized mouse model of hantavirus infection, and our results indicate a role for human immune cells in hantaviral pathogenesis.

  19. Hantavirus infection mimicking leptospirosis: how long are we going to rely on clinical suspicion?

    Science.gov (United States)

    Dahanayaka, Niroshana Jathum; Agampodi, Suneth Buddhika; Bandaranayaka, Anoma Kumari; Priyankara, Sumudu; Vinetz, Joshep M

    2014-08-13

    Hantavirus infections and leptospirosis can have similar clinical and epidemiological features. We present here a case study of a young farmer with fever during the post-flood leptospirosis outbreak in Anuradhapura, Sri Lanka, in 2011. He presented with a classical clinical picture of leptospirosis and was managed and notified as a case of leptospirosis. Retrospective analysis of a stored serum sample confirmed acute hantavirus infection. Diagnosis of newly identified or emerging infectious diseases such as hantavirus infection is challenging due to the lack of diagnostic facilities in developing countries. This case highlights the need for improving diagnostic facilities, educating medical staff, and conducting population-based prospective studies on hantavirus infections in Sri Lanka.

  20. [The analysis of hantavirus S gene in Apodemus agrarius in Changbai area].

    Science.gov (United States)

    Yan, Qing-Li; Yang, Peng-Feil; Shao, Li-Jun; Liu, Yong-Xian; Pu, Yun; Zhang, Xiao-Long; Cao, Xiao-Mei; Guo, Tian-Yu; Yao, Li-Si

    2013-06-01

    To gain more insights into epidemiologic characteristics and genotype of hantavirus in Apodemus agrarius in Changbai Area. Complete hantavirus S segment sequences were amplified by RT-PCR and sequenced. The phylogenetic trees were constructed for analysis of genetic characters of hantavirus. A total of 58 Apodemus agrarius were trapped in the epidemic areas, and complete hantavirus S segment sequences were obtained from 4 lung samples of these rodents (6. 90%0). Phylogenetic analysis of the four S segment sequences indicated that all viruses isolated from Apodemu sagrarius were closely related to genotype 6 of Hantaan virus (95. 8%-96. 3%, nucleotide identity; 98. 6%-99. 5%, amino acid identity), all of them had a specific S387 different from other genotypes of Hantaan virus.

  1. Twenty-year summary of surveillance for human hantavirus infections, United States.

    Science.gov (United States)

    Knust, Barbara; Rollin, Pierre E

    2013-12-01

    In the past 20 years of surveillance for hantavirus in humans in the United States, 624 cases of hantavirus pulmonary syndrome (HPS) have been reported, 96% of which occurred in states west of the Mississippi River. Most hantavirus infections are caused by Sin Nombre virus, but cases of HPS caused by Bayou, Black Creek Canal, Monongahela, and New York viruses have been reported, and cases of domestically acquired hemorrhagic fever and renal syndrome caused by Seoul virus have also occurred. Rarely, hantavirus infections result in mild illness that does not progress to HPS. Continued testing and surveillance of clinical cases in humans will improve our understanding of the etiologic agents involved and the spectrum of diseases.

  2. Serological Survey of Hantavirus in Inhabitants from Tropical and Subtropical Areas of Brazil

    Directory of Open Access Journals (Sweden)

    Felipe Alves Morais

    2016-01-01

    Full Text Available Brazil has reported more than 1,600 cases of hantavirus cardiopulmonary syndrome (HPS since 1993, with a 39% rate of reported fatalities. Using a recombinant nucleocapsid protein of Araraquara virus, we performed ELISA to detect IgG antibodies against hantavirus in human sera. The aim of this study was to analyze hantavirus antibody levels in inhabitants from a tropical area (Amazon region in Rondônia state and a subtropical (Atlantic Rain Forest region in São Paulo state, Brazil. A total of 1,310 serum samples were obtained between 2003 and 2008 and tested by IgG-ELISA, and 82 samples (6.2%, of which 62 were from the tropical area (5.8% and 20 from the subtropical area (8.3%, tested positive. Higher levels of hantavirus antibody were observed in inhabitants of the populous subtropical areas compared with those from the tropical areas in Brazil.

  3. Hantavirus Gn and Gc glycoproteins self-assemble into virus-like particles.

    Science.gov (United States)

    Acuña, Rodrigo; Cifuentes-Muñoz, Nicolás; Márquez, Chantal L; Bulling, Manuela; Klingström, Jonas; Mancini, Roberta; Lozach, Pierre-Yves; Tischler, Nicole D

    2014-02-01

    How hantaviruses assemble and exit infected cells remains largely unknown. Here, we show that the expression of Andes (ANDV) and Puumala (PUUV) hantavirus Gn and Gc envelope glycoproteins lead to their self-assembly into virus-like particles (VLPs) which were released to cell supernatants. The viral nucleoprotein was not required for particle formation. Further, a Gc endodomain deletion mutant did not abrogate VLP formation. The VLPs were pleomorphic, exposed protrusions and reacted with patient sera.

  4. Hantavirus antibodies in rodents and human cases with pulmonary syndrome, Río Negro, Argentina Anticuerpos contra hantavirus en roedores y casos humanos con síndrome pulmonar, Río Negro, Argentina

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    Edmundo Larrieu

    2008-10-01

    Full Text Available In Río Negro Province, Argentina, human cases of hantavirus pulmonary syndrome (HPS appeared in the region of subantartic forests. The Andes virus (ANDV has been identified in the region both in Oligoryzomys longicaudatus rodents and in humans, with the main transmission being from rodents to humans but also showing the possibility of human to human transmission. Between 1996 and 2004, in 40 campaigns, 29.960 night-traps for capturing live rodents were set up. Blood samples were obtained from the rodents and processed using enzyme immunoassay with recombinant antigens made from ANDV. A total of 1767 rodents were captured, with a capture success of 5.9% and an antibody prevalence of 2.1%. Important differences were observed among the species captured from Andes and Steppe regions. Seropositive Oligoryzomys longicaudatus, Abrotrix olivaceus, Abrotrix xanhtothinus and Loxodontomus microtus were captured. During the 1993-2004 period, 40 HPS cases were registered.En la Provincia de Río Negro, Argentina, se presentaron casos humanos de síndrome pulmonar por hantavirus (SPH en la región de los bosques subantárticos. El virus Andes (AND fue identificado en la región, tanto en el roedor Oligoryzomys longicaudatus como en seres humanos, demostrándose la transmisión principalmente del roedor al hombre y la posibilidad de la transmisión de persona a persona. Para ello, se procedió a la colocación de 29.960 trampas para captura viva de roedores, tipo Sherman, en 40 operativos efectuados desde 1996 hasta 2004. Se obtuvieron muestras de sangre de los roedores, las que fueron procesadas mediante enzimoinmunoensayo con antígenos recombinantes elaborados a partir de virus AND. Fueron capturados 1767 roedores, con un éxito de trampeo del 5.9% y una prevalencia de anticuerpos contra hantavirus del 2.1%. Se observaron importantes diferencias en las especies capturadas en cada una de las regiones. Se capturaron O. longicaudatus, Abrothrix olivaceus y

  5. Preferential host switching and its relation with Hantavirus diversification in South America.

    Science.gov (United States)

    Rivera, Paula C; González-Ittig, Raul E; Gardenal, Cristina N

    2015-09-01

    In recent years, the notion of co-speciation between Hantavirus species and their hosts was discarded in favour of a more likely explanation: preferential host switching. However, the relative importance of this last process in shaping the evolutionary history of hantaviruses remains uncertain, given the present limited knowledge not only of virus-host relationships but also of the pathogen and reservoir phylogenies. In South America, more than 25 hantavirus genotypes were detected; several of them act as aetiological agents of hantavirus pulmonary syndrome (HPS). An understanding of the diversity of hantaviruses and of the processes underlying host switching is critical since human cases of HPS are almost exclusively the result of human-host interactions. In this study, we tested if preferential host switching is the main process driving hantavirus diversification in South America, by performing a co-phylogenetic analysis of the viruses and their primary hosts. We also suggest a new level of amino acid divergence to define virus species in the group. Our results indicate that preferential host switching would not be the main process driving virus diversification. The historical geographical proximity among rodent hosts emerges as an alternative hypothesis to be tested.

  6. β2 integrin mediates hantavirus-induced release of neutrophil extracellular traps.

    Science.gov (United States)

    Raftery, Martin J; Lalwani, Pritesh; Krautkrӓmer, Ellen; Peters, Thorsten; Scharffetter-Kochanek, Karin; Krüger, Renate; Hofmann, Jörg; Seeger, Karl; Krüger, Detlev H; Schönrich, Günther

    2014-06-30

    Rodent-borne hantaviruses are emerging human pathogens that cause severe human disease. The underlying mechanisms are not well understood, as hantaviruses replicate in endothelial and epithelial cells without causing any cytopathic effect. We demonstrate that hantaviruses strongly stimulated neutrophils to release neutrophil extracellular traps (NETs). Hantavirus infection induced high systemic levels of circulating NETs in patients and this systemic NET overflow was accompanied by production of autoantibodies to nuclear antigens. Analysis of the responsible mechanism using neutrophils from β2 null mice identified β2 integrin receptors as a master switch for NET induction. Further experiments suggested that β2 integrin receptors such as complement receptor 3 (CR3) and 4 (CR4) may act as novel hantavirus entry receptors. Using adenoviruses, we confirmed that viral interaction with β2 integrin induced strong NET formation. Collectively, β2 integrin-mediated systemic NET overflow is a novel viral mechanism of immunopathology that may be responsible for characteristic aspects of hantavirus-associated disease such as kidney and lung damage.

  7. Development of a novel plaque reduction neutralisation test for hantavirus infection.

    Science.gov (United States)

    Pádua, Michelly de; Souza, William Marciel de; Lauretti, Flávio; Figueiredo, Luiz Tadeu Moraes

    2015-08-01

    In the Americas, hantaviruses cause severe cardiopulmonary syndrome (HCPS) with a high fatality rate. Hantavirus infection is commonly diagnosed using serologic techniques and reverse transcription-polymerase chain reaction. This paper presents a novel plaque reduction neutralisation test (PRNT) for detecting antibodies to Brazilian hantavirus. Using PRNT, plaque detection was enhanced by adding 0.6% of dimethyl sulfoxide into the overlay culture medium of the infected cells. This procedure facilitated clear visualisation of small plaques under the microscope and provided for easy and accurate plaque counting. The sera from 37 HCPS patients from the city of Ribeirão Preto, Brazil was evaluated for the Rio Mamoré virus (RIOMV) using PRNT. Six samples exhibited neutralising antibodies; these antibodies exhibited a low titre. The low level of seropositive samples may be due to fewer cross-reactions between two different hantavirus species; the patients were likely infected by Araraquara virus (a virus that has not been isolated) and RIOMV was used for the test. This assay offers a new approach to evaluating and measuring neutralising antibodies produced during hantavirus infections and it can be adapted to other hantaviruses, including viruses that will be isolated in the future.

  8. Hantavirus pulmonary syndrome in Santa Cruz, Bolivia: outbreak investigation and antibody prevalence study.

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    Joel M Montgomery

    Full Text Available We report the results of an investigation of a small outbreak of hantavirus pulmonary syndrome in 2002 in the Department of Santa Cruz, Bolivia, where the disease had not previously been reported. Two cases were initially reported. The first case was a physician infected with Laguna Negra virus during a weekend visit to his ranch. Four other persons living on the ranch were IgM antibody-positive, two of whom were symptomatic for mild hantavirus pulmonary syndrome. The second case was a migrant sugarcane worker. Although no sample remained to determine the specific infecting hantavirus, a virus 90% homologous with Río Mamoré virus was previously found in small-eared pygmy rice rats (Oligoryzomys microtis trapped in the area. An antibody prevalence study conducted in the region as part of the outbreak investigation showed 45 (9.1% of 494 persons to be IgG positive, illustrating that hantavirus infection is common in Santa Cruz Department. Precipitation in the months preceding the outbreak was particularly heavy in comparison to other years, suggesting a possible climatic or ecological influence on rodent populations and risk of hantavirus transmission to humans. Hantavirus infection appears to be common in the Santa Cruz Department, but more comprehensive surveillance and field studies are needed to fully understand the epidemiology and risk to humans.

  9. Development of a novel plaque reduction neutralisation test for hantavirus infection

    Directory of Open Access Journals (Sweden)

    Michelly de Pádua

    2015-08-01

    Full Text Available In the Americas, hantaviruses cause severe cardiopulmonary syndrome (HCPS with a high fatality rate. Hantavirus infection is commonly diagnosed using serologic techniques and reverse transcription-polymerase chain reaction. This paper presents a novel plaque reduction neutralisation test (PRNT for detecting antibodies to Brazilian hantavirus. Using PRNT, plaque detection was enhanced by adding 0.6% of dimethyl sulfoxide into the overlay culture medium of the infected cells. This procedure facilitated clear visualisation of small plaques under the microscope and provided for easy and accurate plaque counting. The sera from 37 HCPS patients from the city of Ribeirão Preto, Brazil was evaluated for the Rio Mamoré virus (RIOMV using PRNT. Six samples exhibited neutralising antibodies; these antibodies exhibited a low titre. The low level of seropositive samples may be due to fewer cross-reactions between two different hantavirus species; the patients were likely infected by Araraquara virus (a virus that has not been isolated and RIOMV was used for the test. This assay offers a new approach to evaluating and measuring neutralising antibodies produced during hantavirus infections and it can be adapted to other hantaviruses, including viruses that will be isolated in the future.

  10. Avaliação da aptidão cardiopulmonar em indivíduos com hemiparesia após acidente vascular encefálico Evaluación de la aptitud cardiopulmonar en individuos con hemiparesia tras accidente vascular encefálico Evaluation of cardiopulmonary fitness in individuals with hemiparesis after cerebrovascular accident

    Directory of Open Access Journals (Sweden)

    Angélica Cristiane Ovando

    2011-02-01

    Full Text Available FUNDAMENTO: Devido à hemiparesia, a avaliação da aptidão cardiorrespiratória de indivíduos após acidente vascular encefálico (AVE, por meio de testes ergométricos com protocolos convencionais, tem se tornado um desafio. OBJETIVO: Realizar teste cardiopulmonar (TCP em hemiparéticos para uma avaliação pré-participação visando uma criteriosa prescrição de exercício aeróbico. MÉTODOS: Participaram do estudo 8 indivíduos com hemiparesia crônica, que foram submetidos a TCP realizado com protocolo individualizado em rampa, desenvolvido a partir da informação da velocidade de marcha dos indivíduos previamente avaliados em teste de pista. Foi considerada a proposta de inclinação variando entre 0 e 10,0%, velocidade inicial correspondente a 70,0% do ritmo de caminhada confortável e velocidade máxima 40,0% superior à velocidade máxima no teste de pista, na expectativa de que o TCP, com este incremento gradativo e constante da intensidade, durasse entre 6 e 8 minutos. RESULTADOS: Em 100,0% dos avaliados, o motivo para a interrupção do teste foi fadiga periférica. O VO2 de pico alcançado foi de 20,6 ± 5,7 ml/kg.min. O Limiar I foi identificado em todos os exames, situando-se em 82,64 ± 4,78% da FC de pico e 73,31 ± 4,97% do VO2 de pico. O quociente respiratório (R do grupo foi de 0,96 ± 0,09, e três dos 8 indivíduos (37,5% atingiram R superior a 1,00, sendo o Limiar II identificado nestes sujeitos. Foram encontradas relações positivas entre variáveis do TCP e escores de equilíbrio, desempenho no teste de caminhada de 6 minutos e velocidade de marcha no solo. CONCLUSÃO: O teste mostrou ser útil para prescrição de atividade física nesses indivíduos.FUNDAMENTO: Debido a la hemiparesia, la evaluación de la aptitud cardiorrespiratoria de individuos después de accidente vascular encefálico (AVE, por medio de pruebas ergométricas con protocolos convencionales, se ha vuelto en un reto. OBJETIVO: Llevar a cabo

  11. Influência da fisioterapia respiratória sobre a função cardiopulmonar em recém-nascidos de muito baixo peso

    OpenAIRE

    Nicolau,Carla Marques; Falcão, Mário Cícero

    2010-01-01

    OBJETIVO: Avaliar as repercussões da fisioterapia respiratória sobre a função cardiopulmonar em recém-nascidos pré-termo (RNPT) submetidos à ventilação mecânica. MÉTODOS: Estudo prospectivo de RNPT com peso de nascimento menor que 1500g, sendo verificados os valores de frequência cardíaca (FC), saturação de oxigênio (SatO2), frequência respiratória (FR) e pressão arterial sistêmica (PA) antes e após a fisioterapia respiratória e a aspiração endotraqueal. Os RNPT incluídos foram avaliados em s...

  12. Hantavirus pulmonary syndrome, Southern Chile, 1995-2012.

    Science.gov (United States)

    Riquelme, Raúl; Rioseco, María Luisa; Bastidas, Lorena; Trincado, Daniela; Riquelme, Mauricio; Loyola, Hugo; Valdivieso, Francisca

    2015-04-01

    Hantavirus is endemic to the Region de Los Lagos in southern Chile; its incidence is 8.5 times higher in the communes of the Andean area than in the rest of the region. We analyzed the epidemiologic aspects of the 103 cases diagnosed by serology and the clinical aspects of 80 hospitalized patients during 1995-2012. Cases in this region clearly predominated during winter, whereas in the rest of the country, they occur mostly during summer. Mild, moderate, and severe disease was observed, and the case-fatality rate was 32%. Shock caused death in 75% of those cases; high respiratory frequency and elevated creatinine plasma level were independent factors associated with death. Early clinical suspicion, especially in rural areas, should prompt urgent transfer to a hospital with an intensive care unit and might help decrease the high case-fatality rate.

  13. Hantavirus pulmonary syndrome in Anajatuba, Maranhão, Brazil

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    MENDES Wellington S.

    2001-01-01

    Full Text Available The authors report a confirmed case of hantavirus pulmonary syndrome in the rural area of the municipality of Anajatuba, state of Maranhão. Two other suspected cases from the same region are also described. The confirmed case involved a previously healthy young woman who died with signs and symptoms of acute respiratory insufficiency 5 days after presenting fever, myalgia and a dry cough. The patient was a student who was helping her parents with work in the fields; it was a habit of the family to store rice inside the house. The suspected cases involved two first-degree relatives working as field hands who died of acute respiratory insufficiency 24 and 48 hours, respectively, after presenting fever, myalgia and a dry cough. Both stored rice and corn inside their home. People living in the region reported massive infestations with rats in the woods and fields.

  14. Autoimmune polyendocrinopathy and hypophysitis after Puumala hantavirus infection

    Science.gov (United States)

    Tarvainen, Marlene; Mäkelä, Satu; Mustonen, Jukka

    2016-01-01

    Summary Puumala hantavirus (PUUV) infection causes nephropathia epidemica (NE), a relatively mild form of haemorrhagic fever with renal syndrome (HFRS). Hypophyseal haemorrhage and hypopituitarism have been described in case reports on patients with acute NE. Chronic hypopituitarism diagnosed months or years after the acute illness has also been reported, without any signs of a haemorrhagic aetiology. The mechanisms leading to the late-onset hormonal defects remain unknown. Here, we present a case of NE-associated autoimmune polyendocrinopathy and hypopituitarism presumably due to autoimmune hypophysitis. Thyroid peroxidase antibody seroconversion occurred between 6 and 12 months, and ovarian as well as glutamate decarboxylase antibodies were found 18 months after acute NE. Brain MRI revealed an atrophic adenohypophysis with a heterogeneous, low signal intensity compatible with a sequela of hypophysitis. The patient developed central (or mixed central and peripheral) hypothyroidism, hypogonadism and diabetes insipidus, all requiring hormonal replacement therapy. This case report suggests that late-onset hormonal defects after PUUV infection may develop by an autoimmune mechanism. This hypothesis needs to be confirmed by prospective studies with sufficient numbers of patients. Learning points: Pituitary haemorrhage resulting in hypopituitarism has been reported during acute HFRS caused by PUUV and other hantaviruses. Central and peripheral hormone deficiencies developing months or years after HFRS have also been found, with an incidence higher than that in the general population. The pathogenesis of these late-onset hormonal defects remains unknown. This case report suggests that the late-onset hypopituitarism and peripheral endocrine defects after HFRS could evolve via autoimmune mechanisms. The sensitivity of current anti-pituitary antibody (APA) tests is low. A characteristic clinical course, together with typical brain MRI and endocrine findings may be

  15. New World hantaviruses activate IFNlambda production in type I IFN-deficient vero E6 cells.

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    Joseph Prescott

    Full Text Available Hantaviruses indigenous to the New World are the etiologic agents of hantavirus cardiopulmonary syndrome (HCPS. These viruses induce a strong interferon-stimulated gene (ISG response in human endothelial cells. African green monkey-derived Vero E6 cells are used to propagate hantaviruses as well as many other viruses. The utility of the Vero E6 cell line for virus production is thought to owe to their lack of genes encoding type I interferons (IFN, rendering them unable to mount an efficient innate immune response to virus infection. Interferon lambda, a more recently characterized type III IFN, is transcriptionally controlled much like the type I IFNs, and activates the innate immune system in a similar manner.We show that Vero E6 cells respond to hantavirus infection by secreting abundant IFNlambda. Three New World hantaviruses were similarly able to induce IFNlambda expression in this cell line. The IFNlambda contained within virus preparations generated with Vero E6 cells independently activates ISGs when used to infect several non-endothelial cell lines, whereas innate immune responses by endothelial cells are specifically due to viral infection. We show further that Sin Nombre virus replicates to high titer in human hepatoma cells (Huh7 without inducing ISGs.Herein we report that Vero E6 cells respond to viral infection with a highly active antiviral response, including secretion of abundant IFNlambda. This cytokine is biologically active, and when contained within viral preparations and presented to human epithelioid cell lines, results in the robust activation of innate immune responses. We also show that both Huh7 and A549 cell lines do not respond to hantavirus infection, confirming that the cytoplasmic RNA helicase pathways possessed by these cells are not involved in hantavirus recognition. We demonstrate that Vero E6 actively respond to virus infection and inhibiting IFNlambda production in these cells might increase their utility

  16. Second external quality assurance study for the serological diagnosis of hantaviruses in Europe.

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    Camille Escadafal

    Full Text Available Hantaviruses are endemic throughout the world and hosted by rodents and insectivores. Two human zoonoses, hemorrhagic fever with renal syndrome (HFRS and hantavirus pulmonary syndrome (HPS, are caused by hantaviruses and case fatality rates have reached 12% for HFRS and 50% for HPS in some outbreaks. Symptomatic hantavirus infections in Europe are summarised as HFRS mainly due to Puumala, Dobrava-Belgrade and Saaremaa virus. While HFRS has an overall low incidence in Europe, the number of cases varies from 100 per year in all Eastern and Southern Europe up to 1,000 per year only in Finland. To assess the quality of hantavirus diagnostics, the European Network for the Diagnostics of "Imported" Viral Diseases (ENIVD organised a first external quality assurance (EQA in 2002. The purpose of this second EQA study is to collect updated information on the efficiency and accurateness of hantavirus serological methods applied by expert laboratories. A serum panel of 14 samples was sent to 28 participants in Europe of which 27 sent results. Performance in hantavirus diagnosis varied not only on the method used but also on the laboratories and the subclass of antibodies tested. Commercial and in-house assays performed almost equally. Enzyme immunoassays were mainly used but did not show the best performances while immunoblot assays were the less employed and showed overall better performances. IgM antibodies were not detected in 61% of the positive IgM samples and IgM detection was not performed by 7% of the laboratories indicating a risk of overlooking acute infections in patients. Uneven performances using the same method is indicating that there is still a need for improving testing conditions and standardizing protocols.

  17. High-Dose Intravenous Methylprednisolone for Hantavirus Cardiopulmonary Syndrome in Chile: A Double-Blind, Randomized Controlled Clinical Trial

    OpenAIRE

    Vial, Pablo A.; Valdivieso, Francisca; Ferres, Marcela; Riquelme, Raul; Rioseco, M. Luisa; Calvo, Mario; Castillo, Constanza; Díaz, Ricardo; Scholz, Luis; Cuiza, Analia; Belmar, Edith; Hernandez, Carla; Martinez, Jessica; Lee, Sang-Joon; Mertz, Gregory J.

    2013-01-01

    We conducted a double-blind, placebo-controlled clinical trial to evaluate the efficacy of intravenous methylprednisolone for hantavirus cardiopulmonary syndrome in Chile between 2003 and 2010. Sixty of 66 enrollees had hantavirus confirmed. We observed no significant difference in primary efficacy or safety outcomes between the groups.

  18. Teste cardiopulmonar do exercício na prática clínica Cardiopulmonary stress testing in clinical practice

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    Eva Cantalejo Munhoz Stadler de Souza

    2000-12-01

    Full Text Available O teste cardiopulmonar do exercício (CPX apresenta-se como uma metodologia de grande utilidade diagnóstica e prognóstica. O presente estudo teve por objetivo demonstrar que os dados obtidos em laboratório fora do ambiente hospitalar comportam-se como os dados descritos na literatura, com aplicabilidade na prática clínica em nosso meio. METODOLOGIA: Trata-se de um relato de experiência, através da análise retrospectiva dos casos. O CPX foi realizado em condições de laboratório controladas, com bocal e clipe nasal, protocolo de rampa em esteira rolante e eletrocardiograma de 13 canais. RESULTADOS: Entre os 261 testes, 53,3% eram em homens, idade média de 48,2 ± 14,3 anos; ativos (45,2% ou sedentários (34,5%. A capacidade aeróbia máxima foi superior e com declínio significativo para cada década de aumento na faixa etária entre os homens, enquanto nas mulheres o declínio significativo ocorreu entre os 30 e 60 anos. As mulheres apresentaram maior distribuição (p = 0,0006 nas classes funcionais "em programa de treinamento ou bem treinadas e motivadas". O consumo de oxigênio pico (O2 foi significativamente superior nos testes máximos, mas o O2 do limiar anaeróbio (O2LA não apresentou diferenças significativas, quando o teste obtido foi máximo ou submáximo. A capacidade funcional, avaliada pelo O2LA como porcentagem do O2 máximo previsto, comparado à porcentagem do O2 máximo atingido, classificou mais indivíduos com compromisso circulatório (p = 0,002 ou com menor aptidão física em comparação com pacientes ativos ou em programa de treinamento (p O2 máximo previsto foi a causa mais comum de anormalidade, mais freqüente e significativo entre as mulheres. CONCLUSÃO: Os dados obtidos são comparáveis aos descritos na literatura, sugerindo que o CPX é uma metodologia factível, que poderia ser empregada rotineiramente na prática clínica em nosso meio.Cardiopulmonary stress testing (CPT is a very useful tool to

  19. Hantavirus seropositivity in rodents in relation to habitat heterogeneity in human-shaped landscapes of Southeast Asia.

    Science.gov (United States)

    Blasdell, Kim; Morand, Serge; Henttonen, Heikki; Tran, Annelise; Buchy, Philippe

    2016-05-01

    To establish how the conversion of natural habitats for agricultural purposes may impact the distribution of hantaviruses in Southeast Asia, we tested how habitat structure affects hantavirus infection prevalence of common murine rodents that inhabit human-dominated landscapes in this region. For this, we used geo-referenced data of rodents analysed for hantavirus infection and land cover maps produced for the seven study sites in Thailand, Cambodia and Lao PDR where they were collected. Rodents were tested by serological methods that detect several hantaviruses, including pathogenic ones. Rodents with a seropositive status were more likely to be found near to agriculture on steep land, and also in environments with a high proportion of agriculture on steep land. These results suggest that in Southeast Asia, hantaviruses, which are often associated with generalist rodent species with a preference for agricultural land, may benefit from land conversion to agriculture.

  20. Development and validation of a point-of-care test for detecting hantavirus antibodies in human and rodent samples.

    Science.gov (United States)

    Koishi, Andrea Cristine; Aoki, Mateus Nóbrega; Jorge, Taissa Ricciardi; Suzukawa, Andréia Akemi; Zanluca, Camila; Levis, Silvana; Duarte Dos Santos, Claudia Nunes

    2016-07-01

    Hantaviruses are etiologic agents of a zoonotic disease transmitted mainly from wild rodents to humans, causing Hemorrhagic Fever with Renal Syndrome in Eurasia and the Hantavirus Cardiopulmonary Syndrome in the Americas (HCPS), reaching a lethality rate of 40% in Brazil. Hantavirus diagnostic and seroprevalence are often based on the presence of IgM and IgG antibodies against the virus. Here we propose a rapid test assay able to identify hantavirus antibodies with sensibility and specificity similar to ELISA assays. We analyzed five groups of samples, including healthy human population and small mammals of endemic areas, suspected cases of HCPS, patients with non-related infections and a serum panel from a different geographical region. The test presented good rates of sensibility (87-100%) and specificity (97-100%) for all groups, being a promising tool suitable for both rodent and human hantavirus epidemiological surveys.

  1. Condiciones para la transmision del hantavirus en zona andina de Río negro, Argentina

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    Gabriel Talmon

    2014-10-01

    Full Text Available El Síndrome Pulmonar por Hantavirus (SPH es una enfermedad de etiología viral que causa en el hombre un cuadro respiratorio grave. En Patagonia, la enfermedad es causada por el virus Andes Sur (AND, transmitido por el roedor Oligoryzomys longicaudatus. El objetivo del presente trabajo fue identificar las actividades del hombre que favorecen su exposición a roedores, denominados escenarios de contagio. Se realizó un estudio retrospectivo a partir de información recolectada en investigaciones de casos ocurridos en Río Negro, mediante Fichas Clínico-Epidemiológicas e informes de evaluación ecológico/ambiental. Se definieron como variables a ser consideradas: edad, sexo, época del año, grado de urbanización, localización geográfica, integración del hombre al hábitat de roedores, fuente probable de exposición, actividad humana y nivel de saneamiento. Se estudiaron 32 casos. La exposición rural se verificó en 18 (56.2% de los casos y 10 (31.3% en paraje rural (grupo de viviendas en zona rural. En relación al ambiente antropogénico 24 (75% resultaron en ambientes modificados por el hombre y 8 (25% en áreas poco modificadas. El sitio de exposición de mayor importancia en El Bolsón fue el interior de edificaciones en 8 de los 18 casos allí registrados (44.5%, mientras que en Bariloche fueron ambientes de exterior con 8/14 (57.1% casos. La actividad de riesgo fue laboral en 23 (71.9% de los casos y recreacional en 7 (28.1%. Determinar los escenarios de contagio a nivel local ha aportado información para aplicar todos los recursos disponibles en materia de prevención y educación sanitaria.

  2. Estudio de Hantavirus seoul en una población humana y de roedores en un asentamiento precario de la Ciudad de Buenos Aires

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    A Seijo

    2003-06-01

    Full Text Available Se realizó un estudio seroepidemiológico transversal para determinar la circulación de Hantavirus seoul, de distribución mundial y asociado con fiebre hemorrágica con síndrome renal (FHSR, en una población humana (n: 106 de un asentamiento precario de la ciudad de Buenos Aires y en una población de Rattus norvegicus, (n: 29 capturados en el peridomicilio. Se estudiaron además 35 personas, con igual relación epidemiológica, que eran asistidas por hipertensión arterial. La seroprevalencia de anticuerpos antihantavirus en los roedores fue del 31% mientras que no se encontraron indicios serológicos de infección en los humanos.A sero-epidemiological survey was conducted to detect evidence of the circulation of Hantavirus seoul. This virus of worldwide distribution is associated with hemorrhagic fever with renal syndrome. A total of 106 samples from people who live in a marginal area in Buenos Aires City and 29 Rattus norvegicus captured in the surroundings of their houses were tested for specific antibodies. Thirty five samples from hypertensive patients undergoing a follow up health program, living in the same neighbourhood, were also tested. The antibody prevalence in rodents was 31% while no evidence of infection was found in the human samples.

  3. Clinical course and long-term outcome of hantavirus-associated nephropathia epidemica, Germany.

    Science.gov (United States)

    Latus, Joerg; Schwab, Matthias; Tacconelli, Evelina; Pieper, Friedrich-Michael; Wegener, Daniel; Dippon, Juergen; Müller, Simon; Zakim, David; Segerer, Stephan; Kitterer, Daniel; Priwitzer, Martin; Mezger, Barbara; Walter-Frank, Birgit; Corea, Angela; Wiedenmann, Albrecht; Brockmann, Stefan; Pöhlmann, Christoph; Alscher, M Dominik; Braun, Niko

    2015-01-01

    Human infection with Puumala virus (PUUV), the most common hantavirus in Central Europe, causes nephropathia epidemica (NE), a disease characterized by acute kidney injury and thrombocytopenia. To determine the clinical phenotype of hantavirus-infected patients and their long-term outcome and humoral immunity to PUUV, we conducted a cross-sectional prospective survey of 456 patients in Germany with clinically and serologically confirmed hantavirus-associated NE during 2001-2012. Prominent clinical findings during acute NE were fever and back/limb pain, and 88% of the patients had acute kidney injury. At follow-up (7-35 mo), all patients had detectable hantavirus-specific IgG; 8.5% had persistent IgM; 25% had hematuria; 23% had hypertension (new diagnosis for 67%); and 7% had proteinuria. NE-associated hypertension and proteinuria do not appear to have long-term consequences, but NE-associated hematuria may. All patients in this study had hantavirus-specific IgG up to years after the infection.

  4. Two cases of Hantavirus infection in Crimean-Congo Haemorrhagic Fever endemic region

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    Mustafa Sünbül

    2012-09-01

    Full Text Available Crimean-Congo Hemorrhagic Fever (CCHF and Leptospirosis are endemic in our region. Hantavirus infections may beconfused with similar clinical picture zoonotic infections. Two patients with fever, malaise, cough, phlegm, nausea, vomiting,thrombocytopenia, renal failure, elevated transaminases, and a history of mouse contact were hospitalized in ourclinic with a presumptive diagnosis of leptospirosis, pneumonia, CCHF and Hantavirus infections. Empirical antibiotictreatment was initiated and CCHF and leptospirosis was ruled out with laboratory tests. Hantavirus immunoglobulin(Ig-G and Ig-M antibodies were detected positive by immunofluorescent antibody (IFA method in both cases but,Dobrova virus was detected in only one patient with immunoblotting methods. Both patients were discharged aftertreatment. Hantavirus infections may be misdiagnosed as zoonotic infections since they have similar clinical picture. Itshould be considered in the differential diagnosis of patients with a history of contact with mouse. J Microbiol Infect Dis2012; 2(3: 117-120Key words: Hantavirus, hemorrhagic fever, renal syndrome, pulmonary syndrome

  5. Ecological study of hantavirus infection in wild rodents in an endemic area in Brazil.

    Science.gov (United States)

    Oliveira, Renata Carvalho; Gentile, Rosana; Guterres, Alexandro; Fernandes, Jorlan; Teixeira, Bernardo Rodrigues; Vaz, Vanderson; Valdez, Fernanda Pedone; Vicente, Luciana Helena Bassan; da Costa-Neto, Sócrates Fraga; Bonvicino, Cibele; D'Andrea, Paulo Sergio; Lemos, Elba R S

    2014-03-01

    A 3-year ecological study of small mammals was carried out in an endemic area for hantavirus pulmonary syndrome in the state of Santa Catarina in Southern Brazil. A total of 994 rodents of 14 different species corresponding to the subfamilies of Sigmodontinae, Murinae, Eumysopinae, and Caviinae were captured during 2004-2006. Oligoryzomys nigripes and Akodon montensis were the most abundant species and showed a clear seasonal pattern with higher population sizes during the winter. Rodent population outbreaks, associated within bamboo mast seeding events, were detected predominantly in areas where hantavirus pulmonary syndrome cases were notified in the state. Antibody reactivity to Hantavirus was detected in five sigmodontine species: O. nigripes (39/435), A. montensis (15/318), Akodon paranaensis (4/37), Thaptomys nigrita (1/86) and Sooretamys angouya (1/12). The highest hantavirus antibody prevalence occurred during the period of highest population size in A. montensis. For O. nigripes, hantavirus prevalence was higher in late spring, when reproduction was more frequent. Co-circulation of Juquitiba (JUQV) and Jabora (JABV) viruses was observed - JABV in A. paranaensis and A. montensis; JUQV in O. nigripes and T. nigrita. JABV occurrence was associated to gender and population size of the rodent while JUQV was related to gender, season, temperature, and locality.

  6. Detection of shrew-borne hantavirus in Eurasian pygmy shrew (Sorex minutus) in Central Europe.

    Science.gov (United States)

    Radosa, Lukáš; Schlegel, Mathias; Gebauer, Petra; Ansorge, Hermann; Heroldová, Marta; Jánová, Eva; Stanko, Michal; Mošanský, Ladislav; Fričová, Jana; Pejčoch, Milan; Suchomel, Josef; Purchart, Luboš; Groschup, Martin H; Krüger, Detlev H; Ulrich, Rainer G; Klempa, Boris

    2013-10-01

    Recently, it was found that not only rodents but also shrews are reservoir hosts of hantaviruses. In Central Europe, only Seewis virus, associated with the Eurasian common shrew (Sorex araneus), has been recognized until now. In the present report, tissue samples from shrews belonging to Crocidurinae and Soricinae subfamilies, trapped in Czech Republic, Germany, and Slovakia, were screened for the presence of novel hantaviruses. Three new hantavirus partial L-segment sequences were obtained from pygmy shrews (Sorex minutus) trapped in Czech Republic and Germany. Complete nucleocapsid protein- and glycoprotein precursor-coding S- and M-segment sequences were then determined for the newly recognized hantavirus strains, CZ/Beskydy/412/2010/Sm, CZ/Drahany/420/2010/Sm, and DE/Dürrbach/1912/2009/Sm. Phylogenetic analyses showed that they represent strains of Asikkala virus (ASIV), a novel hantavirus also found in pygmy shrews from Finland. Our study reveals a broad geographic distribution of ASIV across Europe and indicates pygmy shrew as the primary reservoir host. Future studies will have to determine the pathogenic relevance of ASIV.

  7. The adaptive immune response does not influence hantavirus disease or persistence in the Syrian hamster.

    Science.gov (United States)

    Prescott, Joseph; Safronetz, David; Haddock, Elaine; Robertson, Shelly; Scott, Dana; Feldmann, Heinz

    2013-10-01

    Pathogenic New World hantaviruses cause severe disease in humans characterized by a vascular leak syndrome, leading to pulmonary oedema and respiratory distress with case fatality rates approaching 40%. Hantaviruses infect microvascular endothelial cells without conspicuous cytopathic effects, indicating that destruction of the endothelium is not a mechanism of disease. In humans, high levels of inflammatory cytokines are present in the lungs of patients that succumb to infection. This, along with other observations, suggests that disease has an immunopathogenic component. Currently the only animal model available to study hantavirus disease is the Syrian hamster, where infection with Andes virus (ANDV), the primary agent of disease in South America, results in disease that closely mimics that seen in humans. Conversely, inoculation of hamsters with a passaged Sin Nombre virus (SNV), the virus responsible for most cases of disease in North America, results in persistent infection with high levels of viral replication. We found that ANDV elicited a stronger innate immune response, whereas SNV elicited a more robust adaptive response in the lung. Additionally, ANDV infection resulted in significant changes in the blood lymphocyte populations. To determine whether the adaptive immune response influences infection outcome, we depleted hamsters of CD4(+) and CD8(+) T cells before infection with hantaviruses. Depletion resulted in inhibition of virus-specific antibody responses, although the pathogenesis and replication of these viruses were unaltered. These data show that neither hantavirus replication, nor pathogenesis caused by these viruses, is influenced by the adaptive immune response in the Syrian hamster.

  8. Phylogeographic Diversity of Pathogenic and Non-Pathogenic Hantaviruses in Slovenia

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    Miša Korva

    2013-12-01

    Full Text Available Slovenia is a very diverse country from a natural geography point of view, with many different habitats within a relatively small area, in addition to major geological and climatic differences. It is therefore not surprising that several small mammal species have been confirmed to harbour hantaviruses: A. flavicollis (Dobrava virus, A. agrarius (Dobrava virus–Kurkino, M. glareolus (Puumala virus, S. areanus (Seewis virus,M. agrestis, M. arvalis and M. subterraneus (Tula virus. Three of the viruses, namely the Dobrava, Dobrava–Kurkino and Puumala viruses, cause disease in humans, with significant differences in the severity of symptoms. Due to changes in haemorrhagic fever with renal syndrome cases (HFRS epidemiology, a detailed study on phylogenetic diversity and molecular epidemiology of pathogenic and non-pathogenic hantaviruses circulating in ecologically diverse endemic regions was performed. The study presents one of the largest collections of hantavirus L, M and S sequences obtained from hosts and patients within a single country. Several genetic lineages were determined for each hantavirus species, with higher diversity among non-pathogenic compared to pathogenic viruses. For pathogenic hantaviruses, a significant geographic clustering of human- and rodent-derived sequences was confirmed. Several geographic and ecological factors were recognized as influencing and limiting the formation of endemic areas.

  9. Serological diagnosis of hantavirus pulmonary syndrome in a febrile patient in Colombia.

    Science.gov (United States)

    Mattar, Salim; Garzon, Denisse; Tadeu, Luis; Faccini-Martínez, Alvaro A; Mills, James N

    2014-08-01

    Hantavirus pulmonary syndrome (HPS) is an often fatal rodent-borne zoonosis caused by any of at least 20 hantavirus genotypes distributed throughout the Americas. Although HPS has been documented in several bordering countries, it has not been reported in Colombia. Here we report seroconversion to a hantavirus in paired samples from a hospitalized patient with symptoms compatible with HPS from Montería, Córdoba Department, north-western Colombia. Tests for regionally endemic agents including Plasmodium, Leptospira, Salmonella, dengue virus, Brucella, Rickettsia, human immunodeficiency virus and hepatitis viruses were negative. Because the patient was enrolled in a clinical trial for hemorrhagic fevers conducted by the University of Córdoba, serum samples were collected on admission and at discharge. Testing using Sin Nombre virus ELISA showed IgG and IgM seroconversion between samples. The eventual finding of this first clinical case of hantavirus infection in Colombia is consistent with the high prevalence of hantavirus antibodies in humans in the region and the likely exposure of the patient to rodents. The clinical presentation was similar to that found in neighbouring Panama.

  10. The effect of habitat fragmentation and species diversity loss on hantavirus prevalence in Panama.

    Science.gov (United States)

    Suzán, Gerardo; Marcé, Erika; Giermakowski, J Tomasz; Armién, Blas; Pascale, Juan; Mills, James; Ceballos, Gerardo; Gómez, Andres; Aguirre, A Alonso; Salazar-Bravo, Jorge; Armién, Anibal; Parmenter, Robert; Yates, Terry

    2008-12-01

    Habitat fragmentation and diversity loss due to increased conversion of natural habitats to agricultural uses influence the distribution and abundance of wildlife species and thus may change the ecology of pathogen transmission. We used hantaviruses in Panama as a research model to determine whether anthropogenic environmental change is associated with changes in the dynamics of viral transmission. Specifically, we wanted to determine whether hantavirus infection was correlated with spatial attributes of the landscape at both large and small scales or whether these changes are mediated by changes in community composition. When analyzed at coarse spatial scales, hantavirus reservoirs were more commonly found in disturbed habitats and edge habitats than in forested areas. At local scales, reservoir species dominance was significantly correlated with the slope of the terrain. To evaluate the effect of small-mammal diversity loss on infection dynamics, we implemented an experiment with selective species removal at experimental sites. Seroprevalence of hantavirus was higher in the community of small mammals and increased through time in the experimental sites. The higher seroprevalence in experimental plots suggests that greater diversity likely reduces encounter rates between infected and susceptible hosts. Our studies suggest that habitat loss and fragmentation and species diversity loss are altering hantavirus infection dynamics in Panama. Our work represents a multidisciplinary approach toward disease research that includes biodiversity concerns such as environmental change and degradation, human settlement patterns, and the ecology of host and nonhost species, work that may be especially important in tropical countries.

  11. Anjozorobe hantavirus, a new genetic variant of Thailand virus detected in rodents from Madagascar.

    Science.gov (United States)

    Reynes, Jean-Marc; Razafindralambo, Nadia Kaloina; Lacoste, Vincent; Olive, Marie-Marie; Barivelo, Tony Andrianaivo; Soarimalala, Voahangy; Heraud, Jean-Michel; Lavergne, Anne

    2014-03-01

    Until now, there was only serological evidence that hantaviruses were circulating in rodents and infecting humans from Madagascar. To assess the presence of a hantavirus on the island, between October, 2008, and March, 2010, we sampled 585 rodents belonging to seven species in the Anjozorobe-Angavo forest corridor, 70 km north from the capital city Antananarivo. A hantavirus was detected from organs of the ubiquist roof rat (Rattus rattus) and of the endemic Major's tufted-tailed rat (Eliurus majori). Amazingly, sequence analysis of the S (small), M (medium), and L (large) coding DNA sequence of this virus showed that the Anjozorobe strain (proposed name) was a new genetic variant of Thailand virus (THAIV) that comprises other variants found in Southeast Asia. Because THAIV is suspected of causing hemorrhagic fever with renal syndrome in humans, ongoing studies are addressing the risk of infection by this new variant in the Malagasy population.

  12. HANTAVIRUS PULMONARY SYNDROME (HPS IN GUARIBA, SP, BRAZIL: REPORT OF 2 CASES

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    FIGUEIREDO Luiz Tadeu M.

    1999-01-01

    Full Text Available Human infections caused by a hantavirus were reported in different regions of the State of São Paulo (SP, Brazil during the first six months of 1998. Two cases of fatal pulmonary syndrome occurred in May of 1998 in the City of Guariba, located in the Northeastern Region of SP. Both patients worked in a corn storage barn infested by rodents. These patients, after 2 or 3 days of non-specific febrile illness, developed a severe interstitial pneumonia spreading widely in both lungs, causing respiratory failure and death. At autopsy both patients showed lung interstitial edema with immunoblast-like mononuclear cell infiltrates, consistent with a viral etiology. Hantavirus infection was diagnosed by ELISA in both cases and by RT-PCR in one of the patients. Aspects of the clinical presentation, physiopathology and differential diagnosis of Hantavirus Pulmonary Syndrome are discussed.

  13. Distribution and abundance of sigmodontine rodents in relation to hantavirus in Neuquén, Argentina.

    Science.gov (United States)

    Piudo, Luciana; Monteverde, Martín; González Capria, Silvana; Padula, Paula; Carmanchahi, Pablo

    2005-06-01

    In order to estimate spatial distribution, temporal variation, and prevalence of Andes hantavirus antibody in the rodent community, and especially in Oligoryzomys longicaudatus populations, four different ecosystems were trapped seasonally between spring 2001 and winter 2002 in Neuquen, northwestern Argentinean Patagonia. Five peridomestic settings were sampled within the same period. The rodent O. longicaudatus had the widest distribution in Neuquen, as it was the only species captured at every sample site except for the High Andean steppe, and it was also the most common species captured. Rodents of 13 species were tested for hantavirus antibody prevalence, but O. longicaudatus and Abrothrix longipilis were the only seropositive species. Seropositive individuals were captured during spring and summer in the Subantarctic forest and in winter 2001 in a peridomestic setting in the Patagonian steppe. The dominant presence of O. longicaudatus throughout Neuquen must be incorporated into strategies to prevent human exposure to hantavirus.

  14. Seroprevalence of hantavirus and Yersinia pestis antibodies in professionals from the Plague Control Program

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    Erika de Cassia Vieira da Costa

    2013-07-01

    Full Text Available Introduction Professionals who handle rodents in the field and in the laboratory are at risk of infection by the microorganisms harbored by these animals. Methods Serum samples from professionals involved in rodent and Yersinia pestis handling in field or laboratory work were analyzed to determine hantavirus and plague seroprevalence and to establish a relationship between these activities and reports of illnesses. Results Two individuals had antibodies against hantavirus, and two harbored antibodies against the plague; none of the individuals had experienced an illness related to their duties. Conclusions These results confirm the risks of hantavirus- and plague-related field and laboratory activities and the importance of protective measures for such work.

  15. Novel serological tools for detection of Thottapalayam virus, a Soricomorpha-borne hantavirus.

    Science.gov (United States)

    Schlegel, Mathias; Tegshduuren, Erdenesaikhan; Yoshimatsu, Kumiko; Petraityte, Rasa; Sasnauskas, Kestutis; Hammerschmidt, Bärbel; Friedrich, Robert; Mertens, Marc; Groschup, Martin H; Arai, Satoru; Endo, Rika; Shimizu, Kenta; Koma, Takaaki; Yasuda, Shumpei; Ishihara, Chiaki; Ulrich, Rainer G; Arikawa, Jiro; Köllner, Bernd

    2012-11-01

    We developed serological tools for the detection of hantavirus-specific antibodies and hantavirus antigens in shrews. The work was focussed to generate Thottapalayam virus (TPMV)-specific monoclonal antibodies (mAbs) and anti-shrew immunoglobulin G (IgG) antibodies. The mAbs against TPMV nucleocapsid (N) protein were produced after immunization of BALB/c mice with recombinant TPMV N proteins expressed in Escherichia coli, baculovirus and Saccharomyces cerevisiae-mediated expression systems. In total, six TPMV N-protein-specific mAbs were generated that showed a characteristic fluorescent pattern in indirect immunofluorescence assay (IFA) using TPMV-infected Vero cells. Out of the six mAbs tested, five showed no cross-reaction to rodent-associated hantaviruses (Hantaan, Seoul, Puumala, Tula, Dobrava-Belgrade and Sin Nombre viruses) in IFA and enzyme-linked immunosorbent assay (ELISA), although one mAb reacted to Sin Nombre virus in IFA. None of the mAbs cross-reacted with an amino-terminal segment of the shrew-borne Asama virus N protein. Anti-shrew-IgG sera were prepared after immunization of rabbits and BALB/c-mice with protein-G-purified shrew IgG. TPMV-N-protein-specific sera were raised by immunisation of Asian house shrews (Suncus murinus) with purified yeast-expressed TPMV N protein. Using these tools, an indirect ELISA was developed to detect TPMV-N-protein-specific antibodies in the sera of shrews. Using an established serological assay, high TPMV N protein specific antibody titres were measured in the sera of TPMV-N-protein-immunized and experimentally TPMV-infected shrews, whereas no cross-reactivity to other hantavirus N proteins was found. Therefore, the generated mAbs and the established ELISA system represent useful serological tools to detect TPMV, TPMV-related virus antigens or hantavirus-specific antibodies in hantavirus-infected shrews.

  16. Prevalence of infection with hantavirus in rodent populations of central Argentina

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    Olga V Suárez

    2003-09-01

    Full Text Available We studied hantavirus seroprevalence and virus variability in rodent populations in Diego Gaynor, northwest of Buenos Aires province, Argentina. Rodent samplings were conducted in railroads and cropfield borders in March and July 1999, September and December 2000, and March 2001. Antibody detection was performed by an enzyme link immunosorbent assay (ELISA, using the recombinant nucleoprotein of Andes (AND virus as antigen. Tissue samples were taken from positive antibody individuals in order to confirm the presence of hantavirus genomic material and to identify virus genotypes. Akodon azarae was the most abundant species, followed by Oligoryzomys flavescens, while Calomys laucha and C. musculinus were rarely caught. We found a rate of seroprevalence of 9.3% for a total sample of 291 A. azarae and 13.5% for 37 O. flavescens. After molecular analyses of hantavirus, we confirmed the presence of hantavirus genomic material in 16 individuals with ELISA (+ results and two individuals with ELISA (-. Four amplimers for each species were sequenced and compared to the corresponding sequences of representative hantaviruses. We identified the AND Cent Lec from three O. flavescens, and the Pergamino virus from four A. azarae and from one O. flavescens. A. azarae males had higher seroprevalence than females, and heavier individuals showed higher seroprevalence than lighter ones. We did not find seroprevalence differences according to sex in O. flavescens, although this result may have been produced by the low sample size. The lowest seroprevalence was found in a period of high rodent density, when juveniles prevailed in the population. We found higher seroprevalences than those detected in previous studies for other localities of central Argentina where cases of hantavirus pulmonary syndrome (HPS have been reported. The presence of AND Cent Lec virus in rodent populations of the study area, which is responsible of HPS cases in central Argentina, suggests

  17. Extinction of refugia of hantavirus infection in a spatially heterogeneous environment

    Science.gov (United States)

    Kumar, Niraj; Parmenter, R. R.; Kenkre, V. M.

    2010-07-01

    We predict an abrupt observable transition, on the basis of numerical studies, of hantavirus infection in terrain characterized by spatially dependent environmental resources. The underlying framework of the analysis is that of Fisher equations with an internal degree of freedom, the state of infection. The unexpected prediction is of the sudden disappearance of refugia of infection in spite of the existence of supercritical (favorable) food resources, brought about by reduction of their spatial extent. Numerical results are presented and a theoretical explanation is provided on analytic grounds on the basis of the competition of diffusion of rodents carrying the hantavirus and nonlinearity present in the resource interactions.

  18. Respostas cardiopulmonares durante o esforço em crianças e adolescentes nascidas prematuras Cardiopulmonary outcomes during stress in children and adolescents born prematurely

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    Josy Davidson

    2011-09-01

    Full Text Available OBJETIVO: Descrever as respostas cardiopulmonares durante o esforço em crianças e adolescentes nascidos prematuros. FONTES DE DADOS: Busca nas bases científicas em saúde SciELO, Lilacs e PubMed, utilizando-se os descritores: "pressão arterial", "capacidade física", "cardiovascular", "prematuro", "criança", adolescente", "função pulmonar", nos idiomas inglês e português. Foram selecionados artigos publicados nos últimos 20 anos. SÍNTESE DOS DADOS: Crianças e adolescentes com histórico de prematuridade apresentam sinais de obstrução das vias aéreas, menores valores de função pulmonar e de capacidade ao exercício, maior incidência de hipertensão arterial e/ou valores mais elevados da pressão arterial sistólica do que os nascidos a termo. Além disso, há indícios de que as alterações na resistência vascular sistêmica desde os primeiros dias de vida comprometam o desenvolvimento cardiovascular até a idade adulta, predispondo a maiores riscos cardiovasculares. CONCLUSÕES: O esforço físico nos indivíduos nascidos prematuros acarreta respostas cardiopulmonares diferentes dos nascidos a termo, atribuídas a particularidades no desenvolvimento desses sistemas inerentes ao prematuro.OBJECTIVE: To describe cardiopulmonary outcomes during physical stress in prematurely born children and adolescents. DATA SOURCES: Studies were obtained from PubMed, SciELO and Lilacs in Portuguese and in English from the last 20 years. The following key-words were searched: "arterial pressure", "physical capacity", "cardiovascular", "premature", "children", "adolescent" and "pulmonary function". DATA SYNTHESIS: Prematurely born children and adolescents have airway obstruction, worse lung function and exercise capacity, more frequency of hypertension and/or higher systolic arterial pressure than those born at term. Furthermore, studies suggest that these infants have cardiovascular resistance alterations since their first days of life that

  19. Diversity and Distribution of Host Animal Species of Hantavirus and Risk to Human Health in Jiuhua Mountain Area, China

    Institute of Scientific and Technical Information of China (English)

    HU Xing Qiang; LI Shi Guang; LIU Hong; WANG Jun; HUA Ri Mao

    2014-01-01

    Objective To investigate the diversity and the distribution of host animal species of hantavirus and the effect on human health in Jiuhua Mountain area, China. Methods The host animal species of hantavirus was surveyed by using the trap method and the species diversity was evaluated by using the Simpson, Shannon-Weaner, and Pielou indices. Hantavirus antigens or antibodies in lung and blood samples of all the captured host animals were detected by direct or indirect immunofluorescence. Results Nine animal species of hantavirus were distributed in the forest ecosystem of Jiuhua Mountain. Of these, Niviventer confucianus and Apodemus agrarius were predominant, and N. confucianus, Rattus norvegicus, and Mus musculus had relatively large niche breadth index values. The host animals in the eastern and western mountain regions shared similar biodiversity index characteristics, predominant species, and species structures. Hantavirus was detected in 5 host animal species in Jiuhua Mountain area, the carriage rate of hantavirus was 6.03%. The average density of host animals in forest areas of the mountainous area was only 2.20%, and the virus infection rate in the healthy population was 2.33%. Conclusion The circulation of hantavirus was low in the forest areas of Jiuhua Mountain and did not pose a threat to human health.

  20. Ecology of rodent-associated hantaviruses in the Southern Cone of South America: Argentina, Chile, Paraguay, and Uruguay.

    Science.gov (United States)

    Palma, R Eduardo; Polop, Jaime J; Owen, Robert D; Mills, James N

    2012-04-01

    Thirteen hantavirus genotypes, associated with at least 12 sigmodontine reservoir rodents, have been recognized in the four countries that represent the Southern Cone of South America. Host-virus relationships are not as well defined as in North America; several Southern Cone hantaviruses appear to share a common host and some viruses do not occur throughout the range of their host. Although hantavirus-host relationships in the Southern Cone are less strictly concordant with the single-host-single-virus pattern reported elsewhere, recent studies suggest that much of the ambiguity may result from an incomplete understanding of host and hantavirus systematics. Although some Southern Cone host species are habitat generalists, some sympatric species are habitat specialists, helping to explain how some strict host-virus pairings may be maintained. In some cases, host population densities were higher in peridomestic habitats and prevalence of hantavirus infection was higher in host populations in peridomestic habitats. Seasonal and multiyear patterns in climate and human disturbance affect host population densities, prevalence of infection, and disease risk to humans. Unusually high hantavirus antibody prevalence in indigenous human populations may be associated with frequent and close contact with host rodents. Ongoing studies are improving our understanding of hantavirus-host ecology and providing tools that may predict human risk.

  1. Autoimmune polyendocrinopathy and hypophysitis after Puumala hantavirus infection

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    Marlene Tarvainen

    2016-11-01

    Full Text Available Puumala hantavirus (PUUV infection causes nephropathia epidemica (NE, a relatively mild form of haemorrhagic fever with renal syndrome (HFRS. Hypophyseal haemorrhage and hypopituitarism have been described in case reports on patients with acute NE. Chronic hypopituitarism diagnosed months or years after the acute illness has also been reported, without any signs of a haemorrhagic aetiology. The mechanisms leading to the late-onset hormonal defects remain unknown. Here, we present a case of NE-associated autoimmune polyendocrinopathy and hypopituitarism presumably due to autoimmune hypophysitis. Thyroid peroxidase antibody seroconversion occurred between 6 and 12 months, and ovarian as well as glutamate decarboxylase antibodies were found 18 months after acute NE. Brain MRI revealed an atrophic adenohypophysis with a heterogeneous, low signal intensity compatible with a sequela of hypophysitis. The patient developed central (or mixed central and peripheral hypothyroidism, hypogonadism and diabetes insipidus, all requiring hormonal replacement therapy. This case report suggests that late-onset hormonal defects after PUUV infection may develop by an autoimmune mechanism. This hypothesis needs to be confirmed by prospective studies with sufficient numbers of patients.

  2. Endothelial cell permeability during hantavirus infection involves factor XII-dependent increased activation of the kallikrein-kinin system.

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    Shannon L Taylor

    Full Text Available Hemorrhagic fever with renal syndrome (HFRS and hantavirus pulmonary syndrome (HPS are diseases caused by hantavirus infections and are characterized by vascular leakage due to alterations of the endothelial barrier. Hantavirus-infected endothelial cells (EC display no overt cytopathology; consequently, pathogenesis models have focused either on the influx of immune cells and release of cytokines or on increased degradation of the adherens junction protein, vascular endothelial (VE-cadherin, due to hantavirus-mediated hypersensitization of EC to vascular endothelial growth factor (VEGF. To examine endothelial leakage in a relevant in vitro system, we co-cultured endothelial and vascular smooth muscle cells (vSMC to generate capillary blood vessel-like structures. In contrast to results obtained in monolayers of cultured EC, we found that despite viral replication in both cell types as well as the presence of VEGF, infected in vitro vessels neither lost integrity nor displayed evidence of VE-cadherin degradation. Here, we present evidence for a novel mechanism of hantavirus-induced vascular leakage involving activation of the plasma kallikrein-kinin system (KKS. We show that incubation of factor XII (FXII, prekallikrein (PK, and high molecular weight kininogen (HK plasma proteins with hantavirus-infected EC results in increased cleavage of HK, higher enzymatic activities of FXIIa/kallikrein (KAL and increased liberation of bradykinin (BK. Measuring cell permeability in real-time using electric cell-substrate impedance sensing (ECIS, we identified dramatic increases in endothelial cell permeability after KKS activation and liberation of BK. Furthermore, the alterations in permeability could be prevented using inhibitors that directly block BK binding, the activity of FXIIa, or the activity of KAL. Lastly, FXII binding and autoactivation is increased on the surface of hantavirus-infected EC. These data are the first to demonstrate KKS activation

  3. Detection of the first incidence of Akodon paranaensis naturally infected with the Jabora virus strain (Hantavirus in Brazil

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    Renata Carvalho de Oliveira

    2012-05-01

    Full Text Available We characterised hantaviruses circulating in different Akodon rodent species collected in midwestern Santa Catarina (SC, southern Brazil, where the Jabora hantavirus (JABV strain was first identified in Akodon montensis. Genetic and phylogenetic analyses based on a partial S segment indicated that, in SC, Akodon paranaensis and A. montensis carried the same type of hantavirus. Additionally, we conducted the first genomic characterisation of the complete S segment from the Brazilian JABV strain. This is the first report of A. paranaensis infected with the JABV.

  4. Depletion of Alveolar Macrophages Does Not Prevent Hantavirus Disease Pathogenesis in Golden Syrian Hamsters

    Science.gov (United States)

    2016-05-20

    indicating that AMθ can 452 be a key source of neutrophil chemoattractants. Conversely , in other models, AMθ appear to 453 play a greater role in the...and sphingosine 1- phosphate inhibit hantavirus-directed permeability. Journal of 823 virology 82:5797-5806. 824 74. Gorbunova E, Gavrilovskaya IN

  5. The association between hantavirus infection and selenium deficiency in mainland China

    NARCIS (Netherlands)

    L.Q. Fang; M. Goeijenbier (Marco); S.-Q. Zuo (Shu-Qing); L-P. Wang (Li-Ping); S. Liang (Song); S.L. Klein (Sabra L.); X.-L. Li (Xin-Lou); K. Liu (Kun); L. Liang (Lu); P. Gong (Peng); G.E. Glass (Gregory E.); E.C.M. van Gorp (Eric); J.H. Richardus (Jan Hendrik); J.-Q. Ma (Jia-Qi); W. Cao (W.); S.J. de Vlas (Sake)

    2015-01-01

    textabstractHemorrhagic fever with renal syndrome (HFRS) caused by hantaviruses and transmitted by rodents is a significant public health problem in China, and occurs more frequently in selenium-deficient regions. To study the role of selenium concentration in HFRS incidence we used a multidisciplin

  6. Molecular method for the detection of Andes hantavirus infection: validation for clinical diagnostics.

    Science.gov (United States)

    Vial, Cecilia; Martinez-Valdebenito, Constanza; Rios, Susana; Martinez, Jessica; Vial, Pablo A; Ferres, Marcela; Rivera, Juan C; Perez, Ruth; Valdivieso, Francisca

    2016-01-01

    Hantavirus cardiopulmonary syndrome is a severe disease caused by exposure to New World hantaviruses. Early diagnosis is difficult due to the lack of specific initial symptoms. Antihantavirus antibodies are usually negative until late in the febrile prodrome or the beginning of cardiopulmonary phase, while Andes hantavirus (ANDV) RNA genome can be detected before symptoms onset. We analyzed the effectiveness of quantitative reverse transcription polymerase chain reaction (RT-qPCR) as a diagnostic tool detecting ANDV-Sout genome in peripheral blood cells from 78 confirmed hantavirus patients and 166 negative controls. Our results indicate that RT-qPCR had a low detection limit (~10 copies), with a specificity of 100% and a sensitivity of 94.9%. This suggests the potential for establishing RT-qPCR as the assay of choice for early diagnosis, promoting early effective care of patients, and improving other important aspects of ANDV infection management, such as compliance of biosafety recommendations for health personnel in order to avoid nosocomial transmission.

  7. A Cluster of Three Cases of Hantavirus Pulmonary Syndrome among Canadian Military Personnel

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    Leighanne O. Parkes

    2016-01-01

    Full Text Available Hantavirus pulmonary syndrome (HPS is a rare illness in eastern Canada. We present three cases of HPS among military personnel in Quebec. The three cases shared a common exposure to mouse excreta while engaged in military training in Alberta, a western province of Canada.

  8. Rapid, whole blood diagnostic test for detecting anti-hantavirus antibody in rats.

    Science.gov (United States)

    Amada, Takako; Yoshimatsu, Kumiko; Yasuda, Shumpei P; Shimizu, Kenta; Koma, Takaaki; Hayashimoto, Nobuhito; Gamage, Chandika D; Nishio, Sanae; Takakura, Akira; Arikawa, Jiro

    2013-10-01

    Hantavirus is a causative agent of rodent-borne viral zoonoses, hemorrhagic fever with renal syndrome (HFRS) and hantavirus pulmonary syndrome. Seoul virus (SEOV) is a causative agent of urban and laboratory rat-associated HFRS worldwide. Surveillance of rodents has been done mainly by serological detection of hantavirus-specific antibodies by enzyme linked immunosorbent assay (ELISA) and immunofluorescent antibody assay (IFA). An immunochromatographic (ICG) test was developed with the N-terminal 103 amino acids of nucleocapsid protein of Hantaan virus expressed by Escherichia coli as an antigen to detect IgG antibody specific to hantavirus in sera from Rattus sp. animals. Antibody-detecting sensitivity of the ICG test was the same as that of ELISA and about 100-times higher than that of IFA. Overall sensitivities and specificities of the ICG test in comparison to ELISA and IFA for sera from 192 urban rats and 123 laboratory rats were 99.3% and 100%, respectively. Diluted whole blood samples without separation could be used for the ICG test. The ICG test enabled detection of antibodies to SEOV, Hantaan, Dobrava/Belgrade, and Thailand viruses, which are causative agents of HFRS throughout Eurasia. The ICG test is a rapid, simple and safe method for diagnosis of SEOV infection in rats.

  9. Crystal Structure of Glycoprotein C from a Hantavirus in the Post-fusion Conformation

    Science.gov (United States)

    Willensky, Shmuel; Bignon, Eduardo A.; Tischler, Nicole D.; Dessau, Moshe

    2016-01-01

    Hantaviruses are important emerging human pathogens and are the causative agents of serious diseases in humans with high mortality rates. Like other members in the Bunyaviridae family their M segment encodes two glycoproteins, GN and GC, which are responsible for the early events of infection. Hantaviruses deliver their tripartite genome into the cytoplasm by fusion of the viral and endosomal membranes in response to the reduced pH of the endosome. Unlike phleboviruses (e.g. Rift valley fever virus), that have an icosahedral glycoprotein envelope, hantaviruses display a pleomorphic virion morphology as GN and GC assemble into spikes with apparent four-fold symmetry organized in a grid-like pattern on the viral membrane. Here we present the crystal structure of glycoprotein C (GC) from Puumala virus (PUUV), a representative member of the Hantavirus genus. The crystal structure shows GC as the membrane fusion effector of PUUV and it presents a class II membrane fusion protein fold. Furthermore, GC was crystallized in its post-fusion trimeric conformation that until now had been observed only in Flavi- and Togaviridae family members. The PUUV GC structure together with our functional data provides intriguing evolutionary and mechanistic insights into class II membrane fusion proteins and reveals new targets for membrane fusion inhibitors against these important pathogens. PMID:27783673

  10. Molecular evolution of Puumala hantavirus in Fennoscandia: phylogenetic analysis of strains from two recolonization routes

    DEFF Research Database (Denmark)

    Asikainen, Kari; Hänninen, Tarja; Henttonen, Heikki;

    2000-01-01

    Like other members of the genus Hantavirus in the family Bunyaviridae, Puumala virus (PUUV) is thought to be co-evolving with its natural host, the bank vole Clethrionomys glareolus. To gain insight into the evolutionary history of PUUV in northern Europe during the last post-glacial period, we...

  11. Rodent Species Distribution and Hantavirus Seroprevalence in Residential and Forested areas of Sarawak, Malaysia.

    Science.gov (United States)

    Hamdan, Nur Elfieyra Syazana; Ng, Yee Ling; Lee, Wei Bin; Tan, Cheng Siang; Khan, Faisal Ali Anwarali; Chong, Yee Ling

    2017-01-01

    Rodents belong to the order Rodentia, which consists of three families in Borneo (i.e., Muridae, Sciuridae and Hystricidae). These include rats, mice, squirrels, and porcupines. They are widespread throughout the world and considered pests that harm humans and livestock. Some rodent species are natural reservoirs of hantaviruses (Family: Bunyaviridae) that can cause zoonotic diseases in humans. Although hantavirus seropositive human sera were reported in Peninsular Malaysia in the early 1980s, information on their infection in rodent species in Malaysia is still lacking. The rodent populations in residential and forested areas in Sarawak were sampled. A total of 108 individuals from 15 species of rodents were collected in residential (n = 44) and forested ( n = 64) areas. The species diversity of rodents in forested areas was significantly higher (H = 2.2342) compared to rodents in residential areas (H = 0.64715) (p rodent populations in Sarawak, East Malaysia. The results suggested that hantavirus was not circulating in the studied rodent populations in Sarawak, or it was otherwise at a low prevalence that is below the detection threshold. It is important to remain vigilant because of the zoonotic potential of this virus and its severe disease outcome. Further studies, such as molecular detection of viral genetic materials, are needed to fully assess the risk of hantavirus infection in rodents and humans in this region of Malaysia.

  12. Tula hantavirus triggers pro-apoptotic signals of ER stress in Vero E6 cells.

    Science.gov (United States)

    Li, Xiao-Dong; Lankinen, Hilkka; Putkuri, Niina; Vapalahti, Olli; Vaheri, Antti

    2005-03-01

    Tula virus is a member of the Hantavirus genus of the family Bunyaviridae. Viruses of this family have an unusual pattern of intracellular maturation at the ER-Golgi compartment. We recently found that Tula virus, similar to several other hantaviruses, is able to induce apoptosis in cultured cells [Li, X.D., Kukkonen, S., Vapalahti, O., Plyusnin, A., Lankinen, H., Vaheri, A., 2004. Tula hantavirus infection of Vero E6 cells induces apoptosis involving caspase 8 activation. J. Gen. Virol. 85, 3261-3268.]. However, the cellular mechanisms remain to be clarified. In this study, we demonstrate that the progressive replication of Tula virus in Vero E6 cells initiates several death programs that are intimately associated with ER stress: (1) early activation of ER-resident caspase-12; (2) phosphorylation of Jun NH2-terminal kinase (JNK) and its downstream target transcriptional factor, c-jun; (3) induction of the pro-apoptotic transcriptional factor, growth arrest- and DNA damage-inducible gene 153, or C/EBP homologous protein (Gadd153/chop); and (4) changes in the ER-membrane protein BAP31 implying cross-talk with the mitochondrial apoptosis pathway. Furthermore, we confirmed that a sustained ER stress was induced marked by an increased expression of an ER chaperone Grp78/BiP. Taken together, we have identified involvement of ER stress-mediated death program in Tula virus-infected Vero E6 cells which provides a new approach to understand the mechanisms in hantavirus-induced apoptosis.

  13. Signatures of host mRNA 5' terminus for efficient hantavirus cap snatching.

    Science.gov (United States)

    Cheng, Erdong; Mir, Mohammad A

    2012-09-01

    Hantaviruses, similarly to other negative-strand segmented RNA viruses, initiate the synthesis of translation-competent capped mRNAs by a unique cap-snatching mechanism. Hantavirus nucleocapsid protein (N) binds to host mRNA caps and requires four nucleotides adjacent to the 5' cap for high-affinity binding. N protects the 5' caps of cellular transcripts from degradation by the cellular decapping machinery. The rescued 5' capped mRNA fragments are stored in cellular P bodies by N, which are later efficiently used as primers by the hantaviral RNA-dependent RNA polymerase (RdRp) for transcription initiation. We showed that N also protects the host mRNA caps in P-body-deficient cells. However, the rescued caps were not effectively used by the hantavirus RdRp during transcription initiation, suggesting that caps stored in cellular P bodies by N are preferred for cap snatching. We examined the characteristics of the 5' terminus of a capped test mRNA to delineate the minimum requirements for a capped transcript to serve as an efficient cap donor during hantavirus cap snatching. We showed that hantavirus RdRp preferentially snatches caps from the nonsense mRNAs compared to mRNAs engaged in translation. Hantavirus RdRp preferentially cleaves the cap donor mRNA at a G residue located 14 nucleotides downstream of the 5' cap. The sequence complementarity between the 3' terminus of viral genomic RNA and the nucleotides located in the vicinity of the cleavage site of the cap donor mRNA favors cap snatching. Our results show that hantavirus RdRp snatches caps from viral mRNAs. However, the negligible cap-donating efficiency of wild-type mRNAs in comparison to nonsense mRNAs suggests that viral mRNAs will not be efficiently used for cap snatching during viral infection due to their continuous engagement in protein synthesis. Our results suggest that efficiency of an mRNA to donate caps for viral mRNA synthesis is primarily regulated at the translational level.

  14. Cross-Protection against Challenge with Puumala Virus after Immunization with Nucleocapsid Proteins from Different Hantaviruses

    Science.gov (United States)

    de Carvalho Nicacio, Cristina; Gonzalez Della Valle, Marcelo; Padula, Paula; Björling, Ewa; Plyusnin, Alexander; Lundkvist, Åke

    2002-01-01

    Hantaviruses are rodent-borne agents that cause hemorrhagic fever with renal syndrome or hantavirus pulmonary syndrome in humans. The nucleocapsid protein (N) is relatively conserved among hantaviruses and highly immunogenic in both laboratory animals and humans, and it has been shown to induce efficient protective immunity in animal models. To investigate the ability of recombinant N (rN) from different hantaviruses to elicit cross-protection, we immunized bank voles with rN from Puumala (PUUV), Topografov (TOPV), Andes (ANDV), and Dobrava (DOBV) viruses and subsequently challenged them with PUUV. All animals immunized with PUUV and TOPV rN were completely protected. In the group immunized with DOBV rN, 7 of 10 animals were protected, while only 3 of 8 animals were protected in the group immunized with ANDV rN, which is more closely related to PUUV rN than DOBV rN. Humoral and cellular immune responses after rN immunization were also investigated. The highest cross-reactive humoral responses against PUUV antigen were detected in sera from ANDV rN-immunized animals, followed by those from TOPV rN-immunized animals, and only very low antibody cross-reactivity was observed in sera from DOBV rN-immunized animals. In proliferation assays, T lymphocytes from animals immunized with all heterologous rNs were as efficiently recalled in vitro by PUUV rN as were T lymphocytes from animals immunized with homologous protein. In summary, this study has shown that hantavirus N can elicit cross-protective immune responses against PUUV, and the results suggest a more important role for the cellular arm of the immune response than for the humoral arm in cross-protection elicited by rN. PMID:12050380

  15. Landscape, Environmental and Social Predictors of Hantavirus Risk in São Paulo, Brazil

    Science.gov (United States)

    Uriarte, Maria; Tambosi, Leandro Reverberi; Prado, Amanda; Pardini, Renata; D´Andrea, Paulo Sérgio; Metzger, Jean Paul

    2016-01-01

    Hantavirus Pulmonary Syndrome (HPS) is a disease caused by Hantavirus, which are negative-sense RNA viruses in the family Bunyaviridae that are highly virulent to humans. Numerous factors modify risk of Hantavirus transmission and consequent HPS risk. Human-driven landscape change can foster transmission risk by increasing numbers of habitat generalist rodent species that serve as the principal reservoir host. Climate can also affect rodent population dynamics and Hantavirus survival, and a number of social factors can influence probability of HPS transmission to humans. Evaluating contributions of these factors to HPS risk may enable predictions of future outbreaks, and is critical to development of effective public health strategies. Here we rely on a Bayesian model to quantify associations between annual HPS incidence across the state of São Paulo, Brazil (1993–2012) and climate variables (annual precipitation, annual mean temperature), landscape structure metrics (proportion of native habitat cover, number of forest fragments, proportion of area planted with sugarcane), and social factors (number of men older than 14 years and Human Development Index). We built separate models for the main two biomes of the state (cerrado and Atlantic forest). In both biomes Hantavirus risk increased with proportion of land cultivated for sugarcane and HDI, but proportion of forest cover, annual mean temperature, and population at risk also showed positive relationships in the Atlantic forest. Our analysis provides the first evidence that social, landscape, and climate factors are associated with HPS incidence in the Neotropics. Our risk map can be used to support the adoption of preventive measures and optimize the allocation of resources to avoid disease propagation, especially in municipalities that show medium to high HPS risk (> 5% of risk), and aimed at sugarcane workers, minimizing the risk of future HPS outbreaks. PMID:27780250

  16. Complete genome sequence and molecular phylogeny of a newfound hantavirus harbored by the Doucet's musk shrew (Crocidura douceti) in Guinea.

    Science.gov (United States)

    Gu, Se Hun; Nicolas, Violaine; Lalis, Aude; Sathirapongsasuti, Nuankanya; Yanagihara, Richard

    2013-12-01

    Elucidation of the molecular phylogeny of shrew-borne hantaviruses in sub-Saharan Africa has been hampered by the lack of full-length viral genomes. In this report, we present the complete genome analysis of a newfound hantavirus, designated Bowé virus, detected in ethanol-fixed intercostal muscle of a Doucet's musk shrew (Crocidura douceti), captured in southwestern Guinea in February 2012. Full-length amino acid sequence comparison of the S-, M- and L-segment gene products revealed that Bowé virus differed by 24.1-53.4%, 17.0-59.9% and 14.6-39.7%, respectively, from all other representative rodent-, shrew- and mole-borne hantaviruses. Phylogenetic analysis, using maximum-likelihood and Bayesian methods, under the GTR+I+Γ model of evolution, showed that Bowé virus shared a common ancestry with Tanganya virus, a hantavirus detected in the Therese's shrew (Crocidura theresae) in Guinea. Whole genome analysis of many more hantaviruses from sub-Saharan Africa are needed to better clarify how the radiation of African shrews might have contributed to the phylogeography of hantaviruses.

  17. Molecular evolution of Azagny virus, a newfound hantavirus harbored by the West African pygmy shrew (Crocidura obscurior in Côte d'Ivoire

    Directory of Open Access Journals (Sweden)

    Kang Hae Ji

    2011-07-01

    Full Text Available Abstract Background Tanganya virus (TGNV, the only shrew-associated hantavirus reported to date from sub-Saharan Africa, is harbored by the Therese's shrew (Crocidura theresae, and is phylogenetically distinct from Thottapalayam virus (TPMV in the Asian house shrew (Suncus murinus and Imjin virus (MJNV in the Ussuri white-toothed shrew (Crocidura lasiura. The existence of myriad soricid-borne hantaviruses in Eurasia and North America would predict the presence of additional hantaviruses in sub-Saharan Africa, where multiple shrew lineages have evolved and diversified. Methods Lung tissues, collected in RNAlater®, from 39 Buettikofer's shrews (Crocidura buettikoferi, 5 Jouvenet's shrews (Crocidura jouvenetae, 9 West African pygmy shrews (Crocidura obscurior and 21 African giant shrews (Crocidura olivieri captured in Côte d'Ivoire during 2009, were systematically examined for hantavirus RNA by RT-PCR. Results A genetically distinct hantavirus, designated Azagny virus (AZGV, was detected in the West African pygmy shrew. Phylogenetic analysis of the S, M and L segments, using maximum-likelihood and Bayesian methods, under the GTR+I+Γ model of evolution, showed that AZGV shared a common ancestry with TGNV and was more closely related to hantaviruses harbored by soricine shrews than to TPMV and MJNV. That is, AZGV in the West African pygmy shrew, like TGNV in the Therese's shrew, did not form a monophyletic group with TPMV and MJNV, which were deeply divergent and basal to other rodent- and soricomorph-borne hantaviruses. Ancestral distributions of each hantavirus lineage, reconstructed using Mesquite 2.74, suggested that the common ancestor of all hantaviruses was most likely of Eurasian, not African, origin. Conclusions Genome-wide analysis of many more hantaviruses from sub-Saharan Africa are required to better understand how the biogeographic origin and radiation of African shrews might have contributed to, or have resulted from, the evolution

  18. A new hantavirus from the stripe-backed shrew (Sorex cylindricauda) in the People's Republic of China.

    Science.gov (United States)

    Zuo, Shu-Qing; Gong, Zheng-Da; Fang, Li-Qun; Jiang, Jia-Fu; Zhang, Jiu-Song; Zhao, Qiu-Min; Cao, Wu-Chun

    2014-05-12

    Inspired by the recent discovery of genetically distinct hantaviruses from insectivore species worldwide, we performed a small-scale search for insectivore-borne hantaviruses. In this paper, we report the discovery of a new hantavirus, which was designated the Qian Hu Shan virus (QHSV). This virus was detected in the lung tissues of three stripe-backed shrews (Sorex cylindricauda), which were captured in the Yunnan Province, China. The full-length S genomic segment of the representative QHSV strain YN05-284 was 1661 nucleotides and is predicted to encode a nucleocapsid protein of 429 amino acids that starts at nucleotide position 48. It exhibited the highest similarity with other Sorex-related hantaviruses, with 68.1%-72.8% nucleotide and 71.9%-84.4% amino acid sequence identities. An analysis of a 1430-nucleotide region of the partial M segment exhibited approximately 54.4%-79.5% nucleotide and 43.2%-90.8% amino acid sequence identities to other hantaviruses. A comparison of a 432-nucleotide region of the L segment also showed similar degrees of identity, with 68.9%-78.4% nucleotide and 71.1%-93.8% amino acid sequence identities to other hantaviruses. Phylogenetic analyses using Bayesian methods indicated that QHSV shared the most recent common ancestor with other Sorex-related hantaviruses. The host was identified using a morphological assessment and verified using mitochondrial cytochrome b (mt-Cyt b) gene sequencing. A pair-wise comparison of the 1140-nucleotide mt-Cyt b gene sequence from the host demonstrated that the host was close to S. cylindricauda from Nepal with 94.3% identity. The virus-host association tanglegram, which was constructed using the Dendroscope software, indicated that the QHSV phylogeny and the host phylogeny were approximately matched, which suggests no evidence of host switching for QHSV. Our results contribute to a wider viewpoint regarding the heterogeneity of viruses that infect shrews.

  19. Stage-dependent model for Hantavirus infection: The effect of the initial infection-free period

    Science.gov (United States)

    Reinoso, José A.; de la Rubia, F. Javier

    2013-04-01

    We propose a stage-dependent model with constant delay to study the effect of the initial infection-free period on the spread of Hantavirus infection in rodents. We analyze the model under various extreme weather conditions, in the context of the El Niño-La Niña Southern Oscillation phenomenon, and show how these variations determine the evolution of the system significantly. When the scenario corresponds to El Niño, the system presents a demographic explosion and a delayed outbreak of Hantavirus infection, whereas if the scenario is the opposite there is a rapid decline of the population, but with a possible persistence period that may imply a considerable risk for public health, a fact that is in agreement with available field data. We use the model to simulate a historical evolution that resembles the processes that occurred in the 1990s.

  20. Genetic analysis of Thailand hantavirus in Bandicota indica trapped in Thailand

    Directory of Open Access Journals (Sweden)

    Hugot Jean-Pierre

    2006-09-01

    Full Text Available Abstract Sixty one tissue samples from several rodent species trapped in five provinces of Thailand were examined for the presence of hantaviral markers by enzyme-immunoassay and immunoblotting. Four samples, all from the great bandicoot rat Bandicota indica, were confirmed positive for the hantaviral N-antigen. Two of them were trapped in Nakhon Pathom province, the other two in Nakhon Ratchasima province, approximately 250 km from the other trapping site. When analysed by RT-nested PCR, all four rodents were found positive for the hantaviral S- and M-segment nucleotide sequences. Genetic analysis revealed that the four newly described wild-type strains belong to Thailand hantavirus. On the phylogenetic trees they formed a well-supported cluster within the group of Murinae-associated hantaviruses and shared a recent common ancestor with Seoul virus.

  1. Hantavirus: an infectious cause of acute kidney injury in the UK.

    Science.gov (United States)

    Adams, Kate; Jameson, Lisa; Meigh, Rolf; Brooks, Tim

    2014-07-17

    We present a case of an undifferentiated febrile illness in a 59-year-old man from East Yorkshire. He was initially treated for leptospirosis due to the fact that he had farm exposure and the findings of acute kidney injury (AKI), thrombocytopenia and a raised alanine transferase (ALT) on his initial blood results. Serology tests later proved him to have had another rodent-borne illness: hantavirus. An investigation by Public Health England (formerly known as Health Protection Agency) (PHE) went on to prove the presence of the same serotype of hantavirus in rats caught on the patient's property. After an initial deterioration, the patient made a relatively uneventful recovery and all his blood tests returned to normal levels.

  2. Differences between Human and Rodent Plasmacytoid Dendritic Cells May Explain the Pathogenic Disparity of Hantavirus Infection

    Science.gov (United States)

    2016-06-01

    Also, Strandin and colleagues reported that tissue plasminogen activator was strongly upregulated in severe cases of Puumala hantivirus infection...temp with blocking buffer (5% non- fat dry milk in PBS, pH 7.4 and 0.5% Tween 20). Membranes were then washed three times in washing buffer (PBS pH...evidence of virus-induced cell death has been reported in tissues from fatal hantavirus cases (Zhang et al., 1987; Zaki et al., 1995). The absence of

  3. Hantavirus Pulmonary Syndrome in Santa Cruz, Bolivia: Outbreak Investigation and Antibody Prevalence Study

    Science.gov (United States)

    2012-10-18

    21, 2012; Accepted August 15, 2012; Published October 18, 2012 This is an open- access article, free of all copyright, and may be freely reproduced...Ecology and epidemiology of an emerging virus in Latin America]. Medicina (B Aires) 66: 343–356. 22. Weissenbacher MC, Cura E, Segura EL, Hortal M, Baek LJ...et al. (1996) Serological evidence of human Hantavirus infection in Argentina, Bolivia and Uruguay. Medicina (B Aires) 56: 17–22. 23. Pini N (2004

  4. A multistage differential transformation method for approximate solution of Hantavirus infection model

    Science.gov (United States)

    Gökdoğan, Ahmet; Merdan, Mehmet; Yildirim, Ahmet

    2012-01-01

    The goal of this study is presented a reliable algorithm based on the standard differential transformation method (DTM), which is called the multi-stage differential transformation method (MsDTM) for solving Hantavirus infection model. The results obtanied by using MsDTM are compared to those obtained by using the Runge-Kutta method (R-K-method). The proposed technique is a hopeful tool to solving for a long time intervals in this kind of systems.

  5. Co-circulation of soricid- and talpid-borne hantaviruses in Poland.

    Science.gov (United States)

    Gu, Se Hun; Hejduk, Janusz; Markowski, Janusz; Kang, Hae Ji; Markowski, Marcin; Połatyńska, Małgorzata; Sikorska, Beata; Liberski, Paweł P; Yanagihara, Richard

    2014-12-01

    Previously, we reported the discovery of a genetically distinct hantavirus, designated Boginia virus (BOGV), in the Eurasian water shrew (Neomys fodiens), as well as the detection of Seewis virus (SWSV) in the Eurasian common shrew (Sorex araneus), in central Poland. In this expanded study of 133 shrews and 69 moles captured during 2010-2013 in central and southeastern Poland, we demonstrate the co-circulation of BOGV in the Eurasian water shrew and SWSV in the Eurasian common shrew, Eurasian pygmy shrew (Sorex minutus) and Mediterranean water shrew (Neomys anomalus). In addition, we found high prevalence of Nova virus (NVAV) infection in the European mole (Talpa europaea), with evidence of NVAV RNA in heart, lung, liver, kidney, spleen and intestine. The nucleotide and amino acid sequence variation of the L segment among the SWSV strains was 0-18.8% and 0-5.4%, respectively. And for the 38 NVAV strains from European moles captured in Huta Dłutowska, the L-segment genetic similarity ranged from 94.1%-100% at the nucleotide level and 96.3%-100% at the amino acid level. Phylogenetic analyses showed geographic-specific lineages of SWSV and NVAV in Poland, not unlike that of rodent-borne hantaviruses, suggesting long-standing host-specific adaptation. The co-circulation and distribution of BOGV, SWSV and NVAV in Poland parallels findings of multiple hantavirus species co-existing in their respective rodent reservoir species elsewhere in Europe. Also, the detection of SWSV in three syntopic shrew species resembles spill over events observed among some rodent-borne hantaviruses.

  6. Life-long shedding of Puumala hantavirus in wild bank voles (Myodes glareolus).

    Science.gov (United States)

    Voutilainen, Liina; Sironen, Tarja; Tonteri, Elina; Bäck, Anne Tuiskunen; Razzauti, Maria; Karlsson, Malin; Wahlström, Maria; Niemimaa, Jukka; Henttonen, Heikki; Lundkvist, Åke

    2015-06-01

    The knowledge of viral shedding patterns and viraemia in the reservoir host species is a key factor in assessing the human risk of zoonotic viruses. The shedding of hantaviruses (family Bunyaviridae) by their host rodents has widely been studied experimentally, but rarely in natural settings. Here we present the dynamics of Puumala hantavirus (PUUV) shedding and viraemia in naturally infected wild bank voles (Myodes glareolus). In a monthly capture-mark-recapture study, we analysed 18 bank voles for the presence and relative quantity of PUUV RNA in the excreta and blood from 2 months before up to 8 months after seroconversion. The proportion of animals shedding PUUV RNA in saliva, urine and faeces peaked during the first month after seroconversion, but continued throughout the study period with only a slight decline. The quantity of shed PUUV in reverse transcription quantitative PCR (RT-qPCR) positive excreta was constant over time. In blood, PUUV RNA was present for up to 7 months but both the probability of viraemia and the virus load declined with time. Our findings contradict the current view of a decline in virus shedding after the acute phase and a short viraemic period in hantavirus infection - an assumption widely adopted in current epidemiological models. We suggest the life-long shedding as a means of hantaviruses to survive over host population bottlenecks, and to disperse in fragmented habitats where local host and/or virus populations face temporary extinctions. Our results indicate that the kinetics of pathogens in wild hosts may differ considerably from those observed in laboratory settings.

  7. Adler hantavirus, a new genetic variant of Tula virus identified in Major's pine voles (Microtus majori) sampled in southern European Russia.

    Science.gov (United States)

    Tkachenko, Evgeniy A; Witkowski, Peter T; Radosa, Lukas; Dzagurova, Tamara K; Okulova, Nataliya M; Yunicheva, Yulia V; Vasilenko, Ludmila; Morozov, Vyacheslav G; Malkin, Gennadiy A; Krüger, Detlev H; Klempa, Boris

    2015-01-01

    Although at least 30 novel hantaviruses have been recently discovered in novel hosts such as shrews, moles and even bats, hantaviruses (family Bunyaviridae, genus Hantavirus) are primarily known as rodent-borne human pathogens. Here we report on identification of a novel hantavirus variant associated with a rodent host, Major's pine vole (Microtus majori). Altogether 36 hantavirus PCR-positive Major's pine voles were identified in the Krasnodar region of southern European Russia within the years 2008-2011. Initial partial L-segment sequence analysis revealed novel hantavirus sequences. Moreover, we found a single common vole (Microtusarvalis) infected with Tula virus (TULV). Complete S- and M-segment coding sequences were determined from 11 Major's pine voles originating from 8 trapping sites and subjected to phylogenetic analyses. The data obtained show that Major's pine vole is a newly recognized hantavirus reservoir host. The newfound virus, provisionally called Adler hantavirus (ADLV), is closely related to TULV. Based on amino acid differences to TULV (5.6-8.2% for nucleocapsid protein, 9.4-9.5% for glycoprotein precursor) we propose to consider ADLV as a genotype of TULV. Occurrence of ADLV and TULV in the same region suggests that ADLV is not only a geographical variant of TULV but a host-specific genotype. High intra-cluster nucleotide sequence variability (up to 18%) and geographic clustering indicate long-term presence of the virus in this region.

  8. [Characterization of S gene of a strain of hantavirus isolated from Apodemus peninsulae in Heilongjiang Province].

    Science.gov (United States)

    Chen, Lu-Fei; Chen, Shu-Hong; Wang, Kai-Li; Zhang, Jing; Li, Ji-Hong

    2012-09-01

    In order to study the molecular characterization of the hantavirus isolated from Apodemus peninsulae in Heilongjiang Province, the S gene of a new strain NA33 was amplified, sequenced and analyzed. The results showed that the complete nucleotide sequence of the S gene of NA33 strain was composed of 1 693 nucleotides with TA-rich. The S gene contained one ORF, starting at position 37 and ending at position 1 326, encoding the N protein of 429 amino acid residues, and in line with HTN-based coding. Sequence comparison of the S genes between NA33 and reference hantavirus strains showed that NA33 was more homologous to Amur-like viruses than to the Hantaan (HTN) viruses or the other hantaviruses. Phylogenetic analysis of the amino acid sequence of N proteins showed that NA33 was clustered into the group of Amur-like viruses and was more similar to Far East Russia and Jilin strains isolated from Apodemus peninsulae. The phylogenetic tree indicated a certain degree of host-dependent characteristics and geographical aggregation characteristics of hantanviruses. Furthermore, the amino acid sequence of N protein of NA33 had the conserved amino acid sites of Amur-like viruses. In conclusion, Apodemus peninsulae carried Amur-like viruses in Heilongjiang province and was an important infectious source of hemorrhagic fever with renal syndrome (HFRS).

  9. Laguna Negra Virus Infection Causes Hantavirus Pulmonary Syndrome in Turkish Hamsters (Mesocricetus brandti).

    Science.gov (United States)

    Hardcastle, K; Scott, D; Safronetz, D; Brining, D L; Ebihara, H; Feldmann, H; LaCasse, R A

    2016-01-01

    Laguna Negra virus (LNV) is a New World hantavirus associated with severe and often fatal cardiopulmonary disease in humans, known as hantavirus pulmonary syndrome (HPS). Five hamster species were evaluated for clinical and serologic responses following inoculation with 4 hantaviruses. Of the 5 hamster species, only Turkish hamsters infected with LNV demonstrated signs consistent with HPS and a fatality rate of 43%. Clinical manifestations in infected animals that succumbed to disease included severe and rapid onset of dyspnea, weight loss, leukopenia, and reduced thrombocyte numbers as compared to uninfected controls. Histopathologic examination revealed lung lesions that resemble the hallmarks of HPS in humans, including interstitial pneumonia and pulmonary edema, as well as generalized infection of endothelial cells and macrophages in major organ tissues. Histologic lesions corresponded to the presence of viral antigen in affected tissues. To date, there have been no small animal models available to study LNV infection and pathogenesis. The Turkish hamster model of LNV infection may be important in the study of LNV-induced HPS pathogenesis and development of disease treatment and prevention strategies.

  10. Maripa hantavirus in French Guiana: phylogenetic position and predicted spatial distribution of rodent hosts.

    Science.gov (United States)

    de Thoisy, Benoît; Matheus, Séverine; Catzeflis, François; Clément, Luc; Barrioz, Sébastien; Guidez, Amandine; Donato, Damien; Cornu, Jean-François; Brunaux, Olivier; Guitet, Stéphane; Lacoste, Vincent; Lavergne, Anne

    2014-06-01

    A molecular screening of wild-caught rodents was conducted in French Guiana, South America to identify hosts of the hantavirus Maripa described in 2008 in a hantavirus pulmonary syndrome (HPS) case. Over a 9-year period, 418 echimyids and murids were captured. Viral RNA was detected in two sigmodontine rodents, Oligoryzomys fulvescens and Zygodontomys brevicauda, trapped close to the house of a second HPS case that occurred in 2009 and an O. fulvescens close to the fourth HPS case identified in 2013. Sequences from the rodents had 96% and 97% nucleotide identity (fragment of S and M segments, respectively) with the sequence of the first human HPS case. Phylogenetic reconstructions based on the complete sequence of the S segment show that Maripa virus is closely related to Rio Mamore hantavirus. Using environmental descriptors of trapping sites, including vegetation, landscape units, rain, and human disturbance, a maximal entropy-based species distribution model allowed for identification of areas of higher predicted occurrence of the two rodents, where emergence risks of Maripa virus are expected to be higher.

  11. Genetic analysis of hantaviruses carried by Myodes and Microtus rodents in Buryatia

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    Lundkvist Åke

    2008-01-01

    Full Text Available Abstract Hantavirus genome sequences were recovered from tissue samples of Myodes rufocanus, Microtus fortis and Microtus oeconomus captured in the Baikal area of Buryatia, Russian Federation. Genetic analysis of S- and M-segment sequences of Buryatian hantavirus strains showed that Myodes-associated strains belong to Hokkaido virus (HOKV type while Microtus-associated strains belong to Vladivostok virus (VLAV type. On phylogenetic trees Buryatian HOKV strains were clustered together with M. rufocanus- originated strains from Japan, China and Far-East Russia (Primorsky region. Buryatian Microtus- originated strains shared a common recent ancestor with M. fortis- originated VLAV strain from Far-East Russia (Vladivostok area. Our data (i confirm that M. rufocanus carries a hantavirus which is similar to but distinct from both Puumala virus carried by M. glareolus and Muju virus associated with M. regulus, (ii confirm that M. fortis is the natural host for VLAV, and (iii suggest M. oeconomus as an alternative host for VLAV.

  12. Person-to-person household and nosocomial transmission of andes hantavirus, Southern Chile, 2011.

    Science.gov (United States)

    Martinez-Valdebenito, Constanza; Calvo, Mario; Vial, Cecilia; Mansilla, Rita; Marco, Claudia; Palma, R Eduardo; Vial, Pablo A; Valdivieso, Francisca; Mertz, Gregory; Ferrés, Marcela

    2014-10-01

    Andes hantavirus (ANDV) causes hantavirus cardiopulmonary syndrome in Chile and is the only hantavirus for which person-to-person transmission has been proven. We describe an outbreak of 5 human cases of ANDV infection in which symptoms developed in 2 household contacts and 2 health care workers after exposure to the index case-patient. Results of an epidemiologic investigation and sequence analysis of the virus isolates support person-to-person transmission of ANDV for the 4 secondary case-patients, including nosocomial transmission for the 2 health care workers. Health care personnel who have direct contact with ANDV case-patients or their body fluids should take precautions to prevent transmission of the virus. In addition, because the incubation period of ANDV after environmental exposure is longer than that for person-to-person exposure, all persons exposed to a confirmed ANDV case-patient or with possible environmental exposure to the virus should be monitored for 42 days for clinical symptoms.

  13. Acute-onset chronic inflammatory demyelinating polyneuropathy in hantavirus and hepatitis B virus coinfection

    Science.gov (United States)

    Lim, Jong Youb; Lim, Young-Ho; Choi, Eun-Hi

    2016-01-01

    Abstract Introduction: Chronic inflammatory demyelinating polyneuropathy (CIDP) is an acquired autoimmune disorder with progressive weakness. Acute-onset CIDP resembles Guillain-Barre syndrome (GBS), a rapidly progressive disorder, and follows a chronic course. To our knowledge, no case of acute-onset CIDP in hantavirus and hepatitis B virus (HBV) coinfection has been reported previously. Clinical findings: We report a case of acute-onset CIDP that was initially diagnosed as GBS. Diagnoses: A 44-year-old male logger complained of acute quadriplegia and dyspnea. Mechanical ventilation was initiated. He was an HBV carrier with mild elevation of hepatic enzyme, and positive for hantavirus antibody. He was diagnosed with GBS and immunoglobulin therapy was administered. Interventions: After 8 months, quadriplegia and hypesthesia recurred. Immunoglobulin therapy at this time had no effect, but steroid therapy had some effect. Outcomes: A diagnosis of CIDP was made. After 2 months, severe extremity pain and dyspnea developed again, and steroid pulse therapy was initiated. Conclusion: Besides GBS, acute-onset CIDP can occur with hantavirus and HBV coinfection. Patients with this coinfection in whom GBS has been initially diagnosed should be followed up for a long time, because of the possibility of relapse or deterioration, and acute-onset CIDP should always be considered. PMID:27930572

  14. Complicações cardiopulmonares das doenças falciformes Cardiopulmonary complications of sickle cell disease

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    Sandra F. M. Gualandro

    2007-09-01

    Full Text Available O pulmão é um dos principais alvos de complicações agudas e crônicas nas doenças falciformes (DF. A síndrome torácica aguda é a segunda causa de internação hospitalar apresentando considerável morbimortalidade. O suporte clínico de alta qualidade é a base do tratamento bem sucedido. A administração adequada de fluidos, a analgesia, a oxigenioterapia, a fisioterapia respiratória ativa e o uso criterioso de transfusões sanguíneas são elementos essenciais do tratamento. A hipertensão pulmonar (HP, por sua vez, tem sido recentemente reconhecida como uma das complicações mais graves e freqüentes destes pacientes. A pressão de artéria pulmonar deve ser medida periodicamente por meio de ecocardiografia. Se o diagnóstico de HP for confirmado, o uso de hidroxiuréia, anticoagulação, transfusões e oxigênio deveriam ser considerados. As manifestações cardíacas nas DF incluem cardiomegalia, isquemia miocárdica, disfunção ventricular e cor pulmonale. O tratamento destas complicações deve seguir as recomendações das diretrizes atuais.The lung is a major target organ for acute and chronic complications in sickle cell disease. Acute chest syndrome is the second most common cause of hospital admission resulting in considerable morbidity and mortality. The mainstay of successful treatment remains high quality supportive care. Fluid management, analgesia, oxygenation, bronchodilators, incentive spirometry and judicious use of transfusion therapy are essential elements of supportive care management. Pulmonary hypertension (PHT has emerged as one of the most frequent and serious complications in these patients. The pulmonary artery pressure should be evaluated periodically by echocardiography. If the PHT diagnosis is positive the use of hydroxiurea, anticoagulation, transfusions and oxygen therapy should be considered. Cardiac manifestations are common including enlargement of the heart, myocardial ischaemia, ventricular

  15. Influência da fisioterapia respiratória sobre a função cardiopulmonar em recém-nascidos de muito baixo peso Effects of respiratory physiotherapy on the cardiopulmonary function of very low birth weight newborn infants

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    Carla Marques Nicolau

    2010-06-01

    Full Text Available OBJETIVO: Avaliar as repercussões da fisioterapia respiratória sobre a função cardiopulmonar em recém-nascidos pré-termo (RNPT submetidos à ventilação mecânica. MÉTODOS: Estudo prospectivo de RNPT com peso de nascimento menor que 1500g, sendo verificados os valores de frequência cardíaca (FC, saturação de oxigênio (SatO2, frequência respiratória (FR e pressão arterial sistêmica (PA antes e após a fisioterapia respiratória e a aspiração endotraqueal. Os RNPT incluídos foram avaliados em sessões sequenciais entre o 3º-7º dias de vida por dois fisioterapeutas da unidade neonatal. Os valores de FC, SatO2 e PA foram coletados por monitorização eletrônica e a FR, por cronômetro. Na análise estatística, foi utilizado o teste de ANOVA para medidas repetidas, sendo significante pOBJECTIVE: To assess the effects of respiratory physiotherapy on cardiopulmonary function of ventilated preterm newborns infants (PTNB. METHODS: This prospective study included PTNB with birth weight lower than 1500g. Before and after respiratory physiotherapy and endotracheal suction, the following parameters were evaluated: heart rate (HR, oxygen saturation (O2Sat, respiratory rate (RR and blood pressure (BP. The newborns were evaluated in consecutive sessions between the 3rd-7th day of life by two therapists in the neonatal unit. HR, O2Sat and BP data were collected by electronic monitoring and RR by a stopwatch. Results were analyzed by repeated measures ANOVA, being significant p<0.05. RESULTS: We evaluated 42 PTNB, 57% females, with a mean birth weight of 1024g and a mean gestational age of 29.5 weeks. Only three PTNB had a 5th minute Apgar lower than 5. Respiratory Distress Syndrome was the most prevalent disease (88%. In total, 252 physiotherapy sessions were applied to these 42 infants. HR, RR, O2Sat and BP remained within the physiological limits after procedures, including endotracheal suction. CONCLUSIONS: Procedures for physiotherapy

  16. Characterization of Imjin virus, a newly isolated hantavirus from the Ussuri white-toothed shrew (Crocidura lasiura).

    Science.gov (United States)

    Song, Jin-Won; Kang, Hae Ji; Gu, Se Hun; Moon, Sung Sil; Bennett, Shannon N; Song, Ki-Joon; Baek, Luck Ju; Kim, Heung-Chul; O'Guinn, Monica L; Chong, Sung-Tae; Klein, Terry A; Yanagihara, Richard

    2009-06-01

    Until recently, the single known exception to the rodent-hantavirus association was Thottapalayam virus (TPMV), a long-unclassified virus isolated from the Asian house shrew (Suncus murinus). Robust gene amplification techniques have now uncovered several genetically distinct hantaviruses from shrews in widely separated geographic regions. Here, we report the characterization of a newly identified hantavirus, designated Imjin virus (MJNV), isolated from the lung tissues of Ussuri white-toothed shrews of the species Crocidura lasiura (order Soricomorpha, family Soricidae, subfamily Crocidurinae) captured near the demilitarized zone in the Republic of Korea during 2004 and 2005. Seasonal trapping revealed the highest prevalence of MJNV infection during the autumn, with evidence of infected shrews' clustering in distinct foci. Also, marked male predominance among anti-MJNV immunoglobulin G antibody-positive Ussuri shrews was found, whereas the male-to-female ratio among seronegative Ussuri shrews was near 1. Plaque reduction neutralization tests showed no cross neutralization for MJNV and rodent-borne hantaviruses but one-way cross neutralization for MJNV and TPMV. The nucleotide and deduced amino acid sequences for the different MJNV genomic segments revealed nearly the same calculated distances from hantaviruses harbored by rodents in the subfamilies Murinae, Arvicolinae, Neotominae, and Sigmodontinae. Phylogenetic analyses of full-length S, M, and L segment sequences demonstrated that MJNV shared a common ancestry with TPMV and remained in a distinct out-group, suggesting early evolutionary divergence. Studies are in progress to determine if MJNV is pathogenic for humans.

  17. Characterization of Imjin Virus, a Newly Isolated Hantavirus from the Ussuri White-Toothed Shrew (Crocidura lasiura)▿

    Science.gov (United States)

    Song, Jin-Won; Kang, Hae Ji; Gu, Se Hun; Moon, Sung Sil; Bennett, Shannon N.; Song, Ki-Joon; Baek, Luck Ju; Kim, Heung-Chul; O'Guinn, Monica L.; Chong, Sung-Tae; Klein, Terry A.; Yanagihara, Richard

    2009-01-01

    Until recently, the single known exception to the rodent-hantavirus association was Thottapalayam virus (TPMV), a long-unclassified virus isolated from the Asian house shrew (Suncus murinus). Robust gene amplification techniques have now uncovered several genetically distinct hantaviruses from shrews in widely separated geographic regions. Here, we report the characterization of a newly identified hantavirus, designated Imjin virus (MJNV), isolated from the lung tissues of Ussuri white-toothed shrews of the species Crocidura lasiura (order Soricomorpha, family Soricidae, subfamily Crocidurinae) captured near the demilitarized zone in the Republic of Korea during 2004 and 2005. Seasonal trapping revealed the highest prevalence of MJNV infection during the autumn, with evidence of infected shrews' clustering in distinct foci. Also, marked male predominance among anti-MJNV immunoglobulin G antibody-positive Ussuri shrews was found, whereas the male-to-female ratio among seronegative Ussuri shrews was near 1. Plaque reduction neutralization tests showed no cross neutralization for MJNV and rodent-borne hantaviruses but one-way cross neutralization for MJNV and TPMV. The nucleotide and deduced amino acid sequences for the different MJNV genomic segments revealed nearly the same calculated distances from hantaviruses harbored by rodents in the subfamilies Murinae, Arvicolinae, Neotominae, and Sigmodontinae. Phylogenetic analyses of full-length S, M, and L segment sequences demonstrated that MJNV shared a common ancestry with TPMV and remained in a distinct out-group, suggesting early evolutionary divergence. Studies are in progress to determine if MJNV is pathogenic for humans. PMID:19357167

  18. Identification of hantavirus infection by Western blot assay and TaqMan PCR in patients hospitalized with acute kidney injury.

    Science.gov (United States)

    Oldal, Miklós; Németh, Viktória; Madai, Mónika; Kemenesi, Gábor; Dallos, Bianka; Péterfi, Zoltán; Sebők, Judit; Wittmann, István; Bányai, Krisztián; Jakab, Ferenc

    2014-06-01

    Hantaviruses, one of the causative agents of viral hemorrhagic fevers, represent a considerable healthcare threat. In Hungary, Dobrava-Belgrade virus (DOBV) and Puumala virus (PUUV) are the main circulating hantavirus species, responsible for the clinical picture known as hemorrhagic fever with renal syndrome, a disease that may be accompanied by acute kidney injury (AKI), requiring hospitalization with occasionally prolonged recovery phase. A total of 20 patient sera were collected over a 2-year period from persons hospitalized with AKI, displaying clinical signs and laboratory findings directly suggestive for hantavirus infection. Samples were tested using an immunoblot assay, based on complete viral nucleocapsid proteins to detect patients' IgM and IgG antibodies against DOBV and PUUV. In parallel, all specimens were also tested by 1-step real-time TaqMan reverse-transcriptase polymerase chain reaction to confirm infection and to determine the causative hantavirus genotype. We present here the first Hungarian clinical study spanning across 2 years and dedicated specifically to assess acute kidney injuries, in the context of hantavirus prevalence.

  19. Isolation and partial characterization of a highly divergent lineage of hantavirus from the European mole (Talpa europaea).

    Science.gov (United States)

    Gu, Se Hun; Kumar, Mukesh; Sikorska, Beata; Hejduk, Janusz; Markowski, Janusz; Markowski, Marcin; Liberski, Paweł P; Yanagihara, Richard

    2016-02-19

    Genetically distinct hantaviruses have been identified in five species of fossorial moles (order Eulipotyphla, family Talpidae) from Eurasia and North America. Here, we report the isolation and partial characterization of a highly divergent hantavirus, named Nova virus (NVAV), from lung tissue of a European mole (Talpa europaea), captured in central Poland in August 2013. Typical hantavirus-like particles, measuring 80-120 nm in diameter, were found in NVAV-infected Vero E6 cells by transmission electron microscopy. Whole-genome sequences of the isolate, designated NVAV strain Te34, were identical to that amplified from the original lung tissue, and phylogenetic analysis of the full-length L, M and S segments, using maximum-likelihood and Bayesian methods, showed that NVAV was most closely related to hantaviruses harbored by insectivorous bats, consistent with an ancient evolutionary origin. Infant Swiss Webster mice, inoculated with NVAV by the intraperitoneal route, developed weight loss and hyperactivity, beginning at 16 days, followed by hind-limb paralysis and death. High NVAV RNA copies were detected in lung, liver, kidney, spleen and brain by quantitative real-time RT-PCR. Neuropathological examination showed astrocytic and microglial activation and neuronal loss. The first mole-borne hantavirus isolate will facilitate long-overdue studies on its infectivity and pathogenic potential in humans.

  20. Prevalence of Antibodies against Hantaviruses in Serum and Saliva of Adults Living or Working on Farms in Yorkshire, United Kingdom

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    Lisa J. Jameson

    2014-02-01

    Full Text Available Hantaviruses are an established cause of haemorrhagic fever with renal syndrome (HFRS in Europe. Following a confirmed case of HFRS in the UK, in an individual residing on a farm in North Yorkshire and the Humber, a tidal estuary on the east coast of Northern England, and the subsequent isolation of a Seoul hantavirus from rats trapped on the patient’s farm, it was considered appropriate to further investigate the public health risk of this virus in the region. Of a total 119 individuals tested, nine (7.6% were seropositive for hantavirus antibodies. Seven of the seropositive samples showed a stronger reaction to Seoul and Hantaan compared to other clinically relevant hantaviruses. Observation of rodents during the day, in particular mice, was associated with a reduced risk of seropositivity. In addition to one region known to be at risk following an acute case, five further potential risk areas have been identified. This study supports recently published evidence that hantaviruses are likely to be of public health interest in the region.

  1. Responses of small mammals to habitat fragmentation: epidemiological considerations for rodent-borne hantaviruses in the Americas.

    Science.gov (United States)

    Rubio, André V; Ávila-Flores, Rafael; Suzán, Gerardo

    2014-12-01

    Rodent-borne hantaviruses are a group of zoonotic agents that cause hemorrhagic fever in humans. The transmission of hantaviruses among rodent hosts may be higher with the increase of reservoir host abundance in a given area (density-dependent transmission) and with the decrease of small mammal diversity (dilution effect phenomenon). These population and community parameters may be modified by habitat fragmentation; however, studies that focus on fragmentation and its effect on hantavirus infection risk are scarce. To further understanding of this issue, we assessed some population and community responses of rodents that may increase the risk for hantavirus transmission among wildlife hosts in the Americas. We conducted a meta-analysis of published studies to assess the responses of small mammals to fragmentation of native habitats, relative to patch size. Our analyses included five countries and 14 case studies for abundance of reservoir hosts (8 species) and 15 case studies for species richness. We found that a reduction of patch area due to habitat fragmentation is associated with increased reservoir host abundances and decreased small mammal richness, which is mainly due to the loss of non-host small mammals. According to these results, habitat fragmentation in the Americas should be considered as an epidemiological risk factor for hantavirus transmission to humans. These findings are important to assess potential risk of infection when fragmentation of native habitats occurs.

  2. Gene S characterization of Hantavirus species Seoul virus isolated from Rattus norvegicuson an Indonesian island

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    Dian Perwitasari

    2014-08-01

    Full Text Available AbstrakLatar belakang: Hantavirus hidup dan berkembang biak di tubuh hewan pengerat, salah satunya Rattus norvegicus yang banyak ditemukan di daerah kepulauan di Indonesia. Hantavirus spesies Seoul virus (SEOV adalah virus RNA negatif rantai tunggal yang termasuk dalam keluarga Bunyaviridae, mempunyai beberapa gen spesifik terutama gen S yang dapat dikembangkan untuk uji diagnostik. Tujuan penelitian ini ialah untuk mengetahui karakter dari gen S dari Hantavirus spesies Seoulvirus.Metode:Pada penelitian ini dilakukan sekuensing gen S yang berasal dari jaringan paru-paru rodensia.  Fragmen DNA yang disekuensing menggunakan primer DNA SEOS-28F danSEOS -360R,VNS-1501F dan VNS-CSR. Hasil sekuensing dianalisis menggunakan program seqscapedan dianalisis menggunakan program Bioedit dan Mega5. Analisis filogenetik untuk homologi nukleotida dan asam amino dari ketiga strain Kepulauan Seribu tersebut dibandingkan dengan spesies hantavirus lainnya yang diambil dari genebank. Hasil:Analisis Homologi nukleotida dan asam amino antara strain Kepulauan Seribu dengan SEOV menunjukkan homologi nukleotida tertinggi pada strain KS74 (88,4% dan terendah pada KS90 (87,2%, sedangkan homologi asam amino tertinggi adalah strain KS74 (91.3% dan terendah pada strain KS90 (89,5%. Kesimpulan:Karakter gen S virus yang ditemukan di Kepulauan Seribu sebanding dengan virus SEOV yang ditemukan di Singapura dan Korea.  (Health Science Indones 2014;1:1-6Kata kunci:Seoul virus, gen S, Kepulauan Seribu, IndonesiaAbstractBackground: Hantavirus lives and reproduces in the body of rodents. Rattus norvegicuswas one found in the Kepulauan Seribu islands of Indonesia. Hantavirus species Seoul virus (SEOV is a negative single chain RNA viruses included in the family Bunyaviridae. It has a few specific genes, especially genes S that can be developed for a diagnostic test. The aim of this study was to ascertain the character of gene S of hantavirus species Seoul virus. Methods: Gene

  3. Molecular characterization of Dobrava and Kurkino genotypes of Dobrava-Belgrade hantavirus detected in Hungary and Northern Croatia.

    Science.gov (United States)

    Németh, Viktória; Oldal, Miklós; Madai, Mónika; Horváth, Győző; Kemenesi, Gábor; Dallos, Bianka; Bányai, Krisztián; Jakab, Ferenc

    2013-12-01

    Among the Hantavirus genus, Saaremaa virus (SAAV) has been the subject of taxonomical debates. While the International Committee on Taxonomy of Viruses declares SAAV as a distinct species, several European hantavirus experts proposed that SAAV is in fact a genotype of Dobrava-Belgrade virus (DOBV). In the present study we performed S-segment-based phylogenetic analysis of eight DOBV strains identified in rodents in Hungary and Northern Croatia. These new sequences considerably increase the number of complete nucleoprotein gene sequences deposited in the NCBI database. Our phylogenetic analysis clearly support the taxonomical nomenclature recently proposed for DOBV, i.e., genotypes such as Dobrava, Saaremaa, Kurkino, and Sochi should indeed be classified within the DOBV hantavirus species. Moreover, we found that only the Dobrava and Kurkino genotypes of DOBV species are circulating in Hungary while currently there is no evidence for the presence of Saaremaa genotype.

  4. Mechanistic Insight into Bunyavirus-Induced Membrane Fusion from Structure-Function Analyses of the Hantavirus Envelope Glycoprotein Gc

    Science.gov (United States)

    Stettner, Eva; Jeffers, Scott Allen; Pérez-Vargas, Jimena; Pehau-Arnaudet, Gerard; Tortorici, M. Alejandra; Jestin, Jean-Luc; England, Patrick; Tischler, Nicole D.; Rey, Félix A.

    2016-01-01

    Hantaviruses are zoonotic viruses transmitted to humans by persistently infected rodents, giving rise to serious outbreaks of hemorrhagic fever with renal syndrome (HFRS) or of hantavirus pulmonary syndrome (HPS), depending on the virus, which are associated with high case fatality rates. There is only limited knowledge about the organization of the viral particles and in particular, about the hantavirus membrane fusion glycoprotein Gc, the function of which is essential for virus entry. We describe here the X-ray structures of Gc from Hantaan virus, the type species hantavirus and responsible for HFRS, both in its neutral pH, monomeric pre-fusion conformation, and in its acidic pH, trimeric post-fusion form. The structures confirm the prediction that Gc is a class II fusion protein, containing the characteristic β-sheet rich domains termed I, II and III as initially identified in the fusion proteins of arboviruses such as alpha- and flaviviruses. The structures also show a number of features of Gc that are distinct from arbovirus class II proteins. In particular, hantavirus Gc inserts residues from three different loops into the target membrane to drive fusion, as confirmed functionally by structure-guided mutagenesis on the HPS-inducing Andes virus, instead of having a single “fusion loop”. We further show that the membrane interacting region of Gc becomes structured only at acidic pH via a set of polar and electrostatic interactions. Furthermore, the structure reveals that hantavirus Gc has an additional N-terminal “tail” that is crucial in stabilizing the post-fusion trimer, accompanying the swapping of domain III in the quaternary arrangement of the trimer as compared to the standard class II fusion proteins. The mechanistic understandings derived from these data are likely to provide a unique handle for devising treatments against these human pathogens. PMID:27783711

  5. HANTAVIRUS PULMONARY SYNDROME IN THE PROVINCE OF RIO NEGRO, ARGENTINA, 1993-1996

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    Gustavo CANTONI

    1997-07-01

    Full Text Available Early in 1995 the first case of Hantavirus Pulmonary Syndrome was serologically confirmed in El Bolsón (Province of Río Negro, Argentina, corresponding to the third outbreak reported in Argentina. A total of 26 cases of HPS related to the Andean region of Rio Negro Province, were reported from 1993 to 1996, 17 in El Bolsón, 4 in San Carlos de Bariloche, and 5 in Buenos Aires. The incidence rate was 5.03 x 100000 with a mortality rate of 51.85 x 100. The occurrence of cases was mainly seasonal, with a significantly greater number in the spring, and the persons affected mainly lived in urban or periurban areas. In four cases, the affected individuals were members of a couple, spouses or live-in contacts. Seven cases were Health workers (physicians, nurses or administrative staff. Twelve cases were related among them, due to an outbreak of 80 days. Two of them did not visit the Andean region. A total of 139 rodents were captured and seven of them, Olygoryzomys longicaudatus, were found to be serologically positive. The possibility of infection by contact with rodents or fecal matter is being analyzed and also hypothesis related with interhuman transmissionEm 1995, o primeiro caso de Síndrome Pulmonar pelo Hantavírus (HPS foi sorologicamente confirmado em El Bolsón (Província de Rio Negro, Argentina, correspondendo ao terceiro surto relatado na Argentina. Um total de 26 casos de HPS relacionados com a região Andina, Província de Rio Negro, foram relatados de 1993 a 1996, 17 em El Bolsón, 4 em São Carlos de Bariloche e 5 em Buenos Aires. O índice de incidência foi de 5,03 x 100.000 com índice de mortalidade de 51,85 x 100. A ocorrência de casos foi principalmente sasonal, com números significativamente maiores na primavera, e as pessoas afetadas viviam principalmente nas áreas urbanas e periurbanas. Em 4 casos, os indivíduos afetados eram membros de um casal, esposas ou viviam em contato. Sete casos eram trabalhadores da Saúde (m

  6. 'Bedside assessment' of acute hantavirus infections and their possible classification into the spectrum of haemophagocytic syndromes.

    Science.gov (United States)

    Clement, J; Colson, P; Saegeman, V; Lagrou, K; Van Ranst, M

    2016-07-01

    Hantavirus infections, recently renamed 'hantavirus fever' (HTVF), belong to the most common but also most underestimated zoonoses in the world. A small number of reports described the so-called 'lipid paradox' in HTVF, i.e. the striking contrast between a very low serum total cholesterol and/or high-density lipoprotein cholesterol (HDLc), and a paradoxical concomitant hypertriglyceridaemia. In a prospective study, with patients being their own control after illness, we wanted to verify if this quick and easy 'bedside test' was robust enough to warrant a preliminary diagnosis of acute kidney injury (AKI) caused by HTVF. The study cohort consisted of 58 Belgian cases (mean age 44 years), admitted with varying degrees of AKI and of thrombocytopaenia, both characteristic for presumptive HTVF. All cases were sero-confirmed as having acute HTVF. At or shortly after hospital admission, a significant (p hantavirus cardio-pulmonary syndrome' (HCPS) cases, mostly described hitherto in the New World. In more severe AKI cases, the mean total cholesterol was significantly lower (p = 0.02) than in milder cases, i.e. cases with peak serum creatinine levels of < 1.5 mg/dL. Thrombocytopaenia, generally accepted as the severity index in HTVF, appeared, moreover, significantly correlated with serum levels of total cholesterol (R = 0.52, p < 0.001) and with serum levels of HDLc (R = 0.45, p < 0.01). A link with the novel clinical entity of haemophagocytic syndromes, also characterised by manifest hypertriglyceridaemia, is discussed.

  7. Hantavirus reservoir Oligoryzomys longicaudatus spatial distribution sensitivity to climate change scenarios in Argentine Patagonia

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    González Paula LM

    2009-07-01

    Full Text Available Abstract Background Oligoryzomys longicaudatus (colilargo is the rodent responsible for hantavirus pulmonary syndrome (HPS in Argentine Patagonia. In past decades (1967–1998, trends of precipitation reduction and surface air temperature increase have been observed in western Patagonia. We explore how the potential distribution of the hantavirus reservoir would change under different climate change scenarios based on the observed trends. Methods Four scenarios of potential climate change were constructed using temperature and precipitation changes observed in Argentine Patagonia between 1967 and 1998: Scenario 1 assumed no change in precipitation but a temperature trend as observed; scenario 2 assumed no changes in temperature but a precipitation trend as observed; Scenario 3 included changes in both temperature and precipitation trends as observed; Scenario 4 assumed changes in both temperature and precipitation trends as observed but doubled. We used a validated spatial distribution model of O. longicaudatus as a function of temperature and precipitation. From the model probability of the rodent presence was calculated for each scenario. Results If changes in precipitation follow previous trends, the probability of the colilargo presence would fall in the HPS transmission zone of northern Patagonia. If temperature and precipitation trends remain at current levels for 60 years or double in the future 30 years, the probability of the rodent presence and the associated total area of potential distribution would diminish throughout Patagonia; the areas of potential distribution for colilargos would shift eastwards. These results suggest that future changes in Patagonia climate may lower transmission risk through a reduction in the potential distribution of the rodent reservoir. Conclusion According to our model the rates of temperature and precipitation changes observed between 1967 and 1998 may produce significant changes in the rodent

  8. Hantavirus testing in rodents of north-central New Mexico 1993-1995

    Energy Technology Data Exchange (ETDEWEB)

    Biggs, J.; Bennett, K.; Salisbury, M. [and others

    1996-03-01

    In 1993, an outbreak of a new strain of hantavirus in the southwestern US indicated that deer mice (Peromyscus maniculatus) was the primary carrier of the virus. In 1993, 1994, and 1995 the Ecological Studies Team (EST) at Los Alamos National Laboratory surveyed small mammal populations using live capture-recapture methods in Los Alamos County, New Mexico, to determine seroprevalence of hantavirus in this region. EST used trapping grids in 1993 and 1994 and used trapping webs in 1995. Grids were 120 m x 120 m (400 ft x 400 ft) with 144 trap stations at each grid. Three webs consisting of 148 traps each were used in 1995. Trapping took place over 4 to 8 consecutive nights. Programs CAPTURE and Distance were used to determine density estimates for grids and webs, respectively. Blood samples were analyzed in 1993 by the Centers for Disease Control and the University of New Mexico, School of Medicine. The 1994 and 1995 samples were analyzed by the University of New Mexico, School of Medicine. The deer mouse (Peromyscus maniculatus) was the most commonly captured species at all locations except one site where voles (Microtus spp.) were the most commonly captured species. Other species sampled included: harvest mice (Reithrodontomys megalotis), woodrats (Neotoma spp.), shrews (Sorex spp.), white-footed mice (Peromyscus leucopus), pinyon mice (Peromyscus trueii), and brush mouse (Peromyscus boylii). Results of the 1993, 1994, and 1995 testing identified a total overall seroprevalence rate among deer mice of approximately 5.5%, 4.2%, and 0%, respectively. Several other species tested positive for the hantavirus but it is uncertain if it is Sin Nombre virus. Further studies will be necessary to quantify seroprevalence rates in those species. Higher seroprevalence rates were found in males than females. Seroprevalence rates for Los Alamos County were much lower than elsewhere in the region.

  9. Theoretical knowledge of nurses working in non-hospital urgent and emergency care units concerning cardiopulmonary arrest and resuscitation Conocimiento teórico de los enfermeros sobre parada cardiorrespiratoria y resucitación cardiopulmonar en unidades no hospitalarias de atención de urgencia y emergencia Conhecimento teórico dos enfermeiros sobre parada e ressuscitação cardiopulmonar, em unidades não hospitalares de atendimento à urgência e emergência

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    Angélica Olivetto de Almeida

    2011-04-01

    Full Text Available Non-Hospital Urgent and Emergency Care Units were created to deliver care to patients in chronic or acute situations and to coordinate the flow of urgent care. This descriptive study analyzed the theoretical knowledge of nurses working in these units concerning cardiopulmonary arrest and resuscitation. A questionnaire was applied to 73 nurses from 16 units in seven cities in the region of Campinas, SP, Brazil. The respondents displayed some gaps in their knowledge such as how to detect Cardiopulmonary Arrest (CPA, the ability to list the sequence of basic life support, and how to determine the appropriate compression to ventilation ratio (>60%. They also did not know: the immediate procedures to take after CPA detection (>70%; the rhythm pattern present in a CPA (>80%; and they only partially identified (100% the medication used in cardiopulmonary resuscitation. The average score on a scale from zero to ten was 5.2 (± 1.4. The nurses presented partial knowledge of the guidelines available in the literature.Las Unidades no hospitalarias de Atención de Urgencia y Emergencia fueron creadas para atender pacientes con cuadros agudos o crónicos agudos y ordenar los flujos de urgencia. El objetivo de este estudio fue analizar el conocimiento teórico de los enfermeros de esas unidades sobre parada cardiorrespiratoria y resucitación cardiopulmonar. Se trata de un estudio descriptivo, cuyos datos fueron obtenidos aplicando un cuestionario a 73 enfermeros de 16 unidades, de siete municipios de la Región Metropolitana de Campinas. Se observó que los entrevistados presentaron vacíos de conocimiento sobre como detectar: la parada cardiorrespiratoria, la secuencia del soporte básico de vida y la relación ventilación/compresión (>60%; desconocen las conductas que deben adoptadas inmediatamente después de la detección (> 70% y los estándares de ritmos presentes en la parada cardíaca (> 80%; y identificaron parcialmente (100% los f

  10. Effects of seasonality and of internal fluctuations on the spreading of Hantavirus

    Science.gov (United States)

    Lindenberg, Katja; Escudero, Carlos; Buceta, Javier; de la Rubia, Francisco J.

    2004-05-01

    We present an analysis of two features that generalize the original model for the spread of the Hantavirus introduced by Abramson and Kenkre [Phys. Rev. E Vol. 66, 011912 (2002)]. One, the effect of seasonal alternations, may cause the virus to spread under conditions that do not lead to an epidemic under the action of either season alone. The other, the effect of internal fluctuations, modifies the distribution of infected mice and may lead to extinction of the infected population even when the mean population is above epidemic conditions.

  11. Simulations in the mathematical modeling of the spread of the Hantavirus

    Science.gov (United States)

    Aguirre, M. A.; Abramson, G.; Bishop, A. R.; Kenkre, V. M.

    2002-10-01

    The range of validity of a recently proposed deterministic (mean field) model of the spread of the Hantavirus infection is studied with the help of Monte Carlo simulations for the evolution of mice populations. The simulation is found to reproduce earlier results on the average but to display additional behavior stemming from discreteness in mice number and from fluctuations of the finite size system. It is shown that mice diffusion affects those additional features of the simulation in a physically understandable manner, higher diffusion constants leading to greater agreement with the mean field results.

  12. Hantavirus infection during a stay in a mountain hut in Northern Slovakia.

    Science.gov (United States)

    Zelena, Hana; Zvolankova, Vlasta; Zuchnicka, Jana; Liszkova, Katerina; Papa, Anna

    2011-03-01

    Hantaviruses in Europe cause human hemorrhagic fever with renal syndrome (HFRS) with various degree of severity. The most severe form is caused by the Dobrava/Belgrade virus (DOBV), associated with the rodent Apodemus flavicollis. During the last decade cases of infection caused by DOBV have been reported in Central Europe. The present study is a report on two Czech patients with severe HFRS who were infected during their stay in a mountain hut in Northern Slovakia. The two patients, combined with a third case observed in the same year in a nearby village in the Czech Republic, suggest that this region in Central Europe has to be considered as endemic for HFRS.

  13. Ponto ótimo cardiorrespiratório: uma variável submáxima do teste cardiopulmonar de exercício

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    Plínio Santos Ramos

    2012-11-01

    Full Text Available FUNDAMENTO: No Teste Cardiopulmonar de Exercício (TCPE máximo são analisadas diversas variáveis ventilatórias, incluindo o equivalente ventilatório de oxigênio (VE/VO2. O valor mínimo do VE/VO2 reflete a melhor integração entre os sistemas respiratório e cardiovascular, podendo ser denominado Ponto Ótimo Cardiorrespiratório (POC. OBJETIVO: Determinar o comportamento do POC em função do gênero e da idade em adultos saudáveis e verificar a associação com outras variáveis do TCPE. MÉTODOS: De 2.237 indivíduos, foram selecionados 624 (62% homens e 48 ± 12 anos de idade, não atletas, saudáveis, submetidos ao TCPE máximo. O POC ou VE/VO2 mínimo foi obtido a partir da análise da ventilação e do consumo de oxigênio em cada minuto do TCPE. Foi verificada a relação entre idade e POC para os dois gêneros, assim como as associações com: VO2máx, VO2 no limiar anaeróbico (VO2LA, eficiência da inclinação de consumo de oxigênio (OUES e com VE máxima. Comparou-se ainda a intensidade do esforço (MET no POC, LA e VO2máx. RESULTADOS: O POC aumenta com a idade, sendo 23,2 ± 4,48 e 25,0 ± 5,14, respectivamente, em homens e mulheres (p < 0,001. Há associações moderadas e inversas com VO2máx (r = -0,47; p < 0,001, com VO2LA (r = -0,42; p < 0,001 e com o OUES (r = -0,34; p < 0,001. O POC ocorreu, em média, a (44% do VO2máx e antes do LA (67% do VO2máx (p < 0,001. CONCLUSÃO: POC, uma variável submáxima, aumenta com a idade e é discretamente mais alto em mulheres. Sendo modestamente associado a outras medidas ventilatórias, parece haver uma contribuição independente na interpretação da resposta cardiorrespiratória ao TCPE.

  14. Identification of Hantavirus serotypes by testing of post-infection sera in immunofluorescence and enzyme-linked immunosorbent assays.

    NARCIS (Netherlands)

    J. Groen (Jan); H.G.M. Jordans; J.P.G. Clement; E.J.M. Rooijakkers; F.G.C.M. Uytdehaag (Fons); J.M. Dalrymple; G. van der Groen (Guido); A.D.M.E. Osterhaus (Albert)

    1991-01-01

    textabstractSerum samples were collected from 27 individuals who had been infected with a member of the genus Hantavirus in the Netherlands or Belgium during the last 15 years. These samples were tested in an immunofluorescence assay (IFA) and two enzyme-linked immunosorbent assay (ELISA) systems, u

  15. Serological Evidence of Hantavirus Infection in Apparently Healthy People from Rural and Slum Communities in Southern Chile

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    Claudia Muñoz-Zanzi

    2015-04-01

    Full Text Available Hantavirus disease in America has been recognizable because of its rapid progression in clinical cases, occurrence in previously healthy young adults, and high case fatality rate. Hantavirus disease has been proposed now to define the diversity of clinical manifestations. Since 1995, a total of 902 cases of hantavirus pulmonary syndrome have been reported in Chile, caused by Andes virus (ANDV, with overall fatality of 32%. This report describes the sero-epidemiology of hantavirus in apparently healthy people in rural and urban slum communities from southern Chile. Ten of 934 samples yielded a positive result resulting in a seroprevalence of 1.07% (95% confidence intervals: 0.05%–2.0%. A higher proportion of positive samples was found among individuals from rural villages (1.3% and slums (1.5% compared with farms (0.5%. Seropositivity was associated with age (p = 0.011, low education level (p = 0.006 and occupations linked to the household (homemaker, retired, or student (p = 0.016. No evidence of infection was found in 38 sigmodontinae rodents trapped in the peri-domestic environment. Our findings highlight that exposure risk was associated with less documented risk factors, such as women in slum and rural villages, and the occurrence of infection that may have presented as flu-like illness that did not require medical attention or was misdiagnosed.

  16. More Novel Hantaviruses and Diversifying Reservoir Hosts — Time for Development of Reservoir-Derived Cell Culture Models?

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    Isabella Eckerle

    2014-02-01

    Full Text Available Due to novel, improved and high-throughput detection methods, there is a plethora of newly identified viruses within the genus Hantavirus. Furthermore, reservoir host species are increasingly recognized besides representatives of the order Rodentia, now including members of the mammalian orders Soricomorpha/Eulipotyphla and Chiroptera. Despite the great interest created by emerging zoonotic viruses, there is still a gross lack of in vitro models, which reflect the exclusive host adaptation of most zoonotic viruses. The usually narrow host range and genetic diversity of hantaviruses make them an exciting candidate for studying virus-host interactions on a cellular level. To do so, well-characterized reservoir cell lines covering a wide range of bat, insectivore and rodent species are essential. Most currently available cell culture models display a heterologous virus-host relationship and are therefore only of limited value. Here, we review the recently established approaches to generate reservoir-derived cell culture models for the in vitro study of virus-host interactions. These successfully used model systems almost exclusively originate from bats and bat-borne viruses other than hantaviruses. Therefore we propose a parallel approach for research on rodent- and insectivore-borne hantaviruses, taking the generation of novel rodent and insectivore cell lines from wildlife species into account. These cell lines would be also valuable for studies on further rodent-borne viruses, such as orthopox- and arenaviruses.

  17. Class and subclass distribution of hantavirus-specific serum antibodies at different times after the onset of nephropathia epidemica.

    NARCIS (Netherlands)

    J. Groen (Jan); M.N. Gerding; J.G.M. Jordans; J.P.G. Clement; A.D.M.E. Osterhaus (Albert)

    1994-01-01

    textabstractSera from Dutch and Belgium individuals who suffered from nephropathia epidemica (NE), a mild form of haemorrhagic fever with renal syndrome (HFRS), were tested for the distribution of classes and subclasses of Hantavirus (HV)-specific antibodies at different times after the onset of the

  18. Modeling potential distribution of Oligoryzomys longicaudatus, the Andes virus (Genus: Hantavirus) reservoir, in Argentina.

    Science.gov (United States)

    Andreo, Verónica; Glass, Gregory; Shields, Timothy; Provensal, Cecilia; Polop, Jaime

    2011-09-01

    We constructed a model to predict the potential distribution of Oligoryzomys longicaudatus, the reservoir of Andes virus (Genus: Hantavirus), in Argentina. We developed an extensive database of occurrence records from published studies and our own surveys and compared two methods to model the probability of O. longicaudatus presence; logistic regression and MaxEnt algorithm. The environmental variables used were tree, grass and bare soil cover from MODIS imagery and, altitude and 19 bioclimatic variables from WorldClim database. The models performances were evaluated and compared both by threshold dependent and independent measures. The best models included tree and grass cover, mean diurnal temperature range, and precipitation of the warmest and coldest seasons. The potential distribution maps for O. longicaudatus predicted the highest occurrence probabilities along the Andes range, from 32°S and narrowing southwards. They also predicted high probabilities for the south-central area of Argentina, reaching the Atlantic coast. The Hantavirus Pulmonary Syndrome cases coincided with mean occurrence probabilities of 95 and 77% for logistic and MaxEnt models, respectively. HPS transmission zones in Argentine Patagonia matched the areas with the highest probability of presence. Therefore, colilargos presence probability may provide an approximate risk of transmission and act as an early tool to guide control and prevention plans.

  19. The Association between Hantavirus Infection and Selenium Deficiency in Mainland China

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    Li-Qun Fang

    2015-01-01

    Full Text Available Hemorrhagic fever with renal syndrome (HFRS caused by hantaviruses and transmitted by rodents is a significant public health problem in China, and occurs more frequently in selenium-deficient regions. To study the role of selenium concentration in HFRS incidence we used a multidisciplinary approach combining ecological analysis with preliminary experimental data. The incidence of HFRS in humans was about six times higher in severe selenium-deficient and double in moderate deficient areas compared to non-deficient areas. This association became statistically stronger after correction for other significant environment-related factors (low elevation, few grasslands, or an abundance of forests and was independent of geographical scale by separate analyses for different climate regions. A case-control study of HFRS patients admitted to the hospital revealed increased activity and plasma levels of selenium binding proteins while selenium supplementation in vitro decreased viral replication in an endothelial cell model after infection with a low multiplicity of infection (MOI. Viral replication with a higher MOI was not affected by selenium supplementation. Our findings indicate that selenium deficiency may contribute to an increased prevalence of hantavirus infections in both humans and rodents. Future studies are needed to further examine the exact mechanism behind this observation before selenium supplementation in deficient areas could be implemented for HFRS prevention.

  20. Statistical mechanical considerations in the theory of the spread of the Hantavirus

    Science.gov (United States)

    Kenkre, V. M.

    2005-10-01

    Calculations in the theory of the spread of epidemics are described with particular focus on the estimation of motion parameters describing rodents that are the carriers of the Hantavirus epidemic. The data considered are of the “mark-recapture” kind, i.e., those collected by capturing, tagging and recapturing the animals in a prescribed finite region of space. The theoretical tool used is the Fokker-Planck equation, its characteristic quantities being the diffusion constant which describes the motion of the rodents, and the attractive potential which addresses their tendency to live near their burrows. The measurements are addressed through simple analytical calculations of the mean squared displacement of the animals relevant to the specific probing window in space corresponding to the trapping region. A Fourier prescription is provided to extract the home range of the animals from the observations. Applications of the theory to rodent movement in Panama and New Mexico are mentioned and several on-going generalizations of current models of Hantavirus epidemic spread are introduced.

  1. Theory of hantavirus infection spread incorporating localized adult and itinerant juvenile mice

    Science.gov (United States)

    Kenkre, V. M.; Giuggioli, L.; Abramson, G.; Camelo-Neto, G.

    2007-02-01

    A generalized model of the spread of the Hantavirus in mice populations is presented on the basis of recent observational findings concerning the movement characteristics of the mice that carry the infection. The factual information behind the generalization is based on mark-recapture observations reported in Giuggioli et al. [Bull. Math. Biol. 67, 1135 (2005)] that have necessitated the introduction of home ranges in the simple model of Hantavirus spread presented by Abramson and Kenkre [Phys. Rev. E 66, 11912 (2002)]. The essential feature of the model presented here is the existence of adult mice that remain largely confined to locations near their home ranges, and itinerant juvenile mice that are not so confined, and, during their search for their own homes, move and infect both other juveniles and adults that they meet during their movement. The model is presented at three levels of description: mean field, kinetic and configuration. Results of calculations are shown explicitly from the mean field equations and the simulation rules, and are found to agree in some respects and to differ in others. The origin of the differences is shown to lie in spatial correlations. It is indicated how mark-recapture observations in the field may be employed to verify the applicability of the theory.

  2. Animal Models for the Study of Rodent-Borne Hemorrhagic Fever Viruses: Arenaviruses and Hantaviruses

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    Joseph W. Golden

    2015-01-01

    Full Text Available Human pathogenic hantaviruses and arenaviruses are maintained in nature by persistent infection of rodent carrier populations. Several members of these virus groups can cause significant disease in humans that is generically termed viral hemorrhagic fever (HF and is characterized as a febrile illness with an increased propensity to cause acute inflammation. Human interaction with rodent carrier populations leads to infection. Arenaviruses are also viewed as potential biological weapons threat agents. There is an increased interest in studying these viruses in animal models to gain a deeper understating not only of viral pathogenesis, but also for the evaluation of medical countermeasures (MCM to mitigate disease threats. In this review, we examine current knowledge regarding animal models employed in the study of these viruses. We include analysis of infection models in natural reservoirs and also discuss the impact of strain heterogeneity on the susceptibility of animals to infection. This information should provide a comprehensive reference for those interested in the study of arenaviruses and hantaviruses not only for MCM development but also in the study of viral pathogenesis and the biology of these viruses in their natural reservoirs.

  3. Animal Models for the Study of Rodent-Borne Hemorrhagic Fever Viruses: Arenaviruses and Hantaviruses.

    Science.gov (United States)

    Golden, Joseph W; Hammerbeck, Christopher D; Mucker, Eric M; Brocato, Rebecca L

    2015-01-01

    Human pathogenic hantaviruses and arenaviruses are maintained in nature by persistent infection of rodent carrier populations. Several members of these virus groups can cause significant disease in humans that is generically termed viral hemorrhagic fever (HF) and is characterized as a febrile illness with an increased propensity to cause acute inflammation. Human interaction with rodent carrier populations leads to infection. Arenaviruses are also viewed as potential biological weapons threat agents. There is an increased interest in studying these viruses in animal models to gain a deeper understating not only of viral pathogenesis, but also for the evaluation of medical countermeasures (MCM) to mitigate disease threats. In this review, we examine current knowledge regarding animal models employed in the study of these viruses. We include analysis of infection models in natural reservoirs and also discuss the impact of strain heterogeneity on the susceptibility of animals to infection. This information should provide a comprehensive reference for those interested in the study of arenaviruses and hantaviruses not only for MCM development but also in the study of viral pathogenesis and the biology of these viruses in their natural reservoirs.

  4. Immunogenetic Factors Affecting Susceptibility of Humans and Rodents to Hantaviruses and the Clinical Course of Hantaviral Disease in Humans

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    Nathalie Charbonnel

    2014-05-01

    Full Text Available We reviewed the associations of immunity-related genes with susceptibility of humans and rodents to hantaviruses, and with severity of hantaviral diseases in humans. Several class I and class II HLA haplotypes were linked with severe or benign hantavirus infections, and these haplotypes varied among localities and hantaviruses. The polymorphism of other immunity-related genes including the C4A gene and a high-producing genotype of TNF gene associated with severe PUUV infection. Additional genes that may contribute to disease or to PUUV infection severity include non-carriage of the interleukin-1 receptor antagonist (IL-1RA allele 2 and IL-1β (-511 allele 2, polymorphisms of plasminogen activator inhibitor (PAI-1 and platelet GP1a. In addition, immunogenetic studies have been conducted to identify mechanisms that could be linked with the persistence/clearance of hantaviruses in reservoirs. Persistence was associated during experimental infections with an upregulation of anti-inflammatory responses. Using natural rodent population samples, polymorphisms and/or expression levels of several genes have been analyzed. These genes were selected based on the literature of rodent or human/hantavirus interactions (some Mhc class II genes, Tnf promoter, and genes encoding the proteins TLR4, TLR7, Mx2 and β3 integrin. The comparison of genetic differentiation estimated between bank vole populations sampled over Europe, at neutral and candidate genes, has allowed to evidence signatures of selection for Tnf, Mx2 and the Drb Mhc class II genes. Altogether, these results corroborated the hypothesis of an evolution of tolerance strategies in rodents. We finally discuss the importance of these results from the medical and epidemiological perspectives.

  5. Valores de referência para o teste cardiopulmonar para homens e mulheres sedentários e ativos Valores de referencia para el test cardiopulmonar para hombres y mujeres sedentarios y activos Reference values for cardiopulmonary exercise testing for sedentary and active men and women

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    Artur Haddad Herdy

    2011-01-01

    Full Text Available FUNDAMENTO: Os valores de referência de teste cardiopulmonar (TCP disponíveis no Brasil foram derivados de cicloergômetro, em população sedentária e relativamente pequena. OBJETIVO: Fornecer valores de referência para o TCP em brasileiros de ambos os sexos, sedentários e ativos. MÉTODOS: ENtre 2006 e 2008, 3.992 TCP de indivíduos saudáveis foram selecionados de nosso laboratório. Atletas, fumantes, portadores de qualquer patologia conhecida, usuários de medicação contínua e obesos foram excluídos. VO2 pico foi considerado VO2 máx. Analisamos também VO2 de limiar anaeróbico, ventilação máxima e pulso de oxigênio de acordo com sexo, faixa etária, sedentários e ativos. As faixas etárias foram assim divididas: G1 (15-24 anos, G2 (25-34, G3 (35-44, G4 (45-54, G5 (55-64 e G6 (65-74. RESULTADOS: De acordo com as faixas etárias, os valores médios de VO2 em ml/kg/min com os respectivos desvios-padrão foram: Homem ativo: G1-50,6 ± 7,3; G2-47,4 ± 7,4; G3-45,4 ± 6,8; G4-40,5 ± 6,5; G5-35,3 ± 6,2; G6-30,0 ± 6,1. Mulher ativa: G1-38,9 ± 5,7; G2-38,1 ± 6,6; G3-34,9 ± 5,9; G4-31,1 ± 5,4; G5-28,6 ± 6,1; G6-25,1 ± 4,4. Homem sedentário: G1-47,4 ± 7,9; G2-41,9 ± 7,2; G3-39,0 ± 6,8; G4-35,6 ± 7,7; G5-30,0 ± 6,3; G6-23,1 ± 6,3. Mulher sedentária: G1-35,6 ± 5,7; G2-34,0 ± 4,8; G3-30,0 ± 5,4; G4-27,2 ± 5,0; G5-23,9 ± 4,2; G6-21,2 ± 3,4. CONCLUSÃO: ESte artigo fornece valores de referência de VO2 máx, entre outros parâmetros, no Teste Cardiopulmonar realizados na esteira ergométrica em indivíduos de ambos os sexos, ativos e sedentários.FUNDAMENTO: Los valores de referencia de test cardiopulmonar (TCP disponibles en el Brasil fueron derivados de ciclóergómetro, en población sedentaria y relativamente pequeña. OBJETIVO: Proveer valores de referencia para el TCP en brasileños de ambos sexos, sedentarios y activos. MÉTODOS: Entre 2006 y 2008, 3.992 TCP de individuos sanos fueron seleccionados de nuestro

  6. Ecología y evolución de hantavirus en el Cono Sur de América Ecology and evolution of hantavirus in the Southern Cone of America

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    R Murua

    2004-01-01

    Full Text Available Los hantavirus tienen huéspedes especie específicos pertenecientes a una familia común Muridae con tres sub familias, dos de ellas Murinae y Arvicolinae que se distribuyen en áreas geográficas de Europa Asia y Oceanía con un género Arvicolinae en América del Norte y la Sub familia Sigmodontinae en Centro América y Sudamérica. Estudios de la filogenia del huésped y el virus muestran fuertes similitudes al ser comparados, lo que sugiere una asociación de mucha más larga data con un proceso de coevolución entre el agente infeccioso y sus huéspedes roedores. La historia de la tierra y los procesos tectónicos y climáticos que afectaron al continente en épocas pretéritas son relevantes para comprender la actual distribución de los reservorios huéspedes y sus parásitos. Se entregan antecedentes biogeográficos de los roedores con la distribución geográfica de los hantavirus en Sudamérica, análisis filogenético de los virus, epidemiología molecular que sustentan la propuesta que el virus y el roedor han coevolucionado antes del momento de separarse la Familia Muridae en subfamilias (Murinae, Arvicolinae y Sigmodontinae y anterior al ingreso de los roedores sigmodontinos al continente sudamericano. Se discute la dificultad en demarcar especie nueva de hantavirus y la existencia de varios linajes con diferencias pequeñas entre si para ser consideradas como especies virales. Se describen diferencias y similitudes entre las dos especies de hantavirus que más casos han producido en América del Norte (virus Sin Nombre y en el Cono Sur de de América (Virus Andes.Hantavirus are associated with a single primary rodent host of the familiy Muridae in three sub families, two of them Murinae and Arvicolinae distributed in the Paleartic Region (Europa, Asia, China and the sub family Sigmodontinae in North, Central and South America besides an Arvicolinae genus (Microtus in North America. Studies on the host and virus phylogeny show

  7. Concomitant leptospirosis-hantavirus co-infection in acute patients hospitalized in Sri Lanka: implications for a potentially worldwide underestimated problem.

    Science.gov (United States)

    Sunil-Chandra, N P; Clement, J; Maes, P; DE Silva, H J; VAN Esbroeck, M; VAN Ranst, M

    2015-07-01

    Two global (re-)emerging zoonoses, leptospirosis and hantavirus infections, are clinically indistinguishable. Thirty-one patients, hospitalized in Sri Lanka for acute severe leptospirosis, were after exclusion of other potentially involved pathogens, prospectively screened with IgM ELISA for both pathogens. Of these, nine (29·0%) were positive for leptospirosis only, one (3·2%) for hantavirus only, seven (22·5%) for both pathogens concomitantly, whereas 13 (41·9%) remained negative for both. Moreover, in a retrospective study of 23 former patients, serologically confirmed for past leptospirosis, six (26·0%) were also positive in two different IgG ELISA hantavirus formats. Surprisingly, European Puumala hantavirus (PUUV) results were constantly higher, although statistically not significantly different, than Asian Hantaan virus (HTNV), suggesting an unexplained cross-reaction, since PUUV is considered absent throughout Asia. Moreover, RT-PCR on all hantavirus IgM ELISA positives was negative. Concomitant leptospirosis-hantavirus infections are probably heavily underestimated worldwide, compromising epidemiological data, therapeutical decisions, and clinical outcome.

  8. Hemorrhagic Fever with Renal Syndrome in the New, and Hantavirus Pulmonary Syndrome in the Old World: paradi(se)gm lost or regained?

    Science.gov (United States)

    Clement, Jan; Maes, Piet; Van Ranst, Marc

    2014-07-17

    Since the first clinical description in 1994 of the so-called "Hantavirus Pulmonary Syndrome" (HPS) as a "newly recognized disease", hantavirus infections have always been characterized as presenting in two distinct syndromes, the so-called "Hemorrhagic Fever with Renal Syndrome" (HFRS) in the Old World, with the kidney as main target organ, in contrast to HPS in the New World, with the lung as main target organ. However, European literature mentions already since 1934 a mostly milder local HFRS form, aptly named "nephropathia epidemica" (NE), and caused by the prototype European hantavirus species Puumala virus (PUUV). Several NE reports dating from the 1980s and early 1990s described already non-cardiogenic HPS-like lung involvement, prior to any kidney involvement, and increasing evidence is now mounting that a considerable clinical overlap exists between HPS and HFRS. Moreover, growing immunologic insights point to common pathologic mechanisms, leading to capillary hyperpermeability, the cardinal feature of all hantavirus infections, both of the New and Old World. It is now perhaps time to reconsider the paradigm of two "different" syndromes caused by viruses of the same Hantavirus genus in the same Bunyaviridae family, and to agree on a common, more logical disease denomination, such as simply and briefly "Hantavirus fever".

  9. Ruptura gástrica por barotrauma Barogenic rupture of the stomach

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    Rodrigo Severo de Camargo Pereira

    2008-09-01

    Full Text Available INTRODUÇÃO: A ruptura gástrica por barotrauma é uma causa rara de abdome agudo perfurativo, sendo geralmente tratada por laparotomia e rafia primária da lesão. Nas reanimações cardiopulmonares pode ocorrer 9 a 12% de lesões de mucosa gástrica. RELATO DO CASO: Mulher no 5º dia de puerpério necessitou intubação orotraqueal devido à pneumonia hospitalar. Após procedimento evoluiu com distensão abdominal importante, associada a sinais de choque séptico. Após radiografia simples de abdome foi constado pneumoperitôneo. Submetida à laparotomia exploradora evidenciou-se ruptura de pequena curvatura gástrica de 7 cm. O tratamento da lesão foi com sutura primária. Recebeu alta no 14º do pós operatório após término do tratamento para pneumonia. CONCLUSÃO: Apesar de rara, a ruptura gástrica por barotrauma deve ser sempre aventada quando após reanimação cardiopulmonar houver distensão abdominal refratária à sondagem naso-gástrica.BACKGROUND: Barogenic rupture of the stomach is a rare cause of acute perforated abdomen generally treated by laparotomy and primary wound suture. The lesion of gastric mucosa may occur during cardiopulmonary resuscitation in 9 to 12% of cases. CASE REPORT: Woman was intubated in the fifth day of delivery due to nosocomial pneumonia. She underwent to abdominal distension associated to septic shock signs after the procedure. The abdominal X-ray showed pneumoperitoneum. She was submitted to laparotomy and a 7 cm rupture in the gastric small curvature was found. The lesion was treated by primary suture. The patient was discharged 14 days after the surgery, in the ending of pneumonia treatment. CONCLUSION: Besides rare, barogenic gastric rupture must be inquired when after cardiopulmonary resuscitation the patient presents abdominal distension ovenproof to nasogastric tube.

  10. Proposta educacional virtual sobre atendimento da ressuscitação cardiopulmonar no recém-nascido Propuesta educativa virtual para la atención de la reanimación cardiopulmonar en el recién nacido Virtual educational proposal in cardiopulmonary resuscitation for the neonate care

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    Gilciane Ribeiro Gonçalves

    2010-06-01

    Full Text Available O objetivo deste estudo foi desenvolver uma proposta educacional virtual, utilizando recursos multimídia, visando inovar, dinamizar e diversificar espaços de comunicação e interação, favorecendo o processo de ensino aprendizagem autônomo e reflexivo do enfermeiro. Este trabalho constitui-se de uma pesquisa aplicada, seguindo as fases cíclicas e interativas de concepção e planejamento, desenvolvimento e implementação. A proposta educacional foi desenvolvida na plataforma TelEduc, utilizando ferramentas de organização, de conteúdo, de comunicação, do aluno e do administrador. Os módulos de ensino referiram-se as seguintes temáticas: Módulo 1 - Fundamentos de anatomia e fisiologia cardíacas do recém-nascido; Módulo 2 - Fatores de risco para ocorrência da parada cardiorrespiratória no recém-nascido; Módulo 3 - Planejamento da assistência de enfermagem; Módulo 4 - Medicações empregadas na parada cardiorrespiratória no recém-nascido; e Módulo 5 - Atendimento da parada cardiorrespiratória no recém-nascido. Este projeto pode contribuir com a inovação do ensino em enfermagem a partir de uma proposta educacional virtual sobre um tema de relevância que é o atendimento da ressuscitação cardiopulmonar do recém-nascido.El objetivo de este estudio fue desarrollar una propuesta educativa virtual haciendo uso de recursos multimedia, pretendiendo innovar, dinamizar y diversificar espacios de comunicación e interacción, facilitando el proceso de enseñanza y aprendizaje autónomo y reflexivo del enfermero. Este trabajo se constituye de una investigación aplicada, siguiendo las fases cíclicas e interactivas de concepción y planeamiento, desarrollo e implementación. La propuesta educativa fue desarrollada sobre la plataforma TelEduc, utilizando herramientas de organización, de contenido, de comunicación, del alumno y del administrador. Los módulos de enseñanza se refirieron a las siguientes temáticas: Módulo 1

  11. Emprego do suporte cardiopulmonar com bomba centrífuga e oxigenador de membrana em cirurgia cardiovascular pediátrica Use of centrifugal pump and extracorporeal membrane oxygenation as cardiopulmonary support in pediatric cardiovascular surgery

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    Fernando A. Atik

    2008-04-01

    Full Text Available FUNDAMENTO: O suporte cardiopulmonar com oxigenador de membrana é um método de ressuscitação de distúrbios hemodinâmicos, pulmonares ou ambos, consagrado em centros internacionais. OBJETIVOS: Descrever diversos aspectos relacionados ao suporte cardiopulmonar com oxigenador de membrana em um serviço de cirurgia cardiovascular nacional e determinar seus resultados imediatos e tardios. MÉTODOS: Entre outubro de 2005 e janeiro de 2007, 10 pacientes foram submetidos a suporte circulatório e/ou respiratório em candidatos ou submetidos a cirurgia cardiovascular pediátrica, com idade mediana de 58,5 dias (40% de neonatos e peso mediano de 3,9 kg. O suporte foi mantido com a intenção de recuperação e desmame, de acordo com critérios clínicos e ecocardiográficos diários. O suporte foi descontinuado nos pacientes sem indicação de transplante, com incapacidade de recuperação e com sobrevida limitada, de acordo com julgamento multidisciplinar. RESULTADOS: O suporte circulatório foi utilizado no pós-operatório de operações corretivas ou paliativas em 80% e no pré-operatório no restante. Instabilidade hemodinâmica grave irresponsiva (40%, falência miocárdica na saída de circulação extracorpórea (20% e parada cardíaca no pós-operatório (20% foram as indicações mais freqüentes. O tempo médio de permanência em suporte circulatório foi de 58 ± 37 horas. O suporte foi retirado com sucesso em 50% e 30% obtiveram alta hospitalar. A sobrevida atuarial foi de 40%, 30% e 20% aos 30 dias, 3 meses e 24 meses, respectivamente. CONCLUSÃO: O suporte cardiopulmonar com oxigenador de membrana foi um método eficaz e útil na ressuscitação de distúrbios cardiovasculares e pulmonares graves no perioperatório de cirurgia cardiovascular pediátrica.BACKGROUND: Extracorporeal membrane oxygenation is a well-documented resuscitation method in patients with severe hemodynamic and/or respiratory impairment. OBJECTIVE: To describe

  12. Survey for hantaviruses, tick-borne encephalitis virus, and Rickettsia spp. in small rodents in Croatia.

    Science.gov (United States)

    Svoboda, Petra; Dobler, Gerhard; Markotić, Alemka; Kurolt, Ivan-Christian; Speck, Stephanie; Habuš, Josipa; Vucelja, Marko; Krajinović, Lidija Cvetko; Tadin, Ante; Margaletić, Josip; Essbauer, Sandra

    2014-07-01

    In Croatia, several rodent- and vector-borne agents are endemic and of medical importance. In this study, we investigated hantaviruses and, for the first time, tick-borne encephalitis virus (TBEV) and Rickettsia spp. in small wild rodents from two different sites (mountainous and lowland region) in Croatia. In total, 194 transudate and tissue samples from 170 rodents (A. flavicollis, n=115; A. agrarius, n=2; Myodes glareolus, n=53) were tested for antibodies by indirect immunofluorescence assays (IIFT) and for nucleic acids by conventional (hantaviruses) and real-time RT-/PCRs (TBEV and Rickettsia spp.). A total of 25.5% (24/94) of the rodents from the mountainous area revealed specific antibodies against hantaviruses. In all, 21.3% (20/94) of the samples from the mountainous area and 29.0% (9/31) from the lowland area yielded positive results for either Puumala virus (PUUV) or Dobrava-Belgrade virus (DOBV) using a conventional RT-PCR. All processed samples (n=194) were negative for TBEV by IIFT or real-time RT-PCR. Serological evidence of rickettsial infection was detected in 4.3% (4/94) rodents from the mountainous region. Another 3.2% (3/94) rodents were positive for Rickettsia spp. by real-time PCR. None of the rodents (n=76) from the lowland area were positive for Rickettsia spp. by real-time PCR. Dual infection of PUUV and Rickettsia spp. was found in one M. glareolus from the mountainous area by RT-PCR and real-time PCR, respectively. To our knowledge, this is the first detection of Rickettsia spp. in small rodents from Croatia. Phylogenetic analyses of S- and M-segment sequences obtained from the two study sites revealed well-supported subgroups in Croatian PUUV and DOBV. Although somewhat limited, our data showed occurrence and prevalence of PUUV, DOBV, and rickettsiae in Croatia. Further studies are warranted to confirm these data and to determine the Rickettsia species present in rodents in these areas.

  13. Mapas de riesgo para Hantavirus en el Parque Nacional Conguillío, sur de Chile Hantavirus risk maps for Conguillío National Park, southern Chile

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    ANDRÉS MUÑOZ-PEDREROS

    2007-09-01

    Full Text Available El riesgo de infección con Hantavirus depende de factores, que determinan una probabilidad de contagio con los reservorios, tales como: (a la estructura vegetacional y el uso del suelo como un escenario primario, donde los factores específicos de composición, estructura y densidad de la vegetación detallan elementos relacionados con el habitat de los reservorios. (b La existencia de poblaciones de roedores reservorio. (c Establecimientos humanos, como disponibilidad y densidad de caminos, áreas habitadas o de presencia humana (e.g., casas, bodegas. Estos tres factores, habitat (probabilidad de ocurrencia del reservorio, roedores seropositivos (peligro de contagio y humanos (población expuesta, conjugados, proporcionan los elementos de juicio necesarios para establecer el riesgo. Es importante considerar que estos factores tienen una dinámica de cambio estacional durante el año y modificaciones ambientales naturales y antrópicas. Así, buscamos comprender el riesgo a que está sometido el ser humano en el espacio rural. Los modelos espaciales corresponden a representaciones de la realidad observada en un área determinada y condicionada a diversos factores geográficos, topográficos, biológicos, climáticos, etc. El objetivo de este estudio fue establecer sectores potenciales de riesgo al hantavirus en un parque nacional de la IX Región de Chile empleando cartas temáticas de variables ambientales en un Sistema de Información Geográfica para analizar fotografías aéreas mediante fotointerpretación, transferencia, digitalización y manejo de base de datos gráfica y alfanumérica, validada en terreno. La capa vectorial fue "rasterizada" con un tamaño de pixel de 50 m. El mapa de riesgo se construyó utilizando un modelo aditivo de capas mediante el uso del software Model Builder 1.0, extensión de Arc View 3.2. La base del procedimiento fue el proceso de "overlay" aritmético, que sobrepone las capas adicionando los términos de

  14. Contextualización de las zoonosis bacterianas y virales transmitidas por roedores

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    Juan David Rodas G

    2010-04-01

    Full Text Available Hace un poco más de 3 años, registramos dentro del postgrado de biología de la Universidad de Antioquia, la línea de investigación en zoonosis emergentes y reemergentes; motivados por los, en aquel entonces, recientes eventos, que aparentemente involucraban la transmisión de Hantavirus desde roedores (1,2, e inspirado por la experiencia recién adquirida (finales del 2004, en investigación de Arenavirus y otros virus asociados con fiebres hemorrágica en laboratorios de Estados Unidos (Universidad de Wisconsin e Instituto de Virología Humana en Baltimore, Maryland (3, nos vimos estimulados a formular y proponer, en convenio con el Instituto Colombiano de Medicina Tropical (ICMT-CES, uno de los primeros estudios de Leptospirosis en roedores urbanos en Medellín (4, y más tarde, también con el ICMT y el laboratorio de Inmuno-virología, el estudio de Hantavirus, Arenavirus y Leptospira en roedores urbanos y silvestres y en humanos de la región de Urabá en Antioquia.

  15. Capacidades motoras envolvidas na habilidade psicomotora da técnica de ressuscitação cardiopulmonar: subsídios para o processo ensino-aprendizagem Capacidades motoras involucradas en la habilidad psicomotora de la técnica de resucitación cardiopulmonar: subsídios para el proceso ensenanza-aprendizaje Motor capacities involved in the psychomotor skills of the cardiopulmonary resuscitation: subsidies of the teaching-learning process

    Directory of Open Access Journals (Sweden)

    Ana Maria Kazue Miyadahira

    2001-12-01

    Full Text Available Trata-se de uma estudo bibliográfico sobre a identificação das capacidades motoras envolvidas na habilidade psicomotora da técnica de ressuscitação cardiopulmonar (RCP cuja finalidade é obter subsídios para o planejamento do processo ensino-aprendizagem desta habilidade. Verificou-se que as capacidades motoras envolvidas na habilidade psicomotora da técnica de RCP são predominantemente cognitivas e motoras, envolvendo 9 capacidades perceptivo-motoras e 8 capacidades de proficiência física. A técnica de RCP é uma habilidade psicomotora classificada como aberta, seriada e categorizada como uma habilidade fina e global e o processo de ensino-aprendizagem da técnica de RCP tem alto grau de complexidade.Se trata de un estudio bibliográfico sobre la identificación de las capacidades motoras involucradas en la habilidad psicomotora de la técnica de resucitación cardiopulmonar (RCP cuya finalidad fue obtener subsidios para la planificación del proceso ensenanza-aprendizaje de esta habilidad. Se verifico que las capacidades motoras involucradas en la habilidad psicomotora de la técnica de RCP son predominantemente cognitivas y motoras, involucrando 9 capacidades perceptivo-motoras y 8 capacidades de proficiencia física. La técnica de RCP es una habilidad psicomotora clasificada como abierta, seriada y categorizada como una habilidad fina y global y el proceso de ensenanza-aprendizaje de la técnica de RCP tiene alto grado de complejidad.It is a bibliographic study about the identification of the motor capacities involved in the psychomotor skills of the cardiopulmonary resuscitation (CPR which aims to obtain subsidies to the planning of the teaching-learning process of this skill. It was found that: the motor capacities involved in the psychomotor skill of the CPR technique are predominantly cognitive and motor, involving 9 perceptive-motor capacities and 8 physical proficiency capacities. The CPR technique is a psychomotor skill

  16. Human Seroprevalence indicating Hantavirus Infections in Tropical Rainforests of Côte d´Ivoire and Democratic Republic of Congo

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    Peter T Witkowski

    2015-05-01

    Full Text Available Hantaviruses are members of the Bunyaviridae family carried by small mammals and causing human hemorrhagic fevers worldwide. In Western Africa, where a variety of hemorrhagic fever viruses occurs, indigenous hantaviruses have been molecularly found in animal reservoirs such as rodents, shrews, and bats since 2006. To investigate the human contact to hantaviruses carried by these hosts and to assess the public health relevance of hantaviruses for humans living in the tropical rainforest regions of Western and Central Africa, we performed a cross-sectional seroprevalence study in the region of Taï National Park in Côte d´Ivoire and the Bandundu region near the Salonga National Park in the Democratic Republic of Congo. Serum samples were initially screened with enzyme-linked immunosorbent assays using nucleoproteins of several hantaviruses as diagnostic antigens. Positive results were confirmed by Western blotting and immunofluorescence testing.Seroprevalence rates of 3.9% (27/687 and 2.4% (7/295, respectively, were found in the investigated regions in Côte d´Ivoire and the Democratic Republic of Congo. In Côte d´Ivoire, this value was significantly higher than the seroprevalence rates previously reported from the neighboring country Guinea as well as from South Africa. Our study indicates an exposure of humans to hantaviruses in West and Central African tropical rainforest areas. In order to pinpoint the possible existence and frequency of clinical disease caused by hantaviruses in this region of the world, systematic investigations of patients with fever and renal or respiratory symptoms are required.

  17. Rapid Enzyme-Linked Immunosorbent Assay for the Detection of Hantavirus-Specific Antibodies in Divergent Small Mammals

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    Karla Cautivo

    2014-05-01

    Full Text Available We assessed the utility of an enzyme-linked immunosorbent assay (ELISA for the detection of hantavirus-specific antibodies from sera of Oligoryzomys longicaudatus, the principal reservoir of Andes virus (ANDV, using an antigen previously developed for detection of antibodies to Sin Nombre virus (SNV in sera from Peromyscus maniculatus. The assay uses a protein A/G horseradish peroxidase conjugate and can be performed in as little as 1.5 hours. Serum samples from Oligoryzomys longicaudatus collected in central-south Chile were used and the assay identified several that were antibody positive. This assay can be used for the rapid detection of antibodies to divergent hantaviruses from geographically and phylogenetically distant rodent species.

  18. Pneumonitis in Syrian golden hamsters (Mesocricetus auratus) infected with Rio Mamoré virus (family Bunyaviridae, genus Hantavirus).

    Science.gov (United States)

    Milazzo, Mary Louise; Eyzaguirre, Eduardo J; Fulhorst, Charles F

    2014-10-13

    Rio Mamoré virus is an etiological agent of hantavirus pulmonary syndrome in South America. The purpose of this study was to determine whether Rio Mamoré virus strain HTN-007 in Syrian golden hamsters is pathogenic. None of 37 adult hamsters infected by intramuscular injection of HTN-007, including 10 animals killed on Day 42 or 43 post-inoculation, exhibited any symptom of disease. Histological abnormalities included severe or moderately severe pneumonitis in 6 (46.2%) of the 13 animals killed on Day 7 or 10 post-inoculation. The primary target of infection in lung was the endothelium of the microvasculature. Collectively, these results indicate that Rio Mamoré virus strain HTN-007 in adult Syrian golden hamsters can cause a nonlethal disease that is pathologically similar to hantavirus pulmonary syndrome.

  19. Hantavirus infection and habitat associations among rodent populations in agroecosystems of Panama: implications for human disease risk.

    Science.gov (United States)

    Armién, Aníbal G; Armién, Blas; Koster, Frederick; Pascale, Juan M; Avila, Mario; Gonzalez, Publio; de la Cruz, Manuel; Zaldivar, Yamitzel; Mendoza, Yaxelis; Gracia, Fernando; Hjelle, Brian; Lee, Sang-Joon; Yates, Terry L; Salazar-Bravo, Jorge

    2009-07-01

    Hantavirus cardiopulmonary syndrome (HCPS), which is caused by infection with Choclo virus, is uncommon in Panama, yet seropositivity among rural residents is as high as 60%. To clarify the environmental risk factors favoring rodent-to-human transmission, we tested serum from 3,067 rodents captured over a five-year period for antibodies against recombinant N protein of hantavirus by enzyme immunoassay and strip immunoblot. Among 220 seropositive rodents, Oligoryzomys fulvescens, the reservoir of Choclo virus, had the highest overall seroprevalence (23.5%); more abundant rodents (Zygodontomys brevicauda and Sigmodon hirsutus) had lower seroprevalences. In the mixed (combined modern and traditional) productive agroecosystem, the highest seroprevalence was among O. fulvescens captured in residences and in crops grown within 40 meters of a residence, with significantly lower seroprevalence in adjacent pasture and non-productive vegetation. Thus, crop habitats may serve as refugia for invasion into adjacent human residences and suggests several interventions to reduce human infection.

  20. Rapid enzyme-linked immunosorbent assay for the detection of hantavirus-specific antibodies in divergent small mammals.

    Science.gov (United States)

    Cautivo, Karla; Schountz, Tony; Acuña-Retamar, Mariana; Ferrés, Marcela; Torres-Pérez, Fernando

    2014-05-06

    We assessed the utility of an enzyme-linked immunosorbent assay (ELISA) for the detection of hantavirus-specific antibodies from sera of Oligoryzomys longicaudatus, the principal reservoir of Andes virus (ANDV), using an antigen previously developed for detection of antibodies to Sin Nombre virus (SNV) in sera from Peromyscus maniculatus. The assay uses a protein A/G horseradish peroxidase conjugate and can be performed in as little as 1.5 hours. Serum samples from Oligoryzomys longicaudatus collected in central-south Chile were used and the assay identified several that were antibody positive. This assay can be used for the rapid detection of antibodies to divergent hantaviruses from geographically and phylogenetically distant rodent species.

  1. Interferons Induce STAT1-Dependent Expression of Tissue Plasminogen Activator, a Pathogenicity Factor in Puumala Hantavirus Disease.

    Science.gov (United States)

    Strandin, Tomas; Hepojoki, Jussi; Laine, Outi; Mäkelä, Satu; Klingström, Jonas; Lundkvist, Åke; Julkunen, Ilkka; Mustonen, Jukka; Vaheri, Antti

    2016-05-15

    Hantaviruses are zoonotic viruses that show various degrees of vasculopathy in humans. In this study, we analyzed the regulation of 2 fibrinolytic parameters, tissue plasminogen activator (tPA) and its physiological inhibitor, plasminogen activator inhibitor 1 (PAI-1), in Puumala hantavirus (PUUV)-infected patients and in human microvascular endothelial cells. We detected strong upregulation of tPA in the acute phase of illness and in PUUV-infected macaques and found the tPA level to positively correlate with disease severity. The median levels of PAI-1 during the acute stage did not differ from those during the recovery phase. In concordance, hantaviruses induced tPA but not PAI-1 in microvascular endothelial cells, and the induction was demonstrated to be dependent on type I interferon. Importantly, type I and II interferons directly upregulated tPA through signal transducer and activator of transcription 1 (STAT1), which regulated tPA gene expression via a STAT1-responsive enhancer element. These results suggest that tPA may be a general factor in the immunological response to viruses.

  2. Preliminary selection and evaluation of the binding of aptamers against a Hantavirus antigen using fluorescence spectroscopy and modeling

    Science.gov (United States)

    Missailidis, Sotiris; de Oliveira, Renata Carvalho; Silva, Dilson; Cortez, Célia Martins; Guterres, Alexandro; Vicente, Luciana Helena Bassan; de Godoy, Daniela Tupy; Lemos, Elba

    2015-12-01

    In this study we have aimed to develop novel aptamers against the Hantavirus nucleoprotein N, a valid antigen already used in the Hantavirus reference laboratory of the Institute Oswaldo Cruz in Rio de Janeiro, Brazil. Such aptamers, if they are found to bind with high affinity and specificity for the selected hantavirus antigen, they could be translated into novel diagnostic assays with the ability to provide early detection for hantaviroses and their related disease syndromes. In a preliminary screening, we have managed to identify three aptamer species. We have analyzed a short and a long version of these aptamer using fluorescence spectroscopy and modelled their binding. We have identified Stern-Volmer constants for the selected aptamers, which have shown affinity for their target, with a different binding between the short and the long versions of them. Short aptamers have shown to have a higher Stern-Volmer constant and the ability to potentially bind to more than one binding site on the antigen. The information provided by the spectroscopic screening has been invaluable in allowing us to define candidates for further development into diagnostic assays.

  3. Stable Expression of Hantavirus H8205 Strain G1/IL-2 Gene and Immune Protection of the Fusion Gene

    Institute of Scientific and Technical Information of China (English)

    XIONG Ying; YUAN Yuan; JIA Min; YU Bing; HUANG Hanju

    2007-01-01

    To explore the feasibility of stable expression of Hantavirus H8205 strain G1 segment and human IL-2 fusion gene in Vero cells, and to examine the immune protection effects on mice vaccinated with this recombinant eukaryotic expression vector containing Hantavirus G1 gene and IL-2 gene. With the help of lipofectamine, the Vero cells were transfected with pcDNA3.1/HisB-IL-2-G1 and the positive cells were selected by G418. IFAT and SDS-PAGE electrophoresis were used to determine the stable transfection and expression of recombinant protein.Each mouse was inoculated with plasmids intramuscularly (i.m.) three times, 2 boosts were given at 2-week intervals, serum anti-hantavirus antibodies were detected by ELISA and neutralizing antibodies (NAb) were detected by Plaque Reduction Neutralization Test. The fusion protein expressed in Vero cells was 78 kD, corresponding to the estimated molecular size. The neutralizing antibody titers of mice with pcDNA3.1/HisB-IL-2-G1 were 1:20-1:80. IL-2/G1 fusion gene could be transferred in Vero cells and stably express the fusion protein. Specific humeral immune responses in mice can be induced with the recombinant eukaryotic expression vector containing the fusion gene, which lays the foundation for further development of therapeutic HTNV vaccine.

  4. Acidification triggers Andes hantavirus membrane fusion and rearrangement of Gc into a stable post-fusion homotrimer.

    Science.gov (United States)

    Acuña, Rodrigo; Bignon, Eduardo A; Mancini, Roberta; Lozach, Pierre-Yves; Tischler, Nicole D

    2015-11-01

    The hantavirus membrane fusion process is mediated by the Gc envelope glycoprotein from within endosomes. However, little is known about the specific mechanism that triggers Gc fusion activation, and its pre- and post-fusion conformations. We established cell-free in vitro systems to characterize hantavirus fusion activation. Low pH was sufficient to trigger the interaction of virus-like particles with liposomes. This interaction was dependent on a pre-fusion glycoprotein arrangement. Further, low pH induced Gc multimerization changes leading to non-reversible Gc homotrimers. These trimers were resistant to detergent, heat and protease digestion, suggesting characteristics of a stable post-fusion structure. No acid-dependent oligomerization rearrangement was detected for the trypsin-sensitive Gn envelope glycoprotein. Finally, acidification induced fusion of glycoprotein-expressing effector cells with non-susceptible CHO cells. Together, the data provide novel information on the Gc fusion trigger and its non-reversible activation involving lipid interaction, multimerization changes and membrane fusion which ultimately allow hantavirus entry into cells.

  5. Microhabitat characteristics of Akodon montensis, a reservoir for hantavirus, and hantaviral seroprevalence in an Atlantic forest site in eastern Paraguay.

    Science.gov (United States)

    Goodin, Douglas G; Paige, Robert; Owen, Robert D; Ghimire, Kabita; Koch, David E; Chu, Yong-Kyu; Jonsson, Colleen B

    2009-06-01

    Hantaviruses may cause serious disease when transmitted to humans by their rodent hosts. Since their emergence in the Americas in 1993, there have been extensive efforts to understand the role of environmental factors on the presence of these viruses in their host rodent populations. HPS outbreaks have been linked to precipitation, but climatic factors alone have not been sufficient to predict the spatial-temporal dynamics of the environment-reservoir-virus system. Using a series of mark-recapture sampling sites located at the Mbaracayú Biosphere Reserve, an Atlantic Forest site in eastern Paraguay, we investigated the hypothesis that microhabitat might also influence the prevalence of Jaborá hantavirus within populations of its reservoir species, Akodon montensis. Seven trapping sessions were conducted during 2005-2006 at four sites chosen to capture variable microhabitat conditions within the study site. Analysis of microhabitat preferences showed that A. montensis preferred areas with little forest overstory and denser vegetation cover on and near the ground. Moreover, there was a significant difference in the microhabitat occupied by antibody-positive vs antibody-negative rodents, indicating that microhabitats with greater overstory cover may promote transmission and maintenance of hantavirus in A. montensis.

  6. por valores

    Directory of Open Access Journals (Sweden)

    Jazmín Díaz-Barrios

    2005-01-01

    Full Text Available La era actual se caracteriza por una búsqueda de la identidad del hombre, donde el pivote del cambio organizacional es el individuo; cambiar en este entorno depende, en gran medida, de los valores que imperen en la cultura de la organización. Este trabajo documental intenta identificar aquellos valores, condición sine-qua-non, para el logro de los objetivos de cambio y analizarlos a fin de determinar sus indicadores, con el objeto de presentar una herramienta a las organizaciones que les facilite adaptarse a los nuevos tiempos. Se encontró que los valores: Delegación, Comunicación, Colaboración, Participación y Aprendizaje, son esenciales en los cambios integrales de esta era. Se determinaron 20 indicadores de su presencia. Se concluye que con esta información cada ente puede elaborar instrumentos que le permitan saber si los valores requeridos están presentes y en caso contrario tomar decisiones que alineen a la organización alrededor de los valores humanistas planteados, incrementando así las posibilidades de éxito en el proceso de cambio y por ende, las posibilidades de supervivencia en esta nueva época.

  7. Regulation of type I interferon in the process of hantavirus infection%汉坦病毒感染对Ⅰ型干扰素应答的调节机制

    Institute of Scientific and Technical Information of China (English)

    徐永妮; 曹梦远(综述); 叶伟; 张芳琳(审校)

    2014-01-01

    汉坦病毒主要感染人内皮细胞,细胞在病毒感染早期诱导生成的Ⅰ型干扰素( IFN-Ⅰ)可阻断汉坦病毒的复制,但不同的病毒蛋白和不同型别的汉坦病毒在IFN应答的调节机制上可能有所不同。就汉坦病毒感染对IFN应答的调节机制进行了综述。%Hantaviruses primarily infect human vascular endothelial cells ( VECs) , and type I interferon ( IFN) which is induced by Hantavirus infection in early phase can block the replication of Hantavirus, but the different viral proteins and different types of Hantavirus may play the different role in the regulation of IFN response. This paper reviews the regulation mechanism of IFN responses by Hantavirus infection.

  8. KARAKTERISTIK LINGKUNGAN DAN ASPEK SOSIAL DEMOGRAFI DALAM KAITANNYA DENGAN PENYAKIT INFEKSI HANTAVIRUS DI WILAYAH PELABUHAN TANJUNG PRIOK DAN SUNDA KELAPA, JAKARTA UTARA

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    Kasnodihardjo Kasnodihardjo

    2012-11-01

    Full Text Available Epidemiological study on hantavirus infection diseases in the area of Tanjung Priok and Sunda Kelapa Harbours has been conducted in the year of 1997; Considering a harbour may become a very potential port d'antre of diseases between islands, regions and countries. Hantavirus infection is well known as haemorrhagic fever with renal syndrome (HFRS, cause by some species of genus Hantavirus and transmitted to human by air droplet contaminated by urine, saliva or faeces of infected rodents. This is toreport a part of the study which is stress on sociocultural aspects, especially character of demography and community perceptions to hantavirus infection diseases. The data were collected by interviewing using questionaires and field observations. Sample population were household (HH while family members above 13 year of age including head of HH (Kepala Rumah Tangga were chosen as individual respondents and become analitical units. In total the number of samples were 113 HH, consisting 58 HH in Kelurahan Koja and 55 HH in Kelurahan Ancol. The number of individual respondents were 410 people. The results showed that most of respondents work as a labor in the harbours. In general they have low level formal education, mostly only elementary school graduated. The relatively low of their formal education they have might influence their wrong perceptions to any disease. The wrong community perceptions in the two areas mistaken hantavirus infection diseases with typhoid diseases.

  9. Hantavirus Infections

    Science.gov (United States)

    ... but deadly viral infection. It is spread by mice and rats. They shed the virus in their ... breathe infected air or come into contact with rodents or their urine or droppings. You cannot catch ...

  10. Endothelial Nitric Oxide Synthase G894T Polymorphism Associates with Disease Severity in Puumala Hantavirus Infection.

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    Sirpa Koskela

    Full Text Available Hantavirus infections are characterized by both activation and dysfunction of the endothelial cells. The underlying mechanisms of the disease pathogenesis are not fully understood. Here we tested the hypothesis whether the polymorphisms of endothelial nitric oxide synthase, eNOS G894T, and inducible nitric oxide synthase, iNOS G2087A, are associated with the severity of acute Puumala hantavirus (PUUV infection.Hospitalized patients (n = 172 with serologically verified PUUV infection were examined. Clinical and laboratory variables reflecting disease severity were determined. The polymorphisms of eNOS G894T (Glu298Asp, rs1799983 and iNOS G2087A (Ser608Leu, rs2297518 were genotyped.The rare eNOS G894T genotype was associated with the severity of acute kidney injury (AKI. The non-carriers of G-allele (TT-homozygotes had higher maximum level of serum creatinine than the carriers of G-allele (GT-heterozygotes and GG-homozygotes; median 326, range 102-1041 vs. median 175, range 51-1499 μmol/l; p = 0.018, respectively. The length of hospital stay was longer in the non-carriers of G-allele than in G-allele carriers (median 8, range 3-14 vs. median 6, range 2-15 days; p = 0.032. The rare A-allele carriers (i.e. AA-homozygotes and GA-heterozygotes of iNOS G2087A had lower minimum systolic and diastolic blood pressure than the non-carriers of A-allele (median 110, range 74-170 vs.116, range 86-162 mmHg, p = 0.019, and median 68, range 40-90 vs. 72, range 48-100 mmHg; p = 0.003, respectively.Patients with the TT-homozygous genotype of eNOS G894T had more severe PUUV-induced AKI than the other genotypes. The eNOS G894T polymorphism may play role in the endothelial dysfunction observed during acute PUUV infection.

  11. Nucleotide sequence characterization and phylogenetic analysis of hantaviruses isolated in Shandong Province, China

    Institute of Scientific and Technical Information of China (English)

    LI Jian; ZHAO Zhong-tang; WANG Zhi-qiang; LIU Yun-xi; HU Mao-hong

    2007-01-01

    Background China is the most severe endemic area of hemorrhagic fever with renal syndrome (HFRS) in the world with 30 000-50 000 cases reported annually, which accounts for more than 90% of total number of cases worldwide. The incidence rate of the syndrome in Shandong Province is one of the highest in China, which has ever reached 50 per 100 000 persons per year. However, the molecular characteristics of hantaviruses (HV) epidemic in Shandong Province remain unclear. Therefore it is useful to clarify nucleotide sequence and phylogenetic characteristics of HV isolated in Shandong Province in order to provide better advices to control and prevent HFRS.Methods RNAs were extracted from sera of clinically diagnosed patients and positive rodent lungs that were detected by indirect immunofluorescent assay (IFA). Partial M segments of HV were amplified from the RNAs with reverse transcription nested polymerase chain reactions (nested PCR) using hantavirus genotype specific primers. The nested PCR products were sequenced and compared with those from previously epidemic isolates in Shandong and with other representative HV sequences from GenBank. Phylogenetic tree analyses were performed based on the sequences of the M genes.Results Thirty-four HV isolates in Shandong showed 67.1%-100% nucleotide identities. The nucleotide homologies among 6 Hantaan viruses (HTNV) isolates in Shandong were 78.1%-98.7%, while the homologies among 28 Seoul virus (SEOV) isolates in Shandong were 93.7%-100%. There were at least 3 subtypes HTNV (H2, H5, H9) and 2 subtypes SEOV (S2, S3) in Shandong Province.Conclusions In Shandong Province, the homologies of HTNV were lower and there were no predominant subtypes,while the homologies of SEOV were higher and S3 was the predominant subtype. The homologies of SEOV from rodents were higher than those from patients. The distribution of subtypes in Shandong was similar to that of the adjoining provinces. Phylogenetic analyses of the sequences showed

  12. Prevalence of antibody to hantaviruses in humans and rodents in the Caribbean region of Colombia determined using Araraquara and Maciel virus antigens.

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    Guzmán, Camilo; Mattar, Salim; Levis, Silvana; Pini, Noemí; Figueiredo, Tadeu; Mills, James; Salazar-Bravo, Jorge

    2013-04-01

    We tested sera from 286 agricultural workers and 322 rodents in the department of Córdoba, northeastern Colombia, for antibodies against two hantaviruses. The sera were analysed by indirect ELISA using the lysate of Vero E6 cells infected with Maciel virus (MACV) or the N protein of Araraquara virus (ARAV) as antigens for the detection of antibodies against hantaviruses. Twenty-four human sera were IgG positive using one or both antigens. We detected anti-MACV IgG antibodies in 10 sera (3.5%) and anti-ARAV antibodies in 21 sera (7.34%). Of the 10 samples that were positive for MACV, seven (70%) were cross-reactive with ARAV; seven of the 21 ARAV-positive samples were cross-reactive with MACV. Using an ARAV IgM ELISA, two of the 24 human sera (8.4%) were positive. We captured 322 rodents, including 210 Cricetidae (181 Zygodontomys brevicauda, 28 Oligoryzomys fulvescens and 1 Oecomys trinitatis), six Heteromys anomalus (Heteromyidae), one Proechimys sp. (Echimyidae) and 105 Muridae (34 Rattus rattus and 71 Mus musculus). All rodent sera were negative for both antigens. The 8.4% detection rate of hantavirus antibodies in humans is much higher than previously found in serosurveys in North America, suggesting that rural agricultural workers in northeastern Colombia are frequently exposed to hantaviruses. Our results also indicate that tests conducted with South American hantavirus antigens could have predictive value and could represent a useful alternative for the diagnosis of hantavirus infection in Colombia.

  13. Prevalence of antibody to hantaviruses in humans and rodents in the Caribbean region of Colombia determined using Araraquara and Maciel virus antigens

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    Camilo Guzmán

    2013-04-01

    Full Text Available We tested sera from 286 agricultural workers and 322 rodents in the department of Córdoba, northeastern Colombia, for antibodies against two hantaviruses. The sera were analysed by indirect ELISA using the lysate of Vero E6 cells infected with Maciel virus (MACV or the N protein of Araraquara virus (ARAV as antigens for the detection of antibodies against hantaviruses. Twenty-four human sera were IgG positive using one or both antigens. We detected anti-MACV IgG antibodies in 10 sera (3.5% and anti-ARAV antibodies in 21 sera (7.34%. Of the 10 samples that were positive for MACV, seven (70% were cross-reactive with ARAV; seven of the 21 ARAV-positive samples were cross-reactive with MACV. Using an ARAV IgM ELISA, two of the 24 human sera (8.4% were positive. We captured 322 rodents, including 210 Cricetidae (181 Zygodontomys brevicauda, 28 Oligoryzomys fulvescens and 1 Oecomys trinitatis, six Heteromys anomalus (Heteromyidae, one Proechimys sp. (Echimyidae and 105 Muridae (34 Rattus rattus and 71 Mus musculus. All rodent sera were negative for both antigens. The 8.4% detection rate of hantavirus antibodies in humans is much higher than previously found in serosurveys in North America, suggesting that rural agricultural workers in northeastern Colombia are frequently exposed to hantaviruses. Our results also indicate that tests conducted with South American hantavirus antigens could have predictive value and could represent a useful alternative for the diagnosis of hantavirus infection in Colombia.

  14. Spatial structure of rodent populations and infection patterns of hantavirus in seven villages of Shandong Province from February 2006 to January 2007

    Institute of Scientific and Technical Information of China (English)

    SUN Lin; SHAO Qi; WANG Zhi-qiang; KANG Dian-min; LI Shi-wei; LI Xue-gang; XUE Fu-zhong; WANG Jie-zhen

    2011-01-01

    Background Hemorrhagic fever with renal syndrome (HFRS) is endemic in Junan county, Shandong Province, China.We conducted geographic information system (GlS)-based spatial analysis with the objective of estimating the spatial distribution of rodent populations and their hantavirus infection patterns, to describe the spatial relationships of hantavirus strains in small ecological areas and to identify key areas in endemic areas of HFRS for future public health planning and resource allocation.Methods Rodent sampling was conducted in seven villages in Junan county from February 2006 to January 2007 using field epidemiological surveillance. Dynamics of hantavirus infection and population densities in rodents were investigated. Spatial statistical techniques including Ripley' L index and nearest neighbour hierarchical (NNH) clustering analysis were conducted to reveal the spatial structure of rodent populations in seven villages. Phylogenetic analysis and two-dimensional minimal spanning tree (2-D MST) models were employed to describe the spatial relationship of hantavirus strains.Results Data showed that Mus musculus was the most common species in our study area, followed by Rattus norvegicus. Ripley's L index and NNH analysis showed that the spatial distribution of all captured rodents, Mus musculus and Rattus norvegicus in seven villages were clustered and there were hotspot areas of rodent distribution. The branches of 2-D MSTs had similar topologies to those of corresponding phylogenetic trees, and hantavirus strains exhibited obvious connective traces in seven villages.Conclusions These results contribute to the understanding of the spatial distribution of rodent populations and hantavirus infection patterns in small areas, and identify priority areas within the epidemic areas for the development of a better prevention strategy against hemorrhagic fever with renal syndrome in a small ecological area.

  15. Prevalence of antibody to hantaviruses in humans and rodents in the Caribbean region of Colombia determined using Araraquara and Maciel virus antigens

    OpenAIRE

    Camilo Guzmán; Salim Mattar; Silvana Levis; Noemí Pini; Tadeu Figueiredo; James Mills; Jorge Salazar-Bravo

    2013-01-01

    We tested sera from 286 agricultural workers and 322 rodents in the department of Córdoba, northeastern Colombia, for antibodies against two hantaviruses. The sera were analysed by indirect ELISA using the lysate of Vero E6 cells infected with Maciel virus (MACV) or the N protein of Araraquara virus (ARAV) as antigens for the detection of antibodies against hantaviruses. Twenty-four human sera were IgG positive using one or both antigens. We detected anti-MACV IgG antibodies in 10 sera (...

  16. Hantavirus pulmonary syndrome in Brazil: clinical aspects of three new cases

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    FERREIRA Marcelo S.

    2000-01-01

    Full Text Available Hantavirus pulmonary syndrome (HPS has been recognized recently in Brazil, where 28 cases have been reported as of September 1999. We report here the clinical and laboratory findings of three cases whose diagnoses were confirmed serologically. All the patients were adults who presented a febrile illness with respiratory symptoms that progressed to respiratory failure that required artificial ventilation in two of them. Laboratory findings were most of the time consistent with those reported in the United States in patients infected with the Sin Nombre virus, and included elevated hematocrit and thrombocytopenia; presence of atypical lymphocytes was observed in one patient. The chest radiological findings observed in all the patients were bilateral, diffuse, reticulonodular infiltrates. Two patients died. Histopathological examination of the lungs of these patients revealed interstitial and alveolar edema, alveolar hemorrhage, and mild interstitial pneumonia characterized by infiltrate of immunoblasts and mononuclear cells. In the epidemiologic investigation of one of the cases, serologic (ELISA tests were positive in 3 (25% out of 12 individuals who shared the same environmental exposure. HPS should be included in the differential diagnosis of interstitial pneumonia progressing to acute respiratory failure.

  17. Hantavirus pulmonary syndrome in the Province of Rio Negro, Argentina, 1993-1996.

    Science.gov (United States)

    Cantoni, G; Lazaro, M; Resa, A; Arellano, O; Amestoy, A M; De Bunder, S; Herrero, E; Perez, A; Larrieu, E

    1997-01-01

    Early in 1995 the first case of Hantavirus Pulmonary Syndrome was serologically confirmed in El Bolsón (Province of Río Negro, Argentina), corresponding to the third outbreak reported in Argentina. A total of 26 cases of HPS related to the Andean region of Rio Negro Province, were reported from 1993 to 1996, 17 in El Bolsón, 4 in San Carlos de Bariloche, and 5 in Buenos Aires. The incidence rate was 5.03 x 100,000 with a mortality rate of 51.85 x 100. The occurrence of cases was mainly seasonal, with a significantly greater number in the spring, and the persons affected mainly lived in urban or periurban areas. In four cases, the affected individuals were members of a couple, spouses or live-in contacts. Seven cases were Health workers (physicians, nurses or administrative staff). Twelve cases were related among them, due to an outbreak of 80 days. Two of them did not visit the Andean region. A total of 139 rodents were captured and seven of them, Olygoryzomys longicaudatus, were found to be serologically positive. The possibility of infection by contact with rodents or fecal matter is being analyzed and also hypothesis related with interhuman transmission.

  18. Investigação epidemiológica do primeiro caso de hantavirose no estado do Rio de Janeiro, BrasilEpidemiological investigation of the first case of hantaviruses in the state of Rio de Janeiro, Brazil

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    Alexander Vargas

    2016-06-01

    Full Text Available Introdução: A hantavirose é uma zoonose aguda, transmitida pela inalação de aerossóis formados a partir de excretas de roedores silvestres. A Síndrome Cardiopulmonar por Hantavírus (SCPH é a forma clínica identificada no Brasil e apresenta elevada letalidade.  Objetivo: Descrever a investigação epidemiológica de hantavirose no Estado do Rio de Janeiro (RJ, município de Rio Claro. Métodos: Foi realizado um estudo descritivo no período de fevereiro a maio de 2015. As informações obtidas foram provenientes do sistema de vigilância epidemiológica municipal e dos prontuários da assistência médica hospitalar. Resultados: Foi confirmado um óbito por hantavirose, indivíduo do sexo masculino, 34 anos, trabalhador rural que apresentou febre, cefaleia e mialgia, progredindo com sintomas respiratórios, digestivos, hipotensão além de gradual hemoconcentração e plaquetopenia, vindo a óbito seis dias após o início dos sintomas. Na investigação de 9.898 prontuários, foram identificados 46 indivíduos como casos suspeitos; destes, 31 foram submetidos à entrevista e à coleta de amostras clínicas. A análise sorológica  detectou quatro indivíduos IgG reagentes, com exposições similares ao do óbito relatado. Conclusão. É registrado o primeiro caso de hantavirose no Estado do RJ, município de Rio Claro, bem como a detecção de indivíduos soro-reagentes, com clínica compatível e expostos a fatores de risco para a doença. Estes achados corroboram para a afirmativa da circulação prévia de hantavirose nessa região.

  19. Soroprevalência de infecção por Hantavírus em roedores dos focos de peste do Brasil

    OpenAIRE

    Tavares de Souza Chioratto, Gerlane

    2010-01-01

    A Síndrome Pulmonar Cardiovascular por Hantavirus (SPCVH) e a peste (bacteriose causada pela Yersinia pestis) são zoonoses que compartilham os mesmos roedores silvestres como reservatórios e cujas formas oligossintomáticas e respiratórias podem dificultar o diagnóstico clínico-epidemiológico em humanos. Apesar da sua relevância como problema de saúde pública, o conhecimento acerca da hantavirose no nordeste brasileiro é escasso, o que justificou a realização desse estudo de sor...

  20. A five-year perspective on the situation of haemorrhagic fever with renal syndrome and status of the hantavirus reservoirs in Europe, 2005-2010

    NARCIS (Netherlands)

    P. Heyman; C.S. Ceianu; I. Christova; N. Tordo (Noël); M.F.C. Beersma (Thijs); M.J. Alves (M. João); Å. Lundkvist (Åke); M. Hukic; A. Papa (Anna); A. Tenorio; H. Zelena (Hana); S. Eßbauer; I. Visontai; I. Golovljova; J. Connell (John); L. Nicoletti; M. van Esbroeck (M.); S.G. Dudman (Susanne Gjeruldsen); S.W. Aberle (Stephan W.); T. Avsic-Zupanc; G. Korukluoglu; A. Nowakowska; B. Klempa; R.G. Ulrich (Rainer); S. Bino; O. Engler; M. Opp (Matthias); A. Vaheri (Antti)

    2011-01-01

    textabstractHantavirus infections are reported from many countries in Europe and with highly variable annual case numbers. In 2010, more than 2,000 human cases were reported in Germany, and numbers above the baseline have also been registered in other European countries. Depending on the virus type

  1. Expression of recombinant Araraquara Hantavirus nucleoprotein in insect cells and its use as an antigen for immunodetection compared to the same antigen expressed in Escherichia coli

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    Wolff Jose LC

    2011-05-01

    Full Text Available Abstract Background Antigens for Hantavirus serological tests have been produced using DNA recombinant technology for more than twenty years. Several different strategies have been used for that purpose. All of them avoid the risks and difficulties involved in multiplying Hantavirus in the laboratory. In Brazil, the Araraquara virus is one of the main causes of Hantavirus Cardio-Pulmonary Syndrome (HCPS. Methods In this investigation, we report the expression of the N protein of the Araraquara Hantavirus in a Baculovirus Expression System, the use of this protein in IgM and IgG ELISA and comparison with the same antigen generated in E. coli. Results The protein obtained, and purified in a nickel column, was effectively recognized by antibodies from confirmed HCPS patients. Comparison of the baculovirus generated antigen with the N protein produced in E. coli showed that both were equally effective in terms of sensitivity and specificity. Conclusions Our results therefore indicate that either of these proteins can be used in serological tests in Brazil.

  2. A eficácia da terlipressina versus adrenalina na ressuscitação cardiopulmonar em suínos

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    Carlos Cezar Ivo Sant'Ana Ovalle

    2011-12-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: O objetivo deste estudo foi avaliar a eficácia da terlipressina (TP versus adrenalina (ADR em aumentar a pressão de perfusão coronariana (PPC e o retorno da circulação espontânea (RCE na RCP em suínos. MÉTODOS: Sob anestesia cetamina/tiopental, induziu-se fibrilação ventricular em 44 porcos fêmeas imaturos, permanecendo não assistida por 10 min, seguidos de 2 min de RCP-manual (100 compressões/10 ventilações/min com ar. Os animais foram então alocados em quatro grupos, recebendo: 1 ADR (45 µg.kg-1; 2 salina-placebo (10 mL; 3 TP (20 µg.kg-1; 4 TP (20 µg.kg-1 + ADR (45 µg.kg-1. Desfibrilação foi realizada 2 min após, observando-se os animais sobreviventes por um período de 30 min. ECG, PA sistêmica, PAD e PetCO2 foram monitorados continuamente. RESULTADOS: A TP não diferiu do placebo quanto aos efeitos na PPC, com baixas taxas de RCE em ambos os grupos (1/11 vs.2/11; p = NS. A ADR aumentou a PPC de 13 ± 12 para 54 ± 15 mmHg (p < 0,0001, efeito similar a TP + ADR (de 21 ± 10 para 45 ± 13 mmHg; p < 0,0001, com altas taxas de RCE/sobreviventes em ambos os grupos (10/11 vs.9/11, respectivamente. Entre os sobreviventes, maior PAM foi observada no grupo TP + ADR vs.ADR (105 ± 19 mmHg vs.76 ± 21 mmHg; p = 0,0157. CONCLUSÕES: ADR e TP + ADR foram efetivas para aumentar a PPC/RCE neste modelo experimental, mas a TP, isolada, não foi diferente do placebo. Contudo, nos animais sobreviventes do grupo TP + ADR observou-se maior estabilidade hemodinâmica após a RCE, sugerindo que a TP possa ser uma medicação útil no manuseio da hipotensão pós-RCP.

  3. Landscape and regional environmental analysis of the spatial distribution of hantavirus human cases in Europe

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    Caroline Brigitte Zeimes

    2015-03-01

    Full Text Available Background: In Europe, the most prevalent hantavirus, Puumala virus, is transmitted by bank voles and causes nephropathia epidemica in human. The European spatial distribution of nephropathia epidemica is investigated here for the first time with a rich set of environmental variables. Methods: The influence of variables at the landscape and regional level is studied through multilevel logistic regression and further information on their effects across the different European ecoregions is obtained by comparing an overall niche model (boosted regression trees with regressions by ecoregion. Results: The presence of nephropathia epidemica is likely in populated regions with well-connected forests, more intense vegetation activity, low soil water content, mild summers and cold winters. In these regions, landscapes with a higher proportion of built-up areas in forest ecotones and lower minimum temperature in winter are expected to be more at risk. Climate and forest connectivity have a stronger effect at the regional level. If variables are staying at their current values, the models predict that nephropathia epidemica may know intensification but should not spread (although Southern Sweden, the Norwegian coast and the Netherlands should be kept under watch.Conclusions: Models indicate that large-scale modeling can lead to a very high predictive power. At large scale, the effect of one variable on disease may follow three response scenarios: the effect may be the same across the entire study area; the effect can change according to the variable value, and the effect can change depending on local specificities. Each of these scenarios impacts large-scale modeling differently.

  4. Relating increasing hantavirus incidences to the changing climate: the mast connection

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    Maes Piet

    2009-01-01

    Full Text Available Abstract Background Nephropathia epidemica (NE, an emerging rodent-borne viral disease, has become the most important cause of infectious acute renal failure in Belgium, with sharp increases in incidence occurring for more than a decade. Bank voles are the rodent reservoir of the responsible hantavirus and are known to display cyclic population peaks. We tried to relate these peaks to the cyclic NE outbreaks observed since 1993. Our hypothesis was that the ecological causal connection was the staple food source for voles, being seeds of deciduous broad-leaf trees, commonly called "mast". We also examined whether past temperature and precipitation preceding "mast years" were statistically linked to these NE outbreaks. Results Since 1993, each NE peak is immediately preceded by a mast year, resulting in significantly higher NE case numbers during these peaks (Spearman R = -0.82; P = 0.034. NE peaks are significantly related to warmer autumns the year before (R = 0.51; P Conclusion NE peaks in year 0 are induced by abundant mast formation in year-1, facilitating bank vole survival during winter, thus putting the local human population at risk from the spring onwards of year 0. This bank vole survival is further promoted by higher autumn temperatures in year-1, whereas mast formation itself is primed by higher summer temperatures in year-2. Both summer and autumn temperatures have been rising to significantly higher levels during recent years, explaining the virtually continuous epidemic state since 2005 of a zoonosis, considered rare until recently. Moreover, in 2007 a NE peak and an abundant mast formation occurred for the first time within the same year, thus forecasting yet another record NE incidence for 2008. We therefore predict that with the anticipated climate changes due to global warming, NE might become a highly endemic disease in Belgium and surrounding countries.

  5. Detection of Hantavirus gene from peripheral blood of patients with HFRS in Heilongjiang province and the epidemiological significance

    Institute of Scientific and Technical Information of China (English)

    HUAN YONG CHEN; LING LAN ZENG; XIN ZHANG; HONG QI JIANG; FENG JUAN SHAO; QING GANG LI; BAO LING LU; LIN LI

    2006-01-01

    The aim of this study is to further understand the genotype of Hantavirus (HV) from peripheral blood of patients with hemorrhagic fever with renal syndrome (HFRS) and the epidemiological significance of this disease in Heilongjiang province in recent years. Thirty-one serum samples of clinically diagnosed patients with HFRS were examined by RT-PCR to decide the genetic subtype. On the basis of infection season, the serum samples were divided into two groups: winter (Nov, 2003-Feb, 2004), spring and summer (April, 2004-Sep, 2004). Further analysis was performed in combination with clinical symptoms. It was found that among the total 31 samples, 22 were sero-positive. Among 14 serum samples in winter, 8 were sero-positive, of which 5 cases were of type Ⅰ (Hantaan virus, HTNV) and 3 of type Ⅱ (Seoul virus, SEOV). Among 17 samples in spring and summer, 14 were sero-positive, of which 5cases were of type Ⅰ and 9 of type Ⅱ. So it concludes that both of the two types of Hantavirus exist in Heilongjiang. The type Ⅰ is the main pathogen of HFRS in winter, and type Ⅱ is the main in spring and summer.

  6. Enhancing DNA vaccine potency against hantavirus by co-administration of interleukin-12 expression vector as a genetic adjuvant

    Institute of Scientific and Technical Information of China (English)

    ZHENG Lan-yan; MOU Ling; LIN Song; LU Run-ming; LUO En-jie

    2005-01-01

    Background The heavy incidence and mortality of hemorrhagic fever with renal syndrome, as well as no specific drugs in curing the disease,clearly indicate the need for development of the more effective hantavirus vaccine. Refining the DNA vaccination strategy to elicit more clinically efficacious immune responses is now under intensive investigation. In the present study, we examined the effects of using an interleukin-12 expression plasmid as a genetic adjuvant to enhance the immune responses induced by a DNA vaccine based on the S gene encoding nucleocapsid protein against hantavirus. Methods BALB/c mice were immunized three times by intramuscular inoculations of DNA vaccine encoding of hantanvirus nucleocapsid protein alone or in combination with a plasmid expressing murine interleukin-12 (pcIL-12). Booster immunizations were employed 2 times at 2-week interval. To evaluate the humoral and cellular immune responses, antigen-specific lymphocyte proliferation and antibody production were assayed by MTT method and ELISA respectively. The level of interleukin-4 and interferon-γ in the splenic lymphocytic cultured supernatant were detected with ELISA kit at day 5, 10, 17, 35 and 42 after primary immunization.Conclusion Humoral and cytokine responses elicited by pcDNA3.1+S inoculation can be modulated by co-inoculation with pcIL-12 and efficiently induced Th1-dominant immune responses.

  7. Evaluation of habitat requirements of small rodents and effectiveness of an ecologically-based management in a hantavirus-endemic natural protected area in Argentina.

    Science.gov (United States)

    Vadell, María Victoria; García Erize, Francisco; Gómez Villafañe, Isabel Elisa

    2017-01-01

    Hantavirus pulmonary syndrome is a severe cardio pulmonary disease transmitted to humans by sylvan rodents found in natural and rural environments. Disease transmission is closely linked to the ecology of animal reservoirs and abiotic factors such as habitat characteristics, season or climatic conditions. The main goals of this research were: to determine the biotic and abiotic factors affecting richness and abundance of rodent species at different spatial scales, to evaluate different methodologies for studying population of small rodents, and to describe and analyze an ecologically-based rodent management experience in a highly touristic area. A 4-year study of small rodent ecology was conducted between April 2007 and August 2011 in the most relevant habitats of El Palmar National Park, Argentina. Management involved a wide range of control and prevention measures, including poisoning, culling and habitat modification. A total of 172 individuals of 5 species were captured with a trapping effort of 13 860 traps-nights (1.24 individuals/100 traps-nights). Five rodent species were captured, including 2 hantavirus-host species, Oligoryzomys nigripes and Akodon azarae. Oligoryzomys nigripes, host of a hantavirus that is pathogenic in humans, was the most abundant species and the only one found in all the studied habitats. Our results are inconsistent with the dilution effect hypothesis. The present study demonstrates that sylvan rodent species, including the hantavirus-host species, have distinct local habitat selection and temporal variation patterns in abundance, which may influence the risk of human exposure to hantavirus and may have practical implications for disease transmission as well as for reservoir management.

  8. Serological survey of hantavirus in rodents in Uberlândia, Minas Gerais, Brazil Inquérito sorológico de hantavírus em roedores, Uberlândia, Minas Gerais, Brasil

    Directory of Open Access Journals (Sweden)

    Jean Ezequiel Limongi

    2013-06-01

    Full Text Available We conducted a serological survey to determine the presence of hantavirus infection in rodents in Uberlândia, Minas Gerais as well as to identify and characterize associated factors. Rodents were captured using Sherman live-capture traps set in rural and peri-urban environments. A total of 611 rodents were captured. There was a higher trap success in peri-urban areas (26.3% and a higher prevalence of antibodies among rodents captured in rural areas (2.9%. Necromys lasiurus was the most common species (42.2% and the more frequently infected (4.6%. One Calomys tener (1/141; 0.7% and one Calomys sp. (1/14; 7.1% were also positive for the hantavirus infection. In N. lasiurus, antibody prevalence correlated with population density (p Realizamos um estudo transversal para identificar a presença de infecção por hantavírus em roedores em Uberlândia, Minas Gerais, e também para identificar e caracterizar fatores associados. Roedores foram capturados usando armadilhas do tipo Sherman em ambientes rural e periurbano. Um total de 611 roedores foi capturado. Houve maior sucesso de captura na área periurbana (26,3% e maior prevalência de anticorpos entre os roedores capturados na área rural (2,9%. Necromys lasiurus foi a espécie mais encontrada (42,2% e a mais frequentemente infectada (4,6%. Um Calomys tener (1/141; 0.7% e um Calomys sp. (1/14; 7.1% foram também positivos. Os dados obtidos mostram que em N. lasiurus, a prevalência de anticorpos está relacionada à densidade populacional (p < 0.01, a classe de idade (p = 0.003 e a presença de cicatrizes (p = 0.02, confirmando que a transmissão horizontal é o principal mecanismo que mantém o vírus na natureza. A maior positividade em N. lasiurus é consistente com estudos genéticos que permitem associar esta espécie como reservatório do vírus Araraquara; a soropositividade de C. tener e Calomys sp. pode indicar a ocorrência de "spillover infection" ou a presença de outros hantav

  9. Prueba de esfuerzo cardiopulmonar (PEC en el síndrome de falla cardíaca. Una propuesta basada en la evidencia Cardiopulmonary exercise testing in congestive heart failure. a proposal based on evidence

    Directory of Open Access Journals (Sweden)

    Juan Manuel Sénior Sánchez

    2008-06-01

    Full Text Available

    El objetivo de este artículo es presentar recomendaciones para la utilización clínica de la prueba de esfuerzo cardiopulmonar en el síndrome de falla cardíaca con énfasis en la medicina basada en la evidencia mediante una búsqueda sistemática de la

  10. Anthropogenic habitat disturbance and the dynamics of hantavirus using remote sensing, GIS, and a spatially explicit agent-based model

    Science.gov (United States)

    Cao, Lina

    Sin Nombre virus (SNV), a strain of hantavirus, causes hantavirus pulmonary syndrome (HPS) in humans, a deadly disease with high mortality rate (>50%). The primary virus host is deer mice, and greater deer mice abundance has been shown to increase the human risk of HPS. There is a great need in understanding the nature of the virus host, its temporal and spatial dynamics, and its relation to the human population with the purpose of predicting human risk of the disease. This research studies SNV dynamics in deer mice in the Great Basin Desert of central Utah, USA using multiyear field data and integrated geospatial approaches including remote sensing, Geographic Information System (GIS), and a spatially explicit agent-based model. The goal is to advance our understanding of the important ecological and demographic factors that affect the dynamics of deer mouse population and SNV prevalence. The primary research question is how climate, habitat disturbance, and deer mouse demographics affect deer mouse population density, its movement, and SNV prevalence in the sagebrush habitat. The results show that the normalized difference vegetation index (NDVI) and the enhanced vegetation index (EVI) can be good predictors of deer mouse density and the number of infected deer mice with a time lag of 1.0 to 1.3 years. This information can be very useful in predicting mouse abundance and SNV risk. The results also showed that climate, mouse density, sex, mass, and SNV infection had significant effects on deer mouse movement. The effect of habitat disturbance on mouse movement varies according to climate conditions with positive relationship in predrought condition and negative association in postdrought condition. The heavier infected deer mice moved the most. Season and disturbance alone had no significant effects. The spatial agent-based model (SABM) simulation results show that prevalence was negatively related to the disturbance levels and the sensitivity analysis showed that

  11. 汉坦病毒群CODEHOP RT-PCR检测方法的建立%Development of CODEHOP RT-PCR to detect Hantavirus

    Institute of Scientific and Technical Information of China (English)

    胡群; 马思杰; 王静; 倪红霞

    2012-01-01

    目的 建立一种能对汉坦病毒群进行快速检测的CODEHOP引物RT-PCR方法.方法 根据GenBank发表的不同汉坦病毒L基因组氨基酸序列,利用CODEHOP方法设计合成一对引物,经反应条件优化,建立快速检测汉坦病毒群所有病毒的方法,并通过对标准毒株的检测评价方法的灵敏度和特异性.结果 特异性试验结果显示,该方法可对汉坦病毒进行特异性扩增,目的片段大小和序列与预期结果相符,对汉坦病毒核酸的最小检出量为10 pg.结论 建立的CODEHOP RT-PCR方法的特异性强、灵敏度高,可用于汉坦病毒群的检测.%Objective To develop a rapid method of detecting Hantavirus by RT-PCR using consensus degenerate hybrid oligonucleotide primers (CODEHOPs). Methods In accordance with the amino acid sequence of the L genome of different hantaviruses published in GenBank, a pair of primers was designed using CODEHOP. A rapid method of detecting all kinds of hantaviruses was developed by optimizing the reaction conditions, and the specificity and sensitivity of this technique was evaluated using standard virus strains. Results Specificity testing indicated that this technique amplified hantaviruses, and the size of the target fragments and the sequences coincided with the anticipated results. The minimum detection of hantavirus RNA was 10 pg. Conclusion A highly specific and sensitive technique for CODEHOP PCR was established, and this technique can be used to detect Hantavirus.

  12. Hemogasometria e variáveis cardiopulmonares após administração do butorfanol em cães anestesiados pelo desfluorano sob ventilação espontânea Acid-base and cardiopulmonary effects after butorphanol administration in spontaneously breathing dogs anesthetized by desflurane

    Directory of Open Access Journals (Sweden)

    Paulo Sérgio Patto dos Santos

    2007-04-01

    Full Text Available Este experimento teve por objetivos avaliar as possíveis alterações cardiopulmonares e hemogasométricas decorrentes do uso do butorfanol em cães submetidos à anestesia pelo desfluorano sob ventilação espontânea. Para tal, foram utilizados vinte cães adultos, clinicamente saudáveis, pesando 12±3kg. Os animais foram distribuídos igualmente em dois grupos, GS e GB, e induzidos à anestesia com propofol (8,4±0,8mg kg-1, IV, intubados e submetidos à anestesia inalatória pelo desfluorano (10V%. Decorridos 40 minutos da indução, foi administrado aos animais do GS 0,05mL kg-1 de solução fisiológica a 0,9% (salina, enquanto que, no GB, foi aplicado butorfanol na dose de 0,4mg kg-1, ambos pela via intramuscular. As observações das variáveis freqüências cardíaca (FC e respiratória (f, pressões arteriais sistólica (PAS, diastólica (PAD e média (PAM, pH arterial (pH, pressão parcial de oxigênio no sangue arterial (PaO2, pressão parcial de dióxido de carbono no sangue arterial (PaCO2, déficit de base (DB, bicarbonato (HCO3 e saturação de oxigênio na hemoglobina (SatO2 tiveram início imediatamente antes da aplicação do opióide ou salina (M0. Novas mensurações foram realizadas 15 minutos após a administração do butorfanol ou salina (M15 e as demais colheitas foram realizadas a intervalos de 15 minutos, por um período de 60 minutos (M30, M45, M60 e M75. Os dados numéricos dessas variáveis foram submetidos à Análise de Perfil (PThe cardiopulmonary and acid-base effects of butorphanol in desflurane anesthetized dogs breathing spontaneously were evaluated. Twenty adult healthy, male and female dogs were used. They were separated into two groups of 10 animals each (GS and GB. Anesthesia was induced with propofol (8.4±0.8mg kg-1 IV and maintained with desflurane (10V%. After 40 minutes of induction, the animals from GS received saline solution at 0.9% (0.05mL kg-1 and from GB received butorphanol (0.4mg kg-1

  13. 汉坦病毒感染与β3整合素%Hantavirus infection and β3 integrin

    Institute of Scientific and Technical Information of China (English)

    王伟; 白雪帆

    2010-01-01

    β3 integrin is one of a large family in cell-surface adhesion receptors, which can mediate cell-cell,cell-extracellular matrix interactions, and plays a key role in many virus infections. In this paper, the biological functions of the β3 integrin family are reviewed and the role in hantavirus infection is delineated.%β3整合素是分布于细胞膜表面的一类黏附分子,介导细胞与细胞、细胞与胞外基质的相互作用,并且参与了若干种病毒的感染过程.此文就近年来β3整合素研究的进展及其在汉坦病毒感染发病中的作用及机制作了综述.

  14. [Optimization of ELISA and immunoblot methods for the detection of IgG antibodies against old world hantaviruses in wild rodents].

    Science.gov (United States)

    Polat, Ceylan; Karataş, Ahmet; Sözen, Mustafa; Matur, Ferhat; Abacıoğlu, Hakan; Öktem, Mehmet Ali

    2016-04-01

    Hantaviruses infect humans via inhalation of viral particles in infected rodents' secretions such as saliva, urine and faeces or via direct contact with infected rodents. The rodent species that are known as the carriers of Dobrava (DOBV), Puumala (PUUV), Saaremaa (SAAV), Tula (TULV) and Seoul (SEOV) viruses are found in our country. The presence of specific antibodies against hantaviruses have been demonstrated in rodents collected from Black Sea and Aegean Regions of Turkey in 2004 for the first time. The first hantavirus-related hemorrhagic fever with renal syndrome (HFRS) cases were reported in Black Sea region in 2009. The determination of the hantavirus prevalence in wild life and rodent populations in the field is crucial for the information about hantavirus-related cases and to clarify the state of risk. There is no commercial product optimized for the screening of rodent serum samples in terms of HFRS agents like DOBV and PUUV that are widely seen in Eurasia as well as Turkey. In this study, the antigens belonging to the commercial enzyme-linked immunoassay (ELISA) and immunoblot tests that are produced for the screening of human sera were used for the development of antibody screening tests against hantavirus in rodent sera and were optimized. The most appropriate serum and conjugate dilutions were determined for the optimization of ELISA (Anti-Hantavirus Pool ELISA; Euroimmun, Germany) and immunoblot (Euroline Anti-Hanta Profile 1 strips; Euroimmun, Germany) methods. Optimized ELISA method was used for the screening and optimized immunoblot method was used for the confirmation. A total of 84 wild rodent sera that belonged to Apodemus and Microtus species were evaluated with this procedure and the cut-off value, sensitivity and specificity of optimized ELISA method were determined. For the optimization of ELISA 1/50, 1/100 and 1/200 serum dilutions and 1/10.000, 1/20.000 and 1/40.000 conjugate dilutions were tested. For the optimization of immunoblot, 1

  15. Reply to Comment Clement et al.: (Prevalence of Antibodies against Hantaviruses in Serum and Saliva of Adults Living or Working on Farms in Yorkshire, United Kingdom

    Directory of Open Access Journals (Sweden)

    Lisa J. Jameson

    2014-09-01

    Full Text Available We acknowledge Clement and colleagues for their comments [1] on our paper [2]. We agree that many controversies are being discussed by the hantavirus community, particularly surrounding the interpretation of serological results and the designation of new species and strains. Within this setting, we are grateful for the opportunity to respond to the key factual and methodological points raised by Clements et al. [...

  16. Daily Movements and Microhabitat Selection of Hantavirus Reservoirs and Other Sigmodontinae Rodent Species that Inhabit a Protected Natural Area of Argentina.

    Science.gov (United States)

    Maroli, Malena; Vadell, María Victoria; Iglesias, Ayelén; Padula, Paula Julieta; Gómez Villafañe, Isabel Elisa

    2015-09-01

    Abundance, distribution, movement patterns, and habitat selection of a reservoir species influence the dispersal of zoonotic pathogens, and hence, the risk for humans. Movements and microhabitat use of rodent species, and their potential role in the transmission of hantavirus were studied in Otamendi Natural Reserve, Buenos Aires, Argentina. Movement estimators and qualitative characteristics of rodent paths were determined by means of a spool and line device method. Sampling was conducted during November and December 2011, and March, April, June, October, and December 2012. Forty-six Oxymycterus rufus, 41 Akodon azarae, 10 Scapteromys aquaticus and 5 Oligoryzomys flavescens were captured. Movement patterns and distances varied according to sex, habitat type, reproductive season, and body size among species. O. flavescens, reservoir of the etiologic agent of hantavirus pulmonary syndrome in the region, moved short distances, had the most linear paths and did not share paths with other species. A. azarae had an intermediate linearity index, its movements were longer in the highland grassland than in the lowland marsh and the salty grassland, and larger individuals traveled longer distances. O. rufus had the most tortuous paths and the males moved more during the non-breeding season. S. aquaticus movements were associated with habitat type with longer distances traveled in the lowland marsh than in the salty grassland. Hantavirus antibodies were detected in 20% of A. azarae and were not detected in any other species. Seropositive individuals were captured during the breeding season and 85% of them were males. A. azarae moved randomly and shared paths with all the other species, which could promote hantavirus spillover events.

  17. Barn owl (Tyto alba predation on small mammals and its role in the control of hantavirus natural reservoirs in a periurban area in southeastern Brazil

    Directory of Open Access Journals (Sweden)

    L. Magrini

    Full Text Available The aim of this study was to inventory the species of small mammals in Uberlândia, Minas Gerais, Brazil, based on regurgitated pellets of the barn owl and to compare the frequency of rodent species in the diet and in the environment. Since in the region there is a high incidence of hantavirus infection, we also evaluate the importance of the barn owl in the control of rodents that transmit the hantavirus. Data on richness and relative abundance of rodents in the municipality were provided by the Centro de Controle de Zoonoses, from three half-yearly samplings with live traps. In total, 736 food items were found from the analysis of 214 pellets and fragments. Mammals corresponded to 86.0% of food items and were represented by one species of marsupial (Gracilinanus agilis and seven species of rodents, with Calomys tener (70.9% and Necromys lasiurus (6.7% being the most frequent. The proportion of rodent species in barn owl pellets differed from that observed in trap samplings, with Calomys expulsus, C. tener and Oligoryzomys nigripes being consumed more frequently than expected. Although restricted to a single place and based on few individuals, the present study allowed the inventory of eight species of small mammals in Uberlândia. The comparison of the relative frequencies of rodent species in the diet and in the environment indicated selectivity. The second most preyed upon species was N. lasiurus, the main hantavirus reservoir in the Cerrado biome. In this way, the barn owl might play an important role in the control of this rodent in the region, contributing to the avoidance of a higher number of cases of hantavirus infection.

  18. Increased Detection of Sin Nombre Hantavirus RNA in Antibody-Positive Deer Mice from Montana, USA: Evidence of Male Bias in RNA Viremia

    Directory of Open Access Journals (Sweden)

    James N. Mills

    2013-09-01

    Full Text Available Hantaviruses are widespread emergent zoonotic agents that cause unapparent or limited disease in their rodent hosts, yet cause acute, often fatal pulmonary or renal infections in humans. Previous laboratory experiments with rodent reservoir hosts indicate that hantaviruses can be cleared from host blood early in the infection cycle, while sequestered long term in various host organs. Field studies of North American deer mice (Peromyscus maniculatus, the natural reservoir of Sin Nombre hantavirus, have shown that viral RNA can be transiently detected well past the early acute infection stage, but only in the minority of infected mice. Here, using a non-degenerate RT-PCR assay optimized for SNV strains known to circulate in Montana, USA, we show that viral RNA can be repeatedly detected on a monthly basis in up to 75% of antibody positive deer mice for periods up to 3–6 months. More importantly, our data show that antibody positive male deer mice are more than twice as likely to have detectable SNV RNA in their blood as antibody positive females, suggesting that SNV-infected male deer mice are more likely to shed virus and for longer periods of time.

  19. Hantavirus Public Health outreach effectiveness in three populations: an overview of northwestern New Mexico, Los Santos Panama, and Region IX Chile.

    Science.gov (United States)

    McConnell, Marjorie S

    2014-02-27

    This research compared the effectiveness of Hantavirus Pulmonary Syndrome (HPS) outreach programs in New Mexico, Panama, and Chile. Understanding the role of human demographics, disease ecology, and human behavior in the disease process is critical to the examination of community responses in terms of behavior changes. Attitudes, knowledge, and behavior across three populations were measured through the implementation of a self-administered questionnaire (N = 601). Surveys implemented in Chile and Panama in 2004, followed by northwestern New Mexico in 2008, attempted to assess knowledge and behavior change with respect to hantavirus in high- and lower-risk prevalence areas during endemic periods. While levels of concern over contracting hantavirus were lowest in New Mexico, they were highest in Panama. Respondents in Chile showed mid-level concern and exhibited a tendency to practice proper cleaning methods more than in New Mexico and Panama. This indicates that public health messages appear to be more effective in Chile. However, since negative behavior changes, such as sweeping and vacuuming, occur at some level in all three populations, improved messages should help decrease risk of exposure to HPS.

  20. Death-domain associated protein-6 (DAXX) mediated apoptosis in hantavirus infection is counter-balanced by activation of interferon-stimulated nuclear transcription factors

    Energy Technology Data Exchange (ETDEWEB)

    Khaiboullina, Svetlana F., E-mail: sv.khaiboullina@gmail.com [Whittemore Peterson Institute, University of Nevada-Reno, Reno (United States); Morzunov, Sergey P. [Department of Pathology and Nevada State Health Laboratory, University of Nevada-Reno, Reno (United States); Boichuk, Sergei V. [Kazan State Medical University, Kazan (Russian Federation); Palotás, András [Asklepios-Med (private medical practice and research center), Szeged (Hungary); Jeor, Stephen St. [Department of Microbiology and Immunology, University of Nevada-Reno, Reno (United States); Lombardi, Vincent C. [Whittemore Peterson Institute, University of Nevada-Reno, Reno (United States); Rizvanov, Albert A. [Department of Genetics, Kazan (Volga Region) Federal University, Kazan (Russian Federation)

    2013-09-01

    Hantaviruses are negative strand RNA species that replicate predominantly in the cytoplasm. They also activate numerous cellular responses, but their involvement in nuclear processes is yet to be established. Using human umbilical vein endothelial cells (HUVECs), this study investigates the molecular finger-print of nuclear transcription factors during hantavirus infection. The viral-replication-dependent activation of pro-myelocytic leukemia protein (PML) was followed by subsequent localization in nuclear bodies (NBs). PML was also found in close proximity to activated Sp100 nuclear antigen and interferon-stimulated gene 20 kDa protein (ISG-20), but co-localization with death-domain associated protein-6 (DAXX) was not observed. These data demonstrate that hantavirus triggers PML activation and localization in NBs in the absence of DAXX-PLM-NB co-localization. The results suggest that viral infection interferes with DAXX-mediated apoptosis, and expression of interferon-activated Sp100 and ISG-20 proteins may indicate intracellular intrinsic antiviral attempts.

  1. The clinical importance of cardiopulmonary exercise testing and aerobic training in patients with heart failure A importância clínica de testes de exercícios cardiopulmonares e treinamento aeróbico em pacientes com insuficiência cardíaca

    Directory of Open Access Journals (Sweden)

    R Arena

    2008-04-01

    úsculo-esquelético. Infelizmente, todos estes sistemas estão negativamente afetados em pacientes com insuficiência cardíaca (IC, resultando numa redução significativa da capacidade aeróbia comparada com indivíduos aparentemente saudáveis. O teste de exercício cardiopulmonar (TCP representa uma técnica não-invasiva de avaliação que fornece compreensão valiosa sobre a saúde e funcionamento dos sistemas fisiológicos que ditam a capacidade aeróbia de um indivíduo. Os valores de várias variáveis-chave obtidas através do TCP, como consumo pico de oxigênio e eficiência ventilatória são encontrados frequentemente como anormais em pacientes com IC. Além da capacidade das variáveis do TCP refletir de maneira aguda os graus variáveis da fisiopatologia, também possuem forte significância prognóstica, aumentando ainda mais o seu valor clínico. A participação num programa de exercícios aeróbios crônicos, anteriormente era contra-indicada em pacientes com IC. Agora é uma intervenção aceitável de estilo de vida. Após um período de treinamento com exercícios aeróbios, durante várias semanas/meses, tem sido evidenciada uma melhora em vários fenômenos fisiopatológicos que contribuem às anormalidades constatadas frequentemente durante TCP na população com IC. CONCLUSÕES: As adaptações fisiológicas induzidas por exercícios aeróbios resultam em uma melhora significativa de capacidade aeróbia e de qualidade de vida. Além disso, há evidências sugerindo que treinamento com exercícios aeróbios melhora a morbidade e a mortalidade em pacientes com IC. Este artigo fornece uma revisão da literatura que destaca a significância clínica dos testes de exercícios aeróbios e treinamento nesta população cardíaca única.

  2. Empiema por Fusobacterium necrophorum

    OpenAIRE

    ML. Valle Feijoo; M. Rodriguez Arias; A. Cobas Paz; J. De la Fuente Aguado

    2014-01-01

    Resumen La infección sistémica por Fusobacterium necrophorum se caracteriza por la tríada clásica de trombosis de la vena yugular interna, bacteriemia y focos metastásicos y se conoce como Síndrome de Lemierre (SL), sepsis post-angina o necrobacilosis. El compromiso pulmonar precipitado por la embolización séptica es extremadamente común en el SL, sin embargo el F. necrohorum raramente se asila en empiemas sin SL concurrente, por lo que hemos estimado oportuno comunicar un nuevo caso clíni...

  3. Celulitis por citomegalovirus

    OpenAIRE

    2002-01-01

    Las lesiones cutáneas por citomegalovirus (CMV) son infrecuentes y a menudo una manifestación tardía de una enfermedad sistémica, que generalmente anuncia un curso fatal. Comunicamos un caso de celulitis por CMV: una mujer de 70 años con trasplante renal efectuado 1 mes antes de la consulta, terapia inmunosupresora con ciclosporina A y metilprednisona. La paciente ingresó por fiebre, dolor e impotencia funcional en pierna derecha. Comprobamos la existencia de una placa de 8 por 4 cm eritemato...

  4. 肾综合征出血热和汉坦病毒肺综合征研究进展%Hantavirus pulmonary syndrome and hemorrhagic fever with renal syndrome

    Institute of Scientific and Technical Information of China (English)

    白雪帆; 王平忠

    2011-01-01

    肾综合征出血热(hemorrhagic fever with renal syndrome,HFRS)和汉坦病毒肺综合征(hantavirus pulmonary syndrome,HPS)均是由汉坦病毒属病毒(hantaviruses)引起的急性传染病.HFRS的病原体——汉滩病毒(Hantaan virus,HTNV)、汉城病毒(SEOV)、普马拉病毒(PUUV)和多布拉伐病毒(DOBV)等主要分布于有着几千年文明历史的欧亚大陆,国际上称为旧世界汉坦病毒(hantavirus in old world);

  5. Concomitant influence of helminth infection and landscape on the distribution of Puumala hantavirus in its reservoir, Myodes glareolus

    Directory of Open Access Journals (Sweden)

    Henttonen Heikki

    2011-02-01

    Full Text Available Abstract Background Puumala virus, the agent of nephropathia epidemica (NE, is the most prevalent hantavirus in Europe. The risk for human infection seems to be strongly correlated with the prevalence of Puumala virus (PUUV in populations of its reservoir host species, the bank vole Myodes glareolus. In humans, the infection risks of major viral diseases are affected by the presence of helminth infections. We therefore proposed to analyse the influence of both helminth community and landscape on the prevalence of PUUV among bank vole populations in the Ardennes, a PUUV endemic area in France. Results Among the 313 voles analysed, 37 had anti-PUUV antibodies. Twelve gastro-intestinal helminth species were recorded among all voles sampled. We showed that PUUV seroprevalence strongly increased with age or sexual maturity, especially in the northern forests (massif des Ardennes. The helminth community structure significantly differed between this part and the woods or hedgerows of the southern cretes pre-ardennaises. Using PUUV RNA quantification, we identified significant coinfections between PUUV and gastro-intestinal helminths in the northern forests only. More specifically, PUUV infection was positively associated with the presence of Heligmosomum mixtum, and in a lesser extent, Aonchotheca muris-sylvatici. The viral load of PUUV infected individuals tended to be higher in voles coinfected with H. mixtum. It was significantly lower in voles coinfected with A. muris-sylvatici, reflecting the influence of age on these latter infections. Conclusions This is the first study to emphasize hantavirus - helminth coinfections in natural populations. It also highlights the importance to consider landscape when searching for such associations. We have shown that landscape characteristics strongly influence helminth community structure as well as PUUV distribution. False associations might therefore be evidenced if geographic patterns of helminths or PUUV

  6. DNA vaccine-generated duck polyclonal antibodies as a postexposure prophylactic to prevent hantavirus pulmonary syndrome (HPS.

    Directory of Open Access Journals (Sweden)

    Rebecca Brocato

    Full Text Available Andes virus (ANDV is the predominant cause of hantavirus pulmonary syndrome (HPS in South America and the only hantavirus known to be transmitted person-to-person. There are no vaccines, prophylactics, or therapeutics to prevent or treat this highly pathogenic disease (case-fatality 35-40%. Infection of Syrian hamsters with ANDV results in a disease that closely mimics human HPS in incubation time, symptoms of respiratory distress, and disease pathology. Here, we evaluated the feasibility of two postexposure prophylaxis strategies in the ANDV/hamster lethal disease model. First, we evaluated a natural product, human polyclonal antibody, obtained as fresh frozen plasma (FFP from a HPS survivor. Second, we used DNA vaccine technology to manufacture a polyclonal immunoglobulin-based product that could be purified from the eggs of vaccinated ducks (Anas platyrhynchos. The natural "despeciation" of the duck IgY (i.e., Fc removed results in an immunoglobulin predicted to be minimally reactogenic in humans. Administration of ≥ 5,000 neutralizing antibody units (NAU/kg of FFP-protected hamsters from lethal disease when given up to 8 days after intranasal ANDV challenge. IgY/IgYΔFc antibodies purified from the eggs of DNA-vaccinated ducks effectively neutralized ANDV in vitro as measured by plaque reduction neutralization tests (PRNT. Administration of 12,000 NAU/kg of duck egg-derived IgY/IgYΔFc protected hamsters when administered up to 8 days after intranasal challenge and 5 days after intramuscular challenge. These experiments demonstrate that convalescent FFP shows promise as a postexposure HPS prophylactic. Moreover, these data demonstrate the feasibility of using DNA vaccine technology coupled with the duck/egg system to manufacture a product that could supplement or replace FFP. The DNA vaccine-duck/egg system can be scaled as needed and obviates the necessity of using limited blood products obtained from a small number of HPS survivors. This

  7. Microevolution of Puumala hantavirus during a complete population cycle of its host, the bank vole (Myodes glareolus.

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    Maria Razzauti

    Full Text Available Microevolution of Puumala hantavirus (PUUV was studied throughout a population cycle of its host, the bank vole (Myodes glareolus. We monitored PUUV variants circulating in the host population in Central Finland over a five-year period that included two peak-phases and two population declines. Of 1369 bank voles examined, 360 (26.3% were found infected with PUUV. Partial sequences of each of the three genome segments were recovered (approx. 12% of PUUV genome from 356 bank voles. Analyses of these sequences disclosed the following features of PUUV evolution: 1 nucleotide substitutions are mostly silent and deduced amino acid changes are mainly conservative, suggesting stabilizing selection at the protein level; 2 the three genome segments accumulate mutations at a different rate; 3 some of the circulating PUUV variants are frequently observed while others are transient; 4 frequently occurring PUUV variants are composed of the most abundant segment genotypes (copious and new transient variants are continually generated; 5 reassortment of PUUV genome segments occurs regularly and follows a specific pattern of segments association; 6 prevalence of reassortant variants oscillates with season and is higher in the autumn than in the spring; and 7 reassortants are transient, i.e., they are not competitively superior to their parental variants. Collectively, these observations support a quasi-neutral mode of PUUV microevolution with a steady generation of transient variants, including reassortants, and preservation of a few preferred genotypes.

  8. Lethal disease in infant and juvenile Syrian hamsters experimentally infected with Imjin virus, a newfound crocidurine shrew-borne hantavirus.

    Science.gov (United States)

    Gu, Se Hun; Kim, Young-Sik; Baek, Luck Ju; Kurata, Takeshi; Yanagihara, Richard; Song, Jin-Won

    2015-12-01

    To gain insights into the pathogenicity of Imjin virus (MJNV), a newfound hantavirus isolated from the Ussuri white-toothed shrew (Crocidura lasiura), groups of Syrian hamsters (Mesocricetus auratus) of varying ages (<1, 5, 10, 14, 21, 35 and 56 days) were inoculated by the intraperitoneal route with 1000 pfu of MJNV strains 04-55 and 05-11. MJNV-infected Syrian hamsters, aged 21 days or less, exhibited reduced activity, weight loss, respiratory distress, hind-limb paralysis and seizures. Death ensued 1 to 6 days after onset of clinical disease. MJNV RNA was detected in brain and other major organs by RT-PCR and real time-PCR. Histopathological examination showed alveolar hemorrhage, interstitial pneumonia and severe pulmonary congestion; focal hepatic necrosis and portal inflammation; and acute meningoencephalitis. By immunohistochemistry, MJNV antigen was detected in pulmonary microvascular endothelial cells and glial cells. Older hamsters (35 and 56 days of age) developed subclinical infection without histopathological changes. Future studies are warranted to determine the pathophysiologic bases for the differential age susceptibility of Syrian hamsters to lethal MJNV disease.

  9. Application of MODIS GPP to Forecast Risk of Hantavirus Pulmonary Syndrome Based on Fluctuations in Reservoir Population Density

    Science.gov (United States)

    Loehman, R.; Heinsch, F. A.; Mills, J. N.; Wagoner, K.; Running, S.

    2003-12-01

    Recent predictive models for hantavirus pulmonary syndrome (HPS) have used remotely sensed spectral reflectance data to characterize risk areas with limited success. We present an alternative method using gross primary production (GPP) from the MODIS sensor to estimate the effects of biomass accumulation on population density of Peromyscus maniculatus (deer mouse), the principal reservoir species for Sin Nombre virus (SNV). The majority of diagnosed HPS cases in North America are attributed to SNV, which is transmitted to humans through inhalation of excretions and secretions from infected rodents. A logistic model framework is used to evaluate MODIS GPP, temperature, and precipitation as predictors of P. maniculatus density at established trapping sites across the western United States. Rodent populations are estimated using monthly minimum number alive (MNA) data for 2000 through 2002. Both local meteorological data from nearby weather stations and 1.25 degree x 1 degree gridded data from the NASA DAO were used in the regression model to determine the spatial sensitivity of the response. MODIS eight-day GPP data (1-km resolution) were acquired and binned to monthly average and monthly sum GPP for 3km x 3km grids surrounding each rodent trapping site. The use of MODIS GPP to forecast HPS risk may result in a marked improvement over past reflectance-based risk area characterizations. The MODIS GPP product provides a vegetation dynamics estimate that is unique to disease models, and targets the fundamental ecological processes responsible for increased rodent density and amplified disease risk.

  10. Celulitis por citomegalovirus

    Directory of Open Access Journals (Sweden)

    A. Ruiz Lascano

    2002-12-01

    Full Text Available Las lesiones cutáneas por citomegalovirus (CMV son infrecuentes y a menudo una manifestación tardía de una enfermedad sistémica, que generalmente anuncia un curso fatal. Comunicamos un caso de celulitis por CMV: una mujer de 70 años con trasplante renal efectuado 1 mes antes de la consulta, terapia inmunosupresora con ciclosporina A y metilprednisona. La paciente ingresó por fiebre, dolor e impotencia funcional en pierna derecha. Comprobamos la existencia de una placa de 8 por 4 cm eritematoedematosa. La tratamos con antibióticos sin mejoría, por lo que realizamos un estudio histopatológico de piel que mostró cambios citopáticos compatibles con infección por CMV. Los cultivos bacteriológicos y micológicos fueron negativos. La inmunohistoquímica específica para CMV y el estudio de reacción en cadena de la polimerasa (PCR de la biopsia de piel fueron positivas, al igual que la antigenemia. El tratamiento con ganciclovir produjo la mejoría del cuadro clínico. En la literatura revisada no hemos encontrado la celulitis como manifestación de enfermedad cutánea por CMV.

  11. Environmental Variables Associated with Hantavirus Reservoirs and Other Small Rodent Species in Two National Parks in the Paraná Delta, Argentina: Implications for Disease Prevention.

    Science.gov (United States)

    Vadell, María Victoria; Gómez Villafañe, Isabel Elisa

    2016-06-01

    Hantavirus pulmonary syndrome (HPS) is a severe zoonotic disease caused by hantaviruses hosted in various rodents species. In Argentina, its transmission to humans has been associated to exposure during activities such as farming, recreation, and tourism which are carried out in wild and rural areas. The aim of this study was to analyze the macro- and micro-habitat use and spatio-temporal variation of small sylvan rodents in Pre Delta and Islas de Santa Fe national parks, located in an HPS-endemic area of Argentina. Rodent communities were studied at six sites: two islands, a riparian forest, an inland forest, a marsh, and the margins of a pond. A total of 453 individuals of five species were captured with a trapping effort of 9471 trap-nights. Maximum species richness was found at the marsh and the pond margin sites. Abundance of rodents was influenced by flooding events. Two hantavirus reservoirs, Oligoryzomys flavescens and Akodon azarae, were identified in the area. O. flavescens was captured in every habitat, but it was dominant in Islas de Santa Fe National Park where its abundance was strongly influenced by flooding. A. azarae was captured in every habitat except on the islands. A. azarae behaved as a generalist species at a micro-habitat scale in every habitat of Pre Delta National Park except for the marsh where it selected patches with low vegetation height. Based on these results, several disease prevention measures, including the use of rodent-proof containers for food, and keeping the grass short in the camp site, are proposed in order to reduce the risk to visitors and residents of contracting HPS.

  12. Range expansion of Oligoryzomys longicaudatus (Rodentia, Sigmodontinae in Patagonian Chile, and first record of Hantavirus in the region Ampliación del rango de distribución de Oligoryzomys longicaudatus (Rodentia, Sigmodontinae en la Patagonia de Chile y primer registro de Hantavirus en la región

    Directory of Open Access Journals (Sweden)

    SEBASTIÁN BELMAR-LUCERO

    2009-06-01

    Full Text Available At present, 20 species of Oligoryzomys (Rodentia, Sigmodontinae are recognized in the Neotropical region, most of them distinguished by their karyotypes, which fluctuates between 46-70 chromosomes. Two species are currently recognized in Chile, Oligoryzomys longicaudatus (Bennet, 1832; "colilargo" or the long-tailed pygmy rice rat; 2n = 56, which ranges from 27° to approximately 51° S, and O. magellanicus (Bennet, 1836; Magellanic pygmy rice rat; 2n = 54, south of 51° S in the Patagonian region of Chile and Argentina. As part of an ongoing research on the southern Patagonia of Chile, we report the results of small mammal samplings in six localities. We karyotyped 28 specimens and we also sequenced the hypervariable mtDNA region I in 22 individuals, aligning these sequences with an under development phylogeny of O. longicaudatus. We also evaluated the serology and viral charge in all captured specimens to detect the presence of antibodies to Andes virus (ANDV through Strip Immunoblot Assay (SIA, and of viral genome by RT-PCR. The results consistently showed that the karyotype of southern Patagonia specimens was 2n = 56, equal to that of O. longicaudatus, and that individuals from this area do not differentiate phylogenetically from those of the northern range of distribution. In addition, the serology showed the presence of antibodies IgG anti-ANDV and of viral genome in heart, kidney, spleen, and lungs of a single specimen of Oligoryzomys from the locality of Fuerte Bulnes in the Magallanes region. We conclude that all specimens trapped south of 51° S correspond to Oligoryzomys longicaudatus, thus expanding the distribution of this specie! from 51° to at least 55° S. The results also extended the disiribution of the Andes strain of Hantavirus to southernmost Patagonia.Actualmente se reconocen 20 especies de Oligoryzomys (Rodentia, Sigmodontinae en la región Neotropical, la mayoría de ellas distinguidas por sus cariotipos, los que fluct

  13. Avaliação do esforço físico e atividade muscular na manobra de reanimação cardiopulmonar em sistema de suspensão corporal = Assessment of physical exertion and muscle activity in cardiopulmonary resuscitation using a body suspension system

    Directory of Open Access Journals (Sweden)

    Nava, Marcelo José Anghinoni

    2012-01-01

    Full Text Available Atualmente, o turismo e novos projetos espaciais criam a oportunidade de mais seres humanos serem colocados em órbita, mas uma das principais preocupações é a ocorrência de possíveis complicações cardíacas em ambiente extraterrestre. Sendo assim, o objetivo deste estudo foi investigar o esforço físico percebido (EB, a frequência cardíaca (FC, a profundidade das compressões torácicas e a ativação de grupos musculares primários à manobra de ressuscitação cardiopulmonar (RCP Evetts-Russomano em 20 indivíduos saudáveis, com 25,5±6,5 anos através de um sistema de suspensão corporal. Como resultado, foi visto um declínio da profundidade das compressões torácicas do ambiente de gravidade terrestre (1Gz para a hipogravidade simulada de 0,38Gz (HipoG e de HipoG para o ambiente simulado de microgravidade (MicroG; um aumento do EB e da FC à medida que a gravidade diminuía; e uma ativação muscular sem diferença estatística entre HipoG e MicroG

  14. Hantavirus infection induces apoptosis in Vero E6cells via mitochondria pathway%汉坦病毒通过线粒体途径诱导Vero E6细胞凋亡

    Institute of Scientific and Technical Information of China (English)

    朱鹏飞; 于建武; 刘伟; 颜炳柱; 孙丽杰; 康鹏; 赵勇华

    2011-01-01

    Objective To observe the apoptosis of Vero E6 cells infected with hantavirus. Methods N protein of hantavirus was detected in the lysates of Vero E6 cells infected with hantavirus by Western blot. The apoptosis of Vero E6 cells induced by hantavirus was detected by flow cytometry and DNA-ladder assays. The expression levels of Bcl-2, Cyt-c and activated Caspase-3 were assessed by Western blot. Results Hantavirus N protein was found in cell ly sates following hantavirus infection of Vero E6 cells by western blot. DNA electrophoresis showed typical DNA laddering and apoptosis peak was detected by flow cytometry. The expres sion levels of Cyt-c and activated Caspase-3 were increased while Bcl-2 decreased as the infec tion sustained. Conclusion Hantavirus infection induces apoptosis in Vero E6 cells via mito chondria pathway.%目的 探讨汉坦病毒诱导非洲绿猴肾细胞Vero E6凋亡的机制.方法 汉坦病毒感染VeroE6细胞后应用Western blot检测胞浆内汉坦病毒核心蛋白(N蛋白)的表达情况,应用DNA-ladder和流式细胞术检测汉坦病毒感染Veto E6细胞诱导凋亡的发生,用Western blot方法检测凋亡相关蛋白Bcl -2、Cyt-c及Caspase-3的表达情况.结果 汉坦病毒感染Vero E6细胞后,在胞浆内检测出汉坦病毒N蛋白.流式细胞仪检测到凋亡峰,DNA电泳可见典型的DNA梯带.Western blot显示随着感染时间的延长,Cyt-c蛋白及Caspase-3酶原活化片段表达增加,Bcl-2蛋白表达减少.结论 汉坦病毒通过线粒体途径诱导Vero E6细胞凋亡.

  15. Estimating hantavirus risk in southern Argentina: a GIS-based approach combining human cases and host distribution.

    Science.gov (United States)

    Andreo, Veronica; Neteler, Markus; Rocchini, Duccio; Provensal, Cecilia; Levis, Silvana; Porcasi, Ximena; Rizzoli, Annapaola; Lanfri, Mario; Scavuzzo, Marcelo; Pini, Noemi; Enria, Delia; Polop, Jaime

    2014-01-14

    We use a Species Distribution Modeling (SDM) approach along with Geographic Information Systems (GIS) techniques to examine the potential distribution of hantavirus pulmonary syndrome (HPS) caused by Andes virus (ANDV) in southern Argentina and, more precisely, define and estimate the area with the highest infection probability for humans, through the combination with the distribution map for the competent rodent host (Oligoryzomys longicaudatus). Sites with confirmed cases of HPS in the period 1995-2009 were mostly concentrated in a narrow strip (~90 km × 900 km) along the Andes range from northern Neuquén to central Chubut province. This area is characterized by high mean annual precipitation (~1,000 mm on average), but dry summers (less than 100 mm), very low percentages of bare soil (~10% on average) and low temperatures in the coldest month (minimum average temperature -1.5 °C), as compared to the HPS-free areas, features that coincide with sub-Antarctic forests and shrublands (especially those dominated by the invasive plant Rosa rubiginosa), where rodent host abundances and ANDV prevalences are known to be the highest. Through the combination of predictive distribution maps of the reservoir host and disease cases, we found that the area with the highest probability for HPS to occur overlaps only 28% with the most suitable habitat for O. longicaudatus. With this approach, we made a step forward in the understanding of the risk factors that need to be considered in the forecasting and mapping of risk at the regional/national scale. We propose the implementation and use of thematic maps, such as the one built here, as a basic tool allowing public health authorities to focus surveillance efforts and normally scarce resources for prevention and control actions in vast areas like southern Argentina.

  16. Estimating Hantavirus Risk in Southern Argentina: A GIS-Based Approach Combining Human Cases and Host Distribution

    Directory of Open Access Journals (Sweden)

    Veronica Andreo

    2014-01-01

    Full Text Available We use a Species Distribution Modeling (SDM approach along with Geographic Information Systems (GIS techniques to examine the potential distribution of hantavirus pulmonary syndrome (HPS caused by Andes virus (ANDV in southern Argentina and, more precisely, define and estimate the area with the highest infection probability for humans, through the combination with the distribution map for the competent rodent host (Oligoryzomys longicaudatus. Sites with confirmed cases of HPS in the period 1995–2009 were mostly concentrated in a narrow strip (~90 km × 900 km along the Andes range from northern Neuquén to central Chubut province. This area is characterized by high mean annual precipitation (~1,000 mm on average, but dry summers (less than 100 mm, very low percentages of bare soil (~10% on average and low temperatures in the coldest month (minimum average temperature −1.5 °C, as compared to the HPS-free areas, features that coincide with sub-Antarctic forests and shrublands (especially those dominated by the invasive plant Rosa rubiginosa, where rodent host abundances and ANDV prevalences are known to be the highest. Through the combination of predictive distribution maps of the reservoir host and disease cases, we found that the area with the highest probability for HPS to occur overlaps only 28% with the most suitable habitat for O. longicaudatus. With this approach, we made a step forward in the understanding of the risk factors that need to be considered in the forecasting and mapping of risk at the regional/national scale. We propose the implementation and use of thematic maps, such as the one built here, as a basic tool allowing public health authorities to focus surveillance efforts and normally scarce resources for prevention and control actions in vast areas like southern Argentina.

  17. High-Dose Intravenous Methylprednisolone for Hantavirus Cardiopulmonary Syndrome in Chile: A Double-Blind, Randomized Controlled Clinical Trial

    Science.gov (United States)

    Vial, Pablo A.; Valdivieso, Francisca; Ferres, Marcela; Riquelme, Raul; Rioseco, M. Luisa; Calvo, Mario; Castillo, Constanza; Díaz, Ricardo; Scholz, Luis; Cuiza, Analia; Belmar, Edith; Hernandez, Carla; Martinez, Jessica; Lee, Sang-Joon; Mertz, Gregory J.; Abarca, Juan; Tomicic, Vinko; Aracena, M. Eugenia; Rehbein, Ana Maria; Velásquez, Soledad; Lavin, Victoria; Garrido, Felipe; Godoy, Paula; Martinez, Constanza; Chamorro, Juan Carlos; Contreras, Jorge; Hernandez, Jury; Pino, Marcelo; Villegas, Paola; Zapata, Viviana; León, Marisol; Vega, Ivonne; Otarola, Irisol; Ortega, Carlos; Daube, Elizabeth; Huecha, Doris; Neira, Alda; Ruiz, Ines; Nuñez, M. Antonieta; Monsalve, Luz; Chabouty, Henriette; Riquelme, Lorena; Palma, Samia; Bustos, Raul; Miranda, Ruben; Mardones, Jovita; Hernandez, Nora; Betancur, Yasna; Sanhueza, Ligia; Inostroza, Jaime; Donoso, Solange; Navarrete, Maritza; Acuña, Lily; Manriquez, Paulina; Castillo, Fabiola; Unzueta, Paola; Aguilera, Teresa; Osorio, Carola; Yobanolo, Veronica; Mardones, Jorge; Aranda, Sandra; Carvajal, Soledad; Sandoval, Moisés; Daza, Soraya; Vargas, Felipe; Diaz, Violeta; Riquelme, Mauricio; Muñoz, Miriam; Carriel, Andrea; Lanino, Paola; Hernandez, Susana; Schumacher, Patricia; Yañez, Lia; Marco, Claudia; Ehrenfeld, Mildred; Delgado, Iris; Rios, Susana; Vial, Cecilia; Bedrick, Edward

    2013-01-01

    Background. Andes virus (ANDV)–related hantavirus cardiopulmonary syndrome (HCPS) has a 35% case fatality rate in Chile and no specific treatment. In an immunomodulatory approach, we evaluated the efficacy of intravenous methylprednisolone for HCPS treatment, through a parallel-group, placebo-controlled clinical trial. Methods. Patients aged >2 years, with confirmed or suspected HCPS in cardiopulmonary stage, admitted to any of 13 study sites in Chile, were randomized by study center in blocks of 4 with a 1:1 allocation and assigned through sequentially numbered envelopes to receive placebo or methylprednisolone 16 mg/kg/day (≤1000 mg) for 3 days. All personnel remained blinded except the local pharmacist. Infection was confirmed by immunoglobulin M antibodies or ANDV RNA in blood. The composite primary endpoint was death, partial pressure of arterial oxygen/fraction of inspired oxygen ratio ≤55, cardiac index ≤2.2, or ventricular tachycardia or fibrillation within 28 days. Safety endpoints included the number of serious adverse events (SAEs) and quantification of viral RNA in blood. Analysis was by intention to treat. Results. Infection was confirmed in 60 of 66 (91%) enrollees. Fifteen of 30 placebo-treated patients and 11 of 30 methylprednisolone-treated patients progressed to the primary endpoint (P = .43). We observed no significant difference in mortality between treatment groups (P = .41). There was a trend toward more severe disease in placebo recipients at entry. More subjects in the placebo group experienced SAEs (P = .02). There were no SAEs clearly related to methylprednisolone administration, and methylprednisolone did not increase viral load. Conclusions. Although methylprednisolone appears to be safe, it did not provide significant clinical benefit to patients. Our results do not support the use of methylprednisolone for HCPS. Clinical Trials Registration. NCT00128180. PMID:23784924

  18. Co-circulation in a single biome of the Juquitiba and Araraquara hantavirus detected in human sera in a sub-tropical region of Brazil.

    Science.gov (United States)

    de Araujo, Jansen; Duré, Ana I L; Negrão, Raquel; Ometto, Tatiana; Thomazelli, Luciano M; Durigon, Edison Luiz

    2015-05-01

    Hantaviruses is an emerging infectious disease. Although HCPS has been reported in several regions of Brazil, more cases of HCPS have recently been reported in Minas Gerais than in any other state. In 2009, we analyzed 27 samples presenting antibodies against hantaviruses. These samples originated from 688 symptomatic patients, as determined based on the Hemorrhagic Fever Protocol. A subsequent SYBR Green-based real-time RT-PCR demonstrated the presence of the virus in 22 of the samples. Among the RT-PCR-positive samples, 17 were analyzed using DNA sequencing; these sequences were compared with others deposited in GenBank and showed similarity with the Araraquara and Juquitiba virus clusters. This work describe the detection of Juquitiba virus, including three fatal cases, in Minas Gerais state, furthermore, showed that it is feasible to characterize the circulating strains using a small fragment of S segment. Finally, the results suggest the co-circulation of Araraquara and Juquitiba virus in a single biome in Minas Gerais state.

  19. 中国汉坦病毒基因型及分布%Distribution and gene-typing of Hantaviruses in China

    Institute of Scientific and Technical Information of China (English)

    张海林; 张云智

    2011-01-01

    汉坦病毒(Harntavirus,HV)属于布尼亚病毒科(Bunyaviridae)汉坦病毒属(genus hantavirus).HV是人类疾病的重要病原体,人类感染HV后主要导致2种严重疾病,即肾综合征出血热(hemorrhagic fever with renal syndrome,HFRS)和汉坦病毒肺综合征(hantavirus pulmonary syndrome,HPS).近几年HV的研究进展较快,世界HV分布区不断扩大,新型或新亚型病毒不断被发现,目前HV至少可分为40个血清型/基因型,并证实至少有22个型的HV可引起人类疾病,其中7个型引起HFRS,15个型引起HPS,尚有10多个型HV与人类疾病关系还不太清楚[1-2].

  20. Study on human embryonic kidney 293 cell infected by hantavirus and its mechanism inducing apoptosis%汉坦病毒感染人胚肾细胞诱导凋亡的研究

    Institute of Scientific and Technical Information of China (English)

    高巍; 王晓燕; 刘伟; 康鹏

    2011-01-01

    目的 探讨汉坦病毒在人胚肾细胞(HEK-293)内的增殖及诱导凋亡的机制.方法 采用间接免疫荧光法检测HEK-293内汉坦病毒抗原,用westen blot方法测定汉坦病毒作用后bcl-2、bax、Cyt-c及caspase-3的表达.结果 汉坦病毒感染细胞后用间接免疫荧光法可在感染的HEK-293胞浆内检测出汉坦病毒抗原;Western blotting结果显示,随着汉坦病毒浓度增加,Bcl-2蛋白表达降低,Bax蛋白表达上调,Cyt-c蛋白及caspase-3酶原活化片段表达升高.结论 汉坦病毒可感染HEK-293细胞并在其体内增殖,可能通过线粒体途径诱导HEK-293细胞发生凋亡.%OBJECTIVE To study the possible mechanism of hantavirus in proliferating and inducing apoptosis in human embryonic kidney 293 cell. METHODS Hantavirus antigen in human embryonic kidney 293 cell were demonstrated by an indirectimmunofluorescent assay. The expression of bcl-2, bax. Cyt-c and caspase-3 was assessed by western blot. RESULTS Hantavirus antigens were detected in the cytoplasm of infected HEK-293 by indirectimmunofluorescent. The expression of bcl-2 decreased with the expression of bax, Cyt-c and caspase-3 activation increased when hantavirus concentration rose. CONCLUSION HEK-293 is easily infected by hantavirus which can proliferates in infected HEK-293 and induce apoptosis by mitochondrial-mediated manner.

  1. Ototoxicidad por medicamentos

    OpenAIRE

    Mercado M,Víctor; Burgos S,Rodolfo; Muñoz V,Claudio

    2007-01-01

    Se define ototoxicidad a las perturbaciones transitorias o definitivas de la función auditiva, vestibular, o de las dos a la vez, inducidas por sustancias de uso terapéutico¹. Son muchos los trabajos de investigación que se han dedicado ha este tema quedando aun dudas por resolver debido a las complejas consecuencias donde está envuelto el daño cocleovestibular. El propósito de esta revisión, es presentar las últimas teorías que tratan de explicar desde el punto de vista de la farmacociónétic...

  2. Electrocardiografo por computadora

    OpenAIRE

    Tinoco Hernandez, Rosanna; Paredes Bejarano, Margarita; Romero Chaglia, Norman; Yapur Auad, Miguel Eduardo

    2009-01-01

    El presente trabajo trata sobrees el diseño y la implementación de un graficador de señales cardiacas por computadora, para lo cual diseñamos un circuito electrónico capaz de recibir la senal analógica proveniente de la actividad electrica del corazón , amplificarla, y luego convertirla en una señal digital para ser procesada por software y finalmente ser graficada, siendo posible así observar la señal cardiaca en el monitor de un computador como un tren de pulsos. Cabe destacar que par...

  3. Analysis of the genotyping of hantavirus in Qingdao%青岛地区肾综合征出血热病毒基因分型

    Institute of Scientific and Technical Information of China (English)

    程茂玲; 乔刚

    2011-01-01

    Objective To research the epidemic circumstance and investigate the molecular epidemiological characteristics and genotyping of hantavirus in Qingdao area of Shandong Province.Methods The 64 serum samples were collected from patients of hemorrhagic fever with renal syndrome( HFRS), and the virus RNA was extracted as pattern.According to the hantavirus gene sequence of GenBank, HTN and SEO universal primers were designed as outer primers, and HTN and SEO specific primers as inner primers.G1 gene sequence of M fragment from hantavirus genome was amplified by reverse transcription polymerase chain reaction (RT-PCR) and analyzed.DNA Star software was used to analyze nucleic acid sequence.Results Six (9%) cases were positive with HTN specific primer, and 25 (39%)cases were positive with SEO specific primer.The total positive rate was 48%.SEO type was prevalent in hantavirus epidemiology in Qingdao.The variation of the nucleotide sequences among SEO type ( nucleotide sequence divergence ranging from 0.3% -8.9% ) was lower than that among HTN type ( nucleotide sequence divergence ranging from 2.6% -11.2% ).Conclusions Most isolates of hantavirus are SEO type, while HTN type exists also in Qingdan.Most HTN isolates are detected at Jiaonan area.%目的 调查青岛地区肾综合征出血热病毒的流行情况,研究病毒在该地区的分子流行病学特征及基因分型.方法 采集64例肾综合征出血热(HFRS)急性期患者血清标本,提取血清中病毒RNA作为模板.根据GenBank中汉坦病毒基因序列,设计HTN型和SEO型的通用外套引物,同时分别设计HTN型特异性引物和SEO型的特异性引物作为内套引物.采用逆转录聚合酶链反应(RT-PCR)扩增汉坦病毒基因组M片段G1区基因序列并测序.测序结果利用DNA Star软件进行核苷酸序列分析.结果 在64例标本中用HTN型特异性引物扩增阳性6例,占9%;用SEO型特异性引物扩增阳性25例,占39%;总阳性率为48%.总体来

  4. Osteomielitis por salmonella

    Directory of Open Access Journals (Sweden)

    Alicia Velázquez Pérez

    2014-08-01

    Full Text Available Se presenta el caso de una paciente femenina de color blanco y dos años de edad, con diagnóstico prenatal de sicklemia, que desde edades tempranas tiene problemas de la enfermedad. Ingresó en esta ocasión por una de las complicaciones infecciosas que ocasiona este padecimiento, una osteomielitis del húmero izquierdo, aislándose el germen en el hemocultivo realizado, una salmonella. Necesitó de tratamiento enérgico y prolongado; se obtuvo un resultado satisfactorio en la evolución de la enfermedad y se sigue sistemáticamente por consulta externa en la actualidad

  5. 深圳市HFRS疫源地鼠携带汉坦病毒与人感染汉坦病毒的基因特征对应性研究%Analysis of the gene characteristic correspondence on rats with Hantavirus and the human infected Hantavirus in natural epidemic areas of HFRS in Shenzhen

    Institute of Scientific and Technical Information of China (English)

    阳帆; 何建凡; 刘建军; 陈戊申; 冼慧霞; 张海龙; 杨洪; 张仁利; 何雅青

    2010-01-01

    目的 了解深圳市肾综合征出血热(HFRS)疫源地鼠携带汉坦病毒与人感染汉坦病毒二者的病原学特征及联系,为HFRS的防控提供科学依据.方法 收集疑似HFRS病人急性期血清标本,并在相同区域开展笼日法捕鼠,无菌取鼠肺.分别采用ELISA和直接免疫荧光法筛选阳性标本,选择代表性血清标本以及鼠肺标本进行逆转录-套式聚合酶链反应(RT-nested PCR)扩增部分M和S片段及核苷酸序列测定,与国内外的汉坦病毒毒株一起进行同源性比对和系统进化树分析.结果 472份鼠肺经直接免疫荧光检测共获得阳性鼠肺47份,带毒率为9.96%.对60份IgM抗体阳性的血液标本进行RT-nested PCR扩增,检出12份阳性,阳性率为20%.从代表性的8份鼠肺和8份病人血清中提取的标本二者之间M片段核苷酸序列的同源性高达95%以上,S片段之间的同源性高达96.5%以上.其推导的氨基酸序列同源性分别为98.0%~100%、98.4%~100%.深圳市HFRS疫源地鼠携带的汉坦病毒和人感染汉坦病毒均为汉城型S2亚型.结论 深圳市流行的汉坦病毒为SEO型S2亚型.无论是同一地区的鼠和人之间,还是不同地区的鼠和人之间,汉坦病毒都是具有较高的同源性.%Objective To compare and contrast the gene characteristic correspondence of hantaviruses(HV) carried by rats in natural epidemic areas of hemorrhagic fever with renal syndrome(HFRS) and infected among HFRS patients in Shenzhen,provide a reasonable scientific basis for controlling of HFRS.Methods We collected the patients serum specimens in acute stage and lung tissues samples of rats.ElISA and direct immunofluorescence were applied to screen the positive samples,respectively.The partial G2 fragments of M segment and S segment were amplified from the representative patients' serum positivesamples and lung tissues positive samples in different areas with reverse transcription-nested-polymerase chain reaction

  6. causada por Fusarium moniliforme

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    Mariano Mendoza Elos

    2006-01-01

    Full Text Available El objetivo de éste trabajo fue determinar la resistencia horizontal de 134 líneas S1 de maíz al hongo Fusarium moniliforme. La enfermedad fue inducida mediante inoculación en la etapa de floración masculina bajo condiciones de campo utilizando la técnica del palillo. Las líneas se evaluaron en México en 2002. La estimación de la enfermedad se hizo en dos ocasiones con una separación de 20 días. Las evaluaciones mostraron que las líneas Roque-801, 804, 1103 y 1405 fueron resistentes en la primera evaluación. Las tasas de incremento de la enfermedad variaron de 0,01 a 0,229 por unidad por día. Las líneas mostraron bajos niveles de enfermedad de 0 a 1 % en la primera evaluación. En la segunda evaluación, los niveles de enfermedad variaron de 49 a 100 %. En un programa de mejoramiento genético estas líneas pueden ser utilizadas para mejorar la resistencia horizontal del maíz a la pudrición del tallo causada por Fusarium moniliforme

  7. La lucha por Guayaquil

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    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.

  8. Infection of human monocyte-derived dendritic cells by ANDES Hantavirus enhances pro-inflammatory state, the secretion of active MMP-9 and indirectly enhances endothelial permeability

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    Lopez-Lastra Marcelo

    2011-05-01

    Full Text Available Abstract Background Andes virus (ANDV, a rodent-borne Hantavirus, is the major etiological agent of Hantavirus cardiopulmonary syndrome (HCPS in South America, which is mainly characterized by a vascular leakage with high rate of fatal outcomes for infected patients. Currently, neither specific therapy nor vaccines are available against this pathogen. ANDV infects both dendritic and epithelial cells, but in despite that the severity of the disease directly correlates with the viral RNA load, considerable evidence suggests that immune mechanisms rather than direct viral cytopathology are responsible for plasma leakage in HCPS. Here, we assessed the possible effect of soluble factors, induced in viral-activated DCs, on endothelial permeability. Activated immune cells, including DC, secrete gelatinolytic matrix metalloproteases (gMMP-2 and -9 that modulate the vascular permeability for their trafficking. Methods A clinical ANDES isolate was used to infect DC derived from primary PBMC. Maturation and pro-inflammatory phenotypes of ANDES-infected DC were assessed by studying the expression of receptors, cytokines and active gMMP-9, as well as some of their functional status. The ANDES-infected DC supernatants were assessed for their capacity to enhance a monolayer endothelial permeability using primary human vascular endothelial cells (HUVEC. Results Here, we show that in vitro primary DCs infected by a clinical isolate of ANDV shed virus RNA and proteins, suggesting a competent viral replication in these cells. Moreover, this infection induces an enhanced expression of soluble pro-inflammatory factors, including TNF-α and the active gMMP-9, as well as a decreased expression of anti-inflammatory cytokines, such as IL-10 and TGF-β. These viral activated cells are less sensitive to apoptosis. Moreover, supernatants from ANDV-infected DCs were able to indirectly enhance the permeability of a monolayer of primary HUVEC. Conclusions Primary human DCs

  9. Elevated thrombopoietin and platelet indices confirm active thrombopoiesis but fail to predict clinical severity of puumala hantavirus infection

    Science.gov (United States)

    Laine, Outi; Joutsi-Korhonen, Lotta; Lassila, Riitta; Huhtala, Heini; Vaheri, Antti; Mäkelä, Satu; Mustonen, Jukka

    2016-01-01

    Abstract We evaluated the mechanisms of thrombocytopenia and procoagulant changes in relation with clinical variables in a cohort of patients with acute hantavirus disease. Blood samples of 33 prospectively recruited, consecutive, hospitalized patients with acute Puumala virus–induced hemorrhagic fever with renal syndrome (HFRS) were collected acutely and at the recovery visit (control). Serum thrombopoietin (TPO) and activity of plasma microparticles (MPs) from various cell sources were measured with enzyme-linked immunosorbent assay-based methods. The results were related to data on platelet indices and functions, coagulation variables, and clinical disease. Serum TPO was nearly 4-fold higher acutely compared with the control (median 207 pg/mL, range 56–1258 pg/mL vs. median 58 pg/mL, range 11–241 pg/mL, P < 0.001) and coincided with high mean platelet volume (MPV) and immature platelet fraction (IPF%). Prothrombin fragments and D-dimer were high acutely compared with the control (F1 + 2 median 704 pmol/L, range 284–1875 pmol/L vs. median 249 pmol/L, range 118–556 pmol/L, P < 0.001; d-dimer median 2.8 mg/L, range 0.6–34.0 mg/L vs. median 0.4 mg/L, range 0.2–1.1 mg/L, P < 0.001), and associated with low platelet count and severe acute kidney injury (AKI). MPs’ procoagulant activity was high acutely only among patients with mild AKI (plasma creatinine below the median at the time of the measurement). Upregulated TPO together with high MPV and IPF% confirm active thrombopoiesis, but do not predict severity of HFRS. Simultaneously, elevated prothrombin fragments and d-dimer suggest increased consumption of platelets in patients with severe AKI. Activity of platelet-derived MPs in HFRS should be studied with flow cytometry in a larger cohort of patients. PMID:28033261

  10. Antiviral Biologic Produced in DNA Vaccine/Goose Platform Protects Hamsters Against Hantavirus Pulmonary Syndrome When Administered Post-exposure.

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    Nicole Haese

    Full Text Available Andes virus (ANDV and ANDV-like viruses are responsible for most hantavirus pulmonary syndrome (HPS cases in South America. Recent studies in Chile indicate that passive transfer of convalescent human plasma shows promise as a possible treatment for HPS. Unfortunately, availability of convalescent plasma from survivors of this lethal disease is very limited. We are interested in exploring the concept of using DNA vaccine technology to produce antiviral biologics, including polyclonal neutralizing antibodies for use in humans. Geese produce IgY and an alternatively spliced form, IgYΔFc, that can be purified at high concentrations from egg yolks. IgY lacks the properties of mammalian Fc that make antibodies produced in horses, sheep, and rabbits reactogenic in humans. Geese were vaccinated with an ANDV DNA vaccine encoding the virus envelope glycoproteins. All geese developed high-titer neutralizing antibodies after the second vaccination, and maintained high-levels of neutralizing antibodies as measured by a pseudovirion neutralization assay (PsVNA for over 1 year. A booster vaccination resulted in extraordinarily high levels of neutralizing antibodies (i.e., PsVNA80 titers >100,000. Analysis of IgY and IgYΔFc by epitope mapping show these antibodies to be highly reactive to specific amino acid sequences of ANDV envelope glycoproteins. We examined the protective efficacy of the goose-derived antibody in the hamster model of lethal HPS. α-ANDV immune sera, or IgY/IgYΔFc purified from eggs, were passively transferred to hamsters subcutaneously starting 5 days after an IM challenge with ANDV (25 LD50. Both immune sera, and egg-derived purified IgY/IgYΔFc, protected 8 of 8 and 7 of 8 hamsters, respectively. In contrast, all hamsters receiving IgY/IgYΔFc purified from normal geese (n=8, or no-treatment (n=8, developed lethal HPS. These findings demonstrate that the DNA vaccine/goose platform can be used to produce a candidate antiviral

  11. 福建口岸啮齿类动物携带汉坦病毒分子流行病学调查%Molecular epidemiological investigation on hantavirus carried by rodents in Fujian port

    Institute of Scientific and Technical Information of China (English)

    王宇平; 许卿; 蔡亨忠; 陈钧; 张建明; 郑燕平; 高博

    2012-01-01

    Objective To identify the genotype and analyze molecule characteristics of main Hantavirus in Fujian port. Methods Nested RT-PCR was used to detect Hantavirus - specific nucleic acid sequences in rodents captured in Fujian port, and M segment was sequenced and analyzed in positive samples. Results A total of 839 rodents were trapped in Fujian port in 2010. Rattus norvegicus was the dominant species accounting for 58.52%. The positive rate of Hantavirus in captured rodents was 5.84%, which were all of Seoul Virus (SEOV). Hantavirus positive species were mainly R. norvegicus (8.96%) and R. tanezumi (3.09%). Generally, Hantavirus infection significantly increased during winter and spring. The phylogenetic analysis based on partial M segment (nt2001-2301) sequence in 25 samples indicated that there were two genetic subtypes, Seoul 2 and Seoul 3. Conclusion Seoul 3 is the main hantavirus subtype carried by rodents in Fujian port.%目的 了解福建口岸汉坦病毒的基因型别和分子特征.方法 对2010年福建口岸捕获的鼠形动物进行汉坦病毒检测,对部分阳性标本进行M基因片段序列分析.结果 2010年福建口岸共捕获鼠形动物839只,以褐家鼠为优势鼠种,占58.52%;鼠形动物携带汉坦病毒阳性率5.84%,均为汉城型(SEO),阳性鼠种为褐家鼠和黄胸鼠,阳性率分别为8.96%和3.09%.汉坦病毒检出呈较明显的冬春季高峰.用M基因片段(nt2001~2301)核苷酸序列构建系统进化树,将福建口岸SEOV分为S2和S3两个亚型.结论 S3亚型SEOV为福建口岸优势流行亚型.

  12. Enseñanza On-line de la toma de constantes vitales, cricotiroidotomía y reanimación cardiopulmonar en pacientes odontológicos medicamente comprometidos

    OpenAIRE

    Cano Rosás, Mónica; García Criado, Francisco Javier; Benito Duque, Pablo; Cano Rosás, Montserrat; Diosdado Caballero, José María; Santos García, Antonio

    2011-01-01

    En las ciencias de la salud, el ejercicio profesional requiere, además de disponer de conocimientos e información, una formación práctica que es fundamental, y que permite al alumno desarrollar habilidades psicomotrices y manuales. Dado la rapidez con la que evoluciona el conocimiento, el autoaprendizaje tiene una gran importancia y surge de la necesidad de obtener información y de que ésta sea lo más válida y lo más actual posible. Por otra parte la adaptación del alumnado al Espacio Euro...

  13. A construção do conhecimento do indivíduo no processo de sensibilização-conscientização -ação sobre a hantavirose e a oportunidade para o controle e a prevenção de zoonoses emergentes: a experiência da hantavirose em Santa Catarina/Brasil The construction of the individual's knowledge in the process of sensitization-awareness raising-action about hantavirus disease and the opportunity to control and prevent emerging zoonoses: the experience of hantavirus disease in Santa Catarina/Brazil

    Directory of Open Access Journals (Sweden)

    Rosana Andreatta Carvalho Schmidt

    2007-12-01

    Full Text Available Este artigo descreve a trajetória da descoberta da Hantavirose no estado de Santa Catarina, no Município de Seara, no ano de 2000. Uma investigação epidemiológica dessa primeira ocorrência proveu dados e informações para pesquisa realizada a posteriori. O estudo realizado teve o intuito de analisar a Hantavirose como caso específico de doença emergente, relacionando-a com as suas condições de surgimento, passíveis de intervenção. Por meio de entrevistas semi-estruturadas com atores envolvidos na investigação, foram identificados aspectos relevantes para práticas da Saúde Pública. O pequeno aproveitamento dos dados de uma investigação epidemiológica; o pouco investimento em ações preventivas pelo Estado após a emergência; e a impessoalidade dos profissionais de saúde envolvidos a contribuir para a responsabilização dos indivíduos afetados constituíram elementos indicativos de que não há orientação e controle de forma contínua ou mesmo um auxílio real aos indivíduos/comunidades necessitadas. Dessa forma é praticamente impossível que as ações sanitárias sejam bem-sucedidas. Conclui-se que o Programa de Saúde na Família, de estratégia dinâmica e participativa, é um dos elementos fundamentais no processo de construção do conhecimento de cada indivíduo com importância inegável nas orientações diante da emergência da Hantavirose. Paralelo ao programa faz-se necessária a elaboração de projetos educacionais direcionados às escolas e de um cronograma de palestras para as associações de bairros, visando um processo de sensibilização - conscientização-ação no auto-cuidado, em caráter permanente e não somente por ocasião de epidemias.This article describes the path of the discovery of Hantavirus disease in the state of Santa Catarina, where the first case occurred in the Municipal district of Seara in 2000. This occurrence provided data used in the present study. The main objective of

  14. 汉坦病毒肺综合征研究的若干进展%Advancements in researches of hantavirus pulmonary syndrome

    Institute of Scientific and Technical Information of China (English)

    罗端德

    2001-01-01

    @@ 自从1993年5月美国西南部四角地区暴发以急性呼吸衰竭为主要表现的汉坦病毒肺综合征(Hantavirus pulmonary syndrome,HPS)以来,目前美国28个州均有病例发现.除美国外,美洲的加拿大、巴西、巴拉圭、阿根廷、智利、玻利维亚以及欧洲的德国、南斯拉夫、瑞典、比利时等国均报告了发生HPS的病例.我国是汉坦病毒感染的高发区,是否存在此病值得警惕.现将近年来国外研究情况简述如下.

  15. Por mil devaluados pesos

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    Annie Rodríguez Collázos

    2013-03-01

    Full Text Available El estudio de lo popular y lo urbano hasta ahora se ha centrado en el comportamiento y en algunas relaciones de los habitantes con su entorno. “Por mil devaluados pesos. Publicidad popular y urbana”, pretende explorar las formas de publicidad, dispersas en diferentes espacios populares y urbanos en Bogotá, identificando esquemas y formas características de sus propios códigos comunicativos; se centran en un objeto de estudio consistente en las estrategias publicitarias y los códigos comunicativos en los mensajes publicitarios populares en las subculturas de San Victorino, 7 de Agosto y Sanandresito de San José.

  16. Aprendizaje significativo por competencias

    OpenAIRE

    Acevedo Tovar, Luz Marina; Universidad Nacional Mayor de San Marcos

    2014-01-01

    Los cambios que desde hace un tiempo se han venido produciendo en educación, han dado lugar a la aparición de nuevos conceptos o a la modificación del significado de algunos térmi¬nos. Dos de estos conceptos, son los de aprendizaje significativo y competencias ¿Qué es realmente aprendizaje significativo?; ¿existe una oposición entre aprendizaje signifi¬cativo y aprendizaje repetitivo?- ¿el aprendizaje significativo es posible sólo por competen¬cias?.- Intentaré responder a estos interrogantes...

  17. Onicomicosis por hongos fuliginosos

    OpenAIRE

    Ingrid Salas-Campos; Norma T Gross-Martinez; Pedro J Carrillo-Dover

    2009-01-01

    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 onicomi...

  18. Serological survey of Seewis virus antibodies in patients suspected for hantavirus infection in Finland; a cross-reaction between Puumala virus antiserum with Seewis virus N protein?

    Science.gov (United States)

    Ling, Jiaxin; Vaheri, Antti; Hepojoki, Satu; Levanov, Lev; Jääskeläinen, Anne; Henttonen, Heikki; Vapalahti, Olli; Sironen, Tarja; Hepojoki, Jussi

    2015-07-01

    Puumala virus (PUUV, carried by Myodes glareolus) co-circulates with Seewis virus (SWSV, carried by Sorex araneus) in Finland. While PUUV causes 1000-3000 nephropathia epidemica (NE) cases annually, the pathogenicity of SWSV to man is unknown. To study the prevalence of SWSV antibodies in hantavirus fever-like patients' sera, we used recombinant SWSV nucleocapsid (N) protein as the antigen in ELISA, immunofluorescence assay (IFA) and immunoblotting. While characterizing the recombinant SWSV N protein, we observed that a polyclonal rabbit antiserum against PUUV N protein cross-reacted with SWSV N protein and vice versa. We initially screened 486 (450 PUUV-seronegative and 36 PUUV-seropositive) samples sent to Helsinki University Hospital Laboratory for PUUV serodiagnosis during 2002 and 2007 in an SWSV N protein IgG ELISA. In total, 4.2 % (19/450) of the PUUV-seronegative samples were reactive in the SWSV N protein IgG ELISA and none of the tested samples [43 PUUV-seronegative (weakly reactive in the SWSV IgG ELISA) and 15 random] were reactive in the SWSV N protein IgM ELISA. None of the IgG reactions could be confirmed by IFA or immunoblotting. Furthermore, among the 36 PUUV-seropositive samples three were reactive in SWSV N protein IgG and ten in SWSV N protein IgM ELISA. One PUUV-seropositive sample reacted with SWSV N protein in IFA and four in immunoblotting. Finally, we applied competitive ELISA to confirm that the observed reactivity was due to cross-reactivity rather than a true SWSV response. In conclusion, no evidence of SWSV infection was found among the 486 samples studied; however, we did demonstrate that PUUV antiserum cross-reacted with shrew-borne hantavirus N protein.

  19. Sepsis por shigella flexneri

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    César Cabrera C

    2005-04-01

    Full Text Available Se presenta un caso raro de sepsis por Shigella flexneri en una paciente de 45 años de edad quien estando hospitalizada para el estudio de un tumor cerebral, requirió el uso de manitol y dosis altas de corticoides; luego de ello presenta deposiciones líquidas con moco y sangre, desarrolla síndrome de respuesta inflamatoria sistémica, luego se aísla Shigella flexneri en el hemocultivo; recibió tratamiento antibiótico con ciprofloxacina. Se describen las características del caso y se comenta de acuerdo con la revisión de literatura.

  20. Pasos por la salud

    OpenAIRE

    Fierro Rojas, Carlos

    2013-01-01

    Pasos por la Salud surge como un proyecto (mismo que derivara una estrategia de atención) que establece el Departamento de Educación Física Valle de México, para fortalecer la aplicación del programa de Educación Física en Educación Básica, fomentará la práctica del ejercicio físico hacia la promoción de la salud, brindará a los alumnos elementos teóricos y bases metodológicas que le ayuden a comprender los beneficios de salud que producen la práctica del ejercicio, concientizar al alumno de ...

  1. Onicomicosis por hongos fuliginosos

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    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.

  2. Motivado por cirujanos

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    Carlos Salazar-Vargas

    2010-12-01

    Full Text Available Comenzaba la década de los 60 y nuestro grupo nerviosamente iniciaba lecciones en los hospitales de San José. En aquellos años, el estudiante de medicina empezaba su contacto con pacientes, por lo menos 1 ó 2 años después de iniciada la carrera. El estudio del ser humano normal que ya habíamos concluido, continuaba con el del enfermo, y más adelante aprenderíamos el tratamiento. La enfermedad descrita en el libro, de pronto se convertía en un enfermo, y es a este quien hoy veíamos, cohibido pero inquisidor, en la cama de un hospital. Los profesores nos enseñaban a interrogar y a examinar a los pacientes, y cada gesto suyo, cada pregunta, cada maniobra, eran celosamente guardados en la memoria de los educandos. Con claridad percibíamos, aun a temprana edad, las diferencias entre los especialistas, y casi de manera involuntaria, cada quien iba tomando partido y escogía su futuro camino. Fue durante esos tempranos años, cuando mi vida se cruzó con la de 7 maravillosas personas y excelentes cirujanos, que marcaron para siempre mi destino y, sin quererlo ellos, me hicieron inclinarme por la cirugía. Dos eran serios y profundamente académicos: el Dr. Manuel Aguilar Bonilla y el Dr. Vesalio Guzmán Calleja; 3, decididos, incansables y muy hábiles: el Dr. Longino Soto Pacheco, el Dr. Claudio Orlich Carranza y el Dr. Carlos Prada Díaz, y 2, abordables, prácticos, joviales y amistosos: el Dr. Fernando Valverde Soley y el Dr. Randall Ferris Iglesias….

  3. Programa de capacitação em ressuscitação cardiorrespiratória com uso do desfibrilador externo automático em uma universidade Programa de formación en reanimación cardiopulmonar con el uso del desfibrilador externo automático en una universidad Training program on cardiopulmonary resuscitation with the use of automated external defibrillator in a university

    Directory of Open Access Journals (Sweden)

    Ana Paula Boaventura

    2012-03-01

    Full Text Available A desfibrilação precoce na ressuscitação cardiopulmonar (RCP recebe crescente destaque quanto à prioridade e rapidez. Este é um relato de experiência da implantação de um programa de capacitação em RCP, utilizando o desfibrilador em uma universidade privada. O programa em manobras básicas de RCP foi baseado nas diretrizes mundiais, envolvendo um curso teórico com demonstração prática das manobras de RCP com desfibrilador, treinamento prático individual, avaliação teórica e prática. Quanto ao desempenho dos alunos na avaliação prática, a média das pontuações obtidas pelos alunos na 1ª Etapa foi de 26,4 pontos e na 2ª Etapa a média aumentou para 252,8 pontos, já na Avaliação teórica na 1ª Etapa foi de 3,06 pontos e na 2ª Etapa a média aumentou para 9,0 pontos. A implantação desse tipo de programas contribui para a aquisição efetiva de conhecimento (teórico e da habilidade (prática nos atendimentos a vítimas de PCR.La desfibrilación temprana en reanimación cardiopulmonar (RCP recibe mayor énfasis en la prioridad y la velocidad de su uso. Esta es una experiencia de la aplicación de un programa de entrenamiento en RCP, utilizando el desfibrilador en una universidad privada. El programa de entrenamiento en las maniobras básicas de resucitación cardiopulmonar se basó en las directrices globales. El programa incluía un curso teórico con demostración práctica de maniobras de RCP con la desfibrilador, formación práctica y teoría de la evaluación individual práctica. El rendimiento de los estudiantes en la evaluación práctica, las puntuaciones medias obtenidas en el primer paso tenía 26,4 puntos en la segundo paso se elevó a 252,8 puntos, como en la evaluación teórica del primer paso fue 3,06 puntos y el segundo paso se elevó a 9,0 puntos. La aplicación de programas contributye a la adquisición efectiva de conocimiento (teoría y habilidad (prática en cuidado de las víctimas de la PCR

  4. Sociedad por Acciones Simplificada

    Directory of Open Access Journals (Sweden)

    Carlos Andrés Arcila Salazar

    2009-06-01

    Full Text Available En Colombia, aspectos como la responsabilidad limitada; supresión de la llamada doctrina de ultra vires; duración ilimitada; eliminación de la regla, una acción, un voto; remedios al abuso de los derechos; posibilidad de eliminar prohibiciones a los administradores, libertad de establecer restricciones para la transferencia de acciones y la simplificación de los procedimientos de fusión; son inviables bajo nuestra legislación. Sin embargo, la Ley 1258 de 2008, ha incorporado al derecho societario colombiano un nuevo tipo societario híbrido, llamado “Sociedad por Acciones Simplificada”. Esta forma societaria híbrida se basa en un principio básico: garantizar amplia libertad a los empresarios en la estructuración de sus relaciones a través de disposiciones contractuales. La S.A.S. provee a los empresarios significativa flexibilidad contractual, a la vez que preserva beneficios como la limitación de la responsabilidad.

  5. Sociedad por Acciones Simplificada

    Directory of Open Access Journals (Sweden)

    Carlos Andrés Arcila Salazar

    2009-07-01

    Full Text Available En Colombia, aspectos como la responsabilidad limitada; supresión de la llamada doctrina de ultra vires; duración ilimitada; eliminación de la regla, una acción, un voto; remedios al abuso de los derechos; posibilidad de eliminar prohibiciones a los administradores, libertad de establecer restricciones para la transferencia de acciones y la simplificación de los procedimientos de fusión; son inviables bajo nuestra legislación. Sin embargo, la Ley 1258 de 2008, ha incorporado al derecho societario colombiano un nuevo tipo societario híbrido, llamado “Sociedad por Acciones Simplificada”. Esta forma societaria híbrida se basa en un principio básico: garantizar amplia libertad a los empresarios en la estructuración de sus relaciones a través de disposiciones contractuales. La S.A.S. provee a los empresarios significativa flexibilidad contractual, a la vez que preserva beneficios como la limitación de la responsabilidad.

  6. [TULA HANTAVIRUS IN CRIMEA].

    Science.gov (United States)

    Yashina, L N; Zaykovskaya, A V; Protopopova E K; Babkin, I V; Malyshev, B S; Tovpinets, N N; Evstafiev, I L

    2015-01-01

    Genetic evidence of the Tula virus (TULV) in Crimea region of Russia is presented. Based on the reverse transcription PCR and subsequent sequence analysis, a total of 4 RNA isolates of the TULV were identified from the tissue samples of the Altai voles Microtus obscurus captured in the Bakhchisaray district of the Republic Crimea. Phylogenetic analysis of the S-, M-, and L-segment sequences of the Crimean TULV strains showed that they formed distinct genetic lineage, Russia IV, in the TULV variant. New sequences were most closely related to the lineage Russia I sequences obtained from common vole (M. arvalis) captured in the Tula region in Central Russia

  7. Febres hemorrágicas por vírus no Brasil Viral hemorrhagic fevers in Brazil

    Directory of Open Access Journals (Sweden)

    Luiz Tadeu Moraes Figueiredo

    2006-04-01

    Full Text Available Chamando a atenção para as febres hemorrágicas por vírus, que em sua maioria tem escassa informação divulgada e provavelmente são subnotificadas, mostra-se neste artigo casos clínicos das 4 doenças deste tipo que ocorrem no Brasil: febre amarela, dengue hemorrágico/síndrome de choque do dengue, febre hemorrágica por arenavírus e síndrome pulmonar e cardiovascular por hantavírus. Também, relevantes aspectos clínicos, laboratoriais e epidemiológicos destas viroses são aqui abordados. São doenças que têm alta letalidade e induzem extravasamento capilar e coagulopatia, que podem ser evidenciados pela elevação do hematócrito e plaquetopenia. A suspeita clínica e o tratamento precoce são fundamentais à sobrevida dos pacientes.To call atention to viral hemorrhagic fevers, diseases that are mostly underdivulged and, probably, undereported, we present here case reports of the 4 diseases of this kind that occur in Brazil: yellow fever, dengue haemorrhagic fever/dengue shock syndrome, arenavirus haemorrhagic fever and hantavirus cardiopulmonary syndrome. Relevant clinical, epidemiological and laboratorial diagnostic aspects of these viral haemorrhagic fevers are also shown here. These diseases have a high case fatality rate, induce capillary leaking and blood coagulation disturbances that are evidenced by hemoconcentrantion and thrombocytopenia. An early clinical diagnosis and treatment is fundamental for patient survival.

  8. Metabolic and clinical comparative analysis of treadmill six-minute walking test and cardiopulmonary exercise testing in obese and eutrophic women Análise clínica e metabólica comparativa entre o teste de caminhada de seis minutos e o teste de exercício cardiopulmonar em mulheres obesas e eutróficas

    Directory of Open Access Journals (Sweden)

    Luciana Di Thommazo-Luporini

    2012-01-01

    : Analisar e comparar respostas cardiopulmonares, metabólicas e subjetivas durante um teste de esforço cardiopulmonar e um teste de caminhada de seis minutos na esteira em mulheres obesas e eutróficas. MÉTODO: Foram incluídas 29 mulheres com idades entre 20 e 45 anos. Catorze voluntárias foram alocadas no grupo de obesas e 15, no grupo de eutróficas. Foram realizadas medidas antropométricas e de composição corporal. RESULTADOS: Em ambos os testes, as obesas apresentaram maiores valores de consumo absoluto de oxigênio, ventilação-minuto e pressão arterial sistólica e diastólica; ainda apresentaram menor velocidade de caminhada, distância percorrida e consumo de oxigênio relativo, quando comparadas com as eutróficas. Durante o teste máximo de exercício, a dispneia percebida foi maior e o quociente respiratório menor nas obesas em relação às eutróficas. Durante o teste submáximo, produção de dióxido de carbono, volume corrente e frequência cardíaca foram maiores nas obesas, comparadas às eutróficas. Houve forte correlação entre a frequência cardíaca e moderada correlação entre o consumo de oxigênio no pico dos testes. A frequência cardíaca obtida no teste submáximo aplicado foi capaz de predizer a frequência cardíaca obtida no teste máximo. Os gráficos de Bland-Altman demonstraram concordância entre os testes para identificar parâmetros metabólicos e fisiológicos no pico do exercício. CONCLUSÃO: O teste de caminhada de seis minutos induziu respostas ventilatórias, metabólicas e cardiovasculares concordantes com as do teste máximo, provando ser importante na rotina de avaliação funcional fisioterápica de mulheres obesas.

  9. Metabolic and clinical comparative analysis of treadmill six-minute walking test and cardiopulmonary exercise testing in obese and eutrophic women Análise clínica e metabólica comparativa entre o teste de caminhada de seis minutos e o teste de exercício cardiopulmonar em mulheres obesas e eutróficas

    Directory of Open Access Journals (Sweden)

    Luciana Di Thommazo-Luporini

    2012-12-01

    : Analisar e comparar respostas cardiopulmonares, metabólicas e subjetivas durante um teste de esforço cardiopulmonar e um teste de caminhada de seis minutos na esteira em mulheres obesas e eutróficas. MÉTODO: Foram incluídas 29 mulheres com idades entre 20 e 45 anos. Catorze voluntárias foram alocadas no grupo de obesas e 15, no grupo de eutróficas. Foram realizadas medidas antropométricas e de composição corporal. RESULTADOS: Em ambos os testes, as obesas apresentaram maiores valores de consumo absoluto de oxigênio, ventilação-minuto e pressão arterial sistólica e diastólica; ainda apresentaram menor velocidade de caminhada, distância percorrida e consumo de oxigênio relativo, quando comparadas com as eutróficas. Durante o teste máximo de exercício, a dispneia percebida foi maior e o quociente respiratório menor nas obesas em relação às eutróficas. Durante o teste submáximo, produção de dióxido de carbono, volume corrente e frequência cardíaca foram maiores nas obesas, comparadas às eutróficas. Houve forte correlação entre a frequência cardíaca e moderada correlação entre o consumo de oxigênio no pico dos testes. A frequência cardíaca obtida no teste submáximo aplicado foi capaz de predizer a frequência cardíaca obtida no teste máximo. Os gráficos de Bland-Altman demonstraram concordância entre os testes para identificar parâmetros metabólicos e fisiológicos no pico do exercício. CONCLUSÃO: O teste de caminhada de seis minutos induziu respostas ventilatórias, metabólicas e cardiovasculares concordantes com as do teste máximo, provando ser importante na rotina de avaliação funcional fisioterápica de mulheres obesas.

  10. 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

  11. Effect of Puumala hantavirus infection on Human Umbilical Vein Endothelial Cell hemostatic function: platelet interactions, increased tissue factor expression and fibrinolysis regulator release

    Directory of Open Access Journals (Sweden)

    Marco eGoeijenbier

    2015-03-01

    Full Text Available Puumala virus (PUUV infection causes over 5000 cases of hemorrhagic fever in Europe annually and can influence the hemostatic balance extensively. Infection might lead to hemorrhage, while a recent study showed an increased risk of myocardial infarction during or shortly after PUUV infection. The mechanism by which this hantavirus influences the coagulation system remains unknown. Therefore we aimed to elucidate mechanisms explaining alterations seen in primary and secondary hemostasis during PUUV infection. By using low passage PUUV isolates to infect primary human umbilical vein endothelial cells (HUVECs we were able to show alterations in the regulation of primary- and secondary hemostasis and in the release of fibrinolysis regulators. Our main finding was an activation of secondary hemostasis due to increased tissue factor expression leading to increased thrombin generation in a functional assay. Furthermore, we showed that during infection platelets adhered to HUVECs and subsequently specifically to PUUV virus particles. Infection of HUVECs with PUUV did not result in increased von Willebrand factor while they produced more plasminogen activator inhibitor type-1 (PAI-1 compared to controls. The PAI-1 produced in this model formed complexes with vitronectin. This is the first report that reveals a potential mechanism behind the pro-coagulant changes in PUUV patients, which could be the result of increased thrombin generation due to an increased tissue factor expression on endothelial cells during infection. Furthermore, we provide insight into the contribution of endothelial cell responses regarding hemostasis in PUUV pathogenesis.

  12. 深圳市鼠类感染汉坦病毒的分子特征%Study on the molecular characteristic of natural infection of rodents with Hantaviruses in Shenzhen city

    Institute of Scientific and Technical Information of China (English)

    刘建军; 阳帆; 何建凡; 张小岚; 梁焯南; 张顺祥; 张海龙; 杨洪

    2008-01-01

    Objective In order to investigate Hantavirus (HV) infection of captured rodents and to understand the genotypes and the molecular characteristic of Hantaviruses in Shenzhen. Methods The captured rodents were classified and the density of distribution was calculated. A total of 472 animals were captured, among which Rattus norvegicus was the dominant group. The total viral RNA was extracted from the lung tissues positive with HV antigens by immunofluorescent assay and gene sequence of M fragment was amplified with RT-nested-PCR by using the Hantavirus genotype specific primers. The amplified genes were then sequenced, and subjected to genotyping and homology analysis. Results The results of genotype analysis showed that the Hantaviruses taken from twenty-one lung specimens in Rattus norvegicus in Shenzhen city belonged to the Hantavirus type Ⅱ (SEOV). Results in homology analysis suggested that the homology among twenty-one samples should be rather high with 95.4% of nucleotide sequence identity and they belonged to the same subtype. Phylogenetic tree analysis showed that they were branched into at least six different lineages, and were highly homologized with SZ2083. We also found that these virus strains had not shown more highly homology of nucleotide sequence in nearest district, whereas revealed consistency in farther district. Conclusion The major hosts of Hantaviruses in Shenzhen city were Rattus norvegicus and the epidemic strains were genotyped as SEO-type. Nucleotide sequence and deduced amino acid sequence from different rodents were highly homologous, while nucleotide mutation had also been observed. Further studies are required to explore the possible viruses' sequence mutation.%目的 了解深圳市宿主动物携带汉坦病毒状况、病毒型别及分子特征.方法 笼日法捕鼠,计算鼠密度,确定鼠种构成.共捕获宿主动物472只,褐家鼠为优势鼠种,占87.29%.免疫荧光抗原阳性鼠肺标本中提取病毒RNA,应用汉

  13. 葫芦岛市居民区褐家鼠携带的汉坦病毒分析%Analysis of Hantavirus carried by Rattus norvegicus in residential areas of Huludao

    Institute of Scientific and Technical Information of China (English)

    李明慧; 陈小萍; 杨国庆; 沈铁峰; 刘保; 郭文平; 张永振

    2011-01-01

    Objective To determine the prevalence of hantavirus in rodents based on surveillance data in residential areas of Huludao for the formulation of preventive and control strategies in humans. Methods Rodent cages were used to capture small mammals. Lung samples of the subjects were then taken for detection of Hantavirus antigens using indirect immunofluorescence assay (IFA). Genotyping was conducted using RT-PCR. Results In 2005 and 2006, 254 Rattus norvegicus,17 Mus musculus and 5 Apodemus agrarius were captured in nine residential areas and two wild fields in Huludao. The virus-carrying rates were 4.72% in R. norvegicus and 5.88% in M. musculus, respectively. Nine strains of Hantavirus were amplified using the RNA derived from the positive lung tissues of R. norvegicus. According to genotyping results, all were identified as Seoul virus (SEOV). A strain of SEOV was also isolated. Hantavirus was not detected from M. musculus and A. agrarius.Conclusion R. norvegicus was the primary host of Hantavirus in residential areas of Huludao and ali rodent-carrying Hantavirus strains were identified as SEOV.%目的 通过对汉坦病毒的临测分析,掌握葫芦岛市居民区鼠类中的汉坦病毒流行情况,为制定人间汉坦病毒的预防控制措施提供依据.方法 用鼠笼捕获小动物,采用间接免疫荧光法(IFA)检测小动物肺中的汉坦病毒抗原,用RT-PCR进行基因分型.结果 在2005-2006年选取葫芦岛地区9个不同地点的居民区和2个野外地点捕鼠,共捕获褐家鼠254只,小家鼠17只,黑线姬鼠5只,褐家鼠带病毒率为4.72%,小家鼠为5.88%.提取汉坦病毒抗原阳性鼠肺组织中的病毒RNA,从褐家鼠中共扩增出9株汉坦病毒,基因分型全部为汉城病毒,并且分离到1株病毒.而从小家鼠和黑线姬鼠中未扩增到病毒.结论 葫芦岛市居民区的鼠类以褐家鼠为主,其携带的病毒属于汉城型.

  14. Porøse materialer

    DEFF Research Database (Denmark)

    Hansen, Ernst Jan de Place

    2000-01-01

    Dette undervisningsnotat er en samling af noter, der refererer til den indledende del af kurset Materialmekanik og Porøse materailer på Insitut for Bærende Konstruktiner og Materialer (BKM).......Dette undervisningsnotat er en samling af noter, der refererer til den indledende del af kurset Materialmekanik og Porøse materailer på Insitut for Bærende Konstruktiner og Materialer (BKM)....

  15. Colecistitis aguda por Streptococcus constellatus

    OpenAIRE

    M Sandra Gómez-Canosa; Cristina Lijó-Carballeda; Begoña Vázquez-Vázquez; M José Bello-Peón

    2016-01-01

    Presentamos el caso de una paciente de edad avanzada y significativa comorbilidad que se diagnosticó de colecistitis aguda por Streptococcus constellatus. El drenaje de la vesícula biliar por colecistostomía percutánea, asociado a penicilinas, ha conseguido una evolución favorable. We report the case of a patient of advanced age and significant comorbidity diagnosed acute cholecystitis by Streptococcus constellatus. Gallbladder drainage by percutaneous cholecystostomy associated ...

  16. Otitis externa por Demodex cati

    OpenAIRE

    L. Real; Ortuñez, A.; Verde Arribas, Mª T.; Navarro, L.; Vilela, C

    2010-01-01

    La demodicosis por Demodex cati es una enfermedad parasitaria poco común que se presenta bajo tres formas clínicas: generalizada, localizada y otitis externa ceruminosa u otodemodicosis. El objetivo de esta comunicación es presentar dos casos clínicos de otitis ceruminosa causada por D.cati sin la presencia de otros síntomas cutáneos.

  17. 广西家鼠型肾综合征出血热病毒的发现和鉴定%Identification and analysis of an SEO strain of hemorrhagic fever with renal syndrome hantavirus from Guangxi

    Institute of Scientific and Technical Information of China (English)

    谭毅; 闭福银; 韦增良

    2008-01-01

    Objective To identify hantavirus from lung specimens of rats captured in Guangxi. Methods Rats were collected from various areas in Guangxi in combination with plague surveillance and rat lung specimens were examined by ELISA for hantavirus antigen,and M segment of positive specimen was partially amplified with RT-PCR and sequenced. Phylogenetic analysis was conducted for genotyping. Results From a total of 306 rat lung specimens,a strain of SEO hantavirus was detected from lung specimen of a Norvegicus that was from coastal area of Guangxi Qinzhou city. Conclusions For the first time SEO hantanviras was detected in the coastal area of Guangxi Qinzhou city,its epidemiological significance needs further study.%目的 从广西各地捕获的鼠肺标本检测汉坦病毒并鉴定其型别.方法 结合广西鼠疫监测采集啮齿类宿主动物,用ELISA法检测鼠肺标本,对汉坦病毒抗原阳性标本通过RT-PCR法扩增部分M片段上的核苷酸序列并测序,将扩增片段的核苷酸序列与已知病毒序列进行比对并分型.结果 在306份鼠肺标本中检测到1株SEO型的出血热病毒,阳性标本为广西沿海地区钦州市捕获的褐家鼠.结论 在广西沿海地区检测到SEO型汉坦病毒,其流行病学意义有待进一步研究.

  18. 量子点荧光探针用于汉坦病毒重组抗原的检测%Detection of recombinant Hantavirus antigens by using water-solubility quantum dots fluorescent probe

    Institute of Scientific and Technical Information of China (English)

    陈琼; 张云; 郑锦峰; 孙军红; 姚苹苹; 王洁; 李晶; 邓小昭; 王长军; 朱函坪

    2012-01-01

    Objective To detect recombinant Hantavirus antigens by using a quantum dots ( QDs) fluorescent probe. Methods The probe of water-solubility QDs fluorescence nanoparticle was synthesized and modified with protein G and anti-HV Antibodies. We detected recombinant Hantavirus antigens by probe combining immune method,and optimized the detecting conditions. Results The optimum reaction time,pH and goat antibodies concentration for conjugating the QDs were 2 h ,6.0, and 20 μg/ml, respectively. The limit of detection of recombinant antigens was 5 ng/ml. Conclusion The fluorescent probe could effectively recognize HV antigens. The method was specific, sensitive and convenient. We developed a new method for HV antigens detection.%目的 应用量子点荧光探针对汉坦病毒(Hantavirus,HV)重组抗原进行检测.方法 合成水溶性量子点荧光纳米颗粒,并在其表面修饰G蛋白和anti-HV抗体作为量子点荧光探针,对HV重组抗原进行检测并优化检测条件.结果 量子点与抗体的最佳偶联条件:pH 6.0、反应时间2h、抗体浓度为20 μg/ml.用本方法检测HV重组抗原的最低检测值为5 ng/ml.结论 该探针能有效的识别HV抗原,且操作简便快速,为HV重组抗原的检测和肾出血热综合征的诊断提供了新方法.

  19. INVESTIGATION ON STATUS OF HANTAVIRUS CARRIER OF RATTUS NORVEGICUS IN CHENGDU%成都市城区鼠种群密度与褐家鼠汉坦病毒带毒率调查

    Institute of Scientific and Technical Information of China (English)

    邓良利; 田汶佳; 肖霖; 何建邯; 廖骏; 蒋峥; 刘竹; 马林; 时炜

    2011-01-01

    [目的]通过对成都市褐家鼠汉坦病毒带毒率调查,发现成都市肾综合征出血热(HFRS)鼠传播特征,为科学指导HFRS防制提供依据.[方法]鼠密度调查采用粉迹法,用免疫荧光法测定汉坦病毒抗原.[结果]成都市鼠密度灭前为8.18%,灭后为2.40%;褐家鼠带病毒率为4.42%.[结论]成都市市区褐家鼠种群携带汉坦病毒,在防制成都市肾综合征出血热时应以控制褐家鼠种群密度为主.%[Objective] To analyze the status of hantavirus carrier of Rattus Norvegicus in Chengdu, and find the dissemination characteristics of hemorrhagic fever with renal syndrome (HFRS) of the mouse, so as to provide scientific basis for controlling HFRS in Chengdu. [Methods] The density of rats was investigated by rodent trace method, and direct immunofluo-rescence technique was used to detect the pulmonary viral antigen of the rat. [Results] The rat density before rodent control was 8.18% , and was 2.40% after rodent control; the rate of hantavirus carrier of Rattus Norvegicus was 4.42% in Chengdu. [Conclusion] The hantavirus is exist on the Rattus Norvegicus in Chengdu. The HFRS control and prevention should be pay attention to control the Rattus Norvegicus density primarily.

  20. 长白县黑线姬鼠携带汉坦病毒的S基因特征研究%The Analysis of Hantavirus S Gene in Apodemus Agrarius in Changbai Area

    Institute of Scientific and Technical Information of China (English)

    燕清丽; 杨鹏飞; 邵丽筠; 刘勇先; 浦昀; 张晓龙; 曹晓梅; 郭天宇; 姚李四

    2013-01-01

    To gain more insights into epidemiologic characteristics and genotype of hantavirus in Apodemus agrarius in Changbai Area.Complete hantavirus S segment sequences were amplified by RT-PCR and sequenced.The phylogenetic trees were constructed for analysis of genetic characters of hantavirus.A total of 58 Apodemus agrarius were trapped in the epidemic areas,and complete hantavirus S segment sequences were obtained from 4 lung samples of these rodents (6.90%).Phylogenetic analysis of the four S segment sequences indicated that all viruses isolated from Apodemu sagrarius were closely related to genotype 6 of Hantaan virus (95.8%-96.3%,nucleotide identity; 98.6%-99.5%,amino acid identity),all of them had a specific S387 different from other genotypes of Hantaan virus.%为了解长白县黑线姬鼠中汉坦病毒流行情况及病毒型别,采用巢式RT-PCR方法筛查鼠肺RNA,并对PCR阳性样本进行全S基因的扩增、克隆及测序;构建系统发生树并进行分子进化分析.结果显示:共捕获黑线姬鼠58只,共检测出4份阳性标本,阳性率6.90%.经过序列测定及进化分析显示黑线姬鼠所携带的病毒与汉滩病毒第6基因亚型标准株核苷酸的同源性为95.8%~96.3%,氨基酸同源性为98.6%~99.5%.同时发现,长白县黑线姬鼠携带的汉滩病毒的NP蛋白共有1个特异性氨基酸位点为S387.

  1. 一例输入性鼠类携带汉坦病毒的分子遗传学分析%Molecular genetic analysis of a Hantavirus strain isolated from an imported rat

    Institute of Scientific and Technical Information of China (English)

    胡群; 郑剑宁; 马思杰; 裘炯良; 童淑梅; 雷磊; 吴薇

    2013-01-01

    Objective To analyze the molecular genetic characteristics of Hantavirus strain DX1101 isolated from the imported Rattus norvegicus. Methods We separated the rat lung, extracted virus RNA, and then used codehop RT-PCR to amplify L gene segment of Hantavirus and nested RT-PCR for M gene segment. The obtained products were then sequenced and analysed by phylogenetic tree. Results Homological and phylogenetic analysis of the two gene amplification products showed that the Hantavirus strain belongs to genetic subtype SEOV. The phylogenetic tree of M gene showed that the strain is genetically closest to the strain IR461 found in England. Conclusion This study identified Hantavirus in R. Norvegicus seized from inboard containers. Therefore, it is of great significance to enhance the quarantine of inboard containers.%目的 对1例在境外输入褐家鼠中分离的汉坦病毒DX1101株进行分子遗传学特征分析.方法 剖取鼠肺组织,提取病毒RNA,用简并RT-PCR和巢式RT-PCR分别扩增汉坦病毒L基因和M基因片段,对扩增产物测序并构建系统发生树进行分型与系统发生分析.结果 2个基因的扩增片段序列同源性系统发生树分析均显示该病毒株为汉城型汉坦病毒;M基因的系统进化树显示与英国分离株IR461基因距离最为接近.结论 证实入境集装箱中截获的鼠类携带汉坦病毒,加强入境集装箱的卫生检疫有重要意义.

  2. Ptose palpebral causada por Paquidermoperiostose

    Directory of Open Access Journals (Sweden)

    Patricia Regina de Pinho Tavares

    2014-08-01

    Full Text Available A paquidermoperiostose é uma síndrome caracterizada por acometimento cutâneo e ósseo, e em alguns casos ocorre comprometimento palpebral leve. É uma síndrome rara, idiopática ou hereditária, com provável herança autossômica dominante de penetrância variável. Descreve-se o caso de um paciente com ptose grave por paquidermoperiostose elucidando sua fisiopatologia e conduta cirúrgica aplicada.

  3. Sepse por Serratia marcescens KPC

    OpenAIRE

    Del Peloso, Pedro Fernandez; Barros,Matheus Felipe Leal de; Santos,Fernanda Abreu dos

    2010-01-01

    A resistência aos carbapenems entre as bactérias não fermentadoras de glicose é comumente descrita. Porém, os relatos de resistência aos carbapenems em enterobactérias ainda são fatos isolados. Neste relato de caso, descrevemos um caso de infecção generalizada por Serratia marcescens carreadora de gene blaKPC. No Brasil, já foram relatados casos de isolados de Klebsiella pneumoniae e Escherichia coli carreando gene blaKPC, ficando evidente a emergência desse tipo de carbapenemase e sua dissem...

  4. Colecistitis aguda por Streptococcus constellatus

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    M Sandra Gómez-Canosa

    2016-03-01

    Full Text Available Presentamos el caso de una paciente de edad avanzada y significativa comorbilidad que se diagnosticó de colecistitis aguda por Streptococcus constellatus. El drenaje de la vesícula biliar por colecistostomía percutánea, asociado a penicilinas, ha conseguido una evolución favorable. We report the case of a patient of advanced age and significant comorbidity diagnosed acute cholecystitis by Streptococcus constellatus. Gallbladder drainage by percutaneous cholecystostomy associated with penicillins has achieved a favorable outcome.

  5. Asma inducida por el ejercicio.

    OpenAIRE

    Laurencena, Soledad

    2010-01-01

    El asma inducido por el ejercicio es una sensación de dificultad respiratoria, con la presencia de tos, sibilancias y opresión torácica tras realizar un esfuerzo físico. Sería el broncoespasmo transitorio que ocurre tras un ejercicio mantenido de tres a ocho minutos de duración al ochenta por ciento o más de la frecuencia cardíaca máxima. Se realizó un estudio transversal, descriptivo no experimental, tomando una muestra de 100 personas, entre 14 y 18 años, que estudian el ...

  6. Accumulation of point mutations and reassortment of genomic RNA segments are involved in the microevolution of Puumala hantavirus in a bank vole (Myodes glareolus) population.

    Science.gov (United States)

    Razzauti, Maria; Plyusnina, Angelina; Henttonen, Heikki; Plyusnin, Alexander

    2008-07-01

    The genetic diversity of Puumala hantavirus (PUUV) was studied in a local population of its natural host, the bank vole (Myodes glareolus). The trapping area (2.5 x 2.5 km) at Konnevesi, Central Finland, included 14 trapping sites, at least 500 m apart; altogether, 147 voles were captured during May and October 2005. Partial sequences of the S, M and L viral genome segments were recovered from 40 animals. Seven, 12 and 17 variants were detected for the S, M and L sequences, respectively; these represent new wild-type PUUV strains that belong to the Finnish genetic lineage. The genetic diversity of PUUV strains from Konnevesi was 0.2-4.9 % for the S segment, 0.2-4.8 % for the M segment and 0.2-9.7 % for the L segment. Most nucleotide substitutions were synonymous and most deduced amino acid substitutions were conservative, probably due to strong stabilizing selection operating at the protein level. Based on both sequence markers and phylogenetic clustering, the S, M and L sequences could be assigned to two groups, 'A' and 'B'. Notably, not all bank voles carried S, M and L sequences belonging to the same group, i.e. S(A)M(A)L(A) or S(B)M(B)L(B). A substantial proportion (8/40, 20 %) of the newly characterized PUUV strains possessed reassortant genomes such as S(B)M(A)L(A), S(A)M(B)L(B) or S(B)M(A)L(B). These results suggest that at least some of the PUUV reassortants are viable and can survive in the presence of their parental strains.

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

    Directory of Open Access Journals (Sweden)

    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 trabajo 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.

  8. PCR sequencing for detection and gene typing of hantavirus isolated from rodents%PCR-测序法对啮齿类动物汉坦病毒的检测和基因分型

    Institute of Scientific and Technical Information of China (English)

    戴方伟; 宋晓明; 卢领群; 周莎桑; 萨晓婴; 吕宇; 应华忠

    2014-01-01

    目的:探讨PCR-测序法在啮齿类动物汉坦病毒临床检测中的应用价值。方法以Genbank 7种血清亚型24株汉坦病毒代表性毒株为基础,从病毒基因S片段序列设计引物,采用邻位相连法进行系统进化分析,以该方法对浙江省近年从野生啮齿类动物中临床分离的汉坦病毒毒株进行分型鉴定。结果所建系统发育树将所分析的毒株分为5个区域,引起HFRS的四种血清型具有较稳定的拓扑结构,且能与引起HPS的血清型进行区分。11株实验毒株进行PCR扩增和测序,结果表明该引物具有高度的敏感性和特异性,其中9株浙江省分离的血清型未知毒株的系统发育分析发现其包含引起HFRS的3株HTN和1株SEO血清型,其他5株属两种未知血清型。讨论所建立的PCR-测序法具有用于临床检测汉坦病毒的价值。%Objective To evaluate the application value of PCR-sequencing in clinical detection of hantavirus in rodents .Methods Based on 7 subtypes and 24 strains of representative hantavirus strains downloaded from Genbank , the virus S gene fragments were used for primer design and neighbor joining method was applied for phylogenetic analysis . Thereafter, we identified hantavirus strains isolated from wild rodents in recent years in Zhejiang Province by this method . Results The 24 analyzed strains were divided into 5 regions in the phylogenetic tree .Four of them with topology structure were more stable .Eleven strains of the virus were amplified by PCR and sequenced , and the results showed that the prim-ers were with high sensitivity and specificity .Three HTN strains and 1 strain of serotype SEO were distinguished from 9 strains of unknown strains isolated in Zhejiang Province .We also found that 5 strains of hantavirus belonging to two un-known serotypes .Discussion Our results suggest that the PCR-sequencing method proposed in this study can be used for clinical detection of hantavirus .

  9. Celulitis por citomegalovirus Cytomegalovirus cellulitis

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    A. Ruiz Lascano

    2002-12-01

    Full Text Available Las lesiones cutáneas por citomegalovirus (CMV son infrecuentes y a menudo una manifestación tardía de una enfermedad sistémica, que generalmente anuncia un curso fatal. Comunicamos un caso de celulitis por CMV: una mujer de 70 años con trasplante renal efectuado 1 mes antes de la consulta, terapia inmunosupresora con ciclosporina A y metilprednisona. La paciente ingresó por fiebre, dolor e impotencia funcional en pierna derecha. Comprobamos la existencia de una placa de 8 por 4 cm eritematoedematosa. La tratamos con antibióticos sin mejoría, por lo que realizamos un estudio histopatológico de piel que mostró cambios citopáticos compatibles con infección por CMV. Los cultivos bacteriológicos y micológicos fueron negativos. La inmunohistoquímica específica para CMV y el estudio de reacción en cadena de la polimerasa (PCR de la biopsia de piel fueron positivas, al igual que la antigenemia. El tratamiento con ganciclovir produjo la mejoría del cuadro clínico. En la literatura revisada no hemos encontrado la celulitis como manifestación de enfermedad cutánea por CMV.Cutaneous lesions in CMV infection are rare, often a late manifestation of systemic infection, and usually herald a fatal course. A 70 year-old woman received a kidney transplantation one month before consulting and immunosuppressive therapy that included cyclosporine A and methylprednisone. She complained of fever, local pain in her right leg, and an erythematous and swelling plaque. She was treated with intravenous antibiotics without improvement. A skin biopsy was performed and the tissue obtained was sent for bacterial and fungal cultures as well as for histological examination. Cultures were negative. The biopsy showed CMV cytopathic changes. Immunoperoxidase staining was positive for CMV and polymerase chain reaction (PCR testing revealed CMV DNA. She was treated with ganciclovir with resolution of the lesion. CMV cellulitis is a rare cutaneous manifestation

  10. (phoenicopterus roseus por intoxicación aguda por plomo

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    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.

  11. Se los por se lo

    Directory of Open Access Journals (Sweden)

    José Luis Rivarola

    1985-12-01

    Full Text Available El sistema de la conjugación "objetiva" plantea interesantesproblemas que fueron tratados en parte por K. Heger (1966 en suestudio comparativo del francés y del español. De la comparaciónse desprende, por ejemplo, que en español hay un cierto número deambigüedades que no permiten establecer un "paradigma tan completo y unívoco" como en el caso del francés. Dentro de estas ambigüedades se encuentran las que propicia el gramema se: "El morfema [gramema] se funciona no sólo como pronombre reflexivo, sinotambién como variante combinatoria del pronombre personal complemento indirecto de la tercera persona.

  12. 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.

  13. Sepsis neonatal por Estreptococos Pyogenes

    Directory of Open Access Journals (Sweden)

    Gilberto Rodríguez-Herrera

    2009-09-01

    Full Text Available Se presenta el caso de un paciente masculino, recién nacido a término adecuado para la edad gestacional, quien nace por parto vaginal, con el antecedente de fiebre en la madre durante el periodo de postparto inmediato. Los padres consultan a los 2 días de vida pues le notan dificultad respiratoria, hipoactividad y rechazo a la leche materna. El paciente se interna y se aborda como una sepsis. Durante su estancia en el servicio de neonatología del Hospital Nacional de Niños asocia fallo respiratorio que amerita ventilación mecánica asistida por varios días en diferentes ocasiones, derrame pleural exudativo, convulsiones de origen hipóxico isquémico. Con reporte de hemocultivos positivos por Estreptococos pyogenes. El Estreptococos pyogenes o estreptococo β-hemolνtico del grupo A, fue un problema en los comienzos del siglo pasado, siendo frecuente en las infecciones puerperales y del reciιn nacido. En la actualidad es un germen sumamente raro en los procesos de sepsis neonatal.2 La gravedad de la enfermedad causada por este microorganismo en el periodo neonatal varνa desde una onfalitis crónica de bajo grado a una septicemia, una meningitis fulminante y la muerte.1 El presente artículo pretende hacer un resumen del paciente, con su evolución clínica, radiológica y además ejemplificar todas las complicaciones que tuvimos con este germen tan poco frecuente en la actualidad en sepsis neonatal.

  14. posteriori por el Tribunal Constitucional

    Directory of Open Access Journals (Sweden)

    Teodoro Ribera Neumann

    2007-01-01

    Full Text Available Este trabajo clarifica la posición de los tratados internacionales en el orden jurídico chileno y analiza los argumentos a favor y en contra de la procedencia del control de constitucionalidad a posteriori de los tratados internacionales por el Tribunal Constitucional, concluyendo que dicha herramienta jurídica es procedente sobre la base de la reforma a la Constitución de 2005.

  15. Genetic characteristics of hantavirus detected from HFRS patients in Shenzhen City%深圳市肾综合征出血热患者汉坦病毒基因特征研究

    Institute of Scientific and Technical Information of China (English)

    阳帆; 张仁利; 黄达娜; 吴春利; 李玥; 唐屹君

    2016-01-01

    目的 研究深圳市引起肾综合征出血热(HFRS)的汉坦病毒主要型别及分子特征,为该市汉坦病毒的防制提供依据.方法 收集各医院送检HFRS患者急性期血清标本,提取血清中病毒RNA作为模板,采用逆转录-套式PCR扩增汉坦病毒基因组M片段G2区基因并进行序列测定,对汉坦病毒进行基因分型和同源性分析.结果 深圳市HFRS病例男性多于女性,患者发病年龄主要集中在20-60岁,其中20-49岁病例数最多,共发病242例,占发病总数的85.82%.从282例标本中用HTN型特异性引物扩增阳性4例,占1.42%;用SEO型特异性引物扩增阳性50例,占17.73%;总阳性率为19.15%.序列比较分析发现,深圳地区流行的SEO型汉坦病毒核苷酸序列的差异相对较小,其基因的离散度为0%-4.9%.从种系发生树看这些病毒分布在一个分支上,均为S2亚型.HTN型汉坦病毒的变异率较高,其基因的离散度为6.7%-21.0%,二例为H7亚型,二例为H9亚型,均为深圳市首次报道.结论 不同年份引起深圳地区HFRS的汉坦病毒仍以SEO型为主,且病毒变异较小,稳定性较高.首次发现HTN型病例存在.结合流行病学调查资料,证实HTN病例均为输入性病例.%Objective To study the genotype and characteristic of hantavirus prevailing in Shenzhen and to provide theoretical basis for controlling hemorrhagic fever with renal syndrome (HFRS).Methods We collected serum specimens from patients at acute stage.Viral RNA was extracted from the sera.The G2 fragments of M segment from hantavirus was amplified with nested RT-PCR by using the Hantavirus genotype specific primers.The amplified genes were then sequenced,and subjected to genotyping and homology analysis with other known hantaviruses.Results In a total of 282 cases of epidemic hemorrhagic fever with renal syndrome in Shenzhen city from 2003 to 2014,the incidence rate in males was higher than that in females.Most of patients were 20-60 years

  16. Muerte materna por malaria grave por Plasmodium vivax

    OpenAIRE

    Arróspide, Nancy; Espinoza, Máximo Manuel; Miranda Choque, Edwin; Mayta Tristán, Percy; Legua, Pedro; Cabezas,César

    2015-01-01

    Se presenta el caso de una mujer de 19 años con 29 semanas de gestación, procedente de Llumpe (Ancash) con antecedentes de viajes a las localidades de Chanchamayo (Junín) y Rinconada (Ancash). Ingresó al Hospital de Chacas (Ancash) por presentar mal estado general, deshidratación, dificultad respiratoria, ictericia, sensación de alza térmica y dolor abdominal, tuvo reporte de: hemoparásitos 60% en frotis sanguíneo. Fue transferida al Hospital Ramos Guardia (Huaraz) donde presentó ...

  17. Agujeros negros vistos por fuera y por dentro

    OpenAIRE

    Janssen, Bert

    2015-01-01

    La Relatividad General es la teoría moderna de la gravedad, que corrige los problemas que surgen con la gravedad descrita por Newton. Explicaremos porque la gravedad newtoniana es incompatible con la Relatividad Especial y cual es la solución que propone Einstein: la gravedad como una manifestación del espacio curvo. Hablaremos brevemente de los fenómenos que surgen de la Relatividad General, como los agujeros negros, las ondas gravitacionales y la cosmología. Universidad de Málaga. Campu...

  18. 长春市鼠类携带汉坦病毒的基因型分析%Genotype analysis of Hantavirus carried by the rodents in Changchun city

    Institute of Scientific and Technical Information of China (English)

    孙炳欣; 孙宇; 沈博; 吴静

    2015-01-01

    Objective To study the genotypes of the Hantavirus carried by the rodents in Changchun city. Methods Rat lung samples were collected in Changchun areas, and Hantavirus antigens in rat lungs were detected by immunofluorescence assay. The S gene fragment in HV?positive samples were amplified by RT?PCR and sequenced. The gene sequences were analyzed by using DNAman software and Mega 6.0 software. Results In this study, 100 Rattus norvegicus were captured in Changchun areas, of which 3 (3.0%) samples were positive for HV antigen. The S gene fragment of 3 strains were amplified from 3 positive samples. Homology analysis indicated that the nucleotide homology from the three S segment sequences was 100%, while that to other SEOV nucleotide homology was 95.4%-100%. All the 3 strains were SEOV. Phylogenesis analysis showed that the 3 strains were in the same group on the phylogenetic tree, which belonged to S3 sub?genotype. Conclusion The study shows that the Hantavirus carried by R. norvegicus in Changchun city was SEOV, the sub?genotype SEOV-3.%目的 了解长春市鼠类动物所携带的汉坦病毒基因型别.方法 采集长春市地区鼠肺样品,应用免疫荧光法检测鼠肺中汉坦病毒抗原,提取阳性样本中病毒RNA,利用RT?PCR法扩增S基因片段,并测序,利用DNAman软件和Mega 6.0软件进行序列分析.结果 在长春地区共捕获褐家鼠100只,检测到阳性样本3份,阳性率为3.0%.通过测序获得3株病毒的S基因片段序列,经同源性分析比较发现各序列间核苷酸同源性为100%,与其他汉城病毒(SEOV)核苷酸同源性在95.4%~100%之间,3株病毒全部为SEOV.系统发生树分析表明,3株病毒在同一组内,属于S3亚型.结论 研究表明长春市褐家鼠中携带的汉坦病毒为SEOV型,S3亚型.

  19. Desajuste educativo por regiones en Colombia: ¿competencia por salarios o por puestos de trabajo?

    Directory of Open Access Journals (Sweden)

    Castillo Caicedo Maribel

    2007-08-01

    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 trabajo 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.

  20. Cardiopulmonary effects and eyeball centralization with low-dose atracurium in spontaneously breathing, anesthetized dogs Avaliação cardiopulmonar e da centralização do globo ocular em cães com baixas doses de atracúrio mantidos em anestesia inalatória sob ventilação espontânea

    Directory of Open Access Journals (Sweden)

    Adriano Bonfim Carregaro

    2010-07-01

    Full Text Available The objective was to determine the cardiopulmonary effects and eyeball centralization time obtained with 15 or 30µg kg-1 of atracurium in anesthetized dogs under spontaneous breathing. Eighteen healthy adult mixed-breed dogs were used, which received 0.1mg kg-1 acepromazine and 0.5mg kg-1 morphine IM, followed by 4mg kg-1 propofol IV and maintained on isoflurane anesthesia with spontaneous breathing. Animals received 1mL 0.9% NaCl IV (CG, 15µg kg-1 (G15 or 30µg kg-1 (G30 of atracurium IV. Eyeball centralization time was measured; heart rate (HR, systolic (SAP, mean (MAP and diastolic (DAP arterial pressures, respiratory rate (RR, tidal volume (Vt and minute volume (Vm were determined every 5min, and pH, arterial CO2 pressure (PaCO2 , arterial O2 pressure (PaO2 , hemoglobin oxygen saturation (SaO2 , bicarbonate (HCO3- and base excess (BE every 15min until 60min. Both doses of atracurium produced a similar period of eyeball centralization. Vt in groups treated with atracurium was lower than in CG up to 15min. Vm in G15 differed from CG up to 10min and in G30 up to 25min. No differences were observed for cardiovascular parameters, RR, SaO2, PaO2, HCO3- and BE. pH decreased in CG between 30 and 60min and in G15 and G30 at 15min. G30 differed from CG between 15 and 30min. PaCO2 in GC differed from baseline between 30 and 60min and in G15 differed at 15min. Atracurium at the dose of 15µg kg-1 is adequate for short corneal procedures in inhalant-anesthetized dogs under spontaneous breathing.Objetivou-se determinar os efeitos cardiopulmonares e o tempo de centralização do globo ocular obtidos com 15 ou 30µg kg-1 de atracúrio em cães anestesiados sob ventilação espontânea. Dezoito cães adultos foram pré-medicados com 0,1mg kg-1 de acepromazina e 0,5mg kg-1 de morfina IM, anestesiados com 4mg kg-1 de propofol IV e mantidos sob anestesia inalatória com isofluorano em ventilação espontânea. Os animais receberam 1mL de NaCl 0,9% IV (GC, 15

  1. Influência da massa magra corporal nas repercussões cardiopulmonares durante o teste de caminhada de seis minutos em pacientes com DPOC Influence of lean body mass on cardiopulmonary repercussions during the six-minute walk test in patients with COPD

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    Nilva Regina Gelamo Pelegrino

    2009-01-01

    Full Text Available OBJETIVO: A massa magra corporal (MMC tem sido associada à mortalidade em pacientes com DPOC, mas seu impacto na limitação funcional é pouco conhecido. O objetivo deste trabalho foi analisar as variáveis cardiopulmonares em pacientes com DPOC, com ou sem depleção da MMC, antes e após a realização do teste de caminhada de seis minutos (TC6. MÉTODOS: Foram avaliados pacientes com DPOC, 36 sem depleção de MMC e 32 com depleção de MMC. Todos os pacientes foram submetidos à avaliação clínica, espirometria, avaliação da composição da massa corpórea e TC6 e responderam a questionários de qualidade de vida e de percepção de dispnéia. RESULTADOS: Não foram observadas diferenças significativas na gravidade de obstrução das vias aéreas, na percepção da dispnéia e na qualidade de vida entre os grupos. A distância percorrida no TC6 foi similar nos pacientes com DPOC com e sem depleção de MMC (470,3 ± 68,5 m vs. 448,2 ± 89,2 m. Entretanto, durante a realização do teste, os pacientes com depleção de MMC apresentaram aumento significativamente maior na diferença entre os valores final e basal da frequência cardíaca e do índice da escala de Borg para cansaço dos membros inferiores. A distância percorrida no TC6 apresentou correlação significativa positiva com o VEF1 (r = 0,381; p = 0,01. CONCLUSÕES: Não houve influência da depleção da MMC na capacidade funcional de exercício e na qualidade de vida dos pacientes estudados. Entretanto, os pacientes com depleção de MMC apresentam sintomas de fadiga dos membros inferiores mais acentuados durante o TC6, o que reforça a importância da avaliação e tratamento das manifestações sistêmicas da DPOC.OBJECTIVE: Although lean body mass (LBM has been associated with mortality in patients with COPD, its influence on functional limitation is not clear. The objective of this study was to analyze the cardiopulmonary variables in COPD patients with or without LBM

  2. Muerte materna por malaria grave por Plasmodium vivax

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    Nancy Arróspide

    Full Text Available Se presenta el caso de una mujer de 19 años con 29 semanas de gestación, procedente de Llumpe (Ancash con antecedentes de viajes a las localidades de Chanchamayo (Junín y Rinconada (Ancash. Ingresó al Hospital de Chacas (Ancash por presentar mal estado general, deshidratación, dificultad respiratoria, ictericia, sensación de alza térmica y dolor abdominal, tuvo reporte de: hemoparásitos 60% en frotis sanguíneo. Fue transferida al Hospital Ramos Guardia (Huaraz donde presentó mayor dificultad respiratoria, coluria, hematuria, disminución del débito urinario y reporte de Plasmodium (+, luego fue transferida al Hospital Cayetano Heredia (Lima donde ingresó a la Unidad de Cuidados Intensivos (UCI, con evolución a falla multiorgánica, óbito fetal y muerte materna. Se confirmó infección por Plasmodium vivax. Destacamos la importancia de mejorar nuestras capacidades de diagnóstico y manejo para brindar un tratamiento adecuado y oportuno.

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

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    Peresi Jacqueline T.M.

    1998-01-01

    Full Text Available 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 de sensibilidade a 13 agentes antimicrobianos. RESULTADOS: Foram acometidas 906 pessoas com 295 hospitalizações. Cepas de Salmonella Enteritidis Fagotipo 4 foram isoladas de 80,5% das coproculturas, de todas amostras de alimentose de 41,7% dos ovos. Em 22 (95,7% surtos os a salmonela foi veiculada por alimentos contendo ovos crus ou semicrus. Os testes de sensibilidade a antimicrobianos revelaram sensibilidade à maioria das cepas. CONCLUSÕES: Considerando os resultados obtidos, torna-se necessária a implantação e intensificação de medidas de controle na produção e armazenamento dos ovos, além da orientação à população quanto aos riscos no consumo inadequado desse alimento.

  4. Medidor de distancias por ultrasonidos

    OpenAIRE

    Sánchez Blanco, Oliver

    2011-01-01

    El proyecto consiste en la realización de un medidor de distancias, para ello se ha utilizado un sensor de ultrasonidos y un microcontrolador. El sensor nos proporciona la señal que necesitamos para medir la distancia y con el microcontrolador trabajamos dicha señal para poder obtener los datos que nos interesa y poder visualizarlos a través de un módulo LCD. Este proyecto consta de tres fases: - Diseño del prototipo por software y posterior simulación. - Verificaci...

  5. Once mil metros por segundo

    OpenAIRE

    2012-01-01

    Esta exposición es una ventana hacia el mundo de la Ciencia Ficción. Los sueños de escritores extraordinarios, personajes, lugares, máquinas y robots que cada día están más cerca de nuestra cotidianidad gracias a los avances de la ciencia y la tecnología hacen parte de la muestra itinerante por las sedes de la Universidad Nacional. El visitante puede recorrer los diferentes géneros que constituyen este género literario, además de conocer sus principales representantes. Así mismo se explor...

  6. Miasis ocular por Oestrus ovis

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    María Beltrán F

    2006-01-01

    Full Text Available Se presentan tres casos de miasis ocular (dos adultos y un niñoprocedentes de zonas ganaderas de la provincia de Huaura,departamento de Lima,que acudieron al Hospital Regional de Huacho por presentar el ojo rojo,fotofobia, edema palpebral y sensación de cuerpo extraño;se extrajeron larvas adheridas al canto interno del ojo,las cuales se recibieron en el Instituto Nacional de Salud y fueron identificadas como Oestrus ovis .

  7. Clonagem de canistel por estaquia

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    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.

  8. Por um hospital mais urbano

    OpenAIRE

    Figueiredo, Ana Teresa

    2013-01-01

    Dissertação de Mestrado Integrado em Arquitectura, apresentada ao Departamento de Arquitectura da F. C. T. da Univ. de Coimbra. A partir do século XX, uma nova linguagem, proveniente da revolução industrial, torna-se transversal a todo o discurso arquitectónico. O hospital pavilhonar é substituído por uma nova tipologia – o hospital vertical. Com o acelerado crescimento urbano proveniente do processo de industrialização das cidades, as novas construções hospitalares tendem a oc...

  9. A Vida por Outros Lados

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    Maria Berenice da Costa Machado

    2003-06-01

    Full Text Available Diálogo entre a imagem e o slogan do anúncio publicitário “A vida por todos os lados”, do jornal Zero Hora (ZH, com as características da Modernidade e da Pós-modernidade. A intenção é a refletir sobre a complexidade da comunicação institucional deste diário e sua ligação com as tendências contemporâneas.

  10. Polioencefalomalacia experimental em bovinos induzida por toxicose por enxofre

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    Paulo H.J. Cunha

    2011-01-01

    Full Text Available O presente trabalho teve como objetivos avaliar os sinais clínicos, as concentrações do sulfeto de hidrogênio ruminal e as alterações anatomopatológicas associadas à intoxicação experimental por enxofre em bovinos. Foram utilizados dez bezerros mestiços leiteiros, sendo que quatro bovinos ingeriram ração sem sulfato de sódio (G1 e seis consumiram ração com sulfato de sódio (G2. Exames clínicos (temperatura retal, frequência cardíaca e respiratória e motricidade ruminal e laboratoriais (hemograma, fibrinogênio, proteína plasmática, pH do fluido ruminal, concentração do sulfeto de hidrogênio ruminal, líquido cerebrospinal e histopatológico foram realizados. A temperatura retal, frequência cardíaca, hemograma, fibrinogênio, proteína plasmática, pH do fluido ruminal e os valores do líquido cerebrospinal estavam dentro dos valores de referência para a espécie. Taquipnéia, hipomotricidade ruminal e elevados valores de sulfeto de hidrogênio ruminal foram observados nos bezerros do grupo G2. Um bezerro do grupo G2 apresentou sinais neurológicos e lesões histopatológicas de PEM. Dois animais de cada grupo foram eutanasiados. Lesões microscópicas foram observadas nos bezerros do G2. Histologicamente as alterações observadas foram necrose neuronal cortical e lesões hemorrágicas nos núcleos basais, tálamo, mesencéfalo, ponte e bulbo. O protocolo experimental constituído por uma dieta rica em carboidrato de alta fermentação, baixa quantidade de fibra efetiva e altos níveis de enxofre (0,52% ocasionou alterações clinicas e histológicas e elevadas concentrações de sulfeto de hidrogênio ruminal compatíveis com quadro de intoxicação por enxofre.

  11. toxicidad neuroendocrina inducida por cadmio

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    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.

  12. Pneumonia grave por "Chlamydia psittaci"

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    MOSCHIONI CRISTIANE

    2001-01-01

    Full Text Available A psitacose, também conhecida como ornitose, é causada pela Chlamydia psittaci; caracteriza-se por doença de início insidioso, sintomas brandos e inespecíficos, lembrando infecção de vias aéreas superiores. Acomete principalmente o pulmão, sendo raramente doença sistêmica e fatal. Descreve-se um caso raro de pneumonia por Chlamydia psittaci que evoluiu para insuficiência respiratória aguda, necessitando de ventilação mecânica. Destaca-se a importância em considerar o diagnóstico, especialmente em casos de pneumonia comunitária que evolui de modo insatisfatório, que não responde à terapia antimicrobiana e cuja epidemiologia é positiva para exposição às aves. O diagnóstico precoce é fundamental devido à excelente resposta terapêutica. O diagnóstico tardio pode levar a curso grave e fatal da doença.

  13. Por amor a los libros

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    Ismael Diadié Haidara

    2015-06-01

    Full Text Available Crecí entre libros. Muy joven, de noche, mi padre me dormía recitando poemas de románticos franceses como Lamartine, Vigny, Musset o Victor Hugo. Los aprendí de memoria y le escuchaba sin entender gran cosa aunque dormía mecido por el ritmo de sus versos. A diario, me mandaba traerle un Montaigne, un Marco Aurelio, un Marx, yo obedecía, uniendo los nombres a formatos y colores de los libros. Eran tiempos de encanto y siempre veo las manos de mi padre prolongadas por un libro. No hay encanto que dure toda la vida y en 1968, con once años, presencié cómo después del golpe de estado que arrebató a su amigo, Modibo Keita, la presidencia de Mali, como militares llegaron y se fueron con cajas de libros en un camión verde. Se llevaron todo, los libros y la máquina de escribir. Sólo quedaron en el salón estanterías vacías y mucho dolor.

  14. Hipoglucemia inducida por carcinoma adrenal

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    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.

  15. Hiperalgesia induzida por opioides (HIO

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    Plínio da Cunha Leal

    2010-12-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Opioides são medicamentos frequentemente usados para o controle da dor que, contudo, podem causar hiperalgesia. A circunstância pela qual esse fenômeno pode ocorrer não está inteiramente esclarecida. O objetivo desta revisão foi descrever os mecanismos, os fatores implicados e a modulação por medicamentos. CONTEÚDO: Foram descritos os fatores implicados no desenvolvimento da hiperalgesia induzida por opioides (HIO, como duração de uso, dose e tipo de opioide. Os mecanismos incluem o sistema glutamatérgico e receptores N-metil-D-aspartato (NMDA, ativação de ciclo-oxigenase (COX espinal, aminoácidos excitatórios, dinorfina, citocinas e quimocinas; prostaglandinas e facilitação descendente. A modulação de hiperalgesia pode ser feita com antagonistas de receptores NMDA, agonistas adrenérgicos-alfa2 e inibidores de COX. CONCLUSÕES: O assunto é bastante complexo, envolvendo uma série de mecanismos fisiopatológicos que podem contribuir para a HIO e o desconforto do paciente, trazendo consequências que podem ser danosas.

  16. La administración por objetivos

    OpenAIRE

    García Madariaga, Ricardo

    1988-01-01

    De la administración por objetivos puede esperarse dos clases de resultados diferentes pero complementarios. Por una parte, la administración por objetivos contribuye a crear o mantener las condiciones que aseguren la evolución permanente de la organización para que ésta no solamente pueda adaptarse a los cambios del entorno sino también crecer y desarrollarse. Por otra parte, mejora la productividad racionalizando el empleo de los recursos humanos.

  17. 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...

  18. 两种方法检测汉坦病毒滴度的比较研究%A Comparison of Double-antibody Sandwich ELISA and Direct Immunofluoresence Asssy for Detecting and Titering Hantavirus

    Institute of Scientific and Technical Information of China (English)

    白露; 叶伟; 于蒙蒙; 张亮; 于澜; 刘梓谕; 吴兴安; 徐志凯; 张芳琳

    2012-01-01

    比较双抗体夹心ELISA法与直接免疫荧光(DFA)法在检测汉坦病毒灵敏度方面的差别.用汉坦病毒76-118株感染Vero-E6细胞,取不同时间点的病毒感染细胞制备细胞爬片或细胞培养物冻融上清,分别用本室制备的抗汉坦病毒单克隆抗体标记荧光素或辣根过氧化物酶( HRP),建立直接免疫荧光法和双抗体夹心ELISA法检测上述细胞中的病毒抗原,并比较两者的检测灵敏度.用空斑形成实验结果作为金标准,以评价两种方法在检测病毒抗原灵敏度方面的差异.结果:用两种检测方法测定不同时间点的汉坦病毒培养物抗原,双抗体夹心ELISA法不仅检出的时间早,而且其病毒滴度均较IFA法高(P<0.01).说明ELISA法检测汉坦病毒滴度的灵敏度较IFA法更高,并且操作简单、可重复性好、便于大批量规模化检测,因此更适用于汉坦病毒的检测.%To compare the sensitivity between double antibody sandwich ELISA and direct immunofluorescence assay ( DFA) for detection of hantavirus, Vero-E6 cells were infected by Hantaan virus strain 76-118. Cell climb ing slices or freeze-thaw cell culture supernatant was prepared and fluorescein labeled anti-hantavirus monoclonal antibody or horseradish peroxidase ( HRP) labeled monoclonal antibody was used to establish method of double-an tibody sandwich ELISA or direct IFA to detect viral antigen in these cells, and plaque reduction nuetralization test was used as control. And then the optimal detection times were identified and the sensitivity of the two methods was compared. It is resulted that virus titer detected by double-antibody sandwich ELISA was obviously higher than that of DFA (P <0. 01) , and the time point when the virus antigen was detected is more earlier in ELISA than in IFA. It is conclused the sensitivity of double-antibody sandwich ELISA was better than that of direct IFA in detecting hantavirus. And the former method was repeatable and easier to

  19. 汉坦病毒浙江分离株ZT71株的全基因核苷酸序列测定及分析%Complete genome sequence analysis of the Hantavirus ZT71 strain

    Institute of Scientific and Technical Information of China (English)

    谢荣辉; 翁景清; 姚苹苹; 徐芳; 朱海坪; 朱智勇

    2008-01-01

    目的 为了获得浙江省汉坦病毒基因组更为详尽的资料,研究汉坦病毒的进化状况及变异程度,为疫苗病毒株的选择使用提供科学依据.方法 设计特异性引物,RT-PCR分段扩增ZT71株全长L、M和S片段,PCR产物纯化后克隆于T载体并进行序列测定.然后进行遗传进化分析.结果 汉坦病毒ZT71株L、M及S基因分别由6530、3651和1753个核苷酸组成,分别编码2151、1133和429个氨基酸.基因比较分析表明,ZT71株与SEO型汉坦病毒比较其L片段核苷酸同源性为95.5%~99.7%,氨基酸同源性为99.0%~99.3%;M片段核苷酸同源性为84.1%~99.6%,氨基酸同源性为95.3%~99.2%;S片段核苷酸同源性为88.7%~99.5%,氨基酸同源性为96.5%~99.1%;而与其他汉坦病毒同源性则较低.结论 测定了ZT71株的全基因核苷酸序列,其L、M和S片段具有和其他汉坦病毒L、M、S片段相似的核苷酸一级结构,但与SEO型更为接近,属于SEO型病毒.%Objective To study the complete genome sequence of Hantavirus ZT71 strain gene isolated in Zhejiang province and explore its evolution. nethods The total RNA was prepared from ZT71 virus infected cells and the RT-PCR products were cloned into T vector, sequenced and analyzed. Results The L, M and S segments of the strain ZT71 genome were 6530,3651 and 1753 nucleotides in length with a single open reading frame individually encoding 2151,1133 and 429 amino acids. The sequence analysis of nucleotides showed that the homology of L, M and S segments of strain ZT71 between those of other strains of Seoul virus could reach 95.5%-99.7%, 84.1%-99.6% and 88.7%-99.5%, respectively. The analysis of the deduced amino acids showed the similar result. The source of strain ZT71 could be traced from the analysis of the phylogentic trees of nucleotides and amino acids, and it should belong to Seoul type of Hantavirus which was also verified serologically. Conclusion The nucleotide sequences and deduced amino acid

  20. Establishment of Diagnostic Assay for Hantavirus with Microarray Techniques%基因芯片技术检测肾综合征出血热病毒核酸的研究

    Institute of Scientific and Technical Information of China (English)

    朱进; 陶开华; 操敏; 张云; 李越希; 张锦海; 唐家琪

    2004-01-01

    To establish a rapid, sensitive and specific diagnostic assay for Hantavirus with microarray techniques, specific primers and probes were designed according to the conservative and specific DNA sequence of 76-118 strain and R22 strain. The probes were spotted on glass slides to form microarrays.The Cy3-1abled single stranded DNA fragments prepared by dissymmetical PCR were hybridized with the probes on the glass slides. The microarrays were scanned and analyzed with a scanner. The results showed that the DNA microarray could detect the different typed DNA of HTN and SEO with adequate specificity and sensitivity. The developed DNA microarray and techniques might be a very useful method for diagnosis and prevention, and could be widely applied in specific pathogens detection ofinfectious diseases such as hemorrhagic fever with renal syndrome.

  1. The 3′ Untranslated Region of the Andes Hantavirus Small mRNA Functionally Replaces the Poly(A) Tail and Stimulates Cap-Dependent Translation Initiation from the Viral mRNA ▿

    Science.gov (United States)

    Vera-Otarola, Jorge; Soto-Rifo, Ricardo; Ricci, Emiliano P.; Ohlmann, Théophile; Darlix, Jean-Luc; López-Lastra, Marcelo

    2010-01-01

    In the process of translation of eukaryotic mRNAs, the 5′ cap and the 3′ poly(A) tail interact synergistically to stimulate protein synthesis. Unlike its cellular counterparts, the small mRNA (SmRNA) of Andes hantavirus (ANDV), a member of the Bunyaviridae, lacks a 3′ poly(A) tail. Here we report that the 3′ untranslated region (3′UTR) of the ANDV SmRNA functionally replaces a poly(A) tail and synergistically stimulates cap-dependent translation initiation from the viral mRNA. Stimulation of translation by the 3′UTR of the ANDV SmRNA was found to be independent of viral proteins and of host poly(A)-binding protein. PMID:20660206

  2. The correlation between population structure of striped field mouse(Apodemus agrarius)and hantavirus carrying%黑线姬鼠种群结构与携带汉坦病毒相关性

    Institute of Scientific and Technical Information of China (English)

    靳铁治; 郑海潮; 李劲松; 马超锋; 吴瑞; 米宝; 王开锋

    2012-01-01

    汉坦病毒(Hantavirus,HV)是肾综合症出血热(Hemorrhagic fever with renal syndrome,HFRS)的主要病原体之一,HV的主要宿主动物为黑线姬鼠(Apodemus agrarius).针对西安市HFRS的持续高发病率,2010年7月-9月对西安市HFRS 疫区捕获的110只黑线姬鼠(阳性62只)进行年龄、性别鉴定.通过病毒RNA提取分析,发现黑线姬鼠雌雄个体携带病毒无显著差异,但是不同年龄段黑线姬鼠携带汉坦病毒却具有显著差异,年龄结构与病毒携带具有极显著的相关性.%Hantavirus( HV) is the major pathogen of hemorrhagic fever with renal syndrome(HFRS), and striped field mouse(Apodemus agmrius)is the main virus reservoir of HV. Because of the high rate of HFRS in Xi'an in the past years, the age and sex of 110 mice captured from HFRS-endemic area from July to September in 2010 were identified. RNA of HV was extracted and analyzed. The results showed that there was no significant difference in between male and female mouse of HV carrying, but evidently difference in different age grades. There was significant correlation between the proportion of HV carrying by mice and ages grades.

  3. Research progress of VEGF pathway in the mechanism of hantavirus pathogenesis%血管内皮生长因子通路在汉坦病毒致病过程中的作用研究进展

    Institute of Scientific and Technical Information of China (English)

    叶伟; 白露; 张芳琳; 徐志凯

    2011-01-01

    汉坦病毒( Hantavirus)属于布尼亚病毒科(Bunyaviridae),包括汉滩病毒(HTNV)、汉城病毒(SEOV)、多布拉伐病毒(DOBV)、辛诺柏病毒( SNV)、纽约病毒(NY-1)、安第斯山病毒(ANDV)、希望山病毒(PHV)和图拉病毒(TULV)等多个血清型[1].汉坦病毒感染人类可导致两类不同的急性传染病:一类是以发热、出血、急性肾功能损害和免疫功能紊乱为特征的肾综合征出血热 ( hemorrhagic fever with renal syndrome,HFRS),主要由HTNV、SEOV、DOBV等引起;另一类是以肺浸润及肺间质水肿、呼吸窘迫、呼吸衰竭为特征的汉坦病毒肺综合征( hantavirus pulmonary syndrome,HPS),主要由SNV、NY-1等引起.汉坦病毒引起HFRS和HPS的确切致病机制尚未完全阐明.两类疾病的临床表现虽有不同,但其主要的病变特点均包括血管通透性增高、全身小血管损害等.

  4. 流行性出血热和汉坦病毒肺综合征发病机制研究进展%Advancement in researches of pathogenesis of hemorrhagic fever with renal syndrome and hantavirus pulmonary syndrome

    Institute of Scientific and Technical Information of China (English)

    白雪帆; 王平忠

    2005-01-01

    流行性出血热(EHF)和汉坦病毒肺综合征(HPS)均是由汉坦病毒属病毒(Hantavimses,HV)引起的急性传染病。EHF的病原体——汉滩病毒(HTNV)、汉城病毒(SEOV)、普马拉病毒(PUUV)和多布拉伐病毒(DOBV)等主要分布于有着几千年文明历史的欧亚大陆,国际上称为旧世界汉坦病毒(Hantavirus in old world);而辛诺柏病毒(SNV)、安弟斯病毒(ANDV)等HPS的病原体主要分布于仅有几百年文明史的南北美洲新大陆,故称为新世界汉坦病毒(Hantavirus in new world)。2类疾病虽然在病原、病变部位、临床表现和诊治方法等方面有所不同,但是其病原体均属于汉坦病毒属,基因组结构和功能大多相同,基本病理改变均为小血管和毛细血管渗漏(capillary leakage),少数EHF可以表现为呼吸功能衰竭为主,而少数南美国家的HPS病例可伴有明显的肾衰竭。

  5. 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.

  6. Genetic analysis on S segment of hantaviruses in rodent hosts from Wuhan area, Hubei province%湖北省武汉地区啮齿动物汉坦病毒S基因的特征分析

    Institute of Scientific and Technical Information of China (English)

    刘东瀛; 刘婧; 李金林; 陈文; 罗凡; 李晴; 杨占秋

    2012-01-01

    目的 了解湖北省武汉地区啮齿动物自然感染汉坦病毒(HV)情况以及流行的基因型和亚型.方法 2000-2003年、2009-2011年秋冬季在武汉地区新洲、江夏区野外及居民区采用夹夜法捕鼠.对捕获的动物进行分类鉴定并取肺脏用间接免疫荧光法检测病毒抗原.抗原阳性的样本,采用RT-PCR方法扩增部分S片段核苷酸序列,构建系统发生树并进行基因分型.结果 2000-2003年捕获啮齿类动物437只,HV抗原阳性鼠肺标本24份,病毒携带率为5.49%.2009-2011年捕获啮齿类动物173只,HV抗原阳性鼠肺标本7份,病毒携带率为4.05%.褐家鼠为当地的优势鼠种.22份标本成功地用汉滩病毒(HTNV)、汉城病毒(SEOV)特异引物扩增部分S基因片段并测序.17只(13只褐家鼠,4只黑线姬鼠)鼠肺标本中扩增出SEOV部分S基因片段(nt 588~1147),分别属于第3亚型和2个新的基因亚型.5只黑线姬鼠的鼠肺标本中扩增出HTNV部分S基因片段(nt615- 1141),分别属于第7亚型和1个新的亚型.结论 武汉地区流行的HV为SEOV和HTNV,并发现新的基因亚型,SEOV可能“溢出”感染黑线姬鼠.%Objective To investigate the infection and genotype of hantaviruses in rodents from Wuhan area,Hubei province.Methods Rodents were trapped in fields and residential areas of Xinzhou and Jiangxia districts of Wuhan in autumn and winter seasons,from 2000 to 2003 and from 2009 to 2011.Trapped rodents were identified,and hantavirus antigens were detected in the lung tissues with indirect immunofluorescence assay (IFA).Partial S segment sequences were amplified with RT-PCR in hantavirus antigen positive samples and then sequenced.Phylogenetic tree was constructed to analyze the genetic characteristics of hantaviruses.Results From 2000 to 2003,437 rodents were trapped,with 24 (5.49%) lung tissues showed hantavirus antigen positive.From 2009 to 2011,173 rodents were trapped and 7 (4.05%) were hantavirus antigen positive

  7. Detector de movimiento por infrarrojos

    OpenAIRE

    Fuertes Araque, Joaquin

    2007-01-01

    En las sucesivas paginas hablaremos del espectro electromagnético, de como un cuerpo negro absorbe o emite toda la energía sin reflejar nada. Verá como es la distribución de energía de un cuerpo, donde apreciará que a mayor temperatura el máximo de radiación se obtiene a longitudes de onda más pequeñas. Hablaremos de un sensor PIR, de como esta constituido por dos cristales piroeléctricos, que crean un campo magnético cuando reciben radicación infrarroja. Verá que tipo de le...

  8. 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

  9. GESTIÓN POR PROCESOS

    Directory of Open Access Journals (Sweden)

    Alejandro Hernández Lugo

    2003-04-01

    Full Text Available

    La gestión por procesos en una organización encierra un significado diferente a lo que podría ser un simple enfoque, o una aproximación para mejorar una tarea o varias, implica la planificación,organización, control y dirección de las actividades. La RAE define este vocablo como:

     

    gestión: acción de administrar algo. Los procesos se deben administrar.

  10. Osteomalacia inducida por tumor: hemangiopericitoma rinosinusal

    Directory of Open Access Journals (Sweden)

    Enriqueta M. Serafini

    2013-02-01

    Full Text Available La osteomalacia inducida por tumor es una rara enfermedad del metabolismo óseo caracterizada por el aumento en la excreción de fosfato a nivel renal seguido de hipofosfatemia. Es causada por agentes fosfatúricos producidos por determinados tumores. La resección total del tumor resulta en la completa reversión de las anormalidades bioquímicas, la desaparición de las manifestaciones clínicas y los hallazgos en los estudios por imágenes. Presentamos el caso de un varón de 61 años con cuadro clínico y laboratorio compatibles con osteomalacia oncogénica inducida por tumor mesenquimático de localización rinosinusal. En nuestro caso el diagnóstico histológico correspondió a una neoplasia de tipo vascular: hemangiopericitoma.

  11. 湖北省仙桃地区2012年鼠类携带汉坦病毒的基因特征研究%Study on genetic characteristics of Hantavirus carried by murids in Xiantao city of Hubei province during 2012

    Institute of Scientific and Technical Information of China (English)

    彭延; 邹文菁; 李国明

    2015-01-01

    Objective To study the species of captured murids in Xiantao area during 2012 and their carrying Hantavirus situation ,and to analyze the gene characteristics of Hantavirus .Methods The night trapping method was used to capture murines .After sterility dissection ,the murine lung was taken for extracting total RNA .Hantavirus was detected by fluorescent PCR .The positive samples were performed the viral S segments sequence determination and evolution analysis .Results Altogether 100 murines were captured including 64 cases (64% ) of Apodmus agrari‐us ,6 cases(6% ) of Rattus norvegicus ,13 cases (13% ) of Mus musculus and 17 cases(17% ) of Rattus flavipectu .2 murine lungs with Hantavirus nucleic acid positive and the virus genotyping was Hantaan virus .Conclusion The hosts of Hantavirus in Xiantao in 2012 were mainly Mus musculus ,the carrying virus is mainly Hantaanvirus ,and the genotype has obvious regional characteristic ,which belongs to new subtype reported by literature .%目的:研究湖北省仙桃地区2012年捕获鼠类种类和携带汉坦病毒情况,分析汉坦病毒的基因特征。方法在湖北省仙桃地区以夹夜法捕鼠。无菌解剖后取鼠肺提取总 RNA ,荧光聚合酶链反应检测汉坦病毒,阳性标本进行病毒 S 片段序列测定和进化分析。结果捕获鼠类共100只,其中黑线姬鼠64只,占64%;褐家鼠6只,占6%;小家鼠13只,占13%;黄胸鼠17只,占17%。共检出汉坦病毒核酸阳性鼠肺2只,分型为汉滩型。结论仙桃地区汉坦病毒宿主以黑线姬鼠为主,所携带病毒以汉滩型为主,基因型有明显地域特点,属于文献报道的新亚型。

  12. Absceso epidural cervical por peptostreptococcus anaerobius

    OpenAIRE

    Fernandez Garcia, L.; Machado Baldasano, A.; Villanueva Pareja, F.; García de Quevedo Puerta, D.; Marfil Romero, M.

    1996-01-01

    Se presenta 1 caso de infección con absceso epidural a nivel cervical producido por un Peplostreptococcus anaerobius en 1 paciente en el que se realizó previamente una artrodesis C6-C7 por una hernia discal cervical. En la literatura no se han encontrado referencias bibliográficas de casos similares, por la etiología y la localización. Se discute la importancia de las infecciones por bacterias anaerobias en patología osteoarticular, métodos diagnósticos, así como su abordaje te...

  13. ¿paz por estatalización, paz por cortes de justicia, paz por tratado, paz por soberanía,paz por derecho penal?

    OpenAIRE

    Marquardt, Bernd

    2012-01-01

    Con este artículo se pretende introducir la historia de la paz en Europa, teniendo en cuenta los enfoques de la ciencia de la Historia del Derecho y de las investigaciones propias sobre la Historia Universal del Estado. Se quiere presentar los desarrollos y transformaciones de la paz en el milenio entre 800 y 1800 d.C. El lector va a realizar un viaje a través del tiempo, pasando por grandes eventos de paz como la Paz Territorial de Maguncia de 1235, la Paz Et...

  14. Genotyping and preparation of the recombinant nucleocapsid protein antigen of hantavirus%汉坦病毒核壳蛋白重组抗原的制备和基因分型研究

    Institute of Scientific and Technical Information of China (English)

    唐家琪; 操敏; 唐堂; 王长军; 魏春宝; 雷万里

    2001-01-01

    目的研制新的汉坦病毒核衣壳工程抗原,建立肾综合征出血热病毒检测和基因分型方法。 方法以一组引物克隆全长S基因片段和N端的部分S基因片段,并使它们在T7系统进行融合表达和非 融合表达。用另组引物建立了逆转录-聚合酶链式反应(RT-PCR),检测我国不同地区由8种主要宿主分 离的37个汉坦毒株,2个阳性标准对照毒株和5个阴性对照标本。对其中20个毒株的PCR扩增产物先 后用Rsa Ⅰ和HindⅢ作二级酶切,建立了逆转录-聚合酶链式反应-限制性片段长度多态性分析(RT-PCR- RFLP)分型法。 结果非融合表达产量虽不及融合表达高,但以非融合表达的两个S基因片段产物作间接ELISA的包被 抗原,其工作浓度均达1:10000,显示出良好的生物活性。RT-PCR检测结果表明,所有的毒株扩增出汉坦 特异性核酸组份(299 bp或577 bp)。用RT-PCR-RFLP法分型,上述毒株被定为汉滩型的9株,汉城型的 8株,余3株未能定型。 结论非融合表达的小分子抗原生物活性较高,有望替代天然抗原用于HV抗原抗体检测。RT-PCR法与 cELISA法比较,二者阳性检出率分别为100%和84.6%,符合率为84.6%,但前者比后者敏感性高15.4%。 RT-PCR-RFLP分型法与血清学分型法所得结果具有很高的符合率,但RFLP法的分型率为85%(17/20), 血清法的分型率为55%(11/20),前者比后者高30%。%Objective To identify new recombinant antigens with potential for diagnosis of hemorrhagic fever with renal syndrom (HFRS) and establish reverse transcription-polymerase chain reaction-restriction fragments length polymorphism (RT-PCR-RFLP) for genotyping of hantavirus. Methods One group of primers was used to clone the full-length S genome segment and the partial S genorme segment of the N-terminal. The two cloned genes were both fusionally expressed and non fusionally expressed in the T7 system

  15. La inconstitucionalidad por omisión

    Directory of Open Access Journals (Sweden)

    Luz Bulnes Aldunate

    2006-01-01

    Full Text Available El artículo analiza la facultad de los tribunales constitucionales para determinar la inconstitucionalidad por omisión, en virtud del silencio u omisión de la autoridad de normar un principio o regla constitucional dispuesto por la Constitución explícita o implícitamente.

  16. Hantavirus infections in The Netherlands

    NARCIS (Netherlands)

    J. Groen (Jan)

    1996-01-01

    textabstractDuring the Korean war between 1951-1953, an epidemic occurred among United Nations sanctioned military troops, characterized by fever, haemorrhages, shock and renal failure with a case fatality rate of up to 15%. This disease became known as Korean haemorrhagic fever [Smadel, 1951; Earle

  17. Investigation on the natural infectious status of hantaviruses among small mammals in Longquan city, Zhejiang province%浙江省龙泉市汉坦病毒宿主动物自然感染状况研究

    Institute of Scientific and Technical Information of China (English)

    王淼若; 王文; 林献丹; 梅盛华; 郭文平; 张永振

    2011-01-01

    Objective To investigate the situation of the natural infection of hantaviruses (HV) in small mammals and to provide evidence for the control and prevention of hemorrhagic fever with renal syndrome (HFRS) in Longquan area,Zhejiang province. Methods Small mammals were captured by night trap, and lung tissue samples were collected and stored in liquid nitrogen. HV antigens were detected by indirect immuno-fluorescence assay (IFA). The partial S genome segment sequences were amplified by RT-PCR. DNAStar program was used for editing and comparing the sequences. Phylogeny was analyzed through PAUP*4.0 software. Results 319 small animals were collected in Longquan, and 9 hantavirus antigen-positive samples were identified. The positive rate of hantavirus in Apodemus agrarius was 4.97% . Phylogenetic tree constructed by partial S segment (620-999 nt) showed that the 9 strains carried by A agrarius from Longquan all belonged to HTNV,and had a closer evolutionary relationship with isolate Z251 from Zhejiang province. Conclusion Our results indicated that the main host was A. agrarius and the infection rate of HTNV was high in Longquan area.%目的 调查浙江省龙泉市肾综合征出血热(HFRS)疫源地小动物中汉坦病毒(HV)的自然感染情况及其流行的基因型.方法 用鼠笼在龙泉市查田镇、小梅镇、小梅镇黄南村捕鼠.捕获的小动物进行分类鉴定并解剖取肺脏,用间接免疫荧光法(IFA)检测肺组织中HV抗原,用RT-PCR对HV抗原阳性的样本扩增部分S片段核苷酸序列并测序,构建系统发生树进行基因分型.结果 共捕获小动物319只,其中野外312只,室内7只.黑线姬鼠和东方田鼠为野外优势鼠种.肺组织标本中共检测到9份抗原阳性,带病毒率为4.97%,用部分S片段(620~999nt)的核苷酸序列构建系统发生树,结果表明均为汉滩病毒(HTNV),并与Z251分离株的亲缘关系最近.结论 龙泉市野外主要存在以黑线姬鼠为宿主的HTNV感染,且携带率较高.

  18. 汉坦病毒空气传播感染的实验室和野外采样研究%Studies on Hantavirus Aerosol Transmission in Laboratory and the Field Sampling

    Institute of Scientific and Technical Information of China (English)

    李劲松; 鹿建春; 车凤翔; 孟令英; 刘敏霞

    2001-01-01

    Aerosol transmission of Hantavirus was studied by animal experiments in laboratory and air sampling in the field. A. agrarius were subcutaneously inoculated hantavirus, breed in the chamber of the upwind and saved as the sources of virus aerosol. Sucking mice, weanling mice and A. agrarius were put in the chamber of the downwind after the different days of infected A. agrarius were breed. Two chambers were parted by the stainless steel net. The results suggested that the seventh day could be the time sign that infected A. agrarius delivered infectious virus aerosol. The epidemiological investigation of the field suggested that there may have an infectious virus unit at least, in 96L air by threshing machine and 350L air by the nest of A. agrarius, respectively. We believe this study may provide evidence that the aerosol transmission of hantavirus is probably a main route of transmission for hantviruses in autumn and winter.%本项研究是通过动物实验和现场采样研究汉坦病毒气溶胶传播感染。用感染的黑线姬鼠排泄物自然形成的病毒气溶胶进行实验。黑线姬鼠感染后第5天放入离乳小鼠和乳小鼠,暴露10?d,检测不到抗体,感染后第7天,放入离乳小鼠和乳小鼠,暴露10?d,可以检测出抗体;黑线姬鼠在暴露15?d时,可以检测出抗体。可见黑线姬鼠感染后,第7天可能是它向体外排毒的一个时间标志,且形成的病毒气溶胶具有感染性。对现场采集的空气样品和收集的打谷者佩戴的口罩样品的研究发现,在稻田堆放的稻捆根部和鼠栖息的草窝的空气中每350L空气中和打谷场脱粒机附近每96L空气中,含有至少一个具有生物活性的汉坦病毒粒子。结合流行病学调查结果,可以判定,汉坦病毒经空气传播吸入感染可能是秋冬季节肾综合征出血热发病的主要传播途径。

  19. Trasplante hepático experimental en el cerdo con donante a corazón parado. Efecto de diversas modificaciones de la bomba de derivación cardiopulmonar durante la recirculación sobre la viabilidad del injerto hepático.

    OpenAIRE

    Santos Cidón, Pilar

    2009-01-01

    Los donantes a corazón parado (DCP) tratados con recirculación normotérmica (RN) para revertir la lesión por isquemia caliente (IC) se han mostrado como una alternativa válida para paliar el déficit de órganos para el trasplante a nivel clínico y experimental.DISEÑO Y SUJETOS: Se analizó la acción por separado de diversas modificaciones durante la recirculación (RC) en hígados de donantes porcinos (Large-White, 25-35 Kg) respecto a un grupo control (GC=G30V; n=10) sometido a 60 min de IC, RC ...

  20. La responsabilidad civil medioambiental por productos defectuosos

    OpenAIRE

    2014-01-01

    La tesis cuestiona por una parte la exhaustividad del marco regulador de la responsabilidad Civil por productos defectuosos y, por la otra, la singularidad de los daños medioambientales. Así, pretende, entre otros objetivos, contribuir en la construcción del Derecho Civil medioambiental, buscando, dentro del ámbito de protección de la legislación sobre productos defectuosos, el posible anclaje de los daños medioambientales. Gira en torno a la cuestión del régimen aplicable a supuesto...

  1. Búsquedas por similitud en PostgreSQL

    OpenAIRE

    2012-01-01

    Las búsquedas en espacios métricos y los operadores para búsquedas por similitud han sido estudiados y son actualmente material de estudio recurrente debido al auge de datos no convencionales como por ejemplo audio o video disponibles en grandes repositorios de datos. Por lo tanto, surge la necesidad de almacenar y posteriormente consultar dichos datos. A pesar de ello no se encuentran gestores de bases de datos que implementen todos los operadores relevantes sobre datos de estas característi...

  2. TERAPIA ASSISTIDA POR ANIMAIS (TAA – ZOOTERAPIA)

    OpenAIRE

    Tadeu Junior, Flavio Gomes; Residente do Hospital Veterinário da Faculdade Dr. Francisco Maeda - FAFRAM; Costa, Paula Ferreira; Professora Dra. da fundação Educacional de Ituverava.; Palazzo, Elzylene Lega; Professora Dra. da Fundação Educacional de Ituverava

    2014-01-01

    A Terapia Assistida por Animais (TAA) envolve a interação entre pacientes e um animal treinado, sob a supervisão de profissionais da saúde devidamente capacitados e habilitados. Utiliza-se da forte ligação homem animal em intervenções direcionadas como parte integrante do tratamento do paciente. O presente estudo tem como objetivo apresentar a efetividade e alguns dos benefícios que a Terapia Assistida por Animais traz à saúde dos pacientes, por estímulo de ativida...

  3. Intoxicación por Paraquat

    Directory of Open Access Journals (Sweden)

    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. La 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.

  4. 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).

  5. Micetoma por Nocardia brasiliensis: reporte de caso

    Directory of Open Access Journals (Sweden)

    Miriam Guevara R

    2003-07-01

    Full Text Available Se presenta el caso de un paciente peruano, agricultor, con una infección cutánea de origen traumático causada por Nocardia brasiliensis, que evolucionó hacia la amputación del miembro inferior afectado. El diagnóstico se realizó por examen directo y cultivo del espécimen.

  6. Andes Hantavirus-Infection of a 3D Human Lung Tissue Model Reveals a Late Peak in Progeny Virus Production Followed by Increased Levels of Proinflammatory Cytokines and VEGF-A.

    Science.gov (United States)

    Sundström, Karin B; Nguyen Hoang, Anh Thu; Gupta, Shawon; Ahlm, Clas; Svensson, Mattias; Klingström, Jonas

    2016-01-01

    Andes virus (ANDV) causes hantavirus pulmonary syndrome (HPS), a severe acute disease with a 40% case fatality rate. Humans are infected via inhalation, and the lungs are severely affected during HPS, but little is known regarding the effects of ANDV-infection of the lung. Using a 3-dimensional air-exposed organotypic human lung tissue model, we analyzed progeny virus production and cytokine-responses after ANDV-infection. After a 7-10 day period of low progeny virus production, a sudden peak in progeny virus levels was observed during approximately one week. This peak in ANDV-production coincided in time with activation of innate immune responses, as shown by induction of type I and III interferons and ISG56. After the peak in ANDV production a low, but stable, level of ANDV progeny was observed until 39 days after infection. Compared to uninfected models, ANDV caused long-term elevated levels of eotaxin-1, IL-6, IL-8, IP-10, and VEGF-A that peaked 20-25 days after infection, i.e., after the observed peak in progeny virus production. Notably, eotaxin-1 was only detected in supernatants from infected models. In conclusion, these findings suggest that ANDV replication in lung tissue elicits a late proinflammatory immune response with possible long-term effects on the local lung cytokine milieu. The change from an innate to a proinflammatory response might be important for the transition from initial asymptomatic infection to severe clinical disease, HPS.

  7. 逆转录-套式PCR检测汉坦病毒感染的实验研究%Detection of hantavirus infection using reverse transcriptional - nested polymerase chain reaction

    Institute of Scientific and Technical Information of China (English)

    朱子犁; 刘建军; 阳帆; 汪洪富; 何建凡

    2007-01-01

    目的:探讨逆转录-套式聚合酶链反应(RT-nested-PCR)检测汉坦病毒(Hantavirus,HV)感染的准确性和敏感性.方法:用RT-nested-PCR和直接免疫荧光法(direct immunofluorescence,FA)分别检测深圳市2005年肾综合征出血热宿主动物监测中捕获的鼠类中HV的感染情况.结果:在76份特异性总抗体阳性的鼠肺标本中,用RT-nested-PCR检出61份抗原阳性,而FA仅检出47份阳性.结论:RT-nested-PCR是一种比较准确的检测汉坦病毒感染的方法,其敏感性高于FA.

  8. An investigation of Bartonella spp., Rickettsia typhi, and Seoul hantavirus in rats (Rattus spp.) from an inner-city neighborhood of Vancouver, Canada: is pathogen presence a reflection of global and local rat population structure?

    Science.gov (United States)

    Himsworth, Chelsea G; Bai, Ying; Kosoy, Michael Y; Wood, Heidi; DiBernardo, Antonia; Lindsay, Robbin; Bidulka, Julie; Tang, Patrick; Jardine, Claire; Patrick, David

    2015-01-01

    Urban Norway and black rats (Rattus norvegicus and Rattus rattus) are reservoirs for variety of zoonotic pathogens. Many of these pathogens, including Rickettsia typhi, Bartonella spp., and Seoul hantavirus (SEOV), are thought to be endemic in rat populations worldwide; however, past field research has found these organisms to be absent in certain rat populations. Rats (Rattus spp.) from an inner city neighborhood of Vancouver, Canada, were tested for exposure to and/or infection with SEOV and R. typhi (using serology and PCR), as well as Bartonella spp. (using culture and sequencing). Approximately 25% of 404 rats tested were infected with Bartonella tribocorum, which demonstrated significant geographic clustering within the study area. Infection was associated with both season and sexual maturity. Seroreactivity against R. typhi and SEOV was observed in 0.36% and 1.45% of 553 rats tested, respectively, although PCR screening results for these pathogens were negative, suggesting that they are not endemic in the study population. Overall, these results suggest that the geographic distribution of rat-associated zoonoses, including R. typhi, SEOV, and Bartonella spp., is less ubiquitous than previously appreciated, and is likely dependent on patterns of dispersion and establishment of the rat reservoir host. Further study on global and local Rattus spp. population structures may help to elucidate the ecology of zoonotic organisms in these species.

  9. 应用RNA聚合酶Ⅰ反向遗传操作技术构建肾综合征出血热汉坦病毒微复制子%Establishment of hemorrhagic fever with renal syndrome hantavirus minigenomes system by RNA polymerase I-driven system

    Institute of Scientific and Technical Information of China (English)

    孙玉兰; 李川; 张全福; 李德新

    2013-01-01

    目的 构建肾综合征出血热病原汉坦病毒的微复制子,初步研究汉坦病毒基因组非编码区的调控功能.方法 利用RNA聚合酶Ⅰ体系,将报告基因绿色荧光蛋白(GFP)分别插入汉坦病毒76118毒株三个片段5'和3'非编码区之间,所形成的嵌合cDNA反向插入含RNA聚合酶Ⅰ的表达载体PHH21中,获得汉坦病毒三个片段的微复制子L-GFP-PHH21、M-GFP-PHH21、S-GFP-PHH21,将微复制子转染汉坦病毒76118株预先感染的vero细胞,48h后观察GFP表达情况.结果 汉坦病毒L、M、S三个片段微复制子均能观察到绿色荧光的表达,其中M片段最强,L片段最微弱.结论 以RNA聚合酶Ⅰ体系为基础构建的汉坦病毒L、M、S三个片段的微复制子是有功能的;汉坦病毒非编码区含有对汉坦病毒转录复制的重要调控原件.此微复制子系统可用于进一步研究汉坦病毒基因结构和功能的关系、基因转录和复制的调控机制,为实现汉坦病毒的病毒拯救奠定基础.%Objective To develop minigenome system for hemorrhagic fever with renal syndrome hantavirus and to investigate the role of the noncoding regions of hantavirus in this process.Methods Complementary DNA (cDNA) containing the coding sequence for green fluorescence protein (GFP) was flanked by the 5'-and 3'-terminal untranslated regions of L,M,S segment of hantavirus 76118 strain.These chimeric cDNAs (pol Ⅰ expression cassette) were cloned into PHH21 vector which contain pol Ⅰ promoter and terminator to generate artificial viral RNA genome segments (minigenomes).These plasmids transfected into vero cells which has been infected by 76118 strain in advance and reporter gene activity was detected 24h ~48h post-transfection.Results Green fluorescence were observed for all the L,M and S segment-based minigenomes and the M segment-based minigenome showed the strongest level of GFP reporter.Conclusions We constructed a functional RNA polymerase I

  10. Detection of the specific antigens in the tissues of the C57BL/6 mouses infected with hantavirus%汉坦病毒感染C57BL/6小鼠组织中特异性抗原的检测

    Institute of Scientific and Technical Information of China (English)

    程林峰; 白露; 李凯; 李璞媛; 胡刚; 于澜; 吴兴安; 徐志凯; 张芳琳

    2011-01-01

    Objective To establish a system to evaluate the animals infected with hantavirus. Methods C57BL/6 mice were intramuscular infected with various doses of hantavirus ( 10-1 to 10-2 dilution of stock solution). Viral antigen in the mouse tissues was detected by ELISA method at day-3, 6, 9, 12, and 15 after infection. Results Viral antigens could be detected from the liver and spleen samples early after infection. The expression level was reduced gradually. Conclusion The results provided some information about the animals infected with hantavirus.%目的 通过检测汉坦病毒感染C57BL/6小鼠组织中特异性病毒抗原,以建立汉坦病毒感染动物的评价体系.方法 将汉坦病毒陈株按照原病毒液、10-1、10-2三个滴度经肌肉注射感染C57BL/6小鼠,在感染后的第3、6、9、12、15天,分别取小鼠的心、肝、脾、肺、肾、脑等组织研磨后制成病毒悬液,以ELISA法检测各组织中的病毒特异性抗原.结果 C57BL/6小鼠感染汉坦病毒后短期内在其肝脏和脾脏可以检测到特异性抗原,随着时间的延长,这些抗原逐步消失.结论 上述结果为建立汉坦病毒感染动物的评价体系提供了一种参考.

  11. Intoxicación por metales

    Directory of Open Access Journals (Sweden)

    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 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.

  12. 汉坦病毒感染BALB/c小鼠组织中特异性抗原及病毒RNA的检测%Detection of the specific antigens and viral RNA in the tissues of the BALB/c mice infected with hantavirus

    Institute of Scientific and Technical Information of China (English)

    徐永妮; 胡至察; 程林峰; 张芳琳

    2013-01-01

    Objective To establish an evaluation system about animals infected with hantavirus,an observation of the BALB/c mice infected with hantavirus was made.Methods BALB/c mice were infected with hantavirus by intramuscular injection with stock solution.The specific antigen from BALB/c mice tissues after 3 days was detected with enzyme-linked immunosorbent assay (ELISA) and viral RNA with real-time polymerase chain reaction (RT-PCR).Results Within a short term,the specific antigen and viral RNA were detected from the brain and liver at day 3 after infection,but not be detected from the heart,spleen,lung,and kidney samples.Conclusions The results provided ones with some information on animals infected with hantavirus.%目的 检测汉坦病毒感染BALB/c小鼠组织中特异性抗原及病毒RNA,建立汉坦病毒感染动物的评价体系.方法 将1000LD50的汉坦病毒悬液经肌肉注射感染BALB/c小鼠,在感染后的第3天,分别取小鼠的心、肝、脾、肺、肾、脑等组织研磨后制成病毒悬液,以ELISA法和qRT-PCR法分别检测各组织中的汉坦病毒特异性抗原及病毒RNA.结果 BALB/c小鼠感染汉坦病毒后短期内在脑和肝组织中可以检测到大量汉坦病毒特异性抗原以及病毒RNA,而心、脾、肺、肾组织中未检测到特异性抗原及病毒RNA.结论 实验结果为建立汉坦病毒感染动物模型的评价体系提供了参考依据.

  13. Por que morrem os cortadores de cana?

    OpenAIRE

    Alves, Francisco

    2006-01-01

    O objetivo deste trabalho é demonstrar que a morte dos trabalhadores assalariados rurais, cortadores de cana, advém do pagamento por produção. Os processos de produção e de trabalho vigentes no Complexo Agroindustrial Canavieiro foram concebidos objetivando a produtividade crescente do trabalho e, combinados ao pagamento por produção, provocam a necessidade de os trabalhadores aumentarem o esforço despendido no trabalho. O crescimento do dispêndio de energia e do esforço para cortar mais cana...

  14. Algunos problemas de rutas por arcos

    OpenAIRE

    Ávila Valverde, Thais

    2014-01-01

    En esta tesis se estudian tres problemas de rutas por arcos muy importantes tanto a nivel práctico como teórico. Se tratan del General de Rutas por Arcos en un grafo dirigido (Directed General Routing Problem, DGRP), su caso particular, el problema de la Grúa (Stacker Crane Problem, SCP) y el problema del Cartero Rural Generalizado en un grafo dirigido (Generalized Directed Rural Postman Problem, GDRPP). El primer problema estudiado es problema de la Grúa el cual se define en un grafo mi...

  15. Endoftalmite por Candida albicans Candida albicans endophthalmitis

    Directory of Open Access Journals (Sweden)

    Pedro Duraes Serracarbassa

    2003-10-01

    Full Text Available O autor descreve os aspectos epidemiológicos, histopatológicos e clínicos da endoftalmite endógena por Candida albicans. Apresenta ainda novos métodos diagnósticos e opções terapêuticas utilizadas no tratamento das infecções fúngicas intra-oculares, por meio de revisão bibliográfica.The author describes epidemiological, histopathological and clinical aspects of endogenous Candida albicans endophthalmitis. He also presents new diagnostic methods and therapeutical options to treat intraocular fungal infections, based on literature review.

  16. Neumopericardio debido a herida por arma blanca

    Directory of Open Access Journals (Sweden)

    Samuel I. Merino Barrera

    2015-10-01

    Full Text Available Hombre de 24 años de edad que ingresó en el hospital debido a una herida por arma blanca penetrante en el hemitórax derecho. La herida, de 3 cm a nivel de la piel, se localizaba a nivel del segundo espacio intercostal derecho y la radiografía de tórax demostró un neumotórax del mismo lado y una colección radiotransparente, por debajo del pericardio parietal, desde el origen de los grandes vasos hasta la porción apical del ventrículo izquierdo.

  17. ACATISIA INDUCIDA POR TIETILPERAZINA EN PACIENTE EMBARAZADA

    OpenAIRE

    Vera,Gabriela; Varas,Aldo

    2002-01-01

    La acatisia es un efecto lateral neurológico agudo común a diversos fármacos que actúan a nivel dopaminérgico, su manifestación fundamental es la inquietud psicomotora, es importante diagnosticar y tratar precozmente este síndrome. Tietilperazina es una fenotiazina cuyo efecto antiemético es usado en diversas circunstancias clínicas, presentamos el caso de una paciente hospitalizada por hiperemesis gravídica que es derivada a psiquiatría por la presencia de síntomas aparentemente ansiosos. El...

  18. Tavares Bastos por Evaristo de Moraes Filho

    OpenAIRE

    Ferreira, Gabriela Nunes [UNESP

    2002-01-01

    A reedição de volume dedicado pelo jurista e pensador político Evaristo de Moraes Filho à obra de Tavares Bastos é comentada por autora de obra recente sobre essa importante figura política do Império brasileiro.

  19. Endocardite infecciosa causada por Eikenella corrodens

    Directory of Open Access Journals (Sweden)

    Cardoso Juliano Novaes

    2005-01-01

    Full Text Available Os microorganismos do grupo HACEK (Haemophilus spp, Actinobacillus actinomycetemcomitans, Cardiobacterium hominis, Eikenella corrodens e Kingella kingae são responsáveis por 3% dos casos de endocardites. Eles apresentam propriedades clínicas e microbiológicas semelhantes entre si: são bacilos gram-negativos, isolados mais facilmente em meios aeróbicos, suas culturas necessitam de tempo prolongado de incubação para crescimento (média 3,3 dias e podem ser considerados como parte da flora normal do trato respiratório superior e da orofaringe1,2. Algumas características foram identificadas nas endocardites por esses agentes, como o quadro clínico insidioso¹, diagnóstico difícil pela natureza fastidiosa e culturas negativas3,4. A endocardite por Eikenella corrodens foi descrita pela primeira vez em 1972(5 e continua sendo um agente etiológico raro. Relatamos o caso de uma paciente com valva nativa que apresentou endocardite infecciosa causada por Eikenella corrodens.

  20. Conflictos por el espacio y orden urbano

    Directory of Open Access Journals (Sweden)

    Emilio Duhau

    2004-01-01

    Full Text Available En este artículo se explora una interpretación de los conflictos en torno al espacio en la Zona Metropolitana de la Ciudad de México (ZMCM con base en los conceptos de orden y de contextos urbanos. Para ello se presenta en primer término un conjunto de formas históricas de producción del espacio urbano que, de acuerdo con los autores, conforman en la actualidad cuatro “ciudades”, es decir, otros tantos contextos urbanos que se diferencian entre sí, entre otras cuestiones, por el tipo de conflictos por el espacio que en cada uno de ellos aparece como dominante. En segundo término se examina el concepto de orden urbano y se propone una línea de interpretación de los conflictos relacionados con el espacio que marcan en la actualidad dicho orden en la metrópoli. Por último se describen e ilustran las dinámicas que caracterizan a cada uno de los cuatro contextos urbanos o “ciudades” a partir de las formas en que se combinan diferentes modalidades de organización del espacio, usos del espacio público y privado y conflictos dominantes por el espacio.

  1. 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.…

  2. Selective amplification of cDNA sequence from total RNA by cassette-ligation mediated polymerase chain reaction (PCR): application to sequencing 6.5 kb genome segment of hantavirus strain B-1.

    Science.gov (United States)

    Isegawa, Y; Sheng, J; Sokawa, Y; Yamanishi, K; Nakagomi, O; Ueda, S

    1992-12-01

    A method, referred to as cassette-ligation mediated polymerase chain reaction (PCR), has been developed to permit selective and specific amplification of cDNA sequence from total cellular RNA. This technique comprises (i) digestion of cDNA with multiple restriction enzymes, (ii) ligation of cleavage products to double-stranded DNA cassettes possessing a corresponding restriction site and (iii) amplification of cassette-ligated restriction fragments containing a short, known sequence (but not all the other ligation products) by PCR using the specific and cassette primers; the specific primer is designed to prime synthesis from the known sequence of the cDNA whereas the cassette primer anneals to one strand of the cassette. Sequencing from the cassette primer provides information to design a new primer for the next walking step. The amplified cDNA fragments are often larger than the maximum DNA fragments (500-600 bp) that can be sequenced without the need of synthesizing internal sequencing primer. Each of such large cDNA fragments is dissected into smaller DNA fragments by repeating cassette-ligation mediated PCR exploiting different restriction sites and different sets of cassette primers. This dissection process reduces the number of specific primers to a minimum, thereby increasing the speed of sequencing and minimizing the overall cost. We have successfully applied this cDNA walking and sequencing by the cassette-ligation mediated PCR to the sequencing of an entire 6.5 kb genome segment of hantavirus strain B-1.(ABSTRACT TRUNCATED AT 250 WORDS)

  3. Expression and significance of relative factors in HEK-293 apoptosis induced by hantavirus%凋亡相关蛋白在汉坦病毒诱导HEK-293细胞凋亡过程中的表达及意义

    Institute of Scientific and Technical Information of China (English)

    高巍; 王晓燕; 刘伟; 康鹏

    2012-01-01

    Objective To provide reference to possible mechanism of injury in human embryonic kidney 293 cell (HEK-293), which was induced by hantavirus by means of investigating the variation of Bcl-2、Bax and Caspase-3. Methods HEK-293 in vitro culture was divided into normal control group and infection group processed by hantavirus. Hantavirus antigen in HEK-293 cells were detected by indirectimmunofluorescent assay and the expression of Bcl-2N Bax and Caspase-3 were assessed by Western blot. Results Fluorescence-positive cells e-merged one day after HEK-293 cells were infected with hantavirus, and with time going on, fluorescence intensity increased gradually, as well as a large amount of foliated or granular greenyellow fluorescence in intracytoplasm. As Western blot results showed ,in contrast to control group, the expression of Bel-2、Bax and Caspase-3 did not present marked change 1 day postinfection (P >0. 05) ,and the expression of Bcl-2 decreased with that of Bax and Caspase-3. activation increasing 3 or 5 days postinfection ( P < 0. 05 ). Conclusion The injury mechanism produced by hantavirus which infected and proliferated in HEK-293 cell could be relative to the decrease of Bcl-2 expression and the up-regulation of Bax protein, as well as apoptosis of HEK-293 cells induced by mitochondrial-mediated manner.%目的 探讨Bcl-2、Bax及Caspase-3在汉坦病毒诱导人胚肾细胞(HEK-293)凋亡过程中的变化,为研究汉坦病毒诱导人胚肾细胞损伤的机制提供参考.方法 体外培养HEK-293细胞,分为正常对照组和汉坦病毒处理的感染组,采用间接免疫荧光法检测HEK-293内汉坦病毒抗原;用Westen blot方法检测Bcl-2、Bax及Caspase-3蛋白表达水平.结果 汉坦病毒感染HEK-293细胞1d后即开始出现荧光阳性细胞,随着时间延长,荧光强度逐渐增强,细胞胞浆内出现大量片状或颗粒性的黄绿色荧光;Western blot结果显示,与对照组比较,汉坦病毒感染1d后Bcl-2

  4. 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.

  5. Responsabilidad penal del empleador por delitos cometidos en la empresa por sus subordinados

    Directory of Open Access Journals (Sweden)

    Walter Jose Saavedra Troncoso

    2013-07-01

    Full Text Available En este trabajo se realiza un estudio sobre la responsabilidad penal del empresario por los actos al margen de la ley que cometen sus subordinados. Se busca aclarar si el empresario debe responder penalmente cuando el delito es cometido por un subordinado en ejercicio de sus funciones o cuando este actúa a nombre de la empresa ya sea valiéndose de la información que manejan, del grado de responsabilidad o de la confianza. Por esta razón concentraremos nuestra atención en analizar la responsabilidad penal por la omisión de controles del empresario hacia el subordinado, exponiendo la problemática que se deriva de la posición de garante del primero en las operaciones empresariales.

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

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    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 otros modelos, la SAS tiene concreciones particulares de la buena fe que permiten un amparo más efectivo y eficiente de los derechos de los socios y de los terceros, en la medida en que instituciones como el fraude a la ley, el perjuicio injusto a terceros, el abuso del derecho y el administrador de hecho, todos estructurados a partir de violaciones a la buena fe, permiten tramitar los eventos de responsabilidad por ilícitos atípicos y llegar incluso a desestimar por ello el atributo de la limitación de responsabilidad.

  7. DIATERMIA POR ONDAS CURTAS: ANÁLISE DA TEMPERATURA CORPORAL SUPERFICIAL POR TERMOGRAFIA

    OpenAIRE

    Sergio Fernando Zavarize; Anderson Martelli; Samara Aparecida Machado; Estela Maria Correia Sant’Ana

    2014-01-01

    Introdução: Poucos estudos relacionam os efeitos da diatermia por ondas curtas (DOC) e a área de aquecimento promovido por sua aplicação. Objetivo: O objetivo do trabalho foi avaliar o comportamento da temperatura superficial corporal antes e após a aplicação de DOC por meio da termografia cutânea. Materiais e métodos: A análise da temperatura corporal no local da aplicação foi realizada através da captura da imagem por meio de câmera termográfica após quinze minutos de repouso do...

  8. Mastite por Paracoccidioidomicose: Relato de Caso

    Directory of Open Access Journals (Sweden)

    Chambô Filho Antônio

    2000-01-01

    Full Text Available A paracoccidioidomicose é uma importante micose sistêmica, endêmica na América Latina. A infecção é usualmente adquirida por inalação das partículas do micélio. Na sua maioria são infecções assintomáticas e estão associadas a vários fatores do hospedeiro, como sexo, idade, fatores genéticos, bem como às características do agente infeccioso e sua virulência. Apresentamos um caso de mastite por paracoccidioidomicose, com o objetivo de demonstrar que pacientes idosas e com abcessos na mama devem ser submetidas à biópsia.

  9. Intoxicación por Superwarfarinas

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    Patricia Crecente Otero

    2012-09-01

    Full Text Available Las denominadas superwarfarinas se desarrollaron a partir de la década de 1970 como solución a las resistencias que habían desarrollado los roedores a los raticidas hasta entonces existentes1. Sus principales ventajas son su mayor potencia (hasta 100 veces más potentes que la warfarina2 y el disponer de una semivida más larga (hasta 6-8 semanas. Presentamos el caso de un paciente varón que ingresa en nuestro servicio de Medicina Interna por otorragia y hematuria para estudio. Como único antecedente es consumidor ocasional de cocaína inhalada. Se confirma la intoxicación por un potente raticida, la bromadiolona.

  10. Celulitis por cuerpo extraño

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    Miguel B. Carrasco Guzmán

    2016-01-01

    Full Text Available Las infecciones de la piel y el tejido celular subcutáneo surgen como un grupo importante de afecciones con una alta morbilidad en edades pediátricas, generalmente relacionada con traumatismo y cuerpos extraños. Se presenta el caso de una escolar femenina de 6 años de edad, con síntomas y signos clínicos que sugieren celulitis en el muslo derecho,  por su evolución tórpida se le realizó el estudio ultrasonográfico que confirmó el diagnóstico etiológico de una celulitis secundaria a un traumatismo, provocada por la introducción de un gran cuerpo extraño, que pasó inadvertido para a familia de la menor.

  11. Conservación por calor

    OpenAIRE

    Cobos García, Angel; Díaz Rubio, Olga

    2011-01-01

    Esta unidade didáctica denominada Conservación por calor forma parte da materia «Tecnoloxía do procesado de alimentos» que se impartirá no primeiro semestre do 2º curso do Grao en Nutrición Humana e Dietética. A materia estrutúrase en diferentes unidades didácticas, tratando cada unha delas as diferentes tecnoloxías de procesado dos alimentos, tanto de conservación coma de transformación. A presente unidade didáctica aborda a conservación dos alimentos por calor. Este método permite destruír ...

  12. Muestreo por conglomerados en encuestas poblacionales

    OpenAIRE

    Zapata-Ossa, Helmer de Jesús; Cubides-Munévar, Angela M.; López, María C.; Pinzón-Gómez, Elisa M.; Filigrana-Villegas, Paola A.; Cassiani-Miranda, Carlos A.

    2012-01-01

    Objetivo Describir la técnica estadística del muestreo por conglomerados en encuestas de salud poblacionales. Métodos Se describen los aspectos más importantes de cada uno de los pasos metodológicos   haciendo énfasis en los fundamentos del Muestreo por Conglomerados. Éste se aplicó sobre una población  de aproximadamente 100 000 habitantes de la comuna 18 de Cali. La muestra abarcó 30 manzanas y se encuestaron 3 026 personas. La información se recolectó usando el Sistema de Información de ba...

  13. Evolution of NADPH-cytochrome P450 oxidoreductases (POR) in Apiales - POR 1 is missing

    DEFF Research Database (Denmark)

    Andersen, Trine Bundgaard; Hansen, Niels Bjørn; Laursen, Tomas;

    2016-01-01

    . These were subjected to a phylogenetic analysis along with 237 other publicly available (NCBI and oneKP) POR sequences found within the clade Asterids. Here, we show that the order Apiales only harbor members of the POR 2 clade, which are further divided into two distinct subclades. This is in contrast...... (available from the SRA at NCBI). All three genes were shown to be functional upon reconstitution into nanodiscs, confirming that none of the isoforms are pseudogenes....

  14. Muerte por Ahorcadura Death by Hanging

    OpenAIRE

    A. Sibón Olano; P. Martínez-García; RJ. Palacios Granero; JL. Romero Palanco

    2005-01-01

    La muerte por ahorcadura, suspensión o colgamiento, es generalmente suicida y con menos frecuencia accidental. El ahorcamiento homicida es inusual, estando descrito como mecanismo para disimular la verdadera causa de la muerte. La presencia de signos vitales van a permitir distinguir entre una suspension vital y otra postmortal. En este número, vamos a mostrar imágenes de algunos signos de ahorcadura discutiendo su origen vital. La autopsia reglada del cuello, en ocasiones, no muestra signos ...

  15. Claude Lefort: Democracia e Luta por Direitos

    Directory of Open Access Journals (Sweden)

    Silvana de Souza Ramos

    2016-06-01

    Full Text Available RESUMO: Tendo como eixo organizador o debate acerca da noção de direitos do homem e do cidadão e a eficácia destes no que se refere à luta política por novos direitos, o artigo investiga o caráter inovador da democracia moderna. Em sua abordagem do tema, C. Lefort combate três teses: a de que a defesa de direitos humanos universais representaria um perigo à política vigorosa, instituída em Estados benevolentes; a de que esses direitos seriam a expressão mais acabada da ideologia do individualismo burguês e corresponderiam a formalidades vazias, cujo sentido seria apenas o de escamotear a violência social e sacralizar privilégios; e, por fim, a tese segundo a qual as instituições democráticas visariam somente a reproduzir as relações de propriedade e força vigentes no capitalismo e não permitiriam que as contradições sociais fossem expressas ou mesmo resolvidas no campo da política. Trata-se de retomar a filosofia política proposta por C. Lefort, a qual enfatiza o caráter inédito da democracia moderna, para então explicitar, contrariando tais críticas, a perspectiva histórica de luta por direitos aberta pela invenção democrática.

  16. sobrevida de ratas intoxicadas por paraquat

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    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

  17. Intoxicación aguda por plaguicidas

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    Durán-Nah Jaime Jesús

    2000-01-01

    Full Text Available OBJETIVO: Describir la epidemiología de la intoxicación aguda por plaguicidas (IAP en el Hospital General O'Horán de Mérida, Yucatán, México. MATERIAL Y MÉTODOS: Se revisaron los expedientes de 33 pacientes superscript three 13 años, tratados en una unidad de cuidados intensivos (UCI, entre 1994 y 1998. Se recopilaron variables demográficas y clínicas relevantes, y se aplicó estadística descriptiva. RESULTADOS: En la población estudiada predominó el sexo masculino (82% del medio rural (70%, y la edad media fue de 34 ± 15.8 años. El intento de suicidio fue causa frecuente de IAP (79%, y en 33% de los casos la intoxicación se produjo por la utilización de organofosforados. La mortalidad fue de 12%. CONCLUSIONES: La IAP fue baja entre los sujetos del medio rural, por lo que los resultados de este estudio parecen no reflejar la realidad del problema. Es importante añadir que los plaguicidas son utilizados con relativa frecuencia para el intento de suicidio.

  18. Leibniz damnificado por el terremoto de Lisboa

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    Evaristo ÁLVAREZ MUÑOZ

    2009-11-01

    Full Text Available RESUMEN: En las páginas que siguen se argumenta que al filósofo alemán Gottfried Wilhelm Leibniz —fallecido en Hannover en 1716— o, al menos, a su obra Teodicea, cabría contarlos, echadas las cuentas de la manera que se verá, entre las víctimas del terremoto de Lisboa de 1755. Asimismo se subraya la persistencia del pensamiento de Leibniz en las respuestas dadas por los filósofos del siglo XVIII al trágico suceso. Se estudian las reacciones de Voltaire, de Rousseau y de Kant ante los estragos provocados por el seísmo y se concluye que las manifestaciones de los dos primeros ya habían sido previstas en Teodicea e, incluso, la vía científica pretendida por Kant había sido abierta en Protogaea.ABSTRACT: It is argued here that German philosopher Gottfried Wilhelm Leibniz, passed away in 1716, and, specially, that his work Teodicea, could be considered amongst the victims of the Lisbon earthquake of 1755. The persistence of the Leibniz’s thought in the answers given by the philosophers of the 18th Century to the tragic event is also emphasized. Voltaire and Rousseau’s reactions to the damage caused by the earthquake had been anticipated in Teodicea and the scientific way followed by Kant had been initiated in Protogaea.

  19. Intoxicación por drogas

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    I. Gainza

    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.

  20. Dos genios unidos por un alfabeto

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    Andrés Arias

    2016-12-01

    Full Text Available En 1953 el artista Sergio Trujillo Magnenat le pidió al arquitecto Victor Schmid que le hiciera una casa dónde vivir con su familia. La única condición que le puso fue que el diseño de la construcción nada tuviera que ver con el estilo suizo que ya identificaba las obras de Schmid. Le dijo que quería una casa de corte moderno, de líneas parecidas a las impuestas por el famoso Le Corbusier. Schmid ni lo pensó: de inmediato aceptó el reto y un año después entregó la obra (y toda su vida diría, medio en serio, medio en broma, que aquella casa le había quedado aun mejor y más bella que las hechas por el propio Le Corbusier, por cierto compatriota suyo. Allí vivieron durante décadas los Trujillo: el maestro, Sara (su esposa y sus hijos. La casa aún se mantiene en pie: ocupa una amplia esquina, en la calle 58 con carrera tercera, en el muy bogotano barrio de Chapinero. Es más, fue restaurada y bajo el nombre de Casa Trujillo es hoy un conjunto de apartamentos.

  1. Adaptações fisiológicas precoces e tardias após valvotomia mitral por cateter balão Early and late physiological effects of balloon mitral valvuloplasty

    Directory of Open Access Journals (Sweden)

    Japy Angelini Oliveira Fº

    1998-02-01

    Full Text Available OBJETIVO: Avaliação não invasiva das respostas cardiopulmonares ao exercício a curto e longo prazo após valvotomia mitral por cateter balão. MÉTODOS: Estudaram-se 9 pacientes do sexo feminino, 35±9 anos, com estenose mitral, tipo funcional II ou III, em uso de digitálicos e diuréticos, através de teste ergoespirométrico, eletrocardiograma e ecocardiograma, antes e após valvotomia em fase precoce (3 a 5 dias e tardia (8 a 12 meses. RESULTADOS: Os pacientes evoluíram para tipo funcional II (44% ou I (56%, na fase tardia. Houve redução da freqüência cardíaca de repouso (87±11bpm vs 85±7bpm vs 75±9bpm e elevação do número de estágios (4±1 estágios vs 5±2 estágios vs 6±1 estágios; a capacidade aeróbia máxima aumentou apenas na fase tardia (16±3mL/kg/min vs 18±4mL/kg/min vs 22±7mL/kg/min. O limiar anaeróbio, a ventilação pulmonar e o equivalente ventilatório do O2 permaneceram inalterados. Nas cargas submáximas de exercício ocorreu redução da freqüência cardíaca (estágio I: 124±18bpm vs 112±13bpm vs 87±15bpm, consumo de O2 (estágio I: 10±2mL/kg/min vs 8±2mL/kg/min vs 8±mL/kg/min e ventilação pulmonar, nas fases precoce e tardia. A área valvar mitral mostrou reduções na fase tardia (0,94cm² vs 1,66cm² vs 1,20cm² . CONCLUSÃO: Apesar da tendência à reestenose parcial, houve melhora no tipo funcional e no desempenho cardiopulmonar com diminuição da sobrecarga circulatória no exercício submáximo.PURPOSE: To evaluate the early and late cardiorespiratory responses after balloon mitral valvuloplasty. METHODS: Nine female patients aged 35±9 years, with mitral stenosis, in class II or III (NYHA underwent upright ergoespirometric test, resting electrocardiogram and echocardiogram before, 3 to 5 days (early evaluation and 8 to 12 months (late evaluation after mitral valvuloplasty. All patients were treated with digitalis and diuretics. RESULTS: During late evaluation, 44% patients were in

  2. Structural Insights into the PorK and PorN Components of the Porphyromonas gingivalis Type IX Secretion System.

    Science.gov (United States)

    Gorasia, Dhana G; Veith, Paul D; Hanssen, Eric G; Glew, Michelle D; Sato, Keiko; Yukitake, Hideharu; Nakayama, Koji; Reynolds, Eric C

    2016-08-01

    The type IX secretion system (T9SS) has been recently discovered and is specific to Bacteroidetes species. Porphyromonas gingivalis, a keystone pathogen for periodontitis, utilizes the T9SS to transport many proteins including the gingipain virulence factors across the outer membrane and attach them to the cell surface via a sortase-like mechanism. At least 11 proteins have been identified as components of the T9SS including PorK, PorL, PorM, PorN and PorP, however the precise roles of most of these proteins have not been elucidated and the structural organization of these components is unknown. In this study, we purified PorK and PorN complexes from P. gingivalis and using electron microscopy we have shown that PorN and the PorK lipoprotein interact to form a 50 nm diameter ring-shaped structure containing approximately 32-36 subunits of each protein. The formation of these rings was dependent on both PorK and PorN, but was independent of PorL, PorM and PorP. PorL and PorM were found to form a separate stable complex. PorK and PorN were protected from proteinase K cleavage when present in undisrupted cells, but were rapidly degraded when the cells were lysed, which together with bioinformatic analyses suggests that these proteins are exposed in the periplasm and anchored to the outer membrane via the PorK lipid. Chemical cross-linking and mass spectrometry analyses confirmed the interaction between PorK and PorN and further revealed that they interact with the PG0189 outer membrane protein. Furthermore, we established that PorN was required for the stable expression of PorK, PorL and PorM. Collectively, these results suggest that the ring-shaped PorK/N complex may form part of the secretion channel of the T9SS. This is the first report showing the structural organization of any T9SS component.

  3. Diarrea recurrente por Cystoisopora belli en pacientes con infección por VIH con TARGA

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    Raúl Montalvo

    Full Text Available La Cystoisospora belli, antes denominada Isospora belli, es el agente etiológico de la cystoisosporiasis, una infección oportunista que afecta a pacientes inmunodeprimidos, caracterizada por diarrea crónica y pérdida ponderal. La incidencia de diarrea crónica por este agente, en pacientes infectados por el VIH, ha disminuido considerablemente. Ello gracias al advenimiento de la terapia antirretroviral de gran actividad (TARGA, con la que se ha logrado mejorar la respuesta inmunológica del paciente y disminuir su carga viral. Se presentan seis casos de cystoisosporiasis recurrente y refractaria en pacientes con infección por VIH, en quienes se diagnosticó cystoisosporiasis pese a que previamente se encontraban recibiendo profilaxis con trimetropin/sulfametoxazol (TMP/SMX. Cinco de ellos evolucionaron de manera tórpida y fallecieron, a pesar de una buena respuesta al TARGA (adecuado incremento de CD4 y disminución de la carga viral hasta rangos indetectables, y de tratamiento con TMP/SMX por vía oral y otros medicamentos de segunda línea.

  4. Cefaleia por uso excessivo de medicamentos

    Directory of Open Access Journals (Sweden)

    Ariane Maria Fonseca MIRANDA

    2015-01-01

    Full Text Available Uma variante da cefaleia crônica diária, a cefaleia por uso excessivo de medicamentos é uma manifestação clínica de frequência ≥ 15 dias por mês, durante 3 meses. Possui um diagnóstico deficiente e um tratamento dividido em etapas, sendo a desintoxicação, a etapa de fundamental importância. Este artigo apresenta uma revisão sobre o tema, contribuindo para o esclarecimento das principais manifestações clínicas, principais teorias envolvendo sua fisiopatologia e a terapêutica farmacológica empregada. A metodologia utilizada foi uma revisão de publicações europeias e americanas, no período de 2001 a 2013, nos idiomas português, inglês e espanhol. Todos os medicamentos utilizados no tratamento sintomático das cefaleias são capazes de cronificar uma cefaleia preexistente, desde que sejam utilizados excessivamente, de forma regular e continuada. A suspensão de tais agentes terapêuticos resultará em melhoria na maioria dos pacientes, porém pode ser necessária a introdução de uma terapia de suporte de transição e/ou terapia profilática. Os tratamentos nao farmacológicos, quando associados ao farmacológico, ampliam a possibilidade de resultados satisfatórios, evitando recaídas.

  5. CONTABILIDAD POR ÁREAS DE RESPONSABILIDAD

    OpenAIRE

    García, Natalia

    2014-01-01

    La notable evolución del mundo actual de los negocios ha obligado a las empresas a revisar constantemente sus técnicas de administración y de contabilidad. para que éstas aporten a sus directivos, elementos suficientes y oportunos para tomar decisiones. En México, desde hace un tiempo atrás, el Instituto Mexicano de Contadores Públicos A.C., recomienda a los contadores públicos y a los hombres de empres,as, el uso del sistema de Contabilidad por Áreas de Responsabilidad, que tiene como prop...

  6. RUPTURA UTERINA ESPONTANEA POR PLACENTA PERCRETA

    OpenAIRE

    2003-01-01

    La rotura uterina en un útero sin cicatriz previa, y temprano en el tercer trimestre, es un evento raro. Se expone el caso clínico de una paciente que se presenta con abdomen agudo, cursando embarazo de aproximadamente 25 semanas, se realiza laparotomía exploradora encontrando hemoperitoneo, feto y placenta libres en la cavidad peritoneal y útero roto en el fondo invadido por la placenta, que compromete epiplón mayor. Se realiza histerectomía y se confirma el diagnóstico con biopsia

  7. Principo de micromanipulacion inmersa por hielo.

    OpenAIRE

    C. Lopez Walle, Beatriz; Gauthier, Michaël; Chaillet, Nicolas

    2007-01-01

    International audience; Uno de los mayores problemas en la manipulación y ensamble de micro-objetos cuyo tamaño está comprendido entre un micrómetro y un milímetro es el desarrollo de estrategias de prensión altamente fiables y precisas, particularmente durante la fase de liberación del micro-objeto [1], [2]. Además, cuando las dimensiones del objeto son inferiores a 100 µm, la fase de liberación está fuertemente perturbada por el ambiente [3], [4]. Un análisis comparativo en [5] muestra que ...

  8. Intoxicación aguda por plaguicidas

    OpenAIRE

    Durán-Nah Jaime Jesús; Collí-Quintal Julián

    2000-01-01

    OBJETIVO: Describir la epidemiología de la intoxicación aguda por plaguicidas (IAP) en el Hospital General O'Horán de Mérida, Yucatán, México. MATERIAL Y MÉTODOS: Se revisaron los expedientes de 33 pacientes superscript three 13 años, tratados en una unidad de cuidados intensivos (UCI), entre 1994 y 1998. Se recopilaron variables demográficas y clínicas relevantes, y se aplicó estadística descriptiva. RESULTADOS: En la población estudiada predominó el sexo masculino (82%) del medio rural (70%...

  9. Uso de suplementos alimentares por adolescentes

    OpenAIRE

    Alves,Crésio; Lima,Renata Villas Boas

    2009-01-01

    OBJETIVO: Revisar crititcamente o uso, benefícios e efeitos adversos dos principais suplementos alimentares utilizados por adolescentes. FONTES DOS DADOS: A pesquisa bibliográfica, realizada nos últimos 10 anos, utilizou os bancos de dados MEDLINE e LILACS. Foram examinados 377 artigos, sendo selecionados 52. SÍNTESE DOS DADOS: O consumo de suplementos dietéticos é amplamente difundido entre adolescentes. Tal fato é constatado, com frequência, nos consultórios de pediatria e hebeatria. Na mai...

  10. Toxicidad por óxido de etileno

    OpenAIRE

    Téllez M. Jairo A.

    2010-01-01

    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 ...

  11. Bacteremias por bacilos gram-negativos

    Directory of Open Access Journals (Sweden)

    Adrelírio J. R. Gonçalves

    1969-01-01

    Full Text Available São apresentados 31 casos de bacteremia por gram-negativos, assunto que vem merecendo muita atenção dos pesquisadores nos últimos anos. Os organismos etiológicos mais importantes que apareceram em igualdade de freqüência foram Escherichia coli e Klebsiella-Aerobacter, sendo responsáveis por 58% do total das infecções, seguidos por Pseudomonas. A porta de entrada mais freqüente foi o trato urinário em 61,3% dos casos. A infecção foi mais comum no sexo masculino e a faixa etária de 50 a 60 anos predominou. O uso prévio de antibióticos foi um fator predisponente muito importante, seguido pelo uso de esteróides e citostáticos. As principais doenças predisponentes foram diabetes mellitus e neoplasias malignas. Os principais fatores precipitantes foram a manipulação do aparelho urinário, com infecção prévia ou desencadeada, cirurgia do aparelho digestivo, uronatia obstrutiva e obstrução biliar. As principais manifestações clínicas foram a presença de febre, calafrios e hipotensão arterial. A complicação mais freqüente foi o choque bacteriano que incidiu em 58% dos casos, aproximadamente três vêzes aquela relatada na literatura. As outras foram a insuficiência renal aguda, superinfecção e infecção pulmonar metastática. Considerações terapêuticas gerais e esquemas de antibióticos são propostos para estes casos. A mortalidade da bacteremia simples foi de 30,7% e quando associada ao choque elevou-se para 72,2% . As infecções por Pseudomonas foram 100% fatais.

  12. Pênfigo vegetante induzido por uso de enalapril

    OpenAIRE

    Adriano,André Ricardo; Gomes Neto, Antonio; Gustavo R Hamester; Nunes, Daniel H; Di Giunta,Gabriella

    2011-01-01

    Pênfigo Vegetante foi primeiramente descrito como uma variante do pênfigo vulgar, em 1876, por Neumann. Em 1889, Hallopeau descreveu um paciente com pústulas e placas vegetantes, e sugeriu ser uma variante do Pênfigo Vegetante de Neumann. Ambos os tipos de pênfigo vegetante são caracterizados pelo desenvolvimento de placas vegetantes, especialmente, em dobras (axila, inguinal, perianal). Os autores apresentam e discutem um caso de Pênfigo Vegetante com uma clínica incomum, com ausência de aco...

  13. 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.

  14. Herida antebraquial infectada por Aeromonas hydrophila

    OpenAIRE

    1995-01-01

    Se presenta un caso de celulitis por Aeromonas hydrophila, en un paciente de 23 años, tras una herida antebraquial producida en el medio acuático. La celulitis se resolvió mediante desbridamiento agresivo y quimioterapia. En los controles posteriores no se han apreciado déficits funcionales tras la infección. A case of Aeromonas hidrophila cellulitis developped in a 23-year-old patient, after aquatic environment forearm wound is presented. His cellulitis was effectively resolve...

  15. Neumonía por Stenotrophomonas maltophilia

    Directory of Open Access Journals (Sweden)

    Verny Huertas-Franco

    2014-03-01

    Full Text Available La Stenotrophomonas maltophilia es un bacilo gram negativo ambiental emergente que ha venido posicionándose entre el grupo de microorganismos multirresistentes como causa de infección en diversos órganos en ambiente hospitalario y en la comunidad. Se reporta este caso de insuficiencia respiratoria con neumonía severa por S. maltophilia adquirida en la comunidad en una paciente inmunocompetente que tuvo una rápida respuesta a tratamiento con trimetoprim sulfametoxazol cuando se logró identificar la bacteria.

  16. Estrategias de crecimiento empresarial aplicadas por hipermercados

    OpenAIRE

    Miraidy Leal Morantes; Yilian Cefalá Chirinos

    2003-01-01

    El presente estudio tiene como objetivo caracterizar las estrategias de crecimiento empresarial, representadas por alianzas y adquisiciones, que han sido aplicadas en el sector de distribución de bienes de consumo masivo, específicamente en los hipermercados ubicados en Maracaibo, Estado Zulia, como manera de responder al entorno competitivo y cambiante en el cual se desenvuelven. La investigación se desarrolló a través de un estudio de carácter descriptivo; para la recolección ...

  17. Hiperplasia gengival induzida por ciclosporina A

    OpenAIRE

    Ramalho Vera Lúcia Costa; Ramalho Horácio José; Cipullo José Paulo; Burdmann Emmanuel A.

    2003-01-01

    O crescente uso da ciclosporina A (CSA) em transplantes de órgãos e no tratamento de doenças auto-imunes aumentou a incidência de seus efeitos adversos, entre eles a hiperplasia gengival (HG). Esta acarreta problemas estéticos, de fala, mastigação e de erupção dentária nos pacientes afetados. A prevalência de hiperplasia gengival induzida por ciclosporina varia nos diversos estudos, podendo chegar a 85%, dependendo do critério utilizado para seu diagnóstico. Esta revisão aborda aspectos etiol...

  18. Effect of myocardial protection and perfusion temperature on production of cytokines and nitric oxide during cardiopulmonary bypass Efeito da proteção miocárdica e temperatura de perfusão sobre a produção de citocinas e óxido nítrico durante bypass cardiopulmonar

    Directory of Open Access Journals (Sweden)

    Beatriz Martins Tavares-Murta

    2007-08-01

    Full Text Available PURPOSE: To investigate the effects of different conditions used during cardiopulmonary bypass (CPB surgery on accompanying production of cytokine and nitric oxide (NO. METHODS: Patients undergoing CPB for the first time were prospectively enrolled and divided into two groups according to CPB parameters performed: i normothermia (36.5-37°C with blood cardioplegia (NB group, n=10 and ii hypothermia (29-31°C with crystalloid cardioplegia (HC group, n=10. Plasma samples obtained following intubation (baseline, during (5 and 30 min and after (4 and 24 h CPB were assayed for cytokines (ELISA and NO metabolites (Griess reaction. RESULTS: Peak concentrations of interleukin (IL-6 and IL-8 were reached at 4 h post CPB in both groups, but in the HC group those levels increased earlier and persisted for longer (24 h compared to baseline (P OBJETIVO: Investigar a hipótese de que diferentes procedimentos durante o bypass cardiopulmonary (BCP causa diferentes níveis de citocinas (IL e óxido nítrico (NO. MÉTODOS: Pacientes submetidas a BCP foram prospectivamente estudadas de acordo com bypass realizado sobre normotermia (36.5-37°C com cardioplegia sanguínea (NB group, n=10 or hipotermia (29-31°C com cardioplegia cristalóide (HC group, n=10. Amostras de Plasma foram obtidas após a intubação (linha de base, durante (5, 30 min e após (4, 24 h o BCP. Os ensaios foram realizados através de ELISA (IL e metabólitos do NO (reação de Griess. RESULTADOS: Os picos de concentrações de IL-6 and IL-8 estavam aumentados em 4 h pós BCP em ambos os grupos, mas no grupo HC estes níveis aumentaram precocemente e persistiram aumentadas por 24 h, comparado a linha de base (P<0.05. O nível de IL-10 também teve o pico em 4 h, mas estatisticamente significante somente no grupo HC, comparado a linha de base. Os metabólitos do NO estavam reduzidos no grupo HC, em todo o tempo, comparado a linha de base (P<0.05, enquanto nenhuma diferença estatisticamente

  19. Nodulose por Metotrexato Methotrexate Induced Nodulosis

    Directory of Open Access Journals (Sweden)

    Fernanda Guidolin

    2005-08-01

    Full Text Available A nodulose por metotrexato (MTX é um dos efeitos colaterais pouco conhecidos do uso desse medicamento em doses baixas. Embora classicamente descrita em casos de artrite reumatóide, tem aparecido, também, em outras doenças reumáticas. Descreve-se aqui um caso de nodulose por MTX em uma paciente com artrite reumatóide soropositiva, que utilizava esse medicamento há um ano, com bom controle do processo articular. Segue-se uma breve revisão sobre o assunto.Methotrexate-induced nodulosis is a rare side effect of this drug when it is used in low doses. Although classically described in rheumatoid arthritis patients, it may also appear in other rheumatic disorders. We describe a seropositive rheumatoid arthritis patient who developed methotrexate-induced nodulosis after using this drug for a year, with good control of articular symptoms. This case presentation is followed by a brief revision on the subject.

  20. Choque séptico por ehrliquiosis

    Directory of Open Access Journals (Sweden)

    Viviana Hernández-de Mezerville

    2007-04-01

    Full Text Available La ehrliquiosis humana es una infección zoonótica transmitida por "garrapatas duras" causada por Anaplasma sp y Ehrlichia sp. Puede presentarse como un cuadro pseudogripal con fiebre, malestar general, mialgias y cefalea o hasta un choque séptico con falla multiorgánica y muerte. La mitad de los pacientes requieren atención hospitalaria en algún momento y se reporta una mortalidad de hasta el 5% secundaria a enfermedades oportunistas o a hemorragias. El diagnóstico se puede sospechar visualizando las mórulas intracitoplasmáticas en las células afectadas en frotis de sangre periférica, y se confirma con serología, con cultivos o con detección molecular. El tratamiento de elección es la doxiciclina con buena respuesta clínica. Se reporta un caso probable de ehrliquiosis humana asociado a choque séptico y falla multiorgánica tratado exitosamente en el Hospital Dr. Rafael Angel Calderón Guardia.