scholarly journals Typhoid toxin provides a window into typhoid fever and the biology of Salmonella Typhi

2016 ◽  
Vol 113 (23) ◽  
pp. 6338-6344 ◽  
Author(s):  
Jorge E. Galán

Salmonella Typhi is the cause of typhoid fever, a disease that has challenged humans throughout history and continues to be a major public health concern. Unlike infections with most other Salmonellae, which result in self-limiting gastroenteritis, typhoid fever is a life-threatening systemic disease. Furthermore, in contrast to most Salmonellae, which can infect a broad range of hosts, S. Typhi is a strict human pathogen. The unique features of S. Typhi pathogenesis and its stringent host specificity have been a long-standing puzzle. The discovery of typhoid toxin not only has provided major insight into these questions but also has offered unique opportunities to develop novel therapeutic and prevention strategies to combat typhoid fever.

2019 ◽  
Vol 10 (2) ◽  
pp. 96-98 ◽  
Author(s):  
Mst Naznin Tarana ◽  
Samshad Jahan Shumu ◽  
Rashida Akter Khanam ◽  
Hosne Jahan ◽  
Soma Sarker ◽  
...  

Background: Typhoid fever remains a public health concern in developing countries. Antibiotic therapy constitutes the mainstay of management and multidrug resistant Salmonella spp has been emerged as a major public health concern. Objective: This study was done to evaluate antimicrobial sensitivity pattern of Salmonella typhi isolated from blood in Shaheed Suhrawardy Medical College Hospital. Methods: The retrospective study was done from January 2017 to December 2017 at microbiology laboratory, Shaheed Suhrawardy Medical College. A total of 367 samples, 30 isolates of Salmonella typhi obtained from blood culture. Both the indoor and outdoor patients were enrolled in this study. Results: During one year study period, total 367 cases were enrolled and the prevalence of Salmonella typhi was 30 (8.2 %). Among them (56.1%) were male with a male to female ratio 1.27:1. The bulk (50.1%) cases were in the age group of 15-30 years, 14.4% cases were in less than 15 years and 6.5% cases were in more than 60 years of age. Regarding antibiotic sensitivity pattern, 70% strains were sensitive to amikacin, 73.33% to azithromycin, 63.33% to ceftazidime, 66.66% to ceftriaxone, 86.66% to ciprofloxacin and 70% were nalidixic acid resistant Salmonella typhi. Conclusion: Ciprofloxacin may be used to treat typhoid fever cases and Ceftriaxone, azithromycin may be used as alternative drugs if they are found susceptible in culture and sensitivity testing. J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 96-98


2012 ◽  
Vol 21 (3) ◽  
pp. 75-84
Author(s):  
Venkata Vijaya K. Dalai ◽  
Jason E. Childress ◽  
Paul E Schulz

Dementia is a major public health concern that afflicts an estimated 24.3 million people worldwide. Great strides are being made in order to better diagnose, prevent, and treat these disorders. Dementia is associated with multiple complications, some of which can be life-threatening, such as dysphagia. There is great variability between dementias in terms of when dysphagia and other swallowing disorders occur. In order to prepare the reader for the other articles in this publication discussing swallowing issues in depth, the authors of this article will provide a brief overview of the prevalence, risk factors, pathogenesis, clinical presentation, diagnosis, current treatment options, and implications for eating for the common forms of neurodegenerative dementias.


2021 ◽  
Author(s):  
Meenakshi Bansal ◽  
Charu Upadhyay ◽  
Poonam Singh ◽  
Sumit Kumar ◽  
Brijesh Rathi

Malaria remains as one of the most life-threatening diseases and thus major public health concern all around the world. The disease becomes devastating if not treated with proper medication on...


2022 ◽  
Vol 8 (4) ◽  
pp. 243-247
Author(s):  
Narinder Singh ◽  
Ajeet Pal Singh ◽  
Amar Pal Singh

Dengue fever is a mosquito-borne viral illness that is quickly spreading over the globe, with significant death and morbidity rates. Dengue fever is an acute viral infection transmitted by Aedes mosquitos and caused by an RNA virus from the Flaviviridae family. The symptoms might vary from asymptomatic fever to life-threatening complications including hemorrhagic fever and shock. Although dengue virus infections are normally self-limiting, the disease has become a public health concern in tropical and subtropical countries. Dengue fever is a major public health concern owing to its rapid worldwide spread, and its burdens are now unmet due to a lack of accurate therapy and a simple diagnostic approach for the early stages of illness.


2021 ◽  
Vol 01 (01) ◽  
pp. 09-16
Author(s):  
Oyeronke Olamide Okeniyi ◽  
Josiah Onaolapo ◽  
Rebecca Olajumoke Bolaji

Background: Staphylococcus aureus is a critically important human pathogen that is also an emerging concern in veterinary medicine and animal agriculture. The present study aimed to identify the prevalence of Staphylococcus aureus from dogs, pigs, and their handlers in Zaria and Kaduna, Metropolis, Kaduna State. Methods: A total of three (300) samples were obtained from the Skin, anus, and anterior nare of pigs, dogs, and hand swabs of their handlers in three (3) Communities; Buwaya, Gonin-Gora, Maraban Rido, all in Kaduna and Samaru, Zaria in Kaduna state. S. aureus was isolated and characterized using standard microbiological protocols. Results: The results revealed that one Hundred and Sixty-five (165) of the samples isolated were Staphylococcus after the samples were cultured on Mannitol Salt Agar (MSA). Ninety-five (95) were confirmed to be Staphylococcus species after the Coagulase test was carried out. Further identification of the Ninety-five (95) isolates using the Microgen Staph-ID kit results revealed that 46(48.4%) of the isolates were S. aureus, 49 (51.5%) other species of Staphylococcus that were coagulase-positive but not S. aureus, like S. Intermedius 6(6.3 %,) S. hyicus 4(4.2%). The coagulase-negative isolates consists of S.xylosus 27 (28.4%), S.chromogenes 8 (8.4 %), S. hominis 4(4.2%). Conclusion: the results of the present study calls for public health concern because of the health risk associated with colonization of individuals with Staphylococcus aureus.


Pathogens ◽  
2021 ◽  
Vol 10 (9) ◽  
pp. 1184
Author(s):  
Mohamad Ahmad Najib ◽  
Khairul Mohd Fadzli Mustaffa ◽  
Eugene Boon Beng Ong ◽  
Kasturi Selvam ◽  
Muhammad Fazli Khalid ◽  
...  

Typhoid fever, also known as typhoid, is a life-threatening bacterial infection that remains a global health concern. The infection is associated with a significant morbidity and mortality rate, resulting in an urgent need for specific and rapid detection tests to aid prevention and management of the disease. The present review aims to assess the specificity and sensitivity of the available literature on the immunodiagnostics of typhoid fever. A literature search was conducted using three databases (PubMed, ProQuest and Scopus) and manual searches through the references of identified full texts to retrieve relevant literature published between 1 January 2011 and 31 December 2020. Of the 577 studies identified in our search, 12 were included in further analysis. Lipopolysaccharides (LPS) and hemolysin E (HlyE) were the most frequently studied antigens. The specimens examined in these studies included serum and saliva. Using blood culture as the gold standard, anti-LPS IgA gave the highest sensitivity of 96% (95% CI: 93–99) and specificity of 96% (95% CI: 93–99) for distinguishing between typhoid cases and healthy controls, whereas the combination of anti-LPS and anti-flagellin total IgGAM gave the highest sensitivity of 93% (95% CI: 86–99) and specificity of 95% (95% CI: 89–100) for distinguishing typhoid cases and other febrile infections. A comparably high sensitivity of 92% (95% CI: 86–98) and specificity of 89% (95% CI: 78–100) were shown in testing based on detection of the combination of anti-LPS (IgA and IgM) and anti-HlyE IgG as well as a slightly lower sensitivity of 91% (95% CI: 74–100) in the case of anti-50kDa IgA. Anti-50kDa IgM had the lowest sensitivity of 36% (95% CI: 6–65) against both healthy and febrile controls. The development of a rapid diagnostic test targeting antibodies against lipopolysaccharides combined with flagellin appeared to be a suitable approach for the rapid detection test of typhoid fever. Saliva is added benefit for rapid typhoid diagnosis since it is less invasive. As a result, further studies could be done to develop additional approaches for adopting such samples.


2021 ◽  
Vol 2 (1) ◽  
pp. 65-71
Author(s):  
Abdelkrim Aroussi ◽  
Ahmed Megharbi ◽  
Meghit Boumediene Khaled ◽  
Hadj Labdouni ◽  
Kadi Diafi ◽  
...  

Abstract Sheep are considered as an important reservoir of human Toxoplasma gondii infections, although more recent data on the prevalence of T. gondii in sheep in Algeria are lacking. This study aimed to investigate the seroprevalence of T. gondii in sheep to obtain a better insight into the importance of sheep as reservoirs of human infection. A commercial ELISA kit, which detects antibodies against T. gondii, was utilized to test 269 sera collected from yearling sheep in the municipal slaughterhouse of Sidi-Bel-Abbes city between October 2020 and February 2021. Simultaneously, we assessed the cut-off as recommended by the manufacturer (S/P>50%) and the bootstrap statistical model to estimate the optimal cut-off value (OD = 0.12). The overall seroprevalence was estimated at 34.2% (92/269) using the ELISA kit cut-off and 50.5% (136/269) using the bootstrapped cut-off, being significantly higher compared to sheep from other regions in Algeria. In conclusion, the seroprevalence of T. gondii in sheep was elevated, constituting, therefore, a major public health concern, as sheep meat could be a significant source of T. gondii infection for human consumers. Further studies are required to estimate the impact of abortion among livestock animals caused by T. gondii infection such as sheep, where it could lead to considerable economic losses.


2019 ◽  
Vol 6 (1) ◽  
pp. 149
Author(s):  
Dudi Hardianto

Review on Rapid Diagnosis Method and Treatment of Salmonella typhi Infection ABSTRACTSalmonella is a genus of gram-negative bacilli which are pathogenic for human. Recently over 2,500 serotypes of Salmonella have been reported. Of these, the most common serotype causing typhoid fever which is acute infectious disease in small intestine due to S. typhi entering the body through contaminated food or drink. S. typhi infection remains a major public health concern worldwide because of the subsequent economic burden for the cost of surveillance, prevention, and treatment. In Indonesia, typhoid fever is an endemic disease that threatens public health and becomes a complex problem because it increases career cases and drug resistance, so its diagnosis is needed. Although there is already a diagnosis method of typhoid fever conventionally, a fast, easy and reliable diagnosis method is needed to diagnose typhoid fever by medical personnel in endemic countries. Typhoid fever is treated by antibiotics and prevention efforts are carried out through vaccination.Keywords: antibiotics, pathogen, rapid detection, Salmonella typhi, typhoid fever ABSTRAKSalmonella adalah bakteri basil gram negatif yang bersifat patogen terhadap manusia dan saat ini telah dilaporkan lebih dari 2.500 serotipe. Salah satu serotype Salmonella diketahui menyebabkan penyakit demam tifoid yaitu infeksi akut pada usus halus akibat S. typhi yang masuk ke dalam tubuh melalui makanan dan minuman yang tercemar. Infeksi S. typhi menjadi masalah utama dalam kesehatan masyarakat di seluruh dunia karena bebani ekonomi yang ditimbulkannya untuk biaya pengawasan, pencegahan, dan pengobatan. Di Indonesia, demam tifoid merupakan penyakit endemis yang mengancam kesehatan masyarakat dan menjadi masalah kompleks karena demam tifoid meningkatkan kasus-kasus karier dan resistensi obat sehingga diperlukan diagnosisnya. Meskipun sudah ada diagnosis demam tifoid secara konvensional, tetapi diperlukan metode diagnosis yang cepat, mudah dan andal untuk mendeteksi demam tifoid oleh tenaga medis yang bekerja di negara-negara endemik. Demam tifoid diobati dengan pemberian antibiotika dan dilakukan upaya pencegahan melalui vaksinasi.Kata Kunci: antibiotika, demam tifoid, deteksi cepat, patogen, Salmonella typhi


PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e8410
Author(s):  
Wattana Pelyuntha ◽  
Chaiyavat Chaiyasut ◽  
Duangporn Kantachote ◽  
Sasithorn Sirilun

Background Salmonella Typhi (S. Typhi), the causative agent of typhoid fever, causes serious systemic disease in humans. Antibiotic treatment is required for the S. Typhi infection, while the inappropriate use of antibiotics causes increased drug-resistant S. Typhi. Hence, alternative therapies through non-antibiotic approaches are urgently needed. The use of beneficial lactic acid bacterium and/or its metabolites to control typhoid fever represent a promising approach, as it may exert protective actions through various mechanisms. Method In this study, the cell-free culture supernatant (CFCS) of Weissella confusa WM36 was evaluated via the antibacterial activity, and its metabolites were identified. In addition, the effects of CFCS on Salmonella virulence behaviors were also investigated. Result Based on strong inhibition the growth of S. Typhi DMST 22842, organic acids (lactic acid and acetic acid) and 2,4-Di-tert-butylphenol (2,4 DTBP), were the main antibacterial metabolites presented in CFCS of strain WM36. Minimum inhibitory concentration (MIC) at 40% WM36–CFCS dramatically reduced the S. Typhi population to more than 99.99% at 4 h and completely inhibited biofilm formation, while sub-MIC at 20% (v/v) and MIC could reduce 100% of motility. Additionally, sub-MIC at only 10% (v/v) WM36–CFCS did down-regulate the expression of virulence genes which are responsible for the type-III secretion system, effector proteins, and quorum sensing system in this pathogen. Conclusion W. confusa WM36 and its metabolites are shown to be a promising candidates, and an effective approach against typhoid Salmonella burden.


2020 ◽  
Vol 13 (7) ◽  
pp. 3193-3201
Author(s):  
Flore Nguemaim Ngoufo ◽  
Gerald Ngo Teke ◽  
Amslem Che ◽  
Henri Lucien Fouamno Kamga

Typhoid fever is an infectious disease that has been a public health concern for millennia. The use of herbal preparations is getting popularity, with an estimated 80% of the world’s population still depending on it for the management of various diseases including typhoid fever. However, data concerning their quality, safety and efficacy is not readily available. Our aim was to determine the in vitro efficacy of some commercially available herbal preparations used in the treatment of typhoid fever in Bamenda Municipality. Five herbal preparations indicated for the treatment of typhoid fever (coded P1 to P5) were bought from various outlets of the herbal producers and serial dilutions made and screened for their activities against clinical isolates of Salmonella Typhi and Salmonella Paratyphi using the agar well diffusion and dilution methods. The bacterial growth inhibition zone diameters of the herbal preparations were measured with a transparent ruler and compared with those of some standard antibiotics (ciprofloxacin and ceftriaxone). Two of the herbal preparations (P1 & P2) showed inhibition zone diameters against S. Typhi (20 and 14 mm respectively) while the rest (P3, P4 & P5) were inactive. P1 showed minimal activity on S. Paratyphi while the rest of the herbal preparations (P2, P3, P4 and P5) were inactive at all tested concentrations. The difference between the value of the inhibition zone diameters of the herbal preparations and that of the standard antibiotics on both S. Typhi and S. Paratyphi was statistically significant (p<0.05). It was found out that most of the herbal preparations showed no activity against the tested bacterial isolates contrary to their label bogus claims.Keywords: Antibacterial activity, Typhoid fever, Herbal preparations, in vitro, Bamenda-Cameroon.


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