scholarly journals PERIOD OF INFECTIVITY OF PATIENTS WITH HOMOLOGOUS SERUM JAUNDICE AND ROUTES OF INFECTION IN THIS DISEASE

1946 ◽  
Vol 83 (6) ◽  
pp. 441-447 ◽  
Author(s):  
W. Paul Havens
Keyword(s):  
Acute Phase ◽  
Infectious Hepatitis ◽  
Convalescent Phase ◽  
Homologous Serum ◽  
Human Volunteers ◽  
Incubation Periods

1. Pooled specimens of serum obtained from 3 human volunteers three-fourths through their respective 56, 66, and 70 day incubation periods of homologous serum jaundice produced the disease in 1 out of 4 human volunteers following parenteral inoculation. 2. Serum specimens obtained from these same 3 patients during the acute, pre-icteric phase of their homologous serum jaundice produced the disease in 3 out of 4 human volunteers following parenteral inoculation. 3. These same sera, proven to be infectious by parenteral inoculation, failed to produce disease when ingested by 10 other human volunteers. 4. Pooled specimens of serum obtained in the convalescent phase (28 to 32 days after onset) of these 3 patients failed to produce apparent infection when inoculated parenterally into 5 human volunteers. 5. Pooled specimens of feces of 3 patients obtained in the acute phase of homologous serum jaundice, when virus was proven to be in the serum, were not demonstrably infectious when fed to 6 volunteers. 6. These findings are slightly different from those encountered in a similar study with infectious material from cases of infectious hepatitis.

scholarly journals PERIOD OF INFECTIVITY OF PATIENTS WITH EXPERIMENTALLY INDUCED INFECTIOUS HEPATITIS

1946 ◽  
Vol 83 (3) ◽  
pp. 251-258 ◽  
Author(s):  
Walter P. Havens
Keyword(s):  
Incubation Period ◽  
Acute Phase ◽  
Infectious Hepatitis ◽  
Parenteral Administration ◽  
Appreciable Difference ◽  
Homologous Serum ◽  
Human Volunteers ◽  
Experimentally Induced

1. Serum and stools obtained in the pre-icteric phase of one patient, and pooled specimens of the same materials from 5 patients with experimentally induced (by feeding) infectious hepatitis produced the disease in 10 out of 15 human volunteers following feeding or parenteral inoculation. 2. Pooled specimens of urine and nasopharyngeal washings from 5 patients, obtained in the acute phase of infectious hepatitis when virus was proven to be in the stool and serum, were not demonstrably infectious when fed and given intranasally to 6 volunteers. 3. Serum obtained in the midincubation period of one patient with experimentally induced infectious hepatitis failed to produce apparent infection when inoculated parenterally into 3 human volunteers. This is in contrast to the situation in homologous serum jaundice in which "virus" has been demonstrated in the sera of volunteers during the incubation period. 4. Serum and stools obtained from one patient and pooled specimens of stools from 5 patients 25 to 31 days after onset of experimental infectious hepatitis failed to produce apparent infection in 10 human volunteers. 5. No appreciable difference was detected in length of incubation period following the parenteral administration of widely different amounts of the same strain of "virus."

Infectious Hepatitis (Homologous Serum Type) in Drug Addicts

1950 ◽  
Vol 15 (4) ◽  
pp. 642-646 ◽  
Author(s):  
Frederick Steigmann ◽  
Samuel Hyman ◽  
Robert Goldbloom
Keyword(s):  
Infectious Hepatitis ◽  
Drug Addicts ◽  
Homologous Serum ◽  
Serum Type

scholarly journals Intimal thickening and disruption of the media occur in the arterial walls of coronary arteries not associated with coronary arterial aneurysms in patients with Kawasaki disease

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tomoya Tsuchihashi ◽  
Nobuyuki Kakimoto ◽  
Takashi Takeuchi ◽  
Tomohiro Suenaga ◽  
Takayuki Suzuki ◽  
...  
Keyword(s):  
Kawasaki Disease ◽  
Acute Phase ◽  
Coronary Arteries ◽  
Structural Changes ◽  
Artery Aneurysm ◽  
Intimal Thickening ◽  
Structure Damage ◽  
Convalescent Phase ◽  
Arterial Structure ◽  
The Media

Abstract Background Coronary artery aneurysm (CAA) is an important complication of Kawasaki disease (KD) that is associated with arterial structure damage. However, few studies have examined structural changes in coronary arteries that are not associated with CAA. Methods We examined coronary arteries in KD patients with CAAs who underwent follow-up coronary angiography (CAG) and optical coherence tomography (OCT). Coronary arterial branches with no abnormal findings during the most recent CAG were classified into two groups. Arteries with an acute-phase CAA that later regressed were classified as group R; arteries with no abnormal findings on either acute or convalescent phase CAG were classified as group N. Coronary arterial wall structural changes were compared between groups using OCT. Results Fifty-seven coronary arterial branches in 23 patients were evaluated by OCT. Thirty-six branches showed no abnormality during the most recent CAG. Both groups R and N comprised 18 branches. Maximum intimal thicknesses in groups R and N were 475 and 355 µm, respectively (p = 0.007). The incidences of media disruption were 100% and 67%, respectively (p = 0.02). Calcification, macrophage accumulation, and thrombus were not found in either group. Conclusions Intimal thickening and disruption of the media occur in coronary arteries with acute phase CAAs that later regress in the convalescent phase, as well as in arteries with normal CAG findings in the acute and convalescent phases.

scholarly journals Viral and Immunological Characteristics of COVID-19 Vaccine Breakthrough Infections

2021 ◽  
Author(s):  
Tadaki Suzuki ◽  
Takeshi Arashiro ◽  
Takayuki Kanno ◽  
Sho Miyamoto ◽  
Shinji Saito ◽  
...  
Keyword(s):  
Acute Phase ◽  
Neutralizing Antibodies ◽  
Infectious Virus ◽  
Receptor Binding Domain ◽  
Symptom Development ◽  
Novel Mutations ◽  
Convalescent Phase ◽  
Induced Immunity ◽  
Respiratory Specimens ◽  
Host Characteristics

Abstract Since little is known about viral and host characteristics of breakthrough infections after COVID-19 vaccination, a nationwide investigation of breakthrough cases was initiated in Japan. 130 cases (90%+ received mRNA vaccines) were reported with respiratory specimens in 117 cases and sera in 68 cases. A subset of cases shed infectious virus regardless of symptom presence or viral lineages. Viral lineages for breakthrough infections matched both temporally and spatially with the circulating lineages in Japan with no novel mutations in spike receptor binding domain that may have escaped from vaccine-induced immunity were found. Anti-spike/neutralizing antibodies of breakthrough infections in the acute phase owing to vaccine-induced immunity were significantly higher than those from unvaccinated convalescent individuals but were comparable to vaccinated uninfected individuals, and followed by boosting in the convalescent phase. Symptomatic cases had low anti-spike/neutralizing antibodies in the acute phase with robust boosting in the convalescent phase, suggesting the presence of serological correlate for symptom development in COVID-19 vaccine breakthrough infections.

Altered mean platelet volume in children with Henoch-Schonlein purpura and its association with disease activity

2017 ◽  
Vol 55 (3) ◽  
pp. 368-372
Author(s):  
Xiang Shi ◽  
Wen-Chao Li ◽  
Li-Jun Mo ◽  
Xiao-Hong Li ◽  
Yu-Zhen Luo ◽  
...  
Keyword(s):  
Acute Phase ◽  
Mean Platelet Volume ◽  
Area Under The Curve ◽  
Small Vessel Vasculitis ◽  
Henoch Schonlein Purpura ◽  
Platelet Volume ◽  
Convalescent Phase ◽  
Schonlein Purpura ◽  
Henoch Schönlein Purpura

Background Henoch-Schonlein purpura is a systemic small-vessel vasculitis that occurs mainly in children. A review of the literature has suggested a correlation between mean platelet volume and several inflammatory disorders. However, to the best of our knowledge, any potential correlation between mean platelet volume and Henoch-Schonlein purpura has not been reported in the literature. Therefore, our study aimed to evaluate the role of mean platelet volume concentrations in patients with Henoch-Schonlein purpura. Methods This study included 97 children with Henoch-Schonlein purpura and 120 healthy individuals as controls. Results Mean platelet volume concentrations were found to be significantly lower in Henoch-Schonlein purpura patients compared with healthy controls (8.1 ± 0.86 vs. 9.4 ± 0.81, P < 0.001). Similarly, significant negative correlations were observed between mean platelet volume and neutrophil count, platelet count and erythrocyte sedimentation rate in patients with Henoch-Schonlein purpura (r=−0.327, P = 0.001; r=−0.419, P < 0.001; r=−0.255, P = 0.012). Interestingly, mean platelet volume was significantly lower in the acute phase compared with the convalescent phase of Henoch-Schonlein purpura patients (7.8 ± 0.86 vs. 8.3 ± 0.77, P = 0.002). A cut-off value for mean platelet volume was 7.85 with area under the curve of 0.726 to identify acute phase vs. convalescent phase in patients with Henoch-Schonlein purpura. Mean platelet volume was independently associated with Henoch-Schonlein purpura in logistic regression analysis (odds ratio = 0.114, 95% confidence interval = 0.053–0.243, P < 0.001). Conclusions Our results suggest that mean platelet volume is inversely associated with disease in patients with Henoch-Schonlein purpura, and mean platelet volume may be a useful marker to identify active disease in Henoch-Schonlein purpura patients.

scholarly journals Serum Antibody Responses in Children with Rotavirus Diarrhea Can Serve as Proxy for Protection

2005 ◽  
Vol 12 (2) ◽  
pp. 273-279 ◽  
Author(s):  
J. Xu ◽  
P. Dennehy ◽  
H. Keyserling ◽  
L. E. Westerman ◽  
Y. Wang ◽  
...  
Keyword(s):  
Acute Phase ◽  
Severe Disease ◽  
Serum Antibody ◽  
Immunoglobulin M ◽  
Antibody Responses ◽  
Serum Samples ◽  
Convalescent Phase ◽  
Conversion Rates ◽  
Reliable Marker ◽  
Rotavirus Diarrhea

ABSTRACT We examined sera from 42 patients 1 to 30 months of age for rotavirus immunoglobulin M (IgM), IgA, IgG, and IgG subclasses and sought to determine if serum antibody could serve as a reliable marker for prediction of disease severity. Infants in the first few months of life usually had high maternal IgG titers and, when they were infected with rotavirus, had low IgM titers or no IgM in acute-phase sera and poor seroconversions 3 weeks later, suggesting that maternal antibodies had inhibited viral replication and antibody responses. All patients ≥6 months of age had IgM in acute-phase sera, indicating that IgM is a good marker for acute rotavirus infection. IgG was the best overall predictor of an infection, as the convalescent-phase sera of 81% of the patients had a fourfold rise in the IgG titer. IgA titers in convalescent-phase sera and conversion rates were higher among patients ≥12 months of age than among children younger than 12 months. IgG1 was the predominant subclass detected in the acute-phase sera of some children and in all 28 convalescent-phase serum samples examined. Patients with preexisting acute-phase IgG titers of ≥100 or ≥200 had diarrhea that was less severe or of a shorter duration. These results indicate that serum IgG is the most reliable marker for seroconversion and is a consistent proxy for protection against severe disease.

Brain natriuretic peptide can be a useful biochemical marker for myocarditis in patients with Kawasaki disease

2002 ◽  
Vol 12 (2) ◽  
pp. 153-158 ◽  
Author(s):  
Takashi Kawamura ◽  
Masakuni Wago
Keyword(s):  
Kawasaki Disease ◽  
Brain Natriuretic Peptide ◽  
Natriuretic Peptide ◽  
Acute Phase ◽  
Biochemical Marker ◽  
Cross Sectional ◽  
T Wave ◽  
Convalescent Phase ◽  
The Mean ◽  
St Segments

So as to determine the value of brain natriuretic peptide in the plasma as a biochemical marker for myocarditis of Kawasaki disease, we studied 69 patients. The blood samples, electrocardiograms and cross-sectional echocardiograms were obtained before the commencement of treatment and in the convalescent phase. Results: The mean concentration of brain natriuretic peptide in the plasma was 73.2 ± 107.7 (mean ± SD) pg/ml in the acute phase, and 7.9 ± 7.5 pg/ml in the convalescent phase. We checked the electrocardiograms to find abnormal Q waves, elevation or depression of the ST segments, change in the pattern of the QRS complexes, and flattening or inversion of the T wave, all believed to be markers of myocarditis in Kawasaki disease. Those in whom the concentrations were greater than 50 pg/ml in the acute phase showed abnormal electrocardiograms more frequently than did those in whom the values were less than 50 pg/ml (21/29 vs 3/40, p < 0.0001 odds ratio 32.4). Amplitudes of the T wave in standard limb leads were measured both in the acute and convalescent phases, and the differences calculated. We regarded the sum total of these differences as representing “flattening T wave”, and we named this variable as the total suppressed T wave voltage. We examined the correlation between the variable and the levels of brain natriuretic peptide in the plasma during the acute phase, demonstrating a significant correlation (r = 0.500, p < 0.0001). We conclude, therefore, that the concentration of brain natriuretic peptide measured in the plasma can be a useful biochemical marker for the myocarditis of Kawasaki disease. When the titer is over 50 pg/ml, the patient probably has an abnormal electrocardiogram and is most likely to have myocarditis.

scholarly journals A Nonfunctional Opsonic Antibody Response Frequently Occurs after Pneumococcal Pneumonia and Is Associated with Invasive Disease

mSphere ◽  
2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Fabian Uddén ◽  
Jonas Ahl ◽  
Nils Littorin ◽  
Kristoffer Strålin ◽  
Simon Athlin ◽  
...  
Keyword(s):  
Immune Response ◽  
Antibody Response ◽  
Acute Phase ◽  
Pneumococcal Infection ◽  
Adaptive Immune Response ◽  
Invasive Disease ◽  
Community Acquired Pneumonia ◽  
Antibody Activity ◽  
Adaptive Immune ◽  
Convalescent Phase

ABSTRACT Naturally acquired opsonic antipneumococcal antibodies are commonly found in nonvaccinated adults and confer protection against infection and colonization. Despite this, only limited data exist regarding the adaptive immune response after pneumococcal exposure. To investigate the dynamics of naturally acquired antipneumococcal immunity in relation to an episode of infection, opsonic antibody activity was studied with paired acute-phase and convalescent-phase sera obtained from 54 patients with pneumococcal community-acquired pneumonia (CAP) using an opsonophagocytic assay (OPA). Results were compared with clinical characteristics and anticapsular immunoglobulin (Ig) concentrations. Interestingly, a nonfunctional opsonic antibody response (characterized by a decreased convalescent-phase serum OPA titer compared to that of the acute-phase serum or undetectable titers in both sera) was observed in 19 (35%) patients. A nonfunctional convalescent-phase response was significantly more common among patients with invasive pneumococcal disease (i.e., bacteremia) than in patients without invasive disease (53%; P = 0.019). Remaining individuals exhibited either an increased convalescent-phase OPA titer (n = 24 [44%]) or a detectable, but unchanged, titer at both time points (n = 11 [20%]). No correlation was found between anticapsular Ig concentrations and OPA titers. Our findings indicate that an episode of pneumococcal infection may act as an immunizing event, leading to an improved antipneumococcal adaptive immune status. However, in some cases, when patients with CAP also suffer from bacteremia, a nonfunctional opsonic antibody response may occur. Furthermore, the results suggest that factors other than anticapsular Ig concentrations are important for opsonic antibody activity in serum. IMPORTANCE Numerous reports on the dynamics of antipneumococcal immunity in relation to immunization with pneumococcal vaccines and on the prevalence of naturally acquired immunity in various populations have been published. In contrast, studies on the dynamics of the humoral immune response triggered by pneumococcal infection are scarce. This study provides valuable information that will contribute to fill this knowledge gap. Our main results indicate that a functional immune response frequently fails to occur after CAP, predominantly among patients with simultaneous bacteremia.

scholarly journals Viability and Functionality of Cryopreserved Peripheral Blood Mononuclear Cells in Pediatric Dengue

2016 ◽  
Vol 23 (5) ◽  
pp. 417-426 ◽  
Author(s):  
Federico Perdomo-Celis ◽  
Doris M. Salgado ◽  
Diana M. Castañeda ◽  
Carlos F. Narváez
Keyword(s):  
Acute Phase ◽  
Peripheral Blood Mononuclear Cells ◽  
Peripheral Blood ◽  
Mononuclear Cells ◽  
Dengue Infection ◽  
Healthy Children ◽  
Peripheral Blood Mononuclear ◽  
Convalescent Phase ◽  
Blood Mononuclear Cells ◽  
Ifn Γ

ABSTRACTCryopreserved peripheral blood mononuclear cells (PBMCs) are widely used in studies of dengue. In this disease, elevated frequency of apoptotic PBMCs has been described, and molecules such as soluble tumor necrosis factor (TNF)-related apoptosis-inducing ligands (sTRAIL) are involved. This effect of dengue may affect the efficiency of PBMC cryopreservation. Here, we evaluate the viability (trypan blue dye exclusion and amine-reactive dye staining) and functionality (frequency of gamma interferon [IFN-γ]-producing T cells after polyclonal stimulation) of fresh and cryopreserved PBMCs from children with dengue (in acute and convalescence phases), children with other febrile illnesses, and healthy children as controls. Plasma sTRAIL levels were also evaluated. The frequencies of nonviable PBMCs detected by the two viability assays were positively correlated (r= 0.74;P< 0.0001). Cryopreservation particularly affected the PBMCs of children with dengue, who had a higher frequency of nonviable cells than healthy children and children with other febrile illnesses (P≤ 0.02), and PBMC viability levels were restored in the convalescent phase. In the acute phase, an increased frequency of CD3+CD8+amine-positive cells was found before cryopreservation (P= 0.01). Except for B cells in the acute phase, cryopreservation usually did not affect the relative frequencies of viable PBMC subpopulations. Dengue infection reduced the frequency of IFN-γ-producing CD3+cells after stimulation compared with healthy controls and convalescent-phase patients (P≤ 0.003), and plasma sTRAIL correlated with this decreased frequency in dengue (rho = −0.56;P= 0.01). Natural dengue infection in children can affect the viability and functionality of cryopreserved PBMCs.

scholarly journals Enterocolitis Caused by Ehrlichia sp. in the Horse (Potomac Horse Fever)

1986 ◽  
Vol 23 (4) ◽  
pp. 471-477 ◽  
Author(s):  
D. O. Cordes ◽  
B. D. Perry ◽  
Y. Rikihisa ◽  
W. R. Chickering
Keyword(s):  
Mast Cells ◽  
Epithelial Cells ◽  
Acute Phase ◽  
Whole Blood ◽  
Clinical Signs ◽  
Post Mortem ◽  
Potomac Horse Fever ◽  
Incubation Periods ◽  
Mucous Membranes ◽  
Post Mortem Findings

Potomac horse fever was reproduced in 15 ponies by transfusion of whole blood originally from two natural cases and subsequently from ponies infected by the transfusions. Incubation periods varied from 9 to 15 days. Affected ponies developed varying degrees of fever, diarrhea, anorexia, depression, and leukopenia. Eleven affected ponies were killed, three died in the acute phase of the disease, and one did not show clinical signs. The most consistent post-mortem findings were fluid contents in the cecum and large colon, and areas of hyperemia (of inconstant degree and distribution) in mucosae of both small and large intestines. Multifocal areas of necrosis occurred in mucous membranes. Ehrlichial organisms were most common in the cytoplasm of epithelial cells, macrophages, and mast cells of the large colon.

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