scholarly journals Hospital-based prospective study of pertussis in infants and close contacts in Tehran, Iran

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gaelle Noel ◽  
Masoumeh Nakhost Lotfi ◽  
Sajedeh Mirshahvalad ◽  
Sedaghatpour Mahdi ◽  
David Tavel ◽  
...  
Keyword(s):  
Prospective Study ◽  
Clinical Signs ◽  
Health Concern ◽  
Molecular Testing ◽  
Local Data ◽  
Pertussis Infection ◽  
High Coverage ◽  
Source Of Infection ◽  
Duration Of Protection ◽  
Close Contacts

Abstract Background Pertussis remain a global health concern, especially in infants too young to initiate their vaccination. Effective vaccination and high coverage limit the circulation of the pathogen, yet duration of protection is limited and boosters are recommended during a lifetime. In Iran, boosters are given at 18 months and 6 years old using whole pertussis vaccines for which efficacy is not known, and pertussis surveillance is scant with only sporadic biological diagnosis. Burden of pertussis is not well understood and local data are needed. Methods Hospital-based prospective study implementing molecular laboratory testing in infants aged ≤6 months and presenting ≥5 days of cough associated to one pertussis-like symptom in Tehran. Household and non-household contact cases of positive infants were evaluated by comprehensive pertussis diagnosis (molecular testing and serology) regardless of clinical signs. Clinical evaluation and source of infection were described. Results A total of 247 infants and 130 contact cases were enrolled. Pertussis diagnosis result was obtained for 199 infants and 104 contact cases. Infant population was mostly < 3 months old (79.9%; 157/199) and unvaccinated (62.3%; 124/199), 20.1% (40/199) of them were confirmed having B. pertussis infection. Greater cough duration and lymphocyte counts were the only symptoms associated to positivity. Half of the contact cases (51.0%; 53/104) had a B. pertussis infection, median age was 31 years old. A proportion of 28.3% (15/53) positive contacts did not report any symptom. However, 67.9% (36/53) and 3.8% (2/53) of them reported cough at inclusion or during the study, including 20.8% (11/53) who started coughing ≥7 days before infant cough onset. Overall, only five samples were successfully cultured. Conclusion These data evidenced the significant prevalence of pertussis infection among paucy or poorly symptomatic contacts of infants with pertussis infection. Widespread usage of molecular testing should be implemented to identify B. pertussis infections.

Evaluation and Management of Congenital Chagas Disease in the United States

2019 ◽  
Vol 8 (5) ◽  
pp. 461-469 ◽  
Author(s):  
Morven S Edwards ◽  
Kelly K Stimpert ◽  
Stephanie R Bialek ◽  
Susan P Montgomery
Keyword(s):  
United States ◽  
Chagas Disease ◽  
Transmission Rate ◽  
Clinical Signs ◽  
The United States ◽  
Health Concern ◽  
Molecular Testing ◽  
Early Assessment ◽  
Childbearing Age ◽  
Cruzi Infection

Abstract Chagas disease is underappreciated as a health concern in the United States. Approximately 40 000 women of childbearing age living in the United States have chronic Chagas disease. Most of them are unaware that they have an infection that is transmissible to their offspring. The estimated US maternal-to-infant transmission rate of Trypanosoma cruzi is 1% to 5%. Ten percent to 40% of neonates with congenital T cruzi infection have clinical signs consistent with a congenital infection but no findings are unique to Chagas disease. If left untreated, 20% to 40% of infants with Chagas disease will later develop potentially fatal cardiac manifestations. Molecular testing can confirm the diagnosis in neonates. Treatment is well tolerated in infancy and usually results in cure. Screening of at-risk women during pregnancy can identify maternal infection and allow early assessment and treatment for congenital T cruzi infection.

scholarly journals Genomic investigation of a dengue virus outbreak in Thiès, Senegal, in 2018

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Amy Gaye ◽  
Tolla Ndiaye ◽  
Mouhamad Sy ◽  
Awa B. Deme ◽  
Alphonse B. Thiaw ◽  
...  
Keyword(s):  
West Africa ◽  
Dengue Virus ◽  
Clinical Signs ◽  
Health Concern ◽  
Public Health Concern ◽  
Local Circulation ◽  
Viral Genomes ◽  
Genomic Characterization ◽  
The City

AbstractDengue virus is a major and rapidly growing public health concern in tropic and subtropic regions across the globe. In late 2018, Senegal experienced its largest dengue virus outbreak to date, covering several regions. However, little is known about the genetic diversity of dengue virus (DENV) in Senegal. Here we report complete viral genomes from 17 previously undetected DENV cases from the city of Thiès. In total we identified 19 cases of DENV in a cohort of 198 individuals with fever collected in October and November 2018. We detected 3 co-circulating serotypes; DENV 3 was the most frequent accounting for 11/17 sequences (65%), 4 (23%) were DENV2 and 2 (12%) were DENV1. Sequences were most similar to recent sequences from West Africa, suggesting ongoing local circulation of viral populations; however, detailed inference is limited by the scarcity of available genomic data. We did not find clear associations with reported clinical signs or symptoms, highlighting the importance of testing for diagnosing febrile diseases. Overall, these findings expand the known range of DENV in Senegal, and underscore the need for better genomic characterization of DENV in West Africa.

Assessing the accuracy of clinical signs in acute knee injuries in current clinical practice: a prospective study

2002 ◽  
Vol 171 (S2) ◽  
pp. 71-72
Author(s):  
S. R. Kearns ◽  
S. H. Orakzai ◽  
H. A. Ridha ◽  
G. Roche-Nagle ◽  
P. Keogh ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Prospective Study ◽  
Knee Injuries ◽  
Clinical Signs ◽  
Current Clinical Practice ◽  
A Prospective Study ◽  
Acute Knee

Test me now or, test me later: prospective study of molecular testing in ovarian cancer

2021 ◽  
Vol 162 ◽  
pp. S287
Author(s):  
Matthew Scalise ◽  
McKenzie Foxall ◽  
Haley Thigpen ◽  
Carly Bess Scalise ◽  
Rebecca Arend
Keyword(s):  
Ovarian Cancer ◽  
Prospective Study ◽  
Molecular Testing

Susceptibility of Common Family Anatidae Bird Species to Clade 2.3.4.4e H5N6 High Pathogenicity Avian Influenza Virus: An Experimental Infection Study

2021 ◽  
Author(s):  
Kosuke Soda ◽  
Yukiko Tomioka ◽  
Chiharu Hidaka ◽  
Mayu Matsushita ◽  
Tatsufumi Usui ◽  
...  
Keyword(s):  
Avian Influenza ◽  
Late Phase ◽  
Clinical Signs ◽  
Bird Species ◽  
Oral Route ◽  
Post Inoculation ◽  
Infectious Dose ◽  
Epidemic Season ◽  
Source Of Infection ◽  
High Pathogenicity

Abstract Background: There were large outbreaks of high pathogenicity avian influenza (HPAI) caused by clade 2.3.4.4e H5N6 viruses in the winter of 2016–2017 in Japan, which caused large numbers of deaths among several endangered bird species including cranes, raptors, and birds in Family Anatidae. In this study, susceptibility of common Anatidae to a clade 2.3.4.4e H5N6 HPAI virus was assessed to evaluate their potential to be a source of infection for other birds. Eurasian wigeons (Mareca penelope), mallards (Anas platyrhynchos), and Northern pintails (Anas acuta) were intranasally inoculated with 106, 104, or 102 50% egg infectious dose (EID50) of clade 2.3.4.4e A/teal/Tottori/1/2016 (H5N6). Results: All birds survived for 10 days without showing any clinical signs of infection. Most ducks inoculated with ≥104 EID50 of virus seroconverted within 10 days post-inoculation (dpi). Virus was mainly shed via the oral route for a maximum of 10 days, followed by cloacal route in late phase of infection. Virus remained in the pancreas of some ducks at 10 dpi. Viremia was observed in some ducks euthanized at 3 dpi, and ≤106.3 EID50 of virus was recovered from systemic tissues and swab samples including eyeballs and conjunctival swabs. Conclusions: These results indicate that the subject duck species have a potential to be a source of infection of clade 2.3.4.4e HPAI virus to the environment and other birds sharing their habitats. Captive ducks should be reared under isolated or separated circumstances during the HPAI epidemic season to prevent infection and further viral dissemination.

scholarly journals Viral hepatitis E: A disease of humans and animals

2012 ◽  
Vol 66 (5-6) ◽  
pp. 449-462
Author(s):  
Branislav Kureljusic ◽  
Vojin Ivetic ◽  
Bozidar Savic ◽  
Jasna Kureljusic ◽  
Nemanja Jezdimirovic
Keyword(s):  
Viral Hepatitis ◽  
Hepatitis E Virus ◽  
Clinical Signs ◽  
Hepatitis E ◽  
Developed Countries ◽  
Animal Origin ◽  
Oral Transmission ◽  
Source Of Infection ◽  
Pig Farms ◽  
The Usa

The hepatitis E virus is ubiquitous in all parts of the world where pig production exists. The infection occurs in several animal species and its course is mostly asymptomatic. Viral strains isolated from pigs and humans are genetically similar, which indicates a potential zoonotic nature of the disease, and the possibility that pigs, and perhaps also other species of animals diseased with viral hepatitis E are a source of infection to humans. The pig hepatitis E virus, which is similar to the hepatitis E virus in humans, was isolated and described for the first time in the USA in 1997. The infection of pigs with hepatitis E virus occurs through faeco-oral transmission, by ingestion of feed and water contaminated with the virus, or through direct contact between infected and healthy animals. The pathogenesis of this infection in pigs differs from its pathogenesis in humans and it has not been sufficiently examined in all its aspects. Even though viral hepatitis E in pigs has been described as a subclinical disease, some authors describe changes in the concentration of certain biochemical parameters in blood serum of the infected pigs. Histologically, a mild to moderate lymphotic-plasma cellular infiltration is observed in livers of infected pigs, as well as focal areas of hepatocyte necrosis. Viral hepatitis E is an endemic disease of humans in Asia, Africa, and Latin America. In developed countries, hepatitis E sporadically occurs in humans, but it is becoming of increasing importance in particular in Japan, North America, and Europe, because the populations of these areas travel extensively to the endemic regions or as a result of the consumption of thermally untreated meat of wild boar and products made from thermally untreated meat. Pork products can be contaminated with hepatitis E virus. Further proof that indicates the zoonotic potential of this virus and places this diseases among the group of professional diseases of farmers and veterinarians is the finding of antibodies to hepatitis E virus in farmers and veterinarians who work on pig farms without showing any clinical signs of the disease. Having in mind the fact that viral hepatitis E has been proven in pig farms in Serbia and neighboruign countries, there should be strict respect of biosecutiry measures from the episootiological and epidemiological aspects, and the principle of good production and hygiene practice should be adhered to on pig farms. This disease should in future also be included in the legal regulations of our country in order to ensure the production of products of animal origin that are safe from the aspect of hygiene.

scholarly journals Revisiting Ophidiomycosis (Snake Fungal Disease) After a Decade of Targeted Research

2021 ◽  
Vol 8 ◽  
Author(s):  
Christina M. Davy ◽  
Leonard Shirose ◽  
Doug Campbell ◽  
Rachel Dillon ◽  
Christina McKenzie ◽  
...  
Keyword(s):  
Large Scale ◽  
Sublethal Effects ◽  
Clinical Signs ◽  
Fungal Disease ◽  
Host Susceptibility ◽  
Current Evidence ◽  
Molecular Testing ◽  
Population Declines ◽  
Snake Fungal Disease ◽  
Free Ranging

Emerging infectious diseases (EIDs) are typically characterized by novelty (recent detection) and by increasing incidence, distribution, and/or pathogenicity. Ophidiomycosis, also called snake fungal disease, is caused by the fungus Ophidiomyces ophidiicola (formerly “ophiodiicola”). Ophidiomycosis has been characterized as an EID and as a potential threat to populations of Nearctic snakes, sparking over a decade of targeted research. However, the severity of this threat is unclear. We reviewed the available literature to quantify incidence and effects of ophidiomycosis in Nearctic snakes, and to evaluate whether the evidence supports the ongoing characterization of ophidiomycosis as an EID. Data from Canada remain scarce, so we supplemented the literature review with surveys for O. ophidiicola in the Canadian Great Lakes region. Peer-reviewed reports of clinical signs consistent with ophidiomycosis in free-ranging, Nearctic snakes date back to at least 1998, and retrospective molecular testing of samples extend the earliest confirmed record to 1986. Diagnostic criteria varied among publications (n = 33), confounding quantitative comparisons. Ophidiomycosis was diagnosed or suspected in 36/121 captive snakes and was fatal in over half of cases (66.7%). This result may implicate captivity-related stress as a risk factor for mortality from ophidiomycosis, but could also reflect reporting bias (i.e., infections are more likely to be detected in captive snakes, and severe cases are more likely to be reported). In contrast, ophidiomycosis was diagnosed or suspected in 441/2,384 free-ranging snakes, with mortality observed in 43 (9.8 %). Ophidiomycosis was only speculatively linked to population declines, and we found no evidence that the prevalence of the pathogen or disease increased over the past decade of targeted research. Supplemental surveys and molecular (qPCR) testing in Ontario, Canada detected O. ophidiicola on 76 of 657 free-ranging snakes sampled across ~136,000 km2. The pathogen was detected at most sites despite limited and haphazard sampling. No large-scale mortality was observed. Current evidence supports previous suggestions that the pathogen is a widespread, previously unrecognized endemic, rather than a novel pathogen. Ophidiomycosis may not pose an imminent threat to Nearctic snakes, but further research should investigate potential sublethal effects of ophidiomycosis such as altered reproductive success that could impact population growth, and explore whether shifting environmental conditions may alter host susceptibility.

scholarly journals Research of mastitis prevalence at heifers in farm breeding

2009 ◽  
Vol 25 (1-2) ◽  
pp. 73-80
Author(s):  
N. Varatanovic ◽  
A. Katica ◽  
T. Mutevelic ◽  
B. Cengic ◽  
N. Mlaco ◽  
...  
Keyword(s):  
Streptococcus Agalactiae ◽  
Clinical Signs ◽  
Clinical Mastitis ◽  
Test Period ◽  
Bacteriological Analysis ◽  
Source Of Infection ◽  
Mastitis Pathogens ◽  
Inflammation Signs

With 268 heifers in farm breeding, udder examination has been performed for clinical mastitis during 14 days after calving. From each quarter we took secretion samples and performed bacteriological analysis. From total number of heifers, 56 of them had shown clinical signs of inflammation, and 12 were bacteriologicaly positive. By bacteriological analysis mastitis pathogens had been found, even in 14 heifers without inflammation signs, at least until the end of test period. From the total number of tested heifers in 3,35% of cases Streptococcus agalactiae have been found, 4,85% coagulase positive staphilococcae (CPS) and 1,49% Corynebacterium pyogenes. Because coagulasa positive staphilococci were the most present bacteries in the period of 14 days, we made opinion that the same are the most often mastitis pathogen. Heifers with intramammarian infections like these, represent source of infection fot other non-infected animals in herd. .

Persistent Pharyngeal Colonization with Haemophilus influenzae Type b After Intravenous Chloramphenicol Therapy

PEDIATRICS ◽  
1981 ◽  
Vol 67 (3) ◽  
pp. 435-437
Author(s):  
Eugene D. Shapiro
Keyword(s):  
Haemophilus Influenzae ◽  
Prospective Study ◽  
Index Case ◽  
Haemophilus Influenzae Type ◽  
Haemophilus Influenzae Type B ◽  
Type B ◽  
Household Contacts ◽  
Potential Source ◽  
Increased Risk ◽  
Close Contacts

A recent prospective study has demonstrated that age-susceptible household contacts of children with Haemophilus influenzae type b (HIB) meningitis are at significantly increased risk of developing systemic HIB disease.1 Studies of meningococcal disease have suggested that chemoprophylaxis of close contacts of the index case may decrease this risk by reducing transmission from carriers to noncarriers.2 Chemoprophylaxis of household and day care contacts of children with HIB meningitis has been recommended.3 Three children treated with intravenous chloramphenicol for ampicillin-resistant HIB meningitis were found to harbor HIB in the pharynx prior to hospital discharge. These patients represent a potential source for the reintroduction of HIB into the household.

Susceptibility Status of Bedbugs (Hemiptera: Cimicidae) Against Pyrethroid and Organophosphate Insecticides in Dar es Salaam, Tanzania

2019 ◽  
Author(s):  
Germana T Baraka ◽  
Bruno A Nyundo ◽  
Adelina Thomas ◽  
Beda J Mwang’onde ◽  
Eliningaya J Kweka
Keyword(s):  
Public Health ◽  
Dar Es Salaam ◽  
Health Concern ◽  
Public Health Concern ◽  
High Coverage ◽  
Organophosphate Insecticides ◽  
Cimex Hemipterus ◽  
Dar Es Salaam City ◽  
Long Lasting Insecticidal Nets ◽  
Susceptibility Status

Abstract Cimex hemipterus resistance to residual insecticides is a growing public health concern worldwide. Herein, we report the susceptibility status of C. hemipterus against pyrethroid (permethrin) and organophosphate (dichlorvos) insecticides in Dar es Salaam. The knockdown efficacy of dichlorvos (99%) was greater than that of permethrin (43%), and mortality at the end of 24 h was also greater for dichlorvos than for permethrin. Mortality in recommended concentration of permethrin was lower than manufacturer’s expectations. In contrast, similar concentrations in dichlorvos resulted into mortality of 100% at the end of 24 h. LC50 and LC95 values for permethrin were 3.36 (2.356–4.364) and 2,887.39 (2,886.37–2,888.39), respectively, whereas those of dichlorvos were 7.91 (3.85–11.97) and 44.39 (40.33–48.45). Dar es Salaam city has high coverage and usage of long-lasting insecticidal nets (LLINs) for prevent malaria. The resistance in bedbugs to permethrin may be related to the widespread use of the insecticide in LLINs. We recommend of the change from pyrethroids dichlorvos for the control of bedbugs.

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