scholarly journals Burkholderia species in human infections in Mexico: Identification of B. cepacia, B. contaminans, B. multivorans, B. vietnamiensis,B. pseudomallei and a new Burkholderia species

2021 ◽  
Vol 15 (6) ◽  
pp. e0009541
Author(s):  
Georgina Meza-Radilla ◽  
Violeta Larios-Serrato ◽  
Rigoberto Hernández-Castro ◽  
J. Antonio Ibarra ◽  
Paulina Estrada-de los Santos
Keyword(s):  
Sensu Stricto ◽  
Clinical Settings ◽  
Correct Identification ◽  
Opportunistic Pathogens ◽  
Burkholderia Species ◽  
Medical Centers ◽  
Accurate Treatment ◽  
Immunosuppressed Patients ◽  
Human Infections ◽  
First Time

Background Burkholderia sensu stricto is comprised mainly of opportunistic pathogens. This group is widely distributed in the environment but is especially important in clinical settings. In Mexico, few species have been correctly identified among patients, most often B. cepacia is described. Methodology/Principal findings In this study, approximately 90 strains identified as B. cepacia with the VITEK2 system were isolated from two medical centers in Mexico City and analyzed by MLSA, BOX-PCR and genome analysis. The initial identification of B. cepacia was confirmed for many strains, but B. contaminans, B. multivorans and B. vietnamiensis were also identified among clinical strains for the first time in hospitals in Mexico. Additionally, the presence of B. pseudomallei was confirmed, and a novel species within the B. cepacia complex was documented. Several strains misidentified as B. cepacia actually belong to the genera Pseudomonas, Stenotrophomonas and Providencia. Conclusions/Significance The presence of different Burkholderia species in Mexico was confirmed. Correct identification of Burkholderia species is important to provide accurate treatment for immunosuppressed patients.

scholarly journals Pathogenic Budding Yeasts Isolated outside of Clinical Settings

2018 ◽  
Author(s):  
Dana Opulente ◽  
Quinn Langdon ◽  
Kelly Buh ◽  
Max Haase ◽  
Kayla Sylvester ◽  
...  
Keyword(s):  
The United States ◽  
Clinical Samples ◽  
Clinical Settings ◽  
Opportunistic Pathogens ◽  
Pathogenic Yeast ◽  
Pichia Kudriavzevii ◽  
Issatchenkia Orientalis ◽  
Wide Range ◽  
Clinical Environments ◽  
Human Infections

Budding yeasts are distributed across a wide range of habitats, including as human commensals. However, under some conditions, these commensals can cause superficial, invasive, and even lethal infections. Despite their importance to human health, little is known about the ecology of these opportunistic pathogens, aside from their associations with mammals and clinical environments. During a survey of approximately 1000 non-clinical samples across the United States of America, we isolated 54 strains of budding yeast species considered opportunistic pathogens, including Candida albicans and Candida (Nakaseomyces) glabrata. We found that, as a group, pathogenic yeasts were positively associated with fruits and soil environments, while the species Pichia kudriavzevii (syn. Candida krusei syn. Issatchenkia orientalis) had a significant association with plants. These results suggest that pathogenic yeast ecology is more complex and diverse than is currently appreciated and raises the possibility that these additional environments could be a point of contact for human infections.

scholarly journals Human Cystic Echinococcosis in Lebanon: A Retrospective Study and Molecular Epidemiology

2021 ◽  
Author(s):  
Gaelle Joanny ◽  
Maria Grazia Cappai ◽  
Francesca Nonnis ◽  
Claudia Tamponi ◽  
Giorgia Dessì ◽  
...  
Keyword(s):  
Echinococcus Granulosus ◽  
Cystic Echinococcosis ◽  
Epidemiological Data ◽  
Sensu Stricto ◽  
Control Measures ◽  
Mediterranean Countries ◽  
High Gene ◽  
Human Infections ◽  
And Control ◽  
Human Cystic Echinococcosis

Abstract Purpose Human cystic echinococcosis (CE) is a zoonotic parasitic disease that constitutes a public health challenge and a socio-economic burden in endemic areas worldwide. No specific surveillance system of CE infections in humans exists in Lebanon. The incidence and trends over time have not been documented. The current study aimed to assess the demographic and epidemiologic features of human CE surgical cases over a 14-year period in the five main regions of Lebanon. Methods From 2005 to 2018, a total of 894 surgically confirmed cases of hydatidosis were recorded from five anatomy and pathology laboratories. Results The mean annual surgical incidence was 1.23/100,000 inhabitants. Over the span of these years, the incidence increased from 0.53 to 1.94 cases/100,000 inhabitants in 2005 and 2018, respectively. CE is present in Lebanon with an uneven distribution from one region to the other with higher prevalence in Bekaa (29.0%), a rural area where sheep raising is widespread. Human CE cases were more common in females (60.1%) than in males (39.9%) and a high burden of infection was reported for the age group of 30–39 years. Besides, 66.7% of the cases expressed only liver complications whereas, 20.5% showed predilection towards lungs. The 7.8% of cases presented cysts in other organs, and 1.3% showed multiple localizations. Additionally, predominant involvement of Echinococcus granulosus sensu stricto was recorded in human infections. Comparison of Echinococcus granulosus s.s. populations from different Mediterranean countries also revealed high gene flow among this region and sharing of alleles. Conclusion The current study is a step forward to fill the gap of knowledge for the hydatidosis in Lebanon where the lack of epidemiological data and control measures have resulted in higher incidence of human CE. Graphic Abstract

scholarly journals An Application of Imipenem Discs or P. aeruginosa ATCC 27853 Reference Strain Increases Sensitivity of Carbapenem Inactivation Method for Non-Fermenting Gram-Negative Bacteria

Antibiotics ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 875
Author(s):  
Tomasz Bogiel ◽  
Mateusz Rzepka ◽  
Eugenia Gospodarek-Komkowska
Keyword(s):  
Human Population ◽  
Reference Strain ◽  
Resistance Mechanisms ◽  
Gram Negative Bacteria ◽  
Opportunistic Pathogens ◽  
Beta Lactams ◽  
Gram Negative ◽  
E Coli ◽  
Human Infections ◽  
Reliable Diagnostic Method

Non-fermenting Gram-negative rods are one of the most commonly isolated bacteria from human infections. These microorganisms are typically opportunistic pathogens that pose a serious threat to public health due to possibility of transmission in the human population. Resistance to beta-lactams, due to carbapenemases synthesis, is one of the most important antimicrobial resistance mechanisms amongst them. The aim of this study was to evaluate the usefulness of the Carbapenem Inactivation Method (CIM), and its modifications, for the detection of carbapenemase activity amongst non-fermenting Gram-negative rods. This research involved 81 strains of Gram-negative rods. Of the tested strains, 55 (67.9%) synthesized carbapenemases. For non-fermenting rods, 100% sensitivity and specificity was obtained in the version of the CIM test using imipenem discs and E. coli ATCC 25922 strain. The CIM test allows for differentiation of carbapenems resistance mechanisms resulting from carbapenemase synthesis from other resistance types. It is a reliable diagnostic method for the detection of carbapenemase activity amongst non-fermenting Gram-negative rods. Application of imipenem discs and P. aeruginosa ATCC 27853 reference strain increases CIM results sensitivity, while imipenem discs and E. coli ATCC 25922 strain use maintains full precision of the test for non-fermenting rods.

Implication of the distinctive bipolar intracardiac electrograms for ventricular arrhythmias arising from different regions of ventricular outflow tract

EP Europace ◽  
2020 ◽  
Vol 22 (9) ◽  
pp. 1367-1375
Author(s):  
Jia Li ◽  
Weiqian Lin ◽  
Cheng Zheng ◽  
Chi Zhang ◽  
Jiji Yu ◽  
...  
Keyword(s):  
Ventricular Arrhythmias ◽  
Ventricular Outflow Tract ◽  
High Amplitude ◽  
Outflow Tract ◽  
Correct Identification ◽  
Aortic Sinus ◽  
Distinctive Features ◽  
Long Duration ◽  
Target Sites ◽  
First Time

Abstract Aims To investigate the characteristics of bipolar intracardiac electrograms (bi-EGMs) in target sites of ventricular arrhythmias (VAs) originating from different regions of ventricular outflow tract (VOT). Methods and results Two hundred and seventy patients undergoing first-time ablation for VAs originated from distal great cardiac vein (DGCV), aortic sinus cusps (ASCs), or pulmonary sinus cusps (PSCs) were enrolled in present study. Local intracardiac bipolar recordings on 243 successful sites and 506 attempted but unsuccessful ablation sites were analysed. Specific potentials in bi-EGMs on successful sites were more common compared with unsuccessful sites (76.95%, 187/243 vs. 25.49%, 129/506, P < 0.05). A total of 60.00% (81/135) patients in ASCs group presented a presystolic short-duration fractionated potential, higher than 23.21% (13/56) in DGCV and 23.08% (12/52) in PSCs (all P < 0.05); 44.23% (23/52) patients in PSC group showed a presystolic high-amplitude discrete potential, while 1.79% (1/56) in DGCV and 2.22% (3/135) in ASCs (all P < 0.05); 41.07% (23/56) patients in DGCV group showed bi-EGMs of presystolic long-duration multicomponent fractionated potential, which was significantly higher than 3.85% (2/52) in PSCs and 4.44%(6/135) in ASCs (all P < 0.05). Conclusion Distinctive morphology of bi-EGMs during VAs can be found in different regions of VOT, which probably due to changes in the arrangements of myocardial sleeves. Correct identification and better understanding of the distinctive features of these bi-EGMs with regards to the anatomic location was important, the presence of specific potentials may add help in successful ablation.

NORTH AMERICAN WATER MITES OF THE FAMILY MOMONIIDAE VIETS (ACARI: ARRENUROIDEA). IV. REVISION OF SPECIES OF STYGOMOMONIA (SENSU STRICTO) SZALAY, 1943

1991 ◽  
Vol 123 (3) ◽  
pp. 501-558 ◽  
Author(s):  
Ian M. Smith
Keyword(s):  
New Species ◽  
North American ◽  
Sensu Stricto ◽  
North American Species ◽  
Water Mites ◽  
Dispersal Patterns ◽  
The Family ◽  
Three New Species ◽  
New Diagnosis ◽  
First Time

AbstractMorphological, life history, and distributional data are presented for North American species of the subgenus Stygomomonia (sensu stricto) Szalay, 1943. Adults of the seven previously recognized species are redescribed, and deutonymphs of five of these species are described for the first time. Two species, S. (s.s.) neomexicana Cook and S. (s.s.) occidentalis Cook are substantially revised on the basis of an examination of the types and extensive series of newly collected specimens. Three new species are described, S. (s.s.) californiensis on the basis of deutonymphs and adults, and S. (s.s.) imamurai and S. (s.s.) cooki on the basis of adults. A new diagnosis of the subgenus is proposed and discussed, the relationships of the various species are discussed, and a key to deutonymphs and adults of North American species is presented. New distributional data are presented for all species, and dispersal patterns from Pleistocene refugia are discussed.

scholarly journals Prophylactic and postexposure efficacy of a potent human monoclonal antibody against MERS coronavirus

2015 ◽  
Vol 112 (33) ◽  
pp. 10473-10478 ◽  
Author(s):  
Davide Corti ◽  
Jincun Zhao ◽  
Mattia Pedotti ◽  
Luca Simonelli ◽  
Sudhakar Agnihothram ◽  
...  
Keyword(s):  
B Cells ◽  
Neutralizing Antibodies ◽  
Human Monoclonal Antibody ◽  
Infected Individual ◽  
Chinese Hamster ◽  
Neutralizing Antibody ◽  
Emerging Viruses ◽  
Antiviral Therapies ◽  
Human Infections ◽  
First Time

Middle East Respiratory Syndrome (MERS) is a highly lethal pulmonary infection caused by a previously unidentified coronavirus (CoV), likely transmitted to humans by infected camels. There is no licensed vaccine or antiviral for MERS, therefore new prophylactic and therapeutic strategies to combat human infections are needed. In this study, we describe, for the first time, to our knowledge, the isolation of a potent MERS-CoV–neutralizing antibody from memory B cells of an infected individual. The antibody, named LCA60, binds to a novel site on the spike protein and potently neutralizes infection of multiple MERS-CoV isolates by interfering with the binding to the cellular receptor CD26. Importantly, using mice transduced with adenovirus expressing human CD26 and infected with MERS-CoV, we show that LCA60 can effectively protect in both prophylactic and postexposure settings. This antibody can be used for prophylaxis, for postexposure prophylaxis of individuals at risk, or for the treatment of human cases of MERS-CoV infection. The fact that it took only 4 mo from the initial screening of B cells derived from a convalescent patient for the development of a stable chinese hamster ovary (CHO) cell line producing neutralizing antibodies at more than 5 g/L provides an example of a rapid pathway toward the generation of effective antiviral therapies against emerging viruses.

The optimum cut-off value to differentiate Echinococcus granulosus sensu stricto from other species of E. granulosus sensu lato using larval rostellar hook morphometry

2013 ◽  
Vol 89 (1) ◽  
pp. 1-8 ◽  
Author(s):  
S.V. Soriano ◽  
N.B. Pierangeli ◽  
L.A. Pianciola ◽  
M. Mazzeo ◽  
L.E. Lazzarini ◽  
...  
Keyword(s):  
Molecular Epidemiology ◽  
Echinococcus Granulosus ◽  
Cystic Echinococcosis ◽  
Control Strategies ◽  
High Sensitivity ◽  
Field Studies ◽  
Sensu Stricto ◽  
Roc Curve Analysis ◽  
First Time

AbstractCystic echinococcosis caused by Echinococcus granulosus sensu lato is one of the most important helminth zoonoses in the world; it affects both humans and livestock. The disease is endemic in Argentina and highly endemic in the province of Neuquén. Considerable genetic and phenotypic variation has been demonstrated in E. granulosus, and ten different genotypes (G1–G10) have been identified using molecular tools. Echinococcus granulosus sensu lato may be considered a species complex, comprised of E. granulosus sensu stricto (G1–G3), E. equinus (G4), E. ortleppi (G5) and E. canadensis (G6–G10). In endemic areas, the characterization of cystic echinococcosis molecular epidemiology is important in order to apply adequate control strategies. A cut-off value for larval large hook total length to distinguish E. granulosus sensu stricto isolates from those produced by other species of the complex was defined for the first time. Overall, 1780 larval hooks of 36 isolates obtained from sheep (n= 11, G1), goats (n= 10, G6), cattle (n= 5, G6) and pigs (n= 10, G7) were analysed. Validation against molecular genotyping as gold standard was carried out using the receiver operating characteristic (ROC) curve analysis. The optimum cut-off value was defined as 26.5 μm. The proposed method showed high sensitivity (97.8%) and specificity (91.1%). Since in most endemic regions the molecular epidemiology of echinococcosis includes the coexistence of the widely distributed E. granulosus sensu stricto G1 strain and other species of the complex, this technique could be useful as a quick and economical tool for epidemiological and surveillance field studies, when fertile cysts are present.

Union of forces advances myeloma care

Blood ◽  
2010 ◽  
Vol 116 (5) ◽  
pp. 674-675 ◽  
Author(s):  
A. Keith Stewart
Keyword(s):  
Treatment Regimen ◽  
Academic Medical Centers ◽  
Pharmaceutical Companies ◽  
Team Approach ◽  
Newly Diagnosed ◽  
Medical Centers ◽  
Academic Medical ◽  
First Time

In this issue of Blood, Richardson et al report on a landmark treatment regimen for newly diagnosed myeloma patients that for the first time combines lenalidomide and bortezomib. This effort required a team approach comprising 2 competing pharmaceutical companies (joining forces to study this promising regimen) and multiple academic medical centers.1

The Ornithodoros capensis group (Acari: Argasidae): a morphological diagnosis and molecular characterization of O. capensis sensu stricto from Queimada Grande Island, Brazil 

2017 ◽  
Vol 22 (1) ◽  
pp. 28 ◽  
Author(s):  
Sebastián Muñoz-Leal ◽  
Ricardo A. Dias ◽  
Carlos R. Abrahão ◽  
Marcelo B. Labruna
Keyword(s):  
Molecular Characterization ◽  
Related Species ◽  
Morphological Analysis ◽  
Bacterial Pathogens ◽  
Sensu Stricto ◽  
Closely Related Species ◽  
Paulo State ◽  
Morphological Diagnosis ◽  
First Time

Ornithodoros capensis sensu lato (s. l.) is a worldwide-distributed group of soft ticks that parasitize birds in insular and continental lands. It is currently composed of 11 morphologically closely related species. Several viral and bacterial pathogens, and particularly Coxiella-like endosymbiont organisms have been described coexisting with ticks of this group. Since it last report in 1983, the presence of O. capensis s. l. in Brazil has remained undocumented. By a morphological analysis of larvae and a molecular characterization of ticks and Coxiella genes we describe for the first time O. capensis sensu stricto in Brazil from specimens collected on Queimada Grande Island, in São Paulo state.

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