FEATURES OF ULTRASONIC CHARACTERISTICS OF MESENTERIC LYMPH NODES IN COVID-19 IN CHILDREN WITH ACUTE ABDOMINAL SYNDROME: DESCRIPTION OF CLINICAL CASES

2021 ◽  
Vol 100 (6) ◽  
pp. 178-181
Author(s):  
S.S. Nikitin ◽  
◽  
Yu.G. Pyattoev ◽  
N.B. Guseva ◽  
M.V. Leukhin ◽  
...  

The authors describe clinical observations of children with acute mesenteric adenitis with PCRconfirmed COVID-19 infection. Attention during ultrasound diagnostics is drawn to the condition of the lymph nodes – mesenteric adenitis in COVID-19 infection was manifested by a significant increase in the size of the nodes – more than 15 mm, a large number of nodes in the cut with a tendency to form a conglomerate, a more rounded shape, significantly increased blood flow, a reaction of the peritoneum in the form its thickening and the presence of free fluid in the abdominal cavity. Unusual for a «ordinary» respiratory viral or intestinal infection type of lymph nodes was the only sign that distinguishes the manifestations of mesenteric infection in COVID-19 infection.

2004 ◽  
Vol 11 (3) ◽  
pp. 452-457 ◽  
Author(s):  
Shuichi Miyazaki ◽  
Fumio Ishikawa ◽  
Toshihiko Fujikawa ◽  
Shigekazu Nagata ◽  
Keizo Yamaguchi

ABSTRACT Intraperitoneal injection of lipopolysaccharide (LPS; 100 μg) in mice resulted in the disappearance of almost all proteose peptone-induced polymorphonuclear neutrophils (PMNs) with high-level fluorescence for the cell surface marker Gr-1 (Gr-1high) at 15 min postinjection, followed by doubling of their proportion at 30 min postinjection. High staining levels of 3′-acetyl-2′-carboxyl-6′,7′-(dihyropyran-2′-one)-5 or 6-carboxyfluorescein diacethoxylmethyl ester-labeled PMNs injected into the peritoneal cavity were detected in mesenteric lymph nodes 15 min postinjection of LPS. Therefore, the time of decrease of Gr-1high PMNs coincided with that of the increase in cell accumulation in mesenteric lymph nodes. Since milk fat globule-EGF factor 8 (MFG-E8), which is secreted by macrophages, bound many PMNs exhibiting Gr-1high and Gr-1medium at 30 min postinjection of LPS, the staining level of annexin V on those cells was very low because its binding site is the same as the receptor for MFG-E8. At 60 min postinjection of LPS, the proportion of Gr-1high PMNs decreased, and almost all Gr-1medium PMNs tended to shift to the right compared with those at 30 min postinjection. The geomeans of Toll-like receptor 4 (TLR4) expression on PMNs at 15, 30, and 60 min postinjection of LPS were 63, 66, and 24%, respectively, compared with that on normal PMNs, indicating that the expression of TLR4 decreases in response to exposure to LPS. Our results suggest that LPS induced PMN death and that many PMNs expressing Gr-1high undergo apoptosis 180 min postinjection of LPS.


2017 ◽  
Vol 45 ◽  
pp. 3
Author(s):  
Karine Ludwig Takeuti ◽  
Gabriela Fredo ◽  
Rafael Cé Viott ◽  
David Driemeier ◽  
David Emílio Santos Neves Barcellos

Background: Osseous choristomas represent the production of osseous tissue in abnormal regions, such as subcutaneous, fibrous or perivascular tissues, skeletal muscle and skin. These structures have been found in humans, dogs (lungs and dura mater), horses (large intestines) and cattle (lungs and mesenteric lymph nodes). They were also found in the mesenteric region and thoracic cavity of sows and piglets. The aim of this paper was to describe the macro and microscopic lesions found in a sow which died suddenly by a rare mesenteric osseous choristoma.Case: A lactating sow, parity four, from the Swine Department of the Federal University of Rio Grande do Sul (UFRGS), Brazil, showed appetite loss, hyperthermia (41.5ºC) and sudden death. The animal was submitted to necropsy at the Department of Veterinary Pathology, UFRGS. On external examination, the sow showed conjunctival and perioral cyanosis, proximal colon region with a firm structure with approximately 3.0 cm length in mesenteric area. Moreover, the colon was ruptured and fibrin deposition and intestinal content in abdominal cavity were observed. Fragments of organs were collected in 10% formalin, routinely processed for histology and colored with hematoxylin and eosin stain (H&E). Histologically, it was found bone trabeculae with osteoid, periosteum, spaces with osteocids and endochondral ossification with bone marrow composed by adipose tissue and intense proliferation of conjunctive stroma. The mesenteric lymph nodes showed intense lymphoid hyperplasia with multifocal centrilobular necrosis. There was fibrin in serosa of colon, acute peri-spleen and acute fibrinopurulent perihepatitis.Discussion: Macroscopic and microscopic findings were consistent with mesenteric osseous choristoma. This condition is unusual in domestic animals, however it has been already described in pigs. Osseous choristoma could be related to previous mesenteric torsions, which could occur in growing phase, causing inflammation and hemorrhage, stimulating its generation. These structures may cause lesions in adjacent organs. The abrupt movements of the sow or intestinal peristalsis could have broken the bone, raising two tips, which in contact with the colon, ruptured it. Because of this, shedding of intestinal content was observed, which resulted in an acute peritonitis and sudden death of the animal. The annual mortality rates of sows (natural deaths or euthanasia) varies from 4.0 to 6.0%, but may be variable. Sow sudden deaths represent 17.5% of all sows and boars deaths, and gilts, pregnant and lactating sows are more susceptible. The most common causes of sow sudden death are gastrointestinal problems, such as ulcer, enteritis, torsions and ruptures; pneumonia; urinary infections, such as cystitis and pyelonephritis; heart failure; dystocia, and septicemia. However, one third of sudden death causes are not identified. The necropsy is the only way to identify the cause of death, through observation of macroscopic lesions and subsequent laboratory tests. Better knowledge of causes is important to establish control measures and possibly reduce culling of swine females. The causes of sudden death in sows should be better understood. Case reports of mesenteric osseous choristomas are rare in pigs, however it is not possible to assert if its occurrence is low, since few sudden deaths in sows are investigated.


Author(s):  
Borys Tarasyuk ◽  
Iryna Lukyanova ◽  
Iryna Dykan ◽  
O. Golovchenko ◽  
T. Gridina ◽  
...  

Ascaridosis is a common parasitic infection among children that can cause various complications. The aim of the study was to determine the condition of the abdominal organs according to ultrasound diagnostics in children with a confirmed diagnosis of ascariasis. 45 children with ascariasis and 35 children of the control group were examined. It was determined that in most cases in the group with ascariasis the following changes are recorded: an increase in the “brightness” of the liver texture, an increase in the size of mesenteric lymph nodes, and the presence of a gastroesophageal reflux. Key words: ascariasis, children, ultrasound diagnostics, liver, mesenteric lymph nodes, hydrosonography, stomach, esophagus.


2001 ◽  
Vol 120 (5) ◽  
pp. A183-A183
Author(s):  
H KOBAYASHI ◽  
H NAGATA ◽  
S MIURA ◽  
T AZUMA ◽  
H SUZUKI ◽  
...  

Author(s):  
Carolin Wiechers ◽  
Mangge Zou ◽  
Eric Galvez ◽  
Michael Beckstette ◽  
Maria Ebel ◽  
...  

AbstractIntestinal Foxp3+ regulatory T cell (Treg) subsets are crucial players in tolerance to microbiota-derived and food-borne antigens, and compelling evidence suggests that the intestinal microbiota modulates their generation, functional specialization, and maintenance. Selected bacterial species and microbiota-derived metabolites, such as short-chain fatty acids (SCFAs), have been reported to promote Treg homeostasis in the intestinal lamina propria. Furthermore, gut-draining mesenteric lymph nodes (mLNs) are particularly efficient sites for the generation of peripherally induced Tregs (pTregs). Despite this knowledge, the direct role of the microbiota and their metabolites in the early stages of pTreg induction within mLNs is not fully elucidated. Here, using an adoptive transfer-based pTreg induction system, we demonstrate that neither transfer of a dysbiotic microbiota nor dietary SCFA supplementation modulated the pTreg induction capacity of mLNs. Even mice housed under germ-free (GF) conditions displayed equivalent pTreg induction within mLNs. Further molecular characterization of these de novo induced pTregs from mLNs by dissection of their transcriptomes and accessible chromatin regions revealed that the microbiota indeed has a limited impact and does not contribute to the initialization of the Treg-specific epigenetic landscape. Overall, our data suggest that the microbiota is dispensable for the early stages of pTreg induction within mLNs.


1997 ◽  
Vol 169 (5) ◽  
pp. 1253-1255 ◽  
Author(s):  
K N Chintapalli ◽  
C C Esola ◽  
S Chopra ◽  
A A Ghiatas ◽  
G D Dodd

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