Uitstel van accurate diagnose tijdens de COVID-19 pandemie

Infectie is een gevreesde prothese-gerelateerde complicatie, met op oudere leeftijd enerzijds een hoger risico op het ontwikkelen hiervan maar anderzijds ook vaker een atypische presentatie. Wij bespreken in deze casus het uitgesteld diagnostisch proces van een uitgebreide invasieve Staphylococcus aureus infectie bij een fragiele patiënte met een totale heupprothese. De detectie van Staphylococcus aureus in een urinestaal was hierbij een bijkomende hint naar de mogelijke aanwezigheid van een Staphylococcus aureus bacteriëmie. Het verloop van de casus toont aan dat teleconsultatie en ambulante diagnostiek niet geschikt zijn voor (sub)acute invasieve wekedelen-, bot- en gewrichtsinfecties bij fragiele ouderen, ook niet in tijden van pandemie, lockdown en noodgedwongen uitgestelde zorg.

Author(s):  
Masaatsu Koike ◽  
Koichi Nakashima ◽  
Kyoko Iida

Penicillin exerts the activity to inhibit the peptide cross linkage between each polysaccharide backbone at the final stage of wall-peptidoglycan biosynthesis of bacteria. Morphologically, alterations of the septal wall and mesosome in gram-positive bacteria, which were occurred in early time after treatment with penicillin, have been observed. In this experiment, these alterations were cytochemically investigated by means of silver-methenamine staining after periodate oxidation, which is applied for detection of localization of wall mucopolysaccharide.Staphylococcus aureus strain 209P treated with 100 u/ml of penicillin G was divided into two aliquotes. One was fixed by Kellenberger-Ryter's OSO4 fixative at 30, 60 and 120 min after addition of the antibiotic, dehydrated through alcohol series, and embedded in Epon 812 (Specimen A). The other was fixed by 21 glutaraldehyde, dehydrated through glycolmethacrylate series and embedded in glycolmethacrylate mixture, according to Bernhard's method (Specimen B).


Author(s):  
Margaret Hukee

Gold labeling of two antigens (double labeling) is often done on two section surfaces separated by section thickness. Whether labeling is done on both sides of the same section or on two parallel surfaces separated by section thickness (PSSST), comparable results are dependent on an equal number of epitopes being exposed at each surface. We propose a method to study protein labeling within the same field of proteins, by examining two directly adjacent surfaces that were split during sectioning. The number of labeling sites on adjacent surfaces (AS) were compared to sites on PSSST surfaces in individual bacteria.Since each bacteria needed to be recognizable in all three section surfaces, one-hole grids were used for labeling. One-hole grids require a supporting membrane and excessive handling during labeling often ruptures the membrane. To minimize handling, a labeling chamber was designed that is inexpensive, disposable, minimizes contamination, and uses a minimal amount of solution.


VASA ◽  
2013 ◽  
Vol 42 (5) ◽  
pp. 382-386
Author(s):  
Karim Gariani ◽  
Marc Righini ◽  
Marco Roffi ◽  
Gino Gemayel ◽  
Damiano Mugnai ◽  
...  

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