Studies of ticks of the genus Dermacentor (Acari; Ixodidae) on the natural occurrence of tularemia pathogen in the conditions of the Central Pre-Caucasian region

The purpose of the research is the assessment of the Francisella tularensis occurrence in nature in ticks of the genus Dermacentor; understanding the physiological age in terms of tick infection with tularemia pathogen.Materials and methods. For the period from 2015 to 2019, we examined 8449 specimens of Dermacentor marginatus (916 pools), 8674 specimens of D. reticulatus (705 pools), and 109 specimens of D. niveus (40 pools) for tularemia infection. To assess the dependence of tularemia pathogen found in ticks of different physiological ages, we examined 2440 specimens of D. marginatus (360 pools), and 3349 specimens of D. reticulatus (412 pools) for the period from 2016 to 2019. Studies of ixodid ticks infected with tularemia pathogen were performed by the Natural Focal Infection Laboratory of the Stavropol Anti-Plague Institute. Pools of ixodid ticks were examined for the pathogen DNA of tularemia using reagent kits for identifying Francisella tularensis DNA by polymerase chain reaction with fluorescence hybridization of results recorded in real time.Results and discussion. The infection rate of the tularemia pathogen in ticks in the Central Pre-Caucasian region ranged from 0.044–1.127% in D. marginatus and 0.035–1.455% in D. reticulatus in different years. The greatest number of F. tularensis was isolated from the III physiological age ticks. For D. reticulatus ticks, no statistically significant dependence of the detected tularemia pathogen on physiological age was found.

Bacterial Infections of the Nervous System

Bacterial infections of the nervous system manifest themselves in several ways, most of which are neurologic emergencies. This chapter reviews the classic syndromes of meningoencephalitis and focal infection (cerebritis or abscess) and the syndromes of neurosyphilis, tuberculosis, botulism, leprosy, Lyme disease, Whipple disease, rickettsiosis, diphtheria, and ventricular shunt infections.

A Case Report of Improved Palmoplantar Pustulosis following Periodontal Treatment and Possible Association with Diminished Systemic Subclinical Inflammation

Palmoplantar pustulosis (PPP) is a recurrent pustular dermatosis located on the palms and soles. Focal infection may exacerbate the symptoms of PPP, but the etiology is not fully clear. A 56-year-old woman with PPP was diagnosed with severe chronic periodontitis. Initial treatment for periodontitis combined with topical application of antibiotics and surgical treatment was performed. In this case, attention was paid to the relevance of systemic inflammation caused by periodontitis with the clinical symptoms of PPP. With periodontal treatment, the symptoms of PPP and periodontitis, high-sensitivity C-reactive protein (hs-CRP) level, and periodontal inflamed surface area (PISA) improved. This case highlights the importance of comprehensive dental examinations, including those for oral infections, such as periodontitis and other unrecognized sources of infection, and dental treatment in the overall management of PPP.

Evolving paradigms in the field of periodontal medicine: A review

The association between the oral and systemic health has been a matter of discussion since the focal infection theory of the early 20century. This field has evolved with supportable evidence linking poor periodontal status with systemic diseases and extensive research on this complex relationship has given rise to new field of “Periodontal Medicine.” Although the evidence base is quite large on the impact of systemic disorders on periodontium but a smaller but growing evidence base supports an association between poor periodontal health and systemic diseases. Moreover, today’s era of evidence-based medicine and dentistry provides an excellent environment to examine the possible relationships between oral infection and systemic disorders. Therefore, the purpose of writing this review article is to understand the underlying pathophysiology between periodontal health and systemic health with particular focus on the effects of periodontal disease on systemic outcomes.

GEOECOLOGICAL ASSESSMENT OF THE RISK OF BIOLOGICAL CONTAMINATION OF THE REPUBLIC OF BASHKORTOSTAN TERRITORY BY NATURAL AND FOCAL FACTORS

The high significance of the problem of hemorrhagic fever with renal syndrome (HFRS) is associated with the scale of spread, damage to persons of active age, a long period of reduced working capacity and high economic damage. The work presents an assessment of biological contamination by natural - focal viral infection - HFRS in the Re-public of Bashkortostan (RB). The most active foci are associated with linden forests, which prevail in the republic. The work shows the dynamics and features of infection. Analysis of the geoecological state of the territory according to HFRS showed that in the territory of most regions of the republic there are natural-focal infections of HFRS. There is an increase in infection of rodents with the HFRS virus, so in 2016 it was 5.0 %, and in 2019 - 16.2 %. The increase in the incidence of the population has characteristic epidemiological signs for the territory of RB, and the increase in high-risk areas indicates trends in the expansion and activation of foci of infection in them. At the same time, there is an increase in incidence, and infection in 50 % of cases occurs when visiting forests. In the capital of Bashkortostan - the city of Ufa, which is located in the natural zone, the incidence of HFRS is almost 50 % of the entire territory of the republic. In connection with climate changes, the diversity of environmental aspects of natural-focal infection of HFRS should be more widely assessed to counter their spread and measures to reduce this dangerous disease in the RB should be significantly strengthened.

Fertőzésekhez kapcsolódó immunológiai jelenségek: a szürkezóna jelentősége

Összefoglaló. A fertőzésekhez kapcsolódó immunológiai kórképekre különösen jellemző, hogy mind etiológiai tényezőikben, mind klinikai képükben rendkívül heterogének. Az átfedő és inkomplett megjelenési formák nem ritkák, ami a diagnosztika standardizálását nehezíti. Egyes, a fertőzésekhez opcionálisan kapcsolódó tünetek megfigyelése már több mint egy évszázaddal ezelőtt elvezetett a gócelmélet megszületéséhez, amely eredeti formájában leginkább elnagyolt és naiv feltételezéseken alapult. Folyamatosan bővülő ismereteink ugyanakkor egyre több esetben támasztják alá, hogy az átvészelt, esetleg krónikus vagy perzisztáló fertőzések, illetve a mikrobiom összetétele számos ponton lehet befolyással immunológiai, metabolikus és endokrin homeosztázisunkra. A jelen munkában az ismert összefüggéseket, illetve a meghaladott feltételezéseket is röviden érintve megkíséreljük a rendelkezésre álló ismereteken keresztül áttekinteni a fertőzésekhez kapcsolódó immunológiai jelenségek szürkezónáját, azon kórtani folyamatokat és tüneteket, amelyek létezése igazolható, de terápiás következményeik az egyén szintjén egyelőre bizonytalanok. Orv Hetil. 2021; 162(38): 1526–1532. Summary. Immunologic phenomena related to infections are well known to be truly heterogeneous, both regarding their etiology and the clinical picture. Overlapping symptoms and incomplete presentations are not seldom, which often constitute diagnostic challenge. Certain, optional complications of infectious diseases led to the creation of the focal infection theory more than a century ago, although only on the basis of assumptions derived from elusive and naive theories. However, an expanding body of evidence ever since did underline the impact of previous and persistent infections on the immunologic, metabolic and endocrine homeostasis. Besides briefly touching the well-defined diseases, as well as the outdated theories of this field, we aim to provide an overview of the grey zone of infection-related immunologic phenomena, the existence of which is biologically well established, however, their true significance on an individual basis remains uncertain. Orv Hetil. 2021; 162(38): 1526–1532.

Odontological Drugs and Their Action on Some Biological Organisms

Odontology is the study of teeth, of theirs diseases and treatment of these. Many odontological drugs are commonly used in dental practice. Antibiotics are indicated for the treatment of odontogenic infections, oral non-odontogenic infections, as prophylaxis against focal infection, and as prophylaxis against local infection and spread to neighboring tissues and organs. In addition to antibiotic, antifungals (drugs for classes azoles, imidazoles and polyenes), antiviral such as antimicrobial mouthwashes and nucleases inhibitors are also indicated for the treatment. These drugs prescription is almost invariably associated with the prescription of Nonsteroidal Antiinflammatory Drugs (NSAIDs), topical corticoids, local anaesthesic for odontological pain and/or Sodium Fluoride for dental caries. Odontalogical drugs act on several levels of metabolism either of microorganisms’ constitutive material (e.g. wall, membrane, cytoplasm and nuclear materials for antibiotics, antivirals, antifungals and oxidizing substances) to destroys them or of humans system cells (receptors, enzymes, hormones for painful, inflammation, local anaesthesic and dental building drugs) to inhibit or stimulate them for the best functioning.