Case Report: Infusion-Related Reactions to Intravenous Infliximab and Subcutaneous Ustekinumab in Pediatric Crohn's Disease

Background: Although the biological agent ustekinumab (UST) is reported to be effective for Crohn's disease (CD) in pediatric as well as adult patients, data on the efficacy and safety of UST in pediatric patients with CD are limited. Here, we describe the case of a pediatric patient who showed an allergic reaction to UST after subcutaneous (SC) maintenance injections but not immediately after initial intravenous (IV) injection.Case Presentation: A 9-year-old boy presented to our hospital with diarrhea lasting 2 years and weight loss, leading to the diagnosis of CD. After prednisolone (PSL) was tapered and discontinued, he promptly relapsed. According to our institution's protocol, we introduced the biological agent infliximab (IFX) with premedication. Coughing and vomiting was observed after the second dose of IFX and it was changed to adalimumab (ADA). However, the effect of ADA gradually disappeared after 18 months; therefore, it was discontinued and he was treated using UST. The first IV UST dose was given after administering hydrocortisone (HDC), an antiallergic and antipyretic analgesic, as premedication, and no obvious adverse reaction was observed. After 8 weeks, UST was subcutaneously injected without premedication. The patient then complained of nausea, dizziness, and headache within 15 min of UST administration. Therefore, for the third dose of UST, HDC was administered again as premedication. However, nausea, dizziness, and headache presented 10 min after UST administration, resulting in discontinuation of further UST treatment.Conclusion: Careful distinction between “true” infusion-related reactions (IRRs) and anaphylaxis or allergic reactions is necessary to determine whether biological agents can be continued after the development of “so-called” IRRs. For true IRRs, it may be possible to continue using the biological agent with appropriate premedication; however, in cases of anaphylaxis, the biological agent itself should be changed.

Fusarium sp., causal agent of vascular wilt in citrus and its sensitivity to fungicides

<p>Citrus wilt is a disease of recent appearance in the northern area of Veracruz that causes economic losses to producers in the region. The present work aimed to identify the causative agent of this disease and evaluate different fungicides to determine its<em> in vitro</em> sensitivity. A fungus was consistently isolated in plants with wilt symptoms; it was morphologically identified indifferent culture media and molecularly identified by PCR using the EF1-728F/EF1-986R primers. The fungus was inoculated in three varieties of citrus under greenhouse conditions. The sensitivity test was carried out with the fungicides chlorothalonil, benomyl thiabendazole, prochloraz, and a biological agent (<em>Bacillus subtilis</em>) at different concentrations, plus a negative control. <em>Fusarium</em> sp. (Accession No. MW438335) was morphologically and molecularly identified as the causal agent of vascular wilt in citrus fruits, causing growth retardation, decreased number of roots, wilting of the apical bud, and necrosis in the vascular system of the three varieties inoculated. The most effective fungicides in inhibiting mycelial growth were thiabendazole, prochloraz, and the biological agent <em>Bacillus subtilis</em>.</p>

Dual-Use Quickscan: A Web-Based Tool to Assess the Dual-Use Potential of Life Science Research

Research on pathogenic organisms is crucial for medical, biological and agricultural developments. However, biological agents as well as associated knowledge and techniques, can also be misused, for example for the development of biological weapons. Potential malicious use of well-intended research, referred to as “dual-use research”, poses a threat to public health and the environment. There are various international resources providing frameworks to assess dual-use potential of the research concerned. However, concrete instructions for researchers on how to perform a dual-use risk assessment is largely lacking. The international need for practical dual-use monitoring and risk assessment instructions, in addition to the need to raise awareness among scientists about potential dual-use aspects of their research has been identified over the last years by the Netherlands Biosecurity Office, through consulting national and international biorisk stakeholders. We identified that Biorisk Management Advisors and researchers need a practical tool to facilitate a dual-use assessment on their specific research. Therefore, the Netherlands Biosecurity Office developed a web-based Dual-Use Quickscan (www.dualusequickscan.com), that can be used periodically by researchers working with microorganisms to assess potential dual-use risks of their research by answering a set of fifteen yes/no questions. The questions for the tool were extracted from existing international open resources, and categorized into three themes: characteristics of the biological agent, knowledge and technology about the biological agent, and consequences of misuse. The results of the Quickscan provide the researcher with an indication of the dual-use potential of the research and can be used as a basis for further discussions with a Biorisk Management Advisor. The Dual-Use Quickscan can be embedded in a broader system of biosafety and biosecurity that includes dual-use monitoring and awareness within organizations. Increased international attention to examine pathogens with pandemic potential has been enhanced by the current COVID-19 pandemic, hence monitoring of dual-use potential urgently needs to be encouraged.

The Potential of Trichoderma sp. as Biological Agent to Support the Germination of Corn Seeds (Zea Mays)

This research is motivated by the fact that corn seeds in storage are often characterized with low seed viability and infected by diseases so that the seeds grow abnormally and even die. Corn seeds have thick/hard cell walls. It is acknowledged that the corn seed walls contain cellulose, which can be broken down by microorganisms. One such microorganism is the Trichoderma fungus, which is also a biological agent. This study aims to analyze the effect of the biological agents Trichoderma sp. on corn seed germination and identify the best concentration of Trichoderma sp. against corn seed germination. The corn seeds used in this study were locally grown, which had been stored for 6 months. The seed coating (bio seed coating of local corn) was tested at several concentrations of Trichoderma sp. (treatment), namely without treatment (control), 5g, 10g, 15g, and 20g. Each concentration was repeated 4 times, using several parameters to analyze normal sprouts and germination capacity. The analysis results confirmed the potential of Thrichoderma biological agents on corn seed germination. The T1 treatment with 5g Trichoderma biological agents significantly improve corn seed germination.

The COVID-19 - An Agent for Bioterrorism?

Bioterrorism is a form of terrorism where there is intentional release of biological agent (bacteria, virus, fungi or other germs) to cause harm, illness or death of people, livestock and crops. It is an unlawful use of microorganisms to inflict various forms of harm/harmful incidence or injuries in humans, whole population and environment. There are reasons why this COVID-19 global pandemic appears to represent a deliberate act of Bioterrorism. This is occurring at a critical time in the worldwide especially in times of US presidential election cycle. It appears to be worse in males which have implications for military which might be seen as a biological weapon. This has created a market whiplash the large pullback in markets. COVID-19 represents a tremendous opportunity for investment and wealth redistribution like Swine flu pandemic in 2008-2009 when fortunes were made during that recovery.

Pepper root rot resistance and pepper yield are enhanced through biological agent G15 soil amelioration

Pepper root rot is a serious soil-borne disease that hinders pepper production, and efforts are being made to identify biological agents that can prevent and control pepper root rot. Our group recently discovered and produced a biological agent, named G15, which reduces the diversity and richness of fungi and bacteria when applied to pepper fields. In the soil of the G15-treatment condition, the pathogenic fungus Fusarium was inhibited, while the richness of beneficial bacteria Rhodanobacter was increased. Also, the ammonia nitrogen level was decreased in the G15-treatment soil, and the pH, total carbon, and total potassium levels were increased. Compared to the control condition, pepper yield was increased in the treatment group (by 16,680 kg acre−1). We found that G15 could alter the microbial community structure of the pepper rhizosphere. These changes alter the physical and chemical properties of the soil and, ultimately, improve resistance to pepper root rot and increase pepper yield.

Effect of three composts with active ingredients of Pseudomonas fluorescens on the development of white root disease and production of rubber plants

Damiri N, Rofiqi R, Mulawarnam, Rahim SE, Febyanti TP. 2021. Effect of three composts with active ingredients of Pseudomonas fluorescens on the development of white root disease and production of rubber plants. Biodiversitas 22: 3237-3242. White root disease (WRD) caused by Rigidoporus lignosus is a very dangerous disease and a scourge for rubber farmers because it can result in decreased production and kill rubber plants. This research was conducted to observe the impact of compost enriched with the biological agent Pseudomonas fluorescens on the development of white root disease and production in rubber plants. The results showed that the application of compost with active ingredient of P. fluorescens isolates A and B reduced the severity of white root disease in plants with mild, moderate and severe infections, 34.12%, 29.31% and 57.21% respectively. Application of compost with P. fluorescens isolates A and B, either singly or in combination, can increase latex production. The treatment of giving compost enriched with P. fluorescens isolates AR and ABR on rubber plants infected with mild WRD resulted in the highest latex production of 406 gm and 402.74 gm per plant, respectively. These two treatments did not differ from each other but were significantly different from the other treatments and controls.