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Revista do Instituto de Medicina Tropical de São Paulo

Jully Oyama, Fabiana Borges Padilha Ferreira, Carolina Cella Conter, Daniele Stéfanie Sara Lopes Lera-Nonose, Áquila Carolina Fernandes Herculano Ramos-Milaré, Eneide Aparecida Sabaini Venazzi, Thaís Gomes Verzignassi Silveira, Maria Valdrinez Campana Lonardoni
This clinical case presents a patient with a raised and ulcerative lesion with erythematous edges in the mouth, on the lower lip that was unsuccessfully treated as herpes labialis. Clinical data and laboratory tests (Montenegro skin test, indirect immunofluorescence, direct parasite search and polymerase chain reaction) led to the diagnosis of American tegumentary leishmaniasis caused by Leishmania (Viannia) sp. Treatment with pentavalent antimonial (Glucantime®) for 120 days was not effective and administration of amphotericin B for 30 days resulted in wound healing...
2018: Revista do Instituto de Medicina Tropical de São Paulo
Seyed Ahmad Hashemi, Alireza Badirzadeh, Sadaf Sabzevari, Ali Nouri, Mohammad Seyyedin
Leishmaniasis is a worldwide tropical infectious disease caused by different species of intracellular protozoa parasites of the genus Leishmania . Herein, we report a 78-year-old man with unusual diffuse cutaneous leishmaniasis (DCL) who had a history of opium abuse and chronic obstructive pulmonary disease (COPD). He had multiple papular, crusted and severely ulcerated lesions extended to his arm and chest. Direct smears and skin punch biopsy of the lesions were suggestive of leishmaniasis. Parasite DNA was amplified from ulcers, and identified as Leishmania major by PCR-RFLP, confirmed by sequencing analyses...
2018: Revista do Instituto de Medicina Tropical de São Paulo
José E Vidal, Carolina Toniolo, Adriana Paulino, Arnaldo L Colombo, Marilena Dos Anjos Martins, Cristina da Silva Meira, Renata Guise Soares Azevedo, Vera Lucia Pereira-Chioccola, Hélio Rodrigues Gomes, Marcia Dos Santos Lazera, Augusto C Penalva de Oliveira, David R Boulware
Cryptococcal meningitis is the most common cause of opportunistic meningitis in HIV-infected patients in Brazil and causes unacceptable high mortality rates. In this study, HIV-infected patients with a first episode of culture-proven cryptococcal meningitis in cerebrospinal fluid (CSF) were prospectively included in order to evaluate sensitivity of cryptococcal antigen (CrAg) lateral flow assay (LFA) in serum, CSF, whole blood (fingerstick), and fresh urine. In addition, HIV-infected patients with other neurological confirmed diseases were included in order to evaluate the specificity of CrAg LFA in serum...
2018: Revista do Instituto de Medicina Tropical de São Paulo
André H Bechara, Raquel O Simões, Marta Júlia Faro, Juberlan S Garcia
Angiostrongylus cantonensis is considered the main etiological agent of eosinophilic meningitis in humans. At present, this zoonosis is considered an emerging disease mainly in the Americas. The aim of this study was to determine the prevalence of Achatina fulica infected by Angiostrongylus cantonensis in restinga areas along beaches in the west zone of Rio de Janeiro city, Brazil. The study areas included the following beaches: Barra da Tijuca, Recreio dos Bandeirantes, Reserva, Prainha and Grumari. Ninety specimens of Achatina fulica were collected...
2018: Revista do Instituto de Medicina Tropical de São Paulo
Kadir González, Rosendo Diaz, Aurea F Ferreira, Víctor García, Héctor Paz, José E Calzada, Michelle Ruíz, Márcia Laurenti, Azael Saldaña
Cutaneous leishmaniasis (CL) is an endemic disease in the Republic of Panama, caused by Leishmania (Viannia) parasites, whose most common clinical manifestation is the presence of ulcerated lesions on the skin. These lesions usually present a chronic inflammatory reaction, sometimes granulomatous, with the presence of lymphocytes, plasma cells and macrophages. This study describes the histopathological characteristics found in the skin lesions of patients with CL caused by Leishmania (V.) panamensis in Panama...
2018: Revista do Instituto de Medicina Tropical de São Paulo
Renato Juvino de Aragão Mendes, Adalberto Alves Pereira Filho, Aline de Jesus Lustosa Nogueira, Karla Regina Freitas Araújo, Clícia Rosane Costa França, Iramar Borba de Carvalho, Natale Maria Lindoso da Silva, Alexandre Santana Azevedo, Ivone Garros Rosa
Schistosomiasis is a disease of global extent reaching populations in social vulnerability. One of the control measures of this parasitosis is the use of molluscicidal substances that can fight snails of the genus Biomphalaria, intermediate hosts of Schistosoma mansoni. The aim of this work was to study the toxic activity of three mangrove species (Avicennia schaueriana Stapf. & Leech, ex Moldenke, 1939, Laguncularia racemosa (L.) CF Gaertn, 1807 and Rhizophora mangle L. 1753) on the biological activities of snails Biomphalaria glabrata...
2018: Revista do Instituto de Medicina Tropical de São Paulo
Carmen Alicia Daza Bolaños, Marília Masello Junqueira Franco, Antonio Francisco Souza Filho, Cássia Yumi Ikuta, Edith Mariela Burbano-Rosero, José Soares Ferreira Neto, Marcos Bryan Heinemann, Rodrigo Garcia Motta, Carolina Lechinski de Paula, Amanda Bonalume Cordeiro de Morais, Simony Trevizan Guerra, Ana Carolina Alves, Fernando José Paganini Listoni, Márcio Garcia Ribeiro
Although the tuberculin test represents the main in vivo diagnostic method used in the control and eradication of bovine tuberculosis, few studies have focused on the identification of mycobacteria in the milk from cows positive to the tuberculin test. The aim of this study was to identify Mycobacterium species in milk samples from cows positive to the comparative intradermal test. Milk samples from 142 cows positive to the comparative intradermal test carried out in 4,766 animals were aseptically collected, cultivated on Lowenstein-Jensen and Stonebrink media and incubated for up to 90 days...
2018: Revista do Instituto de Medicina Tropical de São Paulo
Mara Lucia Gravinatti, Álvaro A Faccini-Martínez, Sandro Ricardo Ruys, Jorge Timenetsky, Alexander Welker Biondo
No abstract text is available yet for this article.
2018: Revista do Instituto de Medicina Tropical de São Paulo
Simone Cristina Castanho Sabaini de Melo, Aline Balandis Costa, Flávia Teixeira Ribeiro da Silva, Natália Maria Maciel Guerra Silva, Cristiano Massao Tashima, Rosilene Fressatti Cardoso, Rúbia Andreia F de Pádua, Isolde Previdelli, Maria Dalva de Barros Carvalho, Sandra Marisa Pelloso
Introduction The aim of this study was to determine the prevalence of GBS colonization in pregnant women in a public health service. Methods A study of 496 pregnant women at 35-37 gestational weeks was conducted from September 2011 to March 2014 in 21 municipalities of the 18th Health Region of Paraná State. Vaginal and anorectal samples of each woman were plated on sheep blood agar, and in HPTH and Todd-Hewitt enrichment broths. Results Of the 496 pregnant women, 141 (28.4%) were positive for GBS based on the combination of the three culture media with vaginal and anorectal samples...
2018: Revista do Instituto de Medicina Tropical de São Paulo
Sânia Alves Dos Santos, Dahir Ramos de Andrade
The aim of this review is to show the significant role of HIF-1alpha in inflammatory and infectious diseases. Hypoxia is a physiological characteristic of a wide range of diseases from cancer to infection. Cellular hypoxia is sensed by oxygen-sensitive hydrolase enzymes, which control the protein stability of hypoxia-inducible factor alpha 1 (HIF-1alpha) transcription factors. When stabilized, HIF-1alpha binds with its cofactors to HIF-responsive elements (HREs) in the promoters of target genes to organize a broad ranging transcriptional program in response to the hypoxic environment...
December 21, 2017: Revista do Instituto de Medicina Tropical de São Paulo
Carina Scolari Gosch, Cálita Pollyanna Marques, Bruna Silva Resende, Joandson Dos Santos Souza, Ray Ameida da Silva Rocha, Deyse Sabrinne Souza Lopes, Marcelo Scolari Gosch, Fátima Ribeiro Dias, Miriam Leandro Dorta
Determination of the epidemiological profile of the American tegumentary leishmaniasis (ATL) and identification of Leishmania species that are prevalent in the State of Tocantins were carried out through a retrospective and descriptive study based on data reported in SINAN, in the period from 2011 to 2015. Molecular techniques such as PCR-RFLP and PCR-G6PD to amplify Leishmania DNA were performed on stored on Giemsa-stained slides from lesion scarifications of ATL patients who were amastigote-positive by the direct microscopic examination...
December 21, 2017: Revista do Instituto de Medicina Tropical de São Paulo
Maria Virginia Avelar, Victor Otero Martinez, Daniel Lima de Moura, Indira Alves Barros, Anderson Alves da Silva Primo, Alan Oliveira Duarte, Neci Matos Soares, Fernanda Washington de Mendonça Lima
Maternal Toxoplasma gondii (T. gondii) infection can lead to spontaneous abortion, fetal malformation, and numerous sequelae in the newborn, including visual and hearing impairment. T. gondii serology was determined in pregnant women and their newborns who were referred to Climério de Oliveira Maternity, Federal University of Bahia, and the possible associations with the risk factors for maternal infection were investigated. This cross-sectional study was conducted from January to December 2014 and included 712 pregnant women, aged 15 to 49 years, and 235 newborns...
December 21, 2017: Revista do Instituto de Medicina Tropical de São Paulo
Daniela Cardeal da Silva Chaba, Lisméia R Soares, Rosa M R Pereira, George W Rutherford, Tatiane Assone, Liliam Takayama, Luiz A M Fonseca, Alberto J S Duarte, Jorge Casseb
Decrease in bone mineral density (BMD) has been a complication among people living with HIV/AIDS. To investigate the prevalence of osteopenia/osteoporosis among HIV-infected people living in São Paulo city, we studied 108 HIV-infected patients (79 men and 29 women). We extracted data from patients' medical records and BMD was measured by dual-energy X-ray absorptiometry (DXA). Median age of participants was 42 years (interquartile range [IQR] 36-48 years), and the median time since HIV diagnosis was 4.01 years (IQR 2-11 years)...
December 21, 2017: Revista do Instituto de Medicina Tropical de São Paulo
Tiegang Li, E H Lau, Ou Huifeng, Xiaoping Tang, Zhicong Yang
No abstract text is available yet for this article.
December 21, 2017: Revista do Instituto de Medicina Tropical de São Paulo
Minoru German Higa, Wesley Márcio Cardoso, Sabrina Moreira Dos Santos Weis, Adriana de Oliveira França, Elenir Rose Jardim Cury Pontes, Patrícia Vieira da Silva, Márcia Pereira de Oliveira, Maria Elizabeth Moraes Cavalheiros Dorval
The purpose of this study was to estimate the prevalence of intestinal parasites in both cooperative-affiliated and independent waste pickers operating at the municipal sanitary landfill in Campo Grande, Mato Grosso do Sul, Brazil, and associate these findings with hemoglobin, eosinophils, vitamin A and C levels and interleukin 5 and 10 (IL-5 and IL-10) production. Biological samples were collected, in addition to clinical, epidemiological, and sociodemographic data. Stool analyzes were based on sedimentation by centrifugation and on spontaneous sedimentation...
December 21, 2017: Revista do Instituto de Medicina Tropical de São Paulo
Raimundo Seguí, Debora Klisiowicz, Camila Yumi Oishi, Rafael Toledo, José Guillermo Esteban, Carla Muñoz-Antoli
The symptomatology of Blastocystis cannot be attributed to any particular subtype, although can be related to a high Blastocystis infection load. One stool sample from each of 217 schoolchildren of Vale de Sol Paranaguá Bay (Paraná, Brazil) was collected. Three milliliters of each fixed stool sample were processed applying the formalin-ether concentration technique. After obtaining the overall prevalence of intestinal parasites, quantification was carried out in Blastocystis positive samples. A total of 75/217 (34...
December 21, 2017: Revista do Instituto de Medicina Tropical de São Paulo
Luciana Patrícia Lima Alves Pereira, Clarice Noleto Dias, Milena Valadar Miranda, Wellyson da Cunha Araújo Firmo, Carliane Dos Santos Rosa, Priscila Freitas Santos, Maria Cristiane Aranha Brito, Fernanda Oliveira Sousa Araruna, Felipe Bastos Araruna, Nêuton Silva-Souza, Denise Fernandes Coutinho
Euphorbia umbellata (Pax) Bruyns is an easily cultivated shrub, with occurrence in the tropical regions of the American and African continents. Chemical studies have revealed that the latex of this plant is rich in terpene compounds, which are highly toxic to snails Biomphalaria glabrata (Basommatophora: Planorbidae). The aim of this study was to evaluate the chemical composition and molluscicidal activity of the latex produced by E. umbellata, as well as the safety of its application in aquatic environments...
December 21, 2017: Revista do Instituto de Medicina Tropical de São Paulo
Antonio Sesso, Edite Hatsumi Yamashiro-Kanashiro, Liã Bárbara Arruda, Joyce Kawakami, Maria de Lourdes Higuchi, Noemia Mie Orii, Noemi Nosomi Taniwaki, Flávia Mendes da Cunha Carvalho, Mariane Pereira Brito, Maiara Gottardi, Sylvia Mendes Carneiro, Rumio Taga
A study with transmission electron microscopy of mycoplasma-contaminated HeLa cells using five cell donors referred to as donors A, B, C, D and E, observations are herein presented. Experiments performed with cells from donors B, C and D, revealed the presence of Mycoplasma hyorhinis after PCR and sequencing experiments. Bacteria probably originated from a cytoplasm with compacted tiny granular particles replacing the normal cytosol territories, or from the contact with the cytoplasm through a clear semi-solid material...
December 21, 2017: Revista do Instituto de Medicina Tropical de São Paulo
Jesús Rojas-Jaimes, Alberto Diaz-Tello, Cristian Carpio Bazán, Meredith Kerrigan
Subdural Empyema (ESD) is the collection of purulent fluid that develops between the exterior "dura mater" layer and the middle "arachnoid mater" layer that covers the brain. ESD can be caused by a primary infection located in the paranasal sinuses. In many aerobic and/or anaerobic bacterial cases, hearing or traumatic processes serve as the causative agent. This report presents pharyngitis in a young girl which later developed into a subdural empyema caused by the bacteria Peptostreptococcus sp. The report emphasizes the correct clinical valuation of pharyngitis as a risk factor for developing subdural empyema in children...
December 21, 2017: Revista do Instituto de Medicina Tropical de São Paulo
Abdelmunim Izzeldin Abdelrahman Dafalla, Shaikha Ali Salem Obaid Almuhairi, Mohamed Hassan Jasim AlHosani, Mira Yousif Mohamed, Mariam Ibrahim Ahmed Alkous, Mousa Abdelsattar AlAzzawi, Adam Dawoud Abakar, Bakri Yousif Mohamed Nour, Hayder Hasan, Ra'ed Omar AbuOdeh, Ali ElBakri
Intestinal parasitic infections are prevalent throughout many countries. This study aimed to determine the prevalence of intestinal parasite carriers among 21,347 expatriate workers, including food handlers and housemaids attending the public health center laboratory in Sharjah, UAE. Stool sample collection was performed throughout the period between January and December 2013. All samples were examined microscopically. Demographic data were also obtained and analyzed. Intestinal parasites were found in 3.3% (708/21,347) of the studied samples (single and multiple infections)...
December 21, 2017: Revista do Instituto de Medicina Tropical de São Paulo
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