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https://www.readbyqxmd.com/read/28208854/polymerase-chain-reaction-an-important-tool-for-early-diagnosis-of-leptospirosis-cases
#1
Summaiya Mullan, Tanvi Harivadanbhai Panwala
INTRODUCTION: Various diagnostic methods like Microscopic Agglutination Test (MAT), IgM ELISA, Isolation of Leptospira from the clinical specimen, Rapid leptocheck tests etc., are available for diagnosis of leptospirosis. Polymerase Chain Reaction (PCR) is used for diagnosis of various diseases of infectious origin including leptospirosis but there is paucity of data about comparison of PCR with other available method of diagnosis of leptospirosis. AIM: The aim of the study was to detect the leptospiral DNA by PCR method and to compare the results of PCR with other available diagnostic methods used for diagnosis of suspected leptospirosis cases in acute phase of illness...
December 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28202214/lethal-neonatal-case-and-review-of-primary-short-chain-enoyl-coa-hydratase-sceh-deficiency-associated-with-secondary-lymphocyte-pyruvate-dehydrogenase-complex-pdc-deficiency
#2
Jirair K Bedoyan, Samuel P Yang, Sacha Ferdinandusse, Rhona M Jack, Alexander Miron, George Grahame, Suzanne D DeBrosse, Charles L Hoppel, Douglas S Kerr, Ronald J A Wanders
Mutations in ECHS1 result in short-chain enoyl-CoA hydratase (SCEH) deficiency which mainly affects the catabolism of various amino acids, particularly valine. We describe a case compound heterozygous for ECHS1 mutations c.836T>C (novel) and c.8C>A identified by whole exome sequencing of proband and parents. SCEH deficiency was confirmed with very low SCEH activity in fibroblasts and nearly absent immunoreactivity of SCEH. The patient had a severe neonatal course with elevated blood and cerebrospinal fluid lactate and pyruvate concentrations, high plasma alanine and slightly low plasma cystine...
February 2, 2017: Molecular Genetics and Metabolism
https://www.readbyqxmd.com/read/28202074/exendin-4-in-combination-with-adipose-derived-stem-cells-promotes-angiogenesis-and-improves-diabetic-wound-healing
#3
Eunhui Seo, Jae Soo Lim, Jin-Bum Jun, Woohyuk Choi, In-Sun Hong, Hee-Sook Jun
BACKGROUND: Diminished wound healing is a major complication of diabetes mellitus and can lead to foot ulcers. However, there are limited therapeutic methods to treat this condition. Exendin-4 (Ex-4), a glucagon-like peptide-1 receptor agonist, is known to have many beneficial effects on diabetes. In addition, mesenchymal stem cells are known to have wound healing effects. We investigated the effects of Ex-4 in combination with human adipose tissue-derived stem cells (ADSCs) on diabetic wound healing in a diabetic animal model...
February 15, 2017: Journal of Translational Medicine
https://www.readbyqxmd.com/read/28197879/impact-of-xpert-mrsa-sa-blood-culture-pcr-assay-on-management-of-positive-blood-cultures-in-obstetric-patients-a-retrospective-audit
#4
A Page, S O'Rourke, M Brennan, L Clooney, D Le Blanc, J Griffin, M Eogan, R J Drew
BACKGROUND: The Xpert MRSA/SA blood culture assay (Cepheid, USA) is a rapid PCR test which can be used for positive blood cultures where Gram-positive cocci in clusters are seen. It can detect Staphylococcus aureus and also the mecA gene, which encodes for β-lactam resistance. The assay was introduced into the Rotunda Hospital for positive blood cultures to allow earlier detection of MRSA and methicillin susceptible S. aureus. AIM: To assess the impact of the Xpert MRSA/SA blood culture assay on the management of obstetric patients with a positive blood culture where Gram-positive cocci in clusters were seen...
February 14, 2017: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/28187198/two-stable-variants-of-burkholderia-pseudomallei-strain-mshr5848-express-broadly-divergent-in-vitro-phenotypes-associated-with-their-virulence-differences
#5
A A Shea, R C Bernhards, C K Cote, C J Chase, J W Koehler, C P Klimko, J T Ladner, D A Rozak, M J Wolcott, D P Fetterer, S J Kern, G I Koroleva, S P Lovett, G F Palacios, R G Toothman, J A Bozue, P L Worsham, S L Welkos
Burkholderia pseudomallei (Bp), the agent of melioidosis, causes disease ranging from acute and rapidly fatal to protracted and chronic. Bp is highly infectious by aerosol, can cause severe disease with nonspecific symptoms, and is naturally resistant to multiple antibiotics. However, no vaccine exists. Unlike many Bp strains, which exhibit random variability in traits such as colony morphology, Bp strain MSHR5848 exhibited two distinct and relatively stable colony morphologies on sheep blood agar plates: a smooth, glossy, pale yellow colony and a flat, rough, white colony...
2017: PloS One
https://www.readbyqxmd.com/read/28183731/c-septicum-complicating-hemolytic-uremic-syndrome-survival-without-surgical-intervention
#6
Rachel M Engen, Elizabeth Y Killien, Jessica L Davis, Jordan M Symons, Silvia M Hartmann
Clostridium septicum is an anaerobic bacterium that causes rapidly progressive myonecrosis, bacteremia, and central nervous system infection. It has been reported as a complication of Escherichia coli hemolytic uremic syndrome (HUS) in 8 children worldwide; 5 children died, and the 3 reported survivors had surgically treated disease. We present 3 cases of C septicum complicating HUS in children, including the first 2 reported cases of survival without surgical intervention. All patients presented with classic cases of HUS with initial clinical improvement followed by deterioration...
February 9, 2017: Pediatrics
https://www.readbyqxmd.com/read/28183301/cellulose-filtration-of-blood-from-malaria-patients-for-improving-ex-vivo-growth-of-plasmodium-falciparum-parasites
#7
Sixbert I Mkumbaye, Daniel T R Minja, Jakob S Jespersen, Michael Alifrangis, Reginald A Kavishe, Steven B Mwakalinga, John P Lusingu, Thor G Theander, Thomas Lavstsen, Christian W Wang
BACKGROUND: Establishing in vitro Plasmodium falciparum culture lines from patient parasite isolates can offer deeper understanding of geographic variations of drug sensitivity and mechanisms of malaria pathogenesis and immunity. Cellulose column filtration of blood is an inexpensive, rapid and effective method for the removal of host factors, such as leucocytes and platelets, significantly improving the purification of parasite DNA in a blood sample. METHODS: In this study, the effect of cellulose column filtration of venous blood on the initial in vitro growth of P...
February 10, 2017: Malaria Journal
https://www.readbyqxmd.com/read/28182077/penicillium-marneffei-infection-in-a-hiv-positive-patient-a-comparison-of-bronchial-washing-cytology-and-biopsy
#8
Chu Hyun Hee, Chong Young Pil, Kyung Ja Cho
Penicilliosis is a disseminated and progressive infection that is mainly found in immunocompromised individuals, especially those with human immunodeficiency virus (HIV) infection. Because of the high mortality of patients with disseminated Penicillium marneffei infection, rapid diagnosis and early treatment are required. Diagnosis is traditionally made by biopsy and/or culture of blood or any involved organ. Cytology offers several advantages over biopsy, including more rapid diagnosis and greater resolution of cytomorphologic details of organisms, allowing rapid initiation of treatment...
January 2017: Journal of Cytology
https://www.readbyqxmd.com/read/28170190/enhanced-immunosuppression-of-t-cells-by-sustained-presentation-of-bioactive-interferon-%C3%AE-within-three-dimensional-mesenchymal-stem-cell-constructs
#9
Joshua A Zimmermann, Marian H Hettiaratchi, Todd C McDevitt
The immunomodulatory activity of mesenchymal stem/stromal cells (MSCs) to suppress innate and adaptive immune responses offers a potent cell therapy for modulating inflammation and promoting tissue regeneration. However, the inflammatory cytokine milieu plays a critical role in stimulating MSC immunomodulatory activity. In particular, interferon-γ (IFN-γ)-induced expression of indoleamine 2,3-dioxygenase (IDO) is primarily responsible for MSC suppression of T-cell proliferation and activation. Although pretreatment with IFN-γ is commonly used to prime MSCs for immunomodulatory activity prior to transplantation, the transient effects of pretreatment may limit the potential of MSCs to potently modulate immune responses...
January 2017: Stem Cells Translational Medicine
https://www.readbyqxmd.com/read/28165799/the-balance-between-proliferation-and-transcription-of-angiogenic-factors-of-mesenchymal-stem-cells-in-hypoxia
#10
Arina T Buizer, Sjoerd K Bulstra, Albert G Veldhuizen, Roel Kuijer
Bridging large bone defects with mesenchymal stromal cells-seeded scaffolds remains a big challenge in orthopedic surgery, due to the lack of vascularization. Within such a cell-scaffold construct cells are exposed to ischemic conditions. When human mesenchymal stem cells (hMSCs) encounter hypoxic conditions, they show higher cell proliferation than at ambient oxygen levels. However, when hMSCs are exposed to prolonged ischemia, cell proliferation ceases completely. Exposure of hMSCs to hypoxic conditions is known to result in the transcription of angiogenic factors (AGF), which can promote the development of a new blood vessels...
February 6, 2017: Connective Tissue Research
https://www.readbyqxmd.com/read/28154287/disseminated-cryptococcosis-with-rapidly-growing-lung-nodules-in-an-end-stage-renal-disease-patient
#11
Atsushi Inaba, Akira Okada, Taiko Yoshida, Satoshi Itoyama, Tatsuro Nakai, Tetsuya Hisada, Hideki Takano
A 73-year-old man with type 2 diabetes mellitus and end-stage renal disease was diagnosed with acute myocardial infarction. He required continuous dialysis after percutaneous coronary intervention. Subsequently, multiple nodules were discovered in both lungs for the first time, and Cryptococcus neoformans was isolated from the patient's sputum, blood, bilateral pleural fluid, and cerebrospinal fluid cultures, resulting in a diagnosis of disseminated cryptococcosis. This case represents an invaluable example of disseminated cryptococcosis with rapidly growing lung nodules in a dialysis patient, and illustrates that dialysis causes innate immune disorder and the reactivation of cryptococcosis...
2017: Internal Medicine
https://www.readbyqxmd.com/read/28147431/-the-use-of-maldi-tof-ms-for-direct-identification-of-bacteria-in-clinical-specimens
#12
Radka Tarabová, Jan Bardoň
MALDI-TOF MS is a method enabling rapid identification of bacteria. This is also important for early initiation of adequate antibiotic therapy in patients with infections. In this review, various methods for direct detection of bacteria in clinical specimens are described. The fundamental part deals with direct identification of bacteria from positive blood cultures. Attention is also paid to identification of bacteria from urine and cerebrospinal fluid. Finally, reliability of the methods is mentioned in comparison with conventional methods...
December 2016: Klinická Mikrobiologie a Infekc̆ní Lékar̆ství
https://www.readbyqxmd.com/read/28146195/-infective-endocarditis-by-abiotrophia-defectiva-diagnosed-by-mass-spectrometry-maldi-tof-ms-in-argentina
#13
Flavo Lipari, Matías Martínez, Daniela Hernández, María Laborie, Juan P Caeiro
We report the case of a 63-year-old woman with congestive heart failure due to a bicuspid aortic valve and severe aortic stenosis. The patient had a febrile syndrome with positive blood cultures for Abiotrophia defectiva, Transesophageal echocardiogram revealed the presence of paravalvular abscess, which was treated by a successful valve replacement. The patient received appropriate antibiotic therapy with intravenous vancomycin, leading to a successful response. The use of MALDI-TOF MS as a rapid and specific method for the microbiological diagnosis is discussed in the following report...
December 2016: Revista Chilena de Infectología: órgano Oficial de la Sociedad Chilena de Infectología
https://www.readbyqxmd.com/read/28143992/an-east-asian-type-caga-helicobacter-pylori-infected-patient-with-clinical-manifestation-of-gastric-ulcer
#14
Yudith Annisa Ayu Rezkitha, Muhammad Miftahussurur, Iswan A Nusi, Ummi Maimunah, Pangestu Adi, Yoshio Yamaoka
We reported a male, 72 yo, Chinese ethnic with chief complaint black mushy defecation. Physical examination revealed pale on conjunctival palpebra which confirmed as anemia on complete blood count. Gastroduodenoscopy revealed a 3 mm ulcer at the antrum (Forrest stage III). H. pylori infection was positive based on five different test methods (urinary antibody tests, rapid urease test, culture, histology ad immunohistochemistry). Used polymerase chain reaction-based sequencing, we found the patient infected by CagA producing, East-Asian-type cagA and vacA s1m1-strain...
October 2016: Acta Medica Indonesiana
https://www.readbyqxmd.com/read/28137314/performance-of-point-of-care-urine-test-in-diagnosing-tuberculosis-suspects-with-and-without-hiv-infection-in-selected-peripheral-health-settings-of-addis-ababa-ethiopia
#15
Selam Niguse Sahle, Dereje Teshome Asress, Kassu Desta Tullu, Atsebeha Gebrezgeaxier Weldemariam, Habteyes Hailu Tola, Yodit Alemayehu Awas, Gebremdihin Gebremichael Hagos, Muluwork Getahun Worku, Desta Kassa Misgina
BACKGROUND: There are few rapid point-of-care tests (POCT) for tuberculosis (TB) for use in resource-constrained settings with high levels of human immunodeficiency virus (HIV). This hinders early tuberculosis (TB) treatment. This cross-sectional study evaluates the recently developed urine Determine tuberculosis lipoarabinomannan (TB LAM) antigen test. A total of 122 participants with signs and symptoms of TB, including 21 (17.1%) participants positive for HIV, were enrolled from September 2011 to March 2012 at three selected health centers in Addis Ababa, Ethiopia...
January 31, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28137306/case-report-when-two-and-%C3%A2-men-go-camping%C3%A2
#16
Matthias von Rotz, Alexa Dierig, Ulrich Heininger, Carl Chrobak, Veronika Baettig, Adrian Egli
BACKGROUND: In patients, rapid identification of bacterial species may help to guide treatment at early stages. New protocols for the identification directly from positive blood culture flasks significantly helped in the presented case report. CASE PRESENTATION: Two patients (a father and son) presented with diarrhea, malaise, and fever of 3 to 4 days duration. Blood cultures from both patients cultured short Gram-positive rods. MALDI-TOF based rapid identification protocol direct from positive blood culture identified Listeria monocytogenes as the cause of sepsis and could be confirmed with conventional methods...
January 30, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28127707/stability-and-pharmacological-effects-of-gene-recombinant-wild-type-and-mutant-human-adrenocorticotropic-hormone
#17
Yonglin Huang, Yechun Pei, Huai Guan, Shuangshuang Wei, Hao Wu, Yuan Zhou, Jinli Pei, Lintao Chen, Yuerong Wang, Yibo Chen, Qian Han, Daming Wang, Dayong Wang
PURPOSE: Adrenocorticotropic hormone (ACTH) is the only medicine for treating infantile spasms, however, it is catabolized rapidly. In order to make an ACTH derivative with prolonged effects, we prepared genetically engineered wild type (WT) and mutant ACTH candidates based on protease database analysis, and compared their stability and pharmacological effects. METHODS: For analysis of stability, serum concentration of WT and mutant ACTH candidates were tested at different time after intravenous injection, and elimination curves were calculated to compare pharmacokinetic properties of WT and E5D-mutant ACTH...
January 26, 2017: Pharmaceutical Research
https://www.readbyqxmd.com/read/28124963/-evaluation-of-pna-fish-method-for-direct-identification-of-candida-species-in-blood-culture-samples-and-its-potential-impact-on-guidance-of-antifungal-therapy
#18
Özlem Doğan, Ahmet Çağkan İnkaya, Dolunay Gülmez, Ömrüm Uzun, Murat Akova, Sevtap Arıkan Akdağlı
Early antifungal therapy has a major influence on survival in candidemia. Rapid identification of the species has importance for the treatment, prediction of the species-specific primary resistance and variable antifungal susceptibility. Recently, molecular-based methods attempt to reduce the time between the positive signal of a blood culture and identification of the fungus. PNA-FISH (Peptide nucleic acid fluorescence in situ hybridization) assay distinguishes a number of frequently isolated Candida species in groups following the growth in blood culture...
October 2016: Mikrobiyoloji Bülteni
https://www.readbyqxmd.com/read/28122873/rising-stakes-for-healthcare-associated-infection-prevention-implications-for-the-clinical-microbiology-laboratory-revised
#19
Daniel J Diekema
Healthcare associated infection (HAI) rates are subject to public reporting, and are linked to hospital reimbursement from the Centers for Medicare and Medicaid Services (CMS). The increasing pressure to lower HAI rates comes at a time when advances in the clinical microbiology laboratory (CML) provide more precise and sensitive tests, altering HAI detection in ways that may increase reported HAI rates. I review how changing CML practices can impact HAI rates, and how the financial implications of HAI metrics may produce pressure to change diagnostic testing practices...
January 25, 2017: Journal of Clinical Microbiology
https://www.readbyqxmd.com/read/28122871/multicenter-evaluation-of-the-portrait-staph-id-r-blood-culture-panel-for-the-rapid-identification-of-staphylococci-and-detection-of-meca-gene
#20
Gerald A Denys, Vanessa Collazo-Velez, Stephen Young, Judy A Daly, Marc Roger Couturier, Matthew L Faron, Blake W Buchan, Nathan Ledeboer
Blood stream infections are a leading cause of morbidity and mortality in the United States and are associated with increased healthcare cost. We evaluated the Portrait Staph ID/R Blood Culture Panel (BCP) multiplex PCR assay (Great Basin Scientific, Salt Lake City, UT) for the rapid and simultaneous identification (ID) of Staphylococcus aureus, S. lugdunensis and Staphylococcus species to the genus level and the detection of mecA gene directly from a positive blood culture bottle. A total of 765 BACTEC® bottles demonstrating Gram positive cocci in singles or clusters were tested during the prospective trial at 3 clinical sites...
January 25, 2017: Journal of Clinical Microbiology
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