Candida parapsilosis infection after double-lung transplantation in a patient with pulmonary fibrosis caused by COVID-19.

Pulmonary fibrosis is a complication in patients with coronavirus disease 2019 (COVID-19). Extensive pulmonary fibrosis is a severe threat to patients' life and lung transplantation is last resort to prolong the life of patients. We reported a case of critical type COVID-19 patient, though various treatment measures were used, including anti-virus, anti-infection, improving immunity, convalescent plasma, prone position ventilation, and airway cleaning by fiber-optic bronchoscope, although his COVID-19 nucleic acid test turned negative, the patient still developed irreversible extensive pulmonary fibrosis, and respiratory mechanics suggested that lung compliance could not be effectively recovered. After being assisted by ventilator and extracorporeal membrane oxygenation for 73 days, he finally underwent double-lung transplantation. On the 2nd day after the operation, the alveolar lavage fluid of transplanted lung was examined by cytomorphology, and the morphology of alveolar epithelial cells was intact and normal. On the 20th day post-transplantation, the chest radiograph showed a large dense shadow in the middle of the right lung. On the 21st day, the patient underwent fiber-optic bronchoscopy, yeast-like fungal spores were found by cytomorphological examination from a brush smear of the right bronchus, which was confirmed as Candida parapsilosis infection by fungal culture. He recovered well due to the careful treatment and nursing in our hospital. Until July 29, 96 days after transplantation, the patient was recovery and discharged from hospital.

Efficient dealkalization of red mud and recovery of valuable metals by a sulfur-oxidizing bacterium.

Red mud (RM) is a highly alkaline polymetallic waste generated via the Bayer process during alumina production. It contains metals that are critical for a sustainable development of modern society. Due to a shortage of global resources of many metals, efficient large-scale processing of RM has been receiving increasing attention from both researchers and industry. This study investigated the solubilization of metals from RM, together with RM dealkalization, via sulfur (S0) oxidation catalyzed by the moderately thermophilic bacterium Sulfobacillus thermosulfidooxidans. Optimization of the bioleaching process was conducted in shake flasks and 5-L bioreactors, with varying S0:RM mass ratios and aeration rates. The ICP analysis was used to monitor the concentrations of dissolved elements from RM, and solid residues were analyzed for surface morphology, phase composition, and Na distribution using the SEM, XRD, and STXM techniques, respectively. The results show that highest metal recoveries (89% of Al, 84% of Ce, and 91% of Y) were achieved with the S0:RM mass ratio of 2:1 and aeration rate of 1 L/min. Additionally, effective dealkalization of RM was achieved under the above conditions, based on the high rates (>95%) of Na, K, and Ca dissolution. This study proves the feasibility of using bacterially catalyzed S0 oxidation to simultaneously dealkalize RM and efficiently extract valuable metals from the amassing industrial waste.

Release and fate of As mobilized via bio-oxidation of arsenopyrite in acid mine drainage: Importance of As/Fe/S speciation and As(III) immobilization.

Mining activities expose sulfidic minerals including arsenopyrite (FeAsS) to acid mine drainage (AMD). The subsequent release of toxic arsenic (As) can have great negative implications for the environment and human health. This study investigated the evolution of secondary products and As speciation transformations during arsenopyrite bio-oxidation in AMD collected from a polymetallic mine. Immobilization of the As solubilized via arsenopyrite bio-oxidation using red mud (RM) was also studied. The results show that the high ionic strength (concentrations of dissolved Fe3+, SO42-, and Ca2+ reached values up to 0.75, 3.38, and 0.35 g/L, respectively) and redox potential (up to +621 mV) of AMD (caused primarily by Fe3+) enhanced the dissolution of arsenopyrite. A high [Fe]aq/[As]aq ratio in the AMD favored the precipitation of tooeleite during arsenopyrite bio-oxidation, and the formation of other poorly crystalline products such as schwertmannite and amorphous ferric arsenate also contributed to As immobilization. Bacterial cells served as important nucleation sites for the precipitation of mineral phases. Arsenopyrite completely dissolved after 12 days of bio-oxidation in AMD and the [As]aq (mainly present as As(III)) reached 1.92 g/L, while a greater [As]aq was observed in a basal salts medium (BSM) assay (reaching 3.02 g/L). An RM addition significantly promoted As(III) immobilization, with final [As(III)]aq decreasing to 0.16 and 1.43 g/L in AMD and BSM assays respectively. No oxidation of As(III) was detected during the immobilization process. These findings can help predict As release from arsenopyrite on contact with AMD and, on a broader scale, assist in designing remediation and treatment strategies to mitigate As contamination in mining.

Red mud regulates arsenic fate at acidic pH via regulating arsenopyrite bio-oxidation and S, Fe, Al, Si speciation transformation.

Red mud (RM) as waste of industrial aluminum production is piling up in huge ponds. RM could be a cost-effective adsorbent for heavy metals, but adsorption is vulnerable to pH changes, metal ions speciation and the occurrence of iron bearing minerals. In this study, the precipitation and elemental speciation transformation relevant to arsenic fate in responding to the addition of RM during arsenopyrite bio-oxidation by Sulfobacillus thermosulfidooxidans was investigated. The results show that the addition of RM significantly changed the arsenic precipitation and the solution chemistry and thus affected the arsenopyrite bio-oxidation and arsenic fate. An addition of a small amount (≤ 4 g/L) of RM substantially promoted arsenopyrite bio-oxidation with formation of SiO2 @ (As, Fe, Al, Si) spherical nanoparticles that can enhance the stability of the immobilized arsenic. The SiO2-based spherical nanoparticles precipitate was mainly composed of jarosites, amorphous ferric arsenate and crystalline scorodite, and its formation were controlled by Fe3+ concentration and solution pH. An addition of increased amount of RM (≥ 6 g/L) resulted in a significant increase of the solution pH and a decrease in the Fe2+ bio-oxidation activity, and spherical nanoparticles were not formed. Consequently, the dissolution of arsenopyrite was inhibited and the release of arsenic was blocked. This study suggests the applicability of RM in mitigation of arsenic pollution from bio-oxidation of As-bearing sulfide minerals.

A Case of Childhood COVID-19 Infection with Pleural Effusion Complicated by Possible Secondary Mycoplasma Pneumoniae Infection.

We report a case of childhood coronavirus disease 2019 infection with pleural effusion complicated by possible secondary Mycoplasma pneumoniae infection. Fever and pulmonary lesions on computed tomography were the early clinical manifestations, and the patient developed nonproductive cough later. The hydrothorax in this coronavirus disease 2019 case was exudative, showing predominantly mature lymphocytes.

Humic acid promotes arsenopyrite bio-oxidation and arsenic immobilization.

The bio-oxidative dissolution of arsenopyrite, the most severe arsenic contamination source, can be mediated by organic substances, but pertinent studies on this subject are scarce. In this study, the bio-oxidative dissolution of arsenopyrite by Sulfobacillus thermosulfidooxidans and arsenic immobilization were evaluated in the presence of humic acid (HA). The mineral dissolution was monitored through analyses of the parameters in solution, phase and element speciation transformations on the mineral surface, and arsenic immobilization on the surfaces of cells and jarosites-HA. The results show that the presence of HA enhances the dissolution of arsenopyrite, e.g., 7.1% of arsenopyrite was in the residue after 12 d of bio-oxidation compared to 19.3% in the absence of HA. Meanwhile, the presence of HA led to changes of the fates of As and Fe and no accumulation of elemental sulfur (S0) or ferric arsenate on the mineral surface. Moreover, a flocculent porous structure was formed on the surfaces of both microbial cells and jarosites, on which a large amount of arsenic was adsorbed. These results clearly indicate that HA can simultaneously promote the dissolution of arsenopyrite and arsenic immobilization, which may be significant for bioleaching of arsenopyrite-bearing contaminated sites.

Effects of chronic elevated intraocular pressure on parameters of optical coherence tomography in rhesus monkeys.

AIM: To determine the progression of parameters from optical coherence tomography (OCT) in chronic elevated intraocular pressure (IOP) monkeys. METHODS: A chronic elevated IOP model of rhesus monkeys was induced by laser photocoagulation. Representative OCT parameters, including the average and four-quadrant retinal nerve fiber layer (RNFL) thickness, and parameters from optic nerve head (ONH) analysis were collected before and after laser treatments biweekly for up to 28wk. The performance of each parameter for early progression detection was analyzed. The progressive trends toward elevated IOP were analyzed using a linear mixed-effects model. RESULTS: There were 10 successfully maintained high IOP eyes in 7 monkeys. The follow-up time was 24±5.37wk. With cumulative IOP elevation, the cup area, rim area and C/D area ratio were statistically significantly changed as early as 2wk after elevated IOP induction (P<0.05). The quadrant RNFL thickness changed at 6wk after high IOP induction, and the superior and inferior RNFL thicknesses exhibited more obvious reductions than other quadrants. The average RNFL thickness was the last one to show a significant decrease at 8wk. CONCLUSION: The parameters of ONH are most sensitive to elevated IOP in a primate glaucomatous model. These findings suggest that we should focus on those parameters instead of RNFL thickness in patients with elevated IOP, as they might present with earlier glaucomatous changes.

Simultaneous determination of 24 antidepressant drugs and their metabolites in wastewater by ultra-high performance liquid chromatography-tandem mass spectrometry.

Antidepressants are a new kind of pollutants being increasingly found in wastewater. In this study, a fast and sensitive ultra-high performance liquid chromatography-tandem mass spectrometry method was developed and validated for the analysis of 24 antidepressant drugs and six of their metabolites in wastewater. This is the first time that the antidepressant residues in wastewater of Beijing (China) were systematically reported. A solid-phase extraction process was performed with 3 M cation disk, followed by ultra-high performance liquid chromatography-tandem mass spectrometry measurements. The chromatographic separation and mass parameters were optimized in order to achieve suitable retention time and good resolution for analytes. All compounds were satisfactorily determined in one single injection within 20 min. The limit of quantification (LOQ), linearity, and extraction recovery were validated. The LOQ for analytes were ranged from 0.02 to 0.51 ng/mL. The determination coefficients were more than 0.99 within the tested concentration range (0.1-25 ng/mL), and the recovery rate for each target compound was ranged from 81.2% to 118% at 1 ng/mL. This new developed method was successfully applied to analysis the samples collected from Beijing municipal wastewater treatment plants. At least ten target antidepressants were found in all samples and the highest mean concentration of desmethylvenlafaxin was up to 415.6 ng/L.