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1.
J Helminthol ; 93(2): 220-225, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29455691

RESUMO

Parapharyngodon politoedi n. sp. is described here, based on specimens found in the large intestines of Osteocephalus taurinus from the Caxiuanã National Forest, State of Pará, Brazil. The new species is assigned to Parapharyngodon based on the presence of non-embryonated eggs with sub-terminal opercula, when in the ovijector. Parapharyngodon politoedi belongs to a group of species with three pairs of cloacal papillae and differs from its congeners by morphometric aspects, such as the length of the spicule, and the combination of the following morphological characters: ovaries never encircling the oesophagus, tail shape in females, cloacal lips, sharply pointed spicule and presence of genital cone. This is the second species of nematode reported to parasitize O. taurinus and the eleventh species of Parapharyngodon from hylids in the Neotropical region.


Assuntos
Anuros/parasitologia , Oxyuroidea/classificação , Animais , Brasil , Feminino , Florestas , Genitália/anatomia & histologia , Intestino Grosso/parasitologia , Lagartos/parasitologia , Masculino , Oxiuríase/veterinária , Oxyuroidea/anatomia & histologia
2.
J Chem Phys ; 139(14): 144907, 2013 Oct 14.
Artigo em Inglês | MEDLINE | ID: mdl-24116646

RESUMO

The quasi-equilibrium states of an observed quantum system involve as many constants of motion as the dimension of the operator basis which spans the blocks of all the degenerate eigenvalues of the Hamiltonian that drives the system dynamics, however, the possibility of observing such quasi-invariants in solid-like spin systems in Nuclear Magnetic Resonance (NMR) is not a strictly exact prediction. The aim of this work is to provide experimental evidence of several quasi-invariants, in the proton NMR of small spin clusters, like nematic liquid crystal molecules, in which the use of thermodynamic arguments is not justified. We explore the spin states prepared with the Jeener-Broekaert pulse sequence by analyzing the time-domain signals yielded by this sequence as a function of the preparation times, in a variety of dipolar networks, solids, and liquid crystals. We observe that the signals can be explained with two dipolar quasi-invariants only within a range of short preparation times, however at longer times liquid crystal signals show an echo-like behaviour whose description requires assuming more quasi-invariants. We study the multiple quantum coherence content of such signals on a basis orthogonal to the z-basis and see that such states involve a significant number of correlated spins. Therefore, we show that the NMR signals within the whole preparation time-scale can only be reconstructed by assuming the occurrence of multiple quasi-invariants which we experimentally isolate.

3.
J Helminthol ; 87(3): 286-300, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22874101

RESUMO

The main goals of this study were to compare the richness of parasitic trematodes in amphibians with diverse habits (terrestrial, fossorial, semi-aquatic and arboreal), and to evaluate whether the composition of the trematode community is determined by ecological relationships. Specimens were collected between April 2001 and December 2006 from a common area (30 ha) in Corrientes Province, Argentina. Trematodes of amphibians in this area comprised a total of 19 species, and were dominated by common species. Larval trematodes presented highest species richness, with the metacercaria of Bursotrema tetracotyloides being dominant in the majority (7/9, 78%) of the parasite communities. Adults of the trematode Catadiscus inopinatus were dominant in the majority (6/9, 67%) of amphibians. The amphibians Leptodactylus latinasus, Leptodactylus bufonius and Scinax nasicus presented a high diversity of trematodes, whereas Leptodactylus chaquensis had the lowest diversity even though it presented with the highest species richness. The patterns of similarity among amphibian species showed groups linking with their habitats. Leptodactilid amphibians, with a generalist diet and an active foraging strategy showed highest infection rates with adult trematodes. The mean richness of trematode species related to host's habitat preferences was higher in semi-aquatic amphibians. Results suggest that semi-aquatic amphibians, present in both aquatic and terrestrial environments, present a greater diversity of parasites as they have a higher rate of exposure to a wider range of prey species and, hence, to diverse infective states. The trematode composition is related to the diets and mobility of the host, and habitat.


Assuntos
Anfíbios/parasitologia , Biodiversidade , Trematódeos/classificação , Trematódeos/isolamento & purificação , Infecções por Trematódeos/veterinária , Animais , Argentina/epidemiologia , Ecossistema , Infecções por Trematódeos/epidemiologia , Infecções por Trematódeos/parasitologia
4.
Acta Parasitol ; 68(1): 194-207, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36542296

RESUMO

PURPOSE: The diversity of larval digenetic trematodes can provide information on one or more intermediate hosts prior to maturation into the definitive host; on host activity and distribution; and in some cases, on environmental perturbations. In this context, the goal of the present study was to analyse the trematode larvae found in adult amphibians collected from the Argentinian Chaco Region. Few studies have been reported on the systematics of larval digeneans in amphibians. METHODS: A total of 167 specimens of frogs (Leptodactylus macrosternum, Leptodactylus latinasus, Lepidobatrachus laevis, Lepidobatrachus llanensis and Lysapsus limellum) and toads (Rhinella bergi) were examined for larval digeneans. Frogs and toads were collected in two Argentinian ecoregions (Dry Chaco and Humid Chaco); between June 2002 and December 2019. Morphology of each taxon was studied in detail using light microscopy and scanning electron microscopy (SEM). RESULTS: Fourteen different taxa of the families Diplostomidae (Alariinae gen sp., Didelphodiplostomum sp., Pharingostomoides sp. and Tylodelphys sp.), Proterodiplostomidae (Heterodiplostomum lanceolatum), and Strigeidae (Strigea spp.) were found infecting the body cavity, mesentery, muscle, fluid in the spinal cord canal, and cranial cavity of amphibians. All species are described and illustrated, and their life cycles are briefly discussed. CONCLUSION: These infections provide new information on the morphology, morphometry, and composition of the diversity of mesocercariae and metacercariae in amphibians, thus contributing to the knowledge of potential intermediate hosts. In addition, our results serve as an indicator of parasite and host biodiversity in different ecoregions of the Gran Chaco.


Assuntos
Trematódeos , Infecções por Trematódeos , Humanos , Animais , Infecções por Trematódeos/veterinária , Infecções por Trematódeos/parasitologia , Larva , Anuros/parasitologia , Biodiversidade , Bufonidae
5.
Int J Tuberc Lung Dis ; 27(7): 530-536, 2023 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-37353866

RESUMO

BACKGROUND: The course of chronic obstructive pulmonary disease (COPD) is different in men and women. There are limited data in Latin America regarding COPD exacerbations (ECOPD) in women. This study aims to determine the sociodemographic and clinical profile of ECOPD adjusted by gender.METHODS: Cross-sectional analytical study of all patients hospitalised due to an ECOPD in a tertiary university hospital in Colombia between 2015 and 2019. A group comparison analysis was performed between male and female groups.RESULTS: A total of 81 patients met the inclusion criteria (35.8% were women). The mean age was 71.49 years. Most of the patients were GOLD (Global Initiative for Obstructive Lung Disease) 3 and 4. A history of TB was present in 15% of our cohort. While the proportion of smokers was higher among men (OR 5.11; P = 0.013), exposure to wood smoke was significantly higher in women (OR 24; P < 0.001). Females were associated with a lower probability of having forced expiratory volume in 1 sec >0,87 L (OR 0.11; P = 0.013) and were associated with an increased probability of receiving inhaled corticosteroids during hospitalisation (OR 3.33; P = 0.023). No differences in terms of mortality or complications were found.CONCLUSION: Women with COPD are underrepresented in literature. This study was able to identify some factors related to female sex among patients hospitalised for severe ECOPD.


Assuntos
Doença Pulmonar Obstrutiva Crônica , Tuberculose , Humanos , Masculino , Feminino , Idoso , Estudos Transversais , Países em Desenvolvimento , Pulmão , Volume Expiratório Forçado
6.
Dis Aquat Organ ; 93(1): 71-82, 2010 Dec 07.
Artigo em Inglês | MEDLINE | ID: mdl-21290898

RESUMO

The main goal of this study was to evaluate the relative influence of season, year of study, host body size, and host sex on abundance of helminth species parasitic in the frog Scinax nasicus. A total of 273 frogs was collected between December 2004 and November 2006 over all seasons in Corrientes City, Province of Corrientes, Argentina. Helminth community included 21 taxa, and was dominated particularly by larval trematodes. Infected frogs harboured a maximum of 7 species. Host sex and season played no significant effect in determining infracommunity parasite species abundance. Similarly, species richness was similar for both host sexes, and across time (year and season). However, occurrence of the parasites Opisthogonimus sp. 2 and Travtrema aff. stenocotyle greatly varied over time. Host body size was the main factor for determining infrapopulation structure of Centrorhynchus sp. Species richness was significantly and positively correlated with host body size. Strong associations were observed mainly between metacercariae of some species. The transmission strategies of parasites suggest that this hylid acquires infections by ingestion of infective larvae and through direct contact with larval parasites from aquatic and terrestrial habitats.


Assuntos
Anuros/parasitologia , Helmintíase Animal/parasitologia , Helmintos/isolamento & purificação , Animais , Argentina/epidemiologia , Feminino , Helmintíase Animal/epidemiologia , Masculino , Estações do Ano , Caracteres Sexuais , Fatores de Tempo
7.
J Chem Phys ; 130(2): 024501, 2009 Jan 14.
Artigo em Inglês | MEDLINE | ID: mdl-19154032

RESUMO

Previous work showed that by means of the Jeener-Broekaert (JB) experiment, two quasiequilibrium states can be selectively prepared in the proton spin system of thermotropic nematic liquid crystals (LCs) in a strong magnetic field. The similarity of the experimental results obtained in a variety of LC in a broad Larmor frequency range, with crystal hydrates, supports the assumption that also in LC the two spin reservoirs, into which the Zeeman order is transferred, originate in the dipolar energy and that they are associated with a separation in energy scales: A constant of motion related to the stronger dipolar interactions (S), and a second one (W) corresponding to the secular part of the weaker dipolar interactions with regard to the Zeeman and the strong dipolar part. We study the nature of these quasi-invariants in nematic 5CB (4(')-pentyl-4-biphenyl-carbonitrile) and measure their relaxation times by encoding the multiple-quantum coherences of the states following the JB pulse pair on two orthogonal bases, Z and X. The experiments were also performed in powder adamantane at 301 K which is used as a reference compound having only one dipolar quasi-invariant. We show that the evolution of the quantum states during the buildup of the quasiequilibrium state in 5CB prepared under the S condition is similar to the case of powder adamantane and that their quasiequilibrium density operators have the same tensor structure. In contrast, the second constant of motion, whose explicit operator form is not known, involves a richer composition of multiple-quantum coherences of even order on the X basis, in consistency with the truncation inherent in its definition. We exploited the exclusive presence of coherences of +/-4,+/-6,+/-8, besides 0 and +/-2 under the W condition to measure the spin-lattice relaxation time T(W) accurately, so avoiding experimental difficulties that usually impair dipolar order relaxation measurement such as Zeeman contamination at high fields and also superposition of the different quasi-invariants. This procedure opens the possibility of measuring the spin-lattice relaxation of a quasi-invariant independent of the Zeeman and S reservoirs, so incorporating a new relaxation parameter useful for studying the complex molecular dynamics in mesophases. In fact, we report the first measurement of T(W) in a LC at high magnetic fields. Comparison of the obtained value with the one corresponding to a lower field (16 MHz) points out that the relaxation of the W-order strongly depends on the intensity of the external magnetic field, similarly to the case of the S reservoir, indicating that the relaxation of the W-quasi-invariant is also governed by the cooperative molecular motions.

8.
Solid State Nucl Magn Reson ; 36(2): 77-85, 2009 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19589661

RESUMO

Two proton quasi-equilibrium states were previously observed in nematic liquid crystals, namely the S and W quasi-invariants. Even though the experimental evidence suggested that they originate in a partition of the spin dipolar energy into a strong and a weak part, respectively, from a theoretical viewpoint, the existence of an appropriate energy scale which allows such energy separation remains to be confirmed and a representation of the quasi-invariants is still to be given. We compare the dipolar NMR signals yielded both by the Jeener-Broekaert (JB) experiment as a function of the preparation time and the free evolution of the double quantum coherence (DQC) spectra excited from the S state, with numerical calculations carried out from first principles under different models for the dipolar quasi-invariants, in a 10-spin cluster which represents the 5CB (4(')-pentyl-4-biphenyl-carbonitrile) molecule. The calculated signals qualitatively agree with the experiments and the DQC spectra as a function of the single-quantum detection time are sensible enough to the different models to allow both to probe the physical nature of the initial dipolar-ordered state and to assign a subset of dipolar interactions to each constant of motion, which are compatible with the experiments. As a criterion for selecting a suitable quasi-equilibrium model of the 5CB molecule, we impose on the time evolution operator consistency with the occurrence of two dipolar quasi-invariants, that is, the calculated spectra must be unaffected by truncation of non-secular terms of the weaker dipolar energy. We find that defining the S quasi-invariant as the subset of the dipolar interactions of each proton with its two nearest neighbours yields a realistic characterization of the dipolar constants of motion in 5CB. We conclude that the proton-spin system of the 5CB molecule admits a partition of the dipolar energy into a bilinear strong and a multiple-spin weak contributions therefore providing two orthogonal constants of motion, which can be prepared and observed by means of the JB experiment. This feature, which implies the existence of two timescales of very different nature in the proton-spin dynamics, is ultimately dictated by the topology of the spin distribution in the dipole network and can be expected in other liquid crystals. Knowledge of the nature of the dipolar quasi-invariants will be useful in studies of dipolar-order relaxation, decoherence and multiple quantum NMR experiments where the initial state is a dipolar-ordered one.

11.
Phys Rev E Stat Nonlin Soft Matter Phys ; 74(5 Pt 1): 051702, 2006 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-17279921

RESUMO

The high-temperature Redfield spin-lattice relaxation theory is used for calculating the relaxation times of the different dipolar quasi-invariants in an eight-spin system which represents methyl deuterated para-azoxyanisole (PAAd6) in the nematic phase. According to previous experiments, this system can be considered as composed of weakly coupled pairs of strongly interacting spins, the ortho protons of the aromatic rings, thus, it possesses four quasi-invariants of the motion: Zeeman, dipolar intrapair and interpair, and singlet orders. We write the set of coupled differential equations which describe the relaxation of the generalized inverse spin temperatures of the four quasi-invariants. The relaxation constants are then calculated in terms of experimental two-spin spectral densities of the lattice motions. The relation between the multispin and the two-spin spectral densities is also deduced. Calculation shows that the Zeeman and singlet quasi-invariants are uncoupled from the dipolar ones, and that the relaxation time of the singlet order is much longer than those of the Zeeman and dipolar orders. The calculated cross relaxation rate between the dipolar orders through the lattice is small enough to be observable in the experiment. We also show that the nonsecular term associated with the collective motions dominates relaxation of the intrapair and interpair energies in PAAd6, while the local motions do not play a significant role, in qualitative agreement with the reported experimental behavior. The dipolar relaxation times predicted by the theory are significantly larger than the experimental ones, the difference being even more pronounced for the interpair quasi-invariant. We show that the discrepancy cannot be overcome neither by resorting to a realistic model for the spin system nor considering the various possible cross-relaxation pathways among the quasi-invariants. This feature points out the high- temperature approximation as a source of the discrepancy. We discuss the effect that slow and ultraslow molecular modes could have on the relaxation of the dipolar order.

12.
J Parasitol ; 92(6): 1171-9, 2006 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-17304791

RESUMO

One hundred seventy-two frogs (Leptodactylus chaquensis) were collected from November 2002 to November 2003, in agricultural (n = 132) and nonagricultural (n = 40) areas. Both sites are near the city of Corrientes, Argentina. The main goals of this study were as follows: (1) to determine the helminth parasite community in agricultural and nonagricultural habitats; (2) to analyze the relationships between helminth parasites and site of infection, frog body size, and gender; (3) to identify and examine covariation and association of helminth communities; and (4) to determine the mean richness and diversity of parasite communities. The helminth compound community of this amphibian species consisted of 24 species: 19 in agricultural habitats and 18 in nonagricultural habitats. The mean richness, mean diversity, and evenness of helminths were significantly different between the habitats (P < 0.05). The body size of the host was the important factor in determining parasite richness. Both habitats exhibited differences in community ordination. The helminth species in the 2 habitats exhibited the same interspecific relationships, although differences were observed in the intensity of infection.


Assuntos
Anuros/parasitologia , Ecossistema , Helmintíase Animal/epidemiologia , Agricultura , Animais , Argentina/epidemiologia , Feminino , Água Doce , Helmintíase Animal/parasitologia , Helmintos/classificação , Interações Hospedeiro-Parasita , Masculino , Árvores
13.
Cytogenet Genome Res ; 110(1-4): 299-306, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-16093682

RESUMO

R1 and R2 are non-LTR retrotransposons that insert in the 28S rRNA genes of arthropods. R1 elements insert into a site that is 74 bp downstream of the R2 insertion site, thus the presence of an R2 in the same 28S gene may inhibit the expression of R1. Consistent with such a suggestion, the R1 elements of Drosophila melanogaster have a strong bias against inserting into 28S genes already containing an R2 element. R2 elements, on the other hand, are only 2-3 fold inhibited from inserting into a 28S gene already containing an R1. D. melanogaster R1 elements are unusual in that they generate a 23-bp deletion of the target site upstream of the insertion. Using in vitro assays developed to study R2 integration, we show that the presence of R1 sequences 51 bp downstream of the R2 insertion site changes the nucleosomal structure that can be formed by the R2 target site. The R2 endonuclease is inhibited from cleaving these altered nucleosomes. We suggest that R1 elements have been selected to make this large deletion of the 28S gene to block the insertion of an upstream R2 element. These findings are consistent with the model that R1 and R2 are in competition for the limited number of insertion sites available within their host's genome.


Assuntos
Elementos de DNA Transponíveis , Drosophila melanogaster/genética , Insetos/genética , RNA Ribossômico 28S/genética , Animais , Sequência de Bases , Dados de Sequência Molecular , Retroelementos , Sequências Repetidas Terminais
14.
Genetics ; 158(4): 1557-67, 2001 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-11514447

RESUMO

The mobile elements R1 and R2 insert specifically into the rRNA gene locus (rDNA locus) of arthropods, a locus known to undergo concerted evolution, the recombinational processes that preserve the sequence homogeneity of all repeats. To monitor how rapidly individual R1 and R2 insertions are turned over in the rDNA locus by these processes, we have taken advantage of the many 5' truncation variants that are generated during the target-primed reverse transcription mechanism used by these non-LTR retrotransposons for their integration. A simple PCR assay was designed to reveal the pattern of the 5' variants present in the rDNA loci of individual X chromosomes in a population of Drosophila simulans. Each rDNA locus in this population was found to have a large, unique collection of 5' variants. Each variant was present at low copy number, usually one copy per chromosome, and was seldom distributed to other chromosomes in the population. The failure of these variants to spread to other units in the same rDNA locus suggests a strong recombinational bias against R1 and R2 that results in the individual copies of these elements being rapidly lost from the rDNA locus. This bias suggests a significantly higher frequency of R1 and R2 retrotransposition than we have previously suggested.


Assuntos
Elementos de DNA Transponíveis , DNA Ribossômico/metabolismo , Drosophila/genética , Drosophila/metabolismo , RNA Ribossômico/metabolismo , Retroelementos/genética , Animais , Sequência de Bases , Clonagem Molecular , Variação Genética , Genoma , Modelos Genéticos , Dados de Sequência Molecular , Reação em Cadeia da Polimerase , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Análise de Sequência de DNA
15.
Cell Signal ; 13(5): 353-62, 2001 May.
Artigo em Inglês | MEDLINE | ID: mdl-11369517

RESUMO

The plant alkaloid ryanodine (Ry) is a high-affinity modulator of ryanodine receptor (RyR) Ca(2+) release channels. Although these channels are present in a variety of cell types, their functional role in nerve cells is still puzzling. Here, a monosubstituted fluorescent Ry analogue, B-FL-X Ry, was used to reveal the distribution of RyRs in cultured rat sympathetic neurons. B-FL-X Ry competitively inhibited the binding of [3H]Ry to rabbit skeletal muscle SR membranes, with an IC(50) of 150 nM, compared to 7 nM of unlabeled Ry. Binding of B-FL-X Ry to the cytoplasm of sympathetic neurons is saturable, reversible and of high affinity. The pharmacology of B-FL-X Ry showed marked differences with unlabeled Ry, which are partially explained by its lower affinity: (1) use-dependent reversible inhibition of caffeine-induced intracellular Ca(2+) release; (2) diminished voltage-gated Ca(2+) influx, due to a positive shift in the activation of voltage gated Ca(2+) currents. B-FL-X Ry-stained sympathetic neurons, viewed under confocal microscopy, showed conspicuous labeling of crescent-shaped structures pertaining to the Golgi complex, a conclusion supported by experiments showing co-localization with Golgi-specific fluorescent probes and the breaking up of crescent-shaped staining after treatment with drugs that disassemble Golgi complex. The presence of RyRs to the Golgi could be confirmed with specific anti-RyR(2) antibodies, but evidence of caffeine-induced Ca(2+) release from this organelle could not be obtained using fast confocal microscopy. Rather, an apparent decrease of the cytosolic Ca(2+) signal was detected close to this organelle. In spite of that, short-term incubation with brefeldin A (BFA) suppressed the fast component of caffeine-induced Ca(2+) release, and the Ca(2+) release process lasted longer and appeared less organized. These observations, which suggest a possible role of the Golgi complex in Ca(2+) homeostasis and signaling in nerve cells, could be relevant to reports involving derangement of the Golgi complex as a probable cause of some forms of progressive neuronal degeneration, such as Alzheimer's disease and amyotrophic lateral sclerosis.


Assuntos
Sinalização do Cálcio/fisiologia , Complexo de Golgi/metabolismo , Neurônios/fisiologia , Canal de Liberação de Cálcio do Receptor de Rianodina/metabolismo , Rianodina/análogos & derivados , Rianodina/metabolismo , Animais , Antibacterianos/farmacologia , Especificidade de Anticorpos , Compostos de Boro/metabolismo , Brefeldina A/farmacologia , Cafeína/farmacologia , Cálcio/metabolismo , Canais de Cálcio/metabolismo , Sinalização do Cálcio/efeitos dos fármacos , Corantes Fluorescentes , Complexo de Golgi/química , Macrolídeos , Potenciais da Membrana/efeitos dos fármacos , Potenciais da Membrana/fisiologia , Neurônios/química , Neurônios/ultraestrutura , Inibidores de Fosfodiesterase/farmacologia , Ratos , Canal de Liberação de Cálcio do Receptor de Rianodina/análise , Canal de Liberação de Cálcio do Receptor de Rianodina/imunologia , Gânglio Cervical Superior/citologia
16.
Phys Rev E Stat Nonlin Soft Matter Phys ; 71(1 Pt 1): 011704, 2005 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-15697620

RESUMO

We analyze the experimental conditions needed for creating two kinds of dipolar order, namely, intrapair and interpair order in thermotropic liquid crystals. By adapting to the case of liquid crystals the model of weakly coupled spin pairs first developed for oriented hydrated salts, we obtain that the dipolar signal at every preparation time can be regarded as a weighted sum of the pure intra- and pure interpair signals; the weights being determined by the amount of each kind of order resulting from the preparation sequence. The dipolar signal predicted by the model is symmetric in the preparation and observation times and the intrapair component is, in a good approximation, proportional to the time derivative of the FID, regardless of the number of different dipolar couplings (inequivalent pairs) present in the molecule. From this model we obtain a prescription for preparing the different dipolar orders both when the pairs are strictly equivalent or when they are not. The applicability of the spin thermodynamics approach in liquid crystals is tested in two typical thermotropic nematic samples: PAA d(6) (methyl deuterated p -azoxyanisole) and 5CB ( 4(') -pentyl-4-biphenyl-carbonitrile).

17.
J Nucl Med ; 35(8): 1333-7, 1994 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-8046489

RESUMO

Rapid detection and localization of the bleeding site(s) are important factors in successful management of actively bleeding patients. Technetium-99m-red blood cell imaging is a sensitive, noninvasive modality commonly used for localization of gastrointestinal bleeding. Outside the gastrointestinal tract, experience with this technique has been limited. In this report, we present three cases of nonenteric bleeding successfully located using 99mTc red blood cells. The current literature regarding the scintigraphic localization of nonenteric bleeding is reviewed and discussed.


Assuntos
Eritrócitos , Hematoma/diagnóstico por imagem , Hemorragia/diagnóstico por imagem , Doenças Musculares/diagnóstico por imagem , Lesões dos Tecidos Moles/diagnóstico por imagem , Tecnécio , Idoso , Idoso de 80 Anos ou mais , Braço , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Cintilografia , Coxa da Perna
18.
J Nucl Med ; 38(2): 262-3, 1997 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-9025753

RESUMO

We describe a patient with unexplained hypercalcemia who under went bone scintigraphy, which demonstrated marked tracer uptake within the hilar lymph nodes. The pattern strongly suggested sarcoidosis, which was subsequently confirmed by bronchoscopy-directed biopsy.


Assuntos
Doenças Linfáticas/diagnóstico por imagem , Sarcoidose/diagnóstico por imagem , Medronato de Tecnécio Tc 99m , Adulto , Osso e Ossos/diagnóstico por imagem , Feminino , Humanos , Hipercalcemia/etiologia , Doenças Linfáticas/diagnóstico , Cintilografia , Insuficiência Renal/etiologia , Sarcoidose/diagnóstico
19.
Pediatr Infect Dis J ; 16(2): 216-21, 1997 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-9041604

RESUMO

BACKGROUND: Aspergillosis is an uncommon yet serious opportunistic infection in patients with AIDS. It has been extensively reported in HIV-infected adult patients. To our knowledge there are no studies that describe the epidemiology, clinical manifestations and outcome of aspergillosis in a large HIV-infected pediatric population. METHODS: We reviewed the records of all 473 HIV-infected children followed in the Pediatric Branch of the National Cancer Institute for 9 years from 1987 through 1995 for the presence of Aspergillus infection. RESULTS: Seven (1.5%) patients developed invasive aspergillosis during the study period. All patients had low CD4 counts reflecting severe immunosuppression. Sustained neutropenia (> 7 days) or corticosteroid therapy as a predisposing factor for invasive aspergillosis was encountered in only two patients (28%). Invasive pulmonary aspergillosis developed in five patients and cutaneous aspergillosis in two. The most common presenting features in patients with pulmonary aspergillosis were fever, cough and dyspnea. Patients with cutaneous aspergillosis were diagnosed during life and successfully treated with amphotericin B and surgery, whereas diagnosis of pulmonary aspergillosis was made clinically in only one patient. CONCLUSIONS: Aspergillosis is an uncommon but highly lethal opportunistic infection in HIV-infected children. Invasive pulmonary aspergillosis should be considered in the differential diagnosis in febrile, HIV-infected children with persistent pulmonary infiltrates.


Assuntos
Infecções Oportunistas Relacionadas com a AIDS , Aspergilose , Infecções Oportunistas Relacionadas com a AIDS/diagnóstico , Infecções Oportunistas Relacionadas com a AIDS/tratamento farmacológico , Infecções Oportunistas Relacionadas com a AIDS/epidemiologia , Infecções Oportunistas Relacionadas com a AIDS/fisiopatologia , Adolescente , Antifúngicos/uso terapêutico , Aspergilose/diagnóstico , Aspergilose/tratamento farmacológico , Aspergilose/epidemiologia , Aspergilose/fisiopatologia , Contagem de Linfócito CD4 , Criança , Pré-Escolar , Diagnóstico Diferencial , Feminino , Infecções por HIV/imunologia , Infecções por HIV/microbiologia , Humanos , Lactente , Masculino , Neutropenia , Estudos Retrospectivos
20.
Pediatr Infect Dis J ; 19(8): 729-34, 2000 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10959741

RESUMO

BACKGROUND: Little is known about the epidemiology and clinical features of esophageal candidiasis (EC) in pediatric AIDS. We therefore investigated the clinical presentation and risk factors of EC in a large prospectively monitored population of HIV-infected children at the National Cancer Institute. PATIENTS AND METHODS: We reviewed the records of all HIV-infected children (N = 448) followed between 1987 and 1995 for a history of esophageal candidiasis to characterize the epidemiology, clinical features, therapeutic interventions and outcome of esophageal candidiasis. To understand further the risk factors for EC in pediatric AIDS, we then performed a matched case-control analysis of 25 patients for whom control cases were available. RESULTS: There were 51 episodes of EC documented in 36 patients with 23 male and 13 female patients (0.2 to 17 years; median CD4, count 11/microl), representing a frequency of EC of 8.0%. Concurrent oropharyngeal candidiasis (OPC) was the most common clinical presentation of EC (94%); other signs and symptoms included odynophagia (80%), retrosternal pain (57%), fever (29%), nausea/vomiting (24%), drooling (12%), dehydration (12%), hoarseness (6%) and upper gastrointestinal bleeding (6%). The causative organism documented in 36 episodes (18 from OPC, 17 from endoscopic biopsy and 1 from autopsy) was Candida albicans in all cases. Patients received treatment for EC with amphotericin B (63%), fluconazole (29%), ketoconazole (4%) or itraconazole (1%). A clinical response was documented in all 45 evaluable episodes. In 6 other cases, EC was a final event without contributing to the cause of death. By a conditional logistic regression model for matched data, the best predictor of EC was the presence of prior OPC (P<0.0001), followed by CD4 count and CD4 percentage (P = 0.0002) and use of antibacterial antibiotics (P = 0.0013). The risks associated with low CD4 count were independent of that of prior OPC. CONCLUSION: EC in pediatric AIDS is a debilitating infection, which develops in the setting of prior OPC, low CD4 counts and previous antibiotics.


Assuntos
Infecções Oportunistas Relacionadas com a AIDS/diagnóstico , Infecções Oportunistas Relacionadas com a AIDS/epidemiologia , Candidíase/diagnóstico , Candidíase/epidemiologia , Esofagite/diagnóstico , Esofagite/epidemiologia , Infecções Oportunistas Relacionadas com a AIDS/tratamento farmacológico , Adolescente , Distribuição por Idade , Antifúngicos/administração & dosagem , Candidíase/tratamento farmacológico , Estudos de Casos e Controles , Criança , Pré-Escolar , Comorbidade , Esofagite/tratamento farmacológico , Feminino , Humanos , Lactente , Modelos Logísticos , Masculino , Maryland/epidemiologia , Prevalência , Valores de Referência , Fatores de Risco , Distribuição por Sexo , Taxa de Sobrevida
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