RESUMEN
Previously mutations in a putative protein O-mannosyltransferase (SCO3154, Pmt) and a polyprenol phosphate mannose synthase (SCO1423, Ppm1) were found to cause resistance to phage, phiC31, in the antibiotic producing bacteria Streptomyces coelicolor A3(2). It was proposed that these two enzymes were part of a protein O-glycosylation pathway that was necessary for synthesis of the phage receptor. Here we provide the evidence that Pmt and Ppm1 are indeed both required for protein O-glycosylation. The phosphate binding protein PstS was found to be glycosylated with a trihexose in the S. coelicolor parent strain, J1929, but not in the pmt(-) derivative, DT1025. Ppm1 was necessary for the transfer of mannose to endogenous polyprenol phosphate in membrane preparations of S. coelicolor. A mutation in ppm1 that conferred an E218V substitution in Ppm1 abolished mannose transfer and glycosylation of PstS. Mass spectrometry analysis of extracted lipids showed the presence of a glycosylated polyprenol phosphate (PP) containing nine repeated isoprenyl units (C(45)-PP). S. coelicolor membranes were also able to catalyse the transfer of mannose to peptides derived from PstS, indicating that these could be targets for Pmt in vivo.
Asunto(s)
Proteínas Bacterianas/metabolismo , Proteínas Periplasmáticas/metabolismo , Proteínas de Unión a Fosfato/metabolismo , Streptomyces coelicolor/metabolismo , Secuencia de Aminoácidos , Proteínas Bacterianas/genética , Glicosilación , Manosa/metabolismo , Datos de Secuencia Molecular , Proteínas Periplasmáticas/genética , Proteínas de Unión a Fosfato/genética , Análisis de Secuencia de Proteína , Streptomyces coelicolor/genéticaRESUMEN
Every year the Belgian Poison Center deals with more than 50.000 calls. When a medical evaluation is needed, the patients are often advised to contact their general practitioner. This article gives the general practitioner some clues to face common or severe poisoning situations like benzodiazepines, antidepressants, analgesics (paracetamol, ibuprofen, methadone...), nose drops, bleaches, petroleum distillates, mushrooms or carbon monoxide exposure.
Asunto(s)
Analgésicos/envenenamiento , Antidepresivos/envenenamiento , Benzodiazepinas/envenenamiento , Medicina Familiar y Comunitaria/estadística & datos numéricos , Bélgica , Intoxicación por Monóxido de Carbono/epidemiología , Exposición a Riesgos Ambientales , Medicina Familiar y Comunitaria/normas , Humanos , Intoxicación por Setas/epidemiología , Petróleo/envenenamientoRESUMEN
Spontaneous subarachnoidal haemorrhage can be associated with neurogenic pulmonary oedema and cardiogenic shock. The presentation is an ischemic myocardial dysfunction associated with normal coronary arteries. Hypoxaemia associated with arterial hypotension on patients with brain injury can worsen neurological outcome. The administration of norepinephrine associated with fluid expansion could be deleterious on cardiac function. We report the case of a patient with acute pulmonary oedema associated with post-aneurysmal subarachnoid haemorrhage managed with transoesophageal Doppler monitoring.
Asunto(s)
Insuficiencia Cardíaca/diagnóstico por imagen , Insuficiencia Cardíaca/etiología , Edema Pulmonar/etiología , Hemorragia Subaracnoidea/complicaciones , Hemorragia Subaracnoidea/diagnóstico por imagen , Adulto , Ecocardiografía Transesofágica , Femenino , Humanos , Ultrasonografía DopplerRESUMEN
alpha 1-Acid glycoprotein concentrations and reactivity to concanavalin A were measured in maternal and fetal serum and amniotic fluid obtained from 24 women undergoing diagnostic cordocentesis at 20 to 33 wk gestation and in 30 additional fetal sera (19 to 34 weeks gestation). Maternal alpha 1-acid glycoprotein serum levels were five to ten times higher than fetal and amniotic levels. Fetal alpha 1-acid glycoprotein levels were found to increase with advancing gestational age. Using crossed immunoaffino electrophoresis with concanavalin A, alpha 1-acid glycoprotein patterns were identical in maternal serum and amniotic fluid but totally different in fetal serum. The fetal concanavalin A pattern changed progressively during fetal life towards that of the newborn. These data confirm earlier assumptions of fetal synthesis of alpha 1-acid glycoprotein and provide normal reference values for alpha 1-acid glycoprotein in fetal serum. In addition, the specific fetal concanavalin A pattern indicates that the alpha 1-acid glycoprotein glycosylation process during fetal life differs from that in post-natal life.
Asunto(s)
Sangre Fetal/metabolismo , Feto/metabolismo , Orosomucoide/metabolismo , Líquido Amniótico/metabolismo , Concanavalina A , Femenino , Edad Gestacional , Humanos , Inmunoelectroforesis Bidimensional , EmbarazoRESUMEN
UNLABELLED: Sensitivity of colonoscopy depends on the technical quality of the procedure. The aims of this study were to evaluate the usual of colonoscopy in the French area of Aquitaine and to determinate the factors associated with a procedure of good quality. Thirty four gastroenterologists prospectively recorded indications, conditions of practice and results of the colonoscopies that were performed during 4 consecutive weeks. Six hundred and eighty six colonoscopies were analysed, performed in 387 women and 299 men, mean age: 59.9 years. INDICATIONS: irritable bowel syndrome: 34%, patients belonging to high risk groups: 30%, recent transit disturbance: 27%, rectal bleeding: 23%, positive fecal occult blood test: 4.3%. Preparations: polyethylene glycol (PEG) 78%, in 2 doses: 20%; PEG alone: 43%, associated with enemas and laxatives: 19%, with enemas: 14%, with laxatives: 2%; minimum-residue diet before colonoscopy: 58%. The caecum was reached in 86% of colonoscopies. Ninety-nine colonoscopies were incomplete. Fifty one per cent of colonoscopies reached the caecum with visualization of total colic mucosa, 35% reached the caecum with one at least imperfectly seen colic area.(ABSTRACT TRUNCATED AT 250 WORDS)
Asunto(s)
Colonoscopía/normas , Control de Calidad , Femenino , Francia , Humanos , Tiempo de Internación , Masculino , Persona de Mediana Edad , Análisis Multivariante , Estudios Prospectivos , Factores SexualesRESUMEN
Case report of a pulmonary nocardiosis associated with a pneumocystosis pneumonia and a cryptococcal meningitis in an African not already known as infected with Human Immunodeficiency Virus. Fever reoccurred when cotrimoxazole was stopped for intolerance. Bronchoalveolar lavage gave diagnosis.
Asunto(s)
Infecciones Oportunistas Relacionadas con el SIDA , Enfermedades Pulmonares/microbiología , Nocardiosis , Infecciones Oportunistas Relacionadas con el SIDA/diagnóstico por imagen , África/etnología , Francia , Seropositividad para VIH , VIH-1 , VIH-2 , Humanos , Enfermedades Pulmonares/complicaciones , Enfermedades Pulmonares/diagnóstico por imagen , Masculino , Meningitis Criptocócica/complicaciones , Persona de Mediana Edad , Nocardiosis/complicaciones , Nocardiosis/diagnóstico por imagen , Neumonía por Pneumocystis/complicaciones , Neumonía por Pneumocystis/diagnóstico por imagen , Radiografía TorácicaRESUMEN
The authors describe the third case in the literature of superior mesenteric artery's thrombosis occurring in the course of the Behçet's syndrome according to Mason and Barnes classification. Clinical manifestations in the patient were represented by intestinal angor. The literature data concerning vascular involvement in Behçet's disease, particularly thrombosis are reviewed. The value of noninvasive paraclinic arterial digestive explorations is discussed.
Asunto(s)
Síndrome de Behçet/complicaciones , Oclusión Vascular Mesentérica/etiología , Trombosis/etiología , Adulto , Humanos , Masculino , Arteria Mesentérica SuperiorRESUMEN
We report one case of rectal cancer disclosed by a perineal cellulitis in a diabetic woman. This infrequent association has a bad prognosis. Diagnosis is mainly clinical. Treatment is urgent with large spectrum antibiotic therapy, surgical debridement, colostomy and hyperbaric oxygen if available. Surgical treatment of the rectal cancer can be done immediately or delayed.
Asunto(s)
Adenocarcinoma/complicaciones , Fascitis Necrotizante/etiología , Perineo , Neoplasias del Recto/complicaciones , Adenocarcinoma/sangre , Adenocarcinoma/diagnóstico , Adenocarcinoma/cirugía , Anciano , Antibacterianos/uso terapéutico , Infecciones por Bacteroides/complicaciones , Infecciones por Bacteroides/diagnóstico , Biopsia , Antígeno Carcinoembrionario/sangre , Colostomía , Terapia Combinada , Desbridamiento , Diabetes Mellitus Tipo 1/complicaciones , Fascitis Necrotizante/terapia , Femenino , Humanos , Oxigenoterapia Hiperbárica , Estadificación de Neoplasias , Pronóstico , Neoplasias del Recto/sangre , Neoplasias del Recto/diagnóstico , Neoplasias del Recto/cirugía , Factores de Riesgo , Tomografía Computarizada por Rayos XRESUMEN
A case of hernia is reported with a brief review of perineal hernia.
Asunto(s)
Enfermedades de los Genitales Femeninos/patología , Enfermedades de los Genitales Femeninos/cirugía , Anciano , Femenino , Hernia , Humanos , Perineo/patologíaRESUMEN
INTRODUCTION: We report the case of severe colitis occurring during treatment with non-steroid anti-inflammatories (NSAI). OBSERVATION: A 57 year-old woman was hospitalized for lumbar pain that had not been relieved by AINS, tramadol and then morphine. The patient presented with septic shock and peritonitis by rectal perforation, followed by acute rectorrhagia. The endoscopic aspect evoked Crohn's disease with a recto-vaginal fistula. Progression was further complicated by two episodes of collapse because of acute rectorrhagia, requiring hemostasis colectomy and abdominal-perineal amputation. CONCLUSION: The diagnosis retained was AINS-induced colitis complicated by acute colectasia on a fecaloma with recto-vaginal fistula.
Asunto(s)
Antiinflamatorios no Esteroideos/efectos adversos , Colitis/inducido químicamente , Fístula Rectovaginal/etiología , Enfermedad Aguda , Colitis/complicaciones , Femenino , Humanos , Persona de Mediana Edad , Índice de Severidad de la EnfermedadRESUMEN
OBJECTIVES: Evaluation of regional anaesthesia procedures for limb traumatic surgery performed in an emergency department. METHOD: Anaesthetic procedures concerning traumatic emergencies have been studied from 1995 to 2000. RESULTS: A 32% increase in anaesthesia practice was observed from 1995 (221) to 2000 (292) with a 52% increase in regional anaesthesia. Since 1996, regional anaesthesia represents more than 80% of the anaesthetic procedures and 90% for the upper limb surgery (66% of the surgical procedures). Axillary block (50%), interscalene brachial plexus block (15%) and combined sciatic and femoral nerve block (17%) were the main regional anaesthesia procedures. Spinal anaesthesia (9 cases) and intravenous locoregional anaesthesia (12 cases) were rarely used. CONCLUSION: In our study, regional anaesthesia is the most used technique when compared to general anaesthesia for emergency procedure. The anaesthetic staff has to be motivated and trained.
Asunto(s)
Anestesia de Conducción , Servicios Médicos de Urgencia/métodos , Servicios Médicos de Urgencia/estadística & datos numéricos , Servicio de Urgencia en Hospital/estadística & datos numéricos , Anestesia , Anestesia de Conducción/estadística & datos numéricos , Francia , Humanos , Bloqueo Nervioso , Estudios Retrospectivos , Heridas y Lesiones/terapiaRESUMEN
The contraceptive device Norplant, not yet commercialized in Belgium, has been studied prospectively on 198 women, which were followed for up to 42 months per patient. All together, 2,643 months of use were surveyed. Norplant consists of 6 silastic capsules, liberating levonorgestrel, a synthetic progestagen. The pregnancy protection lasts for 5 years. Insertion site is the inner part of the upper arm. The Pearl Index was 0.46% women-years (only one pregnancy occurred); the continuity rate was high (86% after 1 year and 60% after 2 years). The main side effects were menstrual disturbances and abnormal intermenstrual blood loss. No other important side effects have been found. There is no absolute contra-indication to the use of Norplant.
Asunto(s)
Levonorgestrel/administración & dosificación , Adolescente , Adulto , Implantes de Medicamentos/efectos adversos , Femenino , Humanos , Levonorgestrel/efectos adversos , Trastornos de la Menstruación/inducido químicamente , Estudios Prospectivos , Factores de Tiempo , Hemorragia Uterina/inducido químicamenteRESUMEN
Origin, symptomatology, seriousness and mechanism of carbon monoxide toxicity have been reviewed as are the diagnosis based on clinical or analytical data upon which the physician may rely to search out a CO intoxication. Treatments are discussed and the best therapy is proposed in case of mild or severe poisonings.
Asunto(s)
Intoxicación por Monóxido de Carbono/diagnóstico , Análisis de los Gases de la Sangre , Monóxido de Carbono/sangre , Intoxicación por Monóxido de Carbono/sangre , Intoxicación por Monóxido de Carbono/terapia , Carboxihemoglobina/análisis , Colorimetría , Humanos , Oxigenoterapia Hiperbárica , Terapia por Inhalación de Oxígeno , Espectrofotometría InfrarrojaAsunto(s)
Golpe de Calor/complicaciones , Hepatitis/etiología , Esfuerzo Físico , Carrera , Adulto , Humanos , MasculinoAsunto(s)
Biopsia con Aguja/efectos adversos , Candida albicans/aislamiento & purificación , Candidiasis/etiología , Hígado/patología , Meningitis Fúngica/etiología , Adulto , Antifúngicos/uso terapéutico , Candidiasis/tratamiento farmacológico , Fluconazol/uso terapéutico , Humanos , Masculino , Meningitis Fúngica/tratamiento farmacológicoAsunto(s)
Adenocarcinoma Mucinoso/cirugía , Carcinoma de Células Escamosas/cirugía , Perforación Intestinal/complicaciones , Peritonitis/etiología , Neoplasias del Recto/cirugía , Adenocarcinoma Mucinoso/complicaciones , Adenocarcinoma Mucinoso/diagnóstico por imagen , Enfermedades del Ano , Carcinoma de Células Escamosas/complicaciones , Carcinoma de Células Escamosas/diagnóstico por imagen , Humanos , Perforación Intestinal/etiología , Masculino , Persona de Mediana Edad , Enfermedades del Recto , Neoplasias del Recto/complicaciones , Neoplasias del Recto/diagnóstico por imagen , Rotura Espontánea , Tomografía Computarizada por Rayos XRESUMEN
This is a noncompetitive enzyme-linked immunosorbent assay for measuring low concentrations (2 to 100 micrograms/L) of human alpha 1-acid glycoprotein (AGP; orosomucoid). The method is based on a simple "sandwich" technique involving polyclonal rabbit antisera against AGP. Mean within-run and total (between-run) CVs were 6.2% and 9.7%, respectively. Analytical recovery, tested in various biological fluids, averaged 101%. The technique has been successfully applied to diluted biological fluids such as bronchoalveolar lavage, cerebrospinal and amniotic fluids, and hepatocyte-culture supernates. Because of its analytical validity and the commercial availability of the reagents, this assay is suitable for large-scale determinations of AGP concentrations in those biological fluids in which its concentration is relatively low.
Asunto(s)
Anticuerpos/análisis , Orosomucoide/análisis , Líquido Amniótico/análisis , Especificidad de Anticuerpos , Líquido del Lavado Bronquioalveolar/análisis , Medios de Cultivo/análisis , Humanos , Inmunodifusión , Indicadores y Reactivos , Microquímica , Orosomucoide/líquido cefalorraquídeo , Orosomucoide/inmunologíaRESUMEN
Home accidents, especially those occurring in children in the younger age group, are a considerable concern to the public health authorities. In addition to the informations registered on the death certificates, the EHLASS-program, i.e. European Health and Leisure Accident Surveillance System, was organized since 1986 by the European Community in order to collect data on the morbidity related to this type of accidents. In Belgium, the collection of data started in 1987, and actually four hospitals provide information. Each year, several thousands of cases are reported. This poster will summarize the Belgian situation from the two sources of data. General strategies for prevention of home accidents are proposed, and some types of intervention are suggested.