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1.
Nucleic Acids Res ; 51(4): 1750-1765, 2023 02 28.
Artículo en Inglés | MEDLINE | ID: mdl-36744436

RESUMEN

Many replicative DNA polymerases couple DNA replication and unwinding activities to perform strand displacement DNA synthesis, a critical ability for DNA metabolism. Strand displacement is tightly regulated by partner proteins, such as single-stranded DNA (ssDNA) binding proteins (SSBs) by a poorly understood mechanism. Here, we use single-molecule optical tweezers and biochemical assays to elucidate the molecular mechanism of strand displacement DNA synthesis by the human mitochondrial DNA polymerase, Polγ, and its modulation by cognate and noncognate SSBs. We show that Polγ exhibits a robust DNA unwinding mechanism, which entails lowering the energy barrier for unwinding of the first base pair of the DNA fork junction, by ∼55%. However, the polymerase cannot prevent the reannealing of the parental strands efficiently, which limits by ∼30-fold its strand displacement activity. We demonstrate that SSBs stimulate the Polγ strand displacement activity through several mechanisms. SSB binding energy to ssDNA additionally increases the destabilization energy at the DNA junction, by ∼25%. Furthermore, SSB interactions with the displaced ssDNA reduce the DNA fork reannealing pressure on Polγ, in turn promoting the productive polymerization state by ∼3-fold. These stimulatory effects are enhanced by species-specific functional interactions and have significant implications in the replication of the human mitochondrial DNA.


Asunto(s)
ADN Polimerasa gamma , Replicación del ADN , Proteínas de Unión al ADN , Humanos , ADN Polimerasa gamma/metabolismo , ADN de Cadena Simple , Proteínas de Unión al ADN/metabolismo , ADN Polimerasa Dirigida por ADN/metabolismo
2.
J Appl Microbiol ; 119(4): 1023-34, 2015 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-26171834

RESUMEN

AIM: To screen environmental Bacillus strains for detection of genes encoding the enzymes involved in biosurfactant synthesis and to evaluate their products e.g. surfactin, iturin and fengycin. MATERIALS AND RESULTS: The taxonomic identification of isolated from the environment Bacillus strains was performed by Microgene ID Bacillus panel and GEN III Biolog system. The polymerase chain reaction (PCR) strategy for screening of genes in Bacillus strains was set up. Liquid chromatography-mass spectrometry (LC-MS/MS) method was used for the identification of lipopeptides (LPs). All studied strains exhibited the presence of srfAA gene and produced surfactin mostly as four homologues (C13 to C16). Moreover, in 2 strains (KP7, T'-1) simultaneous co-production of 3 biosurfactants: surfactin, iturin and fengycin was observed. Additionally, it was found out that isolate identified as Bacillus subtilis ssp. subtilis (KP7), beside LPs co-production, synthesizes surfactin with the efficiency much higher than other studied strains (40·2 mg l(-1) ) and with the yield ranging from 0·8 to 8·3 mg l(-1) . CONCLUSION: We showed that the combined methodology based on PCR and LC-MS/MS technique is an optimal tool for the detection of genes encoding enzymes involved in biosurfactant synthesis as well as their products, e.g. surfactin, iturin and fengycin. This approach improves the screening and the identification of environmental Bacillus co-producing biosurfactants-stimulating and facilitating the development of this area of science. SIGNIFICANCE AND IMPACT OF THE STUDY: The findings of this work will help to improve screening of biosurfactant producers. Discovery of novel biosurfactants and biosurfactants co-production ability has shed light on their new application fields and for the understanding of their interactions and properties.


Asunto(s)
Bacillus/enzimología , Reacción en Cadena de la Polimerasa/métodos , Tensoactivos/metabolismo , Espectrometría de Masas en Tándem/métodos , Bacillus/química , Bacillus/genética , Bacillus/metabolismo , Proteínas Bacterianas/genética , Proteínas Bacterianas/metabolismo , Lipopéptidos/química , Lipopéptidos/genética , Lipopéptidos/metabolismo , Tensoactivos/química
3.
J Fish Biol ; 86(1): 203-16, 2015 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-25494684

RESUMEN

Wild adult specimens of the Peruvian anchovy Engraulis ringens were captured and reared to validate the daily periodicity of otolith microincrement formation. The postcapture stress generated spontaneous spawning, making it possible to conduct a rearing trial on larvae first in an artificial nutrient-enriched system (ANES) for 52 days followed by an artificial feeding regime in a culture tank until day 115 post-hatch. Microincrements of the sagittal otoliths of sacrificed juveniles [mean ± S.D. total length (LT ) = 5·13 ± 0·37 cm, range 5-6 cm; c.v. = 7·5%] showed very distinct light and dark zones. The slope of the relationship between the total number of increments after the hatch check and days elapsed after hatching was not significantly different from 1. The transfer from ANES to the artificial feeding regime induced a mark in the sagittal otoliths. The number of microincrements after this induced mark coincided with the number of days elapsed after the transfer date. In parallel experiments, adult E. ringens (mean ± S.D. LT = 14·92 ± 0·55 cm, range 13-16 cm) were exposed to one of two fluorescent marking immersion treatments with either alizarin red S (ARS; 25 mg l(-1) per 6 h) or oxytetracycline hydrochloride (OTC; 200 mg l(-1) per 10 h). The microincrements between fluorescent bands were distinct, ranging from 0·89 to 2·75 µm (mean ± S.D. =1·43 ± 0·28 µm; c.v. = 32%) and from 0·71 to 2·89 µm (1·53 ± 0·27 µm; c.v. = 35%) for ARS and OTC, respectively. The relationship between the number of microincrements between marks and the number of elapsed days for ARS and OCT treatments indicated that there was a significant correspondence between the number of increases observed and the number of days. Hence, daily microincrements of otoliths of E. ringens are likely to be formed in juveniles and adults under natural conditions.


Asunto(s)
Peces/crecimiento & desarrollo , Membrana Otolítica/crecimiento & desarrollo , Animales , Periodicidad
4.
Enzymes ; 54: 249-271, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37945174

RESUMEN

Since the discovery of DNA as the genetic material, scientists have been investigating how the information contained in this biological polymer is transmitted from generation to generation. X-ray crystallography, and more recently, cryo-electron microscopy techniques have been instrumental in providing essential information about the structure, functions and interactions of the DNA and the protein machinery (replisome) responsible for its replication. In this chapter, we highlight several works that describe the structure and structure-function relationships of the core components of the prokaryotic and eukaryotic replisomes. We also discuss the most recent studies on the structural organization of full replisomes.


Asunto(s)
Replicación del ADN , ADN , Microscopía por Crioelectrón , Cristalografía , Microscopía Electrónica
5.
Biomacromolecules ; 13(7): 2087-98, 2012 Jul 09.
Artículo en Inglés | MEDLINE | ID: mdl-22668322

RESUMEN

The mechanical behavior and microstructure of minor ampullate gland silk (miS) of two orb-web spinning species, Argiope trifasciata and Nephila inaurata, were extensively characterized, enabling detailed comparison with other silks. The similarities and differences exhibited by miS when compared with the intensively studied major ampullate gland silk (MAS) and silkworm (Bombyx mori) silk offer a genuine opportunity for testing some of the hypotheses proposed to correlate microstructure and tensile properties in silk. In this work, we show that miSs of different species show similar properties, even when fibers spun by spiders that diverged over 100 million years are compared. The tensile properties of miS are comparable to those of MAS when tested in air, significantly in terms of work to fracture, but differ considerably when tested in water. In particular, miS does not show a supercontraction effect and an associated ground state. In this regard, the behavior of miS in water is similar to that of B. mori silk, and it is shown that the initial elastic modulus of both fibers can be explained using a common model. Intriguingly, the microstructural parameters measured in miS are comparable to those of MAS and considerably different from those found in B. mori. This fact suggests that some critical microstructural information is still missing in our description of silks, and our results suggest that the hydrophilicity of the lateral groups or the large scale organization of the sequences might be routes worth exploring.


Asunto(s)
Seda/química , Arañas , Resistencia a la Tracción , Animales , Módulo de Elasticidad , Femenino , Microscopía de Fuerza Atómica , Seda/ultraestructura , Espectrometría Raman , Agua/química , Difracción de Rayos X
6.
Ecotoxicol Environ Saf ; 75(1): 55-62, 2012 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-21890203

RESUMEN

Two bacterial tests (the Ames test and the umu-test) and the Allium test were used to assess the genotoxicity of aqueous leachates from municipal solid waste landfill sites in Southern Poland. A comparison of the sensitivity of the applied tests was performed. None of the tested samples revealed genotoxic activity in the umu-test and thus did not appear to be sensitive enough for evaluations of leachates. Two out of 22 leachates were described as genotoxic in the Ames test and 3 out of 6 leachates in the Allium test. All of the analyzed leachates samples affected cell divisions. Two of the tests applied, the Allium and Ames test, revealed the high genotoxicity of leachate 4. Among the bioassays used in these studies, the Allium test proved to be more sensitive than bacterial tests for the investigation of leachate toxicity. The results suggest that the Allium cytogenetic bioassay is efficient and simple for genotoxicity studies of leachates. The potential correlations between the chemical characteristics and genotoxic effects is discussed. The biological effects of selected appeared to be related to chemical parameters. Leachates have a genotoxic potential and pose a risk to human health and the environment. A combination of biotests and chemical analyses is the best approach for the assessment of the risk or impact of leachates.


Asunto(s)
Bacterias/efectos de los fármacos , Monitoreo del Ambiente/métodos , Plantas/efectos de los fármacos , Contaminantes Químicos del Agua/toxicidad , Bioensayo , Daño del ADN , Polonia , Eliminación de Residuos
7.
Comput Struct Biotechnol J ; 19: 2057-2069, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33995902

RESUMEN

The replisome is the multiprotein molecular machinery that replicates DNA. The replisome components work in precise coordination to unwind the double helix of the DNA and replicate the two strands simultaneously. The study of DNA replication using in vitro single-molecule approaches provides a novel quantitative understanding of the dynamics and mechanical principles that govern the operation of the replisome and its components. 'Classical' ensemble-averaging methods cannot obtain this information. Here we describe the main findings obtained with in vitro single-molecule methods on the performance of individual replisome components and reconstituted prokaryotic and eukaryotic replisomes. The emerging picture from these studies is that of stochastic, versatile and highly dynamic replisome machinery in which transient protein-protein and protein-DNA associations are responsible for robust DNA replication.

8.
Enzymes ; 49: 115-148, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34696830

RESUMEN

Faithfull replication of genomic information relies on the coordinated activity of the multi-protein machinery known as the replisome. Several constituents of the replisome operate as molecular motors that couple thermal and chemical energy to a mechanical task. Over the last few decades, in vitro single-molecule manipulation techniques have been used to monitor and manipulate mechanically the activities of individual molecular motors involved in DNA replication with nanometer, millisecond, and picoNewton resolutions. These studies have uncovered the real-time kinetics of operation of these biological systems, the nature of their transient intermediates, and the processes by which they convert energy to work (mechano-chemistry), ultimately providing new insights into their inner workings of operation not accessible by ensemble assays. In this chapter, we describe two of the most widely used single-molecule manipulation techniques for the study of DNA replication, optical and magnetic tweezers, and their application in the study of the activities of proteins involved in viral DNA replication.


Asunto(s)
Replicación del ADN , Pinzas Ópticas , ADN Viral/genética , Nanotecnología , Replicación Viral
9.
Sci Total Environ ; 618: 250-261, 2018 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-29128774

RESUMEN

Micropollutants such as pharmaceuticals, hormones and phenolic utility chemicals in sewage water are considered to be an emerging problem because of increased use and observed adverse effects in the environment. The study provides knowledge on the removal efficiency of micropollutants with a range of physical and chemical properties in three commercially available onsite wastewater treatment facilities (OWTFs), tested on influent wastewater collected from 2500 person equivalents in Bildchen, Germany. A longer hydraulic retention time would in theory be expected to have a positive effect, and this study presents results for three different OWTFs in full-scale comparable tests under natural conditions. A range of 24 different pharmaceuticals, five phenols and three hormones were analyzed. Flow-proportional consecutive sampling was performed in order to determine the removal efficiency. Twenty-eight substances were detected in the effluent wastewater out of 32 substances included. Average effluent concentrations of Simvastatin, Estrone, Estradiol and Ethinylestradiol were above the indicative critical-effect concentration of pharmacological effect on fish in all facilities. Average effluent concentrations of both Diclofenac and Estradiol were higher than the Environmental Quality Standards applied in Sweden (190-240 times and 9-35 times respectively). The removal efficiency of micropollutants was high for substances with high logKow, which enhance the adsorption and removal with sludge. Low removal was observed for substances with low logKow and acidic characteristics, and for substances with stabilizing elements of the chemical structure. Facilities that use activated sludge processes removed hormones more efficiently than facilities using trickling filter treatment technique. Moreover, longer hydraulic retention time increased the removal of pharmaceuticals, hormones, turbidity and total nitrogen. Removal of Caffeine, Ibuprofen, Estrone, Naproxen and Estradiol, was strongly correlated to the sludge and particles removal. Thus, the efficiency of the tested OWTFs could be improved by adjusting the technical methods and increasing the hydraulic retention time.

10.
Acta Otorrinolaringol Esp ; 57(8): 373-7, 2006 Oct.
Artículo en Español | MEDLINE | ID: mdl-17117696

RESUMEN

Hyperacusis is a decreased sound tolerance. Prevalence of the disease is described in 9-15% of the population, but this percentage increases among the tinnitus patients. Pathophysiological mechanisms involve some disruptions in the amplification and regulation processes of the external hair cells or affect the central sound processing at the subcortical level. The role of the serotonin, also involved in other diseases related with hyperacusis (migraine, depression), can be crucial in this disorder. Other theories confirm the effect of the endorphins that activate the excitatory function of the glutamate, the auditory neurotransmitter, increasing its toxicity. The activation of the limbic and autonomic nervous systems produces the emotional reaction of the hyperacusis (anxiety, fear and depression). Proposed treatments are based on acoustic stimulation by a progressive introduction of sound (tinnitus retraining therapy TRT). Noise generators and hearing aids can be fitted in severe cases. The role of some drugs involved in the metabolism of the serotonin open new approaches for the management of hyperacusis.


Asunto(s)
Hiperacusia , Humanos , Hiperacusia/fisiopatología , Hiperacusia/terapia
11.
Environ Technol ; 26(2): 161-9, 2005 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-15791797

RESUMEN

The respiration method using the Micro-Oxymax respirometer was applied to evaluate the bioremediation potential of hydrocarbon-contaminated soils in two biopiles at the oil refinery in Czechowice-Dziedzice, Poland. In biopiles 1 and 2, two different technologies, i.e., enhanced (engineered) bioremediation and monitored natural attenuation (MNA) were used, respectively. In biopiles 1 and 2, the bioremediation process lasted 6 years and 8 months, respectively. The biodegradation of petroleum hydrocarbons was evaluated on the basis of CO2 production and O2 uptake. The CO2 production and O2 consumption rates during hydrocarbon biodegradation were calculated from the slopes of cumulative curve linear regressions. The results confirmed the hydrocarbon biodegradation process in both biopiles. However, in biopile 2 the process was more effective compared to biopile 1. In biopile 2, the O2 consumption and CO2 production means were 3.37 and 2.4 milliliters per kilogram of soil (dry weight) per minute, respectively. Whereas, in biopile 1, the O2 consumption and CO2 production means were 1.52 and 1.07 milliliters per kilogram of soil (dry weight) per minute, respectively. The mean biodegradation rate for biopile 2 was two times higher--67 mg hydrocarbons kg d.w.(-1)day(-1) compared with biopile 1, where the mean was 30 mg hydrocarbons kg d.w.(-1)day(-l). The results were correlated with petroleum hydrocarbon concentrations and microbial activity measured by dehydrogenase assay.


Asunto(s)
Hidrocarburos/metabolismo , Petróleo/metabolismo , Contaminantes del Suelo/metabolismo , Biodegradación Ambiental , Monitoreo del Ambiente/métodos , Oxígeno/análisis , Oxígeno/metabolismo , Análisis de Regresión
12.
Sci Rep ; 5: 14820, 2015 Oct 06.
Artículo en Inglés | MEDLINE | ID: mdl-26438975

RESUMEN

The extraordinary mechanical performance of spider dragline silk is explained by its highly ordered microstructure and results from the sequences of its constituent proteins. This optimized microstructural organization simultaneously achieves high tensile strength and strain at breaking by taking advantage of weak molecular interactions. However, elucidating how the original design evolved over the 400 million year history of spider silk, and identifying the basic relationships between microstructural details and performance have proven difficult tasks. Here we show that the analysis of maximum supercontracted single spider silk fibers using X ray diffraction shows a complex picture of silk evolution where some key microstructural features are conserved phylogenetically while others show substantial variation even among closely related species. This new understanding helps elucidate which microstructural features need to be copied in order to produce the next generation of biomimetic silk fibers.


Asunto(s)
Seda/química , Seda/ultraestructura , Arañas , Animales , Evolución Biológica , Filogenia , Resistencia a la Tracción , Difracción de Rayos X
13.
Eur J Pharmacol ; 74(1): 1-7, 1981 Aug 27.
Artículo en Inglés | MEDLINE | ID: mdl-6274647

RESUMEN

The effects of the tricyclic antidepressant clomipramine were studied in two analgesic tests in rats: (1) vocalization threshold response; and (2) scored behavioral response to electric shock to the tail. Clomipramine (20-50 mg/kg i.p.) produced analgesia, decreasing behavioral response scores and increasing vocalization threshold. Morphine also reduced the response scores in the second test. Naloxone (0.8 mg/kg i.p) or methysergide (20 mg/kg i.p.) (no effect when given alone) abolished the analgesic effect of clomipramine as evaluated by vocalization threshold response. Naloxone alone (0.6 or 2 mg/kg i.p.) increased the behavioral response at 20 and 30 V but did not modify the score at 40 V. Naloxone reduced the analgesic effect of clomipramine or morphine in the behavioral test. These results suggest that the analgesic effect of clomipramine could involve both serotonergic and endorphin central systems.


Asunto(s)
Analgésicos/farmacología , Clomipramina/farmacología , Metisergida/farmacología , Naloxona/farmacología , Animales , Masculino , Morfina/farmacología , Ratas , Ratas Endogámicas , Receptores Opioides/efectos de los fármacos , Receptores de Serotonina/efectos de los fármacos
14.
Arch Mal Coeur Vaiss ; 78(11): 1647-51, 1985 Oct.
Artículo en Francés | MEDLINE | ID: mdl-3938235

RESUMEN

Recent studies have suggested a role for adrenaline in the pathogenesis of essential hypertension. In the present study, the effects of several anti-hypertensive agents were compared in normal (plasma adrenaline concentration: 0.267 + 0.040 ng/ml) and adrenomedullectomised (plasma adrenaline concentration: 0.063 + 0.011 ng/ml; p less than 0.01) dogs. The hypotensive and tachycardic effects of phentolamine (1.5 mg/kg i.v.) or dihydralazine (1 mg/kg i.v.) were the same in the two groups of dogs. Verapamil (0.2 mg/kg i.v.)-induced hypotension was less pronounced in dogs without adrenal medulla. In these adrenomedullectomised dogs, clonidine (10 micrograms/kg i.v. or 1 microgram/kg i.c.) elicited tachycardia and its hypotensive properties were delayed. In dogs with neurogenic hypertension, the antihypertensive properties of propranolol (1 mg/kg i.v.) remained unchanged. These results show the importance of adrenal medulla in the antihypertensive action of clonidine, or verapamil. These agents (but not dihydralazine, propranolol or phentolamine) could reduce adrenaline secretion from the adrenal medulla.


Asunto(s)
Médula Suprarrenal/fisiología , Antihipertensivos/farmacología , Animales , Presión Sanguínea/efectos de los fármacos , Clonidina/farmacología , Dihidralazina/farmacología , Perros , Femenino , Frecuencia Cardíaca/efectos de los fármacos , Masculino , Fentolamina/farmacología , Propranolol/farmacología , Verapamilo/farmacología
15.
J Laryngol Otol ; 117(2): 151-2, 2003 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-12625896

RESUMEN

We present a case of a 40-year woman with bilateral parotid salivary gland enlargement as presentation of primary Sjögren's syndrome. Computed tomography (CT) and magnetic resonance imaging (MRI) showed parotid cysts, suggestive of cystic benign lymphoepithelial lesions. A sub-labial biopsy confirmed the syndrome. After 24-month follow-up, the left parotid cysts remain the same, whereas other cysts have appeared in the right parotid gland. Parotid involvement in Sjögren's syndrome is discussed.


Asunto(s)
Quistes/diagnóstico , Enfermedades de las Parótidas/diagnóstico , Síndrome de Sjögren/diagnóstico , Adulto , Femenino , Estudios de Seguimiento , Humanos , Imagen por Resonancia Magnética , Tomografía Computarizada por Rayos X
16.
J Laryngol Otol ; 111(7): 638-40, 1997 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-9282203

RESUMEN

Haemangiomas of the maxillary sinus are very rare. In this paper we present one case with an inaccurate preoperative diagnosis which was treated by entire excision of the tumour. One year after surgery there is no evidence of recurrence. The literature on the topic is reviewed.


Asunto(s)
Hemangioma/patología , Neoplasias del Seno Maxilar/patología , Anciano , Biopsia/efectos adversos , Pérdida de Sangre Quirúrgica , Hemangioma/complicaciones , Hemangioma/cirugía , Humanos , Masculino , Neoplasias del Seno Maxilar/complicaciones , Neoplasias del Seno Maxilar/cirugía , Cavidad Nasal , Neoplasias Nasales/complicaciones , Neoplasias Nasales/patología , Neoplasias Nasales/cirugía , Tomografía Computarizada por Rayos X
17.
J Laryngol Otol ; 112(3): 301-2, 1998 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-9624387

RESUMEN

We report a case of a 36-year-old woman who suffered a temporal bone trauma due to a bicycle crash. Computed tomography revealed parapharyngeal emphysema despite only minor temporal bone changes.


Asunto(s)
Ciclismo/lesiones , Enfisema/etiología , Fracturas Óseas/complicaciones , Enfermedades Faríngeas/etiología , Hueso Temporal/lesiones , Adulto , Enfisema/diagnóstico por imagen , Femenino , Fracturas Óseas/diagnóstico por imagen , Humanos , Enfermedades Faríngeas/diagnóstico por imagen , Hueso Temporal/diagnóstico por imagen , Tomografía Computarizada por Rayos X
18.
Rev Neurol (Paris) ; 139(8-9): 529-30, 1983.
Artículo en Francés | MEDLINE | ID: mdl-6648207

RESUMEN

The analgesic effect of several doses of amitriptyline was studied in rats. The lower doses of the tricyclic compound showed clear analgesic properties whereas the higher doses remained ineffective. Naloxone, deprived of effect when administered alone, reduced the antinociceptive action of amitriptyline. These results suggest that the analgesic properties of the tricyclic compound could involve endorphin central systems.


Asunto(s)
Amitriptilina/farmacología , Endorfinas/farmacología , Amitriptilina/antagonistas & inhibidores , Analgésicos/farmacología , Animales , Relación Dosis-Respuesta a Droga , Interacciones Farmacológicas , Masculino , Naloxona/farmacología , Nociceptores/efectos de los fármacos , Ratas , Ratas Endogámicas
19.
Rev Neurol (Paris) ; 139(10): 583-7, 1983.
Artículo en Francés | MEDLINE | ID: mdl-6648197

RESUMEN

The analgesic effect of clomipramine and the possible relationships between the antalgic action, the doses and the plasma levels of this tricyclic drug have been studied in 15 patients with chronic pain induced by nervous lesions determining a deafferentiation. Eight of 15 patients treated with clomipramine (100 mg/IV during 10 days and then 150 me per os) reported a significant improvement (up to 50 per cent during 3 to 18 months). The study of the partial coefficients of correlation did not show a relationship between plasma levels and analgesia in the total population or in the subgroup of the 8 improved patients. These results confirm the analgesic properties of clomipramine and suggest that regular monitoring of plasma levels of clomipramine does not appear of practical interest in the treatment of chronic pain.


Asunto(s)
Analgésicos , Clomipramina/uso terapéutico , Dolor/tratamiento farmacológico , Adulto , Anciano , Enfermedad Crónica , Clomipramina/administración & dosificación , Clomipramina/sangre , Femenino , Estudios de Seguimiento , Humanos , Cinética , Masculino , Persona de Mediana Edad
20.
Rev Neurol ; 30(12): 1157-60, 2000.
Artículo en Español | MEDLINE | ID: mdl-10935243

RESUMEN

INTRODUCTION: There are many causes of acquired non-dystonic torticollis: cervical bony anomalies, nasopharyngeal infections, tumours of the spinal cord, and posterior fossa, ocular, vestibular and gastrointestinal disorders. In children, non-dystonic is commoner than dystonic torticollis, except for in adverse reactions to drugs. Palatopharyngeal lesions due to a rigid object being impacted in the mouth (pencil-injury) are common in childhood. Many are not dangerous and require no specific treatment, although there is a risk of perforation of the pharyngeal wall and of a retropharyngeal abscess. CLINICAL CASE: We report the case of a 9 year old boy who was seen in the Emergency Department complaining of fever present for four days and progressive cervical rigidity for the past two days which did not improve with myorelaxant drugs. A lateral X-ray of the spine showed prevertebral air and on the oesophagogram a fistula tract was seen. On further questioning the boy admitted that a stick he had had in his mouth had caused damage the day before his fever started. CT showed the extent of the abscess. After a week of treatment with antibiotics and corticosteroids the clinical features disappeared, and on CT after two weeks it was seen that the abscess had resolved. CONCLUSIONS: We suggest that a lateral radiograph of the neck should be done in cases of acquired torticollis, even though there is no suspicious clinical history. Early diagnosis and treatment of retropharyngeal abscesses is essential to prevent extension to adjacent structures, and atlanto-axoid subluxation secondary to the oedema and tension of the ligaments caused by the abscess (Grisel's syndrome).


Asunto(s)
Distonía/diagnóstico , Absceso Retrofaríngeo/complicaciones , Tortícolis/diagnóstico , Tortícolis/etiología , Antibacterianos/uso terapéutico , Antiinflamatorios/uso terapéutico , Niño , Diagnóstico Diferencial , Humanos , Masculino , Faringe/diagnóstico por imagen , Absceso Retrofaríngeo/diagnóstico , Índice de Severidad de la Enfermedad , Esteroides , Tomografía Computarizada por Rayos X , Tortícolis/tratamiento farmacológico
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