Culture-negative primary sternal osteomyelitis in a patient with uncontrolled type 2 diabetes mellitus.

Primary sternal osteomyelitis (PSO) is a rare condition defined as an infection of the sternal bone marrow with no contiguous source of infection. The overlap in symptoms of PSO with other cutaneous and malignant pathologies often leads to misdiagnosis and delay of appropriate care. In this case report, we outline the presentation of PSO in a 30 year-old male patient who was newly diagnosed with type 2 diabetes mellitus. The patient was successfully treated with antibiotic therapy alone, without need for surgical intervention. Interestingly, the patient's workup returned with negative microbial cultures. To our knowledge, this patient represents the first reported case of a spontaneously presenting, culture-negative PSO.

Toxicities of Irgarol 1051 derivatives, M2 and M3, to two marine diatom species.

Irgarol 1051 is highly toxic to marine autotrophs and has been widely used as an antifouling booster biocide. This study tested the toxicities of two s-triazine derivatives of Irgarol, namely M2 (3-[4-tert-butylamino-6-methylthiol-s-triazin-2-ylamino]propionaldehyde) and M3 (2-methylthio-4,6-bis-tert-butylamino-s-triazine) to two marine diatom species, Skeletonema costatum and Thalassiosira pseudonana through standard acute (96h) and chronic (7d) growth inhibition tests. Results showed that both of the two chemicals significantly inhibited the growth of S. costatum (M2: 96h-EC50 = 6789.7 µg L-1, 7d-EC50 = 3503.7 µg L-1; M3: 96h-EC50 = 45193.9 µg L-1, 7d-EC50 = 5330.0 µg L-1) and T. pseudonana (M2: 96h-EC50 = 366.2 µg L-1, 7d-EC50 = 312.5 µg L-1; M3: 96h-EC50 = 2633.4 µg L-1, 7d-EC50 = 710.5 µg L-1), while their toxicity effects were much milder than Irgarol and its major degradation product M1. By comparing with previous findings, the susceptibilities of these s-triazine compounds to two tested species were ranked as: Irgarol > M1 ≫ M2 > M3. This study promotes future research efforts on better understanding of the ecotoxicities of M2 and M3, and incorporating such information to improve the current monitoring, risk assessment and regulation of the use of Irgarol.

Toxicities of the degraded mixture of Irgarol 1051 to marine organisms.

Antifoulant Irgarol 1051 (2-methythiol-4-tert-butylamino-6-cyclopropylamino-s-triazine) can be photodegraded into M1 (2-methylthio-4-tert-butylamino-6-amino-s-triazine) and M2 (3-4-tert-butylamino-6-methylthiol-s-triazin-2-ylamino]propion-aldehyde). M3 (2-methylthio-4,6-bis-tert-butylamino-s-triazine) was also detected as a side-product in Irgarol. This study aimed to investigate the combined toxicity of a mixture of these s-triazine compounds to eight marine organisms. A degraded mixture of Irgarol in artificial seawater was obtained by photolysis over 42 d and its composition was quantified by HPLC-UV analyses. Based on short-term toxicity tests on eight selected marine species, the mixture posed significant phytotoxic effects to the cyanobacteria (Chroococcus minor and Synechococcus sp.), the diatoms (Skeletonema costatum and Thalassiosira pseudonana), the macroalgae (Ulva lactuca and Caulerpa peltata) and the dinoflagellate (Prorocentrum dentatum), though the mixture was less toxic to the copepod Tigriopus japonicus. Both Independent Action and Concentration Addition models can generate reasonably satisfactory predictions on the overall mixture toxicity to the two diatoms, implying that the four compounds likely share a similar mode of action and resemble an additive effect in the mixture.

Comparison of the Qwiklite algal bioluminescence test with marine algal growth rate inhibition bioassays.

Although marine algal bioassays based on growth rate inhibition over 72-96 h have been widely used to assess the toxicity of contaminants in waters and sediments, changes in pH over the test duration can lead to changes in contaminant speciation and consequently an under- or over-estimation of toxicity. In addition, high cell densities are used in order to obtain a detectable response, further reducing the tests' environmental relevance in marine waters. There is a need for rapid acute tests with ecologically relevant test endpoints that may be used as surrogates for longer-term chronic tests. This study compares the sensitivity and reproducibility of a rapid marine dinoflagellate (Pyrocystis lunula) bioluminescence test (QwikLite) with standard algal growth rate bioassays (Nitzschia closterium and Entomoneis c.f. punctulata) using ammonia and several antifouling agents (tributyltin [TBT], copper, and diuron) as reference toxicants. QwikLite was of similar sensitivity to ammonia as standard algal growth rate tests, but was less sensitive to copper, diuron and TBT, with 24-h EC50 values of 10 +/- 1.1 mg N/L, 0.128 +/- 0.021 mg Cu/L, 19 +/- 13 mg diuron/L, and 0.226 +/- 0.028 mg TBT/L. Inter-test precision using different batches of P. lunula was generally acceptable. On the basis of NOEC values, QwikLite was more sensitive to copper and ammonia at 25 degrees C than at 21 degrees C. QwikLite shows promise as a rapid, inexpensive screening test for acute toxicity of contaminants in marine environments.

Synergistic toxic effects of zinc pyrithione and copper to three marine species: Implications on setting appropriate water quality criteria.

Zinc pyrithione (ZnPT) is widely applied in conjunction with copper (Cu) in antifouling paints as a substitute for tributyltin. The combined effects of ZnPT and Cu on marine organisms, however, have not been fully investigated. This study examined the toxicities of ZnPT alone and in combination with Cu to the diatom Thalassiosira pseudonana, polychaete larvae Hydroides elegans and amphipod Elasmopus rapax. Importantly, ZnPT and Cu resulted in a strong synergistic effect with isobologram interaction parameter lambda>1 for all test species. The combined toxicity of ZnPT and Cu was successfully modelled using the non-parametric response surface and its contour. Such synergistic effects may be partly due to the formation of copper pyrithione. It is, therefore, inadequate to assess the ecological risk of ZnPT to marine organisms solely based on the toxicity data generated from the biocide alone. To better protect precious marine resources, it is advocated to develop appropriate water quality criteria for ZnPT with the consideration of its compelling synergistic effects with Cu at environmentally realistic concentrations.

Toxicities of antifouling biocide Irgarol 1051 and its major degraded product to marine primary producers.

Irgarol 1051 (2-methythiol-4-tert-butylamino-6-cyclopropylamino-s-triazine) is an algaecide commonly used in antifouling paints. It undergoes photodegradation which yields M1 (2-methylthio-4-tert-butylamino-6-amino-s-triazine) as its major and most stable degradant. Elevated levels of both Irgarol and M1 have been detected in coastal waters worldwide; however, ecotoxicity effects of M1 to various marine autotrophs such as cyanobacteria are still largely unknown. This study firstly examined and compared the 96 h toxicities of Irgarol and M1 to the cyanobacterium Chroococcus minor and two marine diatom species, Skeletonema costatum and Thalassiosira pseudonana. Our results suggested that Irgarol was consistently more toxic to all of the three species than M1 (96 h EC50 values: C. minor, 7.71 microug L(-1) Irgarol vs. > 200 microg L(-1) M1; S. costatum, 0.29 microg L(-1) Irgarol vs. 11.32 microg L(-1)M1; and T. pseudonana, 0.41 microg L(-1) Irgarol vs. 16.50 microg L(-1)M1). Secondly, we conducted a meta-analysis of currently available data on toxicities of Irgarol and M1 to both freshwater and marine primary producers based on species sensitivity distributions (SSDs). Interestingly, freshwater autotrophs are more sensitive to Irgarol than their marine counterparts. For marine autotrophs, microalgae are generally more sensitive to Irgarol than macroalgae and cyanobacteria. With very limited available data on M1 (i.e. five species), M1 might be less toxic than Irgarol; nonetheless this finding warrants further confirmation with additional data on other autotrophic species.