A rare case of Salmonella-associated acute pancreatitis in a patient with ulcerative colitis.

Inflammatory bowel disease is a known risk factor for enteric infections such as Salmonella. This infection can affect almost all major organs. Acute Salmonella pancreatitis is a rare complication. This is the case of a 61-year-old man with ulcerative colitis who developed acute pancreatitis complicating Salmonella infection.

One-Year Follow-Up in Children with Conductive Hearing Loss Using ADHEAR.

BACKGROUND: The ADHEAR™ system (MED-EL, Innsbruck, Austria) is a nonsurgical bone conduction device (BCD) to treat conductive hearing loss (CHL) and single-sided deafness. In contrast to the nonsurgical alternatives on headbands or spectacle frames, the audio processor of ADHEAR is placed retroauricularly on an adhesive adapter. The published evidence on the performance of this system is limited to studies with a trial period of 2-8 weeks. OBJECTIVE: This study assesses audiological and subjective outcomes over a period of 12 months, on patients with congenital aural atresia (CAA) using the ADHEAR hearing system. METHOD: Fifteen children (mean age: 9.4 ± 4 years; range: 5-16 years) diagnosed with CAA (7 uni/8 bilateral) were included in this prospective, observational, repeated-measures study. Each subject used ADHEAR for 1 year, and the performance was evaluated after 1, 6, and 12 months. Free-field audiometry and speech discrimination tests were performed, and hearing-, general health- and device-specific questionnaires were used. RESULTS: The unaided sound field threshold improved from an average PTA4 of 63.6 ± 3.4 dB HL to an aided average PTA4 of 29.3 ± 3.0 dB HL after 1 month of device use. The word recognition score (WRS) improved from an average of 27.9 ± 15.9% unaided to an aided average WRS of 91.3 ± 4.4% (p = 0.0003) after 1 month, 92.0 ± 4.1% (p = 0.0002) after 6 months, and 92.7 ± 5.3% (p < 0.0001) after 12 months using the ADHEAR system compared to the unaided condition for all 3 time points. The improvements in the speech in noise at 1, 6, and 12 months were as well consistent over time. The average improvement at the signal to noise ratio (SNR) of +5 dB was 58% and 53% at the SNR of +0 dB. No complications were reported, and all patients continued to use the ADHEAR after the study end. The questionnaire results revealed high user satisfaction and an average wearing time of 12 h per day. CONCLUSION: This 12-month trial of the nonsurgical adhesive BCD in CAA patients showed sufficient and reliable audiological and subjective outcomes, long wearing time, and high acceptance. The ADHEAR can be considered a suitable option to treat children with CAA for the given indication, without the drawbacks of nonsurgical devices that use pressure for retention of the audio processor or the costs and possible complications involved with a surgical alternative.

[Natural lesions and regeneration of ramets of Montastraea annularis (Scleractinia: Faviidae) in a degraded reef of the Colombian Caribbean]. / Lesiones naturales y regeneración de tejido en ramets del coral Montastraea annularis (Scleractinia: Faviidae) en un arrecife degradado del Caribe Colombiano.

Currently, Montastraea annularis populations are suffering from high partial mortality rates; yet few studies have determined type, frequency and intensity of natural lesions in situ. During a year we followed natural lesions that appeared on healthy ramets of a population on a degraded reef within a Marine Protected Area in Colombia, to infer the effect on population size structure. From September 2003 to September 2004, 94% of the ramets presented lesions caused by bleaching, predation; or algae, sponge and borrower interactions. Predation caused 47% of the lesions and algae 36%; most lesions (85%) were small (<5cm2), although some were bigger than 60cm2 (0.3%). Lesion recovery was high (83%), but 11.2% did not recover or grow. On 2.5% algae invasion was seen. Bleaching lesions affected more ramet area (>60% of its live tissue) and were evident from September to November, yet total recovery was found in three months. In contrast, lesions by algae (36%), showed less recovery (6.7%), and a tendency to grow in time. In general, percentage of affected tissue area of a ramet in any month was lower than 10%. Nevertheless from May to September, the area affected was larger (10-50%) due to an increase in frequency and abundance of predation, bleaching and algal damage, and a decrease in recovery. At the end of the year, lesions that did not recover caused partial mortality in 25% of the ramets. Ramets with lesions shrunk throughout the year and by the end of year, 21% passed to a smaller class size.

Síntomas gastrointestinales, disfunción respiratoria, hepática y renal, principales factores asociados a letalidad por rickettsiosis trasmitida por garrapatas en Mexicali, Baja California, México / Gastrointestinal symptoms, respiratory, hepatic and renal dysfunction, main factors associated with lethality due to tickborne rickettsiosis in Mexicali, Baja California, Mexico

INTRODUCCIÓN: La rickettsiosis, enfermedad potencialmente mortal, es trasmitida por vectores como Rhipicephalus sanguineus, Dermacentor variabilis y D. andersonii, reservorios de Rickettsia rickettsii. En Baja California, México, es endémica, multifactorial, tiene alta letalidad, sus manifestaciones clínicas inespecíficas y ataque multisistémico dificultan el diagnóstico y tratamiento oportuno. OBJETIVO: Identificar los factores de riesgo asociados a la letalidad por rickettsiosis trasmitida por garrapatas en Mexicali, Baja California. PACIENTES Y MÉTODOS : Estudio observacional, analítico, transversal, retrospectivo, de 40 registros de pacientes con diagnóstico confirmado de rickettsiosis, periodo 2014 a 2018. Variables analizadas: sociodemográficas, clínicas, laboratorio clínico, evolución y desenlace. Se reportan frecuencias y medidas de asociación. RESULTADOS: 24 defunciones y 16 vivos. Más de 90% tuvo contacto conocido con garrapatas. Afectó en su mayoría a < 45 años en ambos grupos. La evolución antes del ingreso fue similar y la estancia hospitalaria fue mayor en los pacientes vivos (3,2 ± 4.7 vs 10,62 ± 7,6 p = 0,0002). Fiebre, cefalea, mialgias fueron predominantes. Datos asociados con letalidad: disfunción respiratoria (OR 38,33 IC95% 4,06-361,3 p < 0,0001), creatinina elevada (OR 15,4 IC95% 3,08-76,77 p < 0,0003), retardo del llenado capilar (OR 13,0 IC95% 2,73-61,78 p = 0,0005), dolor abdominal (OR 8,33, IC95% 1,90-36,44 p = 0,0029), AST (OR 7,5, IC95% 1,69-33,27 p = 0,005). CONCLUSIÓN: Esta enfermedad requiere de identificación temprana de factores que se asocian con letalidad para un tratamiento oportuno y adecuado.

BACKGROUND: Rickettsiosis, a potentially fatal disease, is transmitted by vectors such as Rhipicephalus sanguineus, Dermacentor variabilis and D. andersonii, reservoirs of Rickettsia rickettsii. In Baja California, Mexico, it is endemic, multifactorial, has high lethality, its nonspecific clinical manifestations and multisystem attack make diagnosis and timely treatment difficult. AIM: Identify the risk factors associated with lethality due to tick-transmitted rickettsiosis in Mexicali, Baja California. METHODS: Observational, analytical, cross-sectional, retrospective study of 40 records of patients with a confirmed diagnosis of rickettsiosis, period 2014 to 2018. Analyzed variables: sociodemographic, clinical, clinical laboratory, evolution and outcome. Frequencies and association measures are reported. RESULTS: 24 patients died and 16 survived. More than 90% had reported contact with ticks. It mostly affected ≤ 45 years in both groups. The evolution before admission was similar, and the hospital stay was longer in patients who lived (3.2 ± 4.7 vs 10.62 ± 7.6 p = 0.0002). Fever, headache, and myalgia are predominant. Data associated with lethality: respiratory dysfunction (OR 38.33 95% CI 4.06-361.3 p < 0.0001), elevated creatinine (OR 15.4 95% CI 3.08-76.77 p < 0.0003), delayed capillary refill (OR 13.0, 95% CI 2.73-61.78 p = 0.0005), abdominal pain (OR 8.33, 95% CI 1.90-36.44 p = 0.0029), AST (OR 7.5, 95% CI 1.69-33.27 p = 0.005). CONCLUSION: This disease requires early identification of factors that are associated with lethality for timely and adequate treatment.

Sexual reproduction of the reef-building coral Diploria labyrinthiformis (Scleractinia: Faviidae), in the Colombian Caribbean.

Sexual reproduction of the coral Diploria labyrinthiformis was studied for the first time. Monthly histological analyses at the Corales del Rosario National Park (Colombian Caribbean) from May 1997 to April 1998 show that D. labyrinthiformis is a hermaphroditic broadcasting species. It presents an annual gametogenic cycle with a 10-11 month period for gonad investment, in which oogenesis begins in August and ends in May-June. Spermiogenesis is short because sperm cysts were only observed in May tissue samples. In histological collected in May, an average of four mature eggs and six spermatic cysts per fertile mesentery were found. The mean diameter of mature eggs was 297 microm (+/- 97 SD) and 90 microm (+/- 33) for spermatic cysts. Rapid maturation of eggs from stage II to stage III coincides with increases in air temperature, high number of solar hours per month, decreases in wind velocity and absence of rainfall. Reproductive effort for D. labyrinthiformis (14.07 mm3/cm2/year) was similar to other Faviidae species. Although gamete release was not observed in the field, the absence of gonads in histological samples in June suggests spawning between May 25 (five days after full moon) and June 24. This event coincides with high air temperature, low number of solar hours per month, low wind velocity, and initiation of the rainy season. The earlier spawning time of this species differs from other species of the same family known for the Caribbean region.