Impact of the induction phase chemotherapy on cytokines and oxidative markers in peripheral and bone marrow plasma of children with acute lymphocytic leukemia.

B-cell acute lymphocytic leukemia (B-ALL) is the main neoplasia affecting children worldwide, in which cytotoxic chemotherapy remains the main treatment modality. In this study, we analyzed the profile of inflammatory markers concerning oxidative stress and cytokines in 17 B-ALL patients. Peripheral blood (PB) and bone marrow (BM) samples were collected and evaluated for the pro-oxidative status (nitric oxide products-NOx and hydroperoxides), antioxidants (sulfhydryl groups-SH and total radical-trapping antioxidant parameter-TRAP), and cytokines (TNF-α, IFN-γ), at diagnosis (D0) to and the end of the induction phase (D28). At D28, hydroperoxides were higher in PB, concomitant to TNF-α levels. INF-γ was increased in the BM at D28. Hydroperoxides were higher in patients presenting malignant cells in BM and/or PB after treatment, a condition named minimal residual disease (MRD) when compared to those without MRD at D28. These findings suggest that oxidative stress and cytokines vary across the B-ALL induction phase, and lipid peroxidation is a potential marker associated with MRD status.

Characterisation of Mannheimia spp. strains isolated from bovine nasal exudate and factors associated to isolates, in dairy farms in the Central Valley of Mexico.

Mannheimia spp. strains obtained from bovine nasal exudates of either clinically healthy or clinically affected by respiratory tract disease animals were isolated and characterised to estimate the prevalence of isolated serotypes in dairy farms in Mexico, by means of a trans-sectional descriptive study. Strains were isolated and typified through biochemical and immunological tests. chi(2) or Fisher statistical tests were applied, as well as odds ratio calculation and logistic regression analysis to evaluate the association and effect of some variables on Mannheimia spp. isolation. The apparent prevalence rates of Mannheimia haemolytica was significantly higher in diseased bovines (OR = 1.94; p < 0.05), as well as in bovines younger than 1 year of age (OR = 23.98; p < 0.05), and in bovines not vaccinated against bovine pasteurellosis (OR = 1.52; p < 0.05). Age was the variable that remained in the logistic regression model. Serotype A1 showed the highest prevalence, even when most isolates were not-typable. Bovines younger than one year of age and those with disease were the groups with the highest frequency of M. haemolytica and Mannheimia glucosida isolates.

Haplotype study of microsatellites flanking the t(15;17) breakpoint in acute promyelocytic leukemia patients from North Portugal.

A higher frequency of acute promyelocytic leukemia (APL) has been noted in countries of Southern Europe and among 'Latino' patients of the United States with acute myeloid leukemia (AML). In order to discover whether there is any genetic predisposition to the disease, we analyzed microsatellites flanking PML and RARalpha genes in 29 t(15;17) APL patients from North Portugal and compared them with a control group of 123 healthy individuals. Fluorescent PCR products were analyzed using an automated capillary electrophoresis system and allele and haplotype frequencies of the two populations were determined. No significant differences were found, suggesting the same genetic origin of patients and healthy individuals. As suggested by the four microsatellites screened, MSI (microsatellite instability) does not explain the increased incidence of t(15;17) APL in this Portuguese population. These results intend to be a new approach to the study of APL, reflecting the particularity of the disease.

Immunohistochemical detection of antigens of distemper, adenovirus and parainfluenza viruses in domestic dogs with pneumonia.

The lungs of 35 dogs that died in Mexico from acute or subacute pneumonia were examined immunohistochemically for canine distemper virus (CDV), canine adenovirus (CAV) and canine parainfluenza virus (CpiV), to determine their frequency and occurrence and possible associations. CDV was identified in 27 (77%) cases, CAV in 20 (57%) and CpiV in 18 (51%). The most frequent dual association was that between CDV and CpiV (five cases; 14%). All three viruses, however, were identified in the same lung in 10 cases. Immunolabelling occurred in alveolar macrophages, monocytes, pneumocytes, epithelial cells and syncytial cells. It was concluded that immunohistochemistry is a useful diagnostic tool in canine respiratory disease to complement histopathological examination.

Seroprevalence study of bovine neosporosis in Mexico.

An indirect enzyme-linked immunosorbent assay was used to obtain epidemiologic information on bovine neosporosis in dairy herds of the Mexican central plateau. Sera were collected from 1,003 cows from 50 dairy herds. Forty-three herds (group A) had been experiencing a high abortion rate. The abortion rates for the remaining 7 herds (group B) were within normal limits for Mexico. Five-hundred sixty-one (56%) of the 1,003 sera were positive. The seroprevalence of Neospora caninum antibodies was 72% (95% CI = 68-75%) in group A and 36% (95% CI = 31-40%) in group B. These results clearly show that infection with N. caninum is widespread in Mexican dairy herds, as indicated by seropositive cows in group A and group B herds at the time of the sample collection.

Neosporosis in Mexican dairy herds: lesions and immunohistochemical detection of Neospora caninum in fetuses.

Of 211 aborted bovine fetuses collected from Mexican dairy herds between January 1996 and March 1999, 73 showed microscopical lesions consistent with neosporosis. Of these 73 fetuses, 58 (79%) showed lymphocytic myocarditis, 39 (53%) showed microgliosis and multifocal necrosis in the brain, 39 (53%) showed lymphocytic hepatitis, and 19 (26%) showed lymphocytic myositis. Immunohistochemical examination of brain, myocardium and liver from 53 of the same 73 fetuses demonstrated Neospora caninum antigens in 41 (77%), of which 19 (46%) gave positive results in one of the three sites, 15 (37%) in two, and seven (17%) in three. The results indicated the presence of neosporosis in a number of the main dairy farming regions of Mexico.

Bacterial adhesion to mucosal surfaces with special reference to Pasteurella multocida isolates from atrophic rhinitis.

Adhesion to mucosal cells is an important virulence attribute of bacterial pathogens colonizing these sites. Bacteria of the upper respiratory system, such as members of the genus Bordetella, have well-defined adhesins. The main adhesin of B. pertussis is the filamentous hemagglutinin which can be used by other bacteria for attachment. The main adhesin of B. bronchiseptica is the bovine erythrocyte hemagglutinin. In both Bordetella species the presence of fimbriae does not appear critical to adhesion. In contrast, atrophic rhinitis (AR)-producing strains of Pasteurella multocida colonize poorly the pig's nasal mucosa. We performed an in vitro trial using newborn pigs' turbinate explants and showed that two toxigenic strains (serotype D fimbria + and serotype A fimbria -) were adherent when observed by scanning electron microscopy (SEM). Intranasal inoculation of both six week old and newborn SPF pigs with various strains of P. multocida also resulted in colonization. Adhesion was best achieved by toxigenic strains, regardless of possession of fimbria, hemagglutinin or capsular serotype. Colonization was more abundant and constant in tonsils. Nasal colonization was sporadic and sparse. Colonization of trachea and lung was only observed with serotype A strains. The results showed that toxigenic P. multocida can colonize the upper respiratory tract, especially the tonsils, of pigs.

Bovine babesiosis: pathogenicity and heterologous species immunity of tick-borne Babesia bovis and B bigemina infections.

A total of 22 nonsplenectomized Hereford, Holstein-Friesian, and cross-bred 18-month-old cattle were used to assess the degree of protection conferred by previous infection with Babesia bovis or B bigemina against infection and disease from tick-borne challenge exposure with the heterologous species. Prior infection with B bigemina or B bovis did not significantly (P less than 0.05) reduce the susceptibility of cattle to tick-borne infection and disease caused by the heterologous species. Carrier infections were not activated during heterologous species challenge exposure, nor was the severity of the challenge-exposure infection aggravated. Immunologic cross reactivity in the indirect fluorescent antibody test was restricted to the period during and shortly after recovery. Homologous indirect fluorescent antibody titers persisted long after primary infections with B bovis, but gradually declined in B bigemina-immune cattle. Babesia bovis infections caused severe reactions characterized by high fever, pancytopenia, and death of 9 of 15 infected cattle. Total serum bilirubin and urea nitrogen values increased markedly within 24 hours preceding death and were often accompanied by clinical signs of CNS involvement (incoordination, opisthotonos, and paddling). Microscopic lesions were restricted largely to kidney, CNS, and liver parenchyma and were characterized by vascular congestion and aggregation of infected erythrocytes in small vessels. Babesia bigemina, in contrast, caused only mild fever and anemia despite prolonged parasitemia and marked thrombocytopenia. The absence of significant (P less than 0.05) heterologous species immunity indicated that protection of cattle from these 2 babesial parasites will require specific immunization against each species.

Pathogenesis of experimental bovine respiratory syncytial virus infection in sheep.

Conventionally reared lambs, seronegative to bovine respiratory syncytial virus (RSV), were inoculated with bovine RSV by an aerosol route. A mild clinical response, characterized by transient fever at postinoculation day (PID) 4, occurred and was accompanied by serous oculonasal secretions in less than 50% of the infected lambs. A decrease in total WBC was observed on PID 6 and 11, with a reduction in the total numbers of lymphocytes. Bovine RSV was recovered from nasal secretions of inoculated lambs from PID 2 to 6. The lambs were euthanatized, and at necropsy, the virus was only isolated from lambs killed between PID 2 and 4. Serum neutralizing antibodies were noticed as early as PID 6 and peaked at PID 13 to 15. Neutralizing antibodies were also detected at low concentration in pulmonary washings. Viral antigen was mainly located in alveolar walls and occasionally in bronchiolar epithelium and alveolar macrophages in lambs killed between PID 2 to 4. Later, specific fluorescence was only present in alveolar walls and was not observed in tissue from lambs killed after PID 22. Budding and free virus-like particles were observed by electron microscopy in type I and type II alveolar epithelial cells. Outstanding macroscopic lesions were not seen. Histologically, mild bronchiolitis and alveolitis were observed.

Interaction of bovine respiratory syncytial virus and Pasteurella haemolytica in the ovine lung.

The potential synergistic effect of bovine respiratory syncytial virus (RSV) and Pasteurella haemolytica in the production of pneumonia after aerosol/intranasal infection of conventionally reared lambs was evaluated. A mild clinical response was observed in lambs given virus and/or bacteria. Gross pulmonary lesions were seen in 3 of 6 lambs given RSV and then P haemolytica 3 or 6 days later, respectively (groups D and E), and in 1 lamb of 5 given virus and bacteria simultaneously (group G). Gross lesions were not seen in control sheep (group A), in lambs given virus or bacteria alone (groups B and C), or in lambs exposed to bacteria and then virus 3 days later (group F). Bovine RSV and P haemolytica were recovered from the lungs of 5 of 7 lambs with macroscopic lesions. Gross pulmonary lesions were cranioventral firm areas of red consolidation. Microscopically, the predominant lesion was a suppurative bronchopneumonia. Bovine RSV was recovered from the nasal cavity of 8 of 27 (30%) lambs given RSV during days 3 to 6 after viral inoculation, including 1 lamb in group B, 2 in groups D, E, and F, and 1 in group G. Pasteurella haemolytica was recovered from the nasal cavity of 9 of 28 (32%) inoculated lambs, including 2 lambs from groups C and E, 3 in group D, and 1 in groups F and G. Viral antigen, as determined by immunofluorescence, was concentrated mainly in individual cells in alveolar walls, some alveolar macrophages, and a few bronchiolar epithelial cells. In vitro alveolar macrophage assays indicated decreased numbers of Fc receptors on those macrophages collected from lambs given RSV 6 days before P haemolytica infection, as compared with that in the other groups. These cellular defects disappeared after 24 hours of culture. Seemingly, bovine RSV does facilitate P haemolytica pulmonary infection in conventional, immuno-competent lambs and provides evidence for decreased Fc receptors on alveolar macrophages.

[Bardet-Biedl syndrome: subclinical renal disorders in 2 siblings]. / Síndrome de Bardet-Biedl: alteraciones renales subclínicas en dos hermanos.

Two siblings with Bardet-Biedl's syndrome are studied, in whom renal structural and functional disorders were observed, with reduction in the ability to concentrate urine in both cases and decrease of creatinine clearance in the second case. The study of the hypophyseal function was normal.

[Urinary tract infections. The causative agents and their sensitivities to chemotherapeutic drugs]. / Infecções do tracto urinário. Agentes e sensibilidades aos quimioterápicos.

A retrospective study was made of the requests for bacteriological examination of urine samples by the different clinical departments of Vila Nova de Famalicão District Hospital, between July/89-June/90 and July/91-June/92. We were interested in assessing the spectrum of occurring micro-organisms in urinary tract infections, their antibiotic susceptibility, especially to those more frequently used in clinical practice in this institution and their evolution in time. In conclusion, the prevalence of isolated pathogens was quite similar to the spectrum published by other authors for a hospital population. No significant variation was found in the bacterial population between the two periods analysed, if we exclude the great increase in coagulase-negative staphylococci. In terms of benefits/costs/resistance, we concluded that the best antibiotic for the beginning of therapy in this Hospital is cotrimoxazole. Good choices were also quinolones, third-generation cephalosporins or aminoglycosides, but with the disadvantages of greater cost for the first two and toxicity for the last.

A comparison of canine giant cell tumor and giant cell reparative granuloma of bone.

The clinical, radiographic, and pathologic features of a canine giant cell tumor of bone are compared with those of a giant cell reparative granuloma of bone. The giant cell bone tumor usually emerges from the epiphysis of long bones as a rapidly developing lytic bone lesion without periosteal new bone formation. The giant cell reparative bone granuloma originates preferentially in flat bones on the skull and mandible as a result of trauma-associated intraosseous hemorrhage, with new bone formation and sclerosis. Histologically, the neoplastic giant cells are scattered diffusely throughout the tissue, in contrast to the inflammatory giant cells that accumulate at the periphery of hemorrhages or around bone spicules. This peripheral accumulation is accompanied by a prominent collagenous and reticulum stroma. The morphologic and histochemical features of the giant cells can not be used as reliable tools to differentiate these two conditions.