ABSTRACT
El uso cada vez más difundido de la terapia antirretroviral de gran actividad (TARGA) en el tratamiento de los pacientes con infección por el virus de la inmunodeficiencia humana (VIH) puede dar lugar a respuestas paradojales, caracterizadas por un empeoramiento de las manifestaciones clínicas o la reactivación de ciertas infecciones oportunistas, hasta ese momento subclínicas, como el Herpes varicela-zóster (HVZ). Este cuadro clínico se conoce desde hace años como síndrome inflamatorio de reconstitución inmune (SIRI). Puede afectar a más del 30% de los pacientes seropositivos para el VIH con un tiempo de aparición promedio de 8 a 12 semanas luego del inicio o cambio de TARGA. El HZ mucocutáneo representa entre el 7% al 12% de los episodios de SIRI en estos pacientes. En este trabajo, se presenta un paciente VIH seropositivo que desarrolló un episodio de HVZ cutáneo monometamérico asociado a compromiso del sistema nervioso central bajo la forma de un síndrome meningoencefalítico
The use of highly active antiretroviral therapy (HAART) in the management of human immunodeficiency virus (HIV) infection has resulted in a paradoxical response associated with the worsening of clinical symptoms of previously subclinical infections, such as herpes varicella-zoster (HVZ). This clinical picture is named as immune reconstitution inflammatory syndrome (IRIS). It may affect up to 30% of HIV-seropositive subjects within a wide range of time after the initiation or change of HAART, but mainly after 8 to 12 weeks. Mucocutaneous HZ accounts for 7%-12% of the diseases associated with HIV infection in patients with immune reconstitution from the administration of HAART. Here we present an HIV seropositive patient that developed an episode of cutaneous metameric eruption of HVZ associated with central nervous system involvement as meningoencephalitis syndrome.
Subject(s)
Humans , Male , Adult , Acyclovir/therapeutic use , HIV/immunology , Encephalitis, Herpes Simplex/diagnosis , Encephalitis, Varicella Zoster/therapy , Anti-Retroviral Agents/therapeutic use , Early Diagnosis , Immune Reconstitution Inflammatory Syndrome/diagnosisABSTRACT
Objective The objective of this study was to investigate the effect of systemic inflammation response index(SI-RI)on clinical prognosis of patients with glioma and its relationship with dehydrogenase 1(IDH1)mutation.Methods Eighty patients with glioma who underwent surgery in the department of Neurosurgery were collected from August 2006 to November 2015.The best clinical cutoff value for SIRI was determined using operating characteristic curve(ROC)and grouped accordingly.The Kaplan-Meier and log-rank methods were used to analyze the postoperative survival of the two groups of patients.The independent clinical prognos-tic factors were evaluated by Cox′s proportional hazards regression model.The IDH1 mutation was detected by immunohistochemistry and DNA sequencing.Results SIRI was an independent prognostic factor of glioma,and the best clinical cutoff value was 0.67 × 109/L.The median progress free survival(PFS)and overall survival(OS)of patients with low SIRI group were 46.90 months and 57.90 months,and the median PFS and OS of patients with high SIRI group were 31.78 months and 47.22 months,respectively.There was significant difference between the two groups in the median survival time of PFS and OS by log-rank method(P<0.05).Univa-riate and multivariate analysis showed that age,gender,type of surgery,WHO stage,SIRI and IDH1 mutation were the independent prognostic factors in neurostein stromal tumors.Patients with low-grade SIRI and glioma with IDH1 mutation have a better prognosis than other conditions.Conclusion SIRI is an independent prognostic factor of glioma.It is simple,convenient and reproducible,and may be used to predict the prognosis of patients with glioma.
ABSTRACT
AbstractThe life cycle of the crab Callinectes danae is estuarine-dependent, and studies on aspects of their biology should also cover marine areas. The present study investigated the sexual maturity, as well as habitat preference by adults in different gonadal stages, and the crabs’ reproductive periodicity outside the estuary. Three bays on the subtropical southeastern coast of Brazil were sampled monthly for two years. For each bay, six transects were established, four of them parallel to the beach line (5, 10, 15 and 20 m depth), as well as one transect in an exposed area, and another sheltered from the action of waves. The results showed that the pattern of spatio-temporal distribution of adults C. danae was similar in three bays, although the highest abundance was found in Ubatumirim. Females with developed gonads/ovigerous females were found in greater abundance than females with rudimentary/developing gonads, mainly in deeper transects. Although the areas sampled have different environmental characteristics, the reproductive pattern of the species did not change, showing continuous reproduction throughout, with more abundance of reproductive females on spring and summer. Males reached maturity at larger sizes than females in all three bays.
ResumoO siri Callinectes danae é estuarino dependente em seu ciclo de vida, sendo que os estudos que levantam informações sobre os aspectos da sua biologia devem também abranger regiões marinhas. Assim, o presente estudo teve como objetivo investigar a maturidade sexual, bem como a preferência ocupacional por adultos em diferentes estágios gonadais e sua periodicidade reprodutiva fora da região estuarina. Para tanto, três enseadas da porção subtropical do litoral sudeste brasileiro foram amostradas mensalmente, durante dois anos. Para cada enseada, seis transectos foram estabelecidos, quatro deles paralelos à linha de praia (5, 10, 15 e 20m de profundidade), um transecto exposto e outro abrigado à ação de ondas. Os resultados mostraram que o padrão de distribuição espaço-temporal de adultos de C. danae foi similar nas três enseadas, embora uma maior abundância tenha sido encontrada em Ubatumirim. Fêmeas ovígeras e com gônadas desenvolvidas foram encontradas em maior abundância que fêmeas com gônadas rudimentares e em desenvolvimento, principalmente nos transectos mais profundos. Apesar das regiões amostradas possuírem características ambientais diferenciadas, o padrão reprodutivo da espécie não sofreu alterações, apresentando reprodução contínua, com maior abundância de fêmeas reprodutivas na primavera e verão. Machos atingiram maturidade em tamanhos maiores que as fêmeas nas três enseadas.
Subject(s)
Animals , Female , Male , Brachyura/physiology , Brazil , Brachyura/growth & development , Reproduction , Seasons , Sexual MaturationABSTRACT
La Organización Mundial de la Salud define al síndrome inflamatorio de reconstitución inmune (SIRI) como un grupo de signos y síntomas que resultan de la recuperación inmunológica del paciente VIH/SIDA después del inicio de la terapia retroviral de gran actividad (TARGA) cuya incidencia es del 10% al 25%. Estudiar los pacientes con diagnóstico de infección por VIH controlados en el Servicio de Pediatría Médica Infecciosa del Hospital Universitario de Caracas que desarrollaron SIRI. Se realizó estudio retrospectivo con revisión de datos de pacientes pediátricos con diagnóstico de VIH que presentaron SIRI. Los mismos fueron recabados de la base de datos de la consulta VIH/SIDA diseñada en Access 2010 y analizados con EPIINFO 3.5.4. El 15% de los pacientes con diagnóstico de VIH presentaron SIRI, siendo del sexo masculino 80%; 60% fueron clasificados inicialmente en estadio C3. La edad media fue de 5,26 años, (SD: ± 4,34). La carga viral de inicio de TARGA 320.318 copias/mL (SD: ± 260 727), contaje de linfocitos T CD4+: 127 células/mm³ (SD:±148) relación CD4/CD8: 0,17 (SD: ± 0,11); TARGA inicial: 90% utilizaron 3TC, 60% AZT, 40% ABC y 80% inhibidores de proteasa. Las manifestaciones clínicas más frecuentemente observadas fueron BCGitis (30%), tuberculosis (30%) y neumocistosis (20%). En un 90% las manifestaciones de SIRI ocurrieron en los primeros 3 meses de iniciado TARGA. Al momento del SIRI se observó en promedio un aumento del contaje de linfocitos T CD4+ en 411 células/mL y disminución de CV en 2 log. El SIRI es frecuente en pacientes pediátricos con VIH/SIDA y debe ser tomado en cuenta cuando se inicia tratamiento en estados severos de inmunodepresión
The World Health Organization defines the Immune Reconstitution Inflammatory Syndrome (IRIS) as a group of signs and symptoms as a result of the HIV/AIDS patients immune recovery after initiation of highly active antiretroviral therapy (HAART), being the incidence 10% to 25%. To study patients with HIV infection in control at the Pediatric Infectious Service of University Hospital of Caracas who developed IRIS. Retrospective data review of pediatric patients diagnosed with HIV who presented SIRI was performed. It was collected from 2010 Access - designed HIV/AIDS consultation database and analyzed with EPIINFO 3.5.4. 15% of patients diagnosed with HIV had IRIS, being 80% male, 60% were initially classified C3 stage. The average age was 5.26 years (SD: +4.34). Viral load (VL) starting HAART: 320 318 copies/mL (SD: ± 260,727), CD4 ± count: 127 cells/mm³ (SD: +148), CD4/CD8: 0.17 (SD: +0.11); initial HAART used: 90% 3TC,60% AZT, 40% ABC and 80% protease inhibitors. The most frequently clinical features observed were: BCGitis (30%), tuberculosis (30%) and pneumocystosis (20%). SIRI manifestations occurred, in 90% of cases, in the first 3 months after initiation of HAART. At the moment of IRIS diagnosis, an average CD4 + T count at 411 cells/ml increase and 2 log VL decreases were recorded. SIRI is common in HIV pediatric patients and should be considered when treatment is started in severe immunosuppression state
Subject(s)
Female , Child , HIV , Immune Reconstitution Inflammatory Syndrome/diagnosis , Immune Reconstitution Inflammatory Syndrome/immunology , Immune Reconstitution Inflammatory Syndrome/therapy , Acquired Immunodeficiency Syndrome/pathology , Acquired Immunodeficiency Syndrome/virology , Antiretroviral Therapy, Highly Active/methods , Infectious Disease Medicine , PediatricsABSTRACT
This study provides the first data on the population structure of swimming crab Callinectes ornatus Ordway, 1863 bycatch from coastal shrimp fishing in northern Rio de Janeiro State, Brazil (21º 30'-21º 50' S and 41º 05'-41º 07' W). Crabs were collected monthly from April 2006 to March 2007. A total of 5,611 specimens were analyzed, of which 3,951 were males and 1,660 ovigerous and non-ovigerous females. The overall sex ratio (2:1) differ significantly from the expected 1:1 proportion, being the mature males significantly predominant as bycatch in this fishery. The specimens' carapace width and weight varied from 27 to 126 mm (mean: 77.3 ± 12.3 mm) and 1.2 to 128.2 g (mean: 31.0 ± 14.4 g) for males, and 30 to 101 mm (mean: 63.4 ± 9.3 mm) and 1.7 to 66.0 g (mean: 16.4 ± 7.4 g) for ovigerous and non-ovigerous females. Seasonal comparisons did not reveal differences between the number of specimens captured in dry and rainy periods considering both sexes and maturity stages. The size at first maturity was 79 mm for males and 65 mm for females, and the carapace width-weight relationship indicated an alometric pattern for both sexes. The bycatch swimming crabs are locally used as bait, but the capture tendency for a specific sex/age-group can affect this population structure over time.
Este estudo fornece os primeiros dados sobre a estrutura populacional do siri Callinectes ornatus Ordway, 1863 capturado incidentalmente através da pesca camaroneira realizada no litoral norte do estado do Rio de Janeiro, Brasil (21º 30'-21º50' S e 41º 05'-41º 07' O). Os siris foram coletados mensalmente entre abril de 2006 a março de 2007. Um total de 5.611 espécimes foram analisados, dos quais 3.951 eram do sexo masculino e 1.660 fêmeas ovígeras e não ovígeras. A razão sexual (2:1) diferiu significativamente da proporção 1:1 esperada, sendo os machos maduros significativamente predominantes como captura incidental nesta pescaria. A largura da carapaça e o peso dos espécimes variaram de 27 a 126 mm (média: 77,3 ± 12,3 mm) e 1,2 a 128,2 g (média: 31,0 ± 14,4 g ) para machos, e 30 a 101 mm (média: 63,4 ± 9,3 mm ) e 1,7 a 66,0 g (média: 16,4 ± 7,4 g) para fêmeas ovígeras e não ovígeras. As comparações sazonais não revelaram diferenças entre o número de espécimes capturados nos períodos seco e chuvoso, considerando ambos os sexos e estágios de maturidade. O tamanho de primeira maturação foi de 79 mm para machos e 65 mm para as fêmeas, e a relação largura da carapaça-peso indicou padrão alométrico para ambos os sexos. Os siris capturados incidentalmente são utilizados localmente como isca, mas a tendência de captura sobre um grupo sexual/etário específico pode afetar a estrutura dessa população ao longo do tempo.
ABSTRACT
A presença do vírus da síndrome da mancha branca (em inglês WSSV) nas principais espécies de camarões, siris e caranguejos de cinco lagoas que recebem o efluente de fazendas afetadas pela enfermidade foi detectada por nested PCR, e inclusões virais nos camarões por histologia. Pela nested PCR encontrou-se a presença de WSSV em 13 de 16 (81,2 por cento) amostras de camarões da espécie Farfantepenaeus paulensis, em 13 de 14 (92,8 por cento) de Litopenaeus schmitti, em uma de duas de Farfantepenaeus brasiliensis (50 por cento), em 13 de 15 (86,6 por cento) de siri da espécie Callinectes danae e em 11 de 12 (91,6 por cento) de Callinectes sapidus, e não foi detectada no caranguejo Chasmagnathus granulata em 10 amostras. Inclusões características de WSSV foram observadas em três amostras histológicas de 50 (6,0 por cento) no epitélio gástrico e cuticular e nas brânquias de dois exemplares de F. paulensis e um de L. schmitti. É o primeiro relato da presença de WSSV em camarões L. schmitti e no siri C. danae silvestres. As principais espécies de camarões e siris dos ambientes de entorno das fazendas foram contaminadas pelo WSSV, constituindo-se em vetores potenciais do vírus.
The presence of white spot syndrome virus (WSSV) in the main species of shrimps, blue crabs, and burrowing crabs of five lagoons where shrimp farm effluents are discharged, was analyzed by nested PCR and the presence of virus inclusions in the shrimps was analyzed through histopathology. The nested PCR analysis indicated the presence of WSSV in 13 of 16 (81.2 percent) samples of the shrimp species of Farfantepenaeus paulensis, in 13 of 14 (92.8 percent) of Litopenaeus schmitti, in one of two of Farfantepenaeus brasiliensis (50 percent), in 13 of 15 (86.6 percent) of blue crab species of Callinectes danae and in 11 of 12 (91.6 percent) of Callinectes sapidus and none was detected in the 10 samples of the burrowing crab Chasmagnathus granulata. The inclusion characteristics of WSSV were observed in three samples of 50 (6.0 percent) in the gastric and cuticular epithelium and in the gills of two specimens of F. paulensis and one of L. schmitti. The presence of WSSV in L. schmitti wild shrimp and in the C. danae blue crab is reported for the first time in the present work. The results indicate that the main species of shrimps and blue crabs of the environment surrounding the farms were infected by WSSV, and they may be considered potential vectors of the virus.