Unvaccinated child tetanus from nasal toy battery.

We present the case report of an unvaccinated Czech child with tetanus. The child had not received any vaccines due to its parent's refusal. The disease originated from the wound in the nose caused by a small flat battery. The typical onset of tetanus followed after two weeks, rapidly progressing to respiratory failure with the need for mechanic ventilation despite intensive treatment. The child spent five weeks in the hospital. Mild long-term sequelae persisted 5 months.

Nested patterns in hyporheic meta-communities: the role of body morphology and penetrability of sediment.

Nestedness has been regarded as a common pattern of species distribution especially in terrestrial systems and vertebrate faunas. However, a significantly lower degree of nestedness has been reported for aquatic invertebrates. We analyzed the vertical distribution patterns of taxa in the upper 70 cm of the hyporheic zone. This biotope is abundantly inhabited by epigean fauna, which is morphologically pre-adapted to life within the limited space of sediment interstices. We tested the hypotheses that in the vertical profile of the hyporheic zone sediment acts as a physical barrier (filter), allowing only the morphologically pre-adapted and adapted (i.e., smaller, narrower, more flexible) taxa to penetrate to deeper layers. We demonstrated that this mechanism can promote a strongly nested and colonization-driven pattern at higher taxa levels. The sediment filter (1) constricted the body width: 0.50 mm appeared to be the upper limit for successful sediment colonization at the study site, and (2) favored elongated taxa against small sized taxa. We tested also the assumption that distribution of fine sediment affects the accessibility of hyporheic zone for fauna ("filter density") and thereby influences nestedness. However, we found that nestedness could be sufficiently explained by the depth itself. Our study offers a possible explanation of depth patterns in hyporeic meta-communities as a result of morphological characteristics promoting nestedness at higher taxa level.

[Bat rabies in Europe and the Czech Republic]. / Vzteklina netopýru v Evrope a v Ceské Republice.

In 2005, six children were treated in our department who had been in contact with a bat infected with European bat lyssavirus 1 (EBL1). In the Czech Republic, this was the first confirmed case of rabies since 2002, but the fourth case of bat rabies since 1994. All the cases were related to Southern Moravia and bat species which almost do not migrate. This suggests only endemic prevalence of EBL1 in this country. Bat rabies is different from rabies in terrestic mammals. Based on genetic analyses, the lyssavirus genus may be divided into 6 genotypes of which genotypes 1 (rabies virus), 5 (EBL1) and 6 (EBL2) are found in Europe. The infectious cycles of bat lyssaviruses are limited solely to bat populations, in particular the Eptesicus serotinus species and the Myotis genus. Transmission to other mammals is rare. In Europe, four cases of human infection and death due to rabies caused by any of bat lyssaviruses have been reported. Immunologically, bat lyssaviruses are very similar to the common rabies virus. Therefore, the standard prophylactic methods are sufficient. Because of a different natural reservoir, the Czech Republic may be still considered a rabies-free country. However, contacts with bats always pose a risk of rabies.

Trends in background levels of persistent organic pollutants at Kosetice observatory, Czech Republic.2) Part II. Aquatic and terrestrial environments 1996-2005.

A multimedia sampling of ambient air, wet deposition, surface water, sediment, soil and biota has been performed at Kosetice background observatory in the southern Czech Republic since 1988. An integrated monitoring approach was applied to assess the current state, anthropogenic impacts, and possible future changes of terrestrial and freshwater environments. Average PCB concentrations in the individual matrices calculated from ten years of sampling on multiple sites varied between 2 ng g(-1) in sediment and 7 ng g(-1) in soil or moss. DDT concentrations were lower in moss and needles (2 ng g(-1) and 4 ng g(-1), respectively) than in sediment (11 ng g(-1)) and soil (20 ng g(-1)), while the HCH level was higher in moss and needles (5 ng g(-1) and 6 ng g(-1), respectively) than in soil or sediment (1 ng g(-1) and 2 ng g(-1), respectively). The highest average level of PAHs was found in soil (600 ng g(-1)), while it was lower in needles (230 ng g(-1)), moss (210 ng g(-1)) or sediment (210 ng g(-1)). Time related trends of concentration levels of persistent organic pollutants in all matrices were investigated. Moss and needle trend patterns resembled those of the ambient air, showing a slight concentration decrease of all compounds, except for hexachlorobenzene. The soil, water and sediment concentrations showed a similar decrease of PAHs, PCBs, and HCHs, but there was no clear trend for DDTs and HCB.