[Respiratory-Mucous Syndrome Secondary to Chlamydophila pneumoniae Infection: A Case Report]. / Síndrome respiratorio - mucoso secundario a infección por Chlamydophila pneumoniae. Reporte de caso.

Mucocutaneous diseases associated with systemic symptoms are varied. Since 2014, mucocutaneous syndromes, associated with atypical bacterial infections, have been described as specific entities. Most of them by Mycoplasma pneumoniae and up to 10 percent by Chlamydophila pneumoniae. Differential diagnosis is important because it has clinical implications. We present the case of a 24-year-old patient with extensive mucosal and respiratory compromise, compatible with mucosal respiratory syndrome due to Chlamydophila pneumoniae. Initially managed with NSAIDs, which made it difficult to differentiate from other syndromes with mucocutaneous involvement, which are caused by these drugs. We present the case because of how interesting and challenging the differential diagnosis was.

Soroprevalência e fatores de risco da infecção por Chlamydophila abortus em caprinos do estado do Rio Grande do Norte, Brasil / Seroprevalence and risk factors of Chlamydophila abortus infection in goats of the state of Rio Grande do Norte, Brazil

Background: Chlamydophilosis is a disease caused by the bacterium Chlamydophila abortus, responsible for reproductive damage in small ruminants, and economic losses to animal production. In addition, it is classified as a zoonosis once it presents symptoms similar to numerous bacterial and viral infections of the reproductive system, making clinical diagnosis difficult. The objective of this work was to estimate the seroprevalence of anti-C. abortus antibodies in goats and to identify the risk factors for the disease in two mesoregions of Rio Grande do Norte, Brazil.Material, Methods & Results: This research was carried out in two mesoregions of the State of Rio Grande do Norte (Central Potiguar - CP and West Potiguar - WP) located in the Northeast of Brazil. These mesoregions together represent 83% of the regional herd. A total of 54 properties were studied. Those are distributed in seven municipalities: Afonso Bezerra, Angicos, Lages and Pedro Avelino, in the CP mesoregion; and Apodi, Caraúbas, and Mossoró, in the OP mesoregion. We used 540 animals from herds characterized as non-defined breed (NDB) and native breed, regardless of their productive functions, being frequent the consortium of caprine and ovine species. Blood samples were collected through jugular venipuncture by vacuum system with 5 mL tubes without anticoagulant. After collection, the tubes were centrifuged at 1500 g for 15 min. Detection of anti-Chlamydophila sp. antibodies was performed by the Complement Fixation Test. In parallel with the collection, a questionnaire was applied addressing general property and producer characteristics. Seroprevalence of chlamydophilosis in the CP mesoregion was 3.04% (7/230) for the animals and 26.1% (6/23) for the properties, whereas, in the WP mesoregion, the values were 4.2% (13/310) and 35.5% (11/31), respectively.[...](AU)

Soroprevalência e fatores de risco da infecção por Chlamydophila abortus em caprinos do estado do Rio Grande do Norte, Brasil / Seroprevalence and risk factors of Chlamydophila abortus infection in goats of the state of Rio Grande do Norte, Brazil

Background: Chlamydophilosis is a disease caused by the bacterium Chlamydophila abortus, responsible for reproductive damage in small ruminants, and economic losses to animal production. In addition, it is classified as a zoonosis once it presents symptoms similar to numerous bacterial and viral infections of the reproductive system, making clinical diagnosis difficult. The objective of this work was to estimate the seroprevalence of anti-C. abortus antibodies in goats and to identify the risk factors for the disease in two mesoregions of Rio Grande do Norte, Brazil.Material, Methods & Results: This research was carried out in two mesoregions of the State of Rio Grande do Norte (Central Potiguar - CP and West Potiguar - WP) located in the Northeast of Brazil. These mesoregions together represent 83% of the regional herd. A total of 54 properties were studied. Those are distributed in seven municipalities: Afonso Bezerra, Angicos, Lages and Pedro Avelino, in the CP mesoregion; and Apodi, Caraúbas, and Mossoró, in the OP mesoregion. We used 540 animals from herds characterized as non-defined breed (NDB) and native breed, regardless of their productive functions, being frequent the consortium of caprine and ovine species. Blood samples were collected through jugular venipuncture by vacuum system with 5 mL tubes without anticoagulant. After collection, the tubes were centrifuged at 1500 g for 15 min. Detection of anti-Chlamydophila sp. antibodies was performed by the Complement Fixation Test. In parallel with the collection, a questionnaire was applied addressing general property and producer characteristics. Seroprevalence of chlamydophilosis in the CP mesoregion was 3.04% (7/230) for the animals and 26.1% (6/23) for the properties, whereas, in the WP mesoregion, the values were 4.2% (13/310) and 35.5% (11/31), respectively.[...]

Evidencia molecular de la infección por Chlamydophila pneumoniae en reptiles de Argentina / Molecular evidence of Chlamydophila pneumoniae infection in reptiles in Argentina

En la región central de Argentina, las características epidemiológicas y moleculares de las infecciones por Chlamydophila pneumoniae en reptiles son desconocidas. Para detectar C. pneumoniae, se usó la reacción en cadena de la polimerasa anidada que amplifica el gen rpoB en muestras de hisopado cloacal de 19 reptiles. Once (57,89 %) reptiles resultaron positivos. La secuenciación y el análisis filogenético corroboraron la presencia de esta bacteria. No se detectó ADN de C. pneumoniae en la faringe ni IgM anti-C. pneumoniae en el suero de los cuidadores; sin embargo, ellos presentaron títulos muy elevados de IgG anti-C. pneumoniae. La detección de ADN de C. pneumoniae en los reptiles demostró la circulación de este agente en el centro recreativo donde se realizó este estudio, lo que podría explicar la exacerbada respuesta inmunitaria en los cuidadores; este hallazgo sugiere la presencia de un potencial ciclo zoonótico. Se reporta aquí por primera vez la detección de C. pneumoniae en reptiles en Argentina

In the central area of Argentina, the epidemiological and molecular characteristics of Chlamydophila pneumoniae infections in reptiles are still unknown. A nested polymerase chain reaction of the rpoB gene was used to detect C. pneumoniae in cloacal swab samples from 19 reptiles at a recreational area. Eleven (57.89%) reptiles were positive; the sequencing and phylogenetic analysis confirmed the presence of this bacterium. Neither C. pneumoniae DNA in the caregivers'pharynges nor IgM antibodies anti-C. pneumoniae in their serum samples were detected; however, caregivers presented very high titers of IgG anti-C. pneumoniae. The detection of C. pneumoniae DNA in reptiles demonstrated the circulation of this agent in the recreational area and could be responsible for the exacerbated immune response of the personnel handling the reptiles, which suggests a potential zoonotic cycle. This is the first report of the detection of C. pneumoniae in reptiles in Argentina

Correlation of bacterial coinfection versus matrix metalloproteinase 9 and tissue inhibitor of metalloproteinase 1 expression in aortic aneurysm and atherosclerosis.

BACKGROUND: We searched for any relationship between Chlamydophila pneumoniae, Mycoplasma pneumoniae, matrix metalloproteinase 9 (MMP-9), and tissue inhibitor of metalloproteinase 1 (TIMP-1) in aneurysmatic atherosclerotic lesions, and whether this relationship differed from that in atherosclerotic nonaneurysmatic lesions. METHODS: Twenty-eight tissue samples paired by age and sex were grouped as follows: group 1 included 14 nonaneurysmal atherosclerotic fragments obtained from abdominal aortas collected from necropsies; group 2 included 14 aneurysmatic atherosclerotic aortic fragments obtained from patients during corrective surgery. Immunohistochemistry reactions were evaluated for C pneumoniae, M pneumoniae, MMP-9, and TIMP-1 antigens. Both groups were compared using the Mann-Whitney test, and the correlations among variables were obtained using the Spearman correlation test. P ≤ 0.05 was considered statistically significant. RESULTS: C pneumoniae and M pneumoniae antigens were detected in 100% of cases. A higher amount of C pneumoniae (P = 0.005), M pneumoniae (P = 0.002), and MMP-9 (P = 0.021) was found in adventitia of group 2 with aneurysm. A positive correlation was found in the aneurysm group, as follows: intima C pneumoniae versus adventitia thickness (r = 0.70; P = 0.01), media C pneumoniae versus adventitia C pneumoniae (r = 0.75; P = 0.002), intima C pneumoniae versus media C pneumoniae (r = 0.8; P = 0.00), and adventitia C pneumoniae versus intima M pneumoniae (r = 0.54; P = 0.05); negative correlations were as follows: adventitia thickness and adventitia M pneumoniae (r = -0.65; P = 0.01), media MMP-9 and media thickness (r = -0.55; P = 0.04), TIMP-1 media versus adventitia C pneumoniae (r = -0.86; P = 0.00), and TIMP-1 media versus M pneumoniae intima (r = -0.67; P = 0.03). Nonaneurysmal atherosclerotic group 1 results are as follows: adventitia C pneumoniae versus TIMP-1 media (r = 0.75; P = 0.01) and media C pneumoniae and adventitia C pneumoniae (r = 0.59; P = 0.03). CONCLUSIONS: The present work favors a role for coinfection of both M pneumoniae and C pneumoniae in the development of aortic atherosclerotic aneurysm, with increased adventitial inflammation, inhibition of TIMP-1 activity, and increased collagen degradation.

Viruses and atypical bacteria associated with asthma exacerbations in hospitalized children.

UNLABELLED: OBJECTIVES AND WORKING HYPOTHESIS: To evaluate the prevalence of respiratory viruses Mycoplasma pneumoniae and Chlamydophila pneumoniae and gain insight into their seasonal circulation pattern in children with acute asthma exacerbations in a temperate southern hemisphere region. STUDY DESIGN: Patients hospitalized between 3 months and 16 years of age were included in a 1-year prospective, observational, cross-sectional study. Respiratory secretions were collected and the presence of different viruses and atypical bacteria analyzed by immunofluorescence and polymerase chain reaction. RESULTS: Two hundred nine patients (118 females) aged (mean +/- SD) 4.4 +/- 4 years were included. A potential causative agent was detected in 78% of the patients. The most frequently detected viruses were respiratory syncytial virus (HRSV) (n = 85; 40%) and rhinovirus (HRV) (n = 52; 24.5%); M. pneumoniae and C. pneumoniae were detected in 4.5% and 2% of the cases, respectively. Patients with HRSV (vs. HRV) were hospitalized for a longer time (6.7 vs. 5.2 days, P = 0.012), required more days of oxygen supply (5.1 vs. 3.4, P = 0.005), had a longer duration of the exacerbation before hospitalization (3.6 vs. 1.9 days, P = 0.001) and were younger (3.7 vs. 5.1 years, P = 0.012). Three peaks of admissions were observed. A first peak (early autumn) caused by HRV, a second peak (winter) caused mainly by HRSV and a third one (spring), caused by HRSV, an increase in HMPV together with a second outbreak of HRV. CONCLUSIONS: Children with an acute asthma exacerbation presented a high prevalence of respiratory viruses. Most hospitalizations corresponded to seasonal increases in prevalence of HRV and HRSV.

Chlamydia pneumoniae and stroke: is there a direct relationship?

OBJECTIVE: To investigate the possible relationship between atherothrombotic stroke and Chlamydia pneumoniae. METHOD: 150 patients with carotid atherothrombosis were enrolled. The casuistic was divided in three groups: ischemic stroke (IS): 65 patients; transient ischemic attack (TIA): 26 patients; and control: 59. The IS or TIA onset was up to 30 days from the beginning of the study. Carotid atheromatoses was diagnosed by Doppler-ultrasonography. Patients with cardioembolic risk or non-atherothrombotic origin were excluded. Comparisons were done between the three groups, and within each group according to the different age sub-groups, to the main arteries affected, and to the atherogenic risk factors. Bacteria detection was done using polimerase chain reaction. RESULTS: Only one patient tested positive for C. pneumoniae belonging to the control group. CONCLUSION: These results do not suggest that C. pneumoniae participated in the onset of IS or TIA or that it has a role in carotid plaque destabilization.

Chlamydia pneumoniae and stroke: is there a direct relationship? / Chlamydia pneumoniae e acidente vascular cerebral aterotrombótico: existe relação direta?

OBJECTIVE: To investigate the possible relationship between atherothrombotic stroke and Chlamydia pneumoniae. METHOD: 150 patients with carotid atherothrombosis were enrolled. The casuistic was divided in three groups: ischemic stroke (IS): 65 patients; transient ischemic attack (TIA): 26 patients; and control: 59. The IS or TIA onset was up to 30 days from the beginning of the study. Carotid atheromatoses was diagnosed by Doppler-ultrasonography. Patients with cardioembolic risk or non-atherothrombotic origin were excluded. Comparisons were done between the three groups, and within each group according to the different age sub-groups, to the main arteries affected, and to the atherogenic risk factors. Bacteria detection was done using polimerase chain reaction. RESULTS: Only one patient tested positive for C. pneumoniae belonging to the control group. CONCLUSION: These results do not suggest that C. pneumoniae participated in the onset of IS or TIA or that it has a role in carotid plaque destabilization.

OBJETIVO: Investigar a possível relação entre Chlamydia pneumoniae e acidente vascular cerebral aterotrombótico (AVC). MÉTODO: 150 pacientes com aterotrombose carotídea foram estudados. A casuística foi dividida em 3 grupos: AVC: 65 pacientes; ataque isquêmico transitório (AIT): 26 pacientes e controles: 59. O início do AVC ou AIT era até 30 dias da inclusão no estudo. A ateromatose carotídea foi diagnosticada por ultrassonografia com Doppler. Os pacientes com risco cárdio-embólico ou sem evidência de aterotrombose foram excluídos. Foram estabelecidas comparações entre os 3 grupos e dentro de cada grupo, formado sub-grupos de acordo com diferentes idades, território arterial comprometido e fatores de risco. A detecção da bactéria foi feita por reação de polimerização em cadeia. RESULTADOS: Somente um paciente, pertencente ao grupo controle, teve resultado positivo. CONCLUSÃO: Estes achados não sugerem que a C. pneumoniae participe no desencadeamento do AVC ou AIT ou que tenha papel na desestabilização da placa.