Successful therapeutic plasma exchange in cold autoimmune hemolytic anemia in patient with disseminated tuberculosis.

An association of autoimmune hemolytic anemia with disseminated tuberculosis is an exceedingly rare entity. We describe herein a case of cold hemolytic autoimmune anemia associated with miliary tuberculosis resolved with blood transfusions, therapeutic plasma exchange, and antituberculous agents. We discuss the advantages of therapeutic plasma exchange at an early stage in the management of this condition.

In vitro antifungal activity of the essential oil and the methanolic extract of Ruta chalepensis.

Ruta chalepensis L. (Rutaceae), is an ancient aromatic medicinal plant still used in the traditional medicine of many countries as a laxative, antiinflammatory, analgesic, antispasmodic, abortifacient, antiepileptic, emmenagogue and for dermatopathy treatment. Regarding increasing prevalence of mycotoxins and inefficiency of methods used to decrease them, it is possible to use plants metabolites to decrease mycotoxins. This study was carried out to evaluate chemical composition, antifungal and anticandidal activities of R. chalepensis extracts. The chemical composition of its essential oil was analyzed by gas chromatography coupled with mass spectrometry (GCMS). The major components of R. chalepensis essential oil were menthol (49.92%), linalool (31.1%) and 2-hexanal (5.2%). The antifungal and anticandidal effects of the essential oil and methanolic extract of R. chalepensis leaves were studied by disc diffusion assay and broth dilution method. The obtained results showed that R. chalepensis extracts had a significant fungicidal effect against Aspergillus niger, Aspergillus flavus and Candida albicans. The inhibition zones diameters and the minimum inhibitory concentration values for tested microorganisms were in the range of 11-17 mm and 3.25-6.25% (v/v), respectively. The methanolic extract showed much better antimicrobial activity than the essential oil against three tested micro-organisms