Invasive pulmonary aspergillosis with candidiasis: usefulness of molecular and ultrastructural morphological analysis on FFPE tissue for invasive fungal infections.

Invasive pulmonary aspergillosis (IPA) is one of the most frequent forms of invasive fungal infections (IFI); however, it is often difficult to identify the pathogenic fungal species and to select appropriate treatments for patients with IFI including IPA. Here, we describe the detailed pathophysiology of an autopsy case of severe respiratory failure due to IPA with candidiasis. The patient developed severe respiratory failure after influenza infection and died, and the autopsy revealed a mixed disease of IPA with candidiasis. In this study, in addition to the routine pathological examination, we further examined formalin-fixed paraffin-embedded (FFPE) tissues by scanning electron microscopy (SEM) and partial genomic DNA sequencing. Although optical microscopy alone was insufficient to identify the pathogenic organisms, SEM clearly depicted the characteristic morphology of Aspergillus sp. and Candida sp. as closely overlapping in a nested fashion, providing evidence of mixed infection of both fungal species in a focal site. The technique using FFPE tissue in combination with ultrastructural observation by SEM, elemental analysis by SEM-EDX, and DNA sequencing is promising for analyzing the pathophysiology of IFI.

Drastic Multiorgan Dysfunction Due to Severe Leukostasis: A Case Report.

Leukostasis is a life-threatening complication that causes vascular occlusion leading to organ damage in leukemia patients. Organs with impairment due to leukostasis are usually the lungs and kidneys, but other organs may also be damaged. We experienced an autopsy case of severe infarction in multiple organs including the spleen probably due to leukostasis in a patient with acute myeloid leukemia.

Effect of adlayer structure on the host-guest recognition between calcium and crown-ether-substituted phthalocyanine arrays on Au single-crystal surfaces.

Adlayers of 15-crown-5-ether-substituted cobalt(II) phthalocyanine (CoCRPc) were prepared by immersion of either Au(111) or Au(100) substrate into benzene-ethanol (9:1 v/v) mixed solutions containing CoCRPc. In situ STM imaging was carried out after transferring the CoCRPc-modified Au crystals into aqueous HClO(4) solution. The packing arrangement of the CoCRPc array on Au(111) was determined to be p(8 x 4 radical 3R - 30 degrees ), and the internal structure was clearly observed by high-resolution STM. Two adlayer structures of CoCRPc, (8 x 9) and (4 radical 5 x 4 radical 5)R26.7 degrees, were found on the Au(100)-(1 x 1) terrace. In the presence of 1 mM Ca(2+), two Ca(2+) ions were trapped in two diagonally located 15-crown-5-ether moieties of each CoCRPc molecule on Au(111), whereas encapsulation of Ca(2+) ions was not seen in the CoCRPc arrays on the Au(100)-(1 x 1) surface. The present study demonstrates that the relationship between crown moieties of CRPc and the underlying Au lattice is important in the trapping of Ca(2+) ions in crown rings.

In situ scanning tunneling microscopy of molecular assemblies of cobalt(II)- and copper(II)-coordinated tetraphenyl porphine and phthalocyanine on Au(100).

Molecules of copper(II) and cobalt(II) 5,10,15,20-tetraphenyl-21H,23H-porphine (CuTPP and CoTPP) and cobalt(II) phthalocyanine (CoPc) are spontaneously adsorbed onto reconstructed Au(100) substrate from a benzene solution containing each individual complex. In situ scanning tunneling microscopy (STM) was used to examine the real-space arrangement and the internal molecular structure of each of the individual molecules in 0.1 M HClO4 under potential control. The adsorption of CuTPP and CoTPP produced the same highly ordered square array with an intermolecular spacing of 1.44 nm on a reconstructed Au(100) surface. These molecular superlattices and the underlying reconstructed Au(100) predominated between 0 and 0.9 V, but lifting of the reconstructed Au(100) surface and elimination of the ordered adlayers occurred at more positive potentials. Molecular resolution STM revealed propeller-shaped admolecule with its center imaged as a protrusion for Co(II) and a depression for Cu(II). In contrast, the spontaneous adsorption of CoPc molecules resulted in a rapid phase transition from the reconstructed Au(100) surface to the (1 x 1) phase, coupled with the production of locally ordered, square-shaped arrays with an intermolecular distance of 1.65 nm. This molecular adlayer and the Au(100)-(1 x 1) remained unchanged when the potential was modulated between 0 and 1.0 V. These results indicate that the subtle variation in the molecular structure of adsorbate influenced not only its spatial arrangement but also the structure of the underlying Au(100) substrate.