Paracoccidioidomicose: perfil clínico e epidemiológico de pacientes internados em Passo Fundo - RS / Paracoccidioidomycosis: clinical and epidemiological profile of patients hospitalized in Passo Fundo ­ RS

A paracoccidioidomicose não é uma doença de notificação obrigatória apesar de sua relevância na América Latina, por isso as estimativas de prevalência, incidência e morbidade dessa micose são baseadas em relatórios de levantamentos epidemiológicos, séries de casos, registros de hospitalização e dados de mortalidade. O objetivo desse trabalho foi descrever aspectos relacionados com o paciente, evolução da doença, confirmação diagnóstica e tratamento de casos confirmados de paracoccidioidomicose atendidos em um hospital de ensino do sul do Brasil. Foram coletadas informações de prontuários de 27 pacientes com diagnóstico de paracoccidioidomicose confirmado no período de 2010 até 2019. O perfil prevalente foi de um paciente do sexo masculino, com idade média de 53 anos, envolvido com atividades laborais diversas, de procedência urbana, imunocompetente e sem comorbidades, tabagista, mas não etilista. Para a maioria dos casos o acometimento inicial foi pulmonar, com importante envolvimento do sistema linfático no percurso da doença. A observação microscópica das estruturas fúngicas patognomônicas em amostras de biópsia, aspirado linfonodal e escarro foi o método mais utilizado para confirmar a suspeita clínica. O itraconazol foi a primeira opção de tratamento, seguido da anfotericina B. [au]

Paracoccidioidomycosis is not a notifiable disease despite its relevance in Latin America, so estimates of prevalence, incidence and morbidity of this mycosis are based on reports of epidemiological surveys, case series, hospitalization records and mortality data. The objective of this study was to describe aspects related to the patient, disease evolution, diagnostic confirmation and treatment of confirmed cases of paracoccidioidomycosis treated at a teaching hospital in southern Brazil. Information was collected from the medical records of 27 patients diagnosed with paracoccidioidomycosis confirmed in the period from 2010 to 2019. The prevalent profile was a male patient, with a mean age of 53 years, involved in various work activities, of urban origin, immunocompetent and without comorbidities, smoker, but non-alcoholic. For most cases, the initial involvement was pulmonary, with significant involvement of the lymphatic system in the course of the disease. Microscopic observation of pathognomonic fungal structures in biopsy samples, lymph node aspirate and sputum was the most used method to confirm the clinical suspicion. Itraconazole was the first treatment option, followed by amphotericin B. [au]

Genome-based reclassification of Paenibacillus panacisoli DSM 21345T as Paenibacillus massiliensis subsp. panacisoli subsp. nov. and description of Paenibacillus massiliensis subsp. massiliensis subsp. nov.

Bacteria of the genus Paenibacillus are relevant to humans, animals and plants. The species Paenibacillus massiliensis and Paenibacillus panacisoli are Gram-stain-positive and endospore-forming bacilli isolated from a blood culture of a leukemia patient and from soil of a ginseng field, respectively. Comparative analyses of their 16S rRNA genes revealed that the two Paenibacillus species could be synonyms (99.3% sequence identity). In the present study we performed different genomic analyses in order to evaluate the phylogenetic relationship of these micro-organisms. Paenibacillus massiliensis DSM 16942T and P. panacisoli DSM 21345T presented a difference in their G+C content lower than 1 mol%, overall genome relatedness index values higher than the species circumscription thresholds (average nucleotide identity, 95.57 %; genome-wide ANI, =96.51 %; and orthologous ANI, 96.25 %), and a monophyletic grouping pattern in the phylogenies of the 16S rRNA gene and the proteome core. Considering that these strains present differential biochemical capabilities and that their computed digital DNA-DNA hybridization value is lower than the cut-off for bacterial subspecies circumscription, we suggest that each of them form different subspecies of P. massiliensis, Paenibacillus massiliensis subsp. panacisoli subsp. nov. (type strain DSM 21345T) and Paenibacillus massiliensis subsp. massiliensis subsp. nov. (type strain DSM 16942T).

Potencial antimicrobiano e caracterização fitoquímica de extratos da casca do caule de Drimys brasiliensis Miers (Winteraceae) / Antimicrobial potential and phytochemical investigation of stem bark extracts from Drimys brasiliensis Miers (Winteraceae)

Introdução: na área da saúde, a resistência aos antimicrobianos tem se constituído um grave problema, fazendo com que a busca por alternativas farmacológicas assuma grande importância. Produtos de origem natural, como extratos de plantas, têm sido pesquisados para uso potencial no tratamento antibacteriano. Drimys brasiliensis Miers (Winteraceae) é uma árvore nativa do Brasil que tem sido utilizada como medicinal. Objetivo: investigar o perfil fitoquímico e a atividade antimicrobiana de amostras obtidas a partir de extratos da casca do caule de Drimys brasiliensis. Metodologia: frações de características químicas variadas foram obtidas a partir de extratos da casca do caule da planta. Realizou-se o screening fitoquímico destas frações através de reações gerais de caracterização e cromatografia em camada delgada. As amostras foram testadas por difusão em ágar e por microdiluição contra bactérias Grampositivas e Gram-negativas e contra uma levedura. Resultados: o perfil fitoquímico mostrou diferenças entre as frações analisadas. Alcaloides foram detectados nas frações mais apolares. Taninos e flavonoides estavam presentes nas amostras mais polares e obtidas sem o uso de calor. As amostras com maior atividade antimicrobiana foram as obtidas com os solventes hexano e diclorometano, de características mais apolares. Destaca-se a atividade contra Bacillus cereus, Staphylococcus epidermidis, Staphylococcus aureus resistente à meticilina e Candida albicans. Conclusão: extratos da casca do caule de Drimys brasiliensis apresentam potencial ntimicrobiano, com destaque para as frações mais apolares contra bactérias gram positivas.

Introduction: in the health field, antimicrobial resistance has been a serious issue, making the search for pharmacological alternatives very important. Natural products, such as plant extracts, have been researched for potential use in antibacterial treatment. Drimys brasiliensis Miers (Winteraceae) is a tree native to Brazil that has been medicinally used. Objective: to investigate the phytochemical profile and antimicrobial activity of samples obtained from Drimys brasiliensis stem bark extracts. Methodology: fractions of different chemical characteristics were obtained from extracts of the stem bark. Phytochemical screening of these fractions was performed by general reactions and thin layer chromatography. Samples were tested by agar diffusion and microdilution against Gram-positive and Gram-negative bacteria and yeast. Results: the phytochemical profile showed differences between the analyzed fractions. Alkaloids were detected in the most nonpolar fractions. Tannins and flavonoids were present in the most polar samples and obtained without the use of heat. The samples with the highest antimicrobial activity were those obtained with hexane and dichloromethane solvents, which present the most nonpolar characteristics. We highlight the activity against Bacillus cereus, Staphylococcus epidermidis, Methicillin resistant Staphylococcus aureus and Candida albicans. Conclusion: Drimys brasiliensis stem bark extracts have antimicrobial potential, especially the most nonpolar fractions against gram positive bacteria.

Fotoexposição: Hábitos e Conhecimento de Estudantes de Medicina / Sun Exposure: Habits and Knowledge of Undergraduate Medical Students

Introdução: é conhecimento básico na formação médica que a radiação ultravioleta pode provocar diversos danos à pele e que a fotoproteção é importante para evitar tais prejuízos. Essa informação deve ser aprofundada e discutida durante a graduação em qualquer área das ciências da saúde. Ainda, acredita-se que o impacto da informação deve resultar na aplicação do conhecimento na rotina de quem o recebe. Por isso, o trabalho buscou identificar em uma determinada instituição de ensino se alunos de medicina adquirem e tornam prático esse ensinamento. Objetivo: avaliar o conhecimento sobre exposição solar de alunos de medicina correlacionando com a aplicabilidade dessa informação nos seus hábitos. Material e Métodos: foi realizado um estudo descritivo transversal com 207 estudantes do Curso de Medicina da Universidade de Passo Fundo - RS - de julho a dezembro de 2016. Os dados foram obtidos através de questionário padronizado autoaplicativo. Resultados: 93,6% dos alunos entrevistados responderam que já haviam recebido instruções sobre fotoproteção. 84,4% já haviam cursado a disciplina de dermatologia e, desses, 77,3% já haviam atendido pacientes com câncer de pele. Porém, 29,6% de todos os alunos entrevistados relataram utilizar protetor solar diariamente. Conclusão: os dados apontam que os estudantes avaliados sabem que a exposição solar inadequada tem por consequência efeitos nocivos sobre a pele, porém não apresentam o hábito de fotoproteção. O conhecimento está presente, porém não é aplicado.(AU)

Introduction: It is basic knowledge in medical training that ultraviolet radiation can cause extensive damage to the skin and that sun protection is important to avoid such damages. This information should be deepened and discussed among undergraduate students in any field of health sciences. In addition, it is believed that the impact of information should result in the application of knowledge in the routine of who receives it. Therefore, this work aimed to identify whether medical students of a given educational institution have acquired this information and put it into practice. Objective: To evaluate the knowledge of medical students about sun exposure correlating it with the applicability of this information in their routine. Material and Methods: This was a crosssectional, descriptive study was carried out with 207 students attending Medical School at the University of Passo Fundo - RS - from July to December 2016. The data were obtained through a standardized self-applicable questionnaire. Results: 93.6% of students said they had received instruction on photoprotection; 84.4% had already attended the dermatology course, of which 77.3% had been in contact with skin cancer patients. However, only 29.6% of all students interviewed reported using sunscreen daily. Conclusion: The results showed that the surveyed students know that inadequate sun exposure has harmful effects on the skin, but do not have the habit of photoprotection. Knowledge is present but it is not applied. (AU)

Biological activity of Diaporthe terebinthifolii extracts against Phyllosticta citricarpa.

Citrus black spot disease, caused by the phytopathogen Phyllosticta citricarpa, depreciates the market value of citrus fruits and prevents their exportation to disease-free regions. It may also reduce the productivity of citrus fruit orchards. To identify an alternative to conventional disease control measures, isolates of Diaporthe terebinthifolii, active against P. citricarpa, were selected from an endophytic fungal population of Schinus terebinthifolia leaves. Different culture media were screened to identify the culture medium that afforded the most efficient production of biologically active extracts. A particular fraction (fraction VI) of the extract completely protected orange leaves by inhibiting the germination of P. citricarpa conidia with a minimum inhibitory concentration of 0.003 µg.mL-1. The active constituents in D. terebinthifolii extract fractions were identified by gas chromatography coupled to mass spectrometry as verbanol, phenylethyl alcohol, verbenyl acetate and methyl hexadecanoate. The results obtained strongly suggest the existence of a synergistic effect among the metabolites produced. Thus, these fungal metabolites could be used to control the CBS disease. As the asexual spores of P. citricarpa play an important role in fruit lesion development and disease dispersion, fungal extracts that inhibit the spore germination can be used as an effective alternative for directional disease control.

Estudo in vitro sobre a efetividade de desinfetantes na limpeza de cones de guta-percha

ntrodução: para se obter um tratamento endodôntico de sucesso, várias etapas devem ser seguidas. Igual-mente, um rigoroso esquema para máxima redução dos microrganismos presentes deve ser seguido bem como para sua não introdução. O material obturador de canais mais utilizado mundialmente, a guta-percha, por não poder ser esterilizada, deve ser desinfetada para que não haja a recontaminação do conduto radicular. Objetivo: avaliar a capacidade biocida de três soluções: hipoclorito de sódio a 5,25%, clorexidina a 2% e ácido peracético a 0,2%, em um período de tempo de um minuto, em cones de guta-percha previamente contaminados com Enterococcus faecalis. Materiais e método: foram utilizados oitenta cones, divididos em quatro grupos igualmente (n = 10). Em cada grupo, foi utilizada uma solução desinfetante, exceto no grupo um, no qual foi realizada apenas uma lavagem com água destilada estéril. Resultados: os resultados dessa avaliação indicaram que as soluções de ácido peracético e clorexidina foram 100% eficazes, enquanto que o hipoclorito alcançou 95% de efetividade. A água destilada foi completamente ineficaz. Conclusão: todos os desinfetantes testados nesta pesquisa foram efetivos na descontaminação rápida de cones de guta-percha.

Influence of Culturing Conditions on Bioprospecting and the Antimicrobial Potential of Endophytic Fungi from Schinus terebinthifolius.

In this study, we analyzed the antimicrobial activity of extracts harvested from 17 endophytic fungi isolated from the medicinal plant Schinus terebinthifolius. Morphological and molecular analyses indicated that these fungal species belonged to the genera Alternaria, Bjerkandera, Colletotrichum, Diaporthe, Penicillium, and Xylaria. Of the endophytes analyzed, 64.7 % produced antimicrobial compounds under at least one of the fermentation conditions tested. Nine isolates produced compounds that inhibited growth of Staphylococcus aureus, four produced compounds that inhibited Candida albicans, and two that inhibited Pseudomonas aeruginosa. The fermentation conditions of the following endophytes were optimized: Alternaria sp. Sect. Alternata-LGMF626, Xylaria sp.-LGMF673, and Bjerkandera sp.-LGMF713. Specifically, the carbon and nitrogen sources, initial pH, temperature, and length of incubation were varied. In general, production of antimicrobial compounds was greatest when galactose was used as a carbon source, and acidification of the growth medium enhanced the production of compounds that inhibited C. albicans. Upon large-scale fermentation, Alternaria sp. Sect. Alternata-LGMF626 produced an extract containing two fractions that were active against methicillin-resistant S. aureus. One of the extracts exhibited high activity (minimum inhibitory concentration of 18.52 µg/mL), and the other exhibited moderate activity (minimum inhibitory concentration of 55.55 µg/mL). The compounds E-2-hexyl-cinnamaldehyde and two compounds of the pyrrolopyrazine alkaloids class were identified in the active fractions by gas chromatography-mass spectrometry.

Phytochemical profile and antimicrobial properties of Lotus spp. (Fabaceae).

The phytochemical profile and antimicrobial activity of cultivar (cv.) extracts of Lotus uliginosus (cvs. Trojan and Serrano), L. tenuis (cv. Larrañaga) and L. corniculatus (cv. São Gabriel) were investigated. The phytochemical analysis revealed tannins, coumarins and flavonoids in all extracts, with variations among cultivars, showing genotypic variability. By High Performance Liquid Chromatographic method, the cvs. Larrañaga and São Gabriel showed the highest percentage of catechin and epicatechin, respectively, and presented rutin, which was not detected in the other ones. These genotypes showed antifungal activity but not antibacterial one. The cv. Larrañaga inhibited the mycelia growth of Alternaria sp. and Fusarium graminearum while the cv. São Gabriel was active only against Alternaria sp. The cultivars showed the greatest amounts of secondary metabolites and demonstrated significant activity against filamentous fungi. The results provide a direction for further research about pharmacological use of Lotus spp.

Antiadherent activity of Schinus terebinthifolius and Croton urucurana extracts on in vitro biofilm formation of Candida albicans and Streptococcus mutans.

OBJECTIVE: To evaluate the antiadherent property of crude, methanol and acetate methanol extract fractions from Schinus terebinthifolius and Croton urucurana in hydroalcoholic (HA) and dimethylsulfoxide (DMSO) solvents on in vitro biofilms formed by Streptococcus mutans and Candida albicans strains. DESIGN: The minimal concentration of adherence (MICA) was determined to evaluate the antiadherent potential of extracts on the in vitro biofilm formation. The extracts of plants were subjected to thin layer chromatography (TLC) in order to detect what class of compounds was responsible for the antiadherent activity. Data were estimated by analysis of variance (ANOVA) complemented by Tukey test level of significance set at 5%. RESULTS: Both plants demonstrated inhibition of S. mutans and C. albicans on in vitro biofilm formation. The biofilms of C. albicans were more efficiently inhibited by the S. terebinthifolius fraction of acetate-methanol and methanol in hydroalcoholic solvents (p<0.05). The S. mutans biofilms adherence was best inhibited by the S. terebinthifolius crude extract and its methanolic fraction, both in hydroalcoholic solvent (p<0.05). TLC of crude extracts and fractions of S. terebinthifolius detected the presence of several active compounds, including phenolic compounds, anthraquinones, terpenoids, and alkaloids. C. urucurana extracts confirmed activity for both microorganisms (p<0.05). However, higher concentrations were needed to achieve antiadherent activity, mainly to inhibit in vitro biofilm formation of C. albicans. CONCLUSION: The antiadherent potential of both plants on in vitro biofilms formed by C. albicans and S. mutans were confirmed, suggesting the importance of studies about these extracts for therapeutic prevention of oral diseases associated with oral biofilms.

Proteinase activity in latex of three plants of the family Euphorbiaceae

In the family of Euphorbiaceae, the genera Euphorbia and Sapium are known to contain essentially latex-bearing species. In the present study, the latex of Euphorbia selloi (Klotzsch & Garcke) Boiss., Euphorbia papillosa A.St.-Hil., and Sapium glandulosum (L.) Morong, plants native from Brazil, were examined concerning proteolytic activity. All studied species have proteins with significant proteolytic activity and E. papillosa has the greatest specific activity. Aiming to verify the type of protease present, an assay with different inhibitors was performed. In the three tested plants, the proteolytic activity was significantly inhibited by a serine protease inhibitor 4-(2-aminoethyl)-benzenesulfonyl fluoride hydrochloride (AEBSF). Using techniques of electrophoresis with polyacrylamide gels (SDS-PAGE), the subunits of proteins were separated according to their molecular masses, and the protein activity was visually detected by zymography.

Dentro da família Euphorbiaceae, os gêneros Euphorbia e Sapium são conhecidos por incluírem basicamente espécies produtoras de látex. No presente estudo, o látex das plantas Euphorbia selloi (Klotzsch & Garcke) Boiss., Euphorbia papillosa A.St.-Hil. e Sapium glandulosum (L.) Morong, espécies nativas do Brasil, foi analisado em relação à atividade proteolítica. Todas as amostras analisadas possuem proteínas com significativa atividade, sendo que o látex da espécie E. papillosa apresenta a maior atividade específica. Com o objetivo de analisar quais os tipos de proteases responsáveis pela atividade proteolítica, realizaram-se ensaios com diferentes inibidores. Nas três plantas testadas a atividade foi inibida significativamente pelo cloridrato de 4-(fluoreto de 2-aminoetilbenzenossulfonil) (AEBSF), um inibidor de serino-proteases. Utilizando técnicas de eletroforese em gel de poliacrilamida (SDS-PAGE), as subunidades das proteínas foram separadas de acordo com sua massa molecular e, através da zimografia, a atividade proteolítica pode ser detectada visualmente.