Acute death of kangaroos in a zoo due to highly pathogenic Corynebacterium pseudotuberculosis and Yersinia pseudotuberculosis

Background: “Lumpy jaw” is disease effecting wallabies and kangaroos, particularly in Macropus rufus and Macropusgiganteus. In the most serious situations, additional tooth loss and fistulas follow, accompanied by a stench, weight loss,and eventually death due to sepsis or blood poisoning. “Lumpy jaw” disease has seriously affected the normal display andhealth of kangaroos, and cause a huge economic loss. There was an outbreak of jaw infection in kangaroos at the HongshanForest Zoo. Two Macropus giganteus and two Macropus rufus died of “lumpy jaw”. The main objective of the describingcase was to isolate pathogens, provide a basis for follow-up treatment, and serve to establish a disease prevention protocol.Case: Four grown-up kangaroos (two Macropus giganteus and two Macropus rufus) were raised in Hongshan Forest Zoo,which had obviously clinical symptoms, such as oral lesions of pus, necrotic tissue, rotting teeth, then died of “lumpyjaw”. Oral swab samples were collected from the lesion sites of the dying kangaroos. Mice experiments were conducted toexamine the pathogenicity of the strains. Tests of antimicrobial susceptibity were performed to prescribe with better drugtreatments for kangaroos. Corynebacterium pseudotuberculosis and Yersinia pseudotuberculosis were identified based onmorphology, culture characteristics and biochemical tests. Corynebacterium pseudotuberculosis (G+) in Sucrose, Mannitol,Lactose, Maltose, Glucose tubes were positive, that acids and gases both production, in Gelatin liquefaction, Indol test,MR were positive, that only acids production, others were negative; Yersinia pseudotuberculosis (G-) in Urea, MR werepositive, that only acids production, others were negative.The infected mice presented with gum erosion or ulcers whenthe two pathogens were injected subcutaneous at the oral regional by 2-3 point at 0.2 mL of individual strains 1.0×109CFU/mouse...(AU)

Acute death of kangaroos in a zoo due to highly pathogenic Corynebacterium pseudotuberculosis and Yersinia pseudotuberculosis

Background: “Lumpy jaw” is disease effecting wallabies and kangaroos, particularly in Macropus rufus and Macropusgiganteus. In the most serious situations, additional tooth loss and fistulas follow, accompanied by a stench, weight loss,and eventually death due to sepsis or blood poisoning. “Lumpy jaw” disease has seriously affected the normal display andhealth of kangaroos, and cause a huge economic loss. There was an outbreak of jaw infection in kangaroos at the HongshanForest Zoo. Two Macropus giganteus and two Macropus rufus died of “lumpy jaw”. The main objective of the describingcase was to isolate pathogens, provide a basis for follow-up treatment, and serve to establish a disease prevention protocol.Case: Four grown-up kangaroos (two Macropus giganteus and two Macropus rufus) were raised in Hongshan Forest Zoo,which had obviously clinical symptoms, such as oral lesions of pus, necrotic tissue, rotting teeth, then died of “lumpyjaw”. Oral swab samples were collected from the lesion sites of the dying kangaroos. Mice experiments were conducted toexamine the pathogenicity of the strains. Tests of antimicrobial susceptibity were performed to prescribe with better drugtreatments for kangaroos. Corynebacterium pseudotuberculosis and Yersinia pseudotuberculosis were identified based onmorphology, culture characteristics and biochemical tests. Corynebacterium pseudotuberculosis (G+) in Sucrose, Mannitol,Lactose, Maltose, Glucose tubes were positive, that acids and gases both production, in Gelatin liquefaction, Indol test,MR were positive, that only acids production, others were negative; Yersinia pseudotuberculosis (G-) in Urea, MR werepositive, that only acids production, others were negative.The infected mice presented with gum erosion or ulcers whenthe two pathogens were injected subcutaneous at the oral regional by 2-3 point at 0.2 mL of individual strains 1.0×109CFU/mouse...

Survival outcome among patients with Ewing's sarcoma of bones and joints: a population-based cohort study

ABSTRACT BACKGROUND: The aim here was to elucidate the current survival condition of patients diagnosed with Ewing's sarcoma of the bones and joints and determine independent risk factors associated with the prognosis. DESIGN AND SETTING: Retrospective cohort study based on the Surveillance, Epidemiology and End Results (SEER) database in the United States. METHODS: We identified 397 patients who were diagnosed with Ewing's sarcoma of the bones and joints between January 2004 and December 2013. The multivariate Cox proportional hazards model was used to determine factors associated with the risk of death by adjusting for various factors. RESULTS: The one, two and five-year disease-specific survival rates were 89.08%, 78.08% and 62.47%, respectively. The factors related to death were age (≥ 18 years versus < 18 years; hazard ratio, HR = 1.77; 95% confidence interval, CI: 1.38-2.31); tumor site (extremity versus spine and pelvis; HR = 2.03; 95% CI: 1.31-2.62); tumor size (> 10 cm versus ≤ 10 cm; HR = 1.78; 95% CI: 1.34-2.56); and type of treatment (surgery alone versus radiotherapy with surgery; HR = 0.51; 95% CI: 0.38-0.89; or radiotherapy alone versus radiotherapy with surgery; HR = 1.61; 95% CI: 1.10-2.39; or no treatment versus radiotherapy with surgery; HR = 1.86; 95% CI: 1.23, 2.58). CONCLUSIONS: Patients with Ewing's sarcoma showed poor survival in situations of age ≥ 18 years, tumor size > 10 cm, receiving radiotherapy alone and receiving no treatment. Patients undergoing surgery alone had better survival.

Report of a rare case and review of adult intestinal duplication at the opposite side of mesenteric margin

ABSTRACT CONTEXT: To study the previously discovered clinical entity of adult intestinal duplication and its treatment, and propose an extension to its existing classification. CASE REPORT: We report the case of an adult male with abdominal pain, constipation and vomiting. This patient underwent surgical separation of adhesions, reduction of torsion and intestinal decompression. Postoperative pathological findings confirmed the rare diagnosis of intestinal duplication. CONCLUSION: Adult intestinal duplication is quite rare. Its clinical manifestations are nonspecific. From this finding of intestinal duplication originating at the opposite side of the mesenteric margin, a further extension of the existing anatomical classification is proposed.

Report of a rare case and review of adult intestinal duplication at the opposite side of mesenteric margin.

CONTEXT: To study the previously discovered clinical entity of adult intestinal duplication and its treatment, and propose an extension to its existing classification. CASE REPORT: We report the case of an adult male with abdominal pain, constipation and vomiting. This patient underwent surgical separation of adhesions, reduction of torsion and intestinal decompression. Postoperative pathological findings confirmed the rare diagnosis of intestinal duplication. CONCLUSION: Adult intestinal duplication is quite rare. Its clinical manifestations are nonspecific. From this finding of intestinal duplication originating at the opposite side of the mesenteric margin, a further extension of the existing anatomical classification is proposed.

Survival outcome among patients with Ewing's sarcoma of bones and joints: a population-based cohort study.

BACKGROUND: The aim here was to elucidate the current survival condition of patients diagnosed with Ewing's sarcoma of the bones and joints and determine independent risk factors associated with the prognosis. DESIGN AND SETTING: Retrospective cohort study based on the Surveillance, Epidemiology and End Results (SEER) database in the United States. METHODS: We identified 397 patients who were diagnosed with Ewing's sarcoma of the bones and joints between January 2004 and December 2013. The multivariate Cox proportional hazards model was used to determine factors associated with the risk of death by adjusting for various factors. RESULTS: The one, two and five-year disease-specific survival rates were 89.08%, 78.08% and 62.47%, respectively. The factors related to death were age (≥ 18 years versus < 18 years; hazard ratio, HR = 1.77; 95% confidence interval, CI: 1.38-2.31); tumor site (extremity versus spine and pelvis; HR = 2.03; 95% CI: 1.31-2.62); tumor size (> 10 cm versus ≤ 10 cm; HR = 1.78; 95% CI: 1.34-2.56); and type of treatment (surgery alone versus radiotherapy with surgery; HR = 0.51; 95% CI: 0.38-0.89; or radiotherapy alone versus radiotherapy with surgery; HR = 1.61; 95% CI: 1.10-2.39; or no treatment versus radiotherapy with surgery; HR = 1.86; 95% CI: 1.23, 2.58). CONCLUSIONS: Patients with Ewing's sarcoma showed poor survival in situations of age ≥ 18 years, tumor size > 10 cm, receiving radiotherapy alone and receiving no treatment. Patients undergoing surgery alone had better survival.