Acute aflatoxicosis outbreak in rheas (Rhea americana) in Brazil: Case report.

Aflatoxins are mycotoxins capable of contaminating food, and can cause toxic effects, teratogenicity, mutagenicity, carcinogenicity, and immune system depression. The presence of fungi which produce this metabolite in ingredients that compose the animal feed increased the risk of the emergence of aflatoxicosis. The objective of this study was to report an aflatoxicosis outbreak in rheas (Rhea americana) from a farm in Teresina, PI, Brazil, fed with commercial feed. After the deaths of four animals, epidemiological data were collected and complementary examinations were performed, including necropsy, histopathology, parasitology, blood culture, in addition to the analysis of the presence of toxins in the birds' feed. The diagnosis was based on the acute clinical signs, necropsy findings, which included carcass jaundice, an oedematous, yellowish, friable liver of increased size, and histopathological findings of moderate to severe congestion in all organs. The parasitological and microbiological tests performed were negative, not indicating systemic infectious causes. The analysis of the presence of mycotoxins revealed the existence of Aflatoxins B1, B2 and G1 in the commercial feed supplied, constituting a total of 66.89 µg/kg. This amount of aflatoxin exceeds the maximum level allowed by the Brazilian legislation. To our knowledge this is the first report of aflatoxicosis in rheas, and emphasizes the importance of the diagnosis, control, and prevention of mycotoxins in the quality of food provided to animals kept ex situ.

Epidemiologia de micoses, pitiose e micotoxicoses em equinos no sudeste do Rio Grande do Sul / Epidemiology of mycoses, pitiosis and micotoxicosis in horses in southeastern Rio Grande do Sul, Brazil

Descrevem-se os aspectos epidemiológicos das doenças causadas por fungos e oomicetos na população de equinos na região sudeste do Rio Grande do Sul, estabelecendo as taxas epidemiológicas, suas causas e sua importância sanitária na região. Foi realizada a epidemiologia descritiva por meio do cálculo da incidência das doenças encontradas ao longo dos anos e verificada a existência de associação entre a ocorrência dessas enfermidades e o sexo, a raça e a estação do ano. Entre os anos de 1978 e 2014 a pitiose teve prevalência de 49,71% (86/173), as micotoxicoses 30,05% (52/173), sendo 45 casos de leucoencefalomalácia e sete de ergotismo. As micoses tiveram prevalência de 19,65% (34/173), sendo as dermatofitoses as mais prevalentes com 58,82% (20/34) dos casos. As espécies de dermatófitos mais frequentemente isoladas foram Trichophyton mentagrophytes 60% (12/20), Trichophyton equinum 25% (5/20) e Microsporum gypseum, Microsporum canis e Trichophyton verrucosum ambos responsáveis por 5% (1/20) das infecções. Rinosporidiose foi diagnosticada em 35,29% (12/34) dos casos. Micoses uterinas causadas por Candida albicans e Cryptococcus laurentii foram observadas em 5,88% (2/34) dos casos. Alergia por Cladosporium sp. teve um registro. De acordo com as incidências calculadas entre 1990 e 2014 a pitiose teve incidência mediana (IM) 2,98 e distância interquartil (DI) =3,82, as fêmeas tiveram chance 4,18 vezes maiores de desenvolver a doença, a enfermidade ocorre independente das estações climáticas. A leucoencefalomalácia teve IM=0,0; DI 1,00 e equinos machos tiveram 3,4 vezes mais chance de desenvolver a doença que fêmeas, no inverno a possibilidade de ocorrência dessa enfermidade foi seis vezes maior. O ergotismo teve IM = 0,00; DI = 0,000, rinosporidiose IM=0,00; DI=0,088 e dermatofitose IM=0,00; DI=0,935. A pitiose foi mais prevalente entre as doenças encontradas, podendo ser considerada endêmica na região. Considera-se que a magnitude das doenças possa ser ainda maior dentro do rebanho equino, uma vez que as doenças descritas não são de notificação obrigatória e algumas são bem conhecidas por veterinários e proprietários, que muitas vezes não fazem a confirmação laboratorial do diagnóstico.(AU)

The epidemiological aspects of diseases caused by fungi and oomycetes in horses in southeastern Rio Grande do Sul, Brazil, is described. The epidemiological rates, their causes, and health importance in the region were established. A descriptive epidemiology study was carried out in relation of potential risk factors. The impact on these diseases in the region was measured. From 1978 to 2014, pythiosis had a prevalence of 49.71% (86/173), and mycotoxicoses of 30.05% (52/173), with 45 cases of leukoencephalomalacia and 7 of ergotism. The prevalence of fungal infections was 19.65% (34/173) of cases. Dermatophytosis was the most prevalent fungal infection with 58.82% (20/34) of cases. The most isolated dermatophyte species were Trichophyton mentagrophytes 60% (12/20), Trichophyton equinum 25% (5/20) and Microsporum gypseum, Microsporum canis, and Trichophyton verrucosum, both responsible for 5% (1/20) of infections. Rhinosporidose was diagnosed in 35.29% (12/34) of cases. Uterine mycosis caused by Candida albicans and Cryptococcus laurentii was observed at 5.88% (2/34) of cases. Cladosporium sp. allergy was noted in one record. According to the incidence from 1990 to 2014, pythiosis had median incidence (MI) of 2.98 and interquartile range (DI) of 3.82. Mares were 4.18 times likely to develop the disease then males. The disease occurs in the region in every season. Leukoencephalomalacia had MI of 0.0; DI 1.00 and male horses were 3.4 times more likely than mares to develop the disease. Leukoencephalomalacia was 6 times more likely to occur during winter. Ergotism had MI of 0.00; DI of 0.000, rhinosporidiosis MI of 0.00, DI of 0.088 and ringworm MI of 0.00, and DI of 0.935. In the study pythiosis had the highest prevalence among the diseases observed, and may be considered endemic in the region. The magnitude of the diseases observed may be even greater within the equine herd, since these diseases are not of obligatory notification and some are well known by veterinarians and owners, who often do not obtain a laboratory confirmation of the diagnosis.(AU)

Epidemiologia de micoses, pitiose e micotoxicoses em equinos no sudeste do Rio Grande do Sul / Epidemiology of mycoses, pitiosis and micotoxicosis in horses in southeastern Rio Grande do Sul, Brazil

Descrevem-se os aspectos epidemiológicos das doenças causadas por fungos e oomicetos na população de equinos na região sudeste do Rio Grande do Sul, estabelecendo as taxas epidemiológicas, suas causas e sua importância sanitária na região. Foi realizada a epidemiologia descritiva por meio do cálculo da incidência das doenças encontradas ao longo dos anos e verificada a existência de associação entre a ocorrência dessas enfermidades e o sexo, a raça e a estação do ano. Entre os anos de 1978 e 2014 a pitiose teve prevalência de 49,71% (86/173), as micotoxicoses 30,05% (52/173), sendo 45 casos de leucoencefalomalácia e sete de ergotismo. As micoses tiveram prevalência de 19,65% (34/173), sendo as dermatofitoses as mais prevalentes com 58,82% (20/34) dos casos. As espécies de dermatófitos mais frequentemente isoladas foram Trichophyton mentagrophytes 60% (12/20), Trichophyton equinum 25% (5/20) e Microsporum gypseum, Microsporum canis e Trichophyton verrucosum ambos responsáveis por 5% (1/20) das infecções. Rinosporidiose foi diagnosticada em 35,29% (12/34) dos casos. Micoses uterinas causadas por Candida albicans e Cryptococcus laurentii foram observadas em 5,88% (2/34) dos casos. Alergia por Cladosporium sp. teve um registro. De acordo com as incidências calculadas entre 1990 e 2014 a pitiose teve incidência mediana (IM) 2,98 e distância interquartil (DI) =3,82, as fêmeas tiveram chance 4,18 vezes maiores de desenvolver a doença, a enfermidade ocorre independente das estações climáticas. A leucoencefalomalácia teve IM=0,0; DI 1,00 e equinos machos tiveram 3,4 vezes mais chance de desenvolver a doença que fêmeas, no inverno a possibilidade de ocorrência dessa enfermidade foi seis vezes maior. O ergotismo teve IM = 0,00; DI = 0,000, rinosporidiose IM=0,00; DI=0,088 e dermatofitose IM=0,00; DI=0,935. A pitiose foi mais prevalente entre as doenças encontradas, podendo ser considerada endêmica na região. Considera-se que a magnitude das doenças possa ser ainda maior dentro do rebanho equino, uma vez que as doenças descritas não são de notificação obrigatória e algumas são bem conhecidas por veterinários e proprietários, que muitas vezes não fazem a confirmação laboratorial do diagnóstico.(AU)

The epidemiological aspects of diseases caused by fungi and oomycetes in horses in southeastern Rio Grande do Sul, Brazil, is described. The epidemiological rates, their causes, and health importance in the region were established. A descriptive epidemiology study was carried out in relation of potential risk factors. The impact on these diseases in the region was measured. From 1978 to 2014, pythiosis had a prevalence of 49.71% (86/173), and mycotoxicoses of 30.05% (52/173), with 45 cases of leukoencephalomalacia and 7 of ergotism. The prevalence of fungal infections was 19.65% (34/173) of cases. Dermatophytosis was the most prevalent fungal infection with 58.82% (20/34) of cases. The most isolated dermatophyte species were Trichophyton mentagrophytes 60% (12/20), Trichophyton equinum 25% (5/20) and Microsporum gypseum, Microsporum canis, and Trichophyton verrucosum, both responsible for 5% (1/20) of infections. Rhinosporidose was diagnosed in 35.29% (12/34) of cases. Uterine mycosis caused by Candida albicans and Cryptococcus laurentii was observed at 5.88% (2/34) of cases. Cladosporium sp. allergy was noted in one record. According to the incidence from 1990 to 2014, pythiosis had median incidence (MI) of 2.98 and interquartile range (DI) of 3.82. Mares were 4.18 times likely to develop the disease then males. The disease occurs in the region in every season. Leukoencephalomalacia had MI of 0.0; DI 1.00 and male horses were 3.4 times more likely than mares to develop the disease. Leukoencephalomalacia was 6 times more likely to occur during winter. Ergotism had MI of 0.00; DI of 0.000, rhinosporidiosis MI of 0.00, DI of 0.088 and ringworm MI of 0.00, and DI of 0.935. In the study pythiosis had the highest prevalence among the diseases observed, and may be considered endemic in the region. The magnitude of the diseases observed may be even greater within the equine herd, since these diseases are not of obligatory notification and some are well known by veterinarians and owners, who often do not obtain a laboratory confirmation of the diagnosis.(AU)

Intoxicação por antibióticos ionóforos e leucoencefalomalácia concomitantes pelo consumo de ração comercial contaminada em equinos / Concurrent ionophore poisoning and leukoencephalomalacia by consumption of contaminated commercial ration in horses

Background: Equidae nutritional change increased the frequency of diseases due to inappropriate administration and storage of rations. Although there are reports of ionophore poisoning (IP) and leukoencephalomalacia (LEM) in equidae from Brazil, the concurrent occurrence of both diseases by the same contaminated commercial ration is unprecedented. Therefore, the present paper aims to describe the epidemiological, clinical, laboratorial and pathological findings of concurrent IP and LEM outbreaks in horses.Cases: Eleven farmers from seven different locations in Distrito Federal, Midwestern Brazil, reported sudden clinical signs in 27 horses after the ingestion of commercial pelleted ration. During the farm visits, it was found that the ration brand and batches were identical, and macroscopic evaluation revealed no abnormalities. Eight horses were clinically evaluated and presented hyporexia, apathy, hypermetria, ataxia, dehydration, dyspnea, tongue hypotonia, muscle tremors, tachycardia, facial hypoalgesia, dysphagia, and sporadic or permanent recumbence. Laboratorial changes were restricted to creatine phosphokinase (mean: 1,573.4 ± 16.9 IU/L) and gammaglutamyl transferase (mean: 34.85 ± 29.14 IU/L) serum increases. Pathological evaluation has performed in eight horses presenting pallor and whitish striations in the gluteal, longissimus dorsi, femoral quadriceps muscles and myocardium, varying from mild to moderate. One horse also showed a soft and yellowish focal area on the right temporal lobe white matter. Microscopically, alterations in skeletal and cardiac muscle tissues included striated muscle fibers and cardiomyocytes segmental necrosis, characterized by sarcoplasmic fragmentation with clusters of eosinophilic debris, cellular retraction and hypereosinophilia. Histological alterations in the central nervous system of one horse were characteristic of LEM.[...](AU)

Intoxicação por antibióticos ionóforos e leucoencefalomalácia concomitantes pelo consumo de ração comercial contaminada em equinos / Concurrent ionophore poisoning and leukoencephalomalacia by consumption of contaminated commercial ration in horses

Background: Equidae nutritional change increased the frequency of diseases due to inappropriate administration and storage of rations. Although there are reports of ionophore poisoning (IP) and leukoencephalomalacia (LEM) in equidae from Brazil, the concurrent occurrence of both diseases by the same contaminated commercial ration is unprecedented. Therefore, the present paper aims to describe the epidemiological, clinical, laboratorial and pathological findings of concurrent IP and LEM outbreaks in horses.Cases: Eleven farmers from seven different locations in Distrito Federal, Midwestern Brazil, reported sudden clinical signs in 27 horses after the ingestion of commercial pelleted ration. During the farm visits, it was found that the ration brand and batches were identical, and macroscopic evaluation revealed no abnormalities. Eight horses were clinically evaluated and presented hyporexia, apathy, hypermetria, ataxia, dehydration, dyspnea, tongue hypotonia, muscle tremors, tachycardia, facial hypoalgesia, dysphagia, and sporadic or permanent recumbence. Laboratorial changes were restricted to creatine phosphokinase (mean: 1,573.4 ± 16.9 IU/L) and gammaglutamyl transferase (mean: 34.85 ± 29.14 IU/L) serum increases. Pathological evaluation has performed in eight horses presenting pallor and whitish striations in the gluteal, longissimus dorsi, femoral quadriceps muscles and myocardium, varying from mild to moderate. One horse also showed a soft and yellowish focal area on the right temporal lobe white matter. Microscopically, alterations in skeletal and cardiac muscle tissues included striated muscle fibers and cardiomyocytes segmental necrosis, characterized by sarcoplasmic fragmentation with clusters of eosinophilic debris, cellular retraction and hypereosinophilia. Histological alterations in the central nervous system of one horse were characteristic of LEM.[...]

Hepatotoxicidad por Amanita lilloi, reporte de primeros casos / Amanita lilloi hepatotoxicity, first cases report

Se presentan dos casos clínicos de intoxicación por A. lilloi, hongos silvestres, que fueron recolectados por quienes los consumieron. Ambas pacientes desarrollaron sintomatología digestiva y evolucionaron a la falla hepática. La consulta tardía retrasó el diagnóstico y el tratamiento, pero igualmente la evolución de ambas pacientes fue favorable.

Two clinical cases of poisoning A. lilloi, wild mushrooms, which were collected by those who consumed themdebe, are presented. Both patients developed gastrointestinal symptoms and progressed to liver failure. The late consultation delayed diagnosis and treatment, but nevertheless the evolution of both patients was favorable.

Plant poisonings in livestock in Brazil and South Africa.

Information on intoxication of livestock by plants in Brazil, in terms of cause, clinical signs and pathology, is compared with information on livestock poisoning by plants in South Africa. Plant poisoning, including mycotoxicosis, is considered to be one of three major causes of death in livestock in Brazil, which is one of the top beef producing countries in the world, with a cattle population of more than 200 million. Cattle production in South Africa is on a more modest scale, but with some 600 species of plants and fungi known to cause toxicity in livestock, as opposed to some 130 species in Brazil, the risk to livestock in South Africa appears to be much greater. The comparisons discussed in this communication are largely restricted to ruminants.

Mycotoxicoses in children.

Mycotoxicoses are acute and chronic poisonings caused by mould toxins called mycotoxins. Although acute mycotoxicoses, caused by high mycotoxin levels in food are rare nowadays, they need to be described in order to inform physicians and other health care workers about their symptoms. Children are more sensitive to mycotoxins because of their lower body mass, higher metabolic rate, and underdeveloped organ functions and detoxication mechanisms. Some mycotoxicoses appear only in children, and some are more pronounced in children than in adults. Acute mycotoxicoses in children are reported poorly, mostly because they occur in the tropical regions with poor healthcare coverage. In developed countries healthcare authorities are more concerned about child exposure to low levels of mycotoxins with immunotoxic, genotoxic or carcinogenic properties.

Mycotoxicoses of ruminants and horses.

In the current study, mycotoxicoses of ruminants and horses are reviewed, with an emphasis on the occurrence of these diseases in South America. The main mycotoxicoses observed in grazing cattle include intoxications by indole-diterpenoid mycotoxins (Paspalum spp. contaminated by Claviceps paspali, Lolium perenne infected by Neotyphodium lolii, Cynodon dactylon infected by Claviceps cynodontis, and Poa huecu), gangrenous ergotism and dysthermic syndrome (hyperthermia) caused by Festuca arundinacea (syn. Festuca elatior) infected by Neotyphodium coenophialum (syn. Acremonium coenophialum), and photosensitization in pastures contaminated by toxigenic Pithomyces chartarum. Other mycotoxicoses in grazing cattle include slaframine toxicity in clover pastures infected by Rhizoctonia leguminicola and diplodiosis in cattle grazing in corn stubbles. The mycotoxicoses caused by contaminated concentrated food or byproducts in cattle include poisoning by toxins of Aspergillus clavatus, which contaminate barley or sugar beetroot by-products, gangrenous ergotism or dysthermic syndrome caused by wheat bran or wheat screenings contaminated with Claviceps purpurea, and acute respiratory distress caused by damaged sweet potatoes (Ipomoea batatas). The main mycotoxicosis of horses is leukoencephalomalacia caused by the fumonisins B1 and B2 produced by Fusarium spp. Poisoning by C. purpurea and F. elatior infected by N. coenophialum has also been reported as a cause of agalactia and neonatal mortality in mares. Slaframine toxicosis caused by the ingestion of alfalfa hay contaminated by R. leguminicola has also been reported in horses.

[Mycotoxin research in humans]. / Investigación del efecto de las micotoxinas en el ser humano.

This study investigates the occurrence of aflatoxins in Ecuador. Early investigators proved the presence of aflatoxins in human and animal food, but the disturbing data lead to the formation of two research teams at Guayaquil University and the Agrarian University of Ecuador to investigate aflaxotins and other mycotoxins in food and their relationship to human health. Because the concept of mycotoxicosis as a result of the secondary metabolites produced by different species of moulds could cause different clinical patterns, the research team includes Aspergillus metabolites found in the urine of a patient with pulmonary aspergilloma. We considered that the body itself could create secondary metabolites. An ELISA method was used to detect mycotoxins with the specific reactive compounds using a company base assay. This allows the detection quantitative of such metabolites in 24 h collected urine. The patient was treated with itraconazole for nine months, after clinical, radiological and aflatoxins testing. We also investigated three other cases in children with a second level of malnutrition and only with vomitoxins results and in three investigated cases of otomycosis caused by Aspergillus niger only in one case traces of aflatoxins were found.

Surto de aflatoxicose em suínos no Estado do Rio Grande do Sul / Swine aflatoxicosis outbreak in the state of Rio Grande do Sul, Brazil

Descreve-se um surto de aflatoxicose ocorrido no outono de 2004, em uma granja de suínos, no município de Sentinela do Sul, RS. O milho utilizado no arraçoamento dos animais e que causou a intoxicação, foi produzido e processado na propriedade. Morreram 7 porcas e 8 leitões, e foram relatados dois casos de aborto. Os sinais clínicos foram apatia, anorexia, icterícia, urina amarelada com sangue e fotossensibilização. A gama-glutamil transferase (GGT) e a bilirrubina total mostraram-se elevadas nos animais necropsiados. Os principais achados de necropsia incluíam icterícia generalizada, fígado amarelo-alaranjado, edema de parede da vesícula biliar e presença de líquido amarelado nas cavidades abdominal e pericárdica. As lesões microscópicas mais importantes foram encontradas no fígado e consistiam em tumefação, degeneração e necrose individual de hepatócitos, proliferação de ductos biliares e colestase. O diagnóstico foi baseado nos sinais clínicos, nos achados de necropsia e de histopatologia e nos níveis altos de aflatoxina B1 (milho 3140ppb, ração 4670ppb) encontrados no milho e na ração. (AU)

An outbreak of aflatoxicosis in a swine herd, which occurred in fall 2004 in the county of Sentinela do Sul, RS, is described. The corn, which contained the micotoxin and has been used to feed the animals, was produced and processed on the farm. Seven sows and 8 growing pigs died, and 2 cases of abortion were reported. The clinical signs observed were apathy, anorexia, icterus, yellowish urine stained with blood, and photosensitization. Gamma glutamyltransferase and total bilirubin were elevated in the 4 pigs on which post-mortem examination was done. The main macroscopic findings were generalized icterus, an orange-yellow liver, edema of the gall bladder wall and yellowish effusion in the abdominal and pericardial cavities. The most important microscopic changes were found in the liver and included tumefaction, degeneration and individual necrosis of the parenchyme, with ductal proliferation and cholestasis. The diagnosis was based on the clinical signs, macroscopic and histological findings and on the high levels of B1 aflatoxin found in the corn and ration. (AU)

Surto de aflatoxicose em suínos no Estado do Rio Grande do Sul / Swine aflatoxicosis outbreak in the state of Rio Grande do Sul, Brazil

Descreve-se um surto de aflatoxicose ocorrido no outono de 2004, em uma granja de suínos, no município de Sentinela do Sul, RS. O milho utilizado no arraçoamento dos animais e que causou a intoxicação, foi produzido e processado na propriedade. Morreram 7 porcas e 8 leitões, e foram relatados dois casos de aborto. Os sinais clínicos foram apatia, anorexia, icterícia, urina amarelada com sangue e fotossensibilização. A gama-glutamil transferase (GGT) e a bilirrubina total mostraram-se elevadas nos animais necropsiados. Os principais achados de necropsia incluíam icterícia generalizada, fígado amarelo-alaranjado, edema de parede da vesícula biliar e presença de líquido amarelado nas cavidades abdominal e pericárdica. As lesões microscópicas mais importantes foram encontradas no fígado e consistiam em tumefação, degeneração e necrose individual de hepatócitos, proliferação de ductos biliares e colestase. O diagnóstico foi baseado nos sinais clínicos, nos achados de necropsia e de histopatologia e nos níveis altos de aflatoxina B1 (milho 3140ppb, ração 4670ppb) encontrados no milho e na ração.

Intoxicación alimentaria por hongos silvestres (micetismo) / Food poisoning by fungi (micetism)

En el planeta existe una gran variedad de setas, muchas de ellas tóxicas e incluso mortales. La intoxicación alimentaria por la ingestión de hongos (micetismo) es un problema muy difundido cuyo diagnóstico se confunde o pasa inadvertido. Se señalan los estados de la República en donde el mecetismo se presenta con mayor frecuencia, se alude a su cuadro clínico, diagnóstico y tratamiento

Mycoflora of the toxic feeds associated with equine leukoencephalomalacia (ELEM) outbreaks in Brazil.

The mycoflora of 39 feed samples associated with 29 Equine Leukoencephalomalacia (ELEM) outbreaks was studied from 1988 to 1990, in Brazil. Microbiological examination indicated Fusarium spp. as the most frequent mold which occurred in 97.4% of samples followed by Penicillium spp. in 61.5% and Aspergillus spp. in 35.9%. The moisture content of feed implicated in death of horses was above 15% which can favor the development of Fusarium spp. From the genus, F. moniliforme was the predominant species with an occurrence of 82.0%. Two additional species, not commonly associated with animal toxicosis, were isolated in low frequency, F. proliferatum (12.8%) and F. subglutinans (2.6%). It is important to emphasize that the isolation of F. proliferatum and F. subglutinans from feed obtained from the epizootic areas has not been documented previously in Brazil.

Intoxicación por callampas venenosas en la IX región: rol de amanita gemmata / Intoxication by poisoning mushroom in the IX region: role of amanita gemmata

We report 4 episodes of mushroom poisoning that ocurred before 1986 and 1990 in the province of Malleco. 25 of 36 individuals who ingested the mushroom became ill; they had an acute gastroenteritis that was followed in 7 by an acute hepatitis and in 1 by a massive upper gastrointestinal bleeding. Three subjects with fulminant hepatic failure and the subject with the massive bleeding died. Amanita gemmata (strain described as toxic in Chile since 1967) was found in 2 episodes and Amanita sp in 1. The clinical picture is similar to that described for Amanita phaloides. The treatment is symptomatic but penicillin and silymarin may have an antitoxic action. The importance of warning the population about the existence of toxic mushrooms in Chile is emphasized

Tipificación de cepas de candida albicans por el método de toxinas killer / Typification of candida albicans by means of killer toxin method

En los últimos años se ha reconocido la importancia y la relevancia clínica de levaduras aisladas de muestras de pacientes. Candida albicans es la especie mayoritariamente responsanble de candidosis, de tipo oportunista. El aumento de infecciones por Candida ha llevado ha desarrollar métodos de marcaje epidemiológico para encontrar lor tipos más frecuentes. Se estudiaron 161 cepas de C. albicans aisladas de diferentes orígenes anatómicos, aplicando el método de tipificación por toxinas killer de Polonelli et.al (1983), encontrandose 48 tipos de killer. Los más frecuentes el 812, 111, 811 y 712. No huvo una asociación particular entre el tipo killer hallado y la región anatómica del cual proviene la muestra, según cuadro clínico. Sin embargo epidemiológicamente, en un caso de corioamnionitis y de fungemia fué posible establecer que las cepas aisladas en el primero de líquido amniótico y raspado uterino y en el segundo de los dos hemocultivos, correspondían a los tipos killer 812 y 811 respectivamente

Un caso especial de envenenamiento mortal, producido por hongos en el Estado de Veracruz / A special case of a mortal poisoning by mushrooms in the State of Veracruz, México

Se presenta un envenenamiento producido por Amanita virosa Lam. ex Secr. en una familia de la región de Las Minas, Municipio de Villa Aldama, Veracruz. Los hongos los comieron el padre, la esposa, sus cuatro niños y dos abuelos, pero solamente tuvieron intoxicación hepática mortal dos niños de 8 y 10 años de edad, respectivamente, no así los otros niños y los adultos que solamente tuvieron una leve intoxicación y se recueraron ocho días después. Se sospecha que A. virosa se mezcló con hongos comestibles, todos identificados como "tecomate blanco" (A. rubescens a A. crocea) y que la dosis de hongos venenosos que ingerieron los adultos y dos de los niños fué muy pequeña, no así en los dos menoes que murieron