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1.
J Exp Bot ; 2024 Apr 06.
Artículo en Inglés | MEDLINE | ID: mdl-38581374

RESUMEN

Plant defense peptides are paramount endogenous danger signals secreted after a challenge intensifying the plant immune response. The peptidic hormone Systemin (Sys) was shown to participate in resistance in several plant-pathosystems, although the mechanisms behind Sys-IR when exogenously applied remain elusive. We performed proteomic, metabolomic and enzymatic studies to decipher the Sys-induced changes in tomato plants either in the absence or the presence of Botrytis cinerea infection. Sys-treatments triggered direct proteomic rearrangement mostly involved in carbon metabolism and photosynthesis. However, the final induction of defense proteins required concurrent challenge, triggering priming of pathogen-targeted proteins. Conversely, at the metabolomic level, Sys-treated plants showed an alternative behaviour following a general priming profile. Out of the primed metabolites, the flavonoids rutin and isorhamnetin and two alkaloids correlated with the proteins 4-coumarate-CoA-ligase and chalcone-flavanone-isomerase triggered by Sys treatment. In addition, the proteomic and enzymatic analyses revealed that Sys conditioned the primary metabolism towards the production of available sugars that could be fuelling the priming of callose deposition in Sys-treated plants, furthermore PR1 appeared as as key element in Sys-induced resistance. Collectively, the direct induction of proteins and priming of specific secondary metabolites in Sys-treated plants indicated that posttranslational protein regulation is an additional component of priming against necrotrophic fungi.

2.
Sci Rep ; 14(1): 5162, 2024 03 02.
Artículo en Inglés | MEDLINE | ID: mdl-38431688

RESUMEN

Ophidiomycosis is an emerging infectious disease affecting wild snakes in the Northern Hemisphere. Recently confirmed in Great Britain, the prevalence, severity and significance of ophidiomycosis has yet to be characterised in free-living snakes at a population level in Europe. Therefore, a population of barred grass snakes (Natrix helvetica) in eastern England was monitored for three seasons (May 2019 to October 2021), to investigate the prevalence (25.5%; 191/750 snakes) and severity of skin lesions and their aetiology. The most frequently observed skin lesion characteristics were changes in scale colour, crusting, and scale margin erosion. The majority of such lesions (96.9%; 185/191 snakes) was observed on the ventral surface along the length of the body. The severity of skin lesions was considered mild in more than half of the cases (53.1%; 98/191 snakes). Predominantly, skin lesions were observed in adult snakes (72.8%; 139/191 snakes). Combined histological examinations and qPCR tests of skin lesions from N. helvetica sloughs and/or carcasses confirmed a diagnosis of ophidiomycosis. Further targeted surveillance, supported by molecular and histological examinations to confirm skin lesion aetiology, is required to determine the extent to which our findings reflect the occurrence of ophidiomycosis in populations within wider landscapes.


Asunto(s)
Colubridae , Enfermedades de la Piel , Animales , Humanos , Prevalencia , Serpientes , Europa (Continente) , Reino Unido
4.
Commun Biol ; 6(1): 576, 2023 05 30.
Artículo en Inglés | MEDLINE | ID: mdl-37253778

RESUMEN

The human gut microbiota (HGM) is comprised of a very complex network of microorganisms, which interact with the host thereby impacting on host health and well-being. ß-glucan has been established as a dietary polysaccharide supporting growth of particular gut-associated bacteria, including members of the genera Bacteroides and Bifidobacterium, the latter considered to represent beneficial or probiotic bacteria. However, the exact mechanism underpinning ß-glucan metabolism by gut commensals is not fully understood. We show that mycoprotein represents an excellent source for ß-glucan, which is consumed by certain Bacteroides species as primary degraders, such as Bacteroides cellulosilyticus WH2. The latter bacterium employs two extracellular, endo-acting enzymes, belonging to glycoside hydrolase families 30 and 157, to degrade mycoprotein-derived ß-glucan, thereby releasing oligosaccharides into the growth medium. These released oligosaccharides can in turn be utilized by other gut microbes, such as Bifidobacterium and Lactiplantibacillus, which thus act as secondary degraders. We used a cross-feeding approach to track how both species are able to grow in co-culture.


Asunto(s)
beta-Glucanos , Humanos , beta-Glucanos/metabolismo , Bifidobacterium/metabolismo , Polisacáridos/metabolismo , Bacterias/metabolismo , Oligosacáridos/metabolismo , Bacteroides/metabolismo
5.
J Fungi (Basel) ; 9(2)2023 Feb 16.
Artículo en Inglés | MEDLINE | ID: mdl-36836379

RESUMEN

The plant immunity system is being revisited more and more and new elements and roles are attributed to participating in the response to biotic stress. The new terminology is also applied in an attempt to identify different players in the whole scenario of immunity: Phytocytokines are one of those elements that are gaining more attention due to the characteristics of processing and perception, showing they are part of a big family of compounds that can amplify the immune response. This review aims to highlight the latest findings on the role of phytocytokines in the whole immune response to biotic stress, including basal and adaptive immunity, and expose the complexity of their action in plant perception and signaling events.

6.
Acta Paediatr ; 112(4): 805-812, 2023 04.
Artículo en Inglés | MEDLINE | ID: mdl-36772991

RESUMEN

AIM: The immune status of children recovering from SARS-CoV-2 infection is not completely understood. We describe IgG antispike persistence in children infected during the first two pandemic waves. In addition, we compared with healthy controls their leukocyte populations and CD64 expression. METHODS: Cross-sectional study. Carried out from October 2021 to February 2022 in nonreinfected and nonvaccinated children with SARS-CoV-2 in 2020. The presence of antispike IgG was studied using chemiluminescent immunoassay. Leukocyte populations were analysed using flow cytometry and marked for CD45, CD4, CD8 and CD64. Statistical minor than 0.05 was considered significant. RESULTS: One hundred and eighty-three control and 77 patients were included. IgG antispike determinations were performed after a median of 501 days (262-464); 52 of 77 children were positive. Cases showed significantly higher percentages of monocytes, lymphocytes, CD8+ and CD4+ . In addition, CD64 expression was higher in monocytes and neutrophils. The presence of IgG antispike was accompanied by a higher percentage of CD64+ neutrophils. CONCLUSION: In our series, the SARS-CoV-2 IgG antispike protein was usually positive beyond 1 year after infection. Furthermore, leukocyte populations from cases differ from controls, with higher CD64 expression on neutrophils and monocytes. Prospective clinical observations are required to confirm the implications of these findings.


Asunto(s)
COVID-19 , SARS-CoV-2 , Humanos , Niño , Estudios Prospectivos , Estudios Transversales , Receptores de IgG/genética , Receptores de IgG/metabolismo , Inmunoglobulina G , Anticuerpos Antivirales
7.
Sci Rep ; 12(1): 17843, 2022 10 25.
Artículo en Inglés | MEDLINE | ID: mdl-36284169

RESUMEN

A reduction in adult survival in long-living species may compromise population growth rates. The spur-thighed tortoise (Testudo graeca) is a long-lived reptile that is threatened by habitat loss and fragmentation. Golden eagles (Aquila chrysaetos), whose breeding habitats overlap that of tortoises, may predate them by dropping them onto rocks and breaking their carapaces. In SE Spain, the number of golden eagles has increased in the last decades and the abundance of their main prey (i.e., rabbits Oryctolagus cuniculus) has decreased. Our aims were to 1) describe the role of tortoises in golden eagles' diet, and 2) estimate the predation impact of golden eagles on tortoises in eagles' territories and in the regional tortoise population. We collected regurgitated pellets and prey remains under eagle nests and roosts, and obtained information on tortoise abundance and population structure and rabbit abundance. We found that tortoises were an alternative prey to rabbits, so that eagles shifted to the former where the latter were scarce. The average predation rate on tortoises was very low at the two studied scales. However, eagles showed a marked selection for adult female tortoises, which led the tortoise sex ratio to be biased towards males in those eagle territories with higher tortoise predation. Whether this may compromise the spur-thighed tortoise long-term population viability locally deserves further attention.


Asunto(s)
Águilas , Tortugas , Animales , Masculino , Femenino , Conducta Predatoria , Ecosistema
8.
Front Plant Sci ; 13: 867778, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35845655

RESUMEN

Citrus plants are a highly mycotrophic species with high levels of fungal colonization. Citrus aurantium rootstocks typically show abundant root colonization by Rhizophagus irregularis three weeks after inoculation. Mycorrhizal symbiosis protects plants against multiple biotic stressors, however, such protection against spider mites remains controversial. We examined mycorrhiza-induced resistance (MIR) in citrus against the two-spotted spider mite Tetranychus urticae. Mycorrhized C. aurantium displayed reduced levels of damage in leaves and lower mite oviposition rates, compared to non-mycorrhized controls. Mycorrhization did not affect host choice of mites in Y-tube assays; of note, C. aurantium has innate strong antixenotic resistance against this mite. Analysis of metabolism pathways in mycorrhized citrus plants showed upregulated expression of the oxylipin-related genes LOX-2 and PR-3 early after infestation. Accordingly, jasmonic acid (JA), 12-oxo phytodienoic acid (OPDA), and JA-Ile concentrations were increased by mycorrhization. Non-targeted metabolomic analysis revealed the amino acid, oxocarboxylic acid, and phenylpropanoid metabolism as the three major pathways with more hits at 24 h post infection (hpi) in mycorrhized plants. Interestingly, there was a transition to a priming profile of these pathways at 48 hpi following infestation. Three flavonoids (i.e., malic acid, coumaric acid, and diconiferyl alcohol) were among the priming compounds. A mixture containing all these compounds provided efficient protection against the mite. Unexpectedly, systemic resistance did not improve after 72 h of primary infestation, probably due to the innate strong systemic resistance of C. aurantium. This is the first study to show that MIR is functional against T. urticae in locally infested citrus leaves, which is mediated by a complex pool of secondary metabolites and is likely coordinated by priming of JA-dependent responses.

9.
Nat Commun ; 13(1): 1525, 2022 03 21.
Artículo en Inglés | MEDLINE | ID: mdl-35314690

RESUMEN

A central question concerning natural competence is why orthologs of competence genes are conserved in non-competent bacterial species, suggesting they have a role other than in transformation. Here we show that competence induction in the human pathogen Staphylococcus aureus occurs in response to ROS and host defenses that compromise bacterial respiration during infection. Bacteria cope with reduced respiration by obtaining energy through fermentation instead. Since fermentation is energetically less efficient than respiration, the energy supply must be assured by increasing the glycolytic flux. The induction of natural competence increases the rate of glycolysis in bacteria that are unable to respire via upregulation of DNA- and glucose-uptake systems. A competent-defective mutant showed no such increase in glycolysis, which negatively affects its survival in both mouse and Galleria infection models. Natural competence foster genetic variability and provides S. aureus with additional nutritional and metabolic possibilities, allowing it to proliferate during infection.


Asunto(s)
Infecciones Estafilocócicas , Staphylococcus aureus , Animales , Proteínas Bacterianas/genética , Proteínas Bacterianas/metabolismo , Metabolismo de los Hidratos de Carbono , Fermentación , Glucólisis/genética , Ratones , Infecciones Estafilocócicas/microbiología , Staphylococcus aureus/genética , Staphylococcus aureus/metabolismo
11.
Microbiome Res Rep ; 1(2): 12, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-38045648

RESUMEN

Elements of the human gut microbiota metabolise many host- and diet-derived, non-digestible carbohydrates (NDCs). Intestinal fermentation of NDCs salvages energy and resources for the host and generates beneficial metabolites, such as short chain fatty acids, which contribute to host health. The development of functional NDCs that support the growth and/or metabolic activity of specific beneficial gut bacteria, is desirable, but dependent on an in-depth understanding of the pathways of carbohydrate fermentation. The purpose of this review is to provide an appraisal of what is known about the roles of, and interactions between, Bacteroides and Bifidobacterium as key members involved in NDC utilisation. Bacteroides is considered an important primary degrader of complex NDCs, thereby generating oligosaccharides, which in turn can be fermented by secondary degraders. In this review, we will therefore focus on Bacteroides as an NDC-degrading specialist and Bifidobacterium as an important and purported probiotic representative of secondary degraders. We will describe cross-feeding interactions between members of these two genera. We note that there are limited studies exploring the interactions between Bacteroides and Bifidobacterium, specifically concerning ß-glucan and arabinoxylan metabolism. This review therefore summarises the roles of these organisms in the breakdown of dietary fibre and the molecular mechanisms and interactions involved. Finally, it also highlights the need for further research into the phenomenon of cross-feeding between these organisms for an improved understanding of these cross-feeding mechanisms to guide the rational development of prebiotics to support host health or to prevent or combat disease associated with microbial dysbiosis.

13.
J Paediatr Child Health ; 58(6): 969-977, 2022 06.
Artículo en Inglés | MEDLINE | ID: mdl-34967977

RESUMEN

AIM: Procedures normally performed in the hospital setting are increasingly delivered as part of hospital at home (HAH) programmes. The aim of this study is to describe the procedures and diseases treated during the first 2 years of a new paediatric HAH programme. METHODS: This is a retrospective, observational study conducted in the HAH programme of Niño Jesús Children's Hospital (Spain). We included demographic data, diagnosis and procedures delivered to patients admitted to the HAH programme from November 2018 to November 2020. RESULTS: There were 935 admissions of 833 patients. The median age was 5 years (interquartile range 2.3-9.5). Seventy-five percent of patients were previously healthy. The most frequent illnesses were acute infections (37%) (e.g. complicated appendicitis and ENT, genitourinary, skin and soft tissue infections) and acute respiratory diseases (17.3%) (e.g. asthma, bronchiolitis and pneumonia). Thirty-six percent of admissions underwent nocturnal polysomnography. The median length of stay was 4 days (SD 4.9 days). Eight percent of the episodes studied required care in the emergency department due to condition worsening (55.3%) and problems with devices (36.1%). Hospital readmission was required in 5.6% of cases, 42.4% of which later resumed care in the HAH. The estimated daily cost of HAH is 330.65 euros, while the hospital per-day costs of polysomnography, asthma and endovenous therapy are 1899.24, 1402.5, and 976.26 euros. Ninety percent of families reported a high level of satisfaction. CONCLUSIONS: Paediatric HAH programmes are a feasible, cost-effective alternative to hospital care. Further studies should compare the evolution of patients treated in the traditional hospital setting and those in HAH.


Asunto(s)
Asma , Servicios de Atención de Salud a Domicilio , Enfermedad Aguda , Niño , Preescolar , Estudios de Seguimiento , Hospitales , Humanos
14.
mBio ; 12(4): e0136821, 2021 08 31.
Artículo en Inglés | MEDLINE | ID: mdl-34340552

RESUMEN

The human gut microbiota (HGM) contributes to the physiology and health of its host. The health benefits provided by dietary manipulation of the HGM require knowledge of how glycans, the major nutrients available to this ecosystem, are metabolized. Arabinogalactan proteins (AGPs) are a ubiquitous feature of plant polysaccharides available to the HGM. Although the galactan backbone and galactooligosaccharide side chains of AGPs are conserved, the decorations of these structures are highly variable. Here, we tested the hypothesis that these variations in arabinogalactan decoration provide a selection mechanism for specific Bacteroides species within the HGM. The data showed that only a single bacterium, B. plebeius, grew on red wine AGP (Wi-AGP) and seaweed AGP (SW-AGP) in mono- or mixed culture. Wi-AGP thus acts as a privileged nutrient for a Bacteroides species within the HGM that utilizes marine and terrestrial plant glycans. The B. plebeius polysaccharide utilization loci (PULs) upregulated by AGPs encoded a polysaccharide lyase, located in the enzyme family GH145, which hydrolyzed Rha-Glc linkages in Wi-AGP. Further analysis of GH145 identified an enzyme with two active sites that displayed glycoside hydrolase and lyase activities, respectively, which conferred substrate flexibility for different AGPs. The AGP-degrading apparatus of B. plebeius also contained a sulfatase, BpS1_8, active on SW-AGP and Wi-AGP, which played a pivotal role in the utilization of these glycans by the bacterium. BpS1_8 enabled other Bacteroides species to access the sulfated AGPs, providing a route to introducing privileged nutrient utilization into probiotic and commensal organisms that could improve human health. IMPORTANCE Dietary manipulation of the HGM requires knowledge of how glycans available to this ecosystem are metabolized. The variable structures that decorate the core component of plant AGPs may influence their utilization by specific organisms within the HGM. Here, we evaluated the ability of Bacteroides species to utilize a marine and terrestrial AGP. The data showed that a single bacterium, B. plebeius, grew on Wi-AGP and SW-AGP in mono- or mixed culture. Wi-AGP is thus a privileged nutrient for a Bacteroides species that utilizes marine and terrestrial plant glycans. A key component of the AGP-degrading apparatus of B. plebeius is a sulfatase that conferred the ability of the bacterium to utilize these glycans. The enzyme enabled other Bacteroides species to access the sulfated AGPs, providing a route to introducing privileged nutrient utilization into probiotic and commensal organisms that could improve human health.


Asunto(s)
Bacteroides/metabolismo , Mucoproteínas/metabolismo , Nutrientes/metabolismo , Sulfatasas/metabolismo , Bacteroides/enzimología , Bacteroides/genética , Bacteroides/crecimiento & desarrollo , Carbohidratos de la Dieta/metabolismo , Microbioma Gastrointestinal/fisiología , Proteínas de Plantas/metabolismo , Polisacárido Liasas/genética , Polisacárido Liasas/metabolismo , Polisacáridos/metabolismo
15.
Angiol. (Barcelona) ; 73(3): 144-147, Mar-Jun. 2021. ilus
Artículo en Español | IBECS | ID: ibc-216343

RESUMEN

Introducción:los schwannomas, también llamados neurilemomas o neurinomas, son tumores de origen neuroectodérmico, encapsulados y benignos, que generalmente aparecen como una masa laterocervical asintomática de crecimiento lento. Son pocos frecuentes en el área de cabeza y cuello.Caso clínico:mujer de 39 años con una historia de un año de evolución de una masa cervical derecha de crecimiento lento, pulsátil, dolorosa y móvil en el lado derecho del cuello. La imagen de la angiotomografía computarizada preoperatoria demostró que la masa involucraba la bifurcación carotídea, compatible con un paraganglioma carotídeo. La disección cuidadosa a través de una cervicotomía longitudinal mostró que la masa surgía de un único fascículo del nervio vago. La masa se envió a anatomía patológica con el resultado de schwannoma. En el posoperatorio la paciente presentó una función sensorial y motora del vago normal, con un leve síndrome de Horner.Discusión:los tumores nerviosos del cuello surgen a partir de grandes troncos nerviosos, los IX, X, XI y XII pares craneales, el simpático cervical, el plexo cervical y el plexo braquial. El nervio vago es un lugar infrecuente de aparición, con muy pocos casos reportados. Son lesiones de diagnóstico preoperatorio difícil, cuyo tratamiento de elección es la exéresis quirúrgica; en ocasiones, es difícil conservar el nervio de origen.(AU)


Introduction:schwannomas, neurilemomas or neurinomas, are benign, encapsulated, neuroectodermal tumors that generally appear as a slow-growing, asymptomatic laterocervical mass. They are rare in the head and neck area.Clinical case:a 39-year-old woman with a one-year history of a slowly enlarging, pulsatile, painful and movable right cervical mass on the right side of the neck. Preoperative computed angiotomography image demonstrated that the mass involved the carotid bifurcation compatible with a carotid paraganglioma. Careful dissection through a longitudinal cervicotomy, showed that the mass arose from a single fascicle of the vagus nerve. The mass was sent to the pathologists and found to be a schwannoma. The patient had normal vagus sensory and motor function postoperatively, with a slight Horner syndrome.Discussion:nerve tumors of the neck arise from large nerve trunks, the IX, X, XI, and XII cranial nerves, the cervical sympathetic, the cervical plexus, and the brachial plexus. The vagus nerve is an infrequent place of appearance with very few reported cases. They are difficult preoperative diagnosis lesions; whose treatment of choice is surgical excision; sometimes it is difficult to preserve the nerve of origin.(AU)


Asunto(s)
Humanos , Femenino , Adulto , Nervio Vago , Neurilemoma , Neoplasias de Cabeza y Cuello , Pacientes Internos , Examen Físico , Plexo Cervical , Síndrome de Horner
16.
Int J Biol Macromol ; 181: 877-889, 2021 Jun 30.
Artículo en Inglés | MEDLINE | ID: mdl-33864864

RESUMEN

ß-glucans are polysaccharides which can be obtained from different sources, and which have been described as potential prebiotics. The beneficial effects associated with ß-glucan intake are that they reduce energy intake, lower cholesterol levels and support the immune system. Nevertheless, the mechanism(s) of action underpinning these health effects related to ß-glucans are still unclear, and the precise impact of ß-glucans on the gut microbiota has been subject to debate and revision. In this review, we summarize the most recent advances involving structurally different types of ß-glucans as fermentable substrates for Bacteroidetes (mainly Bacteroides) and Bifidobacterium species as glycan degraders. Bacteroides is one of the most abundant bacterial components of the human gut microbiota, while bifidobacteria are widely employed as a probiotic ingredient. Both are generalist glycan degraders capable of using a wide range of substrates: Bacteroides spp. are specialized as primary degraders in the metabolism of complex carbohydrates, whereas Bifidobacterium spp. more commonly metabolize smaller glycans, in particular oligosaccharides, sometimes through syntrophic interactions with Bacteroides spp., in which they act as secondary degraders.


Asunto(s)
Bacteroides/metabolismo , Bifidobacterium/metabolismo , Microbioma Gastrointestinal/genética , beta-Glucanos/metabolismo , Metabolismo de los Hidratos de Carbono/genética , Humanos , Prebióticos/microbiología
17.
J Wildl Dis ; 57(2): 467-470, 2021 04 01.
Artículo en Inglés | MEDLINE | ID: mdl-33822168

RESUMEN

Avian knemidokoptosis, caused by knemidokoptid mites (Knemidokoptinae: Epidermoptidae), has been reported in wild and domestic birds globally. We report two cases of severe knemidokoptosis in Dunnocks (Prunella modularis) from separate sites in Great Britain, where the disease has previously been reported predominantly in finches and, less frequently, in corvids.


Asunto(s)
Enfermedades de las Aves/parasitología , Infestaciones por Ácaros/veterinaria , Ácaros/clasificación , Pájaros Cantores/parasitología , Animales , Enfermedades de las Aves/epidemiología , Enfermedades de las Aves/patología , Inglaterra/epidemiología , Infestaciones por Ácaros/epidemiología , Infestaciones por Ácaros/parasitología , Infestaciones por Ácaros/patología
18.
Curr Microbiol ; 78(6): 2367-2379, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-33835232

RESUMEN

Bacteria endophytes are living microorganisms that live inside plant tissues without visible harmful symptoms, providing a mutualistic interaction. In this study, different bacterial endophytic strains were isolated from different plants primed to live in an arid area, namely, the Sahara Desert. Up to 27 of these strains were selected based on their ability to inhibit Botrytis cinerea growth in dual-culture assay and by bacterial volatiles. The results presented in this study show the capacity of most of the bacterial strains to protect Solanum lycopersicum against the pathogenic fungus B. cinerea, under different experimental conditions. Five of these strains induced susceptibility in tomato plants and no callose accumulation upon fungal infection, pointing to callose deposition as a protective mechanism mediated by endophytic bacteria. Moreover, there was a significant correlation between the bacterial strains inducing callose and the level of protection against B. cinerea. On the other hand, hormone production by bacteria does not explain the relationship between protection and the differences between the phenotypic results obtained in vitro and those obtained in plant experiments. Induced resistance is highly specific in the inducer-plant-stress interaction.


Asunto(s)
Botrytis , Solanum lycopersicum , África del Norte , Bacterias , Enfermedades de las Plantas
19.
J Am Acad Dermatol ; 85(1): 88-94, 2021 07.
Artículo en Inglés | MEDLINE | ID: mdl-33819537

RESUMEN

BACKGROUND: Cutaneous manifestations in hospitalized children with SARS-CoV-2 have not been studied systematically. OBJECTIVE: To describe the mucocutaneous involvement in pediatric patients with COVID-19 admitted to a pediatric institution in Madrid (Spain), located in a zone reporting among the highest prevalence of COVID-19 in Europe. METHODS: A descriptive, analytical study was conducted on a series of 50 children hospitalized with COVID-19 between March 1, 2020, and November 30, 2020. RESULTS: Twenty-one patients presented with mucocutaneous symptoms: 18 patients with macular and/or papular exanthem, 17 with conjunctival hyperemia, and 9 with red cracked lips or strawberry tongue. Eighteen patients fulfilled criteria for multisystem inflammatory syndrome in children. Patients with mucocutaneous involvement tended to be older and presented to the emergency department with poor general status and extreme tachycardia, higher C-reactive protein and D-dimer levels, and lower lymphocyte counts than patients without skin signs. Mucocutaneous manifestations pose a higher risk of admission to the pediatric intensive care unit (odds ratio, 10.24; 95% confidence interval, 2.23-46.88; P = .003). CONCLUSIONS: Children hospitalized with COVID-19 frequently had mucocutaneous involvement, with most symptoms fulfilling criteria for multisystem inflammatory syndrome in children. Patients with an exanthem or conjunctival hyperemia at admission have a higher probability of pediatric intensive care admission than patients without mucocutaneous symptoms.


Asunto(s)
COVID-19/complicaciones , Enfermedades de la Piel/etiología , COVID-19/diagnóstico , Niño , Preescolar , Femenino , Hospitalización , Humanos , Lactante , Masculino , Membrana Mucosa , Estudios Retrospectivos , Enfermedades de la Piel/diagnóstico , Síndrome de Respuesta Inflamatoria Sistémica/diagnóstico
20.
Angiol. (Barcelona) ; 73(2): 87-90, Mar-Abr. 2021. ilus
Artículo en Español | IBECS | ID: ibc-216259

RESUMEN

Introducción: los aneurismas micóticos son una entidad grave y poco frecuente, cuyo tratamiento quirúrgico se ha basado históricamente en la resección del tejido infectado y en la reconstrucción arterial. En los últimos años, la importancia del uso de técnicas de reparación endovascular ha ido en aumento. Caso clínico: se presenta el caso de una mujer de 84 años con un aneurisma micótico de la aorta visceral tratado mediante un abordaje híbrido. Se revascularizan las arterias mesentérica superior y hepática y, posteriormente, se coloca una endoprótesis de aorta. Discusión: el empleo de dispositivos endovasculares para la reparación de los aneurismas micóticos genera controversia debido a que no se elimina el tejido infectado. Sin embargo, existen publicaciones que avalan su uso, ya que permiten el tratamiento, principalmente, de pacientes de alto riesgo quirúrgico sin aumentar el número de complicaciones.(AU)


Introduction: mycotic aneurysms are a serious and rare entity, whose surgical treatment has historically been based on resection of infected tissue and arterial reconstruction. In recent years, the importance of using endovascular repair techniques has increased. Case report: an 84-year-old woman with a mycotic aneurysm of the visceral aorta is presented, treated by a hybrid approach, revascularizing the superior mesenteric and hepatic arteries, and the placement of an aortic stent. Discussion: the use of endovascular devices for the repair of mycotic aneurysms generates controversy due to the maintenance of the infected tissue. However, there are publications that support its use since they allow the treatment mainly of patients at high surgical risk not increasing the rate of complications.(AU)


Asunto(s)
Humanos , Femenino , Anciano de 80 o más Años , Aneurisma Infectado/cirugía , Procedimientos Quirúrgicos Cardiovasculares , Aorta , Pacientes Internos , Procedimientos Endovasculares , Sistema Cardiovascular
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