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1.
Mem Inst Oswaldo Cruz ; 115: e200370, 2020.
Article de Anglais | MEDLINE | ID: mdl-33174903

RÉSUMÉ

BACKGROUND: Bacillus anthracis is the aetiologic agent of anthrax, a re-emerging, septicaemic, haemorrhagic and lethal disease that affects humans, domestic ruminants and wildlife. Plasmids pXO1 and pXO2 are attributes that confer pathogenicity to B. anthracis strains. This bacterium was used as biological weapon in the World Wars and in the biological attack in the United States of America at 2001. B. anthracis is classified as a Tier 1 bioterrorism agent by the Centers for Diseases Control and Prevention. Anthrax is recognised as a re-emerging disease. Several studies concerning the dynamics of B. anthracis cycle in soil revealed that nonpathogenic B. anthracis strains due to lack of pXO2 plasmid are commonly found in some types of soil. OBJECTIVES: This study aimed isolation and identification of B. anthracis spores in soil samples of the state of Rio de Janeiro, Brazil. METHODS: Phenotypic and genotypic approaches were used to identify isolates including MALDI-TOF/MS, motility test, susceptibility to gamma phage and penicillin, survey for pag and cap genes as surrogates of pXO1 and pXO2 plasmids, respectively, and sequencing of 16SrRNA-encoding gene. Physicochemical analysis of the soil samples were carried out to describe soil characteristics. FINDINGS: We observed the presence of one B. anthracis pXO1+ and pXO2- isolated from clay loam soil; one B. anthracis-like strain pXO1+ and pXO2-isolated from loamy sand; and 10 Bacillus spp. strains sensitive to phage-gamma that need better characterisation to define which their species were recovered from loamy sand. MAIN CONCLUSIONS: This work showed promising results and it was the first study to report results from an active surveillance for B. anthracis in Brazil.


Sujet(s)
Bacillus anthracis/isolement et purification , ADN bactérien/génétique , Plasmides/analyse , Réaction de polymérisation en chaîne/méthodes , Microbiologie du sol , Spores bactériens , Facteurs de virulence/génétique , Antigènes bactériens , Bacillus anthracis/génétique , Bacillus anthracis/pathogénicité , Toxines bactériennes , Brésil , ADN bactérien/analyse , Humains , Plasmides/génétique , Analyse de séquence d'ADN , Sol , Virulence
2.
Braz. j. infect. dis ; Braz. j. infect. dis;24(1): 81-84, Feb. 2020. graf
Article de Anglais | LILACS | ID: biblio-1089333

RÉSUMÉ

ABSTRACT China's compulsory annual livestock anthrax vaccination policy has remarkably reduced but not completely eradicated human anthrax infections. Herein we describe a sporadic human cutaneous anthrax outbreak involving two cases in 2018 in Shaanxi Province, both involving herdsman who dealt with unvaccinated and potentially sick cattle. Both patients showed Bacillus anthracis-positive blister smear and blood culture. Treatment with penicillin was followed by uneventful recovery for both. The prompt performance of the prophylactic measures successfully interrupted the further transmission of this sporadic human cutaneous anthrax outbreak.


Sujet(s)
Humains , Mâle , Adulte , Dermatoses bactériennes/anatomopathologie , Maladie du charbon/anatomopathologie , Pénicillines/usage thérapeutique , Bacillus anthracis/isolement et purification , Chine/épidémiologie , Épidémies de maladies , Résultat thérapeutique , Dermatoses bactériennes/traitement médicamenteux , Dermatoses bactériennes/épidémiologie , Maladie du charbon/traitement médicamenteux , Maladie du charbon/épidémiologie , Antibactériens/usage thérapeutique
3.
Braz J Infect Dis ; 24(1): 81-84, 2020.
Article de Anglais | MEDLINE | ID: mdl-31926898

RÉSUMÉ

China's compulsory annual livestock anthrax vaccination policy has remarkably reduced but not completely eradicated human anthrax infections. Herein we describe a sporadic human cutaneous anthrax outbreak involving two cases in 2018 in Shaanxi Province, both involving herdsman who dealt with unvaccinated and potentially sick cattle. Both patients showed Bacillus anthracis-positive blister smear and blood culture. Treatment with penicillin was followed by uneventful recovery for both. The prompt performance of the prophylactic measures successfully interrupted the further transmission of this sporadic human cutaneous anthrax outbreak.


Sujet(s)
Maladie du charbon/anatomopathologie , Dermatoses bactériennes/anatomopathologie , Adulte , Maladie du charbon/traitement médicamenteux , Maladie du charbon/épidémiologie , Antibactériens/usage thérapeutique , Bacillus anthracis/isolement et purification , Chine/épidémiologie , Épidémies de maladies , Humains , Mâle , Pénicillines/usage thérapeutique , Dermatoses bactériennes/traitement médicamenteux , Dermatoses bactériennes/épidémiologie , Résultat thérapeutique
4.
Mem. Inst. Oswaldo Cruz ; 115: e200370, 2020. tab, graf
Article de Anglais | LILACS, Sec. Est. Saúde SP | ID: biblio-1135225

RÉSUMÉ

BACKGROUND Bacillus anthracis is the aetiologic agent of anthrax, a re-emerging, septicaemic, haemorrhagic and lethal disease that affects humans, domestic ruminants and wildlife. Plasmids pXO1 and pXO2 are attributes that confer pathogenicity to B. anthracis strains. This bacterium was used as biological weapon in the World Wars and in the biological attack in the United States of America at 2001. B. anthracis is classified as a Tier 1 bioterrorism agent by the Centers for Diseases Control and Prevention. Anthrax is recognised as a re-emerging disease. Several studies concerning the dynamics of B. anthracis cycle in soil revealed that nonpathogenic B. anthracis strains due to lack of pXO2 plasmid are commonly found in some types of soil. OBJECTIVES This study aimed isolation and identification of B. anthracis spores in soil samples of the state of Rio de Janeiro, Brazil. METHODS Phenotypic and genotypic approaches were used to identify isolates including MALDI-TOF/MS, motility test, susceptibility to gamma phage and penicillin, survey for pag and cap genes as surrogates of pXO1 and pXO2 plasmids, respectively, and sequencing of 16SrRNA-encoding gene. Physicochemical analysis of the soil samples were carried out to describe soil characteristics. FINDINGS We observed the presence of one B. anthracis pXO1+ and pXO2- isolated from clay loam soil; one B. anthracis-like strain pXO1+ and pXO2-isolated from loamy sand; and 10 Bacillus spp. strains sensitive to phage-gamma that need better characterisation to define which their species were recovered from loamy sand. MAIN CONCLUSIONS This work showed promising results and it was the first study to report results from an active surveillance for B. anthracis in Brazil.


Sujet(s)
Humains , Plasmides/analyse , Microbiologie du sol , Spores bactériens , Bacillus anthracis/isolement et purification , ADN bactérien/génétique , Réaction de polymérisation en chaîne/méthodes , Facteurs de virulence/génétique , Plasmides/génétique , Sol , Bacillus anthracis/génétique , Bacillus anthracis/pathogénicité , Toxines bactériennes , Virulence , Brésil , ADN bactérien/analyse , Analyse de séquence d'ADN , Antigènes bactériens
5.
Rev Chilena Infectol ; 35(2): 195-197, 2018 04.
Article de Espagnol | MEDLINE | ID: mdl-29912259

RÉSUMÉ

Anthrax is a zoonosis caused by a spore-forming bacterium, called Bacillus anthracis. Naturally it is of global distribution, with a predilection in agricultural zones with few norms of public veterinary health. Human contagion occurs through the consumption of diseased animal's meat or through a doorway into the skin or through the spores inhalation of products derived from the affected animal (wool, leather, bones). The most frequent infection in humans occurs in the skin, followed by the gastrointestinal tract and lungs. We present the last outbreak of cutaneous anthrax diagnosed in Chile with a description of the first two clinical cases of the outbreak. Control disease is based on prevention, hence the importance of surveillance in detecting cases and outbreaks.


Sujet(s)
Maladie du charbon/diagnostic , Maladie du charbon/microbiologie , Bacillus anthracis/isolement et purification , Dermatoses bactériennes/diagnostic , Dermatoses bactériennes/microbiologie , Adulte , Animaux , Maladie du charbon/traitement médicamenteux , Maladie du charbon/épidémiologie , Antibactériens/usage thérapeutique , Chili/épidémiologie , Épidémies de maladies , Humains , Adulte d'âge moyen , Benzylpénicilline/usage thérapeutique , Peau/microbiologie , Dermatoses bactériennes/traitement médicamenteux , Dermatoses bactériennes/épidémiologie
6.
Rev. chil. infectol ; Rev. chil. infectol;35(2): 195-197, abr. 2018. graf
Article de Espagnol | LILACS | ID: biblio-959430

RÉSUMÉ

Resumen El ántrax, es una zoonosis causada por una bacteria generadora de esporas, llamada Bacillus anthracis. En forma natural tiene una distribución global, con una predilección en zonas agrícolas con pocas normativas de sanidad pública veterinaria. El contagio humano ocurre por el consumo de carnes de animales enfermos, por contacto a través de una puerta de entrada en la piel o por la inhalación de esporas de productos derivados del animal afectado (lana, cuero, huesos). La infección en los seres humanos compromete con mayor frecuencia la piel, seguido por el tracto gastrointestinal y los pulmones. El control de la enfermedad se basa en la prevención, de allí la importancia de la vigilancia en la detección de casos y brotes. Presentamos el último brote de ántrax cutáneo diagnosticado en Chile con descripción de dos primeros casos clínicos del brote.


Anthrax is a zoonosis caused by a spore-forming bacterium, called Bacillus anthracis. Naturally it is of global distribution, with a predilection in agricultural zones with few norms of public veterinary health. Human contagion occurs through the consumption of diseased animal's meat or through a doorway into the skin or through the spores inhalation of products derived from the affected animal (wool, leather, bones). The most frequent infection in humans occurs in the skin, followed by the gastrointestinal tract and lungs. We present the last outbreak of cutaneous anthrax diagnosed in Chile with a description of the first two clinical cases of the outbreak. Control disease is based on prevention, hence the importance of surveillance in detecting cases and outbreaks.


Sujet(s)
Humains , Animaux , Adulte , Adulte d'âge moyen , Bacillus anthracis/isolement et purification , Dermatoses bactériennes/diagnostic , Dermatoses bactériennes/microbiologie , Maladie du charbon/diagnostic , Maladie du charbon/microbiologie , Benzylpénicilline/usage thérapeutique , Peau/microbiologie , Chili/épidémiologie , Épidémies de maladies , Dermatoses bactériennes/traitement médicamenteux , Dermatoses bactériennes/épidémiologie , Maladie du charbon/traitement médicamenteux , Maladie du charbon/épidémiologie , Antibactériens/usage thérapeutique
7.
Braz. j. microbiol ; Braz. j. microbiol;49(1): 18-19, Jan.-Mar. 2018.
Article de Anglais | LILACS | ID: biblio-889201

RÉSUMÉ

ABSTRACT Bacillus anthracis strain SPV842_15 was isolated from bovine fetus, while B. anthracis strain Brazilian vaccinal was recovered from a commercial vaccine. We report here the genome sequences of both strains. The SPV842_15 genome is composed of a single circular chromosome with a length of 5,228,664 base pairs, and comprises 5911 coding sequences. In turn, the Brazilian vaccinal genome remains in 201 contigs with 5733 coding sequences. Both genomes have an overall C + G content of 35.4%, and 11 genes encoding the ribosomal RNAs (rRNAs) 5S, 16S and 23S. Only the plasmid pX01 sequence, which carries genes for toxins synthesis, was detected and completely assembled for both strains. These plasmids have a length of 181,684 base pairs and a C + G content of 32.5%. These genomic data generate insights about vaccinal B. anthracis virulence.


Sujet(s)
Animaux , Bovins , Bacillus anthracis/isolement et purification , Bacillus anthracis/génétique , Vaccins antibactériens/génétique , Maladies des bovins/microbiologie , Génome bactérien , Phylogenèse , Plasmides/génétique , Bacillus anthracis/classification , Composition en bases nucléiques , ADN bactérien/génétique , Données de séquences moléculaires , Vaccins antibactériens/isolement et purification , Séquence nucléotidique
8.
Braz J Microbiol ; 49(1): 18-19, 2018.
Article de Anglais | MEDLINE | ID: mdl-28807610

RÉSUMÉ

Bacillus anthracis strain SPV842_15 was isolated from bovine fetus, while B. anthracis strain Brazilian vaccinal was recovered from a commercial vaccine. We report here the genome sequences of both strains. The SPV842_15 genome is composed of a single circular chromosome with a length of 5,228,664 base pairs, and comprises 5911 coding sequences. In turn, the Brazilian vaccinal genome remains in 201 contigs with 5733 coding sequences. Both genomes have an overall C+G content of 35.4%, and 11 genes encoding the ribosomal RNAs (rRNAs) 5S, 16S and 23S. Only the plasmid pX01 sequence, which carries genes for toxins synthesis, was detected and completely assembled for both strains. These plasmids have a length of 181,684 base pairs and a C+G content of 32.5%. These genomic data generate insights about vaccinal B. anthracis virulence.


Sujet(s)
Bacillus anthracis/génétique , Bacillus anthracis/isolement et purification , Vaccins antibactériens/génétique , Maladies des bovins/microbiologie , Génome bactérien , Animaux , Bacillus anthracis/classification , Vaccins antibactériens/isolement et purification , Composition en bases nucléiques , Séquence nucléotidique , Bovins , ADN bactérien/génétique , Données de séquences moléculaires , Phylogenèse , Plasmides/génétique
10.
Antonie Van Leeuwenhoek ; 103(3): 635-46, 2013 Mar.
Article de Anglais | MEDLINE | ID: mdl-23142860

RÉSUMÉ

The draft genome of the soil actinomycete Dietzia cinnamea P4 reveals a versatile group of α/ß-hydrolase fold enzymes. Phylogenetic and comparative sequence analyses were used to classify the α/ß-hydrolases of strain P4 into six different groups: (i) lipases, (ii) esterases, (iii) epoxide hydrolases, (iv) haloacid dehalogenases, (v) C-C breaking enzymes and (vi) serine peptidases. The high number of lipases/esterases (41) and epoxide hydrolase enzymes (14) present in the relatively small (3.6 Mb) P4 genome is unusual; it is likely to be linked to the survival of strain P4 in its natural environment. Strain P4 is thus equipped with a large number of genes which would appear to confer survivability in harsh hot tropical soil. As such, this highly resilient soil bacterial strain provides an interesting genome for enzyme mining for applications in the field of biotransformations of polymeric compounds.


Sujet(s)
Actinomycetales/enzymologie , Bacillus anthracis/génétique , Biotechnologie/méthodes , ADN bactérien/composition chimique , ADN bactérien/génétique , Hydrolases/métabolisme , Actinomycetales/génétique , Bacillus anthracis/isolement et purification , Génome bactérien , Hydrolases/classification , Hydrolases/génétique , Données de séquences moléculaires , Phylogenèse , Analyse de séquence d'ADN , Similitude de séquences d'acides aminés
11.
Rev Argent Microbiol ; 39(2): 77-80, 2007.
Article de Espagnol | MEDLINE | ID: mdl-17702250

RÉSUMÉ

Bacillus anthracis is one of the most monomorphic bacteria known and epidemiological studies of this microorganism have been hampered by the lack of molecular markers. For the genotyping of fourteen Argentine field strains and the vaccine strain Steme 34F2 the presence or absence of the virulence plasmids as well as vrrA locus containing a variable-number tandem repeat (VNTR) and presenting a polymorphism involving five variants, were analyzed. Strains were isolated from cows, sheep and pigs during outbreaks occurred in Buenos Aires, Entre Ríos, Santa Fe and La Pampa in the past fifty years. All of the field strains presented plasmids pXO1 and pXO2, except for a strain isolated from pig that only presented plasmid pXO2. All the strains and the vaccine strain belonged to the same VNTR variant that was defined by sequencing the vrrA locus from three of the isolates and the strain 34F2. These sequences were completely identical and corresponded to the variant VNTR4. Thus, the fourteen Argentine B. anthracis strains studied showed great uniformity at molecular level even though they had been isolated from different mammal species within a wide time period and covering an extensive geographical area.


Sujet(s)
Bacillus anthracis/génétique , Protéines bactériennes/génétique , Animaux , Maladie du charbon/épidémiologie , Maladie du charbon/microbiologie , Maladie du charbon/médecine vétérinaire , Vaccins anticharbonneux , Argentine/épidémiologie , Bacillus anthracis/isolement et purification , Bacillus anthracis/pathogénicité , Séquence nucléotidique , Bovins , Maladies des bovins/épidémiologie , Maladies des bovins/microbiologie , ADN bactérien/génétique , Répétitions minisatellites , Données de séquences moléculaires , Plasmides/génétique , Alignement de séquences , Similitude de séquences d'acides nucléiques , Ovis , Maladies des ovins/épidémiologie , Maladies des ovins/microbiologie , Spécificité d'espèce , Suidae , Maladies des porcs/épidémiologie , Maladies des porcs/microbiologie , Virulence/génétique
12.
J Wildl Dis ; 43(1): 136-41, 2007 Jan.
Article de Anglais | MEDLINE | ID: mdl-17347404

RÉSUMÉ

Prevalence of anthrax spores in feces of raptors was determined from samples collected in November-December 2000 and April-May 2001 in an agricultural region of Santa Fé province, Argentina. Feces were tested from 48 birds of six raptor species. One of 14 chimango caracaras (Milvago chimango) and one of eight road-side hawks (Buteo magnirostris) tested positive. The prevalence of Bacillus anthracis spores in feces for the six species was 4% (n=48). The prevalence was 7% (n=14) for chimango caracaras, 13% for road-side hawks (n=8), and 0% for the remaining species (Burrowing owl [Speotyto cunicularia] [n=17], Swainson's hawk [Buteo swainsoni] [n=3], Aplomado falcon [Falco femoralis] [n=2], and American kestrel [Falco sparverius] [n=4]). Grouped by their feeding habits, prevalence for scavenger species was not significantly different than for predators (7% vs. 3%, P>0.999). This study provides evidence that in central Argentina scavenger and non-scavenger raptors may have a role in the epidemiology of anthrax. Long-term studies to determine the extent of this potential involvement in the epidemiology of anthrax in central Argentina are required.


Sujet(s)
Maladie du charbon/médecine vétérinaire , Bacillus anthracis/isolement et purification , Maladies des oiseaux/épidémiologie , Rapaces/microbiologie , Animaux , Animaux sauvages/microbiologie , Maladie du charbon/épidémiologie , Maladie du charbon/transmission , Argentine/épidémiologie , Maladies des oiseaux/transmission , Réservoirs de maladies/médecine vétérinaire , Fèces/microbiologie , Saisons , Surveillance sentinelle/médecine vétérinaire , Spécificité d'espèce , Spores bactériens/isolement et purification
13.
Pesqui. vet. bras ; Pesqui. vet. bras;26(4): 243-248, out.-dez. 2006. ilus, tab, graf
Article de Anglais | LILACS | ID: lil-456876

RÉSUMÉ

Ten outbreaks of anthrax occurred in cattle from 1978 to 2006 in southern Brazil, in 5 municipalities on the border with Uruguay, a country where the disease is frequent. The 10 outbreaks represented 0.2% of all bovine specimens received during the period by the Regional Diagnostic Laboratory of the Federal University of Pelotas, causing 267 deaths in a risk population of 6,605 head. The disease affected young and adult cattle mainly during summer. Only one farmer reported that sheep and horses were also affected. Clinically the peracute form was more frequent, but in some outbreaks the acute form with a clinical manifestation period of 6-48 hours was also observed. The source of infection was not established; but the reduced rainfall, associated with low, flat, flooded lands used for agriculture followed by animal grazing after harvest was probably related to the disease occurrence. Annual vaccination is an efficient way to prevent the disease.


Foi realizado um estudo retrospectivo da ocorrência de carbúnculo hemático em bovinos na área de influência do Laboratório Regional de Diagnóstico (LRD) da Faculdade de Veterinária da Universidade Federal de Pelotas. Entre 1978 e março de 2006, dez surtos da enfermidade ocorreram em cinco municípios da região sul do Rio Grande do Sul, todos localizados na fronteira com o Uruguai. A enfermidade representou 0,2% dos diagnósticos realizados no LRD no período. Ocorre em bovinos jovens e adultos, principalmente em verões quentes e secos, e com menor freqüência em outras épocas do ano. Freqüentemente, a doença se apresenta na forma hiperaguda, entretanto casos de carbúnculo hemático agudo podem ser observados. Não foi possível estabelecer a origem das infecções, mas precipitações pluviométricas menores que as normais, em campos planos, sujeitos a alagamentos freqüentes, utilizados para plantio e posterior uso das restevas (restolhos) para a criação dos animais podem ter favorecido a ocorrência dos surtos. A prática da vacinação anual dos animais é a forma de evitar eficientemente os surtos da doença.


Sujet(s)
Maladie du charbon/diagnostic , Maladie du charbon/épidémiologie , Maladie du charbon/médecine vétérinaire , Bacillus anthracis/isolement et purification , Bovins
14.
Pesqui. vet. bras ; 26(4): 243-248, out.-dez. 2006. ilus, tab, graf
Article de Anglais | VETINDEX | ID: vti-3487

RÉSUMÉ

Ten outbreaks of anthrax occurred in cattle from 1978 to 2006 in southern Brazil, in 5 municipalities on the border with Uruguay, a country where the disease is frequent. The 10 outbreaks represented 0.2% of all bovine specimens received during the period by the Regional Diagnostic Laboratory of the Federal University of Pelotas, causing 267 deaths in a risk population of 6,605 head. The disease affected young and adult cattle mainly during summer. Only one farmer reported that sheep and horses were also affected. Clinically the peracute form was more frequent, but in some outbreaks the acute form with a clinical manifestation period of 6-48 hours was also observed. The source of infection was not established; but the reduced rainfall, associated with low, flat, flooded lands used for agriculture followed by animal grazing after harvest was probably related to the disease occurrence. Annual vaccination is an efficient way to prevent the disease.(AU)


Foi realizado um estudo retrospectivo da ocorrência de carbúnculo hemático em bovinos na área de influência do Laboratório Regional de Diagnóstico (LRD) da Faculdade de Veterinária da Universidade Federal de Pelotas. Entre 1978 e março de 2006, dez surtos da enfermidade ocorreram em cinco municípios da região sul do Rio Grande do Sul, todos localizados na fronteira com o Uruguai. A enfermidade representou 0,2% dos diagnósticos realizados no LRD no período. Ocorre em bovinos jovens e adultos, principalmente em verões quentes e secos, e com menor freqüência em outras épocas do ano. Freqüentemente, a doença se apresenta na forma hiperaguda, entretanto casos de carbúnculo hemático agudo podem ser observados. Não foi possível estabelecer a origem das infecções, mas precipitações pluviométricas menores que as normais, em campos planos, sujeitos a alagamentos freqüentes, utilizados para plantio e posterior uso das restevas (restolhos) para a criação dos animais podem ter favorecido a ocorrência dos surtos. A prática da vacinação anual dos animais é a forma de evitar eficientemente os surtos da doença. (AU)


Sujet(s)
Animaux , Maladie du charbon/diagnostic , Maladie du charbon/épidémiologie , Maladie du charbon/médecine vétérinaire , Bacillus anthracis/isolement et purification , Bovins
15.
Rev Inst Med Trop Sao Paulo ; 47(1): 25-30, 2005.
Article de Anglais | MEDLINE | ID: mdl-15729471

RÉSUMÉ

Anthrax is a zoonosis produced by Bacillus anthracis, and as an human infection is endemic in several areas in the world, including Peru. More than 95% of the reported naturally acquired infections are cutaneous, and approximately 5% of them can progress to meningoencephalitis. In this study we review the clinical and epidemiological characteristics of the patients with diagnosis of cutaneous anthrax evaluated between 1969 and 2002 at the Hospital Nacional Cayetano Heredia (HNCH) and the Instituto de Medicina Tropical Alexander von Humboldt in Lima, Peru. Seventy one patients were included [49/71 (69%) of them men], with a mean age of 37 years. The diagnoses were classified as definitive (44%) or probable (56%). The most common occupation of the patients was agriculture (39%). The source of infection was found in 63 (88.7%) patients. All the patients had ulcerative lesions, with a central necrosis. Most of the patients (65%) had several lesions, mainly located in the upper limbs (80%). Four patients (5.6%) developed meningoencephalitis, and three of them eventually died. In conclusion, considering its clinical and epidemiological characteristics, cutaneous anthrax must be included in the differential diagnosis of skin ulcers. A patient with clinical suspicion of the disease should receive effective treatment soon, in order to avoid neurological complications which carry a high fatality rate.


Sujet(s)
Maladie du charbon , Dermatoses bactériennes , Adolescent , Adulte , Sujet âgé , Maladie du charbon/diagnostic , Maladie du charbon/traitement médicamenteux , Maladie du charbon/épidémiologie , Bacillus anthracis/isolement et purification , Enfant , Femelle , Humains , Mâle , Méningoencéphalite/diagnostic , Méningoencéphalite/microbiologie , Adulte d'âge moyen , Pérou/épidémiologie , Études rétrospectives , Dermatoses bactériennes/diagnostic , Dermatoses bactériennes/traitement médicamenteux , Dermatoses bactériennes/épidémiologie
16.
Rev. Inst. Med. Trop. Säo Paulo ; Rev. Inst. Med. Trop. Säo Paulo;47(1): 25-30, jan.-fev. 2005. tab
Article de Anglais | LILACS | ID: lil-393340

RÉSUMÉ

El ántrax es una zoonosis producida por el Bacillus anthracis y la infección humana es endémica en diversas partes del mundo, incluyendo el Perú. Más del 95% de las infecciones adquiridas naturalmente son cutáneas y aproximadamente 5% de ellas pueden evolucionar para meningoencefalitis. En este estudio revisamos las características clínicas y epidemiológicas de los pacientes con diagnóstico de ántrax cutáneo evaluados entre 1969 y 2002 en el Hospital Nacional Cayetano Heredia (HNCH) y en el Instituto de Medicina Tropical Alexander von Humboldt, en Lima, Perú. Se incluyeron 71 pacientes [49/71 (69%) del sexo masculino], con edad media de 37 años. Los diagnósticos fueron clasificados como definitivos (44%) o probables (56%). La ocupación más frecuente fue la agricultura (39%). La fuente de infección fue identificada en 63 (88.7%) pacientes. Todos presentaron lesiones ulcerativas con necrosis central. La mayoría de ellos (65%) tuvieron lesiones múltiples, principalmente localizadas en miembros superiores (80%). Cuatro pacientes (5.6%) desarrollaron meningoencefalitis y tres de ellos fallecieron. En conclusión, considerando sus particulares características clínicas y epidemiológicas, el ántrax cutáneo debe ser siempre incluido en el diagnóstico diferencial de las lesiones cutáneas ulcerativas. Los pacientes con sospecha clínica de la enfermedad deben recibir tratamiento precoz con el objetivo de evitar complicaciones neurológicas, las cuales presentan elevados índices de fatalidad.


Sujet(s)
Humains , Mâle , Femelle , Enfant , Adolescent , Adulte , Adulte d'âge moyen , Maladie du charbon , Maladie du charbon/diagnostic , Maladie du charbon/traitement médicamenteux , Maladie du charbon/épidémiologie , Bacillus anthracis/isolement et purification , Méningoencéphalite/diagnostic , Méningoencéphalite/microbiologie , Pérou/épidémiologie , Études rétrospectives , Dermatoses bactériennes/diagnostic , Dermatoses bactériennes/traitement médicamenteux , Dermatoses bactériennes/épidémiologie
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