Phylogenetic analysis of Salmonella species isolated from cows, buffaloes, and humans based on gyrB gene sequences.

This study aimed to investigate the role of dairy cows and buffaloes as reservoirs of nontyphoidal salmonelloses (NTS), to reveal the occurrence of NTS among dairy workers and children with acute diarrhea and to study the gyrB gene phylogenetic relations of the obtained Salmonella strains, 300 samples were chosen randomly from clinically infected animals, including 100 feces and 50 raw milk from buffaloes and cows. Five hundred samples were chosen randomly from healthy animals, including 150 feces and 100 raw milk from buffaloes and cows. A total of 160 stool samples were randomly chosen from healthy workers (60) and children with acute diarrhea (100). Salmonella species were isolated from the examined samples and identified by polymerase chain reaction. Sequencing and phylogenetic analyses of gyrB gene were also performed. S. enteritidis and S.typhimurium were isolated from 0.5% (2/400) of the cows and buffaloes, respectively. Dairy workers were found to be at greater risk of exposure to Salmonella infection (5%) than children (1%). S. enteritidis was isolated from 1.7% (1/60) of dairy workers. S. typhimurium was isolated from 3.33% (2/60) and 1% (1/100) of dairy workers and children, respectively. Phylogenetic analysis of Salmonella species gyrB gene sequences from both animals and humans falls inside one clade, and all of them were closely related to each other with less significant genetic distance (99.9:100). In conclusion, cows and buffaloes act as reservoirs of Salmonella infection in dairy farms in Egypt and contribute a risk of zoonotic transmission to human.

Myocardial dysfunction in malnourished children.

BACKGROUND: Malnourished children suffer several alterations in body composition that could produce cardiac abnormalities. AIM: The aim of the present study was to detect the frequency of myocardial damage in malnourished children as shown by echocardiography and cardiac troponin T (cTnT) level. METHODS: Forty-five malnourished infants and young children (mean±SD of age was 11.24 ±7.88 months) were matched with 25 apparently healthy controls (mean±SD of age was 10.78±6.29 months). Blood sample was taken for complete blood picture, liver and kidney function tests, serum sodium, potassium, calcium levels and cTnT. All the malnourished children were subjected to echocardiographic evaluation. RESULTS: Malnourished children showed a significantly lower left ventricular (LV) mass than the control group. The LV systolic functions were significantly impaired in patients with severe malnutrition. The cTnT level was higher than the upper reference limits in 11 (24.44%) of the studied malnourished children and all of them had a severe degree of malnutrition. The cTnT level was significantly higher in patients with anemia, sepsis and electrolyte abnormalities and it correlated negatively with LV ejection fraction (EF). Six of the studied children with high cTnT levels (54.5%) died within 21 days of treatment while only one case (2.9%) with normal level of cTnT died within the same period. CONCLUSIONS: LV mass is reduced in malnourished children. Children with severe malnutrition have a significant decrease in LV systolic functions. Elevated cTnT levels in malnourished children has both diagnostic and prognostic significance for cardiomyocyte damage.