Mandibular Buccal Bifurcation Cyst: Report of Two Cases.

Mandibular buccal bifurcation cyst is a rare inflammatory odontogenic cyst. We reported two cases who complained of painful swelling of extraoral soft tissue. Intraoral examination revealed the partially erupted mandibular first molar. Cone beam computed tomography showed a well-defined cystic lesion surrounding the first molar. Histopathologic images showed the cyst wall was infiltrated by a large number of plasma cells, neutrophils and eosinophils, and lined with a thin layer of non-keratinized stratified squamous epithelium. Finally, the two patients were diagnosed as mandibular buccal bifurcation cyst and treated with cyst enucleation and curettage.

High prevalence and widespread distribution of multi-resistant Escherichia coli isolates in pigs and poultry in China.

Escherichia coli play an important ecological role within resistant bacteria populations, and can be used as a bio-indicator of antimicrobial resistance. The aim of the present study was to use this feature of E. coli to investigate the prevalence of antimicrobial resistance and the degree of cross-species transmission of bacteria in pigs and poultry in China. A total of 592 E. coli strains, isolated from pigs and poultry (healthy and diseased animals), were tested for resistance to 22 antimicrobials representing eight antimicrobial drug types. E. coli isolates had high rates of resistance to ampicillin (99.5%), doxycycline (95.6%), tetracycline (93.4%), trimethoprim-sulfamethoxazole (74.3%), amoxicillin (65.1%), streptomycin (54.7%), and chloramphenicol (50.2%). Resistance to cephalosporins, quinolones, and aminoglycosides was also quite prevalent. The majority (81%) of isolates demonstrated multi-antimicrobial resistance, most commonly to 5-6 different antimicrobial types. One isolate was resistant to all 22 antimicrobials. Twenty-two cultures exhibiting multi-antimicrobial resistance were analysed by pulsed-field gel electrophoresis (PFGE) to assess their distribution between farms. Three distinct PFGE types were identified, indicating inter-farm transmission of multi-antimicrobial resistant bacteria. The study confirmed the presence and transmission of multi-antimicrobial-resistant E. coli strains amongst pigs and poultry in China and highlights the urgent need for appropriate monitoring programmes.

Molecular variability of DR-1 and DR-2 within the pvpA gene in Mycoplasma gallisepticum isolates.

A total of 15 Mycoplasma gallisepticum (MG) isolates from Chinese poultry farms and three reference strains (S6, BG44T, and F36) were characterized by nested polymerase chain reaction and sequence analysis for two identical and directly repeated sequences, DR-1 and DR-2, within the putative cytadhesin pvpA gene. The molecular variation patterns of the pvpA genes among the 15 MG isolates were identical to the reference strains S6 and BG44T, that is, a 60 bp deletion in DR-1 and DR-2 and repetition of 1) a proline residue 33 times and 2) a tetrapeptide motif 10 times (Pro-Arg-Pro-X, where X is Met, Gly, Asn, or Gln for 6, 1, 1, or 2 times, respectively). However, the variation pattern is quite different from that of the vaccine strain F36, in which only the DR-1 region is retained, 24 of the 25 peptides comprising the linkage sequence between DR-1 and DR-2 are missing, and the entire DR-2 sequence is deleted. A comparison of the sequences within the DR-1 and DR-2 repeated regions among clinical isolates from different geographic sites suggested that > or = 30 proline residue repeats and 7-10 repeats of the tetrapeptide motif may exert an important role in the functionality of PvpA as an adhesin molecule. Size variation and differences in deletion patterns in the C-terminal coding region of the pvpA gene were observed among the field isolates and vaccine strain F, providing the basis for strain differentiation.