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1.
J Infect Dis ; 231(Supplement_2): S114-S122, 2025 Mar 10.
Artigo em Inglês | MEDLINE | ID: mdl-39891540

RESUMO

BACKGROUND: In 2020, countries implemented universal surveillance to detect and monitor severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) cases. Although crucial for early monitoring efforts, universal surveillance is resource intensive. To understand the implications of transitioning from universal to sentinel surveillance for monitoring SARS-CoV-2 transmissibility, morbidity and mortality, and disease seriousness, we compared measures of SARS-CoV-2 reported from both surveillance strategies in Argentina, Chile, and Mexico. METHODS: We obtained weekly case counts in Argentina, Chile, and Mexico, in periods when both universal and sentinel surveillance were ongoing. To assess the countries' surveillance strategies, we measured the proportion of total sites that were included in sentinel surveillance. We compared 8 measures of SARS-CoV-2 transmissibility, morbidity and mortality, and disease seriousness between sentinel and universal surveillance and assessed the correlation between the 2 strategies for the 8 measures. Pearson and Spearman correlation was classified as very strong (rs = 0.8-1.0), strong (rs = 0.60-0.79), moderate (rs = 0.50-0.59), or poor (r < 0.50). RESULTS: The proportion of total sites included in sentinel surveillance was 5.8% for Argentina, 1.1% for Chile, and 7.6% for Mexico. A total of 21 measures were calculated (8 for Mexico, 8 for Chile, and 5 for Argentina). Of these, 17 showed consistency between the 2 surveillance strategies, with strong or very strong correlations (r = 0.66-0.99): all 8 measures for Mexico, 6 of 8 measures for Chile, and 3 of 5 measures for Argentina. Each country had ≥1 measure reflecting transmissibility and ≥1 reflecting morbidity and mortality for which the correlation was strong or very strong. Chile and Mexico also had ≥1 measure of disease seriousness for which the correlation was strong. CONCLUSIONS: Our findings suggest that the integration of SARS-CoV-2 into national sentinel surveillance can yield information comparable to that provided by nationwide universal surveillance for measures related to SARS-CoV-2 transmissibility, morbidity and mortality, and seriousness of disease.


Assuntos
COVID-19 , SARS-CoV-2 , Vigilância de Evento Sentinela , Humanos , COVID-19/epidemiologia , COVID-19/diagnóstico , México/epidemiologia , Chile/epidemiologia , Argentina/epidemiologia , SARS-CoV-2/isolamento & purificação
2.
Artigo em Inglês | MEDLINE | ID: mdl-39907395

RESUMO

Rhodococcus equi is an opportunistic soil-borne bacterium that is eliminated in feces of multi-host animals. An increase in multidrug-resistant R. equi isolates has been reported in humans and domestic animals, and it has been hypothesized that the treatment of R. equi in foals could increase the selective pressure on multidrug-resistant isolates and favor human infections by resistant isolates. We investigated the in vitro antimicrobial susceptibility/resistance of 41 R. equi strains from humans, which were isolated from patients with pulmonary signs, using 19 antimicrobials from 10 distinct classes, recommended exclusively to humans, recommended exclusively to domestic animals and used in both. All isolates were subjected to mass spectrometry and identified as R. equi. Among the antimicrobials used exclusively in humans, tigecycline and vancomycin showed 100% efficacy. Amikacin, amoxicillin/clavulanic acid, imipenem, levofloxacin, clarithromycin, rifampin, ciprofloxacin, and gentamicin, used in both humans and animals, revealed high efficacy (97-100%). Conversely, a higher frequency of isolates was resistant to penicillin (87.8%) and trimethoprim/sulfamethoxazole (43.9%), which are used in both humans and animals. Among the antimicrobials used only in animals, isolates were resistant to florfenicol (46.4%), ceftiofur (17.1%), and enrofloxacin (2.5%). Multidrug resistance was observed in 34% of isolates. The identification of drug-resistant R. equi isolated from humans used exclusively in animals is circumstantial evidence of the pathogen transmission from domestic animals to humans. This study contributes to the molecular identification of Rhodococcus species from humans and to the epidemiological vigilance of the multidrug-resistant isolates.


Assuntos
Infecções por Actinomycetales , Antibacterianos , Testes de Sensibilidade Microbiana , Rhodococcus equi , Rhodococcus equi/efeitos dos fármacos , Rhodococcus equi/isolamento & purificação , Animais , Antibacterianos/farmacologia , Humanos , Infecções por Actinomycetales/microbiologia , Infecções por Actinomycetales/tratamento farmacológico , Infecções por Actinomycetales/veterinária , Farmacorresistência Bacteriana Múltipla , Animais Domésticos/microbiologia , Cavalos/microbiologia
3.
Int J Biol Macromol ; 304(Pt 2): 140842, 2025 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-39929464

RESUMO

This study reports enhanced organic dye adsorption capacity from aqueous solutions of a synthesized novel biocomposite hydrogel based on aminated lignin (AL) and poly(3-acryloamidopropyl)-trimethylammonium chloride P(ClAPTA). The biocomposites were characterized via Fourier-transform infrared spectroscopy, thermogravimetric analysis, scanning electron microscopy, and elemental analysis, confirming successful functionalization and polymerization. A factorial design was used to screen the operational parameters, showing that the P(ClAPTA-AL) composition was the most significant factor affecting dye adsorption compared to the amination ratio. Optimization of the adsorption process was achieved using alizarin red S (ARS) as a model dye through a Box-Behnken design, revealing optimal conditions: pH 12.0, 20 °C, 120 min contact time, and a composite-to-ARS mass ratio of 10, resulting in a high adsorption capacity of 102.1 mg g-1 and a maximum adsorption of 3889 mg g-1. Kinetic studies showed an adsorption process followed a pseudo-second-order model, confirming chemisorption as the predominant mechanism, while thermodynamic analysis revealed a spontaneous and endothermic adsorption process. Furthermore, promissory results demonstrated high reusability, with adsorption efficiency remaining at ∼99 % until the fourth cycle and maintaining 81.1 % after seven cycles.


Assuntos
Corantes , Hidrogéis , Lignina , Águas Residuárias , Poluentes Químicos da Água , Lignina/química , Adsorção , Águas Residuárias/química , Hidrogéis/química , Poluentes Químicos da Água/química , Poluentes Químicos da Água/isolamento & purificação , Cinética , Corantes/química , Purificação da Água/métodos , Concentração de Íons de Hidrogênio , Termodinâmica , Aminação , Antraquinonas/química , Espectroscopia de Infravermelho com Transformada de Fourier , Temperatura
4.
Anaerobe ; 92: 102942, 2025 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-39900233

RESUMO

Lemierre's syndrome (LS) is a rare complication of oropharyngeal infections, often causing sepsis, internal jugular vein thrombosis, and metastatic infections. We present a unique case of a 48-year-old male with LS complicated by an internal carotid artery pseudoaneurysm compressing the pituitary gland, resulting in panhypopituitarism. Diagnosis was confirmed via imaging and detection of Fusobacterium nucleatum. Treatment included antibiotics, anticoagulation, and hormone replacement. Although the patient recovered from pituitary deficiencies, growth hormone deficiency persisted. This case emphasizes the importance of recognizing endocrine dysfunctions in LS and highlights the need for multidisciplinary management to address vascular and neuroendocrine complications.


Assuntos
Artéria Carótida Interna , Fusobacterium nucleatum , Hipopituitarismo , Síndrome de Lemierre , Humanos , Masculino , Síndrome de Lemierre/diagnóstico , Síndrome de Lemierre/complicações , Síndrome de Lemierre/microbiologia , Síndrome de Lemierre/tratamento farmacológico , Hipopituitarismo/etiologia , Hipopituitarismo/diagnóstico , Pessoa de Meia-Idade , Fusobacterium nucleatum/isolamento & purificação , Artéria Carótida Interna/microbiologia , Falso Aneurisma/microbiologia , Falso Aneurisma/diagnóstico , Antibacterianos/uso terapêutico , Infecções por Fusobacterium/tratamento farmacológico , Infecções por Fusobacterium/diagnóstico , Infecções por Fusobacterium/microbiologia , Infecções por Fusobacterium/complicações , Anticoagulantes/uso terapêutico
5.
Medicina (B Aires) ; 85(1): 213-216, 2025.
Artigo em Espanhol | MEDLINE | ID: mdl-39900065

RESUMO

Klebsiella pneumoniae liver abscess syndrome due to hypermucoviscous strains is defined by the presence of monomicrobial liver abscess, without biliary tree or colorectal disease. These strains may be easily identified in the laboratory by performing a string test. It has the potential to spread to other organs, leading to a high morbimortality. We report two cases of liver abscess due to naturally susceptible Klebsiella pneumoniae, one of them with endogenous endophthalmitis as metastatic involvement that required evisceration.


El síndrome de absceso hepático por Klebsiella pneumoniae con fenotipo hipermucoviscoso, es una enfermedad caracterizada por la presencia de abscesos hepáticos monomicrobianos en ausencia de enfermedad biliar o colorrectal subyacente. Esta cepa puede identificarse en el laboratorio a través del string test. Se caracteriza por la potencialidad de diseminar y comprometer órganos a distancia, asociando importante morbimortalidad. Presentamos dos casos de abscesos hepáticos por Klebsiella pneumoniae multisensible, uno de ellos con endoftalmitis endógena como complicación a distancia, con requerimiento de evisceración del globo ocular.


Assuntos
Infecções por Klebsiella , Klebsiella pneumoniae , Abscesso Hepático , Humanos , Klebsiella pneumoniae/isolamento & purificação , Infecções por Klebsiella/diagnóstico , Infecções por Klebsiella/microbiologia , Abscesso Hepático/microbiologia , Abscesso Hepático/diagnóstico por imagem , Masculino , Síndrome , Pessoa de Meia-Idade , Feminino , Idoso , Endoftalmite/microbiologia
6.
J Helminthol ; 99: e15, 2025 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-39905719

RESUMO

Members of the genus Oncicola Travassos, 1916 are generalist parasites able to infect a broad spectrum of carnivorous hosts, such as marsupials, procyonids, felids, and canids, and are distributed globally. Adult specimens were collected from the intestines of three white-nosed coatis (N. narica), whereas cystacanths (larval form) were found in the body cavities of two amphibian species (paratenic hosts) in localities from northern and southeastern Mexico. Morphologically, both stages were identified as O. luehei (Travassos, 1917) on the basis of the following features: trunk cylindrical, narrow anteriorly, enlarging midbody, tapering gradually to narrow posteriorly; proboscis globular with six circular rows of hooks with six hooks each, decreasing in size posteriorly; neck short with sensory papilla; tubular lemnisci long, extending to the posterior region; protonephridia dendritic type; and eight cement glands, compact with a single giant nuclei. Sequences from cytochrome c oxidase subunit 1 from mtDNA were aligned and compared with sequences available in GenBank. Phylogenetic analyses revealed that adults and cystacanths formed a clade with two other isolates identified as Oncicola sp. and O. luehei from Mexico. The intraspecific genetic divergence among the isolates was low, ranging from 0.0% to 3.0%, indicating that the two stages of the life cycle belong to the same species. The haplotype network was inferred with 11 sequences and revealed a lack of shared haplotypes between populations, suggesting a reduced recombination rate and a high pattern of genetic variation among individuals. Finally, these new records of O. luehei increase the distribution range of O. luehei on both coasts of Mexico.


Assuntos
Acantocéfalos , Helmintíase Animal , Filogenia , Animais , México , Acantocéfalos/genética , Acantocéfalos/classificação , Acantocéfalos/isolamento & purificação , Acantocéfalos/anatomia & histologia , Helmintíase Animal/parasitologia , Complexo IV da Cadeia de Transporte de Elétrons/genética , Anfíbios/parasitologia , Feminino , DNA Mitocondrial/genética , DNA de Helmintos/genética , Masculino , Intestinos/parasitologia
7.
Mycoses ; 68(2): e70031, 2025 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-39907149

RESUMO

BACKGROUND: Recurrent vulvovaginal candidosis (RVVC) has been associated with increased antifungal resistance. Recently, we reported that Candida isolates from Colombian patients with RVVC did not show an increase in antifungal resistance. OBJECTIVE: The aim of this study was to evaluate the virulence of Candida isolates from patients with RVVC. METHODS: A total of 40 Candida isolates were evaluated (37 C. albicans and 3 C. lusitaniae ). C. albicans isolates were divided into two groups based on the number of VVC episodes in patients per year: Group 1 (four to seven episodes; n = 26) and Group 2 (≥ eight episodes; n = 11). The XTT assay was used to assess biofilm formation. Galleria mellonella larvae were used for survival analysis and fungal load assessment, and the qPCR technique to determine the expression of the PRA1 gene. RESULTS: It was observed that C. lusitaniae and C. albicans isolates from patients with ≥ eight VVC episodes per year exhibited a greater capacity to form biofilms compared to those from patients with four to seven VVC episodes. Moreover, in the G. mellonella model, larvae inoculated with isolates from RVVC patients exhibited approximately 80% mortality. Similarly, larvae infected with C. albicans from patients who experienced ≥ eight VVC episodes showed a significantly higher fungal load compared to the other evaluated groups; likewise, the expression of the PRA1 gene was significantly higher in isolates from patients with ≥ eight VVC episodes. CONCLUSION: These results indicate that Candida isolates from patients with RVVC exhibit a high degree of virulence and suggest that virulence may be one of the mechanisms explaining recurrence rather than antifungal resistance itself.


Assuntos
Biofilmes , Candida , Candidíase Vulvovaginal , Candidíase Vulvovaginal/microbiologia , Humanos , Feminino , Virulência , Biofilmes/crescimento & desenvolvimento , Animais , Candida/patogenicidade , Candida/genética , Candida/isolamento & purificação , Candida/classificação , Candida/efeitos dos fármacos , Candida/fisiologia , Recidiva , Larva/microbiologia , Candida albicans/patogenicidade , Candida albicans/genética , Candida albicans/isolamento & purificação , Candida albicans/fisiologia , Farmacorresistência Fúngica , Antifúngicos/farmacologia , Antifúngicos/uso terapêutico , Mariposas/microbiologia
8.
Braz J Biol ; 84: e286747, 2025.
Artigo em Inglês | MEDLINE | ID: mdl-39907335

RESUMO

Limited resources and inadequate surveillance systems in developing countries have hindered research on antibiotic resistance gene transfer in aquatic environments. In this context, our study aimed to identify extended-spectrum beta-lactamase gene variants in Gram-negative isolates from the Tipitapa River-a significant Central America ecosystem. Samples were collected and assessed for key water parameters: dissolved oxygen, electrical conductivity, pH, and temperature. We employed a mix of microbiological, biochemical and molecular techniques, including multiplex PCR and sequencing, to characterize bacteria and determine the bla gene variants. Water quality parameters indicated areas impacted by human activities with high mineralization and eutrophication conditions. Among the bacteria analyzed, 48% belonged to the Enterobacteriaceae family, and a significant 88% displayed extended-spectrum beta-lactamases. Sequencing revealed four distinct bla gene variants in 84% of the isolates: bla-SHV-24, bla-SHV-13, bla-TEM-1, and bla-TEM-116, with bla-SHV-24 being the most common (47.62%). This is the first report of bla gene variants in the Tipitapa River, revealing their presence in globally concerning bacteria. The robust methodology enhances surveillance, enables geographic profiling of bla gene variants, and improves our understanding of biochemical patterns and gene transmission dynamics, providing essential insights into the global distribution of antibiotic resistance genes in Central America's natural waters.


Assuntos
Bactérias Gram-Negativas , Rios , beta-Lactamases , beta-Lactamases/genética , Rios/microbiologia , Nicarágua , Bactérias Gram-Negativas/genética , Bactérias Gram-Negativas/enzimologia , Bactérias Gram-Negativas/isolamento & purificação , Testes de Sensibilidade Microbiana , Reação em Cadeia da Polimerase Multiplex
9.
Braz J Biol ; 84: e285397, 2025.
Artigo em Inglês | MEDLINE | ID: mdl-39907330

RESUMO

Staphylococcus aureus is a ubiquitous nosocomial bacterium, which confers hospital-associated infections ranging from moderate to life-threatening disorders. The pathogenicity of the microorganism is attributed to various camouflage mechanisms harbored in its genome. Methicillin-resistant Staphylococcus aureus strains have become significant pathogens in nosocomial and community settings. In the current study, we aimed to determine the prevalence of S. aureus, and more specifically, MRSA at different departments in four major hospitals in Jordan. A total of 500 inanimate surfaces located in the intensive care unit ICU, kidney department, surgery department, internal department, sterilization department, burn department, and operation department were swabbed. All isolates were identified by using routine bacterial culture, Gram staining, and a panel of biochemical tests such as; catalase, coagulase, DNase, urease, oxidase, and hemolysin production were performed. In terms of PCR, three main genes were screened, the 16S rRNA gene targeting Staphylococcus spp as a housekeeping gene, the coA gene was used as a specific gene to detect S. aureus, and the mecA gene used to identify MRSA isolates. Results revealed the prevalence of Staphylococcus spp was 212 (42.4%), S. aureus prevalence by coA gene 198 (39.6%), and MRSA by mecA gene in 81 samples (16.2%) . There was a strong positive connection (P < 0.01) found between department site and bacterial contamination. It was concluded that inanimate hospital environments contain a relatively high number of S. aureus and MRSA. Proper sterilization techniques, infection prevention, and control management strategies should be implemented.


Assuntos
Staphylococcus aureus Resistente à Meticilina , Staphylococcus aureus , Jordânia , Staphylococcus aureus/genética , Staphylococcus aureus/isolamento & purificação , Humanos , Staphylococcus aureus Resistente à Meticilina/genética , Staphylococcus aureus Resistente à Meticilina/isolamento & purificação , Reação em Cadeia da Polimerase , Hospitais , RNA Ribossômico 16S/genética , Infecção Hospitalar/microbiologia , Prevalência , Proteínas de Bactérias/genética
10.
Braz J Biol ; 84: e288968, 2025.
Artigo em Inglês | MEDLINE | ID: mdl-39907343

RESUMO

Mangrove ecosystems play a crucial role in maintaining ecological balance with leaf litter serving as an important substrate for diverse microbial communities. This study investigates the microbial communities inhabiting leaf litter from four different mangrove species: Rhizophora apiculata, Rhizophora stylosa, Sonneratia caseolaris, and Avicennia marina collected from Kebun Raya Mangrove, Surabaya, Indonesia. Using metagenomic sequencing, we revealed that Proteobacteria were predominant, followed by Chlorobi and Actinobacteria in the samples. Interestingly, we detected notable populations of anaerobic bacteria, including genus of Chlorobaculum and Allochromatium. Metagenomic analyses exhibited high levels of adaptation to stressors, evidenced by the prevalence of genes conferring resistance to antibiotics (e.g., beta-lactams, tetracyclines), heavy metals (e.g., chromium, arsenic), and hydrocarbons. Furthermore, the metagenomic analysis revealed the presence of genes involved in the biosynthesis of polyunsaturated fatty acids (PUFAs), antimicrobial compounds, and plant growth-promoting activities. These findings highlight the potential of mangrove leaf litter as a reservoir of beneficial microbes with diverse biotechnological applications, including bioremediation, nutraceuticals, pharmaceuticals, and agriculture.


Assuntos
Avicennia , Folhas de Planta , Rhizophoraceae , Indonésia , Folhas de Planta/microbiologia , Rhizophoraceae/microbiologia , Avicennia/microbiologia , Biodiversidade , Bactérias/classificação , Bactérias/genética , Bactérias/isolamento & purificação , Áreas Alagadas
11.
Braz J Biol ; 84: e289015, 2025.
Artigo em Inglês | MEDLINE | ID: mdl-39907344

RESUMO

Wood and wood-based materials are commonly used for storage, but their surfaces are prone to biodegradation by microorganisms, especially fungi. This study focuses on the microbial communities on pine wood storage boxes treated with an anti-termite and mold solution in a tropical region in Dong Nai, Vietnam. We isolated 13 fungal strains from these surfaces and classified them into six genera: Rhizopus, Aspergillus, Fusarium, Curvularia, Penicillium, and Trichoderma. Enzyme activity tests revealed that strains Curvularia eragrostidis TD4.2 and Aspergillus sydowii TD5 were the most effective producers of cellulase, amylase, and laccase. Shotgun metagenomics analysis of the biological sample of the discolored surface of pine storage boxes indicated that Ascomycota was the dominant phylum, with Dothideomycetes and Sordariomycetes as the prevalent class. Aureobasidium (0.33%) and Chaetomium (1.1%) were the most abundant genera in the Dothideomycetes and Sordariomycetes, respectively. This research illustrates the complexity of microbial communities on wood surfaces, providing insights into the fungal dynamics affecting wooden storage materials in tropical climates.


Assuntos
Fungos , Pinus , Madeira , Vietnã , Fungos/classificação , Fungos/isolamento & purificação , Fungos/genética , Madeira/microbiologia , Pinus/microbiologia , Clima Tropical , Micobioma
12.
J Food Sci ; 90(2): e70030, 2025 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-39898962

RESUMO

Macauba (Acrocomia aculeata) is a Brazilian palm whose pulp is rich in carotenoids and holds potential for the development of healthy foods. This study presents an innovative approach utilizing ethyl acetate, a solvent recognized as generally safe (GRAS), in conjunction with ultrasound technology, to optimize the extraction of carotenoids from both macauba pulp (MP) and its pulp press-cake (PPC). The effects of varying time and temperature parameters (5-30 min at 25-60°C) alongside ultrasound conditions (25 and 60°C at frequencies of 25 and 45 kHz) on the extraction process were evaluated, with total carotenoid content quantified via spectrophotometry. For MP, the optimal extraction conditions were 60°C for 30 min, yielding 219.33 µg/g of carotenoids, while ultrasound at 45 kHz, under the same time/temperature, enhanced the extraction efficiency to 277.55 µg/g. In the case of PPC, ultrasound extraction achieved a carotenoid content of 124.23 µg/g. Overall, the findings indicate that elevating the temperature to 60°C favored the extraction process, while ultrasound demonstrated effective even under milder conditions. This study emphasizes the potential of ethyl acetate as a sustainable alternative to traditional toxic solvents, aligning with the growing demand for safer and more environmentally friendly practices in the extraction of bioactive compounds. PRACTICAL APPLICATION: The sustainable extraction of carotenoids from macauba, a non-conventional source, shows great potential for producing natural colorants and antioxidants in the food industry. The efficient use of ultrasound in the extraction process highlights the potential of this technology for the industry, providing an eco-friendly and effective alternative to conventional methods.


Assuntos
Acetatos , Carotenoides , Extratos Vegetais , Carotenoides/análise , Carotenoides/isolamento & purificação , Extratos Vegetais/química , Arecaceae/química , Solventes/química , Frutas/química , Ultrassom/métodos , Temperatura
13.
J Infect Dis ; 231(Supplement_1): S72-S79, 2025 Feb 10.
Artigo em Inglês | MEDLINE | ID: mdl-39928390

RESUMO

Arboviral and rodent-borne infections are considered a public health concern and pose a significant threat to military service members when deployed in austere environments. In 1990, the U.S. Naval Medical Research Unit (NAMRU) SOUTH, in collaboration with the Peruvian Ministry of Health, initiated febrile illnesses surveillance in Iquitos, Loreto, later expanding to 33 health facilities throughout the country. Additionally, different techniques were developed to maximize virus detection. The activities were crucial in identifying evidence of circulating dengue, Venezuelan equine encephalitis, Mayaro, and Oropouche viruses in the region. Subsequently, Eastern equine encephalitis, encephalomyocarditis, Guaroa, Saint Louis encephalitis, and Rio Mamore viruses, among others, were discovered through our surveillance networks. The results of 3 decades of surveillance identified 16 novel arboviruses and rodent-borne viruses, contributing to public health control and force health protection for the United States and partner nations.


Assuntos
Roedores , Peru/epidemiologia , Animais , Humanos , Roedores/virologia , Doenças Transmitidas por Vetores/epidemiologia , Doenças Transmitidas por Vetores/virologia , Infecções por Arbovirus/epidemiologia , Infecções por Arbovirus/virologia , Artrópodes/virologia , Arbovírus/isolamento & purificação
14.
J Infect Dis ; 231(Supplement_1): S58-S65, 2025 Feb 10.
Artigo em Inglês | MEDLINE | ID: mdl-39928389

RESUMO

Loreto, a region located in the Amazon basin, has reported more than 80% of malaria cases in Peru. Application of diagnostic methods in remote areas is challenging; hence, the identification of factors associated with Plasmodium infection is necessary to improve malaria control. A cross-sectional study was conducted in health facilities in Loreto from 2012 to 2023. Data and blood samples for malaria diagnosis were collected. We performed an analysis to identify associated factors to malaria positivity. Among 2989 participants with malaria symptoms, the prevalence was 87.6% and Plasmodium vivax was the most prevalent species (74.0%). We identified several factors associated with malaria positivity such as age, occupation, sleeping with open windows, previous malaria episodes, number of malaria episodes in the last 12 months, and others. The high prevalence of malaria and the predominance of P. vivax highlight the relevance of P. vivax-targeted control programs to reach elimination in low-endemic areas.


Assuntos
Malária Vivax , Malária , Plasmodium vivax , Humanos , Peru/epidemiologia , Estudos Transversais , Feminino , Masculino , Adulto , Adolescente , Prevalência , Adulto Jovem , Pessoa de Meia-Idade , Criança , Pré-Escolar , Malária/epidemiologia , Malária Vivax/epidemiologia , Plasmodium vivax/isolamento & purificação , Lactente , Idoso , Fatores de Risco , Monitoramento Epidemiológico
15.
Mem Inst Oswaldo Cruz ; 120: e240011, 2025.
Artigo em Inglês | MEDLINE | ID: mdl-39907416

RESUMO

BACKGROUND: The nematode Angiostrongylus cantonensis, which is endemic to Southeast Asia and adjacent Pacific Islands, has already been recorded in more than 30 countries, including Brazil and other South American nations. It is one of the principal etiological agents of the zoonosis Eosinophilic Meningitis (EoM), which has a number of different species of terrestrial gastropods that act as its intermediate hosts. OBJECTIVE: The present study investigated the occurrence of the larvae of this nematode in specimens of terrestrial molluscs collected in half of the municipalities of the Brazilian State of Rio de Janeiro. METHODS: The study is based on the surveillance of this nematode in the Brazilian State of Rio de Janeiro, where terrestrial snails and slugs were collected in more than half of the state's municipalities (46 in all), and examined for parasitological infections. The nematode larvae retrieved from these specimens were identified based on their morphology and cytochrome oxidase I (COI) mitochondrial DNA sequences. FINDINGS: Angiostrongylid larvae were found in 230 (8.8%) of the 2,600 terrestrial molluscs examined, collected from 26 municipalities. Overall, 14 terrestrial gastropod species were identified, including both native and exotic taxa, and six were found to be infected naturally by A. cantonensis. The natural infection rates by Angiostrongylus in the different terrestrial molluscs species were 12.5% in Angustipes erinaceus, 9.7% in Achatina fulica, 6.8% in Bradybaena similaris, 6.3% in Sarasinula linguaeformis, 3.9% in Leptinaria unilamellata, and 4.6% in Subulina octona. A. fulica was the most frequent and extensively distributed species, with infected snails being found in 22 municipalities. MAIN CONCLUSIONS: The data from this first comprehensive survey of A. cantonensis in Rio de Janeiro highlights the potential epidemiological risk of human infection in this state. Mapping the spread of infected molluscs will also provide essential information for the evaluation of the risk of human infection, and should help local health authorities to provide a faster and more accurate diagnosis whenever neuroangiostrongyliasis is suspected.


Assuntos
Angiostrongylus cantonensis , Animais , Angiostrongylus cantonensis/isolamento & purificação , Angiostrongylus cantonensis/genética , Brasil/epidemiologia , Infecções por Strongylida/epidemiologia , Infecções por Strongylida/parasitologia , Zoonoses/parasitologia , Meningite/parasitologia , Meningite/epidemiologia , Humanos , Eosinofilia/parasitologia , Eosinofilia/epidemiologia , Moluscos/parasitologia , Caramujos/parasitologia , Larva , Gastrópodes/parasitologia
16.
PLoS One ; 20(2): e0316467, 2025.
Artigo em Inglês | MEDLINE | ID: mdl-39903736

RESUMO

The unprecedented worldwide pandemic caused by COVID-19 has motivated several research groups to develop machine-learning based approaches that aim to automate the diagnosis or screening of COVID-19, in large-scale. The gold standard for COVID-19 detection, quantitative-Real-Time-Polymerase-Chain-Reaction (qRT-PCR), is expensive and time-consuming. Alternatively, haematology-based detections were fast and near-accurate, although those were less explored. The external-validity of the haematology-based COVID-19-predictions on diverse populations are yet to be fully investigated. Here we report external-validity of machine learning-based prediction scores from haematological parameters recorded in different hospitals of Brazil, Italy, and Western Europe (raw sample size, 195554). The XGBoost classifier performed consistently better (out of seven ML classifiers) on all the datasets. The working models include a set of either four or fourteen haematological parameters. The internal performances of the XGBoost models (AUC scores range from 84% to 97%) were superior to ML models reported in the literature for some of these datasets (AUC scores range from 84% to 87%). The meta-validation on the external performances revealed the reliability of the performance (AUC score 86%) along with good accuracy of the probabilistic prediction (Brier score 14%), particularly when the model was trained and tested on fourteen haematological parameters from the same country (Brazil). The external performance was reduced when the model was trained on datasets from Italy and tested on Brazil (AUC score 69%) and Western Europe (AUC score 65%); presumably affected by factors, like, ethnicity, phenotype, immunity, reference ranges, across the populations. The state-of-the-art in the present study is the development of a COVID-19 prediction tool that is reliable and parsimonious, using a fewer number of hematological features, in comparison to the earlier study with meta-validation, based on sufficient sample size (n = 195554). Thus, current models can be applied at other demographic locations, preferably, with prior training of the model on the same population. Availability: https://covipred.bits-hyderabad.ac.in/home; https://github.com/debashreebanerjee/CoviPred.


Assuntos
COVID-19 , Aprendizado de Máquina , SARS-CoV-2 , Humanos , COVID-19/epidemiologia , COVID-19/sangue , COVID-19/diagnóstico , Itália/epidemiologia , Brasil/epidemiologia , Europa (Continente)/epidemiologia , SARS-CoV-2/isolamento & purificação , Feminino , Masculino , Adulto , Pessoa de Meia-Idade , Idoso , Reprodutibilidade dos Testes
17.
Clin Infect Dis ; 80(1): 215-218, 2025 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-39908174

RESUMO

This Photo Quiz article presents a case of acute dengue fever in an American traveler returning from Puerto Rico. In addition to the relevant epidemiologic and medical history, a key finding that allowed clinical diagnosis of the infection was the characteristic rash ("isles of white in a sea of red") that our patient manifested. This physical exam finding was documented and is featured prominently in the article. Despite the fact that initial testing for dengue virus infection was negative, the characteristic exposures, incubation period, and clinical syndrome our patient presented with allowed us to provide directed care for the most likely illness. Our clinical diagnosis was later confirmed on convalescent serologic testing. We use this case to illustrate and discuss highlights of diagnosis, treatment, and prevention of both non-severe and severe dengue virus infection.


Assuntos
Dengue , Exantema , Viagem , Humanos , Exantema/etiologia , Exantema/virologia , Dengue/diagnóstico , Dengue/complicações , Porto Rico , Febre/etiologia , Masculino , Vírus da Dengue/imunologia , Vírus da Dengue/isolamento & purificação , Adulto
18.
PLoS Negl Trop Dis ; 19(2): e0012271, 2025 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-39913379

RESUMO

BACKGROUND: Ascaris lumbricoides and Ascaris suum are nematode parasites that infect millions of people and pigs worldwide, respectively. Reports of cross-infection and hybridization between the two species has stimulated molecular epidemiological studies of the Ascaris genus. In this study, we evaluated the dynamics of Ascaris transmission between Guarani indigenous schoolchildren, pigs, and the environment of a village in the state of Paraná, southern Brazil. METHODOLOGY/PRINCIPAL FINDINGS: Parasitological and molecular analyses of fecal samples from humans and pigs, and soil samples from the village were carried out. Eggs of Ascaris spp. were observed in 8.4% (7/83) of human samples, 44.4% (8/18) of pig samples, and 8.9% (6/68) of soil samples. PCR amplification of the ITS-1 locus of the rDNA gene in samples that were positive in the parasitological examination revealed mixed infection and/or hybrids of the two species, A. lumbricoides and A. suum, in human and swine hosts. The soil, which was contaminated by both human and swine feces, also contained eggs of the two Ascaris species and hybrids, thus constituting a source of Ascaris infection for both hosts. DNA from A. lumbricoides and A. suum, individually, was detected in samples from humans and pigs, respectively, and the soil, while DNA from hybrid and/or Ascaris spp. was detected in samples from both hosts and the soil. CONCLUSIONS/SIGNIFICANCE: The results of this study confirm the necessity of a One Health approach with the correct disposal of both human and animal feces to control the spread of human and swine ascariasis.


Assuntos
Ascaríase , Ascaris lumbricoides , Ascaris suum , Fezes , Doenças dos Suínos , Animais , Humanos , Ascaríase/epidemiologia , Ascaríase/veterinária , Ascaríase/parasitologia , Ascaríase/transmissão , Brasil/epidemiologia , Suínos , Fezes/parasitologia , Doenças dos Suínos/parasitologia , Doenças dos Suínos/epidemiologia , Ascaris lumbricoides/isolamento & purificação , Ascaris lumbricoides/genética , Criança , Ascaris suum/genética , Ascaris suum/isolamento & purificação , Solo/parasitologia , Coinfecção/epidemiologia , Coinfecção/parasitologia , DNA de Helmintos/genética , Masculino , Feminino , Adolescente , DNA Espaçador Ribossômico/genética , Reação em Cadeia da Polimerase
19.
Sci Rep ; 15(1): 4490, 2025 Feb 06.
Artigo em Inglês | MEDLINE | ID: mdl-39915668

RESUMO

Some studies suggest that the respiratory microbiome of COVID-19 patients differs from that of healthy individuals, infected patients may have reduced diversity and increased levels of opportunistic bacteria, however, the role of the microbiome in fatal SARS-CoV-2 infection remains poorly understood. Our study aimed to determine whether there are differences in the respiratory microbiome between patients who recovered from COVID-19 and those who died, by characterizing the bacterial communities of both groups. A total of 24 patients who recovered from COVID-19 and 24 who died were included in the study, patient data were analyzed for signs, symptoms and clinical variables. Airway samples were collected and the 16 S rRNA variable regions V3-V4 were amplified and sequenced using the Illumina MiSeq platform. Elevated levels of blood urea nitrogen, creatinine and lactate dehydrogenase, and higher frequencies of cardiovascular disease, diabetes mellitus and renal disease were observed in patients with a fatal outcome. Compared to patients who recovered from COVID-19, patients who died exhibited a microbiome enriched in periodontal and pathogenic bacteria such as Klebsiella pneumoniae. Our results highlighted a dual relationship between SARS CoV-2 infection and an exacerbated periodontopathogen-induced immune response.


Assuntos
COVID-19 , Estado Terminal , Microbiota , Humanos , COVID-19/mortalidade , COVID-19/microbiologia , COVID-19/complicações , COVID-19/virologia , Feminino , Masculino , Idoso , Idoso de 80 Anos ou mais , SARS-CoV-2/isolamento & purificação , Bactérias/classificação , Bactérias/isolamento & purificação , Bactérias/genética , RNA Ribossômico 16S/genética
20.
Rev Bras Parasitol Vet ; 34(1): e017024, 2025.
Artigo em Inglês | MEDLINE | ID: mdl-39907367

RESUMO

Opossums are synanthropic animals that participate in the zoonotic transmission cycles. Chagas disease, a neglected tropical disease caused by Trypanosoma cruzi, affects many domestic and wild animals and humans worldwide. This study aimed to determine the occurrence of T. cruzi in free-ranging opossums in Canoinhas, Santa Catarina, Brazil. Fifty opossums (Didelphis albiventris) (33 captured and 17 road-killed) were evaluated using Nested-PCR assay. All tissue samples were negative (0/17). Eight of the 33 (24.24%; 95% CI:11.94-40,89%) blood samples were positive for T. cruzi. No significant associations were found between the sex (male/ female, p = 0.423), the trap area (rural/urban, p = 0.163), and positivity for T. cruzi in opossum blood samples. All samples showed 100% identity with T. cruzi (KF788250) isolated from Panstrongylus megistus in São Paulo, Brazil. The phylogenetic analysis model allocated all sequences obtained from D. albiventris to the large TcI clade of T. cruzi. This study provides the first record of T. cruzi in white-eared opossums in Canoinhas, Santa Catarina, southern Brazil.


Assuntos
Doença de Chagas , Didelphis , Trypanosoma cruzi , Animais , Brasil/epidemiologia , Trypanosoma cruzi/isolamento & purificação , Trypanosoma cruzi/genética , Didelphis/parasitologia , Masculino , Feminino , Doença de Chagas/veterinária , Doença de Chagas/diagnóstico , Doença de Chagas/epidemiologia , Doença de Chagas/parasitologia , Reação em Cadeia da Polimerase/veterinária
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