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This report describes a case of giardiasis detected through stool smear analysis of postoperative stool fluid collected from a high output stoma for obstructive colorectal cancer. The patient, a 67-year-old male, underwent right hemicolectomy with ileostomy for obstructive colorectal cancer. The persistent excessive excretion of postoperative stool fluid from the stoma prompted a stool smear test. The findings revealed the presence of Giardia intestinalis. Fecal output decreased when metronidazole was administered orally. The study strongly recommends that patients with prolonged gastrointestinal symptoms need to undergo stool smear tests.
Assuntos
Giardíase , Complicações Pós-Operatórias , Humanos , Masculino , Giardíase/diagnóstico , Idoso , Neoplasias Colorretais/cirurgia , Ileostomia , Colectomia , Fezes/parasitologia , Estomas CirúrgicosRESUMO
Although the treatment of municipal wastewater using microbial fuel cells (MFCs) has been extensively studied, scaling the systems up for practical use remains challenging. In this study, a 226 L sewage treatment reactor was equipped with 27 MFC units, and its chemical oxygen demand (COD) removal and electricity production were evaluated. The MFC units were tubular air cores with a diameter of 5 cm and length of 100 cm, which were wrapped with a carbon-based cathode, anion exchange membrane (AEM), and nonwoven graphite fabric. The air-cathode-AEM MFC generated 0.12-0.30 A/m2, 0.072-0.51 W/m3, and 1.7-4.6 Wh/m3 in a chemostat reactor with a COD of 140-36 mg/L and hydraulic retention time (HRT) of 9-42 h throughout a year. The decrease in the COD was represented as the first-order rate constant of 0.038. The rate constant was comparable to that of other air-cathode MFCs with cation exchange membranes, indicating the necessity of a posttreatment to meet the discharge standard. It has been estimated that the MFC operation for 24 h before post-aeration can reduce the energy required to meet the discharge standard by 70%, suggesting the potential applicability of MFC in long HRT-treatments such as oxidation ditch. The resistances of the anode, cathode, and AEM were 15, 7.0, and 0.51 mΩ m2, respectively, and surface dirt rather than deterioration primarily increased the AEM resistance. A current exceeding 0.2 A/m2 significantly increases the anode potential, indicating that the current was limited by low COD. Increasing the anode-specific surface area can improve air-AEM MFCs used for practical applications.
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Fontes de Energia Bioelétrica , Purificação da Água , Ânions , Eletricidade , Eletrodos , Águas ResiduáriasRESUMO
Because of an increased number of Acanthamoeba keratitis (AK) along with associated disease burdens, medical professionals have become more aware of this pathogen in recent years. In this study, by analyzing both the nuclear 18S small subunit ribosomal RNA (18S rRNA) and mitochondrial 16S rRNA gene loci, 27 clinical Acanthamoeba strains that caused AK in Japan were classified into 3 genotypes, T3 (3 strains), T4 (23 strains), and T5 (one strain). Most haplotypes were identical to the reference haplotypes reported from all over the world, and thus no specificity of the haplotype distribution in Japan was found. The T4 sub-genotype analysis using the 16S rRNA gene locus also revealed a clear sub-conformation within the T4 cluster, and lead to the recognition of a new sub-genotype T4i, in addition to the previously reported sub-genotypes T4a-T4h. Furthermore, 9 out of 23 strains in the T4 genotype were identified to a specific haplotype (AF479533), which seems to be a causal haplotype of AK. While heterozygous nuclear haplotypes were observed from 2 strains, the mitochondrial haplotypes were homozygous as T4 genotype in the both strains, and suggested a possibility of nuclear hybridization (mating reproduction) between different strains in Acanthamoeba. The nuclear 18S rRNA gene and mitochondrial 16S rRNA gene loci of Acanthamoeba spp. possess different unique characteristics usable for the genotyping analyses, and those specific features could contribute to the establishment of molecular taxonomy for the species complex of Acanthamoeba.
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Ceratite por Acanthamoeba/parasitologia , Acanthamoeba/isolamento & purificação , Núcleo Celular/genética , DNA Mitocondrial/genética , RNA Ribossômico 16S/genética , RNA Ribossômico 18S/genética , Acanthamoeba/classificação , Acanthamoeba/genética , Acanthamoeba/crescimento & desenvolvimento , DNA de Protozoário/genética , Humanos , Japão , Dados de Sequência Molecular , FilogeniaRESUMO
BACKGROUND: Linezolid is a new oxazolidinone antibiotic used for infections caused by methicillin-resistant Staphylococcus and other species. CASE PRESENTATION: Two cases of knee osteoarthritis with acute infection were successfully treated using linezolid. The plasma and synovial fluid concentrations of linezolid in two patients [women aged 69 and 73 years (cases 1 and 2)] with knee osteoarthritis infected with Staphylococcus aureus were measured after they were administered 600 mg twice daily by intravenous infusion. The plasma linezolid concentrations during knee surgery in case 1 at day 5 and in case 2 at day 2 were 19.6 and 15.6 µg/mL, respectively. The synovial fluid concentrations of linezolid in samples taken during surgery in case 1 and case 2 were 14.9 and 17.0 µg/mL, respectively; these values corresponded to ratios of synovial fluid/plasma of 76 and 109%. Possible metabolite 2-hydroxylated linezolid potentially mediated by cytochrome P450 2 J2 was not detected in the plasma or synovial fluid samples under the current clinical setting after multiple doses. CONCLUSIONS: These results implied nearly equivalent concentrations of linezolid in plasma and synovial fluid of clinical patients with knee osteoarthritis acutely infected with Staphylococcus aureus.
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Thirty-seven specimens of wild boar sera were collected from August 2016 to March 2018 in Ishikawa prefecture, Japan. Thirty-two specimens (86.5%) were positive for neutralizing antibodies against Japanese encephalitis virus (JEV). Eight specimens (21.6%) were positive for IgM antibodies against JEV. One sample was obtained from a wild boar captured in February during the winter season. Four other serum specimens obtained during the winter season were positive using a JEV gene-specific PCR assay. Based on IgM and PCR assays, wild boars were infected with JEV during the winter season, suggesting that the prevalence of JEV antibodies in wild boars in Ishikawa is high and JEV activity is possible during winter in this region. In addition, wild boars may play an important role in the infection cycle of JEV.
Assuntos
Vírus da Encefalite Japonesa (Espécie)/isolamento & purificação , Sus scrofa/virologia , Animais , Anticorpos Neutralizantes , Anticorpos Antivirais/sangue , Vírus da Encefalite Japonesa (Espécie)/genética , Vírus da Encefalite Japonesa (Espécie)/imunologia , Imunoglobulina M/imunologia , Japão/epidemiologia , Reação em Cadeia da Polimerase/veterinária , Estações do Ano , Estudos SoroepidemiológicosRESUMO
BACKGROUND: Although parasites are still endemic in developing areas, residents in those regions seem not to be affected by the presence of intestinal protozoans. This study aimed to investigate whether pathogenic and commensal protozoans are the causal agents of diarrhea via a school-based cross-sectional survey conducted in Indonesia, in September 2016. RESULTS: Molecular screening for intestinal protozoans in collected 144 stool samples from healthy students (age range 7-15 years) was carried out. The prevalence of protozoan parasites was as follows: Giardia intestinalis (56.3%), Entamoeba histolytica (0%), E. dispar (6.9%), E. moshkovskii (0%), E. hartmanni (31.3%), and E. coli (44.4%). Observational evaluation of stool conditions using the Bristol stool chart confirmed the loose stool rate (33.3-90.9%) in each age group. Logistic regression analysis of protozoan infection or colonization for loose stool (mild to severe diarrhea) as an outcome revealed no significant findings in examined protozoans including pathogenic G. intestinalis infection [adjusted odds ratio (AOR) 0.78, 95% confidence interval (CI) 0.36-1.67], except in E. hartmanni colonization (AOR 2.81, 95% CI 1.1-3.7, P = 0.026). CONCLUSIONS: The molecular survey of intestinal protozoans targeting healthy population with their stool form evaluation could address the pathogenicity of those parasites appropriately. In comparatively higher-age children at least 7 years of age or greater in the endemic area, G. intestinalis could regard commensal, while E. hartmanni seems to possess a certain pathogenicity as a causal agent of mild diarrhea.
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We herein describe a case of progressive human immunodeficiency virus (HIV)-associated cholangiopathy despite normalization of laboratory parameters, which had indicated liver dysfunction, after the initiation of combined anti-retroviral therapy (cART). HIV-associated cholangiopathy remains important as a differential diagnosis of bile duct disorders, although it is considered to be a rare disease in the era of cART. Magnetic resonance cholangiopancreatography could thus be a powerful tool for the diagnosis and follow-up of this disease.
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Antirretrovirais/uso terapêutico , Doenças dos Ductos Biliares/etiologia , Infecções por HIV/complicações , Infecções por HIV/tratamento farmacológico , Adulto , Progressão da Doença , Quimioterapia Combinada , Humanos , MasculinoRESUMO
A cross-sectional molecular epidemiological study of Giardia intestinalis infection was conducted among asymptomatic Kenyan children with (nâ=â123) and without (nâ=â111) HIV infection. G. intestinalis assemblage B infection was positively correlated with HIV infection [HIV (+), 18.7% vs. HIV (-), 11.7%; Pâ=â0.013], whereas assemblage A infection was not [HIV (+), 4.1% vs. HIV (-), 6.3%; Pâ=â0.510]. Thus, HIV infection is a risk factor for G. intestinalis assemblage B infection but not for assemblage A infection.
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Giardia lamblia/classificação , Giardia lamblia/isolamento & purificação , Giardíase/epidemiologia , Giardíase/parasitologia , Infecções por HIV/complicações , Criança , Pré-Escolar , Estudos Transversais , Feminino , Giardia lamblia/genética , Humanos , Lactente , Recém-Nascido , Quênia/epidemiologia , Masculino , Epidemiologia MolecularRESUMO
Transformants of mesenchymal stem cells (MSCs) stably expressing steroidogenic factor-1 (SF-1) undergo differentiation into steroidogenic cell-lineages by stimulation with cyclic-adenosine mono-phosphate (cAMP). Another member of NR5A nuclear orphan receptors, Liver-specific receptor homologue-1 (LRH-1), was also able to differentiate MSCs. On the other hand, we found that embryonic stem (ES) cells were hardly induced to differentiate into steroidogenic cell-lineage by the similar treatment. In this study, we developed a novel method to differentiate ES cells into steroidogenic cells. We introduced SF-1 into mouse ES cells at ROSA26 locus under regulation of Tetracycline-off (Tet-off) in order to express SF-1 in the cells at desired period. When SF-1 was induced to express after the ES cells had been differentiated into mesenchymal cell-lineage, steroid hormones were produced from the SF-1 expressing cells. This provides a safer method for supplying sufficient amount of differentiated cells toward future regenerative medicine.