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1.
J Bacteriol ; : e0003324, 2024 Jun 20.
Artigo em Inglês | MEDLINE | ID: mdl-38899896

RESUMO

Listeria monocytogenes is a foodborne bacterial pathogen that causes listeriosis. Positive regulatory factor A (PrfA) is a pleiotropic master activator of virulence genes of L. monocytogenes that becomes active upon the entry of the bacterium into the cytosol of infected cells. L. monocytogenes can survive and multiply at low temperatures; this is accomplished through the maintenance of appropriate membrane fluidity via branched-chain fatty acid (BCFA) synthesis. Branched-chain α-keto acid dehydrogenase (BKD), which is composed of four polypeptides encoded by lpd, bkdA1, bkdA2, and bkdB, is known to play a vital role in BCFA biosynthesis. Here, we constructed BKD-deficient Listeria strains by in-frame deletion of lpd, bkdA1, bkdA2, and bkdB genes. To determine the role in in vivo and in vitro, mouse model challenges, plaque assay in murine L2 fibroblast, and intracellular replication in J744A.1 macrophage were conducted. BKD-deficient strains exhibited defects in BCFA composition, virulence, and PrfA-regulon function within the host cells. Transcriptomics analysis revealed that the transcript level of the PrfA-regulon was lower in ΔbkdA1 strain than those in the wild-type. This study demonstrates that L. monocytogenes strains lacking BKD complex components were defective in PrfA-regulon function, and full activation of wild-type prfA may not occur within host cells in the absence of BKD. Further study will investigate the consequences of BKD deletion on PrfA function through altering BCFA catabolism.IMPORTANCEListeria monocytogenes is the causative agent of listeriosis, a disease with a high mortality rate. In this study, we have shown that the deletion of BKD can impact the function of PrfA and the PrfA-regulon. The production of virulence proteins within host cells is necessary for L. monocytogenes to promote its intracellular survival and is likely dependent on membrane integrity. We thus report a link between L. monocytogenes membrane integrity and the function of PrfA. This knowledge will increase our understanding of L. monocytogenes pathogenesis, which may provide insight into the development of antimicrobial agents.

2.
Front Microbiol ; 15: 1403694, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38881664

RESUMO

Listeria monocytogenes causes listeriosis, an infectious and potentially fatal disease of animals and humans. A diverse network of transcriptional regulators, including LysR-type catabolite control protein C (CcpC), is critical for the survival of L. monocytogenes and its ability to transition into the host environment. In this study, we explored the physiological and genetic consequences of deleting ccpC and the effects of such deletion on the ability of L. monocytogenes to cause disease. We found that ccpC deletion did not impact hemolytic activity, whereas it resulted in significant reductions in phospholipase activities. Western blotting revealed that the ΔccpC strain produced significantly reduced levels of the cholesterol-dependent cytolysin LLO relative to the wildtype F2365 strain. However, the ΔccpC mutant displayed no significant intracellular growth defect in macrophages. Furthermore, ΔccpC strain exhibited reduction in plaque numbers in fibroblasts compared to F2365, but plaque size was not significantly affected by ccpC deletion. In a murine model system, the ΔccpC strain exhibited a significantly reduced bacterial burden in the liver and spleen compared to the wildtype F2365 strain. Interestingly, the deletion of this gene also enhanced the survival of L. monocytogenes under conditions of H2O2-induced oxidative stress. Transcriptomic analyses performed under H2O2-induced oxidative stress conditions revealed that DNA repair, cellular responses to DNA damage and stress, metalloregulatory proteins, and genes involved in the biosynthesis of peptidoglycan and teichoic acids were significantly induced in the ccpC deletion strain relative to F2365. In contrast, genes encoding internalin, 1-phosphatidylinositol phosphodiesterase, and genes associated with sugar-specific phosphotransferase system components, porphyrin, branched-chain amino acids, and pentose phosphate pathway were significantly downregulated in the ccpC deletion strain relative to F2365. This finding highlights CcpC as a key factor that regulates L. monocytogenes physiology and responses to oxidative stress by controlling the expression of important metabolic pathways.

3.
Front Public Health ; 11: 1334238, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-38249416

RESUMO

The Monkeypox virus, commonly abbreviated as mpox, is a viral zoonosis that is experiencing a resurgence in prevalence. It is endemic to regions of West and Central Africa that are characterized by dense forested areas. Various measures pertaining to animals, humans, and the environment have been recognized as potential factors and catalysts for the spread of the disease throughout the impacted regions of Africa. This study examines the various factors contributing to the transmission of the virus in Nigeria, with a particular focus on the animal-human and inter-human modes of transmission in rural communities and healthcare facilities. The One Health approach was emphasized as crucial in the prevention and management of this issue. Literature suggests that preventing repeated zoonotic introductions could potentially halt the transmission of the mpox virus from animal to human hosts, leading to a potential decrease in human infections.


Assuntos
Monkeypox virus , Saúde Única , Animais , Humanos , Nigéria/epidemiologia , População Rural
4.
Microbiol Spectr ; 10(4): e0036622, 2022 08 31.
Artigo em Inglês | MEDLINE | ID: mdl-35913205

RESUMO

The dynamics of Lassa virus (LASV) infections in rodent reservoirs and their endemic human caseloads remain poorly understood. During the endemic period, human infections are believed to be associated with the seasonal migration of Mastomys natalensis, thought to be the primary reservoir that triggers multiple spillovers of LASV to humans. It has become imperative to improve LASV diagnosis in rodents while updating their prevalence in two regions of Lassa fever endemicity in Nigeria. Rodents (total, 942) were trapped in Ondo (531) and Ebonyi (411) states between October 2018 and April 2020 for detection of LASV using various tissues. Overall, the LASV prevalence was 53.6%. The outbreak area sampled in Ondo had three and two times higher capture success and LASV prevalence, respectively, than Ebonyi State. This correlated with the higher number of annual cases of Lassa fever (LF) in Ondo State versus Ebonyi State. All rodent genera (Mastomys, Rattus, Crocidura, Mus, and Tatera) captured in both states showed slightly variable LASV positivity, with Rattus spp. being the most predominantly infected (77.3%) rodents in Ondo State versus Mastomys spp. (41.6%) in Ebonyi State. The tissues with the highest LASV positivity were the kidneys, spleen, and testes. The finding of a relatively high LASV prevalence in all of the rodent genera captured highlights the complex interspecies transmission dynamics of LASV infections in the reservoirs and their potential association with increased environmental contact, as well as the risk of zoonotic spillover in these communities, which have the highest prevalence of Lassa fever in Nigeria. IMPORTANCE Our findings show the highest LASV positivity in small rodents ever recorded and the first direct detection of LASV in Tatera spp. Our findings also indicate the abundance of LASV-infected small rodents in houses, with probable interspecies transmission through vertical and horizontal coitus routes. Consequently, we suggest that the abundance of different reservoir species for LASV may fuel the epizootic outbreaks of LF in affected human communities. The high prevalence of LASV with the diversity of affected rodents has direct implications for our understanding of the transmission risk, mitigation, and ultimately, the prevention of LF in humans. Optimal tissues for LASV detection in rodents are also presented.


Assuntos
Epidemias , Febre Lassa , Animais , Humanos , Febre Lassa/epidemiologia , Febre Lassa/prevenção & controle , Febre Lassa/veterinária , Vírus Lassa , Murinae , Nigéria/epidemiologia , Prevalência , Ratos
5.
Environ Sci Technol ; 45(3): 845-59, 2011 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-21218768

RESUMO

Injection of CO(2) into geological structures is a key technology for sequestering CO(2) emissions captured from the combustion of fossil fuels. Current projects inject volumes on the order of megatonnes per year. However, injection volumes must be increased by several orders of magnitude for material reductions in ambient concentrations. A number of questions surrounding safety and security of injection have been raised about the large scale deployment of geological CO(2) sequestration. They are site specific and require an effective monitoring strategy to mitigate risks of concern to stakeholders. This paper presents a model-based framework for monitoring design that can provide a quantitative understanding of the trade-offs between operational decisions of cost, footprint size, and uncertainty in monitoring strategies. Potential risks and challenges of monitoring large scale CO(2) injection are discussed, and research areas needed to address uncertainties are identified. Lack of clear guidance surrounding monitoring has contributed to hampering the development of policies to promote the deployment of large scale sequestration projects. Modeling provides an understanding of site specific processes and allows insights into the complexity of these systems, facilitating the calibration of an appropriate plan to manage risk. An integrated policy for risk-based monitoring design, prior to large scale deployment of sequestration will ensure safe and secure storage through an understanding of the real risks associated with large scale injection.


Assuntos
Poluentes Atmosféricos/análise , Dióxido de Carbono/análise , Sequestro de Carbono , Monitoramento Ambiental/métodos , Recuperação e Remediação Ambiental/métodos , Poluentes Atmosféricos/química , Dióxido de Carbono/química , Monitoramento Ambiental/economia , Monitoramento Ambiental/instrumentação , Recuperação e Remediação Ambiental/instrumentação , Modelos Químicos , Medição de Risco
6.
Science ; 254(5036): 1312-9, 1991 Nov 29.
Artigo em Inglês | MEDLINE | ID: mdl-1962191

RESUMO

Molecular self-assembly is the spontaneous association of molecules under equilibrium conditions into stable, structurally well-defined aggregates joined by noncovalent bonds. Molecular self-assembly is ubiquitous in biological systems and underlies the formation of a wide variety of complex biological structures. Understanding self-assembly and the associated noncovalent interactions that connect complementary interacting molecular surfaces in biological aggregates is a central concern in structural biochemistry. Self-assembly is also emerging as a new strategy in chemical synthesis, with the potential of generating nonbiological structures with dimensions of 1 to 10(2) nanometers (with molecular weights of 10(4) to 10(10) daltons). Structures in the upper part of this range of sizes are presently inaccessible through chemical synthesis, and the ability to prepare them would open a route to structures comparable in size (and perhaps complementary in function) to those that can be prepared by microlithography and other techniques of microfabrication.


Assuntos
DNA/química , Proteínas/química , Biotecnologia/métodos , DNA/síntese química , Modelos Químicos , Modelos Moleculares , Conformação Proteica , Proteínas/síntese química , Termodinâmica , Triazinas/síntese química , Triazinas/química
7.
J Mol Biol ; 274(2): 145-51, 1997 Nov 28.
Artigo em Inglês | MEDLINE | ID: mdl-9398522

RESUMO

The Escherichia coli nucleoid protein, H-NS, functions as a global regulator for expression of a wide variety of genes. We recently analyzed the structure-function relationship of H-NS with special reference to the domains responsible for transcriptional repression and DNA-binding, respectively. However, identification of the presumed dimerization domain of H-NS and its functional significance was elusive. To address this particular issue, we first examined a set of N-terminally or C-terminally truncated forms of H-NS, in terms of their so-called dominant-negative effect on the in vivo function of the wild-type H-NS. The results showed that certain truncated forms exhibit such a dominant-negative effect, but others did not. As judged by the results of the dominant-negative effect, it was assumed that a relatively central portion of H-NS extending from residues 21 to 63 is involved in dimerization. This was confirmed by an in vitro chemical cross-linking analysis and a gel filtration analysis with these truncated forms of H-NS. Furthermore, the use of the dominant-negative phenotype, caused by a truncated form of H-NS (named N91), allowed us to isolate a missense mutant, which was expected to be specifically defective in dimerization. This mutant had an amino acid substitution at position 30 (Leu30 to Pro) in N91 consisting of the N-terminal 91 amino acids of H-NS. This mutant was indeed defective in the in vitro ability to form a heterodimer with the wild-type H-NS. When this particular single amino acid substitution was introduced into the full-length H-NS, the resultant H-NS mutant had lost the ability to form dimers in vitro and to function as a transcriptional repressor. These findings collectively provided us with evidence that the ability of H-NS to form a dimer is crucial for H-NS to function as a transcriptional repressor.


Assuntos
Proteínas de Bactérias , Proteínas de Ligação a DNA/química , Escherichia coli/química , Regulação Bacteriana da Expressão Gênica , Proteínas Repressoras/química , Sequência de Aminoácidos , Western Blotting , Reagentes de Ligações Cruzadas/metabolismo , DNA Bacteriano/metabolismo , Proteínas de Ligação a DNA/genética , Proteínas de Ligação a DNA/metabolismo , Dimerização , Dimetil Suberimidato/metabolismo , Escherichia coli/genética , Óperon Lac/genética , Dados de Sequência Molecular , Mutagênese Sítio-Dirigida , Plasmídeos , Proteínas Repressoras/genética , Proteínas Repressoras/metabolismo , Deleção de Sequência , Transcrição Gênica , Transfecção , beta-Galactosidase/genética , beta-Galactosidase/metabolismo
8.
J Med Chem ; 42(15): 2969-76, 1999 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-10425106

RESUMO

Three inhibitors that are based upon a 4-heterocyclohexanone nucleus were synthesized and evaluated for activity against the serine protease plasmin. Inhibitors of plasmin have potential as cancer chemotherapeutic agents that act by blocking both angiogenesis and metastasis. Inhibitor 1 has moderate activity against plasmin but shows good selectivity for this enzyme compared to other serine proteases including trypsin, thrombin, and kallikrein. Inhibitor 2 shows both good activity and selectivity for plasmin. Inhibitor 3, which does not incorporate an aminohexyl group that can interact with the S1 subsite, has poor activity. These results, along with previous work, demonstrate that the 4-heterocyclohexanone nucleus can effectively serve as the basis for designing inhibitors of both serine and cysteine proteases.


Assuntos
Cicloexanos/síntese química , Fibrinolisina/antagonistas & inibidores , Inibidores de Serina Proteinase/síntese química , Sítios de Ligação , Cicloexanos/química , Inibidores de Serina Proteinase/química , Relação Estrutura-Atividade
9.
J Med Chem ; 42(19): 4001-9, 1999 Sep 23.
Artigo em Inglês | MEDLINE | ID: mdl-10508448

RESUMO

A combinatorial library of 400 inhibitors has been synthesized and screened against several serine and cysteine proteases including plasmin, cathepsin B, and papain. The inhibitors are based upon a cyclohexanone nucleus and are designed to probe binding interactions in the S2 and S2' binding sites. This methodology has led to the discovery of inhibitor 15A, which incorporates Trp at both the P2 and P2' positions and has an inhibition constant against plasmin of 5 microM. Data from screening of the library shows that plasmin has a strong specificity for Trp at the S2 subsite and prefers to bind hydrophobic and aromatic amino acids such as Ile, Phe, Trp, and Tyr at the S2' subsite. In contrast, the S2' subsites of cathepsin B and papain do not show a strong preference for any particular amino acid.


Assuntos
Inibidores de Cisteína Proteinase/química , Biblioteca de Peptídeos , Inibidores de Serina Proteinase/química , Sítios de Ligação , Cromatografia Líquida de Alta Pressão , Inibidores de Cisteína Proteinase/metabolismo , Desenho de Fármacos , Espectroscopia de Ressonância Magnética , Modelos Químicos , Inibidores de Serina Proteinase/metabolismo , Especificidade por Substrato
10.
Invest Ophthalmol Vis Sci ; 28(9): 1457-63, 1987 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-3623832

RESUMO

The corneal endothelial permeability coefficient (Pac) for fluorescein and fluorescein glucuronide was determined in ten normal young volunteers. After oral administration of fluorescein, the apparent concentrations of both dyes in the corneal stroma and the anterior chamber were measured by differential fluorometry. The apparent dye levels calculated directly from the in vivo fluorometric measurements were converted to the true ones, based on the result of a normalization experiment performed in rabbit eyes. The value of Pac averaged 5.44 +/- 1.77 X 10(-4) cm/min for fluorescein and 3.77 +/- 1.10 X 10(-4) cm/min for fluorescein glucuronide (mean +/- SD, N = 20); the former was significantly greater than the latter (paired t-test, P less than 0.001). The aqueous-cornea distribution ratio was 0.50 +/- 0.14 for fluorescein and 0.66 +/- 0.16 for fluorescein glucuronide; the latter was significantly greater than the former (paired t-test, P less than 0.001). It was suggested that the previously reported values of Pac for fluorescein in the human eye were underestimates.


Assuntos
Córnea/metabolismo , Fluoresceínas/metabolismo , Administração Oral , Adulto , Câmara Anterior/metabolismo , Endotélio/metabolismo , Fluoresceína , Fluorometria , Humanos , Concentração Osmolar , Permeabilidade
11.
J Am Soc Mass Spectrom ; 12(5): 571-9, 2001 May.
Artigo em Inglês | MEDLINE | ID: mdl-11349955

RESUMO

Comparison of collisionally activated fragment spectra of long-chain quaternary ammonium ions, formed by liquid-assisted secondary ion mass spectrometry (LSIMS) and electrospray ionization (ESI), shows the latter are dominated by radical cations while the former yield mainly even-electron charge-site-remote (CSR) fragments, similar to the report for different precursors by Cheng et al., J. Am. Soc. Mass Spectrom. 1998, 9, 840. Here, mixed-site fragmentation products (formal loss of a radical directly bonded to the nitrogen plus a radical derived from the long chain) are of comparable importance for both ionization techniques. These observations are difficult to understand if the CSR ions are formed by a concerted rearrangement-elimination reaction, since precollision internal energies of the ESI ions are much lower than those of the ions from LSIMS. Alternatively, if one discards the concerted mechanism for high-energy CA, and assumes that the even-electron fragments are predominantly formed via homolytic bond cleavage, the colder radical cations from ESI survive to the detector while the more energized counterparts from LSIMS preferentially lose a hydrogen atom to yield the CSR ions, as proposed by Wysocki and Ross (Int. J. Mass Spectrom. Ion Processes 1991, 104, 179). The present work also attempts to reconcile discrepancies involving critical energies and known structures for neutral fragments.

12.
Org Lett ; 1(12): 1945-8, 1999 Dec 16.
Artigo em Inglês | MEDLINE | ID: mdl-10836052

RESUMO

[formula: see text] Aminocyclodextrins are known to bind phosphate esters such as phosphotyrosine and p-nitrophenyl phosphate. This paper describes the inhibition of phosphate ester hydrolysis, as catalyzed by lambda-protein phosphatase and acid phosphatase, that is caused by such binding interactions. ROESY studies provide structural information about the cyclodextrin-aryl phosphate complexes. In addition, these experiments are used to generate approximations of the rates of dissociation of the noncovalent complexes.


Assuntos
Ciclodextrinas/química , Inibidores Enzimáticos/química , Monoéster Fosfórico Hidrolases/antagonistas & inibidores , Fosfatase Ácida/antagonistas & inibidores , Fosfatase Ácida/química , Ciclodextrinas/síntese química , Inibidores Enzimáticos/síntese química , Cinética , Espectroscopia de Ressonância Magnética , Espectrometria de Massas , Nitrofenóis/química , Compostos Organofosforados/química , Fosfotirosina/química , Proteínas Tirosina Fosfatases/antagonistas & inibidores , Proteínas Tirosina Fosfatases/química , Proteínas Tirosina Fosfatases Classe 2 Semelhantes a Receptores
13.
Rapid Commun Mass Spectrom ; 14(12): 1035-43, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-10861984

RESUMO

In this study we report on high-energy, collision-induced dissociation processes leading to charge-remote fragmentations, using three alkyl cations, namely n-hexadecylpyridinium, n-hexadecyltriphenylphosphonium and n-hexadecyltriethylammonium, each with and without (2)H(2)-labelling at the C(9) position of the hexadecyl chain. The characteristic patterns corresponding to the formal elimination of alkane elements were observed, and the (2)H(2)-labelling at C(9) clearly affected only one charge-remote fragment ion of the homologous series. However, in addition to the expected fragment ion containing only one deuterium atom, a significant ion retaining two deuterium atoms was observed. MS/MS/MS experiments demonstrated clearly that the latter ion showed partial deuteration around the charge site, the level of deuteration depending on the structure of the original precursor cation. These results can be interpreted in terms of two novel, distinct mechanisms, one of which involves an excited state in an aromatic ring. Mixed-site fragmentation (MSF) ions were also observed from the phosphonium and ammonium ion precursors. We believe that the observation of the MSF process occurring at an sp(2)-hybridized center in the phosphonium series has not been reported previously. It thus becomes apparent that high-energy collisions leading to charge-remote reactions in fact lead to a broad range of pathways. Copyright 2000 John Wiley & Sons, Ltd.

14.
Anticancer Res ; 19(5B): 4321-5, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10628394

RESUMO

A new derivative of ascorbic acid (AsA), 6-0-palmitoyl-ascorbate 2-0-phosphate (Asc2P6Pal) was developed to enhance the antitumor activity of AsA. When Ehrlich ascites tumor cells were treated with 50 microM Asc2P6Pal at 37 degrees C or 42 degrees C for 1 h and then cultured for 20 h, most of cells exhibited some morphological abnormalities, including exudation of intracellular granules together with other contents on the cell membrane surface, resulting in cell fragmentation. The abnormal features were further enhanced by a long term culture for 96 h and heat treatment at 42 degrees C. In contrast, no abnormality was detected for untreated cells or cells treated with AsA (free acid) at 37 degrees C or 42 degrees C. Cells cultured for 96 h after the treatment suffered from inhibition of DNA synthesis and proliferation. This inhibition was markedly enhanced by combination with the hyperthermic treatment at 42 degrees C, but not for a short-term culture of 20 h after the treatment. No effects were seen upon similar treatment with AsA. The abnormal cells produced during culture for 20 h after the treatment were evaluated to be viable, because they failed to be stained with trypan blue and retained most of the DNA synthesizing ability of Asc2P6Pal-untreated cells. However, they appeared and died after a continuous 76 h of culture (96 h).


Assuntos
Ácido Ascórbico/análogos & derivados , Ácido Ascórbico/farmacologia , Carcinoma de Ehrlich/metabolismo , Hipertermia Induzida , Animais , Carcinoma de Ehrlich/patologia , Divisão Celular/efeitos dos fármacos , Terapia Combinada , Relação Dose-Resposta a Droga , Feminino , Camundongos , Camundongos Endogâmicos ICR , Temperatura , Células Tumorais Cultivadas
15.
Hepatogastroenterology ; 50(53): 1641-3, 2003.
Artigo em Inglês | MEDLINE | ID: mdl-14571805

RESUMO

Spontaneous rupture of hepatocellular carcinoma is a distinct presentation causing acute abdomen. Different treatment approaches have been advocated including emergency hepatectomy, initial hemostasis by hepatic artery ligation or transarterial embolization and second-stage hepatectomy. Unrecognized ruptured hepatocellular carcinoma during laparotomy is often encountered in countries where the incidence of hepatocellular carcinoma is low. Radiofrequency ablation is a new localized thermal ablative technique for the treatment of unresectable hepatic tumors including hepatocellular carcinoma. We report a case where radiofrequency ablation was used as a salvage procedure for ruptured hepatocellular carcinoma during emergency laparotomy.


Assuntos
Carcinoma Hepatocelular/cirurgia , Ablação por Cateter , Neoplasias Hepáticas/cirurgia , Terapia de Salvação , Idoso , Carcinoma Hepatocelular/diagnóstico por imagem , Humanos , Neoplasias Hepáticas/diagnóstico por imagem , Masculino , Ruptura Espontânea , Tomografia Computadorizada por Raios X
16.
Jpn J Ophthalmol ; 30(3): 238-44, 1986.
Artigo em Inglês | MEDLINE | ID: mdl-3784136

RESUMO

Previous reports concerning the acute effects of topical forskolin on the intraocular pressure (IOP) and the aqueous humor dynamics in human eyes gave conflicting results, and this led us to reevaluate the effects of this drug in a total of 20 young normal Japanese volunteers. Fifty microliter of 1% forskolin was instilled in one eye, and the vehicle to the fellow control eye. After two instillations of the drug at an interval of 5 minutes, the maximum IOP fall of 2.4 +/- 1.3 mmHg occurred after 1 hour; a single instillation had no significant effect. The effects on the aqueous flow rate and iris permeability factor were determined by the oral fluorescein method. Two instillations of the drug reduced the aqueous flow rate to 87 +/- 7% of the control, while the iris permeability factor was increased to 114 +/- 11% (mean +/- SD, N = 10, P less than 0.005). Pretreatment with topical 0.25% 1-timolol in both eyes 1 hour prior to the drug administration did not significantly alter the forskolin effects.


Assuntos
Humor Aquoso/efeitos dos fármacos , Colforsina/farmacologia , Administração Tópica , Adolescente , Adulto , Humor Aquoso/fisiologia , Feminino , Humanos , Pressão Intraocular/efeitos dos fármacos , Iris/efeitos dos fármacos , Iris/metabolismo , Masculino , Permeabilidade , Fatores de Tempo
17.
Nihon Hinyokika Gakkai Zasshi ; 90(3): 466-9, 1999 Mar.
Artigo em Japonês | MEDLINE | ID: mdl-10349306

RESUMO

We present a case of meningitis that developed following a urinary tract infection caused by methicillin-resistant Staphylococcus aureus (MRSA) after transurethral resection of the prostate. The patient, a 69-year-old man with diabetes mellitis, underwent transurethral resection of the prostate following a diagnosis of benign prostatic hypertrophy. On the 4 th day after surgery, high fever occurred immediately after the removal of the indwelling urethral catheter. Cultures of urine and blood revealed MRSA. On the 6 th day after surgery, severe lumbago was evident and MRSA was isolated from cerebrospinal fluid. Separate administration of arbekacin or vancomycin, to which the isolated MRSA was sensitive, was not effective. Combined therapy with fosfomycin, vancomycin and human immunoglobulin effectively relieved the inflammation. Although it is generally reported that the pathogenicity of MRSA is low in the urinary tract, this case suggests that a urinary tract infection caused by MRSA can advance to sepsis and meningitis.


Assuntos
Meningites Bacterianas/etiologia , Resistência a Meticilina , Complicações Pós-Operatórias , Prostatectomia , Infecções Estafilocócicas/etiologia , Infecções Urinárias/etiologia , Idoso , Bacteriemia/terapia , Quimioterapia Combinada/administração & dosagem , Fosfomicina/administração & dosagem , Humanos , Imunoglobulinas/administração & dosagem , Masculino , Meningites Bacterianas/terapia , Infecções Estafilocócicas/terapia , Infecções Urinárias/microbiologia , Infecções Urinárias/terapia , Vancomicina/administração & dosagem
18.
Kaku Igaku ; 29(8): 1013-8, 1992 Aug.
Artigo em Japonês | MEDLINE | ID: mdl-1434081

RESUMO

We studied emergency hepatobiliary scintigraphy in the 43 patients to rule out acute cholecystitis. After injection of 185-222 MBq (5-6 mCi) of 99mTc-EHIDA or 99mTc-HIDA, serial static scintigraphic images were obtained up to 7 hours in maximum. Of 43 patients in this study, 20 had a normal scan and finally in all of them cholecystitis was ruled out. Of the 43 patients, 14 had an abnormal scan (nonvisualized gall bladder). In 10 of them the diagnosis of acute cholecystitis was confirmed after emergency cholecystectomy. The other 9 patients of 43 had an incomplete scan mainly due to liver dysfunction. Four of them had acute cholecystitis in the cholecystectomy. These results indicate that acute cholecystitis can be excluded by the findings of gall bladder visualization in hepatobiliary scintigram. We concluded that emergency hepatobiliary scintigraphy is very useful to rule out acute cholecystitis.


Assuntos
Sistema Biliar/diagnóstico por imagem , Colecistite/diagnóstico por imagem , Fígado/diagnóstico por imagem , Doença Aguda , Adulto , Idoso , Idoso de 80 Anos ou mais , Emergências , Feminino , Vesícula Biliar/diagnóstico por imagem , Humanos , Iminoácidos , Masculino , Pessoa de Meia-Idade , Compostos de Organotecnécio , Cintilografia , Ácido Dietil-Iminodiacético Tecnécio Tc 99m , Lidofenina Tecnécio Tc 99m
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