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Antioxidant Nutraceuticals: Their Adjunct Role in the Management of COVID-19 Infections and Post-COVID Syndrome. 抗氧化保健品:它们在COVID-19感染和后covid综合征管理中的辅助作用
Pub Date : 2025-01-01 DOI: 10.2174/0118715265320091241017161919
Naheed Mojgani, Maryam Dadar, Youcef Shahali, Jesus Simal-Gandara, Prashant Kumar, Sumel Ashique, Mithun Bhowmick, Himanshu Kumar

The COVID-19 epidemic in recent years has been produced by various coronavirus strains that nearly destroyed world health policies and economics. Emerging viral strains exacerbated the pandemic. Huge investments have been made in preventative vaccines to combat the disease, but the genetic instability of these viruses has hampered their usefulness. However, in addition to traditional therapeutic approaches, nutraceuticals have been considered efficacious in preventing and or treating COVID-19 and post-COVID syndrome. In this context, nutraceuticals such as vitamins or dietary supplements including multiple vitamins and minerals and propolis have been widely studied for their significant impact on viral respiratory diseases like SARS-CoV-2 and COVID-19. Some of these nutraceuticals having antioxidant, antiinflammatory, and immune-modulatory properties have been highly recommended for use as an adjunct option to moderate the adverse effects associated with the COVID-19 pandemic. In this review, we intend to present the recent understanding and converse scientific implications for the use of nutraceutical antioxidants such as vitamins, minerals, probiotics, and polyphenols like bee propolis, in the management of viral respiratory diseases and post-COVID-19 syndrome. Future challenges and limitations regarding the use and bioavailability of these ingredients, and dose-response studies are further emphasized.

近年来的COVID-19疫情是由各种冠状病毒株引起的,几乎摧毁了世界卫生政策和经济。新出现的病毒株加剧了大流行。人们在防治这种疾病的预防性疫苗上投入了大量资金,但这些病毒的遗传不稳定性阻碍了它们的效用。然而,除了传统的治疗方法外,营养保健品被认为在预防和或治疗COVID-19和COVID-19后综合征方面是有效的。在这种情况下,维生素或膳食补充剂(包括多种维生素、矿物质和蜂胶)等营养保健品因其对SARS-CoV-2和COVID-19等病毒性呼吸道疾病的重大影响而受到广泛研究。其中一些营养保健品具有抗氧化、抗炎和免疫调节特性,被强烈推荐作为辅助选择,以缓解与COVID-19大流行相关的不良反应。在这篇综述中,我们打算介绍营养抗氧化剂(如维生素、矿物质、益生菌和蜂胶等多酚类物质)在病毒性呼吸道疾病和covid -19后综合征治疗中的最新认识和相反的科学意义。进一步强调了这些成分的使用和生物利用度以及剂量反应研究方面的未来挑战和限制。
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引用次数: 0
Streptococcal Toxic Shock Syndrome (STSS) Secondary to Monoarticular Septic Arthritis Leading to Multiorgan Failure in a Patient without Underlying Comorbidities: Emphasizing Early Diagnosis and Management Strategies. 链球菌中毒性休克综合征(STSS)继发于无潜在合并症的单关节感染性关节炎导致多器官衰竭的患者:强调早期诊断和管理策略
Pub Date : 2025-01-01 DOI: 10.2174/0118715265326740241218080319
Awad Chady, Chong Brandon, Samaniego Michelle, Omar Fahad, Omar Asad
<p><strong>Background: </strong>Streptococcal Toxic Shock Syndrome (STSS) is a life-threatening condition caused by bacterial toxins. The STSS triad encompasses high fever, hypotensive shock, and a "sunburn-like" rash with desquamation. STSS, like Toxic Shock Syndrome (TSS), is a rare complication of streptococcal infections caused by Group A <i>Streptococcus</i> (GAS), <i>Streptococcal pyogenes (S. pyogenes). Staphylococcus aureus</i> is the most frequently isolated bacterial species associated with TSS. Risk factors for STSS include older age, skin wounds, recent viral infection with open sores, recent surgery, nasal packing, use of tampons or other devices, such as menstrual cups/contraceptive sponges/diaphragms, or any other chronic illness, like diabetes or alcohol/drug abuse. Our case presents a patient who did not have any of these risk factors.</p><p><strong>Case presentation: </strong>A 25-year-old male was admitted to the Intensive Care Unit (ICU) after requiring intubation with mechanical ventilation and pressor support in the setting of septic shock. Septic arthritis was suspected, and blood and bone cultures were positive for <i>S. pyogenes</i>. Arthrocentesis of the affected knee (with fluid analysis and cytology) was positive for <i>Streptococcal pyogenes</i>. Infectious disease was consulted and the patient was empirically started on antibiotics. Kidney function continued to worsen, requiring hemodialysis. He no longer demonstrated brainstem reflexes, which prompted neurology consultation to rule out central nervous system dissemination. Superantigens are pyrogenic exotoxins secreted by different strains of <i>S. pyogenes</i> and are responsible for the many symptoms of STSS that patients present with. Throat infections by the bacteria, leading to streptococcal pharyngitis, are mediated by toxin release and known to cause scarlet fever and, very rarely, STSS. The postinfectious non-pyogenic, non-suppurative syndromes of GAS are autoimmune in nature, which include rheumatic fever, acute glomerulonephritis, and very rarely, reactive arthritis. This cross-reactivity of antibodies with body tissue via a mechanism of molecular mimicry can follow streptococcal infections, like streptococcal pharyngitis. Renal disease can also occur after a localized skin infection, also known as streptococcal impetigo. Despite the relationship of STSS with throat infections, there seem to be no reported cases of STSS secondary to septic arthritis in adult patients with no pertinent past medical history or other risk factors that could contribute to the condition.</p><p><strong>Conclusion: </strong>Streptococcal septic arthritis is an uncommon orthopedic emergency with high morbidity and mortality that requires emergent medical management. Septic arthritis needs to be treated with systemic antibiotics and joint aspiration, also known as arthrocentesis, which may be required more than once for complete recovery and avoidance of joint destruction. STSS is
背景:链球菌中毒性休克综合征(STSS)是一种由细菌毒素引起的危及生命的疾病。STSS三联征包括高热、低血压休克和“晒伤样”皮疹伴脱屑。STSS与中毒性休克综合征(TSS)一样,是由a群链球菌(GAS)、化脓性链球菌(S. pyogenes)引起的链球菌感染的罕见并发症。金黄色葡萄球菌是与TSS相关的最常分离的细菌种类。性传播感染的危险因素包括年龄较大,皮肤伤口,最近的开放性溃疡病毒感染,最近的手术,鼻腔填塞,使用卫生棉条或其他设备,如月经杯/避孕海绵/隔膜,或任何其他慢性疾病,如糖尿病或酒精/药物滥用。我们的病例是一个没有这些危险因素的病人。病例介绍:一名25岁的男性在脓毒性休克的情况下需要插管机械通气和加压器支持后被送入重症监护病房(ICU)。怀疑脓毒性关节炎,血和骨培养化脓性链球菌阳性。受影响的膝关节关节穿刺(含液体分析和细胞学)为化脓性链球菌阳性。咨询了传染病,并根据经验开始使用抗生素。肾功能继续恶化,需要血液透析。他不再表现出脑干反射,这促使神经内科医生排除中枢神经系统扩散的可能性。超级抗原是由不同的化脓性葡萄球菌菌株分泌的热原外毒素,是导致STSS患者出现的许多症状的原因。由细菌引起的咽喉感染,导致链球菌性咽炎,是由毒素释放介导的,已知会引起猩红热,很少会引起STSS。感染后非化脓性、非化脓性GAS综合征本质上是自身免疫性的,包括风湿热、急性肾小球肾炎和极少的反应性关节炎。这种抗体通过分子模拟机制与身体组织的交叉反应可以跟随链球菌感染,如链球菌性咽炎。肾脏疾病也可发生在局部皮肤感染后,也称为链球菌性脓疱病。尽管STSS与咽喉感染有关,但在没有相关既往病史或其他可能导致该病的危险因素的成人患者中,似乎没有STSS继发于脓毒性关节炎的病例报道。结论:脓毒性链球菌性关节炎是一种罕见的骨科急症,发病率和死亡率高,需要紧急医疗处理。脓毒性关节炎需要全身抗生素和关节抽吸治疗,也称为关节穿刺,为了完全恢复和避免关节破坏,可能需要不止一次。STSS是链球菌感染性关节炎的一种非常罕见的并发症,监测器官衰竭和血流动力学不稳定对患者的治疗和生存至关重要。
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引用次数: 0
Role of Posaconazole Drug in the Treatment of Invasive Fungal Disease: A Review. 泊沙康唑在治疗侵袭性真菌病中的作用:综述。
Pub Date : 2025-01-01 DOI: 10.2174/0118715265307531240801091445
Sushil Kumar Singh, Shyam Sundar Pancholi

Posaconazole is an antifungal medication used primarily to treat invasive fungal infections caused by various organisms, such as Aspergillus, Candida, and certain molds. It belongs to the class of drugs known as triazole antifungals. Clinical studies have reported posaconazole to be effective in treating various invasive fungal infections, especially in patients who are immunocompromised, such as those with weakened immune systems due to conditions like HIV/AIDS, undergoing chemotherapy, or having received an organ transplant. It has effectively treated invasive candidiasis, aspergillosis, zygomycosis, and other serious fungal infections. The effectiveness of the drug varies based on factors, such as the type of infection, the patient's immune status, and the site of infection. This review describes the types of infection, the drug's safety profile, the development of resistance to posaconazole, and strategies to manage or prevent resistance.

泊沙康唑是一种抗真菌药物,主要用于治疗由曲霉菌、念珠菌和某些霉菌等多种生物引起的侵袭性真菌感染。它属于三唑类抗真菌药物。临床研究报告显示,泊沙康唑能有效治疗各种侵袭性真菌感染,尤其是免疫力低下的患者,如因艾滋病等疾病导致免疫力低下、正在接受化疗或接受器官移植的患者。它能有效治疗侵袭性念珠菌病、曲霉菌病、子囊菌病和其他严重的真菌感染。药物的疗效因感染类型、患者的免疫状态和感染部位等因素而异。本综述介绍了感染类型、药物的安全性、泊沙康唑耐药性的产生以及管理或预防耐药性的策略。
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引用次数: 0
The Relationship among SARS-CoV-2, Vaccine Spike Protein, Renin- Angiotensin System, and Epilepsy. SARS-CoV-2、疫苗尖峰蛋白、肾素-血管紧张素系统与癫痫之间的关系。
Pub Date : 2025-01-01 DOI: 10.2174/0118715265350339240919053408
Ziad Fajloun, Layla Tajer, Hervé Kovacic, Jean-Marc Sabatier
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引用次数: 0
The PARK2_e01(-697) Polymorphism does not Associate with Susceptibility to Typhoid in Punjabi Population, Pakistan: A Case Control Study. 巴基斯坦旁遮普人的 PARK2_e01(-697) 多态性与伤寒易感性无关:病例对照研究。
Pub Date : 2025-01-01 DOI: 10.2174/0118715265305304240918063848
Rizwana Kousar, Ayesha Waheed, Rida Naz, Ghazala Kaukab Raja, Umm-E Kalsoom, Sadia Latif

Background: SNP based association studies have revolutionized the field of biomedicines. Enteric fever is a systemic disease with etiologic agent Salmonella enterica serovar typhi and paratyphi. It is a serious health issue worldwide and presents wide variations in incidence, rates, and severity. Previous investigations revealed that genetic variations may lead to susceptibility to typhoid fever. The current study was performed to investigate the potential association of PARK2_e01(-697) polymorphism with the susceptibility to typhoid in the Punjabi population.

Methods: For this case-control study, blood samples obtained from typhoid patients with positive Typhidot or blood culture test (n=72) and healthy controls (n=73) were processed for DNA extraction. The polymorphism PARK2_e01(-697) analysis was carried out by using PCR and RFLP.

Results: No allelic association was found between PARK2_e01(-697) and susceptibility to typhoid fever in the understudy population.

Conclusion: This case control study is the demonstration of the non-association of PARK2_e01(-697) with typhoid in the Pakistani population. Future research, using larger population size, will help to elucidate the role of PARK2_e01(-697) polymorphism in typhoid pathogenesis.

背景:基于 SNP 的关联研究给生物医学领域带来了革命性的变化。肠热病是一种全身性疾病,病原体是肠炎沙门氏菌(Salmonella enterica serovar typhi and paratyphi)。它是全球范围内一个严重的健康问题,在发病率、发病率和严重程度上存在很大差异。以往的调查显示,基因变异可能导致对伤寒的易感性。本研究旨在调查 PARK2_e01(-697) 多态性与旁遮普人伤寒易感性的潜在关联:在这项病例对照研究中,对伤寒患者(72 人)和健康对照组(73 人)的血液样本进行了 DNA 提取。结果显示,PARK2_e01(-697)的等位基因与伤寒患者的血型没有关联:结果:在研究对象中未发现 PARK2_e01(-697) 与伤寒易感性之间的等位基因关联:这项病例对照研究表明,在巴基斯坦人群中,PARK2_e01(-697)与伤寒无关。未来的研究将使用更大规模的人群,这将有助于阐明 PARK2_e01(-697)多态性在伤寒发病机制中的作用。
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引用次数: 0
Emergence of COVID-19's JN.1 Subvariant Sparks Outbreak in India. COVID-19的JN.1亚变种在印度爆发。
Pub Date : 2025-01-01 DOI: 10.2174/0118715265313527240705063308
Diksha, Raj Kamal, OkesanyaOlalekan John, Raj Kumar Narang, Amandeep Singh
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引用次数: 0
India's Pink-Eye Mystery: Decoding the 2023 Conjunctivitis Outbreak. 印度的红眼病之谜:解密 2023 年结膜炎爆发。
Pub Date : 2025-01-01 DOI: 10.2174/0118715265291922240625054709
Tuhin James Paul, Ayushreeya Banga, Ashmeen Kaur, Sonakshi Garg, Amandeep Singh

The pink eye outbreak in 2023 was caused due to humid weather conditions in most regions of India. The most affected states include Delhi, Gujrat (21% cases), Maharashtra (30%), Himachal Pradesh (4%) and Karnataka (4%). The epidemiological data indicates that males have a high prevalence rate as compared to females; urban areas were most affected, and professionals as well as students were the population group that had the highest prevalence rate. The most common clinical manifestations were the presence of red eye, eye discharge, grittiness, and eyelashes being stuck together. One of the hallmarks of histopathology is a cobblestone formation of flattened nodules with central vascular centers. Conjunctivitis is a virusmediated immune response accompanied by inflammation, which proceeds the immune reaction, giving rise to vasodilation, pseudo membrane formation, and conjunctivital discharge. The gold standard for the diagnosis of Conjunctivitis is the Adenoplus kit using PCR technology; apart from this slit lamp biomicroscope can be used for the evaluation. It is the need of the hour to spread awareness about the Pink Eye disease and the measures to prevent it.

2023 年红眼病的爆发是由于印度大部分地区潮湿的天气条件造成的。受影响最严重的邦包括德里、古吉拉特邦(21%的病例)、马哈拉施特拉邦(30%)、喜马偕尔邦(4%)和卡纳塔克邦(4%)。流行病学数据表明,与女性相比,男性的发病率较高;城市地区受影响最大,专业人员和学生是发病率最高的人群。最常见的临床表现是出现红眼、眼分泌物、眼涩和睫毛粘在一起。组织病理学的特征之一是鹅卵石形成的扁平结节,中央有血管中心。结膜炎是一种病毒介导的免疫反应,伴有炎症,炎症使免疫反应进行,引起血管扩张、假膜形成和结膜分泌物。诊断结膜炎的金标准是使用 PCR 技术的腺原体试剂盒;除此之外,还可以使用裂隙灯生物显微镜进行评估。当务之急是提高人们对红眼病的认识,并采取相应的预防措施。
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引用次数: 0
Confronting and Addressing the Presence of Psittacosis in Europe. 面对和解决欧洲的鹦鹉热问题。
Pub Date : 2025-01-01 DOI: 10.2174/0118715265322768240807102042
Shivang Saxena, Shubhi Saxena, Nihar Ranjan Sahoo, Amandeep Singh
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引用次数: 0
Mucormycosis and COVID-19: Unraveling the Interplay of Fungal Infection in a Global Health Crisis: An Overview. 粘孢子菌病与 COVID-19:揭示全球健康危机中真菌感染的相互作用:概述。
Pub Date : 2025-01-01 DOI: 10.2174/0118715265310191240919060621
Ali Moheb-Alian, Ali Akbari, Saghi Nooraei, Howra Bahrulolum, Zoheir Mohammadian Farsani, Negin Mokhtari, Mozhdeh Sadat Ebadi, Arezoo Mohammadian Farsani, Seyedmoein Khatami, Mohammadmahdi Esmaeili, Zahra Keykhaee, Mohammad Hossein Heydargoy, Zahra Rafiei, Gholamreza Ahmadian

The healthcare system has been greatly affected by the COVID-19 pandemic, resulting in an increase in secondary and co-infections among patients. Factors like pulmonary damage and weakened immune systems make patients more susceptible to fungal infections. Mucormycosis, an opportunistic fungal infection, prospers in environments with limited oxygen, and elevated glucose levels due to conditions such as diabetes and steroid use, as well as in acidic environments from metabolic acidosis and diabetic ketoacidosis, where it demonstrates heightened germination ability. Recognizing these complications is critical to minimize harm to patients. The insights gained from this review can improve our understanding of how fungal infections develop in connection to COVID-19, leading to better predictive algorithms, tailored care plans, enhanced antifungal treatments, quicker diagnostics, and improved management strategies.

医疗系统受到 COVID-19 大流行的严重影响,导致患者的继发感染和合并感染增加。肺损伤和免疫系统衰弱等因素使患者更容易受到真菌感染。蕈菌病是一种机会性真菌感染,在氧气有限、糖尿病和使用类固醇等导致血糖升高的环境中,以及在代谢性酸中毒和糖尿病酮症酸中毒导致的酸性环境中生长旺盛,其发芽能力较强。认识这些并发症对于最大限度地减少对患者的伤害至关重要。从这篇综述中获得的洞察力能让我们更好地了解真菌感染是如何与 COVID-19 联系在一起发展的,从而制定出更好的预测算法、量身定制的护理计划、强化的抗真菌治疗、更快的诊断和改进的管理策略。
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引用次数: 0
A Review on the Epidemiology and Clinical Management of Neglected Tropical Diseases. 被忽视热带病的流行病学和临床管理综述》。
Pub Date : 2025-01-01 DOI: 10.2174/0118715265305007240718081727
Medha Dwivedi, Aiswarya Pawar, Mahima Kori, Hitendra Yadav, Manish Dwivedi

Infectious disorders known as Neglected Tropical Diseases (NTDs) initially affect the world's underprivileged citizens. They have been disregarded for many years, first as a result of a general indifference to such a developing world and, more recently, as an outcome of the intense attention on AIDS, TB, and malaria. Tropical diseases mostly affect the region where health and hygiene are sacrificed, and most of the population lacks access to sufficient food and living resources. WHO has drafted and released the directions for regulation, prevention, and successful eradication of NTDs as per the revised roadmap of 2021-2030. This shifts from vertical disease programs to integrated cross-cutting methods. In the current work, we have provided comprehensive information on various aspects of neglected tropical diseases, including the clinical management of NTDs. This encompasses the causative agent of the diseases, their symptoms, pathogenesis, diagnosis, treatment, prognosis, and epidemiological perspective of major NTDs. This review will shed light on several perspectives of NTDs having influential roles in proposing strategies to control and treat them around the world.

被称为 "被忽视的热带病"(NTDs)的传染病最初影响的是世界上的弱势群体。多年来,这些疾病一直被忽视,首先是由于人们对这样一个发展中世界的普遍漠视,而最近则是由于人们对艾滋病、结核病和疟疾的高度关注。热带疾病主要影响那些牺牲健康和卫生的地区,那里的大多数人口缺乏足够的食物和生活资源。世卫组织根据修订后的 2021-2030 年路线图,起草并发布了规范、预防和成功根除非传染性疾病的方向。这就从纵向疾病计划转向了横向综合方法。在目前的工作中,我们提供了被忽视热带疾病各个方面的综合信息,包括非传染性疾病的临床管理。这包括主要非传染性疾病的病原体、症状、发病机理、诊断、治疗、预后和流行病学角度。这篇综述将从多个角度阐述非传染性疾病对提出全球非传染性疾病控制和治疗策略的影响。
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引用次数: 0
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Infectious disorders drug targets
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