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Anti-quorum sensing effects of medicinal plants and chemical compounds: A new dimension against Pseudomonas aeruginosa and Staphylococcus aureus 药用植物和化合物的抗群体感应作用:抗铜绿假单胞菌和金黄色葡萄球菌的新视角
Pub Date : 2023-01-01 DOI: 10.5455/jmid.2023.v13.i3.1
Kingsley Nwachukwu, Ositadinma Ugbogu, Ijeoma Nwosu, Ebubechukwu Nwarunma
Quorum sensing (QS) is a communication mechanism utilized by microorganisms to deliberately unleash virulence factors for their survival in living or non-living hosts. Biofilm, one of virulence factors that entrenches pathogenicity is developed through this process. Accumulation of biofilm as a result of heightened quorum sensing effect results in persistent spread of diseases and in extension, antibiotic resistance. Staphylococcus aureus and Pseudomonas aeruginosa are the major causative agents of nosocomial diseases which include wound and skin infections; so many synthetic and natural remedies have been introduced to reduce or entirely eliminate the development of QS-mediated virulence factors through repression of genes that encode them at the molecular level. Therefore, the activities of medicinal plants and chemical agents as inhibitors against QS-mediated virulence factors of P. aeruginosa and S. aureus strains are discussed and compared in this review. Overall, having the knowledge of target sites of plant extracts and chemical inhibitors and their mechanisms in these pathogenic bacterial cells as discussed in the review will assist scientists and medical practitioners in decision making for better therapeutic regimen in the treatment of bacterial diseases.
群体感应(Quorum sensing, QS)是微生物为了在活体或非活体宿主中生存而故意释放毒力因子的一种通讯机制。生物膜是强化致病性的毒力因子之一,就是通过这一过程形成的。由于群体感应效应的增强,生物膜的积累导致疾病的持续传播,并延伸到抗生素耐药性。金黄色葡萄球菌和铜绿假单胞菌是医院疾病的主要病原体,包括伤口和皮肤感染;因此,已经引入了许多合成和自然疗法,通过抑制在分子水平上编码它们的基因来减少或完全消除qs介导的毒力因子的发展。因此,本文对药用植物和化学制剂对铜绿假单胞菌和金黄色葡萄球菌毒力因子的抑制活性进行了探讨和比较。综上所述,了解植物提取物和化学抑制剂在这些致病菌细胞中的靶点及其机制,将有助于科学家和医生在治疗细菌性疾病时制定更好的治疗方案。
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引用次数: 0
Tropism prediction in HIV-1 variants circulating in Cuba, 2017-2019: Implications for the pathogenesis of infection and response to Maraviroc 2017-2019年在古巴流行的HIV-1变异的嗜性预测:感染的发病机制和对马拉韦洛克的反应的意义
Pub Date : 2023-01-01 DOI: 10.5455/jmid.2023.v13.i2.3
A. Batista, L. Santos, Liuber var, M. lez, Yanet Saavedra, J. Vila, H. Torres, Tamara ez, J. Puertas, Yoanna Morales, E. Romero, Vivian Cardell
Background: Tropism is determined by the ability of HIV-1 to bind to the receptors CCR5 or CXCR4 to enter the target cell, which has implications for the pathogenesis of the disease and affects treatment options. This study determined the relationship between the tropism of HIV-1 variants circulating in Cuba, with different variables, and the implications for the use of co-receptor inhibitors. Methods: Plasma samples from 69 of HIV-1 seropositive patients, period 2017-2019, were analyzed. Fragments of the env and pol regions of the virus were sequenced. The subtype and prediction of the viral phenotype, viral mutations, as well as the relationship of the phenotype and subtype with clinical, epidemiological, and virological variables were determined. Results: The recombinant CRF19_cpx (p=0.0234) showed a significant association with viruses that use the X4 and R5X4/X4 Co-receptor, even in untreated patients. Of the viruses studied, 78.26% presented at least one mutation associated with resistance to Maraviroc, although the patients had not received prior therapy with this drug. Conclusion: The preferential tropism for the CXCR4 co-receptor, detected in the CRF19_cpx variant, accompanied by greater viral replication and unrelated to the time of diagnosis of the patients, reinforces the hypothesis that viral variant is more pathogenic. The high frequency of polymorphisms and mutations that confer resistance to Maraviroc in the V2 and V3 regions of HIV-1 of the Cuban recombinant forms indicate that there could be a natural resistance to this antiretroviral.
背景:嗜性是由HIV-1与受体CCR5或CXCR4结合进入靶细胞的能力决定的,这对疾病的发病机制和治疗方案有影响。本研究确定了在古巴流行的HIV-1变异的倾向性与不同变量之间的关系,以及对使用共受体抑制剂的影响。方法:对2017-2019年69例HIV-1血清阳性患者的血浆样本进行分析。对病毒的env区和pol区片段进行了测序。确定病毒表型、病毒突变的亚型和预测,以及表型和亚型与临床、流行病学和病毒学变量的关系。结果:重组CRF19_cpx (p=0.0234)与使用X4和R5X4/X4共受体的病毒显著相关,即使在未经治疗的患者中也是如此。在所研究的病毒中,78.26%表现出至少一种与马拉韦洛克耐药相关的突变,尽管患者之前没有接受过这种药物的治疗。结论:在CRF19_cpx变异中检测到的CXCR4共受体的亲和性,伴随着更大的病毒复制,与患者的诊断时间无关,强化了病毒变异更具有致病性的假设。在古巴重组型HIV-1病毒的V2和V3区,高频率的多态性和突变赋予了对Maraviroc的抗性,这表明可能存在对这种抗逆转录病毒的自然抗性。
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引用次数: 0
Medical management of Pseudomonas aeruginosa endocarditis: A case report 铜绿假单胞菌心内膜炎的医疗处理1例报告
Pub Date : 2023-01-01 DOI: 10.5455/jmid.2023.v13.i2.8
S. Samad, P. Nair, Abeed Hussain, Amal Byju, Shafeeq Mattummal, Ravi Arodiyil
Background: Pseudomonas aeruginosa is a rare cause of infective endocarditis. There is no standard treatment regimen for the management of infective endocarditis caused by this organism. Pseudomonas aeruginosa produces biofilm on the endocardial surface which can be difficult to eradicate, and monotherapy with a traditional beta-lactam agent may fail due to inadequate penetration into biofilm and low or absent activity on non-dividing cells. Prolonged courses and surgical intervention may be required to treat this infection. Case Description: A case of infective endocarditis caused by P. aeruginosa which showed inadequate response to beta-lactam plus beta-lactamase-inhibitor therapy and was later successfully managed without surgical intervention but a combination of a beta-lactam and an aminoglycoside is described here. This case which was treated with amikacin was followed up for ototoxicity. Ototoxicity is an irreversible side effect of amikacin and close follow-up with serial audiograms is required during therapy, especially when therapeutic drug monitoring is not possible. Conclusion: A combination regimen of a beta-lactam active against P. aeruginosa plus an aminoglycoside for a duration of four weeks can be an effective treatment for infective endocarditis caused by P. aeruginosa. Periodic monitoring for adverse drug events should be undertaken during therapy.
背景:铜绿假单胞菌是一种罕见的感染性心内膜炎。目前还没有标准的治疗方案来管理由这种生物体引起的感染性心内膜炎。铜绿假单胞菌在心内膜表面产生生物膜,这种生物膜很难根除,传统的β -内酰胺药物的单药治疗可能会失败,因为它不能充分渗透到生物膜中,对非分裂细胞的活性很低或没有活性。治疗这种感染可能需要延长疗程和手术干预。病例描述:一例由铜绿假单胞菌引起的感染性心内膜炎,对-内酰胺+ -内酰胺酶抑制剂治疗反应不足,后来在没有手术干预的情况下成功治疗,但在此描述了-内酰胺和氨基糖苷的联合治疗。本例经阿米卡星治疗后随访耳毒性。耳毒性是阿米卡星不可逆转的副作用,在治疗过程中需要密切跟踪连续听音图,特别是在治疗药物监测不可能的情况下。结论:抗铜绿假单胞菌β -内酰胺联合氨基糖苷治疗铜绿假单胞菌引起的感染性心内膜炎有效。治疗期间应定期监测药物不良事件。
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引用次数: 0
Burkholderia cepacia complex (BCC) causing bacteremia in patients suffering from B-cell acute lymphocytic leukemia: A case report 洋葱伯克霍尔德菌复合体(BCC)引起b细胞急性淋巴细胞白血病患者菌血症:1例报告
Pub Date : 2023-01-01 DOI: 10.5455/jmid.2023.v13.i3.9
Mitra Kar, Akanksha Dubey, Romya Singh, Chinmoy Sahu, Sangram Patel, Nida Fatima
Background: Burkholderia cepacia complex consists of 24 species of microorganisms that include B. cepacia, B. multivorans, B. cenocepacia, B. vietnamiensis, B. ambifaria, and many more. It is a ubiquitous microorganism found in the soil and aquatic milieu. The most common infections caused by these isolates include bacteremia, pneumonia, genital tract infections, and surgical wound infections. Their potential to cause nosocomial outbreaks in wards of immunocompromised patients is well known. Case Description: In this case report, we describe two cases of community-acquired B. vietnamese bacteremia in patients suffering from B-cell acute lymphocytic leukemia and their antibiotic sensitivity pattern to guide the treatment of these individuals. Conclusion: The identification of rare opportunistic pathogens like Burkholderia vietnamese and adequate treatment in the pandemic-ridden era is the need of the hour due to a rise in immunocompromised conditions owing to the rigorous use of antimicrobials and steroids.
背景:洋葱伯克氏菌复合体由24种微生物组成,包括洋葱伯克氏菌、多角伯克氏菌、新洋葱伯克氏菌、越南伯克氏菌、两性伯克氏菌等。它是一种普遍存在于土壤和水生环境中的微生物。由这些分离株引起的最常见感染包括菌血症、肺炎、生殖道感染和手术伤口感染。众所周知,它们有可能在免疫功能低下的病人病房中引起医院暴发。病例描述:在这个病例报告中,我们描述了两例社区获得性越南b菌血症患者患有b细胞急性淋巴细胞白血病和他们的抗生素敏感性模式,以指导这些个体的治疗。结论:在大流行肆虐的时代,由于严格使用抗微生物药物和类固醇,免疫功能低下的情况有所增加,鉴定越南伯克霍尔德氏菌等罕见机会性病原体并进行适当治疗是当务之急。
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引用次数: 0
Liposomal Amphotericin-B Infusion-related Reactions and Rate of Infusions: A Single Center Cohort Study 两性霉素b输注脂质体相关反应和输注率:单中心队列研究
Pub Date : 2022-12-15 DOI: 10.5799/jmid.1218636
Iouri Banakh, Qiantong Hua, J. Metcalfe
Objectives: Liposomal amphotericin B is a broad-spectrum antifungal treatment used for life-threatening infections, but it commonly induces infusion-related adverse events that may prevent treatment completion. Based on anecdotal evidence, a slow infusion guideline at treatment initiation has been suggested to reduce these reactions. This study aimed to determine if slowing down the infusion rate on treatment initiation would reduce the rate of infusion-related adverse events. Methods: A retrospective cohort study was conducted examining the primary outcome of adverse event rates between patients who received slow and standard (2-hour or faster) infusions at a major hospital in Australia. Secondary outcomes were risk factors associated with infusion reactions. The rates of adverse events were analyzed using Fisher’s exact test. Results: An 8-year audit identified 47 patients who were administered liposomal amphotericin-B. The average age of the study population was 61.7 years and 28 (59.6%) were male patients. Slower than standard infusions were given to 5 (10.6%) patients on treatment initiation. Infusion-related adverse events occurred in 2 (40.0%) patients with reduced rates and 5 (11.9%) patients with standard infusion rates (p=0.154). Typical reactions were myalgia, dyspnoea, and flushing. Four patients with adverse events had been rechallenged after further rate reductions and prophylactic medications with the completion of treatment. No risk factors for adverse events were identified among demographics, comorbidities, or co-prescribed medications. Conclusion: Slowing the infusion rate of liposomal amphotericin-B administration does not appear to reduce the likelihood of infusion-related reactions, however, it can be trialed for adverse-event management. J Microbiol Infect Dis 2022; 12(4): 148-153.
目的:两性霉素B脂质体是一种广谱抗真菌药物,用于治疗危及生命的感染,但它通常会引起与输注相关的不良事件,可能会阻止治疗的完成。根据传闻证据,建议在治疗开始时采用缓慢输注指南来减少这些反应。本研究旨在确定在治疗开始时减慢输注速度是否会降低输注相关不良事件的发生率。方法:在澳大利亚的一家大医院进行了一项回顾性队列研究,研究了接受慢速输注和标准输注(2小时或更快)患者不良事件发生率的主要结局。次要结局是与输液反应相关的危险因素。不良事件发生率采用Fisher精确检验分析。结果:一项为期8年的审计确定了47例使用两性霉素- b脂质体的患者。研究人群的平均年龄为61.7岁,男性患者28例(59.6%)。在治疗开始时给予比标准输液慢的患者5例(10.6%)。降低输注率的2例(40.0%)患者和标准输注率的5例(11.9%)患者发生了输注相关不良事件(p=0.154)。典型的反应是肌痛、呼吸困难和潮红。4名不良事件患者在治疗完成后,在进一步降低发生率和预防性药物治疗后再次受到挑战。在人口统计学、合并症或合用药物中未发现不良事件的危险因素。结论:减慢两性霉素- b脂质体输注速度似乎不会降低输注相关反应的可能性,但可以用于不良事件管理的试验。中华微生物学杂志[J];12(4): 148 - 153。
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引用次数: 0
Prolonged Scrotal Pain Resulting from Testicular Schistosomiasis: Case Report 睾丸血吸虫病致阴囊长时间疼痛1例
Pub Date : 2022-12-15 DOI: 10.5799/jmid.1218686
S. Iliya, Y. Kani, Y. Muhammad, Ibrahim Muhammad Kamilu, Luwa Psa, Mahmud Inusa Yandutse, Adogu Ibrahi̇m
Testicular Schistosomiasis causes acute and chronic scrotal pain causes, typically by one or more species of blood flukes of the genus Schistosoma, which are rarely seen. Therefore, specimens for the diagnosis are usually biopsies from the testes and tissue sections from orchidectomy. This case report was aimed to present the diagnosis of testicular Schistosomiasis resulting from orchidectomy due to prolonged scrotal pain. Microscopic examination of a histological specimen stained by hematoxylin and eosin revealed dispersed viable and calcified ova of Schistosoma haematobium. This finding provided a rare case of testicular Schistosomiasis that clinicians and other healthcare professionals should be mindful of when dealing with cases with scrotal involvement, especially in endemic areas, to avoid unnecessary orchidectomy. J Microbiol Infect Dis 2022; 12(4):167-170.
睾丸血吸虫病引起急性和慢性阴囊疼痛,通常由血吸虫属的一种或多种血吸虫引起,这种病很少见。因此,用于诊断的标本通常是来自睾丸的活检和来自睾丸切除术的组织切片。本病例报告的目的是提出睾丸血吸虫病的诊断,睾丸切除导致长期阴囊疼痛。用苏木精和伊红染色的组织学标本的显微镜检查显示了分散的活的和钙化的血血吸虫卵。这一发现提供了一个罕见的睾丸血吸虫病病例,临床医生和其他医疗保健专业人员在处理阴囊受累病例时应注意,特别是在流行地区,以避免不必要的睾丸切除术。中华微生物学杂志[J];12(4): 167 - 170。
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引用次数: 1
Evaluation of Antibody Levels After Vaccination (Sinovac-CoronaVac) in Healthcare Workers 医护人员接种(Sinovac-CoronaVac)后抗体水平的评价
Pub Date : 2022-12-15 DOI: 10.5799/jmid.1218640
Hakan Erdogan, F. Pehlivanoğlu, G. Şengöz, Feride Velaei̇
Objectives: This study aims to evaluate the effectiveness of the inactivated SARS-COV-2 vaccine (Sinovac-CoronaVac), first administered to healthcare professionals in Turkey on January 14, 2021. Methods: Healthcare professionals without a history of COVID-19, PCR test positivity, or chronic disease were included in the study. The antibody levels for S1 RBD antigen were measured with the Siemens SARS-CoV-2 IgG (sCOVG) kit one month and six months after the two-dose CoronaVac vaccine. Results: A total of 108 health professionals, 35 women and 73 men, were included in this study. The mean age of the participants was 37.5 ± 10.7 years. A total of 103 (95.3%) individuals had positive antibody values, and five (4.6%) had negative values after the second vaccination. After the second vaccine dose, 11 (10.1%) participants were diagnosed with COVID-19. There was a significant decrease in antibody values in the sixth month compared to the first month (p
目的:本研究旨在评估灭活SARS-COV-2疫苗(Sinovac-CoronaVac)的有效性,该疫苗于2021年1月14日首次在土耳其的卫生保健专业人员中使用。方法:将无COVID-19病史、PCR检测阳性或无慢性疾病的医护人员纳入研究。两剂冠状病毒疫苗接种后1个月和6个月,用西门子SARS-CoV-2 IgG (sCOVG)试剂盒检测S1 RBD抗原抗体水平。结果:本研究共纳入108名卫生专业人员,其中女性35人,男性73人。参与者的平均年龄为37.5±10.7岁。共有103人(95.3%)抗体阳性,5人(4.6%)在第二次接种后抗体阴性。在第二次接种疫苗后,11名(10.1%)参与者被诊断出患有COVID-19。与第一个月相比,第6个月的抗体值显著下降(p
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引用次数: 1
Epidemiological Features and Phylogeny of SARS-CoV-2 Circulating in the Southeast Asia in Early Pandemic SARS-CoV-2大流行早期在东南亚传播的流行病学特征及系统发育
Pub Date : 2022-12-15 DOI: 10.5799/jmid.1218631
O. N. Turnip, Chairunnisa Fadhi̇llah, Anwar Rovik, Ayu Rahayu
Objectives: This study aims to understand the epidemiological and level of genetic similarity in the SARS-CoV-2 from different geographical areas in The Southeast Asia Region during an early pandemic. Methods: The data on COVID-19 cases in Southeast Asia was collected from https://worldometer.info/ and extracted independently. Complete genome SARS-CoV-2 nucleotide sequence data was obtained from GISAID and NCBI online platforms. The sequences were aligned using MEGA X software and identified RdRp and Spike genes using UGENE software. The phylogenetic was constructed using MEGA X software to know the similarity of these genes among isolates in the Southeast Asia region. Results: The result showed that the first case in Southeast Asia was reported in January 2020. The highest number of COVID-19 cases and death were reported from populous and suffering countries. The phylogenetic results showed an identical solid (100%) among isolates, except for the Philippines-5 isolate. The Wuhan-Hu-1 (China) SARS-CoV-2 isolate (Acc. NC_045512) was transmitted to other countries in Southeast Asia regions with various mutations in the spike protein. Conclusion: During the early pandemic, all countries in the Southeast Asia regions reported COVID-19 cases. Indonesia became the country with the highest number of COVID-19 cases and deaths. The level of similarity of the RdRp gene in the SARS-CoV-2 in Southeast Asia is higher than the Spike genes. J Microbiol Infect Dis 2022; 12(4):139-148.
目的:本研究旨在了解东南亚地区不同地理区域SARS-CoV-2在早期大流行期间的流行病学和遗传相似性水平。方法:从https://worldometer.info/网站收集东南亚地区新冠肺炎病例数据并独立提取。从GISAID和NCBI在线平台获得SARS-CoV-2全基因组核苷酸序列数据。测序用MEGA X软件比对,用UGENE软件鉴定RdRp和Spike基因。利用MEGA X软件进行系统发育分析,了解这些基因在东南亚地区分离株间的相似性。结果:东南亚首例病例报告时间为2020年1月。报告的COVID-19病例和死亡人数最多的是人口稠密和贫困国家。系统发育结果表明,除菲律宾-5菌株外,其余菌株固形度均为100%。武汉-武汉1号(中国)SARS-CoV-2分离株(Acc。NC_045512)通过刺突蛋白的不同突变传播到东南亚地区的其他国家。结论:在大流行早期,东南亚地区所有国家都报告了COVID-19病例。印度尼西亚成为新冠肺炎病例和死亡人数最多的国家。东南亚地区SARS-CoV-2中RdRp基因的相似性高于Spike基因。中华微生物学杂志[J];12(4): 139 - 148。
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引用次数: 0
Possibility of COVID-19 Vertical Transmission to Newborns: Case Report COVID-19垂直传播给新生儿的可能性:病例报告
Pub Date : 2022-12-15 DOI: 10.5799/jmid.1218673
Asmaa Yahia Sharfeldi̇n, Hala Omar, Ahmed Elhanafy
Coronavirus disease 2019 (COVID-19) has impacted people of all ages, including neonates. However, confirmed data on its vertical transmission is still scarce. As a result, displaying various cases of COVID-19 in neonates may assist in understanding the virus's behavior during pregnancy. This report shows a 32-year-old mother with a 5-day history of acute respiratory disease tested positive for COVID-19 by real-time polymerase chain reaction (RT-PCR), presented with labor pain at 34 weeks of gestation, and underwent an emergency cesarean section. She gave birth to a preterm male baby, who tested positive for RT-PCR less than 24 hours after birth and fifth day of life. His outcome was good. J Microbiol Infect Dis 2022; 12(4):160-162. Keywords:
2019冠状病毒病(COVID-19)影响了包括新生儿在内的所有年龄段的人。然而,关于其垂直传播的确认数据仍然很少。因此,在新生儿中显示各种COVID-19病例可能有助于了解病毒在怀孕期间的行为。该报告显示,一名32岁的母亲有5天的急性呼吸道疾病史,通过实时聚合酶链反应(RT-PCR)检测COVID-19呈阳性,妊娠34周时出现阵痛,并接受了紧急剖宫产手术。她生下了一名早产男婴,他在出生后不到24小时、出生第5天就被检测出RT-PCR阳性。他的结果很好。中华微生物学杂志[J];12(4): 160 - 162。关键词:
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引用次数: 0
Breast Abscess as the Sole Presentation of Salmonella Typhi Infection: Case Report 乳房脓肿是伤寒沙门氏菌感染的唯一表现:病例报告
Pub Date : 2022-12-15 DOI: 10.5799/jmid.1218676
Sharin Varma, R. Kaur, S. Satija
A breast abscess is a common clinical entity most commonly caused by gram-positive cocci in the lactating breast. Here we present a bilateral breast abscess due to Salmonella Typhi in a young non-lactating female. The patient presented with on and off fever and a painful lump with discharge in the left breast, followed by similar complaints in the right breast after a few days. Incision and drainage were done, and the sample was sent for microbiological analysis. Salmonella Typhi was isolated. The patient had high titers of the Widal test though her blood culture was negative. The infection was successfully treated with a combination of surgical drainage and antibiotics. This case highlights that a systemic Salmonella infection need not always present with the typical symptoms and can solely present in a focal manner (breast abscess) and highlights the importance of microbiological analysis for accurate diagnosis and proper management. J Microbiol Infect Dis 2022; 12(4):163-166.
乳腺脓肿是一种常见的临床疾病,最常由革兰氏阳性球菌引起。在这里我们提出一个双侧乳房脓肿由于伤寒沙门氏菌在一个年轻的非哺乳期女性。患者表现出断断续续的发烧和左乳房疼痛的有分泌物的肿块,几天后右乳房也出现类似的症状。切开引流,标本送微生物学分析。分离出伤寒沙门氏菌。患者的血培养呈阴性,但维达尔试验滴度高。手术引流和抗生素联合治疗感染成功。本病例强调,全体性沙门氏菌感染不一定总是表现为典型症状,而可能仅表现为局灶性(乳房脓肿),并强调了微生物学分析对准确诊断和适当管理的重要性。中华微生物学杂志[J];12(4): 163 - 166。
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引用次数: 0
期刊
Journal of Microbiology and Infectious Diseases
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