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Essential oils as alternative antimicrobials: current status 精油作为替代抗菌剂:现状
Q3 Medicine Pub Date : 2023-03-16 DOI: 10.2174/2772434418666230316113927
D. Parai, A. Sahu, H. R. Choudhary, D. Singh
It is becoming increasingly difficult to treat bacterial infections with conventional antibiotics as resistance increases with time. Common antibiotics have been irrationally used in the general community, which has resulted in the selection of antibiotic-resistant genes. Despite various modifications that have been done to restore the antimicrobial activities of conventional antibiotics against an array of multi-drug resistant (MDR) strains, it has been unattainable to overcome this hurdle for a long time. Parallelly, the search for a new and alternative drug has become a high priority in every part of the world.In the last two decades, immense interest has grown in natural products as alternative therapeutics due to their lower toxicity, chemical group diversity and biochemical specificity, which are the upper hand compared to antibiotics. Essential oils are naturally found phytochemicals obtained from approximately 60 families of plants. These are composed of 20 to 60 different bioactive components at different concentrations and have already been reported for their antibacterial, antifungal, antiviral, anti-parasitic, insecticidal activities, antioxidant and antiseptic properties. This review focuses on antimicrobial activities, detailed mode of action and the latest progress in the research on the essential oil.
随着耐药性随着时间的推移而增加,用常规抗生素治疗细菌感染变得越来越困难。普通抗生素在社会上的不合理使用导致了耐药基因的选择。尽管已经进行了各种修改以恢复常规抗生素对一系列多重耐药(MDR)菌株的抗菌活性,但长期以来难以克服这一障碍。与此同时,寻找一种新的替代药物已成为世界各地的高度优先事项。在过去的二十年中,由于天然产物具有较低的毒性、化学基团的多样性和生化特异性,与抗生素相比具有优势,因此人们对天然产物作为替代疗法的兴趣日益浓厚。精油是从大约60个植物科中提取的天然植物化学物质。它们由20至60种不同浓度的生物活性成分组成,并已被报道具有抗菌、抗真菌、抗病毒、抗寄生虫、杀虫、抗氧化和防腐性能。本文就其抑菌活性、作用机理及最新研究进展作一综述。
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引用次数: 0
The Staphylococcal Cassette Chromosome mec (SCCmec) Analysis and Biofilm Formation of Methicillin-Resistant Staphylococcus cohnii Isolated from Clinical Samples in Tehran, Iran. 从伊朗德黑兰临床样本中分离出的耐甲氧西林葡萄球菌盒式染色体 mec(SCCmec)分析和生物膜形成。
Q3 Medicine Pub Date : 2021-02-09 DOI: 10.2174/1574891X16666210210101912
Somaye Delfani, Faranak Rezaei, Setareh Soroush, Pegah Shakib

Background: Methicillin-resistant coagulase-negative staphylococci is responsible for hospital and community-acquired infections.

Objective: This study aimed to investigate the antibiotic-resistance patterns, antibiotic-resistance genes, namely, ermA, ermB, ermC, blaZ, msrA, tetK, tetM, mup, and vanA, biofilm formation, and prevalence of different SCCmec types among the Staphylococcus cohniistrains isolated from clinical samples in Tehran, Iran.

Methods: In this study,S. cohniiisolates were screened from the clinical samples from March 2012 to February 2013 in Tehran, Iran.Antimicrobial susceptibility test and inducible clindamycin resistance were evaluated by disc diffusion method, andresistance genes were examined using Polymerase Chain Reaction (PCR) assays. Then, biofilm formation assay was analyzed by Microtiter-plate test to detect the icaA and icaDgenes. The SCCmec and the Arginine Catabolite Mobile Element (ACME) typing were performed using the PCRmethod.

Results: FromtwentyS. cohnii, all isolates were resistant to cefoxitin. 95% of the S. cohnii was defined as multidrug resistance (MDR)strains. The ermB, ermC, and vanA genes were not detected in any isolates; however, the blaZ gene had the highest frequency.95% of the S. cohnii isolates produced biofilm. Also, 4 SCCmec types, including V, IV, III+ (C2), VIII+ (AB1), were identified. Therefore, the majority of SCCmec were untypable. Based on the ACME typing, arcA and opp3 genes were positive in 13 (65%) and 1 (5%) isolates, respectively.

Conclusion: Due to the high antimicrobial resistance and the spread of untypableSCCmecamong the isolates studied, the control and treatment of methicillin-resistantS. cohnii in hospitals and public health centers is a significant concern.

背景:耐甲氧西林凝固酶阴性葡萄球菌是医院和社区获得性感染的元凶:耐甲氧西林凝固酶阴性葡萄球菌是医院和社区获得性感染的罪魁祸首:本研究旨在调查伊朗德黑兰地区从临床样本中分离的同种葡萄球菌的抗生素耐药模式、抗生素耐药基因(即ermA、ermB、ermC、blaZ、msrA、tetK、tetM、mup和vanA)、生物膜形成以及不同SCCmec类型的流行率:本研究从伊朗德黑兰 2012 年 3 月至 2013 年 2 月的临床样本中筛选出 S. cohniiisolates,采用盘扩散法评估抗菌药敏感性试验和诱导性克林霉素耐药性,并使用聚合酶链式反应(PCR)检测耐药基因。然后,通过微孔板试验分析了生物膜形成试验,以检测 icaA 和 icaD 基因。利用 PCR 方法对 SCCmec 和精氨酸代谢产物移动元素(ACME)进行了分型:结果:从 20 个 S. cohnii 分离的菌株中,所有菌株都对头孢西丁耐药。95% 的 S. cohnii 被定义为多重耐药(MDR)菌株。95%的分离株产生生物膜。此外,还发现了 4 种 SCCmec 类型,包括 V、IV、III+ (C2)、VIII+ (AB1)。因此,大多数 SCCmec 无法分型。根据 ACME 分型,分别有 13 个(65%)和 1 个(5%)分离菌株的 arcA 和 opp3 基因呈阳性:结论:由于所研究的分离株中存在较高的抗菌素耐药性和无法分型的 SCCmec 的传播,在医院和公共卫生中心控制和治疗耐甲氧西林的 S. cohnii 是一个值得关注的重要问题。
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引用次数: 0
Meet Our Associate Editor 认识我们的副主编
Q3 Medicine Pub Date : 2020-12-30 DOI: 10.2174/1574891X1502201210094603
A. Thorarensen
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引用次数: 0
Secondary metabolites of endophytic fungi from Newbouldia laevis and Cassia tora leaves: prospecting for new antimicrobial agents. 牛肝菌(Newbouldia laevis)和决明子(Cassia tora)叶片内生真菌的次级代谢产物:寻找新的抗菌剂。
Q3 Medicine Pub Date : 2020-12-22 DOI: 10.2174/1574891X15999201222152646
Anthonia Adaeze Amaechi, Angus Nnamdi Oli, Ugochukwu Moses Okezie, Samson A. Adejumo, Chika Christiana Abba, Ifeanyi Justin Okeke, Festus Basden Chiedu Okoye

Aim: This study tries to prospect for new antimicrobial agents using some Nigerian plants Background: Antimicrobial compounds from fungi endophytes have shown great promise in mitigating the threats of resistant pathogens.

Objective: The study evaluated the in vitro antimicrobial property of secondary metabolites of endophytic fungi isolated from Newbouldia laevis and Cassia tora leaves.

Methods: Ten endophytic fungi were isolated from the two plants' leaves and later fermented on local rice for 21 days. Thereafter, their secondary metabolites were extracted using ethyl acetate. The antibacterial activity of the extracts on the test organisms were determined using agar diffusion and agar dilution methods, while the bioactive constituents were identified using High performance liquid chromatography coupled to diode array detector.

Results: Nine of the crude extracts (NL1, NL3, NL6, NL10, NL12, CT2, CT7, CT9 and CT10) of the fungi isolates inhibited at least one of the microorganisms studied with maximum and minimum Inhibition-Zone-Diameter of 14 mm and 2 mm respectively while CT1 did not inhibit any of the tested microorganisms at tested concentrations. The extracts exhibited good antifungal activity, inhibiting the growth of both C. albicans and Trichophyton tested with an InhibitionZone-Diameter ranging between 4-8 mm and 7-14 mm respectively. The endophytic fungi extracts- CT2 and NL1- exhibited the best antimicrobial activity, inhibiting most of the tested microorganisms. HPLC-DAD analysis of the endophytic fungal extracts identified some classes of compounds such as catechin derivatives, benzoic acid derivatives and apigenin, which were previously reported to have antimicrobial potentials.

Conclusion: Newbouldia laevis and Cassia tora leaves house endophytic fungi capable of yielding secondary metabolites with potential as anti-infective agents.

目的:本研究试图利用尼日利亚的一些植物寻找新的抗菌剂:来自真菌内生菌的抗菌化合物在减轻抗药性病原体的威胁方面大有可为:本研究评估了从 Newbouldia laevis 和 Cassia tora 叶子中分离出来的内生真菌次生代谢产物的体外抗菌特性:从这两种植物的叶片中分离出 10 种内生真菌,然后用当地大米发酵 21 天。然后,用乙酸乙酯提取它们的次级代谢产物。采用琼脂扩散法和琼脂稀释法测定提取物对受试生物的抗菌活性,并采用高效液相色谱法和二极管阵列检测器鉴定生物活性成分:九种真菌分离物的粗提取物(NL1、NL3、NL6、NL10、NL12、CT2、CT7、CT9 和 CT10)至少抑制了一种微生物,最大和最小抑制区直径分别为 14 毫米和 2 毫米,而 CT1 在测试浓度下未抑制任何受测微生物。提取物表现出良好的抗真菌活性,可抑制白僵菌和毛癣菌的生长,抑制区直径分别为 4-8 毫米和 7-14 毫米。内生真菌提取物--CT2 和 NL1--表现出最佳的抗菌活性,对大多数受测微生物都有抑制作用。内生真菌提取物的 HPLC-DAD 分析确定了一些化合物类别,如儿茶素衍生物、苯甲酸衍生物和芹菜素,这些化合物以前曾被报道具有抗菌潜力:结论:Newbouldia laevis 和 Cassia tora 叶子中的内生真菌能够产生具有抗感染潜力的次级代谢产物。
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引用次数: 0
Meet Our Editor-in-Chief 会见我们的主编
Q3 Medicine Pub Date : 2020-11-26 DOI: 10.2174/1574891X1501201023090804
T. Dai
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引用次数: 0
Preface 前言
Q3 Medicine Pub Date : 2020-11-26 DOI: 10.2174/1574891x1501201023090850
T. Dai
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引用次数: 0
Exploring the Potentials of Corn Fiber Gum in Fabricating Mucoadhesive Floating Tablet of Poorly Gastro-retainable Drug. 探索玉米纤维胶在制作胃内滞留性差药物的黏附性浮动片剂中的潜力
Q3 Medicine Pub Date : 2020-11-11 DOI: 10.2174/1574891X15999201111200523
Bhumika Mangla, Anurekha Jain, Deepinder Singh Malik

Aim: To formulate and preliminary evaluated polysaccharide based mucoadhesive floating tablets of Cinnarizine.

Background: Gastro-retentive drug delivery systems has proved to be a successful approach to enhance the gastric residence with site specific targeting for achieving local or generalized effect. Various patents has also been filed globally employing gastro-retentive approach.

Objective: The study is designed to explore the mucoadhesive and low density characteristics of corn fibre gum (CFG) for preparation of gastro-retentive floating tablets of cinnarizine.

Methods: Floating tablets were prepared by direct compression technique using different concentrations of CFG (45, 50, 60% w/w). The formulated floating tablet batches were evaluated for their hardness, friability, drug content, floating duration/ lag time, swelling behavior, bioadhesive strength and in vitro drug release.

Results: Mucoadhesive strength was found to increase with an increment in the polysaccharide concentration. Swelling index was found to increase both with the increase in CFG concentration and with duration for which tablet remains in medium. The in vitro drug release studies indicated decrease in drug release (91% to 77%) with the increase in polymer concentration. The release data was further fitted to various kinetic models which revealed the drug release to be in accordance with Zero-order and Higuchi models, indicating polymer to exhibit the swellable matrix forming abilities. The value of n (between 0.458 and 0.997) from Korsemeyer Peppas model depicted the possibility of drug to follow more than one mechanism of release from the formulation i.e. diffusion and erosion. Stability studies revealed the preparations to retain their integrity and pharmaceutical characteristics at variable storage conditions.

Conclusion: Thus from the research findings, CFG could be concluded to possess potential binder, release retardant and mucoadhesive characteristics which could be successfully employed for the formulation of gastro-retentive floating tablets.

目的:配制并初步评估基于多糖的辛纳利嗪粘附浮动片剂:背景:胃黏膜给药系统已被证明是一种成功的方法,可通过特定部位靶向提高药物在胃内的停留时间,从而达到局部或全身的效果。全球范围内也有多项采用胃黏膜给药方法的专利申请:本研究旨在探索玉米纤维胶(CFG)的粘附性和低密度特性,以制备保胃型辛那利嗪浮动片剂:采用不同浓度的 CFG(45%、50%、60% w/w),通过直接压片技术制备浮动片剂。对所配制的浮动片剂批次进行了硬度、易碎性、药物含量、浮动持续时间/滞后时间、溶胀行为、生物黏附强度和体外药物释放等方面的评价:结果:粘附力随着多糖浓度的增加而增加。膨胀指数随着 CFG 浓度的增加和药片在培养基中停留时间的延长而增加。体外药物释放研究表明,随着聚合物浓度的增加,药物释放量减少(从 91% 减少到 77%)。释放数据被进一步拟合到各种动力学模型中,结果显示药物释放符合零阶模型和樋口模型,这表明聚合物具有形成可溶胀基质的能力。Korsemeyer Peppas 模型中的 n 值(介于 0.458 和 0.997 之间)表明,药物从制剂中释放的机制可能不止一种,即扩散和侵蚀。稳定性研究表明,制剂在不同的储存条件下都能保持其完整性和药物特性:因此,从研究结果中可以得出结论,CFG 具有潜在的粘合剂、缓释剂和粘合剂特性,可成功用于配制胃保留浮动片剂。
{"title":"Exploring the Potentials of Corn Fiber Gum in Fabricating Mucoadhesive Floating Tablet of Poorly Gastro-retainable Drug.","authors":"Bhumika Mangla, Anurekha Jain, Deepinder Singh Malik","doi":"10.2174/1574891X15999201111200523","DOIUrl":"10.2174/1574891X15999201111200523","url":null,"abstract":"<p><strong>Aim: </strong>To formulate and preliminary evaluated polysaccharide based mucoadhesive floating tablets of Cinnarizine.</p><p><strong>Background: </strong>Gastro-retentive drug delivery systems has proved to be a successful approach to enhance the gastric residence with site specific targeting for achieving local or generalized effect. Various patents has also been filed globally employing gastro-retentive approach.</p><p><strong>Objective: </strong>The study is designed to explore the mucoadhesive and low density characteristics of corn fibre gum (CFG) for preparation of gastro-retentive floating tablets of cinnarizine.</p><p><strong>Methods: </strong>Floating tablets were prepared by direct compression technique using different concentrations of CFG (45, 50, 60% w/w). The formulated floating tablet batches were evaluated for their hardness, friability, drug content, floating duration/ lag time, swelling behavior, bioadhesive strength and in vitro drug release.</p><p><strong>Results: </strong>Mucoadhesive strength was found to increase with an increment in the polysaccharide concentration. Swelling index was found to increase both with the increase in CFG concentration and with duration for which tablet remains in medium. The in vitro drug release studies indicated decrease in drug release (91% to 77%) with the increase in polymer concentration. The release data was further fitted to various kinetic models which revealed the drug release to be in accordance with Zero-order and Higuchi models, indicating polymer to exhibit the swellable matrix forming abilities. The value of n (between 0.458 and 0.997) from Korsemeyer Peppas model depicted the possibility of drug to follow more than one mechanism of release from the formulation i.e. diffusion and erosion. Stability studies revealed the preparations to retain their integrity and pharmaceutical characteristics at variable storage conditions.</p><p><strong>Conclusion: </strong>Thus from the research findings, CFG could be concluded to possess potential binder, release retardant and mucoadhesive characteristics which could be successfully employed for the formulation of gastro-retentive floating tablets.</p>","PeriodicalId":20909,"journal":{"name":"Recent patents on anti-infective drug discovery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38599381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Oleic Acid Vesicles as a new Approach for Transdermal Delivery of Econazole Nitrate: Development, Characterization, and In-vivo Evaluation in Wistar rats. 油酸囊泡是硝酸益康唑透皮给药的一种新方法:在 Wistar 大鼠体内进行开发、表征和体内评估。
Q3 Medicine Pub Date : 2020-11-10 DOI: 10.2174/1574891X15999201110212725
Shivani Verma, Puneet Utreja

Background: Cutaneous candidiasis is a deep-seated skin fungal infection that is most commonly observed in immunocompromised patients. This fungal infection is conventionally treated with various formulations like gels and creams which are having different side effects and least therapeutic efficacy. Hence, it becomes necessary to develop a novel carrier system for the treatment of this deep-seated skin fungal infection. Econazole nitrate is the most widely used antifungal for the treatment of cutaneous candidiasis, therefore, in present research work we developed and evaluated econazole nitrate loaded oleic acid vesicles for treatment of cutaneous candidiasis through transdermal route.

Methods: Econazole nitrate loaded oleic acid vesicles were prepared by thin-film hydration and characterized for drug entrapment, vesicle size, zeta potential, polydispersity index (PDI), Fourier Transform-infrared spectroscopy (FT-IR), differential scanning calorimetry (DSC), X-ray diffraction (XRD) analysis. Furthermore, the oleic acid vesicular gel was evaluated for ex-vivo skin permeation/retention and in-vitro and in-vivo antifungal activity in Wistar rats.

Results: Econazole nitrate loaded oleic acid vesicles showed high encapsulation of drug (74.76 ± 3.0%), acceptable size (373.4 ± 2.9 nm), and colloidal characteristics (PDI = 0.231 ± 0.078, zeta potential = -13.27 ± 0.80 mV). The oleic acid vesicular gel showed high skin permeation (Transdermal flux = 61.98 ± 2.45 μg/cm2/h), skin retention (35.90 ± 2.06%), in-vitro, and in-vivo antifungal activity compared to marketed cream (EcodermR) of econazole nitrate for a prolonged period of time (4 days).

Conclusion: Developed econazole nitrate loaded oleic acid vesicles could be used effectively in the treatment of cutaneous candidiasis with minimization of side effects of econazole nitrate with increased therapeutic efficacy.

背景:皮肤念珠菌病是一种深层皮肤真菌感染,最常见于免疫力低下的患者。治疗这种真菌感染的传统方法是使用凝胶和药膏等各种制剂,但这些制剂都有不同的副作用,而且疗效甚微。因此,有必要开发一种新型载体系统来治疗这种深层皮肤真菌感染。硝酸益康唑是治疗皮肤念珠菌病最广泛使用的抗真菌药物,因此,在本研究工作中,我们开发并评估了通过透皮途径治疗皮肤念珠菌病的硝酸益康唑负载油酸囊泡:方法:通过薄膜水合法制备了硝酸益康唑负载油酸囊泡,并对药物包被、囊泡大小、ZETA电位、多分散指数(PDI)、傅立叶变换红外光谱(FT-IR)、差示扫描量热仪(DSC)、X射线衍射(XRD)分析进行了表征。此外,还对油酸囊状凝胶在 Wistar 大鼠体内的体外皮肤渗透/滞留以及体内和体外抗真菌活性进行了评估:结果:负载硝酸益康唑的油酸囊泡显示出较高的药物包封率(74.76 ± 3.0%)、可接受的尺寸(373.4 ± 2.9 nm)和胶体特性(PDI = 0.231 ± 0.078,zeta电位 = -13.27 ± 0.80 mV)。与市场上销售的硝酸益康唑乳膏(EcodermR)相比,油酸囊状凝胶具有较高的皮肤渗透性(透皮通量 = 61.98 ± 2.45 μg/cm2/h)、皮肤保留率(35.90 ± 2.06%)、体外和体内抗真菌活性,并可长期使用(4 天):开发的硝酸益康唑负载油酸囊泡可有效用于治疗皮肤念珠菌病,在提高疗效的同时将硝酸益康唑的副作用降至最低。
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引用次数: 0
Fecal Microbiota Transplant: Latest Addition to Arsenal Against Recurrent Clostridium Difficile Infection. 粪便微生物群移植:预防复发性艰难梭菌感染的最新武器。
Q3 Medicine Pub Date : 2020-09-24 DOI: 10.2174/1574891X15666200925092354
Monica Gulati, Sachin K Singh, Leander Corrie, Lipika Chandwani, Apoorva Singh, Bhupinder Kapoor, Rajesh Kumar, Narendra K Pandey, Bimlesh Kumar, Ankit Awasthi, Rubiya Khursheed

An infectious disease of colon, recurrent Clostridium difficile infection (RCDI) is hitherto considered insurmountable leading to significant morbidity and mortality. Gut dysbiosis, generally resulting from frequent use of antibiotics is considered to be responsible for the etiopathogenesis of rCDI. Ironically, the conventional treatment strategies for the disease also include the use of anti-infective drugs such as metronidazole, vancomycin and fidaxomycin. As a result of the efforts to overcome the limitations of these treatment options to control recurrence of disease, Fecal Microbiota Transplant (FMT) has emerged as an effective and safe alternative. It is pertinent to add here that FMT is defined as the process of engraftment of fecal suspension from the healthy person into the gastrointestinal tract of the diseased individual aiming at the restoration of gut microbiota. FMT has proved to be quite successful in the treatment of recurrent and resistant Clostridium difficile infections (RCDI). In last three decades a lot of information has been generated on the use of FMT for RCDI. A number of clinical trials have been reported with generally very high success rates. However, very small number of patents could be found in the area indicating that there still exists lacuna in the knowledge about FMT with respect to its preparation, regulation, mode of delivery and safety. The current review attempts to dive deeper to discuss the patents available in the area while supporting the information contained therein with the non-patent literature.

艰难梭菌反复感染(RCDI)是一种结肠感染性疾病,迄今为止一直被认为是难以克服的疾病,会导致严重的发病率和死亡率。肠道菌群失调通常是由频繁使用抗生素引起的,被认为是导致 RCDI 的病因。具有讽刺意味的是,该病的传统治疗策略也包括使用甲硝唑、万古霉素和非达霉素等抗感染药物。为了克服这些治疗方案在控制疾病复发方面的局限性,粪便微生物群移植(FMT)作为一种有效而安全的替代疗法应运而生。这里需要补充的是,FMT 是指将健康人的粪便悬浮液移植到患病者的胃肠道中,以恢复肠道微生物群的过程。事实证明,FMT 在治疗复发性和耐药性艰难梭菌感染 (RCDI) 方面相当成功。在过去的三十年中,已有大量关于使用 FMT 治疗 RCDI 的信息。许多临床试验的成功率普遍很高。然而,该领域的专利数量非常少,这表明在 FMT 的制备、调节、给药方式和安全性方面仍然存在知识空白。本综述试图深入探讨该领域的现有专利,同时用非专利文献支持其中包含的信息。
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引用次数: 0
Neurobrucellosis: a Case Report with an Unusual Presentation. 神经布鲁氏菌病:一个表现异常的病例报告。
Q3 Medicine Pub Date : 2020-09-17 DOI: 10.2174/1574891X15999200917153454
Mostafa Meshref, Yara Amro, Mahmoud Ahmed Ebada

Background: Brucellosis is a highly infectious multi-systemic zoonosis, and it is caused by Gram-negative bacteria, Brucella. Despite the low incidence of neurobrucellosis, it is the most dangerous consequence of brucellosis.

Case report: A 30-year-old Sudanese male patient presented to our hospital with a complaint of fever associated with confusion for three days. He had signs of meningeal irritation in the form of neck stiffness, positive Kernig's, and Lesage's sign. The computerized tomography of the brain was normal. The CSF analysis showed a clear colorless sample with normal tension, decreased glucose, and slightly increased CSF protein level. We reviewed his occupational history; the patient was a farmer with regular contact with cattle and camels. The patient had positive Brucella antibodies for both B.Abortus and B. melitensis with a high titer (1/640). As described in various patents, we administrated triple therapy for brucellosis for two weeks. A marked improvement of the conscious level was observed, and the patient was back to normal within a few days post-treatment.

Conclusions: We encourage physicians to consider the diagnosis of neurobrucellosis with any neurologic sign without a known cause. Our case highlights the importance of occupational history in clinical medicine.

背景:布鲁氏菌病是一种高度传染性的多系统人畜共患病,由革兰氏阴性菌布鲁氏菌引起。尽管神经布鲁氏菌病的发病率很低,但它却是布鲁氏菌病最危险的后果:病例报告:一名 30 岁的苏丹男性患者因发热伴意识模糊 3 天到我院就诊。他有脑膜刺激症状,表现为颈部僵硬、克尼格氏征和莱萨格氏征阳性。脑部计算机断层扫描结果正常。脑脊液分析显示样本无色透明,张力正常,葡萄糖含量降低,脑脊液蛋白水平略有升高。我们查看了他的职业史;患者是一名农民,经常与牛和骆驼接触。患者的布鲁氏菌抗体呈阳性,包括流产布鲁氏菌和梅毒布鲁氏菌,滴度很高(1/640)。根据多项专利的描述,我们对布鲁氏菌病进行了为期两周的三联疗法。治疗后几天,患者的意识明显好转,恢复正常:结论:我们鼓励医生在发现任何不明原因的神经症状时考虑神经布鲁氏菌病的诊断。我们的病例强调了职业史在临床医学中的重要性。
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引用次数: 0
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Recent patents on anti-infective drug discovery
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