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Disseminated cutaneous leishmaniasis: lesional polymorphism and late diagnosis in an immunocompetent patient 弥散性皮肤利什曼病:病变多态性和免疫功能正常患者的晚期诊断
Q4 Immunology and Microbiology Pub Date : 2023-07-17 DOI: 10.5216/rpt.v52i2.74941
Barbara Dadalto Fiorott, A. Falqueto, Ricardo Tristão Sá, L. Amaral de Moura
Tegumentary leishmaniasis (TL) is considered a neglected tropical disease and it is endemic in Brazil. Among the wide morphological spectrum that composes TL, the disseminated cutaneous leishmaniasis (DL) stands out, which is characterized by multiple lesions in two or more non-contiguous body regions. This clinical form may be rarely associated with immunosuppression. The wide range of cutaneous manifestations is a remarkable DL feature, and its diagnosis may represent a challenge even for the specialists and experienced professionals. We report a case of an immunocompetent 55-year-old man, who has presented with polymorphic and disseminated skin lesions and he was treated incorrectly due to the absence of clinical suspicion of leishmaniasis. KEY WORDS: Leishmania; Leishmania braziliensis; leishmaniasis.
囊性利什曼病(TL)被认为是一种被忽视的热带病,在巴西流行。在构成利什曼病的广泛形态学谱中,弥散性皮肤利什曼病(DL)尤为突出,其特征是在两个或多个不连续的身体区域发生多发性病变。这种临床形式可能很少与免疫抑制有关。广泛的皮肤表现是DL的一个显著特征,即使对专家和经验丰富的专业人员来说,其诊断也可能是一个挑战。我们报告一例免疫功能正常的55岁男性,他表现为多形态和弥散性皮肤病变,由于缺乏临床怀疑利什曼病,他被错误地治疗。关键词:利什曼原虫;利什曼虫braziliensis;利什曼病。
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引用次数: 0
Geospatial analysis of american tegumentary leishmaniasis in Alagoas, 2007-2021 2007-2021年美国阿拉戈斯州地方性利什曼病地理空间分析
Q4 Immunology and Microbiology Pub Date : 2023-07-17 DOI: 10.5216/rpt.v52i2.76125
Antônio Lúcio Sobrinho Neto, L. E. De Oliveira Silva, Antônio Fernando Barros Pereira Júnior, Thiago José Matos Rocha
American tegumentary leishmaniasis (ATL) is an infectious disease transmitted by vectors and caused by several protozoa of the genus Leishmania. In Brazil, it is considered a serious public health problem due to its endemicity throughout the national territory. The aim of this study is to analyze the spatial distribution of cases of ATL infection in the municipalities from the State of Alagoas, Brazil, and to identify related social determinants during the period of 2007 to 2021. This is an ecological, retrospective, and quantitative study. We use descriptive and spatial statistics. Data about the disease and social conditions were obtained in the Department of Informatics of the Brazilian National Health System (DATASUS) and Atlas Brasil platform. During this period, 1,033 cases of leishmaniasis were recorded, of which 41% corresponded to the age group of 15-39 years old; men (67%) and black individuals (76%) were the most affected by the disease. The predominant clinical form was cutaneous (95%). The spatial correlations indicate a lack of dependence of the disease, both alone and when compared to the human development index. The findings highlight the need for further investigations to better understand the underlying factors contributing to the disproportionate distribution of the disease and its association with demographic characteristics. KEY WORDS: American tegumentary leishmaniasis; cutaneous leishmaniasis; environmental health; social conditions.
美洲土生利什曼病(ATL)是由几种利什曼属原生动物引起的媒介传播传染病。在巴西,由于该病在全国各地流行,因此被认为是一个严重的公共卫生问题。本研究的目的是分析巴西阿拉戈斯州各城市ATL感染病例的空间分布,并确定2007年至2021年期间相关的社会决定因素。这是一项生态学、回顾性和定量研究。我们使用描述性和空间统计。有关疾病和社会状况的数据来自巴西国家卫生系统信息部(DATASUS)和Atlas Brasil平台。在此期间,记录了1 033例利什曼病,其中41%属于15-39岁年龄组;男性(67%)和黑人(76%)受该病影响最大。主要临床表现为皮肤(95%)。空间相关性表明,无论是单独还是与人类发展指数相比,都缺乏对疾病的依赖性。研究结果强调需要进一步调查,以更好地了解导致该疾病不成比例分布的潜在因素及其与人口特征的关联。【关键词】美洲原发利什曼病;皮肤利什曼病;环境卫生;社会环境。
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引用次数: 0
Prevalence and the factors associated with pediculosis capitis in schoolchildren in the city of Niterói, Rio de Janeiro state, Brazil 巴西里约热内卢州Niterói市学童头虱病患病率及相关因素
Q4 Immunology and Microbiology Pub Date : 2023-07-17 DOI: 10.5216/rpt.v52i2.75095
Ariela Both de Souza, João Pedro Sampaio do Prado Dorea, Ana Beatriz Monteiro Fonseca, Flávia Terumi Nakashima, Laís Lisboa Corrêa, Alynne da Silva Barbosa, C. M. Antunes Uchôa
Pediculosis capitis is an ectoparasitosis that is present worldwide, with highest prevalence among schoolchildren. This parasitosis has been correlated with socioeconomic factors and individual aspects of the host, such as sex and hair characteristics. In Brazil, it has been estimated that this disease occurs in about 30% of school-age children. Based on this, the aim of this study was to evaluate the prevalence of pediculosis among schoolchildren in the city of Niterói, in the State of Rio de Janeiro (RJ), besides analyzing the relationship between positivity and the characteristics of the participating individuals. The study included 244 students from the first to the fifth grades of elementary school who underwent a scalp aspiration procedure in order to diagnose parasitosis cases. Information regarding sex, self-declared skin color, hair length and color, and curl type was collected from each participant. Statistical analysis was performed using Fisher’s exact test and logistic regression. The overall prevalence of pediculosis was 19.7%, and it was more frequent in females, with a statistically significant difference (p < 0.001). There were also statistically significant associations between positivity for infestation and the hair length (p < 0.001) and with the hair structure (p = 0.019). Being an afro-descendant, not being female and having dark hair, together, was a protective factor against pediculosis among schoolchildren. This study evidenced that the host’s sex and physical characteristics showed direct relationships with lice infestation, although it was not possible to put forward a robust model for determining the presence of pediculosis. These results point to the notion that this ectoparasitosis is a multifactor disease. KEY WORDS: Pediculus capitis; children; associated factors.
头虱病是一种世界性的体外寄生虫病,在学龄儿童中发病率最高。这种寄生虫病与社会经济因素和宿主的个体方面有关,如性别和头发特征。据估计,在巴西,大约30%的学龄儿童患有这种疾病。在此基础上,本研究的目的是评估里约热内卢州Niterói市学童弓形虫病的患病率,并分析参与个体的积极性与特征之间的关系。这项研究包括244名小学一年级到五年级的学生,他们接受了头皮抽吸手术,以诊断寄生虫病。从每个参与者那里收集了有关性别、自述肤色、头发长度和颜色以及卷发类型的信息。采用Fisher精确检验和logistic回归进行统计分析。弓形虫病总患病率为19.7%,女性患病率较高,差异有统计学意义(p < 0.001)。感染阳性率与毛发长度(p < 0.001)和毛发结构(p = 0.019)也有统计学意义的相关性。身为非洲人后裔,不是女性,再加上深色头发,这些都是防止学龄儿童染上弓形虫病的保护因素。这项研究证明,宿主的性别和身体特征与虱子侵扰有直接关系,尽管不可能提出一个可靠的模型来确定虱病的存在。这些结果表明,这种体外寄生虫病是一种多因素疾病。关键词:头蒂;孩子;相关的因素。
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引用次数: 0
Neurosyphilis in patients at a university hospital in the central west region of Brazil 巴西中西部地区一所大学医院患者的神经梅毒
Q4 Immunology and Microbiology Pub Date : 2023-07-06 DOI: 10.5216/rpt.v52i2.75654
Pâmella Wander Rosa, Moara Alves Santa Bárbara Borges, João Víctor Soares Coriolano Coutinho, Ricardo Vieira Teles-Filho, Adriana Oliveira Guilarde
Syphilis remains a significant public health concern, and the central nervous system (CNS) involvement may occur at any stage of infection. Neurosyphilis must be ruled out in patients diagnosed with syphilis and exhibiting neurological or psychiatric symptoms, and cerebrospinal fluid (CSF) examination should be performed prior to treatment. A cohort of patients with neurosyphilis (aged ≥18 years old) was studied in a university hospital in the Central West Region of Brazil from 2018 to 2021. Twenty-four patients met the criteria for inclusion of confirmed neurosyphilis; 17 (70%) were male, with a median age of 37.5 (22–64). Six were asymptomatic, one had isolated otosyphilis, 11 had ocular syphilis, one had both ocular and otosyphilis, and five had other neurological symptoms. Thirteen patients (54%) were coinfected with HIV. Visual changes (50%) were the most common symptom; otosyphilis was present in 8.3%. Fourteen patients (58%) had positive VDRL in the CSF, and the median CSF-VDRL titer was 1:4. The cure rate was 87%, with three cases having persistent CSF-VDRL positivity after six months from the first treatment. It was concluded that understanding neurosyphilis, its clinical diversity, and its epidemiological and laboratory profile allows early diagnosis and treatment, consequently reducing its morbidity. KEY WORDS: Syphilis; neurosyphilis; otosyphilis; ocular syphilis; HIV.
梅毒仍然是一个重大的公共卫生问题,在感染的任何阶段都可能发生中枢神经系统(CNS)受累。诊断为梅毒并出现神经或精神症状的患者必须排除神经梅毒,治疗前应进行脑脊液(CSF)检查。研究了2018 - 2021年巴西中西部地区一所大学医院的一组神经梅毒患者(年龄≥18岁)。24例患者符合确诊神经梅毒的纳入标准;17例(70%)为男性,中位年龄37.5岁(22-64岁)。6人无症状,1人有孤立性耳梅毒,11人有眼梅毒,1人有眼梅毒和耳梅毒,5人有其他神经系统症状。13例(54%)合并感染HIV。视力改变(50%)是最常见的症状;有耳梅毒的占8.3%。14例(58%)患者CSF VDRL阳性,CSF-VDRL滴度中位数为1:4。治愈率为87%,其中3例首次治疗6个月后CSF-VDRL持续阳性。因此,了解神经梅毒及其临床多样性、流行病学和实验室特征有助于早期诊断和治疗,从而降低其发病率。关键词:梅毒;神经梅毒;otosyphilis;眼梅毒;艾滋病毒。
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引用次数: 0
Evaluation of the snakebite severity in the brazilian midwest 巴西中西部地区蛇咬伤严重程度的评估
Q4 Immunology and Microbiology Pub Date : 2023-07-03 DOI: 10.5216/rpt.v52i2.74547
João Víctor Soares Coriolano Coutinho, Taiguara Fraga Guimarães, Bruno Borges Valente, Lísia Gomes Martins de Moura Tomich
ABSTRACT Snakebites are of important public health concern as they can progress in severity and they may cause death, especially in populations with low socioeconomic status or in rural areas of tropical countries. In this retrospective cross-sectional study, we evaluated the clinical-epidemiological profiles of patients admitted for snakebites envenoming at a Reference Hospital in Goiás State, Brazil, from January 2018 to November 2019 with criteria and definitions for venomous accidents notified by the Epidemiological Surveillance Center. Of 326 reported cases, 268 (82.2%) involved Bothrops, 56 (17.9%) involved Crotalus, and 1 (0.3%) involved an elapid. The remaining case (0.3%) was caused by an unidentified snake, as the clinical signs were suggestive of both Bothrops and Crotalus envenomation and the patient received bivalent antivenom serum. Most snakebites occurred in men (n= 252, 77%) and in individuals from rural areas (n= 215, 65.9%). Pain occurred in 315 (96.9%) patients and edema in 274 (84.3%), being more common in the bothropic accidents. In the crotalic accidents, pain occurred in 50 (89.3%) patients and edema in 24 (44.9%). The snakebite severity was considered mild in 107 (32.8%), moderate in 129 (39.8%), and severe in 90 (27.6%) patients. Acute renal injury was the most common systemic complication, occurring in 64 patients (19.9%), while secondary infection was the most important local complication, occurring in 155 (47.5%) patients. Most cases were classified as moderate or severe, probably because our tertiary level hospital service handles with more complex cases. Additionally, a significant number of crotalic accidents had a local presentation, indicating that the venom of snakes in the region has a particular composition. KEY WORDS: Ophidian envenomation; Crotalus; Bothrops; secondary infection.
蛇咬伤是一个重要的公共卫生问题,因为它们的严重程度可以发展,并可能导致死亡,特别是在低社会经济地位的人群或热带国家的农村地区。在这项回顾性横断面研究中,我们评估了2018年1月至2019年11月在巴西Goiás州一家参考医院因蛇咬伤入院的患者的临床流行病学概况,并使用了流行病学监测中心通知的中毒事故的标准和定义。在326例报告病例中,268例(82.2%)涉及Bothrops, 56例(17.9%)涉及Crotalus, 1例(0.3%)涉及elapid。其余病例(0.3%)由不明蛇引起,临床症状提示Bothrops和Crotalus中毒,患者接受了双价抗蛇毒血清。大多数蛇咬伤发生在男性(n= 252, 77%)和农村地区(n= 215, 65.9%)。315例(96.9%)患者出现疼痛,274例(84.3%)患者出现水肿,在双器官意外中更为常见。在髋部意外事故中,疼痛50例(89.3%),水肿24例(44.9%)。其中轻度107例(32.8%),中度129例(39.8%),重度90例(27.6%)。急性肾损伤是最常见的全身并发症,发生64例(19.9%),继发性感染是最重要的局部并发症,发生155例(47.5%)。大多数病例被分类为中度或重度,可能是因为我们三级医院的服务处理更复杂的病例。此外,相当数量的蛇毒事故都是在当地发生的,这表明该地区的蛇毒具有特定的成分。关键词:蛇毒;Crotalus;具窍蝮蛇属;继发感染。
{"title":"Evaluation of the snakebite severity in the brazilian midwest","authors":"João Víctor Soares Coriolano Coutinho, Taiguara Fraga Guimarães, Bruno Borges Valente, Lísia Gomes Martins de Moura Tomich","doi":"10.5216/rpt.v52i2.74547","DOIUrl":"https://doi.org/10.5216/rpt.v52i2.74547","url":null,"abstract":"ABSTRACT \u0000Snakebites are of important public health concern as they can progress in severity and they may cause death, especially in populations with low socioeconomic status or in rural areas of tropical countries. In this retrospective cross-sectional study, we evaluated the clinical-epidemiological profiles of patients admitted for snakebites envenoming at a Reference Hospital in Goiás State, Brazil, from January 2018 to November 2019 with criteria and definitions for venomous accidents notified by the Epidemiological Surveillance Center. Of 326 reported cases, 268 (82.2%) involved Bothrops, 56 (17.9%) involved Crotalus, and 1 (0.3%) involved an elapid. The remaining case (0.3%) was caused by an unidentified snake, as the clinical signs were suggestive of both Bothrops and Crotalus envenomation and the patient received bivalent antivenom serum. Most snakebites occurred in men (n= 252, 77%) and in individuals from rural areas (n= 215, 65.9%). Pain occurred in 315 (96.9%) patients and edema in 274 (84.3%), being more common in the bothropic accidents. In the crotalic accidents, pain occurred in 50 (89.3%) patients and edema in 24 (44.9%). The snakebite severity was considered mild in 107 (32.8%), moderate in 129 (39.8%), and severe in 90 (27.6%) patients. Acute renal injury was the most common systemic complication, occurring in 64 patients (19.9%), while secondary infection was the most important local complication, occurring in 155 (47.5%) patients. Most cases were classified as moderate or severe, probably because our tertiary level hospital service handles with more complex cases. Additionally, a significant number of crotalic accidents had a local presentation, indicating that the venom of snakes in the region has a particular composition. \u0000KEY WORDS: Ophidian envenomation; Crotalus; Bothrops; secondary infection.","PeriodicalId":36789,"journal":{"name":"Journal of Tropical Pathology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74358699","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
Epidemiological profile of Covid-19 cases and deaths in a reference hospital in the state of Goiás, Brazil 巴西Goiás州参考医院Covid-19病例和死亡的流行病学概况
Q4 Immunology and Microbiology Pub Date : 2023-06-30 DOI: 10.5216/rpt.v52i2.75128
Gabriela Larissa Da Silva Oliveira, Rafael Neves Jesus, Pollyana Ferreira Dias, Laize Evelyn Magalhães de Brito Alvares, Ana Carolina Nepomuceno, Lívia Dourado Nóbrega Sakai, Marcelo Cecilio Daher, Osmar Nascimento Silva, Emerith Mayra Hungria Pinto
The pandemic caused by the Coronavirus 19 (Coronavirus disease 2019, COVID-19) killed countless people in 2020 and it arrived in Brazil in mid-February from the same year. It spread quickly, through its facilitated form of transmission by droplets of saliva, coughing, sneezing and contaminated surfaces. Several studies have indicated that male people over 60 years of age with comorbidities such as diabetes mellitus, chronic kidney disease, cardiovascular disease and/ or chronic lung diseases had higher rates of progression to Severe Acute Respiratory Syndrome and greater vulnerability to death. In this sense, this study aimed to describe the clinical and epidemiological profile from suspected and confirmed cases of COVID-19 in a hospital in the city of Anápolis, in the State of Goiás, Brazil, from March to December 2020. A total of 1,170 patients were included in this study, with 54.8% of the patients admitted with symptoms of COVID-19 were women (46.9%) aged between 30 and 59 years old. In addition, it was noted that 11.5% of these patients had some type of comorbidities. Furthermore, the data revealed that 82.2% of the laboratory-confirmed patients who died had comorbidities, most of them men (57%), and from the total of 68.5% had two or more comorbidities, with cardiovascular origin being the most frequent reaching 77.5% from the sample. Thus, it was concluded that the clinical-epidemiological profile of suspected and confirmed patients for COVID-19 in this research was characterized by the majority of female patients between 30 and 49 years of age, although most confirmed cases and deaths occurred in men older than 60 years of age. Most confirmed patients had two or more comorbidities, most of them of cardiovascular origin, followed by metabolic syndromes, lung diseases and others.KEY WORDS: COVID-19; epidemiology; comorbidity.
由冠状病毒19(2019冠状病毒病,COVID-19)引起的大流行在2020年造成无数人死亡,并于同年2月中旬抵达巴西。它通过唾液飞沫、咳嗽、打喷嚏和受污染的表面传播,传播迅速。若干研究表明,60岁以上患有糖尿病、慢性肾病、心血管疾病和/或慢性肺病等合并症的男性发展为严重急性呼吸系统综合症的比率较高,更容易死亡。从这个意义上说,本研究旨在描述2020年3月至12月巴西Goiás州Anápolis市一家医院的COVID-19疑似病例和确诊病例的临床和流行病学概况。本研究共纳入1170例患者,其中以新冠肺炎症状入院的患者中,年龄在30 - 59岁之间的女性占54.8%(46.9%)。此外,值得注意的是,11.5%的患者有某种类型的合并症。此外,数据显示,82.2%的实验室确诊死亡患者有合并症,其中大多数是男性(57%),68.5%的患者有两种或两种以上合并症,其中心血管疾病最常见,占77.5%。因此,我们得出结论,本研究中COVID-19疑似和确诊患者的临床流行病学特征是,大多数女性患者年龄在30至49岁之间,尽管大多数确诊病例和死亡发生在60岁以上的男性中。大多数确诊患者有两种或两种以上合并症,其中大多数是心血管疾病,其次是代谢综合征、肺部疾病和其他疾病。关键词:covid-19;流行病学;合并症。
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引用次数: 0
Malacological survey of potentially contaminated waters at outbreaks of transmission of schistosomiasis mansoni in the city of Betim, Minas Gerais, Brazil 巴西米纳斯吉拉斯州贝提姆市曼氏血吸虫病传播暴发时可能受污染的水的病原学调查
Q4 Immunology and Microbiology Pub Date : 2023-06-30 DOI: 10.5216/rpt.v52i2.75527
Ana Paula Vargas Garcia, Vânia Cristina dos Santos, O. Santos Carvalho, Roberta Lima Caldeira, Cristiane Lafetá Furtado Mendonça
Schistosoma mansoni, which causes schistosomiasis mansoni, has humans as the primary definitive host and the mollusks Biomphalaria glabrata, B. straminea and B. tenagophila as intermediate hosts. The goal of this research was to undertake a malacological survey on watercourses in the city of Betim, using the data provided by the city´sHealth´s Department. The mollusks were collected from pre-selected sites, examined for the presence of cercariae and taxonomically-identified, by morphological and molecular techniques for species. 168 mollusks were collected in eight collection sites. The species found were B. glabrata, B. straminea and B. tenagophila. Four B. glabrata from one of the sites were positive for S. mansoni. These results and the presence of intermediate hosts throughout the region studied, even if not found to be infected, is of epidemiological importance and suggests that the health authorities from the city of Betim should implement disease control measures.KEY WORDS: public health; bioindicators; malacology; malacofauna; distribution ecology; vector expansion.
引起曼氏血吸虫病的曼氏血吸虫,主要以人类为最终宿主,中间寄主为光斑生物phalaria glabrata、B. straminea和B. tenagophila。这项研究的目的是利用贝提姆市卫生局提供的数据,对该市的水道进行线虫学调查。从预先选定的地点收集软体动物,检查尾蚴的存在,并通过形态学和分子技术对物种进行分类鉴定。在8个采集点共采集到168只软体动物。发现的种类有光秃秃的白僵菌、白僵菌和细僵菌。其中一个地点的4只光斑小蠊对曼氏蜱呈阳性反应。这些结果以及所研究的整个地区的中间宿主的存在,即使没有发现被感染,也具有流行病学意义,并表明贝提姆市的卫生当局应实施疾病控制措施。关键词:公共卫生;适合作为;软体动物学;malacofauna;生态分布;向量的扩张。
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引用次数: 0
Evaluation of the effects of SPONDIAS MOMBIN extract as an alternative antimicrobial drug SPONDIAS MOMBIN提取物作为替代抗菌药物的效果评价
Q4 Immunology and Microbiology Pub Date : 2023-04-17 DOI: 10.5216/rpt.v52i1.73022
Thais Aratak Marques Taia, Marcos Felipe Vilela Peres, Igor Mendes Moreira de Oliveira, Monatha Nayara Guimarães Teófilo, Natália Correia Stoko, Suzana Ferreira Alves, Graziela Torres Blanch, Sérgio Henrique Nascente Costa, L. Borges, Alessandra Marques Cardoso, Mirian Viera Teixeira, M. A. Pelli de Oliveira, Clayson Moura Gomes
The extract of Spondias mombin has constituents which may improve psychiatric disorders, in addition to having antiviral, antifungal, and antimicrobial activity. But despite having several benefits, it is necessary to assess whether the extract may interfere with cell metabolism so furthermore its microbicide potential can be explored. Fifteen Wistar rats were used, divided into four groups (control group; control with extract; hyperlipidemic diet; hyperlipidemic diet and extract). For 12 weeks, the animals were weighed and their blood glucose was assessed. Afterwards, they were euthanized, and the biological material was collected. The evaluation confirmed the efficacy of the extract of S. mombin against cell metabolism of rats, without negatively altering cell viability; the group of rats with an hyperlipidemic diet showed an increase in body weight; however, in the individual assessment of the organs, there were no significant changes. The glycemic index, liver parameters, lipids, and mineral ions did not show changes. Furthermore, the antimicrobial potential of S. mombin extract was observed against Staphylococcus aureus ATCC 29213 and Staphylococcus aureus BLACC. The results suggest that S. mombin extract did not interfere with cell viability, did not show cytotoxicity to cells that were exposed to it, nor did it interfere with the metabolism, organs, and biochemical indices of rats with a standard or hyperlipidemic diet. Considering such characteristics and the potential activities observed in this present study, additional evaluation should be conducted to further assess the role of S. mombin extract as a source of new alternative antimicrobial drug as well as its possible beneficial activity to the cardiovascular system. KEY WORDS: Spondias mombin; hyperlipidemic diet; antimicrobial inhibition; obesity; Staphylococcus aureus.
除具有抗病毒、抗真菌和抗菌活性外,Spondias mombin提取物还具有可改善精神疾病的成分。但是,尽管有一些好处,有必要评估提取物是否会干扰细胞代谢,以便进一步探索其杀微生物的潜力。选取Wistar大鼠15只,分为4组(对照组;用提取物控制;hyperlipidemic饮食;高脂血症饮食和提取物)。在12周的时间里,对这些动物称重并评估它们的血糖。之后,他们被安乐死,并收集生物材料。评价证实了苦参提取物对大鼠细胞代谢有一定的抑制作用,且未对细胞活力产生负面影响;高脂血症饮食组大鼠体重增加;然而,在器官的个体评估中,没有明显的变化。血糖指数、肝脏参数、脂质和矿物质离子没有变化。此外,还观察了苦楝提取物对金黄色葡萄球菌ATCC 29213和金黄色葡萄球菌BLACC的抑菌作用。结果表明,山楂提取物不会干扰细胞活力,对暴露于其下的细胞没有细胞毒性,也不会干扰标准饮食或高脂血症饮食大鼠的代谢、器官和生化指标。考虑到这些特点和本研究中观察到的潜在活性,还需要进一步的评价,以进一步评估山楂提取物作为一种新的替代抗菌药物的作用,以及它对心血管系统可能的有益活性。关键词:棘球蚴;hyperlipidemic饮食;抗菌药物抑制;肥胖;金黄色葡萄球菌。
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引用次数: 0
Prevalence of intestinal parasites in a clinical analysis laboratory in southern Brazil: a retrospective study 巴西南部一个临床分析实验室肠道寄生虫流行情况:一项回顾性研究
Q4 Immunology and Microbiology Pub Date : 2023-04-13 DOI: 10.5216/rpt.v52i1.73347
Marcela Girotto, Otávio Von Ameln Lovison, Thaís Dalzochio
The population’s living conditions, basic sanitation, hygiene, and poor socioeconomic status, are determining factors for diseases´ transmission, such as intestinal parasitic infections which constitute one of the main public health problems in Brazil. These diseases are considered endemic in several areas of the country, presenting a wide geographic distribution, varying according to environmental conditions and parasites´ species. Therefore, the present study aimed to evaluate the prevalence of intestinal parasites in individuals attending a clinical analysis laboratory in a municipality located in Southern of Brazil. A retrospective study was carried out through the analysis of 2,247 reports of parasitological stool examination from individuals who attended a clinical analysis laboratory located in Veranópolis, Rio Grande do Sul, from September 1st, 2018, to December 31st, 2020. Parasitic structures were found in stool samples from 181 (8.1%) individuals. The protozoans Endolimax nana and Entamoeba coli were the most prevalent parasites, being present in 58.0% and 29.8% of individuals, respectively. A higher prevalence of intestinal parasites was observed in women (52.5%), aged 21 to 60 years old (62.4%). Biparasitism or polyparasitism was present in 7.2% (13/181) of individuals and only 31.7% (713/2247) of samples collected three fecal samples for examination. The low prevalence of intestinal parasites found in the present study may be an indicator of improvements in sanitary, environmental, and health education conditions. KEY WORDS: Parasitic diseases; helminths; parasites; protozoans.
人口的生活条件、基本环境卫生、个人卫生和贫穷的社会经济地位是疾病传播的决定因素,如肠道寄生虫感染,这是巴西主要的公共卫生问题之一。这些疾病被认为是该国若干地区的地方病,地理分布广泛,因环境条件和寄生虫种类而异。因此,本研究旨在评估在巴西南部一个城市的临床分析实验室就诊的个体中肠道寄生虫的患病率。通过分析2018年9月1日至2020年12月31日在南里奥格兰德州Veranópolis的临床分析实验室进行的2,247份寄生虫粪便检查报告,进行了一项回顾性研究。181人(8.1%)粪便样本中发现寄生结构。原生动物为微小内多米原虫和大肠内阿米巴原虫,分别占58.0%和29.8%。肠道寄生虫的患病率以女性(52.5%)和21 ~ 60岁(62.4%)居多。双寄生和多寄生的比例为7.2%(13/181),而采集3份粪便样本的比例仅为31.7%(713/2247)。本研究中发现的肠道寄生虫的低患病率可能是卫生、环境和健康教育条件改善的一个指标。关键词:寄生虫病;寄生虫;寄生虫;原生动物。
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引用次数: 0
Epidemiological aspects of visceral leishmaniasis in Rio Grande do Norte, Brazil 巴西北部大巴西地区内脏利什曼病的流行病学方面
Q4 Immunology and Microbiology Pub Date : 2023-04-13 DOI: 10.5216/rpt.v52i1.74030
Beatriz Maria Da Conceição Murilo, Francisco Patricio De Andrade Júnior, Laísa Vilar Cordeiro, Vanessa Santos de Arruda Barbosa
Visceral Leishmaniasis (VL) is a parasitic disease caused by Leishmania protozoa and transmitted by the bite of sand fly insects. This study aimed to describe the epidemiological aspects of VL in Rio Grande do Norte (RN), using variables inserted in the Information System for Notifiable Diseases, for the period from 2013 to 2019. The chi-square test of independence was used with p<0.05 considered statistically significant. 635 cases of VL were reported in RN, with stability of new cases in the analyzed period. 60% of cases were autochthonous, 84 (50.2%) municipalities in RN had autochthonous cases, with 70 (18.2%) cases in Natal and 58 (15.1%) in Mossoró. The most affected age group was 20-59 year old (57.3%) followed by 0-9 year old (23.8%), 10-19 year old (10.4%) and 60 year old or older (8.5%). There was a positive association between the 0-9 and 10-19 ranges with females and 20-59 with males (p=0.0001). Among the 532 individuals, 54.5% had a low level of education, and these, as well as the illiterate, associated with males (p=0.001). 85.3% of 612 cases were in black/brown group and 77.1% of 632 in urban/periurban residents. 27.6% of 500 were co-infected with HIV, 77.5% in males and 89.8% in adults. 70.7% progressed to cure and 6.8% died from VL. The study shows that the control measures adopted within the scope of the National Program for the Control of Leishmaniasis should be reassessed since there has been no decrease in cases, even though it has had stability over the years in Natal and a tendency to growth in Mossoró, the most affected areas. KEY WORDS: Visceral leishmaniasis; Leishmania; epidemiology.
内脏利什曼病(VL)是一种由利什曼原虫引起的寄生虫病,通过沙蝇叮咬传播。本研究旨在描述2013年至2019年期间北里奥格兰德州(RN) VL的流行病学方面,使用法定疾病信息系统中插入的变量。采用卡方独立性检验,p<0.05为差异有统计学意义。本区共报告VL病例635例,分析期内新增病例基本稳定。60%的病例为本地病例,RN有84个(50.2%)城市有本地病例,纳塔尔省有70个(18.2%)病例,Mossoró有58个(15.1%)病例。发病年龄以20 ~ 59岁最多(57.3%),其次为0 ~ 9岁(23.8%)、10 ~ 19岁(10.4%)和60岁及以上(8.5%)。0-9和10-19年龄段与女性呈正相关,20-59年龄段与男性呈正相关(p=0.0001)。在532个人中,54.5%的人受教育程度较低,这些人以及文盲与男性相关(p=0.001)。612例中黑色/棕色组占85.3%,632例中城市/城郊居民占77.1%。500人中合并感染的占27.6%,其中男性占77.5%,成人占89.8%。70.7%进展治愈,6.8%死于VL。研究表明,应重新评估在国家控制利什曼病方案范围内采取的控制措施,因为病例没有减少,尽管多年来在纳塔尔保持稳定,在受影响最严重的Mossoró地区有增长的趋势。关键词:内脏利什曼病;利什曼虫;流行病学
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Journal of Tropical Pathology
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