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Allergens causing contact dermatitis of the feet: Investigation and analysis of allergic reaction causes. 导致足部接触性皮炎的过敏原:过敏反应原因调查与分析。
Pub Date : 2024-08-29 Print Date: 2024-09-11 DOI: 10.1556/1886.2024.00076
Maria Zofia Lisiecka

Introduction: Allergic contact dermatitis of the feet is a significant problem that affects the quality of life and requires attention from the medical community due to the number of studied and still unidentified allergens. The purpose of this review article is to summarize the available scientific data regarding the most common allergens that cause ACD of the feet.

Methods: Nickel sulphate, neomycin sulphate, thiuram mix and colophony occupy a significant place in the prevalence of allergies. The prevalence of sensitization to rubber and leather products can vary depending on the ethno-demographic characteristics of the country, as well as the specifics of a person's professional activity, such as the use of protective waterproof shoes, increased humidity of the microclimate, and atopy in anamnesis.

Results: Patch testing has been shown to be an important method for identifying allergens, however, not all footwear components are tested during patch testing with standard allergen series, requiring the use of patches made from patient shoe samples.

Conclusions: Expanding the scope of patch testing to include other possible allergens is important for the accurate diagnosis of ACD of the feet and a more detailed study of those allergens that were previously considered rare.

导言:足部过敏性接触性皮炎是一个影响生活质量的重大问题,由于已研究过但仍未确定的过敏原数量众多,需要引起医学界的重视。这篇综述文章的目的是总结有关导致足部过敏性接触性皮炎的最常见过敏原的现有科学数据:方法:硫酸镍、硫酸新霉素、秋兰姆混合物和菌落总数在过敏症发病率中占有重要地位。对橡胶和皮革制品过敏的发生率会因国家的民族-人口特征以及个人职业活动的具体情况(如使用防护性防水鞋、小气候湿度增加以及病史中的过敏症)而有所不同:贴片测试已被证明是识别过敏原的一种重要方法,但在使用标准过敏原系列进行贴片测试时,并非所有鞋类部件都能通过测试,这就需要使用从患者鞋样中提取的贴片:结论:扩大贴片测试的范围以包括其他可能的过敏原,对于准确诊断足部 ACD 和更详细地研究以前认为罕见的过敏原非常重要。
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引用次数: 0
Antifungal potential, mechanism of action, and toxicity of 1,4-naphthoquinone derivatives. 1,4-萘醌衍生物的抗真菌潜力、作用机制和毒性。
Pub Date : 2024-08-23 Print Date: 2024-09-11 DOI: 10.1556/1886.2024.00072
Juan Diego Ribeiro de Almeida, Raissa Sayumy Kataki Fonseca, Naira Sulany Oliveira de Sousa, Ana Cláudia Alves Cortez, Emerson Silva Lima, Juliana Gomes de Souza Oliveira, Érica Simplício de Souza, Hagen Frickmann, João Vicente Braga de Souza

Background: The rising prevalence of fungal infections and challenges such as adverse effects and resistance against existing antifungal agents have driven the exploration of new antifungal substances.

Methods: We specifically investigated naphthoquinones, known for their broad biological activities and promising antifungal capabilities. It specifically examined the effects of a particular naphthoquinone on the cellular components of Candida albicans ATCC 60193. The study also assessed cytotoxicity in MRC-5 cells, Artemia salina, and the seeds of tomatoes and arugula.

Results: Among four tested naphthoquinones, 2,3-DBNQ (2,3-dibromonaphthalene-1,4-dione) was identified as highly effective, showing potent antifungal activity at concentrations between 1.56 and 6.25 μg mL-1. However, its cytotoxicity in MRC-5 cells (IC50 = 15.44 µM), complete mortality in A. salina at 50 μg mL-1, and significant seed germination inhibition suggest limitations for its clinical use.

Conclusions: The findings indicate that primary antifungal mechanism of 2,3-DBNQ might involve disrupting fungal membrane permeability, which leads to increased nucleotide leakage. This insight underscores the need for further research to enhance the selectivity and safety of naphthoquinones for potential therapeutic applications.

背景:随着真菌感染发病率的上升以及现有抗真菌药物的不良反应和耐药性等挑战,人们开始探索新的抗真菌药物:真菌感染发病率的上升以及现有抗真菌药物的不良反应和耐药性等挑战推动了对新型抗真菌物质的探索:方法:我们特别研究了萘醌类化合物,众所周知,它们具有广泛的生物活性和良好的抗真菌能力。研究特别考察了一种特定萘醌对白念珠菌 ATCC 60193 细胞成分的影响。研究还评估了萘醌对 MRC-5 细胞、盐水蒿、番茄种子和芝麻菜种子的细胞毒性:结果:在四种测试的萘醌类化合物中,2,3-DBNQ(2,3-二溴萘-1,4-二酮)被认为是高效的,在 1.56 至 6.25 μg mL-1 的浓度范围内显示出强大的抗真菌活性。然而,它在 MRC-5 细胞中的细胞毒性(IC50 = 15.44 µM)、在 50 μg mL-1 浓度下对盐藻菌的完全致死性以及对种子萌发的显著抑制作用都表明了其临床应用的局限性:结论:研究结果表明,2,3-DBNQ 的主要抗真菌机制可能是破坏真菌膜的通透性,从而导致核苷酸泄漏增加。这一观点强调了进一步研究的必要性,以提高萘醌类药物在潜在治疗应用中的选择性和安全性。
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引用次数: 0
Correlation of RND efflux pump expression and AdeRS mutations in tigecycline-resistant Acinetobacter baumannii from Thai clinical isolates. 泰国临床分离物中耐替加环素鲍曼不动杆菌的 RND 外排泵表达与 AdeRS 突变的相关性。
Pub Date : 2024-08-23 Print Date: 2024-09-11 DOI: 10.1556/1886.2024.00070
Siriphan Boonsilp, Anchalee Homkaew, Thanwa Wongsuk, Konrawee Thananon, Worrapoj Oonanant

Tigecycline-resistant Acinetobacter baumannii (TRAB) is increasing in Thailand, complicating antibiotic treatment due to limited antibiotic options. The specific resistance mechanism behind tigecycline resistance is still unclear, necessitating further investigation. We investigated the presence of OXA-type carbapenemases, the antimicrobial susceptibility profile, the inhibitory effect of carbonyl cyanide m-chlorophenylhydrazone (CCCP) on tigecycline susceptibility, the expression levels of RND-type efflux pumps and amino acid substitutions within a two-component regulatory system on 30 Thai clinical isolates. Our investigation revealed that most of (73.3%) TRAB isolates expressed at least one member of the Ade efflux pumps. The adeB was most frequently expressed (63.3%), followed by adeR (50%), adeS (43.3%), adeJ (30%) and adeG (10%). Overexpression of the AdeABC was associated with increased tigecycline minimum inhibitory concentrations (MICs) and amino acid substitutions within the AdeRS. Notably, isolates harbouring simultaneous mutations in these genes exhibited an increase in the transcription level of the adeB. Our findings highlight the significant role of the AdeABC system in tigecycline resistance among Thai clinical TRAB isolates. This is supported by point mutations within the AdeRS and upregulated expression of the adeB. These results provide valuable insights for understanding resistance mechanisms and developing novel therapeutic strategies.

耐替加环素鲍曼不动杆菌(TRAB)在泰国呈上升趋势,由于抗生素选择有限,使得抗生素治疗变得更加复杂。对替加环素耐药的具体耐药机制尚不清楚,需要进一步研究。我们研究了 30 株泰国临床分离菌株中是否存在 OXA 型碳青霉烯酶、抗菌药敏感性谱、间氯苯基腙(CCCP)对替加环素敏感性的抑制作用、RND 型外排泵的表达水平以及双组分调控系统中的氨基酸替代情况。我们的调查显示,大多数(73.3%)TRAB 分离物至少表达了一种 Ade 型外排泵。adeB的表达最为频繁(63.3%),其次是adeR(50%)、adeS(43.3%)、adeJ(30%)和adeG(10%)。AdeABC的过表达与替加环素最低抑菌浓度(MICs)的增加和AdeRS内氨基酸的替换有关。值得注意的是,同时携带这些基因突变的分离物表现出 adeB 转录水平的增加。我们的研究结果突显了 AdeABC 系统在泰国临床 TRAB 分离物的替加环素耐药性中的重要作用。AdeRS内的点突变和adeB的上调表达支持了这一点。这些结果为了解耐药机制和开发新型治疗策略提供了宝贵的见解。
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引用次数: 0
Circulating dengue virus serotypes, demographics, and epidemiology in the 2023 dengue outbreak in Chittagong, Bangladesh. 2023 年孟加拉国吉大港登革热疫情中的登革热病毒血清型、人口统计学和流行病学。
Pub Date : 2024-08-22 Print Date: 2024-09-11 DOI: 10.1556/1886.2024.00069
Md Abdur Rob, Mohabbat Hossain, M A Sattar, Istiaq Uddin Ahmed, Abul Faisal Md Nuruddin Chowdhury, H M Hamidullah Mehedi, Noor Mohammed, Mohammed Maruf Ul Quader, Md Zakir Hossain, Mustafizur Rahman, Kallyan Chakma, Susmita Barua, Silvia Naznin Etu, Uschash Sikder, Afroza Akter Tanni, Adnan Mannan

Dengue is a serious epidemic for Bangladesh affecting thousands of lives. This study aimed to identify and determine the prevalence of the circulating variants of dengue virus (DENV) and their association with demographics and clinical manifestations among the dengue-infected patients. A total of 711 participants with NS1 antigen positivity were enrolled, followed by viral RNA extraction from the collected blood samples and a multiplex real-time reverse transcription-polymerase chain reaction (RT-PCR) assay to determine the dengue virus serotypes. Of 711 dengue-infected patients, 503 (70.7%) were male. Among different age groups, most of the patients were 21-30 years old (n = 255, 35.9%). The DENV2 (n = 483, 67.9%) serotype was more prevalent than the DENV3 (n = 144, 20.3%) and DENV1 (n = 84, 11.8%). The duration of fever was highest in the DENV-1 patients (4.79 ± 1.84 days) in contrast to DENV-3 (4.48 ± 1.68 days) and DENV-2 (4.33 ± 1.45 days) (P = 0.039). Importantly, five highly populated areas were identified as dengue hotspots in Chittagong metropolitan city. Our results provide crucial insights into the patterns of dengue virus transmission and severity among southern Bangladeshi population, thereby aiding in the development of targeted public health interventions and management strategies to combat future outbreaks.

登革热是孟加拉国的一种严重流行病,影响着成千上万人的生命。本研究旨在识别和确定登革热病毒(DENV)循环变种的流行率及其与登革热感染者的人口统计学特征和临床表现之间的关系。该研究共招募了 711 名 NS1 抗原阳性的登革热感染者,然后从采集的血液样本中提取病毒 RNA,并通过多重实时反转录聚合酶链反应(RT-PCR)测定登革热病毒血清型。在 711 名登革热感染者中,503 人(70.7%)为男性。在不同年龄组别中,大多数患者为 21-30 岁(255 人,占 35.9%)。DENV2血清型(483人,67.9%)比DENV3(144人,20.3%)和DENV1(84人,11.8%)更普遍。DENV-1患者的发热持续时间最长(4.79 ± 1.84天),而DENV-3(4.48 ± 1.68天)和DENV-2(4.33 ± 1.45天)则相反(P = 0.039)。重要的是,吉大港大都市的五个人口密集区被确定为登革热热点地区。我们的研究结果为了解登革热病毒在孟加拉国南部人群中的传播模式和严重程度提供了重要信息,从而有助于制定有针对性的公共卫生干预措施和管理策略,以应对未来的疫情爆发。
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引用次数: 0
Morphological and immunological characterization of primary cultured chicken caecal epithelial cells. 原代培养鸡盲肠上皮细胞的形态学和免疫学特征。
Pub Date : 2024-06-21 Print Date: 2024-09-11 DOI: 10.1556/1886.2024.00053
Thomas Willer, Annette Kaiser, Adrian Smith, Silke Rautenschlein

Cell cultures are models in biological and medical research to understand physiological and pathological processes. Cell lines are not always available depending on cell type and required species. In addition, the immortalization process often affects cell biology. Primary cells generally maintain a greater degree of similarity in short-term culture to the cells in tissue. Goal of this study was to verify the suitability of chicken primary epithelial caecal cells (PECCs) for in vitro investigations of host‒pathogen interactions. Epithelial nature of PECCs was confirmed by detection of tight and adherens junctions and cobblestone-like cell morphology. Sialic acids distribution was similar to that in caecal cyrosections. To understand the capacity of PECCs to respond to microbial challenges, the Toll-like receptors (TLRs) repertoire was determined. Exposure of PECCs to polyinosinic-polycytidylic acid (poly(I:C)) or lipopolysaccharide (LPS) led to upregulation of type I and III interferon (IFN) as well as interleukin (IL-) 1β, IL-6 and IL-8 mRNA expression. Overall, the PECCs showed properties of polarized epithelial cells. The presence of TLRs, their differential expression, as well as pattern recognition receptor dependent immune responses enable PECCs to act as suitable in vitro model for host‒pathogen interaction studies, which are difficult to conduct under in vivo conditions.

细胞培养物是生物和医学研究中的模型,用于了解生理和病理过程。根据细胞类型和所需物种的不同,并非总能获得细胞系。此外,永生化过程往往会影响细胞生物学。原代细胞在短期培养中通常与组织中的细胞保持较大程度的相似性。本研究的目的是验证鸡原代盲肠上皮细胞(PECCs)是否适合用于宿主与病原体相互作用的体外研究。通过检测紧密连接和粘连连接以及鹅卵石样细胞形态,证实了 PECCs 的上皮性质。谷胱甘肽的分布与盲肠细胞切片中的谷胱甘肽分布相似。为了解 PECCs 应对微生物挑战的能力,对其 Toll 样受体(TLRs)谱系进行了测定。PECCs暴露于聚肌苷酸(poly(I:C))或脂多糖(LPS)会导致I型和III型干扰素(IFN)以及白细胞介素(IL-)1β、IL-6和IL-8 mRNA表达上调。总体而言,PECCs 显示出极化上皮细胞的特性。TLRs的存在、差异表达以及模式识别受体依赖性免疫反应使PECCs成为研究宿主与病原体相互作用的合适体外模型,而这种研究在体内条件下很难进行。
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引用次数: 0
Therapeutic effects of oral benzoic acid application during acute murine campylobacteriosis. 急性鼠弯曲杆菌病期间口服苯甲酸的治疗效果
Pub Date : 2024-05-27 Print Date: 2024-09-11 DOI: 10.1556/1886.2024.00059
Ke Du, Soraya Mousavi, Minnja S Foote, Stefan Bereswill, Markus M Heimesaat

Serious risks to human health are posed by acute campylobacteriosis, an enteritis syndrome caused by oral infection with the food-borne bacterial enteropathogen Campylobacter jejuni. Since the risk for developing post-infectious autoimmune complications is intertwined with the severity of enteritis, the search of disease-mitigating compounds is highly demanded. Given that benzoic acid is an organic acid with well-studied health-promoting including anti-inflammatory effects we tested in our present study whether the compound might be a therapeutic option to alleviate acute murine campylobacteriosis. Therefore, microbiota-depleted IL-10-/- mice were perorally infected with C. jejuni and received benzoic acid through the drinking water from day 2 until day 6 post-infection. The results revealed that benzoic acid treatment did not affect C. jejuni colonization in the gastrointestinal tract, but alleviated clinical signs of acute campylobacteriosis, particularly diarrheal and wasting symptoms. In addition, benzoic acid mitigated apoptotic cell responses in the colonic epithelia and led to reduced pro-inflammatory immune reactions in intestinal, extra-intestinal, and systemic compartments tested on day 6 post-infection. Hence, our preclinical placebo-controlled intervention trial revealed that benzoic acid constitutes a promising therapeutic option for treating acute campylobacteriosis in an antibiotic-independent fashion and in consequence, also for reducing the risk of post-infectious autoimmune diseases.

急性弯曲杆菌病是一种因口腔感染食源性细菌性肠道病原体空肠弯曲杆菌而引起的肠炎综合征,对人类健康构成严重威胁。由于感染后出现自身免疫并发症的风险与肠炎的严重程度息息相关,因此人们亟需寻找缓解疾病的化合物。鉴于苯甲酸是一种有机酸,其促进健康和抗炎作用已得到充分研究,我们在本研究中测试了该化合物是否可作为缓解急性鼠弯曲杆菌病的治疗选择。因此,我们用空肠弯曲菌感染了微生物群缺失的 IL-10-/- 小鼠,并从感染后第 2 天到第 6 天通过饮用水摄入苯甲酸。结果表明,苯甲酸处理并不影响空肠弯曲杆菌在胃肠道的定植,但可减轻急性弯曲杆菌病的临床症状,尤其是腹泻和消瘦症状。此外,苯甲酸还能减轻结肠上皮细胞的凋亡反应,并在感染后第 6 天减少肠道、肠道外和全身的促炎免疫反应。因此,我们的临床前安慰剂对照干预试验表明,苯甲酸是治疗急性弯曲杆菌病的一种很有前景的治疗选择,它不依赖抗生素,因此还能降低感染后自身免疫性疾病的风险。
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引用次数: 0
Preclinical assessment of a recombinant RBD-Fc fusion protein as SARS-CoV-2 candidate vaccine. 重组 RBD-Fc 融合蛋白作为 SARS-CoV-2 候选疫苗的临床前评估。
Pub Date : 2024-05-16 DOI: 10.1556/1886.2024.00045
Navid Dashti, F. Golsaz-Shirazi, Haleh Soltanghoraee, A. Zarnani, Mehdi Mohammadi, D. Imani, M. Jeddi-Tehrani, M. M. Amiri, F. Shokri
BackgroundWaning immunity and emergence of new variants of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), highlight the need for further research in vaccine development.MethodsA recombinant fusion protein containing the receptor-binding domain (RBD) fused to the human IgG1 Fc (RBD-Fc) was produced in CHO-K1 cells. RBD-Fc was emulsified with four adjuvants to evaluate its immunogenicity. The RBD-specific humoral and cellular immune responses were assessed by ELISA. The virus neutralizing potency of the vaccine was investigated using four neutralization methods. Safety was studied in mice and rabbits, and Antibody-Dependent Enhancement (ADE) effects were investigated by flow cytometry.ResultsRBD-Fc emulsified in Alum induced a high titer of anti-RBD antibodies with remarkable efficacy in neutralizing both pseudotyped and live SARS-CoV-2 Delta variant. The neutralization potency dropped significantly in response to the Omicron variant. RBD-Fc induced both TH2 and particularly TH1 immune responses. Histopathologic examinations demonstrated no substantial pathologic changes in different organs. No changes in serum biochemical and hematologic parameters were observed. ADE effect was not observed following immunization with RBD-Fc.ConclusionRBD-Fc elicits highly robust neutralizing antibodies and cellular immune responses, with no adverse effects. Therefore, it could be considered a promising and safe subunit vaccine against SARS-CoV-2.
背景严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)免疫力的下降和新变种的出现,凸显了进一步研究疫苗开发的必要性。方法在 CHO-K1 细胞中生产了一种重组融合蛋白,其中包含与人 IgG1 Fc 融合的受体结合域(RBD)(RBD-Fc)。RBD-Fc 与四种佐剂乳化,以评估其免疫原性。通过 ELISA 评估了 RBD 特异性体液和细胞免疫反应。使用四种中和方法研究了疫苗的病毒中和效力。结果在明矾中乳化的 RBD-Fc 能诱导高滴度的抗 RBD 抗体,对中和伪型和活的 SARS-CoV-2 Delta 变体有显著效果。对 Omicron 变体的中和效力明显下降。RBD-Fc 可诱导 TH2,尤其是 TH1 免疫反应。组织病理学检查显示不同器官没有发生实质性病理变化。血清生化指标和血液学指标未见变化。结论RBD-Fc能引起高度强效的中和抗体和细胞免疫反应,且无不良反应。因此,RBD-Fc 可被认为是一种安全可靠的 SARS-CoV-2 亚单位疫苗。
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引用次数: 0
Preclinical assessment of a recombinant RBD-Fc fusion protein as SARS-CoV-2 candidate vaccine. 重组 RBD-Fc 融合蛋白作为 SARS-CoV-2 候选疫苗的临床前评估。
Pub Date : 2024-05-16 Print Date: 2024-09-11 DOI: 10.1556/1886.2024.00045
Navid Dashti, Forough Golsaz-Shirazi, Haleh Soltanghoraee, Amir-Hassan Zarnani, Mehdi Mohammadi, Danyal Imani, Mahmood Jeddi-Tehrani, Mohammad Mehdi Amiri, Fazel Shokri

Background: Waning immunity and emergence of new variants of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), highlight the need for further research in vaccine development.

Methods: A recombinant fusion protein containing the receptor-binding domain (RBD) fused to the human IgG1 Fc (RBD-Fc) was produced in CHO-K1 cells. RBD-Fc was emulsified with four adjuvants to evaluate its immunogenicity. The RBD-specific humoral and cellular immune responses were assessed by ELISA. The virus neutralizing potency of the vaccine was investigated using four neutralization methods. Safety was studied in mice and rabbits, and Antibody-Dependent Enhancement (ADE) effects were investigated by flow cytometry.

Results: RBD-Fc emulsified in Alum induced a high titer of anti-RBD antibodies with remarkable efficacy in neutralizing both pseudotyped and live SARS-CoV-2 Delta variant. The neutralization potency dropped significantly in response to the Omicron variant. RBD-Fc induced both TH2 and particularly TH1 immune responses. Histopathologic examinations demonstrated no substantial pathologic changes in different organs. No changes in serum biochemical and hematologic parameters were observed. ADE effect was not observed following immunization with RBD-Fc.

Conclusion: RBD-Fc elicits highly robust neutralizing antibodies and cellular immune responses, with no adverse effects. Therefore, it could be considered a promising and safe subunit vaccine against SARS-CoV-2.

背景:严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)免疫力下降和新变种的出现凸显了进一步研究开发疫苗的必要性:严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)免疫力的下降和新变种的出现,凸显了进一步研究疫苗开发的必要性:方法:在 CHO-K1 细胞中制备了含有受体结合域(RBD)与人 IgG1 Fc 融合的重组融合蛋白(RBD-Fc)。RBD-Fc 与四种佐剂乳化,以评估其免疫原性。通过 ELISA 评估了 RBD 特异性体液和细胞免疫反应。使用四种中和方法研究了疫苗的病毒中和效力。对小鼠和兔子进行了安全性研究,并通过流式细胞术研究了抗体依赖性增强(ADE)效应:结果:在明矾中乳化的 RBD-Fc 能诱导高滴度的抗 RBD 抗体,对中和伪型和活的 SARS-CoV-2 Delta 变体有显著效果。对 Omicron 变体的中和效力明显下降。RBD-Fc 可诱导 TH2,尤其是 TH1 免疫反应。组织病理学检查显示不同器官没有发生实质性病理变化。血清生化指标和血液学指标未见变化。使用 RBD-Fc 免疫后未观察到 ADE 效应:结论:RBD-Fc能激发高度强效的中和抗体和细胞免疫反应,且无不良反应。结论:RBD-Fc 能激发高度强效的中和抗体和细胞免疫反应,且无不良反应,因此可被视为一种安全可靠的 SARS-CoV-2 亚单位疫苗。
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引用次数: 0
Tracheoesophageal fistula due to Candida and Actinomyces co-infection: A case report and comprehensive review of the literature. 念珠菌和放线菌合并感染引起的气管食管瘘:病例报告和文献综述。
Pub Date : 2024-05-13 Print Date: 2024-09-11 DOI: 10.1556/1886.2024.00043
A Teshon, R Reyes, D P Schammel, O Corso, C Schammel, P Kent, A M Devane

Acquired benign tracheoesophageal fistulas and bronchoesophageal fistulas (TEF) are typically associated with granulomatous mediastinal infections, 75% of which are iatrogenic. Candida albicans and Actinomyces are commonly occurring organisms, but are uncommon etiologies of TEF. Normal colonization and the slow growth characteristics of some species of these agents rarely result in infection, mycetoma, and broncholithiasis, and thus, delays in diagnosis and treatment are likely. Few reports describe C. albicans or Actinomyces spp. as the etiology of TEF or broncholithiasis. Herein, we report a case of benign acquired TEF secondary to coinfection of Candida and Actinomyces complicated by the formation of an actinomycetoma and broncholithiasis and a comprehensive literature review to highlight the unique nature of this presentation and offer a diagnostic algorithm for diagnosis and treatment of TEFs. Following a presentation of three months of productive cough, choking sensation, night sweats, and weight loss, a bronchoscopy revealed a fistulous connection between the esophagus and the posterior right middle lobe. Pathology identified a calcified fungus ball and a broncholith secondary to the co-infection of Candida and Actinomyces. This unique presentation of Candida and Actinomyces co-infection and the associated diagnostic algorithm are presented as education and a useful tool for clinicians.

获得性良性气管食管瘘和支气管食管瘘(TEF)通常与肉芽肿性纵隔感染有关,其中75%是先天性的。白色念珠菌(Candida albicans)和放线菌(Actinomyces)是常见的病原体,但 TEF 的病因并不常见。这些病原体的正常定植和某些种类生长缓慢的特点很少导致感染、霉菌瘤和支气管胆石症,因此很可能延误诊断和治疗。很少有报道称白僵菌或放线菌是 TEF 或支气管胆石症的病原体。在此,我们报告了一例继发于白色念珠菌和放线菌共同感染的良性获得性 TEF 病例,该病例并发放线菌瘤的形成和支气管胆石症,我们还进行了全面的文献综述,以强调该病例的特殊性,并提供 TEF 的诊断和治疗算法。在出现三个月的有痰咳嗽、窒息感、盗汗和体重减轻后,支气管镜检查发现食管和右中叶后部之间有瘘管连接。病理检查发现了一个钙化的真菌球和一个继发于念珠菌和放线菌共同感染的支气管结石。这种念珠菌和放线菌合并感染的独特表现形式以及相关的诊断算法将为临床医生提供教育和有用的工具。
{"title":"Tracheoesophageal fistula due to Candida and Actinomyces co-infection: A case report and comprehensive review of the literature.","authors":"A Teshon, R Reyes, D P Schammel, O Corso, C Schammel, P Kent, A M Devane","doi":"10.1556/1886.2024.00043","DOIUrl":"10.1556/1886.2024.00043","url":null,"abstract":"<p><p>Acquired benign tracheoesophageal fistulas and bronchoesophageal fistulas (TEF) are typically associated with granulomatous mediastinal infections, 75% of which are iatrogenic. Candida albicans and Actinomyces are commonly occurring organisms, but are uncommon etiologies of TEF. Normal colonization and the slow growth characteristics of some species of these agents rarely result in infection, mycetoma, and broncholithiasis, and thus, delays in diagnosis and treatment are likely. Few reports describe C. albicans or Actinomyces spp. as the etiology of TEF or broncholithiasis. Herein, we report a case of benign acquired TEF secondary to coinfection of Candida and Actinomyces complicated by the formation of an actinomycetoma and broncholithiasis and a comprehensive literature review to highlight the unique nature of this presentation and offer a diagnostic algorithm for diagnosis and treatment of TEFs. Following a presentation of three months of productive cough, choking sensation, night sweats, and weight loss, a bronchoscopy revealed a fistulous connection between the esophagus and the posterior right middle lobe. Pathology identified a calcified fungus ball and a broncholith secondary to the co-infection of Candida and Actinomyces. This unique presentation of Candida and Actinomyces co-infection and the associated diagnostic algorithm are presented as education and a useful tool for clinicians.</p>","PeriodicalId":93998,"journal":{"name":"European journal of microbiology & immunology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11393647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140917548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Methods for screening and evaluation of antimicrobial activity: A review of protocols, advantages, and limitations. 筛选和评估抗菌活性的方法:协议、优势和局限性综述。
Pub Date : 2024-04-22 DOI: 10.1556/1886.2024.00035
Tanim Jabid Hossain
Infectious diseases pose a formidable global challenge, compounded by the emergence of antimicrobial resistance. Consequently, researchers are actively exploring novel antimicrobial compounds as potential solutions. This endeavor underscores the pivotal role of methods employed for screening and evaluating antimicrobial activity-a critical step in discovery and characterization of antimicrobial agents. While traditional techniques such as well-diffusion, disk-diffusion, and broth-dilution are commonly utilized in antimicrobial assays, they may encounter limitations concerning reproducibility and speed. Additionally, a diverse array of antimicrobial assays including cross-streaking, poisoned-food, co-culture, time-kill kinetics, resazurin assay, bioautography, etc., are routinely employed in antimicrobial evaluations. Advanced techniques such as flow-cytometry, impedance analysis, and bioluminescent technique may offer rapid and sensitive results, providing deeper insights into the impact of antimicrobials on cellular integrity. However, their higher cost and limited accessibility in certain laboratory settings may present challenges. This article provides a comprehensive overview of assays designed to characterize antimicrobial activity, elucidating their underlying principles, protocols, advantages, and limitations. The primary objective is to enhance understanding of the methodologies designed for evaluating antimicrobial agents in our relentless battle against infectious diseases. By selecting the appropriate antimicrobial testing method, researchers can discern suitable conditions and streamline the identification of effective antimicrobial agents.
传染病是一项严峻的全球性挑战,抗菌药耐药性的出现更是雪上加霜。因此,研究人员正在积极探索新型抗菌化合物的潜在解决方案。这一努力凸显了筛选和评估抗菌活性方法的关键作用--这是发现和鉴定抗菌剂的关键步骤。虽然井扩散、盘扩散和肉汤稀释等传统技术通常用于抗菌检测,但它们在可重复性和速度方面可能会受到限制。此外,各种抗菌检测方法,包括交叉震荡法、中毒食物法、共培养法、时间致死动力学法、利马唑啉检测法、生物自动层析法等,都是抗菌评估中的常规方法。流式细胞仪、阻抗分析和生物发光技术等先进技术可提供快速、灵敏的结果,让人们更深入地了解抗菌剂对细胞完整性的影响。然而,它们的成本较高,在某些实验室环境中的可及性有限,这可能会带来挑战。本文全面概述了旨在表征抗菌活性的检测方法,阐明了其基本原理、操作规程、优势和局限性。文章的主要目的是加深人们对抗菌剂评估方法的理解,从而更好地与传染性疾病作斗争。通过选择适当的抗菌测试方法,研究人员可以辨别合适的条件,并简化有效抗菌剂的鉴定过程。
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引用次数: 0
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European journal of microbiology & immunology
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