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1.
Vet Parasitol Reg Stud Reports ; 51: 101030, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38772646

RESUMEN

Spirometra mansoni is a diphyllobothroid cestode and one of the causing agents of sparganosis, a zoonotic foodborne and waterborne infection in humans. This parasite has an indirect life cycle with domestic and wild canids or felids as definitive hosts. The last report of S. mansoni in Costa Rica was done in 2004 by morphological assessment of worms, whereas molecular evidence of this species was obtained recently in the Americas. Herein, we present seven cases of spirometrosis in four dogs, three cats and a coyote from different regions of Costa Rica occurring in a time span of a year. Dog cases presented vomiting, hyporexia, lethargy and diarrhea, whereas cats were mostly asymptomatic. Moreover, the coyote was found with Spirometra sp. proglottids incidentally. Cytochrome oxidase subunit 1 (cox1) sequences of eggs or proglottids derived from all cases were analyzed with a Bayesian Inference phylogenetic tree and a haplotype network. These analyses showed the clustering of S. mansoni from Costa Rica with other sequences derived from Asia and America. Moreover, cox1 sequences clustered in two separate haplotypes, suggesting the high genetic diversity of the species. The present cases represent the first molecular evidence of the parasite in Central America; thus, extending its known range in the American continent.


Asunto(s)
Animales Salvajes , Enfermedades de los Gatos , Enfermedades de los Perros , Filogenia , Spirometra , Animales , Gatos/parasitología , Perros , Femenino , Masculino , Animales Salvajes/parasitología , Enfermedades de los Gatos/parasitología , Enfermedades de los Gatos/epidemiología , Infecciones por Cestodos/veterinaria , Infecciones por Cestodos/parasitología , Infecciones por Cestodos/epidemiología , Costa Rica/epidemiología , Coyotes/parasitología , Enfermedades de los Perros/parasitología , Enfermedades de los Perros/epidemiología , Complejo IV de Transporte de Electrones/análisis , Complejo IV de Transporte de Electrones/genética , Spirometra/genética , Spirometra/aislamiento & purificación
2.
Open Vet J ; 12(4): 495-501, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36118724

RESUMEN

Background: In human medicine, arrhythmogenic left ventricular cardiomyopathy was described as a primary disease of the heart characterized by fibroadipose replacement of the myocardium.. Case Description: We report the case of a dog, with history of syncope and irregular cardiac rhythm. Electrocardiogram, echocardiography, and a 24-hour Holter monitoring showed, respectively, the presence of premature ventricular complexes with right bundle branch block morphology, an increase of the left ventricle end-diastolic diameter with preserved fractional shortening and ejection fraction, and a sinus arrhythmia as baseline rhythm with supraventricular tachycardia episodes and ventricular complexes with left bundle branch block morphology. After the death of the canine, a postmortem examination showed cardiomegaly. Fibroadipose replacement of the septum and both ventricles, with left ventricle myocardial fibrosis, suggestive of previous necrosis, was observed. Conclusion: These findings are suggestive of left-dominant arrhythmogenic cardiomyopathy which, to the best of our knowledge, has not been described in veterinary medicine.


Asunto(s)
Cardiomiopatías , Enfermedades de los Perros , Animales , Cardiomiopatías/diagnóstico , Cardiomiopatías/veterinaria , Enfermedades de los Perros/diagnóstico , Perros , Ecocardiografía/veterinaria , Electrocardiografía/veterinaria , Ventrículos Cardíacos , Humanos
3.
Open Vet J ; 12(6): 859-863, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36650880

RESUMEN

Background: Sarcina spp. is a Gram-positive, coccoid microorganism that forms tetrads or octets, and is observed with a characteristic "bundle" arrangement. The most recognized species are Sarcina ventriculi and Sarcina maxima. It has been described as part of the normal microbiota in horses and cats, but it has also been linked to abomasal bloat in goats, lambs, and calves, although its causality has not been proven yet. Case Description: This work presents the case of a 3-months-old female horse that died of generalized tympanism. Macroscopic findings showed mild cyanosis and abundant gas in the lumen of the stomach, and small and large bowel. Microscopically, high numbers of Gram-positive microorganisms compatible with Sarcina spp. in the gastric lumen and on the surface of the small and large bowel were observed, along with mild inflammation. Conclusion: The severe tympanism was the only relevant lesion observed and could explain the death of the animal. Although it is not possible to determine a relationship between these lesions and Sarcina spp., it is interesting to highlight that the high amount of these bacteria could be associated with gas production and tympanism. It is important to continue investigating the role of Sarcina spp. in horses, and its possible link with tympanism.


Asunto(s)
Bacterias , Oído Medio , Sarcina , Animales , Femenino , Caballos , Ovinos , Oveja Doméstica , Oído Medio/microbiología , Cianosis
4.
Open Vet J ; 11(3): 468-470, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34722212

RESUMEN

Background: Myocardial infarction (MI) is an important cause of death and disability among humans worldwide. Few studies have reported the occurrence of MI in small animals as well. Reports in human medicine indicate that up to 30% of patients with clinical signs compatible with myocardial ischemia suggestive of coronary disease exhibit normal epicardial arteries at angiography. These symptoms have been associated with a syndrome characterized by alterations in cardiac microvasculature, known as coronary microvascular dysfunction (CMD). Aim: This study aimed to describe the necropsy findings and clinical-pathological characterization (when available) of cats with histopathological findings suggesting CMD. Methods: Necropsy records of cats presenting histopathological diagnosis compatible with acute and/or chronic MI, with normal epicardial arteries and microvascular disorders were evaluated. Results: Twenty animals met the inclusion criteria. Eight cats (40%) exhibited findings compatible with mild hypertrophic cardiomyopathy (HCM) without left atrial enlargement, one (5%) presented restrictive cardiomyopathy, and another one (5%) had lesions consistent with histiocytoid cardiomyopathy. The remaining cats (50%) showed alterations compatible with severe HCM with left atrial enlargement. In all cases, epicardial arteries were normal (without obstruction). All the evaluated hearts exhibited myocardial multifocal fibrosis along with replacement of cardiomyocytes by adipose tissue and blood vessels with hyperplasia and hypertrophy of the muscular layer with protrusion of the nuclei of the endothelial cells. Conclusion: These findings suggest the presence of microvascular dysplasia of the coronary arteries. Further studies are necessary to confirm and clinically characterize these results.


Asunto(s)
Cardiomiopatías , Enfermedades de los Gatos , Isquemia Miocárdica , Animales , Cardiomiopatías/veterinaria , Gatos , Complejo III de Transporte de Electrones , Células Endoteliales , Isquemia Miocárdica/veterinaria , Miocardio
5.
Braz J Microbiol ; 52(4): 2535-2540, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-34185280

RESUMEN

This is a case report of a feline animal that presented with a skin infection on the neck from which Cryptococcus neoformans (former C. neoformans var. grubii) was isolated and identified. The cat presented two nodular tumors, approximately 2 cm in diameter, raised, solid, with a slightly irregular surface and a reddish color with white areas. Histologically, these tumors corresponded to granulomatous dermatitis and panniculitis with the presence of a large number of intralesional yeasts. From identification with biochemical and spectroscopic techniques of these lesion samples, it was determined that the etiological agent was C. neoformans. There is little information on this variety of Cryptococcus causing subcutaneous infection without involvement of other organs, and the presence of this pathogen in the few reports available has not been reliably determined. This is the first report of a cat affected by C. neoformans in Costa Rica.


Asunto(s)
Gatos/microbiología , Criptococosis , Cryptococcus neoformans , Animales , Costa Rica , Criptococosis/veterinaria , Cryptococcus neoformans/genética , Análisis de Secuencia de ADN
6.
Rev Chilena Infectol ; 36(3): 253-264, 2019 Jun.
Artículo en Español | MEDLINE | ID: mdl-31859743

RESUMEN

BACKGROUND: Nowadays about half of antibiotic prescriptions are inadequate, increasing bacterial resistance. Both cephalosporins and fluoroquinolones are associated with this phenomenon: increase of ß-lactamase producing bacteria and Clostridioides difficile infections, which is why regulatory agencies seek to rationalize their use. AIM: To evaluate the effect of use recommendations on the proportion of inadequate prescriptions of ceftriaxone and fluoroquinolones. METHODS: A prospective and interventional study was developed, comparing the quality and quantity of use of ceftriaxone and fluoroquinolones before and after the implementation of use recommendations for treatments of infectious diseases acquired at the community. The outcomes were: proportion of inadequate prescriptions and defined daily dose (DDD). Data were analyzed using the Chi-square test, Fisher's correction and Student's test. RESULTS: A total of 206 patients were evaluated, a 35% decrease in inadequate prescriptions, a decline in the consumption of ceftriaxone and levofloxacin, and a significant increase in the use of ampicillin/ sulbactam was observed. CONCLUSIONS: The implementation of use recommendations based on scientific evidence and local susceptibility allowed to reduce the proportion of inadequate prescriptions and to reduce de consumption of ceftriaxone and fluoroquinolones.


Asunto(s)
Antibacterianos/administración & dosificación , Programas de Optimización del Uso de los Antimicrobianos/normas , Ceftriaxona/administración & dosificación , Prescripciones de Medicamentos/normas , Fluoroquinolonas/administración & dosificación , Hospitales Universitarios/normas , Adulto , Anciano , Anciano de 80 o más Años , Esquema de Medicación , Utilización de Medicamentos/normas , Femenino , Hospitalización/estadística & datos numéricos , Humanos , Prescripción Inadecuada/estadística & datos numéricos , Tiempo de Internación , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Resultado del Tratamiento
7.
FEMS Microbiol Lett ; 366(12)2019 06 01.
Artículo en Inglés | MEDLINE | ID: mdl-31281927

RESUMEN

Acinetobacter bacteria preferentially use gluconeogenic substrates instead of hexoses or pentoses. Accordingly, Acinetobacter schindleri ACE reaches a high growth rate on acetate but is unable to grow on glucose, xylose or arabinose. In this work, we compared the physiology of A. schindleri ACE and Escherichia coli JM101 growing on acetate as the carbon source. In contrast to JM101, ACE grew on acetate threefold faster, had a twofold higher biomass yield, and a 45% higher specific acetate consumption rate. Transcriptional analysis revealed that genes like ackA, pta, aceA, glcB, fumA, tktA and talA were overexpressed while acsA, sfcA, ppc and rpiA were underexpressed in ACE relative to JM101. This transcriptional profile together with carbon flux balance analysis indicated that ACE forms acetyl-CoA preferentially by the AckA-Pta (acetate kinase-phosphotransacetylase) pathway instead of Acs (acetyl-CoA synthetase) and that the glyoxylate shunt and tricarboxylic acid cycle are more active in ACE than in JM101. Moreover, in ACE, ribose 5-phosphate and erythrose 4-phosphate are formed from trioses, and NADPH is mainly produced by isocitrate dehydrogenase. This knowledge will contribute to an understanding of the carbon metabolism of Acinetobacter species of medical, biotechnological and microbiological relevance.


Asunto(s)
Acinetobacter/metabolismo , Escherichia coli/metabolismo , Acetato Quinasa/metabolismo , Acetatos/metabolismo , Acinetobacter/genética , Escherichia coli/genética , Regulación Bacteriana de la Expresión Génica
8.
Rev. chil. infectol ; 36(3): 253-264, jun. 2019. tab, graf
Artículo en Español | LILACS | ID: biblio-1013782

RESUMEN

Resumen Introduccion: Actualmente cerca de la mitad de las prescripciones de antimicrobianos son inadecuadas, lo que aumenta la resistencia bacteriana. Tanto cefalosporinas como fluoroquinolonas se asocian con este fenomeno: aumento de bacterias productoras de β-lactamasas e infecciones por Clostridioides difficile, por lo que las agencias reguladoras buscan racionalizar su uso. Objetivo: Evaluar el efecto de recomendaciones para el uso adecuado de antimicrobianos en la proporcion de prescripciones inadecuadas de ceftriaxona y fluoroquinolonas. Metodologia: Se desarrollo un estudio de antes y despues, prospectivo e intervencional, que comparo la calidad y la cantidad de uso de ceftriaxona y fluoroquinolonas antes y despues de la implementacion de recomendaciones de uso para tratamientos de enfermedades infecciosas adquiridas en la comunidad. Los parametros medidos fueron: proporcion de prescripciones inadecuadas y DDD. Los datos se analizaron por medio del test de χ2, correccion de Fisher y test de Student. Resultados: Se evaluaron 206 pacientes, observandose una disminucion de 35% en las prescripciones inadecuadas, una reduccion del consumo de ceftriaxona y levofloxacina y un aumento significativo de la utilizacion de ampicilina/sulbactam. Conclusiones: La implementacion de recomendaciones de uso basadas en evidencia cientifica y susceptibilidad local, permitieron disminuir la proporcion de prescripciones inadecuadas y reducir el consumo de ceftriaxona y fluoroquinolonas.


Background: Nowadays about half of antibiotic prescriptions are inadequate, increasing bacterial resistance. Both cephalosporins and fluoroquinolones are associated with this phenomenon: increase of β-lactamase producing bacteria and Clostridioides difficile infections, which is why regulatory agencies seek to rationalize their use. Aim: To evaluate the effect of use recommendations on the proportion of inadequate prescriptions of ceftriaxone and fluoroquinolones. Methods: A prospective and interventional study was developed, comparing the quality and quantity of use of ceftriaxone and fluoroquinolones before and after the implementation of use recommendations for treatments of infectious diseases acquired at the community. The outcomes were: proportion of inadequate prescriptions and defined daily dose (DDD). Data were analyzed using the Chi-square test, Fisher's correction and Student's test. Results: A total of 206 patients were evaluated, a 35% decrease in inadequate prescriptions, a decline in the consumption of ceftriaxone and levofloxacin, and a significant increase in the use of ampicillin/ sulbactam was observed. Conclusions: The implementation of use recommendations based on scientific evidence and local susceptibility allowed to reduce the proportion of inadequate prescriptions and to reduce de consumption of ceftriaxone and fluoroquinolones.


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Prescripciones de Medicamentos/normas , Ceftriaxona/administración & dosificación , Fluoroquinolonas/administración & dosificación , Programas de Optimización del Uso de los Antimicrobianos/normas , Hospitales Universitarios/normas , Antibacterianos/administración & dosificación , Esquema de Medicación , Estudios Prospectivos , Resultado del Tratamiento , Utilización de Medicamentos/normas , Prescripción Inadecuada/estadística & datos numéricos , Hospitalización/estadística & datos numéricos , Tiempo de Internación
9.
Biol Trace Elem Res ; 189(2): 447-455, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-30112659

RESUMEN

Copper deficiency is an important disease of cattle that produces several clinical signs and lesions, due to alterations in copper-dependent enzymes. One of the organs affected by this deficiency is the heart (falling disease), but nevertheless, these cardiac lesions have not been extensively studied in bovines. The aim of this work was to propose a possible pathogenic mechanism for cardiac lesions in cattle affected by copper deficiency. Because of the possible existence of oxidative distress caused by low levels of copper-zinc-superoxide dismutase and cytochrome oxidase, ultrastructural and histological lesions have been evaluated in the heart of bovines in which a Cu deficiency had been induced using high molybdenum and sulfur levels in the diet. Our results indicated that copper deficiency produces significant damage in myocardium with high levels of lipid oxidation and a significant reduction in copper-zinc-superoxide dismutase activity leading to an oxidative distress situation. However, cytochrome oxidase activity was not significantly reduced. Histological observation revealed a significant increase in the amount of connective tissue, enlarged basement membranes of myocytes, and numerous Anichkov cells, in the hearts of deficient animals. Ultrastructural observation showed a significant enhancement in the mitochondrial volume density, with presence of lesions such as swelling and cristae disruption. We conclude that copper deficiency in bovines causes morphological lesions in the heart due to an oxidative damage produced by copper-dependent enzyme alterations.


Asunto(s)
Cobre/deficiencia , Corazón/anatomía & histología , Miocardio/metabolismo , Miocardio/patología , Animales , Bovinos , Cobre/metabolismo , Masculino , Miocardio/ultraestructura , Estrés Oxidativo
10.
Rev Chilena Infectol ; 35(4): 448-452, 2018 Aug.
Artículo en Español | MEDLINE | ID: mdl-30534934

RESUMEN

We report a case of a patient with acute lymphoblastic leukemia (ALL), who developed a disseminated infection by Fusarium verticillioides during chemotherapy-induced neutropenia. He was successfully treated only after combination therapy with voriconazole plus amphotericin B deoxycolate was used, but not when these compounds were used in an isolated form.


Asunto(s)
Anfotericina B/uso terapéutico , Antifúngicos/uso terapéutico , Ácido Desoxicólico/uso terapéutico , Fusariosis/tratamiento farmacológico , Neutropenia/tratamiento farmacológico , Voriconazol/uso terapéutico , Adolescente , Combinación de Medicamentos , Quimioterapia Combinada , Fusariosis/etiología , Fusariosis/patología , Humanos , Masculino , Neutropenia/etiología , Neutropenia/patología , Leucemia-Linfoma Linfoblástico de Células Precursoras/complicaciones , Leucemia-Linfoma Linfoblástico de Células Precursoras/tratamiento farmacológico , Leucemia-Linfoma Linfoblástico de Células Precursoras/microbiología
11.
Rev. chil. infectol ; 35(4): 448-452, ago. 2018. graf
Artículo en Español | LILACS | ID: biblio-978057

RESUMEN

Resumen Presentamos el caso clínico de un paciente con una leucemia linfoblástica aguda (LLA) que desarrolló una fusariosis diseminada por Fusarium verticillioides durante un episodio prolongado de neutropenia febril post quimioterapia. Fue exitosamente tratado cuando se usó terapia combinada de voriconazol más anfotericina B deoxicolato.


We report a case of a patient with acute lymphoblastic leukemia (ALL), who developed a disseminated infection by Fusarium verticillioides during chemotherapy-induced neutropenia. He was successfully treated only after combination therapy with voriconazole plus amphotericin B deoxycolate was used, but not when these compounds were used in an isolated form.


Asunto(s)
Humanos , Masculino , Adolescente , Anfotericina B/uso terapéutico , Ácido Desoxicólico/uso terapéutico , Fusariosis/tratamiento farmacológico , Voriconazol/uso terapéutico , Antifúngicos/uso terapéutico , Neutropenia/tratamiento farmacológico , Leucemia-Linfoma Linfoblástico de Células Precursoras B/complicaciones , Leucemia-Linfoma Linfoblástico de Células Precursoras B/microbiología , Leucemia-Linfoma Linfoblástico de Células Precursoras B/tratamiento farmacológico , Combinación de Medicamentos , Quimioterapia Combinada , Fusariosis/etiología , Fusariosis/patología , Neutropenia/etiología , Neutropenia/patología
12.
Pol J Microbiol ; 67(2): 171-180, 2018 Jun 30.
Artículo en Inglés | MEDLINE | ID: mdl-30015455

RESUMEN

Mastitis in goats is mainly caused by coagulase-negative Staphylococcus (CNS). The identification methods for this group are based on evaluating the expression of phenotypic characteristics such as the ability to metabolize various substrates; however, this is disadvantageous as these methods are dependent on gene expression. In recent years, genotyping methods such as the Multiple Locus Variable-Number Tandem Repeat Analysis (MLVA) and gene identification have been useful for epidemiological study of several bacterial species. To develop a genotyping method, the genome sequence of Staphylococcus chromogenes MU970 was analysed. The analysis showed nine virulence genes described in Staphylococcus aureus. The MLVA was developed using four loci identified in the genome of S. chromogenes MU970. This genotyping method was examined in 23 strains of CNS isolated from goat mastitis. The rate of discrimination for MLVA was 0.8893, and the highest rates of discrimination per the index of Simpson and Hunter-Gaston were 0.926 and 0.968 for the locus 346_06, respectively. The virulence genes were present in all strains of S. chromogenes but not in other CNS. The genotyping method presented in this paper is a viable and easy method for typifying CNS isolates from mastitis cases in different regions and is an ideal mean of tracking this disease.


Asunto(s)
Genoma Bacteriano , Técnicas de Genotipaje , Mastitis/microbiología , Staphylococcus/genética , Factores de Virulencia/genética , Animales , Cartilla de ADN/genética , Femenino , Enfermedades de las Cabras/microbiología , Cabras/microbiología , Leche/microbiología , Repeticiones de Minisatélite , Infecciones Estafilocócicas , Staphylococcus aureus/genética
13.
Rev. chil. cir ; 70(1): 13-18, 2018. tab, graf
Artículo en Español | LILACS | ID: biblio-899650

RESUMEN

Resumen Introducción La resistencia a antibióticos es un problema mundial. En los pacientes que requieren cirugía de urgencia, los antibióticos son un apoyo importante concomitante al acto quirúrgico. Objetivo Analizar los cultivos de líquido peritoneal obtenidos de pacientes operados por patología quirúrgica abdominal de urgencia. Materiales y Métodos Se realiza una cohorte prospectiva de los pacientes operados de urgencia. Se tomó cultivo de líquido peritoneal y se procesó según técnica estandarizada. Resultados Se encontró un 39,4% de cultivos positivos. E. coli fue el germen más frecuente. Destacan 5 cultivos positivos para P. aeruginosa. Existe un 25% de resistencia a ampicilina/sulbactam y 19% a quinolonas para E. coli. Conclusión La resistencia encontrada fue menor a lo reportado en la literatura, pero aún destacable. El conocimiento del perfil de bacterias y sus resistencias a antimicrobianos son importantes para las políticas hospitalarias locales de uso racional de antibióticos.


Background Antimicrobial resistance is a worldwide problem. In patients requiring emergency surgery, antibiotics are an important assistance additional to surgical intervention. Objective Analize peritoneal fluid cultures obtaines from patients who underwent emergency surgery. Methods A prospective cohort of emergency abdominal surgical patients were enrolled. Peritoneal fluid cultures were taken and processed according to standarized technique. Results A 39.4% of positive cultures was found. E. coli was the most common bacteria identified. Five positive cultures for P. aeruginosa stand out. E. coli had 25% resistance to ampicillin/sulbactam and 19% for quinolones. Conclusion Resistance found was lower than international reports, but still noteworthy. Knowledge of local bacteria profile and antimicrobial resistance is important for local antibiotic hospital policy.


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Anciano , Bacterias/efectos de los fármacos , Líquido Ascítico/microbiología , Abdomen/cirugía , Antibacterianos/farmacología , Pseudomonas aeruginosa/efectos de los fármacos , Bacterias/aislamiento & purificación , Pruebas de Sensibilidad Microbiana , Farmacorresistencia Bacteriana , Urgencias Médicas , Escherichia coli/efectos de los fármacos , Klebsiella pneumoniae/efectos de los fármacos
14.
Rev Chilena Infectol ; 34(3): 243-247, 2017 Jun.
Artículo en Español | MEDLINE | ID: mdl-28991320

RESUMEN

INTRODUCTION: Brucellosis is a zoonosis caused by Brucella spp. It may be acquired by consuming unpasteurized dairy products. Brucellosis has a low incidence in Chile, thus, we have a scarce data. AIM: To report and to characterize the first series of clinical cases of adult patients diagnosed with brucellosis in Chile. METHODS: We describe a series of 13 clinical cases in patients diagnosed between 2000 and 2016 in three different centers in the Metropolitan Region, Chile. A retrospective analysis was performed on clinical presentation, laboratory, antibiotic treatment, morbidity and mortality. RESULTS: The mean age was 50 years old. Eight cases had a record of consumption of unpasteurized dairy products. The most frequently reported complaints were fever. The most frequent focal point involved was the spine. Only one patient had a positive blood culture, while the diagnosis was made using serological techniques in the other part of the group. The most indicated antibiotic regimens were doxycycline-rifampicin and doxycycline-gentamicin. The hospital stay was 20 days approximately as an average. Clinical cure was achieved in all cases. CONCLUSIONS: Brucellosis is an infrequent zoonosis in Chile, and it produces a nonspecific clinical picture, so it is necessary to have high suspicion to make the diagnosis based in the antecedent of consumption of unpasteurized dairy or raw meat.


Asunto(s)
Brucelosis/diagnóstico , Adulto , Anciano , Brucelosis/tratamiento farmacológico , Brucelosis/epidemiología , Brucelosis/etiología , Chile/epidemiología , Productos Lácteos/microbiología , Doxiciclina/administración & dosificación , Quimioterapia Combinada , Femenino , Gentamicinas/administración & dosificación , Humanos , Tiempo de Internación , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Rifampin/administración & dosificación , Población Urbana , Adulto Joven
15.
Rev. chil. infectol ; 34(3): 243-247, jun. 2017. tab
Artículo en Español | LILACS | ID: biblio-899707

RESUMEN

Introduction: Brucellosis is a zoonosis caused by Brucella spp. It may be acquired by consuming unpasteurized dairy products. Brucellosis has a low incidence in Chile, thus, we have a scarce data. Aim: To report and to characterize the first series of clinical cases of adult patients diagnosed with brucellosis in Chile. Methods: We describe a series of 13 clinical cases in patients diagnosed between 2000 and 2016 in three different centers in the Metropolitan Region, Chile. A retrospective analysis was performed on clinical presentation, laboratory, antibiotic treatment, morbidity and mortality. Results: The mean age was 50 years old. Eight cases had a record of consumption of unpasteurized dairy products. The most frequently reported complaints were fever. The most frequent focal point involved was the spine. Only one patient had a positive blood culture, while the diagnosis was made using serological techniques in the other part of the group. The most indicated antibiotic regimens were doxycycline-rifampicin and doxycycline-gentamicin. The hospital stay was 20 days approximately as an average. Clinical cure was achieved in all cases. Conclusions: Brucellosis is an infrequent zoonosis in Chile, and it produces a nonspecific clinical picture, so it is necessary to have high suspicion to make the diagnosis based in the antecedent of consumption of unpasteurized dairy or raw meat.


Introducción: La brucelosis es una zoonosis provocada por Brucella spp, cuyo principal mecanismo de transmisión es mediante el consumo de lácteos no pasteurizados. Es de baja ocurrencia en Chile, por lo que los datos locales son escasos. Objetivo: Reportar y caracterizar la primera serie de casos clínicos de pacientes adultos con diagnóstico de brucelosis en Chile. Material y Método: Se describe una serie de 13 casos clínicos en pacientes diagnosticados entre el año 2000 y el 2016 en tres centros de la Región Metropolitana, Chile. Se realizó un análisis retrospectivo acerca de la presentación clínica, laboratorio, tratamiento antimicrobiano y morbi-mortalidad. Resultados: El promedio de edad fue 50 años. Ocho casos tenían antecedente de consumo de lácteos no pasteurizados. El motivo de consulta más frecuente fue sensación febril. El compromiso focal más frecuente fue el de columna vertebral. Sólo en un paciente se encontró hemocultivo positivo; en el resto el diagnóstico se hizo mediante técnicas serológicas. Los esquemas antimicrobianos más indicados fueron doxiciclina-rifampicina y doxiciclina-gentamicina. La estadía hospitalaria fue en promedio de 20 días. En todos los casos se logró curación clínica. Conclusiones: La brucelosis es una zoonosis infrecuente en Chile, produce un cuadro clínico inespecífico, por lo que se debe tener una alta sospecha para realizar el diagnóstico, basada en el antecedente del consumo de productos lácteos no pasteurizados o de carne mal cocida.


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Anciano , Adulto Joven , Brucelosis/diagnóstico , Rifampin/administración & dosificación , Población Urbana , Brucelosis/etiología , Brucelosis/tratamiento farmacológico , Brucelosis/epidemiología , Gentamicinas/administración & dosificación , Chile/epidemiología , Estudios Retrospectivos , Doxiciclina/administración & dosificación , Productos Lácteos/microbiología , Quimioterapia Combinada , Tiempo de Internación
17.
Biol Trace Elem Res ; 171(1): 94-100, 2016 May.
Artículo en Inglés | MEDLINE | ID: mdl-26400649

RESUMEN

Copper (Cu) deficiency increases occurrence of certain infectious diseases in animals, including infectious keratoconjunctivitis in bovines, a bacterial ocular inflammation caused by Moraxella bovis. Neutrophil leukocytes constitute the first phagocytic cells to arrive at infection sites for bacterial neutralization. The objective of this work was to evaluate whether the functionality of neutrophils against M. bovis is impaired in experimentally induced Cu deficiency in bovines using high molybdenum and sulfur levels in the diet. The Cu tissue values and the periocular achromotrichia observed in +Mo animals showed that the clinic phase of Cu deficiency was reached in this group. Instead, +Cu animals have not evidenced clinical signs or biochemical parameters of hypocuprosis. On the basis of our observations, we concluded that Cu deficiency has no effect on phagocytic and bactericidal activities of neutrophils against M. bovis. However, superoxide dismutase activity and peroxide hydrogen generation were significantly different between groups. Therefore, additional research to explain these results is merited to fully characterize the consequences of Cu status on the risk for infections under field conditions.


Asunto(s)
Antibacterianos/farmacología , Cobre/deficiencia , Cobre/metabolismo , Peróxido de Hidrógeno/farmacología , Moraxella bovis/efectos de los fármacos , Neutrófilos/efectos de los fármacos , Superóxido Dismutasa/metabolismo , Animales , Antibacterianos/análisis , Bovinos , Supervivencia Celular/efectos de los fármacos , Activación Enzimática , Peróxido de Hidrógeno/análisis , Neutrófilos/microbiología , Fagocitosis/efectos de los fármacos
18.
Rev Chilena Infectol ; 30(3): 244-51, 2013 Jun.
Artículo en Español | MEDLINE | ID: mdl-23877775

RESUMEN

BACKGROUND: The most of the surveillance studies has been conducted in hospitalized patients with invasive infections. Recently, new clinical breakpoints (CBPs) have been proposed for antifungal susceptibility testing and epidemiological cutoffs (ECVs). AIM: To evaluate species distribution and susceptibility pattern of Candida spp. obtained from in and outpatients in a period of 6 months. MATERIAL AND METHODS: The isolates (n=223) came from vaginal discharge (51.6%), lower respiratory tract (24.7%), urine (20.2%), wounds (1.8%), blood (0.9%), peritoneal fluid (0.4%) and nails (0.4%). RESULTS: The species distribution was C. albicans 84.8% (n: 189), C. glabrata 7.6% (n: 17), C. tropicalis 2.7% (n: 6), C. parapsilosis 2.2% (n: 5), C. kefyr 0.9% (n: 2) and others 1.8% (C. krusei, C. lusitanie, C. guilliermondii, C. intermedia) (n: 4). The susceptibility dose dependence (SDD) and resistance were 3.2% for fluconazole and 2.2% for voriconazole. The most of SDD and resistant strains were isolated from ambulatory patients. Also, a higher percentage of MICs over the new CBPs and ECVs were found in strains from ambulatory patients and especially in C. glabrata isolates to caspofungin. CONCLUSION: Taking into consideration that most of the invasive infections are caused by strains from the endogenous microbiota, and that there is a resistant population of Candida spp. in the community, should be important to include in surveillance studies strains isolated from ambulatory patients.


Asunto(s)
Antifúngicos/farmacología , Candida/clasificación , Candida/efectos de los fármacos , Candida/aislamiento & purificación , Infecciones Comunitarias Adquiridas/microbiología , Relación Dosis-Respuesta a Droga , Humanos , Pruebas de Sensibilidad Microbiana
19.
Rev. chil. infectol ; 30(3): 244-251, jun. 2013. ilus, tab
Artículo en Español | LILACS | ID: lil-679903

RESUMEN

Background: The most of the surveillance studies has been conducted in hospitalized patients with invasive infections. Recently, new clinical breakpoints (CBPs) have been proposed for antifungal susceptibility testing and epidemiological cutoffs (ECVs). Aim: To evaluate species distribution and susceptibility pattern of Candida spp. obtained from in and outpatients in a period of 6 months. Material and Methods: The isolates (n=223) came from vaginal discharge (51.6%), lower respiratory tract (24.7%), urine (20.2%), wounds (1.8%), blood (0.9%), peritoneal fluid (0.4%) and nails (0.4%). Results: The species distribution was C. albicans 84.8% (n: 189), C. glabrata 7.6% (n: 17), C. tropicalis 2.7% (n: 6), C. parapsilosis 2.2% (n: 5), C. kefyr 0.9% (n: 2) and others 1.8% (C. krusei, C. lusitanie, C. guilliermondii, C. intermedia) (n: 4). The susceptibility dose dependence (SDD) and resistance were 3.2% for fluconazole and 2.2% for voriconazole. The most of SDD and resistant strains were isolated from ambulatory patients. Also, a higher percentage of MICs over the new CBPs and ECVs were found in strains from ambulatory patients and especially in C. glabrata isolates to caspofungin. Conclusion: Taking into consideration that most of the invasive infections are caused by strains from the endogenous microbiota, and that there is a resistant population of Candida spp. in the community, should be important to include in surveillance studies strains isolated from ambulatory patients.


Introducción: Los estudios de vigilancia de Candida spp. en general, no incluyen cepas de la comunidad. Recientemente, se han propuesto nuevos puntos de corte clínicos (CBPs) para interpretar la susceptibilidad y puntos de corte epidemiológicos (ECVs), para detectar cepas silvestres o con algún tipo de resistencia. Objetivo: Ainalizar la distribución y perfil de susceptibilidad Candida spp. de pacientes hospitalizados y ambulatorios durante seis meses. Material y Métodos: Las cepas (n: 223) provenían desde flujo vaginal (51,6%), tracto respiratorio bajo (24,7%), orina (20,2%), heridas (1,8%), sangre (0,9%), líquido peritoneal (0,4%) y uñas (0,4%). Resultados: La distribución de especies fue C. albicans 84,8% (n: 189), C. glabrata 7,6% (n: 17), C. tropicalis 2,7% (n: 6), C. parapsilosis 2,2% (n: 5), C. kefyr 0,9% (n: 2) y otras 1,8% (C. krusei, C. lusitanie, C. guilliermondii, C. intermedia) (n: 4). La susceptibilidad dosis dependiente (SDD) y resistencia fueron de 3,2% para fluconazol y 2,2% para voriconazol. La mayoría de las cepas SDD resistentes y fueron ambulatorias. Además, en este grupo, se encontró un alto porcentaje de cepas con CIMs sobre los nuevos CPBs y ECVs, especialmente en aislados C. glabrata para caspofungina. Conclusión: Dado que la mayoría de las infecciones invasoras son causadas por cepas endógenas, y que hay cepas con algún grado de resistencia en la comunidad, estas últimas debieran vigilarse.


Asunto(s)
Humanos , Antifúngicos/farmacología , Candida/clasificación , Candida/efectos de los fármacos , Candida/aislamiento & purificación , Infecciones Comunitarias Adquiridas/microbiología , Relación Dosis-Respuesta a Droga , Pruebas de Sensibilidad Microbiana
20.
Biol Trace Elem Res ; 153(1-3): 178-83, 2013 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-23625728

RESUMEN

Copper deficiency in humans and animals has been related to increased susceptibility to infections. Neutrophils are one of the most studied components of the immune response; however, to the best of our knowledge, other defenses of the innate immune system have not been analyzed in copper-deficient animals. Our previous studies in copper-deficient bovines have shown increased susceptibility to infectious keratoconjunctivitis, an ocular disease caused by Moraxella bovis. The objective of this work was to evaluate the bactericidal activity of lachrymal secretion and complement system, two main mechanisms of the innate immune response against M. bovis, in copper-deficient cattle. Our results indicate that copper deficiency has no effect on bactericidal activity of complement system and lachrymal secretion against M. bovis in calves. Other components of local and systemic ocular defense mechanisms that could explain the increased susceptibility to infectious keratoconjunctivitis observed in copper-deficient bovines should be investigated.


Asunto(s)
Antibacterianos/farmacología , Proteínas del Sistema Complemento , Cobre/deficiencia , Aparato Lagrimal/metabolismo , Animales , Bovinos , Queratoconjuntivitis Infecciosa/inmunología
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