Pitiose cutânea equina de localização atípica tratada topicamente com solução de anfotericina B e DMSO

Background: Cutaneous lesions by Pythium insidiosum infection are commonly observed in horses, especially in those living at flooded environments. Equine pythiosis is characterized by the development of tumoral masses that are frequently located at distal limbs, ventral abdomen, thorax, breast and face. The lesions are usually granulomatous, serosanguineous and ulcerated, most often destroyed by self-mutilation due to the intense pruritus. The proposed treatment includes surgical excision followed by antifungal drugs administration, which can be done systemically or topically. Amphotericin B and dimethyl sulfoxide (DMSO) in association has been successfully used for cutaneous pythiosis topical treatment due to the DMSO property to carry any substance through plasmatic membranes.Case: The present report concerns a 12-year-old mixed breed gelding presenting with self-mutilation of a tumoral mass located at the left flank. The owners reported that the horse had initially presented a small wound that had evolved to a 20-cm in diameter mass in 4 weeks. Tissue samples were collected, processed and stained by the Gomori's methenamine silver (GMS) method. The histopathological analysis revealed Pythium insidiosum hyphae in a granulomatous tissue, especially located at peripheral region, where kunkers were present. Surgical excision of the mass followed by cauterization was indicated as initial treatment, and due to financial reasons, the owners elected only the topical antifungal therapy to control the fungus infection after surgery. Flunixin meglumine was also administrated for five days aiming the control of pain and inflammation. The wound was cleaned with povidone-iodine solution and rinsed with a solution containing, 50 mg, of amphotericin B in 10 mL of sterile water and 10 mL of DMSO. This procedure was carried Out twice a day. The wound healed fast due to an excellent centripetal epithelialization. and the horse was discharged after 64 days showing only 5% of the initial wound area. The owner reported by telephone the complete healing and hair growth 10 days after discharge.Discussion: Despite the atypical location of the tumoral lesion described at the present report, the history and clinical manifestations, especially the intense pruritus, showed similarity with other characteristic reports of equine cutaneous pythiosis. The diagnosis was confirmed by the histopathological examination showing hyphae structures, as described to be evidences of the presence of Pythium insidiosum in the tissue. The surgical procedure was the first step to provide remission of clinical signs, and one day after surgery the pruritus desapeared. After excision of the granulomatous tissue and cauterization, daily topical administration of amphotericin B associated with DMSO was effective in destroying the infectious agent, as observed by the excellent epithelization. A pink granulation tissue grew up providing an ideal surface for epithelial migration and the healing process progressed quickly. Centripetal epithelialization reduced the wound area until 3% of the initial area in 64 days of treatment, when the remaining wound was found almost completely healed and covered with hair. At the present report, the horse presenting pythiosis was only topically treated. The recommended therapy using amphotericin B and DMSO solution was effective, economically viable and low risk, considering that the systemic antifungal therapy usually suggested is expensive and extremely nephrotoxic. The atypical location of the lesion on the left flank shows that any anatomical region can be affected by the fungus, since the conditions for its development were present.

Reação de cultivares de soja a uma população atípica de meloidogyne javanica

In the period of 2001/2002 a population of Meloidogyne javanica was found infecting a soybean cultivar 'CD 208" considered resistant in a field located in the County of Nuporanga, state of São Paulo (SP), Brazil. Due to this fact, it was evaluated the resistance of some of the main cultivars used in areas of the Cooperativa dos Agricultores, in Orlandia (CAROL), SP. The study was carried out in greenhouse conditions of the Departamento de Fitossanidade (Plant Protection) da UNESP/FCAV, Campus of Jaboticabal, SP, in clay pots of 5 liters. Five individual plants of the cultivars BRS 133, BRS 183, BRSMG 68, BRSMG Garantia, CD 201, MG/BR-46 Conquista, Empresa Brasileira de Pesquisa Agropecuária (EMBRAPA) 48, IAC 22, M-SOY 7901, M-SOY 8001 and M-SOY 8400 were inoculated with 3,000 eggs and second estage juveniles of the nematode, seven days after seed germination and the evaluation was carried out 57 days after inoculation. Galls, egg masses and the reproduction factor were determined. The results pointed out that the cultivar BRSMG Garantia was tolerant to the nematode population and all others were susceptibles.

Fragmentos da história da malária em São Paulo

Due to its great incidence in Brazil, malaria is one of the most important transmissible disease studied in the papers that deal with public health today. Although it is present in the Brazilian history since the colonial period, it has hardly been studied from its historic perspective. The present article intends to give a general view of the disease in Brazil, specially in the state of São Paulo. The research is based on historic papers of health and epidemies not only in Brazil but also in the world, found in the legislative documentation of São Paulo. Until 1930, malaria had spread through the country and the health authorities took no care in stablishing especific campaigns to face the disease. This negligence was mostly due to the fact that the mortality rate of malaria was lesser than variola, yellow fever or the many other endemic or epidemic diseases. Eradication seemed to be close to an end but the social and economic transformations after the 70's brought the disease in a proportion ten times worse.

Estudo do modelo de Ronald Ross sobre prevenção da malária

Pós-graduação em Matemática Universitária - IGCE

Malária causada pelo Plasmodium falciparum e a redução da metahemoglobina pela via das pentoses: estudo in vitro em hemáceas de indivíduos normais e de doentes tratados pela clindamicina

Pós-graduação em Fisiopatologia em Clínica Médica - FMB

Estudo de arboviroses em pacientes positivos para malária da região Amazônica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Estudo da associação entre o sistema histo-sangüíneo ABO e a malária por Plasmodium falciparum na Amazônia brasileira

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Malária causada pelo plasmodium falciparum e avaliação indireta da atividade da glutationa redutase e da deficiência de riboflavina, por meio da redução da metahemoglobina pela cistamina: estudo em hemáceas de indivíduos doentes, em normais tratados ou não pela riboflavina e em deficientes em glicose-6-fosfato desidrogenase

Pós-graduação em Fisiopatologia em Clínica Médica - FMB

A endemia da malária em Porto Velho (RO): um estudo baseado na análise estatítica espacial de dados multivariados

Pós-graduação em Geociências e Meio Ambiente - IGCE

Modelo discreto para o ciclo eritrocitário da Malária

In this work, some aspects of the erythrocyte cycle of the malaria parasite was incorporated into a cellular automata model to simulated the major factors leading to disruption of the erythrocyte cycle and consequent appearance of gametocytes, which infected the mosquitoes. Furthermore, the time seies of parasitaemia of infected patients was analyzed and compared to simulated data. The results suggested that differences in the temporal patterns of the asexual parasitaemia are associated with different effectiveness of the immune system in controlling the infection