Cryptococcosis in Atlántico, Colombia: an approximation of the prevalence of this mycosis and the distribution of the etiological agent in the environment

ABSTRACTINTRODUCTION:Cryptococcosis is an invasive disease acquired by inhalation of infectious propagules from the environment. Currently, compulsory notification of the spread of this disease is not required in Colombia. However, reporting of human immunodeficiency virus (HIV)/acquired immune deficiency syndrome cases to the National Surveillance System has suggested that there is a growing population at risk of contracting cryptococcosis. Few studies have described the occurrence of cryptococcosis in Colombia. Therefore, in this study, we examined the pathology of this disease in Atlántico, Colombia and determined the distributions of Cryptococcus neoformans and Cryptococcus gattii in the environment.METHODS:Clinical samples/isolates were gathered from cases of cryptococcosis previously diagnosed at health institutions in Atlántico, and surveys were completed by clinicians. The environmental study considered 32 sampling points and three tree species, i.e., Quickstick ( Gliricidia sepium ), Almond ( Terminalia catappa ), and Pink trumpet ( Tabebuia rosea ). Environmental and clinical samples/isolates were analyzed for phenotypic and genotypic confirmation.RESULTS:From 1997-2014, 41 cases of cryptococcosis were reported. The mean patient age was 40.5 years (range: 18-63 years); 76% were men, and 78% were HIV positive. Isolation was possible in 38 cases ( C. neoformans , molecular type VNI in 37 cases and C. gattii , molecular type VGI in one case). In 2012-2014, 2,068 environmental samples were analyzed with a positivity of 0.4% ( C. neoformans , molecular type VNI) in Almond and Pink trumpet trees.CONCLUSIONS:Cryptococcus neoformans , molecular type VNI had a higher prevalence than C. gattii and was associated with human exposure and the pathogenesis of cryptococcosis in this geographical region.

Chagas disease in the State of Amazonas: history, epidemiological evolution, risks of endemicity and future perspectives

Chagas disease (CD) is a parasitic infection that originated in the Americas and is caused by Trypanosoma cruzi. In the last few years, the disease has spread to countries in North America, Asia and Europe due to the migration of Latin Americans. In the Brazilian Amazon, CD has an endemic transmission, especially in the Rio Negro region, where an occupational hazard was described for piaçaveiros (piassaba gatherers). In the State of Amazonas, the first chagasic infection was reported in 1977, and the first acute CD case was recorded in 1980. After initiatives to integrate acute CD diagnostics with the malaria laboratories network, reports of acute CD cases have increased. Most of these cases are associated with oral transmission by the consumption of contaminated food. Chronic cases have also been diagnosed, mostly in the indeterminate form. These cases were detected by serological surveys in cardiologic outpatient clinics and during blood donor screening. Considering that the control mechanisms adopted in Brazil's classic transmission areas are not fully applicable in the Amazon, it is important to understand the disease behavior in this region, both in the acute and chronic cases. Therefore, the pursuit of control measures for the Amazon region should be a priority given that CD represents a challenge to preserving the way of life of the Amazon's inhabitants.

A historical overview of leprosy epidemiology and control activities in Amazonas, Brazil

Leprosy is an ancient infectious disease caused by Mycobacterium leprae. According to comparative genomics studies, this disease originated in Eastern Africa or the Near East and spread with successive human migrations. The Europeans and North Africans introduced leprosy into West Africa and the Americas within the past 500 years. In Brazil, this disease arrived with the colonizers who disembarked at the first colonies, Rio de Janeiro, Salvador and Recife, at the end of the sixteenth century, after which it was spread to the other states. In 1854, the first leprosy cases were identified in State of Amazonas in the north of Brazil. The increasing number of leprosy cases and the need for treatment and disease control led to the creation of places to isolate patients, known as leprosaria. One of them, Colonia Antônio Aleixo was built in Amazonas in 1956 according to the most advanced recommendations for isolation at that time and was deactivated in 1979. The history of the Alfredo da Matta Center (AMC), which was the first leprosy dispensary created in 1955, parallels the history of leprosy in the state. Over the years, the AMC has become one of the best training centers for leprosy, general dermatology and sexually transmitted diseases in Brazil. In addition to being responsible for leprosy control programs in the state, the AMC has carried out training programs on leprosy diagnosis and treatment for health professionals in Manaus and other municipalities of the state, aiming to increase the coverage of leprosy control activities. This paper provides a historical overview of leprosy in State of Amazonas, which is an endemic state in Brazil.

Molecular analysis of methicillin-resistant Staphylococcus aureus dissemination among healthcare professionals and/or HIV patients from a tertiary hospital

Abstract INTRODUCTION: Methicillin-resistant Staphylococcus aureus (MRSA) is a nosocomial pathogen in community settings. MRSA colonized individuals may contribute to its dissemination; the risk of MRSA infection is increased in human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) patients, although the prevalence of colonization in this group is not well established. The present study addressed this issue by characterizing MRSA isolates from HIV/AIDS patients and their healthcare providers (HCPs) to determine whether transmission occurred between these two populations. METHODS: A total of 24 MRSA isolates from HIV-infected patients and five from HCPs were collected between August 2011 and May 2013. Susceptibility to currently available antimicrobials was determined. Epidemiological typing was carried out by pulsed-field gel electrophoresis, multilocus sequence typing, and Staphylococcus cassette chromosome (SCCmec) typing. The presence of heterogeneous vancomycin-intermediate Staphylococcus aureus (hVISA) and heterogeneous daptomycin-resistant Staphylococcus aureus (hDRSA) was confirmed by population analysis profile. Isolates characterized in this study were also compared to isolates from 2009 obtained from patients at the same hospital. RESULTS: A variety of lineages were found among patients, including ST5-SCCmecII and ST30-SCCmecIV. Two isolates were Panton-Valentine leukocidin-positive, and hVISA and hDRSA were detected. MRSA isolates from two HCPs were not related to those from HIV/AIDS patients, but clustered with archived MRSA from 2009 with no known relationship to the current study population. CONCLUSIONS: ST105-SCCmecII clones that colonized professionals in 2011 and 2012 were already circulating among patients in 2009, but there is no evidence that these clones spread to or between HIV/AIDS patients up to the 7th day of their hospitalization.

Unusual abdominal tumors with intracardiac extension. Two cases with successful surgical resection

Abdominal tumors that can grow through vascular lumen and spread to the right heart are rare. Although these tumors have different histologic aspects, they may cause similar abdominal and cardiac symptoms and are a serious risk factor for pulmonary embolism and sudden death when they reach the right atrium and tricuspid valve. The best treatment is radical surgical resection of the entire tumor using cardiopulmonary bypass with or without deep hypothermia and total circulatory arrest. We report the cases of two patients, the first with leiomyosarcoma of the inferior vena cava and the other with intravenous leiomyomatosis of the uterus that showed intravascular growth up to right atrium and ventricle, who underwent successful radical resection in a one-stage procedure with the use of cardiopulmonary bypass. We discuss the clinical and histologic aspects and imaging diagnosis and review the literature.

Critical analysis of old and new vaccines against N. meningitidis serogroup C, considering the meningococcal disease epidemiology in Brazil

Worldwide, the impact of meningococcal disease is substantial, and the potential for the introduction and spread of more virulent strains of N. meningitidis or strains with increased resistance to current antibiotics causes concern, making prevention essential. OBJECTIVES: Review the indications for meningococcal disease vaccines, considering the epidemiological status in Brazil. METHODS: A critical literature review on this issue using the Medline and Lilacs databases. RESULTS: In Brazil, MenB and MenC were the most important serogroups identified in the 1990s. Polysaccharide vaccines available against those serogroups can offer only limited protection for infants, the group at highest risk for meningococcal disease. Additionally, polysaccharide vaccines may induce a hypo-responsive state to MenC. New meningococcal C conjugate vaccines could partially solve these problems, but it is unlikely that in the next few years a vaccine against MenB that can promote good protection against multiple strains of MenB responsible for endemic and epidemic diseases will become available. CONCLUSIONS: In order to make the best decision about recommendations on immunization practices, better quality surveillance data are required. In Brazil, MenC was responsible for about 2,000 cases per year during the last 10 years. New conjugate vaccines against MenC are very effective and immunogenic, and they should be recommended, especially for children less than 5 years old. Polysaccharide vaccines should be indicated only in epidemic situations and for high-risk groups. Until new vaccines against MenC and MenB are available for routine immunization programs, the most important measure for controlling meningococcal disease is early diagnosis of these infections in order to treat patients and to offer chemoprophylaxis to contacts.

A POLINIZAÇÃO MANUAL DO CUPUAÇUZEIRO (Theobroma grandiflorum)

O cupuaçu (Theobroma grandiflorum,Sterculiaceae) é uma frutífera da Amazônia usada na fabricação de sucos, sorvetes, doces e chocolate. A sua popularidade vem aumentando e atualmente é considerada uma das culturas mais lucrativas da região Amazônica. O cupuaçu é uma espécie predominantemente alógama e muitas flores não chegam a dar frutos mesmo quando polinizadas com póíen compatível. A taxa de polinização natural é baixa (estimado em 1,6% para pístílos polínízados com mais de 60 grãos de pólen). No presente trabalho, foram estudados alguns aspectos da sua polinização. Polinizações manuais foram feitas próximo à antese (entre 17-18:00 h) e na manhã seguinte após a antese, da seguinte maneira: retiraram-se três estaminódios da flor que iria ser polinizada para facilitar o acesso ao pistilo; da flor doadora de pólen retirou-se um estame, cujas anteras foram passadas nos braços estigmáticos. O maior êxito foi obtido nas polinizações feitas próximas à antese, atribuído ao maior número de grãos depositados durante as polinizações. Polinizações controladas entre plantas compatíveis mostraram que as flores que receberam 60 grãos de pólen tiveram 20% de probabilidade de formar fruto; as flores que receberam mais de 400 grãos de pólen, sempre formaram mitos. O uso de polinização manual aumentou o número de frutos maduros colhidos. O número de sementes nos frutos derivados de polinização natural e manual foi similar. A polinização manual poderá ser utilizada tanto no melhoramento como para aumentar a produtividade dos cupuaçuzeiros que estejam com problemas de polinização.

Leaf anatomical features of three Theobroma species (Malvaceae s.l.) native to the Brazilian Amazon

Theobroma species have economic importance due to their use in the cosmetic and food industries, mainly in the production of chocolate. However, the anatomy of their vegetative structures remains poorly studied. The goal of this study was to describe the anatomical features of Theobroma grandiflorum, T. speciosum and T. subincanum to contribute to the biological knowledge of these species, as well as provide support to the biotechnological studies of native fruit plants of the Amazon. Leaves at different developmental stages were collected and analyzed under light microscopy and scanning electron microscopy. Sessile and stalked stellate trichomes and digitiform glandular trichomes were observed in the expanded leaves of T. grandiflorum and T. subincanum. These species were also similar in the morphology of the midrib, the organization of the mesophyll and the presence of starch grains in the midrib pith cells. Claviform glandular trichomes and mucilage cells in the epidermis occurred only in the expanded leaves of T. speciosum. The presence of mucilage secretory trichomes in shoot apices (colleters) of all species is a new finding for the genus Theobroma.

Seroprevalence for brucellosis and leptospirosis in dogs from Belém and Castanhal, State of Pará, Brazil

Brucellosis and leptospirosis are widely spread bacterial infections and dogs are the most important source of infection and reservoir for diseases. Dogs can disseminate the agents in the environment and transmit them to humans and/or other animals. The objective of this study was assess the occurrence of reactive to antibodies anti-Leptospira spp., Brucella canis and B. abortus in Belém and Castanhal, State of Pará, Amazon, Brazil. A total of 156 samples were randomly collected in the city of Belém and 158 samples in Castanhal. The anti-B. canis antibodies research was performed by Agar Gel Immunodiffusion (AGID) with and without 2-mercaptoethanol serum treatment (AGID-2ME). To assess the anti-B. abortus antibodies, the technique of Fast Seroagglutination with buffered acidified plate antigen (BAPAT) was used. For anti-Leptospira spp. antibodies research, the Microscopic Agglutination Technique (MAT) was used. No animal reacted to Brucella abortus and one animal was reactive to B. canis at the AGID, but it was negative to the AGID-2ME test. Seventeen percent of dogs (47/274) presented anti-Leptospira spp. antibodies, with prevalence of serovar Canicola. The dogs from Belém and Castanhal are not source of infection for B. abortus and B. canis, however, they are reservoirs for different serovars of Leptospira spp.

Retinal Detachment in Preeclampsia

Preeclampsia is an obstetric disease of unknown cause that affects approximately 5% of pregnant women. The visual system may be affected with variable intensity, being the retinal detachment a rare complication. The retinal detachment in preeclampsia is usually bilateral and serous, and its pathogenesis is related to the choroidal ischemia secondary to an intense arteriolar vasospasm. The majority of patients have complete recovery of vision with clinical management, and surgery is unnecessary. This is a case report of a 27 year old patient who developed the severe form of preeclampsia on her first pregnancy. She had progressive blurred vision, until she could see only shadows. Ophthalmic examination diagnosed spread and bilateral retinal detachment. With blood pressure control at postpartum, the patient had her retina reattached, and recovery of vision.

Estudo de correlação entre a postura e dimensões da bacia em Rhode Island Red

The AA. have studied, in this paper, the correlation of egg production in yearling R. I. R. pullets and the difference between the pelvic bones, an between the pelvic bones and keel. The distances between those bones were measured by the fingers. It was suggested an index = spread of pelvic x spread of keel bone. These three data were compared with the last 30 days production and with the production to date - six months. Comparisons have been made with 285 pullets. The AA. have concluded: (a) there is a positive correlation between the spread of the pelvic bones and the last 30 days (r = + 0,23 and pr = + 0,16); (b) there is not correlation of the distance between the pelvic bories to the keel and the last 30 days (r = + 0,11 and pr = - 0,01; (c) there is positive correlation of the distance between the pelvic bones to the keel and last six months production (r = + 0,27 and pr = + 0,19); (d) the correlation of the index sugested pratically equals correlation between pelvic bones (r = + 0,27 and pr = + 0,19); (e) correlation between last 30 days production and the total egg production is high (r = + 0,55 and pr = 0,53). Is is stated that spread of the pelvic bones is a low index of actual production and the distance of the keel a low index of total egg production in R. I. R. pullets. The last month real production is a better index of the total egg production.

A amostragem da cana-de-açúcar para determinações tecnológicas

The authors carried out 3 experiments on the sampling of sugar cane for technological determinations, one with each of the varieties Co 419, CB 40-69 and CB 41-58, in Piracicaba, State of São Paulo, Brasil. The main intent of the project was to compare 2 methods of sampling, namely: 1) Method A, where the sample is a hill (CATANI et al, 1959) or, more generally, 20 stalks all together in a randomly selected point of the furrow; 2) Method B, where 20 stalks are taken, from 20 points evenly spread but on the whole plot. Coefficients of variation for 20 stalk samples Variety Characteristic 20 stalks per hill 1 stalk per hill Brix 4.8% 1.9% Pol 6.4% 2.5% CB 40-69 Coefficient of purity 2.1% 0.83% Available sucrose 7.3% 2.7% Weight 6.6% 6.9% Brix 5.3% 1.8% Pol 7.6% 2.6% Co 419 Coefficient of purity 2.9% 1.0% Available sucrose 8.6% 3.0% Weight 21.2% 6.5% Brix 2.8% 1.4% Pol 4.1% 1.9% CB 41-58 Coefficient of purity 1.8% 0.8% Available sucrose 5.0% 2.2% Weight 10.9% 6.2% For the 3 varieties studied and for the data on Brix, pol, coefficient of purity, available sucrose and weight, analyses of variance were carried out. Further computations led to the following coefficients of variation. For available sucrose, which is probably the most important characteristic studied, the average coefficient of variation for the 3 varieties was 2.7%, for the case of method B, that is, 20 stalk samples, one stalk per hill. Assuming this coefficient of variation, in a trial with 5 treatments and 6 replications, in randomised blocks, the least significant difference among treatment means, at the 5% level, would be 4.7% of available sucrose by Tukey's test, and 3.3% by the t test. For the case of method A the average coefficient of variation is 7.0% and, in similar conditions, the least significant difference would be 15.1% by Tukey's test, and 12.1% by the t test. Since differences of available sucrose among treatments in experiments with fertilizers seldom are higher than 3 or 4% of the mean (PIMENTEL GOMES & CARDOSO, 1958), method B with a 20 stalk sample per plot gives more or less the minimum amount of cane to be sampled for technological determinations. In experiments with varieties, however, where differences may be assumed to be higher, a sample of 10 to 20 stalks one per hill, can be enough.

Contribuição ao conhecimento dos nematóides que causam galhas em raízes de plantas em São Paulo e estados vizinhos

Eight root-knot nematode forms are known to occur in Brazil, namely Meloidogyne exigua, M. incognita, M. j. javanica, M. j. bauruensis, M. inornata, M. hapla, M. arenaria arenaria and M. coffeicola. After presenting a historical resume of the root-knot disease, as well as observations on symptoms, distribution and spread, and life history of the nematodes, a study of the morphological characters used in identification of species is made, a key for separating the forms referred to above being also prepared. As no information on host plants of the coffee root-knot nematode (M. exigua) was available, a few tests were performed, as an attempt to infect several plant species. Pepper (Capsicum annuun) was the only plant attacked by M. exigua, having failed all attempts to infect nine other plants, including tomato var. Rutgers. M. exigua incited formation of galls on roots of cucumber, but no adult female was found in the tissue. In a final chapter dealing with control, a review of all methods available is presented.

Dieta de Traupíneos (Passeriformes, Emberizidae) no Parque Estadual do Ibitipoca, Minas Gerais, Brasil

Eleven species of tanagers in Ibitipoca State Park, Minas Gerais, southeastern Brazil, were studied for 12 months and the birds diet was described. Fruits of 52 plant species were the main item consumed for all tanagers, representing 59.70% of all items in 1330 events, although different proportions in the use of this resource have been found among the bird species. The main plant families found were Myrtaceae with eight species accounting for 22.29% (n=177), and Melastomataceae with seven species accounting for 22.29% (n=177) of fruit intake. The most frequent plant species in the diet was Cecropia glaziovi Snethl. (Cecropiaceae), which made up 17.76% (n=141) of fruit intake of all species of tanagers. Arthropod consumption came second with 22.63% (n=301), but flowers, leaves, nectar, food remains left by tourists and galls were also represented. Several environmental features influenced diet composition. An Asteraceae, Vanillosmopsis erythropappa Schultz, very common in the park, was important for some birds as its flowers attracted arthropods and its branches and leaves were used as a substrate for insectivory. Fruit intake rate, some bird-plant interaction and features of food-handling were also discussed, pointing to the importance of these birds for the structure of the heterogeneous local landscape, possibly through the spread of seeds of different plant species.

Trophic ecology of Lontra longicaudis (Carnivora, Mustelidae) in lotic and semilotic environments in southeastern Brazil

Lontra longicaudis (Olfers, 1818) (Carnivora, Mustelidae) is a semi-aquatic animal spread through the Central and South America, except in Chile. The implantation of a hydroelectric power plant along a river alters the dynamics of the watercourse, transforming a lotic environment into a lentic or semilotic one, what can damage the otter's feeding. From April 2008 to March 2009 we analysed the otter's food habits in lotic (streamlet) and semilotic (hydroelectric reservoir) environments of Paranapanema Valley, in southeastern Brazil. Aiming to compare the otter's diet of these two environments, we analyzed statistically the frequency of occurrence of main items in the scats. Fishes represent the base of the diet both in the reservoir and in the streamlet and, despite of the total otter's diet showing up similarities in the two environments, the results evidenced modifications on the fish species consumed between them. In the reservoir the otters ate more exotic fish Oreochromis niloticus (Linnaeus, 1758) probably because it is an easy capture prey in this place. The fact that the otters get established and feed in the reservoir doesn't mean that this structure is benefic to the species because the food supplied for it consists mainly of exotic fish species.