Association between human parvovirus B19 and arthropathy in Belém, Pará, north Brazil

A total of 220 patients with arthropathy were selected in Belém, Pará between January 1994 and December 2000, and screened for the presence of human parvovirus B19 IgM and IgG antibodies by enzyme-linked immunosorbent assay (ELISA). A subgroup (n = 132) of patients with high levels of antibodies (either IgM+/IgG+ or IgM-/IgG+) were examined for the presence of DNA by polymerase chain reaction/nested PCR. Recent/active infection (detection of IgM and/or IgG-specific antibodies and presence of viral DNA) was identified in 47.7% of the 132 individuals with arthropathy. In our study, women were significantly more affected (59.7%) than men (35.4%) (P = 0.0006). The age group of 11-20 years (84.6%), among female patients, and 21-30 years (42.1%), among male, were those with the highest incidence rates. The analysis of the temporal distribution of B19-associated arthropaties showed a cyclic pattern, with peak incidence rates occuring at 3-5 year intervals. Significant diference (P = 0.01) was observed when comparing both the highest (39.0%) and the lowest (11.0%) seropositivity rates for the years of 1995 and 2000, respectively. The interfalangial joints of hands and feet were mostly affected, with 50.0% and 48.0% of cases among both women and men, respectively. In a smaller proportion, other joints such as those of knee, ankle, pulse and shoulder were affected. As for the duration, symptoms lasted 1 to 5 days in 54.0% of the individuals, whereas in 46.0% of them the disease lasted 6-10 days, if considered the subgroup (n = 63) of patients with recent/active infection by parvovirus B19. In our study, joint clinical manifestations occurred symmetrically. Our results indicate that B19 may be an important agent of arthropathies in our region, and this underscores the need for specific laboratory diagnosis when treating patients suffering from acute arthropathy, mainly pregnant women.

Performance of rubella suspect case definition: implications for surveillance

OBJECTIVE: To assess the performance of the rubella suspect case definition among patients with rash diseases seen at primary care units. METHODS: From January 1994 to December 2002, patients with acute rash, with or without fever, were seen at two large primary health care units and at a public general hospital in the municipality of Niterói, metropolitan area of Rio de Janeiro, Brazil. Data from clinical and serologic assessment were used to estimate the positive predictive values of the definition of rubella suspect case from the Brazilian Ministry of Health and other combination of signs/symptoms taking serologic status as the reference. Serum samples were tested for anti-rubella virus IgM using commercially available enzyme immunoassays. Positive predictive values and respective 95% confidence intervals were calculated. RESULTS: A total of 1,186 patients with an illness characterized by variable combinations of rash with fever, arthropathy and lymphadenopathy were studied. Patients with rash, regardless of other signs and symptoms, had 8.8% likelihood of being IgM-positive for rubella. The Brazilian suspect case definition (fever and lymphadenopathy in addition to rash) had low predictive value (13.5%). This case definition would correctly identify 42.3% of the IgM-positive cases, and misclassify 26.1% of the IgM-negative cases. CONCLUSIONS: These results support the recommendation to investigate and collect clinical specimens for laboratory diagnosis of all cases of rash, for surveillance purposes. Although this strategy may increase costs, the benefits of interrupting the circulation of rubella virus and preventing the occurrence of congenital rubella syndrome should pay off.

Human parvovirus B19 infection: clinical and epidemiological study of 24 cases

From March 1994 to November 1995 24 cases of human parvovirus B19 infection were seen at the Infectious Diseases Department of the Hospital Universitário Antônio Pedro, Niterói - RJ. Serum samples for IgM detection (capture enzyme immunoassay) were positive from the 1st to the 27th day after the onset of the exathema. The classical features of erythema infectiosum (slapped cheecked syndrome) were observed in 8 (33.3%) cases all of them children. Eight patients (6 adults and 2 children) presented a symmetrical polyartropathy, seen more frequently in women. These results show that B19 infection diagnosis is difficult when the disease does not present the classical features and because of the frequent involvement of the joints this infection should be considered in the differential diagnosis of early rheumatoid arthritis.

Emerging alphaviruses in the Americas: Chikungunya and Mayaro

Chikungunya virus (CHIKV) and Mayaro virus (MAYV) are emergent arthropod-borne viruses that produce outbreaks of acute febrile illness with arthropathy. Despite their different continental origins, CHIKV and MAYV are closely related and are components of the Semliki Forest Complex of the Alphavirus (Togaviridae). MAYV and, more recently, CHIKV, which are both transmitted by Aedes mosquitoes, have resulted in severe public health problems in the Americas, including Brazil. In this review, we present aspects of the pathogenesis, clinical presentation and treatment of febrile illnesses produced by CHIKV and MAYV. We also discuss the epidemiological aspects and effects related to the prophylaxis of infections by both viruses.

Os anofelinos do sub-gênero kerteszia em relação à distribuição das bromeliáceas em comunidades florestais do município de Brusque, Estado de Santa Catarina

The present work is part of the studies realized under the authority of the National Service of Malaria (Brazil), with the collaboration of scientists of the Oswaldo Cruz Institute, in some forests of the southern part of Brazil.This is the first of a series and its subject is the development of the Anopheles mosquitoes of the kerteszia in water collected in Bromeliaceae leaves. The ecology of Bromeliaceae was studied in a previous work. The botanical material was classified by specialists from several botanical institutions from Europe and the United States of America. The most important ecological relations of the “bromeliad-kerteszia” problem were presented through four indices: 1st Positivity index – Relative frequency of bromeliad with watery forms in the bromeliad examined. 2nd Larval index – Mean number of watery forms in the positive bromeliad. 3rd Ovoposition index – Product of the Positivy index by the Larval index. 4th MK index – Product of the Ovoposition index by the total number of bromeliad, positive or not, in a unity of area (1.000 m²). The capture of flying forms in relation to the relative humidity was also studied. From the several forests of the Brusque region we have selected one community of each type, which were the most representative forests in Southern Brazil. Conclusions on the “bromeliad-kerteszia” problem – From a general point of view only a few factors are really important and these are listed below: 1°) The volum of water on the bromeliad. 2°) The level where the bromeliad is fixed. 3°) The number of bromeliad in unity of area. The distribution of microclimas in the forest through the considered levels has a direct influence on the species of subgenus Kerteszia (qualitative influence) and an indirect influence through the ecological distribution of the more frequent bromeliad with best qualities as biotope for the watery forms (qualitative influence). The MK index is roughly proportional to the square of half the total number of Bromeliaceae in a certain type of forest. Then the MK index would be a certain function of the ecological type of the forest and of the total number of bromeliad in a unity of area. MK approximately α x (x/10)² . x = n° of bromeliad in a unity of área (1.000 m²); α = qualitative factor. It would be interesting to see if this proportion is maintained when we have examined a greater number of forests of different types.

Contribuição para o estudo da Euphorbia brasiliensis Lam

O autor, após tecer rápidas considerações sôbre Phytomonas da planta em questão e do gênero Manihot, passa a dar: métodos por êle empregados na confecção da presente nota; sucinta descrição da Euphorbia brasiliensis Lam. e suas variedades; nomes vulgares por que é a mesma conhecida no Brasil; resultado negativo, por êle encontrado, nas pesquisas de alcalóide e, finalmente, descrição anatômica da fôlha e caule. Fôlha. a - limbo: epidermes com cutícula e estoma, uma camada de células paliçadicas, tecido lacunoso, ramificações dos tubos laticiferos e bainha dos feixes bem desenvolvida. b - nervura principal: epidermes com cutícula, uma camada de tecido paliçadico, bainha dos feixes em semicírculo, xilema, floema e parênquima. Caule - Epiderme com cutícula, colênquima, parênquima cortical, tubos laticíferos, esclerócitos, floema, câmbio e fibras do lenho (inclusive gelatinosas), vasos e, finalmente, parênquima fundamental.

Clinical and epidemiological aspects of human parvovirus B19 infection in an urban area in Brazil (Niterói city area, State of Rio de Janeiro, Brazil)

This study was designed to analyse the clinical and epidemiological data from human parvovirus B19 cases in a six-year study of rash diseases conduct in an urban area in Brazil (Niterói city area, State of Rio de Janeiro). A total of 673 patients with acute rash diseases were seen at two primary health care units and at a general hospital. A clotted blood sample was collected from all subjects at the time of consultation. Forty-nine per cent (330 cases) of the patients were negative for dengue, rubella and measles IgM or for low avidity IgG to HHV-6. Of these 330, 105 (31.8%) were identified as IgM positive to parvovirus B19 by using an antibody capture EIA. During the study period, three distinct peaks of parvovirus infection were detected, suggesting that the disease appears to cycle in approximately 4-5 years. B19 infection was characterized by variable combinations of fever, flu-like symptoms, arthropathy, and gastrointestinal symptoms. Frequency of fever and arthropathy was substantially higher in adults, 75% [chi2 (1 D.F.) = 11.39, p = 0.0007] and 62.5% [chi2 (1 D.F.) = 29.89, p = 0.0000], respectively. "Slapped-cheek" appearance and reticular or lace-like rash were seen in only 30.1% of the children. No adult presented this typical rash. The lack of the typical rash pattern in a large proportion of parvovirus B19 and the similarity of clinical manifestations to other rash diseases, specially to rubella, highlight the difficulty of diagnosing B19 infection on clinical grounds alone.

Incidência de Sclerotinia sclerotiorum em sementes de soja e sensibilidade dos testes de detecção

O objetivo deste trabalho foi avaliar a eficiência dos métodos de detecção de Sclerotinia sclerotiorum em sementes de soja. Foram realizados experimentos durante três safras, tendo-se utilizado amostras de sementes de soja contaminadas artificial e naturalmente, com incidência conhecida da doença nas amostras e no campo. Os métodos de incubação utilizados foram: papel de filtro, rolo de papel e meio Neon-S. Observou-se aumento da detecção do patógeno nas sementes infectadas artificialmente, à proporção que aumentou a incidência na amostra. Os métodos podem não detectar o patógeno S. sclerotiorum em sementes de soja naturalmente contaminadas. Os níveis de incidência do patógeno em sementes de soja interferem na sensibilidade dos métodos de detecção, e não há relação entre a incidência no campo e na semente colhida.

Caracterização morfológica e identificação molecular de isolados de Fusarium graminearum associados à giberela do trigo e triticale no sul do Brasil

A giberela ou fusariose da espiga é uma das principais doenças do trigo e triticale no sul do Brasil. A espécie de fungo Fusarium graminearum é citada como agente causal da doença, muito embora, em outros países, outras espécies de Fusarium também estejam associadas à doença. No País, não existem relatos de levantamentos de espécies associadas à doença. O objetivo deste trabalho foi identificar espécies de Fusarium associados à giberela do trigo e triticale procedentes do sul do Brasil, com base na morfologia e no emprego da reação da polimerase em cadeia (PCR) baseada em oligonucletídeos específicos para espécies de Fusarium. A patogenicidade dos isolados em trigo foi avaliada em espigas de plantas cultivadas em casa de vegetação. Os 20 isolados monospóricos analisados, obtidos de espigas doentes e sementes, foram identificados como F. graminearum.

Fertilidade e carbono do solo e uso da água pelo eucalipto numa topossequencia em Seropédica, RJ

A variabilidade espacial de atributos físicos, químicos, biológicos ou pedogenéticos é citada como responsável por padrões encontrados na distribuição do C e nutrientes do solo. Numa toposseqüência típica da Baixada Fluminense (Planossolo Háplico - PL, Argissolo Amarelo - AA e Argissolos Vermelho-Amarelos - AV1 e AV2), buscou-se avaliar a influência da paisagem na distribuição de atributos químicos e no uso da água e o crescimento do Eucalyptus urophylla. Amostras de solo foram coletadas ao acaso em três locais da toposseqüência, para caracterização da sua fertilidade, enquanto outras foram retiradas de trincheiras nas profundidades de 0-10, 10-20, 20-40, 40-60 e 60-100 cm, para avaliação do estoque de C. A circunferência à altura do peito (CAP) e a altura (ALT) e análise isotópica do d13C de tecido foliar de plantas em cada terço da paisagem foram também avaliadas como parâmetros de crescimento e de eficiência do uso da água. Embora a fertilidade do solo tenha se relacionado com o material parental local, o crescimento do eucalipto parece estar mais relacionado com a dinâmica de água na paisagem que com a maioria dos atributos químicos do solo, pois os maiores valores de CAP e ALT foram encontrados nos terços médio e inferior da toposseqüência, menos férteis. Os valores de d13C de amostras foliares de eucaliptos dos terços superior e inferior fortalecem essa hipótese. Os estoques de C dos solos (4,75 kg m-2 para o PL, 4,63 kg m-2 para o AA, 2,93 kg m-2 para o AV2 e 2,60 kg m-2 para o AV1) se relacionaram com as diferenças na densidade do solo, conseqüência da própria mineralogia. Dessa forma, conclui-se que o relevo tem forte influência sobre os atributos químicos do solo, embora haja evidências de o crescimento do eucalipto se relacionar com a disponibilidade de água no solo.

Efficiency of methods to detect Sclerotinia sclerotiorum in commercial soybean seed lots

Most soybean pathogens are seed transmitted, deserving emphasis the fungus Sclerotinia sclerotiorum, which has been presenting worrying levels of field incidence in some soybean cropping areas in several Brazilian states. The objective of this study was to verify the efficiency of different methods for detecting S. sclerotiorum on soybean seeds artificially infected in the laboratory and from field production areas with a historical disease incidence. Seed samples of seven different cultivars collected from naturally infested fields, and one seed sample artificially inoculated in the laboratory were used. The following detection methods recommended in the literature were compared: Blotter test at 7 ºC, 14 ºC, and 21 ºC; Rolled Paper; and Neon-S. Results demonstrated that these methods showed no repeatability and had a low sensitivity for detecting the pathogen in seeds from areas with disease incidence. They were effective, however, for its detection on artificially inoculated seeds. In the Blotter test method at 7 ºC, there was a lower incidence of other fungi considered undesirable during seed analysis.

Avaliação do potencial de uso da restrição hídrica em teste de sanidade de sementes de trigo visando à detecção de fungos

Objetivou-se, com o presente trabalho, avaliar a viabilidade do uso da restrição hídrica, em substituição ou alternativa ao uso da técnica de congelamento de sementes de trigo, no teste de incubação em substrato de papel, blotter test. O trabalho consistiu na comparação das duas técnicas por meio do exame de 60 amostras de sementes, coletadas em diferentes áreas do Estado de Minas Gerais e outras regiões do país, tendo como restritor hídrico o soluto manitol, no potencial de -1,10 MPa, valor este determinado preliminarmente com base na capacidade de redução da germinação das sementes de trigo em condições do teste de sanidade. A incidência média de Bipolaris sorokiniana não foi afetada por nenhuma das técnicas comparadas, havendo, por outro lado, um maior estímulo da restrição hídrica em relação à Pyricularia grisea, Aspergillus ochraceus, Cladosporium cladosporioides e Epicoccum purpuracens. Para Alternaria alternata, Drechslera tritici-repentis e Fusarium graminearum, os maiores valores de incidência ocorreram no método do congelamento.