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Molecular Evidence of Novel Spotted Fever Group Rickettsia
pathogens Article Molecular Evidence of Novel Spotted Fever Group Rickettsia Species in Amblyomma albolimbatum Ticks from the Shingleback Skink (Tiliqua rugosa) in Southern Western Australia Mythili Tadepalli 1, Gemma Vincent 1, Sze Fui Hii 1, Simon Watharow 2, Stephen Graves 1,3 and John Stenos 1,* 1 Australian Rickettsial Reference Laboratory, University Hospital Geelong, Geelong 3220, Australia; [email protected] (M.T.); [email protected] (G.V.); [email protected] (S.F.H.); [email protected] (S.G.) 2 Reptile Victoria Inc., Melbourne 3035, Australia; [email protected] 3 Department of Microbiology and Infectious Diseases, Nepean Hospital, NSW Health Pathology, Penrith 2747, Australia * Correspondence: [email protected] Abstract: Tick-borne infectious diseases caused by obligate intracellular bacteria of the genus Rick- ettsia are a growing global problem to human and animal health. Surveillance of these pathogens at the wildlife interface is critical to informing public health strategies to limit their impact. In Australia, reptile-associated ticks such as Bothriocroton hydrosauri are the reservoirs for Rickettsia honei, the causative agent of Flinders Island spotted fever. In an effort to gain further insight into the potential for reptile-associated ticks to act as reservoirs for rickettsial infection, Rickettsia-specific PCR screening was performed on 64 Ambylomma albolimbatum ticks taken from shingleback skinks (Tiliqua rugosa) lo- cated in southern Western Australia. PCR screening revealed 92% positivity for rickettsial DNA. PCR Citation: Tadepalli, M.; Vincent, G.; amplification and sequencing of phylogenetically informative rickettsial genes (ompA, ompB, gltA, Hii, S.F.; Watharow, S.; Graves, S.; Stenos, J. -
Vectorborne Zoonoses: Break-Out Session Epidemiology and Laboratory Capacity Workshop – Oct
Texas Department of State Health Services Vectorborne Zoonoses: Break-out Session Epidemiology and Laboratory Capacity Workshop – Oct. 2018 DSHS Zoonosis Control Branch Session Topics Texas Department of State Health Services • NEDSS case investigation tips • Lyme disease • Rickettsial diseases • Arboviral diseases ELC 2018 - Vectorborne Diseases 2 Texas Department of State Health Services Don’t be a Reject! Helpful tips to keep your notification from being rejected ELC breakout session October 3, 2018 Kamesha Owens, MPH Zoonosis Control Branch Texas Department of State Health Services Objectives • Rejection Criteria • How to document in NBS (NEDSS) • How to Report Texas Department of State Health Services 10/3/2018 ELC 2018 - Vectorborne Diseases 4 Rejection Criteria Texas Department of State Health Services Missing/incorrect information: • Incorrect case status or condition selected • Full Name • Date of Birth • Address • County • Missing laboratory data 10/3/2018 ELC 2018 - Vectorborne Diseases 5 Rejection Criteria continued Texas Department of State Health Services • Inconsistent information • e.g. Report date is a week before onset date • Case investigation form not received by ZCB within 14 days of notification • ZCB recommends that notification not be created until the case is closed and the investigation form has been submitted 10/3/2018 ELC 2018 - Vectorborne Diseases 6 Rejection Criteria continued Texas Department of State Health Services • Condition-specific information necessary to report the case is missing: • Travel history for Zika and other non-endemic conditions • Evidence of neurological disease for WNND case • Supporting documentation for Lyme disease case determination 10/3/2018 ELC 2018 - Vectorborne Diseases 7 How to Document in NBS (NEDSS) Do Don’t Add detailed comments in designated Leave us guessing! comments box under case info tab. -
The Combined Effect of Sulfanilamide and Penicillin in Treatment Of
THE COMBINED EFFECT OF STJLFANILAMIDE AND PENICILLIN IN TREATMENT OF EXPERIMENTAL ERYSIPELOTHRIX RHUSIOPATHIAE INFECTION OF MICE* JOSEPH V. KLAUDER, M.D. AND ANNA M. RULE In a previous communication (1) we reported the results of determinations oi the therapeutic effect of sulfonamide compounds in mice inoculated with Er- ysipelothrix rhusiopathiae. A report was also made of the ineffective use of these compounds in treatment of patients with erysipeloid of Rosenbach and in treatment of one patient with the septicemic form of the infection (2). In our experimental study sulfanilamide, sulfapyridine, sulfathiazole and sul- fadiazine were separately administered to mice orally in doses of 0.2 Gm. per kilogram of body weight. To some the compounds were administered twice daily for two days before inoculation with a virulent strain of Erysipelothrix rhu- siopathiae and twice daily thereafter for six additional days. For others treat- ment was begun four hours after inoculation and then administered twice daily for six additional days; in still others, for eight additional days. It was observed that 12.5 per cent of mice treated before or after the admin- istration of these compounds survived. Additional evidence of some therapeutic effect was the greater percentage (50 per cent) of survival of the animals treated before inoculation and the longer time of survival of animals treated after inocu- lation compared with those of the untreated control group. The therapeutic effect of these compounds is therefore limited. Sulfanilamide and sulfapyridine appeared to give better results than sulfathiazole and sulfadiazine. The thera- peutic effect of these compounds was slightly enhanced when they were employed in conjunction with subcurative injections of immune serum. -
USMLE – What's It
Purpose of this handout Congratulations on making it to Year 2 of medical school! You are that much closer to having your Doctor of Medicine degree. If you want to PRACTICE medicine, however, you have to be licensed, and in order to be licensed you must first pass all four United States Medical Licensing Exams. This book is intended as a starting point in your preparation for getting past the first hurdle, Step 1. It contains study tips, suggestions, resources, and advice. Please remember, however, that no single approach to studying is right for everyone. USMLE – What is it for? In order to become a licensed physician in the United States, individuals must pass a series of examinations conducted by the National Board of Medical Examiners (NBME). These examinations are the United States Medical Licensing Examinations, or USMLE. Currently there are four separate exams which must be passed in order to be eligible for medical licensure: Step 1, usually taken after the completion of the second year of medical school; Step 2 Clinical Knowledge (CK), this is usually taken by December 31st of Year 4 Step 2 Clinical Skills (CS), this is usually be taken by December 31st of Year 4 Step 3, typically taken during the first (intern) year of post graduate training. Requirements other than passing all of the above mentioned steps for licensure in each state are set by each state’s medical licensing board. For example, each state board determines the maximum number of times that a person may take each Step exam and still remain eligible for licensure. -
Diagnostic Code Descriptions (ICD9)
INFECTIONS AND PARASITIC DISEASES INTESTINAL AND INFECTIOUS DISEASES (001 – 009.3) 001 CHOLERA 001.0 DUE TO VIBRIO CHOLERAE 001.1 DUE TO VIBRIO CHOLERAE EL TOR 001.9 UNSPECIFIED 002 TYPHOID AND PARATYPHOID FEVERS 002.0 TYPHOID FEVER 002.1 PARATYPHOID FEVER 'A' 002.2 PARATYPHOID FEVER 'B' 002.3 PARATYPHOID FEVER 'C' 002.9 PARATYPHOID FEVER, UNSPECIFIED 003 OTHER SALMONELLA INFECTIONS 003.0 SALMONELLA GASTROENTERITIS 003.1 SALMONELLA SEPTICAEMIA 003.2 LOCALIZED SALMONELLA INFECTIONS 003.8 OTHER 003.9 UNSPECIFIED 004 SHIGELLOSIS 004.0 SHIGELLA DYSENTERIAE 004.1 SHIGELLA FLEXNERI 004.2 SHIGELLA BOYDII 004.3 SHIGELLA SONNEI 004.8 OTHER 004.9 UNSPECIFIED 005 OTHER FOOD POISONING (BACTERIAL) 005.0 STAPHYLOCOCCAL FOOD POISONING 005.1 BOTULISM 005.2 FOOD POISONING DUE TO CLOSTRIDIUM PERFRINGENS (CL.WELCHII) 005.3 FOOD POISONING DUE TO OTHER CLOSTRIDIA 005.4 FOOD POISONING DUE TO VIBRIO PARAHAEMOLYTICUS 005.8 OTHER BACTERIAL FOOD POISONING 005.9 FOOD POISONING, UNSPECIFIED 006 AMOEBIASIS 006.0 ACUTE AMOEBIC DYSENTERY WITHOUT MENTION OF ABSCESS 006.1 CHRONIC INTESTINAL AMOEBIASIS WITHOUT MENTION OF ABSCESS 006.2 AMOEBIC NONDYSENTERIC COLITIS 006.3 AMOEBIC LIVER ABSCESS 006.4 AMOEBIC LUNG ABSCESS 006.5 AMOEBIC BRAIN ABSCESS 006.6 AMOEBIC SKIN ULCERATION 006.8 AMOEBIC INFECTION OF OTHER SITES 006.9 AMOEBIASIS, UNSPECIFIED 007 OTHER PROTOZOAL INTESTINAL DISEASES 007.0 BALANTIDIASIS 007.1 GIARDIASIS 007.2 COCCIDIOSIS 007.3 INTESTINAL TRICHOMONIASIS 007.8 OTHER PROTOZOAL INTESTINAL DISEASES 007.9 UNSPECIFIED 008 INTESTINAL INFECTIONS DUE TO OTHER ORGANISMS -
Bacterial Soft Tissue Infections Following Water Exposure
CHAPTER 23 Bacterial Soft Tissue Infections Following Water Exposure Sara E. Lewis, DPM Devin W. Collins, BA Adam M. Bressler, MD INTRODUCTION to early generation penicillins and cephalosporins. Thus, standard treatments include fluoroquinolones (ciprofloxacin, Soft tissue infections following water exposure are relatively levofloxacin), third and fourth generation cephalosporins uncommon but can result in high morbidity and mortality. (ceftazidime, cefepime), or potentially trimethoprim-sulfa These infections can follow fresh, salt, and brackish water (4). However, due to the potential of emerging resistance exposure and most commonly occur secondary to trauma. seen in Aeromonas species, susceptibilities should always be Although there are numerous microorganisms that can performed and antibiotics adjusted accordingly (3). It is cause skin and soft tissue infections following water important to maintain a high index of suspicion for Aeromonas exposure, this article will focus on the 5 most common infections after water exposure in fresh and brackish water bacteria. The acronym used for these bacteria--AEEVM, and to start the patient on an appropriate empiric antibiotic refers to Aeromonas species, Edwardsiella tarda, Erysipelothrix regimen immediately. rhusiopathiae, Vibrio vulnificus, and Mycobacterium marinum. EDWARDSIELLA TARDA AEROMONAS Edwardsiella tarda is part of the Enterobacteriaceae family. Aeromonas species are gram-negative rods found worldwide in It is a motile, facultative anaerobic gram-negative rod fresh and brackish water (1-3). They have also been found in that can be found worldwide in pond water, mud, and contaminated drinking, surface, and polluted water sources the intestines of marine life and land animals (5). Risk (3). Aeromonas are usually non-lactose fermenting, oxidase factors for infection include water exposure, exposure positive facultative anaerobes. -
WO 2014/134709 Al 12 September 2014 (12.09.2014) P O P C T
(12) INTERNATIONAL APPLICATION PUBLISHED UNDER THE PATENT COOPERATION TREATY (PCT) (19) World Intellectual Property Organization International Bureau (10) International Publication Number (43) International Publication Date WO 2014/134709 Al 12 September 2014 (12.09.2014) P O P C T (51) International Patent Classification: (81) Designated States (unless otherwise indicated, for every A61K 31/05 (2006.01) A61P 31/02 (2006.01) kind of national protection available): AE, AG, AL, AM, AO, AT, AU, AZ, BA, BB, BG, BH, BN, BR, BW, BY, (21) International Application Number: BZ, CA, CH, CL, CN, CO, CR, CU, CZ, DE, DK, DM, PCT/CA20 14/000 174 DO, DZ, EC, EE, EG, ES, FI, GB, GD, GE, GH, GM, GT, (22) International Filing Date: HN, HR, HU, ID, IL, IN, IR, IS, JP, KE, KG, KN, KP, KR, 4 March 2014 (04.03.2014) KZ, LA, LC, LK, LR, LS, LT, LU, LY, MA, MD, ME, MG, MK, MN, MW, MX, MY, MZ, NA, NG, NI, NO, NZ, (25) Filing Language: English OM, PA, PE, PG, PH, PL, PT, QA, RO, RS, RU, RW, SA, (26) Publication Language: English SC, SD, SE, SG, SK, SL, SM, ST, SV, SY, TH, TJ, TM, TN, TR, TT, TZ, UA, UG, US, UZ, VC, VN, ZA, ZM, (30) Priority Data: ZW. 13/790,91 1 8 March 2013 (08.03.2013) US (84) Designated States (unless otherwise indicated, for every (71) Applicant: LABORATOIRE M2 [CA/CA]; 4005-A, rue kind of regional protection available): ARIPO (BW, GH, de la Garlock, Sherbrooke, Quebec J1L 1W9 (CA). GM, KE, LR, LS, MW, MZ, NA, RW, SD, SL, SZ, TZ, UG, ZM, ZW), Eurasian (AM, AZ, BY, KG, KZ, RU, TJ, (72) Inventors: LEMIRE, Gaetan; 6505, rue de la fougere, TM), European (AL, AT, BE, BG, CH, CY, CZ, DE, DK, Sherbrooke, Quebec JIN 3W3 (CA). -
Malassezia Furfur Folliculitis in Cancer Patients. the Need for Interaction Of
ANNALS OF CLINICAL AND LABORATORY SCIENCE, Vol. 23, No. 5 Copyright © 1993, Institute for Clinical Science, Inc. Malassezia furfur Folliculitis in Cancer Patients The Need for Interaction of Microbiologist, Surgical Pathologist, and Clinician in Facilitating Identification by the Clinical Microbiology Laboratory* RAMON L. SANDIN, M.D., M.S.,f TZANN-TARN FANG, M.D.,* JOHN W. HIEMENZ, M.D.,t JOHN N. GREENE, M.D.,§ LINA CARD, M.T. (ASCP),t ALEXANDRA KALIK, M.D.,t and JENO E. SZAKACS, M.D.t Departments of Pathology, f Bone Marrow Transplant Service,t and Infectious Diseases,§ H. Lee Moffitt Cancer Center and Research Institute, University of South Florida, Tampa, Florida 33612-9497 ABSTRACT Malassezia furfur (MF) is a lipophilic yeast which can be found as a member of the indigenous microbiota of human skin. In immunocompro mised transplant patients, MF can cause a distinctive folliculitis which is a clinical look-alike to Candida folliculitis, the latter of more potentially devastating significance. Recovery of MF in culture is dependent upon the addition to culture media of an exogenous source of fatty acids, such as olive oil. The addition of an extra Sabourauds plate with an olive oil overlay to the routine set of media used to inoculate all skin biopsy specimens in order to detect MF is labor-intensive and not cost-effective. Thus, MF may not be isolated in cases of MF folliculitis unless the clinical microbiology laboratory is put on alert by the clinical suspicions of the attending physi cian, or by histopathologic findings suggestive of folliculitis revealed by review of surgical pathology slides. -
Retrospective Study of Aeromonas Infection in a Malaysian Urban Area: a 10-Year Experience W S Lee, S D Puthucheary
Singapore Med J 2001 Vol 42(2) : 057-060 Original Article Retrospective Study of Aeromonas Infection in a Malaysian Urban Area: A 10-year Experience W S Lee, S D Puthucheary ABSTRACT Keywords: Aeromonas, gastroenteritis, childhood Aims: To describe the patterns of isolation of Singapore Med J 2001 Vol 42(2):057-060 Aeromonas spp. and the resulting spectrum of infection, intestinal and extra-intestinal, from infants INTRODUCTION and children in an urban area in a hot and humid A variety of human infections, including gastroenteritis, country from Southeast Asia. cellulitis, wound infections, hepatobiliary infections and Materials and methods: Retrospective review of all septicaemia have been reported to be associated with bacterial culture records from children below 16 Aeromonas spp.(1,2). At least three distinctive gastro- years of age, from the Department of Medical intestinal syndromes following gastroenteritis caused by Microbiology, University of Malaya Medical Centre, of Aeromonas sp. have been described: (a) acute, watery Kuala Lumpur, from January 1988 to December 1997. diarrhoea; (b) dysentery; and (c) subacute or chronic Review of all stool samples and rectal swabs obtained diarrhoea(3). Acute watery diarrhoea was self-limiting(4,5). from children during the same period were carried Dysentery-like illness with bloody and mucousy out to ascertain the isolation rate of Aeromonas sp. diarrhoea, mimicking childhood inflammatory bowel from stools and rectal swabs. The case records of disease was seen occasionally(3). The highest attack rate those with a positive Aeromonas culture were for Aeromonas-associated gastroenteritis appears to be retrieved and reviewed. in young children(4). A wide difference in the frequency of isolation of Aeromonas spp. -
Pseudomonas Skin Infection Clinical Features, Epidemiology, and Management
Am J Clin Dermatol 2011; 12 (3): 157-169 THERAPY IN PRACTICE 1175-0561/11/0003-0157/$49.95/0 ª 2011 Adis Data Information BV. All rights reserved. Pseudomonas Skin Infection Clinical Features, Epidemiology, and Management Douglas C. Wu,1 Wilson W. Chan,2 Andrei I. Metelitsa,1 Loretta Fiorillo1 and Andrew N. Lin1 1 Division of Dermatology, University of Alberta, Edmonton, Alberta, Canada 2 Department of Laboratory Medicine, Medical Microbiology, University of Alberta, Edmonton, Alberta, Canada Contents Abstract........................................................................................................... 158 1. Introduction . 158 1.1 Microbiology . 158 1.2 Pathogenesis . 158 1.3 Epidemiology: The Rise of Pseudomonas aeruginosa ............................................................. 158 2. Cutaneous Manifestations of P. aeruginosa Infection. 159 2.1 Primary P. aeruginosa Infections of the Skin . 159 2.1.1 Green Nail Syndrome. 159 2.1.2 Interdigital Infections . 159 2.1.3 Folliculitis . 159 2.1.4 Infections of the Ear . 160 2.2 P. aeruginosa Bacteremia . 160 2.2.1 Subcutaneous Nodules as a Sign of P. aeruginosa Bacteremia . 161 2.2.2 Ecthyma Gangrenosum . 161 2.2.3 Severe Skin and Soft Tissue Infection (SSTI): Gangrenous Cellulitis and Necrotizing Fasciitis. 161 2.2.4 Burn Wounds . 162 2.2.5 AIDS................................................................................................. 162 2.3 Other Cutaneous Manifestations . 162 3. Antimicrobial Therapy: General Principles . 163 3.1 The Development of Antibacterial Resistance . 163 3.2 Anti-Pseudomonal Agents . 163 3.3 Monotherapy versus Combination Therapy . 164 4. Antimicrobial Therapy: Specific Syndromes . 164 4.1 Primary P. aeruginosa Infections of the Skin . 164 4.1.1 Green Nail Syndrome. 164 4.1.2 Interdigital Infections . 165 4.1.3 Folliculitis . -
Approach to Elephantiasis Nostra of Unclear Etiology: a Case Report with a Brief Review
Journal of Phebology and Lymphology Approach to Elephantiasis Nostra of Unclear Etiology: A Case Report with a Brief Review Authors: Hamit Serdar BAŞBUĞ, Macit BİTARGİ, Kanat ÖZIŞIK Affiliation: Kafkas University Faculty of Medicine, Department of Cardiovascular Surgery, Kars, TURKEY Adress: 1Physiotherapist, Post Graduate Lato Sensu Course on Lymphovenous Rehabilitation of the Medical School in São José do Rio Preto‐FAMERP‐ Rua Tursa 1442 ,apto 201‐ Barroca ‐ Belo Horizonte‐Minas Gerais‐Brazil‐Cep 30431‐091 E‐mail: [email protected]*corresponding author Published: April 2015 Received: January 2015 Journal Phlebology and Lymphology 2015; 8:1‐5 Accepted: 20 March 2015 Abstract Lower extremity lymphedema is an important clinical condition causing morbidity and is frequently encountered by the phlebologists. Elephantiasis Nostra is the status characterized with the extraordinary massive swelling of one or both legs with subsequent thickening and fibrosis of the overlying skin. It is an exaggerated manifestation of a longstanding chronic lymphedema. Etiologically, secondary lymphedema is caused by an external effect such as a chronic lymphangitis, removal of the lymph nodes, trauma, mechanical obstruction, radiotherapy, venous insufficiency, obesity, heart failure, bacterial or helminthic infection (Lymphatic Filariasis), in contrary to the primary lymphedema in which an inherent malfunction of lymphatic channels exists. A morbidly obese female patient with a bilateral Elephantiasis Nostra and our effort on setting the etiological definition and the treatment approach is presented. Key words: Lymphoedema; obesity; leg ulcers Introduction Elephantiasis is the end result of lymphogranuloma Elephantiasis is a progressive enlargement of an extremity venereum, and lastly the Proteus Syndrome which is an 4 or body part accompanied by a chronic inflammatory genetic disorder widely called as "Elephant Man" . -
Positive Rates of Anti-Acari-Borne Disease Antibodies of Rural Inhabitants in Japan
NOTE Public Health Positive rates of anti-acari-borne disease antibodies of rural inhabitants in Japan Tsutomu TAKEDA1)*, Hiromi FUJITA2), Masumi IWASAKI3), Moe KASAI3), Nanako TATORI4), Tomohiko ENDO5), Yuuji KODERA1,5) and Naoto YAMABATA6) 1)Wildlife Section, Center for Weed and Wildlife Management, Utsunomiya University, 350 Mine, Utsunomiya-shi, Tochigi 321-8505, Japan 2)Mahara Institute of Medical Acarology, 56-3 Aratano, Anan-shi, Tokushima 779-1510, Japan 3)Nikko Yumoto Visitor Center, National Parks Foundation Nikko Branch, Yumoto, Nikko-shi, Tochigi 321-1662, Japan 4)Department of Agriculture, Utsunomiya University, 350 Mine, Utsunomiya-shi, Tochigi 321-8505, Japan 5)United Graduate School of Agricultural Science, Tokyo University of Agriculture and Technology, 3-5-8 Saiwai-cho, Fuchu-shi, Tokyo 183-8509, Japan 6)Institute of Natural and Environmental Sciences, University of Hyogo, Sawano 940, Aogaki-cho, Tanba, Hyogo 669-3842, Japan J. Vet. Med. Sci. ABSTRACT. An assessment of acari (tick and mite) borne diseases was required to support 81(5): 758–763, 2019 development of risk management strategies in rural areas. To achieve this objective, blood samples were mainly collected from rural residents participating in hunting events. Out of 1,152 doi: 10.1292/jvms.18-0572 blood samples, 93 were positive against acari-borne pathogens from 12 prefectures in Japan. Urban areas had a lower rate of positive antibodies, whereas mountainous farming areas had a higher positive antibody prevalence. Residents of mountain areas were bitten by ticks or mites Received: 25 September 2018 significantly more often than urban residents. Resident of mountain areas, including hunters, may Accepted: 9 March 2019 necessary to be educated for prevention of akari-borne infectious diseases.