Antigens in Other Mycobacteria ROGER J
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(ERYTHEMA NODOSUM LEPROSUM) the Term
? THE HISTOPATHOLOGY OF ACUTE PANNICULITIS NODOSA LEPROSA (ERYTHEMA NODOSUM LEPROSUM) w. J. PEPLER, M.B., Ch.B. Department of Pathology, South African Institute for Medical Research, Johannesburg R. KOOIJ, M.D. Westfort Institution, Pretoria AND J. MARSHALL, M.D. University of Pretoria, Pretoria The term "erythema nodosum leprosum" has frequently appeared in the literature on leprosy since the 1930's, apparently popularized by the Japanese (9). The occurrence of "erythema nodosum" in leprosy had previously been noted at the end of the nineteenth century by Brocq (6) and by Hansen and Looft (8), but the term seems to have fallen into disuse. As will become clear from our clinical and histological descriptions of the phenomenon commonly known as erythema nodosum leprosum, we believe the title to be a misnomer. We suggest that it would be more accurate to call it panniculitis nodosa leprosa (P.N.L,). This condition is commonly confused with acute lepra reaction, both processes being referred to as "acute reactions"; but a sharp line of distinction must be drawn between them. P.N.L. occurs only in patients with lepromatous leprosy as an acute, subacute or chronic skin eruption, with or without fever. It is characterized by showers of dusky red nodules, 0.5 to 2 cm. in diameter, on the extensor surfaces of the limbs, on the face, and, less often, on the trunk. The number of lesions appearing in an attack varies from a few to several hundreds, and they sometimes coalesce to form plaques. The nodules may be painful, and they are usually tender to touch. -
Chapter 3 Bacterial and Viral Infections
GBB03 10/4/06 12:20 PM Page 19 Chapter 3 Bacterial and viral infections A mighty creature is the germ gain entry into the skin via minor abrasions, or fis- Though smaller than the pachyderm sures between the toes associated with tinea pedis, His customary dwelling place and leg ulcers provide a portal of entry in many Is deep within the human race cases. A frequent predisposing factor is oedema of His childish pride he often pleases the legs, and cellulitis is a common condition in By giving people strange diseases elderly people, who often suffer from leg oedema Do you, my poppet, feel infirm? of cardiac, venous or lymphatic origin. You probably contain a germ The affected area becomes red, hot and swollen (Ogden Nash, The Germ) (Fig. 3.1), and blister formation and areas of skin necrosis may occur. The patient is pyrexial and feels unwell. Rigors may occur and, in elderly Bacterial infections people, a toxic confusional state. In presumed streptococcal cellulitis, penicillin is Streptococcal infection the treatment of choice, initially given as ben- zylpenicillin intravenously. If the leg is affected, Cellulitis bed rest is an important aspect of treatment. Where Cellulitis is a bacterial infection of subcutaneous there is extensive tissue necrosis, surgical debride- tissues that, in immunologically normal individu- ment may be necessary. als, is usually caused by Streptococcus pyogenes. A particularly severe, deep form of cellulitis, in- ‘Erysipelas’ is a term applied to superficial volving fascia and muscles, is known as ‘necrotiz- streptococcal cellulitis that has a well-demarcated ing fasciitis’. This disorder achieved notoriety a few edge. -
6/12/2018 1 Infectious Dermatopathology
6/12/2018 Infectious Dermatopathology – What is “bugging” you? Alina G. Bridges, D.O. Associate Professor Program Director, Dermatopathology Fellowship ASDP Alternate Advisor to the AMA-RUC Department of Dermatology, Division of Dermatopathology and Cutaneous Immunopathology Mayo Clinic, Rochester Disclosures ▪Relevant Financial Relationships ▪None ▪Off Label Usage ▪No Background ▪ One of the most challenging tasks in medicine is the accurate and timely diagnosis of infectious diseases ▪ Classically, infectious disease diagnosis is under the domain of the microbiology laboratory ▪ Culture ▪ May not be performed due to lack of clinical suspicion ▪ Time consuming ▪ Not possible for some organisms ▪ May fail to grow organism due to prior antibiotic treatment, sampling error 1 6/12/2018 Background, continued ▪ Infectious diseases has always played a significant role in our specialty ▪ Many infectious diseases have primary skin manifestations ▪ Dermatopathologists offer invaluable information: ▪ Knowledge of inflammatory patterns and other similar appearing non-infectious conditions ▪ Visualize microorganisms and associated cellular background ▪ Colonization versus Invasion Course Objectives At the end of this course, participants should be able to: ▪ Identify common and important infectious organisms in dermatopathology specimens based on histopathologic features ▪ Develop an appropriate differential diagnosis based on morphologic features, clinical presentation, exposure history, and corresponding microbiology results ▪ Use an algorithm -
The Complete Genome Sequence of Mycobacterium Bovis
The complete genome sequence of Mycobacterium bovis Thierry Garnier*, Karin Eiglmeier*, Jean-Christophe Camus*†, Nadine Medina*, Huma Mansoor‡, Melinda Pryor*†, Stephanie Duthoy*, Sophie Grondin*, Celine Lacroix*, Christel Monsempe*, Sylvie Simon*, Barbara Harris§, Rebecca Atkin§, Jon Doggett§, Rebecca Mayes§, Lisa Keating‡, Paul R. Wheeler‡, Julian Parkhill§, Bart G. Barrell§, Stewart T. Cole*, Stephen V. Gordon‡¶, and R. Glyn Hewinson‡ *Unite´deGe´ne´ tique Mole´culaire Bacte´rienne and †PT4 Annotation, Ge´nopole, Institut Pasteur, 28 Rue du Docteur Roux, 75724 Paris Cedex 15, France; ‡Tuberculosis Research Group, Veterinary Laboratories Agency Weybridge, Woodham Lane, New Haw, Addlestone, Surrey KT15 3NB, United Kingdom; and §The Wellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridge CB10 1SA, United Kingdom Edited by John J. Mekalanos, Harvard Medical School, Boston, MA, and approved March 19, 2003 (received for review January 24, 2003) Mycobacterium bovis is the causative agent of tuberculosis in a The disease is caused by M. bovis, a Gram-positive bacillus range of animal species and man, with worldwide annual losses to with zoonotic potential that is highly genetically related to agriculture of $3 billion. The human burden of tuberculosis caused Mycobacterium tuberculosis, the causative agent of human tu- by the bovine tubercle bacillus is still largely unknown. M. bovis berculosis (5, 6). Although the human and bovine tubercle bacilli was also the progenitor for the M. bovis bacillus Calmette–Gue´rin can be differentiated by host range, virulence and physiological vaccine strain, the most widely used human vaccine. Here we features the genetic basis for these differences is unknown. M. describe the 4,345,492-bp genome sequence of M. -
The Approved List of Biological Agents Advisory Committee on Dangerous Pathogens Health and Safety Executive
The Approved List of biological agents Advisory Committee on Dangerous Pathogens Health and Safety Executive © Crown copyright 2021 First published 2000 Second edition 2004 Third edition 2013 Fourth edition 2021 You may reuse this information (excluding logos) free of charge in any format or medium, under the terms of the Open Government Licence. To view the licence visit www.nationalarchives.gov.uk/doc/ open-government-licence/, write to the Information Policy Team, The National Archives, Kew, London TW9 4DU, or email [email protected]. Some images and illustrations may not be owned by the Crown so cannot be reproduced without permission of the copyright owner. Enquiries should be sent to [email protected]. The Control of Substances Hazardous to Health Regulations 2002 refer to an ‘approved classification of a biological agent’, which means the classification of that agent approved by the Health and Safety Executive (HSE). This list is approved by HSE for that purpose. This edition of the Approved List has effect from 12 July 2021. On that date the previous edition of the list approved by the Health and Safety Executive on the 1 July 2013 will cease to have effect. This list will be reviewed periodically, the next review is due in February 2022. The Advisory Committee on Dangerous Pathogens (ACDP) prepares the Approved List included in this publication. ACDP advises HSE, and Ministers for the Department of Health and Social Care and the Department for the Environment, Food & Rural Affairs and their counterparts under devolution in Scotland, Wales & Northern Ireland, as required, on all aspects of hazards and risks to workers and others from exposure to pathogens. -
Leprosy in Refugees and Migrants in Italy and a Literature Review of Cases Reported in Europe Between 2009 and 2018
microorganisms Article Leprosy in Refugees and Migrants in Italy and a Literature Review of Cases Reported in Europe between 2009 and 2018 Anna Beltrame 1,* , Gianfranco Barabino 2, Yiran Wei 2, Andrea Clapasson 2, Pierantonio Orza 1, Francesca Perandin 1 , Chiara Piubelli 1 , Geraldo Badona Monteiro 1, Silvia Stefania Longoni 1, Paola Rodari 1 , Silvia Duranti 1, Ronaldo Silva 1 , Veronica Andrea Fittipaldo 3 and Zeno Bisoffi 1,4 1 Department of Infectious, Tropical Diseases and Microbiology, I.R.C.C.S. Sacro Cuore Don Calabria Hospital, Via Sempreboni 5, 37024 Negrar di Valpolicella, Italy; [email protected] (P.O.); [email protected] (F.P.); [email protected] (C.P.); [email protected] (G.B.M.); [email protected] (S.S.L.); [email protected] (P.R.); [email protected] (S.D.); [email protected] (R.S.); zeno.bisoffi@sacrocuore.it (Z.B.) 2 Dermatological Clinic, National Reference Center for Hansen’s Disease, Ospedale Policlinico San Martino, Sistema Sanitario Regione Liguria, Istituto di Ricovero e Cura a Carattere Scientifico per l’Oncologia, Largo Rosanna Benzi 10, 16132 Genoa, Italy; [email protected] (G.B.); [email protected] (Y.W.); [email protected] (A.C.) 3 Oncology Department, Mario Negri Institute for Pharmacological Research I.R.C.C.S., Via Giuseppe La Masa 19, 20156 Milano, Italy; vafi[email protected] 4 Department of Diagnostic and Public Health, University of Verona, P.le L. A. Scuro 10, 37134 Verona, Italy * Correspondence: [email protected]; Tel.: +39-045-601-4748 Received: 30 June 2020; Accepted: 23 July 2020; Published: 24 July 2020 Abstract: Leprosy is a chronic neglected infectious disease that affects over 200,000 people each year and causes disabilities in more than four million people in Asia, Africa, and Latin America. -
Mycobacterium Leprae a Nd Elevation Of
Lepr. Rev. (1978) 49, 203-213 Absence of jj-Glucuron idase in Mycobacterium leprae and Elevation of the Enzyme in I nfected Tissues K. PRABHAKARAN, E. B. HARRIS AND W. F. KIRCHHEIMER U. S. Public Health Service Hospital. Carville. LA 70 721. USA ,8-Glucuronidase actlVlty was determined in mouse footpads infected with My cobacterium leprae. in the leprosy organisms separated from the liver and spleen of experimentally infected armadillos, and in the armadillo tissues. Enzyme assays in th� mouse footpads were initiated 1 week after inoculation with M. /eprae and continued at monthly intervals for 12 months. In the mouse footpads and in the armadillo tissues, M. leprae infection resulted in remarkable elevations of ,8- glucuronidase leveis. The leprosy bacilli seemed to be devoid of the enzyme. In its properties like pH optimum, reaction velocity and effect of inhibitors, the activity detected in M. leprae resembled the host tis sue enzyme rather than bacterial ,8- glucuronidase; and the activity was found to be superficially adsorbed on the bacilli. lt is well established that phagocytes are rich in lysosomal enzymes. Evidently, the increased ,8-g1ucuronidase of the infected tissues is not derived from the invading organisms, but from the differenttypes of phagocytic cells infiltratingthe tissues. Introduction j3-Glucuronidase is an important hydrolytic enzyme ubiquitously distributed in animal tissues and in tissue fluids. Phagocytic cells are especially rich in j3-g1ucuronidase. In the mammalian liver, the enzyme is largely associated with Iysosomes, and approximately one-third of the activity is distributed in the endoplasmic reticulum. The hydrolase is closely correlated with cellular pro liferation and tissue repair; high leveis of the enzyme are found in the reproductive and endocrine organs and in tumours. -
Mycobacterium Avium Subsp
University of Nebraska - Lincoln DigitalCommons@University of Nebraska - Lincoln Veterinary and Biomedical Sciences, Papers in Veterinary and Biomedical Science Department of July 2001 Mycobacterium avium subsp. paratuberculosis in Veterinary Medicine N. Beth Harris University of Nebraska - Lincoln Raul G. Barletta University of Nebraska - Lincoln, [email protected] Follow this and additional works at: https://digitalcommons.unl.edu/vetscipapers Part of the Veterinary Medicine Commons Harris, N. Beth and Barletta, Raul G., "Mycobacterium avium subsp. paratuberculosis in Veterinary Medicine" (2001). Papers in Veterinary and Biomedical Science. 5. https://digitalcommons.unl.edu/vetscipapers/5 This Article is brought to you for free and open access by the Veterinary and Biomedical Sciences, Department of at DigitalCommons@University of Nebraska - Lincoln. It has been accepted for inclusion in Papers in Veterinary and Biomedical Science by an authorized administrator of DigitalCommons@University of Nebraska - Lincoln. CLINICAL MICROBIOLOGY REVIEWS, July 2001, p. 489–512 Vol. 14, No. 3 0893-8512/01/$04.00ϩ0 DOI: 10.1128/CMR.14.3.489–512.2001 Copyright © 2001, American Society for Microbiology. All Rights Reserved. Mycobacterium avium subsp. paratuberculosis in Veterinary Medicine N. BETH HARRIS AND RAU´ L G. BARLETTA* Department of Veterinary and Biomedical Sciences, University of Nebraska—Lincoln, Lincoln, Nebraska 68583-0905 INTRODUCTION .......................................................................................................................................................489 -
Metabolism in Mycobacterium Leprae, M. Tuberculosis and Other
BnaA Mtthcal BidUnm (1988) Vol 44, No 3, pp 547-561 Metabolism in Mycobacterium leprae M. tuberculosis and Downloaded from https://academic.oup.com/bmb/article/44/3/547/283569 by guest on 28 September 2021 other pathogenic mycobacteria P R Wheeler C Ratledge Department of Biochemistry, Untvernty of Hull, Hull Pathogenic mycobacteria have complex lipoidal cell walls. Most of them secrete further lipids which appear as a layer around intracellular organisms. This lipoidal exterior may protect mycobacteria inside macrophages from attempts that those host cells make to kill them Such protection could be especially important in M leprae which unusually lacks catalase, an important 'self-defence' enzyme. Intracellular mycobacteria must obtain key nutrients from the host. The role of mycobactm and exochelm in acquiring iron, the carbon and nitrogen sources—including metabolic intermediates—used, and control of biosynthetic pathways are discussed. M. tuberculosis is capable of synthesismg all its macromolecules but M. leprae depends on the host for purines (precursors of nucleic acids), and maybe other intermediates Pathogenic mycobacteria grow slowly, and the possibilities that permeability of the envelope to nutrients, catabolic or anabolic (particularly DNA, RNA synthesis) reactions are limiting to growth are considered. Some characteristic activities may represent targets for antimycobactenal agents. Although it is a considerable over-simplification, it could be asserted that most mycobacteria are no more than Escherichia coli wrapped up in a fur coat. Metabolic processes in mycobacteria, for 548 TUBERCULOSIS AND LEPROSY the most part, are therefore the same, in broad outline as have been elucidated in the more amenable bacteria. Thus it is the few activities which are characteristically mycobacterial and the differ- ences between pathogenic mycobacteria and more amenable mi- crobes, that we discuss in this article. -
A Rare Case of Coexistence of Borderline Lepromatous Leprosy with Tuberculosis Verrucosa Cutis
Hindawi Publishing Corporation Case Reports in Infectious Diseases Volume 2016, Article ID 1746896, 4 pages http://dx.doi.org/10.1155/2016/1746896 Case Report A Rare Case of Coexistence of Borderline Lepromatous Leprosy with Tuberculosis Verrucosa Cutis Biswajit Dey,1 Debasis Gochhait,1 Nagendran Prabhakaran,2 Laxmisha Chandrashekar,2 and Biswanath Behera2 1 Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India 2Department of Dermatology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India Correspondence should be addressed to Debasis Gochhait; [email protected] Received 13 July 2016; Revised 23 October 2016; Accepted 31 October 2016 Academic Editor: Sinesio´ Talhari Copyright © 2016 Biswajit Dey et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Occurrence of pulmonary tuberculosis with leprosy is known but association of cutaneous tuberculosis with leprosy is rare. We report a case of borderline lepromatous leprosy coexistent with tuberculosis verrucosa cutis in a 29-year-old male, who presented with multiple skin coloured nodules and hyperkeratotic scaly lesions of 3-month duration. Dual infections are associated with high mortality and morbidity. Therefore early diagnosis and management helps to reduce mortality and to mitigate the effects of morbidity. 1. Introduction or motor weakness. The patient denied any drug intake, fever, myalgia, spontaneous blistering or ulceration, neuritic Mycobacterium leprae is the causative agent of leprosy that pain, and testicular pain. None of the family members or affects the skin and peripheral nerves. -
Genomics Insights Into the Biology and Evolution of Leprosy Bacilli
The International Textbook of Leprosy Part II Section 8 Chapter 8.2 Genomics Insights Into the Biology and Evolution of Leprosy Bacilli Pushpendra Singh Department of Microbiology and Biotechnology Centre, The Maharaja Sayajirao University of Baroda JoAnn Tufariello Department of Microbiology and Immunology, Albert Einstein College of Medicine Center for Microbial Pathogenesis, Institute for Biomedical Sciences, Georgia State University Alice R Wattam Biocomplexity Institute, Virginia Tech University Thomas P Gillis Effect: hope Department of Microbiology, Immunology and Parasitology, Louisiana State University School of Medicine William R Jacobs Jr Department of Microbiology and Immunology, Albert Einstein College of Medicine The International Textbook of Leprosy Genomics Insights Introduction GENERAL INTRODUCTION Leprosy is a chronic granulomatous disease that affects the peripheral nerves, skin, and eyes. It was strongly believed to be a hereditary disease until 1873, when a young Norwegian physician, Gerhard Armauer Hansen, demonstrated the causative bacterium of the disease. The pathogen, known as Mycobacterium leprae, has since defied all efforts to cultivate it in any artificial medi- um, thereby limiting traditional microbiological investigations. The availability of a very effective multi-drug therapy (MDT; see Chapter 2.6; Chapter 5.2) for over three decades has drastically reduced the prevalence of the disease; however, it has also facilitated the notion held by the general public and health policymakers that it is a disease of the past. This notion is clearly not the case, as new case detection rates of leprosy have stubbornly remained at or near 200,000 cases annually over the past decade (1). The persistent rate of new cases indicates that transmis- sion has not been completely interrupted by MDT and that a fuller understanding of transmis- sion (see Chapter 1.2) is required to fashion strategies aimed at reaching zero transmission of M. -
Antigen-Coated Latex Particles As a Model System for Probing Monocyte Responses in Leprosy RUMINA S
INFECrION AND IMMUNITY, Sept. 1993, p. 3724-3729 Vol. 61, No. 9 0019-9567/93/093724-06$02.00/0 Copyright C 1993, American Society for Microbiology Antigen-Coated Latex Particles as a Model System for Probing Monocyte Responses in Leprosy RUMINA S. HASAN,1* HAZEL M. DOCKRELL,2 SARWAT JAMIL,1 THOMAS J. CHIANG,3 AND RABIA HUSSAIN1 Department ofMicrobiology, Aga Khan University, Stadium Road,1 and Marie Adelaide Leprosy Centre, Mariam Manzil,3 Karachi 5, Pakistan, and Department of Clinical Sciences, London School ofHygiene and Tropical Medicine, London WCJE 7HT, United Kingdom2 Received 2 November 1992/Returned for modification 2 February 1993/Accepted 21 June 1993 To study responses to Mycobacterium leprae antigens, we developed an in vitro model system in which latex particles coated with M. keprae sonic extract (MLSON) antigen were presented to monocytes. Uptake and oxidative response as measured by superoxide production to these antigens were investigated. Phagocytosis of MLSON-coated particles was greater than that of control particles in monocytes from both leprosy patients and controls from leprosy-endemic areas; uptake of MLSON-coated particles was higher in monocytes from lepromatous leprosy patients than in cells from tuberculoid leprosy patients and controls. In both patients and controls, uptake of latex particles coated with leprosy antigens triggered very little reduction of nitroblue tetrazolium although the cells were capable of mounting a respiratory burst. Antigen-coated latex particles can therefore be used as a tool to investigate monocyte responses to M. leprae and individual recombinant antigens. The monocyte/macrophage is a central cell in the immune MATERIALS AND METHODS response to mycobacteria.