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View Tickborne Diseases Sample Report
1360 Bayport Ave, Ste B. San Carlos, CA 94070 1(866) 364-0963 | [email protected] | www. vibrant-wellness.com PATIENT PROVIDER NAME: DEMO REPORT GENDER: Male PRACTICE NAME: Vibrant IT4 Practice DATE OF BIRTH: 04/14/1998 AGE: 22 PROVIDER NAME: Demo Client, DDD (999994) ADDRESS: TEST STREET, TEST CITY, KY- 42437. ACCESSION ID: 2009220006 PHLEBOTOMIST: 607 SPECIMEN COLLECTION TIME: 09-21-2020 11:14 SPECIMEN RECEIVED TIME: 09-22-2020 05:14 FINAL REPORT TIME: 09-25-2020 15:56 FASTING: FASTING Your Vibrant Wellness TickBorne 2.0 panel results are enclosed. These results are intended to aid in the diagnosis of tickborne diseases by your healthcare provider. The Vibrant Tickborne Diseases panel tests for IgG and IgM antibodies for Borreliosis/Lyme disease as well as co-infection(s) and opportunistic infections with other tick-borne illnesses along with detection of DNA of the species causing these infections. The Vibrant Immunochip test is a semiquantitative assay that detects IgG and IgM antibodies in human serum. The PCR Test is a real-time PCR Assay designed for qualitative detection of infectious group- specific DNA in clinical samples. Interpretation of Report: The test results of antibody levels to the individual antigens are calculated by comparing the average intensity of the individual antibody to that of a reference population and cut-off chosen for each protein. Reference ranges have been established using a well characterized set of more than 300 serum samples and antibodies to specific bacteria tested. The results are displayed as In Control, Moderate, or High Risk.for each antigen tested. -
IS IT LYME DISEASE, Or TICK-BORNE RELAPSING FEVER?
IS IT LYME DISEASE, or TICK-BORNE RELAPSING FEVER? Webinar Presented by Joseph J. Burrascano Jr. M.D. Joined by Jyotsna Shah PhD for the Q&A January 2020 Presenters Joseph J. Burrascano Jr. M.D. • Well-known pioneer in the field of tick-borne diseases, active since 1985 • Founding member of ILADS and ILADEF • Active in physician education on all aspects of tick-borne diseases Jyotsna Shah, PhD • President & Laboratory Director of IGeneX Clinical Laboratory • Over 40 Years of Research Experience in Immunology, Molecular Biology & Microbiology • Author of Multiple Publications & Holds More Than 20 Patents • Member of ILRAD as a Post-Doctoral Scientist • Started the First DNA Sequencing Laboratory in E. Africa 2 Poll Question Before we begin, we’d like to ask a poll question. Which one of these Borrelia causes Tick-Borne Relapsing Fever (TBRF)? a) B. mayonii b) B. turicatae c) B. burgdorferi d) B. andersonii e) B. garinii 3 Poll Question Before we begin, we’d like to ask a poll question. Which one of these Borrelia causes Tick-Borne Relapsing Fever (TBRF)? a) B. mayonii - Lyme b) B. turicatae - TBRF c) B. burgdorferi - Lyme d) B. andersonii - Lyme e) B. garinii – Lyme strain in Europe 4 What is TBRF? • Has been defined by clinical presentation • Has been defined by tick vector • Has been defined by genetics • Has been defined by serotype BUT • Each of these has exceptions and limitations! 5 Clinical Presentation of Classic TBRF • “Recurring febrile episodes that last ~3 days and are separated by afebrile periods of ~7 days duration.” • “Each febrile episode involves a “crisis.” During the “chill phase” of the crisis, patients develop very high fever (up to 106.7°F) and may become delirious, agitated, tachycardic and tachypneic. -
Genetic and Antigenic Characterization of Borrelia Coriaceae, Putative Agent of Epizootic Bovine Abortion RANCE B
JOURNAL OF CLINICAL MICROBIOLOGY, Mar. 1989, p. 389-393 Vol. 27, No. 3 0095-1137/89/030389-05$02.00/0 Copyright © 1989, American Society for Microbiology Genetic and Antigenic Characterization of Borrelia coriaceae, Putative Agent of Epizootic Bovine Abortion RANCE B. LEFEBVRE* AND GUEY-CHUEN PERNG Department of Veterinary Microbiology and Immunology, School of Veterinary Medicine, University of California, Davis, California 95616 Received 15 August 1988/Accepted 7 November 1988 Borrelia coriaceae was characterized genetically and antigenically by utilizing the following techniques: restriction endonuclease analysis, Southern blotting and genomic hybridization, pulsed-field electrophoresis, sodium dodecyl sulfate-polyacrylamide gel electrophoresis, and immunoblotting. The B. coriaceae genome revealed unique and characteristic banding patterns both by agarose gel electrophoresis and by hybridization when compared with several Borrelia burgdorferi isolates. Pulsed-field gel electrophoresis demonstrated several linear plasmids ranging from 65 to 30 kilobase pairs. Cross-reaction with B. burgdorferi antigens ranging from 21 to 26 kilodaltons were demonstrated by immunoblotting with rabbit anti-B. coriaceae antiserum. However, most B. coriaceae antigens were quite distinct when compared with B. burgdorferi and Leptospira interrogans antigens. Borrelia coriaceae was isolated from the soft-bodied tick specifications. The restriction fragments were separated by Ornithodoros coriaceus in 1985 (16). It was classified as a gel electrophoresis in a 0.7% agarose gel at 60 V for 15.5 h. new species ofBorrelia in 1987 (12). It has been described as The gel was then stained with ethidium bromide, illuminated the putative agent of epizootic bovine abortion (12, 16, 20, with UV irradiation, and photographed. The DNA in the gel 21), although conclusive evidence of the role of the spiro- was then transferred to a nylon membrane by the method of chete as a pathogen is still lacking. -
Electronic Laboratory Reporting Use Case January 2011
ILLINOIS HEALTH INFORMATION EXCHANGE Electronic Laboratory Reporting Use Case Electronic Laboratory Reporting and Health Information Exchange Illinois Health Information Exchange Public Health Work Group January 2011 Electronic Laboratory Reporting Use Case January 2011 Table of Contents 1.0 Executive Summary……………………………………………………………………….3 2.0 Introduction…………………………………………………………………...……………..5 3.0 Scope……………………………………..………………………………………………………5 4.0 Use Case Stakeholders…………………………………………………………….….....6 5.0 Issues and Obstacles……………………………………………………………………...8 6.0 Use Case Pre-Conditions .………………….…………………………………………...8 7.0 Use Case Post-Conditions.……………………………………………………………...9 8.0 Detailed Scenarios/Technical Specifications.………………………………10 9.0 Validation and Certification………………………………………………………...12 Appendix ………………………………………………………………………………………….....13 Page 2 Electronic Laboratory Reporting Use Case January 2011 1.0 Executive Summary This Use Case is a product of the Public Health Work Group (PHWG) of the Illinois Health Information Exchange (HIE) Advisory Committee. The Illinois HIE Advisory Committee was constituted as the diverse public healthcare stakeholder body providing input and recommendations on the creation of the Illinois Health Information Exchange Authority (“the Authority”) as the Illinois vehicle for designing and implementing electronic health information exchange in Illinois. The establishment of the Authority marks the formal transition of the work of the HIE Advisory Committee and the Work Groups into alignment with the provisions of Illinois -
(Acari: Argasidae) Ticks on Socotra Cormorant Colony in the United Arab Emirates and Presence of Three Important Pathogenic Groups in Them Raheel Nasser Alkayyoomi
United Arab Emirates University Scholarworks@UAEU Biology Theses Biology 4-2018 Metagenomic Profile of the Bacterial Communities Associated With Ornithodoros Muesebecki (Acari: Argasidae) Ticks On Socotra Cormorant Colony in the United Arab Emirates and Presence of Three Important Pathogenic Groups in Them Raheel Nasser Alkayyoomi Follow this and additional works at: https://scholarworks.uaeu.ac.ae/bio_theses Part of the Environmental Sciences Commons Recommended Citation Alkayyoomi, Raheel Nasser, "Metagenomic Profile of the Bacterial Communities Associated With Ornithodoros Muesebecki (Acari: Argasidae) Ticks On Socotra Cormorant Colony in the United Arab Emirates and Presence of Three Important Pathogenic Groups in Them" (2018). Biology Theses. 5. https://scholarworks.uaeu.ac.ae/bio_theses/5 This Thesis is brought to you for free and open access by the Biology at Scholarworks@UAEU. It has been accepted for inclusion in Biology Theses by an authorized administrator of Scholarworks@UAEU. For more information, please contact [email protected]. If ! )) o:ui.a.JpU IG...u I u I La!JI Ci5t.o b UJ\EU '\J United AT�b EmiTat�s U�iveTsity United Arab Emirates University College of Science Depaliment of Biology METAGENOMIC PROFILE OF THE BACTERIAL COMMUNITIES ASSOCIATED WITH ORNITHODOROS MUESEBECKI(ACARI: ARGASIDAE) TICKS ON SOCOTRA CORMORANT COLONY IN THE UNITED ARAB EMIRATES AND PRESENCE OF THREE IMPORTANT PATHOGENIC GROUPS IN THEM Raheel asser Mohammed Hmoud Alkayyoomi This thesis is submitted in partial fulfilment of the requirements fo -
Lyme Borreliosis Biology, Epidemiology and Control
Lyme Borreliosis Biology, Epidemiology and Control Lyme Borreliosis Biology, Epidemiology and Control Edited by J. Gray Department of Environmental Resource Management University College Dublin Republic of Ireland O. Kahl Institut für Angewandte Zoologie Freie Universität Berlin Germany R.S. Lane Department of Environmental Science, Policy and Management University of California at Berkeley USA and G. Stanek Institute of Hygiene University of Vienna Austria CABI Publishing CABI Publishing is a division of CAB International CABI Publishing CABI Publishing CAB International 10 E 40th Street Wallingford Suite 3203 Oxon OX10 8DE New York, NY 10016 UK USA Tel: +44 (0)1491 832111 Tel: +1 212 481 7018 Fax: +44 (0)1491 833508 Fax: +1 212 686 7993 E-mail: [email protected] E-mail: [email protected] Web site: www.cabi-publishing.org © CAB International 2002. All rights reserved. No part of this publication may be reproduced in any form or by any means, electronically, mechanically, by photocopying, recording or otherwise, without the prior permission of the copyright owners. A catalogue record for this book is available from the British Library, London, UK. A catalogue record for this book is available from the Library of Congress, Washington DC, USA. ISBN 0 85199 632 9 Typeset by Wyvern 21 Ltd, Bristol Printed and bound in the UK by Cromwell Press, Trowbridge Contents Contributors vii Preface ix 1. History and Characteristics of Lyme Borreliosis 1 G. Stanek, F. Strle, J. Gray and G.P. Wormser 2. Ecological Research on Borrelia burgdorferi sensu lato: Terminology and Some Methodological Pitfalls 29 O. Kahl, L. Gern, L. -
Serological Prevalence and Risk Factors of Borrelia Burgdorferi in Water Buffaloes (Bubalus Bubalis, Linnaeus, 1758) on Marajó Island, Northern Region of Brazil
Rev. Salud Anim. Vol. 36 No. 3 (2014): 147-151 ORIGINAL ARTICLE Serological prevalence and risk factors of Borrelia burgdorferi in water buffaloes (Bubalus bubalis, Linnaeus, 1758) on Marajó Island, northern region of Brazil Jenevaldo Barbosa da SilvaI*, Bruna de A. BaêtaII, Cinthia T. A. LopesIII, Bruna Sampaio Martins Land ManierII, Gustavo Nunes Santana de CastroII, Priscilla Nunes dos SantosII, Adivaldo Henrique da FonsecaII, José Diomedes BarbosaIII IFaculdade de Ciências Agrárias e Veterinárias - UNESP, Rod. Carlos Tonanni, km 05, 14870-000, Jaboticabal, São Paulo, Brazil. E-mail: [email protected]. IIUniversidade Federal Rural do Rio de Janeiro - UFRRJ, BR465, Km 07, 23890-000, Seropédica, Rio de Janeiro, Brazil. E-mail: [email protected]. IIIUniversidade Federal do Pará, Centro Agropecuário, Departamento de Ciência Animal. Rua Maximino Porpino da Silva, 1000, Centro Castanhal, PA, Brazil. 68748-080. E-mail: [email protected]. ABSTRACT: Sera samples were collected from 330 water buffaloes on Marajó Island, state of Pará, Brazil, to assess the presence of antibodies against Borrelia burgdorferi by indirect Enzyme Linked Immunosorbent Assay. Approximately 45% of the animals had antibodies against B. burgdoferi. The prevalence of seropositive buffaloes, 72% (85/118), was statistically higher in the city of Soure than in the other municipalities tested. Murrah breed animals were significantly more seropositive (Prevalence Ratio (PR) = 1.84, p = 0.000) than those of the Mediterranean breed. Among the animals diagnosed positive for tuberculosis, 33% (4/12), were also seropositive for B. burgdoferi. Animals positive for tuberculosis had a significantly lower level of B. burgdorferi seropositivity (PR = 1.36, p = 0.0017) than negative animals. -
Vector-Borne Disease Flyer
Do You Have Patients That Suffer from Chronic Pain and Fatigue? Medical Diagnostic Laboratories offers State-of-the-art Vector-Borne Disease Testing • Comprehensive vector-borne test menu including Lyme disease and viral & bacterial coinfections • Detection by DNA-based Polymerase Chain Reaction (PCR) and serology-based IgG/IgM • C6 Peptide ELISA testing for Borrelia burgdorferi • CDC and alternative interpretation of bands provided for Borrelia burgdorferi Immunoblot • Test additions available up to 30 days after collection • No refrigeration required before or after collection • 5-10 days turnaround time • Affordable patient pricing for non-insured patients • We file all insurances including Medicare, Medicaid, PPOs and HMOs • Founded in 1997 as a vector-borne & Lyme testing laboratory • Testing available for patients of all ages A DIVISION OF • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • TM Medical Diagnostic Laboratories, L.L.C. CLINICAL www.mdlab.com • 877.269.0090 DIAGNOSTICS 7/2019 Vector-Borne Diseases TICK-BORNE DISEASES Anaplasmosis & Ehrlichiosis 439 Anaplasma phagocytophilum lgG/lgM by IFA (serum required) 411 Ehrlichia chaff eensis (HME) & Anaplasma phagocytophilum (HGE) by Real-Time PCR 456 Ehrlichia ewingii (HME) by Real-Time PCR Babesiosis 431 Babesia duncani (WA-1) by Real-Time PCR 410 Babesia microti by Real-Time PCR 440 Babesia microti IgG/IgM by IFA (serum required) Borreliosis - Lyme disease 424 Borrelia afzelii (Europe) by Real-Time PCR 441 Borrelia afzelii (Europe) by Western -
Bacteriology
SECTION 1 High Yield Microbiology 1 Bacteriology MORGAN A. PENCE Definitions Obligate/strict anaerobe: an organism that grows only in the absence of oxygen (e.g., Bacteroides fragilis). Spirochete Aerobe: an organism that lives and grows in the presence : spiral-shaped bacterium; neither gram-positive of oxygen. nor gram-negative. Aerotolerant anaerobe: an organism that shows signifi- cantly better growth in the absence of oxygen but may Gram Stain show limited growth in the presence of oxygen (e.g., • Principal stain used in bacteriology. Clostridium tertium, many Actinomyces spp.). • Distinguishes gram-positive bacteria from gram-negative Anaerobe : an organism that can live in the absence of oxy- bacteria. gen. Bacillus/bacilli: rod-shaped bacteria (e.g., gram-negative Method bacilli); not to be confused with the genus Bacillus. • A portion of a specimen or bacterial growth is applied to Coccus/cocci: spherical/round bacteria. a slide and dried. Coryneform: “club-shaped” or resembling Chinese letters; • Specimen is fixed to slide by methanol (preferred) or heat description of a Gram stain morphology consistent with (can distort morphology). Corynebacterium and related genera. • Crystal violet is added to the slide. Diphtheroid: clinical microbiology-speak for coryneform • Iodine is added and forms a complex with crystal violet gram-positive rods (Corynebacterium and related genera). that binds to the thick peptidoglycan layer of gram-posi- Gram-negative: bacteria that do not retain the purple color tive cell walls. of the crystal violet in the Gram stain due to the presence • Acetone-alcohol solution is added, which washes away of a thin peptidoglycan cell wall; gram-negative bacteria the crystal violet–iodine complexes in gram-negative appear pink due to the safranin counter stain. -
Borrelia Infection in Latin America
REVISTA DE INVESTIGACIÓN CLÍNICA Contents available at PubMed www .clinicalandtranslationalinvestigation .com PERMANYER Rev Inves Clin. 2018;70:158-63 BRIEF REVIEW Borrelia Infection in Latin America Alejandro Robles1, James Fong2 and Jorge Cervantes2,3* 1Department of Internal Medicine, 2Paul L. Foster School of Medicine and 3Department of Medical Education, Texas Tech University Health Sciences Center, El Paso, TX, USA ABSTRACT Lyme disease (LD) is a multisystemic inflammatory disease caused by pathogenic spirochetes, belonging to the genospecies complex Borrelia burgdorferi sensu lato (B.b.s.l.). Around the world, distinct species of Ixodes tick vectors transmit different species of Borrelia. Despite the rising recognition and occurrence of tick-borne disease in Latin America, serology has proven to be inconclusive in detecting suspected LD cases. Recently, new B.b.s.l. strains or new related species have been described in Brazil, Uruguay, and Chile. This could explain the lack of confirmatory tests, such as indeterminate Western blots (WBs) and polymerase chain reactions, in detecting suspected LD cases in this region of the world. Future studies will need to determine the extension of novel B.b.s.l. species infections in ticks, reservoirs, and humans in Latin America. The existence of these new Borrelia genomic species should prompt the development of innovative diagnostic and clinical approaches. (REV INVES CLIN. 2018;70:158-63) Key words: Lyme disease. Borrelia. Latin America. LYME DISEASE (LD) - multisystemic inflammatory disease caused by patho- GLOBAL DISTRIBUTION genic spirochetes of the Borrelia burgdorferi sensu lato (B.b.s.l.) complex. LD is the most common vector-borne illness in the United States, and a major zoonosis in Europe and LD was first described nearly 40 years ago after an China1,2. -
REVIEW ARTICLES AAEM Ann Agric Environ Med 2005, 12, 165–172
REVIEW ARTICLES AAEM Ann Agric Environ Med 2005, 12, 165–172 ASSOCIATION OF GENETIC VARIABILITY WITHIN THE BORRELIA BURGDORFERI SENSU LATO WITH THE ECOLOGY, EPIDEMIOLOGY OF LYME BORRELIOSIS IN EUROPE 1, 2 1 Markéta Derdáková 'DQLHOD/HQþiNRYi 1Parasitological Institute, Slovak Academy of Sciences, Košice, Slovakia 2Institute of Zoology, Slovak Academy of Sciences, Bratislava, Slovakia 'HUGiNRYi 0 /HQþiNRYi ' $VVRFLDWLRQ RI JHQHWLF YDULDELOLW\ ZLWKLQ WKH Borrelia burgdorferi sensu lato with the ecology, epidemiology of Lyme borreliosis in Europe. Ann Agric Environ Med 2005, 12, 165–172. Abstract: Lyme borreliosis (LB) represents the most common vector-borne zoonotic disease in the Northern Hemisphere. The infection is caused by the spirochetes of the Borrelia burgdorferi sensu lato (s.l.) complex which circulate between tick vectors and vertebrate reservoir hosts. The complex of Borrelia burgdorferi s.l. encompasses at least 12 species. Genetic variability within and between each species has a considerable impact on pathogenicity, clinical picture, diagnostic methods, transmission mechanisms and its ecology. The distribution of distinct genospecies varies with the different geographic area and over a time. In recent years, new molecular assays have been developed for direct detection and classification of different Borrelia strains. Profound studies of strain heterogeneity initiated a new approach to vaccine development and routine diagnosis of Lyme borreliosis in Europe. Although great progress has been made in characterization of the organism, the present knowledge of ecology and epidemiology of B. burgdorferi s.l. is still incomplete. Further information on the distribution of different Borrelia species and subspecies in their natural reservoir hosts and vectors is needed. Address for correspondence: MVDr. -
Article & Appendix
Case Report and Genetic Sequence Analysis of Candidatus Borrelia kalaharica, Southern Africa Katarina Stete,1 Siegbert Rieg,1 Gabriele Margos, Georg Häcker, Dirk Wagner, Winfried V. Kern, Volker Fingerle Tickborne relapsing fever caused by Borrelia species is geographic regions, and they have traditionally been di- rarely reported in travelers returning from Africa. We report vided into Old World and New World Borrelia. So far, ≈15 a case of a 71-year-old woman who sought treatment at Borrelia species have been described to cause TBRF in hu- University Medical Center in Freiburg, Germany, in 2015 mans worldwide (1). In Africa, TBRF has been traditionally with recurrent fever after traveling to southern Africa. We attributed to B. crocidurae in western Africa, B. hispanica detected spirochetes in Giemsa-stained blood smears. in northern Africa, and B. duttonii in eastern Africa (1,4). Treatment with doxycycline for suspected tickborne relaps- ing fever was successful. Sequence analyses of several loci Because microscopy is currently the standard method (16S rRNA, flagellin, uvrA) showed high similarity to the re- for diagnosis of TBRF in most countries in Africa, diagno- cently described Candidatus Borrelia kalaharica, which was sis does not usually include differentiation of species. With found in a traveler returning from the same region earlier the advent of molecular diagnostic methods, scientists can that year. We provide additional information regarding the identify species by sequencing different loci of Borrelia genetic relationship of Candidatus B. kalaharica. Sequence DNA from blood, such as the 16S rRNA gene, the flagel- information for an additional 6 housekeeping genes enables lin gene (flaB), or the glpQ gene (5,6).