Farizan Tajudin, Nik Azlan Nik Muhamad*

Emergency Department, Medical Centre, National University of Malaysia, Kuala Lumpur, Wilayah Persekutuan, Malaysia

Introduction: Mortality from syncope may not be apparent on initial evaluation in emergency department (ED). No reliable tools or clinical decision rule was established risk stratify mortality or morbidity from syncope. This study relates blood parameters with short term serious outcome of syncope. Methods: This was a single centre case control study of adults presenting to emergency department with syncope (n = 98), over 3 months’ duration. Patients particulars, contact profile and blood investigation results were recorded. Patients were called up to ascertain development of serious outcome of syncope within 7 days. Blood parameters such as hemoglobin, hematocrit, serum urea, serum sodium and Troponin I were compared between serious outcome and non-serious outcome group. Result: There was significant difference (p < 0.05) in hemoglobin, hematocrit, serum urea and Troponin I level between the 2 groups of syncope patients. Lower hemoglobin (11.5 ±3.4 g/dL vs. 13.0 ±2.1 g/dL) and lower hematocrit level (34.5 ±9.1 % vs. 38.8 ±5.8 %) were associated with development of short-term serious outcome after syncope. Higher serum urea (9.3 ±8.0 mmol/L vs. 4.3 ±1.2 mmol/L) and abnormally elevated Troponin I (x2 = 15.77; p < .001) were associated with development of short-term serious outcome after syncope. Conclusion: The parameters studied can be a baseline guide for disposition of syncope patient in ED. Further interventional prospective studies are required.

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Paolo Lissoni1*, Franco Rovelli1, Alejandra Monzon1, Giusy Messina1, Enrica Porta1, Giorgio Porro1, Sonia Pensato1, Elio Martin1, Andrea Sassola1, Alberto Caddeo1, Carla Galli1, Nicoletta Merli1, Agnese Valentini1, Giuseppe Di Fede1

1Institute of Biological Medicine, Milan, Italy

COVID-19 disease is characterized by severe and acute immune alterations, consisting of an abnormal secretion of inflammatory cytokines, mainly IL-17, IL-6 and TNF-alpha, in association with decline in lymphocyte and increase in monocyte counts. ACE2 is the key for COVID19 entry into the cells. However, the link of viral spike protein to ACE2 receptor on cell surface would also block the ACE2 enzymatic activity itself, with a consequent diminished production of angiotensin 1-7 (Ang 1-7), which is provided by fundamental anti-inflammatory and anti-coagulant properties. Then, the severe and acute Ang 1-7 deficiency would allow an exaggerated cytokine-induced inflammatory response, endothelial damage, leak capillary syndrome and acute respiratory distress syndrome (ARDS). Moreover, because of the documented connections occurring among ACE2, cannabinoid system and melatonin (MLT) secretion from the pineal gland, the block of ACE2 activity would also allow a concomitant deficiency of pineal-cannabinoid system axis, which plays a fundamental anti-inflammatory role by inhibiting IL-17 secretion, one of the main cytokine involved in COVID19 infection. Therefore, COVID19-induced exaggerated inflammatory response could be controlled at least in part by correcting Ang 1-7, MLT and cannabinoid deficiency through their exogenous administration. On these bases, a study was planned in 30 COVID19-infected patients with initial or important symptomatology, 16 of whom orally treated by MLT (20 mg/day in the evening) plus cannabidiol (CBD) (10 mg x 2/day) only, while the other 14 patients received also Ang 1-7 (0.5 mg 2/day orally). The results were compared to those observed in a control group of 30 COVID-19 infected patient, who received the only supportive therapy. No hospitalisation for initial respiratory failure was required in the group of patients treated by the neuroimmune regimen. In addition, most patients referred a rapid disappearance of fever and myalgia, as well as a relief of asthenia, particularly in those concomitantly treated with Ang 1-7. On the contrary, 5/30 (17%) control patients required hospitalisation. The difference was statistically significant (0/30 vs 5/30, P< 0.05). This preliminary study would suggest that a neuroimmune approach consisting of MLT and CBD in association with Ang 1-7 is an effective and non-toxic regimen in the therapy of COVID19-related symptoms, which could also control the clinical evolution of disease and reduce the need of hospitalisation.

DOI: 10.29245/2689-9981/2018/2.1162 View / Download Pdf

Biyu1†, Pang Zheng2†, Shao Lijun1, Tang Yunfeng1, Niu Guoyu1*

1School of Public Health, WeiFang Medical University, China

2Tianjin International Joint Academy of Biomedicine, Tianjin, China

Objective: To investigate the frequency of influenza A and influenza B infections in people entering China at Tianjin port during 2019, so as to provide the basis for preventing the spread and control of influenza A and influenza B virus in China, and preliminarily assess the risk of entry passengers.

Methods: The throat swabs of entry personnel at Tianjin port in 2019 were collected, and influenza A and influenza B virus in the samples were detected by quantitative RT-PCR. According to the collected passenger information, combined with the experimental results, classification was carried out, and the related factors influencing the positive of influenza A and influenza B virus were analyzed.

Results: A total of 1605 throat swabs were collected. The results of quantitative RT-PCR showed that there were 40 (2.5%) cases of influenza A virus positive. No significant differences were found in gender, age and country distribution. However, in terms of entry time, the positive rate of influenza A virus was the highest in the first quarter compared with other quarters, and the difference was statistically significant. At the same time, there were 13 (0.8%) cases of influenza B virus positive in this survey. No significant differences were found in gender, country distribution and entry time, but in terms of the age of entry personnel, the positive detection rate of children and young people with influenza B infection was higher, and the difference between different age groups was statistically significant.

Conclusions: In 2019, Chinese accounted for the majority of the entry personnel at Tianjin port. The detection rates of influenza A and influenza B virus were low, while the total number of foreign immigrants was small, and the detection rate was high. The positive rate of influenza A and influenza B among different genders was similar. The positive detection rate of influenza A virus in the first quarter and influenza B virus in adolescents were relatively high. These two groups of people posed a threat to public health safety in China. Therefore, Therefore, we should focus on prevention and monitoring of key population at ports.

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Patindoilba Marcel Sawadogo1,2*, Kiswendsida Thierry Guiguemdé2,4, Adama Zida1,2, Nina korsaga/Somé2,3, Ibrahim Sangaré5,6, Sanata Bamba5,6, Salimata Kiemdé1, Rasmata Ouédraogo/Traoré2,4

1Parasitology-Mycology Service, Yalgado Ouédraogo University Hospital Center, Ouaga, Burkina Faso

2Training and Research Unit in Health Sciences, Ouaga University 1 Professor Joseph Ki-Zerbo (UO1 / PrZKZ), Ouagadougou, Burkina Faso

3Dermatology-Venereology service, Yalgado Ouédraogo University Hospital Center, Ouaga, Burkina Faso

4Parasitology-Mycology Service, Charles de Gaulle University Hospital Center, Ouagadougou, Burkina Faso

5Institute of Health Sciences, Nazi Boni University, Bobo Dioulasso, Burkina Faso

6Parasitology-Mycology Service, Souro Sanou University Hospital Center, Bobo Dioulasso, Burkina Faso

Background: In Burkina Faso, the first cases of tegumentary leismaniasis were reported in 1960. But it was not until the 1990s that the disease was really known by the Burkinabè with the epidemic that Ouagadougou experienced at that time. Since 2000, the disease has become neglected. However, the frequency of cases diagnosed in hospitals suggests that tegumentary leismaniasis is still endemic in Ouagadougou. Hence the present study whose purpose and assess the current state of the disease in the city of Ouagadougou from 2012 to 2016.

Methods: We conducted a descriptive study on retrospective data collected from January 2012 to December 2016 in different hospitals in the city of Ouagadougou. Data were collected from clinical and laboratory registers.

Results: a total of 96 parasitologically-confirmed cases were identified. Clinical forms were mentioned in 43 patients. Localized cutaneous leishmaniasis was the most common form 25/43 (58.14%), followed by mucocutaneous leishmaniasis 8/43 (18.60%), diffuse cutaneous leishmaniasis 7/43 (16.28%) and finally pseudo-leprosy Leishmaniasis 3/43 (6.98%). The Leishmaniasis / HIV association was found in 15 patients/96 (15.63%). The parasitological examination in search of amastigote forms had a positivity rate of 92/209 (44.02%). Meglumine antimoniate (Glucantime®), the WHO reference drug, was the most prescribed 35/42 (83.33%).

Conclusion: Tegumentary Leishmaniasis still exists in Ouagadougou. Thus, precautions must be taken to avoid an upsurge of cutaneous Leishmaniasis in Ouagadougou.

DOI: 10.29245/2689-9981/2020/2.1159 View / Download Pdf

Mohadeseh Nemati1, Elmira Roshani Asl1, Fahima Danesh Pouya1, Yousef Rasmi1,2*

1Department of Biochemistry, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran

2Cellular and Molecular Research Center, Urmia University of Medical Sciences, Urmia, Iran

DOI: 10.29245/2689-9981/2020/2.1160 View / Download Pdf

Zisheng Shang1, Valentina L. Kouznetsova2,3, Igor F Tsigelny2-5*

1MAP Program UC San Diego, La Jolla, California, USA

2Moores Cancer Center UC San Diego, La Jolla, California, USA

3San Diego Supercomputer Center, UC San Diego, La Jolla, California, USA

4Department of Neurosciences, UC San Diego, La Jolla, California, USA

5CureMatch Inc. San Diego, California, USA

Purpose: Although a strong association between human papillomavirus (HPV) and a variety of cancers has long been established, infection by HPV alone has been shown to be insufficient for the induction of cancer, with a large number of HPV infections regressing without causing cancer. Additionally, HPV-negative cases have worse prognosis rates than HPV-positive ones across a multitude of cancer types. The reasons behind these phenomena are poorly understood. We try to explain it.

Methods: In this meta-analysis study, we first compared the mutation sets of HPV-positive and HPV-negative cancers using data from the Cancer Genome Atlas (TCGA) and from open published sources. Then, focusing on the genes that are exclusively mutated in HPV-negative head and neck cancer, we used KEGG pathways and reviewed literature to investigate how HPV can mimic the effects of mutations in those genes and thereby trigger carcinogenesis despite the absence of those mutations.

Results: Using TCGA mutation frequencies of significantly mutated genes stratified by HPV status, we extracted 17 genes exclusively mutated in HPV-negative cancers and detailed the HPV infection mechanisms that are largely able to mimic the effects of mutations in 13 of these genes. Through our literature searches and pathway analyses, we also presented antitumor effects caused by HPV infection that reduce carcinogenic efficiency and could contribute to the prognosis difference.

Conclusion: Our findings confirm that HPV infection substitutes for some, but not all, somatic driver mutations required for the induction of cancer by mimicking the effects of those mutations through various virus–host interaction mechanisms, thereby accelerating the cancer-related pathways.

DOI: 10.29245/2689-9981/2020/1.1157 View / Download Pdf

Paolo Lissoni1*, Giusy Messina1, Francesco Pelizzoni2, Franco Rovelli1, Fernando Brivio1, Alejandra Monzon1, Nadal Crivelli1, Arianna Lissoni1, Simonetta Tassoni3, Andrea Sassola1, Sonja Pensato1, Giuseppe Di Fede1

1Institute of Biological Medicine, Milan, Italy

2Cardiological Surgery Division, Niguarda Hospital, Milan, Italy

3Effata Institute, Lucca, Italy

Today, it is known that all human biological functions are under two fundamental regulatory systems, consisting of the endocrine system and the cytokine network. Moreover, it has been shown that the cytokines released from the activated immune cells do not influence only immune functions, but also the whole biological system, including the various metabolic activities, the cardiovascular system, and the functionless of the neuroendocrine system itself. Unfortunately, despite the well-demonstrated importance of cytokines in maintaining the status of health, from a clinical point of view the routine evaluation of the cytokine system still remains unconsidered to establish the status of health, since it is investigated only in severe conditions, such as septic shock, disseminated intravascular coagulation and respiratory distress, which have been demonstrated to be due to an abnormal endogenous production of inflammatory cytokines, namely IL-6, TNF-alpha, and IL-1 beta. This clinical deficiency was depended on several factors, particularly on the complexity of cytokine interactions themselves, but also on the decision to use artificial molecules, such as monoclonal antibodies against the various cytokines, to counteract their eventual abnormally enhanced endogenous production, rather than to investigate the mechanisms responsible for their altered production and to correct eventual alterations. The main reason of the complexity of the cytokine network is related to the fact that the interactions occurring among the different cytokines are often founded on positive feedback mechanisms, then on reciprocal stimulatory actions, while the endocrine system is substantially based on negative feedback circuits. The aim of the present review is to propose a synthetic knowledge regarding the main effects and the source of origin of each single interleukin discovered up to now, to elaborate a first preliminary fundamental physiology of the cytokine network.

DOI: 10.29245/2689-9981/2020/1.1155 View / Download Pdf

Piryani Rano Mal1*, Piryani Suneel2, Bhandary Shital3

1Department of Internal Medicine, Universal College of Medical Sciences, Bhairahawa, Nepal

2Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan

3School of Public Health, Patan Academy of Health Sciences, Lalitpur, Nepal

DOI: 10.29245/2689-9981/2020/1.1156 View / Download Pdf

Gyanshankar P. Mishra1*, Ninu P. Babu2

1Dept. of Respiratory Medicine, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India

2Dept. of Respiratory Medicine, Indira Gandhi Government Medical College, Nagpur, Maharashtra, India

Tubercular pleural effusion is one of the extrapulmonary forms of tuberculosis. We herein report the case of a thirty-five-year-old female diagnosed with Tubercular pleural effusion who inadvertently took steroid monotherapy for four weeks sans antitubercular chemotherapy. On follow up she showed clinico radiological improvement. The case report discusses the potential role of steroids in current management of tubercular pleural effusion.

DOI: 10.29245/2689-9981/2020/1.1154 View / Download Pdf

Zachary Sitton*, Daniel Crawford, Eric vanSonnenberg, Paul Kang

The University of Arizona College of Medicine – Phoenix, Phoenix, AZ, USA

DOI: 10.29245/2689-9981/2019/1.1152 View / Download Pdf

Joseph Yoon1*, Claire Maree O’Bryan3, Michael Redmond1,2

1Department of Neurosurgery, Royal Darwin Hospital, Darwin, Northern Territory, Australia

2Kenneth G Jamieson Department of Neurosurgery, Royal Brisbane and Women’s Hospital, Brisbane, Queensland, Australia

3Flinders University, Darwin, Northern Territory, Australia

Intracranial subdural empyema is a rare but devastating infection of the brain. With improvements in investigations and treatment, the previously seen mortality of 100% has now been reduced to 4-9%. The underlying factor in this improvement is the reduction in time to treat. To achieve this, the first barrier is identifying the possibility of the condition. There have been multiple case reports, series, and retrospective studies on the matter, but over time the clinical epidemiology has changed. In this report, we give a up to date review of the infection and highlight the important features clinicians should consider when assessing patients with possible intracranial subdural empyema.

DOI: 10.29245/2689-9981/2019/1.1149 View / Download Pdf

Daiane Flores Dalla Lana1*, Paula Reginatto2, William Lopes3, Marilene Henning Vainstein3, Alexandre Meneghello Fuentefria1,2

1Programa de Pós-Graduação em Ciências Farmacêuticas, Universidade Federal do Rio Grande do Sul, Brazil

2Programa de Pós-graduação em Microbiologia Agrícola e do Ambiente, Universidade Federal do Rio Grande do Sul, Brazil

3Centro de Biotecnologia, Universidade Federal do Rio Grande do Sul, Brazil

We report the invasion of the human nail plate by the dermatophytic species Microsporum canis, which was recently described as a biofilm former, in Scanning Electron Microscopy (SEM) images. With the images it was possible to evidence the propagation and aggregation of hyphae on the nails and also the formation of biofilm, as a pathogenicity and virulence factor of the species in cases of onychomycosis.

DOI: 10.29245/2689-9981/2019/4.1151 View / Download Pdf

Franz Bracher*

Ludwig-Maximilians University, Department of Pharmacy - Center for Drug Research, Butenandtstr., Munich, Germany

The development of anti-infective drugs has been one of the most impressive progresses in drug therapy in the past century. However, some of the promising antibacterial and antiviral drugs lost activity after being used in therapy for some time. Typically, this is due to the development of resistance phenomena, among which the expression of drug-degrading enzymes is one major aspect. In other cases, enzymatic degradation of anti-infective drugs by mammalian enzymes in the liver (or kidney) can limit the efficacy of the drugs. In all of these cases, selection of a drug from a different class is a therapeutic opportunity. Alternatively, the original drug can be used further in combination with other compounds named boosters, pharmacokinetic enhancers or antibiotic adjuvants. These compounds are used in combination with the primary anti-infective agent, but not for their direct effects on the infection itself, but since they enhance or restore the activity of the drug. This mini-review gives an overview on the therapeutically most important classes of boosters/antibiotic enhancers, like β-lactamase inhibitors, inhibitors of CYP enzymes in HIV therapy and hepatitis C. Inhibitors of efflux pumps in pathogenic bacteria and fungi will be addressed shortly.

DOI: 10.29245/2689-9981/2019/4.1150 View / Download Pdf

Angel Ramos-Ligonio1, Aracely López-Monteon1*

1LADISER Inmunología y Biología Molecular, Universidad Veracruzana, Orizaba, Veracruz, México

DOI: 10.29245/2689-9981/2019/4.1148 View / Download Pdf

Dhanashree Lokesh1, Kammara Rajagopal1,2, Jae Ho Shin2*

1Department of Protein Chemistry and Technology, CSIR-CFTRI, Mysore, India

2School of Applied Biosciences, Kyungpook National University, Daegu, Korea

Drug-resistance is a major problem globally, the number of drug-resistant bacteria has increased substantially through horizontal gene transfer. Even Mycobacterium tuberculosis are reported to have acquired antitubercular drug-resistance and named as MDR Mtb. The acquisition of immunity has not given up, here; it is needed to be a continuous procedure. Further causing the microbial adapting to a very high and larger number of drugs recognized as extreme drug and total drug-resistance. The mechanistic aspects of MDR Mtb are well understood. Nevertheless, this is not the case with Probiotic microbes such as Bifidobacterium adolescentis. Herein, we report the mechanistic aspects of antitubercular drug-resistance in this organism for the first time. This review discusses the report by a mutation that confers multi drug-resistance in Bifidobacteria.

DOI: 10.29245/2689-9981/2019/4.1147 View / Download Pdf

Gerges Rizkallah1, Renaud Mahieux2, Hélène Dutartre2

1Faculty of Public Health, Sagesse University, Beirut, Lebanon

2Équipe oncogenèse rétrovirale, équipe labellisée «FRM», CIRI – Centre International de Recherche en Infectiologie, Univ Lyon, Université Claude Bernard Lyon 1, Inserm, U1111, CNRS, UMR, ENS Lyon, Lyon, France

Two retroviruses emerged in the 1980s : HTLV-1 and HIV-11,2,3. HTLV-1 infects 5-10 million people worldwide and is detected in highly endemic areas, such as Japan, sub-Saharan Africa, the Caribbean region, South America4 as well as in Australian indigenous5. According to the UNAIDS’s 2018 fact sheet, HIV-1 is endemic worldwide, infects 37.9 million people and is particularly prevalent in central and South Africa, the Caribbean region, Latin America, South-East Asia and Eastern Europe6. HTLV-1 or HIV-1 infected individuals develop chronic infections. Only in 1-10% of infected carriers, HTLV-1 leads either to the development of Adult T-cell Leukemia/Lymphoma (ATLL), or of Tropical Spastic Paraparesis/HTLV-1 Associated Myelopathy (TSP/HAM)7. In most chronically infected people, HIV-1 infection leads to an Acquired Immunodeficiency Syndrome (AIDS), and around 22% of the death causes among HIV-infected patients remains AIDS-related6. The aim of this mini-review is to highlight some of the points discussed in the review ‘’HTLV-1, the Other Pathogenic Yet Neglected Human Retrovirus: From Transmission to Therapeutic Treatment’’8. First, it will focus on the similarities regarding transmission mechanisms and cellular tropism between these retroviruses. Then, starting from the therapeutic protocols currently used in the treatment of each of these retroviral infections, this mini-review will summarize the therapeutic protocols used for co-infections management.

DOI: 10.29245/2689-9981/2019/4.1146 View / Download Pdf

Caridad Rosette, Alessandro Mazzetti, Roberto Camerini, Luigi Moro, Mara Gerloni*

Cosmo Pharmaceuticals, Riverside II. Sir John Rogerson’s Quay, Dublin, Ireland

Rifamycin SV (rifamycin), is a member of the ansamycin family of antimicrobial compounds which kills bacteria commonly associated with infectious diarrhea and other enteric infections. For colonic diseases like diverticulitis, inflammatory bowel syndrome (IBS) or inflammatory bowel disease (IBD), bacterial proliferation or microbial dysbiosis is associated with a strong inflammatory component. This inflammation has a profound influence on the liver via the gut-liver axis. This review summarizes the anti-inflammatory activities of rifamycin based on analyses of its impact on two key regulators of inflammation: PXR and NFκB. Rifamycin was found to activate PXR and two of its downstream targets, CYP3A4 and PgP, in liver and intestinal cell lines. Rifamycin also directly inhibited NFκB in a cell line which lacks PXR expression. These dual activities likely explain the inhibition of pro-inflammatory cytokine secretion from human colonic cells lines and activated CD4+ T cells. These experimental data define the immune regulatory characteristics of rifamycin and an emerging role in the treatment of both gastrointestinal (GI) and liver disorders.

DOI: 10.29245/2689-9981/2019/4.1145 View / Download Pdf

Pascal Bezel1, Sandro F. Fucentese2, Jan Burkhard1,3, Dominique Holy1,3, Arend J. Nieuwland2, Marco Burkhard2, Ilker Uçkay1,2,3,4*

1Internal Medicine, Balgrist University Hospital, Zurich, Switzerland

2Department of Orthopedic Surgery, Balgrist University Hospital, Zurich, Switzerland

3Infectiology, Balgrist University Hospital, Zurich, Switzerland

4Unit for Clinical and Applied Research, Balgrist University Hospital, Zurich, Switzerland

A prosthetic joint infection (PJI) requires a combined approach (infectiology and surgery). The therapeutic DAIR approach (debridement, antibiotics, irrigation, and retention) is an option for acute and stable PJI yielding remission incidences that oscillate between 70% and 90%; in a literature mostly composed of retrospective single-center trials. DAIR can be performed with or without mobile part’s exchange during debridement. Scientific data proving the necessity of mobile part exchanges (by leaving other infected components in situ) remain scarce. In this narrative mini review, we evaluate the existing literature that analyses the benefit of exchanging mobile parts with at least ten own cases. We moreover discuss the optimal duration of concomitant targeted systemic antibiotic therapy and reveal some insights in the surgical difficulties in performing DAIR. Our conclusion tends to favor of the mobile part’s exchange whenever feasible.

DOI: 10.29245/2689-9981/2019/4.1144 View / Download Pdf

PM Sawadogo1,2, A Zida1,2, I Sangaré5,6, TK Guiguemdé2,3, A. Sanfo1, M. Idani1, H Nacanabo1, S Bamba5,6, R Ouédraogo/Traoré2,3, TR Guiguemdé2,4

1Parasitology-Mycology Department, Yalgado Ouedraogo University Hospital Center, Ouagadougou, Burkina Faso

2Training and Research Unit in Health Sciences, Ouaga University 1 Professor Joseph Ki-Zerbo (UO1 / PrZKZ), Ouagadougou, Burkina Faso

3Parasitology-Mycology Department, Charles de Gaulle University Hospital Center, sector 28 Ouagadougou, Burkina Faso

4Muraz Research Center, Bobo-Dioulasso, Burkina Faso

5Parasitology-Mycology Department, Souro Sanou University Hospital, Bobo Dioulasso, Burkina Faso

6Institut de Reccherche en Sciences de la Santé, Université Nazi Boni (UNB), Bobo Diuolasssa, Burkina Faso

This article aims to summarize the results of works from January 2013 to December 2017, on the molecular mechanisms of Candida albicans resistance to antifungal drugs. It is a prelude to a study on the molecular mechanisms of these resistances in Burkina Faso, with the aim of exploring new therapeutic solutions. Almost all studies have focused on the ERG11 gene as the most involved in azoles resistance. Mutations have also been demonstrated on other genes conferring resistance to other molecules such as CDR1 and 2, MRR1 and 2, TAC1 and ERG for polyenes, allylamines and azoles, FKS1 for echinocandins, FCA1 and FCY1 for pyrimidine analogues. Genetic mutations conferring the resistance of C. albicans to antifungals drugs worldwide are regularly reported, but in Burkina Faso we have no data on this subject. As a perspective therefore, a study on the molecular mechanisms of resistance of C. albicans to antifungals will be of great help in the fight against the resistance of this frequent yeast to antifungals drugs.

DOI: 10.29245/2689-9981/2019/4.1143 View / Download Pdf

Jenna Rychert

ARUP Laboratories, Salt Lake City, Utah, USA

Matrix-assisted laser desorption-ionization time of flight mass spectrometry (MALDI-TOF MS) is replacing traditional methods for identifying microorganisms in the clinical laboratory. This relatively simple technique overcomes many of the challenges of identifying bacteria and fungi. As the technology has evolved, the expansion of the databases containing spectra of known organisms has allowed for the identification of species with similar phenotypic, genotypic, and biochemical properties that was not previously possible. This has resulted in improvements in clinical care including improving the diagnosis of infections caused by relatively rare species and decreasing the time to diagnosis. In many cases, this leads to a reduction in the time to appropriate therapy and even a decrease in the length of hospital stays. However, it is not without its limitations. Inherent similarities between organisms and a limited number of spectra in the database can lead to poor discrimination between species, as well as misidentifications. These errors occur with relatively low frequency and can typically be overcome with supplemental testing. The adoption of MALDI-TOF MS in the clinical microbiology laboratory is revolutionizing infectious disease diagnosis and clinical care.

DOI: 10.29245/2689-9981/2019/4.1142 View / Download Pdf

Dicle Hazirolan1, Gulten Sungur1

1Health Sciences University, Ankara Training and Research Hospital, Ophthalmology Department, Ankara, Turkey

Human herpes viruses are the most common etiologic agents in posterior viral uveitis. They remain latent in the infected host with a risk of reactivation that depends on various factors, including virulence, host immunity, age and comorbidities. Acute retinal necrosis (ARN), progressive outer retinal necrosis (PORN), and CMV retinitis are the most frequent forms. Posterior viral uveitis may occur in atypical clinical entities as non-necrotising herpetic retinitis (NNHR) and focal posterior viral retinitis. The spectrum of herpetic retinopathies might start with focal retinitis, the mildest form, and followed by more severe forms as NNHR, PORN and ARN. The differential diagnosis of atypical viral retinitis is difficult clinically, as it can mimic various kinds of retinitis. The prognosis of the atypical disease is better than other forms of necrotizing retinopathies. A viral etiology must be considered in cases of sight-threatening and atypical posterior uveitis that is unresponsive to conventional corticosteroid treatment.

DOI: 10.29245/2689-9981/2019/3.1138 View / Download Pdf

Fangling Wu1, 2, Chuan-Fan Ding1, 2*

1Institute of Mass Spectrometry, School of Materials Science & Chemical Engineering, Ningbo University, Ningbo, Zhejiang, China

2Department of Chemistry, Fudan University, Shanghai, China

A relatively rigid and good electrical conductive copper filter severed as a substrate for the paper spray named Electro-Filtering Paper Spray Ionization (EFSI) is mini reviewed. The copper filter is used to increase the conductivity and pressure tolerance for the paper substrate, which can insure sufficient, efficient and direct sample-solvent extraction for different types of solid samples, and also a low voltage is required for paper spray. The capability and reliability of EFSI-MS were demonstrated experimentally for indirect high-throughput component analysis or the desired ion signals for a wide range of solid samples by selecting and optimizing different extraction solvents, which is not feasible with conventional ESI or direct paper spray methods. Simultaneously, trace targeted substance for the large-volume sample can be effective extracted and pre-concentration by the optimized solvent for direct mass spectrometry analysis with no or extremely minimal sample preparation effort for the EFSI method. Besides, with the attractive features of cost-effectiveness, rapid, process simplicity and high-throughput, the potential and novel applications of the EFSI-MS or EFSI-MS-MS can focused in the fields of environment, bio-science, food safety, and in-vitro diagnostics in clinical routine analysis are expected in the future work, where substantial time and labor could be saved when investigating the potential causes of disease.

DOI: 10.29245/2689-9981/2019/3.1140 View / Download Pdf

Aaron W. Miller1,2

1Department of Urology, Cleveland Clinic, Cleveland, OH, USA

2Department of Cardiovascular and Metabolic Sciences, Cleveland, OH, USA

DOI: 10.29245/2689-9981/2019/3.1141 View / Download Pdf

Sylvia Lemos Hinrichsen1

1Tropical Diseases Department, Universidade Federal de Pernambuco, Cidade Universitária s/n, Recife-Pernambuco, Brazil

DOI: 10.29245/2689-9981/2019/3.1136 View / Download Pdf

Márió Gajdács

Department of Pharmacodynamics and Biopharmacy, Faculty of Pharmacy, University of Szeged, Szeged, Hungary

DOI: 10.29245/2689-9981/2019/2.1139 View / Download Pdf