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Asian Pacific Journal of Tropical Medicine 2008年第4期1卷 20-23页

作者： fatma Abdelaziz amer Eman Mohamed Elbehedy Mohamed Elahmady Microbiology and Immunology Department Faculty of PharmacySinai UniversitySinaiEgypt Microbiology & Immunology Department Faculty of MedicineZagazig UniversityZagazigEgypt

Objectives:To determine the incidence of resistance of Streptococcus(Strep).pneumoniae isolated in our locality to erythromycin,to screen for the two resistance determinants erm(B) and mef(A) genes,and to identify the susceptibility profile to commonly used ***:Samples were collected from patients attending the Outpatient Department of Zagazig University Hospital,Zagazig,Egypt,between February 2006 and March *** was identified by conventional *** to erythromycin and 15 antibiotics were identified by disc diffusion method,as outlined by CLSI.E-test was used for MIC determination of ***(B) and mef(A) genes were detected by ***:Eighty-one Strep. pneumoniae strains were ***- one of them(63%) were erythromycin-resistant,and mef(A) gene was the predominant resistance ***,imipenem and gatifloxacin had the best activity against the isolates,whereas tetracycline had the ***-two(51.85%) out of the 81 *** strains were ***:High incidence of resistance to erythromycin and multiple antimicrobials ***(A) was the principal erythromycin-resistance gene.

关键词： Strep,pneumoniae Erythromycin erm.(B) gene mef(A) gene Antibiotic resistance Egypt

Avian influenza virus surveillance in migratory birds in Egypt revealed a novel reassortant H6N2 subtype

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Avian Research 2019年第4期10卷 507-516页

作者： Ali M.Zanaty Ahmed M.Erfan Wessam H.Mady fatma amer Ahmed A.Nour Neveen Rabie Mohamed Samy Abdullah A.Selim Wafaa M.M.Hassan Mahmoud M.Naguib National Laboratory for Veterinary Quality Control on Poultry Production Animal Health Research InstituteGiza 12618Egypt Zoonosis Science Centre Department of Medical Biochemistry and MicrobiologyUppsala University75123 UppsalaSweden

Background:Avian influenza viruses(AIVs)have been identified from more than 100 different species of wild birds around the *** migratory birds can act as potential spreaders for AIVs to domestic birds between different *** is situated on important migratory flyways for wild birds between different *** much is known about circulation of zoonotic potential H5N1 and H9N2 AIVs in domestic poultry in Egypt,little is known about the pivotal role of migratory birds in the maintenance and transmission of the viruses in ***:Targeted AIV surveillance has been conducted in 2017 in different wetlands areas in Northern and Eastern ***:AIV of subtype H5 was detected in two bird *** addition,a novel reassortant strain of the H6N2 subtype was identified which reveals the continuous risk of new influenza virus(es)introduction into *** novel virus possesses a reassortant pattern originating from different AIV gene ***:Intervention control strategies should be performed to minimize the possible contact of domestic birds with wild birds to lower the risk of virus transmission at this *** addition,constant monitoring of AIVs in migratory birds is essential in the early detection of influenza virus introduction into Egypt.

关键词： Avian in fluenza virus H6N2 Egypt Reassortment Wild birds

Infectious causes of fever of unknown origin in developing countries: An international ID-IRI study

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Journal of Intensive Medicine 2024年第1期4卷 94-100页

作者： Hakan Erdem Jaffar AAl-Tawfiq Maha Abid Wissal Ben Yahia George Akafity Manar Ezzelarab Ramadan fatma amer Amani El-Kholy Atousa Hakamifard Bilal Ahmad Rahimi Farouq Dayyab Hulya Caskurlu Reham Khedr Muhammad Tahir Lysien Zambrano Mumtaz Ali Khan Aun Raza Nagwa Mostafa El-Sayed Magdalena Baymakova Aysun Yalci Yasemin Cag Umran Elbahr Aamer Ikram Department of Infectious Diseases&Clinical Microbiology Gulhane School of MedicineTurkish Health Sciences UniversityAnkaraTurkey Specialty Internal Medicine and Quality and Patient Safety Department Johns Hopkins Aramco HealthcareDhahranSaudi Arabia Division of Infectious Diseases Indiana University School of MedicineIndianapolisINUSA Department of Infectious Diseases Farhat Hached University HospitalIbn El Jazzar Medical SchoolUniversity of SousseSousseTunisia Internal Medicine Department Farhat Hached University HospitalIbn El Jazzar Medical SchoolUniversity of SousseSousseTunisia Cape Coast Teaching Hospital Cape CoastGhana Medical Parasitology Faculty of MedicineSuez UniversitySuezEgypt Department of Medical Microbiology and Immunology Faculty of MedicineZagazig UniversityZagazigEgypt Department of Clinical Pathology Faculty of MedicineCairo UniversityGizaEgypt Department of Infectious Diseases School of MedicineIsfahan University of Medical SciencesIsfahanIran Department of Infectious Diseases Kandahar University Medical FacultyTeaching HospitalKandaharAfghanistan Department of Infectious Diseases Mohammed Bn Khalifa Bn Salman Alkhalifa Specialist Cardiac CenterAwaliBahrain Department of Infectious Diseases and Clinical Microbiology Faculty of MedicineIstanbul Medeniyet UniversityIstanbulTurkey Department of Pediatric Oncology National Cancer Institute–Cairo UniversityChildren Cancer Hospital EgyptCairoEgypt Department of Medicine Federal General HospitalIslamabadPakistan Institute for Research in Medical Sciences and Right to Health(ICIMEDES) Scientific Research Unit(UIC)Faculty of Medical Sciences(FCM)National Autonomous University of Honduras(UNAH)TegucigalpaHonduras National Institute of Health IslamabadPakistan Shaukat Khanum Memorial Cancer Hospital and Research Center LahorePakistan Medical Parasitology Department Research Institute of OphthalmologyGizaEgypt Department of Infectious Diseases Military Medical AcademySofiaBulgaria Department of Infecti

Background:Fever of unknown origin(FUO)in developing countries is an important dilemma and further research is needed to elucidate the infectious causes of ***:A multi-center study for infectious causes of FUO in lower middle-income countries(LMIC)and lowincome countries(LIC)was conducted between January 1,2018 and January 1,*** total,15 participating centers from seven different countries provided the data,which were collected through the Infectious DiseasesInternational Research Initiative *** adult patients with confirmed infection as the cause of FUO were included in the *** severity parameters were quick Sequential Organ Failure Assessment(qSOFA)≥2,intensive care unit(ICU)admission,vasopressor use,and invasive mechanical ventilation(IMV).Results:A total of 160 patients with infectious FUO were included in the ***,148(92.5%)patients had community-acquired infections and 12(7.5%)had hospital-acquired *** most common infectious syndromes were tuberculosis(TB)(n=27,16.9%),infective endocarditis(n=25,15.6%),malaria(n=21,13.1%),brucellosis(n=15,9.4%),and typhoid fever(n=9,5.6%).Plasmodium falciparum,Mycobacterium tuberculosis,Brucellae,Staphylococcus aureus,Salmonella typhi,and Rickettsiae were the leading infectious agents in this study.A total of 56(35.0%)cases had invasive procedures for *** mean qSOFA score was 0.76±0.94{median(interquartile range[IQR]):0(0–1)}.ICU admission(n=26,16.2%),vasopressor use(n=14,8.8%),and IMV(n=10,6.3%)were not ***,38(23.8%)patients had at least one of the severity *** mortality rate was 15(9.4%),and the mortality was attributable to the infection causing FUO in 12(7.5%)***:In LMIC and LIC,tuberculosis and cardiac infections were the most severe and the leading infections causing FUO.

关键词： Developing countries Fever of unknown origin Infection

Microalbuminuria in hepatitis C-genotype 4:Effect of pegylated interferon and ribavirin

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World Journal of Gastroenterology 2010年第10期16卷 1226-1231页

作者： Moutaz Derbala fatma M Shebl Awad Rashid Aliaa amer Abdulbari Bener Department of Gastroenterology and Hepa-tology Hamad Medical Corporation Department of Medicine Weill Cornell Medical College in Qatar Infections & Immunoepidemiology Branch Division of Cancer Epidemiology and GeneticsNational Cancer Institute Epidemiology Branch National Liver Institute Department of Nephrology Hamad Medical Corporation Department of Laboratory Medicine and Histo-pathology Hematology SectionHamad Medical Corporation Department of Medical Statistics and Epidemiology Hamad Medical Corporation

AIM:To study the relation between hepatitis C virus (HCV) genotype 4 and microalbuminuria and renal impairment in relation to hepatic histology, and viremia in the absence of cryoglobulinemia, and to examine the effect of treatment on ***: Three hundred subjects, including 233 HCV genotype-4 infected patients, were tested for cryoglobulinemia, microalbuminuria, albumin creatinine ratio (ACR), urea, creatinine, and estimated glomerular filtration rate (eGFR). The parameters were measured again in the HCV patients after 48 wk of treatment with pegylated interferon and ***: Significantly higher levels of microalbumin- uria were detected in HCV-positive patients compared to HCV-negative controls (median 9.5 vs 5.9, respectively, Kruskal-Wallis P=0.017). Log microalbuminuria was significantly correlated with hepatic inflammation (r=0.13, P=0.036) and f ibrosis (r=0.12, P=0.061), but not with viral load (r=-0.03, P=0.610), or alanine transaminase (r=-0.03, P=0.617). Diabetes mellitus neither significantly moderated (χ2=0.13, P=0.720), nor mediated (Sobel test P=0.49) the HCV effect. HCV status was signifi cantly associated with log microalbu-minuria (χ2=4.97, P=0.026), adjusting for age, gender, diabetes, cryoglobulinemia, urea and creatinine. A positive HCV status was not significantly associated with low eGFR (<60 mL/min every 1.73 m2) [odds ratio (OR): 0.5, 95% confidence interval (CI):0.2-1.4], nor with high ACR (OR: 1.7, 95% CI:0.7-4.1). End-of-treatment response (ETR) was achieved in 51.9% of patients. Individuals with ETR had significantly lower microalbuminuria post-treatment (χ2=8.19, P=0.004).CONCLUSION: HCV affected the development of microalbuminuria independent of diabetes or cryoglobulinemia. Combination therapy of pegylated interferon-ribavirin had a positive effect in reducing microalbuminuria.

关键词： Hepatitis C virus Genotype Kidney diseases Albuminuria Proteinuria Peginterferon α-2a Ribavirin

Aspartate transaminase to platelet ratio index in hepatitis C virus and Schistosomiasis coinfection

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World Journal of Gastroenterology 2015年第46期21卷 13132-13139页

作者： Moutaz Derbala Mohammed Elshiekh Elbadri Aliaa Mohamed amer Saad Al Kaabi Khaleel Hassan Sultan Yasser Medhat Kamel Eman Hassan Satti Elsayed Tony Yervant Avades Prem Chandra fatma M Shebl Gastroenterology and Hepatology Hamad Medical CorporationHamad General Hospital Gastroenterology and Hepatology Theodor Bilharz Research Institute Medical Department Weill Cornell Medical College Laboratory Medicine and pathology Hematology SectionHamad Medical CorporationHamad General Hospital General Medicine Medical EducationHamad Medical CorporationHamad General Hospital Department of Laboratory Medicine and Pathology Hamad Medical CorporationHamad General Hospital Medical Research Center Hamad Medical CorporationHamad General Hospital Chronic Disease Epidemiology DepartmentYale School of Public Health

AIM: To assess the diagnostic accuracy,of aminotransferase-to-platelet ratio index(APRI) alone and with antischistosomal antibody(Ab) in patients with hepatitis C virus(HCV) and schistosomiasis coinfection. METHODS: This retrospective study included medical records of three hundred and eighty three Egyptianmen patients who had undergone percutaneous liver biopsy between January 2006 to April 2014 in tertiary care hospital in Qatar for diagnosis or monitoring purpose were selected. Data of patients > 18 years of age were included in the study. The values of HCV RNA titer and antischistosomal antibody titer were also taken into consideration. Patients were excluded from the study if they had any other concomitant chronic liver disease,including; history of previous antiviral or interferon therapy,immunosuppressive,therapy,chronic hepatitis B infection,human immunodeficiency virus co-infection,autoimmune hepatitis,decompensated liver disease,hepatocellular carcinoma,prior liver transplantation,and if no data about the liver biopsy present. RESULTS: Median age of patients was 46 years. About 7.1% had no fibrosis,whereas 30.4%,37.5%,20.4%,and 4.6% had fibrosis of stage Ⅰ,Ⅱ,Ⅲ,and Ⅳ respectively. In bivariate analysis,APRI score,levels of AST,platelet count and age of patient showed statistically significant association with liver fibrosis(P < 0.0001); whereas antischistosomal antibody titer(P = 0.52) and HCV RNA titer(P = 0.79) failed to show a significant association. The respective AUC values for no fibrosis,significant fibrosis,severe fibrosis and cirrhosis of APRI score were 63%,73.2%,81.1% and 88.9% respectively. This showed good sensitivity and specificity of APRI alone for grading of liver fibrosis. But the inclusion of anti-Schistosoma antibody did not improve the prediction of fibrosis stage. CONCLUSION: The study results suggest that noninvasive biochemical markers like APRI are sensitive and specific in diagnosing the degree of fibrosis and cirrhosis in patient

关键词： Hepatitis C Schistosomiasis Aspartate transaminase

Melanin Biosynthesis Inhibitory Activity of Compounds Isolated from Unused Parts of <i>Ammi visinaga</i>

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Journal of Cosmetics, Dermatological Sciences and Applications 2013年第3期3卷 40-43页

作者： Ahmed Ashour Saleh El-Sharkawy Mohamed amer fatma Abdel Bar Ryuichiro Kondo Kuniyoshi Shimizu Department of Agro-Environmental Sciences Faculty of Agriculture Kyushu University Fukuoka Japan Department of Pharmacognosy Faculty of Pharmacy Mansoura University Mansoura Egypt

Ten compounds have been isolated from the unused parts of Ammi visinaga. The isolated compounds were identified as tetracosanoic acid (1), β-sitosterol (2), visnadine (3), khellin (4), β-sitosterol glucoside (5), norkhellol (6), khellol (7), rhamnazin (8), cimifugin (9), and cis-khellactone-3’-β-glucopyranoside (10). The chemical structures of these compounds were elucidated based on spectroscopic data (NMR, UV, MS and IR spectra). This is the first report on the identification of tetracosanoic acid (1), norkhellol (6) and cimifugin (9) in the Ammi genus. The melanin biosynthesis inhibitory activities of khellin (4), khellol (7), visnadine (3), cimifugin (9), β-sitosterol (2) and β-sitosterol glucoside (5) were evaluated. Khellin (4) exhibited a potent melanin inhibitory effect compared to arbutin with less toxicity.

关键词： Ammi visinaga Khellin Melanin