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Secondary Syphilis in Man: Prozone Effect

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Journal of Biosciences and Medicines 2018年第2期6卷 1-8页

作者： Nayrton Kalys Cruz dos Anjos Daniel Almeida da Costa Thiago Sande Miguel Livia Cristina de Melo Pino Sebastiao Celio Horta Coelho Filho debora trindade martins Vinicius Sande Miguel Bruna Sande Miguel Fernando Antonio Galvao Pereira Jr Vinicius Moreira Paladino Faculdade de Medicina de Valenca Rio de JaneiroBrazil Universidade Unigranrio Rio de JaneiroBrazil

Introduction: Syphilis consists in a systemic infect contagious pathology with a chronic character. The etiological agent consists of an anaerobic spirochete bacterium, Treponema pallidum. Laboratory diagnosis can be made through a direct investigation of the etiologic agent or non-treponemal (VDRL) and treponemal (FTA-Abs) serological tests. False-negative results are rare. Objectives: The present report presents a rare case of a man with a secondary syphilis syndrome who was initially undiagnosed due to the prozone effect, since he presented VDRL in low titers, and was later confirmed with a new diluted serum sample and VDRL and FTA-Abs, which were positive. Conclusion: A close look should be given to patients who, although the clinical condition is compatible, complementary exams may not be, and clinical cases should be carefully evaluated so that the patient is not treated late.

关键词： Secondary Syphilis Prozone Effect Treponema pallidum

Mesenteric Adenitis as a Differential Appendicitis Diagnosis: Case Report

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Journal of Biosciences and Medicines 2018年第3期6卷 26-30页

作者： Vinicius Moreira Paladino Thiago Sande Miguel Bruna Sande Miguel Marcia Machado Galvao Pereira Fernando Antonio Galvao Pereira Junior Carolina Galvao Teixeira Caroline Guida Babinski Naryrton Kalys Cruz dos Anjos Daniel Almeida da Costa debora trindade martins Bruno Fonseca dos Santos The Medical School at the Center of Higher Education of Valenca ValencaBrazil Unigranrio Medical School Rio de JaneiroBrazil Suprema medical School Juiz de ForaBrazil

Mesenteric adenitis consists of an important differential diagnosis of potentially serious diseases such as acute appendicitis, since they manifest themselves with a similar clinical picture. Case report: A 17-year-old male patient presented with periumbilical abdominal pain for 2 days, of abrupt onset and moderate intensity, who gave away with a common analgesic, which progressed to the right iliac fossa (RIF) and increased of intensity. He also reported liquid diarrhea, with several episodes a day, without mucus and/or blood, 38°C fever, anorexia and vomiting. He was hospitalized for investigating a possible diagnostic of Acute Appendicitis. In the exams, it was considered mesenteric adenitis, and antibiotic therapy was prescribed. The patient had complete improvement at the end of treatment. Conclusions: Given its importance as a differential diagnosis of numerous pathologies, as well as controversial before the therapeutic and diagnostic conduct, it is essential to report these cases in order to elucidate the specificities of this disease.

关键词： Mesenteric Adenitis Appendicitis Case Report

Prevalence of congenital cytomegalovirus infection in preterm,small for gestational age and low birth weight newborns:characteristics and cytokines profile

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World Journal of Pediatrics 2022年第7期18卷 498-504页

作者： Janaina Fortes Lino Llian martins Oliveira Diniz debora Marques de Miranda Daniela Valadao Freitas Rosa Nathalia Gualberto Souza e Silva Eduardo de Souza Nicolau Larissa Goncalves Rezende Lais Silva Carvalho Marianna Fischer de Paula Lopes Luisa Petri Correa Gabriela Mafra de Oliveira Flavia Miranda da Silva Alves Lorena Batista Pascoal Erika Lima Dolabella Teixeira da Costal Leni Marcia Anchieta Roberta Maia de Castro Romaneli Odete Valadares Maternity Hospital Belo HorizonteBrazil Pediatrics Department.Faculy of Medice of Federal University of Minas Gerais Belo Horizonte.Brazil Molecular Laboratory of the INCT-MM.Faculy of Medicine.Federal University of Minas Gerais-UFMG.Belo Horizonte Brazil Faculty of Medicine.Federal University of Minas Gerais-UFMG Belo Horizonte.Brazil Risoleta Tolentino.Neves University Hospital's Maternity Belo HorizonteBrazil Sofia Feldman Maternity Hospital Belo HorizonteBrazil Hospital das Clinicas Maternity-Federal University of Minas Gerais.Belo Horizonte Brazil Pediatrics Department of Federal University of Minas Gerais School Medicine.Minas Gerais.Av Professor Alfredo Balena 190.Belo Horizonte 30130-100Brazil

Cytomegalovirus is the most frequent agent of congenital viral infections,affecting approximately 0.2%-2.4%of live births in different countries[1-7].Universal screening for congenital cytomegalovirus infection in newborns is not a standard practice considering cost-benefit issues and viabil-ity of diagnostic ***,most newborns are asympto-matic and there is no effective treatment for this population[2-5].

关键词： weight birth characteristics

LAND-USE INTENSIFICATION TRENDS IN THE RIO DE LA PLATA REGION OF SOUTH AMERICA:TOWARD SPECIALIZATION OR RECOUPLING CROP AND LIVESTOCK PRODUCTION

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Frontiers of Agricultural Science and Engineering 2021年第1期8卷 97-110页

作者： Paulo César DE FACCIO CARVALHO Jean Víctor SAVIAN Tomas DELLA CHIESA William DE SOUZA FILHO JoséAlfredo TERRA Priscila PINTO Amanda POSSELT martins Sebastian VILLARINO Júlio Kuhn DA trindade Pedro Arthur DE ALBUQUERQUE NUNES Gervasio PIÑEIRO Integrated Crop-Livestock Systems Research Group Federal University of Rio Grande do Sul7712 Bento Gonçalves AvenuePorto Alegre RS 91540-000Brazil Instituto Nacional de Investigación Agropecuaria(INIA) Estación Experimental INIA Treinta y TresRuta 8 km 281Treinta y TresUruguay Facultad de Agronomía Universidad de Buenos AiresIFEVA/CONICETArgentina Unidad Integrada Balcarce Facultad de Ciencias AgrariasUniversidad Nacional de Mar del Plata(UNMdP)Estación Experimental Agropecuaria Balcarce(INTA)Argentina Department of Agricultural Research and Diagnosis Secretariat of AgricultureLivestock and Rural Development of Rio Grande do Sul Facultad de Agronomía Universidad de la RepúblicaUruguay

The Rio de la Plata region comprises central Argentina,Uruguay,and southern *** agriculture developed around 1900 with recent decades being characterized by the advance of cropping areas over native *** specialized agriculture has decoupled crop and livestock production but has succeeded in intensifying ***,significant losses of ecosystem services have been ***,questions have been raised on the sustainability of this pathway.A glance at world regions that have experienced similar trends suggests that an urgent course correction is needed.A major concern has been the lack of diversity in regions with highly specialized agriculture,promoting renewed interest in integrated crop-livestock systems(ICLS),not only because ICLS are more diverse than specialized systems,but also because they are rare examples of reconciliation between agroecosystem intensification and environmental ***,this paper discusses alternatives to redesign multifunctional landscapes based on *** data provide evidence that recoupling crop and animal production increases the resilience of nutrient cycling functions and economic indicators to external stressors,enabling these systems to face climate-market uncertainty and reconcile food production with the provision of diverse ecosystem ***,these concepts are exemplified in case studies where this perspective has been successfully applied.

关键词： grazing integrated crop-livestock systems mixed crops-livestock Pampa

Human Seroreactivity to Secreted Molecules of Corynebacterium pseudotuberculosis

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Advances in Microbiology 2022年第3期12卷 150-158页

作者： Ramon Mendes dos Santos Silvânia Maria Andrade Cerqueira Caio Lopez Borge Andrade Gabriel Saldanha Müller Vitória Costa de Menezes Santos Hévlyn Ribeiro de Araújo Samanta Queiroz Rogério Reis Conceição Luiz Gustavo Freitas Oliveira Marcos Borges Ribeiro Silvana Marchioro Lilia Ferreira de Moura-Costa Fúlvia Soares Campos de Sousa Maria da Conceição Aquino de Sá José Tadeu Raynal Rocha Filho Soraya Castro trindade Eduardo martins Netto Roberto Meyer Songelí Menezes Freire Laboratory of Immunology and Molecular Biology of the Health Sciences Institute of the Federal University of Bahia Bahia Brazil Specialized Hospital Otávio Mangabeira Bahia Brazil Microbiology of the Federal University of Bahia Bahia Brazil Laboratory of Infectology of the University Hospital Complex Professor Edgard Santos Salvador Bahia Brazil

Corynebacterium pseudotuberculosis is an infectious agent that occurs in small ruminants causing caseous lymphadenitis, and more rarely in humans causing lymphadenitis and pneumonia. The breeding small ruminants have great economic importance in Brazil. Rural farm workers and veterinary students who acquired this disease suffered from weakening symptoms for weeks, and the identification of the etiological agent was time-consuming and complex. Due to the low prevalence of case records, there is probably no available commercial diagnostic kit for C. pseudotuberculosis infection in humans. This study aimed to describe human seroreactivity to secreted antigens from C. pseudotuberculosis. Reactivity of serum from farm workers (n = 14), individuals who work with the bacillus at laboratory (n = 8) or individuals without contact (n = 25) was tested with secreted proteins from PAT10 strain of C. pseudotuberculosis by Western blotting. Samples of all (100%) farm workers showed reactivity to 31 kDa, 71 kDa and 164 kDa proteins, while laboratory workers showed 87.5%, 62.5 % and 37.5%, and no-contact 20%, 0% and 16%, respectively. All sera recognized the 275 kDa protein. Our data suggest that C. pseudotuberculosis secreted proteins are antigenic in humans and the recognition profiles allowed the identification of individuals with and without prior contact with this bacillus. This is the first paper which describes human reactivity to C. pseudotuberculosis in serum samples of workers in Brazil.

关键词： Human Immunoreactivity Antigenicity Corynebacterium pseudotuberculosis Secreted Proteins Western Blot

Splenectomy in Patient with Splendid Cysts

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Journal of Biosciences and Medicines 2018年第5期6卷 120-125页

作者： Viní cius Moreira Paladino Thiago Sande Miguel Dé bora trindade martins Nayrton Kalys Cruz dos Anjos Fernando Antonio Galvã o Pereira Junior Marcia Machado Galvã o Pereira Carolina Galvã o Teixeira Vinicius Sande Miguel Bruna Sande Miguel Daniel Almeida da Costa The Medical School at the Center of Higher Education of Valen& amp ccedil a Valen&amp amp ccedil a Brazil Suprema Medical School Juiz de Fora Brazil Universidade Grande Rio Medical School Rio de Janeiro Brazil

Introduction: Splenic cysts are uncommon and usually do not generate signs and symptoms, being diagnosed by incidental findings. Case report: A 35-year-old, female patient attended the Luiz Gioseffi Jannuzzi School Hospital (HELGJ) presenting episodes of vomiting and abdominal pain in the left hypochondrium. She was hospitalized for diagnostic investigation. Computed tomography showed the splenic cyst. The procedure was the surgical approach by laparotomy with splenectomy. Histopathological confirmed the diagnosis. Discussion: Compared to the scarce reports in literature, the case described presented typical epidemiology and clinical features. Conclusions: Given the rarity of this pathology cases, it is essential to report these in order to elucidate the specificities and also to discuss diagnostic and therapeutic methods.

关键词： Splenectomy Splendid Cysts Abdominal Pain

Detection of Helicobacter pylori resistance to clarithromycin and fluoroquinolones in Brazil:A national survey

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World Journal of Gastroenterology 2016年第33期22卷 7587-7594页

作者： Bruno Squarcio Sanches Gustavo Miranda martins Karine Lima Bianca Cota Luciana Dias Moretzsohn Laercio Tenorio Ribeiro Helenice P Breyer Ismael Maguilnik Aline Bessa Maia Joffre Rezende-Filho Ana Carolina Meira Henrique Pinto Edson Alves Ramiro Mascarenhas Raissa Passos Julia Duarte de Souza Osmar Reni trindade Luiz Gonzaga Coelho Instituto Alfa de Gastroenterologia Hospital das ClínicasUniversidade Federal de Minas Gerais Unigastro e Clínica Santa Fé Hospital de Clínicas Universidade Federal do Rio Grande do Sul Fundacao Hospital Adriano Jorge Hospital das Clínicas Universidade Federal de Goiás Hospital Geral Roberto Santos

AIM To evaluate bacterial resistance to clarithromycin and fluoroquinolones in Brazil using molecular *** The primary antibiotic resistance rates of Helicobacter pylori(H. pylori) were determined from November 2012 to March 2015 in the Southern,South-Eastern,Northern,North-Eastern,and Central-Western regions of Brazil. Four hundred ninety H. pylori patients [66% female,mean age 43 years(range: 18-79)] who had never been previously treated for this infection were enrolled. All patients underwent gastroscopy with antrum and corpus biopsies and molecular testing using Geno Type Helico DR(Hain Life Science,Germany). This test was performed to detect the presence of H. pylori and to identify point mutations in the genes responsible for clarithromycin and fluoroquinolone resistance. The molecular procedure was divided into three steps: DNA extraction from the biopsies,multiplex amplification,and reverse hybridization. RESULTS Clarithromycin resistance was found in 83(16.9%) patients,and fluoroquinolone resistance was found in 66(13.5%) patients. There was no statistical difference in resistance to either clarithromycin or fluoroquinolones(P = 0.55 and P = 0.06,respectively) among the different regions of Brazil. Dual resistance to clarithromycin and fluoroquinolones was found in 4.3%(21/490) of patients. The A2147 G mutation was present in 90.4%(75/83),A2146 G in 16.9%(14/83) and A2146 C in 3.6%(3/83) of clarithromycin-resistant patients. In 10.8%(9/83) of clarithromycin-resistant samples,more than 01 mutation in the 23 S r RNA gene was noticed. In fluoroquinolone-resistant samples,37.9%(25/66) showed mutations not specified by the Geno Type Helico DR test. D91 N mutation was observed in 34.8%(23/66),D91 G in 18.1%(12/66),N87 K in 16.6%(11/66) and D91 Y in 13.6%(9/66) of cases. Among fluoroquinolone-resistant samples,37.9%(25/66) showed mutations not specified by the Geno Type Helico DR test. CONCLUSION The H. pylori clarithromycin resistance rate in Brazil is

关键词： Helicobacter pylori Microbial drug resistance Clarithromycin Fluoroquinolones Molecular diagnostic techniques