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Initial Infection (initial + infection)
Selected AbstractsSurgical Treatment of Ingrown Toenail without MatricectomyDERMATOLOGIC SURGERY, Issue 1 2008BERNARD NOËL MD BACKGROUND Partial excision of the nail matrix (matricectomy) is generally considered necessary in the surgical treatment of ingrown toenail. Recurrences may occur, however, and poor cosmetic results are frequently observed. OBJECTIVE The objective is to present a new surgical procedure for ingrown toenail with complete preservation of the nail matrix. METHODS Twenty-three patients with ingrown toenail were included in this study. The surgical excision was performed 1 week after the completion of treatment of the initial infection. A large volume of soft tissue surrounding the nail plate was removed under local anesthesia. No matrix excision was performed. RESULTS Short-term results were excellent. No recurrences or severe complications were observed during the minimum 12-months follow-up period. Cosmetic results were remarkable. CONCLUSIONS Ingrown toenail results from the compression of the lateral nail folds on the nail plate. This study shows that ingrown toenail can be surgically treated without matricectomy. A large volume of soft tissue surrounding the nail plate should be removed to decompress the nail and reduce inflammation. Cosmetic results are excellent and superior to the classical Emmert plasty. Postoperative nail dystrophies and spicule formation are not observed. The main advantage of this surgical approach is the complete preservation of the anatomy and function of the nail to improve both therapeutic and cosmetic results. [source] B-lymphocyte subpopulations are equally susceptible to Epstein,Barr virus infection, irrespective of immunoglobulin isotype expressionIMMUNOLOGY, Issue 4 2003Barbro Ehlin-Henriksson Summary While Epstein,Barr virus (EBV) is known to establish latency in the memory B-cell compartment, there is controversy as to whether the memory or the naïve B cell is the initial target for infection. Here we have explored the infectability of the B-cell subsets contained in peripheral blood and tonsils, as distinguished by their surface expression of the immunoglobulin isotypes that help to define naïve and memory pools. First we show that both CD21 and major histocompatibility complex (MHC) class II molecules , respectively, the major receptor and co-receptor for EBV on B cells , are expressed at similar levels on blood and tonsillar B cells, irrespective of surface immunoglobulin class, indicating that each of the subsets demonstrate an equal potential, at least for infection. Then, following in vitro infection of total tonsillar B cells, we found that the relative frequencies of immunoglobulin (Ig)M-, IgG- and IgA-positive cells containing EBV-encoded Epstein,Barr virus nuclear antigen 5 (EBNA5) protein at 48 hr were similar to those of the starting population. However, IgD expression was uniformly decreased, probably as a consequence of cellular activation. These data indicate that recirculating B cells have both the potential for, and susceptibility to, initial infection by EBV, irrespective of the immunoglobulin isotype expressed. [source] Bark beetle-mediated fungal infections of susceptible trees induce resistance to subsequent infections in a dose dependent mannerAGRICULTURAL AND FOREST ENTOMOLOGY, Issue 3 2009Nadir Erbilgin Abstract 1,Experiments were conducted to determine whether propagule loads on the twig beetles Pityophthorus setosus and Pityophthorus carmeli (Coleoptera: Scolytidae) influence the pathogen infection of the host tree in the Monterey pine- Fusarium circinatum system. 2,On an average, F. circinatum was isolated from 2.6% and 3.3% of trapped P. setosus and P. carmeli, respectively, although the isolation percentages varied over the season, being highest in the spring and lowest in late summer and fall for both species. Mean pathogen load was 13.4 and 22.6 propagules per beetle, on P. setosus and P. carmeli, respectively, and decreased from May to November for both species. The pathogen was also isolated from approximately 55% of both beetle species that emerged from infected branches. Mean propagule load on emerged P. setosus and P. carmeli was 39 and 66.5, respectively. 3,On the basis of these data, beetle species were treated with one of three propagule loads (low, medium, high) and caged onto live branches to determine whether they could transmit the pathogen. At all propagule loads, both species transmitted the pathogen, and transmission percentage and lesion length, a measure of tree susceptibility, were positively correlated with propagule load. 4,To investigate further whether the previous transmission by beetles could affect response of the same trees to subsequent infection with F. circinatum, different branches were inoculated on the same trees used in the transmission study, and lesion lengths were measured. Lesion lengths were lower on trees that had been previously exposed to beetles treated with high or medium propagule loads than on trees that had previously been exposed to beetles treated with low propagule loads. This suggests that the initial infection by beetles carrying high or medium propagule loads induced resistance to subsequent infections of the host, whereas infections caused by beetles with low propagule loads did not. [source] Studies on Symptom Development, Phenolic Compounds and Morphological Defence Responses in Wheat Cultivars Differing in Resistance to Fusarium Head BlightJOURNAL OF PHYTOPATHOLOGY, Issue 4-5 2002E. SIRANIDOU Abstracts Development of Fusarium head blight, caused by Fusarium culmorum, was evaluated in seven winter wheat cultivars and one spring wheat cultivar in an outdoor pot experiment. Of the cultivars studied, only the spring wheat cultivar Frontana exhibited resistance against initial infection by the fungus. Significantly higher amounts of free phenolic compounds were found in the glumes, lemmas and paleas of Frontana prior to and at all sampling times after inoculation, in comparison to the winter wheat cultivar Agent. Furthermore, the amount of p -coumaric acid increased significantly in the glumes, lemmas and paleas of the cultivar Frontana 2 days after inoculation compared to that in uninoculated spike tissues. However, the amounts of ferulic acid between inoculated and healthy plant tissues did not differ. Ultrastructural studies indicated more pronounced structural defence responses, such as cell wall appositions, in the infected lemma tissue of the resistant cultivar Frontana compared with the susceptible Agent 3 days after inoculation. Immunogold labelling of lignin revealed no differences in the density of gold particles on the cell walls of healthy lemma tissue in the two cultivars. However, density of particles increased in the infected lemma tissue of the resistant cultivar Frontana on cell walls adjacent to the fungal cells, 3 days after inoculation. The susceptible cultivar Agent showed little or no response to the infection. Phenolic compounds appear to play a role in the resistance of the cultivar Frontana to F. culmorum. [source] Identification of an ospC operator critical for immune evasion of Borrelia burgdorferiMOLECULAR MICROBIOLOGY, Issue 1 2007Qilong Xu Summary Timely expression of the outer surface protein C (OspC) is crucial for the pathogenic strategy of the Lyme disease spirochete Borrelia burgdorferi. The pathogen abundantly expresses OspC during initial infection when the antigen is required, but downregulates when its presence poses a threat to the spirochetes once the anti-OspC humoral response has developed. Here, we show that a large palindromic sequence immediately upstream of the ospC promoter is essential for the repression of ospC expression during murine infection and for the ability of B. burgdorferi to evade specific OspC humoral immunity. Deletion of the sequence completely diminished the ability of B. burgdorferi to avoid clearance by transferred OspC antibody in SCID mice. B. burgdorferi lacking the regulatory element was able to initiate infection but unable to persist in immunocompetent mice. Taken together, the regulatory element immediately upstream of the ospC promoter serves as an operator that may interact with an unidentified repressor(s) to negatively regulate ospC expression and is essential for the immune evasion of B. burgdorferi. [source] A host-pathogen simulation model: powdery mildew of grapevinePLANT PATHOLOGY, Issue 3 2008A. Calonnec An epidemiological model simulating the growth of a single grapevine stock coupled to the dispersal and disease dynamics of the airborne conidia of the powdery mildew pathogen Erysiphe necator was developed. The model input variables were either climatic (temperature, wind speed and direction) or related to the pathogen (location and onset of primary infection). The environmental input variables dictated plant growth and pathogen spread (latent period, infection, lesion growth, conidial spore production and release). Input parameters characterized the crop production system, the growth conditions and the epidemiological characteristics of the pathogen. Output described, at each time step, number, age and pattern of healthy and infected organs, infected and infectious leaf area and aerial density of spores released. Validation of the model was achieved by comparing model output with experimental data for epidemics initiated at different times of host growth. Epidemic behaviour for two contrasting years of crop development and 7 phenological stages at the time of primary infection (PI) was examined. For PI occurring at day 115 a vine with late budbreak (1998) showed 58% of primary leaves diseased at flowering compared with only 19% for a vine with early budbreak (2003). Depending on the phenological stage at PI (1,4 leaves), the proportion of diseased primary leaves decreased from 42% to 6% at flowering. Simulations suggested that differences resulted from the interplay between the timing of the first sporulation event, the phenological stage at the time of initial infection, and the age structure and spatial distribution of the leaf population. [source] Effects of crop debris and cultivations on the development of eyespot of wheat caused by Oculimacula spp.ANNALS OF APPLIED BIOLOGY, Issue 3 2010J.F. Jenkyn Results from a series of crop sequence and single-year experiments that tested different straw and cultivation treatments in a total of 11 site,season combinations confirmed previous evidence that the development of eyespot disease in cereals can be decreased by debris in the seed bed even if that debris includes eyespot-infected stem bases, which are the principal sources of primary inoculum. Two of the experiments, which followed non-cereal break crops and tested the effects of crop debris applied after ploughing or tining on eyespot in winter wheat that was artificially inoculated with Oculimacula spp., provided convincing evidence that the effects can be attributed to the debris per se, and not to any associated husbandry practices. There were often larger effects on disease in summer than in spring or on severity than on incidence suggesting that the effects of debris cannot be explained solely by effects on inoculum or initial infection, and that debris has a disease-suppressive effect. [source] Type II fatty acid synthesis is essential only for malaria parasite late liver stage developmentCELLULAR MICROBIOLOGY, Issue 3 2009Ashley M. Vaughan Summary Intracellular malaria parasites require lipids for growth and replication. They possess a prokaryotic type II fatty acid synthesis (FAS II) pathway that localizes to the apicoplast plastid organelle and is assumed to be necessary for pathogenic blood stage replication. However, the importance of FAS II throughout the complex parasite life cycle remains unknown. We show in a rodent malaria model that FAS II enzymes localize to the sporozoite and liver stage apicoplast. Targeted deletion of FabB/F, a critical enzyme in fatty acid synthesis, did not affect parasite blood stage replication, mosquito stage development and initial infection in the liver. This was confirmed by knockout of FabZ, another critical FAS II enzyme. However, FAS II-deficient Plasmodium yoelii liver stages failed to form exo-erythrocytic merozoites, the invasive stage that first initiates blood stage infection. Furthermore, deletion of FabI in the human malaria parasite Plasmodium falciparum did not show a reduction in asexual blood stage replication in vitro. Malaria parasites therefore depend on the intrinsic FAS II pathway only at one specific life cycle transition point, from liver to blood. [source] Human cytomegalovirus-associated oral and maxillo-facial diseaseCLINICAL MICROBIOLOGY AND INFECTION, Issue 6 2007S. Doumas Abstract Human cytomegalovirus is a ubiquitous pathogen with protean clinical manifestations. After initial infection, the virus remains in a persistent state in the host. Immunity plays a pivotal role in counteracting its virulence, albeit intermittent virus shedding occurs in immunocompetent individuals. Should deficiencies in immunity occur, e.g., as a consequence of AIDS or iatrogenic immunosuppression, then virus replication and subsequent pathogenic manifestations ensue. In the oral and maxillo-facial region, the virus causes a wide variety of diseases, mainly atypical chronic ulcerations and sialadenitis. These morbidities are rarely reported and sometimes cause significant problems for clinicians. 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