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Primary Infections (primary + infections)
Selected AbstractsSalient virulence factors in anaerobic bacteria, with emphasis on their importance in endodontic infectionsENDODONTIC TOPICS, Issue 1 2004Ingar Olsen Endodontic infections by microbial invasion of the necrotic pulp lead to apical periodontitis of both acute and chronic forms. Acute lesions often develop from multiplication of bacteria in primary infections. Such lesions may also occur as exacerbations of chronic forms provoked for example in conjunction with endodontic treatment measures. The clinical course appears related to the character of the microflora. While primary infections are predominated by a mixed flora of anaerobic bacteria and resembles that of aggressive marginal periodontitis, chronic forms of apical periodontitis emerge following regression of the acute infection, whereupon prevailing bacteria have assumed low activity. The significance of virulence factors is easy to understand as far as acute inflammatory conditions are concerned. The role of virulence factors for sustaining chronic inflammation is more unclear and complex. This review is about salient virulence factors in some selected bacterial genera such as Peptostreptococcus, Porphyromonas, Prevotella and Fusobacterium, which often predominate the root canal microbiota in the acute phase of endodontic infections. [source] A - scab (Apple-scab), a simulation model for estimating risk of Venturia inaequalis primary infections,EPPO BULLETIN, Issue 2 2007V. Rossi A-scab (Apple-scab) is a dynamic simulation model for Venturia inaequalis primary infections on apple. It simulates development of pseudothecia, ascospore maturation, discharge, deposition and infection during the season based on hourly data of air temperature, rainfall, relative humidity and leaf wetness. A-scab produces a risk index for each infection period and forecasts the probable periods of symptoms appearance. The model was validated under different epidemiological conditions: its outputs were successfully compared with daily spore counts and actual onset and severity of the disease under orchard conditions, and neither corrections nor calibrations have been necessary to adapt the model to different apple-growing areas. Compared to other existing models, A-scab: (i) combines information from literature and data acquired from specific experiments; (ii) is completely ,open' because both model structure and algorithms have been published and are easily accessible; (iii) is not written with a specific computer language but it works on simple-to-use electronic sheets. For these reasons the model can be easily implemented in the computerized systems used by warning services. [source] Infectious Mononucleosis,Like Syndromes in Febrile Travelers Returning From the TropicsJOURNAL OF TRAVEL MEDICINE, Issue 4 2006Emmanuel Bottieau MD Background Infectious mononucleosis (IM), resulting from Epstein,Barr virus (EBV) infection, and IM-like syndromes, mainly due to cytomegalovirus (CMV), Toxoplasma gondii, or human immunodeficiency virus (HIV), have been occasionally reported in travelers returning from the tropics. Our objective was to investigate the prevalence, outcome, and diagnostic predictors of these syndromes in febrile travelers. Methods Between April 2000 and March 2005, all febrile travelers and migrants presenting at our referral centers within 12 months after a tropical stay were prospectively included. We identified all patients serologically diagnosed with IM or IM-like syndrome and compared them with the rest of the cohort. Results During the 5-year period, 72/1,842 patients (4%) were diagnosed with an IM-like syndrome, including 36 CMV, 16 T gondii, 15 EBV, and 5 HIV primary infections. All patients were western travelers or expatriates. Mean delay before consultation was 2 weeks. Most patients had consulted other practitioners and/or received presumptive treatment. A minority of patients presented with IM clinical features. Lymphocytosis ,40% of the white blood cells (WBC) and reactive/atypical lymphocyte morphology were observed in 60 and 30% of the patients. The four diseases were indistinguishable. Protracted fever and asthenia were common but complications rarely occurred. IM-like syndromes were independently associated with fever >7 days, lymphadenopathy, elevated liver enzymes, and lymphocytosis ,40% of WBC. Diagnostic probability increased to >20% if at least three of these predictors were present. Conclusions Diagnosis of IM and IM-like syndrome is not uncommon in febrile travelers, with a higher proportion of primary CMV, T gondii, and HIV infections than in nonimported series. Consequently, classic IM clinical and laboratory features are often lacking. All four pathogens should be systematically considered because early diagnosis should avoid unnecessary investigations and treatment and allow early intervention in case of primary HIV infection. [source] Changes in lymphocyte populations in suckling piglets during primary infections with Isospora suisPARASITE IMMUNOLOGY, Issue 4 2010H. L. WORLICZEK Summary Isospora suis, a common intestinal parasite of piglets, causes neonatal porcine coccidiosis, which results in reduced and uneven weaning weights and economic losses in pig production. Nevertheless, there are no detailed studies available on the immune response to I. suis. The aim of this study was to carry out phenotypical characterization of lymphocytes during primary infections on day 3 after birth. Infected and noninfected piglets were investigated between days 7 and 16 after birth. Lymphocytes from the blood, spleen and mesenteric lymph nodes (flow cytometry) and of the jejunal mucosa (immunohistochemistry) were analysed. A decrease in T cells, especially with the phenotype of resting T-helper cells, T-cell receptor-,,-T cells, and regulatory T cells in the blood, spleen and mesenteric lymph nodes was noticeable. An increase in cells with the phenotype of natural killer cells in the spleen of infected animals was found, and the subset of TcR-,,-T cells was strongly increased in the gut mucosa. Our findings suggest an accelerated migration of those cells into the gut. This study provides a strong indication for the involvement of adaptive and innate immune response mechanisms in the primary immune response to I. suis, especially of TcR-,,-T cells as a linkage between innate and adaptive immunity. [source] Effect of oxygen radicals and differential expression of catalase and superoxide dismutase in adult Heligmosomoides polygyrus during primary infections in mice with differing response phenotypesPARASITE IMMUNOLOGY, Issue 3 2002A. Ben-Smith Summary The ability of oxygen radicals to kill Heligmosomoides polygyrus adult worms was examined by assessing parasite survival following incubation with hydrogen peroxide and acetaldehyde/xanthine oxidase, generators ofH2O2and H2O2/O2,, respectively. H. polygyrus worms could tolerate levels of < 0·25 mMhydrogen peroxide and < 0·5 mM/20 mU acetaldehyde/xanthine oxidase for 20 h, but, at higher concentrations, marked sex-dependent susceptibility was observed, with males being more sensitive toH2O2and O2,than female worms. The ability to evade free radical-mediated damage was also evaluated by measuring superoxide dismutase (SOD) and catalase levels in worms isolated at different time points from four strains of mice with differing resistance phenotypes. Levels of both catalase and SOD in female worms isolated from ,rapid'[(SWRxSJL)F1], ,fast' (SWR) or ,intermediate' (BALB/c), but not ,slow' (C57BL/10), responder mice showed a strain-dependent increase with time. Moreover, male worms were rejected faster than female worms in the ,rapid', ,fast' and ,intermediate' responder strains of mice. The results suggest that host-derived free radicals can damage adult worms and that female worms can increase production of their scavenging enzymes in response to the immune onslaught that eventually leads to worm expulsion in mice with ,fast', ,rapid' or ,intermediate' response phenotypes. [source] A national conference to determine research priorities in pediatric solid organ transplantationPEDIATRIC TRANSPLANTATION, Issue 2 2008Sharon M. Bartosh Abstract:, The need for evidence-based practice guidelines requires high quality, carefully controlled clinical research trials. This multidisciplinary conference attempted to: identify urgent clinical and research issues, identify obstacles to performing clinical trials, develop concepts for organ-specific and all-organ research and generate a report that would serve as a blueprint for future research initiatives. A few themes became evident. First, young children present a unique immunologic environment which may lead to tolerance, therefore, including young children in immunosuppression withdrawal and tolerance trials may increase the potential benefits of these studies. Second, adolescence poses significant barriers to successful transplantation. Non-adherence may be insufficient to explain poorer outcomes. More studies focused on identification and prevention of non-adherence, and the potential effects of puberty are required. Third, the relatively naive immune system of the child presents a unique opportunity to study primary infections and alloimmune responses. Finally, relatively small numbers of transplants performed in pediatric centers mandate multicenter collaboration. Investment in registries, tissue and DNA repositories will enhance productivity. The past decade has proven that outcomes after pediatric transplantation can be comparable to adults. The pediatric community now has the opportunity to design and complete studies that enhance outcomes for all transplant recipients. [source] Modulation of primary and secondary infections in epidemics of carrot cavity spot through agronomic management practicesPLANT PATHOLOGY, Issue 1 2008F. Suffert The relative importance of primary and secondary infections (auto- and alloinfections) in the development of a carrot cavity spot (CCS) epidemic caused by Pythium spp. were investigated. Three cropping factors: fungicide application, soil moisture and planting density, were selected as the key variables affecting the disease tetrahedron. Their effects on: (i) disease measurements at a specific time, (ii) the areas under the disease progress curves (AUDPCs) and (iii) a time-dependent parameter in a pathometric incidence-severity relationship, were studied. Mefenoxam applications 5 and 9 weeks after sowing reduced the intensity of a field CCS epidemic that involved both primary and secondary infections. In microcosm experiments, mefenoxam reduced secondary infections by Pythium violae obtained by transplanting infected carrot roots and slowed disease progress (1·6 lesions per root in treated versus 5·8 lesions in non-treated microcosms). A deficit of soil moisture limited the movement of Pythium propagules to host tissue, and thus reduced primary infections in the field; it also promoted the healing of lesions, limiting lesion expansion and the potential for alloinfections (6·8,7·5 lesions per root in irrigated plots compared with 2·4 lesions in non-irrigated plots). A negative relationship between the mean root-to-root distance and the rate of alloinfections was established in microcosms; a reduction in mean planting density was also effective in limiting CCS development (0·5, 1·6 and 2·0 lesions per root in microcosms containing 8, 16 and 31 roots, respectively). An integrated disease management system based on a combination of cultural methods, such as optimized fungicide application, date of harvest versus soil moisture content, and host density versus planting pattern, may make a useful contribute to the control of CCS. [source] Control of black foot disease in grapevine nurseriesPLANT PATHOLOGY, Issue 4 2007F. Halleen Black foot disease of grapevines is a decline and dieback disease caused by a soilborne pathogen complex including Cylindrocarpon liriodendri, C. macrodidymum, Campylocarpon fasciculare and Campyl. pseudofasciculare. These pathogens cause primary infections of roots and basal ends of grafted cuttings in nursery soils. Thirteen fungicides were screened in vitro for mycelial inhibition of these pathogens. Prochloraz manganese chloride, benomyl, flusilazole and imazalil were the most effective fungicides tested, and were subsequently included in semi-commercial field trials. Basal ends of grafted cuttings were dipped in various chemical and biological treatments prior to planting in open-rooted nurseries. Black foot pathogens were not isolated from grafted cuttings prior to planting. Additional treatments involved soil amendments with Trichoderma formulations and hot water treatment of dormant nursery grapevines. Field trials were evaluated after eight months. Isolations from uprooted plants revealed low levels of black foot pathogens in the roots of untreated control plants, and significantly higher levels in basal ends of rootstocks. The incidence of black foot pathogens, as well as that of Petri disease pathogens, was not significantly and/or consistently reduced by the majority of chemical or biological treatments. However, these pathogens were not isolated from uprooted plants that were subjected to hot water treatment. It is therefore recommended that hot water treatment of dormant nursery plants be included in an integrated strategy for the proactive management of these diseases in grapevine nurseries. [source] |