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Id: lil-476858
Autor: Cruz C., Rodrigo; Barthel M., Elizabeth; Piontelli L., Eduardo; Fernandez C., Gonzálo.
Título: Reportes clínicos: infección probada por Aspergillus flavus y probable infección pulmonar por Emericella nidulans en pacientes inmunodeprimidos / Clinical reports: tested rhinosinusal infection by Aspergillus flavus and probable pulmonary infection by Emericella nidulans in immunodepressed patients
Fonte: Bol. micol;20:109-115, dic. 2005. ilus.
Idioma: es.
Resumo: En los últimos 20 años la incidencia de aspergilosis invasiva ha aumentado entre 5 y 10 veces, presentando una mortalidad que varía desde un 60 a 98 por ciento dependiendo de su localización, enfermedad de base (inmunodepresión), diagnóstico y tratamiento precoz. A pesar que se ha logrado un importante avance en estos dos últimos decenios, aproximadamente un 50 por ciento de los casos se diagnostican post mortem. Se reportan dos casos de aspergilosis (probada y probable) en pacientes inmunodeprimidos de 21 y 44 años respectivamente. El primer caso corresponde a una infección rinosinusal en una paciente con leucemia linfoblástica, con un cuadro clínico caracterizado por aumento de volumen facial izquierdo, compromiso progresivo del estado general y equimosis en región periorbitaria. La endoscopia nasal detectó abundante secreción y tejido friable amarillento sugerente de infección micótica. Las muestras de tejidos enviadas al laboratorio para examen directo y cultivos arrojaron presencia de hifas en la mucosa y crecimiento abundante de Aspergillus flavus. Se inició terapia con itraconazol, cambiándose posteriormente a voriconazol, con respuesta favorable y disminución del dolor y volumen facial. Sin embargo, la paciente fallece al 10º día del ingreso debido a su mal estado general, avance de la falla medular y posterior insuficiencia respiratoria. El segundo caso corresponde a una probable infección pulmonar en una paciente con cáncer de mama en tratamiento quimioterápico. La paciente ingresó con el diagnóstico de neutropenia febril y probable neumonía de etiología bacteriana, fue tratada con antimicrobianos tanto en el hospital comunal como en el de base. Sin embargo, presentó una evolución tórpida, cursando posteriormente con hemoptisis, insuficiencia respiratoria y compromiso de conciencia. Se tomaron muestras de secreción endotraqueal las que fueron enviadas para estudio bacteriológico(TBC) y micológico, además de hemo y urocultivos. Los resultados de los...

In the lately twenty years the incidence of invasive spergillosis has increased five and ten times, causing a mortality rate ranging from 60 to 98 percent, depending on its location, nature of disease (immunodepression), diagnosis and forward treatment. In spite of the fact that there has been a significant progress in this lately period of twenty years, about 50 percent of cases were detected post mortem. Two cases of spergillosis (tested and probable) in 21 and 44 aged immunodepressed patients respectively are herein reported. The first case involves a rhinosinusal infection in a female patient diagnosed with lymphoblastic leukemia, whose clinical symptoms were an increase in the left volume of her face, a progressivecompromise in her overall state of health and ecchymosis in her periorbitary region. Nasal endoscopy revealed abundant secretion and yellowish friable tissues which suggested a mycotic infection. Samples of tissues sent to the lab for direct exam and cultures revealed the presenceof hypha in the mucus and an abundant growth of Aspergillus flavus. The first therapy was with itraconazol, changing later on to voriconazol what resulted in adecrease of pain and face volume. However, the patient dies on the tenth day of her ingress due to her bad state ofhealth, progress in glandular failure and ultimate respiratory insufficiency. The second case involves a probable pulmonary infection in a patient diagnosed with breast cancer and receiving chemotherapy treatment. She was ingressed with a febrile neutropenia and a probable bacterial etiology pneumonia and she was treated with antimicrobial medication both in the community hospital and in the base building. However, she showed a torpid evolution followed furthermore by hemoptisis, respiratory insufficiencyand consciousness compromise. Samples of endotraqueal secretion were taken in order to submit them to bacteriological and mycological (TBC) studies, together with hemo...
Descritores: Antifúngicos
Aspergillus flavus
Aspergillus flavus/patogenicidade
Aspergilose/terapia
Emericella/isolamento & purificação
Emericella/patogenicidade
Hospedeiro Imunocomprometido
-Chile
Limites: Humanos
Feminino
Adulto
Tipo de Publ: Relatos de Casos
Responsável: CL2.1 - Biblioteca de Medicina


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Id: lil-417613
Autor: Faria-Campos, A. C; Cerqueira, G. C; Anacleto, C; Carvalho, C. M. de; Ortega, J. M.
Título: Mining microorganism EST databases in the quest for new proteins
Fonte: Genet. mol. res. (Online);2(1):169-177, Mar. 2003.
Idioma: en.
Resumo: Microorganisms with large genomes are commonly the subjects of single-round partial sequencing of cDNA, generating expressed sequence tags (ESTs). Usually there is a great distance between gene discovery by EST projects and submission of amino acid sequences to public databases. We analyzed the relationship between available ESTs and protein sequences and used the sequences available in the secondary database, clusters of orthologous groups (COG), to investigate ESTs from eight microorganisms of medical and/or economic relevance, selecting for candidate ESTs that may be further pursued for protein characterization. The organisms chosen were Paracoccidioides brasiliensis, Dictyostelium discoideum, Fusarium graminearum, Plasmodium yoelii, Magnaporthe grisea, Emericella nidulans, Chlamydomonas reinhardtii and Eimeria tenella, which have more than 10,000 ESTs available in dbEST. A total of 77,114 protein sequences from COG were used, corresponding to 3,201 distinct genes. At least 212 of these were capable of identifying candidate ESTs for further studies (E. tenella). This number was extended to over 700 candidate ESTs (C. reinhardtii, F. graminearum). Remarkably, even the organism that presents the highest number of ESTs corresponding to known proteins, P. yoelii, showed a considerable number of candidate ESTs for protein characterization (477). For some organisms, such as P. brasiliensis, M. grisea and F. graminearum, bioinformatics has allowed for automatic annotation of up to about 20 of the ESTs that did not correspond to proteins already characterized in the organism. In conclusion, 4093 ESTs from these eight organisms that are homologous to COG genes were selected as candidates for protein characterization
Descritores: Bases de Dados de Proteínas
Etiquetas de Sequências Expressas
Análise de Sequência de Proteína
-Chlamydomonas reinhardtii/genética
Dictyostelium/genética
Eimeria tenella/genética
Emericella/genética
Fusarium/genética
Genoma
Magnaporthe/genética
Paracoccidioides/genética
Plasmodium yoelii/genética
Proteínas/genética
Homologia de Sequência de Aminoácidos
Limites: Animais
Tipo de Publ: Research Support, U.S. Gov't, Non-P.H.S.
Responsável: BR1.1 - BIREME



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