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[PMID]:28806774
[Au] Autor:Sahni A; Patel J; Narra HP; Schroeder CLC; Walker DH; Sahni SK
[Ad] Endereço:Department of Pathology, University of Texas Medical Branch, Galveston, Texas, United States of America.
[Ti] Título:Fibroblast growth factor receptor-1 mediates internalization of pathogenic spotted fever rickettsiae into host endothelium.
[So] Source:PLoS One;12(8):e0183181, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Rickettsial infections continue to cause serious morbidity and mortality in severe human cases around the world. Host cell adhesion and invasion is an essential requisite for intracellular growth, replication, and subsequent dissemination of pathogenic rickettsiae. Heparan sulfate proteoglycans [HSPGs] facilitate the interactions between fibroblast growth factor(s) and their tyrosine kinase receptors resulting in receptor dimerization/activation and have been implicated in bacterial adhesion to target host cells. In the present study, we have investigated the contributions of fibroblast growth factor receptors [FGFRs] in rickettsial entry into the host cells. Inhibition of HSPGs by heparinase and FGFRs by AZD4547 (a selective small-molecule inhibitor) results in significant reduction in rickettsial internalization into cultured human microvascular endothelial cells (ECs), which represent the primary targets of pathogenic rickettsiae during human infections. Administration of AZD4547 during R. conorii infection in a murine model of endothelial-target spotted fever rickettsiosis also diminishes pulmonary rickettsial burden in comparison to mock-treated controls. Silencing of FGFR1 expression using a small interfering RNA also leads to similar inhibition of R. rickettsii invasion into ECs. Consistent with these findings, R. rickettsii infection of ECs also results in phosphorylation of tyrosine 653/654, suggesting activation of FGFR1. Using isobaric tag for relative and absolute quantitation [iTRAQ]-based proteomics approach, we further demonstrate association of ß-peptide of rickettsial outer membrane protein OmpA with FGFR1. Mechanistically, FGFR1 binds to caveolin-1 and mediates bacterial entry via caveolin-1 dependent endocytosis. Together, these results identify host cell FGFR1 and rickettsial OmpA as another novel receptor-ligand pair contributing to the internalization of pathogenic rickettsiae into host endothelial cells and the potential application of FGFR-inhibitor drugs as adjunct therapeutics against spotted fever rickettsioses.
[Mh] Termos MeSH primário: Febre Botonosa/metabolismo
Febre Botonosa/microbiologia
Endocitose
Endotélio/microbiologia
Interações Hospedeiro-Patógeno
Receptor Tipo 1 de Fator de Crescimento de Fibroblastos/metabolismo
Rickettsia/fisiologia
[Mh] Termos MeSH secundário: Sequência de Aminoácidos
Animais
Proteínas da Membrana Bacteriana Externa/química
Proteínas da Membrana Bacteriana Externa/metabolismo
Caveolina 1/metabolismo
Caveolina 2/metabolismo
Modelos Animais de Doenças
Endotélio/patologia
Técnicas de Silenciamento de Genes
Proteoglicanas de Heparan Sulfato/metabolismo
Seres Humanos
Peptídeos/química
Peptídeos/metabolismo
Ligação Proteica
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Bacterial Outer Membrane Proteins); 0 (Caveolin 1); 0 (Caveolin 2); 0 (Heparan Sulfate Proteoglycans); 0 (Peptides); 149024-69-1 (OMPA outer membrane proteins); EC 2.7.10.1 (Receptor, Fibroblast Growth Factor, Type 1)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171009
[Lr] Data última revisão:
171009
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170815
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0183181


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[PMID]:28491211
[Au] Autor:Boulahri T; Taous A; Berri MA; Traibi I; Elbenaye J; Rouimi A
[Ad] Endereço:Service de Neurlogie, Hopital Militaire Moulay Ismail, Meknès, Maroc.
[Ti] Título:[Rickettsiosis associated with cerebral infarction: a new case study].
[Ti] Título:Association rickettsiose et infarctus cérébral: une nouvelle observation..
[So] Source:Pan Afr Med J;26:80, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:fre
[Ab] Resumo:Mediterranean spotted fever (MSF) is a rickettsiosis of the spotted fever group caused by rickettsia conorii. This zoonosis is benign but it can be complicated by severe neurological impairment (hence its severity). We report the case of a 49-year old patient hospitalized in the Department of Dermatology for rickettsiosis, who suffered from right massive hemiplegia of brutal onset. Magnetic resonance angiography (MRA) of the brain showed deep left sylvian fissure ischemic stroke. The diagnosis of conorii-type rickettsiosis has been retained based on the aspect of skin lesions and on positive sierologic testing with the indirect immunofluorescence method. Evolution was favorable under anti-biotherapy (Doxycycline and fluoroquinolone). Cerebral infarction, exceptionally reported in the framework of neurological manifestations of rickettsioses, is a complication that shouldn't be underestimated especially when etiologic assessment (cardiovascular in particular) is negative.
[Mh] Termos MeSH primário: Antibacterianos/administração & dosagem
Febre Botonosa/complicações
Infarto Cerebral/etiologia
Angiografia por Ressonância Magnética/métodos
[Mh] Termos MeSH secundário: Febre Botonosa/diagnóstico
Infarto Cerebral/diagnóstico por imagem
Infarto Cerebral/tratamento farmacológico
Doxiciclina/administração & dosagem
Feminino
Fluoroquinolonas/administração & dosagem
Hemiplegia/etiologia
Seres Humanos
Meia-Idade
Rickettsia conorii/isolamento & purificação
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); 0 (Fluoroquinolones); N12000U13O (Doxycycline)
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170613
[Lr] Data última revisão:
170613
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170512
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.26.80.11434


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[PMID]:28368858
[Au] Autor:Nafi O; Tarawnah Y; Tarawnah A
[Ad] Endereço:Faculty of Medicine, Mutah University, Karak, Jordan. onafi2000@yahoo.com.
[Ti] Título:Epidemiological evaluation of Mediterranean spotted fever in children of the Karak province in south Jordan.
[So] Source:J Infect Dev Ctries;11(3):242-246, 2017 Mar 31.
[Is] ISSN:1972-2680
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The aim of this study was to describe the epidemiological patterns of Mediterranean spotted fever (MSF) as well as its treatment and outcomes in children in south Jordan. METHODOLOGY: A retrospective observational study was conducted from June 2013 to December 2015. Data regarding demographics, clinical presentation, laboratory findings, treatment, and outcomes were collected. RESULTS: In total, 35 male and 20 female patients (mean age: 6 years ± 3.6) were included. The incidence of MSF was 7.9 cases/100,000 inhabitants/year; MSF affected 89% of individuals in the summer, 74.5% of those living in a rural area with tent housing, and 100% of those who had contact with animals. All cases presented with fever, and 94.5% had a skin rash. Serological tests were positive in 87.2% of cases, and Rickettsia conorii (the Moroccan strain) was present in all positive cases. All cases had thrombocytopenia, but none had leukocytosis. Hyponatremia was present in 71% of cases, and 49%, 61.8%, and 72.7% had increased urea, alanine transaminase, and aspartate aminotransferase levels, respectively. Doxycycline was administered to all patients, with a cure rate of 96.4% and mortality rate of 3.6%. CONCLUSIONS: MSF caused by R. conorii (the Moroccan strain) is prevalent in Jordan, and contact with animals is the route of transmission. The patients' responses to doxycycline were excellent. A high index of suspicion, early diagnosis, and specific treatment considerably decrease mortality. MSF should be considered as a possible cause of febrile disease in those with a rash and in those living in rural areas.
[Mh] Termos MeSH primário: Febre Botonosa/epidemiologia
Rickettsia conorii/isolamento & purificação
[Mh] Termos MeSH secundário: Antibacterianos/uso terapêutico
Febre Botonosa/diagnóstico
Febre Botonosa/tratamento farmacológico
Febre Botonosa/patologia
Criança
Pré-Escolar
Doxiciclina/uso terapêutico
Feminino
Seres Humanos
Jordânia/epidemiologia
Masculino
Prevalência
Estudos Retrospectivos
Testes Sorológicos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); N12000U13O (Doxycycline)
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170417
[Lr] Data última revisão:
170417
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170404
[St] Status:MEDLINE
[do] DOI:10.3855/jidc.8154


  4 / 795 MEDLINE  
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[PMID]:28355307
[Au] Autor:Herrador Z; Fernandez-Martinez A; Gomez-Barroso D; León I; Vieira C; Muro A; Benito A
[Ad] Endereço:National Centre for Tropical Medicine, Health Institute Carlos III (ISCIII in Spanish), Madrid, Spain.
[Ti] Título:Mediterranean spotted fever in Spain, 1997-2014: Epidemiological situation based on hospitalization records.
[So] Source:PLoS One;12(3):e0174745, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Mediterranean spotted fever (MSF) is a zoonotic disease caused by Rickettsia conorii. In Spain, deficiencies in the official reporting result in misreporting of this disease. This study aims to describe the clinical and temporal-spatial characteristics of MSF hospitalizations between 1997 and 2014. MATERIALS AND METHODS: We performed a retrospective descriptive study using the Hospitalization Minimum Data Set (CMBD). All CMBD's hospital discharges with ICD-9 CM code 082.1 were analyzed. Hospitalization rates were calculated and clinical characteristics were described. Spatial distribution of cases and their temporal behavior were also assessed. RESULTS: A total of 4,735 hospitalizations with MSF diagnosis were recorded during the study period, out of which 62.2% were male, mean age of 48. Diabetes mellitus, alcohol dependence syndrome, and chronic liver disease occurred in 10.8%, 2.4% and 2.8% hospitalizations, respectively. The median annual hospitalization rate showed a decreasing trend from a maximum of 12.9 in 1997 to a minimum rate of 3.1 in 2014. Most admissions occurred during the summer, showing a significant annual seasonal behavior. Important regional differences were found. DISCUSSION: Although MSF hospitalization rates have decreased considerably, it remains a public health problem due to its severity and economic impact. Therefore, it would be desirable to improve its oversight and surveillance.
[Mh] Termos MeSH primário: Febre Botonosa/epidemiologia
Febre Botonosa/virologia
Registros Hospitalares/estatística & dados numéricos
Hospitalização/estatística & dados numéricos
Rickettsia conorii/fisiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Alcoolismo/epidemiologia
Febre Botonosa/diagnóstico
Doença Crônica
Comorbidade
Diabetes Mellitus/epidemiologia
Feminino
Interações Hospedeiro-Patógeno
Seres Humanos
Classificação Internacional de Doenças
Modelos Lineares
Hepatopatias/epidemiologia
Masculino
Meia-Idade
Alta do Paciente/estatística & dados numéricos
Estudos Retrospectivos
Espanha/epidemiologia
Síndrome
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170330
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0174745


  5 / 795 MEDLINE  
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[PMID]:28292166
[Au] Autor:Ghezala HB; Feriani N
[Ad] Endereço:Réanimation Médicale à la Faculté de Médecine de Tunis, Hôpital de Zaghouan, Avenue de l'Environnement, 1100 Zaghouan, Tunisie.
[Ti] Título:[Late diagnosis of fatal invasive rickettsial disease in the Intensive Care Unit].
[Ti] Título:Rickettsiose invasive mortelle diagnostiquée tardivement en reanimation..
[So] Source:Pan Afr Med J;25:211, 2016.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:fre
[Ab] Resumo:Mediterranean spotted fever is an infectious disease belonging to the rickettsial group due to an intracellular bacterium: Rickettsia Conorii. Pauci-symptomatic and benign forms are predominant. Severe forms are rare and increasingly reported in the recent literature with potentially life-threatening severe multi-systemic involvement. We here report a very rare case of a 52-year old patient admitted to an Intensive Care Unit with convulsions, septic shock and acute renal failure. On the second day, given the discovery of « inoculation chancre ¼-like lesions which needed to be treated, the diagnosis of severe rickettsial disease with severe multivisceral involvement was suspected and then confirmed by serology. Antibiotic treatment with doxycycline was then administered. However the patient developed acute tubular necrosis requiring extrarenal purification sessions. The patient rapidly developed fatal multivisceral failure. Rickettsiosis is associated with microcirculatory vasculitis thus leading to severe clinical manifestations. The mechanisms involved and the possible prognostic factors have been discussed in this study through a review of the literature.
[Mh] Termos MeSH primário: Lesão Renal Aguda/etiologia
Febre Botonosa/diagnóstico
Rickettsia conorii/isolamento & purificação
Choque Séptico/etiologia
[Mh] Termos MeSH secundário: Antibacterianos/uso terapêutico
Febre Botonosa/complicações
Febre Botonosa/tratamento farmacológico
Diagnóstico Tardio
Doxiciclina/uso terapêutico
Evolução Fatal
Seres Humanos
Unidades de Terapia Intensiva
Masculino
Meia-Idade
Convulsões/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); N12000U13O (Doxycycline)
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170330
[Lr] Data última revisão:
170330
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170316
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2016.25.211.10452


  6 / 795 MEDLINE  
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[PMID]:27871450
[Au] Autor:Tzanetakos D; Papadopoulou M; Kanellopoulos D; Mamali M; Safarikas M; Katsianos D; Zisimopoulou V
[Ad] Endereço:Department of Neurology, "IASO General" Hospital, Athens, Greece.
[Ti] Título:Chronic inflammatory demyelinating polyneuropathy associated with Rickettsia conorii: First case report.
[So] Source:J Neurol Sci;371:60-61, 2016 Dec 15.
[Is] ISSN:1878-5883
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Mh] Termos MeSH primário: Febre Botonosa/complicações
Febre Botonosa/diagnóstico
Polirradiculoneuropatia Desmielinizante Inflamatória Crônica/complicações
Polirradiculoneuropatia Desmielinizante Inflamatória Crônica/diagnóstico
Rickettsia conorii
[Mh] Termos MeSH secundário: Febre Botonosa/fisiopatologia
Diagnóstico Diferencial
Progressão da Doença
Feminino
Seres Humanos
Meia-Idade
Nervos Periféricos/fisiopatologia
Polirradiculoneuropatia Desmielinizante Inflamatória Crônica/fisiopatologia
[Pt] Tipo de publicação:CASE REPORTS; LETTER
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161123
[St] Status:MEDLINE


  7 / 795 MEDLINE  
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[PMID]:27642144
[Au] Autor:Hsairi M; Ben Ameur S; Alibi S; Belfitouri Y; Maaloul I; Znazen A; Chabchoub I; Hammami A; Hachicha M
[Ad] Endereço:Hedi Chaker hospital, pediatric department, Sfax, Tunisia; Faculty of medicine, Sfax, Tunisia.
[Ti] Título:Macrophagic activation syndrome related to an infection by Rickettsia conorii in a child.
[So] Source:Arch Pediatr;23(10):1076-1079, 2016 Oct.
[Is] ISSN:1769-664X
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:Since the Arab Spring, a resurgence of zoonotic diseases such as rickettsiosis, endemic in the Mediterranean basin, has been observed. It preferentially infects microvascular endothelial cells of mammalian hosts inducing vasculitis with endothelial injury. Rickettsioses are considered benign infectious diseases. Severe systemic manifestations have been reported and are often explained by a delay in diagnosis. We present a case of hemophagocytic syndrome occurring in a 4-year-old Libyan girl as a complication of Mediterranean spotted fever. Rickettsial infection was confirmed by serology and the patient was treated with clarithromycin, with a favorable outcome.
[Mh] Termos MeSH primário: Febre Botonosa/complicações
Síndrome de Ativação Macrofágica/microbiologia
Rickettsia conorii
[Mh] Termos MeSH secundário: Pré-Escolar
Feminino
Seres Humanos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170418
[Lr] Data última revisão:
170418
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160920
[St] Status:MEDLINE


  8 / 795 MEDLINE  
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[PMID]:27534717
[Au] Autor:Calero-Bernal R; Delgado de Las Cuevas G
[Ad] Endereço:Animal Health Department, University of Extremadura.
[Ti] Título:Survey of Zoonoses in Extremadura, Spain.
[So] Source:Jpn J Infect Dis;69(4):352, 2016.
[Is] ISSN:1884-2836
[Cp] País de publicação:Japan
[La] Idioma:eng
[Mh] Termos MeSH primário: Febre Botonosa/epidemiologia
Brucelose/epidemiologia
Equinococose/epidemiologia
Leishmaniose/epidemiologia
Toxoplasmose/epidemiologia
[Mh] Termos MeSH secundário: Seres Humanos
Fatores de Risco
Estudos Soroepidemiológicos
Espanha/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170130
[Lr] Data última revisão:
170130
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160819
[St] Status:MEDLINE
[do] DOI:10.7883/yoken.JJID.2015.647


  9 / 795 MEDLINE  
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[PMID]:27534716
[Au] Autor:Egea MA; Herraez O; Tenias JM; Garduño E; Huertas M; Carranza R; Ramos JM
[Ad] Endereço:Department of Microbiology, Hospital General La Mancha Centro.
[Ti] Título:Reply to the Letter to the Editor from R. Calero-Bernal et al.
[So] Source:Jpn J Infect Dis;69(4):352-4, 2016.
[Is] ISSN:1884-2836
[Cp] País de publicação:Japan
[La] Idioma:eng
[Mh] Termos MeSH primário: Febre Botonosa/epidemiologia
Brucelose/epidemiologia
Equinococose/epidemiologia
Leishmaniose/epidemiologia
Toxoplasmose/epidemiologia
[Mh] Termos MeSH secundário: Seres Humanos
Fatores de Risco
Estudos Soroepidemiológicos
Espanha/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1701
[Cu] Atualização por classe:170130
[Lr] Data última revisão:
170130
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160819
[St] Status:MEDLINE
[do] DOI:10.7883/yoken.JJID.2016.093


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[PMID]:27514949
[Au] Autor:Kalal BS; Puranik P; Nagaraj S; Rego S; Shet A
[Ad] Endereço:Department of Microbiology, St. John's Medical College Hospital, Bengaluru, Karnataka, India.
[Ti] Título:Scrub typhus and spotted fever among hospitalised children in South India: Clinical profile and serological epidemiology.
[So] Source:Indian J Med Microbiol;34(3):293-8, 2016 Jul-Sep.
[Is] ISSN:1998-3646
[Cp] País de publicação:India
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Rickettsial infections are re-emerging. In India, they are now being reported from several areas where they were previously unknown. OBJECTIVES: The objective of this study was to describe the epidemiology, clinical profile and outcome of serologically-confirmed scrub typhus and spotted fever among children in a tertiary care hospital in Bengaluru. MATERIALS AND METHODS: Hospitalised children aged <18 years, with clinical features suggestive of rickettsial disease admitted between January 2010 and October 2012 were included prospectively. Diagnosis was based on scrub typhus and spotted fever-specific IgM and IgG by enzyme-linked immunosorbent assay (ELISA). RESULTS: Of 103 children with clinical features suggestive of rickettsial illness, ELISA test confirmed 53 cases for scrub typhus, 23 cases for spotted fever group and 14 with mixed infection. The average age was 7.3 (±3.9) years and 44 (71.0%) children were male. Majority of cases were from Karnataka (50%), Andhra Pradesh (32.3%) and Tamil Nadu (17.7%). Common clinical features included fever (100%, average duration 11 days), nausea and vomiting (44%), rash (36%); eschar was rare. Compared to the ELISA test, Weil-Felix test (OX-K titre of 1:80) had a sensitivity and specificity of 88.7% and 43.9%, respectively. Treatment with chloramphenicol or doxycycline was given to the majority of the children. Complications included meningoencephalitis (28%), shock (10%), retinal vasculitis (10%) and purpura fulminans (7%). CONCLUSIONS: These findings suggest that the burden of rickettsial infection among children in India is high, with a substantially high complication rate. Rickettsial-specific ELISA tests can help in early diagnosis and early institution of appropriate treatment that may prevent life-threatening complications.
[Mh] Termos MeSH primário: Febre Botonosa/epidemiologia
Febre Botonosa/patologia
Hospitalização
Tifo por Ácaros/epidemiologia
Tifo por Ácaros/patologia
[Mh] Termos MeSH secundário: Adolescente
Anticorpos Antibacterianos/sangue
Criança
Pré-Escolar
Ensaio de Imunoadsorção Enzimática
Feminino
Seres Humanos
Imunoglobulina G/sangue
Imunoglobulina M/sangue
Índia/epidemiologia
Lactente
Recém-Nascido
Masculino
Estudos Prospectivos
Púrpura
Rickettsia
Estudos Soroepidemiológicos
Centros de Atenção Terciária
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antibodies, Bacterial); 0 (Immunoglobulin G); 0 (Immunoglobulin M)
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160813
[St] Status:MEDLINE
[do] DOI:10.4103/0255-0857.188315



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