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Biomedical subjects

A D Pearson

Publications and source records attributed to A D Pearson.

At least 217 records · Page 12Linked to original sources

Virulent Streptococcus pyogenes: outbreak and spread within a geriatric unit.

An outbreak of infection due to Streptococcus pyogenes occurred in a geriatric rehabilitation unit between February and September 1981, affecting 10 patients and two staff. The severity of the illness ranged from asymptomatic throat carriage, through skin and soft-tissue sepsis, to fulminant septicaemia and necrotising fasciitis: two patients died of their infection. Streptococcus pyogenes infection may present in a variety of ways, and may be dangerous. Recently developed serological tests have been found useful in the surveillance of an outbreak. Although Streptococcus pyogenes is sensitive to penicillin and other antibiotics, good ward hygiene is still essential for controlling such an outbreak in an institution.

Aged↗

Dystonic reactions and the pharmacokinetics of metoclopramide in children.

The pharmacokinetics of metoclopramide have been studied in nine children receiving the drug as prophylaxis for cytotoxic induced vomiting. Plasma concentrations of metoclopramide have also been studied in three children with dystonic reactions to the drug. The pharmacokinetics in children were similar to those reported in healthy adults. There was no difference in the plasma concentration of metoclopramide of children with dystonia when compared to those without this adverse effect. Kinetic differences in childhood do not explain the occurrence of dystonia, which in the individual appears to be related to factors other than plasma drug concentrations.

Adult↗

Investigation of a waterborne outbreak of Campylobacter jejuni enteritis with a serotyping scheme based on thermostable antigens.

Serotyping of 11 human and 2 water isolates of Campylobacter jejuni associated with a waterborne outbreak revealed two serotypes among the human isolates. One of these (serotype 58) was a new serotype and was added to the serotyping scheme. Serotypes were defined by using extracted thermostable antigens and passive hemagglutination titrations of both unabsorbed and cross-absorbed antisera. Two water isolates of the same serotype as six human isolates provided evidence to link a contaminated water supply to the outbreak.

Antigens, Bacterial↗

Intracranial calcification in survivors of childhood medulloblastoma.

Computerised tomography scans of the brain have been performed on 5 children who have survived at least 5 years after treatment with surgery and radiotherapy for medulloblastoma. Intracranial calcification of varying degrees of the basal ganglia and of the frontal and parietal cortex was detected in the 3 children who were irradiated under age 5 years.

Age Factors↗

Intestinal permeability in children with Crohn's disease and coeliac disease.

Mannitol and lactulose were used as probe molecules to measure intestinal permeability in children with active small-bowel Crohn's disease and with untreated coeliac disease. Mannitol and lactulose were administered by mouth in a moderately hypertonic solution (580 mmol (mosmol)/l), and results were expressed as the ratio of the molecules excreted in urine over five hours. Patients with Crohn's disease had a sixfold increase in permeability (due to increased lactulose permeability) and those with coeliac disease a fivefold increase (due to decreased mannitol permeability). From these results the test offers potential as a noninvasive investigation in children with small-bowel disease.

Adolescent↗

An experimental study of the pathology and ecology of Yersinia enterocolitica infection in mice.

Four experiments are described in which laboratory mice were infected with Y. enterocolitica using an American serotype 0:8 (WA) and two European strains, serotypes 0:3 and 0:9. The pathogenicity and histopathological responses of strain WA (0:8) were determined in the Porton white outbred mouse by three route of inoculation. The LD50 after infection by the intraperitoneal route was 8.8 x 10(1) organisms, which is similar to results obtained by previous workers using disease-free and hybrid mouse strains. European strains 0:3 and 0:9 were shown to infect the Porton white outbred mice when injected intraperitoneally but no deaths occurred. Chronic faecal excretion was demonstrated up to 135 days. Specific antibodies were detected in the 0:3 and 0:9 infected mice and the immune response was further assessed by challenging the excreter mice with 50LD50S of the virulent WA strain. A significant degree of protection occurred in mice previously injected with 10(7) organisms of the avirulent strains. No evidence of phenotypic variation, as measured by 40 markers, was detected in 67 isolates of Y. enterocolitica recovered during the course of the four experiments. These results suggest that laboratory rodents could be a useful model for studying the infection produced by virulent and avirulent strains, and since it has been clearly established that a wide range of serotypes and non-typeable strains may be isolated from wild rodents, our findings could be extrapolated to the wildlife situation. Further work on the laboratory model could give a more detailed insight into the mechanism and extent to which rodents act as reservoirs of Y. enterocolitica.

Animals↗

A microagglutination test for Yersinia enterocolitica infection: recognition of multiple serotypes in experiments with stained suspensions of serotype O5,27.

When suspensions of Yersinia enterocolitica were stained with triphenyl-tetrazolium chloride (TTC) their antigenic specificity, as determined by tube and microtitre-plate agglutination tests, was altered. Thus, a TTC-stained suspension of serotype O5,27 detected antibodies to nine O serotypes of Y. enterocolitica in sera from experimentally infected animals but did not cross-react with antisera to organisms of five other unrelated genera including Brucella. The same suspension did, however, cross-react weakly with antisera to four serotypes of Yersinia pseudotuberculosis. The value of this antigen preparation in detecting antibodies to the wide range of Y. enterocolitica serotypes likely to cause infection in man should now be assessed.

Agglutination Tests↗

Long-term fecal excretion and resistance induced in mice infected with Yersinia enterocolitica.

European isolates of Yersinia enterocolitica serotypes O3 and O9 were shown to infect but not kill mice, which became fecal excreters for up to 135 days. The mice challenged with 500 50% lethal doses of the virulent WA strain of Y. enterocolitica serotype O8 survived, and some excreted the virulent strain. This rodent model may be of value in assessing the ecological significance of rodents in the maintenance of Y. enterocolitica.

Animals↗