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Biomedical subjects

A Torres

Publications and source records attributed to A Torres.

At least 739 records · Page 41Linked to original sources
PubMed1969

Pathogenicity of the Trudeau strain of Mycobacterium sp. 607 for mice.

A study was made of the pathogenic properties of the Trudeau Culture Collection strain (T-67) of Mycobacterium sp. 607 for mice. The organism was highly pathogenic for CF1 mice upon intravenous injection. The animals succumbed soon after intravenous injection of a 14 x 10(6) viable cellular units. The T-67 strain proliferated in the kidneys of the animals but was unable to reproduce in the lungs, liver, and spleen. Destruction of the organisms in the latter organs commenced 24 hr after injection. Tissue bacterial counts showed that the mycobacteria were similarly destroyed in the kidneys after an interval of from 7 to 9 days after injection of the organisms. Histopathological examination of the tissues indicated that the lethal effects of the organism were due primarily to kidney damage. The liver, lungs, and spleen were similarly involved but to a lesser degree. The unique characteristics of the T-67 strain of Mycobacterium sp. 607 are discussed.

Animals↗
PubMedDate not supplied

High alcohol intake as a risk and prognostic factor for community-acquired pneumonia.

OBJECTIVE: To evaluate whether high alcohol intake is an independent risk factor for community-acquired pneumonia in middle-aged people and whether it confers a poor prognosis. METHODS: A two-phase study was performed. Risk factors for community-acquired pneumonia were evaluated in a case-control study of 50 patients and 50 controls. Prognostic factors and microbiologic and clinical features were then evaluated in a cohort study of the 50 middle-aged patients with community-acquired pneumonia. RESULTS: In the first study, the only independent risk factor for community-acquired pneumonia was high alcohol intake (P < .02). In the second study, patients with chronic alcoholism had a higher incidence of pneumonia caused by gram-negative bacilli (P < .03), as well as a higher incidence of Candida albicans (P < .03), Staphylococcus aureus (P < .0001), and gram-negative bacilli (P < .001) in the cultures of pharyngeal smears than did the nonalcoholics. Compared with nonalcoholic patients, alcoholic patients with pneumonia showed more severe clinical symptoms (P < .02), required longer intravenous treatment (P < .02) and longer hospital stay (P < .01), and had multilobar involvement and pleural effusion (both P < .01), as well as slower resolution of pulmonary infiltrates. The only prognostic factor for mortality was high alcohol intake (P < .03). CONCLUSIONS: High alcohol intake is the main risk factor for developing community-acquired pneumonia in middle-aged people. This situation also confers a worse prognosis in these patients, who should be treated with broad-spectrum antibiotics for a longer period.

Adult↗
PubMedDate not supplied

Histopathology of ventilator-associated pneumonia (VAP) and its clinical implications.

Ventilator-associated pneumonia (VAP) is a diffuse polymicrobial and dynamic process, with heterogeneous distribution of lesions, showing different degrees of histological evolution predominating in the dependent lung zones, in which microbiology and histology can be dissociated. This might explain why blind endobronchial techniques to collect respiratory secretions have similar accuracy compared to visually guided samples, explaining the difficulties in validating any methods for its diagnosis. In the clinical setting the association of acute lung injury (ALI) and pneumonia is controversial. However, it is rare to detect diffuse alveolar damage (DAD) in absence of histological signs of pneumonia, probably evidencing that ALI favors the development of pneumonia. Histopathologically, it is difficult to distinguish initial and resolution phases of DAD from pneumonia and vice versa. On the other hand, there is a clear relationship between antimicrobial treatment and the decreased lung bacterial burden which strengthens the importance of distal airway sampling before starting antibiotic therapy.

Animals↗