Neisseria subflava bacteremia in a neutropenic patient.
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Biomedical subjects
Publications and source records attributed to G Prats.
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Groups of Escherichia coli enteropathogen are described, with special attention to Escherichia coli enterohaemorragic. Some serotypes of Escherichia coli verocitotoxin-producing are able to produce haemorrhagic enteritis, which can develop a complication with hemolityc uraemic syndrome. This complication is most frequent in children and has a high mortality rate. The transmission takes place via food and its capacity to cause epidemic outbreaks together with the seriousness of the complications caused by enteritys make this microorganism of great importance to Public Health. The epidemiology of this microorganism in Spain is reviewed.
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Verotoxin-producing Escherichia coli strains have been associated with acute hemorrhagic colitis since 1982. We have systematically investigated this pathogen in our laboratory, in all stool samples submitted for culture during a fourteen month period, by using MacConkey sorbitol agar to isolate non sorbitol fermenting Escherichia coli strains. Coated latex particles with an antiserum against Escherichia coli O157 were used to detect O157 serogroup Escherichia coli. A completed serological study and verotoxin assay was performed in all positive strains. We have found two non-related cases of verotoxigenic Escherichia coli infection in two children. In one case, the main clinical picture was an acute hemorrhagic colitis and the other one was a diarrhea without presence of blood, with fever and vomiting. Both cases improved without antimicrobial treatment. No systemic complications appeared in any of the cases during the infection. The infection incidence was 0.07% of all positive stool cultures. The few documented cases of this infection in our country should encourage to investigate this pathogen in order to know its real incidence in our environment.
The sensitivity in vitro of 348 strains of 18 enteropathogen agents to furazolidone was investigated during the period of 1987-1989. All strains of Shigella sonnei (17), S. flexneri (17), S. boydii (16), Escherichia coli enteropathogen (40), E. coli enteroinvasive (20), Campylobacter jejuni (50), Vibrio cholerae 01 (5), Vibrio cholerae non 01 (5), V. parahaemolyticus (5), V. alginolyticus (2), Aeromonas hydrophila (5), A. caviae (5), A. sobria (5), and Plesiomonas shigelloides (12) were sensitive (MIC < or = 8 mg/l), except a strains of E. coli enteropathogen (MIC 16 mg/l). The 15.5% of the 51 strains of Salmonella enterica belonging to the type I isolated between 1987 and 1989 were resistant (MIC > or = 16 mg/l). A similar degree of resistance was observed in 20 strains of this agent isolated between 1978 and 1980. The 30 strains of Yersinia (including 15 strains of Y. enterocolitica 03) presented extreme values of MICs of 8 and 16 mg/l.
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BACKGROUND: For the epidemiological control of tuberculosis it is necessary to use specific markers for strain differentiation. The analysis of the restriction fragment length polymorphism (RFLP) by using the insertion sequence IS6110 as a probe, allows us to establish accurately the strains which are around in a population. Our study evaluates the efficiency of this marker in 136 strains of Mycobacterium tuberculosis isolated from our surroundings. A standardized protocol is used, and a computerized system to analyze the images is described. METHODS: DNA restriction was done with PvuII. The filters were revealed by following a chemiluminescence method using a 867 bp probe, which is located to the right of the PvuII site IS6110. The comparison of the patterns obtained was done in a computer. The coefficient of Dice was calculated to express the similarity of the profiles given by two strains. The strains were clustered by the UPGMA method. The graphic representation of the clusters was done by means of homology dendrograms. RESULTS: 124 different patterns were obtained from which 118 strains had a unique pattern while 18 shared it. The index of discrimination was 0.996. Ninety two percent of the strains had more than 6 bands and none had no IS6110. The median of homology was 27% in 8 of the patients, 2 consecutive isolates were studied with the result of no variation seen on the patterns. CONCLUSION: IS6110 has shown very effective because of its stability and high discriminative power. The standardized protocol together with a computerized analysis of the images obtained allows comparison of results, furthermore, to establish centralized data base. This would be very useful for epidemiological studies of tuberculosis and the chase of strains with special characteristics.
BACKGROUND: The aim of the study was to describe the etiology of enteropathogenic agents over a four-year period (1992-1995) in a University Hospital in Barcelona. METHODS: We studied 12,793 stool samples, 4519 were obtained from patients under 15 years and 8274 were obtained from patients over 14 years. The specimens were examined for bacteriological, parasitological and virological enteropathogens. RESULTS: In 3380 specimens of 12,793 stool samples studied were identified an enteropathogen (26.4%). Polymicrobial associations were observed in the 6.8% of the cases. Pathogens were identified in 45% of children samples and 16.3% of adults samples. The etiological enteritis agents more frequently detected in the paediatric patients were Campylobacter (13.5%), rotavirus (11.3%) and Salmonella (10.2%); and Salmonella (4.9%), Campylobacter (3.1%) and Giardia intestinalis (2.1%) in adults. Cryptosporidium (13.5%) was the most frequent cause of gastrointestinal tract infections in HIV-infected subjects. In the children with stools positives, the presence of red and white blood cells were more frequent than the adults with stools positives (73% versus 26.6%). CONCLUSIONS: The enteropathogenic agents such as Campylobacter, Salmonella, and Giardia were the most frequent cause of gastroenteritis in our environment. In the children, rotavirus infections predominated during the cold months. The most frequent cause of gastroenteritis in HIV-infected patients was Cryptosporidium followed by Campylobacter.
OBJECTIVE: To determine the number of strains of classic enteropathogenic E. coli (EPEC) that have the eae gene, that is considered a pathogenicity factor. MATERIAL AND METHODS: The presence of the eae gene has been evaluated on 62 EPEC strains of ten different serogroups, isolated from children with gastroenteritis. RESULTS: Amplification of the eae gene was positive in 10 out of 62 EPEC strains analyzed (16%) corresponding to seven different serogroups. DISCUSSION: The low frequency of the detection of the eae gene on EPEC strains shows the limited correlation between the pathogenicity and the serogroup of the strains and would corroborate the need to reexamine this subject prospectively in our country.
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