Pontine ataxic hemiparesis, a lateral penetrator syndrome?
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Biomedical subjects
Publications and source records attributed to K H Chan.
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Adult meningitis caused by Flavobacterium meningosepticum is rare. Five cases have been reported in the literature. The case reported herein developed in a woman after a transsphenoidal hypophysectomy. The isolate was resistant to erythromycin. Treatment with oral rifampicin combined with intravenous chloramphenicol and cefoperazone resulted in complete recovery.
This paper summarizes the isolation of arboviruses from mosquitoes collected in the Ord Valley between 1972 and 1976. A total of one hundred and ninety five strains of at least fifteen antigenically distinct viruses have been isolated. Seven of these isolates appear to be "new' antigenic types, and several are undergoing further testing. These are three new rhabdoviruses (Kununurra [OR194], a virus provisionally named Kimberley [OR250] and OR189 [provisionally named Parry's Creek]), three ungrouped, non-haemagglutinating viruses (OR379, OR512, OR869) and a virus (OR540) which reacts to Poly Anopheles A world grouping fluid. The remaining viruses have been previously identified in Australia. These include Murray Valley encephalitis (MVE), Kunjin, Kokobera, Sindbis, Koongol, Wongal, Wongorr and a virus in the Corriparta serological group. The most important finding of these studies is that MVE displays as annually recurrent pattern of activity with a peak seasonal transmission rate at the end of the wet monsoon. This is the first definition of a probable endemic focus of MVE activity in Australia. The major vector for the majority of the viruses isolated was, by inference, Culex annulirostris. However, Aedeomyia catasticta was implicated as a major vector of the Corriparta group virus.
Laboratory strains representing six numerical taxonomy clusters and fresh isolates of human Actinomyces viscosus and Actinomyces naeslundii were studied by standard flocculation slide tests for the ability to hemagglutinate erythrocytes (RBC) from various animal species. Human AB and horse RBC were agglutinated more frequently and rapidly than others; guinea pig RBC were agglutinated by only a few strains. Human AB RBC were selected for studies of hemagglutination mechanisms. Treatment of RBC with clostridial neuraminidase (NTRBC) greatly enhanced hemagglutination for almost all strains. In hapten inhibition experiments in which various concentrations of sugars were used, beta-galactosides were the most effective inhibitors of hemagglutination for both RBC and NTRBC; inhibition of NTRBC agglutination required higher concentrations. Soybean lectin agglutinated both RBC and NTRBC but not Actinomyces cells. NTRBC agglutinated at a 125-fold-lower concentration. Hemagglutination was sensitive to ethylenediaminetetraacetate for one strain tested. Hemagglutination reactions were reversible by addition of beta-galactosides. The ability of Actinomyces strains to "prime" RBC for hemagglutination by removing sialic acid to expose more penultimate beta-galactoside sites was studied by recycling Actinomyces-agglutinated RBC which were dispersed with a lactose solution and washed free of bacteria (primed RBC). Priming in this manner augmented subsequent hemagglutination by indicator Actinomyces strains and made the RBC more sensitive to agglutination by soybean lectin. The priming ability of Actinomyces strains generally correlated with the amount of sialic acid removed from primed RBC. Strains representing the numerical taxonomy clusters differed in both their hemagglutinating and priming activities. Cluster 5 strains (typical A. naeslundii) were good agglutinators of RBC, NTRBC, and primed RBC but were poor primers. Cluster 3 strains (atypical A. naeslundii) were the weakest hemagglutinators but could prime RBC adequately for subsequent agglutination by other strains. Together, these data indicate that Actinomyces hemagglutination proceeds via a two-step mechanism: (i) neuraminidase removal of terminal sialic acid and (ii) lectin-like binding to exposed beta-galactoside-associated sites on the RBC. Strains differ in the extent to which they can perform the two functions, and this specificity may relate to their taxonomic classification.
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Epstein Barr Virus (EBV) receptor activity in cell free extracts is operationally defined as one which causes a reduction in the effective concentration of the early antigen inducing particles of an EBV preparation when the latter is preincubated with the extract before infection. Such activity was detected in the surface extract of Raji cells and to a lesser extent in that of BJAB cells, both of which are B lymphoblastoid cells that are susceptible to infection with EBV. Receptor activity was not detected in similar extracts of P3HR-1 cells and human diploid fibroblasts neither of which are known to be susceptible to EBV infection. Receptor activity in the Raji cell extract was found to be associated with membranous structures. This may have rendered the activity resistant to treatment with trypsin and sonication. The activity was however abrogated if the extract was exposed to neutral detergent. Binding of receptor activity was observed when Raji cell extract was chromatographed on a column of immobilized EBV. Subsequent electrophoretic analysis showed however that this procedure did not result in an appreciable purification of the receptor activity. Neutral detergent treated extract was similarly chromatographed. The resulting eluates did not contain detectable receptor activity but were less heterogeneous in protein content as compared with that of the original extract. It is not certain at present if these EBV binding proteins are involved in the receptor activity of the extract.
Electron microscopy of new isolates of gram-positive Actinomyces naeslundii demonstrated long, fragile appendages. Removal of the appendages impaired attachment to epithelial cells and reaggregation, thus implicating them in attachment-related functions.
One hundred and thirty presumptive viruses have been isolated from 485 pools made from 23,872 mosquitoes collected in the Ord River area of North-West Australia. One hundred and eleven of the virus isolates isolates came from pools of Culex annulirostis, the dominant mosquito species caught in the vicinity of Kununurra. Forty-five of the viruses pathogenic for newborn mice have been further characterized-19 as Flaviviruses, 1 Alphavirus, 9 Koongol, 1 Mapputta and 15 non-haemagglutinating viruses of which 6 are Corripata. Thirty-seven isolates were from Culex annulirostis, 7 from Aedomyia catasticta and 1 from aedes tremulus. All Corriparta isolates were from Aedomyia catasticta. The Flaviviruses comprised 13 Kunjin and 6 MVE isolates.
Two anti-Salmonella serogroup E-specific monoclonal antibodies (MAbs) are described. Neither antibody reacted with any of the 58 strains of serogroups A-D Salmonella tested by enzyme immunoassays nor did they react with any of the 21 other species of enterobacteria, 15 species of other Gram-negative bacteria, and 6 species of Gram-positive bacteria. In contrast, all 14 strains of serogroups E1 and E4 Salmonella reacted with both antibodies. Ascitic fluids of these two antibodies agglutinated all 42 strains of serogroups E1 and E4 Salmonella tested by slide agglutination method but did not agglutinate any of the 107 strains of other serogroups of Salmonella. Lysogenic conversion of serogroup E1 Salmonella strains by phages epsilon 15 and epsilon 34 resulted in loss of reactivities of these strains with the MAbs.
Two IgG3 murine monoclonal antibodies, Cl-1 and Cl-2, that showed serologic specificities for the O antigens of serogroup C1 (0:6,7) Salmonella were established. The epitopes for the antibodies were found to reside on the repeating units of the serogroup C1 Salmonella lipopolysaccharide and were labile to sodium metaperiodate oxidation. Serologic reactivities of Cl-1 and Cl-2 were not inhibited by commercial monospecific antiserum to O antigen 7, but were inhibited to various degrees by anti-[O:6,7] serum. Both antibodies reacted strongly with all strains of serogroup C1 Salmonella that have either O:6(1),7, O:6(2),7, or O:6(1,2),7 antigens. Reactivities of Cl-1 and Cl-2 with the phage-14 lysogenized C1 strains that bear the phage-modified O antigen (O:6,7----O:6,7,14) were detected by slide agglutination method only and not by whole-cell enzyme-linked immunosorbent assay. Both Cl-1 and Cl-2 antibodies did not react with other O serogroups of salmonellae, nor with other Gram-negative or Gram-positive bacteria. The diagnostic value of these monoclonal antibodies together with a previously described monoclonal antibody against the serogroup C2 Salmonella was demonstrated using the slide agglutination method with monoclonal antibodies ascitic fluids.
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Contrast-detail curves were constructed for liver computed tomographic (CT) images using an objective method. Stimuli were created by superimposing disks at specified locations on sets of 92 normal liver CT images. Bright and dark disks of 9 sizes and 36 possible image contrasts were used. Sets of 92 stimuli were rendered on film at five window widths (64, 128, 256, 512, and 1024 HU). The contrast-detail (CD) curve flattened substantially for disks larger than 7-mm diameter, and its slope (on a log-log plot) was less than predicted from signal-detection theory. Manipulation of display window manipulation had little impact on this disks' visibility. The results indicate that human observers have difficulty visualizing large, low-contrast details on liver CT scans, and suggest that narrowing the display window will have little effect on this limitation.
Setting up and maintaining video display monitors properly will help to reduce display variation and improve overall presentation of the radiological image. Display monitor gray-scale characteristics were examined using the SMPTE test pattern. This test pattern may be used as a standard for adjusting brightness and contrast. The controls should be adjusted to display the full dynamic range so that the 5% and 95% signal levels in the pattern are visible. Measured luminance on a laboratory workstation used for radiological perceptual experiments, and on the Siemens CT gray-scale monitor was determined to range from 0.17 to 76.0 nit, and 0.17 to 24.66 nit, respectively. These were compared with the range of approximately 17 to 514 nit for a typical film-viewbox combination. Characteristic curves were determined for both monitors, and CRT gammas were 3.34 and 2.48 for the perceptual workstation and CT console, respectively. The display gamma was determined from fitting luminance data to a log-log plot of luminance versus input gray level. The usefulness of the SMPTE test pattern for visual presentation as well as photometric measurement is demonstrated.
A random telephone survey on knowledge of stroke was conducted in 1, 238 Hong Kong Chinese. Most respondents realized that effective treatment was available, that stroke was preventable and that it could be fatal or disabling. Sudden unilateral limb weakness, sudden speech and language disturbances, and sudden vertigo and clumsiness were better recognized than other warning symptoms of stroke. A slightly better recognition of symptoms of stroke was seen in those with a belief of knowing about stroke, providing a correct description of stroke, those with a positive household history of stroke and those with a better knowledge of potential risk factors. Most respondents would choose desirable actions if stroke was suspected in their family members or themselves. Friends and relatives, newspapers and magazines, and mass media provided the major sources of their knowledge.