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PubMed1999

[Mediastinal form of cat-scratch disease].

The authors reported a case of Cat--Scratch Disease (CSD) in a 14-year-old boy; it was an unusual CSD by its mediastinal mass location. Histopathological lesions which appeared as pseudo-tubercular folliculi mislead us. Disease was finally diagnosed by biological exams: a strongly positive Hanger-Rose reaction and serological assays used for the diagnosis of psittacosis, ornithosis, lymphagranuloma venereum and trachoma. CSD is a common cause of chronic lymphadenopathy in children. In the majority of patients, CSD is a mild illness. Some unusual forms as Parinaud's oculoglandular syndrome, neurological lesions, osteomyelitis and exceptionaly mediastinal lymphadenopathy have been reported. 2 cases of the latest ones were already described.

Adolescent↗
PubMed1992

Pulmonary infections acquired in the workplace. A review of occupation-associated pneumonia.

The risk of humans acquiring pneumonia as a result of their occupation appears to have declined during the twentieth century in developed countries, such as the United States. Thus, some conditions that are traditionally associated with the workplace, such as woolsorters' disease, represent illnesses that are of historical interest only. Nevertheless, the problem of occupation-associated pneumonia remains substantial. First, large outbreaks of zoonotic infections continue to occur, especially psittacosis among poultry farmers and abattoir workers. Second, clusters of illnesses caused by recently recognized pathogens are now being reported, including legionnaires' disease in industrial workers and Chlamydia pneumoniae infections in military personnel. Finally, epidemics of old conditions are appearing in new settings, such as tuberculosis among nursing home workers. Thus, the transmission, control, and treatment of pneumonias acquired in the workplace represent intriguing and challenging areas of concern to the epidemiologist and clinician.

Humans↗
PubMed2004

[Etiology of atypical pneumonias in 2002. Results of the Croatian Institute of Public Health].

AIM: This investigation was performed at Department of Virology, Croatian National Institute of Public Health, the same diagnostic laboratory using the same serologic method as in earlier studies (in 1982 and 1992) to determine the incidence of the most common agents of atypical pneumonia in Croatia between January 1 and December 31, 2002. PATIENTS AND METHODS: The study included 630 patients from nearly all regions of Croatia with a clinical diagnosis of atypical pneumonia based on epidemiologic data, clinical symptoms, laboratory findings and chest X-rays. Most of them were from Zagreb (n = 370), followed by those from Slavonia, Istria, northwest Croatia, and Dalmatia. In all of them paired sera were collected at an interval of two weeks or more and tested for complement-fixing (CF) antibodies against the most common causative agents of the atypical pneumonia syndrome using CF test (micromethod). RESULTS: An etiologic diagnosis was established in 25% (158/630) patients (81 male and 77 female). Respiratory viruses were the most frequently demonstrated pathogens in 2002, accounting for 72% of cases (adenoviruses 47%, parainfluenza viruses 14%, influenza viruses 9% and respiratory syncytial virus (RSV) 2%). These were followed by Chlamydophila (C.) psittaci; (19%), Mycoplasma (M.) pneumoniae; (6%) and Coxiella (C.) burnetii (3%). There were 3 cases of double infection: a combination of adenovirus and M. pneumoniae, of RSV and parainfluenza virus, and of RSV and M. pneumoniae in one patient each. Adenoviral, mycoplasmal and psittacosal pneumonia occurred throughout the year; influenza and most of RSV pneumonias occurred in winter months. Parainfluenza viruses caused pneumonias throughout the year but were more common in winter months. CF test does not distinguish type-specific antibodies to parainfluenza viruses. In March, a small epidemic of psittacosis (11 patients) was registered in the Split area while was responsible for the high incidence of psittacosal pneumonia in 2002. While M. pneumoniae-caused pneumonia occurred mainly in children and adolescents, viral pneumonias were distributed across all age groups. Psittacosal pneumonia occurred in only one child but was more common in adolescents and especially adults. Q-fever pneumonia occurred only in adults.

Adolescent↗
PubMed2005

[Chlamydia: diagnostic and treatment].

Chlamydia are obligate intracellular bacteria. Three species are considered human pathogens. Chlamydophila pneumoniae is one of the most common agents of atypical community-acquired pneumonia. Chlamydophila psittaci causes psittacosis, a severe zoonotic pneumonia transmitted by birds. Finally, Chlamydia trachomatis is the etiologic agent of trachoma and urogenital infections. The latter are commonly asymptomatic or paucisymptomatic. Thus, they may remain undiagnosed for years, leading to serious late complications such as salpingitis, ectopic pregnancy and infertility. Currently, the diagnosis of chlamydial infections is essentially based on molecular methods. Treatment should use an antibiotic with good intracellular bioavailability such as tetracycline, macrolides and new generation fluoroquinolones.

Adult↗
PubMed1989

[Hygiene problems with ornamental birds in the household].

Approximately 8 million pet birds are kept in the Federal Republic of Germany. The number of households where these birds are living is insignificantly lower, and the birds are usually kept as singles. Hygienic problems can arise due to the close contact between humans and birds. In view of the different pet birds species originating from different biotopes, specific knowledge is often lacking regarding adequate housing, nutrition and general management. This can result in a decrease of natural resistance and therefore can lead to diseases of those birds. Therapy, performed by a nonveterinarian, usually does not only affect the birds, but also endangers the owners themselves. Especially, the carrier state of newly purchased birds with pathogens hazardous for human health has to be considered. Psittacosis has to be mentioned as one of the major zooanthroponoses deriving from birds. This requires to reconsider governmental measures to cope with this disease including policies of bird import as one of the major reasons for spreading the disease. Better management conditions can extend the life expectation of birds. This might also lower the fluctuation within the pet bird population and therefore biohazards for humans. Therefore, instruction and advice of pet bird-owners are necessary.

Animals↗
PubMed1989

[Chlamydiosis: diagnosis and role in human pathology].

The paper presents the data reported in literature on the taxonomy of chlamydia, their tinctorial properties and modes of infection. It comes as evidence for the significance of urogenital chlamydiosis, including venereal lymphogranuloma. The morphological characteristics of the former abnormal condition are reported. Then the paper analyses intrauterine chlamydiosis and provides the results of the author's own investigations that suggest that its manifestations are largely similar to those of intrauterine mycoplasmosis. There is detailed information on respiratory chlamydiosis (ornithosis, psittacosis) and eye diseases (trachoma and paratrachoma). Finally, benign lymphoreticulosis (cat-scratch disease) is briefly reported too. Special emphasis is laid on extremely high incidence of chlamydiosis, in terms of laboratory and epidemiological data, and on little evidence for its structural changes. Nevertheless, the author considers that chlamydiosis may be suspected by the presence of basically homogeneous morphological changes in various diseases caused by different chlamydia, as evidenced by a light microscopy. This is especially important for a pediatric pathologist in his practice. Since even if the diagnosis is supposed to be established in a baby who has died in the perinatal period or upon examination of his/her afterbirth, the parents should undergo clinical and laboratory examinations followed by therapy as the need arises.

Chlamydia Infections↗
PubMed1986

[Hygienic problems of keeping pets in the Federal Republic of Germany].

Pet animals i.e. vertebrates from fish to mammals are often suspected to transmit germs of various systematic position (viruses, bacteria, fungi and parasites) to human beings. A critical analysis shows that only a very limited number of such organisms can be transmitted from animals to man. Zooanthroponoses with pet animal origin is a very rare phenomenon. Bacteria like salmonellae which were incriminated to be the cause of about 250,000 infections of man per year, particularly of children, in the USA in the early 70th have really no importance in the Federal Republic of Germany. The statistical dates published every year by the "Statistisches Bundesamt" show clearly that only about 1 case in a year can be traced backwards to reptiles in spite of about 50,000 registered cases of human salmonellosis per year. If we compare the number of about 1 million of reptiles in captivity the incidence is very low. Similar relations exist for other germs, too. As an example the choriomeningitis of golden hamsters is often mentioned. In newspapers and other popular publications this infection is said to be extremely dangerous for children but in reality only a few cases were registered years ago. Nowadays precautions in the breeding farms etc. make it very unlikely that such virus transmissions have any practical importance. This situation is comparable with mycosis caused by fungi like Trichophyton which have their origin in certain mammals. Also psittacosis--in form r times not infrequently the cause of sickness and death in man--nowadays is only found sporadically in man, in spite of about the same number of cases in parakeets and other birds. The terrible risk of the disease can be prevented since tetracycline therapy is a successful treatment. It can be stated that zooanthroponoses which have their origin in pet animals is a very rare manifestation, but often misinterpretations are given either ignoring the knowledge of a certain infection or fishing for publicity! One of such examples is toxoplasmosis. About 15 years after the discovery of the life cycle of the protozoon Toxoplasma gondii and the experimentally proven fact that oocysts can be produced only in cats, and therefore transmission to humans is only possible with these stages other animals like rabbits or guinea pigs are still incriminated as the cause of human infections. Apart from the discussed problems and the possibility of transmission of infectious agents from animals to man we must also take into consideration the positive psychological aspects of animal keeping for the hobbyist, and particularly for children.(ABSTRACT TRUNCATED AT 400 WORDS)

Amphibians↗
PubMed1988

[A clinical study of rokitamycin in pediatrics].

A total of 29 patients with pediatric infections was treated orally with 21.4-44.4 mg/kg/day of rokitamycin (RKM) dry syrup. The obtained results are summarized as follows. 1. Clinical responses to RKM in 24 evaluable patients were excellent in 2 and good in 3 of 5 patients with tonsillitis and laryngitis; excellent in 3 and good in 5 of 8 patients with bronchitis; excellent in 3, good in 2 and fair in one of 6 patients with bronchopneumonia; excellent in 2 and good in the other of 3 patients with psittacosis; and excellent in 2 of 2 patients with Campylobacter colitis. The overall efficacy rate was 95.8%. 2. Bacteriological responses to the drug were: reduction in 1 and no change in the other of 2 strains of Streptococcus pyogenes; eradication of a strain of Streptococcus pneumoniae and 2 strains of Staphylococcus aureus; eradication of 2 and no change in 3 of 5 strains of Haemophilus influenzae; and eradication of 2 out of 2 strains of Campylobacter spp. 3. Diarrhea was complained of as an adverse reaction to the RKM medication by 1 patient, abdominal pain was reported by another, and anorexia by another of the 27 patients treated. Laboratory examination was performed on some patients, but not abnormal test values were found except in 1 case showing an increase in platelet count from 27.6 to 78.2 X 10(4)/mm8. The results suggested that RKM dry syrup might be a very useful and safe drug for the treatment of pediatric infections.

Administration, Oral↗
PubMed1987

Recognition and treatment of chlamydial infections.

The microbiology, laboratory diagnosis, clinical features, and treatment of infectious diseases caused by Chlamydia trachomatis and Chlamydia psittaci are reviewed. Chlamydial genital infection is the most common sexually transmitted disease in the United States. C. trachomatis plays an important role in nongonococcal urethritis, postgonococcal urethritis, cervicitis, pelvic inflammatory disease, and possibly proctitis. Proper treatment of genital infections caused by C. trachomatis is important to prevent severe sequelae such as epididymitis and pelvic inflammatory disease, both of which may lead to sterility. Infected pregnant women should be treated to prevent transmission of chlamydial infections to their infants. Chlamydial conjunctivitis is the most common eye infection in the first month of life. C. trachomatis also causes pneumonia in infants. Lymphogranuloma venereum and trachoma are important diseases in developing countries. C. psittaci, transmitted by birds, causes psittacosis in humans; this disease is rare in the United States. Diagnosis is a problem because chlamydial genital infection can be asymptomatic and because the organism is difficult to isolate. Culture remains the diagnostic method of choice, but recently marketed direct-detection assays provide qualitative results within hours after specimen collection. Tetracyclines and erythromycin are the drugs of choice for treating chlamydial infections in adults. An antimicrobial with activity against both C. trachomatis and Neisseria gonorrhoeae is preferred because both organisms are often present concurrently in patients with sexually transmitted disease. Chlamydial infections in pediatric patients often respond to systemic erythromycin therapy; tetracyclines are equally effective but are contraindicated for children less than nine years of age. Adequate diagnosis and treatment of sexually transmitted chlamydial infections in patients and their contacts is important to limit the spread of disease.

Chlamydia Infections↗
PubMed1985

Chlamydia isopodii sp. n., an obligate intracellular parasite of Porcellio scaber.

In an ultrastructural study of the hepatopancreas of Porcellio scaber, an obligate intracellular parasite, Chlamydia, was noted in the epithelial cells. Although the infection was found to extend the entire length of the hepatopancreas, it was most extensive in the glandular region. Indirect immunofluorescence testing revealed no cross-reactivity with either lymphogranuloma venereum or psittacosis antisera.

Animals↗
PubMed1967

WHO respiratory disease survey in children: a serological study.

This paper is a report on the first (serological) phase of a study organized by WHO in collaboration with the WHO International Reference Centre for Respiratory Virus Diseases other than Influenza in Bethesda, Md., USA, to define the viral etiology of severe respiratory infections in children, particularly in tropical areas. Paired sera from 528 children up to 5 years old admitted to hospital with severe respiratory illness of probable viral etiology were collected in 10 countries and sent frozen to the International Reference Centre, where standard complement-fixation tests were made for the following agents: parainfluenza virus types 1, 2 and 3, influenza virus types A and B, adenoviruses, respiratory syncytial virus, Mycoplasma pneumoniae, Coxiella burneti and psittacosis-ornithosis.Some 41% of paired sera showed rising antibody titres for one or more of these agents, multiple infections being observed in 8%. In most of the countries the pattern of infection was similar. RS virus was the most important respiratory tract pathogen of early life, particularly in the first year of life and in cases of bronchiolitis and pneumonia; the parainfluenza viruses were next in importance, particularly in cases of croup, but, in contra-distinction to RS virus infections, they were commoner in older children. Influenza, adenoviruses, and M. pneumoniae were of moderate importance, and C. burneti and the psittacosis-ornithosis agents were relatively rare. This pattern is similar to that which has been observed in temperate climates.

Africa↗
PubMedDate not supplied

[Immunologic comparison between some Wolbachiae and research of antigentic community with other members of the order of Rickettsiales].

The antigenic relationship between some rickettsiae of arthropods, which do not transmit germs pathogenic to vertebrates was investigated by agglutination and immunofluorescence techniques. The comparison of R. melolonthae, R. tipulae, R. cetonidarum, R. grylli and of the rickettsiae of the scorpion Buthus occitanus shows that the Wolbachiae are divided into three serological groups. The insect crystallogen rickettsiae belong to the first group, R. grylli and the scorpion Rickettsia are antigenically distinct (tables I and II). No antigenic relationship was found between these arthropod microorganisms and the following agents of vertebrate rickettsioses and chlamydioses : historical typhus, murine typhus, pustulous fever, Q-fever, epizootic absortion of sheep and psittacosis (tables III and IV). Bacteria of OX2 and OX19 strain of P. vulgaris when mixed with anti-Wolbachiae serums of I, II, III groups, give a negative Weil a Felix reaction. The OXK Proteus are however agglutinated by 4 out of 6 rabbit anti-Rickettsiella serums of the group. This fact calls for a further investigation regarding the comparison of these Rickettsiella with various strains of R. tsutsugamushi.

Antibodies, Bacterial↗
PubMed1982

[Histopathologic, ultrastructural, immunologic and virologic study of Gibert's pityriasis rosea].

A complete study of pityriasis rosea (Gibert) has been performed; this study includes: --a pathological and ultrastructural examination of the skin biopsies; --an immunological study: direct and indirect immunofluorescence (seric anti-cutaneous antibodies); --a virological investigation: ultrastructural examination of the specimens, inoculation of homogenized-skin specimens to 3 cellular cultures; --serological investigations for influenza A, B, parainfluenza 1, 2, 3, adenovirus, respiratory syncitial virus, Mycoplasma pneumoniae, ornithosis-psittacosis, Q-fever, herpes-virus, herpes-virus varicellae, cytomegalovirus, Epstein-Barr virus. All viral investigations had a negative result. Virus or virus-like particle has were not detected on the ultrastructural examinations. A viral infective agent cannot be incriminated as the cause of PRG. However, a large number of PRG patients had antibodies for the Epstein-Barr virus early antigen. The authors are carrying on with this particular investigation.

Adolescent↗
PubMed1983

Cell-mediated immune response to chlamydia in anterior uveitis: role of HLA B27.

The relationship between HLA B27 anterior uveitis (AU) and evidence of chlamydia trachomatis infection was investigated in 35 consecutive patients attending a uveitis research clinic, using a complement fixation test and lymphocyte transformation test to chlamydia (ornithosis-psittacosis) group antigen. A significant stimulation index (SI greater than 2) was found in 73% (11/15) of the HLA B27 positive patients compared with the HLA B27 negative AU patients and controls (P less than 0.03). There was no difference between AU patients with and without associated rheumatic disease or in terms of antibody response. The results of the present study indicate a significant relationship between the cell-mediated immune response to chlamydia group antigen and the HLA B27 positive subgroup of patients with AU.

Adult↗
PubMed1981

Human chlamydial infections.

Chlamydiae are obligate intracellular parasites, bacteria with a peculiar biology. They belong to the genus Chlamydia which includes two species: C. psittaci and C. trachomatis. A wide range of hosts, including birds, mammals and man can be infected by chlamydiae. The diseases chlamydiae can produce include psittacosis, lymphogranuloma venereum, trachoma, inclusion conjunctivitis, urethritis, cervicitis, pelvic inflammatory disease, and neonatal pneumonia. The diagnosis of chlamydial infection may be made by visualization of the organism in direct smears, isolation of the agent in cell culture, or by demonstrating a significant rise in antibody titer. Chlamydial infection may be treated with tetracycline, erythromycin, or sulfonamides.

Adult↗
PubMed1982

Are viral studies indicated in juvenile-onset diabetes?

Recent observations have shown that insulin-dependent diabetes (JOD) may be the result of autoimmunity causing more or less rapid pancreatic isle cell destruction. This autoimmune process may be initiated in individuals who are genetically vulnerable to specific virus action. Several viruses have been implicated as causing JOD. Rubella and mumps viruses were the first viruses to be proved diabetogenic. A few years ago Coxsackie B viruses were added to the list. A prospective study of all new diabetics was undertaken in order to clarify the association of viral illness with JOD. 45 new insulin-dependent diabetics were studied (complement fixation, neutralizing antibodies or hemagglutination inhibition) within 3 days following admission. Screening for viral illnesses included the study for antibodies to the following: psittacosis, mycoplasma, Q fever, mumps, measles, herpes, CMV, rubella and chickenpox. Control bloods matched for sex, age, season and year with patients were obtained from individuals screened for viral illnesses during the same period. 18 JOD patients had antibodies against various Coxsackie B viruses. 4 patients had elevated rubella antibody titers.

Adenovirus Infections, Human↗
PubMed1981

Unusual disease conditions in pet and aviary birds.

Ninety percent ot 100% mortality in budgerigar (Melopsittacus undulatus) nestlings from 2 aviaries was attributed to giardiasis. Treatment with dimetridazole in drinking water was effective in controlling mortality. Aeromonas hydrophila infection incriminated in acute deaths of aviary canaries (Serinus canarius) was successfully treated with chlortetracycline. Aeromonas hydrophila also was isolated in pure culture from a toucan (ramphastos toco) with acute nephrosis and a cockatiel (Nymphicus hollandicus) with chlamydiosis (psittacosis). Coccidiosis associated with hemorrhagic enteritis, diarrhea, and mortality was diagnosed in budgerigars originating from 3 aviaries. Sporulated oocysts from 1 group of budgerigars were identified as Eimera sp. Sulfamethazine in drinking water was an effective treatment.

Aeromonas↗
PubMed1980

Legionnaires' disease: a review of the epidemiology and clinical manifestations of a newly recognized infection.

During the 2-year period 1977 through 1979, 26 patients with Legionnaires' disease were seen at the Mayo Clinic and affiliated hospitals. The patients ranged in age from 17 to 81 years with a median of 51 years. Twelve (46%) were immunologically compromised. Most of the other patients had underlying chronic tobacco bronchitis. Hectic fever, cough, and diarrhea were common symptoms. Chest radiographs showed patchy perihilar infiltrates that often progressed to consolidation. Diagnosis was made by indirect fluorescent antibody testing in 15 patients (58%), but in no case was the test diagnostic during the first week of illness. In seven patients the diagnosis was established by positive direct flourescent antibody testing of lung tissue, in two cases by culture of lung tissue, and in one case each by direct fluorescent antibody positivity of sputum or bronchial washing. Of the 26 patients, 3 (12%) required hemodialysis for acute renal failure and 5 (19%) died. A favorable clinical response to therapy with erythromycin was noted. The differential diagnosis of Legionnaires' disease must include other bacterial pneumonias, as well as mycoplasma, psittacosis, Q fever, and viral pneumonia. For critically ill patients, open-lung biopsy may be necessary to provide a rapid diagnosis. Current evidence suggests that erythromycin alone or in combination with rifampin is the treatment of choice. A 3-week course of therapy is recommended in order to prevent relapse.

Adolescent↗