Tuberculosis Presenting as Acute Sepsis and Secondary Hemophagocytic Lymphohistiocytosis.

Unlabelled: We report the case of a 61-year-old man admitted to our emergency department with fever. At admission, he was hypotensive and tachycardic. In the initial investigation, elevation of inflammatory parameters, acute kidney injury (Kidney Disease Improving Global Outcomes (KDIGO) 3), hyperbilirubinemia, and hepatic cytocholestasis were evident.

Nosocomial meningitis in intensive care: a 10-year retrospective study and literature review.

Background: Nosocomial meningitis is a medical emergency that requires early diagnosis, prompt initiation of therapy, and frequent admission to the intensive care unit (ICU).

Methods: A retrospective study was conducted in adult patients diagnosed with nosocomial meningitis who required admission to the ICU between April 2010 and March 2020. Meningitis/ventriculitis and intracranial infection were defined according to Centers for Disease Control and Prevention guidelines.

Stroke and Respiratory Failure: Mind the Shunt!

Unlabelled: When stroke patients present with respiratory failure, the first thought that clinicians have is that it is probably related to aspiration pneumonia. However, other causes should be considered, such as intracardiac or intrapulmonary shunts, that could present with paradoxical embolism. Paradoxical embolism is a rare entity defined by the occurrence of a venous thrombotic event associated with a systemic arterial embolism.

Unmet needs in patients with moderate-to-severe plaque psoriasis treated with methotrexate in real world practice: FirST study.

Background: Methotrexate (MTX) is frequently used in the treatment of moderate-to-severe psoriasis, however, there is limited data on health-related quality-of-life (HRQoL), psoriasis clinical outcomes and hepatic fibrosis in MTX-treated patients in routine clinical practice.

Objectives: To investigate the impact of moderate-to-severe psoriasis in MTX-treated patients in Spain regarding to HRQoL, psoriasis clinical data and risk of hepatic fibrosis.

Methods: Observational, non-interventional, cross-sectional, retrospective, multicentre study, performed in Spain in moderate-to-severe plaque psoriasis patients treated with MTX > 16 weeks prior to inclusion.

Pesticide dispersion by spraying under tropical conditions.

Pesticide air pollution by spraying was evaluated under different temperature, humidity and wind climatic conditions in Brazil. Field experiments were performed with application towards the soil and in guava orchards, where spray dispersion was monitored by adding p-aminobenzoic acid (PABA), a fluorescent substance, as a tracer to the water contained in the spray tanks. Samples were collected with filter membranes (Whatman 180025), and the PABA was extracted from the filters by shaking with water in a Petri dish and measured in a spectrofluorometer.

Photoletter to the editor: Basal cell carcinoma on the vermilion lip.

The vermilion and vermilion border are rare locations for basal cell carcinoma. We report a case of a 72-year-old woman, who presented with an asymptomatic erosive lesion on the vermilion area of the upper lip. Histopathology examination was consistent with basal cell carcinoma.

Leydig cell number and sperm production decrease induced by chronic ametryn exposure: a negative impact on animal reproductive health.

Ametryn is an herbicide used to control broadleaf and grass weeds and its acute and chronic toxicity is expected to be low. Since toxicological data on ametryn is scarce, the aim of this study was to evaluate rat reproductive toxicity. Thirty-six adult male Wistar rats (90 days) were divided into three groups: Co (control) and T1 and T2 exposed to 15 and 30 mg/kg/day of ametryn, respectively, for 56 days.

Multiple lentigines in areas of resolving psoriatic plaques after ustekinumab therapy.

The development of lentigines in areas previously involved by psoriasis has been reported in the literature, classically related to phototherapy but also to topical products. More recently, some authors have described several cases of lentigines appearing in resolving psoriatic plaques during or after treatment with anti-tumour necrosis factor (TNF) drugs used to treat severe plaque psoriasis, including adalimumab, etanercept, and infliximab. We report the case of a patient that developed multiple lentigines after clearance of the plaques of psoriasis receiving treatment with ustekinumab for his psoriasis.

Pseudomonas fluorescens dynamics in the soil surface to subsurface transect.

Microbial displacement in the soil is an important process for bioremediation and dispersal of wastewater pathogens. We evaluated cell movement in surface and subsurface red-yellow podzolic soil driven by advection and microbial motility and also survival of a microbial population at high pressure as is prevalent in deep soil layers. Pseudomonas fluorescens Br 12, resistant to rifampycin and kanamycin, was used as a model organism traceable in non-sterile soil.

Evaluation of bioventing on a gasoline-ethanol contaminated undisturbed residual soil.

Remediation methods for environmental contamination problems based on physical or chemical processes frequently present low efficiency and/or high costs. On the other hand, biological treatment is being proved to be an accessible alternative for soil and water remediation. Bioventing is commonly used for petroleum hydrocarbon (PHC) spills.

Mobility of the organochlorine compound dicofol in soil promoted by Pseudomonas fluorescens.

The genetic modified Pseudomonas fluorescens Br 12, resistant to kanamycin and rifampycin, was used to follow the cotransport of the organochlorine acaricide dicofol through a nonsterilized soil column. P. fluorescens was found to bioaccumulate dicofol with the highest bioconcentration factor of 279 within 30 min.

Effect of Endosulfan on Azospirillum lipoferum Growth, Morphology, Nitrogenase Activity, and Protein Binding.

The organochlorine Thiodan CE inhibited growth and nitrogenase activity of Azospirillum lipoferum. The active ingredient, Endosulfan, was nonspecifically bound to proteins and mainly adsorbed to the cell envelope with small amounts transported into cytosol. The involvement of the external membrane and cyst formation in protection against hazardous substances is discussed.

Intradermal BCG vaccination complications--analysis of 51 cases.

The authors describe 51 cases of local complications due to intradermal BCG vaccination which occurred among 117 533 children between 1974 and 1979, in the city of Niteroi (Rio de Janeiro State). The ages ranged from 0 to 16 years and the lesions observed were abscesses, enlargement of regional lymph nodes, chronic ulceration, and ulceration associated with enlarged lymph nodes. The patients were treated with isoniazid, except 2 who required surgical drainage, with favourable results in all cases.