Publications by authors named "Wilmer Silva Caso"

Article Synopsis
  • Scientists are still trying to understand the impact of COVID-19 clinical biomarkers, which are indicators of the disease's progression and severity.
  • A study in Lima and Huaraz (two Peruvian cities at different altitudes) compared COVID-19 patients in ICUs, those hospitalized but not in ICUs, and healthy controls, checking levels of five specific biomarkers.
  • Results showed higher levels of ferritin, C-reactive protein, and IL-6 in both patient groups at both locations, with unique findings for hepcidin and zinc, indicating that high-altitude patients have distinct biomarker profiles compared to those at lower altitudes.
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Objetive: this study was to determine the relationship between acute febrile illness and bacterial pathogens with zoonotic potential that cause emerging and re-emerging diseases in a central-eastern region of Peru.

Results: Out of the 279 samples analyzed, 23 (8.2%) tested positive for infection by Rickettsia spp.

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has been described as a cause of serious community-acquired infections in tropical countries. Currently, its implications when simultaneously identified with other pathogens are not yet adequately understood. A descriptive study was conducted on hospitalized patients with a diagnosis of moderate/severe SARS-CoV-2-induced pneumonia confirmed via real-time RT-PCR.

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(1) Background: Human fascioliasis is considered an endemic and hyper-endemic disease in the Peruvian Andean valleys. Our objective was to determine variations in the composition of the gut microbiota among children with and children who do not have this parasitosis. (2) Method: A secondary analysis was performed using fecal samples stored in our biobank.

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Background: The Chikungunya virus (CHIKV) is an emerging arthropod-borne virus (arbovirus) that causes undifferentiated acute febrile illness. Cases of CHIKV may be under-reported in Peru, given the various difficulties in diagnosing it, such as lack of diagnostic tests in remote areas, the passive nature of epidemiological surveillance, and co-circulation of other arthropod-borne pathogens. Therefore, a study was conducted in the high jungle of northern Peru to determine the prevalence of CHIKV among febrile patients and describe their clinical characteristics.

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(1) Background: has become the most important pathogen responsible for nosocomial infections in health systems. It expresses several resistance mechanisms, including the production of β-lactamases, changes in the cell membrane, and the expression of efflux pumps. (2) Methods: was detected by PCR amplification of the blaOXA-51-like gene.

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The addition of Biofire FilmArray Blood Culture Identification panel 2 (BCID2) to the antimicrobial stewardship program (ASP) could improve outcomes in bloodstream infections (BSI) of patients with febrile neutropenia (FN). A pre- and post-quasi-experimental single-center study was conducted at a reference hospital in Peru. Three groups were considered: patients with BSI before ASP intervention (control group), patients with BSI after ASP intervention (group 1), and patients with BSI after ASP intervention plus BCID2 PCR Panel implementation (group 2).

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Article Synopsis
  • The study aimed to assess how common sexually transmitted infections (STIs) are among asymptomatic women with human papillomavirus (HPV) in Cajamarca, Peru, and to identify related risk factors.
  • Researchers conducted a cross-sectional study involving 842 women, finding that nearly 24% had HPV, with a significant majority carrying high-risk strains.
  • The findings revealed associations between HPV types and various factors like the number of sexual partners and histories of sexual abuse, emphasizing the need for increased monitoring and intervention to address the high prevalence of these infections.
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Hyperimmunoglobulin E syndrome or Job syndrome is defined as an immune and connective tissue disorder that results in complications such as invasive infections. On the other hand, Fournier gangrene is a rapidly progressive necrotizing fasciitis that affects the perineal area, has a polymicrobial etiology, and its treatment consists of rapid and aggressive surgical debridement, antibiotic therapy, and hemodynamic support. We present the case of Fournier gangrene in an 11-year-old boy with a diagnosis of hyperimmunoglobulinemia E.

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Ureterocele is a cystic dilation of the distal ureter that exits into the urinary bladder. It is a rare condition in adults of which women are the most affected. Its clinical manifestations are very broad and among them the presence of a vulvar mass and symptoms of urinary obstruction stand out.

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Article Synopsis
  • The study investigates a new rapid test for detecting dengue virus, highlighting its effectiveness during the early days of infection and its ability to distinguish dengue from similar diseases like Zika.
  • The evaluation included 286 serum samples from patients in endemic regions of Peru, comparing results from the rapid test to the traditional ELISA method, with decent sensitivity and high specificity noted.
  • The findings advocate for the rapid test's use in primary care settings to enhance early diagnosis and improve public health responses in areas lacking advanced diagnostic resources.
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  • Oropouche fever, caused by the Oropouche virus (OROV), presents challenges for clinicians in diagnosing acute febrile syndrome due to overlapping symptoms with other diseases and the lack of a clinical prediction rule.
  • In a study of 923 patients in Peru, only 19% were confirmed to have OROV infection, and the prediction model based on signs and symptoms demonstrated low effectiveness with a sensitivity of 78.2% and specificity of 35.1%.
  • The findings suggest that a symptom-based diagnostic model is inadequate for predicting OROV infection, highlighting the need for laboratory testing and continued epidemiological surveillance in endemic areas.
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Introduction: Human rhinovirus is a major cause of acute respiratory infections (ARIs) worldwide. Epidemiological data on human rhinovirus (RV) in Peru is still scarce, as well as its role in respiratory infections in children. Therefore, the aim of this study was to describe the prevalence of rhinovirus and to identify the circulating species in nasopharyngeal swabs from children with acute respiratory infections.

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Article Synopsis
  • * A total of 464 febrile patients were analyzed, with over 40% testing positive for one pathogen; the most common was SARS-CoV-2 IgM (73.40%), while co-infections primarily involved DENV and SARS-CoV-2.
  • * Findings suggest that SARS-CoV-2 should be considered in acute febrile illness cases in regions where arboviral diseases are common, highlighting the potential for co-infections and the need for
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  • A study conducted in Peru compared inflammatory responses in COVID-19 patients living at different altitudes (Lima vs. Huaraz) to understand how altitude affects inflammation.
  • Results showed significantly higher levels of proinflammatory cytokines IL-6 and TNF-α in COVID-19 patients from Huaraz (high altitude) compared to those from Lima (sea level).
  • The findings suggest that altitude may influence inflammation in COVID-19, indicating a need for further research to deepen understanding and improve treatment strategies.
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Introduction: In the last years the rapid expansion of multidrug-resistant A. baumannii strains have become a major health problem. Efflux pumps are a group of transport proteins that contribute to the development of antibiotic resistance.

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The impact of respiratory coinfections in COVID-19 is still not well understood despite the growing evidence that consider coinfections greater than expected. A total of 295 patients older than 18 years of age, hospitalized with a confirmed diagnosis of moderate/severe pneumonia due to SARS-CoV-2 infection (according to definitions established by the Ministry of Health of Peru) were enrolled during the study period. A coinfection with one or more respiratory pathogens was detected in 154 (52.

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Article Synopsis
  • The study focused on finding out how common A. baumannii is in infants under 1 year old who were diagnosed with whooping cough.
  • A total of 225 samples from these children were analyzed, revealing that 20.89% had A. baumannii present in their nasopharyngeal swabs.
  • The highest prevalence was found in infants between 29 days and 3 months old, and most had co-infections with other pathogens, particularly Bordetella pertussis, Adenovirus, and Mycoplasma pneumoniae.
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  • - The study aimed to analyze the gut microbiota of type 2 diabetes mellitus (T2DM) patients, focusing on their metabolic control and fiber intake.
  • - Out of 26 T2DM patients, only 7 had good metabolic control, with fiber intake varying among both controlled and uncontrolled groups; most patients with inadequate control had either regular or poor fiber intake.
  • - Bacterial composition revealed that while both groups had similar gut microbiota types, specific bacteria like Prevotella and Firmicutes were more common in controlled patients, although these differences were not statistically significant.
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  • The report describes the first case of Ralstonia mannitolilytica bacteremia in a pediatric cancer patient in Peru, highlighting the patient's long-term central venous access.
  • Diagnosis was performed using the MicroScan Walk Away 96 system, with genetic confirmation through PCR and sequencing of 16S rDNA.
  • The study emphasizes the importance of monitoring Ralstonia mannitolilytica in healthcare settings, particularly for immunocompromised individuals.
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Objective: This study was carried out to determine the prevalence of leptospirosis among febrile patients with a suspicious clinical diagnosis of dengue fever in northern Peru.

Results: A total of 276 serum samples from patients with acute febrile illness (AFI) and suspected diagnosis for dengue virus (DENV) were analyzed. We identified an etiological agent in 121 (47.

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  • The study aims to assess HPV prevalence and risk factors among Peruvian women using population-based screening.
  • A total of 524 samples were tested, resulting in 100 HPV positive cases, predominantly high-risk types found in women aged 26-45.
  • High-risk HPV was most frequently detected in married women and those with children, with a notable correlation between low abortion history and higher risk HPV prevalence.
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Background And Objectives: Pertussis is an infectious disease caused by the Gram-negative bacterium In Peru, actual public health programs indicate that vaccination against must be mandatory and generalized, besides all detected cases must be reported. The objective of this study was to determine the prevalence of among children under five years of age with a presumptive diagnosis of whopping cough in Cajamarca, a region located in northern Peru.

Materials And Methods: The population of this cross-sectional study were children under 5 years old hospitalized as presumptive cases of pertussis during December 2017 to December 2018.

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Background: Severe periodontal disease is highly prevalent worldwide, affecting 20% of the population between the ages of 35 and 44 years. The etiological epidemiology in Peru is scarce, even though some studies describe a prevalence of 48.5% of periodontal disease in the general population.

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Objective: To describe frequency and clinical characteristics of MAYV infection in Piura, as well as the association of this pathogen with DENV.

Results: A total of 86/496 (17.3%) cases of MAYV were detected, of which 54 were MAYV mono-infection and 32 were co-infection with DENV, accounting for 10.

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