Characterization of Mycobacterium Tuberculosis Complex Strains: A Multicenter Retrospective Greek Study by Lamprini Gkaravela in Cohesive Journal of Microbiology & Infectious Disease
Dr. Kurt Stevenson - Antimicrobial Resistance Surveillance and Management in ...John Blue
Antimicrobial Resistance Surveillance and Management in Hospital and Community Settings - Issues for Human Population Medicine - Dr. Kurt Stevenson, The Ohio State University Medical Center, from the 2012 NIAA One Health Approach to Antimicrobial Resistance and Use Symposium, October 26-27, 2012, Columbus, OH, USA.
More presentations at:
http://www.trufflemedia.com/agmedia/conference/2012-one-health-to-approach-antimicrobial-resistance-and-use
Dr. Kurt Stevenson - Antimicrobial Resistance Surveillance and Management in ...John Blue
Antimicrobial Resistance Surveillance and Management in Hospital and Community Settings - Issues for Human Population Medicine - Dr. Kurt Stevenson, The Ohio State University Medical Center, from the 2012 NIAA One Health Approach to Antimicrobial Resistance and Use Symposium, October 26-27, 2012, Columbus, OH, USA.
More presentations at:
http://www.trufflemedia.com/agmedia/conference/2012-one-health-to-approach-antimicrobial-resistance-and-use
Study of the Seroprevalence of Anti-Leptospirosis Antibodies in Subjects in T...IIJSRJournal
Leptospirosis is a tropical and subtropical zoonotic disease culminating as a serious public health problem worldwide, apparently existing as co-infections with various other unrelated diseases, such as malaria. It is caused by spiral bacteria and the main vectors of which are rodents. These bacteria have various survival mechanisms in the environment allowing them to carry out their infectious cycle within their host organisms. The pathophysiological mechanisms pertaining to leptospirosis is still not understood in full and mis or underdiagnosed.
A cross-sectional descriptive study was carried out in three different localities in Niamey where respondents were screened for to demonstrate transmission to humans. Indirect ELISA method as a laboratory diagnostic or screening toll is used by utilizing leptospiral-specific IgG from serum samples of the respondents.
Results from the study showed that 11 people are found to be positive for leptospirosis (with a seroprevalence of 2.75%) with a strong tendency in the slaughterhouse workers which presents a fairly high risk compared to the other localities of the study. Indeed, the different areas/localities of this pilot study do not present the same level of risk because they are not subject to the same risk associated factors. In this vein, we have 87.6% of population exposed to the presence of rats, 48% are in contact with animals, 38.6% live in homes near water and 12.9% go swimming.
This study made it possible, on the one hand, to highlight the transmission of leptospirosis from animals to humans and, on the other hand, to draw attention to the involvement of the various identified risk factors.
Added Value on Sade Village and Bau Nyale Festival in Autoimmune Diseases Imm...Agriculture Journal IJOEAR
—Prevalence of Autoimmune diseases (AD) are high in developed countries and low in developing countries. Wall of worm were associated with lower level of allergy and support the hygiene hypothesis (HyHy). Long term use of Interferon as drug for AD and synthetic vaccine made by epitope mapping are global economic burden. Adolescence from developed countries traveling to Ghana forwarding AD-HyHy. Fecal microbiota transplantation (FMT) for fighting AD have been developed in hygiene countries such as UK, Japan and Korea, meanwhile the aims of this study are reveal an added value to Sade village 'FMT culture' and Bau Nyale/Mandalika Princess festival for Nature Vaccination on AD. These local nature vaccination needs to be known by policy maker and political doer and could be a translational-medicine education topic to lessen AD economic global burden. Method: Systematic-review and Bayesian network analysis. EBSCO host search engine were used. Result: Description of 9 Publications of meta-analysis are chosen. Conclusions: The increasing of immunity in developing countries and decreasing in clean habit educated family is based on hygiene hypothesis, could be answered by local lifestyle and festival. These added value for local tour package has been supported by affimers and aptamers contemporary technology based on bacteria and worm epitope mapping. Keywords—hygiene hypothesis-autoimmune diseases, bacteria and worm cell wall, aptamers, epitope mapping, Fecal Microbiota Transplantation (FMT).
Antibiotics
History and development of antibiotics
Decline of antibiotics
Bacteriophage: nature’s most abundant antibiotics
Phage specificity, resistance, transduction, lysis
Emergence of phages
Phage Case studies
Challenges to mainstream commercialization
Candida septic arthritis is a debilitating condition affecting joint function. Candida tropicalis, an organism found in normal human flora is noted to be the third most common pathogenic yeast in the elderly and immunosuppressed population. Infections are rare in the US, typically limited to the neonate
and elderly populations. Most infections occur in the south America and southeast Asian regions. In the last 2 decades, Tropialis infection rates have risen impart due to antifungal resistance. We present a case of Candida tropicalis infection in the knee of a 13-year-old female with a past history of relapsed Acute Myeloid Leukemia following bone marrow transplant, pancytopenia and graft vs. host disease.
Association of Hygiene Hypothesis with High prevalence of Allergy and Autoimm...Agriculture Journal IJOEAR
Prevalence of Allergy and Autoimmune Diseases are high in developed countries, but not in developing countries. Helminth infection were associated with lower level of allergy but the mechanism is not yet clear. In hygiene countries like UK, Japan and Korea, Fecal Microbiota Transplantation (FMT) has gained interest as novel therapy and prevention and reach to medicine industrial manufactures. This study will support it by associate Hygiene Hypothesis (HyHy) and the high prevalence of Allergy and Autoimmune Disease. Systematic review and Bayesian network analysis in EBSCO host search engine were used. Result from dynaMed Evidence Based, Point-of-care Reference e Journals: Dentistry, Medical and Nursing has describe 9 literatures support the association of Hy-hy/parasite infection with Allergy and/ or Autoimmune Diseases: 2 publications of meta-analysis are chosen and supported by 5 cross sectional, longitudinal, cause-effect design, and 2 clinical and animal trial. Conclusions: Low-middle-high income countries has a life style of Hyhy pattern support FMT industrial medicine and travelling to developing countries with broad diversity bacteria and worm in therapeutic and prevention potential, supported by sub-saharan and tropical rainforest developing countries.
Genetic Resistance to Infectious Diseases in the Era of Personalized Medicine...CrimsonpublishersCJMI
Genetic Resistance to Infectious Diseases in the Era of Personalized Medicine by Andrei Alimov in Cohesive Journal of Microbiology & Infectious Disease
ABSTRACT- Invasive fungal infections have become a major source of morbidity and mortality in post operative
patients. Critically ill patients after extended surgical procedure are more risk to post surgical fungal infections. Life
saving devices like central venous catheters can increases risk for fungal infections. Surgical infections are infections of
the tissues, organs or spaces exposed by surgeons during performances of surgical procedure. Mold infection is
increasingly common in post operative patients. Postoperative surgical infection represents an uncommon but potentially
devastating complication of surgery. Unfortunately, medical community is not much aware of such secondary infections
due to fungi in post operative patients leading to grave consequences. Better diagnostic methods are needed to improve
the outcome of successful surgery and better health care for public. The diagnosis of invasion and dissemination in the
majority of cases requires the acquisition and proper interpretation of clinical evidence.
Key-words- Postoperative, Surgical infections, Secondary infections, Diagnostic method
This is part of our project that aims to assess current state of anti-microbial resistance in Egypt with a specific focus on development of anti-parasitic drugs resistance in addition.
Evaluation of Antifungal Susceptibility Profile of Candida Species Isolated f...ijtsrd
The increasing incidence of Candidiasis affecting the genitourinary tracts as well as the introduction of new antifungal drugs has recently encouraged the need for performing fungal susceptibility tests. The study was aimed at evaluating the antifungal susceptibility profile of Candida species isolated from female patients attending Aminu Kano Teaching Hospital (AKTH), with suspected Candidal infections between August, 2012 to June, 2013. Five hundred and twenty one (521) clinical samples comprising 342 urine and 179 high vaginal swabs were cultured on Sabouraud dextrose agar. The Candida species isolated were identified to species level using Chromogenic agar and API 20 C AUX test kit. Antifungal susceptibility tests were performed using commercially prepared single antifungal disc (Bioanalyse Turkey). Out of these 521 samples analyzed only 59 yielded Candida species giving the overall prevalence of 11.3% with Candida albicans 22 (37.3%) as the common species isolated followed by C. glabrata 19 (32.2%), C. tropicalis 5(8.5%), C. krusei 3 (5.1%), C. magnoliae 3 (5.1%), C. lusitaniae 2 (3.4%), C. parapsilosis 2 (3.4%), C. famata 2 (3.4%) and C. guilliermondii 1 (1.7%). The antifungal susceptibility test shows that 81.4% of the isolates were susceptible to ketoconazole and only 3.4% to nystatin. However, 33.9% were susceptible, 13.6% intermediate susceptible and 52.5% resistant to fluconazole. Similarly 28.8% were susceptible, 5.1% intermediate susceptible and 66.1% resistant to voriconazole. Additionally 25.4% were susceptible, 11.9% intermediate susceptible and 62.7% resistant to flucytosine. All the C. krusei isolates were completely resistant to azole drugs while C. famata were resistant to all the drugs tested. Two quality control strains of Candida namely: Candida tropicalis ATCC 750 and Candida albicans ATCC 90028 were used. Taura, D. W. | Yakubu, G. | Panda, T. W. | Dagona, A.G."Evaluation of Antifungal Susceptibility Profile of Candida Species Isolated from Female Patients Attending Aminu Kano Teaching Hospital (AKTH)" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-1 | Issue-5 , August 2017, URL: http://www.ijtsrd.com/papers/ijtsrd2395.pdf http://www.ijtsrd.com/management/accounting-and-finance/2395/evaluation-of-antifungal-susceptibility-profile-of-candida-species-isolated-from-female-patients-attending-aminu-kano--teaching-hospital-akth/taura-d-w
Study of the Seroprevalence of Anti-Leptospirosis Antibodies in Subjects in T...IIJSRJournal
Leptospirosis is a tropical and subtropical zoonotic disease culminating as a serious public health problem worldwide, apparently existing as co-infections with various other unrelated diseases, such as malaria. It is caused by spiral bacteria and the main vectors of which are rodents. These bacteria have various survival mechanisms in the environment allowing them to carry out their infectious cycle within their host organisms. The pathophysiological mechanisms pertaining to leptospirosis is still not understood in full and mis or underdiagnosed.
A cross-sectional descriptive study was carried out in three different localities in Niamey where respondents were screened for to demonstrate transmission to humans. Indirect ELISA method as a laboratory diagnostic or screening toll is used by utilizing leptospiral-specific IgG from serum samples of the respondents.
Results from the study showed that 11 people are found to be positive for leptospirosis (with a seroprevalence of 2.75%) with a strong tendency in the slaughterhouse workers which presents a fairly high risk compared to the other localities of the study. Indeed, the different areas/localities of this pilot study do not present the same level of risk because they are not subject to the same risk associated factors. In this vein, we have 87.6% of population exposed to the presence of rats, 48% are in contact with animals, 38.6% live in homes near water and 12.9% go swimming.
This study made it possible, on the one hand, to highlight the transmission of leptospirosis from animals to humans and, on the other hand, to draw attention to the involvement of the various identified risk factors.
Added Value on Sade Village and Bau Nyale Festival in Autoimmune Diseases Imm...Agriculture Journal IJOEAR
—Prevalence of Autoimmune diseases (AD) are high in developed countries and low in developing countries. Wall of worm were associated with lower level of allergy and support the hygiene hypothesis (HyHy). Long term use of Interferon as drug for AD and synthetic vaccine made by epitope mapping are global economic burden. Adolescence from developed countries traveling to Ghana forwarding AD-HyHy. Fecal microbiota transplantation (FMT) for fighting AD have been developed in hygiene countries such as UK, Japan and Korea, meanwhile the aims of this study are reveal an added value to Sade village 'FMT culture' and Bau Nyale/Mandalika Princess festival for Nature Vaccination on AD. These local nature vaccination needs to be known by policy maker and political doer and could be a translational-medicine education topic to lessen AD economic global burden. Method: Systematic-review and Bayesian network analysis. EBSCO host search engine were used. Result: Description of 9 Publications of meta-analysis are chosen. Conclusions: The increasing of immunity in developing countries and decreasing in clean habit educated family is based on hygiene hypothesis, could be answered by local lifestyle and festival. These added value for local tour package has been supported by affimers and aptamers contemporary technology based on bacteria and worm epitope mapping. Keywords—hygiene hypothesis-autoimmune diseases, bacteria and worm cell wall, aptamers, epitope mapping, Fecal Microbiota Transplantation (FMT).
Antibiotics
History and development of antibiotics
Decline of antibiotics
Bacteriophage: nature’s most abundant antibiotics
Phage specificity, resistance, transduction, lysis
Emergence of phages
Phage Case studies
Challenges to mainstream commercialization
Candida septic arthritis is a debilitating condition affecting joint function. Candida tropicalis, an organism found in normal human flora is noted to be the third most common pathogenic yeast in the elderly and immunosuppressed population. Infections are rare in the US, typically limited to the neonate
and elderly populations. Most infections occur in the south America and southeast Asian regions. In the last 2 decades, Tropialis infection rates have risen impart due to antifungal resistance. We present a case of Candida tropicalis infection in the knee of a 13-year-old female with a past history of relapsed Acute Myeloid Leukemia following bone marrow transplant, pancytopenia and graft vs. host disease.
Association of Hygiene Hypothesis with High prevalence of Allergy and Autoimm...Agriculture Journal IJOEAR
Prevalence of Allergy and Autoimmune Diseases are high in developed countries, but not in developing countries. Helminth infection were associated with lower level of allergy but the mechanism is not yet clear. In hygiene countries like UK, Japan and Korea, Fecal Microbiota Transplantation (FMT) has gained interest as novel therapy and prevention and reach to medicine industrial manufactures. This study will support it by associate Hygiene Hypothesis (HyHy) and the high prevalence of Allergy and Autoimmune Disease. Systematic review and Bayesian network analysis in EBSCO host search engine were used. Result from dynaMed Evidence Based, Point-of-care Reference e Journals: Dentistry, Medical and Nursing has describe 9 literatures support the association of Hy-hy/parasite infection with Allergy and/ or Autoimmune Diseases: 2 publications of meta-analysis are chosen and supported by 5 cross sectional, longitudinal, cause-effect design, and 2 clinical and animal trial. Conclusions: Low-middle-high income countries has a life style of Hyhy pattern support FMT industrial medicine and travelling to developing countries with broad diversity bacteria and worm in therapeutic and prevention potential, supported by sub-saharan and tropical rainforest developing countries.
Genetic Resistance to Infectious Diseases in the Era of Personalized Medicine...CrimsonpublishersCJMI
Genetic Resistance to Infectious Diseases in the Era of Personalized Medicine by Andrei Alimov in Cohesive Journal of Microbiology & Infectious Disease
ABSTRACT- Invasive fungal infections have become a major source of morbidity and mortality in post operative
patients. Critically ill patients after extended surgical procedure are more risk to post surgical fungal infections. Life
saving devices like central venous catheters can increases risk for fungal infections. Surgical infections are infections of
the tissues, organs or spaces exposed by surgeons during performances of surgical procedure. Mold infection is
increasingly common in post operative patients. Postoperative surgical infection represents an uncommon but potentially
devastating complication of surgery. Unfortunately, medical community is not much aware of such secondary infections
due to fungi in post operative patients leading to grave consequences. Better diagnostic methods are needed to improve
the outcome of successful surgery and better health care for public. The diagnosis of invasion and dissemination in the
majority of cases requires the acquisition and proper interpretation of clinical evidence.
Key-words- Postoperative, Surgical infections, Secondary infections, Diagnostic method
This is part of our project that aims to assess current state of anti-microbial resistance in Egypt with a specific focus on development of anti-parasitic drugs resistance in addition.
Evaluation of Antifungal Susceptibility Profile of Candida Species Isolated f...ijtsrd
The increasing incidence of Candidiasis affecting the genitourinary tracts as well as the introduction of new antifungal drugs has recently encouraged the need for performing fungal susceptibility tests. The study was aimed at evaluating the antifungal susceptibility profile of Candida species isolated from female patients attending Aminu Kano Teaching Hospital (AKTH), with suspected Candidal infections between August, 2012 to June, 2013. Five hundred and twenty one (521) clinical samples comprising 342 urine and 179 high vaginal swabs were cultured on Sabouraud dextrose agar. The Candida species isolated were identified to species level using Chromogenic agar and API 20 C AUX test kit. Antifungal susceptibility tests were performed using commercially prepared single antifungal disc (Bioanalyse Turkey). Out of these 521 samples analyzed only 59 yielded Candida species giving the overall prevalence of 11.3% with Candida albicans 22 (37.3%) as the common species isolated followed by C. glabrata 19 (32.2%), C. tropicalis 5(8.5%), C. krusei 3 (5.1%), C. magnoliae 3 (5.1%), C. lusitaniae 2 (3.4%), C. parapsilosis 2 (3.4%), C. famata 2 (3.4%) and C. guilliermondii 1 (1.7%). The antifungal susceptibility test shows that 81.4% of the isolates were susceptible to ketoconazole and only 3.4% to nystatin. However, 33.9% were susceptible, 13.6% intermediate susceptible and 52.5% resistant to fluconazole. Similarly 28.8% were susceptible, 5.1% intermediate susceptible and 66.1% resistant to voriconazole. Additionally 25.4% were susceptible, 11.9% intermediate susceptible and 62.7% resistant to flucytosine. All the C. krusei isolates were completely resistant to azole drugs while C. famata were resistant to all the drugs tested. Two quality control strains of Candida namely: Candida tropicalis ATCC 750 and Candida albicans ATCC 90028 were used. Taura, D. W. | Yakubu, G. | Panda, T. W. | Dagona, A.G."Evaluation of Antifungal Susceptibility Profile of Candida Species Isolated from Female Patients Attending Aminu Kano Teaching Hospital (AKTH)" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-1 | Issue-5 , August 2017, URL: http://www.ijtsrd.com/papers/ijtsrd2395.pdf http://www.ijtsrd.com/management/accounting-and-finance/2395/evaluation-of-antifungal-susceptibility-profile-of-candida-species-isolated-from-female-patients-attending-aminu-kano--teaching-hospital-akth/taura-d-w
FOURNIER’S GANGRENE: REVIEW OF 57 CASES IN TERTIARY INSTITUTIONAnil Haripriya
Fournier’s gangrene which is a rapidly progressive, fulminant polymicrobial synergistic infection of the perineum and genitals is now changing its pattern. Both genders can be affected and the mortality is still high (around10%). The clinical presentation in many patients in early stage may not be prominent. Thus rapid and accurate diagnosis is must for prompt treatment. Extensive surgical debridement and broad spectrum intravenous antibiotic remains the mainstay of treatment in order to reduce the morbidity and mortality.
1ScIeNtIFIc REPORTS | (2018) 8:1250 | DOI:10.1038/s41598-018-19638-x
www.nature.com/scientificreports
Histology, immunohistochemistry,
and in situ hybridization reveal
overlooked Ebola virus target
tissues in the Ebola virus disease
guinea pig model
Timothy K. Cooper1, Louis Huzella 1, Joshua C. Johnson 1, Oscar Rojas1, Sri Yellayi1,3,
Mei G. Sun2, Sina Bavari2, Amanda Bonilla1, Randy Hart1, Peter B. Jahrling 1, Jens H. Kuhn 1
& Xiankun Zeng 2
Survivors of Ebola virus infection may become subclinically infected, but whether animal models
recapitulate this complication is unclear. Using histology in combination with immunohistochemistry
and in situ hybridization in a retrospective review of a guinea pig confirmation-of-virulence study, we
demonstrate for the first time Ebola virus infection in hepatic oval cells, the endocardium and stroma of
the atrioventricular valves and chordae tendinae, satellite cells of peripheral ganglia, neurofibroblasts
and Schwann cells of peripheral nerves and ganglia, smooth muscle cells of the uterine myometrium
and vaginal wall, acini of the parotid salivary glands, thyroid follicular cells, adrenal medullary cells,
pancreatic islet cells, endometrial glandular and surface epithelium, and the epithelium of the vagina,
penis and, prepuce. These findings indicate that standard animal models for Ebola virus disease are not
as well-described as previously thought and may serve as a stepping stone for future identification of
potential sites of virus persistence.
Ebola virus disease (EVD) is a severe and frequently lethal affliction of humans caused by infection with any
of three members of the mononegavirus family Filoviridae: Bundibugyo virus (BDBV), Ebola virus (EBOV),
and Sudan virus (SUDV). A fourth virus, Taï Forest virus (TAFV), has thus far caused only a single reported
human infection, which was nonlethal1. EVD is an exotic disease with case numbers rarely surpassing the lower
hundreds1; however, from 2013–2016, EBOV caused an EVD outbreak in Western Africa encompassing 28,616
infections and 11,310 deaths in Guinea, Liberia, and Sierra Leone2. Long term sequelae in individual survivors of
acute EVD and the similar Marburg virus disease (MVD) and filovirus persistence followed by disease relapse or
sexual transmission had been reported before this outbreak3–8. However, observations during and following the
Western African EVD outbreak suggest that sequelae and filovirus persistence may be common events9. Reported
sequelae include arthralgia, cardiac valvulopathy, parotid gland inflammation, peripheral paresthesia or dyses-
thesia, and gastrointestinal motility disorders10–14. Semen may contain detectable EBOV RNA for more than 500
days following recovery, and EBOV RNA has been detected in breast milk of a subclinically infected mother15,16.
Replicating EBOV has been isolated from the cerebrospinal fluid of an EVD survivor suffering a disease relapse
and from the aqueous hu.
—Fungal organisms are ubiquitous. A common location for these organisms to enter the human body is through the external acoustic canal, oral cavity, and pharynx and sino-nasal cavity. A study was conducted with clinical and mycological analysis of various fungal infections in ENT. Patients suspected for having fungal infections attending at Department of ENT were interrogated and analysed. Swabs collected from these cases were sent for direct microscopy by KOH mounts for fungal examination and fungal culture. Microbiological confirmed 100 cases were finally included in the study Histopathological examination of nasal mass and polyposis was also done. It was observed in this present study otomycosis was most common and accounted for 84% of the total cases followed by candidiasis in oral cavity and pharynx in 9%, allergic fungal rhinosinusitis in 4% and rhinosporidiosis in 3%. Aspergillus niger was that most common fungus isolated in 61% cases, followed by Candida albicans in 24% cases, Aspergillus flavus in 9% cases, Aspergillus fumigatus and Rhinosporodium seeberi in 3% cases each. All the cases of fungal infection of oral cavity and oropharynx were due to Candida albicans.
Bacteria Isolated From the Cerebrio-Spinal Fluid (Csf) of Suspected Cases of ...iosrjce
IOSR Journal of Nursing and health Science is ambitious to disseminate information and experience in education, practice and investigation between medicine, nursing and all the sciences involved in health care. Nursing & Health Sciences focuses on the international exchange of knowledge in nursing and health sciences. The journal publishes peer-reviewed papers on original research, education and clinical practice.
By encouraging scholars from around the world to share their knowledge and expertise, the journal aims to provide the reader with a deeper understanding of the lived experience of nursing and health sciences and the opportunity to enrich their own area of practice. The journal publishes original papers, reviews, special and general articles, case management etc.
A total number of 74 coagulase negative Staphylococci were isolated from orthopaedic patients in Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. They were further characterized into various Staphylococci species using API STAPH identification kit: Staph xylosus (31.1%), Staph lentus (10.8%), Staph hominis (10.8%), Staph cohnii cohnii (5.4%), Staph epidermidis (4.1%) others were Staph cohnii ureal., Staph hyicus, Staph lugdunensis (2.7% each) Staph caprae , Staph capitis, Staph haemolyticus, Staph scuiri, Staph chromogenes and Staph warneri (1.4% each). Microcossus spp was 8.2% while 13.5% isolates were undetermined. Kirby Baurer disk method was used for the antibiotics susceptibility test, the result showed gentamicin and ciprofloxacin to be most active (96.6%), followed by vancomycin (93.1) and pefloxacin (87.9). The isolates were resistant to ampicillin (96.6), amoxicillin clavulanic acid (65.5%), clindamycin 41.4%). The aim of this study is to classify the coagulase negative Staphylococci isolates into species and to determine their antibiotic susceptibility
Ascaris lumbricoides and other Gastrointestinal Helminthic Parasites among Qe...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
—India constitutes about one fourth of the Global TB burden. Cutaneous TB is less common clinical form of tuberculosis accounting for 1-2 % of the total extra-pulmonary cases. Objective of this study was to describe the clinical and epidemiological pattern of Cutaneous TB presenting in the Skin Outpatient Department (OPD). Patients presenting with clinically suspected skin lesions of Cutaneous TB from January 2015 to August 2016 were included in the study. Dermatological and systemic examination was carried out and histopathogical examination of skin punch biopsy was done. It was observed that out of a total of sixty patients, 45 (75%) patients were found to have features of Cutaneous TB on histopathology. Lupus vulgaris (42.2%) was the most common form of Cutaneous TB. Most patients were in age group of 11-30 years. Male to female ratio was 1.6:1. Most common sites of involvement were lower limbs and neck. Mantoux test was positive(≥15 mm induration) in 66.7% cases. Typical tuberculoid histology was found in 91.1% cases. No cases of tuberculids were seen and non-specific chronic inflammation was seen in six cases. It was concluded that Cutaneous TB may present with different morphological patterns resembling other inflammatory, infective and neoplastic conditions. Proper and thorough investigations are necessary for detection of Cutaneous TB as the annual incidence of total TB cases in India is high.
Clinical analysis of 228 patients with pulmonary fungal diseases iWilheminaRossi174
Clinical analysis of 228 patients with pulmonary fungal diseases in China
Abstract
Background: Due to the lack of specific clinical manifestations and imaging features, the diagnosis of pulmonary fungal diseases is difficult. This study aims to investigate the clinical features of pulmonary fungal diseases.
Methods: We retrospectively analyzed the demographics, types of fungus,radiological characteristics,underlying diseases, the usage of steroid and immunosuppresants, laboratory tests of 228patients with pulmonary fungal disease diagnosed by pathological examination or laboratory culture from October 2011 to July 2018in Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology.
Results: A total of 228 patients, had a median age of 49years, which included 130 (57%) males and 98(43%) females. The most common fungal species identified were aspergillus (39.5 %), cryptococcus (18.4%), and mucormycosis (3.5 %).The main imaging findings were nodules or mass in 144 patients (63.2%), cavitation in 57 patients (25%),consolidation shadows or ground glass infiltrates in 15 patients (6.6%), and reverse halo sign in 12 patients (5.3%). The main infection sites were right upper lobe (26.8%), right lower lobe (21.5%) and the bronchus infection were 18 (7.9%) persons. For the underlying diseases, the prevalence of diseases was pulmonary tuberculosis (17.5%), bronchiectasis (16.2%), diabetes mellitus (9.2%) and the previous thoracic malignancy (6.6%) was common. The number of patients using steroid was 50% and the number of patients using immunosuppressant was 7%.
Conclusions: The imaging findings and the underlying diseases of patients should be taken into account when making diagnosis of pulmonary funga1disease for the purpo se to speculate the probable fungal pathogen and choose the most appropriate diagnostic tool.
Keywords:Pulmonary fungal disease; pathogen; imaging manifestation; Underlying disease; Clinical analysis; Chinese
(pneumomycosis; pulmonary mycosis?)invasive mould infection (IMI)Invasive fungal infections (IFIs),invasive aspergillosis
invasive mold disease, invasive aspergillosis, diabetes mellitus.
1. INTRODUCTION
In environment, the fungi produce small spores that are routinely inhaled and rapidly cleared from the normal host. However after long standing inhalation makes people more vulnerable to get effected .Moreover pulmonary fungal diseases are an opportunistic infection that predominantly attacks immunocompromised just as immunocompetent patients, however extensive utilization of gluccocorticoids and chemotherapeutics utilizes in patients make the pulmonary fungal disease no longer an uncommon occurrence. The complex underlying conditions such as pulmonary tuberculosis, bronchectasis, COPD and diabetes mellitus in the patients of pulmonary fungal disease and the non-specific nature of pathogen can confound identification and lead to under diagnosis. Due to its vague nature the dia ...
: The COVID-19 pandemic is spreading across the globe at an alarming rate. Corona Virus is a large
family of positive-sense, single-stranded Ribo Nuclic Acid(RNA) viruses that belong to the Nidovirales order. It
was first started in Wuhan, Hubei Province, China and then subsequently spread to dozens of other countries
becoming a global pandemic. COVID-19 manifests with a wide clinical spectrum ranging from asymptomatic
patients to septic shock and multi organ dysfunction. The most common symptoms of patients include fever (98.
6%), fatigue (69.6%), dry cough, and diarrhea. The WHO recommends collecting samples from both the upper
and lower respiratory tracts. This can be achieved through expectorated sputum, broncho-alveolar lavage or
endotrachial aspirate, These samples are then assessed for viral RNA using polymerase chain reaction(PCR).
Patients with pre-existing co-morbidities have a higher case fatality rate. These co-morbidities include diabetes (7.
3%), respiratory disease(6.5%), cardiovascular disease(10.5%), hypertension(6%) and malignncy(5.6%). Patients
without co-morbidities have a lower case fatality rate(0.9%). Preventive measures must focus on optimizing
infection control protocols, self-isolation, and patient isolation during the provision of clinical care. No confirmed
medication or vaccine has been developed. Current treatment strategies are aimed at symptomatic care and
oxygen therapy. Chloroquine phosphate and lopinavir/ritonavir have been suggested. Other suggested anti-virals
include ribavirin and abidor. Usage of personal protective equipment, washing hands, sanitization, social distance
and general awareness can stop transmission of virus. Prophylactic vaccination is required for the future
prevention of COV-related epidemic or pandemic.
Multidrug Resistance Pattern of Staphylococcus Aureus Isolates in Maiduguri ...Scientific Review SR
Multi drug-resistant (MDR) isolates of Staphylococcus aureus are on rise and are becoming a
challenge for timely and appropriate treatment. The present study was carried out with an objective to isolate
Staphylococcus aureus from clinical samples and determine their sensitivity. Out of 110 samples collected, 44
were shown to contained S. aureus. The isolates were subjected to antibiotic sensitivity tests using 10 different
and commonly used antibiotics by modified Kirby- Bauer disc diffusion technique. Out of the total isolates (42)
tested, only 7.1% were susceptible to all the antibiotics. Multiple resistance was eminent in over 92% with
highest occurrence in 4.8% where the entire antibiotics were resisted. Multiple antibiotic resistance indixes
(MAR index) indicated that 0.6 index occurred most (23.8%) followed by 0.5 (19.0%). On the other hand, 0.1
and 0.8 indexes were the lowest with 0.0% and 1.0% occurrence respectively. Ciprofloxacin was resisted by
most of the organisms (64.3%) while amoxicillin (64.3%) and streptomycin (61.9%) were most efficacious. With
over 90% isolate having MAR index ≥ 0.2, the multiple drug resistance by the S. aureus is quite alarming and
might suggest inappropriate antibiotic usage by the sampled population. Therefore, the need to strategize the
nature of antibiotic treatment against S. aureus and massive campaign on indiscriminate antibiotic use is urgent.
Multidrug Resistance Pattern of Staphylococcus Aureus Isolates in Maiduguri M...Scientific Review
Multi drug-resistant (MDR) isolates of Staphylococcus aureus are on rise and are becoming a challenge for timely and appropriate treatment. The present study was carried out with an objective to isolate Staphylococcus aureus from clinical samples and determine their sensitivity. Out of 110 samples collected, 44 were shown to contained S. aureus. The isolates were subjected to antibiotic sensitivity tests using 10 different and commonly used antibiotics by modified Kirby- Bauer disc diffusion technique. Out of the total isolates (42) tested, only 7.1% were susceptible to all the antibiotics. Multiple resistance was eminent in over 92% with highest occurrence in 4.8% where the entire antibiotics were resisted. Multiple antibiotic resistance indixes (MAR index) indicated that 0.6 index occurred most (23.8%) followed by 0.5 (19.0%). On the other hand, 0.1 and 0.8 indexes were the lowest with 0.0% and 1.0% occurrence respectively. Ciprofloxacin was resisted by most of the organisms (64.3%) while amoxicillin (64.3%) and streptomycin (61.9%) were most efficacious. With over 90% isolate having MAR index ≥ 0.2, the multiple drug resistance by the S. aureus is quite alarming and might suggest inappropriate antibiotic usage by the sampled population. Therefore, the need to strategize the nature of antibiotic treatment against S. aureus and massive campaign on indiscriminate antibiotic use is urgent.
Study of Bacterial Isolates and their Susceptibility Pattern in Chronic Suppu...iosrjce
IOSR Journal of Pharmacy and Biological Sciences(IOSR-JPBS) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of Pharmacy and Biological Science. The journal welcomes publications of high quality papers on theoretical developments and practical applications in Pharmacy and Biological Science. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
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The successful of pregnancy in humans and rodents occur between the interaction maternal and fetal
interface, specially involving the participation of uNK cells. This interaction involved neo angiogenesis,
placentation and presence of mediators like nitric oxide. During the pregnancy the administration of LPS
in the dams can results in necrosis, preterm birth, IUGR, miscarriage or neurological problem. Once the
uNK cells are activated, they can produce vasodilators, like NO. So, the main purpose of this study was
to evaluate if LPS cause alteration in the uNK cells in pregnant mice and if the same behaviour can be
detected by NO in the blood. Also we evaluated the effect of LPS to cause neurological injuries. To do that
we used pregnant mice on gd 10th and those was treated with LPS for different times. Uterine samples
were collected at 0.5,1,2 and 6hr after LPS treated and processed for paraffin embedding and tissue
homogenate. The samples designated for paraffin embedding was performed the Dolichos biflorus (DBA)
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Comparison of Ultrabio HIV DNA PCR and Gag Real-Time PCR Assays for Total Hiv...CrimsonpublishersCJMI
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Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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The prostate is an exocrine gland of the male mammalian reproductive system
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- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
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Prix Galien International 2024 Forum ProgramLevi Shapiro
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- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
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Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
![Copyright © Iris Spiliopoulou
Lamprini Gkaravela1
*, Zoi Florou2
*, Matthaios Papadimitriou-Olivgeris3
, Fanourios Kontos4
, Antigoni Foka1
,
Afroditi Vasdeki2
, Fevronia Kolonitsiou1
, Nikolaos Charokopos5
, Kiriakos Karkoulias6
, Markos Marangos3
,
Evangelos D Anastassiou1
, Loukia Zerva4
, Efthimia Petinaki2
and Iris Spiliopoulou1
1
Department of Microbiology, School of Medicine, Greece
2
Department of Microbiology, School of Medicine, Greece
3
Division of Infectious Diseases, School of Medicine, Greece
4
Laboratory of Clinical Microbiology, Greece
5
Department of Pulmonology, Greece
6
Department of Pulmonology, Greece
*Both authors contributed equally to this study
*Corresponding author: Iris Spiliopoulou, MD, PhD, Department of Microbiology, School of Medicine University of Patras, Patras 26504, Greece
Submission: :January 07, 2019; Published: January 18, 2019
Characterization of Mycobacterium
Tuberculosis Complex Strains: A Multicenter
Retrospective Greek Study
Introduction
Even though tuberculosis incidence has steadily decreased
during the last three decades, worldwide, there is a great disparity
among different areas. Countries of the African and South-East Asia
Regions record the highest rates, whereas, countries of the Europe-
an and American Regions exhibit the lowest (254 and 240 vs 32 and
27 cases per 100000 habitants, respectively) [1]. This fact poses an
immediate threat to tuberculosis control programs in low incidence
countries when large populations from areas with high incidence
migrate to low incidence ones. In most European countries, new
tuberculosis cases are reported among foreigners rather than in
native population [2]. This is also similar for Greece, where the in-
cidence among native population has fallen during the last decade,
while, the incidence among foreigners steadily increases [2].
Another important issue is the emergence and worldwide dis-
semination of multi-drug resistant (MDR) Mycobacterium tuber-
culosis isolates [1]. Areas with high rates of MDR are the East and
Central Asia (reaching 27% among new cases) and countries of the
former Soviet Union (38%) [1]. These high rates have been partially
attributed to clonal dissemination of strains belonging to the Bei-
jing family, to which a considerable number of MDR is assigned [3-
7]. The Beijing family originated in the area of China, approximate-
ly 6600 years ago and is successfully disseminated worldwide in
several waves coinciding with migration of large populations [7,8].
Nowadays, it remains endemic in Central Asia and Russia [7,8].
The dissemination of MDR strains following large human popula-
tion migration is of utmost importance, since during the last year
Research Article
1/6Copyright © All rights are reserved by Iris Spiliopoulou.
Volume - 2 Issue - 3
Cohesive Journal of
Microbiology & Infectious DiseaseC CRIMSON PUBLISHERS
Wings to the Research
ISSN 2578-0190
Abstract
The aim was to compare clinical characteristics, antimicrobial resistance and 24-loci variable numbers of tandem repeats of mycobacterial
interspersed repetitive units (MIRU-VNTR) patterns among M. tuberculosis complex isolates (MTBC) recovered from patients living in Greece during
a two-year period (2009-10). Isolates from 117 tuberculosis patients identified as MTBC by a molecular method were phenotypically tested for their
antimicrobial susceptibility. Clonality was accessed by MIRU-VNTR. Among 117 patients with confirmed microbiologic tuberculosis, 90 (76.9%) were of
Greek origin, and 27 (23.1%) foreigners. Only 67 out of the 117 (57.3%) patients were officially reported to the Hellenic Center for Disease Control and
Prevention. Phenotypic susceptibility testing revealed 10 isolates resistant to isoniazid (8.5%), two to rifampicin (1.7%), five to ethambutol (4.3%) and
17 to streptomycin (14.5%). In total two multidrug-resistant strains (1.7%) were detected. MIRU-VNTR classified 35 strains (29.9%) into 10 Families,
whereas, 82 (70.1%) were not classified into any known Family. MTBC strains belonging to known Families were more commonly isolated from people
living in cities and foreigners and showed a trend to higher resistance percentages to isoniazid and rifampicin. Most isolates from Greek rural areas do
not belong to any known Family and are characterized by lower resistance rates.
Keywords: MIRU-VNTR; Tuberculosis; Clones; resistance; Immigration](https://image.slidesharecdn.com/cjmi-210112051730/85/Characterization-of-Mycobacterium-Tuberculosis-Complex-Strains-A-Multicenter-Retrospective-Greek-Study_Crimson-Publishers-1-320.jpg)
![Cohesive J Microbiol infect Dis Copyright © Iris Spiliopoulou
2/6How to cite this article: Lamprini G, Zoi F, Matthaios P-O, Fanourios K, Antigoni F, et al.Characterization of Mycobacterium Tuberculosis Complex Strains:
A Multicenter Retrospective Greek Study.Cohesive J Microbiol infect Dis. 2(2). CJMI.000539. 2018. DOI: 10.31031/CJMI.2018.02.000539
Volume - 2 Issue - 3
approximately one million refugees from the area of Middle East
(Syrian Arab Republic, Iraq) and Central Asia (Afghanistan, Paki-
stan) have migrated through Mediterranean countries to Europe
due to armed conflicts in their homelands [9]. In one Greek study
including only drug resistant cases, the authors showed that most
isolates (28 out of 30) from patients born in Greece belonged to
known families. More specifically, 12 strains belonged to Haarlem,
eight to Beijing, followed by T2-Uganda (n=4), LAM (n=3), Camer-
oon (n=2), Delhi/CAS (n=1). Two strains were not classified into
any known Family [10].
The aim of the present study was to compare clinical charac-
teristics, antimicrobial resistance and 24-loci variable numbers of
tandem repeats of mycobacterial interspersed repetitive units (MI-
RU-VNTR) patterns among M. tuberculosis complex isolates recov-
ered from patients living in different parts of Greece.
Material and Methods
Setting
A total of 117 M. tuberculosis complex (MTBC) clinical isolates
(one per patient) were collected from two participating tertiary
care hospitals during a two year period (2009-10); 62 isolates from
the Hospital A and 55 from the Hospital B. These hospitals receive
patients and samples from surrounding regions comprising about
one fifth of the country’s population (two million). Isolates were
recovered under routine diagnostic procedures for tuberculosis.
Patients’ chart reviews were used in order to collect epidemi-
ologic data. Parameters assessed included demographic character-
istics (age, sex), residency, country of birth, immunosuppression
(including HIV infection) and site of infection. Data concerning the
declaration or not of the case to the Hellenic Center for Disease
Control and Prevention (KEELPNO) was also collected (http://
www.keelpno.gr/).
Mycobacteria were identified to species level by a reverse line
blot hybridization (RLBH) assay (GenoType Mycobacterium CM;
Hain Lifescience GmbH, Nehren, Germany). MTBC strains were iso-
lated from sputa (n=58), bronchoalveolar lavages (n=23), gastric
aspirates (n=10), tissue specimens (n=8), synovial fluids (n=8), pus
(n=5), urine (n=2), blood (n=2) and cerebrospinal fluid (n=1).
Antimicrobial susceptibility testing
Susceptibility testing was performed in all isolates by a phe-
notypic method BACTEC Mycobacteria Growth Indicator Tube
(MGIT) 960 SIRE kit (MGIT-SIRE, Becton Dickinson, Le Pont-De-
Claix, France) for streptomycin (STR), isoniazid (INH), rifampicin
(RMP) and ethambutol (EMB) according to the manufacturers’ in-
structions. Strains resistant to INH and RMP were characterized as
multi-drug resistant (MDR) [2].
Genotyping
For genotypic analysis only the first isolate obtained from each
patient was examined. DNA extraction was performed from bacteri-
al colonies using QIAamp DNA Mini Kit (Qiagen GmbH, Hilden, Ger-
many). All isolates were genotyped by the ΜIRU-VNTR method by
analyzing 24 polymorphic loci [11]. The corresponding lineage of
each strain was then determined by the use of MIRU-VNTRplus da-
tabase (http://miru-vntrplus.org) according to published instruc-
tions [12]. When two or more isolates were identical by MIRU-VN-
TR, they were classified as clustered.
Statistical analysis
Statistical analyses of demographic, laboratory and clinical data
(obtained from patients’ chart reviews and/or notification forms)
as well as genotyping data were performed with SPSS version 19.0
(SPSS, Chicago, IL, USA) software. Continuous variables were as-
sessed with the Mann–Whitney U-test and categorical variables
were analyzed by using Fisher’s exact test or the Chi-squared test,
as appropriate.
Results
Isolates and resistance patterns
In total, 117 patients with confirmed microbiologic and clinical
tuberculosis were included. Antimicrobial susceptibility testing by
a phenotypic method was applied in all 117 isolates and revealed
10 (8.5%) resistant to INH, two (1.7%) to RMP, five (4.3%) to EMB
and 17 (14.5%) to STR. Two MDR strains were detected (1.7%).
MIRU-VNTR
MIRU-VNTR typing was performed in all isolates. Thirty-five
(29.9%) were classified into 10 Families; Haarlem (14 isolates,
12.0%), Latin American-Mediterranean (LAM; six, 5.1%), S clade
(five, 4.3%), Delhi/CAS (two, 1.7%), Beijing (two, 1.7%), Turkey
(TUR; two, 1.7%), East African-Indian (EAI; one, 0.9%), Ugan-
dal (one, 0.9%), Ural (one, 0.9%), and X (one, 0.9%), whereas, 82
(70.1%) were not classified into any known Family. In total one
cluster was identified comprised by two cases (not classified in
known families), but no evident correlation was found. Of two MDR
strains, one belonged to TUR (patient originated from Bulgaria)
and the other to X families (Greek patient).
Clinical characteristics
Among 117 infected patients, 90 (76.9%) were of Greek origin,
whereas, the remaining 27 (23.1%) were foreigners (seven from
Bulgaria, five from Romania, four from Albania, two from Pakistan,
two from India, and one from each Afghanistan, Cyprus, Georgia,
Indonesia, Philippines, Poland, and USA). No statistical difference
was observed for all parameters among Greeks and foreigners be-
tween the participating hospitals. Only 67 patients (57.3%) were
officially reported to Hellenic Center for Disease Control and Pre-
vention (KEELPNO). No registered address was found for 14 out of
117 patients.
Foreigners as compared to Greek patients were younger, prone
to infection by MTBC isolates belonging to known Families, lived
in cities (>100000 inhabitants) and demonstrated more frequently
lymph node involvement. The comparison of clinical characteristics
among Greek and Foreign patients are shown in Table 1.](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)