ABSTRACT
A 4-year-old boy with a painless mass for 3 years in the left scrotum was admitted to the hospital. Three testicle-like substances could be palpable one by one from groin to scrotum on the left side during physical examination. The upper and middle parts were slightly hard, while the lower part was slightly soft. The splenogonadal fusion (SGF) in the left side was found by laparoscopy after admission. Accessory splenectomy was performed with preservation of the left testicle. Postoperative follow-up was 18 months. The testicles were well developed without atrophy, and abdominal B-ultrasound showed no abnormality in liver, gallbladder and spleen. SGF was a rare congenital abnormality, which was difficult to diagnose preoperatively. During the operation, if the SGF was found, accessory splenectomy with testicle-sparing should be performed. Laparoscope can be used as an effective diagnosis and treatment method to improve the understanding of SGF, and avoid unnecessary orchiectomy.
ABSTRACT
ABSTRACT: The objective of this study was to evaluate the acid resistance of Salmonella enterica serovar Enteritidis (S. Enteritidis) in stored pork and in simulated gastric fluid (SGF). A culture of S. Enteritidis was subjected to acid treatment prior to inoculation into pork, stored under refrigeration at frozen temperatures and exposed to SGF. The S. Enteritidis CCS3 and ATCC 13076 strains previously subjected to acid treatment (at pH 4.0-5.0) were inoculated in pork and stored at 4°C and -18°C. Storage at 4ºC did not affect the populations of both S. Enteritidis strains. After 84 days at -18°C, the mean population of both CCS3 and ATCC strains were reduced by 0.8 and 1.5 log cycles, respectively. Prior acid treatment did not enhance the survival of both strains at low temperatures. After acid treatment and low temperature storage, S. Enteritidis ATCC 13076 lost culturability after being exposed to SGF for 10 minutes. In contrast, S. Enteritidis CCS3 was tolerant until three hours of SGF exposure. S. Enteritidis CCS3 submitted to pH 4.0 was more tolerant to SGF exposure than when submitted to pH 4.5, 5.0 and without acid treatment. Therefore, this study indicates that exposure to an acidic and cold environment during processing enhanced the ability of S. Enteritidis to survive in the gastric environment of the human stomach, possibly increasing the risk of a Salmonella infection after consumption of pork.
RESUMO: O objetivo deste estudo foi avaliar a resistência ao ácido de Salmonella enterica serovar Enteritidis (S. Enteritidis) previamente submetidas a tratamento ácido e inoculadas em carne suína armazenada em temperaturas de refrigeração e congelamento ao fluido gástrico simulado (FGS). As linhagens de S. Enteritidis CCS3 and ATCC 13076 previamente submetidas a tratamento ácido variando de pH 4.0 a 5.0 foram inoculadas em carne de porco e armazenadas a 4 e −18°C. A estocagem por sete dias a 4°C não afetou as populações das duas linhagens de S. Enteritidis. Após 84 dias a -18°C, as reduções médias das populações das linhagens foram de 0,8 e 1,5 ciclos logarítmicos, respectivamente. O tratamento ácido prévio não aumentou a sobrevivência das duas culturas sob baixas temperaturas. Após tratamento ácido e estocagem em temperaturas baixas, S. Enteritidis ATCC 13076 perdeu a culturabilidade após 10 minutos de desafio ao FGS. Contrariamente, S. Enteritidis CCS3 mostrou-se tolerante à exposição por três horas ao FGS. S. Enteritidis CCS3 submetidas a tratamento ácido prévio em pH 4,0 mostraram-se mais tolerantes à exposição por 180 minutos ao FGS que células submetidas aos tratamentos ácidos em pH 4,5 e 5,0 e células sem tratamento. Portanto, este estudo indica que S. Enteritidis submetida a um ambiente ácido e frio durante o processamento pode melhorar a sua capacidade de sobreviver à barreira gástrica em humanos, possivelmente, aumentando o risco de surto por Salmonella após consumo de carne de porco.