Disfagia cervical espondilótica por hiperostosis esquelética difusa idiopática en un paciente joven / Diffuse idiopathic skeletal hyperostosis causing dysphagia in a young patient

Diffuse idiopathic skeletal hyperostosis (DISH) is an under-diagnosed condition producing flowing ossification of the antero-lateral ligaments of the spine. Affecting predominantly males over 65years old, it is an unusual cause of dysphagia and dysphonia. We report a 45-year-old mole with a three years history of dysphonia and three months of dysphagia. The initial diagnosis was gastroesophageal reflux, and an endoscopy ruled out esophageal luminal pathology. Cervical spine radiographs showed ossification of the cervical anterior longitudinal ligament with large, prominent osteophytes from C3 to C6, producing esophageal and upper airway compression; these images were compatible with DISH. Cervical osteophyte resection resulted in complete resolution of symptoms. DISH should be considered in the differential diagnosis of dysphagia and dysphonia.

Use of alternative media and different types of recipients in a laboratory culture of Ankistrodesmus gracilis (Reinsch) Korshikov (Chlorophyceae) / Utilização de meios alternativos e diferentes tipos de recipientes no cultivo de Ankistrodesmus gracilis (Reinsch) Korshikov (Chlorophyceae) em laboratório

A laboratory culture of Ankistrodesmus gracilis algae was evaluated by studying the biology of the species and its chemical composition in a traditional medium (CHU12) and in two alternative culture media, NPK (20-5-20) and macrophyte (Eichhornia crassipes) + NPK, in three different types of recipients (fiberglass, carboy and plastic bag). First peak in the growth curve of Ankistrodesmus gracilis occurred on the ninth day in macrophyte + NPK medium (74.16 x 105 cells mL-1) in a fiberglass recipient. However, highest density (p < 0.01) was reported in medium CHU12 (122.87 x 105 cells mL-1) in a plastic bag on the twelfth day. Cell density was over 70 x 105 cells mL-1 starting on the twelfth day. Growth rate of A. gracilis was similar (p > 0.05) in culture media in the three recipients. Protein and fiber were similar (p > 0.05) in the treatments, but lipids were higher (p < 0.05) in NPK. Nitrate, ammonia, total phosphorus and orthophosphate contents were over 1 mg L-1 in NPK (p < 0.01). Results show that alternative media, such as NPK and macrophyte + NPK, are possible for large-scale culture of A. gracilis cultured in three types of recipients. Costs are low, occupying less space when cultured in plastic bags and in the laboratory.

O objetivo do estudo foi avaliar os aspectos biológicos e a composição química da alga Ankistrodesmus gracilis em laboratório utilizando um meio tradicional (CHU12) e dois meios alternativos, NPK (20-5-20) e macrófita (Eichhornia crassipes) + NPK em três diferentes tipos de recipientes (cuba de fibra de vidro translúcido, garrafões e saco plástico). O primeiro pico de densidade celular de Ankistrodesmus gracilis ocorreu no nono dia da curva de crescimento em meio macrófita+NPK (74,16 x 105 células mL-1) no recipiente de fibra de vidro, porém a maior densidade (p < 0,01) foi observada no meio CHU12 (122,87 x 105 células mL-1) em saco plástico no décimo segundo dia, a partir do qual a densidade celular permaneceu acima de 70 x 105 células mL-1. A taxa de crescimento de A. gracilis foi similar (p > 0,05) nos três recipientes e meios de cultivo. Os teores de proteína e fibra foram similares (p > 0,05) nos tratamentos utilizados, já os de lipídios foram mais elevados (p < 0,05) no meio NPK. Os teores médios de nitrato, amônia, fósforo total e ortofosfato estiveram acima de 1 mg L-1 no meio NPK (p < 0,01). Os resultados obtidos neste estudo indicam a possibilidade do uso de meios alternativos como o NPK e macrophyte +NPK para o cultivo de A. gracilis em larga escala cultivados nos três tipos de recipientes, porém, em saco plástico o custo é baixo e ocupa menos espaço em cultivo de laboratório.