Clinical and sero-molecular characterization of Escherichia coli with an emphasis on hybrid strain in healthy and diarrheic neonatal calves in Egypt.

The present study was carried out to characterize pathogenic E. coli in apparently healthy and diarrheic neonatal calves with special reference to the hybrid E. coli strains and evaluate their clinical and hematobiochemical consequences. One hundred and seventy calves (age 1-30 days) were divided into two groups: apparently healthy (n = 70) and diarrheic (n=100). Animals were subjected to thorough clinical, hematobiochemical and bacteriological examinations. Clinically, diarrheic calves showed various degree of diarrhea with the presence of cardinal signs of dehydration in moderate and severe cases. There was a significant increase (p<0.05) in the hemogram parameters with uremia and hyperkalemia in calves with severe diarrhea. The O-H serotyping of cultural and biochemically positive isolates identified 31 isolates belonging to 12 serotypes including O44:H18, O55:H7, O146:H21, O113:H4, O121:H7, O26:H11, O91:H21, O111:H2, O8, O127: H6, O86 and O128:H2. Molecular characterization of E. coli isolates on three toxin genes: heat-stable enterotoxin (sta), shiga toxin type 1 and 2 (stx1 and stx2) revealed two well-known pathotypes (EPEC O44:H18, O55:H7, O146:H21, O113:H4, O121:H7 and EHEC O26:H11 O91:H21 O111:H2) with high frequency of enterohemorrhagic E. coli (EHEC). Molecular analysis also showed a number of E. coli isolates that carry sta and stx1 or sta and stx2 gene and belonged to O8, and O127:H6, O86 and O128:H2. These isolates were identified as hybrid E. coli strains (ETEC-STEC) and found in both apparently healthy and diarrheic calves. In conclusion, the present study identified high frequency of pathogenic E. coli in both apparently healthy and diarrheic calves. Serological and molecular analysis of E. coli isolates showed that high frequency of EHEC and presence of a new phenotype, STEC-ETEC hybrid, revealing their importance in the etiopathogenesis of diarrhea in calves and reinforcing the role of these animals as a reservoir of potentially pathogenic E. coli for humans.

Anatomical Retzius-space preservation is associated with lower incidence of postoperative inguinal hernia development after robot-assisted radical prostatectomy.

BACKGROUND: Postoperative inguinal hernia (IH) is a non-negligible sequelae with a wide array of rates after robot-assisted laparoscopic radical prostatectomy (RALP). Our aim was to evaluate the incidence and risk factors of postoperative IH development in men undergoing RALP. METHODS: A retrospective analysis of 839 patients "541 of conventional-RALP (C-RALP), and 298 of Retzius sparing-RALP (RS-RALP)" received treatment of prostate cancer between 2005 and 2016 and met with our inclusion criteria was performed. Primary endpoint was incidence of IH after RALP, while secondary endpoint was to assess risk factors of IH occurrence. RESULTS: Overall incidence of postoperative IH was 6.3% (53 out of 839). Mean follow-up period and median time of IH development were 24.1 and 14.0 months, respectively. Among patients who developed IH, there was a higher incidence in C-RALP compared to RS-RALP, (79.2 vs 20.8%, respectively, P = 0.02). Multivariate analysis showed that BMI group (HR 0.471, P = 0.023) and C-RALP (HR 2.834, P = 0.002) were significant predictors of IH development. Kaplan-Meier curve showed that 3-year IH-disease progression free rate was significantly higher after RS-RALP compared to C-RALP (94.2 vs 71.6%, respectively, P < 0.001), likewise in obese versus non-obese patients (87.7 vs 76.6%, respectively, P < 0.003). CONCLUSION: Our study showed that overall incidence of IH was 6.3% after RALP. Nevertheless, RS-RALP carries a lower incidence of IH after surgery, while C-RALP and low BMI are predictors of IH development.

Voiding dysfunction in women: How to manage it correctly.

INTRODUCTION: Of women aged >40 years, 6% have voiding dysfunction (VD), but the definition for VD in women with respect to detrusor underactivity (DU) and bladder outlet obstruction (BOO) is not yet clear. In this review we address the current literature to define the diagnosis and treatment of VD more accurately. METHODS: We used the PubMed database (1975-2012) and searched for original English-language studies using the keywords 'female voiding dysfunction', 'detrusor underactivity', 'acontractile detrusor' and 'bladder outlet obstruction and urinary retention in women'. We sought studies including the prevalence, aetiology, pathogenesis, diagnosis and treatment of female VD. RESULTS: In all, 20 original studies were identified using the selected search criteria, and another 45 were extracted from the reference lists of the original papers. All studies were selected according to their relevance to the current topic and the most pertinent reports were incorporated into this review. CONCLUSION: Female VD might be related to DU or/and BOO. Voiding and storage symptoms can coexist, making the diagnosis challenging, with the need for a targeted clinical investigation, and further evaluation by imaging and urodynamics. To date there is no universally accepted precise diagnostic criterion to diagnose and quantify DU and BOO in women. For therapy, a complete cure might not be possible for patients with VD, therefore relieving the symptoms and minimising the long-term complications associated with it should be the goal. Treatment options are numerous and must be applied primarily according to the underlying pathophysiology, but also considering disease-specific considerations and the abilities and needs of the individual patient. The treatment options range from behavioural therapy, intermittent (self-)catheterisation, and electrical neuromodulation and neurostimulation, and up to urinary diversion in rare cases.

Lignocellulolytic enzyme production by aquatic hyphomycetes species isolated from the Nile's delta region.

Twenty-six species of aquatic hyphomycetes were isolated from woody sources (unidentified wood segments, leaf skeletons and neck of leaves and bark) in the North River Nile (Delta region). Alatospora acuminata, Anguillospora crassa, Flagellaspora penicillioides, Lunulospra curvula, Tetracladium marchalianum and Triscelophorus monosporus were the most common species. Temperature was the highest physico-chemical parameter affecting the aquatic hyphomycetes occurrence. Twelve species of hyphomycetes, isolated from woody substrates, were screened for their ability to produce extracellular lignocellulolytic enzymes on solid media. The enzymes tested included: endoglucanase, endoxylanase, beta-glucosidase, laccase, peroxidase, polyphenoloxidase, tyrosinase and beta-xylosidase. Three species, A. acuminata, F. penicillioides, T. monosporus, were positive for all tested enzymes. Also, A. longissima was positive for all enzymes except lignin-peroxidase. The ability to produce cellulase was 100% for all species while only, four species were positive for lignin-peroxidase. The ability of the species to produce other lignocellulotic enzyme ranged from 50% to 83%. Freshwater hyphomycetes have been shown to produce a rich array of enzymes able to degrade the polysaccharides of plant debris.

Significance of assessment of serum cardiac troponin I and interleukin-8 in scorpion envenomed children.

In the present study, 41 children in Upper Egypt were admitted to Pediatric Intensive Care Unit, Assiut University Hospital, for scorpion envenomation. They were compared with 15 apparently healthy children of matching age as controls. The victims and controls were subjected to complete clinical examination, full blood count and arterial blood gases analysis. According to severity of scorpion envenomation, 17 children had manifestations of severe envenomation and clinical signs of toxic myocarditis (severe cases), 14 children had moderate manifestations of envenomation without clinical evidence of carditis (moderate cases) and 10 cases showing only mild symptoms of envenomation (mild cases). The serum levels of cardiac troponin I (cTnI) and interleukin-8 (IL-8) beside the enzymatic activities of creatine phosphokinase (CPK), CPK-isoenzyme-MB (CPK-MB) and lactate dehydrogenase (LDH) were determined once for mild cases and controls on admission and twice for severe and moderate cases on admission and after 24. Electrocardiography and measurements of echocardiographic (Echo) of % fractional shortening of left ventricule (% SF), left ventricular ejection fraction (LVEF) and cardiac chambers dilatation were done for severe and moderate cases. All the envenomed victims showed significantly higher mean values of CPK, CPK-MB, LDH, and IL-8 on admission in comparison to control group. cTnI was not detectable in the sera of control group as well as patients of mild envenomation. The mean values of CPK, CPK-MB, LDH, and IL-8 were significantly higher in severe cases while only IL-8 and CPK-MB were significantly higher in moderate cases in comparison with mild cases. The mean values of IL-8, cTnI, CPK, CPK-MB and LDH were significantly higher in severe cases both on admission and on follow-up comparing with moderate cases. The case fatality rate was 12.5% and all were from severe cases with toxic myocarditis. The non-survivors victims showed significant higher mean values of only cTnI on admission and both cTnI and IL-8 on follow up in comparison to the survivors. Significant reduction of % SF and LVEF were noticed among the non-survivors in comparison to survivors. The cTnI showed 100% specificity and sensitivity for diagnosis of myocardial injury in relation to Echo finding in the envenomed victims. In severe cases, cTnI was positively correlated with IL-8 while negatively correlated with %SF and LVEF. In conclusion, cTnI is a specific marker for diagnosis of myocardial injury in scorpion envenomation while other biochemical markers did not show such specificity. Also, IL-8 may be involved in the pathogenesis of myocardial injury of scorpion envenomation. Both cTnI and IL-8 may be useful to forecast the fatal outcome in scorpion envenomation.

Colonization pattern of aquatic hyphomycetes on leaf packs in subtropical stream.

Steralized leaf pieces of eight plants (Eucalyptus rostrata, Phoenix dactylifera, Phragmites australis, Musa nana, Salix subserrata, Cyperus alopecuroides, Ricinus communis and Eichhornia crassipes) were submerged in the Nile stream. Thirty-nine species of aquatic hyphomycetes were colonized on the plant leaves. Eucalyptus was the best substratum (30 species) for colonization by aquatic hyphomycetes. Phoenix (14 species), Phragmites (11 species), Salix (9 species), Musa (8 species), Ricinus and Cyperus (6 species) were also good substrata for aquatic hyphomycetes colonization. Echhornia (aquatic plant) was not suitable for aquatic hyphomycetes colonization. Alatospora acuminata, Triscelophorus monosporus and Tetracladium marchalianum were found to be the major colonizers on all leaf materials. Temperature and dissolved oxygen were the highest physico-chemical parameters affecting the aquatic hyphomycetes colonization. These results indicate that aquatic hyphomycetes have been shown to be successful colonizers on plants leaf in river Nile in Egypt as subtropical region.

Laccase activity of lignicolous aquatic hyphomycetes isolated from the River Nile in Egypt.

Eleven species of aquatic hyphomycetes were isolated from 92 samples of different lignin sources (unidentified wood segments, skeleton and neck of leaves, bark). The most common species were Pyramidospora casuarina (on 3.7% of samples), Triscelophorus monosporus (3.2%) and Flagellospora curvula (3%). Varying levels of laccase activity were present in most of the fungi included in this study. The laccase plate assay was found to be much less reliable than the spectrophotometric assay. Several factors including type of growth medium, the media pH and assay pH had marked effects on laccase activity. A few species produced high levels of laccase in both malt extract (ME) medium and low N medium; however, a majority of the species produced laccase in low nitrogen (N) medium (pH 4.5) but not in the ME medium. When the tested species were grown in low N medium at pH 4.5, six species showed acidic laccase (pH 4.5) activity; of these, four also showed alkaline laccase (pH 8.2) activity. Alatospora acuminata and Tetracladium marchalianum exhibited laccase activity only when grown in the low N medium at pH 8.2. These results indicate that aquatic hyphomycetes may play a role in the decomposition of lignin materials in freshwater environments.