ABSTRACT
Melioidosis is an endemic disease in Southeast Asia and Oceania caused by the gram-negative bacillus Burkholderia pseudomallei. We studied 15 adult patients from Colombia with microbiologically diagnosed pulmonary melioidosis. We reviewed 15 chest X-rays and 10 chest computed tomography (CT) studies. Of the 15 patients, 87% met the criteria for acute infection and 13% met the criteria for chronic infection. The most common findings on chest X-rays were consolidation (86%), nodules (26%), and cavitation (20%). On CT studies, consolidation and nodules were observed in 90% of cases; the areas of consolidation were predominantly located in the basal and central zones in 60%. Areas of cavitation were observed in 50%, pleural effusion in 60%, and mediastinal lymph nodes in 30%. In patients with acute pulmonary melioidosis (n=8), the findings observed were nodules (100%), mixed pattern with nodules and consolidation (87%), pleural effusion (88%), and mediastinal lymph nodes (25%). The two patients with chronic pulmonary melioidosis both had cavitation. Acute lung infection with B. Pseudomallei has radiologic manifestations similar to those of pneumonia due to other causes. In areas where the disease is endemic, it is essential to include acute melioidosis in the differential diagnosis of pulmonary nodules and chronic melioidosis in the differential diagnosis of cavitated chronic lung lesions.
Subject(s)
Burkholderia pseudomallei , Lung Diseases , Melioidosis , Pleural Effusion , Pneumonia , Tuberculosis, Pleural , Adult , Humans , Lung Diseases/diagnostic imaging , Melioidosis/diagnostic imaging , Melioidosis/epidemiology , Pleural Effusion/diagnostic imaging , Pleural Effusion/etiologyABSTRACT
La melioidosis es una enfermedad endémica en el suroeste asiático y Oceanía y está causada por la infección por el bacilo gramnegativo Burkholderia pseudomallei. Se estudian 15 pacientes adultos de Colombia con diagnóstico microbiológico de melioidosis pulmonar. Se revisaron 15 radiografías de tórax y 10 tomografías computarizadas (TC) de tórax. De los 15 pacientes, el 87% tenía criterios de infección aguda y el 13%, de infección crónica. Los hallazgos más frecuentes en la radiografía de tórax fueron: consolidación (86%), nódulos (26%) y cavitación (20%). En la tomografía computarizada se encontraron áreas de consolidación y nódulos en el 90% de los casos. En el 60% de los pacientes, las áreas de consolidación fueron de predominio basal y central. En el 50% de los casos se evidenciaron áreas de cavitación. Se evidenció derrame pleural en el 60% y adenopatías mediastínicas en el 30% de los casos. En los pacientes con presentación aguda (n=8), los hallazgos visualizados incluyeron: nódulos (100%), patrón mixto con nódulos y consolidación (87%), derrame pleural (88%) y adenopatías mediastínicas (25%). Los pacientes con melioidosis crónica (n=2) presentaron cavitación. La infección pulmonar aguda por B. Pseudomallei cursa con manifestaciones radiológicas similares a neumonías de otra etiología. En zonas endémicas debe considerarse la posibilidad de melioidosis aguda en el diagnóstico diferencial de nódulos pulmonares, y de melioidosis crónica en el diagnóstico diferencial de lesiones pulmonares crónicas cavitadas.(AU)
Melioidosis is an endemic disease in Southeast Asia and Oceania caused by the gram-negative bacillus Burkholderia pseudomallei. We studied 15 adult patients from Colombia with microbiologically diagnosed pulmonary melioidosis. We reviewed 15 chest X-rays and 10 chest computed tomography (CT) studies. Of the 15 patients, 87% met the criteria for acute infection and 13% met the criteria for chronic infection. The most common findings on chest X-rays were consolidation (86%), nodules (26%), and cavitation (20%). On CT studies, consolidation and nodules were observed in 90% of cases; the areas of consolidation were predominantly located in the basal and central zones in 60%. Areas of cavitation were observed in 50%, pleural effusion in 60%, and mediastinal lymph nodes in 30%. In patients with acute pulmonary melioidosis (n=8), the findings observed were nodules (100%), mixed pattern with nodules and consolidation (87%), pleural effusion (88%), and mediastinal lymph nodes (25%). The two patients with chronic pulmonary melioidosis both had cavitation. Acute lung infection with B. Pseudomallei has radiologic manifestations similar to those of pneumonia due to other causes. In areas where the disease is endemic, it is essential to include acute melioidosis in the differential diagnosis of pulmonary nodules and chronic melioidosis in the differential diagnosis of cavitated chronic lung lesions.(AU)
Subject(s)
Humans , Male , Female , Melioidosis/diagnostic imaging , Melioidosis/diagnosis , Tomography, X-Ray Computed , Radiography, Thoracic , Diagnosis, Differential , Inpatients , Burkholderia pseudomallei , Pneumonia , Colombia , Radiology , Diagnostic Imaging , Retrospective Studies , Medical Records , Incidental FindingsABSTRACT
Melioidosis is an endemic disease in Southeast Asia and Oceania caused by the gram-negative bacillus Burkholderia pseudomallei. We studied 15 adult patients from Colombia with microbiologically diagnosed pulmonary melioidosis. We reviewed 15 chest X-rays and 10 chest computed tomography (CT) studies. Of the 15 patients, 87% met the criteria for acute infection and 13% met the criteria for chronic infection. The most common findings on chest X-rays were consolidation (86%), nodules (26%), and cavitation (20%). On CT studies, consolidation and nodules were observed in 90% of cases; the areas of consolidation were predominantly located in the basal and central zones in 60%. Areas of cavitation were observed in 50%, pleural effusion in 60%, and mediastinal lymph nodes in 30%. In patients with acute pulmonary melioidosis (n=8), the findings observed were nodules (100%), mixed pattern with nodules and consolidation (87%), pleural effusion (88%), and mediastinal lymph nodes (25%). The two patients with chronic pulmonary melioidosis both had cavitation. Acute lung infection with B. Pseudomallei has radiologic manifestations similar to those of pneumonia due to other causes. In areas where the disease is endemic, it is essential to include acute melioidosis in the differential diagnosis of pulmonary nodules and chronic melioidosis in the differential diagnosis of cavitated chronic lung lesions.
ABSTRACT
The density, population, length, yield and sex proportion of the mollusks Anadara tuberculosa and A. similis were studied in Bahía de Golfito, Golfo Dulce, Pacific coast of Costa Rica from February 1998 to February 1999. A. tuberculosa was more abundant (0.9 units m(-2)), than A. similis (0.2 units m(-2)); the highest abundance was found at the canal mouths. The average lengths were 43.3 mm for A. tuberculosa and 42.8 mm for A. similis (both under the Costa Rican legal minimal length for exploitation: 47 mm). Maximum lengths were measured in the middle and upstream Canal Mayor, respectively: 43.0 mm and 43.4 mm. The correlation between length and fresh weight was 0.81 (Pearson). The average total weights were 26.2 g for A. tuberculosa and 19.1 g for A. similis. The condition index (a meat yield measurement) was higher in A. similis (21.2%) than in A. tuberculosa (17.2%). The maximum yield for both species lies in the 31-35 mm range. The male ratio was 43.7%. A species recovery plan is urgent because these results suggest both a decrease in density and illegal exploitation.
Subject(s)
Mollusca/classification , Trees , Animals , Body Weight , Costa Rica , Female , Male , Mollusca/anatomy & histology , Mollusca/growth & development , Population Density , Sex DistributionABSTRACT
The water quality of several sections of a tropical river subjected to severe pollution was studied through physico-chemical water analysis and benthic diatom assemblages. The methodology follows the concept of differential species groups and that of its modification for the groups of nutrient-differentiating species for rivers rich in both oxygen and inorganic nutrients. The trophic indication of the latter authors correspond clearly with the results of chemical observations made in this study. The most abundant species found in this river were Navicula goeppertiana, Gomphonema parvulum, Gomphonema sp. aff. pumilum, Nitzschia palea, Nitzschia amphibia, Nitzschia clausii Nitzschia inconspicua, Navicula seminulum, Navicula sp. aff. cryptocephala, Navicula schroeterii var. escambia, Cymbella sinuata and Surirella sp. aff. roba. These species are known to be tolerant to organic pollution and eutrophication. Therefore we may conclude that diatoms are useful for biological monitoring of disturbed tropical rivers.
Subject(s)
Diatoms/classification , Diatoms/isolation & purification , Plankton/isolation & purification , Tropical Climate , Water Pollution/analysis , Animals , Costa Rica , EutrophicationABSTRACT
We present a clinical case and histology of rare endometrial neoplasm: Giant cell carcinoma of the endometrium.
