ABSTRACT
Introducción: La histoplasmosis es causada por el hongo dimórfico Histoplasma capsulatum, cuyas manifestaciones clínicas varían desde un cuadro asintomático hasta una enfermedad diseminada y altamente mortal. Objetivo: Presentar el caso de un paciente con diagnóstico de histoplasmosis diseminada e infección por SARS-CoV-2. Caso clínico: Se presenta el caso de un hombre de 79 años con antecedentes de hipertensión arterial sistémica y diabetes mellitus tipo 2. Ingresa por tos no productiva de una semana de evolución, disnea y fatiga de medianos esfuerzos; refiere tener prueba de antígeno positivo para infección por SARS-CoV-2. Durante la hospitalización presenta un deterioro clínico, dado por necesidad de ventilación mecánica, por infección respiratoria asociada a la COVID-19. Además, presenta adenopatías, hepatoesplenomegalia y pápulas umbilicadas del color de la piel sugestivas de infección fúngica diseminada. Ante e la sospecha de coinfección, se confirma la infección por Histoplasma capsulatum por medio de minilavado broncoalveolar e inicia tratamiento antifúngico; sin embargo, el paciente presenta deterioro clínico persistente y fallece. Conclusión: Los casos de coinfecciones con la COVID-19 en pacientes sin enfermedades crónicas o estados de inmunosupresión son escasos, es un reto para el personal médico su diagnóstico y requiere tener en cuenta infecciones micóticas pulmonares como la criptococosis o la histoplasmosis en la insuficiencia respiratoria asociada a la infección por el SARS-CoV-2.
Introduction: Histoplasmosis is caused by the dimorphic fungus Histoplasma capsulatum, whose clinical manifestations range from asymptomatic to disseminated and highly fatal disease. Objective: To present the case of a patient diagnosed with disseminated histoplasmosis and SARS-CoV-2 infection. Clinical case: The case of a 79-year-old man is presented with a history of systemic arterial hypertension and type 2 diabetes mellitus. He was admitted for a week with nonproductive cough, dyspnea, and fatigue on moderate exertion, and reported having a positive antigen test for SARS- CoV-2. During hospitalization, he presented clinical deterioration, needing mechanical ventilation due to respiratory infection associated with COVID-19. Despite this, he presented lymphadenopathy, hepatosplenomegaly, and umbilicated skin-colored papules suggestive of disseminated fungal infection. Suspecting co-infection, infection by Histoplasma capsulatum was confirmed by means of mini-bronchoalveolar lavage and antifungal treatment was initiated; however, the patient presented persistent clinical deterioration and died. Conclusion: Cases of co-infections with COVID-19 in patients without chronic diseases or immunosuppressive states are rare, their diagnosis being a challenge for medical personnel and requiring consideration of pulmonary fungal infections such as cryptococcosis or histoplasmosis in associated respiratory failure. to SARS-CoV-2 infection.
ABSTRACT
We demonstrate a smart image-packaging optical technique that uses what we believe is a new concept to save byte space when transmitting data. The technique supports a large set of images mapped into modulated speckle patterns. Then, they are multiplexed into a single package. This operation results in a substantial decreasing of the final amount of bytes of the package with respect to the amount resulting from the addition of the images without using the method. Besides, there are no requirements on the type of images to be processed. We present results that proof the potentiality of the technique.
Subject(s)
Data Compression/methods , Image Interpretation, Computer-Assisted/methods , Signal Processing, Computer-Assisted , Software , Feasibility StudiesABSTRACT
Endophytes are microorganisms that asymptomatically invade plant tissues. They can stimulate plant growth and/or provide defense against pathogen attacks through the production of secondary metabolites. Most endophyte species are still unknown, and because they may have several applications, the study of their metabolic capabilities is essential. We characterized 100 endophytes isolated from Espeletia spp., a genus unique to the paramo ecosystem, an extreme environment in the Andean mountain range. We evaluated the cellulolytic potential of these endophytes on the saccharification of the oil palm empty fruit bunch (OPEFB). The total cellulolytic activity was measured for each endophyte on filter paper (FPA). In addition, the specific carboxymethyl cellulase (CMCase), exoglucanase, and ß-glucosidase activities were determined. We found four fungi positive for cellulases. Of these fungi, Penicillium glabrum had the highest cellulolytic activity after partial purification, with maximal CMCase, exoglucanase and ß-glucosidase enzyme activities of 44.5, 48.3, and 0.45 U/ml, respectively. Our data showed that the bioprospection of fungi and the characterization of their enzymes may facilitate the process of biofuel production.
