Characteristics of DNase activities in excretory/secretory products of infective larvae of Haemonchus contortus.

While multiple DNase activities occur in the excretory/secretory products (ESPs) of the adult Haemonchus contortus, the DNase activities in ESPs of the infective larvae (L3) have not been studied. Thus, the DNase activities in ESPs of H. contortus L3 were investigated and compared to those of adults for developmental stage-specific analysis. The DNase activities had relative molecular masses (M rs) of 34 and 36 kDa upon zymographic analysis at pH 5.0 and 7.0 when the larvae were incubated for over 48 h. The 34 and 36 kDa DNases of L3 ESPs were also detected in adult ESPs with similar characteristics. However, the 37 and 38.5 kDa DNases of the adult ESPs were not detected in the L3 ESPs. Since the 37 and 38.5 kDa DNase activities were mainly detected in adult ESPs, these activities appear to be specific to the adult stage whereas the other ESP DNase activities appear to be expressed during multiple stages of the parasite's life cycle. While the difference in DNase activities of L3 and adults remains obscure, the role of DNase in larval development should be further clarified and the identification of stage-specific developmental markers will lead to the discovery of specific factors that stimulate larval development.

Characterization of nalidixic acid-resistant and fluoroquinolone-reduced susceptible Salmonella Typhimurium in swine.

From 2001 to 2008, a total of 27 isolates of Salmonella enterica serovar Typhimurium were obtained from 930 swine. All 27 isolates were resistant to streptomycin and tetracycline. Seventeen isolates were multidrug resistant to more than three antimicrobial agents. Seven of these multidrug-resistant isolates were pentaresistant to ampicillin, chloramphenicol, streptomycin, tetracycline, and nalidixic acid. Among 27 isolates, 14 isolates (51.8 %) were nalidixic acid resistant (MIC, ≥128 µg/ml) and had reduced susceptibility to various quinolones (MIC, 0.125 to 2 µg/ml). When quinolone resistance-determining regions in the gyrA and gyrB genes of these isolates were sequenced, 13 isolates had Asp87→Tyr mutations and 1 isolate had Asp87→Gly mutation in the quinolone resistance-determining region of gyrA, whereas no mutation was found in gyrB. Genes for qnrA, qnrB, and qnrS were not detected by PCR with specific primers. Pulsed-field gel electrophoresis of genomic DNA digested with Xba I showed two patterns suggesting a clonal spread of Salmonella Typhimurium in swine in Korea.

Prevalence and characterization of Salmonella Gallinarum in the chicken in Korea during 2000 to 2008.

Salmonella enterica serovar Gallinarum (Salmonella Gallinarum) is the causative agent of fowl typhoid (FT), a severe systemic disease of chickens that results in high mortality. Since 1992, FT has become one of the most serious bacterial diseases in poultry in Korea. The purpose of this study was to investigate the prevalence of FT during 2000 to 2008 and characterize the phenotype and genetic diversity of Salmonella Gallinarum isolates before and after adopting national-wide vaccination with a live attenuated strain (SG 9R) in 2001. For 9 yr, a total of 983 farms were affected with FT outbreaks, and after reaching a peak in 2002 (206 farms affected), the prevalence of the disease gradually declined, whereas magnitude sales of the vaccine increased every year. According to the analysis based on the chicken breeds (n=521 farms), the incidence of FT in commercial broilers, Baeksemi (a mixed breed of male meat-type breeder and female commercial layer), commercial layers, native chickens, and broiler breeders was 47.7, 28.4, 17.2, 5.1, and 1.3%, respectively. Of the affected broilers, over 90% birds were under 2 wk of age, indicating it was possible that they were infected with Salmonella Gallinarum via vertical transmission. In the phenotypic analysis, Salmonella Gallinarum strains (n=142) isolated during 2001 to 2007 showed the same pattern in the majority of the biochemical tests such as carbohydrate fermentation and amino acid decarboxylation. Interestingly, all of the strains could not ferment rhamnose, but SG 9R could, making rhamnose a potential biomarker to distinguish the vaccine strain. In analyzing the genetic diversity by the pulsed field gel electrophoresis method with XbaI digestion, we examined a total 68 isolates of Salmonella Gallinarum obtained in 5 provinces in Korea (2001 to 2007). The pulsed field gel electrophoresis profiling produced 7 different patterns, but isolates within the same group did not show clear geographic or breed relationships. In conclusion, there were close epidemiological linkages between prevalence of FT and the sales volume of the live FT vaccine in Korea. In addition, a low phenotypic and genetic heterogeneity was observed among Korean Salmonella Gallinarum isolates and the live vaccine strain (SG 9R).

Serous retinal detachment in a patient with rhino-orbital mucormycosis.

BACKGROUND: Rhino-orbital mucormycosis is a difficult disease to treat. We report one case of rhino-orbital mucormycosis, complicated by serous retinal detachment, that responded to aggressive treatment. CASE: A 38-year-old man with diabetic ketoacidosis was referred to the emergency department of our hospital with fever, proptotic right eye, and complaint of lethargy. OBSERVATIONS: Fundus examination showed serous retinal detachment and focal lesions of retinitis with exudate at the inferior portion coincident with the position of opacification in the orbit on MRI. Fluorescein angiography showed pooling of dye in the detached retina and leakage from focal lesions of retinitis. We thoroughly removed the large necrotic materials in the orbit and sinus through the lower conjunctiva without enucleation or exenteration. Microscopic examination and culture of the necrotic materials that were removed from the orbit proved that the patient had mucormycosis. The serous retinal detachment improved 10 days after orbital debridement combined with intravenous and local (intraorbital) amphotericin B treatment. Visual acuity recovered to 20/50. CONCLUSION: We propose that inflammation of the sclera in close contact with necrotic fungi materials may cause serous retinal detachment.

Hepatocellular carcinoma metastatic to the orbit.

Orbital metastases of hepatocellular carcinoma are rare. The authors report a case of hepatocellular carcinoma metastatic to the orbit. A 56-year-old woman with hepatitis B infection as confirmed serologic test for hepatitis B surface antigen (HBsAg) demonstrated superior displacement of the left eyeball. The clinical appearance of the patient demonstrated an inferior displacement of the right eye. MRI disclosed an orbital mass that extended toward the lower eyelid and into the temporal fossa with destruction of the lateral orbital wall. Upon subsequent abdominal computed tomographic scans, the primary tumor was found in the liver. A biopsy specimen of the orbit showed trabecular structures with eosinophilic cytoplasm. Bile canaliculi and sinusoids were also seen. The tumor cells showed vesicular nuclei with mitoses. Immunohistochemical markers such as high-molecular-weight keratin and alpha-fetoprotein showed a positive response. However, immunohistochemical markers such as low-molecular-weight keratin and polyclonal carcinoembryonic antigen showed as negative. We diagnosed the tumor as a hepatocellular carcinoma metastatic to the orbit. A review of the pertinent literature disclosed relatively few occurrences of hepatocellular carcinoma metastasizing to the orbit.