Detection and genetic characterization of diverse Bartonella genotypes in the small mammals of Singapore.

Bartonella species are arthropod-borne bacterial pathogens that infect numerous mammalian species. Small mammals play an important role as natural reservoirs of many Bartonella species, maintaining the greatest diversity of Bartonella described to date. Although Bartonella research has been conducted in Southeast Asia, no studies have been undertaken on small mammals in Singapore. Here, we report the detection and description of Bartonella in small mammals in Singapore during the period of November 2011 to May 2014. BartonellaDNA was detected in 20.8% (22/106) of small mammal spleens with a PCR amplifying the beta subunit of bacterial RNA polymerase (rpoB) gene. Commensal species Rattus norvegicus and Rattus tanezumi had the highest prevalence, 75% (3/4) and 34,5% (10/29), followed by Suncus murinus 30% (6/20), Tupaia glis 16,7% (1/6) and Mus castaneus 13.3% (2/15). Phylogenetic analysis of 18 rpoB gene sequences revealed five Bartonella genotypes circulating in the small mammals of Singapore. Bayesian tip-significance testing demonstrated strong structuring in the geographical signal, indicating that distribution of Bartonella species is correlated to the distribution of their hosts. Major deforestation and fragmentation in Singapore favour synanthropic species that traverse habitats and increase the possibility of spillover to incidental hosts.

High diversity of medically important gastrointestinal rodent-borne helminths in Singapore.

Small mammals are important reservoirs of zoonotic diseases and are definitive hosts for medically important parasitic helminths. Several rodent and shrew species are peridomestic, bringing them into close contact with both humans and the intermediate hosts that maintain the transmission cycle. Here, we screened DNA extracted from large intestine tissue homogenate from 108 individuals comprised of 10 species. We detected two species known to infect humans, Dicrocoelium dendriticum and Moniliformis moniliformis. We also report the first detection of a second Angiostrongylus species in Singapore. This study demonstrates the diversity of helminths that are parasitizing the small mammals in Singapore.

Identification of a Lineage D Betacoronavirus in Cave Nectar Bats (Eonycteris spelaea) in Singapore and an Overview of Lineage D Reservoir Ecology in SE Asian Bats.

Coronaviruses are a diverse group of viruses that infect mammals and birds. Bats are reservoirs for several different coronaviruses in the Alphacoronavirus and Betacoronavirus genera. They also appear to be the natural reservoir for the ancestral viruses that generated the severe acute respiratory syndrome coronavirus and Middle East respiratory syndrome coronavirus outbreaks. Here, we detected coronavirus sequences in next-generation sequence data created from Eonycteris spelaea faeces and urine. We also screened by PCR urine samples, faecal samples and rectal swabs collected from six species of bats in Singapore between 2011 and 2014, all of which were negative. The phylogenetic analysis indicates this novel strain is most closely related to lineage D Betacoronaviruses detected in a diverse range of bat species. This is the second time that coronaviruses have been detected in cave nectar bats, but the first coronavirus sequence data generated from this species. Bat species from which this group of coronaviruses has been detected are widely distributed across SE Asia, South Asia and Southern China. They overlap geographically, often share roosting sites and have been witnessed to forage on the same plant. The addition of sequence data from this group of viruses will allow us to better understand coronavirus evolution and host specificity.

Acute acquired toxoplasmosis: clinical-laboratorial aspects and ophthalmologic evaluation in a cohort of immunocompetent patients.

Most cases of acute acquired toxoplasmosis (AAT) are oligosymptomatic and self-limited. Therefore, these infections rarely indicate treatment. Prospective studies of AAT patients are rare in the medical literature. The frequency of systemic manifestations has not been sufficiently studied. In order to search for risks factors for systemic and ocular involvement, 37 patients were submitted to a diagnostic investigative protocol. The most frequent findings were lymph node enlargement (94.6%), asthenia (86.5%), headache (70.3%), fever (67.6%) and weight loss (62.2%). Hepatomegaly and/or splenomegaly were present in 21.6% of cases (8/37). Liver transaminases were elevated in 11 patients (29.7%) and lactic dehydrogenase in 17 patients (45.9%). Anaemia was found in four patients (10.8%), leucopoenia in six patients (16.2%), lymphocytosis in 14 patients (37.8%) and thrombocytopenia in one patient (2.7%). Fundoscopic examination revealed retinochoroiditis in four patients (10.8%). No statistical association was found between any one morbidity and retinochoroiditis. Nevertheless, a significant association was found between the presence of more than eight morbidity features at evaluation and long-lasting disease. An ideal diagnostic protocol for AAT would include evidence of systemic involvement. Such a protocol could be used when planning treatment.

Human psychopharmacology of hoasca, a plant hallucinogen used in ritual context in Brazil.

A multinational, collaborative, biomedical investigation of the effects of hoasca (ayahuasca), a potent concoction of plant hallucinogens, was conducted in the Brazilian Amazon during the summer of 1993. This report describes the psychological assessment of 15 long-term members of a syncretic church that utilizes hoasca as a legal, psychoactive sacrament as well as 15 matched controls with no prior history of hoasca ingestion. Measures administered to both groups included structured psychiatric diagnostic interviews, personality testing, and neuropsychological evaluation. Phenomenological assessment of the altered state experience as well as semistructured and open-ended life story interviews were conducted with the long-term use hoasca group, but not the hoasca-naive control group. Salient findings included the remission of psychopathology following the initiation of hoasca use along with no evidence of personality or cognitive deterioration. Overall assessment revealed high functional status. Implications of this unusual phenomenon and need for further investigation are discussed.

Farmacologia humana da hoasca, planta alucinogena usada em contexto ritual no Brasil: I. Efeito psicologico

Uma investigacao biomedica em cooperacao multinacional dos efeitos da hoasca (ayahuasca), uma potente decoccao de plantas alucinogenas, foi conduzida na Amazonia brasileira durante o verao de 1993. Esta comunicacao descreve os achados psicologicos de membros filiados ha 15 anos de uma religiao sincretica que utiliza a hoasca legalmente como sacramento, assim como de 15 individuos-controle sem historia anterior de ingestao da hoasca. Avaliacoes administradas a ambos os grupos incluiram entrevistas para diagnostico psiquiatrico estruturado, teste de personalidade e avaliacao neuropsicologica. Achados fenomenologicos dos estados alterados de consciencia, bem como entrevistas semi-estruturadas e abertas de historias de vida foram conduzidas com o primeiro grupo, mas nao com o grupo controle. Os achados incluiram a presenca de psicopatologias em grau significativo no passado do grupo usuario, anterior a primeira experiencia com a hoasca, que pareceu haver remitido na sequencia. Diferencas significativas foram tambem encontradas nos testes neuropsicologicos e de personalidade entre os dois grupos, entretanto, nao houve evidencia de deterioracao cognitiva ou de personalidade nos usuarios da hoasca. De fato a avaliacao global revelou status funcional elevado, atribuido pelos individuos ao uso ritual do seu sacramento psicoativo, hoasca. Embora as interpretacoes destes resultados sejam na por ora preliminares devido a limitacoes metodologicas, investigacao futura quanto ao risco de sequelas adversas, assim como ao potencial para efeito solutar deste fenomeno nao usual, e indicada.

Experimental murine schistosomiasis and thyroid function.

In humans the hepatosplenic form of schistosomiasis may be associated with some degree of somatosexual underdevelopment. In the present study we induced an experimental hepatosplenic form of schistosomiasis by infecting 21-day-old mice with the São Lourenço da Mata-PE strain of Schistosoma mansoni and evaluated thyroid function and its relationship with somatosexual development. Plasma levels of T3 and T4 were determined in 115-day old male albino Swiss mice by radioimmunoassay as a measure of thyroid function. Prepuberal infection with S. mansoni resulted in significant increases in liver (74%) and spleen (138%) weights, although there were no changes in animal growth or plasma T3 and T4 concentrations under the experimental conditions used. The present study demonstrates that prepuberal infection of mice with S. mansoni induces the development of a hepatosplenic form of schistosomiasis during adult life with apparently normal thyroid function.

Experimental murine schistosomiasis and thyroid function

In humans the hepatosplenic form of schistosomiasis may be associated with some degree of somatosexual underdevelopment. In the present study we induced an experimental hepatosplenic form of schistosomiasis by infecting 21-day-old mice with the São Lourenço da Mata-PE strain of Schistosoma mansoni and evaluated thyroid function and its relationship with somatosexual development. Plasma levels of T3 and T4 were determined in 115-day old male albino Swiss mice by radioimmunoassay as a measure of thyroid function. Prepuberal infection with S. mansoni resulted in significant increases in liver (74) and spleen (138) weights, although there were no changes in animal growth or plasma T3 and T4 concentrations under the experimental conditions used. The present study demonstrates that prepuberal infection of mice with S. mansoni induces the development of a hepatosplenic form of schistosomiasis during adult life with apparently normal thyroid function.

Esquistossomose aguda autoctone no municipio de Paracambi - RJ. / Autochthonous acute schistosomiasis in the municipality of Paracambi - RJ

Os autores relatam tres casos de esquistossomose mansoni aguda cujas manifestacoes clinicas surgiram 40 dias apos o provavel banho infectante, na localidade de Cascata, municipio de Paracambi, RJ. As observacoes foram feitas a partir de um caso-indice, que apresentava quadro infeccioso agudo inicialmente rotulado como salmonelose. Sao descritas as manifestacoes clinicas (febre, diarreia, rash cutaneo, esplenomegalia) e laboratoriais (leucocitose com eosinofilia significativa).Descrevem-se as caracteristicas ecologicas da area em questao, bem como a situacao do foco, de acordo com estudos realizados pela Superintendencia de Campanhas do Ministerio da Saude (SUCAM)