Tratamiento antibiótico de elección en sepsis urinaria asociada a litiasis ureteral en Chile. Estudio multicéntrico / Antibiotic treatment of choice for urinary sepsis associated with ureteral lithiasis in Chile. Multicenter study

INTRODUCCIÓN: El uso de un esquema antibiótico inadecuado en sepsis aumenta significativamente la morbimortalidad. Este estudio presenta un reporte multicéntrico de susceptibilidad antibiótica en urosepsis asociada a ureterolitiasis, buscando proponer un esquema empírico óptimo para el medio nacional. MÉTODOS: Se realizó un estudio observacional prospectivo en 7 hospitales de 4 regiones del país. Se incluyeron pacientes con criterios de sepsis asociada a ureterolitiasis confirmada radiológicamente. Se registraron sus datos demográficos, signos vitales y laboratorio de ingreso, así como sus estudios microbiológicos y radiológicos, realizándose estadísticas descriptivas de los datos obtenidos. RESULTADOS: Se ingresaron 119 pacientes, de los cuales 52 cumplieron criterios de inclusión. 77% eran mujeres, con una edad promedio de 52 años. Se tomaron hemocultivos en el 48,7% de los casos y urocultivos en el 100%. El microorganismo más común fue Escherichia coli (73%), seguido por Proteus mirabilis (9,6%) y Klebsiella pneumoniae (3,9%). Hubo dos casos de bacterias gram positivas. El 100% de las bacterias gram negativas fueron sensibles a amikacina. CONCLUSIÓN: Los microorganismos encontrados en nuestra cohorte fueron similares a los de los estudios internacionales. Dado que el mayor nivel de susceptibilidad fue para amikacina, proponemos su uso como terapia empírica para la urosepsis asociada a ureterolitiasis en Chile. Siempre es necesario considerar los posibles efectos ne-frotóxicos de la amikacina. Se debe considerar una asociación de betalactámicos y glicopéptidos en pacientes con factores de riesgo de infecciones enterocócicas.

BACKGROUND: Inadequate antibiotic coverage in septic patients is associated with higher morbidity and mortality. This multicentric study reports antibiotic susceptibility in patients with ureterolithiasis-associated urosepsis, aiming to propose an optimal empirical therapy for this disease in the Chilean population. METHODS: The prospective cohort study included patients from 7 Chilean hospitals who presented with ureterolithiasis and met sepsis criteria. We analyzed demographic data, vital signs at admission, and microbiological and radiological exams. We used descriptive statistics for the analysis of collected data. Results: Initially, the study included 119 patients; 52 met the inclusion criteria. 77% were female, with a mean age of 52. 100% of the cohort had a urine culture taken at admission, whereas 48,7% had blood cultures. Escherichia Coli was the most common microorganism (73%), followed by Proteus Mirabilis (9.6%) and Klebsiella Pneumoniae (3.9%). Only two patients presented gram-positive pathogens. 100% of gram-negative bacteria were sensible to amikacin. CONCLUSION: The microorganisms found in our cohort were similar to those in international reports. Since the highest level of susceptibility was for amikacin, we propose its use as empirical therapy for urosepsis associated with ureterolithiasis in Chile. It is always necessary to consider the potential nephrotoxic effects of amikacin. An association of beta-lactams and glycopeptides should be considered in patients with risk factors for enterococcal infections.

Two new species of the ant-like spider genus Fluda Peckham & Peckham, 1892 from Bolivia with first reports of potential ant models for the genus and a novel ant-resembling behavior (Araneae: Salticidae, Simonellini).

In this work, the results of a survey for species of Fluda Peckham & Peckham, 1892 in primary forest in five Bolivian forest ecoregions are reported. Fluda dauca sp. nov. is described from Southwest Amazon forest and F. thuruampara sp. nov. from Bolivian Yungas forest. Fluda perdita (Peckham & Peckham, 1892) is reported from Bolivia for the first time. Both new species exhibited polymorphic mimicry; dark females of both species resembled the turtle ant Cephalotes pusillus (Klug, 1824) and dark males of F. thuruampara sp. nov. the carpenter ant Camponotus sanctaefidei Dalla Torre, 1892. Orange males and females of F. dauca sp. nov. are likely mimics of Camponotus latangulus Roger, 1863. Males of Fluda may compensate lower mimetic accuracy by the broadened femora I, resembling an ant head in lateral view and ant mandibles when moving the face towards a potential threat. As in other Simonellini, the turnover of Fluda species between the South American superregions suggests that significant shifts in seasonality and related conditions are major factors triggering speciation in the tribe Simonellini.

[Antibiotic treatment of choice for urinary sepsis associated with ureteral lithiasis in Chile. Multicenter study]. / Tratamiento antibiótico de elección en sepsis urinaria asociada a litiasis ureteral en Chile. Estudio multicéntrico.

BACKGROUND: Inadequate antibiotic coverage in septic patients is associated with higher morbidity and mortality. This multicentric study reports antibiotic susceptibility in patients with ureterolithiasis-associated urosepsis, aiming to propose an optimal empirical therapy for this disease in the Chilean population. METHODS: The prospective cohort study included patients from 7 Chilean hospitals who presented with ureterolithiasis and met sepsis criteria. We analyzed demographic data, vital signs at admission, and microbiological and radiological exams. We used descriptive statistics for the analysis of collected data. RESULTS: Initially, the study included 119 patients; 52 met the inclusion criteria. 77% were female, with a mean age of 52. 100% of the cohort had a urine culture taken at admission, whereas 48,7% had blood cultures. Escherichia Coli was the most common microorganism (73%), followed by Proteus Mirabilis (9.6%) and Klebsiella Pneumoniae (3.9%). Only two patients presented gram-positive pathogens. 100% of gram-negative bacteria were sensible to amikacin. CONCLUSION: The microorganisms found in our cohort were similar to those in international reports. Since the highest level of susceptibility was for amikacin, we propose its use as empirical therapy for urosepsis associated with ureterolithiasis in Chile. It is always necessary to consider the potential nephrotoxic effects of amikacin. An association of beta-lactams and glycopeptides should be considered in patients with risk factors for enterococcal infections.

Grismadox elsneri sp. nov.a new species of ant-resembling sac spider from the Bolivian orocline, with indirect evidence of species-specific mimicry (Araneae: Corinnidae: Castianeirinae).

A new species of ant-resembling sac spider of the subfamily Castianeirinae, Grismadox elsneri sp. nov., is described from the Sub-Andean area of the Bolivian orocline. The species was collected from savanna grass along the edges of the Chiquitano forest and is a putative mimic of the carpenter ants Camponotus cf. crassus or C. cf. blandus.

Myrmecotypus haddadi sp. nov.-a new species of ant resembling sac spider from the Bolivian orocline (Araneae: Corinnidae: Castianeirinae).

A new species of ant resembling sac spider of the subfamily Castianeirinae, Myrmecotypus haddadi sp. nov. is described from the Sub-Andean area at the Bolivian orocline. The species was collected from low herbaceous vegetation along the edges of the Chiquitano and Cerradao forest.

Contributions to the knowledge of Neotropical ant-like spiders: Myrmecotypus tahyinandu sp. n. from Bolivian Chiquitano forest, a new country record for M. niger, and indirect evidence for species-specific mimicry (Araneae: Corinnidae: Castianeirinae).

Myrmecotypus tahyinandu sp. n. is described from the Bolivian Chiquitano forest, and M. niger Chickering, 1937 is recorded from Bolivia for the first time. The morphological differentiation among the closely related M. tahyinandu sp. n. and M. iguazu Rubio Arbino, 2009 is likely attributable to the selection for specific ant mimicry. Adults of M. tahyinandu sp. n. are accurate mimics of the ant Camponotus crassus Mayr, 1862, M. iguazu of C. sericeiventris (Guérin-Méneville, 1838), and M. niger of Dolichoderus bispinosus (Olivier, 1792). This study is the first to identify ant models for morphologically closely related Castianeirinae, providing a promising starting point for future research on ant mimicry.

A wolf in sheep's clothing: The description of a fly resembling jumping spider of the genus Scoturius Simon, 1901 (Araneae: Salticidae: Huriini).

Fly resemblance in arthropods is much less common than e.g., resemblance to ants or wasps, and has been mainly observed in beetles. Putative fly mimicry in arachnids has been reported only from the jumping spider genus Saitis. However, recent literature has attributed the fly-resembling characteristics in Saitis to sexual signalling during courtship. The lack of observation of fly mimicry in spiders is not surprising as flies belong to the most important prey item group of spiders. In this study, a new fly-resembling species of the jumping spider tribe Huriini, Scoturius dipterioides sp. nov., from the pre-Andean Chiquitano forest at the Bolivian orocline is described and illustrated. The new species was tentatively placed into Scoturius because the epigynum has a single large elliptical opening. Scoturius dipterioides sp. nov. is distinguished from all other species of this tribe by a combination of following characteristics: epigynum with a large anterior elliptical atrium and initial portion of the copulation ducts dilated as a chamber (shared with Urupuyu); relatively joined copulation openings and short copulation ducts; kidney-shaped spermathecae, advanced at the atrium level. Several somatic features, two of them found exclusively in S. dipterioides sp. nov., increase the resemblance to flies. The Huriini are currently the only spider tribe that is suggested to feature fly mimics.

Using a jumping spider fauna inventory (Araneae: Salticidae) as an indicator of their taxonomic diversity in Misiones, Argentina / Uso de inventario de arañas saltadoras (Araneae: Salticidae) como un indicador de diversidad taxonómica en Misiones, Argentina

AbstractFaunistic studies, with a taxonomically complete inventory of species, provide an important source of quantitative compiled information for several and specific regions. This information can be used in diversity analysis and has great potential in setting conservation priorities. In this study, I used the relatively well known salticid spider fauna of Misiones to generate Clarke & Warwick taxonomic diversity indices. For this, information of three ecoregional salticid diversities was obtained and analyzed between Upper Parana Atlantic Forest (UPAF), Araucaria Moist Forest (AMF), and Southern Cone Mesopotamian Savanna (SCMS). Results showed differences between the three ecoregions of the province, mainly Southern savannas regarding the forests of Northern Misiones. Most species were registered in UPAF followed by AMF, however the α-taxonomic diversity of salticids was higher in SCMS than in UPAF and AMF. The β-taxonomic diversity showed that the proportions of shared species between SCMS and UPAF (or and AMF) were the lowest. The high taxonomic dissimilarity among ecoregions is an indication that the three assemblages are distant, showing a variation in their vegetation habitat and/or bioclimatic characteristics as a possible reason. The need to expand with new samples in subsampled or underexplored areas of Misiones remains essential, however this study contributes to information about biodiversity levels of salticid fauna in three ecoregions of Northeast Argentina, and will provide reference data for future studies for management plans. Rev. Biol. Trop. 64 (2): 875-883. Epub 2016 June 01.

ResumenLos estudios faunísticos, con un inventario de especies taxonómicamente completo, proveen una fuente importante de información compilada cuantitativa acerca de varias regiones. Esta información puede ser utilizada en análisis de diversidad y tiene gran potencial en el establecimiento de prioridades de conservación. En este estudio, yo utilicé la relativamente bien conocida fauna de arañas saltícidas de Misiones para generar índices de diversidad taxonómica de Clarke y Warwick. Para ello, la información de tres diversidades ecorregionales de saltícidos fue obtenida y analizada entre la Selva Atlántica del Alto Paraná (UPAF), el Bosque Húmedo de Araucaria (AMF), y la Sabana Mesopotámica del Cono Sur (SCMS). Fueron encontradas diferencias entre las tres ecorregiones de la provincia, principalmente en las sabanas del sur con respecto a las selvas del norte de Misiones. La mayoría de las especies fueron registradas en UPAF seguida por AMF, sin embargo la diversidad α-taxonómica de saltícidos fue mayor en SCMS que en UPAF y AMF. La diversidad β-taxonómica mostró que las proporciones de especies compartidas entre SCMS y UPAF (o AMF) fueron las más bajas. La alta disimilitud taxonómica entre ecorregiones es un indicador de que los tres ensamblajes son distantes, mostrando una variación en la vegetación de su hábitat y/o características bioclimáticas como una posible razón. Sigue siendo esencial la necesidad de ampliar con nuevas muestras en áreas no- o sub-muestreadas de Misiones, sin embargo este estudio contribuye a la información acerca de los niveles de biodiversidad de la fauna de saltícidos en tres ecorregiones del nordeste de Argentina, y proporcionará datos de referencia para futuros planes de gestión.

First description of the female of the jumping spider Balmaceda nigrosecta Mello-Leitão (Salticidae, Dendryphantini, Marpissina).

The female of Balmaceda nigrosecta Mello-Leitão, 1945 is described and illustrated for the first time. In addition, this paper further illustrates the male, and provides the first known observations on the natural history of this species, including habitat, cohabitation, and prey capturedata.

Using a jumping spider fauna inventory (Araneae: Salticidae) as an indicator of their taxonomic diversity in Misiones, Argentina.

Faunistic studies, with a taxonomically complete inventory of species, provide an important source of quantitative compiled information for several and specific regions. This information can be used in diversity analysis and has great potential in setting conservation priorities. In this study, I used the relatively well known salticid spider fauna of Misiones to generate Clarke & Warwick taxonomic diversity indices. For this, information of three ecoregional salticid diversities was obtained and analyzed between Upper Parana Atlantic Forest (UPAF), Araucaria Moist Forest (AMF), and Southern Cone Mesopotamian Savanna (SCMS). Results showed differences between the three ecoregions of the province, mainly Southern savannas regarding the forests of Northern Misiones. Most species were registered in UPAF followed by AMF, however the α-taxonomic diversity of salticids was higher in SCMS than in UPAF and AMF. The ß-taxonomic diversity showed that the proportions of shared species between SCMS and UPAF (or and AMF) were the lowest. The high taxonomic dissimilarity among ecoregions is an indication that the three assemblages are distant, showing a variation in their vegetation habitat and/or bioclimatic characteristics as a possible reason. The need to expand with new samples in subsampled or underexplored areas of Misiones remains essential, however this study contributes to information about biodiversity levels of salticid fauna in three ecoregions of Northeast Argentina, and will provide reference data for future studies for management plans.

A new species of jumping spider Neonella Gertsch, with notes on the genus and male identification key (Araneae, Salticidae).

The American genus Neonella Gertsch, 1936 consists of very small jumping spiders whose biology is not well known. The genus currently includes eleven valid species, of which eight are known from both sexes and two are only known from one sex. This paper describes and illustrates a new species Neonella acostae sp. n., demonstrates male palpal variation in Neonella montana Galiano, 1988, and provides some information on the ecology of three sympatric species. New records of Neonella montana and Neonella minuta Galiano, 1965 are reported. Because the previously described species of Neonella were well illustrated and diagnosed, a dichotomous key to males is given along with genital illustrations of both sexes for all known species.

Three new species and the first known males of the Andean spider genus Orinomana Strand (Araneae, Uloboridae).

Three new species of the uloborid genus Orinomana Strand, O. penelope n. sp. from Ecuador, O. viracocha n. sp. from Peru, and O. florezi n. sp. from Colombia, are described. Additionally, the male of O. ascha Grismado, from Northwestern Argentina, is described for the first time. This material includes the first males known of the genus, providing diagnostic characters for its recognition; the complex and massive embolus with several branches is proposed as a synapomorphy of the genus.

A revision of the Neotropical genus Austrohahnia Mello-Leitão (Araneae, Hahniidae).

The Neotropical genus Austrohahnia Mello-Leitão, 1942 is revised, comprising four species from Argentina. The genus is here transferred to the subfamily Hahniinae Bertkau, 1878 from Cybaeolinae Lehtinen, 1967. Austrohahnia is diagnosed by a single synapomorphy, short setae ventrally on the abdomen, in immature as well as adult stages. The type species A. praestans Mello-Leitão, 1942 is redescribed. Austrohahnia catleyi new species is described and illustrated based both sexes from the alder forests of northwestern Argentina. Austrohahnia melloleitaoi (Schiapelli & Gerschman, 1942) new combination was transferred from Hahnia C.L. Koch, 1841, the male is described and illustrated for the first time, and the female is redescribed. Austrohahnia isophthalma (Mello-Leitão, 1941) new combination is also transferred from Hahnia and considered a nomen dubium. New geographic records of studied species are provided.

Description of the female of Aysha yacupoi Brescovit 1992 (Araneae: Anyphaenidae).

The female of Aysha yacupoi Brescovit, 1992 is described and illustrated for the first time. Males and female specimens were observed together in the same plants. Some data on natural history are presented.

A new orb-weaving spider from the Argentinean flooding pampas grasses: Aculepeira morenoae new species (Araneae, Araneidae).

A new species of the orb-weaving spider genus Aculepeira Chamberling & Ivie 1942, A. morenoae new species, is described and illustrated based on male and female specimens from the Argentinean natural flooding pampas grasses.

Geographical distribution of the space-weaving spider, Chibchea salta, from northwestern Argentina: New records and bioclimatic modeling.

New records of the spider Chibchea salta Huber 2000 (Araneae, Pholcidae) from northwestern Argentina are provided, and the potential range of this species is modeled. Two presence-only methods, Maxent and Bioclim, were run using 19 bioclimatic parameters at a resolution of 30 arc seconds. The climatic profile of C. salta is described, and the relative importance of the bioclimatic variables is explored. Temperature variables proved to be more decisive to the final range shape. The range predicted with Maxent is slightly larger than with Bioclim, but the latter appears to be more sensitive to the record set bias. Both methods performed well, resulting in predictive ranges consistent with the yungas ecoregion. These results provide an initial insight into the bioclimatic tolerance of C. salta, and by identifying potential areas with no records, such as the sierras on the Salta-Jujuy border, they also help in identifying sites for future sampling efforts.

Male genital mutilation in the high-mountain goblin spider, Unicorn catleyi.

Male genital mutilation is a common mechanism by which males reduce sperm competition by plugging female insemination ducts with different parts of its own genital system. This behavior is frequent in many spider families but is uncommon in Haplogynae. The reproductive biology of Dysderoidea is not well studied and the data is fragmentary; male genital mutilation has been reported only for one species of Oonopidae. This study provides evidence of male genital mutilation in Unicorn catleyi Platnick and Brescovit (Araneae: Oonopidae). Pieces of the embolus were found in the female posterior receptaculum. This behavior is a strategy used by the males in order to guarantee their paternity and not for escape from female attacks as has been reported for other species of Araneae, since cannibalism is unlikely in this species. The presence of embolus in the posterior receptaculum suggests this is the first place where sperm is received. The similarity of the female genitalia of U. catleyi to those of Orsolobidae, along with sclerotization of the seminal duct in the male copulatory bulb that is also present in Orchestina, Xiombarg, and Orsolobidae, provide strong evidence of the basal position of this genus in the family Oonopidae.

Orb-weaving spider diversity in the Iberá Marshlands, Argentina.

The Iberá Marshlands RAMSAR reserve, in the northeast of Argentina, is one of the largest and most important wetlands of America. In this study we assess orb-weaving spider (Araneae: Orbiculariae) diversity in this reserve, analyzing different facets of local diversity (species richness, diversity, evenness and taxonomic distinctness), and the contribution of species differentiation (beta diversity) among localities and habitat types to the composition of regional diversity. We found 1657 individuals of 59 orb-weaving spider species/morphospecies. Local diversity differs among the three sampled localities. At the habitat level, the different facets of biodiversity followed a clear pattern, where woodlands have higher species richness, diversity, evenness and taxonomic distinctness than savannas. Savanna sites shared a common spider species composition, while woodland communities have high values of complementarity. Thus, beta diversity has a very high contribution to the regional diversity of the orb-weaving spiders in the Iberá Marshlands. We suggest that conservation management in the reserve should be directed towards promoting natural spatial heterogeneity, giving special protection to habitat mosaics in different localities.

Orb-weaving spider diversity in the Iberá Marshlands, Argentina

The Iberá Marshlands RAMSAR reserve, in the northeast of Argentina, is one of the largest and most important wetlands of America. In this study we assess orb-weaving spider (Araneae: Orbiculariae) diversity in this reserve, analyzing different facets of local diversity (species richness, diversity, evenness and taxonomic distinctness), and the contribution of species differentiation (beta diversity) among localities and habitat types to the composition of regional diversity. We found 1657 individuals of 59 orb-weaving spider species/morphospecies. Local diversity differs among the three sampled localities. At the habitat level, the different facets of biodiversity followed a clear pattern, where woodlands have higher species richness, diversity, evenness and taxonomic distinctness than savannas. Savanna sites shared a common spider species composition, while woodland communities have high values of complementarity. Thus, beta diversity has a very high contribution to the regional diversity of the orb-weaving spiders in the Iberá Marshlands. We suggest that conservation management in the reserve should be directed towards promoting natural spatial heterogeneity, giving special protection to habitat mosaics in different localities.

Cáncer renal y metástasis gástrica: reporte de un caso y revisión de la literatura / Renal cell carcinoma and gastric metastases: a case report and review of the literature

Objetivo: La metástasis gástrica del carcinoma de células renales es excepcional. Nosotros realizamos a una revisión de la literatura y presentamos un caso clínico. Métodos/Resultados: Varón de 62 años de edad, que se presenta con un tumor renal y metástasis gástrica detectados en una tomografía computada. Se realiza una nefrectomía radical más gastrectomía parcial. El paciente desarrolla metástasis progresivas y fallece siete meses más tarde. La revisión de la literatura revela que las metástasis gástricas producto de un carcinoma de células renales son excepcionales. Los casos reportados son principalmente detectados durante el seguimiento posterior a una nefrectomía, y generalmente asociados a una diseminación tumoral a otros órganos. El sangrado gastrointestinal como forma de presentación inicial del cáncer es muy infrecuente. El tratamiento consiste usualmente en manejo endoscópico del sangrado dado lo avanzado de la enfermedad. Conclusiones: Las metástasis gástricas en los pacientes con carcinoma de células renales son un evento tardío en el curso de la enfermedad, y el pronóstico es generalmente pobre.

Objective: Gastric metastases from renal cell carcinoma are exceptional. We reviewed the literature on this subject and present a case report. Method and Results: A 62 year old male patient presented with a renal tumor and a gastric metastasis detected on computed tomography. A radical nephrectomy and partial gastrectomy was performed. The patient developed progressive metastatic disease and died seven months later. Review of the literature shows that gastric metastases from renal cell carcinoma are exceptional. Cases reported are mainly detected during follow up after nephrectomy, generally associated with tumor spread to other organs. A gastrointestinal bleeding as a presenting sign of the cancer is very uncommon. Treatment usually consists in local endoscopic therapy to control the bleeding, due to advanced disease. Conclusions: Gastric metastases in patients with renal carcinoma are a late event in the course of the disease, and the outcome is generally poor.