Dengue Myocarditis: A Case Report and Major Review.

Dengue is a viral disease transmitted by the bite of a female arthropod, prevalent primarily in tropical and subtropical regions. Its manifestations include asymptomatic infections, dengue fever, and a severe form called hemorrhagic dengue or dengue shock syndrome. Atypical manifestations can also occur, called expanded dengue syndrome. We describe the case of a 43-year-old man with an unusual presentation of dengue, demonstrating a workup suggestive of myocardial and pericardial damage. Symptoms and markers indicative of cardiac compromise improved after five days on anti-inflammatory treatment. Dengue myocarditis is considered an uncommon complication of dengue, although its reported incidence is likely an underestimation. In general, most cases of dengue myocarditis are self-limited, with only a minority at risk of progressing to heart failure. In order to improve recognition and prevent progression, healthcare providers should maintain a high degree of suspicion regarding potential cardiac complications in patients with dengue.

Rediscovery and phylogenetic position of the glassfrog "Centrolene"acanthidiocephalum (Ruiz-Carranza and Lynch, 1989) (Anura: Centrolenidae)with the description of its advertisement call and comments on clutches and tadpoles.

The lack of basic natural history and distributional data represents a challenge for the conservation of rare and endemic amphibian species. This is the case of "Centrolene" acanthidiocephalum, a poorly known glassfrog endemic to the Cordillera Oriental of the Colombian Andes. This species was formally described in the late 1980s and no records have been reported over the last quarter century. Therefore, little is known about its distributional boundaries, morphological variation, natural history, and evolutionary relationships. Here we report the finding of a population of "Centrolene" acanthidiocephalum from a locality around its historical range and provide additional information on its geographic distribution, clutch size, and adult morphology. We also present for the first time data on tadpole morphology, as well as a description of its advertisement call and a phylogenetic tree based on mitochondrial genetic data corroborating its generic position within Centrolene.

Hipertensión arterial pulmonar y la eritrocitosis precede a la enfermedad pulmonar obstructiva crónica en fumadores residentes de grandes alturas / Pulmonary arterial hypertension and erythrocytosis precedes chronic obstructive pulmonary disease in smokers that live at high altitudes

Introducción:la eritrocitosis excesiva afecta a los habitantes de grandes alturas como La Paz, Bolivia, a 3600 msnm. El objetivo del pre-sente trabajo es determinar la existencia de hipertensión arterial pulmonar en pacientes fumadores con eritrocitosis excesiva, residentes de la gran altura entre 20 y 60 años de edad, casos estudiados en el Instituto Boliviano de Biología de Altura (IBBA) a lo largo de tres décadas.Materiales y métodos:estudio retrospectivo en el que revisamos sistemáticamente expedientes clínicos del IBBA. Se hallan 540 expedientes clínicos de la unidad de fisiología y fisiopatología respiratoria, de los cuales el 7% (30) fueron incluidos. Se buscaron correlaciones lineales entre edad, tabaquismo, hemoglobina sérica, altitud de residencia, presión arterial pulmonar y pruebas de fun-ción pulmonar. Resultados: existe correlación entre presión arterial pulmonar sistólica y hemoglobina sérica con R=0,579 (p=0,005). El índice de Tiffeneau (TIFF.O) tiene una correlación con la presión arterial media sistémica (PAM) (p=0,006). Conclusión: en pacientes con eritrocitosis excesiva fumadores residentes de grandes alturas, existe una correlación positiva entre presión arterial pulmonar sistólica y concentración de hemoglobina sin existir correlación con valores espirométricos que sugieran patrones obstructivos.

Introduction: Excessive erythrocytosis affects some people that live at high altitudes, such as in La Paz ­ Bolivia, 3600 meters above sea level. The objective of this paper is to determine the presence of pulmonary arterial hypertension in smokers that were diagnosed with excessive erythrocytosis. These smokers live at high altitudes. The Bolivian Institute of Altitude Biology (IBBA ­ Instituto Boliviano de Bio-logía de Altura) has studied this population for three decades. Materials and methods: Retrospective study in which we systematically reviewed IBBA's clinical records. We found 540 clinical records from the respiratory physiology and pathophysiology unit, from which we included 30 (7%). We also sought correlations between serum hemoglobin, pulmonary arterial pressure, and respiratory function tests. Results: we found that the correlation between systolic pulmonary artery pressure and serum hemoglobin is R = 0.579 (p = 0.005). We also found a strong correlation between the Tiffeneau index (TIFF.O) and the mean systemic arterial pressure (p = 0.005). Conclusion: in smokers diagnosed with excessive erythrocytosis that live at high altitudes, there is a correlation between systolic pulmonary arterial pressure and hemoglobin concentration, without any of them correlating with spirometry values that suggest an obstructive pattern.

Ethnobotany of Plectranthus neochilus Schltr (Meprobamate) in Cuba / Estudio etnobotánico de Plectranthus neochilus Schltr (Meprobamato) en Cuba

Chloroform extract (CE) and fractions obtained from Aldama arenaria roots were evaluated for their in vitro antiproliferative activity against 10 human tumor cell lines [leukemia (K-562), breast (MCF-7), ovary expressing a multidrug-resistant phenotype (NCI/ADR-RES), melanoma (UACC-62), lung (NCI-H460), prostate (PC-3), colon (HT29), ovary (OVCAR-3), glioma (U251), and kidney (786-0)]. CE presented weak to moderate antiproliferative activity (mean log GI50 1.07), whereas fractions 3 and 4, enriched with pimaranetype diterpenes [ent-pimara-8(14),15-dien-19-oic acid and ent-8(14),15-pimaradien-3ß-ol], presented moderate to potent activity for most cell lines, with mean log GI50 of 0.62 and 0.59, respectively. The results showed promising in vitro antiproliferative action of the samples obtained from A. arenaria, with the best results for NCI/ADR-RES, HT29, and OVCAR-3, and TGI values ranging from 5.95 to 28.71 µg.ml -1, demonstrating that compounds of this class may be potential prototypes for the discovery of new therapeutic agents.

El extracto de cloroformo (CE) y las fracciones obtenidas de las raíces de Aldama arenaria fueron evaluadas por su actividad antiproliferativa in vitro contra 10 líneas celulares tumorales humanas [leucemia (K-562), mama (MCF-7), ovario que expresa un fenotipo resistente a múltiples fármacos (NCI/ADR-RES), melanoma (UACC-62), pulmón (NCI-H460), próstata (PC-3), colon (HT29), ovario (OVCAR-3), glioma (U251) y riñón (786-0)]. CE presentó actividad antiproliferativa débil a moderada (log GI50 promedio de 1.07), mientras que las fracciones 3 y 4, enriquecidas con diterpenos de tipo pimarane [ent-pimara-8 (14), ácido 15-dien-19-oico y ent-8 (14), 15-pimaradien-3ß-ol], presentaron actividad moderada a potente para la mayoría de las líneas celulares, con un log GI50 promedio de 0.62 y 0.59, respectivamente. Los resultados mostraron una prometedora acción antiproliferativa in vitro de las muestras obtenidas de A. arenaria, con los mejores resultados para NCI/ADR-RES, HT29 y OVCAR-3, y valores de TGI que van desde 5.95 a 28.71 µg.ml -1, lo que demuestra que los compuestos de esta clase pueden ser prototipos potenciales para el descubrimiento de nuevos agentes terapéuticos.

High-Throughput Sequencing Reveals Differential Begomovirus Species Diversity in Non-Cultivated Plants in Northern-Pacific Mexico.

Plant DNA viruses of the genus Begomovirus have been documented as the most genetically diverse in the family Geminiviridae and present a serious threat for global horticultural production, especially considering climate change. It is important to characterize naturally existing begomoviruses, since viral genetic diversity in non-cultivated plants could lead to future disease epidemics in crops. In this study, high-throughput sequencing (HTS) was employed to determine viral diversity of samples collected in a survey performed during 2012-2016 in seven states of Northern-Pacific Mexico, areas of diverse climatic conditions where different vegetable crops are subject to intensive farming. In total, 132 plant species, belonging to 34 families, were identified and sampled in the natural ecosystems surrounding cultivated areas (agro-ecological interface). HTS analysis and subsequent de novo assembly revealed a number of geminivirus-related DNA signatures with 80 to 100% DNA similarity with begomoviral sequences present in the genome databank. The analysis revealed DNA signatures corresponding to 52 crop-infecting and 35 non-cultivated-infecting geminiviruses that, interestingly, were present in different plant species. Such an analysis deepens our knowledge of geminiviral diversity and could help detecting emerging viruses affecting crops in different agro-climatic regions.

Association of caspase-1 polymorphisms with Chagas cardiomyopathy among individuals in Santa Cruz, Bolivia.

INTRODUCTION:: Trypanosoma cruzi (Tc) infection is usually acquired in childhood in endemic areas, leading to Chagas disease, which progresses to Chagas cardiomyopathy in 20-30% of infected individuals over decades. The pathogenesis of Chagas cardiomyopathy involves the host inflammatory response to T. cruzi, in which upstream caspase-1 activation prompts the cascade of inflammatory chemokines/cytokines, cardiac remodeling, and myocardial dysfunction. The aim of the present study was to examine the association of two caspase-1 single nucleotide polymorphisms (SNPs) with cardiomyopathy. METHODS:: We recruited infected (Tc+, n = 149) and uninfected (Tc-, n = 87) participants in a hospital in Santa Cruz, Bolivia. Cardiac status was classified (I, II, III, IV) based on Chagas cardiomyopathy-associated electrocardiogram findings and ejection fractions on echocardiogram. Genotypes were determined using Taqman probes via reverse transcription-polymerase chain reaction of peripheral blood DNA. Genotype frequencies were analyzed according to three inheritance patterns (dominant, recessive, additive) using logistic regression adjusted for age and sex. RESULTS:: The AA allele for the caspase-1 SNP rs501192 was more frequent in Tc+ cardiomyopathy (classes II, III, IV) patients compared to those with a normal cardiac status (class I) [odds ratio (OR) = -2.18, p = 0.117]. This trend approached statistical significant considering only Tc+ patients in class I and II (OR = -2.64, p = 0.064). CONCLUSIONS:: Caspase-1 polymorphisms may play a role in Chagas cardiomyopathy development and could serve as markers to identify individuals at higher risk for priority treatment.

Association of caspase-1 polymorphisms with Chagas cardiomyopathy among individuals in Santa Cruz, Bolivia

Abstract INTRODUCTION: Trypanosoma cruzi (Tc) infection is usually acquired in childhood in endemic areas, leading to Chagas disease, which progresses to Chagas cardiomyopathy in 20-30% of infected individuals over decades. The pathogenesis of Chagas cardiomyopathy involves the host inflammatory response to T. cruzi, in which upstream caspase-1 activation prompts the cascade of inflammatory chemokines/cytokines, cardiac remodeling, and myocardial dysfunction. The aim of the present study was to examine the association of two caspase-1 single nucleotide polymorphisms (SNPs) with cardiomyopathy. METHODS: We recruited infected (Tc+, n = 149) and uninfected (Tc−, n = 87) participants in a hospital in Santa Cruz, Bolivia. Cardiac status was classified (I, II, III, IV) based on Chagas cardiomyopathy-associated electrocardiogram findings and ejection fractions on echocardiogram. Genotypes were determined using Taqman probes via reverse transcription-polymerase chain reaction of peripheral blood DNA. Genotype frequencies were analyzed according to three inheritance patterns (dominant, recessive, additive) using logistic regression adjusted for age and sex. RESULTS: The AA allele for the caspase-1 SNP rs501192 was more frequent in Tc+ cardiomyopathy (classes II, III, IV) patients compared to those with a normal cardiac status (class I) [odds ratio (OR) = −2.18, p = 0.117]. This trend approached statistical significant considering only Tc+ patients in class I and II (OR = −2.64, p = 0.064). CONCLUSIONS: Caspase-1 polymorphisms may play a role in Chagas cardiomyopathy development and could serve as markers to identify individuals at higher risk for priority treatment.

Phylogenetic relationships and morphology of the Pristimantis leptolophus species group (Amphibia: Anura: Brachycephaloidea), with the recognition of a new species group in Pristimantis Jiménez de la Espada, 1870.

We evaluate the monophyly and phylogenetic relationships of the Pristimantis leptolophus species group and describe its external morphology, osteology, and some myological characteristics. We also compare the P. leptolophus species group to other related species groups. The P. leptolophus group is not monophyletic due to the inclusion of P. acatallelus, formerly believed to be part of the P. devillei group. The revised P. leptolophus group is composed of nine named species and six unnamed species. Based on our results, we recognize a new species group, the P. boulengeri species group, composed of eight species, many of which were previously assigned to the P. lacrimosus species group.

A new small frog species of the genus Pristimantis (Anura: Craugastoridae) from the northern paramos of Colombia.

I describe a new species of a small-sized frog of the genus Pristimantis found in the paramo ecosystem (3700 masl) on the northern slope of Los Nevados National Park, Cordillera Central, department of Caldas, Colombia. This new species is assigned to the Pristimantis leptolophus species-group, given that Toe V is much longer than Toe III and extends to the distal edge of the distal subarticular tubercle on Toe IV. The new species differs from other taxa by its dorsal golden or yellowish color patterns, the absence of nuptial pads, lateral fringes on its fingers and toes, and the absence of vomerine odontophores. Discriminant analyses of morphometric characters of females of P. leptolophus, P. uranobates, and the new species separate the new species by snout-vent length, tibia length, eye diameter, eye-to-nostril distance, tympanum diameter, and length of toe III. Vomer terms frequently used to describe species are reviewed, such as the oblique keels of the vomer and the different forms of the dentigerous process. Species belonging to the high Andean Pristimantis leptolophus species-group are allopatric, suggesting vicariant speciation in different areas of the paramos.