[Human babesiasis].

The paper describes a case of imported babesiasis caused by Babesia microti. This is an account of the second case of babesiasis in the Russian-language medical literature. Its clinical picture and laboratory data in the course of the disease are depicted and analyzed. Its clinical differential diagnosis with malaria and an update on the diagnosis and treatment of babesiasis are discussed.

[T-cell responsiveness to specific group A streptococcus antigens in patients with recurrent erysipelas].

Peripheral blood leukocytic migratory activity (LMA) was studied in 51 patients with recurrent erysipelas versus 63 patients with primary erysipelas. To reveal LMA, the authors employed in vitro a screening cell migration test as an indicator of the cooperation of T and B lymphocytes and macrophages, by stimulating with polysaccharide A, surface proteins, L-antigen, hyaluronidase, streptolysine-O, and a complete set of Grasse S. pyogenes. In patients with recurrent erysipelas, undulating LMA changes were found in the course of the disease in response to the stimulation with partial specific S. pyogenes antigens. There were differences in the time course of LMA changes, when stimulated with specific surface streptococcus antigens and with components of streptococcus with toxic activity. Significant LMA differences were found in relation to the pattern of a local process: active LMA changes from acceleration to suppression in the erythematous-hemorrhagic form and hyperergic reactions of LMA acceleration in the bullous-hemorrhagic one.

[Time course changes in cytokines content and gas composition in blood of patients with salmonellosis and acute shigellosis].

AIM: To study changes in serum concentrations of interleukines (IL) and tumor necrosis factor alpha (TNFa) in the course of acute moderate and severe shigellosis and salmonellosis; to elicit their correlation with disorders of gas and electrolyte blood composition and acid-base balance (ABB). MATERIAL AND METHODS: A total of 39 patients with salmonellosis and 32 patients with acute shigellosis admitted to infectious hospital N 2 entered the study. The following parameters were assessed: serum concentrations of IL-1, IL-IO and TNFa; ABB, gas and electrolyte blood composition; leucocytic intoxication index (LII). The tests were made on the disease day 2-3 and 6-7 (in severe salmonellosis on day 10-11). RESULTS: In moderate salmonellesis and acute shigellosis the level of proinflammatory cytokines (IL-1 and TNFa) diminished while in severe acute intestinal infection their concentration was high reflecting imbalance of immune response. Content of IL-10 depends on etiology and severity of the course of infectious process - the highest IL-10 concentrations were found in patients with severe salmonellosis on the disease day 10-11. A direct correlation was confirmed between IL-1, TNFa and LII in the disease onset in all patients with acute intestinal infections. CONCLUSION: An important role of IL-1, IL-10 and TNFa in pathogenesis of bacterial intestinal infections is confirmed. A correlation exists between blood gas composition and concentration of cytokines.

[Magnetic resonance relaxometry of serum in patients with different forms of cellulitis in the dynamics of the disease]. / Magnitnaia rezonansnaia relaksometriia syvorotki krovi u bol'nykh s razlichnymi formami rozhi v dinamike bolezni.

AIM: To study the time of nuclear magnetic resonance (NMR) of spin-lattice serum relaxation (T1) in the dynamics of an infectious process in patients with different forms of erysipelas. MATERIALS AND METHODS: 37 patients with different clinical forms of erysipelas were examined in the acute period of the disease and in the early period of convalescence. RESULTS: A statistically significant increase in T1 NMR was ascertained in patients with bullous hemorrhagic erysipelas as compared with those with erythematous form. CONCLUSION: Pronounced changes in the functional status of serum in patients with hemorrhagic forms of erysipelas are of great importance in the development of the local hemorrhagic syndrome.

[Dynamics of erythrocyte electrophoretic mobility in patients with various forms of erysipelas]. / Elektrophoreticheskaia podvizhnost' éritrotsitov u bol'nykh s razlichnymi formami rozhi v dinamike bolezni.

AIM: To study electrophoretic mobility (EM) of erythrocytes in the course of various forms of erysipelas. MATERIAL AND METHODS: 78 patients with various erysipelas clinical forms were examined in the disease acute period and early in convalescence. RESULTS: EM of erythrocytes was significantly higher in hemorrhagic forms of erysipelas vs an erythematous form. CONCLUSION: Manifest changes in functional condition of erythrocytic membranes in patients with erythematous-hemorrhagic and bullous-hemorrhagic forms of erysipelas play an important part in the development of local hemorrhagic syndrome.

[Diagnostic importance of various methods of determining infectious O-antigenemia in patients with typhoid and paratyphoid fevers A and B]. / Diagnosticheskoe znachenie razlichnykh metodov opredeleniia infektsionnoi O-antigenemii u bol'nykh briushnym tifom, paratifami A i B.

Altogether 181 patients with typhoid and paratyphoid fever (54 with typhoid fever, 50 with paratyphoid fever type A, and 77 with paratyphoid fever type B) were investigated. Of them 108 (59.7%) patients were examined during the 1st week of disease. Serum specific O-antigens of typhoid and paratyphoid fever agents were determined by enzyme immunoassay (EIA), radioimmunoassay (RIA), and O-aggregate hemagglutination reaction (O-AHA), serum specific O-antibodies were determined by RDHA, EIA, RIA or O-AHA used during the 1st week of disease were twice as effective as RDHA. Combined use of EIA and O-AHA for the detection of serum specific O-antigens made it possible to diagnose typhoid fever in 90.91%, paratyphoid fever type A in 96.15%, and paratyphoid fever type B in 95.55% of cases.

[Solid-phase method of immunoradiometric determination of the O antigen of Salmonella typhi]. / Tverdofaznyi metod immunoradiometricheskogo opredeleniia O-antigena bakterii briushnogo tifa.

The solid-phase variant of radioimmunoassay for the determination of S. typhi O-antigen has been developed. The sensitivity of this method is 0.1 microgram/ml of the antigen in the blood serum of patients. The study of a number of blood serum samples collected from patients with typhoid fever has confirmed the possibility of using this method in clinical practice.

[Determination of serum antibody avidity compared to infectious O-antigenemia in paratyphoid B patients]. / Opredelenie avidnosti syvorotochnykh antitel v sopostavlenii s infektsionnoi O-antigenemiei u bol'nykh paratifom B.

The avidity of serum antibodies depending on infectious O-antigenemia in patients with paratyphoid B has been studied in the course of the disease. The study has revealed a faintly pronounced inverse correlation between the degree of avidity of serum antibodies and the level of infectious antigenemia. The avidity of serum antibodies in paratyphoid B has been found to increase in the course of the disease. A significant dependence of the severity of the disease on the avidity of serum antibodies has been noted.