[Antimicrobial resistance and molecular epidemiology of Staphylococcus pseudintermedius strains isolated from dog clinical samples]. / Resistencia antimicrobiana y epidemiología molecular de aislamientos de Staphylococcus pseudintermedius de muestras clínicas de caninos.

Twenty-eight strains isolated from dog clinical samples identified as Staphylococcus pseudintermedius by mass spectrometry (MALDI-TOF) were studied to assess antimicrobial susceptibility by the diffusion method and clonal relationship by pulsed field gel electrophoresis (PFGE). Methicillin resistance (3/28 isolates; 10,7%) was evaluated by mecA PCR. Fifteen strains (53.6%) were resistant to at least one of the antibiotics tested, and eleven of them (39.3%) showed multiple resistance (3 or more antimicrobial families). Eleven isolates (39.3%) were resistant to erythromycin due to the presence of ribosomal methylase ermB, whereas clindamycin inducible resistance was not detected. Twenty-seven (27) clonal types were differentiated by PFGE, suggesting high clonal diversity. We emphasize that the finding of multiresistant S. psedintermedius strains is an emerging problem to be considered in veterinary diagnostic laboratory treatment of canine infections and in public health settings.

Resistencia antimicrobiana y epidemiología molecular de aislamientos de Staphylococcus pseudintermedius de muestras clínicas de caninos / Antimicrobial resistance and molecular epidemiology of Staphylococcus pseudintermedius strains isolated from dog clinical samples

Se estudiaron 28 aislamientos obtenidos de muestras clínicas de perros e identificados por espectrometría de masas (MALDI-TOF) como Staphylococcus pseudintermedius; el objetivo fue evaluar la sensibilidad a los antimicrobianos por el método de difusión y establecer la relación clonal entre aislamientos por electroforesis en campo pulsado (PFGE). La resistencia a meticilina se evaluó mediante PCR por amplificación del gen mecA y se observó en 3/28 aislamientos (10,7 %). Quince aislamientos (53,6 %) presentaron resistencia a alguno de los antibióticos ensayados y 11 de ellos (39,3 %) presentaron resistencia múltiple (resistencia a 3 o más familias de antibióticos). Once aislamientos (39,3 %) presentaron resistencia a eritromicina, debido a la presencia de metilasa ribosomal ermB, y no se detectó resistencia inducible a clindamicina. Por PFGE se pudieron diferenciar 27 tipos clonales, lo cual demuestra gran diversidad clonal. Se destaca el hallazgo de aislamientos de S. pseudintermedius multirresistentes como una eventual problemática a considerar en el diagnóstico veterinario de laboratorio, el tratamiento de las infecciones caninas y el ámbito de la salud pública.

Twenty-eight strains isolated from dog clinical samples identified as Staphylococcus pseudintermedius by mass spectrometry (MALDI-TOF) were studied to assess antimicrobial susceptibility by the diffusion method and clonal relationship by pulsed field gel electrophoresis (PFGE). Methicillin resistance (3/28 isolates; 10,7 %) was evaluated by mecA PCR. Fifteen strains (53.6 %) were resistant to at least one of the antibiotics tested, and eleven of them (39.3 %) showed multiple resistance (3 or more antimicrobial families). Eleven isolates (39.3 %) were resistant to erythromycin due to the presence of ribosomal methylase ermB, whereas clindamycin inducible resistance was not detected. Twenty-seven (27) clonal types were differentiated by PFGE, suggesting high clonal diversity. We emphasize that the finding of multiresistant S. psedintermedius strains is an emerging problem to be considered in veterinary diagnostic laboratory treatment of canine infections and in public health settings.

Diagnosis of an outbreak of Salmonella typhimurium in chinchillas (Chinchilla lanigera) by pulsed-field gel electrophoresis.

Adult chinchillas (Chinchilla lanigera) that had suddenly died in a commercial farm located in La Plata City, Buenos Aires Province, Argentina, in July 2012 were macroscopically, histopathologically, and microbiologically examined. Salmonella enterica serovar Typhimurium (S. Typhimurium) was isolated from the liver, spleen, heart, lungs, kidneys and intestines from each of the five animals evaluated. The five strains were susceptible to ampicillin, cephalotin, cefotaxime, nalidixic acid, gentamicin, streptomycin, chloramphenicol, fosfomycin, nitrofurantoin and trimethoprim-sulfamethoxazole, and resistant to tetracycline. Each of the five S. Typhimurium isolates was analyzed by XbaI- pulsed-field gel electrophoresis (PFGE), showing an identical electrophoretic profile with 15 defined bands, which was found to be identical to pattern ARJPXX01.0220 of the PulseNet Argentine National database of Salmonella PFGE patterns. This is the first work describing the postmortem diagnosis of an outbreak of salmonellosis in chinchillas by using molecular methods such as PFGE.

Diagnóstico de un brote de Salmonella Typhimurium en Chinchillas (Chinchilla lanigera) mediante la electroforesis en gel de campo pulsado / Diagnosis of an autbreak of Salmonella Typhimurium in chinchillas (Chinchilla lanigera) by pulsed-fiel gel electrophoresis

Empleando estudios anatomopatológicos y microbiológicos se examinó a un grupo de chinchillas (Chinchilla lanigera) adultas que murieron súbitamente en 2012 en una granja de la ciudad de La Plata (Buenos Aires, Argentina). Se aisló Salmonella enterica serovar Typhimurium (S. Typhimurium) del hígado, el bazo, el corazón, los pulmones, los riñones y los intestinos de los cinco animales evaluados. Los cinco aislamientos estudiados (uno por animal) fueron sensibles a ampicilina, cefalotina, cefotaxima, ácido nalidíxico, gentamicina, estreptomicina, cloranfenicol, fosfomicina, nitrofurantoína y trimetoprima-sulfametoxazol, y resistentes a tetraciclina. El análisis de dichos aislamientos por electroforesis en gel de campo pulsado [pulsed-field gel electrophoresis (PFGE)] con XbaI mostró un perfil electroforético idéntico con 15 bandas, idéntico a su vez al patrón ARJPXX01.0220 del banco nacional argentino de datos de PulseNet, que cuenta con patrones de PFGE de Salmonella. El presente trabajo describe por primera vez el diagnóstico postmortem de un brote de salmonelosis en chinchillas usando un método molecular, como la electroforesis en gel en campo pulsado

Adult chinchillas (Chinchilla lanigera) that had suddenly died in a commercial farm located in La Plata City, Buenos Aires Province, Argentina, in July 2012 were macroscopically, histopathologically, and microbiologically examined. Salmonella enterica serovar Typhimurium (S. Typhimurium) was isolated from the liver, spleen, heart, lungs, kidneys and intestines from each of the five animals evaluated. The five strains were susceptible to ampicillin, cephalotin, cefotaxime, nalidixic acid, gentamicin, streptomycin, chloramphenicol, fosfomycin, nitrofurantoin and trimethoprimsulfamethoxazole, and resistant to tetracycline. Each of the five S. Typhimurium isolates was analyzed by XbaI- pulsed-field gel electrophoresis (PFGE), showing an identical electrophoretic profile with 15 defined bands, which was found to be identical to pattern ARJPXX01.0220 of the PulseNet Argentine National database of Salmonella PFGE patterns. This is the first work describing the postmortem diagnosis of an outbreak of salmonellosis in chinchillas by using molecular methods such as PFGE

Wild-type minimal inhibitory concentration distributions in bacteria of animal origin in Argentina.

The aim of this study was to determine the antimicrobial resistance profiles of indicator bacteria isolated from domestic animal feces. Minimal inhibitory concentration (MIC) was determined by agar dilution. Interpretative criteria on the basis of wild-type MIC distributions and epidemiological cutoff values (ECOFF or ECV) were used according to the 'European Committee on Antimicrobial Susceptibility Testing' (EUCAST) data. Results from 237 isolates of Escherichia coli showed reduced susceptibility for ampicillin, streptomycin and tetracycline, the antimicrobials commonly used in intensive breeding of pigs and hens. Regarding all the species of the genus Enterococcus spp., there are only ECOFF or ECV for vancomycin. Of the 173 Enterococcus spp. isolated, only one showed reduced susceptibility to vancomycin and was classified as 'non-wild-type' (NWT) population. This is the first report in Argentina showing data of epidemiological cutoff values in animal bacteria.

Distribución de la concentración inhibitoria mínima y puntos de corte "wild-type" en bacterias de origen animal en Argentina / Wild-typeminimal inhibitory concentration distributions in bacteria of animal origin in Argentina

El objetivo de este estudio fue determinar los patrones de resistencia antimicrobiana en bacterias indicadoras aisladas de muestras fecales de animales domésticos. La concentración inhibitoria mínima (CIM) fue determinada por el método de dilución en agar. El criterio de interpretación usado se basó en la distribución de la CIM y el punto de corte epidemiológico (ECOFF o ECV) de acuerdo con los datos del European Committee on Antimicrobial Susceptibility Testing (EUCAST). Los resultados obtenidos de 237 aislamientos de Escherichia coli mostraron sensibilidad reducida a ampicilina, estreptomicina y tetraciclina, antimicrobianos comúnmente usados en porcinos y aves de explotación intensiva. Con respecto a todas las especies del género Enterococcus spp., solo existe ECOFF o ECV para la vancomicina. De los 173 Enterococcus spp. aislados, sólo uno presentó sensibilidad reducida a dicho agente y fue categorizado como población 'non-wild-type' (NWT). Este es el primer informe en Argentina que presenta datos de puntos de corte epidemiológico en bacterias animales

The aim of this study was to determine the antimicrobial resistance profiles of indicator bacteria isolated from domestic animal feces. Minimal inhibitory concentration (MIC) was determined by agar dilution. Interpretative criteria on the basis of wild-type MIC distributions and epidemiological cutoff values (ECOFF or ECV) were used according to the 'European Committee on Antimicrobial Susceptibility Testing' (EUCAST) data. Results from 237 isolates of Escherichia coli showed reduced susceptibility for ampicillin, streptomycin and tetracycline, the antimicrobials commonly used in intensive breeding of pigs and hens. Regarding all the species of the genus Enterococcus spp., there are only ECOFF or ECV for vancomycin. Of the 173 Enterococcus spp. isolated, only one showed reduced susceptibility to vancomycin and was classifi ed as 'non-wild-type' (NWT) population. This is the fi rst report in Argentina showing data of epidemiological cutoff values in animal bacteria

Wild-type minimal inhibitory concentration distributions in bacteria of animal origin in Argentina. / Wild-type minimal inhibitory concentration distributions in bacteria of animal origin in Argentina.

The aim of this study was to determine the antimicrobial resistance profiles of indicator bacteria isolated from domestic animal feces. Minimal inhibitory concentration (MIC) was determined by agar dilution. Interpretative criteria on the basis of wild-type MIC distributions and epidemiological cutoff values (ECOFF or ECV) were used according to the European Committee on Antimicrobial Susceptibility Testing (EUCAST) data. Results from 237 isolates of Escherichia coli showed reduced susceptibility for ampicillin, streptomycin and tetracycline, the antimicrobials commonly used in intensive breeding of pigs and hens. Regarding all the species of the genus Enterococcus spp., there are only ECOFF or ECV for vancomycin. Of the 173 Enterococcus spp. isolated, only one showed reduced susceptibility to vancomycin and was classified as non-wild-type (NWT) population. This is the first report in Argentina showing data of epidemiological cutoff values in animal bacteria.

Diagnosis of an outbreak of Salmonella typhimurium in chinchillas (Chinchilla lanigera) by pulsed-field gel electrophoresis. / Diagnosis of an outbreak of Salmonella typhimurium in chinchillas (Chinchilla lanigera) by pulsed-field gel electrophoresis.

Adult chinchillas (Chinchilla lanigera) that had suddenly died in a commercial farm located in La Plata City, Buenos Aires Province, Argentina, in July 2012 were macroscopically, histopathologically, and microbiologically examined. Salmonella enterica serovar Typhimurium (S. Typhimurium) was isolated from the liver, spleen, heart, lungs, kidneys and intestines from each of the five animals evaluated. The five strains were susceptible to ampicillin, cephalotin, cefotaxime, nalidixic acid, gentamicin, streptomycin, chloramphenicol, fosfomycin, nitrofurantoin and trimethoprim-sulfamethoxazole, and resistant to tetracycline. Each of the five S. Typhimurium isolates was analyzed by XbaI- pulsed-field gel electrophoresis (PFGE), showing an identical electrophoretic profile with 15 defined bands, which was found to be identical to pattern ARJPXX01.0220 of the PulseNet Argentine National database of Salmonella PFGE patterns. This is the first work describing the postmortem diagnosis of an outbreak of salmonellosis in chinchillas by using molecular methods such as PFGE.

Pneumonia in Broiler Chicken Flocks Associated with ß-Hemolytic Ornithobacterium rhinotracheale Infection

Broiler chickens aged 40 and 46-days-old from two neighboring flocks belonging to a commercial broiler complex, presenting facial edema, severe respiratory signs and 10% mortality were analyzed. Pneumonic lesions and opaque thoracic and abdominal air sacs with foamy exudate were seen at postmortem examination. Histopathology of lungs showed fibrinoheterophilic pneumonia in both cases. Small pin point colonies with extensive ß-hemolytic activity were isolated from tracheal and lung tissue samples and identified as Ornithobacterium rhinotracheale by polymerase chain reaction (PCR). Results of lung histopathology, bacteriological isolation and PCR identification confirmed the diagnosis of pneumonia caused by ß-hemolytic O. rhinotracheale infection in both broiler chicken flocks. This paper appears to be the first report of ß-hemolytic O. rhinotracheale field isolates obtained from broiler chickens associated with severe respiratory signs and pneumonia.(AU)

Salmonella enterica subclinical infection: bacteriological, serological, pulsed-field gel electrophoresis, and antimicrobial resistance profiles--longitudinal study in a three-site farrow-to-finish farm.

The aim of this surveillance was to study both Salmonella spp. shedding patterns and the time course of serological response in farrow-to-finish reared pigs from a subclinically infected farm. Antimicrobial resistance profile, molecular subtyping, and the relationship among the isolates were determined by pulsed-field gel electrophoresis (PFGE). A farrow-to-finish farm of 6000 sows, with a history of Salmonella Typhimurium septicemia, was selected. A longitudinal bacteriological and serological study was conducted in 25 sows before farrowing (M/S1) and in 50 offspring at 21 (M/S2), 35 (M/S3), 65 (M/S4), 86 (M/S5), 128 (M/S6), and 165 (M/S7) days of age. Serum antibodies were tested using Herdcheck((R)) Swine Salmonella antibody test kit (Idexx Laboratories, ME). Bacteria were isolated from pooled fecal samples. Suspected isolates were confirmed by conventional biochemical assays, and those identified as Salmonella spp. were serotyped. A variation between seropositive percentages and positive fecal samples was observed. Serologically positive pigs decreased from S1 to S4, and subsequently increased from S4 to S7. The percentages of fecal positive culture increased from M1 to M3, and then declined in M4, increased in M5, and were negative in M6 and M7. In the study three serovars, Salmonella 3,10:e,h:-, Salmonella Muenster, and Salmonella Bovismorbificans, were identified with low pathogenicity for swine. Three multidrug resistance strains (one belonged to Salmonella 3,10:e,h:- and two belonged to Salmonella Muenster) were found. PFGE results showed three different but closely related patterns among the 13 isolates of Salmonella Bovismorbificans, and two patterns for the three Salmonella Muenster and Salmonella 3,10:e,h:- isolates. This longitudinal study established critical points of Salmonella spp. infection in the farm and the production stages, where appropriate control measures must be taken. PFGE showed clonal relationships in each serovar. Antibiotic resistance profiles should be periodically included due to public health concerns.

Isolation of Salmonella typhimurium from dead blue and gold macaws (Ara ararauna).

Two blue and gold macaw (Ara ararauna) chicks died of fatal salmonellosis in Buenos Aires Province, Argentina. The birds were histopathologically and microbiologically examined. Salmonella enterica subspecies enterica serovar Typhimurium was isolated from the liver, spleen, heart, lung, kidney, and intestine of both birds. All strains were susceptible to ampicillin, cephalothin, cefotaxime, enrofloxacin, nalidixic acid, gentamicin, streptomycin, chloramphenicol, fosfomycin, tetracycline, nitrofurantoin, and trimethoprim-sulfamethoxazole. The XbaI-PFGE profile of the Salmonella Typhimurium isolated from the two animals, which shared the same cage, was identical and showed a unique pattern compared with 301 isolates included in the PulseNet national database of Salmonella pulsed-field gel electrophoresis patterns. This is the first report that describes fatal cases of salmonellosis from blue and gold macaws.

Neonatal piglets mesocolon edema and colitis due to Clostridium difficile infection: prevalence, clinical disease and pathological studies

Clostridium difficile is a Gram-positive opportunistic anaerobic bacterium found in the soil, water as well as the digestive tract of several species of mammals. Currently in high-health herds and not related with antibiotic treatment, C. difficile has been emerged in association with neonatal catarrhal, fibrinous or purulent colitis in 2 to 7 day-old piglets. Mesocolon edema and colitis with a "volcano" lesion e pathological key marks of C. difficile infection. In farm 1, the prevalence of neonatal piglet mesocolon edema and colitis was evaluated in an extensive study of postmortem preweaning mortality. Lectinhistochemistry pattern of normal colon and colon with edema and colitis were analyzed in order to provide more accurate information related with pathogenesis of C.difficile infection. In farm 2, a clinical description of an outbreak of neonatal colitis in piglets due to C. difficile infection was reported. A total 820 piglets were post-mortem examined, from them, 8 cases were classified as suspected of C. difficile infection (0.1%). Age of affected piglets varied between 3 to 14 days. In all of them, the key mark was the severe mesocolon edema and 2 cases were characterized by focal necrosis and loss of epithelial cells associated with a focal infiltration of neutrophils and macrophages in the lamina propria and lumen like erupted volcano. Lectins SBA and DBA that has affinity to a Gal epitope were negative in normal samples but reacted strongly positive at the glycocalix of the villi enterocytes of the affected samples indicating a change in the carbohydrates pattern of the cells surfaces that might favor the binding of C. difficile toxin A (TcdA). In farm 2, from 11 examined piglets, 6 of them (54%) showed different degree of mesocolon edema and in only 2 of them; volcano lesions were the main histopathological findings. Rectal swab from 8 diarrheic and 5 postmortem examined piglets were surveyed for eltA estl estll and stx2, virulence gens of E. coli and all samples were negative. Clostridium difficile toxins A and B were identified only in the sample with severe gross and microscopic changes. Isolation of difficile was unsuccessfully. Infection of C. difficile is present in Argentinean pig farms. Diagnosis of subclinical infection might be negligent if post-mortem studies of preweaning mortality at weekly intervals are not performed. However, when clinical disease appeared, mortality might be high as it was reported in the farm 2. Comparative lectinhistochemistry studies from field cases added further information of the carbohydrates present on glycocalix of villi enterocytes related with toxin receptors.

Hypertrophy of the tongue associated with inhaled corticosteroid therapy in premature infants.

We describe three infants in whom hypertrophy of the tongue developed while they were receiving beclomethasone inhalation therapy. The condition resolved after cessation of treatment, an outcome suggesting that tongue hypertrophy is a possible side effect of this therapy.

Extracción de piezas permanentes en niños / Permanent teeth extraction in children

Este estudio descriptivo pretende mostrar la realidad local, en el Hospital de Combarbalá, de un problema odontológico prevalente, cual es el gran número de piezas permanentes extraídas, en individuos de menos de 14 años de edad, para lo cual se registró el total de piezas permanentes extraídas en el período de un año. Los resultados muestran que el número de extracciones aumenta con la edad y son más frecuentes en el sexo femenino. En relación al diagnóstico la mayor parte de los casos se debió a problemas consecutivos al avance de las caries dental. Las piezas que se pierden con amyor frecuencia son los primeros molares permanentes. Al examinar a un grupo de niño de la escuela de esta ciudad, se pudo corroborar que gran parte de los primeros molares se encontraban cariados, algunos con indicación de extracción y otros ya han sido extraídos