Exploring Trypanosoma cruzi transmission dynamics in an acute Chagas disease outbreak using next-generation sequencing.

BACKGROUND: Chagas disease (CD), caused by Trypanosoma cruzi, poses a major global public health challenge. Although vector-borne transmission is the primary mode of infection, oral transmission is increasingly concerning. METHODS: This study utilized long-amplicon-based sequencing (long-ABS), focusing on the 18S rRNA gene, to explore T. cruzi's genetic diversity and transmission dynamics during an acute CD outbreak in Colombia, an area without domestic infestation. RESULTS: Analyzing samples from five patients and five T. cruzi-positive marsupial samples, we identified coinfections between T. cruzi and Trypanosoma rangeli, mixed T. cruzi DTUs, suggesting possible links between human and marsupial T. cruzi infections. Coexistence of TcI, TcIV and T. rangeli suggests marsupial secretions as the possible source of T. cruzi transmission. Our investigation revealed diversity loss in DTUs TcIV and T. rangeli in humans after infection and in marsupial samples after culture. CONCLUSION: These findings provide significant insights into T. cruzi dynamics, crucial for implementing control and prevention strategies.

An Outbreak of Acute Chagas Disease Possibly Spread through Oral Transmission Involving Animal Reservoirs in Eastern Colombia.

Chagas disease (CD) is a parasitic infection caused by the parasite Trypanosoma cruzi. Reports of CD cases associated with oral transmission have increased, particularly in Colombia, Brazil, and Venezuela. In this investigation, parasitological, serological, and molecular tests were conducted on samples obtained from humans, mammal reservoirs, and hosts involved in the assessment of a suspected oral transmission outbreak in Cubara, Boyaca, Colombia. Seropositivity was observed in 60% (3 of 5) of index patients and 6.4% (5 of 78) of close contacts. Trypanosoma cruzi DNA was detected by quantitative polymerase chain reaction in 100% of index cases, 6.4% (5 of 78) of close contacts, 60% (6 of 10) of canines, and 100% (5 of 5) of opossums. In all index cases, the TcI lineage was identified, along with two cases of mixed infection (TcI/TcII-TcVI). Hemoculture revealed a flagellate presence in 80% of opossums, whereas all triatomine bugs tested negative. Our findings suggest a potential oral transmission route through contamination with opossum secretions.

Human papillomavirus as a single infection in pregnant women from Northeastern Mexico: Cross-sectional study.

BACKGROUND: The role of human papillomavirus (HPV) as single or multiple infections in pregnant women would be relevant to determine the time to progression and/or the time to regression of cervical lesions. OBJECTIVE: In this preliminary study, we determined the prevalence of HPV as single or multiple infections in pregnant women from Northeastern Mexico. MATERIALS AND METHODS: Samples from 31 pregnant and 62 nonpregnant women were examined between January 2015 and November 2015 at UMAE-23 of the Instituto Mexicano del Seguro Social (IMSS). The samples of cervicovaginal exudate were obtained for HPV DNA detection using the INNO-LiPA test, and HPV infections were analyzed as single or multiple infections. Participants completed a questionnaire on sociodemographic, gynecological, obstetric, and sexual behavior characteristics. RESULTS: The mean age of the pregnant women was 25.7 ± 4.8 yr, with an average time of pregnancy of 6 ± 1 months at the time of the study. With respect to age, parity, smoking history, or oral contraceptive use no statistically significant differences between the two studied groups was observed. The HPV infection was 2.7 times higher in pregnant women (35%) than in the control group (13%). In total, 78% of the pregnant women who were HPV-positive presented with single infections compared with 28% of the nonpregnant women. CONCLUSION: A higher prevalence of HPV as a single infection was found in this sample of pregnant Mexican women. Follow-up is necessary to evaluate the persistence or regression of the infection.

Prevalence of ocular surface disease symptoms and risk factors in group of university students in Monterrey, Mexico.

BACKGROUND: The objective of this study was to determine the prevalence of symptoms of ocular surface disease and its relationship with associated risk factors in students from the University of Monterrey using Ocular Surface Disease (OSDI) questionnaire. METHODS: A cross-sectional survey was conducted between October and December 2014 to assess the prevalence and risk factors for ocular surface disease in a group of students from Universidad de Monterrey in Monterrey, Mexico. The severity of the disease was measured via the Ocular Surface Disease Index (OSDI) questionnaire. RESULTS: The OSDI average value was 26.85 ± 20.79 points, with 70.4% of students (579) had OSDI score higher than 12 points. Women had ocular surface disease 1.63 times more than men (OR 1.29, 95% CI 1.13,1.48). Students who used ophthalmic drops have an OR 2.00 (95% CI 1.65,2.40), and students who smoke have an OR 1.24 (95% CI 1.06,1.46). Use of contact lenses, hours in front of computer or history of refractive surgery has low-estimated effect on the probability of presenting an ocular disease. CONCLUSIONS: University students have a prevalence of 70.4% of ocular surface disease (OSD). OSD was associated with gender (women have a higher prevalence), smoking and the use of eye drops. A program to modify these risk factors to reduce the prevalence is needed.

Mandibular and postpharyngeal gland secretions of Acromyrmex landolti (Hymenoptera: Formicidae) as chemical cues for nestmate recognition.

Nestmate recognition is fundamental for the cohesiveness of the colony in social insects. Acromyrmex landolti is a higher Attini, a leaf-cutter ant with largest nest and morphological castes. We studied the location of the recognition signal of A. landolti on the whole ant body, the isolation effect on the capacity of nestmate recognition, and the role of the mandibular (MG) and post-pharyngeal glands (PPG) as putative sources for chemical recognition signals in this species. We performed behavioral bioassays and chemical analyses of MG and PPG glands; MG volatiles in different castes were also characterized. In order to determine the occurrence of nestmate recognition signals, behavioral tests were performed for which the whole body, body parts or gland extracts from a nestmate and an alien worker ant, were placed on the central axis of an active field trail. Besides, the isolation effect of the nestmate chemical signal persistence was evaluated by repeating the experiments with whole ant bodies after 12 h, 24 h and 48 h of isolation. The agonistic behavior of the ants on the trail was classified as inspection, threatening and biting. Gland volatiles were obtained by headspace solid phase microextraction, and PPG by solid sample analyses; and chemical analyses were performed using gas chromatography-mass spectrometry. Workers performed agonistic behaviors more frequently towards non-nestmate whole bodies, body parts and gland extracts, primarily those from the post-pharyngeal glands. Nestmate thoraces odorized with alien extracts were also recognized from aliens. Nestmate recognition ability persists for 12 h and 24 h after isolation, but decreases after 48 h, suggesting that the chemical signal changes over time. Inter-colonial chemical analyses showed no differences in the PPG hydrocarbon profiles, while the relative proportions of MG compounds showed significant differences between colonies. These results showed that nestmate recognition was achieved by MG volatiles. Possibly, the PPG secretion works as a matrix that absorbs MG volatiles. We report, for the first time, some mandibular gland compounds for the genus Acromyrmex and for the tribe Attini group.

Mandibular and postpharyngeal gland secretions of Acromyrmex landolti (Hymenoptera: Formicidae) as chemical cues for nestmate recognition

Nestmate recognition is fundamental for the cohesiveness of the colony in social insects. Acromyrmex landolti is a higher Attini, a leaf-cutter ant with largest nest and morphological castes. We studied the location of the recognition signal of A. landolti on the whole ant body, the isolation effect on the capacity of nestmaterecognition, and the role of the mandibular (MG) and post-pharyngeal glands (PPG) as putative sources for chemical recognition signals in this species. We performed behavioral bioassays and chemical analyses of MG and PPG glands; MG volatiles in different castes were also characterized. In order to determine the occurrence of nestmate recognition signals, behavioral tests were performed for which the whole body, body parts or gland extracts from a nestmate and an alien worker ant, were placed on the central axis of an active field trail. Besides, the isolation effect of the nestmate chemical signal persistence was evaluated by repeating the experiments with whole ant bodies after 12h, 24h and 48h of isolation. The agonistic behavior of the ants on the trail was classified as inspection, threatening and biting. Gland volatiles were obtained by headspace solid phase microextraction, and PPG by solid sample analyses; and chemical analyses were performed using gas chromatography-mass spectrometry. Workers performed agonistic behaviors more frequently towards non-nestmate whole bodies, body parts and gland extracts, primarily those from the post-pharyngeal glands. Nestmate thoraces odorized with alien extracts were also recognized from aliens. Nestmate recognition ability persists for 12h and 24h after isolation, but decreases after 48h, suggesting that the chemical signal changes over time. Inter-colonial chemical analyses showed no differences in the PPG hydrocarbon profiles, while the relative proportions of MG compounds showed significant differences between colonies. These results showed that nestmate recognition was achieved by MG volatiles. Possibly, the PPG secretion works as a matrix that absorbs MG volatiles. We report, for the first time, some mandibular gland compounds for the genus Acromyrmex and for the tribe Attini group.

El reconocimiento de compañeras de nido es fundamental para la cohesión de la colonia en los insectos sociales. Las señales de reconocimiento de compañeras en Acromyrmex landolti fueron estudiadas mediante bioensayos de comportamiento y análisis químicos de los componentes de la glándula mandibular (GM) y postfaríngea (GPF). Los bioensayos de comportamiento fueron realizados usando cuerpos completos de hormigas, partes del cuerpo y extractos glandulares de GM y GPF de una compañera de nido y una intrusa en el centro de una trilla activa. Los comportamientos agonísticos de las obreras se clasificaron en exploración, ataque y mordida. Las obreras se mostraron más agresivas hacia los cuerpos completos, partes del cuerpo y extractos glandulares de las intrusas que hacia los de las compañeras de nido. Los volátiles glandulares se obtuvieron mediante la técnica de espacio en cabeza con microextracción en fase sólida, y los hidrocarburos de la PPG por análisis de muestra sólida. Se encontró que los volátiles de la GM conforman la señal de reconocimiento. No se encontraron diferencias intercoloniales para los volátiles de la GM. Posiblemente los hidrocarburos cuticulares actúan como una matriz que absorbe volátiles de la GM.

Estudios sobre la litiasis renal cálcica / Calcium urolithiasis

La litiasis renal cálcica (LRC) es la alteración más frecuente del metabolismo mineral y representa una proporción importante de los pacientes que consultan en nuestra sección. Bases inicialmente bibliográficas y experimentos preliminares posteriores en nuestro laboratorio, nos han orientado hacia el estudio de la hipótese que considera la pérdida renal de fosfato como la alteración inicial en la hipercalciuria absortiva. Nuestros esfuerzos se han encaminado por lo tanto a precisar el umbral inicial de reabsorción de fosfato (UIRP) en sujetos normales y pacientes con LRC. Estudiamos también, mediante el test sugerido por Pak, la eliminación renal de calcio y los niveles plasmáticos de PTH. Los resultados obtenidos hasta ahora confirman la existencia de hipofosfatemia y UIRP bajo en más del 50% de los pacientes con LRC. El manejo mediante suplemento oral de fosfato ha dado excelentes resultados

Prolactinoma: tratamiento medico / Prolactinoma: medical treatment

La terapia de los llamados prolactinomas ha sido el tema de muchas controversias. La microcirugia casi nunca logra restablecer una funcion endocrinologica normal. Por el contrario, la terapia mediante sustancias agonistas de la dopamina, en este caso bromocriptina, no solo disminuye el tamano de la glandula, sino restaura la funcion hormonal. Presentamos 9 casos de los llamados micro o macroadenomas, uno de ellos con alteraciones visuales, manejados con gran exito con bromocriptina. Consideramos que este enfoque terapeutico debe ser siempre el primero en frente a un cuadro clinico y de laboratorio consistente con la presencia de hiperprolactinemia con o sin trastornos visuales