Unconscious Woman in Shock and Covered with Ants Pulled from an Abandoned Automobile.

BACKGROUND: A middle-aged woman was taken from an abandoned automobile unconscious and covered with ants in Tucson, Arizona. When hospitalized in July 2018, she had an extensive papular-pustular skin eruption on her abdomen and thigh and disseminated intravascular coagulation. She was stung innumerable times by native golden fire ants (Solenopsis aurea) while sleeping in the vehicle. The large amount of venom injected by stings into this individual may have triggered dissemnated intravascualar coagulation because the venom contains powerful hemolytic factors. METHODS: The patient history is presented and ants were captured and identified. RESULTS: Clinical findings of fire ant stings are presented and the importance of recognizing the distinctive skin lesions that occur is emphasized. Stings of the red imported fire ant, Solenopsis invicta, and the black imported fire ant, Solenopsis richteri, cause skin lesions recognized by physicians and victims alike in the southern and southeastern United States. Native fire ant stings are documented much less often. However, there is significant cross-reactivity among the venoms of Solenopsis species. CONCLUSION: It is important for clinicians to recognize the characteristic skin lesions of fire ant envenomation as fire ant populations are expanding and they sting millions of people each year.

Quantification of sources of variation and accuracy of sequence discrimination in a replicated microarray experiment.

cDNA microarray spot variability arises from many sources, and different systems have varying requirements for achieving the desired level of precision. We determined relative contributions to variance and investigated sequence discrimination using a multiple-array experimental design, with arrays subdivided to determine position and pin effect. Related fragments of 67 resistance gene homologs (RGHs) isolated from Theobroma cacao L. and grouped by sequence similarity were spotted onto arrays, using two of the same RGHs in the fluorescent dye channels (Cy3, Cy5) of the hybridization solution in a "dye-flip" design. A comprehensive statistical model accounted for variability well, giving a coefficient of variation (CV) based on experimental error of 2.12%. Although we were able to separate 85% of RGH group means clearly, some groups more similar to the target were indistinguishable due to nonspecific hybridization. Genetic factors together contributed 72.2% of the total variation, while position and pin effects and their interactions contributed 9.8%. Replication effect was statistically significant. Otherwise, no tests for position effects were significant. The results of the analysis indicate that our Genetic Microsystems 417 arrayer and Affymetrix 428 scanner are performing with sufficient precision, and we produced useful information for planning efficient future experiments.