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Surgical Infections Apr 2022Monomicrobial necrotizing fasciitis caused by , , and are often associated with high mortality rates. The purpose of this study was to compare the independent...
Monomicrobial necrotizing fasciitis caused by , , and are often associated with high mortality rates. The purpose of this study was to compare the independent predictors related to outcomes between and species necrotizing fasciitis. Monomicrobial necrotizing fasciitis caused by (60 patients) and species (31 patients) over an 11-year period were reviewed retrospectively. Differences in mortality, patient characteristics, clinical presentations, and laboratory data were compared between the and species groups, and between the death and the survival subgroups of patients with species. Six patients in the group (10%) and 11 in the species group (32.3%) died. Fifty-nine patents had bacteremia and 16 patients died (27.1%). Patients who had had a higher incidence of bacteremia. The patients who had species presenting with bacteremia were significantly associated with death. The death subgroup of patients with necrotizing fasciitis had a higher incidence of bacteremia, higher counts of banded leukocytes, lower platelet counts, lower total lymphocyte counts, and lower serum albumin level than the survival subgroup. Monomicrobial necrotizing fasciitis caused by species was characterized by more fulminating and higher mortality than that of , even after early fasciotomy and third-generation cephalosporin antibiotic therapy. Those risk factors, such as bacteremia, shock, lower platelet counts, lower albumin levels, and antibiotic resistance were associated with mortality, which should alert clinicians to pay more attention to and aggressively treat those patients with and necrotizing fasciitis.
Topics: Aeromonas; Aeromonas hydrophila; Fasciitis, Necrotizing; Humans; Retrospective Studies; Sepsis; Treatment Outcome; Vibrio Infections; Vibrio vulnificus
PubMed: 35180367
DOI: 10.1089/sur.2021.337 -
Fish Physiology and Biochemistry Feb 2022Mercury (Hg) is a global pollutant that affects the health of humans and ecosystems. Selenium (Se) is an essential trace element for many organisms including humans....
Mercury (Hg) is a global pollutant that affects the health of humans and ecosystems. Selenium (Se) is an essential trace element for many organisms including humans. Bacillus subtilis is one of the main probiotics used in aquaculture, and has a certain adsorption effect on heavy metals. The interaction between Hg and Se was rigorously studied, especially due to the observation of the protective effect of Se on Hg toxicity. The objective of this study was to research the effects of Hg, Se, and B. subtilis on inflammation and intestinal microbes in common carp. The common carp was exposed to Hg (0.03 mg/L), and 10 cfu/g Se-rich B. subtilis was added to the feed. After 30 days of feeding, samples were taken to evaluate the growth performance, serological response, inflammatory response, and intestinal microbial changes. In this study, when fish were exposed to Hg, the growth performance of the Se-rich B. subtilis plus 0.03 mg/L Hg fish group was lower than that of the control group and higher than 0.03 mg/L Hg; The levels of serum immunoglobulin M (IgM) and lysozyme (LZM) decreased, but after supplementation with Se-rich B. subtilis, the levels of LZM and IgM increased; Hg treatment significantly upregulated the mRNA expression of interleukin-1β (IL-1β), interleukin-8 (IL-8), tumor necrosis factor-α (TNF-α), and nuclear factor-kB (NF-κB P65), but downregulated the mRNA expression of interleukin-10 (IL-10), transforming growth factor-β (TGF-β) and NF-kappa-B inhibitor alpha (IkBα). However, compared with the Hg group, the Se-rich B. subtilis plus Hg group can significantly increase the mRNA expression levels of IL-1β, IL-8, TNF-α, and NF-κB P65, but reduce the regulation of IL-10, TGF-β, and IkBα expression. Through the analysis of the microbiological, we found that the Hg group was mainly composed of Aeromonas sobria and Aeromonas hydrophila. However, in the Se-rich B. subtilis treatment group, we found that Aeromonas sobria was significantly less than the Hg group. Se-rich B. subtilis improves Hg-induced intestinal microbial changes, alleviates the abundance of Aeromonas, and alleviates the inflammation of the fish. The results of this study show that Se-rich B. subtilis dietary supplements can effectively protect common carp against Hg toxicity.
Topics: Aeromonas; Animal Feed; Animals; Bacillus subtilis; Carps; Dietary Supplements; Ecosystem; Gastrointestinal Microbiome; Immunity, Innate; Immunoglobulin M; Inflammation; Interleukin-10; Interleukin-8; Mercury; NF-kappa B; Probiotics; RNA, Messenger; Selenium; Transforming Growth Factor beta; Tumor Necrosis Factor-alpha
PubMed: 35064384
DOI: 10.1007/s10695-022-01046-8 -
Microorganisms Oct 2021The aims of this study were to characterize and investigate antimicrobial susceptibility and presence of integrons in 161 spp. isolated from ornamental freshwater fish...
Characterization and Antimicrobial Resistance of Environmental and Clinical Species Isolated from Fresh Water Ornamental Fish and Associated Farming Environment in Sri Lanka.
The aims of this study were to characterize and investigate antimicrobial susceptibility and presence of integrons in 161 spp. isolated from ornamental freshwater fish farming environment, apparently healthy and diseased fish. Phylogenetic analyses of the gene sequences identified as the most abundant species (75.8%) followed by (9.3%), (5%), (4.3%), (3.7%), (0.6%), (0.6%), and (0.6%). Susceptibility to thirteen antimicrobials was determined and antimicrobial resistance frequencies were: amoxicillin (92.5%), enrofloxacin (67.1%), nalidixic acid (63.4%), erythromycin (26.1%), tetracycline (23.6%), imipenem (18%), trimethoprim-sulfamethoxazole (16.8%), and gentamicin (16.8%). Multi-drug resistance (MDR) was widespread among the isolates (51.6%, 83/161) with 51.6% (63/122) isolates being MDR. In addition, 68.3% of isolates had multiple antibiotic resistance (MAR) indexes higher than 0.2, suggesting that they originated from a high-risk source of contamination where antimicrobials are often used. In all, 21.7% isolates carried class 1 integrons, with 97.1% having gene cassettes, while there were 12 isolates carrying class 2 integron gene cassettes. Our findings highlight that the aquatic environment and ornamental fish act as reservoirs of multidrug resistant spp. and underline the need for a judicious use of antimicrobials and timely surveillance of antimicrobial resistance (AMR) in aquaculture.
PubMed: 34683427
DOI: 10.3390/microorganisms9102106 -
Journal, Genetic Engineering &... Oct 2021Mining for precious metals is detrimental to the composition of soil structure and microbial diversity distribution and is a health risk to human communities around the...
BACKGROUND
Mining for precious metals is detrimental to the composition of soil structure and microbial diversity distribution and is a health risk to human communities around the affected communities. This study was aimed at determining the physical and chemical characteristics and diversity of bacteria in the soil of local mining sites for biosorption of heavy metals.
RESULTS
Results of physical and chemical characteristics showed mean pH values and percentage organic carbon to range from 7.1 to 8.2 and 0.18 to 1.12% respectively with statistical significance between sampling sites (P ≤ 0.05). Similarly, cation exchange capacity, electrical conductivity, moisture, total nitrogen, and carbon/nitrogen ratio (C:N) in the soil ranged between 1.52 to 3.57 cmol/kg, 0.15 to 0.32 ds/m, 0.14 to 0.82%, 0.10 to 0.28%, and 1.7 to 4.8 respectively. The highest heavy metal concentration of 59.01 ppm was recorded in soils obtained from site 3. The enumeration of viable aerobic bacteria recorded the highest mean count of 4.5 × 10 cfu/g observed at site 2 with statistical significance (P ≤ 0.05) between the sampled soils. Alcaligenes faecalis strain UBI, Aeromonas sp. strain UBI, Aeromonas sobria, and Leptothrix ginsengisoli that make up 11.2% of total identified bacteria were able to grow in higher amended concentrations of heavy metals. The evolutionary relationship showed the four heavy metal-tolerant bacteria identified belonged to the phylum Proteobacteria of class Betaproteobacteria in the order Burkholderiales. Heavy metal biosorption by the bacteria showed Alcaligenes faecalis strain UBI having the highest uptake capacity of 73.5% for Cu.
CONCLUSION
In conclusion, Alcaligenes faecalis strain UBI (MT107249) and Aeromonas sp. strain UBI (MT126242) identified in this study showed promising capability to withstand heavy metals and are good candidates in genetic modification for bioremediation.
PubMed: 34633566
DOI: 10.1186/s43141-021-00251-x -
Skin Appendage Disorders Aug 2021Fish pedicures and/or fish manicures are treatments performed in spas involving the use of the living fish . In the last decade, the use of for cosmetic and therapeutic...
Fish pedicures and/or fish manicures are treatments performed in spas involving the use of the living fish . In the last decade, the use of for cosmetic and therapeutic reasons has become increasingly popular. The patients are placed into a bath to control psoriasis, eczema, or other skin conditions, but there is no scientific proof of their effectiveness. Most of the infections described in association with fish spas result from minor skin injury and contact with fish carrying such bacteria as , and Therefore, fish spas in general should not be recommended, particularly for diabetic patients, immunocompromised patients, or patients treated with biological agents.
PubMed: 34604330
DOI: 10.1159/000514853 -
Access Microbiology 2021is an intestinal nematode that is endemic in tropical countries. It can have a variable presentation ranging from asymptomatic eosinophilia in immunocompetent hosts to...
INTRODUCTION
is an intestinal nematode that is endemic in tropical countries. It can have a variable presentation ranging from asymptomatic eosinophilia in immunocompetent hosts to disseminated disease with sepsis in immunocompromised hosts.
CASE REPORT
We report a case of chronic diarrhoea and decreased appetite in a 53-year-old man. He was a chronic alcoholic with diabetes, hypertension and dyslipidaemia and had earlier been treated for pulmonary tuberculosis. He was treated symptomatically for loose stools at a primary health care facility without relief. Following referral to our tertiary care centre, microscopic examination of the stool showed numerous larvae and a few eggs of . Additionally, was isolated from stool culture. The patient was discharged following improvement with a combination therapy of ivermectin, albendazole and ciprofloxacin. However, within 3 days, he was readmitted and succumbed to sepsis.
CONCLUSION
Strongyloidiasis can be diagnosed easily using a very simple but often neglected investigation, namely stool microscopy. This provides an early diagnosis, based on which prompt treatment with the appropriate antihelminthics can be started, thereby reducing the probability of disseminated infection. Disseminated strongyloidiasis is a medical emergency with a poor prognosis, especially in an immunocompromised state. Such patients should be treated aggressively with antihelminthics. They must be monitored for sufficient duration in the hospital for early signs of complication. Their discharge from hospital should be planned based on a negative stool microscopy report in addition to clinical improvement, so as to decrease the mortality reported for both untreated and treated individuals.
PubMed: 34595397
DOI: 10.1099/acmi.0.000246 -
Frontiers in Immunology 2021Bacterial infection presents severe challenge to tilapia farming, which is largely influenced by water temperature. However, how water temperature determines tilapias'...
Bacterial infection presents severe challenge to tilapia farming, which is largely influenced by water temperature. However, how water temperature determines tilapias' survival to infection is not well understood. Here, we address this issue from the perspective of metabolic state. Tilapias were more susceptible to infection at 33°C than at 18°C, which is associated with differential metabolism of the fish. Compared to the metabolome of tilapia at 18°C, the metabolome at 33°C was characterized with increased an tricarboxylic acid cycle and a reduced level of -inositol which represent the most impactful pathway and crucial biomarker, respectively. These alterations were accompanied with the elevated transcriptional level of 10 innate immune genes with infection time, where , , , and exhibited a higher expression at 33°C than at 18°C and was attenuated by exogenous -inositol in both groups. Interestingly, exogenous -inositol inactivated the elevated TCA cycle inhibiting the enzymatic activity of succinate dehydrogenase and malate dehydrogenase. Thus, tilapias showed a higher survival ability at 33°C. Our study reveals a previously unknown relationship among water temperature, metabolic state, and innate immunity and establishes a novel approach to eliminate bacterial pathogens in tilapia at higher water temperature.
Topics: Animals; Biomarkers; Disease Resistance; Energy Metabolism; Fish Diseases; Host-Pathogen Interactions; Immunity, Innate; Inositol; Metabolome; Metabolomics; Temperature; Tilapia; Water
PubMed: 34566956
DOI: 10.3389/fimmu.2021.682724 -
Veterinary World Aug 2021The emergence of antibiotic-resistant bacterial pathogens has been increasingly reported, which has resulted in a decreasing ability to treat bacterial infections....
BACKGROUND AND AIM
The emergence of antibiotic-resistant bacterial pathogens has been increasingly reported, which has resulted in a decreasing ability to treat bacterial infections. Therefore, this study investigated the presence of spp., including its antibiotic resistance in various fish samples, spp., , and , obtained from Kelantan and Terengganu, Malaysia.
MATERIALS AND METHODS
In this study, 221 fish samples, of which 108 ( spp., n=38; , n=35; and , n=35) were from Kelantan and 113 ( spp., n=38; , n=35; and , n=40) were from Terengganu, were caught using cast nets. Then, samples from their kidneys were cultured on a Rimler Shott agar to isolate spp. Polymerase chain reaction (PCR) was used to confirm this isolation using specific gene primers for species identification. Subsequently, the isolates were tested for their sensitivity to 14 antibiotics using the Kirby-Bauer method, after which the PCR was conducted again to detect resistance genes: , -, , , , -, and .
RESULTS
From the results, 61 isolates were identified as being from the genus using PCR, of which 28 were , 19 were , seven were , and seven were . Moreover, 8, 12, and 8 of ; 4, 3, and 12 of ; 6, 0, and 1 of ; and 3, 3, and 1 of were obtained from spp., , and , respectively. In addition, the isolates showed the highest level of resistance to ampicillin (100%), followed by streptomycin (59.0%), each kanamycin and nalidixic acid (41.0%), neomycin (36.1%), tetracycline (19.7%), sulfamethoxazole (14.8%), and oxytetracycline (13.1%). Resistance to gentamicin and ciprofloxacin both had the same percentage (9.8%), whereas isolates showed the lowest resistance to norfloxacin (8.2%) and doxycycline (1.6%). Notably, all isolates were susceptible to chloramphenicol and nitrofurantoin. Results also revealed that the multiple antibiotic resistances index of the isolates ranged from 0.07 to 0.64, suggesting that the farmed fish in these areas were introduced to the logged antibiotics indiscriminately and constantly during their cultivation stages. Results also revealed that the gene was detected in 19.7% of the isolates, whereas the tetracycline resistance genes, and , were detected in 27.9% and 4.9% of the isolates, respectively. However, β-lactam resistance genes, and , were found in 44.3% and 13.1% of isolates, respectively, whereas and genes were found in 3.3% and 13.1% of the isolates, respectively.
CONCLUSION
This study, therefore, calls for continuous surveillance of antibiotic-resistant spp. in cultured freshwater fish to aid disease management and better understand their implications to public health.
PubMed: 34566322
DOI: 10.14202/vetworld.2021.2064-2072 -
Journal of Zhejiang University....Aeromonas sobria, a Gram-negative bacterium that can colonize both humans and animals, is found in a variety of environments, including water, seafood, meat, and...
Aeromonas sobria, a Gram-negative bacterium that can colonize both humans and animals, is found in a variety of environments, including water, seafood, meat, and vegetables (Cahill, 1990; Galindo et al., 2004; Song et al., 2019). Aeromonas spp. are conditionally pathogenic bacteria in aquaculture, which can rapidly proliferate, causing disease and even death in fish, especially when the environment is degraded (Neamat-Allah et al., 2020, 2021a, 2021b). In developing countries, Aeromonas spp. have been associated with a wide spectrum of infections in humans, including gastroenteritis, wound infections, septicemia, and lung infections (San Joaquin and Pickett, 1988; Wang et al., 2009; Su et al., 2013). Infections caused by Aeromonas spp. are usually more severe in immunocompromised individuals (Miyamoto et al., 2017). The presence of a plasmid encoding a β-lactamase in A. sobria that confers resistance to β-lactam antibiotics poses a huge challenge to the treatment of diseases caused by this microorganism (Lim and Hong, 2020). Consequently, an in-depth understanding of the interaction between A. sobria and its hosts is urgently required to enable the development of effective strategies for the treatment of A. sobria infections.
Topics: Aeromonas; Animals; Cytokines; Gram-Negative Bacterial Infections; Host Microbial Interactions; MAP Kinase Signaling System; Macrophages; Mice; NF-kappa B; Proto-Oncogene Proteins c-akt; Signal Transduction
PubMed: 34514758
DOI: 10.1631/jzus.B2100456 -
Frontiers in Cellular and Infection... 2021, a common conditional pathogenic bacteria, is widely distributed in the environment and causes gastroenteritis in humans or septicemia in fish. Of all species, is the...
, a common conditional pathogenic bacteria, is widely distributed in the environment and causes gastroenteritis in humans or septicemia in fish. Of all species, is the most frequently isolated from human infections especially in immunocompromised subjects. Innate immunity is the first protection system of organism to resist non-specific pathogens invasion; however, the immune response process of hosts against infection re\mains unexplored. The present study established an infection model using primary mouse peritoneal macrophages (PMφs). The adherence and cytotoxicity of on PMφs were determined by May-Grünwald Giemsa staining and LDH release measurement. Pro-inflammatory cytokine expression levels were measured using qPCR, western blotting, and ELISA methods. We also investigated the levels of ASC oligomerization and determined the roles of active caspase-1 in IL-1β secretion through inhibition assays and explored the activated pattern recognition receptors through immunofluorescence. We further elucidated the roles of activated inflammasome in regulating the host's inflammatory response through inhibition combined with ELISA assays. Our results showed that induced lytic cell death and LDH release, whereas it had no adhesive properties on PMφs. triggered various proinflammatory cytokine transcription level upregulation, and IL-1β occupied the highest levels. The pro-IL-1β protein expression levels increased in a dose-dependent manner with MOI ranging from 1 to 100. This process was regulated by ASC-dependent inflammasome, which cleavage pro-IL-1β into active IL-1β p17 with activated caspase-1 p20. Meanwhile, the expression levels of NLRP3 receptor significantly increased, location analysis revealed puncta-like surrounding nuclear, and inhibition of NLRP3 inflammasome downregulated caspase-1 activation and IL-1β secretion. Blocking of NLRP3 inflammasome activation through K efflux and cathepsin B or caspase approaches downregulated -induced proinflammatory cytokine production. Overall, these data indicated that induced proinflammatory cytokine production in PMφs through activating NLRP3 inflammasome signaling pathways.
Topics: Aeromonas; Animals; Caspase 1; Cytokines; Inflammasomes; Interleukin-1beta; Macrophages, Peritoneal; Mice; NLR Family, Pyrin Domain-Containing 3 Protein
PubMed: 34513725
DOI: 10.3389/fcimb.2021.691445