Management of inflammatory dentigerous cysts in children : report of two cases

Inflammatory dentigerous cysts are usually associated with a carious or non-vital primary tooth. Consequently they are found in children with a mixed dentition. This report describes two cases of inflammatory dentigerous cysts associated with the lower second premolars. Both cases were treated by marsupialisation of the cysts that eventually led to the spontaneous eruption of the premolars.peer-reviewe

Extração de nemátodes de quisto de amostras de solo: método de decantação e crivagem de Cobb vs. método de Fenwick

Potato cyst nematodes are a threat to several agricultural crops around the world with some species considered quarantine pests and subjected to strict regulatory measures in many countries. Usually, cysts nematodes co-exist in the soil with other species of plant-parasitic nematodes, so, a time and cost-efficient extraction technique becomes of primary importance. The ideal extraction method should be able to obtain cysts as well as detecting the presence of other motile plant-parasitic nematodes with a potential impact on potato farming (such as Meloidogyne sp. and Pratylenchus sp.). In recent years, studies have been carried out to test the efficiency of various methods of nematode extraction but few results have been published. Therefore, to test if a method that extracts simultaneously cysts and motile nematodes can be used instead of the reference method that extracts cysts only, the efficiency of Cobb’s decanting and sieving technique was compared to Fenwick’s technique. As a result, in the 74 samples evaluated, a greater number of cysts were extracted from 24 samples using Fenwick’s method and from 11 samples employing Cobb’s decanting and sieving technique. The statistics results showed a significance level of 0,05 using Fenwick’s can allowing to conclude that this method is much more efficient than Cobb’s decanting and sieving technique, and confirming it should not be replaced by alternative methods for cysts extractioninfo:eu-repo/semantics/publishedVersio

Methods of testing for giardia in water : a thesis presented in partial fulfilment of the requirements for the degree Master of Science in Microbiology at Massey University

Since the 1960's when the first waterborne outbreaks of Giardia were reported in America, it has been recognised as a disease causing organism. From these outbreaks the USA Environmental Protection Agency (EPA) developed a method for testing large volumes of water for Giardia cysts, this was adapted into the 16th edition of the Standard Methods. To test the method cultured cysts were required for spiked trials. A published method of encystation by Schupp et al (1988) was investigated as a potential source of cysts. Morphologically correct cysts were gained in the greatest number at 37°C over 72 hours at a bile concentration of 5g/l. Using cultured cysts and cysts from animals and water, viability and the least number needed to iniate a culture were assessed. When 10 of the cysts produced in vitro were excysted it was possible to obtain a culture. For cysts from animal and water origins at levels up to 10,000 cysts, it was not possible to obtain cultures. Variations of the Standard Method of water testing for Giardia had been reported by different laboratories. We investigated the sensitivity of this method using some of the reported variations such as staining on a membrane filter, the use of monoclonal antibody stains and methods of washing cysts free of the sampling core. We found the method could detect to the 5 x 10 2 cysts/5001 of water, a recovery of 10%. The recoveries obtained over a range of cysts spiked was between 10-40%. An alternative method to sampling and processing the sample was tangential filtration. Four tangential filtration units were compared to the concentration techiques of centrifugation and sedimentation (these were those used in the Standard Method). The tangential filtration units were found not to be as sensitive as centrifugation and sedimentation. They also presented difficulties with particulate matter or sediment. When compared to the sampling method, the unit was unable to concentrate the 5001 of tap water due to the sediment levels. Staining methods were evaluated. Slide staining was compared to staining on a filter, the filter method was found to give a better recovery. Comparison between commercially available monoclonal antibody stain, a polyclonal antibody stain and Lugols iodine stain, found that the monoclonal and polyclonal antibody stains lead to easier identification by illuminating the cyst (it still had to be checked for internal morphology) than the iodine stain. The monoclonal antibody stains were found to be more specific than the polyclonal stain. Methods of inactivating the antigens recognised by the monoclonal antibody stain persist so cross contamination between samples was investigated. Hypochlorite concentrations of 4% and higher over 20 minutes were found to inactivate the antigen recognised. Other chemicals were compared but none were found to inactivate the antigen. A study of a family infected with Giardia was undertaken, to test methods used in the laboratory and study modes of transmission. Giardia cysts were found in the river that supplied the farm tank but not in the tank itself. The house tank also tested negative for Giardia. The family had young children attending school and playgroup, person to person transmission may also have been involved. Animals on the farm had positive tests for Giardia

EUS-Guided Pancreatic Cyst Ablation: a Clinical and Technical Review

Purpose of Review Pancreatic cystic lesions represent a growing public health dilemma, particularly as our population ages and cross-sectional imaging becomes more sensitive. Mucinous cysts carry a clinically significant risk of developing pancreatic cancer, which carries an extremely poor prognosis. Determining which cysts will develop cancer may be challenging, and surgical resection of the pancreas carries significant morbidity. The goal of this paper is to review the rationale for cyst ablation and discuss prior and current research on cyst ablation techniques and efficacy. Indications, contraindications, and factors related to optimal patient selection are outlined. Recent Findings Endoscopic ultrasound-guided chemoablation of pancreatic cysts has been performed in neoplastic cysts, with varying levels of efficacy. Safety concerns arose due to the risk of pancreatitis in alcohol-based treatments; however, the most recent data using a non-alcohol chemoablation cocktail suggests that ablation is effective without the need for alcohol, resulting in a significantly more favorable adverse event profile. Summary Endoscopic ultrasound-guided chemoablation of neoplastic pancreatic cysts is a promising, minimally invasive approach for treatment of cysts, with recent significant advances in safety and efficacy, suggesting that it should play a role in the treatment algorithm

Image Processing Instrumentation for Giardia lamblia Detection

Currently, the identification and enumeration of Giardia Iamblia cysts are based upon microscopic methods requiring individuals proficient in this area. It is a tedious process which consumes time that could be constructively used elsewhere. This project attempts to alleviate that burden by employing a computer to automatically process Indirect Fluorescent Antibody (IFA) prepared slides using digital image processing techniques. A computer controlled frame grabber, in conjunction with a CCD TV camera mounted on the epi-fluorescence microscope phototube, captures the light intensities of the objects in view under the microscope objective. The captured image is stored as pixels, with each pixel having a numerical value that can be altered using linear contrast enhancement and bit-slicing to emphasize the cysts and eliminate the majority of unwanted objects from the image. The altered image is then analyzed by a vector trace routine for typical area and perimeters characteristic to Giardia lamblia cysts. Objects in the image matching these characteristics are most likely cysts and are added to a running tally of the number of cysts present on the slide

A rare cause of recurrent spontaneous pneumothorax: Birt-hogg-dube syndrome

Birt-Hogg-Dube (BHD) syndrome is an unusual disorder characterized by the triad of cutaneous lesions, renal tumors and lung cysts. In cases with BHD syndrome, the frequency of recurrent pneumothorax is increased due to presence of multiple lung cysts. It is important to evaluate the BHD syndrome in differential diagnosis of recurrent pneumothorax especially with multiple lung cysts predominating in the lung base. In these patients, the presence of accompanying kidney and other tumors should be investigated. Herein, we report a case of BHD syndrome presenting with recurrent pneumothorax. © 2018 by Turkish Thoracic Society

Open and / or laparoscopic surgical treatment of liver hydatic cysts

Hydatid disease is a severe parasitic disease with a widely ranging distribution. In the human being the liver is the most frequent organ affected. 1 The treatment should be individualized to the morphology, size, number and location of the cysts, that is why a variety of surgical operations have been advocated from complete resection like total pericystectomy or partial hepatectomy to laparoscopy to a minimally invasive procedures like percutaneous aspiration of cysts to conservative drug therapy. 3-4 This study compares laparoscopic versus open management of the hydatid cyst of liver the surgical approach to liver echinococcosis is still a controversial issue and shows our results of surgical treatment of liver hydatid cysts during a 3-years period

Epidermoid Cyst of Spleen

Splenic cysts are very rare lesions, most of them being parasitic systs. Nonparasitic cysts are uncommon. We report a case of young female who presented with mass and pain abdomen. Ultrasound examination revealed splenic syst. The diagnosis of epidermoid cyst was made based on characteristic lining on histopathological examinatio

Bradyzoite pseudokinase 1 is crucial for efficient oral infectivity of the Toxoplasma gondii tissue cyst.

The tissue cyst formed by the bradyzoite stage of Toxoplasma gondii is essential for persistent infection of the host and oral transmission. Bradyzoite pseudokinase 1 (BPK1) is a component of the cyst wall, but nothing has previously been known about its function. Here, we show that immunoprecipitation of BPK1 from in vitro bradyzoite cultures, 4 days postinfection, identifies at least four associating proteins: MAG1, MCP4, GRA8, and GRA9. To determine the role of BPK1, a strain of Toxoplasma was generated with the bpk1 locus deleted. This BPK1 knockout strain (Δbpk1) was investigated in vitro and in vivo. No defect was found in terms of in vitro cyst formation and no difference in pathogenesis or cyst burden 4 weeks postinfection (wpi) was detected after intraperitoneal (i.p.) infection with Δbpk1 tachyzoites, although the Δbpk1 cysts were significantly smaller than parental or BPK1-complemented strains at 8 wpi. Pepsin-acid treatment of 4 wpi in vivo cysts revealed that Δbpk1 parasites are significantly more sensitive to this treatment than the parental and complemented strains. Consistent with this, 4 wpi Δbpk1 cysts showed reduced ability to cause oral infection compared to the parental and complemented strains. Together, these data reveal that BPK1 plays a crucial role in the in vivo development and infectivity of Toxoplasma cysts

Post-treatment follow-up study of abdominal cystic echinococcosis in Tibetan communities of northwest Sichuan Province, China

Background: Human cystic echinococcosis (CE), caused by the larval stage of Echinococcus granulosus, with the liver as the most frequently affected organ, is known to be highly endemic in Tibetan communities of northwest Sichuan Province. Antiparasitic treatment with albendazole remains the primary choice for the great majority of patients in this resource-poor remote area, though surgery is the most common approach for CE therapy that has the potential to remove cysts and lead to complete cure. The current prospective study aimed to assess the effectiveness of community based use of cyclic albendazole treatment in Tibetan CE cases, and concurrently monitor the changes of serum specific antibody levels during treatment. Methodology/Principal Findings: Ultrasonography was applied for diagnosis and follow-up of CE cases after cyclic albendazole treatment in Tibetan communities of Sichuan Province during 2006 to 2008, and serum specific IgG antibody levels against Echinococcus granulosus recombinant antigen B in ELISA was concurrently monitored in these cases. A total of 196 CE cases were identified by ultrasound, of which 37 (18.9%) showed evidence of spontaneous healing/involution of hepatic cyst(s) with CE4 or CE5 presentations. Of 49 enrolled CE cases for treatment follow-up, 32.7% (16) were considered to be cured based on B-ultrasound after 6 months to 30 months regular albendazole treatment, 49.0% (24) were improved, 14.3% (7) remained unchanged, and 4.1% (2) became aggravated. In general, patients with CE2 type cysts (daughter cysts present) needed a longer treatment course for cure (26.4 months), compared to cases with CE1 (univesicular cysts) (20.4 months) or CE3 type (detached cyst membrane or partial degeneration of daughter cysts) (9 months). In addition, the curative duration was longer in patients with large (.10 cm) cysts (22.3 months), compared to cases with medium (5– 10 cm) cysts (17.3 months) or patients with small (,5 cm) cysts (6 months). At diagnosis, seven (53.8%) of 13 cases with CE1 type cysts without any previous intervention showed negative specific IgG antibody response to E. granulosus recombinant antigen B (rAgB). However, following 3 months to 18 months albendazole therapy, six of these 7 initially seronegative CE1 cases sero-converted to be specific IgG antibody positive, and concurrently ultrasound scan showed that cysts changed to CE3a from CE1 type in all the six CE cases. Two major profiles of serum specific IgG antibody dynamics during albendazole treatment were apparent in CE cases: (i) presenting as initial elevation followed by subsequent decline, or (ii) a persistent decline. Despite a decline, however, specific antibody levels remained positive in most improved or cured CE cases. Conclusions: This was the first attempt to follow up community-screened cystic echinococcosis patients after albendazole therapy using ultrasonography and serology in an endemic Tibetan region. Cyclic albendazole treatment proved to be effective in the great majority of CE cases in this resource-poor area, but periodic abdominal ultrasound examination was necessary to guide appropriate treatment. Oral albendazole for over 18 months was more likely to result in CE cure. Poor drug compliance resulted in less good outcomes. Serology with recombinant antigen B could provide additional limited information about the effectiveness of albendazole in CE cases. Post-treatment positive specific IgG antibody seroconversion, in initially seronegative, CE1 patients was considered a good indication for positive therapeutic efficacy of albendazole