Reversed halo sign in pneumocystis pneumonia: a case report

<p>Abstract</p> <p>Background</p> <p>The reversed halo sign may sometimes be seen in patients with cryptogenic organizing pneumonia, but is rarely associated with other diseases.</p> <p>Case presentation</p> <p>We present a case study of a 32-year-old male patient with acquired immunodeficiency syndrome, who had previously been treated with chemotherapy for non-Hodgkin's lymphoma. A chest X-ray showed bilateral patchy infiltrates. High-resolution computed tomography revealed the reversed halo sign in both upper lobes. The patient was diagnosed with pneumocystis pneumonia, which was successfully treated with sulfamethoxazole trimethoprim; the reversed halo sign disappeared, leaving cystic lesions. Cases such as this one are rare, but show that the reversed halo sign may occur in patients who do not have cryptogenic organizing pneumonia.</p> <p>Conclusion</p> <p>Physicians can avoid making an incorrect diagnosis and prescribing the wrong treatment by carefully evaluating all clinical criteria rather than assuming that the reversed halo sign only occurs with cryptogenic organizing pneumonia.</p

Chagas Disease Risk in Texas

Chagas disease is endemic in Texas and spread through triatomine insect vectors known as kissing bugs, assassin bugs, or cone–nosed bugs, which transmit the protozoan parasite, Trypanosoma cruzi. We examined the threat of Chagas disease due to the three most prevalent vector species and from human case occurrences and human population data at the county level. We modeled the distribution of each vector species using occurrence data from México and the United States and environmental variables. We then computed the ecological risk from the distribution models and combined it with disease incidence data to produce a composite risk map which was subsequently used to calculate the populations expected to be at risk for the disease. South Texas had the highest relative risk. We recommend mandatory reporting of Chagas disease in Texas, testing of blood donations in high risk counties, human and canine testing for Chagas disease antibodies in high risk counties, and that a joint initiative be developed between the United States and México to combat Chagas disease

Comparison between Winkler's extractor and pitfall traps to estimate leaf litter ants richness (Formicidae) at a rainforest site in southest Brazil

The aim of this study was to compare in the same site the efficiency of the two most used techniques for sampling ant diversity, Winkler's extractors and pitfalls. We studied communities of leaf litter ants from the Brazilian Atlantic Forest, compared richness estimates for genera and species, and built species accumulation curves. These two methods resulted in a satisfactory sampling of richness; 21.3% of the genera and 47.6% of the species were collected exclusively with Winkler's extractors, whereas 6.4% of the genera and 9.5% of the species were collected exclusively with pitfalls. Winkler's extractor had proven to be the most efficient single sampling technique to estimate richness. However, pitfalls also recorded a significant portion of the total richness. Despite differences in efficiency, species accumulation curves for both techniques were similar, as well as the curve obtained with both methods combined. We noticed that Winkler's extractors were c. 74.0% more efficient than pitfalls in the Atlantic Forest. Therefore, sampling techniques must be used with a well-structured sampling design in order to advance knowledge on the ant fauna of Brazilian biomes, especially in the leaf litter, allowing more complete environmental analyses