Type II Heat-Labile Enterotoxins from 50 Diverse Escherichia coli Isolates Belong Almost Exclusively to the LT-IIc Family and May Be Prophage Encoded

Some enterotoxigenic Escherichia coli (ETEC) produce a type II heat-labile enterotoxin (LT-II) that activates adenylate cyclase in susceptible cells but is not neutralized by antisera against cholera toxin or type I heat-labile enterotoxin (LT-I). LT-I variants encoded by plasmids in ETEC from humans and pigs have amino acid sequences that are ≥95% identical. In contrast, LT-II toxins are chromosomally encoded and are much more diverse. Early studies characterized LT-IIa and LT-IIb variants, but a novel LT-IIc was reported recently. Here we characterized the LT-II encoding loci from 48 additional ETEC isolates. Two encoded LT-IIa, none encoded LT-IIb, and 46 encoded highly related variants of LT-IIc. Phylogenetic analysis indicated that the predicted LT-IIc toxins encoded by these loci could be assigned to 6 subgroups. The loci corresponding to individual toxins within each subgroup had DNA sequences that were more than 99% identical. The LT-IIc subgroups appear to have arisen by multiple recombinational events between progenitor loci encoding LT-IIc1- and LT-IIc3-like variants. All loci from representative isolates encoding the LT-IIa, LT-IIb, and each subgroup of LT-IIc enterotoxins are preceded by highly-related genes that are between 80 and 93% identical to predicted phage lysozyme genes. DNA sequences immediately following the B genes differ considerably between toxin subgroups, but all are most closely related to genomic sequences found in predicted prophages. Together these data suggest that the LT-II loci are inserted into lambdoid type prophages that may or may not be infectious. These findings raise the possibility that production of LT-II enterotoxins by ETEC may be determined by phage conversion and may be activated by induction of prophage, in a manner similar to control of production of Shiga-like toxins by converting phages in isolates of enterohemmorhagic E. coli

ICAR: endoscopic skull‐base surgery

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Treatment of Developmental Dysplasia of the Hip: Short and Mid-term Outcome

OBJECTIVE: To review the presentation and outcome of developmental dysplasia of the hip (DDH) cases in the last 6 years. METHODOLOGY: We retrospectively reviewed the presentation as well as short and mid-term outcome of 17 children (18 hips) with DDH seen and treated from 2004 to 2010. Treatment was either splinting with Pavlik harness, closed or open reduction depending on age at presentation and the individual needs of each patient. RESULTS: The average age at presentation was 31.1 months, and the male to female ratio was 1:4.6. Six patients (35%) presented early (less than 6 months old) while 7 patients (41%) presented between 6 -24 months. In these 2 groups splinting or closed reduction under anaesthesia was initially utilized for treatment depending on age, and open reduction was used after failure of closed reduction and for those presented late. Average age at the time of closed reduction was 11 months, and 6 years for those underwent open reduction. The average period of follow up for all patients was 29.4 months. The final outcome was successful in 12 hips (66%) in 11 patients. Ten of these presented at less than 2 years old, in the other 6 hips in which there was failure, 50% presented after 3 years of age. CONCLUSION: Late presentation of DDH is still common in Malaysia, which necessitates more complex management and more frequent occurrences of unfavourable results

Non-phytoseiid Mesostigmata within citrus orchards in Florida: species distribution, relative and seasonal abundance within trees, associated vines and ground cover plants and additional collection records of mites in citrus orchards

Seven citrus orchards on reduced- to no-pesticide spray programs in central and south central Florida were sampled for non-phytoseiid mesostigmatid mites. Inner and outer canopy leaves, fruits, twigs and trunk scrapings were sampled monthly between August 1994 and January 1996. Open flowers were sampled in March from five of the sites. A total of 431 samples from one or more of 82 vine or ground cover plants were sampled monthly in five of the seven orchards. Two of the seven orchards (Mixon I and II) were on full herbicide programs and vines and ground cover plants were absent. A total of 2,655 mites (26 species) within the families: Ascidae, Blattisociidae, Laelapidae, Macrochelidae, Melicharidae, Pachylaelapidae and Parasitidae were identified. A total of 685 mites in the genus Asca (nine species: family Ascidae) were collected from within tree samples, 79 from vine or ground cover plants. Six species of Blattisociidae were collected: Aceodromus convolvuli, Blattisocius dentriticus, B. keegani, Cheiroseius sp. near jamaicensis, Lasioseius athiashenriotae and L. dentatus. A total of 485 Blattisociidae were collected from within tree samples compared with 167 from vine or ground cover plants. Low numbers of Laelapidae and Macrochelidae were collected from within tree samples. One Zygoseius furciger (Pachylaelapidae) was collected from Eleusine indica. Four species of Melicharidae were identified from 34 mites collected from within tree samples and 1,190 from vine or ground cover plants: Proctolaelaps lobatus was the most abundant species with 1,177 specimens collected from seven ground cover plants. One Phorytocarpais fimetorum (Parasitidae) was collected from inner leaves and four from twigs. Species of Ascidae, Blattisociidae, Melicharidae, Laelapidae and Pachylaelapidae were collected from 31 of the 82 vine or ground cover plants sampled, representing only a small fraction of the total number of Phytoseiidae collected from the same plants. Including the collection records of Martin Muma prior to 1975, a total of 69 species of Ascidae, Blattisociidae, Laelapidae, Macrochelidae, Melicharidae, Pachylaelapidae and Parasitidae have now been reported from citrus in Florid