Association of Bartonella spp bacteremia with Chagas cardiomyopathy, endocarditis and arrythmias in patients from South America

Infection with Bartonella spp may cause cardiac arrhythmias, myocarditis and endocarditis in humans. The aim of the present study was to evaluate a possible association between Bartonella spp bacteremia and endocarditis, arrhythmia and Chagas cardiomyopathy in patients from Brazil and Argentina. We screened for the presence of bacterial 16S rRNA in human blood by PCR using oligonucleotides to amplify a 185-bp bacterial DNA fragment. Blood samples were taken from four groups of subjects in Brazil and Argentina: i) control patients without clinical disease, ii) patients with negative blood-culture endocarditis, iii) patients with arrhythmias, and iv) patients with chronic Chagas cardiomyopathy. PCR products were analyzed on 1.5% agarose gel to visualize the 185-bp fragment and then sequenced to confirm the identity of DNA. Sixty of 148 patients (40.5%) with cardiac disease and 1 of 56 subjects (1.8%) from the control group presented positive PCR amplification for Bartonella spp, suggesting a positive association of the bacteria with these diseases. Separate analysis of the four groups showed that the risk of a Brazilian patient with endocarditis being infected with Bartonella was 22 times higher than in the controls. In arrhythmic patients, the prevalence of infection was 45 times higher when compared to the same controls and 40 times higher for patients with Chagas cardiomyopathy. To the best of our knowledge this is the first report of the association between Bartonella spp bacteremia and Chagas disease. The present data may be useful for epidemiological and prevention studies in Brazil and Argentina.64465

Modelos acoplados do IPCC-AR4 e o gradiente meridional de temperatua da superficie do mar no atlântico tropical : relaçoes com a precipitaçao no norte do nordeste do Brasil

Este artigo mostra como três modelos acoplados do Intergovernmental on Panel Climate Change - (IPCC-AR4), o FGOALS1. 0G – LASG do Institute of Atmospheric Physics of China, o GISSER da National Aeronautics Space Admnistration (NASA) e o GFDL_CM2 da National Oceanic and Atmospheric Administration (NOAA), simularam a variabilidade do gradiente meridional de Temperatura da Superfície do Mar (TSM), entre os meses de fevereiro a maio, no Atlântico Tropical (1901-1999). A precipitação durante a estação chuvosa (fevereiro a maio) no setor norte do Nordeste do Brasil (NEB) foi também analisada pelos três modelos e comparada com as observações. Os modelos GISSER e FGOALS1.0G mostraram melhor desempenho na simulação do sinal do gradiente meridional de TSM no Atlântico Tropical para o período de 1901 a 1999. Destaca-se que os modelos apresentaram um melhor desempenho na simulação da tendência decadal, conseguindo explicar entre 50% a 80% da variabilidade do gradiente, com a TSM do setor sul sendo mais bem simulada

Calcified Abdominal Pregnancy With Eighteen Years Of Evolution: Case Report.

CONTEXT: The lithopedion (calcified abdominal pregnancy) is a rare phenomenon and there are less than 300 cases reported in the medical literature. CASE REPORT: In this case, a 40 year-old patient had had her only pregnancy 18 years earlier, without medical assistance since then. She came to our hospital with pain and tumoral mass of approximately 20 centimeters in diameter. Complementary examinations (abdominal X-ray, ultrasonography and computerized tomography) demonstrated an extra-uterine abdominal 31-week pregnancy with calcification areas. Exploratory laparotomy was performed, with extirpation of a well-conserved fetus with partially calcified ovular membranes.118619219