Meningite Tuberculosa. Revisão de 7 Anos

A meningite tuberculosa é uma complicação grave da infecção pelo Mycobacterium tuberculosis. Entre 1 de Janeiro 1989 e 31 de Dezembro de 1995 foram internadas 14 crianças na Unidade de Doenças Infecciosas do Serviço 2 do Hospital D. Estefânia (HDE), por meningite tuberculosa, enquanto nos 6 anos anteriores, tinham sido admitidas 22 crianças, com a mesma patologia. A maioria das crianças tinha idade superior a 5 anos (64%). A fonte de contágio foi identificada em 35,7% dos casos e 79% tinham sido vacinadas com BCG. Em 78,5% foi detectado compromisso neurológico focal. Todas fizeram tratamento com 4 antibacilares. Houve necessidade de intervenção neurocirúrgica em 21% dos doentes. Em 57% dos casos persistiram sequelas neurológicas no final do tratamento. Não se registaram casos de morte

PFAPA - A Case Report

O síndrome PFAPA ( Periodic Fever, Aphtous stomatitis,Pharingitis and Adenitis) foi descrito pela primeira vez em 1987. A etiologia é desconhecida. Clinicamente caracteriza-se por febre alta, recorrente, com intervalos de quatro a seis semanas. A febre tem a duração de cerca de cinco dias e regride espontaneamente. Associadas à febre, encontram-se estomatite aftosa, faringite e adenomegalias cervicais. Os sintomas iniciam-se antes dos cinco anos de idade e tornam-se menos frequentes à medida que a criança cresce. O doente está assintomático entre os episódios febris, não há repercussão no desenvolvimento estaturo-ponderal ou psicomotor e não estão descritas sequelas. Leucocitose, velocidade de sedimentação (VS) e proteína C reactiva (PCR) elevadas durante as crises são as únicas alterações laboratoriais encontradas. Os autores descrevem o caso clínico de uma criança de vinte meses, com febre periódica iniciada aos seis meses, periodicidade de vinte e oito dias e duração de cinco dias, estando assintomático entre as crises. Excluiu-se patologia infecciosa, neoplásica e imunológica, assim como outros síndromes febris periódicos com início na infância. No primeiro dia de cada episódio febril, iniciou terapêutica com dose única de prednisolona oral (2mg/Kg), com alargamento do intervalo entre os episódios febris, diminuição da duração e gravidade das crises subsequentes

Synthesis of sub-5 nm Co-doped SnO2_2 nanoparticles and their structural, microstructural, optical and photocatalytic properties

A swift chemical route to synthesize Co-doped SnO$_2$ nanopowders is described. Pure and highly stable Sn$_{1-x}$Co$_x$O$_{2-\delta}$ (0 $\le$ x $\le$ 0.15) crystalline nanoparticles were synthesized, with mean grain sizes < 5 nm and the dopant element homogeneously distributed in substitutional sites of the SnO$_2$ matrix. The UV-visible diffuse reflectance spectra of the Sn$_{1-x}$Co$_x$O$_{2-\delta}$ samples reveal red shifts, the optical bandgap energies decreasing with increasing Co concentration. The Urbach energies of the samples were calculated and correlated with their bandgap energies. The photocatalytic activity of the Sn$_{1-x}$Co$_x$O$_{2-\delta}$ samples was investigated for the 4-hydroxylbenzoic acid (4-HBA) degradation process. A complete photodegradation of a 10 ppm 4-HBA solution was achieved using 0.02% (w/w) of Sn$_{0.95}$Co$_{0.05}$O$_{2-\delta}$ nanoparticles in 60 min of irradiation.Comment: 29 pages, 2 tables, 10 figure

Sclerosing encapsulating peritonitis: a case successfully treated with immunosuppression.

Perit Dial Int. 1999 Sep-Oct;19(5):478-81. Sclerosing encapsulating peritonitis: a case successfully treated with immunosuppression. Martins LS, Rodrigues AS, Cabrita AN, Guimaraes S. SourceDepartment of Nephrology, Hospital de Santo António, Porto, Portugal

Monoclonal gammopathy of renal significance: Diagnostic workup

The clinical spectrum of diseases associated with monoclonal gammopathies is wide and they are most commonly the consequence of renal deposition of monoclonal immunoglobulin or its components. The differential diagnosis is difficult and renal biopsy is essential. To distinguish many of these pathologies is necessary to use techniques that are not always available, even in tertiary central hospitals. This review will discuss the clinical presentation, pathologic features, treatment, prognosis and common diagnostic difficulties of these entities.info:eu-repo/semantics/publishedVersio

Structural transitions in orb2 prion-like domain relevant for functional aggregation in memory consolidation

Grant BBM_TRA_0203 PD/BD/148028/2019 UIDB/04378/2020The recent structural elucidation of ex vivo Drosophila Orb2 fibrils revealed a novel amyloid formed by interdigitated Gln and His residue side chains belonging to the prion-like domain. However, atomic-level details on the conformational transitions associated with memory consolidation remain unknown. Here, we have characterized the nascent conformation and dynamics of the prion-like domain (PLD) of Orb2A using a nonconventional liquid-state NMR spectroscopy strategy based on 13C detection to afford an essentially complete set of 13Ca, 13Cb, 1Ha, and backbone 13CO and 15N assignments. At pH 4, where His residues are protonated, the PLD is disordered and flexible, except for a partially populated a-helix spanning residues 55–60, and binds RNA oligos, but not divalent cations. At pH 7, in contrast, His residues are predominantly neutral, and the Q/H segments adopt minor populations of helical structure, show decreased mobility and start to self-associate. At pH 7, the His residues do not bind RNA or Ca21, but do bind Zn21, which promotes further association. These findings represent a remarkable case of structural plasticity, based on which an updated model for Orb2A functional amyloidogenesis is suggested.publishersversionpublishe

Implications for phase separation

Funding Information: The authors would also like to acknowledge Prof. Dr. Jaime Mota, Dra. Irina Franco for the technical assistance with the microscopic experiments, Philip O'Toole for the aid in protein production and Dr. Aldino Viegas and Dr. David Pantoja-Uceda for the support and valuable discussions regarding NMR spectroscopy. This work was supported by Fundação para a Ciência e a Tecnologia (FCT-Portugal) for funding UCIBIO project (UIDP/04378/2020 and UIDB/04378/2020) and Associate Laboratory Institute for Health and Bioeconomy – i4HB Project (LA/P/0140/2020). The authors also thank FCT-Portugal for the PhD grant attributed to SF (PD/BD/148028/2019) under the PTNMRPhD Program. JO is a recipient of a Leonardo Grant from the Spanish BBVA Foundation (BBM_TRA_0203) and a Ramón y Cajal Grant (RYC2018-026042-I funded by MCIN/AEI/10.13039/501100011033 and by “ESF Investing in your future.”) JO and DVL are supported by the Spanish Grants PID-2019-109276RA-I00 and PID-2019-109306RB-I00, respectively, both funded by MCIN/AEI/10.13039/501100011033. The NMR spectrometers are part of the National NMR Facility supported by FCT-Portugal (ROTEIRO/0031/2013–PINFRA/22161/2016, co-financed by FEDER through COMPETE 2020, POCI and PORL and FCT through PIDDAC). The 800 MHz spectrometer present in the “Manuel Rico” NMR laboratory (LMR-CSIC) is a node of the Spanish Large-Scale National Facility (ICTS R-LRB-MR). Publisher Copyright: © 2022 The Authors. Protein Science published by Wiley Periodicals LLC on behalf of The Protein Society.The mediation of liquid–liquid phase separation (LLPS) for fused in sarcoma (FUS) protein is generally attributed to the low-complexity, disordered domains and is enhanced at low temperature. The role of FUS folded domains on the LLPS process remains relatively unknown since most studies are mainly based on fragmented FUS domains. Here, we investigate the effect of metabolites on full-length (FL) FUS LLPS using turbidity assays and differential interference contrast (DIC) microscopy, and explore the behavior of the folded domains by nuclear magnetic resonance (NMR) spectroscopy. FL FUS LLPS is maximal at low concentrations of glucose and glutamate, moderate concentrations of NaCl, Zn2+, and Ca2+ and at the isoelectric pH. The FUS RNA recognition motif (RRM) and zinc-finger (ZnF) domains are found to undergo cold denaturation above 0°C at a temperature that is determined by the conformational stability of the ZnF domain. Cold unfolding exposes buried nonpolar residues that can participate in LLPS-promoting hydrophobic interactions. Therefore, these findings constitute the first evidence that FUS globular domains may have an active role in LLPS under cold stress conditions and in the assembly of stress granules, providing further insight into the environmental regulation of LLPS.publishersversionpublishe

Pericardial and pleural effusions associated with sirolimus and discussion of possible mechanisms

Sirolimus, a mammalian target of rapamycin inhibitor, is an increasingly used immunosuppressant in solid-organ transplantation. There are an increasing number of reports of unusual oedematous adverse effects associated with this drug, including lymphoedema, ascites and pleural effusions, and a few reports of pericardial effusions. No pathophysiological explanation for these phenomena has been disclosed. We report a 33-year-old sirolimus-treated kidney transplant recipient with chronic pericardial and pleural effusions identified nine years after transplantation. He was initially treated for a presumed tuberculous pericarditis, even though cultures for Mycobacterium tuberculosis were negative. After 12 months of antitubercular therapy, visceral effusions persisted. Pericardial effusion was drained and stabilised. After exclusion of other causes, sirolimus toxicity was considered the most likely cause. Two months after discontinuation of sirolimus, visceraleffusions disappeared. Interaction of mammalian target of rapamycin inhibitors with mediators of lymphangiogenesis may be a common link in oedematous states associated with sirolimus

Techniques of intestinal transplantation in rat

Two surgical models of intestinal transplantation in the rat are described. One is the implantation of fetal and newborn intestine as free grafts into the omentum of adult recipients, the other the adult intestine transplantation as an accessory graft using vascular anastomoses. A hundred and sixteen small-bowel transplantations were done; 36 of which were fetal intestine (group I), 40 of newborn intestine (group II), and 40 of adult intestine (group III). In the fetal and newborn intestinal transplantation, we emphasize the practices that allowed us to avoid ischemic and traumatic injury to the graft. In the adult intestine transplantation with vascular anastomoses, we heighten the modifications in the surgical technique that made the operation easier and the strategies used to prevent hypothermia and hypovolemic shock. Once experienced with the two chosen surgical techniques, transplantation using an avascular segment became much easier and quicker than transplantation with vascular anastomoses. © 1998 Wiley-Liss, Inc. MICROSURGERY 18:424-429, 199