Tuberculous Otitis Media with Facial Paralysis: A Clinical and Microbiological Diagnosis—A Case Report

The tuberculosis of the ear is rare, and in most cases the clinical picture resembles that of a chronic otitis media. The diagnosis is often delayed, and this can lead to irreversible complications such as hearing loss and/or facial paralysis. In view of its rare occurrence, we report a case of primary tuberculous otitis media in a 87-year-old female patient. The diagnosis was made on the basis of both histological and microbiological findings. In particular, gene amplification techniques such as real-time polymerase chain reaction are useful method for rapid diagnosis and detecting tuberculous bacilli usually present at very low number. Early diagnosis is essential for the prompt institution of antituberculous therapy

Rapid recovery of Mycobacterium tuberculosis complex from clinical specimens using the BACTEC 9000 MB system, a new automated fluorimetric technique

Objective: To evaluate the new non-radioactive automated method BACTEC 9000 MB system for the rapid detection of mycobacteria in clinical specimens.Methods: Ninety clinical specimens from 90 patients with a clinical diagnosis of tuberculosis were tested by both BACTEC 9000 and standard microbiological methods, and the results compared.Results: The BACTEC 9000, in comparison with the standard method, showed significantly higher detection rates (45 of 90 positive versus 34), shorter time to culture positivity (mean time 18.8 versus 27.4 days) and lower contamination rate (2.2% versus 5.5%).Conclusions: These results encourage the use of this new system and suggest its use in microbiological laboratories involved in mycobacteriology

Recombinant adeno associated viral (AAV) vector type 9 delivery of Ex1-Q138-mutant huntingtin in the rat striatum as a short-time model for in vivo studies in drug discovery

Huntington's disease (HD) is an inherited neurodegenerative disorder characterized by dyskinesia, cognitive impairment and emotional disturbances, presenting progressive neurodegeneration in the striatum and intracellular mutant Huntingtin (mHTT) aggregates in various areas of the brain. Recombinant Adeno Associated Viral (rAAV) vectors have been successfully used to transfer foreign genes to the brain of adult animals. In the present study we report a novel in vivo rat HD model obtained by stereotaxic injection of rAAV serotype2/9 containing Exon1-Q138 mHTT (Q138) and Exon1-Q17 wild type HTT (Q17; control), respectively in the right and in the left striatum, and expressed as C-terminal GFP fusions to facilitate detection of infected cells and aggregate production. Immunohistochemical analysis of brain slices from animals sacrificed twenty-one days after viral infection showed that Q138 injection resulted in robust formation of GFP-positive aggregates in the striatum, increased GFAP and microglial activation and neurodegeneration, with little evidence of any of these events in contralateral tissue infected with wild type (Q17) expressing construct. Differences in the relative metabolite concentrations (N-Acetyl Aspartate/Creatine and Myo-Inositol/Creatine) were observed by H1 MR Spectroscopy. By quantitative RT-PCR we also demonstrated that mHTT induced changes in the expression of genes previously shown to be altered in other rodent HD models. Importantly, administration of reference compounds previously shown to ameliorate the aggregation and neurodegeneration phenotypes in preclinical HD models was demonstrated to revert the mutant HTT-dependent effects in our model. In conclusion, the AAV2/9-Q138/Q17 exon 1 HTT stereotaxic injection represents a useful first-line in vivo preclinical model for studying the biology of mutant HTT exon 1 in the striatum and to provide early evidence of efficacy of therapeutic approaches

Morphometrical evaluation of neurodegeneration: an integrated multiparametric approach using whole slide imaging

Assessing degree of neurodegeneration and eventually identifying a compound related neuroprotection can be much more arduous than one might imagine: number of animals, number of samples/animal, experimental design and statistics, together with the choice of proper IHC markers and the technology whereby they are evaluated are prominent factors in order to obtain reliable results. In acute models, histopathological measurements are an essential part of the experimental procedure; here we describe an integrated (qualitative/quantitative) histological assessment to be applied for the evaluation of neuroprotection in acute models of Huntington’s disease. We used whole slide imaging to validate a rat model of Huntington disease obtained by intrastriatal viral vector delivery of mutant huntingtin (Htt). Recombinant Adeno Associated Viral (AAV) vectors have been used successfully to transfer genes in a variety of tissues, including the brain, in adult animals [1]. Here we used rAAV9, charged with Exon 1 Htt carrying 17 and 138 CAG repeats. AAV9-Ex1- GFP-Q138 injection induced the formation of GFP positive Htt aggregates in the entire striatal area, increased GFAP and microglial activation with respect to Q17 injected striatum. NeuN, ChAT, GFAP, OX42 immunohistochemistry and GFP epifluorescence were evaluated contemporaneously to qualitatively evaluate the degree of induced lesions; qualitative evaluation allowed to exclude animals that have not responded to rAAV9 infection. The remaining selected animals were used for a multivariate statistical analysis based on whole slide imaging of immunohistochemically stained sections. We believe this approach increases results reliability when evaluating animal models of neurodegeneration

Isolation and antibiotic resistance of Ureaplasma spp. isolated from urogenital specimen between 2002 to 2007

Ureaplasma spp. and Mycoplasma hominis are frequently isolated from urogenital samples. Ureaplasma spp is responsible for cervicovaginitis, salpingitis, urethritis, epididymitis, male and female infertility, spontaneous abortion, and during pregnancy, for the premature rupture of the membranes, because of chorionamnionitis. Our study aimed to establish the pattern of antimicrobial resistance among Ureaplasma spp isolated in the area of Andria,Apulia Region, from January 2002 to December 2007. 240/781 (30.7%) of the urogenital samples examined were found Ureaplasma spp.-positive. 152/240 (63.3 %) were >104 UFC/ml and 88/240 (36.7 %) were <104 UFC/ml. With regard to the resistance rate, we observed significant increase in resistance to ciprofloxacin, ofloxacin, erythromycin, clarithromycin, and azithromycin. While we did not observe resistance to doxycycline, strains resistant to tetracycline, josamycin, and pristinamycins, were isolated during last years of investigation. Our data may help improve the management of these infections above all in consideration of the differences among isolates in different geographic regions

Paesaggio vs Simulacro

La città, soprattutto se osservata ad una certa distanza, comunica l’appartenenza a uno specifico progetto che è il risultato dell’attività costruttoria di una comunità insediata e si sostanzia in un diverso rapporto tra tessutoe architetture certe, e quest’ultime sono importanti perché generano riferimenti duraturi e condivisi. Quando a causa della lontananza il vedere dello sguardo si fa impreciso, sfumato e indeterminato, tutto appare più chiaro grazie al vedere del pensiero e della memoria. Le città nella loro realtà materiale, da lontano, si fondono con l’apparenza, un’apparenza ogni volta diversa, espressione della memoria collettiva di chi le abita. Ogni città è, allo stesso tempo, infinite città, quante sono le visioni che la rappresentano. Non importa che la rappresentazione sia oggettiva e riproduca con fedeltà l’originale, la vera essenza della città, risiede nella sua descrizione sintetica, nel paesaggio