Evaluating the impact of Hymenoscyphus fraxineus in Trentino (Alps, Northern Italy): first investigations

The spread of Hymenoscyphus fraxineus has been causing great concern regarding the survival of European ash (Fraxinus excelsior) throughout Europe since the 1990s. The disease was first recorded in Trentino (southern Alps, Italy) in 2012 and has spread throughout the mountain landscape, where ash trees are scattered in small and isolated stands in different valleys. The status of the disease was checked by monitoring the damage to natural regeneration and adult trees in 90 sites spread over the whole region. The survey confirmed the complete colonization by the pathogen of the whole investigated area, with high levels of damage to both young and adult ash trees. Regeneration (both seedlings and saplings) was observed to be affected by the fungus in 88 plots out of 90. Out of 4486 examined young European ashes, 2261 (50.4%) were affected and 789 (17.6%) were already dead. Ten of the 384 assayed flowering ashes (Fraxinus ornus) showed symptoms on branches and apical stems, similar to those observed for European ash. Isolation and molecular analysis proved the presence of the fungus on both symptomatic European and flowering ashes. The examined 386 adult trees showed different levels of damage, sometimes reaching more than 75% of the crown. Some individual trees (42) growing close to severely damaged trees appeared fully healthy, which suggests the possible existence of some resistant/tolerant individuals in the examined populations

Congenital hepatic mesenchymal hamartoma associated with mesenchymal stem villous hyperplasia of the placenta: case report

A newborn with an unusual association of hepatic mesenchymal hamartoma and mesenchymal stem villous hyperplasia of the placenta is presented. At birth, the large hepatic mass caused severe respiratory distress necessitating early surgical intervention. This report on the association of hepatic mesenchymal hamartoma and mesenchymal stem villous hyperplasia of the placenta strongly suggests a common pathogenetic origin of the 2 lesions

Cardiovascular Implantable Electronic Device Infection and New Insights About Correlation Between Pro-inflammatory Markers and Heart Failure: A Systematic Literature Review and Meta-Analysis

Introduction: Surgical approaches to treat patients with abnormal pro-inflammatory parameters remain controversial, and the debate on the correlation between hematological parameter alteration in cardiac implantable electronic device (CIED) infection and the increase in mortality continues. Methods: We performed a systematic review using the PubMed, Scopus, and Cochrane Library databases. Twenty-two articles from May 2007 to April 2020 were selected and divided according to the following topics: prevalence of microbes in patients with CIED infection; characteristics of patients with CIED infection; comparison between patients who underwent and did not undergo replantation after device extraction; and correlation between alteration of hematological parameters and poor prognosis analysis. Results: Epidemiological analysis confirmed high prevalence of male sex, staphylococcal infection, and coagulase-negative staphylococci (CoNS). The most common comorbidity was heart failure. Complete removal of CIED and antimicrobial therapy combination are the gold standard. CIED replacement was associated with higher survival. High preoperative white blood cell count and C-reactive protein levels increased the risk of right ventricular failure (RVF) development. Increased red blood cell distribution width (RDW) value or decreased platelet count was correlated with poor prognosis. No correlation was noted between preoperative leukocytosis and CIED infection

Cryptostroma corticale: malattia della corteccia fuligginosa dell'acero

Le segnalazioni di questa malattia che colpisce il genere Acer sono in crescita in tutta Europa. La sua recrudescenza pare legata al riscaldamento del clima. Oltre a portare a morte le piante e a comprometterne la stabilità meccanica, il fungo ascomicete che ne è causa, Cryptostoma corticale, minaccia la salute umana producendo una grande quantità di spore aeree che possono causare gravi infiammazioni polmonari

Utility of post mortem MRI in definition of thrombus in aneurismatic coronary arteries due to incomplete Kawasaki Disease in infants

Kawasaki disease (KD) is an acute, self-limited vasculitis of unknown etiology that primarily affects the coronary artery (CA) and presents in childhood. The characteristic coronary arterial lesion is an aneurysm, which may lead to thrombosis, dilatation, stenosis, and occlusion. Such an aneurysm is typically calcified and generally develops five or more years after the onset of acute KD. It becomes more noticeable after ten years. KD is sometimes difficult to diagnose because of the limited clinical features, especially in infants younger than 6 months old, where the clinical presentations often do not fulfill the diagnostic criteria for KD. We report a case of Incomplete Kawasaki Disease (IKD) causing unexpected death in infants. A seven-month-old male baby, apparently well nourished and without fever or exanthema that was unexpectedly found agonal in his bed by his parents. He died in an emergency room a few hours later in spite of aggressive resuscitation efforts. Postmortem Magnetic Resonance Images were obtained during the autopsy, with evidence of an occlusive thrombus in left and right coronary artery aneurysms. Laboratory findings were consistent with IKD. The crucial role of postmortem imaging is discussed here in order to improve diagnosis tools for preventable events

Situation and evolution of sanitary status in chestnut stands

Hypovirulence is currently present and stable in most of the monitored Italian chestnut woods and vegetative recovery of trees is evident everywhere. The effectiveness of hypovirulence is due to the natural spread of normal, intermediate and white strains of Cryphonectria parasitica which may or may not contain dsRNA, but have different levels of virulence. This mixture of isolates enables synergies to exalt host resistance and to improve the spread of dsRNA among pathogen populations, thus overcoming any problems of vegetative incompatibility. The dynamic of ink disease, which has re-appeared in recent years and is very worrying due the severity of the damages, now seems to be more under control. Some foci appear to be exhausted and almost partially recovered, while others are still in slow expansion. For this disease micro site condition and weather behaviour appears to be determining factors even if the spread of more pathogenic lines of the parasite cannot be excluded. Other constraining factors could influence this situation as: years with arid periods in both winter and summer, new virulent lines of the parasite and the effect of massive and persistent attacks of Chinese wasp, Dryochosmus kuryphilu