Neurofibromatosis 1 and massive hemothorax: a fatal combination

Type 1 neurofibromatosis (NF 1), a rare genetic disease with autosomal dominant transmission, has typical dermatologic manifestations with pathognomonic Lisch nodules, and is rarely known for vascular alterations. Among these, aneurysmal dilatation is the most common form. We report a fatal case of massive hemothorax due to a spontaneous rupture of the left pulmonary artery branch micro-aneurysm in a NF 1 patient. Indeed, spontaneous rupture of these pathologic vessels is very rare in clinical practice and the literature, but, for its potentially life-threatening complications, there is the need for it to be taken into account in differential diagnosis. The origin of bleeding was first confirmed by computed tomography angiography (CTA). The patient\u2019s condition worsened suddenly leading to pulmonary hemorrhage and death. A clinical autopsy was required to assess the definitive cause of death

Evaluation of the Agronomic Performance of Organic Processing Tomato as Affected by Different Cover Crop Residues Management

No‐till practices reduce soil erosion, conserve soil organic carbon, and enhance soil fertility. Yet, many factors could limit their adoption in organic farming. The present study investigated the effects of tillage and cover cropping on weed biomass, plant growth, yield, and fruit quality of an organic processing tomato (Solanum lycopersicon L. var. Elba F1) over two seasons (2015–2017). We compared systems where processing tomato was transplanted on i) tilled soil following or not a winter cover crop (Trifolium squarrosum L.) and with/without a biodegradable plastic mulch; and ii) no‐till where clover was used, after rolling and flaming, as dead mulch. Tomato in no‐till suffered from high weed competition and low soil nitrogen availability leading to lower plant growth, N uptake, and yield components with respect to tilled systems. The total yield in no‐till declined to 6.8 and 18.3 t ha−1 in 2016 and 2017, respectively, with at least a 65% decrease compared to tilled clover‐based systems. No evidence of growth‐limiting soil compaction was noticed but a slightly higher soil resistance was in the no‐till topsoil. Tillage and cover crop residues did not significantly change tomato quality (pH, total soluble solids, firmness). The incorporation of clover as green manure was generally more advantageous over no‐till. This was partly due to the low performance of the cover crop where improvement may limit the obstacles (i.e., N supply and weed infestation) and enable the implementation of no‐till in organic vegetable systems

Cytokine storm and histopathological findings in 60 cases of COVID-19-related death: from viral load research to immunohistochemical quantification of major players IL-1\u3b2, IL-6, IL-15 and TNF-\u3b1

This study involves the histological analysis of samples taken during autopsies in cases of COVID-19 related death to evaluate the inflammatory cytokine response and the tissue localization of the virus in various organs. In all the selected cases, SARS-CoV-2 RT-PCR on swabs collected from the upper (nasopharynx and oropharynx) and/or the lower respiratory (trachea and primary bronchi) tracts were positive. Tissue localization of SARS-CoV-2 was detected using antibodies against the nucleoprotein and the spike protein. Overall, we tested the hypothesis that the overexpression of proinflammatory cytokines plays an important role in the development of COVID-19-associated pneumonia by estimating the expression of multiple cytokines (IL-1\u3b2, IL-6, IL-10, IL-15, TNF-\u3b1, and MCP-1), inflammatory cells (CD4, CD8, CD20, and CD45), and fibrinogen. Immunohistochemical staining showed that endothelial cells expressed IL-1\u3b2 in lung samples obtained from the COVID-19 group (p\u2009<\u20090.001). Similarly, alveolar capillary endothelial cells showed strong and diffuse immunoreactivity for IL-6 and IL-15 in the COVID-19 group (p\u2009<\u20090.001). TNF-\u3b1 showed a higher immunoreactivity in the COVID-19 group than in the control group (p\u2009<\u20090.001). CD8\u2009+\u2009T cells where more numerous in the lung samples obtained from the COVID-19 group (p\u2009<\u20090.001). Current evidence suggests that a cytokine storm is the major cause of acute respiratory distress syndrome (ARDS) and multiple organ failure and is consistently linked with fatal outcomes

Management of the corpse with suspect, probable or confirmed COVID-19 respiratory infection \u2013 Italian interim recommendations for personnel potentially exposed to material from corpses, including body fluids, in morgue structures and during autopsy practice.

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