Isolation of Cryptococcus spp. from several environmental niches in São Luís, MA

Cryptococcosis is an invasive mycosis triggered by a complex of fungal pathogens present in various environmental niches. Cryptococcus neoformans, C. gattii, and emerging pathogens such as C. laurentii and C. albidus are found in aged excreta of Columba livia (pigeon), its natural disseminator. As the pigeon population has increased in São Luís, the objective of this research was to demonstrate the presence of Cryptococcus spp. in the excreta of C. livia in public environments. Twenty-three samples were collected at 14 sites, dispensed into conical tubes, homogenized with saline and chloramphenicol, and allowed to rest until processing. Twenty-four hours after collection, aliquots were distributed in a fungal culture medium and incubated. The macromorphological examination revealed levaduriform, mucoid, bright, isolated colonies compatible with Cryptococcus spp. In the micromorphological examination, 11 of the 23 samples (42.85%) showed the presence of cells with a thick, refringent capsule and mucopolysaccharide around the blastoconidia, typical of Cryptococcus spp. fungi. The other samples (57.14%) were negative for the fungus. The environmental isolation of this fungus in public areas is relevant to public health since the growing pigeon population in São Luís increases the risk of exposure and infection by dispersion of infectious propagules in the environment

Sickle Cell Anaemia Prevalence among Newborns in the Brazilian Amazon-Savanna Transition Region

Sickle cell anaemia is one of the most common hemoglobinopathies worldwide and an important public health problem in Brazil. This study evaluated the prevalence of sickle cell anaemia and its traits in newborns from the Amazon-Savanna Transition Region in the state of Maranhão, Brazil. A cross-sectional study was carried out, based on data from neonatal screening tests performed in 2013–2015 in Maranhão. The Hardy-Weinberg theorem was applied to analyse the frequency of expected homozygotes based on HbSS phenotype. A spatial-temporal distribution analysis was performed to delimit the regions with the greatest number of newborn cases with sickle cell anaemia. Of 283,003 newborns, 162 were found to have sickle cell anaemia, while 10,794 had a sickle cell trait, with a prevalence of 0.05% and 3.8%, respectively. The prevalence of expected homozygotes was higher in the North Region and in the state capital of Maranhão. This study may contribute to existing social and public health actions or the creation of new strategies for sickle cell disease in endemic areas in Brazil to improve the quality of life

Hydroalcoholic Leaf Extract of <i>Punica granatum</i>, alone and in Combination with Calcium Hydroxide, Is Effective against Mono- and Polymicrobial Biofilms of <i>Enterococcus faecalis</i> and <i>Candida albicans</i>

Failures in endodontic treatments are mostly associated with the difficulty in eradicating microbes of the root canal system, highlighting the need to develop novel effective antimicrobials. Punica granatum (pomegranate) leaf hydroalcoholic extract may be a potential alternative in canal dressing, owing to its antimicrobial properties. The objective of this study was to evaluate the antimicrobial activity of hydroalcoholic leaf extract of Punica granatum (HEPg) alone or in combination with calcium hydroxide (Ca(OH)2) against Enterococcus faecalis and Candida albicans in isolation and in mono- and polymicrobial biofilms. Microdilution tests in broth and assays for inhibition of biofilm formation were carried out to evaluate the antimicrobial properties of HEPg and HEPg + Ca(OH)2 against Enterococcus faecalis and Candida albicans. The cytotoxicity of HEPg in HaCaT cells was evaluated by MTT assay. HEPg and HEPg + Ca(OH)2 exerted significant antimicrobial activity against planktonic cells and mono- and polymicrobial biofilms. The combination of Punica granatum extract with Ca(OH)2 appears to be a promising alternative in endodontic treatments, which could be tested in vivo to confirm the efficacy of this mixture in disinfecting root canal systems