No description available.

Thesis (M. Phil.)--University of Hong Kong, 1997. / 3 articles written by the author in pocket. Includes bibliographical references (leaf 154-186).

published_or_final_version / Paediatrics / Master / Master of Philosophy

Proefschrift Universiteit van Amsterdam. / Met lit. opg. - Met een samenvatting in het Nederlands.

No description available.

A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, in partial fulfilment for the Degree of Master of Medicine In the branch of Anatomical Pathology Johannesburg 2015 / Background: Mycobacterium tuberculosis (Mtb) poses a major global health problem. According to the World Health Organization, South Africa is a country with one of the highest reported incidence rates of this disease. Key to overcoming this preventable and treatable disease lies in establishing a reliable and rapid diagnostic approach. Aims and Objectives: This study aims to investigate the validity of the mycobacterium polymerase chain reaction (PCR) assay applied to formalin-fixed, paraffin-embedded tissue in which the histology showed granulomatous inflammation with no demonstrable acid-fast bacilli. Methods: A retrospective, cross sectional and non-interventional study was conducted on 121 histopathology cases showing granulomatous inflammation with a negative Ziehl-Neelsen (ZN) stain. The mycobacterium PCR results obtained in these cases were compared against the results of mycobacterium culture obtained from a specimen derived from the same or related site as the biopsy. Results: The mean age of the study population was 35.3 years and the study cohort included 63 males and 58 females. The sensitivity of nested mycobacterium PCR (detecting the 133 base pair product of the heat shock protein 65 kilo Dalton gene), was 64.1% and the specificity was 68.2%. The positive and negative predictive values were 49% and 80% respectively. Twenty six of the 121 cases studied had a false positive result (21.5%). CONCLUSION: There are many factors that may influence the result of a PCR assay and the interpretation thereof. Some of these factors include the inability of the test to distinguish between live and dead bacilli, the high risk of carry over contamination, and the paucibacillary nature of certain samples with an unequal distribution of the few bacilli that may be present. Although the sensitivity and specificity of mycobacterium PCR on paucibacillary, formalin-fixed, paraffin embedded tissue is suboptimal, the interpretation of these results must be performed in conjunction with the overall clinical presentation of the patient. / MT2016

Abstract available in the Journal of Investigative Medicine.

Chronic Granulomatous Disease is the most commonly encountered immunodeficiency involving the phagocyte, and is characterized by repeated infections with bacterial and fungal pathogens, as well as the formation of granulomas in tissue. The disease is the result of a disorder of the NADPH oxidase system, culminating in an inability of the phagocyte to generate superoxide, leading to the defective killing of pathogenic organisms. This can lead to infections with Staphylococcus aureus, Psedomonas species, Nocardia species, and fungi (such as Aspergillus species and Candida albicans). Involvement of vital or large organs can contribute to morbidity and/or mortality in the affected patients. Major advances have occurred in the diagnosis and treatment of this disease, with the potential for gene therapy or stem cell transplantation looming on the horizon. © 2011 Song et al; licensee BioMed Central Ltd.

Vicia villosa foi relacionada a intoxicações em bovinos e causa uma doença granulomatosa sistêmica caracterizada por lesões de pele e múltiplos nódulos esbranquiçados em vários órgãos. Nesse trabalho realizou-se a intoxicação experimental por sementes e folhas de V. villosa em coelhos e bovinos. Os coelhos que receberam 5g/kg de sementes de ervilhaca apresentaram lesões descamativas e crostosas nas orelhas e evidenciação dos tecidos linfóides do intestino. Os coelhos intoxicados por folhas de ervilhaca e que receberam a aplicação para o teste de hipersensibilidade apresentaram evidenciação dos tecidos linfoides do intestino que corresponderam na histologia a infiltrado de histiócitos, linfócitos e células gigantes multinucleadas. O bovino alimentado com sementes de ervilhaca (5g/kg) não apresentou a doença clínica. Na intoxicação experimental por folhas de V. villosa, o bovino não apresentou sinais clínicos, porém houve aumento nodular dos linfonodos que, na histologia, demonstravam infiltrado granulomatoso. Cinco casos de intoxicações naturais por V. villosa foram diagnosticados no Setor de Patologia Veterinária da Universidade Federal do Rio Grande do Sul (SPV-UFRGS) no período de 2005 a 2010. As principais alterações macroscópicas observadas foram lesões alopécicas e crostosas de pele e múltiplos nódulos branco-acinzentados principalmente localizados nos linfonodos, rins e coração. Na histologia dos animais intoxicados visualizava-se macrófagos, linfócitos, células epitelioides e células gigantes multinucleadas, plasmócitos e eosinófilos. A intensidade do infiltrado granulomatoso variou entre os cinco casos analisados e entre os órgãos de cada animal. Os testes imuno-histoquímicos caracterizaram os infiltrados, que foram constituídos principalmente por linfócitos T e macrófagos. Os resultados dos testes de hipersensibilidade cutânea em bovinos com extratos protéicos da planta sugerem que os animais com a doença clínica apresentam uma resposta de hipersensibilidade tardia enquanto que os demais animais modulam a resposta imune diferentemente. / Vicia villosa was associated with poisoning in cattle, causing a systemic granulomatous disease. Hairy vetch poisoning is characterized by skin lesions and multiple whitish nodules in several organs. This work reports experimental poisoning by seeds and leaves of V. villosa in rabbits and cattle and the spontaneous poisoning by V. villosa in cattle is described. Rabbits received 5g/kg of seeds of hairy vetch and presented scaly, crusted lesions in ear and enlargement lymphoid tissue of intestine. Rabbits poisoned by hairy vetch leaves that were tested for cutaneous hypersensitivity showed enlargement of intestine lymphoid tissue. The histologic feature of this, lesion consisted of granulomatous inflammation. Cattle fed with seeds of hairy vetch (5g/kg) did not have clinical disease. Experimental poisoning by leaves of V. villosa in cattle did not present clinical signs; however, nodules in lymph nodes were observed. Histologically, infiltration of macrophages, lymphocytes and multinucleated giant cells were observed. Five cases of poisoning by V. villosa in cattle were diagnosed at Setor de Patologia Veterinária of Universidade Federal do Rio Grande do Sul (SPV-UFRGS) in the 2005 to 2010 period. Gross lesions were alopecia, skin crusts and multiple nodules mainly located in lymph nodes, kidneys and heart. Microscopically, infiltration of lymphocytes, macrophages, multinucleated giant cells, plasma cells and eosinophils were observed. Intensity of granulomatous infiltration varied among the five cattle and between analyzed organs. The inflammatory infiltration was characterized by immunohistochemistry. It was mainly composed of lymphocytes T and macrophages. Cutaneous hypersensitivity tests with hairy vetch proteins suggest that cattle with clinic disease have type-IV hypersensitivity reaction while others show different immune response.

Vicia villosa foi relacionada a intoxicações em bovinos e causa uma doença granulomatosa sistêmica caracterizada por lesões de pele e múltiplos nódulos esbranquiçados em vários órgãos. Nesse trabalho realizou-se a intoxicação experimental por sementes e folhas de V. villosa em coelhos e bovinos. Os coelhos que receberam 5g/kg de sementes de ervilhaca apresentaram lesões descamativas e crostosas nas orelhas e evidenciação dos tecidos linfóides do intestino. Os coelhos intoxicados por folhas de ervilhaca e que receberam a aplicação para o teste de hipersensibilidade apresentaram evidenciação dos tecidos linfoides do intestino que corresponderam na histologia a infiltrado de histiócitos, linfócitos e células gigantes multinucleadas. O bovino alimentado com sementes de ervilhaca (5g/kg) não apresentou a doença clínica. Na intoxicação experimental por folhas de V. villosa, o bovino não apresentou sinais clínicos, porém houve aumento nodular dos linfonodos que, na histologia, demonstravam infiltrado granulomatoso. Cinco casos de intoxicações naturais por V. villosa foram diagnosticados no Setor de Patologia Veterinária da Universidade Federal do Rio Grande do Sul (SPV-UFRGS) no período de 2005 a 2010. As principais alterações macroscópicas observadas foram lesões alopécicas e crostosas de pele e múltiplos nódulos branco-acinzentados principalmente localizados nos linfonodos, rins e coração. Na histologia dos animais intoxicados visualizava-se macrófagos, linfócitos, células epitelioides e células gigantes multinucleadas, plasmócitos e eosinófilos. A intensidade do infiltrado granulomatoso variou entre os cinco casos analisados e entre os órgãos de cada animal. Os testes imuno-histoquímicos caracterizaram os infiltrados, que foram constituídos principalmente por linfócitos T e macrófagos. Os resultados dos testes de hipersensibilidade cutânea em bovinos com extratos protéicos da planta sugerem que os animais com a doença clínica apresentam uma resposta de hipersensibilidade tardia enquanto que os demais animais modulam a resposta imune diferentemente. / Vicia villosa was associated with poisoning in cattle, causing a systemic granulomatous disease. Hairy vetch poisoning is characterized by skin lesions and multiple whitish nodules in several organs. This work reports experimental poisoning by seeds and leaves of V. villosa in rabbits and cattle and the spontaneous poisoning by V. villosa in cattle is described. Rabbits received 5g/kg of seeds of hairy vetch and presented scaly, crusted lesions in ear and enlargement lymphoid tissue of intestine. Rabbits poisoned by hairy vetch leaves that were tested for cutaneous hypersensitivity showed enlargement of intestine lymphoid tissue. The histologic feature of this, lesion consisted of granulomatous inflammation. Cattle fed with seeds of hairy vetch (5g/kg) did not have clinical disease. Experimental poisoning by leaves of V. villosa in cattle did not present clinical signs; however, nodules in lymph nodes were observed. Histologically, infiltration of macrophages, lymphocytes and multinucleated giant cells were observed. Five cases of poisoning by V. villosa in cattle were diagnosed at Setor de Patologia Veterinária of Universidade Federal do Rio Grande do Sul (SPV-UFRGS) in the 2005 to 2010 period. Gross lesions were alopecia, skin crusts and multiple nodules mainly located in lymph nodes, kidneys and heart. Microscopically, infiltration of lymphocytes, macrophages, multinucleated giant cells, plasma cells and eosinophils were observed. Intensity of granulomatous infiltration varied among the five cattle and between analyzed organs. The inflammatory infiltration was characterized by immunohistochemistry. It was mainly composed of lymphocytes T and macrophages. Cutaneous hypersensitivity tests with hairy vetch proteins suggest that cattle with clinic disease have type-IV hypersensitivity reaction while others show different immune response.