Tropical biomedicine最新文献

筛选
英文 中文
Unveiling a rare killer: Community-acquired Escherichia coli K1 meningitis in an adult patient. 揭示一个罕见的杀手:社区获得性大肠杆菌K1脑膜炎在一个成人患者。
Tropical biomedicine Pub Date : 2025-06-01 DOI: 10.47665/tb.42.2.006
S N Ab-Karim, N Z Zainol-Abidin, T Z M Tengku-Jamaluddin, S Amin-Nordin
{"title":"Unveiling a rare killer: Community-acquired Escherichia coli K1 meningitis in an adult patient.","authors":"S N Ab-Karim, N Z Zainol-Abidin, T Z M Tengku-Jamaluddin, S Amin-Nordin","doi":"10.47665/tb.42.2.006","DOIUrl":"10.47665/tb.42.2.006","url":null,"abstract":"<p><p>Escherichia coli (E. coli)-induced community-acquired meningitis in adults is exceedingly rare, with an average of only one annual case reported worldwide. The majority of E. coli meningitis cases in adults are associated with healthcare settings, typically following head injuries or neurosurgical interventions. Nonetheless, spontaneous E. coli meningitis in adults can arise in individuals with various comorbid conditions. This case report details the clinical presentation, diagnostic workup, management, and eventual outcome of a 45-year-old male with significant comorbidities who presented with severe respiratory distress, altered mental status, and generalized tonic-clonic seizure. Subsequently, multiplex PCR analysis of cerebrospinal fluid revealed E. coli K1. Despite aggressive management, including broadspectrum antibiotics, the patient deteriorated and succumbed to his illness. This report contributes to the understanding of E. coli K1 as a lethal pathogen in adult meningitis, emphasizing the need for vigilance in diagnosing and treating this condition.</p>","PeriodicalId":101343,"journal":{"name":"Tropical biomedicine","volume":"42 2","pages":"141-145"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Therapeutic insights into Garcinia mangostana: Bioactivities, challenges, and future directions in drug discovery. 对山竹藤黄的治疗见解:生物活性、挑战和药物发现的未来方向。
Tropical biomedicine Pub Date : 2025-06-01 DOI: 10.47665/tb.42.2.010
Y Anis, R V Labana, D Mendonça, S Ayunee, R V D Dimasin, R Bodade, S Sukati, R Boonhok, S M R Oliveira, A P Girol, M de Lourdes Pereira, L Chooi-Ling, C Samudi, V Nissapatorn
{"title":"Therapeutic insights into Garcinia mangostana: Bioactivities, challenges, and future directions in drug discovery.","authors":"Y Anis, R V Labana, D Mendonça, S Ayunee, R V D Dimasin, R Bodade, S Sukati, R Boonhok, S M R Oliveira, A P Girol, M de Lourdes Pereira, L Chooi-Ling, C Samudi, V Nissapatorn","doi":"10.47665/tb.42.2.010","DOIUrl":"https://doi.org/10.47665/tb.42.2.010","url":null,"abstract":"<p><p>Garcinia mangostana is a tropical tree native to India, Sri Lanka, and Southeast Asia. In Traditional Medicinal Systems (TMS), decoctions and infusions prepared from mangosteen fruits have effectively treated skin lesions and various inflammatory conditions. Researchers have also reported its extensive biological activities, viz. antimicrobial, antioxidant, anticancer, antidiabetic, neuroprotective, and cardioprotective effects. This literature review comprehensively describes the biological potential of G. mangostana over the last twenty-five years. It includes a discussion of the bioactive compounds of G. mangostana and their extraction, purification, and characterization processes. Antimicrobial, anticancer, antitumorigenic, antidiabetic, anti-inflammatory, neuroprotective, and antiparasitic activities are discussed in detail. Furthermore, the paper addresses the main obstacles associated with using mangosteen extracts and suggests ways to overcome these challenges. The medicinal properties of G. mangostana are primarily attributed to a-mangostin and other bioactive xanthones. However, other bioactive compounds with potential therapeutic activities remain not fully characterized. Therefore, developing effective extraction methods for these bioactive compounds, along with their characterization, possible bioactivities (pharmacodynamics), and any synergistic effects, is essential. Additionally, pharmacokinetic studies, including absorption, distribution, metabolism, excretion, and toxicity (ADMET), are necessary. It is also worth considering plant parts other than the pericarp.</p>","PeriodicalId":101343,"journal":{"name":"Tropical biomedicine","volume":"42 2","pages":"169-183"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Antiviral effects of resveratrol against the replication of chikungunya and Japanese encephalitis viruses in vitro. 白藜芦醇对基孔肯雅病毒和日本脑炎病毒复制的体外抗病毒作用。
Tropical biomedicine Pub Date : 2025-06-01 DOI: 10.47665/tb.42.2.011
N H Nor Isamuddin, N F Hanuar, S AbuBakar, K K Tan, K L Chin, N Zainal
{"title":"Antiviral effects of resveratrol against the replication of chikungunya and Japanese encephalitis viruses in vitro.","authors":"N H Nor Isamuddin, N F Hanuar, S AbuBakar, K K Tan, K L Chin, N Zainal","doi":"10.47665/tb.42.2.011","DOIUrl":"https://doi.org/10.47665/tb.42.2.011","url":null,"abstract":"<p><p>Chikungunya virus (CHIKV) and Japanese encephalitis virus (JEV) are mosquito-borne arboviruses that pose significant public health risks, especially in tropical regions like Malaysia. CHIKV is linked to joint and muscle pain, while JEV can cause severe neurological illnesses and encephalitis if untreated. With no specific treatments available, research into potential antivirals is crucial. This study investigates the inhibitory potential of resveratrol (RES) against CHIKV and JEV in vitro. Cytotoxicity of RES was assessed on human adenocarcinoma alveolar basal epithelial cells (A549) using the MTS assay, followed by dose-dependent analyses to determine optimal inhibitory concentrations. Antiviral effects were explored through pre-infection, post-infection, virucidal, and anti-adsorption assays, with virus titres measured via plaque and foci-forming assays for CHIKV and JEV, respectively. Results revealed that RES's pre- and post-infection treatments significantly reduced titres of both viruses in a dose-dependent manner. Notably, CHIKV titres were reduced by over 65% (p < 0.01) when treated with 100 µM RES, whether administered pre-infection or post-infection. For JEV, a reduction of over 93% (p < 0.05) was observed only with post-infection treatment, while pre-infection treatment alone did not yield a significant reduction. In addition, both pre-incubation and anti-adsorption assays for CHIKV and JEV showed no significant results. These findings suggest that RES likely inhibits viral replication by modulating host cellular mechanisms rather than directly targeting the viruses. In summary, this study demonstrates that RES exhibits antiviral properties against CHIKV and JEV replication, underscoring its potential as an effective antiviral agent. However, further in vivo studies are needed to fully evaluate its therapeutic potential and efficacy.</p>","PeriodicalId":101343,"journal":{"name":"Tropical biomedicine","volume":"42 2","pages":"184-193"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Discovery of alcohol dehydrogenase (ADH) as a potential vaccine target from Mycolicibacterium smegmatis extracellular vesicles via immunoproteomics. 通过免疫蛋白质组学发现耻垢分枝杆菌胞外囊泡中乙醇脱氢酶(ADH)作为潜在的疫苗靶点。
Tropical biomedicine Pub Date : 2025-06-01 DOI: 10.47665/tb.42.2.014
M Jayaram, N Othman, K Mohd Hanafiah, M Azlan, N Arifin
{"title":"Discovery of alcohol dehydrogenase (ADH) as a potential vaccine target from Mycolicibacterium smegmatis extracellular vesicles via immunoproteomics.","authors":"M Jayaram, N Othman, K Mohd Hanafiah, M Azlan, N Arifin","doi":"10.47665/tb.42.2.014","DOIUrl":"https://doi.org/10.47665/tb.42.2.014","url":null,"abstract":"<p><p>Mycobacterium tuberculosis (MTB), the causative agent of tuberculosis, releases extracellular vesicles (EVs) that impair macrophage functions and circulate bacterial components to modulate the host immune response. While EVs are increasingly investigated as new vaccines and biomarkers, studying MTB EVs is challenging due to the slow growth rate and pathogenic properties of MTB. Mycolicibacterium smegmatis (MSMEG), a non-pathogenic surrogate with a faster growth rate, offers a safer and more convenient option for laboratory studies due to its similarities to MTB. In this study, we explore the antigenic properties of MSMEG EVs to assess their potential use in developing safer tuberculosis vaccine strategies. Through an immunoproteomics approach that combines comprehensive protein separation by OFFGELTM fractionation, Western blot analysis and mass spectrometry, we identified alcohol dehydrogenase (ADH) - a 46 kDa protein involved in mycobacterial cell wall synthesis - as an antigenic protein from MSMEG EVs. Our findings suggest that MSMEG EVs-derived ADH could improve tuberculosis vaccine formulations and potentially be used for coimmunization with the BCG vaccine, offering new and safer strategies to combat tuberculosis.</p>","PeriodicalId":101343,"journal":{"name":"Tropical biomedicine","volume":"42 2","pages":"213-219"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the potential of enterovirus A71 fomite and respiratory transmission in a hamster model. 在仓鼠模型中探索肠道病毒A71亚型和呼吸道传播的可能性。
Tropical biomedicine Pub Date : 2025-06-01 DOI: 10.47665/tb.42.2.004
S N A N Baharin, H Y Chang, L H Saw, Y T Hooi, V Rmt Balasubramaniam, I C Sam, Y F Chan
{"title":"Exploring the potential of enterovirus A71 fomite and respiratory transmission in a hamster model.","authors":"S N A N Baharin, H Y Chang, L H Saw, Y T Hooi, V Rmt Balasubramaniam, I C Sam, Y F Chan","doi":"10.47665/tb.42.2.004","DOIUrl":"https://doi.org/10.47665/tb.42.2.004","url":null,"abstract":"<p><p>Enterovirus A71 (EV-A71) is a common pathogen of hand, foot, and mouth disease (HFMD) frequently contracted by young children. The virus commonly transmits by faecal contamination, and possibly through direct or indirect contact via fomite and respiratory routes. Transmission via fomites and the respiratory route via airborne or droplets is not clearly understood. Mouse-adapted EV-A71 (MP4 EV-A71) was used to study the effect of EV-A71 fomite-induced and respiratory transmission in one-week-old hamsters. For fomite transmission, the hamsters were exposed to coins contaminated with 10<sup>4</sup> 50% tissue culture infectious dose (TCID<sub>50</sub>) of EV-A71. All hamsters survived, showing self-limiting progression, and no significant loss of weight, but low viral RNA loads were detected in the oral washes and the mother of the exposed hamsters developed low neutralization titers. Despite the low fomite doses, transmission likely occurred in these hamsters. In respiratory transmission using an aerosol test chamber which was placed within the biological safety cabinet, self-limiting progression were seen in contact hamsters exposed to index hamsters orally infected with 10<sup>4</sup> TCID<sub>50</sub> of EV-A71. Index hamsters showed infection and died, but all contact hamsters survived. Computational fluid dynamics analysis showed that the transmission risk of the virus was heavily dependent on the cabinet airflow. Due to the strong convection flow, the exhaled air from the index-infected hamsters were defected, reducing the risk of infection to the contact hamsters. Taken together, our findings suggest that compared to control oral infections, fomites and respiratory transmission is less effective, but could still occur. This first animal model transmission study can be further refined with different virus dosages, exposure time and air flow to study fomite and respiratory transmission of EV-A71 in hamsters.</p>","PeriodicalId":101343,"journal":{"name":"Tropical biomedicine","volume":"42 2","pages":"123-129"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Innocuous to insidious: an unpredictable diagnosis of Streptococcus sanguinis infective endocarditis in a young adult. 无害的潜伏:一个不可预测的诊断血链球菌感染性心内膜炎在一个年轻的成年人。
Tropical biomedicine Pub Date : 2025-06-01 DOI: 10.47665/tb.42.2.015
G K Ong, Z Y Siew, P P Leong, S T Wong, K Sree Raman, K Voon
{"title":"Innocuous to insidious: an unpredictable diagnosis of Streptococcus sanguinis infective endocarditis in a young adult.","authors":"G K Ong, Z Y Siew, P P Leong, S T Wong, K Sree Raman, K Voon","doi":"10.47665/tb.42.2.015","DOIUrl":"https://doi.org/10.47665/tb.42.2.015","url":null,"abstract":"<p><p>Streptococcus sanguinis is a commensal oral flora and an opportunistic pathogen prevalently implicated in native valve infective endocarditis (IE). However, in developing nations, infective endocarditis is currently affecting young healthy adults. In this case report, we presented a case of a 26-year-old male with Streptococcus sanguinis endocarditis without obvious aetiology, which was initially diagnosed and treated for dengue fever. A full medical history, physical examination, procedures such as transoesophageal echocardiography and electrocardiogram, and laboratory tests of full blood count and blood cultures were obtained to diagnose infective endocarditis based on the modified Duke criteria. The patient underwent mitral valve replacement with antibiotic therapy and currently presents no further complications. This article underscores the significance of thorough clinical assessment on patients and the hidden, life-threatening complications of Streptococcus sanguinis infective endocarditis if left untreated.</p>","PeriodicalId":101343,"journal":{"name":"Tropical biomedicine","volume":"42 2","pages":"220-225"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144577495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The distribution of B lymphocyte subpopulations in mice infected with Mycobacterium tuberculosis H37Ra. H37Ra结核分枝杆菌感染小鼠B淋巴细胞亚群的分布。
Tropical biomedicine Pub Date : 2025-03-01 DOI: 10.47665/tb.42.1.013
Y Lv, C Wang, L Bai
{"title":"The distribution of B lymphocyte subpopulations in mice infected with Mycobacterium tuberculosis H37Ra.","authors":"Y Lv, C Wang, L Bai","doi":"10.47665/tb.42.1.013","DOIUrl":"10.47665/tb.42.1.013","url":null,"abstract":"<p><p>Tuberculosis (TB), an infectious disease caused by the bacterium Mycobacterium tuberculosis (Mtb), is a major cause of morbidity and mortality worldwide. Annually, millions of new cases of tuberculosis are documented. Research in tuberculosis-immune has hitherto focused predominantly on the role of T cells in Mtb infection. Although there have been studies in progress which have supported the notion that B cells are crucial players in combating infectious diseases, the role of B cells in TB is still not fully understood. There is a paucity of in-depth analysis of various B lymphocyte subpopulations and the understanding of the immunophenotypic changes of the B-cell lineage during tuberculosis infection. Therefore, we aimed to investigate the changes in B lymphocyte subpopulations in mice infected with M.tuberculosis H37Ra. The percentage/frequency of peritoneal B cells (CD45R+), B1b cells (CD45RIntIgDCD5- CD11+), splenic B cells (CD45R+), and splenic marginal zone B (MZ B) cells (CD45R+CD23- CD21hi) decreased (P < 0.05), while the percentage of splenic follicular B (Fo B) cells (CD45R+CD23+ CD21int) and lymph node B cells (CD19+) increased at the 4th and 8th weeks (P < 0.05). It was suggested that H37Ra infection changed the distribution of B lymphocyte subpopulations. In addition, the percentage of CD69+B cells and memory B cells (CD45R+CD27+ IgD+/-) increased in the infected mice at different infection periods (P < 0.05), which suggested H37Ra infection promoted B cell activation and produced a large number of memory B cells. As a conclusion, H37Ra infection can affect the distribution of B lymphocyte subpopulations, with a concomitant down-regulation of MZ B cells, which perform innate immunity, and up-regulation of adaptive immune response cells (Fo B cells and lymph node B cells). Furthermore, it has been demonstrated that H37Ra infection can promote the immune response of B lymphocytes to tuberculosis, through the stimulation of the body to produce a large number of activated and memory B cells.</p>","PeriodicalId":101343,"journal":{"name":"Tropical biomedicine","volume":"42 1","pages":"76-84"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sexual mosaicism in the black fly Simulium (Gomphostilbia) hongthaii (Diptera: Simuliidae) in Vietnam. 越南红台黑蝇的性嵌合现象(双翅目:黑蝇科)。
Tropical biomedicine Pub Date : 2025-03-01 DOI: 10.47665/tb.42.1.007
D V Nguyen, H Takaoka
{"title":"Sexual mosaicism in the black fly Simulium (Gomphostilbia) hongthaii (Diptera: Simuliidae) in Vietnam.","authors":"D V Nguyen, H Takaoka","doi":"10.47665/tb.42.1.007","DOIUrl":"10.47665/tb.42.1.007","url":null,"abstract":"<p><p>Sexual mosaicism was found in an adult black fly reared from a pupa in Vietnam. It is considered an antero-posterior type of gynandromorph, showing female phenotype for the head, thorax and wing; male phenotype for the abdomen including the genitalia; and mixed phenotype for the legs. The fly is identified as Simulium (Gomphostilbia) hongthaii in the S. asakoae species-group by having the sensory vesicle medium-long (0.28-0.30 times as long as the third palpal segment), mandible without teeth on its outer margin, and ventral plate transverse, with its lateral margins emarginated basally when viewed ventrally, and trapezoidal, with its ventral margin nearly straight when viewed posteriorly. This specimen represents the first record of a black fly with sexual mosaicism in Vietnam.</p>","PeriodicalId":101343,"journal":{"name":"Tropical biomedicine","volume":"42 1","pages":"44-46"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Detection of Leptospira in environmental samples of wet markets and paddy fields in Penang, Malaysia. 马来西亚槟城菜市场及水田环境样本中钩端螺旋体的检测。
Tropical biomedicine Pub Date : 2025-03-01 DOI: 10.47665/tb.42.1.009
B L Ling, Z E Tay, N Philip
{"title":"Detection of Leptospira in environmental samples of wet markets and paddy fields in Penang, Malaysia.","authors":"B L Ling, Z E Tay, N Philip","doi":"10.47665/tb.42.1.009","DOIUrl":"10.47665/tb.42.1.009","url":null,"abstract":"<p><p>Leptospirosis, caused by the Leptospira spp., is endemic in humid subtropical and tropical climates. Several environmental settings can harbour the survival of Leptospira; hence, continuous surveillance of the high-risk areas is critical. This study was conducted to detect the presence of Leptospira in wet markets and paddy fields in Penang, Malaysia. A total of 62 soil and water samples were collected aseptically from three wet markets and two paddy fields. The samples were cultured twice on the sampling day and after two weeks of storage in the dark at ambient temperature. All environmental samples and positive cultures were subjected to deoxyribonucleic acid (DNA) extraction and polymerase chain reaction (PCR) targeting 16S rRNA, lipL32 and rrs genes. 16S rRNA-positive samples were further sent for sequencing. Of 62 samples, 21 (21/62, 33.9%) tested positive via culture and PCR. Wet markets significantly had a higher detection rate of leptospires (29%) than paddy fields (4.8%). Four Leptospira species (L. selangorensis, L. dzoumogneensis, L. mtsangambouensis, and L. meyeri) were identified in wet markets and three (L. meyeri, L. wolffii, and L. kmetyi) in paddy fields. Storing the environmental samples for two weeks before isolation yielded a higher positivity (11/14) than culturing samples on the sampling day (6/14). The presence of Leptospira in the environment of wet markets and paddy fields in Penang although primarily intermediate and saprophyte indicates the crucial need to implement preventive measures to prevent the possibility of leptospirosis infection among the workers.</p>","PeriodicalId":101343,"journal":{"name":"Tropical biomedicine","volume":"42 1","pages":"51-57"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Use of multiplex molecular respiratory panel in COVID-19 patients with suspected co-infections: Insights and considerations in results interpretation. 多重分子呼吸检测在疑似合并感染的COVID-19患者中的应用:结果解释中的见解和考虑
Tropical biomedicine Pub Date : 2025-03-01 DOI: 10.47665/tb.42.1.004
A S Nawi, E N S Engku Abd Rahman, N M N Nik Zuraina, N Musa, M Z Salleh, M N F Samsudin, W C Chua, A Muhd Besari, R Hassan, Y Y Chan
{"title":"Use of multiplex molecular respiratory panel in COVID-19 patients with suspected co-infections: Insights and considerations in results interpretation.","authors":"A S Nawi, E N S Engku Abd Rahman, N M N Nik Zuraina, N Musa, M Z Salleh, M N F Samsudin, W C Chua, A Muhd Besari, R Hassan, Y Y Chan","doi":"10.47665/tb.42.1.004","DOIUrl":"10.47665/tb.42.1.004","url":null,"abstract":"<p><p>As critically ill COVID-19 patients are prone to infections by other respiratory pathogens, this study aimed to investigate the detection of respiratory co-pathogens in such patients, by employing a multiplex respiratory molecular panel. Conducted at Universiti Sains Malaysia Specialist Hospital (HPUSM) from November 1, 2021, to November 1, 2022, this retrospective cross-sectional study analysed adults admitted with confirmed COVID-19. Oropharyngeal/ nasopharyngeal swabs collected upon admission were tested using the Fast Track Diagnostic (FTD®) Respiratory Pathogens 33 multiplex kit to detect other respiratory pathogens. Within 48 hours of admission, the presence and type of organisms were determined to assess community co-infections. Among 48 critically ill COVID-19 patients (26 male; mean age, 62.2 years), clinically significant organisms were found in 32 patients (67%). Bacterial co-infections or co-colonization were detected in 91% (29/32) of these patients, with Klebsiella pneumoniae (40%) and Staphylococcus aureus (23%) were the most common, followed by Streptococcus pneumoniae (11%), Moraxella catarrhalis (4%), and Haemophilus influenzae (2%). Fungal (6%) and viral (2%) co-infections were less frequent. The use of syndromic respiratory panel in critically ill COVID-19 patients offers the advantage of being highly sensitive, rapid, and able to detect multiple pathogens. However, detection of multiple respiratory pathogens needs to be interpreted with caution, taking into consideration patient's clinical and radiological findings, as well as quantitative molecular data.</p>","PeriodicalId":101343,"journal":{"name":"Tropical biomedicine","volume":"42 1","pages":"21-26"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信