Mayra Fern, A. Ricci, C. F. Campos, C. T. Cartelle, S. Béla, S. D. Cangussú, H. Santiago, C. Almeida-Leite, R. Arantes
{"title":"Nitrergic Myenteric Neurons are Spared in Experimental Chagasic Megacolon","authors":"Mayra Fern, A. Ricci, C. F. Campos, C. T. Cartelle, S. Béla, S. D. Cangussú, H. Santiago, C. Almeida-Leite, R. Arantes","doi":"10.4172/2314-7326.1000235","DOIUrl":"https://doi.org/10.4172/2314-7326.1000235","url":null,"abstract":"Chagas disease is a chronic disorder caused by the Trypanosoma cruzi protozoan. The infection causes alterations to the enteric nervous system such as megaesophagus and megacolon. There is evidence of denervation of myenteric ganglia. The intense parasitism of acute phase affects neuronal integrity but contrasts with the absence of parasites and the discreet inflammatory process of chronic phase, indicating a progressive injury mechanism that needs to be better understood in the megacolons. The potential selectivity of enteric neurons classes affected by the progression of the disease is not yet clear. Nitrergic neurons which co-localize other neurotransmitters represent the most common inhibitory neuron of the ENS. Recently a chronic stage of the Chagas disease was reproduced experimentally in a suitable murine model of megacolon. Considering the limitation of studying human intestine and the controversy on the pattern of nNOS involvement in chagasic megacolon, we decided to assess the nitrergic neurons in the myenteric plexus of mice. We used antibodies against structural protein gene product 9.5 (PGP 9.5) and functional neuronal nitric oxide synthase (n-NOS) at the acute and chronic phase of the disease to quantify myenteric ganglionar neurons in the colon of infected and non-infected mice. We found a reduction in the ganglionar number of neurons detected by anti-protein gene product 9.5 antibodies in colon from mice at the chronic stage. However, the number of nitrergic neurons per ganglia remained unchanged along the acute to phase chronic of the disease. Our findings indicate a long-term preservation of nitregic neurons detrimental to other classes of enteric in our model of experimental Chagas disease. We propose that differential loss of enteric neurons is at least one of the structural substrate for the development of the longterm morphfunctional changes that lead to the megacolon.","PeriodicalId":89982,"journal":{"name":"Journal of neuroinfectious diseases","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87727067","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}
{"title":"Neurotoxocariais: A Rare or Neglected Disease?","authors":"Aless, R. Nicoletti","doi":"10.4172/2314-7326.1000234","DOIUrl":"https://doi.org/10.4172/2314-7326.1000234","url":null,"abstract":"Human toxocariasis is due to the larval stages of the Ascarids Toxocara canis (T. canis ) and probably Toxocara catis , common roundworm of dogs and cats respectively. Among the helminthiasis, toxocariasis is one of the most prevalent worldwide, especially in settings where man-soil-dog relationship is particularly close. Even if it tends to be more prevalent in tropical settings, seroprevalence in western countries ranges from 2.4% to 31.0%.","PeriodicalId":89982,"journal":{"name":"Journal of neuroinfectious diseases","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89657012","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}
Deepak Bhagch, V. Atam, S. Thadani, K. Sawlani, I. Atam, A. Thadani
{"title":"The Etiological Diagnosis and Outcome in Patients of Acute Viral Encephalitis: A Prospective Observational Study at Tertiary Care Centre of North India","authors":"Deepak Bhagch, V. Atam, S. Thadani, K. Sawlani, I. Atam, A. Thadani","doi":"10.4172/2314-7326.1000233","DOIUrl":"https://doi.org/10.4172/2314-7326.1000233","url":null,"abstract":"Background: Encephalitis, despite being an uncommon entity, is of public health importance worldwide because \u0000of its high morbidity and mortality. Around 70% of the disease burden is in Uttar Pradesh itself. \u0000Purpose of study: To study the etiological prevalence and outcome of different viruses as causative agent of \u0000acute viral encephalitis in patients reporting to a tertiary health care center in North India. \u0000Methods: All the patients presenting with febrile encephalopathy attending the medicine outdoor patient \u0000 department or emergency of medicine department were enrolled in the study, of these a total of 92 patients fulfilling \u0000 the inclusion criteria were included in the study. An informed consent from the patients/their attendants was \u0000obtained. \u0000Results: Minimum age of patients was found to be 14 years while maximum age was 61 years. Around 65.22% \u0000 were males and majority of the patients were from Barabanki (22.83%). Magnetic Resonance Imaging findings were \u0000 found to be positive in 85.87%. Most common etiology was Japanese encephalitis (38.04%) with human \u0000 immunodeficiency Virus encephalitis (3.26%) being least common. After a follow up at 1 month, neurological \u0000 sequelae were found to be highest in Japanese encephalitis while 100% mortality in human immunodeficiency virus \u0000 encephalitis and recovery was highest in Dengue encephalitis (85.00%). Difference in outcome of different types of \u0000 encephalitis was found to be statistically significant. Recovery was highest in age group up to 20 years (57.69%). \u0000Difference in outcome and age of patients was found to be statistically significant. \u0000Conclusion: Early Reporting, appropriate workup and stabilization of the suspected acute viral encephalitis \u0000patients are important so as to reduce the morbidity and mortality.","PeriodicalId":89982,"journal":{"name":"Journal of neuroinfectious diseases","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91313694","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}
{"title":"Exploring Serologic Indicators for Laboratory Diagnosis of Asymptomatic Neurosyphilis","authors":"Weiming Gu, Yue Chen, Lei Wu, Yang Yang","doi":"10.4172/2314-7326.1000232","DOIUrl":"https://doi.org/10.4172/2314-7326.1000232","url":null,"abstract":"Background: Diagnosis of asymptomatic neurosyphilis (NS) has been challenging. The gold standard for NS diagnosis relies on venereal disease research laboratory (VDRL) test of cerebrospinal fluids (CSF). The aim of this study was to examine criteria for lumbar puncture and CSF examinations in asymptomatic NS patients. \u0000Methods: One hundred and twenty-three syphilis inpatients were recruited, including 24 NS and 99 non-NS cases. NS diagnosis was based on hospital discharge. Clinical data were collected. Serological tests included Treponema pallidum particle agglutination assay (TPPA), the toluidine red unheated serum test (TRUST), and concentrations of serum IgG, IgA, IgM and albumin. Parameters of CSF examinations included reactivity of VDRL test and TPPA, white blood cell counts (WBC), levels of CSF IgA, IgG and IgM, levels of CSF albumin, total protein and glucose. \u0000Results: Neurologic manifestations were significantly associated with NS. The titres and reactivity of serum TRUST and TPPA, and the concentrations of serum IgG, IgA, IgM and albumin were not significantly different between NS and non-NS patients. In CSF, 95.8% NS patients were VDRL reactive, and all non-NS patients were VDRL non-reactive. Levels of CSF WBC, IgG, IgA, IgM, albumin and total protein were significantly higher in NS than non-NS patients. Levels of CSF glucose and chloride were not different between NS and non-NS patients. The indexes of IgG and IgM and the quotient of albumin were significantly higher in NS than in non-NS patients. Multiple logistic regression analysis revealed that among the CSF and non-CSF indicators only neurologic manifestations were significantly associated with NS. \u0000Conclusions: Neurologic manifestation was the only indicator significantly associated with NS. Serologic parameters seem not sensitive laboratory indicators for diagnosis of NS.","PeriodicalId":89982,"journal":{"name":"Journal of neuroinfectious diseases","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76129718","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}
{"title":"Transcranial Magnetic Stimulation Therapy in Spastic Cerebral Palsy Children Improves Motor Activity","authors":"Meena Gupta, B. Rajak, D. Bhatia, A. Mukherjee","doi":"10.4172/2314-7326.1000231","DOIUrl":"https://doi.org/10.4172/2314-7326.1000231","url":null,"abstract":"Transcranial magnetic stimulation (TMS) is a new interventional tool used in the study of neuronal activity and treatment of psychiatric disorders. Repetitive TMS (rTMS) is a non-invasive technique of stimulating the brain employing magnetic pulses. Recent research has demonstrated the efficacy of rTMS in facilitating motor functions. Using these evidences, we studied the effectiveness of rTMS in improving motor activity in spastic cerebral palsy (CP) children. CP is a neuro-developmental disorder of movement and posture that is caused by injury to the developing brain that restrict activities of daily living. In the quest to treat CP, several interventions are used among which physical therapy is the mainstay therapy. In this study, we selected 45 spastic CP children and divided them randomly into three groups-the reference group (RG) that was provided only physical therapy (PT) for 30 minutes daily for 20 days; the interventional group (IG) that was administered rTMS frequency of 5Hz (IG-A) and 10Hz (IG-B) for 15 minutes (1500 pulses) daily followed by PT as in RG. Gross motor function measure (GMFM) was used as assessment tool to evaluate the motor performance. Prior to start of therapy, pre-assessment of GMFM was performed on all participants and post assessment after completion of 20 sessions. The result was statistically significant in all three groups (p<0.001) and the mean change demonstrated 0.64%, 1.75% and 2.59% improvement in motor activity among participants in RG, IG-A and IG-B respectively. The study demonstrated positive effect of rTMS in improving motor activity when combined with PT.","PeriodicalId":89982,"journal":{"name":"Journal of neuroinfectious diseases","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74335913","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}
{"title":"West Nile Virus Infections in (European) Birds","authors":"P. Koraka, L. Barzon, B. Martina","doi":"10.4172/2314-7326.1000226","DOIUrl":"https://doi.org/10.4172/2314-7326.1000226","url":null,"abstract":"West Nile virus (WNV), a member of the Flaviviridae family is an important emerging pathogen transmitted by mosquitoes of the Culex sp . wild-and (peri) domesticated birds act as the natural hosts of WNV. Birds are not only susceptible to WNV, but also participate in maintaining the transmission cycle.","PeriodicalId":89982,"journal":{"name":"Journal of neuroinfectious diseases","volume":"9 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2016-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75434520","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}
{"title":"Risk of Reactivation of Latent HBV Hepatitis in Patients Under Neurosurgical Treatment","authors":"Y. Ogawa, T. Tominaga","doi":"10.4172/2314-7326.1000230","DOIUrl":"https://doi.org/10.4172/2314-7326.1000230","url":null,"abstract":"Reactivation of hepatitis B virus (HBV) is a risk in the 350 million HBV carriers worldwide. HBV reactivation may cause hepatocellular carcinoma, cirrhosis, and fulminant hepatitis, and HBV reactivation accompanied with malignant tumor and/or chemotherapy is a critical problem for the patients with chronic HBV infection. In addition, multiple risk factors causing immunosuppressive state can also induce HBV reactivation, which includes a few cases of intrinsic cortisol over secretion as Cushing’s syndrome or very low-dose steroid treatment for hypopituitarism after pituitary surgeries. \u0000Appropriate screening methods and the discussion for preventive supplementation of antiviral drugs for HBV reactivation are required. For patients with pituitary tumors precise operative procedures and careful treatment planning are essentially required to avoid HBV reactivation.","PeriodicalId":89982,"journal":{"name":"Journal of neuroinfectious diseases","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2016-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87174473","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}
Yingchao Su, Zhang Benping, M. Yihong, San Yongzhi, Q. Jun, Chunhua Liu, Senlin Mao, Mingjie Li, Pengwei Wang, Li Feng
{"title":"Triptolide Protects Neurons from Endoplasmic Reticulum Stress-Mediated Apoptosis in Cerebral Ischemic Injury Rats","authors":"Yingchao Su, Zhang Benping, M. Yihong, San Yongzhi, Q. Jun, Chunhua Liu, Senlin Mao, Mingjie Li, Pengwei Wang, Li Feng","doi":"10.4172/2314-7326.1000229","DOIUrl":"https://doi.org/10.4172/2314-7326.1000229","url":null,"abstract":"This study aimed to investigate the neuroprotective effect of Triptolide (T10) on cerebral ischemia/reperfusion \u0000 (I/R) injury and explore the underlying mechanisms. Adult male Sprague-Dawley rats were treated with T10 and \u0000 subjected to middle cerebral artery occlusion (MCAO) for 90 min. Neurological deficits and infarct volume were \u0000 measured 24 h after reperfusion. ER stress-mediated proteins, ryanodine receptors (RyRs), cysteinyl aspartate \u0000 specific proteinase 8 (Caspase-8), Fas-associated death domain (FADD) and C/EBP homologous protein (CHOP) \u0000 were evaluated 1, 4, and 24 h after reperfusion. Pretreatment with 1 mg/kg of T10 significantly reduced infarct \u0000 volume and neurological deficits. Further, TUNEL staining demonstrated T10 significantly decreased neuronal \u0000 apoptosis in the peri-infarct area after reperfusion. More importantly, T10 prevented ER stress-mediated expression \u0000 of RyR, FADD, caspase-8 and CHOP in the peri-infarct area of rats. These results indicate that T10 attenuates the \u0000 ER stress-induced apoptosis in cerebral I/R injury and suggest that T10 is a promising agent for the treatment of \u0000 ischemic stroke.","PeriodicalId":89982,"journal":{"name":"Journal of neuroinfectious diseases","volume":"32 1","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2016-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83959768","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}
{"title":"Primate Erythroparvovirus 1 (Parvovirus B19): An Etiologic Agent of Ataxia and Cerebellar Disease?","authors":"J. A. Hobbs, Hena Waseem","doi":"10.4172/2314-7326.1000227","DOIUrl":"https://doi.org/10.4172/2314-7326.1000227","url":null,"abstract":"Ataxia, a gross lack of motor control, is symptomatic of broader neurological disorder, typically of the cerebellum. \u0000A few case reports have documented the association of primate erythroparvovirus 1 [more commonly known as \u0000human parvovirus B19 (B19)] with ataxia. Parvoviruses are small DNA viruses that infect many different species. \u0000B19 is a well-known cause of erythema infectiosum, a common rash disease of childhood. B19 is also a cause of \u0000hydrops fetalis, a severe anemia of the fetus. Is it possible that the human parvovirus B19 is a cause of ataxia","PeriodicalId":89982,"journal":{"name":"Journal of neuroinfectious diseases","volume":"25 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2016-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82382595","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}
R. Rastogi, S. Jain, Y. Gupta, P. Joon, A. Wani, Vijai Pratap
{"title":"Unusual Pyogenic Meningitis Masquerading as Leukodystrophy","authors":"R. Rastogi, S. Jain, Y. Gupta, P. Joon, A. Wani, Vijai Pratap","doi":"10.4172/2314-7326.1000225","DOIUrl":"https://doi.org/10.4172/2314-7326.1000225","url":null,"abstract":"Meningitis is a frequent cause of morbidity and mortality in pediatric age-group with pyogenic cases outnumbering other etiologies especially in the Indian subcontinent. Though the diagnosis of meningitis is usually made on clinical and CSF examination yet imaging is often required to rule out focal lesions, hydrocephalus and other complications or when clinical examination is equivocal. Rarely, initial imaging may be normal or may suggest another diagnosis leading to clinicoradiological discordance making further detailed evaluation imperative. Hence, in this article, we present a rare case of pyogenic meningitis that mimicked leukodystrophy on initial imaging with unusual presentation on detailed imaging.","PeriodicalId":89982,"journal":{"name":"Journal of neuroinfectious diseases","volume":"97 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2016-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79148778","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}