Histoplasmosis in Europe

After reviewing the reports ofHistoplasma capsulatum in man, animal and soil, and the results of histoplasmin sensitivity tests in Europe, we have concluded that autochthonous histoplasmosis is present but rare in Europe.Only the European parts of Turkey and of U.S.S.R. are considered in this report.Paper read at the Eighth International Congresses for Tropical Medicine and Malaria, September 1968, Teheran (Iran).     

THE DISTRIBUTION OF COCCIDIOIDOMYCOSIS IN SOUTHERN CALIFORNIA

In coccidioidin skin test surveys among persons of high school age in Saugus, Canoga Park, Banning and Palm Springs areas the average incidence of positive reaction was 15 per cent. Although considerably less than the 68 per cent incidence reported among high school students of Kern County, it is high enough to indicate pockets of relatively high endemicity in Southern California below the San Joaquin Valley.Histoplasmin tests were performed on most of the persons tested with coccidioidin in this survey. The over-all incidence of positive reaction in the group was 7.6 per cent. Most of the subjects with positive reaction to histoplasmin gave a history of having previously lived in some area in the central United States where histoplasmosis is known to be endemic.A few subjects who had positive reaction to coccidioidin tests and who had lived in areas known to be endemic for coccidioidomycosis but not for histoplasmosis, also had positive reaction to histoplasmin. However, the induration produced was always smaller than that caused by the coccidioidin reaction, and there was minimal confusion in interpreting the tests.     

A preliminary note on inter-reaction of skin test sensitivity between Histoplasmin and Chrysosporin in experimental animals

Summary Species ofChrysosporium have been isolated from soil in Iran. Guinea pigs inoculated withChrysosporium keratinophilum gave a positive skin test to histoplasmin and vice versa. This would suggest thatChrysosporium species might be reponsible for positive skin tests to histoplasmin in areas known not to be endemic for histoplasmosis.     

Problemas clínicos en micología médica: problema número 52

The case of a 60 year old woman with hemoptysis and a thin-walled cavitary lesion at the upper lobe of the right lung is presented. The woman presented at the Mycology Unit of the Muñiz Hospital in Buenos Aires City 3 months after the beginning of her clinical manifestations. A hyaline micelial fungus with chlamido-arthroconidias was isolated from the bronchoalveolar lavage. Immunodiffusion and counter-immnunoelectrophoresis with coccidioidin and histoplasmin rendered positive results against both antigents, and skin tests with coccidioidin and histoplasmin were also positive with strong reactions. The isolated fungus was identified as Coccidioides posadasii at the National Microbiology Institute Carlos Malbrán, by means of a molecular technique. The patient was treated with itraconazole by oral route at a daily dose of 200 mg with good clinical response, but due to the persistence of the lung cavity, a surgical removal of the upper lobe of the right lung had to be scheduled.     

Occurrence of histoplasmosis in Asia

The occurrence of histoplasmosis in Asia has been reviewed. Authentic cases of histoplasmosis in man are known from India, Malaysia, Singapore, Indonesia, Thailand, South Vietnam and Japan, but the autochthonous nature of the cases reported has not been established unequivocally. Of the 30 cases of human histoplasmosis recorded from Asia, 15 were confirmed by positive cultures, and their country-wise distribution is as follows: Malaysia — 4, Indonesia — 3, Singapore — 2, Thailand — 2, South Vietnam — 2 and one each from India and Japan. Authentic cases of histoplasmosis in animals are currently unknown from Asia, and likewise there is no information on the natural habitats of the etiologic agentH. capsulatum in this part of the world except for a solitary isolation from soil in bat-infested cave in Malaysia.The available data on the prevalence of cutaneous hypersensitivity to histoplasmin indicates that histoplasmin sensitivity is absent in Israel, Syria, Saudi Arabia, Lebanon and Qatar; sensitivity is negligible or of a very low order in Iran, Iraq, Pakistan and India, and for these countries it has been even suggested that the positive reactors observed may represent cross-sections with some unknown fungus/fungi which may be antigenically related toH. capsulatum. In Japan the frequency of histoplasmin positive reactors has been negligible except in groups of persons working near a U.S. Army base and in factories which used soil and sand imported from overseas including the U.S.A. In Burma and Taiwan the bulk of positive reactions in which the induration did not exceed 8 mm in diameter has been considered probably non-specific. In Indonesia and South Vietnam, on the other hand, where less than 10 per cent of the reactions tended to concentrate around an induration of 16 mm sensitivity to histoplasmin may represent specificH. capsulatum infection in certain cases. Likewisef the requently large reactions reported from the Philippines have also been interpreted to represent specific histoplasmosis infection.The recovery ofH. capsulatum from soil coupled with the finding of well-documented cases of histoplasmosis in Malaysia suggests that the disease is endemic in that country. It is not unlikely that histoplasmosis is endemic in other parts of Asia although this has not been demonstrated so far. Comprehensive mycological, serological and soil studies are indicated in order to investigate the prevalence and incidence of histoplasmosis and to map out the endemic areas of the disease in Asia.Paper read at the Eighth International Congresses for Tropical Medicine and Malaria, September 1968, Teheran (Iran).     

Isolation and identification of Coccidioides immitis from natural sources

The review of media and techniques that have been developed to date appears to provide more than adequate choice for investigators in endemic areas to perform ecological studies of this organism. The final identification of this organism still lies in the demonstration of itsin vivo morphology.Paper read at the Eighth International Congresses for Tropical Medicine and Malaria, September 1968, Teheran (Iran).     

Theory of hemoglobin facilitated oxygen transport

The transport of oxygen in a hemoglobin-saturated medium is theoretically investigated using classical transport theory. It is found that all the chemical complexes can be expressed as a single function of oxygen pressure. A potential difference together with apH shift is predicted to occur across the medium. This research was supported by the United States Public Health Service Training Grant No. 5-T1-GM-833 from the National Institute of General Medical Sciences. This research was supported by a United States Public Health Service Research Career Program Award 5-K6-GM-18,420 from the National Institute of General Medical Sciences.     

Immunology of histoplasmosis: Humoral and cellular activity from a polysacchari-de-protein complex and its deproteinized fraction in experimentally immunized mice

In a previous publication it was reported that a polysaccharide-protein complex (PPC), sensitive to -glucosidase, was isolated from Histoplasma capsulatum. This complex was strongly reactive in an agar gel diffusion assay with sera from patients with histoplasmosis, but was unreactive with sera from patients with coccidioidomycosis. Here, the studies with human sera have been expanded and attempts were made to determine the response of mice immunized with nonviable H. capsulatum or Cocccidioides immitis to PPC or its deproteinized fraction (D-PPC) using more sensitive tests for antibody and including also test for cell-mediated immunity. Histoplasmin and coccidioidin were compared with PPC or its deproteinized fraction (D-PPC) in all assays. In a counterimmunoelectrophoresis (CIE) assay, PPC and D-PPC reacted only with sera from patients with histoplasmosis, whereas cross reactions were noted with histoplasmin and coccidioidin using heterologous sera. Cross-reaction were observed with all four antigen preparations and both types of antisera using a micro complement fixation assay. The assay for macrophage migration inhibitory factor (MIF) was also relatively nonspecific, in that inhibition occurred with cells from animals sensitized with Histoplasma or Coccidioides using both homologous and heterologous antigens. In the footpad assay, histoplasmin and coccidioidin were highly cross-reactive in animals sensitized with the heterologous fungus, but the PPC and D-PPC from H. capsulatum elicited significant reactions only in animals sensitized with Histoplasma.     

Structure and function of the photosynthetic reaction center fromRhodobacter sphaeroides

The three-dimensional structure of the photosynthetic reaction center fromRhodobacter sphaeroides is described. The reaction center is a transmembrane protein that converts light into chemical energy. The protein has three subunits: L, M, and H. The mostly helical L and M subunits provide the scaffolding and the finely tuned environment in which the chromophores carry out electron transfer. The details of the protein-chromophore interactions are from studies of a trigonal crystal form that diffracted to 2.65-Å resolution. Functional studies of the multi-subunit complex by site-specific replacement of key amino acid residues are summarized in the context of the molecular structure.This work was supported in part by the U.S. Department of Energy, Office of Health and Environmental Research, under Contract No. W-31-109-ENG-38 and by Public Health Service Grant GM36598.     

A genetic analysis of linkage group I of Chlamydomonas reinhardi

Summary Crossing over in linkage group I ofChlamydomonas reinhardi was studied by means of the analysis of 1721 unordered tetrads. The data indicate that chiasma interference is positive, that chromatid interference is absent and that crossing over occurs at the 4-strand stage.

---

Zusammenfassung Mit Hilfe der Analyse von 1721 ungeordneten Tetraden wurde das crossing-over in der Koppelungsgruppe I vonChlamydomonas reinhardi untersucht. Aus der Häufigkeit der verschiedenen Tetraden-Typen wird geschlossen, daß crossingover im Vierstrang-Stadium geschieht, und daß eine positive Chiasma-Interferenz existiert, während eine Chromatiden-Interferenz nicht vorkommt.

---

---

With 2 Figures in the Text

---

This work was supported by the United States Public Health Service (Grant No. E 1421) and the National Science Foundation (Grant No. G 2812).

---

A portion of this work was conducted while a Public Health Service Research Fellow of the National Cancer Institute.     

Complementation between exr and uvr A strains of Escherichia coli

Summary When Pl phages grown on strain Bs12 (HCR) were used to infect exr strains Bs2, 4 and 7, and the reverse, a significant increase in survivors of ultraviolet radiation was observed over those found in selfing experiments. No such increase in survivors was found when Pl grown on each of the exr strains was used to infect each of the other exr strains. Only 1% of the survivors of UV treatment were stably resistant to UV. These data are considered a demonstration of complementation between the malB-linked, UV sensitivity genes of Bs12 (uvrA) and Bs2, 4 and 7 (exr).This work was carried out under Public Health Service Grant CA 05687-08 from the National Cancer Institute.Recipient of a Public Health Service Career Development Award.     

Ecological and epidemiological studies of histoplasmosis in the United States of America

Histoplasmosis is a disease that is transmitted from nature to man. The causative agent,Histoplasma capsulatum, grows freely in the soil and the infection is spread by inhalation of the infectious spores. The infection is highly endemic in the central United States. Soil contaminated with fecal droppings of chickens, starlings, blackbirds, and other avian species is a principal source of infection.Paper read at the Eighth International Congresses for Tropical Medicine and Malaria, September 1968, Teheran (Iran).     

Serological study of a pleuropneumonia-like organism and an associatedCorynebacterium species

Summary The complement fixation test was employed to study the possible serological relationship between PPLO 4387 andCorynebacterium C4387. No cross reactions between the two organisms were demonstrated by the methods employed. The limitations of the complement fixation test in this study were discussed. Because of these limitations and the accumulated evidence from other types of studies, the authors concluded that the results obtained are not necessarily proof of the absence of a relationship between the PPLO and theCorynebacterium sp. This work was supported by a PHS Research Grant E-2332 from the National Institute of Allergy and Infectious Diseases, U.S. Public Health Service. This paper is part of a thesis presented to the Graduate School of the University of Maryland in partial fulfillment of the requirements for the M.S. degree in Microbiology. Mailing address: Department of Bacteriology, Walter Reed Army Institute of Research, Washington 12, D.C.     

The role of the Golgi complex in the formation of secretion in the test cells of the follicle of the tunicate,Ciona

Summary Electron microscope studies were made on the test cells which comprise a part of the follicular envelope in the ovary of the tunicate Ciona. During development the cells become filled with secretory granules. The Golgi complex is well developed and usually centrally located in the cells. The morphological variations shown and described strongly suggest that the Golgi complex is mainly concerned with the origin of the secretion in these cells.Supported by research grants (GM-9229, 9230) from the National Institute of General Medical Science, United States Public Health Service.This investigation was supported by a Public Health Service Research Career Program Award (1-K3-GM-11, 524) from the National Institute of General Medical Sciences.     

Drug resistance and pathogenicity of S. aureus isolated from patients

Over the period 1983-1985, investigators from the Institute of Hygiene and Epidemiology, Prague, and the Central Research Institute of Epidemiology, USSR Ministry of Public Health, Moscow, carried out a joint study of drug resistance in S. aureus strains in relation to their enterotoxigenic properties and phage group specificity. Altogether 277 strains were explored which had been isolated at random from the clinical material from infant and adult inpatients. Most of the isolated strains featured multiple resistance to antibiotics: PNC (77.9%), CMP (52.7%), TET (21.6%), ERY (17.6%) and LIN (11.9%). The strains isolated from infants were most frequently resistant to TET and ERY. No correlation was found between the incidence of antimicrobial drugs resistance and toxigenic properties of the isolated strains.     

Coccidioidomycosis in South America. A review of its epidemiology and geographic distribution

Argentina. Twenty-seven human cases and coccidioidin skin-test surveys have located the endemic area of coccidioidomycosis between the 27th and 40th south parallels. Climate is of the arid steppe type in the southern zone, arid hill and prairie in the intermediate zone, and arid hill and prairie plus hot tropical in the northern zone. Temperature ranges from 5° C to 29° C, vegetation is xerophytic and annual rainfall is from 300 to 500 mm. Paraguay. On the basis of human cases and coccidioidin surveys, the endemic area has been delimited between the 19th and 24th south parallels. It was a hot, dry, windy climate with temperature reaching 45° C, an annual rainfall average of 500 mm and xerophytic vegetation. Colombia. On the basis of two human cases and coccidioidin test surveys, an endemic area of low prevalence was confirmed in the northeast between the 10th and 12th north parallels. Altitude in this region is from 2 to 300 meters above sea level, temperature averages about 29° C. Within this region two different areas can be differentiated — one in the north where vegetation is tropical desert brush type and rainfall ranges between 125 and 500 mm; the second in the south with grass and cotton culture and rainfall from 500 to 2000 mm. Venezuela. Thirty-five human cases and nearly 60,000 skin tests made from east to west in the northern part of the country, where the population is concentrated, showed that the endemic area is situated between the 9th and 12th north parallels. This is an arid region with desert soils. Altitude ranges from sea level to 800 meters, annual temperature averages 24° C and rainfall 500 mm in some places, and 29° C and less than 400 mm in others. More than 172 species of plants have been identified in the zone but cacti predominate.C. immitis was isolated from soil collected at a site where a patient had become infected. Bolivia, Peru and Ecuador.Mackinnon studied a patient coming from Bolivia, but he has expressed doubt about the Bolivian origin of the infection because the patient had lived in the Paraguayan Chaco the previous year. More information is necessary to evaluate the human case mentioned in Peru byBinder. Cases reported from Ecuador appear to have been paracoccidioidomycosis and leishmaniasis rather than coccidioidomycosis.Many species of rodents and other wild and domestic animals share with man the possibility of infection in the four countries where the endemic areas have been confirmed.Paper read at the Eighth International Congresses for Tropical Medicine and Malaria, September 1968, Teheran (Iran).     

COCCIDIOIDOMYCOSIS IN SAN FERNANDO VALLEY—Report of a Study Carried Out in 1951-1952

Four cases of benign pulmonary coccidioidomycosis occurred during May 1951 among some 35 teenage students at a boarding school and farm for boys that occupies 30 acres in the northwestern section of the San Fernando Valley within the City of Los Angeles.Epidemiological and serological study of the patients yielded evidence that exposure had occurred on the farm or nearby.Correlation of results of skin testing for sensitivity to coccidioidin among students over the subsequent months and of serologic studies in cases in which there was positive reaction to skin tests indicated exposure to coccidioides during the time the subjects were in residence at the school. In addition, two boys had conversion from negative to positive reaction to coccidioidin while they were in residence.     

Chemical models of oxidative phosphorylation

Chemical models for coupling oxidation to phosphorylation are summarized and examined both from the standpoint of organic reaction mechanisms and with respect to their relevance to mitochondria and chloroplasts. In order to accelerate the progress of our research in bioenergetics, it is suggested to focus at least as much attention on structural biochemistry as on phenomenological observations of energy-transducing membranes.Supported in part by Public Health Service Research Grant No. GM 19990 from the National Institute of General Medical Sciences and by National Science Foundation Research Grant No. PCM 74-24083 A01     

C. parvum in germ-free mice

Summary The effect of previous sensitization to C. parvum, by cross-reacting antigens from other bacteria, on the immunostimulatory effects of C. parvum treatment were studied in germ-free and conventional mice. It was found that the development of splenomegaly and specific delayed hypersensitivity following C. parvum injection were similar in both germ-free mice and conventional mice.Supported by U.S. Public Health Service Grant No. 5S07 RR05705 and NIH Grant no. AM 18530Visiting Investigator. Present address: Department of Experimental Immunobiology, The wellcome Research Laboratories Beckenham, Kent, England.Recipient of a post-doctoral fellowship from the National Foundation for Ileitis and Colitis Inc.Recipient of Research Career Development Award No. AM 0073 from the National Institute of Arthritis, Metabolism and Digestive Diseases     

Light and electron microscopy of the leucocytes of Crassostrea virginica (Mollusca: Pelecypoda)

Summary The fine structure of oyster leucocytes resembles to a great extent, that of typical eucaryotic cells. Organelles which have been described for the first time in this report are light granules, dense granules, protocentriole and X structure. Light microscopy reveals two morphological types of oyster leucocytes: agranular and granular. Based upon nuclear morphology and cytoplasmic compositions revealed in electron microscopy, at least three types of agranular and one type of granular cells are recognized.In the Giemsa-stained preparations, granular leucocytes exhibit three distinct types of cytoplasmic granules: refractile, dark blue, and pink, which presumably correspond to light granules Type A, B, and C seen in the electron micrographs. A granular leucocyte may contain one or more types of granules. Cytochemical investigations show that oyster leucocytes contain at least three hydrolytic enzymes: non-specific esterases, acid, and alkaline phosphatase. The latter two enzymes constitute 63% of the enzyme activity detected. These intracellular enzymes may be associated with the light granules and/or lysosome-like bodies.It is also demonstrated that the granular leucocyte population is significantly higher (P<0.001) in the oysters experimentally infected with Bacillus mycoides (72.19±4.71%) as contrasted with that of the controls (37.18±4.48%).Leucocytes in progressive stages of degeneration are also described.Contribution No. 71 from Marine Research Laboratory, University of Connecticut.The initial phase of this investigation was carried out at the Department of Zoology, Rutgers, The State University, New Brunswick, New Jersey, and supported by Public Health Service Research Grant AI-00781 from the National Institute of Allergy and Infectious Diseases of the National Institute of Health, awarded to Dr. L. A. Stauber. Supported by a grant from the University of Connecticut Research Foundation and Faculty Summer Fellowship to S. Y. Feng.