Perianal and/or rectal lesions in South American blastomycosis

Summary The authors review and comment on Brazilian literature on the observations of South American Blastomycotic lesion in perineal, anal and/or rectal localization.They relate a case of a patient presenting a perineal lesion two years after the excision of a tumor caused byP. brasiliensis in the brain.They comment onMackinnon's pathogenic theory of South American Blastomycosis that presumes that lungs are the portal of entry ofP. brasiliensis by inhalation of its spores. Thus, mucocutaneous lesions are secondary to a primary pulmonary localization by hematogenous route.

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Sumário Os autores revisam e comentam a literatura brasileira sôbre as observacões de Blastomicose Sul-americana com localização peineoano-retal.Relatam a observação de um paciente no qual a lesão perineal surgiu dois anos após a ablação de um tumor do cérebro porP. brasiliensis.Discutem a casuística à luz da teoria patogênica deMackinnon, admitindo que a porta de entrada do fungo seja pelas vias aéreas, por inhalação dos espórios do fungo. As lesões mucocutãneas são pois secundárias à localização pulmonar primária, (às vêzes inaparantes) da qual resultam por disseminaçåo hematógena.

     

North American blastomycosis in Central Canada: A review of 36 cases

Experience with 36 cases of North American blastomycosis in Central Canada is reported. Symptoms referable to the respiratory tract predominated, but no uniform clinical pattern for the disease process was evident. Cutaneous and genitourinary tract involvement was present in only a small proportion of patients. The majority of the patients resided in rural areas or were associated with some form of outdoor occupation or activity. No characteristic radiologic appearance could be identified in this series. Amphotericin B administered intravenously is the treatment of choice for this condition. North American blastomycosis is more widespread on this continent than has been previously demonstrated.     

Researches on the etiological agents of the american blastomycosis

Summary and conclusion We have been able to establish typical characteristics of the species, in artificial culture media, of the fungus causingPosadas-Wernicke's disease. Our work is base on the study of ten strains of the fungus and on their retrocultures — obtianed by inoculation of these strains in laboratory animals — in variosu culture media, among them cornmeal agar (Emmons media) which in our opinion is a medium indispensable for the differencing and for the classification of the fungus from other agents which produce syndromes of a like nature.A revision was made of the literature of the morphology of the causal agent ofPosadas-Wernicke's disease and an analysis of the predominant and characteristic fructification of the fungus. In attention to the above facts, we think that the fungus in question should be included in the genusAleurisma Link, 1809. Therefore, admitting the validity of this genus, we believe that the name of the etiological agent ofPosadas-Wernicke's disease should be changed toAleurisma immitis, the diagnosis being justified by the microscopic study inEmmons media and completed by the forms found in a medium rich in glycides. The diagnoses is the following: Aleurisma immitis. — In substratis pauperibus gignuntur hyphis mycelicis hyalinis, septatis, satis ramosis, ramulis in angulo pene recto; aleuriis abundantissimis, valde simplicibus, centralibus et regulariter seriatis, vel apicalibus, rarissime lateralibus, sessilibus, rare pedicellatis, rectangularibus, hyalinis, aliquoties in racemis et thyrsis dispositis. Spirae saepe videntur. In substratis carbohydratis plenis, chlamydosporis intercalaribus et apicalibus abundantibus; aleuriis et spiris nec numerosis aut typicis quam in pauperibus substratis.(so called Coccidioidomycosis)     

Cutaneous North American blastomycosis: report of a case from central Canada.

Records of admission to general hospitals throughout Ontario over a six-month period, together with an independently existing list of hemophiliacs known to the Canadian Haemophilia Society, furnish the basis for a statistical estimate of the prevalence of hemophilia in 1966. This is set at 1.44 or more per 10,000 males at birth. It is inferred from age-specific data that the prevalence among the general population may be rising beyond its present level of about 1 per 10,000 living males.     

On the importance of south American blastomycosis

The importance of South American blastomycosis is proved by about 4,500 evolutive cases, but at present it is still impossible to evaluate the grade of the endemic. Experimental investigations and clinical observations induce to consider that the port of entry ofParacoccidioides brasiliensis is usually pulmonary and that the oropharyngeal lesions are proper of a terminal stage of dissemination and not of primary character. The immunological methods will probably permit an early diagnosis and an adequate evaluation of the endemic. Research in South American blastomycosis needs and deserves the attention of international public health organizations.

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Zusammenfassung Die Wichtigkeit der südamerikanischen Blastomykose ist durch das Vorkommen von 4,500 Fällen bewiesen; jedoch ist es gegenwärtig immer noch unmöglich den Umfang der Endemie zu bestimmen. Experimentelle Untersuchungen sowie klinische Beobachtungen lassen es annehmen, daß die Eintrittspforte vonParacoccidioides brasiliensis die Lunge ist und oropharingeale Läsionen charakteristisch für das Endstadium sind und nicht als primäre Läsionen. Die immunologische Methode wird wahrscheinlich gestatten, eine Frühdiagnose zu machen und den Umfang der Endemie auszuwerten. Die Untersuchungen der südamerikanischen Blastomykose benötigt die Aufmerksamkeit der internationalen Gesundheitsbehörden.

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Paper read at the Eighth International Congresses for Tropical Medicine and Malaria, September 1968, Teheran (Iran).     

New studies on the esterase D polymorphism in South American Indians

A total of 2, 490 South American Indians affiliated with 10 tribes were studied for esterases A₁, A₂, A₃, B, D, and carbonic anhydrases 1 and 2. Wide variation was observed in the prevalence of ESD¹, the extreme values being 0. 44, encountered among the Xikrin, and 0. 95, found among the Cashinawa. Seven of the 10 frequencies fell within the interval of 0. 66–0. 87. These results were integrated with those of earlier surveys. In a general way we observe lower values in the eastern and Atlantic Coast groups, but this is mainly due to the low frequencies found among the Gê tribes and the Caingang, who speak a language which has many affinities with Gê. High prevalences were observed among the tropical forest tribes. A fair amount of intervillage, intratribal variation was found among the Ticuna and Caingang. No variability was detected in the A₁, A₂, A₃, B esterases. In the carbonic anhydrases we confirmed the presence of a “private polymorphism” among the Baniwa.     

Evolution of the Madrean-Tethyan disjunctions and the North and South American amphitropical disjunctions in plants

The present paper reviews advances in the study of two major intercontinental disjunct biogeographic patterns： （i） between Eurasian and western North American deserts with the Mediterranean climate （the Madrean- Tethyan disjunctions）; and （ii） between the temperate regions of North and South America （the amphitropical disjunctions）. Both disjunct patterns have multiple times of origin. The amphitropical disjunctions have largely resulted from long-distance dispersal, primarily from the Miocene to the Holocene, with available data indicating that most lineages dispersed from North to South America. Results of recent studies on the Mediterranean disjuncts between the deserts of Eurasia and western North America support the multiple modes of origin and are mostly consistent with hypotheses of long-distance dispersal and the North Atlantic migration. Axelrod＇s Madrean-Tethyan hypothesis, which implies vicariance between the two regions in the early Tertiary, has been favored by a few studies. The Beringian migration corridor for semiarid taxa is also supported in some cases.     

Aldehyde dehydrogenase polymorphism in North American, South American, and Mexican Indian populations.

While about 40% of the South American Indian populations (Atacameños, Mapuche, Shuara) were found to be deficient in aldehyde dehydrogenase isozyme I (ALDH2 or E2), preliminary investigations showed very low incidence of isozyme deficiency among North American natives (Sioux, Navajo) and Mexican Indians (mestizo). Possible implications of such trait differences on cross-cultural behavioral response to alcohol drinking are discussed.     

Hybridization between South American Jarilla and North American diploid creosotebush (Larrea,Zygophyllaceae)

Different strains of the two diploidLarrea speciesL. divaricata (S. America) andL. tridentata (N. America), are compared morphologically, cytologically, and in their seed proteins. There are minor differences, also in chiasma frequencies. Experimental F₁ hybrids have near-normal meiosis but are semisterile. The parental species, therefore, biologically may be considered allopatric semispecies.     

A molecular biogeographic analysis of the relationship between North American melanoploid grasshoppers and their Eurasian and South American relatives

The Melanoplinae constitute one of the two largest subfamilies of Acrididae. Distributed mainly throughout the New World and parts of Eurasia, this group of grasshoppers includes over 100 genera and 800 species. Over the past five decades there has been considerable speculation on the origins of North and South American taxa. The most favored hypothesis proposes an ancient division of Laurasian taxa accompanying the separation of North America and Eurasia, with subsequent radiations within those continents, followed by a recent incursion of Nearctic melanoplines into the southern hemisphere with the establishment of the Isthmus of Panama. This research tests that scenario by phylogenetic analysis using as characters portions of five mitochondrial gene sequences, totaling 2285 bp. Three tree-building methods, maximum-parsimony, neighbor-joining, and maximum-likelihood, strongly support the different view that melanopline grasshoppers originated somewhere in the Americas and spread to the Old World. The feasibility of these findings is discussed within a geological context.     

Enterobius vermicularis: ancient DNA from North and South American human coprolites

A molecular paleoparasitological diagnostic approach was developed for Enterobius vermicularis. Ancient DNA was extracted from 27 coprolites from archaeological sites in Chile and USA. Enzymatic amplification of human mtDNA sequences confirmed the human origin. We designed primers specific to the E. vermicularis 5S ribosomal RNA spacer region and they allowed reproducible polymerase chain reaction identification of ancient material. We suggested that the paleoparasitological microscopic identification could accompany molecular diagnosis, which also opens the possibility of sequence analysis to understand parasite-host evolution.