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Query: UMLS:C0021051 (immunodeficiency)
 71,517 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

An explanation is provided for the male predominance in incidence of infectious diseases in children. A theoretical and mathematical model for predicting sex ratios for different prevalences of increased susceptibility to infectious disease in males is presented. The theoretical model states that males are more likely to experience symptomatic disease due to an increased prevalence of a factor such as immune deficiency. Variables are the proportion infected, the ratio of symptomatic (clinical) to asymptomatic (subclinical) infections, and the prevalence of males with increased susceptibility to infectious disease. Data included incidence of viral hepatitis, shigellosis and salmonellosis between 1966-85 and viral meningitis between 1971-85 by age and sex for Israeli Jews and nonJews. Other data for shorter time periods included poliomyelitis (1958-62), measles (1976-85), and diphtheria (1958-70). Single years of age were used for those 0-4 years. In diseases where vaccination has reduced the case load, the male to female incidence ratio was estimated with incidence density computed for the whole time period. The results of the analysis showed that male incidence 5 years in all 3 bacterial and 4 viral diseases was higher. The incidence ratios showed an excess of 20-100% for infectious diseases. This consistent pattern is not apparent in the literature because sex differences may be difficult to detect among symptomatic diseases; i.e., measles. There is also a lower symptomatic to nonsymptomatic infection ratio and small sex incidence ratio for shigellosis, salmonellosis and viral hepatitis. Where the symptomatic to nonsymptomatic ratio is about 1:50 or 1:100, the male to female incidence ratio will be much higher at about 2:1 and more readily detected. The immunodeficiency prevalence among males as an explanation for the susceptibility of males for diseases was not supported by an excess frequency of 2-3% in overt symptoms, although it is still considered a viable hypothesis. It is suggested that the inconsistencies in reports on male predominance in infectious diseases may be an artifact of statistics showing variability in the proportion of symptomatic infectious diseases. The implications are that comparisons should be made between the sexes. The disease rates may be biased by different proportions of males in the study and placebo groups in vaccine testing. Sex differences and disease should be examined further.
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PMID:The male predominance in the incidence of infectious diseases in children: a postulated explanation for disparities in the literature. 142 96

During 1988-89 this continuing survey showed 18 infections in the staff of laboratories reporting from 166 centres, representing 21,756 person-years of exposure. Shigella and other bowel infections (one caused by S typhi) predominated, affecting 11 microbiology medical laboratory scientific officers. Three shigella infections originated from quality control samples. Pulmonary tuberculosis affected four workers, including two mortuary technicians, but without detected occupational exposure to Mycobacterium tuberculosis. Other infections included one caused by Brucella melitensis. Hepatitis was not reported. The sustained low level of hepatitis is encouraging and suggests a low risk to staff of bloodborne infections such as human immunodeficiency virus.
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PMID:Infections in British clinical laboratories, 1988-1989. 189 Feb 1

As many as 256 patients with Flexner's dysentery caused by the same source of infection were examined. It has been established that in patients with a severe and protracted course of the disease, secondary immunodeficiency is formed by the relative hypersuppressor type and the function of phagocytizing macrophages decreases. Patients with the reduced immune characteristics manifest deceleration of convalescence and repeated isolation of Shigella after the antibiotic therapy. It is concluded that the use of immunocorrectors is advisable in a complex of different methods of the treatment for the protracted and severe forms of dysentery.
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PMID:[The clinico-pathogenetic significance of disorders of the immune status in dysentery]. 209 88

Scientific advances in methodology and epidemiology have resulted in a renewed awareness of foodborne disease, and increased contact among nations of the world has stimulated rapid global distribution of foods as well as foodborne pathogens. New food vehicles are being identified for old, familiar pathogens, and new pathogens are being discovered. Current research in food microbiology has spurred development of rapid and specific methods to identify these pathogens and to assess their virulence. Organisms of recent interest, such as Bacillus, Yersinia, Campylobacter, Listeria, Sporothrix, Giardia, Cryptosporidium, and Anisakis, are the foci of new investigations, as are the more familiar foodborne pathogens, Salmonella, Shigella, Clostridium, Staphylococcus, Entamoeba and Ascaris. Some foodborne organisms, such as parasitic protozoa, serve as hosts for unique bacterial and viral symbionts but also might become infected with mammalian viruses. The remote possibility of the transmission of human immunodeficiency viruses in foodborne protozoa is discussed.
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PMID:Public health and research perspectives on the microbial contamination of foods. 218 Aug 84

The aetiology of two outbreaks of diarrhoea in pre-term neonates (March-August; September, 1987), at Kenyatta National Hospital was studied. The first outbreak involved 98 neonates and enteropathogenic E. coli of different serotypes were the most commonly isolated agents (54%), with serotype 086a:K61 dominating. These were followed by Salmonella (16%) also of different groups, and then rotavirus (6%). Two campylobacter and two Shigella were isolated from four individual neonates. Mixed infections were mainly those of Salmonella and E. coli (5 cases). E. coli serotype 086 was found to be in circulation throughout the study period (March-August, 1987), whilst 044:0125 and 0128 circulated for a limited period. Salmonella and some strains of E. coli caused persistent diarrhoea despite antibiotic therapy. Nosocomial infections were found to play a role in subsequent diarrhoeas. In the second diarrhoea outbreak, again enteropathogenic E. coli and Salmonella were the most frequently isolated. However, in this outbreak, there was no single E. coli serotype revealed that some possessed plasmids of 120-160 megadalton. However, a search for human immunodeficiency viral antibodies in 120 stools produced negative results.
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PMID:Aetiology of diarrhoea in pre-term neonates at Kenyatta National Hospital nursery, Nairobi, Kenya. 219 78

Shigella sp. is known to be an important cause of diarrhea in homosexual men, although chronic infection is infrequently recognized. We describe recurrent and relapsing symptomatic infection due to Shigella flexneri in a human immunodeficiency virus-infected homosexual man subsequently developed acquired immunodeficiency syndrome. Patients with acquired immunodeficiency syndrome may be prone to developing chronic shigellosis because of impaired intestinal cell-mediated immunity.
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PMID:Chronic Shigella flexneri infection preceding development of acquired immunodeficiency syndrome. 264 99

We studied 388 homosexual or bisexual men from the Baltimore-Washington area to define the spectrum of enteric pathogen carriage in a population at high risk for "gay bowel syndrome" in association with human immunodeficiency virus infection. Seventy-seven patients with acquired immunodeficiency syndrome, 68 gay men with symptoms of acute diarrhea or proctitis, and 243 gay men without gastrointestinal symptoms and participating in a natural history study of human immunodeficiency virus infection were selected for study. Approximately 12% of the asymptomatic men harbored at least one enteric pathogen; the most frequently recovered were Chlamydia trachomatis, herpes simplex virus, and Giardia lamblia. Men carrying a pathogen were more likely to be human immunodeficiency virus seropositive (48%) than men without a pathogen (25%) (p = 0.018), more likely to have fewer T helper cells (p = 0.015), and more likely to have a mucopurulent exudate (p = 0.014). We recovered an agent of enteric disease from 68% of gay men presenting with diarrhea or proctitis. Campylobacter species, herpes simplex virus, Neisseria gonorrhoeae, C. trachomatis, G. lamblia, and Shigella species were identified most frequently. The most common pathogen associated with diarrhea in acquired immunodeficiency syndrome was Cryptosporidium (16% of 49 cases). Other agents identified were Clostridium difficile, Vibrio parahemolyticus, Campylobacter species, G. lamblia, Isospora, and cytomegalovirus. Approximately half of the identifiable etiologic agents of diarrhea in acquired immunodeficiency syndrome patients were treatable with antibiotics, but these agents required special culture procedures for detection.
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PMID:Prevalence of enteric pathogens in homosexual men with and without acquired immunodeficiency syndrome. 283 Nov 7

Lesions induced in rhesus monkeys by different isolates of simian immunodeficiency virus (SIV)/Delta were studied at necropsy. Four groups of monkeys were inoculated with SIV/Delta isolated from other experimentally infected rhesus monkeys, while one group was inoculated with SIV/Delta from an asymptomatic mangabey monkey. Three rhesus isolates and the mangabey isolate were virulent, killing 75-100% of infected monkeys. One rhesus isolate, which had been extensively passaged in vitro, was attenuated but was restored to virulence by single animal passage. Clinically, infected monkeys had lymphadenopathy, splenomegaly, diarrhea, and a rash. Most monkeys died of enteric disease. The following lesions were seen: weight loss, thymic atrophy, lymphoid atrophy, bone marrow hyperplasia, encephalitis, colitis, amyloidosis, hepatitis, glomerulosclerosis, and the presence of syncytial cells. One Rh Epstein-Barr virus (EBV)-related lymphoma occurred. Opportunistic agents were identified: cytomegalovirus, adenovirus, Cryptosporidia, and Pneumocystis. Shigella and Campylobacter often caused colitis.
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PMID:Necropsy findings in rhesus monkeys experimentally infected with cultured simian immunodeficiency virus (SIV)/delta. 285 Jun 50

The etiology, pathogenesis, transmission and communicability, diagnosis, and management of infectious diarrhea are reviewed. Infectious diarrhea is common in both industrialized and unindustrialized areas of the world. Better understanding of the etiology and pathogenesis and identification of "new" enteric pathogens has resulted in the use of a variety of drugs to relieve symptoms or to effect a clinical cure. Both host and microbial virulence factors are key in the acquisition of diarrheal illness. Host factors such as extreme age, a dysfunctional gastrointestinal tract, or underlying immunodeficiency enhance the risk of illness after ingestion of a pathogen or its toxins. Microbial virulence factors (the pathogen's ability to invade or produce enterotoxins, neurotoxins, or cytotoxins) characterize the type of illness manifested and the symptom complex (e.g., acute watery diarrhea versus chronic dysentery). Supportive care is indicated in the majority of cases of infectious enteritis, and rehydration is considered the mainstay of therapy in any diarrheal illness accompanied by dehydration. Antimicrobial therapy is beneficial in the treatment of severe diarrhea caused by Shigella, Campylobacter spp., Vibrio cholerae, Escherichia coli, and Clostridium difficile. Infectious diarrhea is common but is often self-limited and of short duration. Therapy frequently consists of symptomatic relief and fluid replacement.
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PMID:Management and prevention of bacterial diarrhea. 281 19

A case of proctitis and fatal septicemia caused by Plesiomonas shigelloides in a 42-year-old bisexual male is reported. The medical history of the patient was significant for an aortic valve replacement 3 years before but was otherwise unremarkable. A serum specimen obtained at autopsy was negative for antibody to human immunodeficiency virus by Western blot (immunoblot) analysis. P. shigelloides isolated from blood was susceptible to all antibiotics tested, agglutinated in Shigella group D antiserum, possessed a greater than 100-megadalton plasmid, and was noninvasive in a HeLa cell invasion assay. The previous reports of Plesiomonas bacteremic infections are reviewed, and possible pathogenic mechanisms are discussed.
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PMID:Proctitis and fatal septicemia caused by Plesiomonas shigelloides in a bisexual man. 334 34


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