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Query: UMLS:C0032285 (pneumonia)
 54,520 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Bleomycin is a commonly used antineoplastic compound that can produce a dose- and time-dependent pneumonitis and fibrosis in humans. The mechanism of bleomycin-induced fibrosis is not known. However, current data suggest that the production of oxygen radicals by way of a ferrous ion-molecular oxygen mechanism might be related to the pulmonary fibrosis. Therefore, we evaluated the possibility that parenterally administered deferoxamine, an iron chelating compound, could modulate the morphologic and biochemical estimates of bleomycin-induced lung fibrosis in hamsters. Deferoxamine pretreatment and daily injection for 21 days after intratracheally administered bleomycin resulted in a 33% reduction in lung collagen accumulation compared with that after bleomycin treatment alone. However, fibrosis was still present in the bleomycin-deferoxamine group; the animals showed a 142 and 150% increase in lung collagen compared with that in saline- and deferoxamine-treated control animals, respectively. Morphologic estimates of the severity of fibrosis in the bleomycin-deferoxamine treatment group were reduced when compared with the bleomycin treatment group alone, but was increased compared with saline- and saline-deferoxamine-treated control animals. These data indicate that deferoxamine treatment reduces the severity of bleomycin-induced pulmonary fibrosis in hamsters. The mechanism might be by the prevention of iron-catalyzed, free-radical formation.
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PMID:The effect of deferoxamine on bleomycin-induced lung fibrosis in the hamster. 258 89

The histochemical demonstration of iron and the iron content was examined in the brain of a case of the special type of hepatocerebral encephalopathy (HCE). The patient had suffered from a liver disease since 36 years old. At 44 years old, she experienced the first attack of twilight state with flapping tremor. She had predilection for eating beans. Her personality gradually became euphoric with the recurrent episodes of unconsciousness. At 54 years old, she died of the complication of melena, renal insufficiency and pneumonia. The liver showed cirrhotic changes and iron content of liver was 0 or 1 after MacDonald's criterion scale. The histopathological findings of the brain showed the characteristic changes of HCE, which were incomplete softening and spongy state pseudolaminarilly extending in the deep layer of the cerebral cortex, the proliferation of the severely changed Alzheimer 2 type glia with or without intranuclear carmine positive substance. The deparaffinized sections, 20 mu in thickness, which were not fastened on slides were used for the histochemical study of iron, because iron deposits displaced inside of the brain tissues when the paraffin sections were fastened on slide glasses in the constant-temperature bath. The iron deposition was found in the central gyrus, superior temporal gyrus, medial and lateral occipito-temporal gyrus and middle temporal gyrus of occipital lobe. The iron accumulated in the ground substance, glia cell bodies, glia nuclei and unknown bodies in the 3-6 layers of cerebral cortex of these gyri. The iron accumulation demonstrated histochemically in other parts of the brain were group 1, 2 by Spatz, mammillary body, glia cell bodies in cerebellar white matter and pons.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:[Iron deposition in the brain of a case of the special type of hepatocerebral encephalopathy]. 280 22

The elderly may have multiple problems including diabetes mellitus and pneumonia. This study was undertaken to evaluate the effect of hyperglycemia on the length of stay (LOS) and mortality of elderly veterans admitted for pneumonia. Forty-seven and forty-eight patients over the age of 60 admitted for the diagnosis of pneumonia at the Lexington, Kentucky and Iron Mountain, Michigan VAMC's respectively were evaluated. The mean age at Lexington was 72 and at Iron Mountain was 73.9. At Lexington the mean LOS was 39.5 days with a standard deviation of 9.2 for those with hyperglycemia (n = 18) and 16.5 days with a standard deviation of 2.5 for those without hyperglycemia (n = 29). At Iron Mountain the mean LOS was 21.5 days with a standard deviation of 3.3 for those with hyperglycemia (n = 10) and 13.6 days with a standard deviation of 1.2 for those without (n = 38). These differences were significant at p less than .01 using the 2-sample independent t-test. At Iron Mountain 5 of 38 (13%) of the patients with normoglycemia died during the hospital stay compared to 3 of 10 (30%) those with hyperglycemia. For Lexington the figures were 4 of 29 (13%) and 6 of 18 (33%) respectively. These differences were significant at p less than .05. Age did not have any significant effect on either mortality or length of stay. Hyperglycemia appears to be a significant predictor of a longer hospital course and increased mortality in elderly veterans hospitalized for pneumonia.
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PMID:Hyperglycemia as a predictor for mortality in veterans with pneumonia. 306 74

Tissues were examined from 26 male Holstein veal calves given large amounts of dietary zinc. All calves had been fed 706 micrograms zinc/g of milk replacer for 28 days before the first death occurred. Calves died naturally (14, group A) or were euthanatized (12, group B) after 23 days of feeding a lower concentration of zinc (150 micrograms/g). Average amounts of zinc in liver (wet weight) were 345.72 micrograms/g (group A) and 344.84 micrograms/g (group B). Mean kidney zinc concentrations were 219.0 micrograms/g (group A) and 252.38 micrograms/g (group B). Tissue manganese, copper, and iron levels were normal. Changes at necropsy included pneumonia, fluid digesta, and petechiae and infarcts in liver, kidney, and heart (as a result of bacterial infections). Histological changes that were directly attributed to dietary zinc intake were: marked atrophy and necrosis of pancreatic acinar tissue (group A); multifocal fibrosis of pancreatic acini (group B); multifocal renal cortical fibrosis with necrosis in convoluted tubules and loops of Henle, and with intratubular mineralization (groups A and B). Hepatic midzonal mineralization and fibrosis of the adrenal zona glomerulosa were seen in group B calves.
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PMID:A pathologic and toxicologic evaluation of veal calves fed large amounts of zinc. 321 92

Trace elements like copper, zinc, iron and selenium have a significant influence on the function of the immune system. We studied plasma levels of trace elements in 53 patients with acute bacterial and viral infections. In bacterial infections (septicaemia, pneumonia, erysipelas and meningitis) the plasma concentrations of selenium, iron and zinc were decreased. Plasma copper was unchanged in patients with erysipelas, but increased in other types of bacterial infections. Although the patients with viral infections showed similar shifts of the trace elements as were observed in patients with bacterial infections, the changes were not as pronounced. A plasma selenium value below 0.8 mumol/l was found in only 6% of the patients with viral infections in contrast to 63% of the patients with septicaemia or 57% of the patients with pneumonia. Furthermore, in viral infections 60% of the zinc values were below the mean level of 12.8 mumol/l observed in healthy controls as compared with 90% of the values in patients with sepsis or 92% of the values in patients with pneumonia. The onset of change in trace elements occurred within a few days and persisted for several weeks. These changes seem to be non-specific and are independent of the agent causing infection. The different types of infections were followed by changes in most of the plasma proteins which are known to be associated with an inflammatory reaction. The changes in plasma proteins were most pronounced in patients with sepsis and pneumonia. Patients with sepsis having a high degree of inflammation did not show a positive correlation between the severity of the disease--as judged by plasma proteins--and the alterations of trace elements.
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PMID:Trace element alterations in infectious diseases. 321 52

Holstein calves were managed from less than 1 wk of age as in the special-fed veal industry but subjected to three dietary regimens (n = 10/group): low dietary iron (LI = approximately 5 mg iron/kg dry milk replacer) throughout 16 wk; 2) high then low dietary iron (H-LI = 140 mg/kg through d 18, then approximately 5 mg/kg through wk 16; a typical industrial scheme) or 3) high dietary iron (HI = approximately 105 mg/kg throughout the study). Several physiologic, behavioral and health indicators of welfare were monitored at various times. From wk 7 on, blood hemoglobin concentration was higher in HI calves than in LI, whereas that in H-LI calves was intermediate. Blood red cell count was higher in HI calves than in LI from wk 11 to 16, and was higher in HI than in H-LI from wk 14 to 16. Ratio of blood segmented neutrophils to lymphocytes (an indicator of stress) did not differ due to dietary regimen. Between wk 2 and 16, lying time increased from 69.5 to 76.6% of total time. Oral behaviors (e.g., licking and gnawing) occupied less than 15% of total time. Dietary regimen did not affect time spent either lying or engaging in oral behaviors. Calves in all dietary-regimen and slaughter-age groups experienced high frequencies of pneumonia, digestive-tract maladies and trichobezoars, but neither disease nor medical-treatment frequency was related to dietary regimen. Live, hot-dressed carcass and liver weights of the five calves/group slaughtered at 16 wk were not affected by dietary regimens, but carcass grade was highest for LI calves and lowest for HI.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:Some indicators of welfare of crated veal calves on three dietary iron regimens. 337 77

The DF given weekly by the RBIT in 14 thalassemia/hemoglobinopathy patients decreased the frequency of URIs and febrile illnesses in 5/10 patients. Five of the six patients had absence of frequent enteritis. There were no instances of pneumonia and otitis media in two patients with frequent infections before DF. Skin color was improved within 3 months. Most of the patients became more active at the same hematocrit level. The height and weight in eight patients was normal. The total number of blood transfusions in all patients was significantly decreased. It is advisable to use weekly DF infusion by RBIT in the patient who cannot afford to use the infusion pump and the full program of iron chelation.
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PMID:Rubber band technique for slow subcutaneous infusion of desferrioxamine (Desferal). 339 May 34

Twenty-eight specimens obtained either from organ bundles in the body cavities of intact mummies, from damaged mummies, or from isolated canopic jars were examined for tissue identification and histopathologic study. The methods of rehydration and fixation were optimized by application to 40 dehydrated modern samples before studies of mummified tissue were undertaken. The tissue of origin could be definitely identified in 24 of the 28 specimens. Even small fragments obtained from isolated canopic jars proved suitable for histologic study. Six lung specimens were selected for more detailed study. All six showed focal deposition of anthracotic pigment. Electron diffraction and electron microprobe analysis of one of the small, polarizable crystals associated with the anthracosis indicated a mineral content of silica, aluminum, and iron. Two specimens showed focal areas of calcification consistent with old mycobacterial disease. Other histopathologic findings included evidence of pulmonary edema, emphysema, and pneumonia.
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PMID:Tissue identification and histologic study of six lung specimens from Egyptian mummies. 354 13

In a one-year serial sacrifice study 10 mg glass fibres (length, 95% alpha 20 microns, 89% alpha 12 microns, 58% alpha 5 microns and 25% alpha 2 microns; diameter, 88% alpha 1.0 micron, 60% alpha 0.5 micron and 31% alpha 0.25 micron) suspended in 0.2 ml saline solution were administered to Syrian golden hamsters by a single intratracheal instillation to determine the clearance of the glass fibres from the lungs and to examine their effects on the lungs using light and electron microscopy. The clearance was rather efficient with a half-time of about 3 months. Coating and corrosion of glass fibres were sporadic findings. A violent focal acute pneumonitis was evoked by the glass fibres and was followed by excessive accumulations of alveolar macrophages often loaded with glass fibres. Thereafter, "silicotic granulomas" developed which were seen as clusters of tightly packed iron-positive macrophages containing glass fibres. These granulomas were surrounded by a layer of alveolar epithelium, and were by the end of the study the predominant lesion in otherwise normal lungs.
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PMID:Pulmonary response of hamsters to fibrous glass. Clearance and morphology after a single intratracheal instillation. 373 83

The interrelationships between various components of the non-immune inflammatory response (white cell count, plasma lactoferrin, C-reactive protein, ferritin, iron and iron-binding capacity), were studied serially in a variety of inflammatory conditions including acute lobar pneumonia, active pulmonary tuberculosis, rheumatoid arthritis on gold therapy and sepsis in the face of marrow hypoplasia induced by chemotherapy. Lactoferrin concentrations paralleled the white count in all groups. They were highest in pneumonia and tuberculosis, mildly elevated in rheumatoid arthritis and markedly decreased in neutropenic sepsis. Very high initial lactoferrin concentrations were associated with a poor prognosis in acute pneumonia. C-reactive protein and ferritin concentrations remained elevated through the period of study in acute pneumonia and neutropenic sepsis, while they gradually normalised over weeks in subjects with tuberculosis or rheumatoid arthritis on therapy. In pneumonia and tuberculosis moderate hypoferraemia and a reduced iron-binding capacity were evident. In contrast, a raised percentage saturation was present in neutropenic sepsis, probably related to erythroid marrow suppression. Comparisons between ferritin, lactoferrin and C-reactive protein in the various groups supported the concept that ferritin behaves in part as an acute phase reactant and that hypoferraemia in inflammation is due to deviation of iron into ferritin stores. The suggestion that lactoferrin is responsible for the hypoferraemia and hyperferritinaemia was not supported by the present data. Iron deficiency appeared to limit the hyperferritinaemic response in rheumatoid arthritis, while erythropoietic inhibition by chemotherapy dampened the hypoferraemic response in neutropenic sepsis.
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PMID:The non-immune inflammatory response: serial changes in plasma iron, iron-binding capacity, lactoferrin, ferritin and C-reactive protein. 378 68


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