The choline-binding domain (ChoBD) of the carboxy-terminal region of the Streptococcus pneumoniae amidase LYTA (C-LYTA) presents a strong affinity for tertiary amines. We report a method for single-step purification of proteins expressed in the methylotrophic yeast Pichia pastoris based on the fusion of C-LYTA to the protein of interest. We show that C-LYTA can be efficiently expressed and secreted in this host. Tagged proteins fused to this binding domain can be purified on inexpensive DEAE matrices. It therefore provides a useful system for the purification of recombinant proteins with high specificity suitable for industrial purposes.
Background. Coronavirus disease (COVID-19) is a worldwide pandemic causing multiple fatalities and morbidities worldwide. We report a case of severe pneumonia causing acute respiratory distress syndrome due to a coinfection with SARS-CoV-2 and Mycobacterium abscessus in an elderly patient with multiple myeloma in Florida, USA. Case Presentation. An 84-year-old male with a medical history significant for multiple myeloma not in remission was sent to the emergency department to rule out COVID-19 infection prior to continuing his chemotherapy sessions. At presentation, he had nonspecific mild symptoms and an unremarkable physical examination. He had significant blood test findings including serum lactate dehydrogenase 373 U/L, high sensitive C-reactive protein 17.40 mg/l, and ferritin 415 ng/ml. Xpert-SARS-CoV-2 was positive. Chest radiograph revealed patchy areas of interstitial infiltrates in mid to lower lung zones. During his hospitalization course, his oxygenation deteriorated, requiring mechanical intubation. Repeat chest radiograph showed worsening bilateral infiltrates. He was started on broad-spectrum antibiotics and eventually weaned off mechanical intubation and extubated. On the 11th day of admission, he was found to be bradycardic and in shock, and he was reintubated. His labs showed worsening inflammatory markers along with kidney dysfunction to the point of requiring renal replacement therapy. He received both convalescent plasma and remdesivir for treatment of COVID-19 pneumonia. Eventually, repeat blood cultures came back positive for the growth of acid-fast beaded bacilli. While awaiting final culture and sensitivity reports, his antibiotics were upgraded to cover possible nocardia infection. Repeat blood and sputum cultures resulted in growth of AFB bacilli Mycobacterium abscessus 1 week after. Conclusions. This case report highlights the importance of keeping a broad differential and considering multiple coinfections, including atypical ones during this COVID-19 pandemic, such as the one that was discussed above, Mycobacterium abscessus, in order to provide goal-directed therapy.
Background. Coronavirus 2 (SARS-CoV-2) is the virus associated with the coronavirus disease (COVID-19) causing a pandemic worldwide in 2020. There are other noninfectious diseases that can present exactly as COVID-19, and the management and approach are completely different, hence the importance of understanding and having a wide differential in patients presenting with similar characteristics. Case Report. A 23-year-old male, with a history of childhood asthma, presented to the Emergency Department in a hospital in south Florida in the USA with complaints of a 2-day duration of subjective fever, chills, dry cough, dyspnea, and myalgia. His vital signs were blood pressure 135/65 mmHg, temperature 39°C, pulse 134 bpm, respiratory rate 22 breaths per minute, and saturation of oxygen 96% in room air. Laboratory analysis was significant for white blood cells 15.3 × 10 3 /μL, ALT 69 U/L, AST 66 U/L, ferritin 375.6 ng/mL, C-reactive protein 27.70 mg/dL, and procalcitonin 1.43 ng/mL. A respiratory pathogen panel (RPP) and a SARS-CoV-2 test were both negative. The patient was given empiric antibiotic treatment and hydroxychloroquine. Two more tests for SARS-CoV-2 were negative, and the patient reported that he smoked marijuana through an e-cigarette. The patient was started on high-dose steroids, and symptoms improved. Conclusion. COVID-19 is an emergent lung disease that is affecting the population worldwide; many other noninfectious diseases can mimic its presentations and laboratory characteristics; the importance of having a broad differential diagnosis especially in causing confusion during pandemic times is valuable in the management of patients with such presentations, such as EVALI, and glucocorticoids will be indicated in this circumstances.
The Finch-Eltan winter wheat (Triticum aestivum L.) recombinant inbred line (RIL) population (Reg. No. MP-11, NSL 528074 MAP) was developed by Washington State University from soft white winter wheat cultivars 'Finch' and 'Eltan'. This population of 155 RILs was developed by single seed descent from the F 2 generation to the F 5 generation. It was genotyped using the 9k iSelect single nucleotide polymorphism (SNP) chip, simple sequence repeat markers, and 90k iSelect SNPs. A total of 1258 markers were polymorphic and were mapped to 21 linkage groups that locate to 15 of the wheat chromosomes. The population has been phenotyped to study the genetics of freezing tolerance, snow mold tolerance, stripe rust resistance, straw residue breakdown, and Cephalosporium (Cephalosporium gramineum) stripe resistance. Markers were identiied that are closely linked to quantitative trait loci (QTL) that inluence these traits, and there is potential for this population to be used to detect QTL for other traits. Because the parents are elite breeding lines developed for the US Paciic Northwest, this population is particularly well-suited to facilitating breeding eforts in this region.
The objective of the present study was to analyze the effect of the risk perception of covid-19 on self-medication practices in Mexican population. A total of 526 participants over 18 years of age were surveyed, 68.4% women and 31.6% men residing in northwestern Mexico. Using a structural model, the relation and prevalence of self-medication were analyzed. Risk perception about covid-19, consisting of preventive practices and the perception of the threat of the pandemic, was negatively correlated with self-medication practices, which indicates that people who follow preventive care recommendations tend to reduce the use of self-medication and to improve emotional selfmedication. Furthermore, the study shows that at least half of the participants have used drugs during the pandemic without medical prescription. Self-medication is a critical health problem; therefore, awareness programs about the adverse effects of medications can help reduce self-medication practices in Mexico.
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