We studied 40 strains of the species complex formerly classified as the single species Sporothrix schenckii to identify new species within this complex and evaluate their antifungal susceptibility profiles. Based on phenotypic tests (ability to grow at 37°C, colony diameters, and pigmentation of the colonies, as well as assimilation of sucrose and raffinose) and molecular assays (amplification of a fragment of the calmodulin gene), here we report the identification of S. albicans, S. brasiliensis, S. luriei, and S. schenckii; two isolates of these species were detected as itraconazole-resistant strains.Sporotrichosis is a subcutaneous mycosis affecting humans and animals caused by Sporothrix schenckii. It has a worldwide distribution, especially in tropical and subtropical areas of Latin America, where areas of endemicity have been recognized (1,3,4,12). Recently, Marimon et al. (9,11). proposed that Sporothrix schenckii is a complex encompassing six cryptic species that had been previously identified by others (4). In this context, variation in the antifungal susceptibility profiles among these new species was hypothesized. The aim of this study was to explore a collection of 40 isolates formerly classified as Sporothrix schenckii in order to identify new species and evaluate their susceptibility to antifungal agents.The isolates were from cases of human (n ϭ 31) and animal (n ϭ 9) sporotrichosis diagnosed in the hinterlands of Rio Grande do Sul (Brazil) and were maintained in the Department of Microbiology of the Universidade Federal de Santa Maria (UFSM), Santa Maria, Brazil. Among the human-derived strains, 18 (58.06%) were from fixed cutaneous sporotrichosis and 13 (41.9%) were from the lymphocutaneous form of the mycosis. Of the strains isolated from animals (n ϭ 9), eight were from cats and one (S. luriei) was isolated from a dog with sporotrichosis. As proposed by Marimon et al. (9,11), the phenotypic tests included the ability/inability to grow at 37°C on potato dextrose agar (PDA; HiMedia, Mumbay, India), different colony diameters (mm) after 21 days of incubation at 30°C on PDA, the pigmentation of the colonies on cornmeal agar (CMA), and the assimilation of sucrose and raffinose. The susceptibility tests were conducted according the procedures proposed for the M38-A2 technique (2). For molecular identification, a fragment of the calmodulin (CAL) gene was amplified from genomic DNA using the degenerate primers CL1[5Ј-GA(GA)T(AT)CAAAGGAGGCCTTCTC-3Ј] and CL2A (5Ј-TTTTTGCATCATGACTTGGAC-3Ј) (9). DNA sequencing was performed on the purified amplicons using a MegaBace 500 automatic sequencer. The sequences were aligned against sequences available in GenBank with ClustalX (version 1.8) followed by manual adjustments with a text editor. The phylogenetic analysis was performed with MEGA (Molecular Evolutionary Genetic Analysis) software version 4.0 (17).Based on recently proposed procedures (9, 11), we phenotypically identified four species: Sporothrix schenckii (n ϭ 37), Sporothrix brasiliensis (n ϭ 1), Sporo...

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After cardiac arrest, organ damage consequent to ischemia-reperfusion has been attributed to oxidative stress. Mild therapeutic hypothermia has been applied to reduce this damage, and it may reduce oxidative damage as well. This study aimed to compare oxidative damage and antioxidant defenses in patients treated with controlled normothermia versus mild therapeutic hypothermia during postcardiac arrest syndrome. The sample consisted of 31 patients under controlled normothermia (36°C) and 11 patients treated with 24 h mild therapeutic hypothermia (33°C), victims of in- or out-of-hospital cardiac arrest. Parameters were assessed at 6, 12, 36, and 72 h after cardiac arrest in the central venous blood samples. Hypothermic and normothermic patients had similar S100B levels, a biomarker of brain injury. Xanthine oxidase activity is similar between hypothermic and normothermic patients; however, it decreases posthypothermia treatment. Xanthine oxidase activity is positively correlated with lactate and S100B and inversely correlated with pH, calcium, and sodium levels. Hypothermia reduces malondialdehyde and protein carbonyl levels, markers of oxidative damage. Concomitantly, hypothermia increases the activity of erythrocyte antioxidant enzymes superoxide dismutase, glutathione peroxidase, and glutathione S-transferase while decreasing the activity of serum paraoxonase-1. These findings suggest that mild therapeutic hypothermia reduces oxidative damage and alters antioxidant defenses in postcardiac arrest patients.

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Unloaded cell shortening was measured in electrically stimulated myocytes from adult rat hearts to compare the contractile response to stimulation with that in isometrically contracting left ventricular papillary muscles under similar experimental conditions, but preloaded to produce maximum twitch tension. Mechanical restitution in cells followed a biexponential function with time constants of 0.19 +/- 0.03 s and 36.4 +/- 10.2 s (7 cells from 5 hearts, n = 7/5). The time constants for papillary muscles were 0.58 +/- 0.05 s and 14.6 +/- 1.0 s (n = 6/6). In myocytes, maximum post-rest potentiation occurred after 30 to 60 s of rest. The potentiation after 60 s of rest was 2.48 +/- 0.31 times the steadystate in cells and 2.63 +/- 0.16 in papillary muscles. Recirculation fraction of C2+ as calculated from the decay of post-rest potentiation was 0.84 +/- 0.04 in single cells and 0.59 +/- 0.02 in papillary muscles (p < 0.005). Caffeine (3mM) abolished post-rest potentiation in both types of preparations. The numerical values for the time constants of mechanical restitution, potentiation factor and recirculation fraction in papillary muscles did not depend on preload. It is concluded that interval-dependent changes of contractility are preserved in single cardiac cells but the kinetics of decay of potentiation appear to have changed quantitatively.

Pesq. Vet. Bras. 32(7):619-622, julho 2012 619 RESUMO.-[Pythium insidiosum: identiϐicação morfoló-gica e molecular de isolados brasileiros.] Pythium insidiosum é um oomiceto pertencente ao Reino Stramenopila e agente etiológico da pitiose, uma doença infecciosa com riscos de morte. A pitiose é caracterizada pelo desenvolvimento de lesões crônicas sobre os tecidos cutâneos, subcutâneas, intestinal e ósseo em humanos e muitas espécies de animais. A identiϐicação de P. insidiosum é importante, a ϐim de se obter um diagnóstico rápido e deϐinitivo, bem como um tratamento eϐicaz. Este estudo relata a identiϐicação de 54 isolados de P. insidiosum de cavalos, cães e ovelhas que apresentavam lesões compatíveis e suspeita clínicas de pitiose, provenientes de diferentes regiões do Brasil, através Pythium insidiosum is an oomycete belonging to the kingdom Stramenipila and it is the etiologic agent of pythiosis. Pythiosis is a life-threatening infectious disease characterized by the development of chronic lesions on cutaneous and subcutaneous, intestinal, and bone tissues in humans and many species of animals. The identiϐication of P. insidiosum is important in order to implement a rapid and deϐinitive diagnosis and an effective treatment. This study reports the identiϐication of 54 isolates of P. insidiosum of horses, dogs and sheep that presented suspicious clinical lesions of pythiosis from different regions in Brazil, by using morphological and molecular assays. Throughout the PCR it was possible to conϐirm the identity of all Brazilian isolates as being P. insidiosum. de métodos morfológicos e moleculares. Através da PCR foi possível conϐirmar a identidade de todos os isolados brasileiros como sendo P. insidiosum.

Fusarium species are common hyaline soil saprophytes and plant pathogens that are opportunistic fungal pathogens of immunocompromised patients. The treatment for fusariosis remains uncertain with an unfavourable prognosis; new possibilities for treatment, such as various synergistic drug interactions, must be uncovered. In this study, we evaluated the in vitro interactions of amphotericin B with caspofungin, ketoconazole, 5-flucytosine, itraconazole, miconazole, rifampin, fluconazole, terbinafine and voriconazole against isolates of Fusarium spp. using the chequerboard method with interactions evaluated by fractional inhibitory concentration indices. The highest percentages of synergistic interactions were observed for the combinations of amphotericin B and caspofungin (68.7%), amphotericin B and rifampin (68.7%), amphotericin B plus 5-flucytosine (59.3%) and amphotericin B with voriconazole (37.5%). The pattern of susceptibility to antifungal agents among Fusarium species and their consequence on the effects of drug combinations are also discussed.