Acute visceral leishmaniasis is associated with an antigen-specific immunosuppression of mononuclear cells as evidenced by defective in vitro production of interferon gamma. We evaluated treatment with recombinant human interferon gamma in combination with conventional pentavalent antimony therapy in patients with visceral leishmaniasis. Six of eight patients with visceral leishmaniasis (mean duration, 17 months) that had been unresponsive to multiple courses of pentavalent antimony responded to treatment with recombinant human interferon gamma (100 to 400 micrograms per square meter of body-surface area per day) in addition to pentavalent antimony (20 mg per kilogram of body weight per day) for 10 to 40 days. The other two patients improved initially but then relapsed and required treatment with amphotericin B. Eight of nine additional patients with previously untreated severe visceral leishmaniasis were also successfully treated with the combination of interferon gamma and pentavalent antimony. The 14 patients who responded to this regimen had marked improvement in symptoms and in measures of anemia and leukopenia, as well as weight gain, a decrease in spleen size, and an absence or reduction of leishmanias in splenic aspirates. These patients had no recurrence of illness after a mean (+/- SE) follow-up of 8 +/- 1 months. Fever was the only major side effect of interferon gamma. We conclude that the combination of interferon gamma and pentavalent antimony is effective in treating seriously ill patients with refractory or previously untreated visceral leishmaniasis.

No abstract

Twenty-four patients with acute visceral leishmaniasis and leukopenia (< 1500 neutrophils/mm3) due to Leishmania chagasi were studied, 4 in an open-label pilot study and 20 in a double-blind, placebo-controlled trial. Patients received granulocyte-macrophage colony-stimulating factor (GM-CSF), 5 micrograms/kg daily, or placebo for 10 days, plus 10-20 mg/kg pentavalent antimony daily for 20 days. In GM-CSF recipients, neutrophil counts increased threefold and fourfold over baseline at 5 and 10 days, respectively, and were significantly higher than those in placebo recipients (P < .02). Eosinophil and monocyte counts were significantly increase in GM-CSF recipients at 10 days (P < or = .03). Secondary infections occurred in 3 GM-CSF and in 8 placebo recipients (P = .04). All patients had complete resolution of their leishmaniasis at 3 months. Few adverse events were recorded. GM-CSF, 5 micrograms/kg daily for 10 days, was safe, rapidly reversed neutropenia, and reduced the number of secondary infections in patients with leishmaniasis.

The use of heavy metals in economic and social development can create an accumulation of toxic waste in the environment. High concentrations of heavy metals can damage human and animal health, lead to the development of antibiotic resistance, and possibly change in bovine microbiota. It is important to investigate the influence of heavy metals in food systems to determine potential harmful effects environmental heavy metal contamination on human health. Because of a mining dam rupture, 43 million cubic meters of iron ore waste flowed into the Doce river basin surrounding Mariana City, Brazil, in 2015. Following this environmental disaster, we investigated the consequences of long-term exposure to contaminated drinking water on the microbiome and resistome of dairy cattle. We identified bacterial antimicrobial resistance (AMR) genes in the feces, rumen fluid, and nasopharynx of 16 dairy cattle 4 years after the environmental disaster. Cattle had been continuously exposed to heavy metal contaminated water until sample collection (A) and compared them to analogous samples from 16 dairy cattle in an unaffected farm, 356 km away (B). The microbiome and resistome of farm A and farm B differed in many aspects. The distribution of genes present in the cattle’s nasopharynx, rumen, and feces conferring AMR was highly heterogeneous, and most genes were present in only a few samples. The relative abundance and prevalence (presence/absence) of AMR genes were higher in farm A than in farm B. Samples from farm A had a higher prevalence (presence) of genes conferring resistance to multiple drugs, metals, biocides, and multi-compound resistance. Fecal samples had a higher relative abundance of AMR genes, followed by rumen fluid samples, and the nasopharynx had the lowest relative abundance of AMR genes detected. Metagenome functional annotation suggested that selective pressures of heavy metal exposure potentially skewed pathway diversity toward fewer, more specialized functions. This is the first study that evaluates the consequences of a Brazilian environmental accident with mining ore dam failure in the microbiome of dairy cows. Our findings suggest that the long-term persistence of heavy metals in the environment may result in differences in the microbiota and enrichment of antimicrobial-resistant bacteria. Our results also suggest that AMR genes are most readily detected in fecal samples compared to rumen and nasopharyngeal samples which had relatively lower bacterial read counts. Since heavy metal contamination has an effect on the animal microbiome, environmental management is warranted to protect the food system from hazardous consequences.

Bos taurus indicus Eficiência reprodutiva Manejo reprodutivo Intervalo entre partos KEYWORDS Bos taurus indicus Reproductive efficiency Reproductive management Interval between deliveries RESUMO: A inseminação artificial em tempo fixo (IATF) é considerada uma biotecnologia reprodutiva capaz de promover o aumento dos índices reprodutivos, desempenhando efeito significativo sobre a eficiência bioeconômica da propriedade. Contudo, o sucesso da IATF é dependente de vários fatores que afetam diretamente a taxa de prenhez. Este trabalho tem como objetivo avaliar o efeito da IATF sobre a fertilidade de fêmeas Nelore da mesorregião Sudeste do Pará e verificar a influência de alguns fatores que podem comprometer a taxa de prenhez. Baseado em um estudo de campo, foram coletadas as informações das fichas de controle reprodutivo de 9.455 fêmeas Nelore pertencentes a nove fazendas e que foram submetidas ao mesmo protocolo de inseminação. As variáveis consideradas foram: fazenda, categoria animal, reutilização do dispositivo intravaginal de progesterona, escore da condição corporal, sêmen do touro e inseminador. A taxa de prenhez foi de 53,4% (5.052 de 9.455), havendo associação entre as fazendas (p < 0,05), com resultados que variaram de 46,8% a 63,1%. A categoria animal afetou a taxa de prenhez (p < 0,05) de nulíparas, primíparas e pluríparas (50,2, 47,2 e 56,0%, respectivamente). Não houve diferença (p > 0,05) quanto à reutilização do dispositivo intravaginal de progesterona de primeiro, segundo, terceiro e quarto uso, com as respectivas taxas de 54,3%, 53,1%, 53% e 51,2%. De acordo com o escore de condição corporal (p < 0,05), fêmeas de escore 3 e 3,25 apresentaram maiores taxas de prenhez, com 59,8% e 54,8%, respectivamente. Em relação à variável touro, 14 foram responsáveis por taxa de prenhez acima de 50%; três com resultados acima de 60% e um touro com 38,3% (p < 0,05). Houve diferença entre a taxa de prenhez e o inseminador (p < 0,05), obtendo resultados que variaram de 45,5% a 71,4%. As melhorias nos sistemas de manejo de cada fazenda poderão refletir de modo expressivo no aumento da taxa de prenhez dos rebanhos da região do Sudeste paraense.

No abstract

The efficacy of GM-CSF was investigated in 20 neutropenic patients (< 1500 neutrophils/microliters) with acute visceral leishmaniasis due to Leishmania chagasi. Patients were randomized to receive either GM-CSF, 5 micrograms/kg daily (intravenously or subcutaneously), or placebo for ten days, in combination with pentavalent antimony, 10-20 mg/kg daily for 20 days. Neutrophil counts were significantly greater on days 5 and 10 of treatment in the GM-CSF group compared with the placebo group (p < 0.02). Eosinophil and monocyte counts were also significantly increased in the GM-CSF group at day 10 (p < or = 0.03). Interestingly, at day 30, platelet counts were significantly increased in the GM-CSF group on days 5 and 10 (p = 0.04 and 0.02, respectively). Patients in the GM-CSF group experienced fewer secondary bacterial or viral infections than placebo patients. Infections occurred in only three patients given GM-CSF compared with eight patients given placebo (p < 0.04). All patients had complete resolution of disease symptoms at three months. Few adverse events were recorded. GM-CSF given subcutaneously at a dose of 5 micrograms/kg daily for ten days was well tolerated, reversed neutropenia rapidly and reduced the number of secondary infections in patients with leishmaniasis.

Article history Characterization of the profile of goat and sheep production in Sergipe enables better understanding of the main barriers linked to low productivity, generating important information for the development of this sector. The objective was to identify and characterize the production of goats and sheep in Sergipe. From 2011 to 2014, 41 goat properties and 60 sheep properties were analyzed, located in 25 municipalities in the three mesoregions of the State (Leste, Agreste, and Sertão). The information was obtained through application of a structured questionnaire to the farmers addressing topics such as: characterization of the property, herd, facilities, sanitary, nutritional, and reproductive management, and socioeconomic aspects of the farmer. The results demonstrated that 58.5% (24/41) of goat farms had an area less than 30 hectares (ha), reared predominantly mixed breed animals (SRD), with low use of technologies, aiming at family consumption, and complementing income through local marketing. On the sheep properties, 58.3% (35/60) were over 100 ha and used for the production of Santa Inês sheep and crossbreeds together with cattle. Significant flaws were also observed in feed, sanitary, and reproductive management, emphasizing the non-use of preserved foods and forages typical of the region, factors that contribute to the low level of productivity and sustainability of production in a viable and homogeneous manner. The findings led to the conclusion that more organized production is necessary, mainly through investment in technologies and qualified and continuous rural extension, aiming at improving the production, productivity, income, and quality of life of the breeders.