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Biomedical subjects

A Tomsíková

Publications and source records attributed to A Tomsíková.

At least 19 recordsLinked to original sources

[Aspergillus, aspergillosis].

Aspergillus is a ubiquitous fungus which can penetrate into the human body in a natural way, by the respiratory tract or traumatically or iatrogenically. The presence of Aspergillus in the atmosphere is constant, in the environment, especially in moist places or in the neighbourhood of man, in dust. Aspergillus can colonise different substrates, the organic rests, soil, plants, cloting, climatisation, furniture. Aspergillus is in the first phase among the agents responsible for respiratory infections, for different physiopathological mechanisms and for some nosocomial infections. The author gives a review of sources of Aspergillus, especially for hospitalized patients, of mechanisms of the host's defence, of factors enabling the survival of Aspergillus in hosts and of clinical picture. The prevalence of deep forms: aspergillome, allergic bronchopulmonal aspergillosis remain constant. New clinical forms appear due to modern therapy (immunosuppression, organ transplantation). The author describes further laboratory diagnostics with the interpretation of results and epidemiological studies. The early diagnostics of different types of aspergillosis, preventive methods and actual antimycotic therapy can inhibit the progress and improve the prognosis of these infectious diseases.

Aspergillosis↗

[Risk of fungal infection from foods, particularly in immunocompromised patients].

The aim of our study was the evaluation of fungal contamination of food distributed in hospitals to the immunocompromised patients. 97 samples of 10 sorts of fruit, 100 samples of 17 sorts of cheeses and 56 samples of 11 sorts of smoked meat products were investigated by cultivation on Sabourand's agar at 25 degrees C for 10 days. The yeasts (Candida, Trichosporon, Saccharomyces, Rhodotorula, Aureobasidium) were found in 82% of fruit, in 13% of cheeses and in 46% of smoked meat products. The filamentous fungi (Cladosporium, Alternaria, Penicillium, Aspergillus, Mucor and Helminthosporium) were found on all samples of fruit, in 44% of cheeses and in 3% of smoked foods. Our results show that the fungal contamination of the investigated food is not negligible. The isolated strains are agents of candidoses, phaeohyphomycoses, mucormycoses and aspergilloses and can kill immunocompromised patients.

Cheese↗

[Septic conditions caused by yeasts and their diagnosis].

The authors present a review of factors making possible the penetration of yeasts into the blood stream, development of Candinaemia and sepsis, and a group of tests which have been used for the diagnosis of sepsis evoked by Cryptococcus neoformans, Candida albicans, C. glabrata, C. melinii and C. krusei.

Adult↗

[Filamentous fungal infections in man. Alphabetical overview of mycotic agents with data on their systematic classification and on the localization of individual diseases].

The authors present a survey of filamentous microscopic fungi causing human mycoses. The outline is based on an alphabetical list of genera and their classification into higher taxonomic categories, i.e. orders, classes and divisions. The name of a relevant mycosis is followed by enumeration of the individual species and localizations of diseases produced by a given agent. To facilitate orientation in the system of myco-pathologically important agents, examples of classification of individual genera are presented in the text in a hierarchical arrangement of higher taxonomic categories.

Fungi↗

Growing importance of non-Candida species as opportunistic pathogens.

A 40-year study of C. albicans, non-C. albicans species and non-Candida species in the excretions of patients with different diseases is described. An increase of non-C. albicans, and non-Candida species since 1980 has been determined. The study is completed by a review of new and emerging yeasts.

Candida↗

[Classification of microscopic fungi from the aspect of risk of infection in laboratory personnel].

The authors submit information on a new categorization of microscopic fungi causing human mycoses, as well as criteria of their classification in bio-risk groups (BioSafety Level-BSL) proposed by the European Confederation of Medical Mycology. According to the risk of infection of laboratory workers during handling of cultures isolated from biological specimens almost 400 species of fungi were divided into three groups (BSL 1 and BSL 2-fungi which can produce systemic infections in subjects with immunodeficiencies, or superficial infections in healthy subjects, BSL 3-fungi which can produce severe systemic infections also in healthy subjects). At the same time they express reservations to the classification of some species into groups.

Fungi↗

[Newly emerging fungal pathogens].

Candida albicans was once considered the only important fungus species associated with human infection. Modern medical therapy and improved methods for detection and differentiation of fungi have now shown that many other species are clinically important. During the past decade, is has become apparent that species once considered only of industrial importance or harmless, are capable to attack the human host. These organisms can vary greatly.

Fungi↗

[Unusual causes of chromomycosis].

The typical clinical picture and mycological and histological basis of chromomycosis is compared with the clinical course, which is encountered more often nowadays. It refers also to the affection of the vascular, respiratory, lymphatic system, the brain and the dissemination in compromised patients. For this reason chromomycosis should rank among opportunistic mycoses. Chromohyphomycosis characterized by skin nodules occurs very rarely. Subcutaneous abscesses also called phaeomycotic cysts, are more frequent especially after corticoid and immunosuppressive therapy. Among three Czechoslovak cases of chromomycosis, the case in Pilsen can be evaluated as uncommon. It was caused by Phialophora pedrosoi and passed as a skin form of chromomycosis. The lesion developed on the right forefinger of a patient who never visited tropical countries. She never was seriously ill, never treated with antibiotics, chemotherapeutics, or corticosteroids. The histological examination of the excision revealed a granuloma with histiocytes and many giant cells phagocytizing typical spherical brown microorganisms. The patient was cured by KI, intraiodine and X-ray therapy.

Aged↗

[A case of coccidioidomycosis in Plzen].

A case of the pulmonary form of coccidioidomycosis of a Czech patient infected in Arizona is described. The disease was diagnosed on the basis of serological tests. In addition to a review of the mycological, epidemiological and clinical picture of coccidioidomycosis criteria of laboratory mycological diagnostics are given. It is important to be aware of this mycosis in patients who have a history of recent visits to endemic areas in North, Central and South America.

Arizona↗

[Mycotic diseases in patients with AIDS].

The author analyzes factors influencing the occurrence of mycoses in AIDS-patients with different stages of the disease. The clinical picture, the diagnosis and sources of common as well as uncommon mycoses accompanying AIDS are given in detail. Candidosis, cryptococcosis, histoplasmosis and dermatomycosis complicate AIDS frequently most. The course of all mycoses in AIDS patients is quite different from the course of the same mycoses complicating other diseases.

Acquired Immunodeficiency Syndrome↗

[The importance of adhesion capacity in Candida to pathogenicity in mucosal and skin candidiasis].

The authors describe the mechanism of adherence of Candida cells to biological and non-biological materials and the effect exerted on this property by various factors. They explain the importance of adherence capacity of Candida for the pathogenesis of mucosal, skin, disseminated, invasive infections, for Candida sepsis and Candida endocarditis. They describe methods which determine the adherence capacity of Candida and therapeutic and preventive possibilities of candidiasis by blocking adherence.

Bacterial Adhesion↗

Antifungal activity of pyrithione against Emmonsia crescens in vitro and in vivo.

The sensitivity of saprophytic and parasitic phase of some strains of Emmonsia crescens, E. parva and Chrysosporium pannorum to 22 antimycotic drugs was studied in vitro. Pyrithione produced the best effect on both live phases of the studied strains. The efficacy of Pyrithione, Pimafucin and Amphotericin B was compared in experimental adiaspiromycosis, Pyrithione showed also in vivo the best therapeutic effect. It depended on the beginning of the application. The illness did not develop if Pyrithione was applied during the first 15 days after the infection. In case of later application of Pyrithione only a very light form of adiaspiromycosis developed. Pimafucin and especially Amphotericin B did not influence the development of the disease.

Animals↗

Disseminated pulmonary adiaspiromycosis identified in bioptic material from the lung.

A disseminated form of pulmonary adiaspiromycosis was estimated in a 48 year old miner. The origin of a hypersensitivity mainly of an immediate allergic type became evident during an immunological examination and was partly indicated also by the tissue reaction and by elevated level of serum IgE (480 I.U.). Of great interest was the finding of a coagulation necrosis in the bioptic material. An examination of functions disclosed signs of a moderate obstruction which was latent when first observed with normal value of lung diffusion capacity. Its activation during stress was indicated by an increase in the value both of the residual volume and the IGV to the upper border of their limits. No apparent changes occurred in the disease during our two-year-investigation. Neither the total state of the patient nor the x-ray picture reflected the effect of a prolonged treatment with antituberculotics.

Antitubercular Agents↗