Biomedical subjects

Esperanza Meléndez

Publications and source records attributed to Esperanza Meléndez.

3 recordsLinked to original sources

PubMed2006

[Conjugal leprosy].

OBJECTIVES: Determining the occurrence of leprosy amongst couples and establishing the type of leprosy in index and secondary cases. METHODS: The characteristics of leprosy were studied between 1980 and 2000 in Atlántico Department located on the Colombian Caribbean Coast. Clinical histories of patients registered in the Leprosy Control Programme were reviewed. Clinical exams were performed and personal interviews carried out with couples suffering from leprosy. RESULTS: Twenty-six married couples were found to be suffering from leprosy, representing 5.4% of leprosy cases detected during the study period. They were aged from 20 to 89. 65.4% of the index cases were men and 22 (84.6%) were multibacillary, lepromatous cases; two had indeterminate leprosy and two were suffering from tuberculoid leprosy. Sixty-one percent of the secondary cases were paucibacillary patients, 42% of them being tuberculoid. No paucibacillary cases were associated with multibacillary leprosy in the couples. Only two couples had consanguinity. None of the couples had had leprosy at the time of being married. The time between leprosy being detected in index cases and the disease being detected in secondary patients varied from 5 to 40 years. Disabilities were more common in the feet and to a higher degree in lepromatous index cases who had had the disease for a longer time than the secondary cases because these were more frequently paucibacillary patients who had a disease having shorter evolution. CONCLUSIONS: In spite of ongoing, prolonged contact, conjugal leprosy is not frequent and requires several years to develop in the second person. Lepromatous leprosy in index cases was more frequently associated with leprosy in the couple. When the primary case was paucibacillary, no multibacillary leprosy occurred in the secondary case.

Adult↗

PubMed2004

A potential role for beta-carotene in avian embryonic development.

Vitamin A is essential for vertebrate embryonic development; dietary carotenoids are the primary source of vitamin A since animals cannot synthesize it de novo. To study the role of beta-carotene during embryonic development, we analyzed in chick embryos the expression of beta,beta-carotene 15,15'-oxygenase (beta-oxy) which cleaves beta-carotene to produce two molecules of retinal. Beta-oxy transcripts were detected in one-and-a-half- to five-day-old embryo homogenates and in situ hybridization in five-day-old embryos, revealing their presence in tissues including the central nervous system, lungs, limbs, and cardiovascular system. Moreover, we detected beta-oxy enzymatic activity in extracts from five-day-old embryos as well as small amounts of beta-carotene in the egg yolk. These results indicate that beta-oxy is present during early developmental stages, raising the possibility that yolk-stored beta-carotene is utilized as a source of vitamin A. Thus, our results suggest that beta-carotene could play an important role in early avian embryonic development as a local source of vitamin A in specific tissues.

Animals↗

PubMed2004

[Conidiobolomycosis: a case report with histophathologic findings].

Conidiobolomycosis is a subcutaneous mycosis of the facial midline affecting primarily adult males. It is caused by the saprophytic fungus, Conodiobolus coronatus, present in soils and dried vegetables, characteristic of intertropical regions. C. coronatus belongs to the class Zygomycetes, order Entomophthorales; it is a fungus composed of thick, short hyphae that grows at temperatures between 30 degrees C and 37 degrees C and causes nasal granulomas. The histologic findings are described of a case of conidiobolomycosis in a 31-year-old male, born and resident in the Urabá region of Colombia. He presented with a mid-facial deformity of the nose and upper lip edema, and polypoid images in the maxillary sinuses with destruction of the nasal septum. The biopsy revealed a diffuse inflammatory lesion located in the deep dermis and in the hypodermis corresponding to a necrotizing granuloma. Associated eosinophils and the presence of the Splendore-Hoeppli phenomenon were noted in the vacant central zone which apparently corresponded to location of the fungal hyphae. They did not stain with HE stain, but reacted to the PAS and Grocott staining techniques and appeared as rigid, thick-walled hyphae, centrally twisted and with cone-shaped endings.

Adult↗