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Biomedical subjects

J A Paré

Publications and source records attributed to J A Paré.

13 recordsLinked to original sources

Humoral response and protection from experimental challenge following vaccination of raccoon pups with a modified-live canine distemper virus vaccine.

Eight 8-wk-old raccoon pups (Procyon lotor) with maternal canine distemper virus (CDV) neutralizing antibodies (NAb) and 24 8-wk-old seronegative pups were administered a commercial modified-live CDV vaccine (Galaxy, D, Solvay Animal Health, Inc., Kitchener, Ontario, Canada). All 24 seronegative raccoons had detectable serum CDV NAb titers 14 days after the initial dose. Titers rose to maximum levels 4 wk post-vaccination. Mean titers for groups of vaccinated seronegative pups were maintained between 1:256 and 1:2,048 for the remainder of the 3 mo observation period. Geometric means of the serum CDV NAb titer of eight seronegative pups given a single vaccine dose at 8 wk of age did not differ significantly from those of eight pups that were given serial doses at 8, 12, and 16 wk of age, or from those of eight pups vaccinated once at 16 wk of age. Seven unvaccinated 8-wk-old raccoon pups used as controls remained seronegative throughout the trial. Seven out of eight 8-wk-old pups with maternal antibodies, vaccinated at 8, 12, and 16 wk of age, failed to develop a rise in their CDV NAb titers until at least 18 wk of age, 2 wk after the third vaccination. Titers in eight unvaccinated raccoons with maternal antibodies declined steadily to undetectable levels at 20 wk of age. A half-life of 10.55 days was calculated for maternally-derived CDV NAb in raccoon pups. Sixteen vaccinated raccoons were protected from clinical disease following experimental oronasal challenge with a virulent raccoon strain of CDV, 13 to 23 wk after vaccination. Serum CDV NAb titers at the time of challenge ranged from 1:12 to 1:384 and increased during the period of observation. Three of four unvaccinated seronegative raccoons used as controls failed to mount any detectable CDV NAb and were euthanatized after developing clinical signs of canine distemper 26, 29, and 30 days post-challenge (PC). Necropsies confirmed the diagnosis. The fourth control raccoon exhibited transient equivocal clinical signs, mounted a sluggish humoral response, but was clinically normal when euthanatized 42 days PC. In this raccoon, there was focal non-suppurative encephalitis with intranuclear inclusion bodies typical of CDV infection.

Animals↗

Observations on pigeon circovirus infection in Ontario.

Subclinical pigeon circovirus infection was diagnosed in 1-day-old to 6-week-old birds from a loft with no history of clinical disease. Pigeons from other lofts presented with various illnesses and were found at necropsy to be concurrently infected with pigeon circovirus.

Animals↗

Cutaneous mycoses in chameleons caused by the Chrysosporium anamorph of Nannizziopsis vriesii (Apinis) Currah.

A dermatophyte-like fungus was isolated from skin biopsies of three different species of captive chameleon in which fungal elements had been observed by histologic examination. An adult Parson's chameleon (Chamaeleo parsonii) presented with vesicles that became crusty brown lesions on the limbs and body. Skin biopsies revealed fungal hyphae in the affected epidermis and underlying dermis. The lesions regressed fully after oral administration of itraconazole. An adult jewel chameleon (Chamaeleo lateralis) from the same private collection presented with localized black skin lesions and died while being treated with itraconazole. A pulmonary granuloma was also present in this chameleon at autopsy. Cultures obtained from skin and lung lesions yielded the same fungus. A third isolate was obtained from a skin biopsy of a Jackson's chameleon (Chamaeleo jacksoni) with deep ulcerative cutaneous lesions located at the base of the tail. The fungus, in all three cases, has been identified as the Chrysosporium anamorph of Nannizziopsis vriesii, a poorly known ascomycetous species recorded previously from the skin of a lizard and from soil, on the basis of its keratinolytic activity, resistance to cycloheximide, strongly restricted growth at 37 degrees C, formation of clavate or pyriform single-celled or two-celled aleurioconidia, and alternate and fission arthroconidia.

Administration, Oral↗

Radiographic differences between two subtypes of bronchioloalveolar carcinoma.

Bronchioloalveolar carcinoma has two light-microscopic, morphologic types, the alveolar type which has cuboidal cells resembling Type II pneumocytes, and the bronchiolar type in which these cells are of the tall columnar variety. To determine if these two different cellular patterns are associated with different clinical or radiologic patterns of disease, we compared the anthropometric, demographic and past medical history, the presenting symptoms, signs, radiographic changes and survival of patients with these two diseases. Clinical records, chest radiographs and pathologic specimens were reviewed by individuals blinded to the hypothesis. Of 30 patients reviewed, we found only one purely alveolar pattern, one predominantly alveolar, 13 mixed, 12 predominantly bronchiolar, and three purely bronchiolar. For analysis we combined the alveolar and the mixed groups and compared them to the purely and predominantly bronchiolar groups. Anthropometric and historical data were similar. The radiographs were different; the most striking difference was the presence of air bronchograms only in the bronchiolar group (p less than 0.0001). Of those who had previous chest films, 80% in the alveolar-mixed group were abnormal, whereas none of those in the bronchiolar group were (p = 0.02). All the initial films in the bronchiolar group had a lesion with definable borders, whereas only two-thirds of the mixed alveolar group did (p = 0.02). Some of the radiographic changes of bronchioloalveolar carcinoma depend on the histologic subtype.

Adenocarcinoma, Bronchiolo-Alveolar↗

Differentiating bronchioloalveolar carcinoma from adenocarcinoma.

The recognition of bronchioloalveolar carcinoma (BAC) as distinct from adenocarcinoma of the lung, is controversial. Using strict pathologic criteria, 43 consecutive patients with BAC were matched by year of diagnosis and compared with a similar number of patients with adenocarcinoma, and for contrast, with those with squamous and oat cell carcinoma of the lung. We demonstrated that BAC is not sex related, and is not as smoking related as the other neoplasms. Unlike epidermoid carcinoma, BAC does not show a predilection for those occupations requiring manual labor. Also, BAC is frequently distinguishable radiologically from the other three by being smaller and peripheral. A pleural tag and an air bronchogram in a mass are rather specific, and BAC is less likely to have large airway involvement and adenopathy. The percentage of patients who were free of tumor after 2 yr was greater in the BAC group than in the others, but the overall survival rate between the BAC group and the adenocarcinoma group was not. Based on inter-observer variability, there is some overlap pathologically between these 2 groups. However, when the overlap between the adenocarcinoma and the BAC groups is compared with that between the adenocarcinoma and the squamous cell carcinoma groups, the difference is not significant. We conclude that BAC should be considered a distinct clinical entity.

Adenocarcinoma↗

Correlation of regional breath sound with regional ventilation in emphysema.

We measured regional breath sound intensities (Ib) by a microphone amplifier system in 8 subjects with emphysema. We also measured regional white noise transmissions (Tn) from the same areas in all subjects. The recorded areas were 5, 10, 15, and 20 cm from the apex of the lung just lateral to the right anterior midclavicular line. Xenon ventilation indexes (xenon tidal raw counts, an index of total regional ventilation; xenon equilibration raw counts, an index of ventilating lung volume; xenon ventilation per unit volume (Vr), an index of ventilation per unit volume) were also recorded from the same areas. The Ib, Tn, Ib/Tn (an index of sound generation), and xenon ventilation indexes were all expressed as a fraction of the mean value of all four recorded areas. The Ib and Ib/Tn correlated best with the xenon tidal raw counts, correlated well with the xenon equilibration raw counts, and correlated poorly with Vr. We conclude that Ib and Ib/Tn can be used to quantify regional ventilation in subjects with emphysema.

Auscultation↗

Micronodular pulmonary pattern: association with inhaled aerosol.

The micronodular pulmonary radiographic pattern consists of homogeneous rounded densities of 1 mm or less in diameter without a reticular element. The differential diagnosis is limited to alveolar microlithiasis and a few other conditions, such as intravenous talc injection. Two patients with this image had very heavy exposure to hairspray and a pulmonary noncaseating granulomatous tissue reaction. Reports of 31 patients with pulmonary reactions to hairspray aerosols have been reviewed together with original radiographs in five cases. The micronodular pattern occurred in the eight. Aerosol sprays of several sorts were examined by electron microscopy and x-ray energy dispersive spectrometry. Although the pathogenesis of the pulmonary reaction has not been established, steroids and abstinence from further exposure to aerosols encourage its disappearance.

Adult↗

Pulmonary 'mainline' granulomatosis: talcosis of intravenous methadone abuse.

Seventeen intravenous abusers of methadone underwent clinical, roentgenologic and physiologic assessment. Two complained of dyspnea on exertion and two had cor pulmonale. Of 15 patients whose fundi were examined, nine had talc particles in their retinal vessels. The chest roentgenograms of seven showed a diffuse pin-point micronodular pattern and two of the seven also manifested volume loss, one with coalescence of opacities simulating progressive massive fibrosis. Twelve patients had some degree of pulmonary dysfunction, 10 with lowered steady state diffusing capacity and 11 with decreased flow rates (FEV1 and MMF). There was no hyperinflation, but two showed an increase in residual volume. Corticosteroid therapy was attempted on two and was ineffective. Necropsy on the one patient who died revealed severe pulmonary fibrosis and talc granulomas in lungs, liver, kidneys and lymph nodes.

Adult↗