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Biomedical subjects

L Bolognesi

Publications and source records attributed to L Bolognesi.

18 recordsLinked to original sources

Melioidosis in a traveller from Thailand: case report.

A 42-year old Italian male with type 2 diabetes and HCV-related chronic hepatitis spent 6 months in Thailand. After his return in June 2002 he was admitted to the Infectious Diseases Unit of the Hospital of Livorno (Italy) because of fever, chest pain and skin abscesses in the legs. Chest X-rays and CT scan revealed multiple bilateral cavitary lesions in the lungs. Ultrasonography and CT scan showed numerous subcentimetric spleen abscesses. Burkholderia pseudomallei was isolated from the cutaneous lesions and sputum and thus melioidosis was diagnosed. A 6-week course of i.v. ceftazidime plus oral doxycycline was given during the acute phase of the illness. The in vitro susceptibility testing showed that long-term (20 weeks) antimicrobial therapy with doxycycline and moxifloxacin was required. Complete resolution of pulmonary and spleen lesions was obtained within 6 weeks of therapy and of cutaneous abscesses in 10 weeks. No significant side effects were noted during the follow-up period using this scheme of antimicrobial therapy.

Abscess↗

[Yersinia enterocolitica: biotypes and serotypes isolated from horticultural products].

A survey has been carried out for the presence of Yersinia enterocolitica (Y.e.) in horticultural products. 100 samples of these vegetables have been examined among the families of Compositae (lettuce, prickly lettuce, cabbage lettuce, common chicory, artichoke), Umbrelliferae (curly parsley, carrot, celery, fennel), Cruciferae (garden cabbage, red radish), Liliaceae (onion), and Solanaceae (tomato). 12 strains have been recorded in carrots (serotype 0:6.30), 1 strain in curly parsley (0:4.32), 3 in celery (0:7.8 and 0:6.30), and 1 in red radish (NAG). 0:6.30--the most commonly serotype found in the horticultural products--can be of special significance in human pathology, since the reference strain (IP 102) has been first isolated from man; besides, 0:6.30 has been recovered from four cases of human infection, and represents the most frequently isolated serotype from humans in Canada, together with 0:3, 0:5.27 and 0:9. According to other Authors, in can be assumed that "environmental" strains of Y.e. may also acquire virulence and cause infection in man. Moreover, a high number of environmental biotypes in foods may mask the presence and recovery of such strains involved in human pathology.

Food Microbiology↗

[Top medical management and levels of knowledge about the application of the D.lgs. 626/94].

The incorporation into Italian legislation of the European Community directives on the improvement of health and safety at work imposes new duties on the department heads of hospital departments. Their level of knowledge and information on several safety problems--occupational infections, exposure to chemical agents, use of antineoplastic and antiviral drugs, use of protective garments and devices, exposure to ionizing and non ionizing radiations, use of electric devices, lifting and loading, fire prevention--was surveyed in a large teaching hospital in northern Italy, via a check-list derived from Italian and international experience. Both knowledge and information resulted rather low, with particular regard to chemical, electric and fire hazards. The ignorance of department heads about common safety and prevention procedures in hospital work does not allow them to carry out their role according to the new requirements of Italian legislation. However, as they "must" know and have criminal responsibility in case of accidents or diseases due to their unawareness, appropriate courses are needed to fulfil law and safety requirements.

Accident Prevention↗