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Biomedical subjects

M Hotchi

Publications and source records attributed to M Hotchi.

At least 37 records · Page 2Linked to original sources
PubMed1991

Localized necrotizing arteritis. A report of two cases involving the gallbladder and pancreas.

We report two cases of localized necrotizing arteritis, one involving the gallbladder and one involving the pancreas. Both cases were found incidentally in surgically resected specimens. Vascular changes in both cases were similar to those seen in classic polyarteritis nodosa, involving medium-sized muscular arteries characterized by fibrinoid necrosis and panarterial and periarterial inflammations varying from active to resolving stages. Both patients had no constitutional symptoms or underlying serologic abnormalities suggestive of systemic angitis. To our knowledge, pancreas-limited arteritis has not previously been described. Whether these lesions represent an early manifestation of a systemic arteritides syndrome, a variant of polyarteritis nodosa, or a distinct entity should be prudently judged through a long-term follow-up.

Adult↗
PubMed1990

Effects of iron and desferrioxamine on Rhizopus infection.

To investigate the association among iron, desferrioxamine, and a Rhizopus infection, the influence of iron and/or desferrioxamine on experimental mucormycosis in mice was examined. All mice pretreated with iron, desferrioxamine, or a combination of iron and desferrioxamine died within 5 days after the inoculation of R. oryzae. In the mice fungal lesions were observed in the brain which resembled human cerebral mucormycosis. By contrast, the mortality in the control mice with R. oryzae was 20% through the 3-week experimental period. Therefore, it was demonstrated that iron as well as desferrioxamine administration markedly promotes the growth of R. oryzae. The increased susceptibility to R. oryzae was considered to be due to increased serum iron in the animals pretreated with iron only; however, pretreatment with desferrioxamine did not affect the amount of serum ion. Thus, the data suggest that desferrioxamine acts as a siderophore to R. oryzae and exerts an adverse effect on mucormycosis. This study has shown that the presence of iron and desferrioxamine enhances the virulence and pathogenicity of R. oryzae by serving as a growth factor.

Animals↗
PubMed1990

Diagnostic value of serum antibody to candida in an extensively burned patient.

This report gives details of an extensively burned patient who died of candidiasis. Retrospectively, by using the procedure of indirect immunoperoxidase staining, we measured the levels of antibody to candida in the stored patient's serum, collected from the time of admission to our hospital until death. Gradual increases in the antibody titres to candida were seen over the postburn period. The findings can be useful in diagnosing candidiasis.

Antibodies, Fungal↗
PubMed1990

Astrocytoma with granular cell tumor-like changes. Report of a case with histochemical and ultrastructural characterization of granular cells.

A peculiar case of astrocytoma showing a histological appearance similar to granular cell tumor was reported. The tumor consisted of large round cells containing numerous intracytoplasmic eosinophilic granules, partially intermingled with atypical astrocytes, and part of it showed a transition to distinct areas of fibrillary astrocytoma. The granules were periodic acid-Schiff-positive (with resistance to diastase digestion), negative for fat stains and revealed lectin-binding patterns similar to those in granular cell tumor. Ultrastructurally the granules were partially membrane-bound, dense bodies compatible with secondary lysosomes. It was suggested that the granular cells were of astrocytic origin because of their immunoreactivity for glial fibrillary acidic protein (GFAP) and ultrastructural observation of intermediate filaments corresponding to GFAP.

Adult↗
PubMed1988

The application of immunoperoxidase staining for the detection of causative fungi in tissue specimens of mycosis I.

This study was performed in order to identify the fungi of four species (Aspergillus fumigatus, Fusarium anthophilum, Candida albicans, Cryptococcus neoformans) in formalin-fixed, paraffin-embedded tissue sections by the indirect method of immunoperoxidase staining. Mature albino rabbits were immunized by formalin-killed organisms. The antibodies were prepared by precipitation at a 50% saturation of ammonium sulfate and were checked for cross-reactivities by Ouchterlony's double immunodiffusion and precipitin test. The immunoperoxidase staining was applied to the paraffin-embedded tissue sections of infected mice, human autopsy and biopsy specimens. Although each fungus was stained clearly the cell wall, cross-reactivities appeared among them, however it was possible to identify four fungi by absorption and dilution of the antisera.

Animals↗
PubMed1988

Experimental candidiasis associated with liver injury. Role of transferrin.

In an attempt to perform a further investigation on the proposal that an increasing susceptibility to Candida infection in liver injury may be related to unsaturated transferrin level (UIBC) and/or to a total amount of transferrin represented by TIBC, we conducted experimental candidiasis using mice with galactosamine-induced liver injury and investigated the effect of preadministration of transferrin prior to inoculation of Candida albicans. Final mortality was 10% in the mice without liver injury and without transferrin (Group 1) and ones with liver injury and with transferrin (Group 3). By contrast a 50% mortality was given in one only with liver injury (Group 2). The TIBCs in Groups 1 and 3 were significantly higher than that in Group 2. The UIBCs in Groups 2 and 3, although there was no significant difference between them, were significantly lower than that in Group 1. This study confirmed that transferrin (TIBC) may have a direct deterring effect on systemic Candida infection and the decreased TIBC in the liver injury enhances the growth of C. albicans.

Animals↗
PubMed1988

An autopsy case of disseminated histoplasmosis probably due to infection from a renal allograft.

An autopsy case of a 52-year-old Japanese male, who died of disseminated histoplasmosis, is reported. He had received a cadaveric renal allograft 4 years prior to death. The donor was a 33-year-old American negro male, who had resided in Texas. The patient had been treated with immunosuppressive drugs after renal transplantation, and mycotic pneumonia developed 3 months before death. At autopsy, acute necrotizing lesions composed of histiocytes were observed in the transplanted kidney, lungs, prostate gland and various lymph nodes. Abundant yeast-like fungal elements, measuring 2-5 micron in diameter, were engulfed by the histiocytes, and were identified as Histoplasma capsulatum by the immunoperoxidase method. The transplanted kidney was considered to have been the source of the infection.

Cadaver↗
PubMed1988

[An autopsied case of a malignant lymphoma with a severe nephrotic syndrome overlapped by cirrhotic glomerulosclerosis].

A 52-year-old man, who had been diagnosed as having alcoholic liver cirrhosis, presented a chronic nephritic syndrome due to hepatic glomerulosclerosis. Ten months before death, massive proteinuria exceeding 40 g/day was noted. A renal biopsy revealed diffuse mesangial sclerosis, associated with an IgA deposition consistent with hepatic glomerulosclerosis. Although the nephrotic syndrome subsided with immunosuppressive therapy, he died of hepatic failure. Postmortem examinations disclosed a diffuse, medium-size B-cell lymphoma, involving the peritoneal and retroperitoneal organs and an IgA-positive plasmacytosis. His massive proteinuria seems to have been caused by the paraneoplastic syndrome of a malignant lymphoma.

B-Lymphocytes↗
PubMed1987

Effects of endotoxin (lipopolysaccharides) on experimental aspergillosis in leukemic mice.

In an attempt to evaluate effects of bacterial endotoxin on systemic fungal infection, experimental systemic Aspergillus infection was induced in leukemic mice (AKR strain) with (Group B) or without (Group A) preceding intraperitoneal administration of Pseudomonas aeruginosa derived lipopolysaccharides. All mice in group A died within 4 days after intravenous inoculation of Aspergillus fumigatus spores and developed extensive and disseminated fungal lesions without inflammatory reactions. In contrast, 5 of 10 mice in group B were alive at day 4 and 1 mouse in group B was alive when the experiment was terminated on the 14th day. These mice showed less extensive fungal lesions with definite, albeit minimal, inflammatory reactions which were composed of macrophages and neutrophils. In addition, serum iron levels and iron saturation rates were significantly lower in mice in group B than in group A. These results indicate that P. aeruginosa endotoxin has a deterring effect on systemic Aspergillus infection in leukemic mice.

Animals↗
PubMed1987

Experimental candidiasis in liver injury.

In an attempt to evaluate effects of liver injury and roles of iron metabolism on systemic fungal infection, experimental systemic Candida infection was produced in mice with galactosamine-induced liver injury. Survival rate and extent of fungal lesion are compared between mice with liver injury (Group 1) and ones without liver injury (Group 2). Median survival was 7 and 18 days in Group 1 and 2 respectively after 21 days observation. Mortality rate of Group 1 was significantly higher (P = 0.05) than that of Group 2. This difference was reflected to the extent of fungal lesions in that they were extensive and disseminated, involving the multiple organs in Group 1 but predominantly localized to the kidneys in Group 2. UIBC (unbound iron binding capacity) and TIBC (total iron binding capacity), i.e., serum transferrin as well as serum iron levels were significantly lower in Group 1 as compared with those in Group 2. These results indicate that hepatic injury promotes Candida infection in vivo and suggest that increased susceptibility to Candida in the presence of liver injury is, at least partially, attributable to low UIBC and/or TIBC.

Animals↗
PubMed1987

Neoplastic angioendotheliomatosis. Report of two autopsy cases with special reference to the origin of atypical cells.

Two autopsy cases of neoplastic angioendotheliomatosis (NAE) were presented. Both patients were elderly woman, characterized by an ascending progression of transverse myelopathy and abnormal brain shadows similar to metastatic tumor in computer tomographic examination in Case 1, and by typical clinical features of cerebral infarction in Case 2. Postmortem examinations of both cases revealed an exclusive intravascular distribution of large atypical cells in generalized organs, especially in the central nervous system, and associated multiple cerebral infarcts and, in Case 1, widespread demyelination of the spinal cord. There were no distinct lesions suggestive of a primary focus. In both cases only a few atypical cells were immunohistochemically positive for factor VIII-related antigen, likely due to non-specific absorption of serum factor VIII into the cells. On the other hand, almost all of the atypical cells were immunoreactive for LN-1, LN-2, and leukocyte common antigen, suggestive of lymphocytic (B cell) origin.

Aged↗
PubMed1987

Ultrastructural cytochemical studies on the cell coat of macrophages and the localization of fibronectin in granuloma formation.

Experimental granulomatous lesions induced by subcutaneous injection of glucan or carrageenan into the footpad of rats were analysed using ruthenium red staining and immunoperoxidase staining for fibronectin at the ultra-structural level in order to clarify the characteristics of the cell coat of aggregated macrophages. In both types of lesion, the macrophages were aggregated loosely or closely with interdigitated pseudopods, while those with large vacuoles containing carrageenan fibrils were markedly swollen and did not show any mutual attachment or interdigitation of pseudopods. The surface coat of the aggregated cells in both groups lacked the outer filamentous layer usually present in those in the free state and was thickened focally just above the site where subplasmalemmal microfilaments were condensed. Fibronectin was demonstrated among the inflammatory cells and the irritants at the early stage and at the site of the focally thickened cell coat at the late stage. However, these findings were not observed in the macrophages with large vacuoles containing carrageenan. These results support the contention that fibronectin participates in the phagocytosis of irritants by macrophages and that, in granulomatous lesions, fibronectin appears focally just above the site of condensed subplasmalemmal microfilaments, this transmembrane association (fibronexus) playing some role in the attachment of macrophages.

Animals↗
PubMed1987

A case of leiomyoma of the lamina muscularis mucosae of the esophagus with a complication of carcinoma in situ of the overlying mucosa.

An extremely rare case of leiomyoma originating in the lamina muscularis mucosae of the esophagus with a complication of carcinoma in situ in its overlying mucosa was reported. The patient was a 53-year-old male who complained of a feeling of abdominal fullness. A small, elevated tumor was found in the middle portion of the esophagus by esophagoscopy. Biopsy specimens showed it to be squamous cell carcinoma. The resected material revealed the tumor mass to be composed of both a leiomyoma, measuring 0.8 x 0.6 x 0.25 cm, which continued from the lamina muscularis mucosae, and carcinoma in situ and dysplasia in the overlying mucosa of the leiomyoma. The mucosa apart from that covering the leiomyoma was intact. It was speculated that chronic stimulation of the epithelium covering the leiomyoma might have induced the dysplasia and carcinoma in situ.

Biopsy↗
PubMed1987

[An autopsy case of plasmacytoma of the thyroid gland].

An autopsy case of a 75-year-old woman with plasmacytoma of the thyroid gland is presented. There were no toxic symptoms and no abnormal serum protein. On autopsy, a nodule measuring 5.5 X 4.5 X 8 cm was found in the left lobe of the thyroid gland. No myeloma lesions were found in the bone marrow or in other organs. Histologically, the marginal area of the nodule was occupied by typical plasmacytoma, whereas necrotic tissues resembling anaplastic carcinoma were present in the central portion. Chronic thyroiditis was not associated. Immunohistochemically, only the kappa-light chain was demonstrated in the cytoplasm of the tumor cells.

Aged↗
PubMed1987

Disseminated cutaneous Fusarium infection with vascular invasion in a leukemic patient.

A 61-year-old male with leukemia manifested multiple cutaneous nodules on his whole body surface, subcutaneous nodules on his arms and a tongue tumor. Septate hyphae were observed microscopically in scrapings from the surfaces of the cutaneous lesions. Fusarium solani and F. anthophilum were isolated from scrapings from the several skin lesions. Histological examination revealed the presence of numerous septate hyphae in the lumina of vessels in the dermis. The fungal elements in the cutaneous tissues were suggested to be Fusarium by an immunoperoxidase method using a genus-specific anti-Fusarium antibody. Although no evidence of fungal infection was found in other organs by clinical examinations, F. solani and/or F. anthophilum were considered to have undergone hematogenous dissemination, because of the presence of thrombi containing abundant fungal elements in the skin lesion. The present case is a case of disseminated cutaneous Fusarium infection, in which fungal elements in skin tissue sections were immunohistochemically regarded as Fusarium, though fungus cultures from biopsied specimens were negative.

Dermatomycoses↗
PubMed1986

[An autopsy case of anaplastic carcinoma of the thyroid gland with primary empty sella and marked atrophy of the adrenal glands].

The patient was a 67-year-old woman, she had lost her public and axillary hair upon menopause at the age of 47, and symptoms of hypothyroidism appeared with cervical tumor one year prior to her death. A diagnosis of anaplastic carcinoma was made by biopsy of the thyroid gland. Laboratory examination revealed a high titer of antithyroid antibody and dysfunction of the thyroid gland, adrenal cortices and pituitary gland. At autopsy, the pituitary gland showed a cup-shaped deformity with atrophy, and the adrenal glands were markedly atrophic. It was considered that the atrophy of the adrenal glands was secondary to dysfunction of the pituitary gland.

Adrenal Cortex↗