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R T Bryan

Publications and source records attributed to R T Bryan.

59 records · Page 4Linked to original sources
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Climatic and environmental patterns associated with hantavirus pulmonary syndrome, Four Corners region, United States.

To investigate climatic, spatial, temporal, and environmental patterns associated with hantavirus pulmonary syndrome (HPS) cases in the Four Corners region, we collected exposure site data for HPS cases that occurred in 1993 to 1995. Cases clustered seasonally and temporally by biome type and geographic location, and exposure sites were most often found in pinyon-juniper woodlands, grasslands, and Great Basin desert scrub lands, at elevations of 1,800 m to 2,500 m. Environmental factors (e.g., the dramatic increase in precipitation associated with the 1992 to 1993 El Niño) may indirectly increase the risk for Sin Nombre virus exposure and therefore may be of value in designing disease prevention campaigns.

Animals↗
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Culture, electron microscopy, and immunoblot studies on a microsporidian parasite isolated from the urine of a patient with AIDS.

Microsporidian spores isolated from a urine sample of an HIV-positive patient were inoculated onto monolayers of six different cell cultures. The parasites (CDC:0291:V213) grew profusely in two of the cultures (HLF and E6) and extruded spores into the culture medium. The spores were Gram-positive, 2.25- to 2.8-microns long, 1.25- to 1.8-microns broad, and smooth-walled. Some of the spores had already extruded their polar tubes, which were either straight or slightly coiled. Infected host cells contained parasitophorous vacuoles filled with developing stages of the parasite, including mature spores. Each spore was surrounded by a thin, electron-dense exospore; a thick electron-lucent endospore; and a thin cell membrane. Cross-sections of six coils of the polar tube were seen inside the spore. Proteins extracted from spores of our isolate and those from Encephalitozoon cuniculi were separated on gradient sodium dodecyl sulfate-polyacrylamide gels and either silver-stained or transferred to nitrocellulose membranes. As many as 35 bands, ranging in molecular mass from 10,000 to 200,000, were visualized in the silver-stained gel. When reacted with the serum of our patient, strips cut from the membrane showed a number of bands ranging in molecular weight from 25,000 to 200,000. However, unique differences between the profiles of the two parasites were seen both in the immunoblot and the silver-stained protein profiles. Based on these findings, we conclude that our isolate belongs to the genus Encephalitozoon, but more studies are needed to identify our isolate to the species level.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

Corneal microsporidioses: characterization and identification.

Two ocular infectious disorders attributed to Microsporidia have been observed. They differ in that one infection involves the corneal stroma leading to corneal ulceration and suppurative keratitis whereas the other infection involves the conjunctival and corneal epithelium. The corneal stromal infection is caused by a binucleated oval spore that is Nosema-like in character. The conjunctival and corneal epithelial infection occurs in HIV-sero-positive individuals and is caused by a spore containing a single nucleus that is a member of the genus Encephalitozoon. Characteristics of these genera and the above-mentioned infections are presented.

Adult↗
PubMedDate not supplied

Diagnostic approaches for Encephalitozoon infections in patients with AIDS.

In conclusion, at the current time the most important task of the laboratory for proper clinical management of the patient with microsporidiosis is to perform genus-level diagnosis of the agent, i.e. distinguishing Encephalitozoon sp. infection from other microsporidial agents including Septata, Enterocytozoon, Nosema, and Pleistophora. This can be performed in any well-equipped pathology department with access to electron microscopy. If species identification is desired, we currently recommend consultation with one of several laboratories specializing in this area until diagnostic reagents become more widely available.

AIDS-Related Opportunistic Infections↗