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Biomedical subjects

S Madoff

Publications and source records attributed to S Madoff.

18 recordsLinked to original sources

Characterization of cytopathogenicity of aquarium seal mycoplasmas and seal finger mycoplasmas by light and scanning electron microscopy.

Two recent mycoplasma isolates (one from an aquarium seal and one from a patient with the clinical entity known as seal finger) have been evaluated for cytopathogenicity in tracheal explant cultures. Examinations were performed in direct comparison to Mycoplasma phocidae, an isolate from an epidemic of seal pneumonia along the New England coast (USA) in 1979-1980. The study revealed similar inhibitory effects on ciliated tracheal epithelial cells and clumping of cilia by attached mycoplasmas; no exfoliation of respiratory epithelial cells was observed. In addition, cytopathic effects caused by the mycoplasmas were distinguished from effects of aging in non-infected explants under long-term in-vitro cultivation conditions. The general meaning of mycoplasmas in seals is discussed in detail in this paper.

Animals

Mycoplasma phocidae sp. nov., isolated from harbor seals (Phoca vitulina L.).

In 1979 and 1980, more than 400 harbor seals (Phoca vitulina) along the New England coast of the United States died of epizootic pneumonia that was attributed to an influenza virus. Six mycoplasma isolates that were recovered from the respiratory tracts of affected seals were investigated and were found to be serologically identical and distinct from previously described species. These isolates required serum for growth, did not possess a cell wall, and did not hydrolyze urea. Arginine was hydrolyzed, glucose was not fermented, film and spots were observed on horse serum agar, phosphatase was produced, tetrazolium was not reduced, and serum and casein were not digested. The guanine-plus-cytosine content of the DNA was 27.8 mol%. We propose the name Mycoplasma phocidae for these isolates. The type strain of M. phocidae is strain 105 (= ATCC 33657).

Animals

Specific, high-affinity binding sites for angiotensin II on Mycoplasma hyorhinis.

Mycoplasmataceae are known to express various proteins that are similar to those present in mammals. We report a strain of Mycoplasma hyorhinis isolated from opossum kidney cells with specific, high-affinity binding sites for human angiotensin II (Kd = 5.1 +/- 1.9 nM). In contrast, two strains of M. hominis revealed no specific binding. These binding sites resembled mammalian angiotensin II receptors by their high affinity and by their sensitivity to dithiothreitol. However, they are different from mammalian angiotensin II receptors in that they bind angiotensin I with high affinity (Kd = 1.6 +/- 0.29 nM) but not angiotensin III (Kd approximately 330,000 nM). [125I]-angiotensin II binding was not inhibited by angiotensin receptor subtype antagonists DuP 753 and CGP 42112A but it was sensitive to bacitracin and aprotinin. Positions Asp1, Ile5, His6 and Pro7 were essential for binding to M. hyorhinis as deletion of these residues led to a more than 10,000-fold decrease in affinity.

Angiotensin I

Women's knowledge and beliefs about breast cancer risk factors, symptoms, detection methods, and treatments.

This paper presents results from a survey of adult women that assessed knowledge, beliefs, and practices regarding the causes, symptoms, detection methods, and treatment of breast cancer. The study population was determined through random selection of household telephone numbers from the Buffalo, New York area telephone directory. Completed interviews were collected from 563 women over the age of 18. Telephone interviews were conducted by trained interviewers, between April and July of 1985. Survey results are compared to those found in the 1979 National Cancer Institute nationwide survey on breast cancer to evaluate if ther have been changes in public awareness about the disease. Differences in knowledge, beliefs, and practices regarding breast cancer were also studied in relation to age, race, and educational background. Overall, women's knowledge about breast cancer has significantly increased since the 1979 survey. However, while more women can name mammography as a diagnostic tool only 15% of women who have heard of mammography reported having had a mammogram. Generally, younger women, white women and those with some college education were more knowledgeable about breast cancer risk factors, symptoms, detection methods, and treatments. Results from this study suggest that although knowledge about breast cancer has improved, women have not adopted recommended early detection practices. Special efforts need to be directed toward health professionals, making mammography more accessible to women who are nonwhite, older and with no college education.

Adolescent

Mass mortality of harbor seals: pneumonia associated with influenza A virus.

More than 400 harbor seals, most of them immature, died along the New England coast between December 1979 and October 1980 of acute pneumonia associated with influenza virus, A/Seal/Mass/1/180 (H7N7). The virus has avian characteristics, replicates principally in mammals, and causes mild respiratory disease in experimentally infected seals. Concurrent infection with a previously undescribed mycoplasma or adverse environmental conditions may have triggered the epizootic. The similarities between this epizootic and other seal mortalities in the past suggest that these events may be linked by common biological and environmental factors.

Animals

Tetracycline-resistant L-forms isolated from an antibiotic-susceptible strain of Listeria monocytogenes.

A tetracycline-susceptible strain of Listeria monocytogenes type 4b was converted to stable L-forms by penicillin. L-form variants resistant to tetracycline were then selected from a predominantly tetracycline-susceptible L-form population on plates containing penicillin and increasing concentrations of tetracycline. The origin of tetracycline-resistant L-forms from the parent Listeria strain was confirmed biochemically, by immunofluorescence, and by polyacrylamide gel electrophoresis. Scanning and transmission electron microscopy confirmed the typical L-form structure and the complete lack of cell wall in both L-form strains. The level of [3H]tetracycline uptake was lower in tetracycline-resistant than in susceptible cells.

Anti-Bacterial Agents

Mycoplasma hominis septicemia.

We report a case of Mycoplasma hominis septicemia in a patient with chronic lymphocytic leukemia and prostatic obstruction. Signs of sepsis followed urinary catheterization, and M. hominis was recovered repeatedly from blood, urine, and pleural fluid. Detection in blood was accomplished by routine subculture from grossly negative blood culture bottles.

Aged

Infection of a brain abscess of Mycoplasma hominis.

Persistent fever in a young man after evacuation of a subdural hematoma caused by a depressed skull fracture made it necessary to carry out a computerized tomographic exam of the head that demonstrated a left frontal lobe brain abscess. Mycoplasma hominis was recovered from this abscess as the sole infecting organism. Serial computerized tomographic scans showed resolution after aspiration and antibiotic therapy.

Adult

Recurrent urinary tract infections in men: a role for aberrant bacterial forms?

We studied 11 infected, asymptomatic elderly men who had experienced recurrent urinary tract infections classified as bacterial relapse. These men did not have ileal loop bladders, urethral catheters, suprapubic catheters, or condom drainage. We had to process more than 1,000 urines from men attending the urology clinic to identify the 11 study patients. A positive antibody-coated bacteria immunofluorescence test was detected on the urinary sediments of each of these men. This selective study group was subjected to excretory urography and a 2-week course of antibiotics, in accordance with the results of in vaitro susceptibility tests. Two patients experienced a "cure." Recurrences developed in eight patients (six relapses, two reinfections), and in one patient a superinfection emerged. No pathogenetic role could be attributed to aberrant bacterial forms in this elderly population of asymptomatic men with recurrent, invasive urinary tract infections.

Aged

Isolation of Mycoplasma bovis from a patient with systemic illness.

Mycoplasma bovis was cultured from the sputum of a patient with lobar pneumonia, psychosis, and probable myocarditis, nephritis, and hemolytic anemia. Although we cannot be certain that this species of mycoplasma was the etiological agent of the patient's acute illness, this case report is of interest because, to the best of our knowledge, it represents the first isolation of M. bovis from a human source.

Adult

Fever of unknown origin: attempts to isolate L-forms and other aberrant bacterial forms.

An investigation was conducted with 65 selected febrile patients, 33 of whom fulfilled in all respects the classic criteria of "fever of unknown origin." Clinical evaluation included extensive radiological and immunological testing. Multiple blood cultures were examined by conventional methods in control studies. In addition, venous blood was cultured in a variety of hyperosmolar media using the special techniques used to detect L-forms and other cell wall-defective bacterial forms. By the extensive methods used, no bacterial forms were isolated. The use of media containing osmotic stabilizers did not detect L-forms or other aberrant bacterial forms, nor did it contribute to the determination of the etiology of fever of unknown origin in these patients.

Bacteria

Mycoplasma and L-forms: occurrence in bacterial cultures.

The mycoplasma and the L-forms of bacteria have been associated since the time of their discovery. Their similar biological properties have raised questions concerning their common origin. Observations made over a number of years have shown the appearance of mycoplasma in L-form cultures of several bacterial species. The origin of these mycoplasma cultures remains unknown. Recent research suggests the possibility of phylogenetic relationships between mycoplasma and bacteria or their derived L-forms.

Bacterial Infections

Nongenitourinary infections caused by Mycoplasma hominis in adults.

Eleven new cases of Mycoplasma hominis infection occurring outside the genitourinary tract in adults not in the puerperium were evaluated in relation to the 25 cases previously reported. Cases of bacteremia (n = 14) were commonly associated with trauma or manipulation of the genitourinary tract and were often self-limited. Wound infections (n = 14) followed surgery by 4-14 days in most cases and may have arisen from contamination from the genitourinary or respiratory tract. Joint infections (n = 5) appeared to have resulted from bacteremic seeding in some cases and affected prosthetic joints in particular. Least frequent were central nervous system infections (one case of meningitis and two of brain abscess) and respiratory tract infections (three cases of empyema). The large majority of patients had fever, and infected fluid collections were commonly purulent. The response to therapy was difficult to assess in many cases, but responses to tetracycline, clindamycin, and drainage alone were observed. Identification of M. hominis requires clinical suspicion and alertness on the part of the bacteriology laboratory.

Adolescent