PubMed Health⌕ Search

Biomedical subjects

S Tylewska-Wierzbanowska

Publications and source records attributed to S Tylewska-Wierzbanowska.

At least 19 recordsLinked to original sources
PubMed2005

Presence of Chlamydia pneumoniae in patients with and without atherosclerosis.

Data published over the past decade show that Chlamydia pneumoniae is likely associated with the development of atherosclerosis. The aim of this study was to ascertain whether C. pneumoniae infections occur more frequently in patients with atherosclerosis than in healthy subjects. A total of 517 persons were studied. Serum samples, leukocytes, and tissue samples were assayed for the presence of C. pneumoniae-specific IgG and IgA antibodies and C. pneumoniae DNA. C. pneumoniae DNA was found in renal, iliac, and brachial vessels, but it was not detected in radial arteries. C. pneumoniae DNA was found most often in directional coronary atherectomy tissue specimens (11/41, 26.8%), but it was also found in the leukocytes of 14.9% (28/188) of patients with atherosclerosis and 24.6% (28/114) of patients without atheroma changes in vessels. Specific IgG and IgA antibodies were present in 63.8 and 49.9% of atheroma patients, respectively. The prevalence of C. pneumoniae antibodies differs significantly in patients with and without atherosclerosis (for IgG, p=0.002, and for IgA, p=0.006). The identification of persons with chlamydial infection of atherosclerotic arteries necessitates the examination of vascular tissues obtained during revascularization procedures. Serological investigation alone cannot identify individuals with vascular chlamydial infections. Detection of C. pneumoniae DNA in peripheral blood mononuclear cells does not seem to be the exclusive marker of persistent vascular infection. A more easily accessible parameter that allows prediction of chlamydial vascular infection is required.

Adult↗
PubMed2003

[Rudolf Stefan Weigl--scientist and human being].

Rudolf Stefan Weigl died in 1957, 45 years ago. This year we are celebrating 120 anniversary of his birthday. He was a great Polish scientist who led research on Rickettsia prowazeki and epidemic typhus. R. Weigl developed a method of R. prowazeki culture in louse gut and elaborated the technology of epidemic typhus vaccine production. He and his co-workers introduced first vaccination of medical staff, people from endemic area in Poland and missionaries working in Asia. He was an international authority on prophylactics and control of rickettsial epidemic typhus.

Disease Outbreaks↗
PubMed2001

First cases of acute human granulocytic ehrlichiosis in Poland.

The first three cases of acute human granulocytic ehrlichiosis in Poland are described. Blood samples were tested by an indirect immunofluorescence method to detect specific serum antibodies, and the polymerase chain reaction was used to detect ehrlichial DNA. Additionally, peripheral blood smears were examined for the presence of morulae. According to criteria of the Centers for Disease Control and Prevention, all three cases can be classified as confirmed granulocytic ehrlichiosis. Using the criteria recommended by a consensus group, however, two cases can be classified as confirmed granulocytic ehrlichiosis and one case as probable granulocytic ehrlichiosis.

Acute Disease↗
PubMed2001

[Influence of Chlamydia pneumoniae and cytomegalovirus infections on prevalence and the course of coronary artery disease].

Chlamydia pneumoniae (C. pneumoniae) as well as cytomegalovirus (CMV) are common pathogens found in about 50% of healthy western population. Many studies suggest a role of C. pneumoniae in development of coronary artery disease (CAD). CMV infection is also considered to increase risk of developing of CAD as well as restenosis after percutaneous coronary revascularization (PCI). The aim of our study was to evaluate a possible role of C. pneumoniae and CMV infections in both CAD development and course in patients (pts) undergoing PTCA. We enrolled 105 pts (mean age 56.4 years, 83 males) with angiographically documented CAD. Control group consisted of 63 healthy controls (mean age 47.25 years; 31 males). The study subjects were evaluated for presence of C. pneumoniae specific IgG antibodies (MIF test--MRL Diagnostic, USA; seroprevalence assumed when titre > or = 1/8). In 58 random PCI pts CMV specific IgG antibodies (ELISA Eti-Cytok-G PLUS--Dia Sorin) were evaluated. Pts were sampled at the time of PTCA. All PCI pts were assessed by angina questionnaire 5.9 +/- 2.6 months (mo) after the procedure with respect to clinical restenosis. C. pneumoniae IgG antibodies were detected in 37.1% of pts and in 22% of healthy controls (p < 0.05). After logistic regression was applied trend towards more frequent occurrence of C. pneumoniae specific IgG in CAD pts was shown (p = 0.10 OR = 2.4; 95% CI: 0.8-6.8). No significant correlation was found between anti-C. pneumoniae IgG presence or anti-CMV IgG titre and coronary atherosclerosis advancement. There was no significant difference in anti-CMV IgG titre between 9 pts who developed clinical restenosis 5.9 +/- 2.6 mo after PCI and the remaining pts. Our study results suggest a possible significant correlation between C. pneumoniae with CAD prevalence. We did not find a positive association of either infection markers with coronary atherosclerosis advancement. We did not find correlation of clinical restenosis after PCI with markers of CMV infection.

Adult↗
PubMed2001

[Prevalence of chlamydia pneumoniae antibodies in patients with coronary heart disease].

A possible role of infectious agents in the pathogenesis and progression of cardiovascular system diseases has been postulated by many scientists. The purpose of our study was to evaluate the correlation between Chlamydia pneumoniae infections and coronary heart disease. A group of 211 patients including: 120 patients with coronary heart disease (CHD) [63 patients enrolled for precutaneous coronary interventions (PTCA), 14 with proven restenosis after PTCA and 43 after coronary artery bypass grafting with recurrence of CHD symptoms], 17 patients suffering from congenital heart diseases or mitral valve stenosis with normal coronary angiograms and 74 healthy volunteers were tested. The levels of serum IgM, IgG and IgA antibodies for Chlamydia pneumoniae were measured with indirect microimmunofluorescence test (MRL Diagnostic, USA). C. pneumoniae specific IgG antibodies were detected in both, patients as well as healthy volunteers. They were seropositive with similar frequency (28.3% and 28.6% respectively). Among CHD patients, however, in PTCA/rest patients, specific C. pneumoniae antibodies have been detected more often (42.9%). Prevalence of C. pneumoniae specific antibodies correlated with patients' age, sex. There was no relation between behavioral habits (smoking) and presence C. pneumoniae antibodies.

Adult↗
PubMed2001

[Attempt of estimation of Q fever endocarditis frequency in Poland].

Up to now no Q fever endocarditis (caused by rickettsia Coxiella burnetii) has been diagnosed in Poland. Potential endocarditis caused by Coxiella burnetii strains can be related to a group of strains present in Poland or sensitivity of Polish Population. The aim of the study was to estimate frequency of Q fever endocarditis is patients of National Institute of Cardiology and to characterize Coxiella burnetii strains and correlation between frequency of Q fever endocarditis and the group of strains. In all patients infective endocarditis and valvular heart disease were diagnosed. In all cases vegetations on TTE or TEE and negative blood cultures were confirmed. No fungal antigens or elevated anti-Candida and anti-Aspergillus antibodies were found. Serological investigations as far as it concerns C. burnetii antibodies were negative in all cases. No Coxiella burnetii infection were found in patients with infective endocarditis and negative blood cultures in the National Institute of Cardiology. However due to high probability of occurrence of such an infection in Poland further investigations in other centers would be useful.

Antibodies, Bacterial↗
PubMed1999

Central nervous system infection caused by Borrelia burgdorferi. Clinico-pathological correlation of three post-mortem cases.

The spirochete Borrelia burgdorferi (B. burgdorferi) may cause severe meningoencephalomyelitis as the sole manifestation of Lyme borreliosis. We would like to present three such cases, where definite neuroborreliosis was clinically diagnosed in two cases and possible neuroborreliosis was recognized in one case. Alive spirochetes were isolated and cultured from blood and cerebrospinal fluid (CSF) in both definite cases. B. burgdorferi as the causative agent of the infection was confirmed in CSF by polymerase chain reaction (PCR) in one definite case. In the possible case spirochetes were cultured from blood and CSF. Alive spirochetes were not isolated, however anti-B. burgdorferi antibody value in serum was significantly elevated. On necropsy gross examination brain edema without focal changes was detected in two cases. Cerebral atrophy was seen in Case 3. Microscopically, lymphocytic infiltrates, microglial diffuse and nodular activation, spongiform changes, diffuse demyelination of the cerebral and cerebellar white matter, and diffuse astrocytosis, were characteristic pathological features in all presented cases. Multifocal, perivascular degenerative changes in the cerebral and cerebellar white matter were observed in the first case. Inflammatory changes in the nuclei and roots of cranial nerves were present in the third case.

Adult↗
PubMed1999

[Chlamydia pneumoniae: an etiologic of coronary heart disease?].

The hypothesis put forward in 1988 that Chlamydia pneumoniae is the aetiological agent in coronary disease and myocardial infraction has aroused an interest in these bacteria. The epidemiology of Ch. pneumoniae infections and researches on the role of it in the development of coronary artery lesions are reviewed, including animal models of this infection which could provide additional on the mechanism of atherosclerosis development.

Chlamydia Infections↗
PubMed1997

The isolation of Borrelia burgdorferi spirochetes from clinical material in cell line cultures.

It has been found that B. burgdorferi bacteria multiply in mouse fibroblasts. Mouse fibroblast of the L-929 cell line was inoculated with less than 10 up to 10(4) B. burgdorferi cells and incubated for 2-10 days at 35 degrees C in microaerophilic conditions. Within 2 days, visible growth was observed. The bacteria were present in growth medium and on/in mouse fibroblasts as revealed by the indirect immunofluorescence assay. At the same time, development of vacuolized fibroblastic giant cells was observed. Viable spirochetes were also detected in Eagle's medium from a L-929 fibroblast cell line culture, after approximately 2-5 days of incubation with blood, cerebro-spinal and synovial fluids of Lyme borreliosis patients. The bacteria were present in growth medium and on/in endothelial cells as revealed by the indirect immunofluorescence assay. The establishment of B. burgdorferi culture conditions in cell lines gives us a possibility to isolate the etiological agent of Lyme disease from patient blood, cerebrospinal and synovial fluids at different stages of infection. The high sensitivity of this procedure would be helpful in a proper identification of the infection as well as in the control of treatment effectiveness.

Animals↗
PubMed1996

Possible sexual transmission of Q fever among humans.

Direct transmission of Q fever between persons who have been exposed to Coxiella burnetii and their family members has been hypothesized on the basis of the results of serological surveillance. We studied nine shepherds who were employed in Spain during the sheep shearing season. After they returned to Poland, Q fever was detected in these shepherds and their wives. The titers of serum antibodies to phase I C. burnetii antigens ranged from 0 to 64 in patients with Q fever and in their spouses, and the titer of serum antibodies to phase II antigens ranged from 0 to 1.024 in patients and their spouses. Other family members were seronegative for antibodies to C. burnetii. C. burnetii strains were isolated from urine and semen samples obtained from patients with Q fever. Attached bacteria have been detected in spermatozoal cells observed with use of scanning electron microscopy.

Antibodies, Bacterial↗
PubMed1996

Epidemics of Q fever in Poland in 1992-1994.

From 1992 till the end of 1994, three epidemics of Q fever among people have been recognised in Poland. In 1992 the outbreak of Q fever was detected at the farm near Jawor in Legnica district. Coxiella burnetii infection was recognized serologically in 25 persons (27 tested). Titres of serum antibodies ranged from 8 to 256. It has been found that cattle were the source of human infection. C. burnetii strain has been isolated from the bull semen. In the same year, Q fever was recognized among 18 workers of the tannery in Myślenice, in Kraków district. Antibodies to C. burnetii, in titres from 8 to 2048, were detected in all 18 persons who had a contract with imported skins of wild animals. Serological tests performed again in 1994 showed that elevated titres of serum antibodies persisted in 10 of 14 persons and 9 of them developed phase I antibodies also. Since 1993 several cases of Q fever have been observed among people living in various regions of the country. Epidemiological investigations have revealed that infected patients are seasonal workers employed during the shearing time in Spain. Specific serum antibodies reached titre 512. The strains of C. burnetii were isolated from urine and semen of 2 patients.

Adult↗
PubMed1996

Unknown species of rickettsiae isolated from Ixodes ricinus tick in Wałcz.

Ticks Ixodes ricinus have been harvested in park down-town Wałcz in June 1994. Presence of Borrelia burgdorferi and rickettsiae has been tested with PCR. B. burgdorferi and Coxiella burnetii have not been detected in any tick whereas characteristic for other rickettsiae DNA fragment of gene encoding citrate-synthase has been found. Bacterial strain has been cultured from the tick. Biochemical properties of isolated strain has strongly suggested that these bacteria belong to genus Bartonella (Rochalimaea). Further identification of bacterial DNA with RFLP-PCR (restriction fragment length polymorphism-PCR) has shown characteristics of Bartonella bacilliformis species not recognised in Poland until recently.

Animals↗
PubMed1996

[Use of indirect immunofluorescence and polymerase chain reaction (PCR) for detection of Borrelia burgdorferi in ticks].

Material samples from 40 ticks, including 30 Ixodes ricinus and 10 Dermacentor reticulatus ticks were tested for presence of Borrelia burgdorferi infection with indirect immunofluorescence assay (IF) and polymerase chain reaction (PCR). Sensitivity of PCR in terms of minimum detectable number of in vitro cultivated spirochetes was a reproducible amplification when 50 spirochetes were added to the PCR mixture. The assay sensitivity was lower for B. burgdorferi in ticks and it was estimated on minimum 100 bacterial cells. B. burgdorferi DNA (16S rDNA) has been found in 10 I. ricinus ticks. Immunofluorescence has been observed in Immunofluorescence has been observed in 32 samples derived from 22 I. ricinus and 10 D. reticulatus ticks both incubated with immune serum for B. Burgdorferi as well as with normal serum. Our results indicate that due to very low specificity IF is not a usefull method for testing of tick material.

Animals↗
PubMed1996

[Ticks as a reservoir of Borrelia burgdorferi and Coxiella burnetii on Polish terrain].

The aim of performed studies was to recognize the distribution of Coxiella burnetii and Borrelia burgdorferi infected ticks in Poland. The 1580 ticks infesting animals and humans were collected in different parts of the country. They belonged to Ixodes ricinus, Dermacentor reticulatus and Argas reflexus species. Presence of B burgdorferi and C. burnetii DNA in ticks has been sought with polymerase chain reaction test (PCR). B. burgdorferi bacteria have been detected in 12 I. ricinus ticks (0.77%). Infected ticks were collected in Koszalin, Krosno and Suwałki voivodships. C. burnetii bacteria were found in 3 ticks from Kielce and Tarnobrzeg voivodships (0.19%). Obtained results indicate existence of natural reservoirs and vectors of C burnetii and B. burgdorferi in Poland. Since Q fever have not been recognized in central Poland until recently in can suggest diffusion of the C. burnetii reservoir to new regions. Presence of infected ticks in distant regions reflects wide distribution of these microorganisms all over the country.

Animals↗