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T L Chorba

Publications and source records attributed to T L Chorba.

48 records · Page 3Linked to original sources
PubMed1985

Listeria monocytogenes sepsis and small cell carcinoma of the rectum: an unusual presentation of the acquired immunodeficiency syndrome.

A 26-year-old male homosexual initially presented with Listeria monocytogenes sepsis and a small cell carcinoma of the rectum. His subsequent course included esophageal candidiasis, Pneumocystis carinii pneumonia, and severe T-lymphocyte abnormalities on immunologic testing, consistent with the acquired immunodeficiency syndrome (AIDS). This represents the first case of AIDS associated with this unusual tumor and Listeria infection.

Acquired Immunodeficiency Syndrome↗
PubMed1985

Immunoglobulin bound to platelets as immune complexes or specific antibody in specimens from acquired immunodeficiency syndrome and immune thrombocytopenic purpura.

Acquired immunodeficiency syndrome (AIDS), lymphadenopathy syndrome (LAS), and immune thrombocytopenic purpura (ITP) specimens were tested by an enzyme-linked immunosorbent assay (ELISA) for immunoglobulin (Ig) bound to platelets. All specimen evaluations were performed with General Diagnostic's newly developed kit procedure. The test measured but did not distinguish immune complex (IC) binding with platelet Fc receptor sites from platelet-specific antibody (PAb) binding with platelet antigen Fab-binding sites. Alkaline phosphatase-labeled antihuman IgG as conjugate detected IgG as low as 2.0 ng/ml or platelet-adsorbed, heat-aggregated IgG, simulating IC, at 2-10 ng/ml. There was a high prevalence of platelet-bound Ig in AIDS specimens (25/25) compared with normals (2/15), detected primarily by the indirect ELISA (p less than 0.001), and a preponderance of PAb in ITP specimens (5/5) compared with normals (6/22), by the direct ELISA (p less than 0.01). AIDS specimens had a geometric mean titer (GMT) of 173 ng of IgG bound/10(7) platelets, compared with the Ig from ITP, which had a GMT of 20 (p less than .0002). Monoclonal antibody to human receptors for IgG Fc fragment (anti Fc gamma R) inhibited 69% of specimens tested as having platelet-bindable antibody. Thus, the ELISA procedure would be useful in assessing but not in differentiating platelet-bound Ig in patients with AIDS and ITP and certain other clinical groups tested.

Acquired Immunodeficiency Syndrome↗
PubMed1985

Transformed T lymphocytes infected by a novel isolate of human T cell leukemia virus type II.

Human T cell leukemia virus type II (HTLV-II) has been isolated from a patient (Mo) with features of leukemic reticuloendotheliosis (LRE) and from a patient with acquired immunodeficiency syndrome (AIDS). We have obtained another isolate of HTLV-II from a patient (CM) with severe hemophilia A, pancytopenia, and a 14-year history of staphylococcal and candidal infections but no evidence of T cell leukemia/lymphoma, AIDS, or LRE. Fresh mononuclear cells and cultured lymphocytes from CM express retroviral antigens indistinguishable by molecular criteria from HTLV-IIMo. Leukocyte cultures from CM yield hyperdiploid (48,XY, +2, +19) continuous lymphoid lines; human fetal cord blood lymphocytes (CBL) are transformed by cocultivation with these CM cell cultures but retain normal cytogenetic constitution. Electron microscopic examination of the CM cultures and transformed CBL reveals budding of extracellular viral particles, intracellular tubuloreticular structures, and viral particles contained within intracellular vesicles. CM cell cultures and the transformed CBL do not require exogenous interleukin 2, have T cell cytochemical features and mature T helper phenotypes, and exhibit minimal T helper and profound T suppressor activity on pokeweed mitogen-stimulated differentiation of normal B cells. These characteristics, which are similar to those observed with the first HTLV-II isolate, may represent properties of all HTLV-II-infected T cells.

Adult↗
PubMed1984

Acquired immunodeficiency syndrome (AIDS) in hemophilia.

Between early 1980 and early 1984, more than 4000 cases of AIDS have occurred in the United States. Since January 1982, 33 cases have occurred in patients with hemophilia. The epidemiologic and clinical features of the cases are presented. Etiologic considerations and implications for blood products are discussed.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

[Morbidity and mortality in acute viral hepatitides in a hyperendemic region. The role of viral hepatitis E].

Official annual statistical data on morbidity in acute viral hepatitides (AVH), including the number of lethal cases, for 1985-1995 were analyzed. Mortality rates per 100,000 of the population at the period of 11 years were calculated for different age groups, sex and the place of residence. 396 and 99 patients were examined for the presence of serological markers of hepatitides A, B and E, respectively, at the periods of epidemic rises in morbidity and satisfactory epidemic situation. In the course of 11 years AVH caused the death of 22,405 persons. In 1985-1987 the average mortality level (ML) reached 12.3-17.8 per 100,000 of the population (with morbidity being 1,200-1,400 and was essentially higher among the rural population in comparison with the urban population. During these years the highest ML, was registered among children aged 0-2 years (190-50 per 100,000) and, among adults, mainly among women aged 20-29 years (21.4-19.6 per 100,000). During the years when the epidemic of AVH was absent, ML among these groups was essentially lower: 40-20 among children aged 0-2 years and 4-5 among women aged 20-29 years. In 1987 in the Fergana Valley hepatitis E was detected in 72.2% of all examined patients, and in the southern areas of the country in 68.7%. A sharp rise on mortality among women of the productive age at the period of the epidemic rise of AVH morbidity in the endemic region indicated that this epidemic was linked with hepatitis E. High ML among young children may be indicative of a highly unfavorable course of hepatitis E in the group of infants, which had never been registered before. This newly established regularity may be used for the retrospective diagnostics of the outbreak of hepatitis E.

Acute Disease↗
PubMedDate not supplied

Efficacy of mandatory seat-belt use legislation. The North Carolina experience from 1983 through 1987.

The North Carolina General Assembly approved a law effective in October 1985 that mandated seat-belt use by front-seat occupants of passenger vehicles. In January 1987, a $25 fine for infractions of this law went into effect. This study examined numbers of car occupants with severe and fatal injuries in crashes in North Carolina, controlling for the amount of vehicle damage as a measure of crash severity. After the law, significant decreasing trends were seen in the percentages of front-seat occupants who had severe or fatal injuries in crashes, although the involvement of alcohol in crashes was still associated with an increased risk of such injury. Projections indicate that a reduction of approximately 1100 severe or fatal injuries per year can be attributed to the seat-belt law in North Carolina. This study supports the hypothesis that the societal burden of crash-associated injury can be reduced by mandating seat-belt use.

Accidents, Traffic↗
PubMedDate not supplied

Heterosexual and mother-to-child transmission of AIDS in the hemophilia community.

Growing awareness of the potential modes of transmission of the human immunodeficiency virus (HIV) has encouraged interest in the epidemiology of infection among sexual partners and children of HIV-infected persons. The authors reviewed data on two groups, the first being those with HIV infection acquired heterosexually from a person whose hemophilia, or other chronic bleeding disorder, was treated with blood products. The second group was children with HIV infection acquired from a mother (vertical transmission) who either had been treated for a chronic bleeding disorder or had been the heterosexual partner of a person being treated. Surveillance data were examined for cases of acquired immunodeficiency syndrome (AIDS) in the United States reported to the Centers for Disease Control and Prevention, diagnosed before January 1, 1992, and for whom the only identified risk factor was being either the heterosexual partner or the child of a parent with a chronic bleeding disorder. Of the cases examined, 107 were in persons who were heterosexual partners of persons with chronic bleeding disorders. Of the 107, 98 (92 percent) were women and 87 (81 percent) were white; all were 17 years of age or older. In addition to the 107, there were 14 children, 10 (71 percent) of whom were diagnosed with AIDS in the first year of life. The rate of increase in such cases has not been as great in recent years as that observed early in the primary epidemic of AIDS among persons with hemophilia and other chronic bleeding disorders. These data underscore the risk of HIV transmission among heterosexually active couples, if one partner is seropositive, and the risk of transmission to offspring. Estimates of the prevalence of HIV infection among heterosexual women partners of HIV-infected men with hemophilia are comparable to estimates for women who had heterosexual contact with spouses infected with HIV from transfusions with cellular products. However, better data for estimates of persons at risk are needed to obtain more accurate comparisons.

Acquired Immunodeficiency Syndrome↗