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At least 739 records · Page 41Linked to original sources

West Nile virus during pregnancy: a case study of early second trimester maternal infection.

A woman who contracted West Nile virus (WNV) neuroinvasive illness during her second trimester subsequently elected to terminate her pregnancy due to concerns of possible adverse effects of WNV on her developing fetus. Consent was obtained to test maternal and post-mortem fetal tissues for WNV infection. Fetal blood, liver, kidneys, spleen, umbilicus and amniotic fluid were negative for WNV RNA by polymerase chain reaction and negative for WNV IgM antibodies by ELISA, indicating that in this case there was no evidence of WNV transmission to the fetus. Until further information regarding outcomes of WNV infection during pregnancy is available, pregnant women in areas where WNV is transmitted should take precautions to avoid mosquito bites. Women with WNV illness during pregnancy should undergo regular prenatal checkups including ultrasound examinations to assess fetal development, and healthcare providers should promptly report cases of WNV in pregnant women to their state or local health department or to CDC.

Abortion, Induced↗

Herd-based diagnosis of Neospora caninum-induced endemic and epidemic abortion in cows and evidence for congenital and postnatal transmission.

Aborting and nonaborting cows and their dams or daughters were studied to determine if herd abortion problems were associated with the presence of Neospora caninum antibodies and to estimate when aborting cows may have acquired the infection. Cows were sampled from 20 herds that had experienced an abortion epidemic presumed to have been caused by N. caninum and from 2 herds experiencing endemic abortion. Seroprevalence for 14 herds experiencing an epidemic ranged from 7% to 70%, as estimated by enzyme-linked immunosorbent assay. A strong association between seropositivity and abortion was found for only 5 of 14 herds with a presumed diagnosis of N. caninum abortion (P < or = 0.015, lower 95% confidence interval of odds ratio > or = 1.2), indicating N. caninum may be overdiagnosed as the cause of an abortion epidemic in some herds. No association was found between dam and daughter seropositivity for herds experiencing an epidemic (P > or = 0.17), suggesting that most cows aborting during an epidemic were infected postnatally. For the 2 herds with endemic abortion (A, B), odds of an aborting cow having N. caninum antibodies were 3.4-fold (herd A) and 7.0-fold (herd B) higher than odds for nonaborting cows (P < or = 0.05). Cows that aborted a fetus infected with N. caninum were more likely to have had a previous seropositive daughter than were nonaborting seronegative cows (P < or = 0.0025), suggesting that infection had been acquired before conception of the aborted fetus.

Abortion, Veterinary↗

Myocarditis and abortion associated with intrauterine infection of sows with porcine circovirus 2.

Porcine circovirus 2 (PCV2) is a recently identified agent that has been associated with postweaning multisystemic wasting syndrome (PMWS) in swine populations. In this report, the potential spectrum of disease associated with PCV2 is expanded by evidence of vertical transmission and associated reproductive failure. PCV2 was isolated from a litter of aborted piglets from a farm experiencing late-term abortions and stillbirths. Severe, diffuse myocarditis was present in 1 piglet associated with extensive immunohistochemical staining for PCV2 antigen. Variable amounts of PCV2 antigen were also present in liver, lung, and kidney of multiple fetuses. The presence of other agents that have been associated with fetal lesions and abortion in swine, including porcine parvovirus, porcine reproductive respiratory syndrome virus, encephalomyocarditis virus, and enterovirus, could not be established.

Abortion, Veterinary↗

The nature of selection on the major histocompatibility complex.

Only natural selection can account for the extreme genetic diversity of genes of the major histocompatibility complex (MHC). Although the structure and function of classic MHC genes is well understood at the molecular and cellular levels, there is controversy about how MHC diversity is selectively maintained. The diversifying selection can be driven by pathogen interactions and inbreeding avoidance mechanisms. Pathogen-driven selection can maintain MHC polymorphism based on heterozygote advantage or frequency-dependent selection due to pathogen evasion of MHC-dependent immune recognition. Empirical evidence demonstrates that specific MHC haplotypes are resistant to certain infectious agents, while susceptible to others. These data are consistent with both heterozygote advantage and frequency-dependent models. Additional research is needed to discriminate between these mechanisms. Infectious agents can precipitate autoimmunity and can potentially contribute to MHC diversity through molecular mimicry and by favoring immunodominance. MHC-dependent abortion and mate choice, based on olfaction, can also maintain MHC diversity and probably functions both to avoid genome-wide inbreeding and produce MHC-heterozygous offspring with increased immune responsiveness. Although this diverse set of hypotheses are often treated as competing alternatives, we believe that they all fit into a coherent, internally consistent thesis. It is likely that at least in some species, all of these mechanisms operate, leading to the extreme diversification found in MHC genes.

Animals↗

[Serum copper levels in early pregnancy complicated by symptoms of spontaneous abortion and infection].

INTRODUCTION: The study evaluates serum levels of copper, chorionic gonadotropin, estradiol, progesterone and prolactin in patients with symptoms of miscarriage and in uncomplicated pregnancies in cases with or without cervical or vaginal infections detected by vaginal or cervical smears, as well as Chlamydia testing. MATERIAL AND METHODS: The study included 50 patients with symptoms of threatening miscarriage and 50 patients with uncomplicated pregnancies. Hormone levels were determined by ELISA method and copper was evaluated by acid medium colorimetry. RESULTS: We found that values of serum copper, estradiol, progesterone and prolactin were significantly lower in patients with lower genital tract infection. CONCLUSION: Decreased levels of serum copper could be used as a method of choice for detecting infection during the first trimester of pregnancy.

Abortion, Threatened↗

Experimental influenza causes a non-permissive viral infection of brain, liver and muscle.

To determine whether some constitutional symptoms of influenza, such as headache, myalgia and nausea, could represent a viral infection of brain, muscle, and liver, we inoculated juvenile Balb/c mice intranasally with 103 plaque forming units of influenza B/Lee virus. Blood, brain, liver, skeletal muscle, and lung tissues were removed aseptically and assayed for infectivity by a plaque assay, viral RNA by reverse transcriptase-polymerase chain reaction (RT - PCR), viral antigen by immunoperoxidase staining, and histologic changes by light microscopy. Mice became ill 2 - 3 days post inoculation (PI). A productive viral infection of the lungs developed from days 1 - 8 with maxima of virus titers, pneumonia, and the number of immunoperoxidase staining lung cells occurring on days 2 - 6 PI. Virus isolation from blood was rare and viral RNA was detected intermittently in blood by RT - PCR. In many animals, a non-permissive or abortive infection of brain occurred from days 1 - 8 and peaked on days 3 - 4 PI. Viral RNA was detected in brain tissue and viral antigen was seen in cerebral endothelial cells but infectious virus was rarely isolated from brain. In liver, viral RNA was detected and viral antigen was seen occasionally in hepatocytes. In skeletal muscle, viral RNA was detected but neither infectious virus nor viral antigen was seen. A correlation existed between the severity of the illness, pneumonia, lung virus titer, viral antigen in lung cells, and extent of a non-permissive viral infection of brain and liver but not muscle. These studies demonstrate that following intranasal infection of influenza virus in mice, a viral pneumonia develops with subsequent intermittent viremia and non-permissive or abortive infection of brain, liver and muscle.

Administration, Intranasal↗

Acute toxoplasmosis in a camel.

A 6-year-old camel was examined because of a history of dyspnea of unknown duration. Approximately 24 L of turbid fluid was drained from the pleural cavity. Numerous Toxoplasma gondii tachyzoites were found in macrophages in smears of the pleural fluid. High titers (1:20,000) of T gondii antibodies were found in pleural fluid.

Abortion, Veterinary↗