[Unusual manifestations of Salmonella infection (a review of the foreign literature].
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After multiple infections with S. enteritidis in humans and demonstration of S. enteritidis in egg products, S. enteritidis (lysotype 6, plasmid profile 40) could be isolated from organs of hens, anal swab tests of chicken, liquid manure, egg shells and non pasteurized egg contents. Because of the largeness of the hen farm prophylactic vaccinations seemed to be advisable additionally to improvement of the management and hygiene. A vaccine registered in 1987 for use in pigeons and water fowl "Zoosal oral Dessau" was used. As a test three were vaccinated three times and artificially infected. Cross immunity against S. enteritidis could be demonstrated. In October 1987 all chicken of the farm were vaccinated three times at the age of 4, 6 and 7 weeks; random samples were tested for immunity and cross immunity. Until the end of the laying period immunity against S. typhimurium could be proven in 98% of the hens, against S. enteritidis in 95%.
Young infants are highly susceptible to systemic dissemination of enteric pathogens such as Salmonella typhimurium when compared with older individuals. The mechanisms underlying this differential susceptibility have not been defined clearly. To better understand this phenomenon, we examined the responses of adult mice and preweaned pups to oral infection by S. typhimurium. We found clear age-specific differences, namely, an attenuated intestinal inflammatory response and a higher systemic bacterial burden in the pups compared with the adults. To elucidate the molecular basis for these differences, we obtained a microarray-based profile of gene expression in the small intestines of uninfected adult and preweaned animals. The results indicated a striking age-dependent increase in the intestinal expression of a number of IFN-gamma-regulated genes involved in antimicrobial defense. This finding was confirmed by real-time quantitative PCR, which also demonstrated an age-dependent increase in intestinal expression of IFN-gamma. The developmental up-regulation of the IFN-gamma-regulated genes was dependent on both IFN-gamma and a normal commensal microflora, as indicated by experiments in IFN-gamma-knockout mice and germfree mice, respectively. However, the increase in expression of IFN-gamma itself was independent of the commensal flora. The functional importance of IFN-gamma in the immunological maturation of the intestine was confirmed by the observation that the response of adult IFN-gamma-knockout animals to S. typhimurium infection resembled that of the wild-type pups. Our findings thus reveal a novel role for IFN-gamma in the developmental regulation of antimicrobial responses in the intestine.
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The activity of several dehydrogenases and acidic phosphatase was studied on S. typhimurium infection, used as a model, in non-inbred white mice by the cytochemical method. This study revealed the strengthening of synchronous conjugations between neutrophils and lymphocytes on the level of glucose-6-phosphate dehydrogenase and NAD-dependent malate dehydrogenase activity, as well as the appearance of diachronic correlations, both intra- and intercellular, between these 2 enzymes. The discrimitator of NAD-dependent malate dehydrogenase activity in lymphocytes and neutrophils was found to be most important for early diagnosis.
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The paper is concerned with the results of morphological and biochemical studies of the duodenum and ileum in young rabbits with salmonellosis. It was shown that all the parts of the small intestine were involved into the pathological process. Enzymopathy developed in the presence of acute catarrhal inflammation and erosive enteritis accompanied by ulceration of necrotized lymph follicles of Peyer's patches of the small intestine. The activity of maltase and alkaline phosphatase was found to be most vulnerable. Of crucial significance in the development of diarrhea in experimental young rabbits were pronounced morphological alterations and derangement of enzyme-forming function in the small intestine.
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The effect of type I interferons on the process of experimental salmonellosis in mice and rabbits, as well as their effect on salmonellosis in patients was studied. It was shown that homologous interferon increased the animal survival rate, activated bactericidal activity of the phagocytic cells and increased elimination of the infectious agents from the host. The complex of the etiotropic and pathogenetic treatment of 32 patients with salmonellosis included human leukocytic interferon, leukinferon. It was administered intramuscularly in a dose of 1 x 10(4)-2 x 10(4) IU: three injections at intervals of 48 to 72 hours (the treatment course). The course was repeated 10 days after the last injection of the first course. Addition of leukinferon to the routine scheme of the medicinal treatment of salmonellosis provided recovery of all the patients without complications or appearance of the bacteria carriers (the observation period of more than 3 years).
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