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coccidioidomycosis (valley fever): a re
coccidioidomycosis (valley fever): a re

... animal host or when cultured in a special medium and incubated at high temperature in the presence of elevated carbon dioxide concentration. Thus, the temperature of incubation does not appear to be the only variable that controls Coccidioides dimorphism and spherule formation. Mycelial growth of Co ...
mechanisms of cardiac septation and valve development
mechanisms of cardiac septation and valve development

... layer of the heart (Fig. 2E-G). Later in development, the atrial and ventricular chambers divide into two atria (left and right) and two ventricles (left and right), forming a prototypic four-chamber heart (Fig. 2G). Along with chamber septation, the AVC separates into left (mitral) and right (tricu ...
Mucosal candidiasis elicits NF-κB activation, proinflammatory gene
Mucosal candidiasis elicits NF-κB activation, proinflammatory gene

... commensal microorganisms. Candida albicans is a clinically important human commensal that colonizes all human mucosal surfaces, yet is largely prevented from causing mucosal infections in immunocompetent individuals. Despite the importance of understanding host-pathogen interactions at the epitheliu ...


... acid (DNA), for example, was detected using the polymerase chain reaction (PCR) in biopsies with sarcoid lesions. Other authors, however, could not confirm these results, as recently reviewed [8]. Furthermore, elevated titres of antibodies against Mycoplasma pneumoniae have been described [3]. The h ...
Aortic-Valve Stenosis - American College of Cardiology
Aortic-Valve Stenosis - American College of Cardiology

... U.S. population, and nearly all affected persons require aortic-valve replacement during their lifetimes.9-12 Although rheumatic heart disease, which can cause aortic stenosis in association with rheu­ matic mitral-valve disease, is now rare in the United States and Europe, the condition remains pre ...
Aortic-Valve Stenosis — From Patients at Risk to Severe Valve
Aortic-Valve Stenosis — From Patients at Risk to Severe Valve

... U.S. population, and nearly all affected persons require aortic-valve replacement during their lifetimes.9-12 Although rheumatic heart disease, which can cause aortic stenosis in association with rheu­ matic mitral-valve disease, is now rare in the United States and Europe, the condition remains pre ...
O A RIGINAL RTICLES
O A RIGINAL RTICLES

... by which both Gram-positive and Gram-negative microorganisms interact with the human host. While the immune response almost certainly plays an important role in preventing progression from colonisation by micro-organisms such as the pneumococcus to invasive disease, it is also recognised that part o ...
February 2010 CENSUS
February 2010 CENSUS

... nervous system, cardiac) secondary to prolonged hypoxia secondary to displaced endotracheal tube Communicating hydrocephalus probably: 1. Chiari II malformation 2. Dandy walker malformation Protein energy malnutrition Esophageal atresia, type unknown S/P esophagostomy, tube gastrostomy insertion (Ba ...
a mathematical simulation of the inflammatory response to anthrax
a mathematical simulation of the inflammatory response to anthrax

... Mathematical model of anthrax infection—To effect these changes to our previously published model of gram-negative sepsis (13), new equations were added, or existing equations were modified. The model’s immune parameters that were fixed using the gram-negative infection scenarios were not modified ( ...
Full Text
Full Text

... program is among the largest quality-improvement initiatives focusing on patients hospitalized with clinician-confirmed HF.14 The design of the program has been previously described.15,16 Hospitals participating in the registry use a web-based patient management tool (PMT, Quintiles) to collect data ...
K Kawasaki disease: Etiology, pathogenesis, and treatment
K Kawasaki disease: Etiology, pathogenesis, and treatment

... decreased R-wave voltage, ST segment depression, and Twave flattening or inversion. Slowed conduction can also occur with PR or QT prolongation.9 Mitral regurgitation may be present in approximately 30% of patients, although it is usually mild.10 Aortic valve involvement has also been described.11 C ...
Toward an Inclusive, Congruent, and Precise Definition of
Toward an Inclusive, Congruent, and Precise Definition of

... innate and adaptive system in IL-1-driven diseases, as in MKD, challenges the concept that there are “pure autoinflammatory diseases” as conceived in the continuum model (9). Diseases defined by mutations in the innate immune system that leads to phenotypes in which autoinflammation is combined with ...
cristiana maria mendes de sousa paulo ortigão soares
cristiana maria mendes de sousa paulo ortigão soares

... without left ventricular systolic dysfunction, patients with asymptomatic left ventricular systolic dysfunction and the general population had 5-year survival rates of 62%, 69% and 93%, respectively.26 There is considerable difference in mortality in older and more recent studies, with the latter re ...
Energy regulation and neuroendocrine–immune control in
Energy regulation and neuroendocrine–immune control in

... 30% is usual. It is known that activation of leucocytes occurs with minor surgery, which increases heat production by <10% of the metabolic rate [12]. The metabolic rate is increased with multiple bone fractures by 15–30%, sepsis leads to an increase of 50% and extensive burns cause a large increase ...
Heart Guide - Center for Plain Language
Heart Guide - Center for Plain Language

... muscle. Some people are genetically disposed to these conditions; other causes are not clearly understood. One of the most common types of cardiomyopathy is idiopathic dilated cardiomyopathy, which is an enlarged and weak heart muscle for an undetermined reason. ƒƒ Valvular heart disease – This coll ...
Role of Inflammation in Initiation and Perpetuation of Atrial
Role of Inflammation in Initiation and Perpetuation of Atrial

... a range of local and systemic reactions that together form the inflammatory response. The systemic response is principally triggered by the effects of circulating cytokines (intercellular signalling molecules) often produced by activated immune cells (including lymphocytes, monocytes and macrophages ...
If You Google Auto-Immune Disease, You`ll Find
If You Google Auto-Immune Disease, You`ll Find

... Autoimmune diseases in general are commonly overlooked in both traditional medicine and alternative healthcare. This is at least in part due to the fact that neither traditional medicine nor the alternative model of care has had much, if any, success in treating them. If we look at the traditional m ...
Introducing a novel mechanism to control heart rate in the ancestral
Introducing a novel mechanism to control heart rate in the ancestral

... given that routine heart rate is dramatically slowed after injection of -adrenergic antagonists (Fänge and Östlund, 1954; Axelsson et al., 1990; Fukayama et al., 1992), it would seem that routine, normoxic heart rate in hagfish is set by an autocrine adrenergic tonus acting presumably on the prima ...
Essential Opposite Roles of ERK and Akt Signaling in Cardiac
Essential Opposite Roles of ERK and Akt Signaling in Cardiac

... overall and for worsening heart failure. Recent studies, however, have shown that heart failure in patients treated with digoxin was associated with lower all-cause mortality and hospitalization than in patients in the placebo group, This work was supported by grants from the Ministry of Trade and I ...
Brucellosis in Animals - Cairo University Scholars
Brucellosis in Animals - Cairo University Scholars

... against brucellosis ? 5. Immunity in brucellosis is mediated by both humoral and cell-mediated immune response * A good vaccine must stimulate both arms (HI,CMI) to prepare the host to promptly react to aggression * Antibodies are very active during the first stage of infection restricting dissemina ...
A study of inflammatory markers and their
A study of inflammatory markers and their

... absence of coronary artery disease suggesting, CHF as a final common pathway for a variety of cardiac disorders. Keywords: CHF (Chronic heart failure), NYHA (New York Heart Association), hs-CRP (High sensitivity C-reactive protein), TNF-α (Tumor necrosis factor-α), Cytokines, BMI (body mass index). ...
Septic arthritis due to Salmonella Typhi in children—A case series
Septic arthritis due to Salmonella Typhi in children—A case series

... Age, nutrition, low socio economic status, HIV infection etc are attributed as underlying high risk host factors which may favour the accessibility and persistence of this organism. Evidence in literature states that certain infections may not become clinically apparent in severely malnourished e.g. ...
Full Text - Statistics
Full Text - Statistics

... linked immuno-sorbent Assay) was used for determining the concentration of IL-4 and IL-12 in supernatant fluids. Mann-whitney U and Spearman correlation tests were used to analyze the data. Results: IL-4 and IL-12 were found in all of the samples. There was no significant difference between case and ...
the mitral valve in endocardial cushion defects - Heart
the mitral valve in endocardial cushion defects - Heart

... the septum) may render the cusp more mobile, but may also interfere with its stability and make it impossible to overcome the incompetence. Add the fact that the cleft is more often a wedgeshaped deficiency of tissue (Fig. 5), and the surgical difficulties can be appreciated. Success in correcting t ...
Author`s final copy - Canada`s Michael Smith Genome Sciences
Author`s final copy - Canada`s Michael Smith Genome Sciences

... thin delicate valve leaflets and septal structures of the mature heart [4,23]. The cardiac cushions form the valves and septa through remodelling and maturation (E10.5-adult), and elongation (E14.5-adult). Valve remodelling can be divided into a number of overlapping steps: proliferation and expansi ...
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Rheumatic fever



Rheumatic fever, also known as acute rheumatic fever (ARF), is an inflammatory disease that can involve the heart, joints, skin, and brain. The disease typically develops two to four weeks after a throat infection. Signs and symptoms include fever, multiple painful joints, involuntary muscle movements, and a characteristic but uncommon non itchy rash known as erythema marginatum. The heart is involved in about half of cases. Permanent damage to the heart valves, known as rheumatic heart disease (RHD), usually only occurs after multiple attacks but may occasionally occur after a single case of ARF. The damaged valves may result in heart failure. The abnormal valves also increase the risk of the person developing atrial fibrillation and infection of the valves.Acute rheumatic fever may occur following an infection of the throat by the bacteria Streptococcus pyogenes. If it is untreated ARF occurs in up to three percent of people. The underlying mechanism is believed to involve the production of antibodies against a person's own tissues. Some people due to their genetics are more likely to get the disease when exposed to the bacteria than others. Other risk factors include malnutrition and poverty. Diagnosis of ARF is often based on the presence of signs and symptoms in combination with evidence of a recent streptococcal infection.Treating people who have strep throat with antibiotics, such as penicillin, decreases their risk of getting ARF. This often involves testing people with sore throats for the infection, which may not be available in the developing world. Other preventative measures include improved sanitation. In those with ARF and RHD prolonged periods of antibiotics are sometimes recommended. Gradual return to normal activities may occur following an attack. Once RHD develops, treatment is more difficult. Occasionally valve replacement surgery or repair is required. Otherwise complications are treated as per normal.Acute rheumatic fever occurs in about 325,000 children each year and about 18 million people currently have rheumatic heart disease. Those who get ARF are most often between the ages of 5 and 14, with 20% of first-time attacks occurring in adults. The disease is most common in the developing world and among indigenous peoples in the developed world. In 2013 it resulted in 275,000 deaths down from 374,000 deaths in 1990. Most deaths occur in the developing world where as many as 12.5% of people affected may die each year. Descriptions of the condition are believed to date back to at least the 5th century BCE in the writings of Hippocrates. The disease is so named because its symptoms are similar to those of some rheumatic disorders.
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