Bacteriologic studies of skin, tissue fluid, lymph, and lymph nodes in patients with filarial lymphedema
Identifieur interne : 000B36 ( PascalFrancis/Corpus ); précédent : 000B35; suivant : 000B37Bacteriologic studies of skin, tissue fluid, lymph, and lymph nodes in patients with filarial lymphedema
Auteurs : W. L. Olszewski ; S. Jamal ; G. Manokaran ; S. Pani ; V. Kumaraswami ; U. Kubicka ; B. Lukomska ; A. Dworczynski ; E. Swoboda ; E. Meisel-MikolajczykSource :
- The American journal of tropical medicine and hygiene [ 0002-9637 ] ; 1997.
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Abstract
Filarial lymphedema is complicated by frequent episodes of dermatolymphangioadenitis (DLA). It is not certain whether DLA is of filarial or bacterial etiology. The frequency of episodic DLA does not depend on the presence or absence of microfilariae. Antibiotic therapy is effective in prevention and treatment of DLA. These observations point to the bacterial rather than filarial etiology of DLA. Skin and lymph node biopsies, tissue fluid, lymph, and blood from patients with chronic filarial lymphedema, and during acute episodes of DLA, were cultured for detection of bacteria. A high prevalence of bacterial isolates from the tissue fluid (64%), lymph (75%), and inguinal lymph nodes (66%) of limbs with filarial lymphedema was found. Bacillus cereus, Staphylococcus epidermidis, S. hominis, S. capitis, S. xylosus, and Micrococcus spp. were the most common isolates. Bacteria were also isolated from the blood of patients with recent episodes of DLA, with strains of the same phenotype and antibiotic sensitivity in all specimens from patients with DLA. Bacterial strains of the same phenotype and antibiotic sensitivity were documented on the toe web surface and in tissue fluid (25%), lymph (26%), or lymph nodes (41%). Increasing prevalence of bacterial isolates in tissue fluid, lymph, and lymph nodes was observed in advanced stages of lymphedema. Bacilli and cocci were sensitive to gentamicin, tetracyline, rifampicin, vancomycin, kanamycin and cotrimoxazole, and least sensitive to penicillin. Blood cultures of patients in the periods between DLA attacks were negative. In healthy controls without edema and episodes of DLA, tissue fluid did not contain bacteria. In lymph, only single colonies of Micrococcus and Acinetobacter were cultured in 12% of the cases. Impaired lymph drainage and lack of elimination of penetrating bacteria may be responsible for progression of lymphedema and recurrent attacks of DLA.
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Format Inist (serveur)
| NO : | PASCAL 97-0398308 INIST |
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| ET : | Bacteriologic studies of skin, tissue fluid, lymph, and lymph nodes in patients with filarial lymphedema |
| AU : | OLSZEWSKI (W. L.); JAMAL (S.); MANOKARAN (G.); PANI (S.); KUMARASWAMI (V.); KUBICKA (U.); LUKOMSKA (B.); DWORCZYNSKI (A.); SWOBODA (E.); MEISEL-MIKOLAJCZYK (E.) |
| AF : | Department of Surgical Research, Medical Research Center, Polish Academy of Sciences/Warsaw/Pologne; Thanjavur Medical College/Thanjavur/Inde; Apollo Hospitals/Madras/Inde; Vector Control Research Center, Indian Council for Medical Research (ICMR)/Pondicherry/Inde; Tuberculosis Research Center, ICMR/Madras/Inde; Department of Clinical Bacteriology, Medical Academy/Warsaw/Pologne |
| DT : | Publication en série; Niveau analytique |
| SO : | The American journal of tropical medicine and hygiene; ISSN 0002-9637; Coden AJTHAB; Etats-Unis; Da. 1997; Vol. 57; No. 1; Pp. 7-15; Bibl. 35 ref. |
| LA : | Anglais |
| EA : | Filarial lymphedema is complicated by frequent episodes of dermatolymphangioadenitis (DLA). It is not certain whether DLA is of filarial or bacterial etiology. The frequency of episodic DLA does not depend on the presence or absence of microfilariae. Antibiotic therapy is effective in prevention and treatment of DLA. These observations point to the bacterial rather than filarial etiology of DLA. Skin and lymph node biopsies, tissue fluid, lymph, and blood from patients with chronic filarial lymphedema, and during acute episodes of DLA, were cultured for detection of bacteria. A high prevalence of bacterial isolates from the tissue fluid (64%), lymph (75%), and inguinal lymph nodes (66%) of limbs with filarial lymphedema was found. Bacillus cereus, Staphylococcus epidermidis, S. hominis, S. capitis, S. xylosus, and Micrococcus spp. were the most common isolates. Bacteria were also isolated from the blood of patients with recent episodes of DLA, with strains of the same phenotype and antibiotic sensitivity in all specimens from patients with DLA. Bacterial strains of the same phenotype and antibiotic sensitivity were documented on the toe web surface and in tissue fluid (25%), lymph (26%), or lymph nodes (41%). Increasing prevalence of bacterial isolates in tissue fluid, lymph, and lymph nodes was observed in advanced stages of lymphedema. Bacilli and cocci were sensitive to gentamicin, tetracyline, rifampicin, vancomycin, kanamycin and cotrimoxazole, and least sensitive to penicillin. Blood cultures of patients in the periods between DLA attacks were negative. In healthy controls without edema and episodes of DLA, tissue fluid did not contain bacteria. In lymph, only single colonies of Micrococcus and Acinetobacter were cultured in 12% of the cases. Impaired lymph drainage and lack of elimination of penetrating bacteria may be responsible for progression of lymphedema and recurrent attacks of DLA. |
| CC : | 002B05E03B4D; 235 |
| FD : | Lymphoedème; Filariose; Système lymphatique; Exploration bactériologique; Peau; Ganglion lymphatique; Lymphe; Homme; Inde |
| FG : | Nématodose; Helminthiase; Parasitose; Infection; Asie; Appareil circulatoire pathologie; Lymphatique pathologie; Exploration microbiologique |
| ED : | Lymphedema; Filariosis; Lymphatic system; Bacteriological investigation; Skin; Lymph node; Lymph; Human; India |
| EG : | Nematode disease; Helminthiasis; Parasitosis; Infection; Asia; Cardiovascular disease; Lymphatic vessel disease; Microbiological investigation |
| GD : | Indien |
| SD : | Linfedema; Filariosis; Sistema linfático; Análisis bacteriológico; Piel; Ganglio linfático; Linfa; Hombre; India |
| LO : | INIST-6817.354000067720090020 |
| ID : | 97-0398308 |
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Pascal:97-0398308Le document en format XML
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Meisel-Mikolajczyk</name></author></analytic><series><title level="j" type="main">The American journal of tropical medicine and hygiene</title><title level="j" type="abbreviated">Am. j. trop. med. hyg.</title><idno type="ISSN">0002-9637</idno><imprint><date when="1997">1997</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">The American journal of tropical medicine and hygiene</title><title level="j" type="abbreviated">Am. j. trop. med. hyg.</title><idno type="ISSN">0002-9637</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bacteriological investigation</term><term>Filariosis</term><term>Human</term><term>India</term><term>Lymph</term><term>Lymph node</term><term>Lymphatic system</term><term>Lymphedema</term><term>Skin</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Lymphoedème</term><term>Filariose</term><term>Système lymphatique</term><term>Exploration bactériologique</term><term>Peau</term><term>Ganglion lymphatique</term><term>Lymphe</term><term>Homme</term><term>Inde</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Filarial lymphedema is complicated by frequent episodes of dermatolymphangioadenitis (DLA). It is not certain whether DLA is of filarial or bacterial etiology. The frequency of episodic DLA does not depend on the presence or absence of microfilariae. Antibiotic therapy is effective in prevention and treatment of DLA. These observations point to the bacterial rather than filarial etiology of DLA. Skin and lymph node biopsies, tissue fluid, lymph, and blood from patients with chronic filarial lymphedema, and during acute episodes of DLA, were cultured for detection of bacteria. A high prevalence of bacterial isolates from the tissue fluid (64%), lymph (75%), and inguinal lymph nodes (66%) of limbs with filarial lymphedema was found. Bacillus cereus, Staphylococcus epidermidis, S. hominis, S. capitis, S. xylosus, and Micrococcus spp. were the most common isolates. Bacteria were also isolated from the blood of patients with recent episodes of DLA, with strains of the same phenotype and antibiotic sensitivity in all specimens from patients with DLA. Bacterial strains of the same phenotype and antibiotic sensitivity were documented on the toe web surface and in tissue fluid (25%), lymph (26%), or lymph nodes (41%). Increasing prevalence of bacterial isolates in tissue fluid, lymph, and lymph nodes was observed in advanced stages of lymphedema. Bacilli and cocci were sensitive to gentamicin, tetracyline, rifampicin, vancomycin, kanamycin and cotrimoxazole, and least sensitive to penicillin. Blood cultures of patients in the periods between DLA attacks were negative. In healthy controls without edema and episodes of DLA, tissue fluid did not contain bacteria. In lymph, only single colonies of Micrococcus and Acinetobacter were cultured in 12% of the cases. Impaired lymph drainage and lack of elimination of penetrating bacteria may be responsible for progression of lymphedema and recurrent attacks of DLA.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0002-9637</s0></fA01><fA02 i1="01"><s0>AJTHAB</s0></fA02><fA03 i2="1"><s0>Am. j. trop. med. hyg.</s0></fA03><fA05><s2>57</s2></fA05><fA06><s2>1</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Bacteriologic studies of skin, tissue fluid, lymph, and lymph nodes in patients with filarial lymphedema</s1></fA08><fA11 i1="01" i2="1"><s1>OLSZEWSKI (W. L.)</s1></fA11><fA11 i1="02" i2="1"><s1>JAMAL (S.)</s1></fA11><fA11 i1="03" i2="1"><s1>MANOKARAN (G.)</s1></fA11><fA11 i1="04" i2="1"><s1>PANI (S.)</s1></fA11><fA11 i1="05" i2="1"><s1>KUMARASWAMI (V.)</s1></fA11><fA11 i1="06" i2="1"><s1>KUBICKA (U.)</s1></fA11><fA11 i1="07" i2="1"><s1>LUKOMSKA (B.)</s1></fA11><fA11 i1="08" i2="1"><s1>DWORCZYNSKI (A.)</s1></fA11><fA11 i1="09" i2="1"><s1>SWOBODA (E.)</s1></fA11><fA11 i1="10" i2="1"><s1>MEISEL-MIKOLAJCZYK (E.)</s1></fA11><fA14 i1="01"><s1>Department of Surgical Research, Medical Research Center, Polish Academy of Sciences</s1><s2>Warsaw</s2><s3>POL</s3></fA14><fA14 i1="02"><s1>Thanjavur Medical College</s1><s2>Thanjavur</s2><s3>IND</s3></fA14><fA14 i1="03"><s1>Apollo Hospitals</s1><s2>Madras</s2><s3>IND</s3></fA14><fA14 i1="04"><s1>Vector Control Research Center, Indian Council for Medical Research (ICMR)</s1><s2>Pondicherry</s2><s3>IND</s3></fA14><fA14 i1="05"><s1>Tuberculosis Research Center, ICMR</s1><s2>Madras</s2><s3>IND</s3></fA14><fA14 i1="06"><s1>Department of Clinical Bacteriology, Medical Academy</s1><s2>Warsaw</s2><s3>POL</s3></fA14><fA20><s1>7-15</s1></fA20><fA21><s1>1997</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>6817</s2><s5>354000067720090020</s5></fA43><fA44><s0>0000</s0><s1>© 1997 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>35 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>97-0398308</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>The American journal of tropical medicine and hygiene</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>Filarial lymphedema is complicated by frequent episodes of dermatolymphangioadenitis (DLA). It is not certain whether DLA is of filarial or bacterial etiology. The frequency of episodic DLA does not depend on the presence or absence of microfilariae. Antibiotic therapy is effective in prevention and treatment of DLA. These observations point to the bacterial rather than filarial etiology of DLA. Skin and lymph node biopsies, tissue fluid, lymph, and blood from patients with chronic filarial lymphedema, and during acute episodes of DLA, were cultured for detection of bacteria. A high prevalence of bacterial isolates from the tissue fluid (64%), lymph (75%), and inguinal lymph nodes (66%) of limbs with filarial lymphedema was found. Bacillus cereus, Staphylococcus epidermidis, S. hominis, S. capitis, S. xylosus, and Micrococcus spp. were the most common isolates. Bacteria were also isolated from the blood of patients with recent episodes of DLA, with strains of the same phenotype and antibiotic sensitivity in all specimens from patients with DLA. Bacterial strains of the same phenotype and antibiotic sensitivity were documented on the toe web surface and in tissue fluid (25%), lymph (26%), or lymph nodes (41%). Increasing prevalence of bacterial isolates in tissue fluid, lymph, and lymph nodes was observed in advanced stages of lymphedema. Bacilli and cocci were sensitive to gentamicin, tetracyline, rifampicin, vancomycin, kanamycin and cotrimoxazole, and least sensitive to penicillin. Blood cultures of patients in the periods between DLA attacks were negative. In healthy controls without edema and episodes of DLA, tissue fluid did not contain bacteria. In lymph, only single colonies of Micrococcus and Acinetobacter were cultured in 12% of the cases. Impaired lymph drainage and lack of elimination of penetrating bacteria may be responsible for progression of lymphedema and recurrent attacks of DLA.</s0></fC01><fC02 i1="01" i2="X"><s0>002B05E03B4D</s0></fC02><fC02 i1="02" i2="X"><s0>235</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Lymphoedème</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Lymphedema</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Linfedema</s0><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Filariose</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Filariosis</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Filariosis</s0><s5>02</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Système lymphatique</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Lymphatic system</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Sistema linfático</s0><s5>03</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Exploration bactériologique</s0><s5>04</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Bacteriological investigation</s0><s5>04</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Análisis bacteriológico</s0><s5>04</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Peau</s0><s5>05</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Skin</s0><s5>05</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Piel</s0><s5>05</s5></fC03><fC03 i1="06" i2="X" l="FRE"><s0>Ganglion lymphatique</s0><s5>06</s5></fC03><fC03 i1="06" i2="X" l="ENG"><s0>Lymph node</s0><s5>06</s5></fC03><fC03 i1="06" i2="X" l="SPA"><s0>Ganglio linfático</s0><s5>06</s5></fC03><fC03 i1="07" i2="X" l="FRE"><s0>Lymphe</s0><s5>07</s5></fC03><fC03 i1="07" i2="X" l="ENG"><s0>Lymph</s0><s5>07</s5></fC03><fC03 i1="07" i2="X" l="SPA"><s0>Linfa</s0><s5>07</s5></fC03><fC03 i1="08" i2="X" l="FRE"><s0>Homme</s0><s5>08</s5></fC03><fC03 i1="08" i2="X" l="ENG"><s0>Human</s0><s5>08</s5></fC03><fC03 i1="08" i2="X" l="SPA"><s0>Hombre</s0><s5>08</s5></fC03><fC03 i1="09" i2="X" l="FRE"><s0>Inde</s0><s2>NG</s2><s5>09</s5></fC03><fC03 i1="09" i2="X" l="ENG"><s0>India</s0><s2>NG</s2><s5>09</s5></fC03><fC03 i1="09" i2="X" l="GER"><s0>Indien</s0><s2>NG</s2><s5>09</s5></fC03><fC03 i1="09" i2="X" l="SPA"><s0>India</s0><s2>NG</s2><s5>09</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Nématodose</s0></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Nematode disease</s0></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Nematodosis</s0></fC07><fC07 i1="02" i2="X" l="FRE"><s0>Helminthiase</s0></fC07><fC07 i1="02" i2="X" l="ENG"><s0>Helminthiasis</s0></fC07><fC07 i1="02" i2="X" l="SPA"><s0>Helmintiasis</s0></fC07><fC07 i1="03" i2="X" l="FRE"><s0>Parasitose</s0></fC07><fC07 i1="03" i2="X" l="ENG"><s0>Parasitosis</s0></fC07><fC07 i1="03" i2="X" l="SPA"><s0>Parasitosis</s0></fC07><fC07 i1="04" i2="X" l="FRE"><s0>Infection</s0></fC07><fC07 i1="04" i2="X" l="ENG"><s0>Infection</s0></fC07><fC07 i1="04" i2="X" l="SPA"><s0>Infección</s0></fC07><fC07 i1="05" i2="X" l="FRE"><s0>Asie</s0><s2>NG</s2></fC07><fC07 i1="05" i2="X" l="ENG"><s0>Asia</s0><s2>NG</s2></fC07><fC07 i1="05" i2="X" l="GER"><s0>Asien</s0><s2>NG</s2></fC07><fC07 i1="05" i2="X" l="SPA"><s0>Asia</s0><s2>NG</s2></fC07><fC07 i1="06" i2="X" l="FRE"><s0>Appareil circulatoire pathologie</s0><s5>37</s5></fC07><fC07 i1="06" i2="X" l="ENG"><s0>Cardiovascular disease</s0><s5>37</s5></fC07><fC07 i1="06" i2="X" l="SPA"><s0>Aparato circulatorio patología</s0><s5>37</s5></fC07><fC07 i1="07" i2="X" l="FRE"><s0>Lymphatique pathologie</s0><s5>38</s5></fC07><fC07 i1="07" i2="X" l="ENG"><s0>Lymphatic vessel disease</s0><s5>38</s5></fC07><fC07 i1="07" i2="X" l="SPA"><s0>Linfático patología</s0><s5>38</s5></fC07><fC07 i1="08" i2="X" l="FRE"><s0>Exploration microbiologique</s0><s5>45</s5></fC07><fC07 i1="08" i2="X" l="ENG"><s0>Microbiological investigation</s0><s5>45</s5></fC07><fC07 i1="08" i2="X" l="SPA"><s0>Análisis microbiológico</s0><s5>45</s5></fC07><fN21><s1>237</s1></fN21></pA></standard><server><NO>PASCAL 97-0398308 INIST</NO><ET>Bacteriologic studies of skin, tissue fluid, lymph, and lymph nodes in patients with filarial lymphedema</ET><AU>OLSZEWSKI (W. L.); JAMAL (S.); MANOKARAN (G.); PANI (S.); KUMARASWAMI (V.); KUBICKA (U.); LUKOMSKA (B.); DWORCZYNSKI (A.); SWOBODA (E.); MEISEL-MIKOLAJCZYK (E.)</AU><AF>Department of Surgical Research, Medical Research Center, Polish Academy of Sciences/Warsaw/Pologne; Thanjavur Medical College/Thanjavur/Inde; Apollo Hospitals/Madras/Inde; Vector Control Research Center, Indian Council for Medical Research (ICMR)/Pondicherry/Inde; Tuberculosis Research Center, ICMR/Madras/Inde; Department of Clinical Bacteriology, Medical Academy/Warsaw/Pologne</AF><DT>Publication en série; Niveau analytique</DT><SO>The American journal of tropical medicine and hygiene; ISSN 0002-9637; Coden AJTHAB; Etats-Unis; Da. 1997; Vol. 57; No. 1; Pp. 7-15; Bibl. 35 ref.</SO><LA>Anglais</LA><EA>Filarial lymphedema is complicated by frequent episodes of dermatolymphangioadenitis (DLA). It is not certain whether DLA is of filarial or bacterial etiology. The frequency of episodic DLA does not depend on the presence or absence of microfilariae. Antibiotic therapy is effective in prevention and treatment of DLA. These observations point to the bacterial rather than filarial etiology of DLA. Skin and lymph node biopsies, tissue fluid, lymph, and blood from patients with chronic filarial lymphedema, and during acute episodes of DLA, were cultured for detection of bacteria. A high prevalence of bacterial isolates from the tissue fluid (64%), lymph (75%), and inguinal lymph nodes (66%) of limbs with filarial lymphedema was found. Bacillus cereus, Staphylococcus epidermidis, S. hominis, S. capitis, S. xylosus, and Micrococcus spp. were the most common isolates. Bacteria were also isolated from the blood of patients with recent episodes of DLA, with strains of the same phenotype and antibiotic sensitivity in all specimens from patients with DLA. Bacterial strains of the same phenotype and antibiotic sensitivity were documented on the toe web surface and in tissue fluid (25%), lymph (26%), or lymph nodes (41%). Increasing prevalence of bacterial isolates in tissue fluid, lymph, and lymph nodes was observed in advanced stages of lymphedema. Bacilli and cocci were sensitive to gentamicin, tetracyline, rifampicin, vancomycin, kanamycin and cotrimoxazole, and least sensitive to penicillin. Blood cultures of patients in the periods between DLA attacks were negative. In healthy controls without edema and episodes of DLA, tissue fluid did not contain bacteria. In lymph, only single colonies of Micrococcus and Acinetobacter were cultured in 12% of the cases. Impaired lymph drainage and lack of elimination of penetrating bacteria may be responsible for progression of lymphedema and recurrent attacks of DLA.</EA><CC>002B05E03B4D; 235</CC><FD>Lymphoedème; Filariose; Système lymphatique; Exploration bactériologique; Peau; Ganglion lymphatique; Lymphe; Homme; Inde</FD><FG>Nématodose; Helminthiase; Parasitose; Infection; Asie; Appareil circulatoire pathologie; Lymphatique pathologie; Exploration microbiologique</FG><ED>Lymphedema; Filariosis; Lymphatic system; Bacteriological investigation; Skin; Lymph node; Lymph; Human; India</ED><EG>Nematode disease; Helminthiasis; Parasitosis; Infection; Asia; Cardiovascular disease; Lymphatic vessel disease; Microbiological investigation</EG><GD>Indien</GD><SD>Linfedema; Filariosis; Sistema linfático; Análisis bacteriológico; Piel; Ganglio linfático; Linfa; Hombre; India</SD><LO>INIST-6817.354000067720090020</LO><ID>97-0398308</ID></server></inist></record>Pour manipuler ce document sous Unix (Dilib)
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