Bacteriological studies of blood, tissue fluid, lymph and lymph nodes in patients with acute dermatolymphangioadenitis (DLA) in course of 'filarial' lymphedema.
Identifieur interne : 004688 ( PubMed/Checkpoint ); précédent : 004687; suivant : 004689Bacteriological studies of blood, tissue fluid, lymph and lymph nodes in patients with acute dermatolymphangioadenitis (DLA) in course of 'filarial' lymphedema.
Auteurs : W L Olszewski [Norvège] ; S. Jamal ; G. Manokaran ; S. Pani ; V. Kumaraswami ; U. Kubicka ; B. Lukomska ; F M Tripathi ; E. Swoboda ; F. Meisel-Mikolajczyk ; E. Stelmach ; M. ZaleskaSource :
- Acta tropica [ 0001-706X ] ; 1999.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Bactéries (), Bactéries (isolement et purification), Bactéries à Gram négatif (), Bactéries à Gram négatif (isolement et purification), Bactéries à Gram positif (), Bactéries à Gram positif (isolement et purification), Bactériémie (), Bactériémie (microbiologie), Biopsie, Femelle, Filariose lymphatique (), Filariose lymphatique (microbiologie), Humains, Liquides biologiques (microbiologie), Lymphadénite (microbiologie), Lymphangite (microbiologie), Lymphe (microbiologie), Mâle, Noeuds lymphatiques (microbiologie), Peau (microbiologie).
- MESH :
- isolement et purification : Bactéries, Bactéries à Gram négatif, Bactéries à Gram positif.
- microbiologie : Bactériémie, Filariose lymphatique, Liquides biologiques, Lymphadénite, Lymphangite, Lymphe, Noeuds lymphatiques, Peau.
- Adolescent, Adulte, Adulte d'âge moyen, Bactéries, Bactéries à Gram négatif, Bactéries à Gram positif, Bactériémie, Biopsie, Femelle, Filariose lymphatique, Humains, Mâle.
English descriptors
- KwdEn :
- Adolescent, Adult, Bacteremia (complications), Bacteremia (microbiology), Bacteria (classification), Bacteria (isolation & purification), Biopsy, Body Fluids (microbiology), Elephantiasis, Filarial (complications), Elephantiasis, Filarial (microbiology), Female, Gram-Negative Bacteria (classification), Gram-Negative Bacteria (isolation & purification), Gram-Positive Bacteria (classification), Gram-Positive Bacteria (isolation & purification), Humans, Lymph (microbiology), Lymph Nodes (microbiology), Lymphadenitis (microbiology), Lymphangitis (microbiology), Male, Middle Aged, Skin (microbiology).
- MESH :
- classification : Bacteria, Gram-Negative Bacteria, Gram-Positive Bacteria.
- complications : Bacteremia, Elephantiasis, Filarial.
- isolation & purification : Bacteria, Gram-Negative Bacteria, Gram-Positive Bacteria.
- microbiology : Bacteremia, Body Fluids, Elephantiasis, Filarial, Lymph, Lymph Nodes, Lymphadenitis, Lymphangitis, Skin.
- Adolescent, Adult, Biopsy, Female, Humans, Male, Middle Aged.
Abstract
Filarial lymphedema is complicated by frequent episodes of dermatolymphangioadenitis (DLA). Severe systemic symptoms during attacks of DLA resemble those of septicemia. The question we asked was whether bacterial isolates can be found in the peripheral blood of patients during the episodes of DLA. Out of 100 patients referred to us with 'filarial' lymphedema 14 displayed acute and five subacute symptoms of DLA. All were on admission blood microfilariae negative but had a positive test in the past. Blood bacterial isolates were found in nine cases, four acute (21%) and five subacute (26%). In 10 acute cases blood cultures were found negative. Six blood isolates belonged to Bacilli, four to Cocci and one was Sarcina. To identify the sites of origin of bacterial dissemination, swabs taken from the calf skin biopsy wounds and tissue fluid, lymph and lymph node specimens were cultured. Swabs from the calf skin biopsy wound contained isolates in nine (47%) cases. They were Bacilli in nine, Cocci in three, Acinetobacter and Erwinia in two cases. Tissue fluid was collected from 10 patients and contained Bacilli in four (40%) and Staphylococci in three (30%). Lymph was drained in four patients and contained isolates in all samples (100%). They were Staphylococcus epidermis, xylosus and aureus, Acinetobacter, Bacillus subtilis and Sarcina. Three lymph nodes were biopsied and contained Staphylococcus chromogenes, xylosus, Enterococcus and Bacillus cereus. In six cases the same phenotypically defined species of bacteria were found in blood and limb tissues or fluids. In the 'control' group of patients with lymphedema without acute or subacute changes all blood cultures were negative. Interestingly, swabs from biopsy wound of these patients contained isolates in 80%, tissue fluid in 68%, lymph in 70% and lymph nodes in 58% of cases. In healthy controls, tissue fluid did not contain bacteria, and lymph isolates were found only in 12% of cases. This study demonstrates that patients with acute episodes of DLA reveal bacteremia in a high percentage of cases. Diversity of blood and tissue bacterial isolates in these patients points to a breakdown of the skin immune barrier in lymphedema and subsequently indiscriminate bacterial colonization of deep tissues and spread to an blood circulation.
PubMed: 10546838
Affiliations:
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pubmed:10546838Le document en format XML
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<term>Adult</term>
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<term>Bacteremia (microbiology)</term>
<term>Bacteria (classification)</term>
<term>Bacteria (isolation & purification)</term>
<term>Biopsy</term>
<term>Body Fluids (microbiology)</term>
<term>Elephantiasis, Filarial (complications)</term>
<term>Elephantiasis, Filarial (microbiology)</term>
<term>Female</term>
<term>Gram-Negative Bacteria (classification)</term>
<term>Gram-Negative Bacteria (isolation & purification)</term>
<term>Gram-Positive Bacteria (classification)</term>
<term>Gram-Positive Bacteria (isolation & purification)</term>
<term>Humans</term>
<term>Lymph (microbiology)</term>
<term>Lymph Nodes (microbiology)</term>
<term>Lymphadenitis (microbiology)</term>
<term>Lymphangitis (microbiology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Skin (microbiology)</term>
</keywords>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
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<term>Bactéries (isolement et purification)</term>
<term>Bactéries à Gram négatif ()</term>
<term>Bactéries à Gram négatif (isolement et purification)</term>
<term>Bactéries à Gram positif ()</term>
<term>Bactéries à Gram positif (isolement et purification)</term>
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<term>Biopsie</term>
<term>Femelle</term>
<term>Filariose lymphatique ()</term>
<term>Filariose lymphatique (microbiologie)</term>
<term>Humains</term>
<term>Liquides biologiques (microbiologie)</term>
<term>Lymphadénite (microbiologie)</term>
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<term>Lymphe (microbiologie)</term>
<term>Mâle</term>
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<term>Elephantiasis, Filarial</term>
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<term>Gram-Negative Bacteria</term>
<term>Gram-Positive Bacteria</term>
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<term>Bactéries à Gram négatif</term>
<term>Bactéries à Gram positif</term>
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<term>Filariose lymphatique</term>
<term>Liquides biologiques</term>
<term>Lymphadénite</term>
<term>Lymphangite</term>
<term>Lymphe</term>
<term>Noeuds lymphatiques</term>
<term>Peau</term>
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<term>Body Fluids</term>
<term>Elephantiasis, Filarial</term>
<term>Lymph</term>
<term>Lymph Nodes</term>
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<term>Skin</term>
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<term>Biopsy</term>
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<front><div type="abstract" xml:lang="en">Filarial lymphedema is complicated by frequent episodes of dermatolymphangioadenitis (DLA). Severe systemic symptoms during attacks of DLA resemble those of septicemia. The question we asked was whether bacterial isolates can be found in the peripheral blood of patients during the episodes of DLA. Out of 100 patients referred to us with 'filarial' lymphedema 14 displayed acute and five subacute symptoms of DLA. All were on admission blood microfilariae negative but had a positive test in the past. Blood bacterial isolates were found in nine cases, four acute (21%) and five subacute (26%). In 10 acute cases blood cultures were found negative. Six blood isolates belonged to Bacilli, four to Cocci and one was Sarcina. To identify the sites of origin of bacterial dissemination, swabs taken from the calf skin biopsy wounds and tissue fluid, lymph and lymph node specimens were cultured. Swabs from the calf skin biopsy wound contained isolates in nine (47%) cases. They were Bacilli in nine, Cocci in three, Acinetobacter and Erwinia in two cases. Tissue fluid was collected from 10 patients and contained Bacilli in four (40%) and Staphylococci in three (30%). Lymph was drained in four patients and contained isolates in all samples (100%). They were Staphylococcus epidermis, xylosus and aureus, Acinetobacter, Bacillus subtilis and Sarcina. Three lymph nodes were biopsied and contained Staphylococcus chromogenes, xylosus, Enterococcus and Bacillus cereus. In six cases the same phenotypically defined species of bacteria were found in blood and limb tissues or fluids. In the 'control' group of patients with lymphedema without acute or subacute changes all blood cultures were negative. Interestingly, swabs from biopsy wound of these patients contained isolates in 80%, tissue fluid in 68%, lymph in 70% and lymph nodes in 58% of cases. In healthy controls, tissue fluid did not contain bacteria, and lymph isolates were found only in 12% of cases. This study demonstrates that patients with acute episodes of DLA reveal bacteremia in a high percentage of cases. Diversity of blood and tissue bacterial isolates in these patients points to a breakdown of the skin immune barrier in lymphedema and subsequently indiscriminate bacterial colonization of deep tissues and spread to an blood circulation.</div>
</front>
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<DateCreated><Year>1999</Year>
<Month>12</Month>
<Day>02</Day>
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<DateCompleted><Year>1999</Year>
<Month>12</Month>
<Day>02</Day>
</DateCompleted>
<DateRevised><Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
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<Article PubModel="Print"><Journal><ISSN IssnType="Print">0001-706X</ISSN>
<JournalIssue CitedMedium="Print"><Volume>73</Volume>
<Issue>3</Issue>
<PubDate><Year>1999</Year>
<Month>Oct</Month>
<Day>15</Day>
</PubDate>
</JournalIssue>
<Title>Acta tropica</Title>
<ISOAbbreviation>Acta Trop.</ISOAbbreviation>
</Journal>
<ArticleTitle>Bacteriological studies of blood, tissue fluid, lymph and lymph nodes in patients with acute dermatolymphangioadenitis (DLA) in course of 'filarial' lymphedema.</ArticleTitle>
<Pagination><MedlinePgn>217-24</MedlinePgn>
</Pagination>
<Abstract><AbstractText>Filarial lymphedema is complicated by frequent episodes of dermatolymphangioadenitis (DLA). Severe systemic symptoms during attacks of DLA resemble those of septicemia. The question we asked was whether bacterial isolates can be found in the peripheral blood of patients during the episodes of DLA. Out of 100 patients referred to us with 'filarial' lymphedema 14 displayed acute and five subacute symptoms of DLA. All were on admission blood microfilariae negative but had a positive test in the past. Blood bacterial isolates were found in nine cases, four acute (21%) and five subacute (26%). In 10 acute cases blood cultures were found negative. Six blood isolates belonged to Bacilli, four to Cocci and one was Sarcina. To identify the sites of origin of bacterial dissemination, swabs taken from the calf skin biopsy wounds and tissue fluid, lymph and lymph node specimens were cultured. Swabs from the calf skin biopsy wound contained isolates in nine (47%) cases. They were Bacilli in nine, Cocci in three, Acinetobacter and Erwinia in two cases. Tissue fluid was collected from 10 patients and contained Bacilli in four (40%) and Staphylococci in three (30%). Lymph was drained in four patients and contained isolates in all samples (100%). They were Staphylococcus epidermis, xylosus and aureus, Acinetobacter, Bacillus subtilis and Sarcina. Three lymph nodes were biopsied and contained Staphylococcus chromogenes, xylosus, Enterococcus and Bacillus cereus. In six cases the same phenotypically defined species of bacteria were found in blood and limb tissues or fluids. In the 'control' group of patients with lymphedema without acute or subacute changes all blood cultures were negative. Interestingly, swabs from biopsy wound of these patients contained isolates in 80%, tissue fluid in 68%, lymph in 70% and lymph nodes in 58% of cases. In healthy controls, tissue fluid did not contain bacteria, and lymph isolates were found only in 12% of cases. This study demonstrates that patients with acute episodes of DLA reveal bacteremia in a high percentage of cases. Diversity of blood and tissue bacterial isolates in these patients points to a breakdown of the skin immune barrier in lymphedema and subsequently indiscriminate bacterial colonization of deep tissues and spread to an blood circulation.</AbstractText>
</Abstract>
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<ForeName>W L</ForeName>
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<Author ValidYN="Y"><LastName>Jamal</LastName>
<ForeName>S</ForeName>
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<Author ValidYN="Y"><LastName>Manokaran</LastName>
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<ForeName>E</ForeName>
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<Author ValidYN="Y"><LastName>Zaleska</LastName>
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<QualifierName UI="Q000382" MajorTopicYN="N">microbiology</QualifierName>
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<MeshHeading><DescriptorName UI="D008199" MajorTopicYN="N">Lymphadenitis</DescriptorName>
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<affiliations><list><country><li>Norvège</li>
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