The attempt to combine Yersinia pseudotuberculosis and Yersinia pestis into one species has been unsupported by microbiologists due to the specific features of the epidemiology and clinical presentations of their induced...The attempt to combine Yersinia pseudotuberculosis and Yersinia pestis into one species has been unsupported by microbiologists due to the specific features of the epidemiology and clinical presentations of their induced diseases and to basic differences in their virulence. Pseudotuberculosis is predominantly a relatively mild human intestinal infection transmitted through contaminated food and plague is an acute generalized disease with high mortality, which is most frequently transmitted by the bites of infected fleas. Y. pestis hypervirulence, the ability of single bacteria to ensure the development of predagonal bacteriemia in rodents, which is sufficient to contaminate the fleas, is one of the main events during pathogen adaptation to a new ecological niche. By analyzing the data of molecular typing of the representative kits of naturally occurring Y. pestis isolates, the authois consider the issues of formation of intraspecies groups with universal hypervirulence, as well as biovars that are highly virulent only to their major host. A strategy for searching for selective virulence factors, the potential molecular targets for vaccination and etiotropic treatment of plague, is discussed.
The paper gives the results of analyzing the data of long-term studies of the natural focal pattern of plague in the Gornyi Altai natural focus. It describes a wide range of biological processes occurring in the focus an...The paper gives the results of analyzing the data of long-term studies of the natural focal pattern of plague in the Gornyi Altai natural focus. It describes a wide range of biological processes occurring in the focus and shows the most important patterns of its functioning as a complex multilevel ecological system. The key features of the formation of the focus have been revealed. The plague focus in South-Western Altai has formed relatively, recently, about half a century ago, then it has intensively developed and its enzootic area and the activity of epizootic manifestations have considerably increased. This process is due to the space-time transformations of the basic ecological and population characteristics of Pallas' pika (Ochotoma pallasi), the principal vector of the pathogen of plague and fleas parasitizing the mammal, which is in turn related to the aridization of mountain steppes in South-Western Altai.
Popov NV, Udovikov AI, Eroshenko GA
… +5 more, Karavaeva TB, Yakovlev SA, Porshakov AM, Zenkevich ES, Kutyrev VV
Med Parazitol (Mosk)
· 2016 · PMID 27029140
There is evidence that in 1923-2014 the sharp aggravations of the epizootic situation of plague in the area of its Caspian sandy natural focus after long interepizootic periods are in time with the ups of the Caspian Sea...There is evidence that in 1923-2014 the sharp aggravations of the epizootic situation of plague in the area of its Caspian sandy natural focus after long interepizootic periods are in time with the ups of the Caspian Sea in the extrema of 11-year solar cycles. There were cases of multiple manifestations of plague in the same areas in the epizootic cycles of 1946-1954, 1979-1996, 2001, and 2013-2014. The paper considers the possible role of amebae of the genus Acanthamoeba and nematodes, the representatives of the orders Rhabditida and Tylenchida in the microfocal pattern of plague manifestations.
The communication substantiates the opinion that the theory of natural nidality of plague; which is based on the fundamental recognition that fleas play a leading role in the transmission and accumulation of the plague p...The communication substantiates the opinion that the theory of natural nidality of plague; which is based on the fundamental recognition that fleas play a leading role in the transmission and accumulation of the plague pathogen, cannot be disproved or substantially changed on the alternative weakly reasoned assumptions and hypotheses. All its "bottlenecks" are quite understandable when considering the long-term volumetric materials that have been gathered directly in nature and generalized in multiple publications. Plague is an obligate transmissive infection; its, agent is a highly specialized parasite that is completely associated in its vital activity with the only group of the blood-sucking insects--fleas and that is transmitted through periodic colonization of warm-blooded animals for a short time. All other types of plague microbe persistence in nature are either occasional or minor and do not play any significant role in pathogen persistence in the natural foci of this disease. There are no strong grounds for seriously considering the attempts to revise the main points of the theory of natural nidality of plague, which are widely held in current academic publications.
The paper gives the results of treatment with micronized albendazole (Gelmodol-BM, World Medicine, UK) in 87 patients of the Department of Medical Parasitology and Tropical Diseases, Clinical and Diagnostic Center, Clini...The paper gives the results of treatment with micronized albendazole (Gelmodol-BM, World Medicine, UK) in 87 patients of the Department of Medical Parasitology and Tropical Diseases, Clinical and Diagnostic Center, Clinical Center, I.M.Sechenov First Moscow State Medical University. Thirty-two patients with echinococcosis 8 with alveococcosis (including 4 inoperable patients), 10 with ascariasis, 10 with toxocariasis, 15 with enterobiasis, and 12 people diagnosed with larva migrans were treated in 2013-2014. The drug's routine doses and dosage regimens were used. Albendazole (Gelmodol, World Medicine, UK) showed a high efficacy with good tolerability, which is highly competitive with that of the drugs manufactured by IPCA Laboratories Ltd., India (such as nemozole). Both medicaments above-mentioned may be successfully used in the treatment of many helminthisms.
A project targeted approach is the methodological basis for organizing professional education, which deals with learning objectives, content, and technologies as a professional activity design where all components-of a t...A project targeted approach is the methodological basis for organizing professional education, which deals with learning objectives, content, and technologies as a professional activity design where all components-of a teaching process are constructed on an integrative basis. The project targeted approach is the basis for a project method. The latter ensures that the learning objectives are achieved through the creation of a professionally significant problem, which should yield a real, tangible practical result. At the same time, the organization of a specialist's training and professional activities undergoes a complete cycle: from revelation of a problem to implementation of a project, its assessment and reflection (a comparative analysis of the organization and quality of practical activity). The high effectiveness of the project method contributes to the better environmental training of parasitologists and to the improvement of their professional readiness to solve specific parasitogenic problems.
Rudavina TI, Averyanova NI, Sosnin DY
… +5 more, Skoblina NA, Domnina NA, Guseva SV, Volkova SV, Banko NV
Med Parazitol (Mosk)
· 2015 · PMID 26827588
The paper describes a clinical case of visceral leishmaniasis in a three-year-old child who Was born and is a permanent resident in Penm. Its clinical symptomatology; laboratory and instrumental findings; stages of a dia...The paper describes a clinical case of visceral leishmaniasis in a three-year-old child who Was born and is a permanent resident in Penm. Its clinical symptomatology; laboratory and instrumental findings; stages of a diagnostic search for fever of unknown origin concurrent with hepatosplenomegaly and pancytopenia; differential diagnosis with hemoblastosis; and an epidemiological history are detailed. Visceral leishmaniasis was diagnosed at examination of bone marrow specimens. The paper presents the positive results of combination etiopathogenetic treatment, which are confirmed by the time course of clinical changes and laboratory findings.
The paper describes a case of disseminated strongyloidosis in a 52-year-old woman living in Volgograd. Filariform and. rhabditiform larvae of the nematode Strongyloides stercoralis were found when analyzing her urine, sp...The paper describes a case of disseminated strongyloidosis in a 52-year-old woman living in Volgograd. Filariform and. rhabditiform larvae of the nematode Strongyloides stercoralis were found when analyzing her urine, sputum, and feces. She had been followed up and treated for duodenal ulcer for more than 15 years. During that time, the patient periodically underwent radiographic and ultrasonic studies and clinical and biochemical blood tests. Fecal tests were not been carried out. This case could convince that there was a risk for human strongyloidosis in the arid region having a temperate climate in European Russia and when timely detection of invasion and specific treatment were not performed, there might be disseminated strongyloidosis. The reason for late diagnosis was epidemiological history (possible contact with soil) underestimation and improper-patient examination.
Kukhaleva IV, Kovalenko FP, Shkolyar NA
… +4 more, Legonkov YA, Musaev AKh, Bulanova TE, Samochatova EI
Med Parazitol (Mosk)
· 2015 · PMID 26827586
The incidence of trichinosis in Russia was 0.07 per 100,000 population in 2014, which was 2.9-fold higher than that in 2013. Two WHO recommended medications mebendazole and albendazole are now used to treat humari trichi...The incidence of trichinosis in Russia was 0.07 per 100,000 population in 2014, which was 2.9-fold higher than that in 2013. Two WHO recommended medications mebendazole and albendazole are now used to treat humari trichinosis. The drugs are active against only mature helminths and non-encysted muscle larvae. The original oil suspension of micronized mebendazole was.found to have 100% efficacy against trichinosis in albino mice in the late muscular phase (encysted larvae) of hyperinvasion after intensive therapy under lifetime diagnostic guidance during and after a treatment cycle. The lifetime diagnostic method used to evaluate the larvicidal activity of anti-trichinosis agents in animals with experimental trichinosis revealed the signs of viaility, established a trend for deatih of Trichinella larvae, and determined their destructive changes.
Kovalenko FP, Kukhaleva IV, Shkolyar NA
… +4 more, Legonkov YA, Musaev GKh, Bulanova TE, Samochatova EI
Med Parazitol (Mosk)
· 2015 · PMID 26827585
The problem of echinococcosis has acquired special urgency in Russia in the last 10 years. The dramatically worse epidemiological situation of echinococcosis in the country is suggested by just frequent cases of cystic e...The problem of echinococcosis has acquired special urgency in Russia in the last 10 years. The dramatically worse epidemiological situation of echinococcosis in the country is suggested by just frequent cases of cystic echinococcosis in the indigenous population of Moscow and its region, including children. Currently, albendazole that is less toxic than mebendazole remains the drug of choice, However, some authors note that E. granulosus larval cysts are moresusceptible to mebendazole than to albendazole. Both drugs mainly show parasitological activity and have no larvicidal effect particularly in larval alveococcosis. Analysis of the results of chemotherapy, with a group of benzimidazole carbamates for echinococcosis in 6 clinical centers from 5 European countries (Italy, Bulgaria, Romania, Greece, and Turkey) over the past 30 years showed that the evaluation of therapeutic effectiveness was overestimated; thus, 40% of all parasitic larval cysts that were considered dead became active again after, 2 years after the treatment. The original oil micronized mebendazole suspension tested by us in albino mice with late-stage larval cystic echinococcosis showed the properties of a highly effective and safe systemic larvicide that caused prompt death in the entire parasite population in the treated animals even in extreme hyperinvasion when the baseline parasite weight was greater than the host's one.
Vagin NA, Malysheva NS, Samofalova NA
… +1 more, Vlasov EA
Med Parazitol (Mosk)
· 2015 · PMID 26827582
Trichinosis is natural focal invasion in the Kursk Region. Porkworms (Trichinella) circulate in natural biocenoses among wild carnivorous mammals, wild boars, and rodents. Trichinosis cases are recorded in synanthropic a...Trichinosis is natural focal invasion in the Kursk Region. Porkworms (Trichinella) circulate in natural biocenoses among wild carnivorous mammals, wild boars, and rodents. Trichinosis cases are recorded in synanthropic animals. Carnivorous mammals form the basis for the parasitic system of trichinosis. The animals are infected with Trichinella through carnivorism, necrophagy, and cannibalism. The transport Trichinella vectors, necrophagous insects, naturally play an insignificant role-in the spread of trichinosis. Trichinella infection in animals occurs more commonly through necrophagia and cannibaism during winter months. Not only animals, but also man, play a great role in the spread of trichinosis. Infested wild and synanthropic aninals inhabiting the Kursk Region may carry the risk for Trichinella infection in the population.
This paper is dedicated to moth flies, a new medical disinsection object in our country. These insects are common in urban areas, generally in the premises with poor sanitary conditions. Moth fly larvae may cause acciden...This paper is dedicated to moth flies, a new medical disinsection object in our country. These insects are common in urban areas, generally in the premises with poor sanitary conditions. Moth fly larvae may cause accidental human urinary miasmata; imagoes, if many, become a worrisome factor; a source of allergy, and potential mechanical vectors of human diseases. In this connection, it is necessary to implement measures to control the number of the moth flies when the latter are detected on the objects particularly in therapeutic and preventive facilities and public catering esablishments.
Bloodsucking mosquitoes were collected in Tula and its Region in May to August 2013-2014. The fauna included 17 species from 5 genera in the subfamily Culicinae and Anopheles maculipennis complex in the subsystem Anophel...Bloodsucking mosquitoes were collected in Tula and its Region in May to August 2013-2014. The fauna included 17 species from 5 genera in the subfamily Culicinae and Anopheles maculipennis complex in the subsystem Anophelinae. Ochlerotatus cantans was a dominant species in the collections. The dominant species also included Aedes einereus, Ae. vexans, Ae. geniculatus, Och. diantaeus, Och. intrudens, Och. Cataphylla, and Culex pipiens. The possible value of different mosquito species Dirofilaria repens and D. immitis as vectors of dirofilarasis was discussed.
Based on the data available in the literature and the results of their investigations, the authors analyzed the spread of mosquitoes in Central Asia (Kazikhstan, Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan). It...Based on the data available in the literature and the results of their investigations, the authors analyzed the spread of mosquitoes in Central Asia (Kazikhstan, Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan). It has been established that there are 27 mosquito species: P. papatasii, P. sergenti, P. caucasicus, P. mongolensis, P. andrejevi, P. alexandri, P. nuri, P. kandelakii, P. keshishiani, P. smirnovi, P. notus, P. wenioni, P. 1ongiductus, P. tuianicus, P. rupester, P. angustus, P. halepensis, P. zufagarensis, S. murgaitensis, S. dentata, S. pawlowsil, S. ciyda, S. pakistanica, S. sogdiana, S. sumbarica, S. grekovi, and G. dreyfussi turkestanica in this region. Five species of them (P. papatasii, P. sergenti, P. smirnovi, P. longiductus, and P. turanicus) are of medical importance. Maps of the spread of the species of medical importance have been compiled. Entomological observations should be made in individual areas of this region due to climate changes in the environment and to man-made interventions.