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Abstract
Haberland syndrome or encephalocraniocutaneous lipomatosis is a rare ectomesodermal dysgenesis defined by the triad including ocular, skin, and central nervous system involvement, which is commonly unilateral. This disorder is attributed to a post-zygotic mutation responsible for a neural tube and neural crest dysgenesis. We report the case of a 15-year-old female with Haberland syndrome with pharmacoresistant epilepsy who developed a World Health Organization-grade IV glioblastoma. This is the first case of pediatric glioblastoma associated with Haberland syndrome. The previously reported pediatric cases included benign brain tumors. To our knowledge, this is the fifth case of brain tumor associated with encephalocraniocutaneous lipomatosis and the second case of glioblastoma associated with this syndrome. The hypothesis that Haberland syndrome is associated with an increased risk of tumor development is intriguing, although the rarity of the condition is nowadays preventing us from drawing definitive conclusions about this potential link between the two entities. Further studies are needed to establish the real relationship between encephalocraniocutaneous lipomatosis and the risk of brain tumors.
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Affiliation(s)
- Silvia Ferranti
- Department of Molecular Medicine and Development, University of Siena, Siena, Italy
| | - Iacopo Sardi
- Department of Pediatric Oncology, Meyer Children's Hospital, Florence, Italy
| | - Milena Guidi
- Department of Pediatric Oncology, Meyer Children's Hospital, Florence, Italy
| | - Chiara Lembo
- Department of Molecular Medicine and Development, University of Siena, Siena, Italy
| | - Salvatore Grosso
- Department of Molecular Medicine and Development, University of Siena, Siena, Italy
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Abstract
Coffin-Siris syndrome is a rare genetic disorder defined by the presence of particular facial traits, congenital malformations, intellectual disability, and speech impairment. Epilepsy in Coffin-Siris syndrome has only occasionally been reported, and its features are poorly defined. We provide a detailed description of the clinical and instrumental findings of three patients with Coffin-Siris syndrome and epilepsy. The clinical diagnosis in our patients was confirmed by molecular analysis, which identified the presence of de novo mutations of ARID1B and SMARCB1 genes, in two patients and one patient, respectively. All the patients presented with epilepsy, with a mean age of seizure onset of 5.5 years. Seizures were brief and had a focal onset with secondary generalization. Electroencephalographic recording documented a unilateral, and less commonly bilateral, paroxysmal activity in the temporal, parietal, and occipital regions. Clinical response to anticonvulsive therapy was satisfactory, with a low rate of seizure recurrence. Our case series contributes to delineate the phenotype of Coffin-Siris syndrome. We wish this report could pave the way for further studies that will better define the prevalence and clinical manifestations of epilepsy in this rare syndrome.
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Affiliation(s)
- Maria Rosaria Curcio
- Dipartimento di Medicina Molecolare e dello Sviluppo, Universita' degli Studi di Siena, viale Bracci 16, 53100, Siena, Italy
| | - Silvia Ferranti
- Dipartimento di Medicina Molecolare e dello Sviluppo, Universita' degli Studi di Siena, viale Bracci 16, 53100, Siena, Italy.
| | - Federica Lotti
- U.O.C. Pediatria, Azienda Ospedaliera Universitaria Senese, viale Bracci 16, 53100, Siena, Italy
| | - Salvatore Grosso
- Dipartimento di Medicina Molecolare e dello Sviluppo, Universita' degli Studi di Siena, viale Bracci 16, 53100, Siena, Italy.,U.O.C. Pediatria, Azienda Ospedaliera Universitaria Senese, viale Bracci 16, 53100, Siena, Italy
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Foley A, Ferranti S, Saade D, Mohassel P, Donkervoort S, Medne L, Dastgir J, Bharucha-Goebel D, Meilleur K, Leach M, Scavina M, Yum S, Tennekoon G, Bönnemann C. CONGENITAL MYOPATHIES 1 – NEMALINE. Neuromuscul Disord 2020. [DOI: 10.1016/j.nmd.2020.08.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Ferranti S, Lo Rizzo C, Renieri A, Galluzzi P, Grosso S. Focus on progressive myoclonic epilepsy in Berardinelli-Seip syndrome. Neurol Sci 2020; 41:3345-3348. [PMID: 32440981 DOI: 10.1007/s10072-020-04418-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2019] [Accepted: 04/13/2020] [Indexed: 12/17/2022]
Abstract
INTRODUCTION Berardinelli-Seip syndrome or congenital generalized lipodystrophy type 2 is a rare genetic disorder characterized by selective loss of subcutaneous adipose tissue associated with peripheral insulin resistance and its complications. Nonprogressive mental retardation, dystonia, ataxia, and pyramidal signs are commonly present, whereas epilepsy has only occasionally been observed. CASE REPORT We report the case of two sisters, 11 and 18 years old respectively, with an overlapping clinical phenotype compatible with Berardinelli-Seip syndrome and progressive myoclonic epilepsy. Molecular analysis identified an autosomal recessive c.1048C > t;(p(Arg350*)) pathogenic mutation of exon 8 of the BSCL2 gene, which was present in a homozygous state in both patients. CONCLUSIONS Our paper contributes to further delineate a complex phenotype associated with BSCL2 mutation, underlining how seipin has a central and partially still unknown role that goes beyond adipose tissue metabolism, with a prominent involvement in central nervous system pathology.
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Affiliation(s)
- Silvia Ferranti
- Dipartimento di Medicina Molecolare e dello Sviluppo, Universita' degli Studi di Siena, viale Bracci 16, 53100, Siena, Italy.
| | - Caterina Lo Rizzo
- Genetica Medica, Azienda Ospedaliera Universitaria Senese, viale Bracci 2, 53100, Siena, Italy
| | - Alessandra Renieri
- Genetica Medica, Azienda Ospedaliera Universitaria Senese, viale Bracci 2, 53100, Siena, Italy.,Medical Genetics, University of Siena, viale Bracci 2, 53100, Siena, Italy
| | - Paolo Galluzzi
- U.O.C. Neuroimmagini e Neurointerventistica (NINT), Azienda Ospedaliera Universitaria Senese, viale Bracci 16, 53100, Siena, Italy
| | - Salvatore Grosso
- Dipartimento di Medicina Molecolare e dello Sviluppo, Universita' degli Studi di Siena, viale Bracci 16, 53100, Siena, Italy.,U.O.C. Pediatria, Azienda Ospedaliera Universitaria Senese, viale Bracci 16, 53100, Siena, Italy
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Romano C, Ferranti S, Mencarelli MA, Longo I, Renieri A, Grosso S. 17p13.3 microdeletion including YWHAE and CRK genes: towards a clinical characterization. Neurol Sci 2020; 41:2259-2262. [PMID: 32323081 DOI: 10.1007/s10072-020-04424-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2019] [Accepted: 04/13/2020] [Indexed: 11/25/2022]
Abstract
INTRODUCTION The short arm of chromosome 17 is characterized by a high density of low copy repeats, creating the opportunity for non-allelic homologous recombination to occur. Microdeletions of the 17p13.3 region are responsible for neuronal migration disorders including isolated lissencephaly sequence and Miller-Dieker syndrome. CASE REPORT We describe the case of a 4-year and 2-month-old female with peculiar somatic traits and neurodevelopmental delay. At the age of 6 months, she started to present with infantile spasms syndrome; therefore, we administered vigabatrin followed by two cycles of adrenocorticotropic hormone, with good response. The coexistence of epileptic activity, neuropsychological delay, brain imaging abnormalities, and peculiar somatic features oriented us towards the hypothesis of a genetic etiology that could explain her clinical picture. Array CGH identified a 730 Kb deletion in the p13.3 region of the short arm of chromosome 17 including eleven genes, among these are YWHAE and CRK. DISCUSSION Microdeletions of the 17p13.3 region involving only YWHAE and CRK, sparing PAFAH1B1, result in neurodevelopmental delay, growth retardation, craniofacial dysmorphisms, and mild structural brain abnormalities. Differently from the previously described patients carrying YWHAE and CRK deletions, the main complaint of our patient was represented by seizures. The absence of clear neuronal migration defects and mutations of the PAFAH1B1 gene in our patient underlines the central role of additional genes located in the 17p13.3 chromosomal region in the pathogenesis of epilepsy and helps to expand the phenotype of 17p13.3 microdeletion syndrome.
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Affiliation(s)
- Chiara Romano
- Dipartimento di Medicina Molecolare e dello Sviluppo, Universita' degli Studi di Siena, viale Bracci 16, 53100, Siena, Italy
| | - Silvia Ferranti
- Dipartimento di Medicina Molecolare e dello Sviluppo, Universita' degli Studi di Siena, viale Bracci 16, 53100, Siena, Italy.
| | | | - Ilaria Longo
- Genetica Medica, Azienda Ospedaliera Universitaria Senese, viale Bracci 2, 53100, Siena, Italy
| | - Alessandra Renieri
- Genetica Medica, Azienda Ospedaliera Universitaria Senese, viale Bracci 2, 53100, Siena, Italy
- Medical Genetics, University of Siena, viale Bracci 2, 53100, Siena, Italy
| | - Salvatore Grosso
- Dipartimento di Medicina Molecolare e dello Sviluppo, Universita' degli Studi di Siena, viale Bracci 16, 53100, Siena, Italy
- U.O.C. Pediatria, Azienda Ospedaliera Universitaria Senese, viale Bracci 16, 53100, Siena, Italy
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Coriolani G, Ferranti S, Squarci G, Grosso S. A case of Bickerstaff encephalitis associated with Mycoplasma pneumoniae infection. Neurol Sci 2020; 41:1605-1606. [PMID: 31897940 DOI: 10.1007/s10072-019-04223-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2019] [Accepted: 12/22/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Gianni Coriolani
- U.O.C. Pediatria, Azienda Ospedaliera Universitaria Senese, viale Bracci 16, 53100, Siena, Italy
| | - Silvia Ferranti
- Dipartimento di Medicina Molecolare e dello Sviluppo, Universita' degli Studi di Siena, viale Bracci, 53100, Siena, Italy.
| | - Giulia Squarci
- Dipartimento di Medicina Molecolare e dello Sviluppo, Universita' degli Studi di Siena, viale Bracci, 53100, Siena, Italy
| | - Salvatore Grosso
- U.O.C. Pediatria, Azienda Ospedaliera Universitaria Senese, viale Bracci 16, 53100, Siena, Italy.,Dipartimento di Medicina Molecolare e dello Sviluppo, Universita' degli Studi di Siena, viale Bracci, 53100, Siena, Italy
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7
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Coriolani G, Ferranti S, Biasci F, Lotti F, Grosso S. Acute flaccid myelitis temporally associated with rhinovirus infection: just a coincidence? Neurol Sci 2019; 41:457-458. [PMID: 31654361 DOI: 10.1007/s10072-019-04094-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2019] [Accepted: 09/28/2019] [Indexed: 01/11/2023]
Abstract
We report the case of a 3.6-year-old male child who developed progressive hyposthenia of the left lower limb. Symptoms were preceded by rhinitis, malaise, and fever. Brain and spinal magnetic resonance imaging revealed diffuse signal abnormalities compatible with a subacute myeloencephalitis. A diagnostic lumbar puncture was performed and followed by an empirical therapy including Acyclovir, Ceftriaxone, and Clarithromycin. The cerebrospinal fluid analysis revealed clear fluid, glucose, proteins, albumin within the reference range, and 144 leukocytes/mm3. Oligoclonal bands were absent and a search for viruses was negative. Wide microbiological surveillance was performed on surface swabs, blood, urine, and stool. Both nasal and pharyngeal swabs were positive for PicoRNAvirus: sequencing identified Rhinovirus A44. This virus has been detected in association with acute flaccid paralysis in only a few patients worldwide, whereas in the great majority of patients with acute flaccid paralysis other Enterovirus species were identified. The most appropriate therapeutic approach towards acute flaccid paralysis is still a matter of debate in the scientific community, with no current definitivere commendations available. With a combined immunosuppressive and anti-inflammatory therapy including intravenous immunoglobulins, intravenous Methylprednisolone, oral Prednisone, and oral Ibuprofen, we experienced a positive outcome both from the clinical point of view and from three-month follow-up imaging studies. Given the rarity and the complexity of this condition, additional studies are needed to better define the potential role of Rhinovirus A44 in the pathogenesis of the disease and the efficacy of any therapeutic measure in the management of acute flaccid paralysis.
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Affiliation(s)
- Gianni Coriolani
- U.O.C. Pediatria, Azienda Ospedaliera Universitaria Senese, viale Bracci 16, 53100, Siena, Italia
| | - Silvia Ferranti
- Dipartimento di Medicina Molecolare e dello Sviluppo, Universita' degli Studi di Siena, viale Bracci 16, 53100, Siena, Italia.
| | - Filippo Biasci
- Dipartimento di Medicina Molecolare e dello Sviluppo, Universita' degli Studi di Siena, viale Bracci 16, 53100, Siena, Italia
| | - Federica Lotti
- U.O.C. Pediatria, Azienda Ospedaliera Universitaria Senese, viale Bracci 16, 53100, Siena, Italia
| | - Salvatore Grosso
- U.O.C. Pediatria, Azienda Ospedaliera Universitaria Senese, viale Bracci 16, 53100, Siena, Italia.,Dipartimento di Medicina Molecolare e dello Sviluppo, Universita' degli Studi di Siena, viale Bracci 16, 53100, Siena, Italia
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Pelliccia V, Ferranti S, Mostardini R, Grosso S. A case of Friedreich ataxia in an adolescent with 16p11.2 microdeletion syndrome. Neurol Sci 2019; 41:721-722. [PMID: 31578651 DOI: 10.1007/s10072-019-04075-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2019] [Accepted: 09/11/2019] [Indexed: 11/27/2022]
Affiliation(s)
- Valentina Pelliccia
- Dipartimento di Medicina Molecolare e dello Sviluppo, Universita' degli Studi di Siena, viale Bracci, 53100, Siena, Italy
| | - Silvia Ferranti
- Dipartimento di Medicina Molecolare e dello Sviluppo, Universita' degli Studi di Siena, viale Bracci, 53100, Siena, Italy.
| | - Rosa Mostardini
- U.O.C. Pediatria, Azienda Ospedaliera Universitaria Senese, viale Bracci 16, 53100, Siena, Italy
| | - Salvatore Grosso
- Dipartimento di Medicina Molecolare e dello Sviluppo, Universita' degli Studi di Siena, viale Bracci, 53100, Siena, Italy.,U.O.C. Pediatria, Azienda Ospedaliera Universitaria Senese, viale Bracci 16, 53100, Siena, Italy
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Baran E, Godoy A, Merino E, Benigni L, Gonzalez J, Pierini N, Copparoni G, Farah A, Zubillaga M, Rivera A, Ferranti S, Bocanegra R, Lorenzin A, Barrena E, Varela C, Gatti L, Goñi S. P159 Usefulness of extended oral glucose tolerance test in patients with cystic fibrosis older than 16 years. J Cyst Fibros 2018. [DOI: 10.1016/s1569-1993(18)30454-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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10
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Ferranti S, Grande E, Gaggiano C, Grosso S. Antiepileptic drugs: Role in paediatric poisoning. J Paediatr Child Health 2018; 54:475-479. [PMID: 29292550 DOI: 10.1111/jpc.13833] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2017] [Revised: 10/03/2017] [Accepted: 11/14/2017] [Indexed: 11/29/2022]
Abstract
Intoxications, both accidental and intentional, are common in children and adolescents and often require hospitalisation and intensive treatment. Antiepileptic drugs are a possible cause of poisoning and intoxications because this category of medications has shown a rising trend in recent years. They might be responsible for multi-organ dysfunctions of variable severity, ranging from subtle symptoms to life-threatening complications. No guidelines on the management of these intoxications in the paediatric population are currently available, and treatment is mainly supportive. Activated charcoal administration and extracorporeal circulation techniques for drug removal have been proposed. Facing the complexity of this clinical scenario, it is of utmost importance to maintain a high index of suspicion to guarantee a prompt intervention and ensure the best possible management for the patient.
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Affiliation(s)
- Silvia Ferranti
- Clinical Pediatrics, Pediatric Neurology Center, Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy
| | - Elisabetta Grande
- Clinical Pediatrics, Pediatric Neurology Center, Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy
| | - Carla Gaggiano
- Clinical Pediatrics, Pediatric Neurology Center, Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy
| | - Salvatore Grosso
- Clinical Pediatrics, Pediatric Neurology Center, Department of Molecular and Developmental Medicine, University of Siena, Siena, Italy
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Capecchi G, Baldassarri M, Ferranti S, Guidoni E, Cioni M, Nürnberg P, Mencarelli M, Renieri A, Grosso S. CKAP2L
mutation confirms the diagnosis of Filippi syndrome. Clin Genet 2018; 93:1109-1110. [DOI: 10.1111/cge.13188] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2017] [Revised: 11/27/2017] [Accepted: 11/28/2017] [Indexed: 11/27/2022]
Affiliation(s)
- G. Capecchi
- Dipartimento di Medicina molecolare e dello sviluppo; Clinica Pediatrica; Siena Italy
| | - M. Baldassarri
- Medical Genetics; University of Siena; Siena Italy
- Genetica Medica; Azienda Ospedaliera Universitaria Senese; Siena Italy
| | - S. Ferranti
- Dipartimento di Medicina molecolare e dello sviluppo; Clinica Pediatrica; Siena Italy
| | - E. Guidoni
- Dipartimento di Medicina molecolare e dello sviluppo; Clinica Pediatrica; Siena Italy
| | - M. Cioni
- Dipartimento di Medicina molecolare e dello sviluppo; Clinica Pediatrica; Siena Italy
| | - P. Nürnberg
- Cologne Center for Genomics; University of Cologne; Cologne Germany
| | - M.A. Mencarelli
- Genetica Medica; Azienda Ospedaliera Universitaria Senese; Siena Italy
| | - A. Renieri
- Medical Genetics; University of Siena; Siena Italy
- Genetica Medica; Azienda Ospedaliera Universitaria Senese; Siena Italy
| | - S. Grosso
- Dipartimento di Medicina molecolare e dello sviluppo; Clinica Pediatrica; Siena Italy
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Grande E, Ferranti S, Gaggiano C, Di Virgilio N, Vascotto M. Celiac disease: is it really possible to overcome duodenal biopsy? Acta Biomed 2016; 87:97-100. [PMID: 27163902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 06/22/2015] [Revised: 08/25/2015] [Accepted: 08/26/2015] [Indexed: 06/05/2023]
Abstract
We report the case of a two-year-five-month-old child who underwent screening for celiac disease due to strong familiarity. During the first observation body weight and height were at 25th and 50th centile for gender and age. Physical examination did not reveal any sign of disease. Blood tests showed increased transaminases levels and antibodies research showed: tTG IgA: 100 UI/ml, tTG IgG: 36,6 UI/ml, EMA IgA: positive. HLA study revealed homozygous allelic combination DRB1*07;DQA102:01; DQB1* 02:02 with presence of a double copy of beta chain in the composition of the DQ2 heterodymer. Biopsy with histological examination did find neither mucosal alteration nor lymphocytic infiltrates (Marsh 0). During follow up with free diet the patient remained asymptomatic and all antibody titers decreased up to normalization. According to ESPGHAN guidelines the finding of hypertransaminasemia as sign of celiac hepatic inflammation, a more than 10-fold increase of tTG IgA and a high-risk HLA would permit diagnosis of celiac disease but histological examination done due to mismatch between paucity of clinical sings and a "multiple risk combination" excluded it, allowing diagnosis of potential celiac disease. We believe that this case is interesting because of its being in contrast with current literature data that suggest a linear relationship between antibodies levels and histological damage with tTG IgA at the upper reference range in case of potential celiac disease. According to guidelines we could have avoided intestinal biopsy but we would have considered as celiac a patient who is maybe just potentially affected.
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Tascini C, Gemignani G, Ferranti S, Tagliaferri E, Leonildi A, Lucarini A, Menichetti F. Microbiological Activity and Clinical Efficacy of a Colistin and Rifampin Combination in Multidrug-ResistantPseudomonas aeruginosaInfections. J Chemother 2013; 16:282-7. [PMID: 15330326 DOI: 10.1179/joc.2004.16.3.282] [Citation(s) in RCA: 52] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
The aim of the study was to assess the microbiological activity and clinical efficacy of colistin and rifampin combination against multidrug-resistant (MDR) Pseudomonas aeruginosa infections. The antimicrobial activity of the colistin/rifampin combination was evaluated using the checkerboard and time-kill curve methods against different MDR P. aeruginosa strains. The combination of rifampin and colistin resulted fully (1 strain) or partially (5 strains) synergistic for 6/7 strains and minimum inhibitory concentrations (MICs) in combination were reduced to easily obtainable therapeutic levels. The time-kill curves showed that the combination was bactericidal against the strains tested. The clinical efficacy of the combination was tested in four patients with difficult-to treat infections (sepsis or pneumonia) caused by MDR P. aeruginosa. All infections were successfully treated. Our microbiological and clinical observations suggest that the addition of rifampin to colistin may result in a synergistic bactericidal combination that may be useful in patients with infections caused by MDR P. aeruginosa which are difficult to cure.
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Affiliation(s)
- C Tascini
- Infectious Diseases Unit, Azienda Ospedaliera Pisana, Pisa, Italy.
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Tascini C, Ferranti S, Messina F, Menichetti F. In vitro and in vivo synergistic activity of colistin, rifampin, and amikacin against a multiresistant Pseudomonas aeruginosa isolate. Clin Microbiol Infect 2008. [DOI: 10.1111/j.1469-0691.2000.00169.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Tascini C, Ferranti S, Leonildi A, Menichetti F. Breakthrough Fusarium spProbable Pneumonia During Fluconazole Therapy in an AIDS Patient with Diabetes, Candidemia, Pneumocystis cariniiPneumonia and Cytomegalovirus Disseminated Infection. J Chemother 2006; 18:227-8. [PMID: 16736895 DOI: 10.1179/joc.2006.18.2.227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Del Bono L, Filipponi F, Marchetti G, Ferranti S, Menichetti F, Mosca F. A 59-year-old liver-transplanted woman with fever, dyspnea and pulmonary infiltrates. Clin Microbiol Infect 2003; 9:1057-61. [PMID: 14616753 DOI: 10.1046/j.1469-0691.2003.00727.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
A 59-year-old woman was admitted to hospital 10 months after receiving a liver transplant (LT) for hepatitis C virus (HCV) cirrhosis because of fever, dyspnea and basal patchy peripheral infiltrates. Microscopic examinations and blood, sputum and BAL cultures were negative. Empirical anti-infective therapy was ineffective. Thoracoscopic lung biopsy was performed, and histology showed a pattern suggesting bronchiolitis obliterans organizing pneumonia (BOOP). Prednisone led to rapid clinical and radiologic improvement. BOOP has been anecdotally reported in LT cases, and this case was unrelated to any infectious agent. BOOP should be taken into account in the differential diagnosis of pneumonia in LT.
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Affiliation(s)
- L Del Bono
- UO Malattie Infettive, Azienda Ospedaliera di Pisa, Ospedale Cisanello via Paradisa 2, 56100 Pisa, Italy.
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Menichetti F, Tascini C, Ferranti S, Moroni A, Balbone L, Bozza S, Fedele M, Bifarini G, Del Favero A, Bistoni F. [Clinical and molecular epidemiology of an outbreak of infusion-related Acinetobacter baumannii bacteremia in an Intensive Care Unit]. Infez Med 2003; 1:24-29. [PMID: 12707517] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 03/02/2023]
Abstract
Objective: To describe the clinical and molecular epidemiology of an outbreak of infusion-related Acinetobacter baumannii bacteremia in an intensive care unit (ICU). Methods: Six cases of A. baumannii bacteremia identified in the Foligno Hospital ICU, Italy, were peer reviewed. Antibiotic susceptibility and genotyping (PFGE and RAPD) of A. baumannii isolates were carried out. Results: All A. baumannii blood isolates and a strain isolated from parenteral solution had an identical genotype. The strains were susceptible to carbapenems and the combination of meropenem plus amikacin or piperacillin/ tazobactam plus netilmicin was synergistic. A. baumannii bacteremia persisted for several days in almost all patients; catheter tip cultures were always positive for A. baumannii. Three patients, with an elevated Apache II score, died of sepsis. Conclusions: The outbreak was related to contaminated parenteral solutions improperly prepared in the ward. Aseptic preparation in the hospital pharmacy allowed for an interruption of the outbreak.
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Affiliation(s)
- F. Menichetti
- Dipartimento di Medicina Sperimentale, Sez. Microbiologia Universita di Perugia, Perugia; Istituto di Medicina Interna, Universita di Perugia, Perugia; Unita di Cura Intensiva, Ospedale di Foligno, Foligno; U.O. Microbiologia, Ospedale di Foligno, Foligno, Italy
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Tascini C, Ferranti S, Gemignani G, Messina F, Menichetti F. Clinical microbiological case: fever and headache in a heavy consumer of eucalyptus extract. Clin Microbiol Infect 2002; 8:437, 445-6. [PMID: 12199856 DOI: 10.1046/j.1469-0691.2002.00445.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- C Tascini
- U. O. Malattie Infettive, Azienda Ospedaliera Pisana, Via Paradisa 2, 56100 Pisa, Italy.
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Tascini C, Ferranti S, Gemignani G, Messina F, Menichetti F. Clinical microbiological case: fever and headache in a heavy consumer of eucalyptus extract. Clin Microbiol Infect 2002. [DOI: 10.1046/j.1469-0691.2002.00516.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Tascini C, Ferranti S, Messina F, Menichetti F. In vitro and in vivo synergistic activity of colistin, rifampin, and amikacin against a multiresistant Pseudomonas aeruginosa isolate. Clin Microbiol Infect 2000; 6:690-1. [PMID: 11284934 DOI: 10.1046/j.1469-0691.2000.00169.x] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Alderisio M, Ribotta G, Giarnieri E, Midulla C, Ferranti S, Narilli P, Nofroni I, Vecchione A. Aneuploid polyclonality in image analysis. Oncol Rep 1996; 3:567-70. [PMID: 21594414 DOI: 10.3892/or.3.3.567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Solid tumors such as colorectal adenocarcinomas consist of biologically diverse cell subpopulations. Nuclear DNA content of tumor cells in colorectal carcinomas may be studied with different techniques of intranuclear DNA quantification. In the current study, the DNA ploidy of samples obtained from 68 patients with colorectal carcinoma (age ranging from 46 to 86 years, mean age 66 years), treated with radical surgery, between the years 1992 and 1995 was analyzed. DNA ploidy was assessed using a CAS 200 image analyzer and was evaluated on neoplastic tissue and undamaged healthy mucosa obtained from the edges of the surgical resection. Approximately 150-300 cells were analyzed for each sample. The aim of this study was to evaluate the prognostic significance of the polyclonal cases correlated with lymph node infiltration and disease free-survival. The pathological stage according to the TNM classification was compared to ploidy: an increase in multiple stemlines was observed in stage III cases, i.e., a progression towards aneuploidy and multiple stemlines was significantly associated with lymphatic metastasis (p<0.0003). Concerning distant metastasis, we found a correlation between stage IV and polyclonality. A significant correlation was observed between disease-free survival and aneuploid and polyclonal cases (p<0.0053). In polyclonal cases a nine fold greater relapse risk compared to the non-polyclonal cases was observed (p<0.0004). In two cases, the adeno-carcinoma of the sigma was polyclonal and its hepatic metastasis contained the predominant aneuploid clone with the same cytometric characteristics (DNA index) of the original lesion.
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Affiliation(s)
- M Alderisio
- UNIV ROMA LA SAPIENZA,CLIN CHIRURG 6,ROME,ITALY. UNIV ROMA LA SAPIENZA,CATTEDRA STAT MED & BIOMETRIA,DIPARTIMENTO MED SPERIMENTALE & PATOL,ROME,ITALY
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