Klebsiella pneumoniae invasive liver abscess syndrome with purulent meningitis and septic shock: A case from China's Mainland

@Yun Qian$Department of Gastroenterology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University!Hangzhou 310016, Zhejiang Province, China$Institute of Gastroenterology, Zhejiang University!Hangzhou 310016, Zhejiang Province, China@Chi-Chun Wong$Institute of Digestive Disease and Department of Medicine and Therapeutics, State Key Laboratory of Digestive Disease, Li Ka Shing Institute of Health Sciences, the Chinese University of Hong Kong!Hong Kong, China@San-Chuan Lai$Department of Gastroenterology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University!Hangzhou 310016, Zhejiang Province, China$Institute of Gastroenterology, Zhejiang University!Hangzhou 310016, Zhejiang Province, China@Zheng-Hua Lin$Department of Gastroenterology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University!Hangzhou 310016, Zhejiang Province, China$Institute of Gastroenterology, Zhejiang University!Hangzhou 310016, Zhejiang Province, China@Wei-Liang Zheng$Department of Radiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University!Hangzhou 310016, Zhejiang Province, China@Hui Zhao$Emergency Department, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University!Hangzhou 310016, Zhejiang Province, China@Kong-Han Pan$Department of Critical Care Medicine, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University!Hangzhou 310016, Zhejiang Province, China@Shu-Jie Chen$Department of Gastroenterology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University!Hangzhou 310016, Zhejiang Province, China$Institute of Gastroenterology, Zhejiang University!Hangzhou 310016, Zhejiang Province, China@Jian-Min Si$Department of Gastroenterology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University!Hangzhou 310016, Zhejiang Province, China$Institute of Gastroenterology, Zhejiang University!Hangzhou 310016, Zhejiang Province,

Bimodal visualization of colorectal uptake of nanoparticles in dimethylhydrazine-treated mice

AIM:To investigate colorectal uptake of solid lipid nanoparticles(SLNs) in mice receiving different doses of 1,2-dimethylhydrazine(DMH) using magnetic resonance(MR) and laser-scanning confocal fluorescence microscope(LSCFM) imaging.METHODS:Eight mice were sacrificed in a pilot study to establish the experimental protocol and to visualize colorectal uptake of SLNs in normal mice.Gadopentetate dimeglumine and fluorescein isothiocyanate(FITC)-loaded SLN(Gd-FITC-SLN) enemas were performed on mice receiving DMH for 10 wk(group 1,n = 9) or 16 wk(group 2,n = 7) and FITC-SLN enema wasperformed on 4 DMH-treated mice(group 3).Pre-and post-enema MR examinations were made to visualize the air-inflated distal colorectum.Histological and LSCFM examinations were performed to verify colorectal malignancy and to track the distribution of SLNs.RESULTS:Homogeneous enhancement and dense fluorescence(FITC) deposition in colorectal wall were observed in normal mice and 1 DMH-treated mouse(group 1) on fluid attenuated inversion recovery(FLAIR) and LSCFM images,respectively.Heterogeneous mural enhancement was found in 6 mice(4 in group 1;2 in group 2).No visible mural enhancement was observed in the other mice.LSCFM imaging revealed linear fluorescence deposition along the colorectal mucosa in all groups.Nine intraluminal masses and one prolapsed mass were detected by MR imaging with different enhancement modes and pathologies.Interstitial FITC deposition was identified where obvious enhancement was observed in FLAIR images.Bladder imaging agent accumulations were observed in 11 of 16 DMH-treated mice of groups 1 and 2.CONCLUSION:There are significant differences in colorectal uptake and distribution of SLNs between normal and DMH-treated mice,which may provide a new mechanism of contrast for MR colonography.