Analysis of Occurrence and Mixed Infection of Sugarcane Bacilliform Virus Disease in Hainan Sugarcane-growing Area

[Objectives]The paper was to explore the occurrence and mixed infection of sugarcane bacilliform virus disease in Hainan sugarcane-growing area.[Methods]A total of 348 sugarcane leaf samples were collected from 7 sugarcane-growing areas in Hainan Province.Molecular detection of sugarcane bacilliform virus(SCBV)was carried out by PCR using specific primers.[Results]SCBV was detected in 244 out of 348 sugarcane samples,with an average detection rate of 70.11%.The highest detection rate was 76.66%in the Danzhou sugarcane-growing area,while the lowest was 57.14%in the Baisha sugarcane-growing area.The SCBV-positive samples were subjected to testing for SCYLV,SCSMV,SrMV,and SCMV,respectively.The results indicated that 106 out of 244 positive samples exhibited a single infection with SCBV,while 138 samples exhibited mixed infections with SCBV and other sugarcane viruses.The proportion of mixed infections among the SCBV-positive samples was as high as 56.56%.Among the various types of mixed infections,two-virus and three-virus mixed infections were the most prevalent.[Conclusions]SCBV has emerged as a significant threat to the secure production of sugarcane in the Hainan sugarcane-growing region.It presents an explosive infection in the Hainan sugarcane-growing region and frequently combines with other sugarcane viruses to infect sugarcane.The findings of this study will provide a theoretical foundation for the prevention and control of sugarcane bacilliform virus disease.

Diagnosis of Mixed Infection of CSFV, PRV and E.coli in a Modern Pig Farm of Guizhou Province

In order to understand the incidence reasons in a scaled pig farm of Guizhou Province, the infected pigs were diagnosed with epidemiological investigation, clinical observation, pathological diagnosis, enzyme-linked immunosorbent assay （ELISA）, PCR/RT-PCR and bacterial isolation and identification. The results showed that the pigs were infected mixedly with classical swine fever virus （CSFV）, pseudorabies virus （PRV） and E. coli. Therefore, some measures should be adopted to control the incidence of CSF, PR and colibacillosis in the pig farm.

Diagnosis and Treatment of a Disease Caused by Mixed Infection of Escherichia coli and Arthrinium saccharicola in Bamboo Rats

The feeding amount of bamboo rats in Southern China is increased year by year. Under condition of captive breeding, the occurrence of diseases has also become more and more frequent in bamboo rats. In this paper, the results of mor- phological and biochemical studies showed that the cultural and biochemical charac- teristics of isolated strains are basically the same, and they all have strong pathogenicities to bamboo rats. The disease was diagnosed to be caused by the mixed infection of Escherichia coil and Arthrinium saccharico/a, and it was controlled by corresponding measures.

Susceptibility of Mixed Infection of Ureaplasma Urealyticum and Mycoplasma Hominis to Seven Antimicrobial Agents and Comparison with that of Ureaplasma Urealyticum Infection

In order to investigate the susceptibility of mixed infection of Ureaplasma Urealyticum (UU) and Mycoplasma Hominis (MH) to 7 kinds of antimicrobial agents and comparison with that of UU infection in NGU patients, the in vitro susceptibility was determined by using microdilution method. The positive results were analyzed. The results showed that the sequence of susceptibility to 7 kinds of antimicrobial agents for both UU infection group and UU-MH mixed infection group was almost the same from the highest susceptibility to the lowest accordingly: Josamycin, Doxycycline, Minocycline, Sparfloxacin, Roxithromycin, Ofloxacin and Azithromycin. The total drug resistance rate for UU-MH mixed infection group (97. 67 %) was significantly higher than that for UU infection group (44. 67 %, P<.0. 01). The highest drug resistance rate in UU group and UU-MH mixed infection group was 31. 33 % (Ofloxacin) and 90. 48 % (Azithromycin) respectively. UU-MH mixed infection showed an increased drug resistance and changes of drug resistance spectrum.

Diagnosis of Mixed Infection of Classical Swine Fever Virus and Porcine Reproductive and Respiratory Syndrome Virus and Pathogenic Characteristics

[ Objective] To diagnose swine diseases caused by CSFV （ Classical swine fever virus）, PRRSV （ Porcine reproductive and respiratory syndrome virus） and PRV （Pseudo-rabies virus） and analyze the pathogenic characteristics. [ Methodl The tissues and viscera of the diseased swine were collected from a hoggery in Fujian Province. DNA and RNA were extracted for PCR amplification and sequencing. ELISA method was used to determine CSFV, PRRSV and PRV infection. [ Result] The sequencing analysis and ELISA results showed that the mixed infection was caused by CSFV, PRRSV and PRV. [ Conclusion] The swine epidemic situation was mainly caused by CSFV and PRRSV.

A Report on the Death of Mixed Infection of HEV and HBV

Mixed infection with hepatitis E virus (HEV) in patients with chronic hepatitis B virus (HBV) infection is frequent. HEV mixed infection often leads to activation of hepatic pathological changes and worsens the inflammatory activity. However, it is not known clearly how these two types of virus influence each other in human body. Intensive investigation has revealed that HEV mixed infection inhibits HBV replication. We have just encountered a relative rare case. The patient who was a HBV carrier and was infected by HEV. Before he was infected by the HEV, the measurement of his HBV DNA fixed quantity examination on fluorescence was 3 copies/ml;his routine biochemistry was normal;and his anti HEV-IgM and anti-HEV-IgG appeared to be negative reaction. After he was infected by HEV, his routine biochemistry increased, and the measurement of his HBV DNA fixed quantity examination on fluorescence was 8.51 × 105 copies/ml. It indicated that the replication of HBV was activated after the patient infected HEV. Finally, he was dead. This case revealed that HEV mixed infection may activate the replication of HBV, not inhibit HBV replication, and demonstrated the needs for further studies about the mechanism of the interaction of the two viruses.

Diagnosis and treatment of mixed infection of hepatic cystic and alveolar echinococcosis:Four case reports

BACKGROUND Mixed infection of hepatic cystic and alveolar echinococcosis is extremely rare.This article reveals the typical imaging manifestations of cystic and alveolar echinococcosis and investigates the diagnosis and surgical experience of mixed infection of hepatic cystic and alveolar echinococcosis.CASE SUMMARY From January 2017 to May 2019,4 cases with rare mixed infection of hepatic cystic and alveolar echinococcosis were admitted and treated by the Division of General Surgery of Qinghai Provincial People’s Hospital.Three of the patients occasionally had upper abdominal discomfort,but it did not affect their daily lives.However,hepatic echinococcosis was found in one patient by physical examination,and the patient had no discomfort.All 4 cases were Tibetans who had lived in pastoral areas of southern Qinghai for a long time.Enzyme-linked immunosorbent assay for echinococcosis was positive for all patients.Moreover,abdominal computed tomography showed typical imaging manifestations of cystic and alveolar echinococcosis including coexisting"honeycomb sign,"and"spotted calcification."Three of the patients underwent radical resection,and 1 case underwent palliative resection.All 4 patients developed different types of surgical complications after the operation,but all of them recovered and were discharged after symptomatic treatment.CONCLUSION There are no problems diagnosing mixed infection of hepatic cystic and alveolar echinococcosis.The difficulties involve preoperative evaluation and treatment of surgical complications.

Distribution of different hepatitis C virus genotypes in patients with hepatitis C virus infection

AIM:To investigate the presence of mixed infection and discrepancy between hepatitis C virus(HCV) genotypes in plasma,peripheral blood mononuclear cells(PBMCs),and liver biopsy specimens.METHODS:From September 2008 up to April 2009,133 patients with chronic hepatitis C referred to Firouzgar Hospital for initiation of an antiviral therapy were recruited in the study.Five milliliters of peripheral blood was collected from each patient and liver biopsy was performed in those who gave consent or had indications.HCV genotyping was done using INNO-LiPATM HCV in serum,PBMCs,and liver biopsy specimens and then conf irmed by sequencing of 5'-UTR fragments.RESULTS:The mean age of patients was 30.3 ± 17.1 years.Multiple transfusion was seen in 124(93.2%) of patients.Multiple HCV genotypes were found in 3(2.3%) of 133 plasma samples,9(6.8%) of 133 PBMC samples,and 8(18.2%) of 44 liver biopsy specimens.It is notable that the different genotypes found in PBMCs were not the same as those found in plasma and liver biopsy specimens.CONCLUSION:Our study shows that a signif icant proportion of patients with chronic hepatitis C are affected by multiple HCV genotypes which may not be detectable only in serum of patients.

Fatal community-acquired bloodstream infection caused by Klebsiella variicola:A case report

BACKGROUND Klebsiella pneumoniae(K.pneumoniae)is an infective microorganism of worldwide concern because of its varied manifestations and life-threatening potential.Genetic analyses have revealed that subspecies of K.pneumoniae exhibit higher virulence and mortality.However,infections with Klebsiella subspecies are often misdiagnosed and underestimated in the clinic because of difficulties in distinguishing K.pneumoniae from its subspecies using routine tests.This case study reports the rapid and fatal effects of K.pneumoniae subspecies.CASE SUMMARY A 52-year-old male patient was febrile and admitted to hospital.Examinations excluded viral and fungal causes along with mycoplasma/chlamydia and parasitic infections.Bacterial cultures revealed blood-borne K.pneumoniae sensitive to carbapenem antibiotics,although corresponding treatment failed to improve the patient’s symptoms.His condition worsened and death occurred within 72 h of symptom onset from sepsis shock.Application of the PMseq-DNA Pro high throughput gene detection assay was implemented with results obtained after death showing a mixed infection of K.pneumoniae and Klebsiella variicola(K.variicola).Clinical evidence suggested that K.variicola rather than K.pneumoniae contributed to the patient’s poor prognosis.CONCLUSION This is the first case report to show patient death from Klebsiella subspecies infection within a short period of time.This case provides a timely reminder of the clinical hazards posed by Klebsiella subspecies and highlights the limitations of classical laboratory methods in guiding anti-infective therapies for complex cases.Moreover,this report serves as reference for physicians diagnosing similar diseases and provides a recommendation to employ early genetic detection to aid patient diagnosis and management.

Clinical features of severe malaria:Protective effect of mixed plasmodial malaria

Objective: To investigate clinically severe malaria patients with Plasmodium falciparum(P. falciparum), Plasmodium vivax(P. vivax) and mixed species infections.Methods: This study was conducted at Dr. Saiful Anwar General Hospital, Malang,Indonesia, from December 2011 to May 2013. Twenty nine patients(mean age of 41 years, 22% female), who suffered from severe malaria according to World Health Organization criteria(major and minor) and other criteria based on previous studies, were selected by consecutive sampling. Blood samples were obtained at admission from peripheral blood for microscopic diagnostic, nested PCR and laboratory examination of blood chemistry. Laboratory results were compared between the groups and correlated to each other.Results: From 29 samples, eight(28%) were diagnosed as P. falciparum mono-infection,12(41%) as P. vivax mono-infection and nine(31%) as mixed infections, confirmed by PCR. Cerebral malaria occurred in P. falciparum or mixed species infection only. Parasitaemia was highest in P. falciparum mono-infection. Mean haemoglobin was significantly lower in P. falciparum than P. vivax infection(P = 0.01). Mean thrombocyte count(77 138/m L) was low in all groups. Mean urea, creatinine, total and direct bilirubin were significantly higher in P. falciparum mono-infection compared to other groups, whereas aspartate aminotransferase and alanine aminotransferase showed no significant differences. Parasitaemia was positively correlated with an increase in urea, creatinine, bilirubin and leucocytosis in all species.Conclusions: Both Plasmodium species can solely or in combination cause severe malaria. Mixed infection was generally more benign than P. falciparum mono-infection and seemed to have some protective effects.

Chronic hepatitis C infection in a patient with bone marrow hypoplasia

Chronic hepatitis C virus(HCV) infection is associated with multifarious extra-hepatic manifestations;the most described and discussed being mixed cryoglob-ulinemia which is strongly related to B-cell lympho-proliferative disorders(LPDs).We present a case of chronic HCV infection and mixed cryoglobulinemia,with minimal liver involvement.The case is a 53-year-old patient who was diagnosed as having bone marrow hypoplasia at the age of three.She received several blood transfusions to normalize her haemoglobin.At the age of 31,she was diagnosed with rheumatoid ar-thritis on account of her diffuse joint pain and inflam-mation,elevated rheumatoid factor(RF) and Raynaud's phenomenon.Twenty years later,monoclonal gam-mopathy of IgG Lambda(one year later,changed to IgM Kappa) was detected during a routine examina-tion.A bone marrow biopsy showed hypoplasia,Kappa positive B-lymphocytes and low-grade malignant lym-phoma cells.PCR of the bone marrow aspirate was not contributory.No treatment was initiated owing to herpoor bone marrow function and she is under regular follow-up.

COVID-19 Induced Mixed Connective Tissue Disease (MCTD)—Case Report

Mixed connective tissue disease (MCTD) is a rare systemic autoimmune disorder that damages multiple organs simultaneously and is associated with chronic inflammation, in which the signs of systemic sclerosis, systemic lupus erythematosus, and polymyositis can co-occur. Its distinctive feature and the basis for the diagnosis of MCTD is the presence of an antibody against the uridine-rich RNP of the cell nucleus (Anti-U1-RNP). It has been observed that intercurrent infections can trigger autoimmune diseases, however, the fact that viral infections—such as SARS-CoV-2—induce them is currently poorly understood. The present study raises the etiological role of the SARS-CoV-2 virus in the development of the disease. Authors describe the case of a 38-year-old patient in good general condition, who was diagnosed with mixed connective tissue disease three months after COVID-19 infection.

加工番茄CMV与ToMV的ELISA检测及其相关性分析

用针对CMV和ToMV的单克隆抗体对田间表现病毒病症状的137个加工番茄自然病株进行了间接ELISA检测,检测结果表明,CMV和ToMV在加工番茄上的侵染率分别为83.2%和61.3%,并且2种病毒常复合侵染,复合侵染率达58.4%。用Eviews3.0软件借助加权最小二乘法(WLS)分析CMV和ToMV在病株上的带毒量,结果表明,2种病毒在病株上的积累是相互影响的,互为正相关关系。

Effect of mixed infection on TB dynamics

Poor living conditions,overcrowding and strain diversity are some of the factors that influence mixed infection in Tuberculosis (TB) at the population level.We formulate a mathematical model for mixed infection in TB using nonlinear ordinary differential equa-tions where such factors were represented as probabilities of acquiring mixed infection.A qualitative analysis of the model shows that it exhibits multiple endemic equilibria and backward bifurcation for certain parameter values.The reactivation rate and trans-mission rate of individuals with mixed infection were of importance as well as the prob-abilities for latent individuals to acquire mixed infection.We calculate the prevalence of mixed infection from the model and the effect of mixed infection on TB incidence,TB prevalence and Mycobacterium tuberculosis (MTB) infection rate.Numerical simu-lations show that mixed infection may explain high TB incidences in areas which have a high strain diversity,poor living conditions and are overcrowded even without HIV.

Genetic Variation of the Novel Badnaviruses Infecting Nelumbo Nucifera Based on the RT/RNase H Coding Region Sequences

Lotus(Nelumbo nucifera Gaertn.)is an economically important perennial aquatic herb plant in China.Presently,viral diseases caused by Cucumber mosaic virus(CMV)and Dasheen mosaic virus(DsMV)are detected in lotus.In this study,the putatively novel badnaviruses from lotus plants(LBVs)were identified using next-generation sequencing of siRNAs and conventional Sanger sequencing based on the RT/RNase H coding region sequences.Lotus plants infected by LBVs harbored virus quasispecies.A unique recombination event of LBVs was found in a single lotus plant.Sap inoculation showed that LBVs could actively replicate in the lotus plants,but without a wide host range.The field survey of 43 lotus plants in Jiangsu Province showed a prevalence of 62.8%for LBVs,confirming that it is widely distributed in Jiangsu Province of China.

Rapid antimicrobial susceptibility testing for mixed bacterial infection in urine by AI-stimulated Raman scattering metabolic imaging

Urinary tract infection with mixed microorganisms may lead to false-positive resistance detection.Current antimicrobial susceptibility testing(AST)performed in clinical laboratories is based on bacterial culture and takes a long time for mixed bacterial infections.Here,we propose a machine learning-based single-cell metabolism inactivation concentration(ML-MIC)model to achieve rapid AST for mixed bacterial infections.Using E.coli and S.aureus as a demonstration of mixed bacteria,we performed feature extraction and multi-feature analysis on stimulated Raman scattering(SRS)images of bacteria with the ML-MIC model to determine the subtypes and AST of the mixed bacteria.Furthermore,we assessed the AST of mixed bacteria in urine and obtained single-cell metabolism inactivation concentration in only 3 h.Collectively,we demonstrated that SRS imaging of bacterial metabolism can be extended to mixed bacterial infection cases for rapid AST.

2020~2022年北京地区男性患者人乳头瘤病毒感染情况分析

目的了解本地区男性患者人乳头瘤病毒(HPV)感染情况,为其预防与治疗提供数据支持。方法回顾性分析2020~2022年3年中的临床男性患者HPV感染情况,利用多通道实时荧光定量聚合酶链反应(PCR)进行HPV DNA分型检测,检测型别包括15种HPV高危型(HPV 16、18、31、33、35、39、45、51、52、56、58、59、66、68、82)及2种HPV低危型(HPV 6&11),统计分析不同年龄、不同疾病状态下男性患者HPV感染情况,以及不同HPV亚型单独感染及混合感染情况。结果2020~2022年3年间共收集7024例男性患者的分泌物标本开展HPV DNA分型检测,其中HPV阳性2793例,检出率为39.76%;不同疾病状态中以皮肤感染和病毒性疣为主;不同年龄段中,以21~30岁感染占比最高为1143例(16.27%),其次为31~40岁1109例(15.79%),与其他年龄段相比,差异具有统计学意义(χ^(2)=27.342,P<0.001);在不同HPV感染亚型中,单一亚型感染病例最多为1744例(24.83%)(χ^(2)=20.431,P<0.001),二重感染619例(8.81%),三重感染249例(3.54%),四重及以上感染181例(2.58%);在HPV亚型单独感染中,以HPV 6&11亚型(低危型)最高(445例,6.34%),其次为16亚型(229例,3.26%)、52亚型(211例,3.00%);在HPV亚型多重感染中,以高低危混合亚型感染多见,二重感染以HPV 6&11/16最高(135例,1.92%),三重感染以HPV 6&11/16/52最高(29例,0.41%),四重感染以HPV 6&11/51/52/58最高(10例,0.14%)。结论2020~2022年3年间,男性HPV感染高发于21~40岁,主要感染的HPV亚型以6&11、16、52、58、51为主,以单一感染为主,混合感染中以低危和高危混合感染为主。这为本地区男性HPV感染的预防与治疗提供了可靠的数据支持。

2例华支睾吸虫感染病例分析

华支睾吸虫是一种食源性寄生虫,因生食或半生食含囊蚴的淡水鱼虾而感染,常常因起病隐匿、临床症状不典型而误诊、漏诊。本文报道了2例轻度感染华支睾吸虫病例的诊治过程,进行了流行病学调查,并分析了该病的临床症状、实验室诊断特点、流行病学特征及其致病因,以提高临床医生对华支睾吸虫病的诊治认识,做到早预防、早诊断、早治疗。

青蒿中番茄斑萎病毒和烟草花叶病毒的分子鉴定及相关序列分析

番茄斑萎病毒(tomato spotted wilt virus, TSWV)和烟草花叶病毒(tobacco mosaic virus, TMV)是2种重要的植物病原病毒,对多种经济作物的产量和品质均造成严重影响。2021年-2022年,在云南省丽江市烟草种植区不同烟区采集叶片黄化、皱缩以及无症状的青蒿Artemisia caruifolia样品共计14份,利用免疫金标速测卡和RT-PCR对其病原病毒进行检测。利用免疫金标速测卡检测结果显示,在所检样品中有9份样品检测出TSWV,检出率为64.28%,有3份样品检测出TMV,检出率为21.43%,2种病毒复合侵染的检出率同样为21.43%;利用RT-PCR对复合侵染的3份样品进行分子检测,结果显示,在3份复合侵染青蒿样品中获得3条TSWV N基因序列、3条TMV cp基因序列和2条TMV RdRp部分序列。TSWV青蒿分离物与分离自云南的TSWV-2分离物相似性最高,为99.6%;TMV青蒿分离物与分离自辽宁的TMV-Shenyang分离物和分离自云南的TMV-Yongren-1相似性最高,均大于99.4%。这是首次发现TSWV和TMV 2种不同属病毒复合侵染青蒿。