BACKGROUND Ischemic colitis(IC)is common,rising in incidence and associated with high mortality.Its presentation,disease behavior and severity vary widely,and there is significant heterogeneity in therapeutic strategi...BACKGROUND Ischemic colitis(IC)is common,rising in incidence and associated with high mortality.Its presentation,disease behavior and severity vary widely,and there is significant heterogeneity in therapeutic strategies and prognosis.The common causes of IC include thromboembolism,hemodynamic insufficiency,iatrogenic factors and drug-induced.However,contrast-induced IC,especially isolated right colon ischemia is rarely reported.CASE SUMMARY A 52-year-old man was admitted to the hospital due to intermittent chest distress accompanied by palpitation.Coronary angiography was performed using 60 mL of the iodinated contrast agent iohexol(Omnipaque 300),and revealed moderate stenosis of the left anterior descending artery and right coronary artery.At 3 h post-procedure,he complained of epigastric pain without fever,diarrhea and vomiting.Vital signs remained normal.An iodixanol-enhanced abdominal computed tomography(CT)scan revealed thickening,edema of the ascending and right transverse colonic wall and inflammatory exudate,without thrombus in mesenteric arteries and veins.Following 4 days of treatment with antibiotic and supportive management,the patient had a quick and excellent recovery with disappearance of abdominal pain,normalization of leucocyte count and a significant decrease in C reactive protein.There was no recurrence of abdominal pain during the patient's two-year follow-up.CONCLUSION This case emphasizes that contrast-induced IC should be considered in the differential diagnosis of unexplained abdominal pain after a cardiovascular interventional procedure with the administration of contrast media.Timely imaging evaluation by CT and early diagnosis help to improve the prognosis of IC.展开更多
Endophytic fungi associated with Pinus tabulaeformis Carr. were investigated in the Dongling Mountains of Beijing. A total of 16200 tissue segments of P. tabulaeformis from four sample collections were processed, and ...Endophytic fungi associated with Pinus tabulaeformis Carr. were investigated in the Dongling Mountains of Beijing. A total of 16200 tissue segments of P. tabulaeformis from four sample collections were processed, and 10659 fungal isolates were recovered. The overall colonization and isolation rates of endophytic fungi from high to low were spring〉winter〉autumn〉summer and in different tissues were bark〉needle〉xylem, irrespective of sampling seasons. The colonization rates of endophytic fungi of needles increased with age in the four sample collections. There were no significant differences of the colonization rates of endophytic fungi among 1-, 2-, and 3-year-old bark and xylem, except for significantly lower colonization rates in 1-year-old bark than in 2- and 3-year-old bark in summer. A similar trend of the isolation rates of endophytic fungi occurred. A total of 24 fungal taxa were recorded, of these five taxa Alternaria alternata, Leptostroma sp., Pestalotiopsis besseyi, Phoma lingam, and Phomopsis archeri, were consistently isolated as the common fungi in each sample collection. Our results suggest that some fungi show a certain degree of tissue recurrence or specificity, and the composition of endophytic assemblages is not conspicuously influenced by the seasonal factor.展开更多
基金Supported by National Key R&D Program of China,No.2021ZD0111000Beijing Key Clinical Subject Program,No.2018-204.
文摘BACKGROUND Ischemic colitis(IC)is common,rising in incidence and associated with high mortality.Its presentation,disease behavior and severity vary widely,and there is significant heterogeneity in therapeutic strategies and prognosis.The common causes of IC include thromboembolism,hemodynamic insufficiency,iatrogenic factors and drug-induced.However,contrast-induced IC,especially isolated right colon ischemia is rarely reported.CASE SUMMARY A 52-year-old man was admitted to the hospital due to intermittent chest distress accompanied by palpitation.Coronary angiography was performed using 60 mL of the iodinated contrast agent iohexol(Omnipaque 300),and revealed moderate stenosis of the left anterior descending artery and right coronary artery.At 3 h post-procedure,he complained of epigastric pain without fever,diarrhea and vomiting.Vital signs remained normal.An iodixanol-enhanced abdominal computed tomography(CT)scan revealed thickening,edema of the ascending and right transverse colonic wall and inflammatory exudate,without thrombus in mesenteric arteries and veins.Following 4 days of treatment with antibiotic and supportive management,the patient had a quick and excellent recovery with disappearance of abdominal pain,normalization of leucocyte count and a significant decrease in C reactive protein.There was no recurrence of abdominal pain during the patient's two-year follow-up.CONCLUSION This case emphasizes that contrast-induced IC should be considered in the differential diagnosis of unexplained abdominal pain after a cardiovascular interventional procedure with the administration of contrast media.Timely imaging evaluation by CT and early diagnosis help to improve the prognosis of IC.
基金the National Natural Science Foundation of China (30370006)
文摘Endophytic fungi associated with Pinus tabulaeformis Carr. were investigated in the Dongling Mountains of Beijing. A total of 16200 tissue segments of P. tabulaeformis from four sample collections were processed, and 10659 fungal isolates were recovered. The overall colonization and isolation rates of endophytic fungi from high to low were spring〉winter〉autumn〉summer and in different tissues were bark〉needle〉xylem, irrespective of sampling seasons. The colonization rates of endophytic fungi of needles increased with age in the four sample collections. There were no significant differences of the colonization rates of endophytic fungi among 1-, 2-, and 3-year-old bark and xylem, except for significantly lower colonization rates in 1-year-old bark than in 2- and 3-year-old bark in summer. A similar trend of the isolation rates of endophytic fungi occurred. A total of 24 fungal taxa were recorded, of these five taxa Alternaria alternata, Leptostroma sp., Pestalotiopsis besseyi, Phoma lingam, and Phomopsis archeri, were consistently isolated as the common fungi in each sample collection. Our results suggest that some fungi show a certain degree of tissue recurrence or specificity, and the composition of endophytic assemblages is not conspicuously influenced by the seasonal factor.
