Disseminated Fusarium oxysporum neurospinal infection

We report a case of disseminated meningospondylodiscitis in an elderly diabetic patient caused by Fusarium oxysporum. As the clinical presentation was nonspecific, the diagnosis of the condition could only be arrived at after laboratory and imaging studies. The diagnosis of the condition requires a high index of suspicion. Patient underwent thorough surgical debridement along with a short course of variconazole and remained asymptomatic after 36 months of diagnosis. Fusarium is a large genus of filamentous fungi widely distributed in soil and in association with plants. It is known to cause local infections (nail, cornea) in healthy humans and disseminated infection only in the immunocompromised.     

Efficacy of PermaNet 2.0 against Anopheles culicifacies and Anopheles stephensi, malaria vectors in India

Bioefficacy of PermaNet was evaluated in both the laboratory and field against Anopheles culicifacies and An. stephensi, major malaria vectors in India. Contact bioassays were carried out after repeated washings and ring net bioassays to determine the median knockdown time of mosquitoes. Three villages were selected for the field trial: in the 1st village PermaNets were distributed, in the 2nd village untreated nets were distributed, and the 3rd village was a control. Entomological data were collected using standard procedures. The PermaNet contact bioassays showed high mortality (>80%) even after 20 washes against both the vector species. The median knockdown time of An. culicifacies and An. stephensi was 392 and 480 sec when exposed to fresh PermaNets and 472 and 986 sec when exposed to PermaNets that had been washed 20 times, respectively. PermaNets showed high efficacy in reducing the person-vector contact as evidenced by reduced person-hour density in the PermaNet village. Long-term field trials are indicated to test the impact of use of PermaNets in controlling malaria.     

Juvenile hyaline fibromatosis: a case report

Juvenile hyaline fibromatosis (JHF) is a rare, autosomal recessively inherited disorder characterized histologically by deposition of hyaline, collagen like substance aberrantly synthesized by the cells of the connective tissue and deposited within many organs, typically within the skin, gingiva, joints and bones. We report this rare case of Juvenile hyaline fibromatosis in a young boy who presented clinically with multiple papulonodular skin lesions, non tender soft tissue masses over the scalp, face, anterior chest wall, back, periarticular regions of the extremities with restricted mobility of joints and gingival hypertrophy. Calcifications were seen within the tumor shadows in the skull X-Rays. Histopathological study revealed characteristic features consistent with Juvenile hyaline fibromatosis. We report this case in view of its rarity.     

Osteochondroma-like parosteal osteosarcoma

Parosteal osteosarcoma is a well-differentiated, predominantly fibro-osseous variant of osteosarcoma, accounting for 5% of all osteosarcomas. We report a case of parosteal osteosarcoma in the metaphyseal area of right femur, of 2 years' duration in a male aged 35 years. It was mistaken for osteochondroma in the initial biopsy, and the possibility of bizarre parosteal osteochondromatous proliferation (BPOP) was also considered. Subsequent excision of the tumor showed it to be a parosteal osteosarcoma. The patient had recurrence of the lesion after 1 year, and he attended a cancer institute. Follow-up showed metastases of the tumor on bone scan.     

Larvicidal and mosquito repellent activities of Pine (Pinus longifolia, family: Pinaceae) oil

BACKGROUND AND OBJECTIVES: Various plant-based products are safe and biodegradable alternatives to synthetic chemicals for use against mosquitoes. Oil of Pinus longifolia is traditionally used for protection against mosquitoes in some rural areas but there is no documented report of its use against mosquitoes. The present study was undertaken to scientifically evaluate the activity of Pine oil against mosquitoes. METHODS: The oil was procured from the market and its contents were chemically analysed. Larvicidal activity of oil was tested in laboratory bioassays, while repellent action was studied during whole night bait collections in field by direct application on the skin and after its impregnation on mats. RESULTS: Results showed varying degree of larvicidal activity of Pine oil against mosquitoes with LC50 values ranging between 82 and 112 ppm. The Pine oil had strong repellent action against mosquitoes as it provided 100% protection against Anopheles culicifacies for 11 h and 97% protection against Culex quinquefasciatus for nine hours respectively. Electrically heated mats prepared from Pine oil provided, 94 and 88% protection against An. culicifacies and Cx. quinquefasciatus for 10 and seven hours respectively. INTERPRETAION AND CONCLUSION: Pine oil is effective against mosquito larvae at very higher doses which are not of any practical utility. However, Pine oil showed strong repellent action against An. culicifacies (malaria vector) and Cx. quinquefasciatus (pest mosquito). Thus its use could be popularised as mosquito repellent.     

Wash resistance and efficacy of three long-lasting insecticidal nets assessed from bioassays on Anopheles culicifacies and Anopheles stephensi

Objective  To test the wash resistance and efficacy of long-lasting insecticidal nets (LLINs), namely Olyset^® Net and PermaNet^® 2.0; and a long-lasting treatment kit, K-O Tab^®1-2-3, on Anopheles culicifacies and An. stephensi , major malaria vectors in India, by bioassays. Conventionally treated deltamethrin net (CTDN with K-O Tab) was used for comparison.
Method  Mortality and median time for knockdown (MTKD) of mosquitoes were determined using contact bioassays and ball frame bioassays respectively. Hand washing and machine washing were used.
Results  LLINs showed good bio-efficacy against An. culicifacies and An. stephensi . The mortality of mosquitoes remained >80% after up to 20 hand washes and up to 15 machine washes on all LLINs tested. No significant differences were observed in mortalities between the An. culicifacies and An. stephensi in cone bioassays ( P  >   0.05). MTKD increased progressively with successive washes and there was a significant difference in median time for knockdown of test mosquitoes and between hand-washed and machine-washed nets ( P  <   0.05).
Conclusion  LLINs are more efficacious and last longer when washed by hand than by machine.     

Evaluation of the pyrrole insecticide chlorfenapyr for the control of Culex quinquefasciatus Say

Culex quinquefasciatus Say (Diptera: Culicidae) is a widely distributed mosquito vector species in India and also in other tropical regions of the world. This species is implicated in the transmission of lymphatic filariasis in many countries. This species is reported to be widely resistant to insecticides of different classes in current use. In the present study, bio-efficacy of chlorfenapyr, an insecticide of pyrrole class with a novel mode of action was tested for the control of Cx. quinquefasciatus. Studies were performed to determine the diagnostic dosage; residual efficacy on different artificially fabricated substrates, namely wood, mud, mud + lime, cement and cement + distemper; to assess cross-resistance with different insecticides; and synergism/antagonism using piperonyl butoxide (PBO). A dosage of 5.0% chlorfenapyr was determined as diagnostic dosage with 2 h exposure and 48 h holding period for assessing the susceptibility of mosquitoes. The residual efficacy was observed up to 34 weeks on wood and mud + lime substrates while on other substrates, it was about 15 weeks at a dosage of 400 mg a.i./m². Laboratory-reared strains of Cx. quinquefasciatus showed cross-resistance, whereas field-collected mosquitoes showed absence of cross-resistance to chlorfenapyr. Potentiation bioassays showed antagonistic effect of PBO to chlorfenapyr toxicity owing to the involvement of oxidases in the initial step of a conversion of pro-insecticide chlorfenapyr to toxic form CL 303268. The present study results have shown that chlorfenapyr can be a potential insecticide for the control of multiple insecticide resistant strains of Cx. quinquefasciatus. However, in countries where indoor residual spray (IRS) is not targeted for the control of this species, like in India, chlorfenapyr used in IRS for the control of malaria vectors in rural and peri-urban areas can additionally provide control of Cx. quinquefasciatus also.     

Impact of Olyset nets on malaria transmission in India

BACKGROUND & OBJECTIVES: Efficacy of Olyset nets, long-lasting insecticidal nets were tested from August 2003 to August 2006 against Anopheles culicifacies, the vector which transmits 60% of all malaria cases in rural India. METHODS: Three villages in District Gautam Budh Nagar (Uttar Pradesh), India were selected for the trial and Olyset nets were distributed in one village, in another village untreated nets were distributed and the third village was kept as control where nets were not used. Entomological, and epidemiological data were collected using standard methods. RESULTS: The use of Olyset nets reduced the indoor resting density of An. culicifacies and also reduced mosquito entry into the structures where Olyset nets were used. No mosquitoes were caught landing on the Olyset nets. There was a reduction in the parity rate of An. culicifacies in the Olyset net village as compared with untreated net and no net villages. The impact of Olyset nets was observed on malaria incidence and only one case of Plasmodiumfalciparum malaria was reported in the Olyset net village but these continued to be found in the village with untreated nets and the control. CONCLUSION: Results of the present study confirmed that Olyset nets are highly effective in reducing the indoor resting density of mosquitoes, man-vector contact and malaria incidence.