International Journal of Enteric Pathogens
Year:2018 | Volume:6 | Issue:1|Papers Count:6

The First National Conference on Clinical Case Reports took place on 29 November, 2017 at the Alborz University of Medical Sciences (ABZUMS), Karaj, Islamic Republic of Iran. This event was the first Clinical Case Reports (CCR1) annual Congress presided by ABZUMS. This meeting brought together clinicians and researchers from several prestigious universities and research centers throughout Iran such as Qazvin, Kashan, Kerman, Shahrood, Hamadan, Iran, Baqiyatallah, and Shahid Beheshti Universities of Medical Sciences.

Persian walnut (Juglans regia L.) is a nutritionally rich and also popular nut which is largely consumed throughout the world. In addition to dry fruits (nuts), green walnuts, kernels, shells, green walnut husks (epicarp), barks and leaves have been applied in both cosmetic and pharmaceutical industries. Since ancient times, it has been used in folk medicine for treatment of several diseases and disorders such as diabetes, cancer, skin disease and infections, rheumatoid arthritis. In recent decades, many experimental researches have been done on the composition and characteristics of different parts of Persian walnut tree. These researches showed that walnut has many nutritious components such as phenolic component, unsaturated fatty acids and minerals essential for human health. Using walnut in folk medicine and identification of beneficial components of this fruit prompted many scientists to investigate properties that have traditionally been attributed to this fruit and the researches done in this area showed that walnut has effective antioxidant, antimicrobial, antitumor and anti-inflammatory properties that make it a promising drug for associated diseases.

Context: Anthrax is a zoonotic and occupational disease caused by bacterium Bacillus anthracis. The agent produces spores which persist in the environment for years. This review assessed previous reports on anthrax disease in Iran from 2000 to 2016.Evidence acquisition: The reports of anthrax from 2000 to 2016 were reviewed. The keywords " Bacillus anthracis", "Anthrax", "clinical signs", "Iran" and "zoonosis" were investigated in the searching databases such as "Google Scholar", "Google", "PubMed" and other sites. The reports of soil isolation and spores from environments were excluded. However, the clinical outcome of the cases, history of animal exposure, wool contaminations and meat in slaughterhouses were included. Results of Persian reports were also included in this review. Data were analyzed using Excel and GraphPad Prism version 6.1. The standardized mean difference (SMD) was used for data analysis.. Overall, 768 cases of anthrax were found in human, sheep, goats and cattle. Six hundred of the human cases aged between 2.5 and 71 years old were included. Four-hundred ten (68.33%) patients were male (mean age=28.1±1.5) and 190 (31.66%) patients were female (mean age=17±1.5). Clinical manifestations in patients were mostly in 2 cutaneous (56.6%) and gastrointestinal (42.83%) forms. Sporadic anthrax outbreaks occurred in the country in 2007, 2008 and 2011. No molecular typing has been performed for B. anthracis strains countrywide. The virulence factors encoded by the genes located on plasmids pXO1 and pXO2 were detected in various areas with high prevalence.Conclusion: Cutaneous and gastrointestinal anthrax are 2 main manifestations of the disease in Iran. Male patients were significantly more infected. Although rare, anthrax continues to be a dreadful consequence of herds or soil exposure and consumption of undercooked meat of infected animals. Education plans and proper animal vaccination plans with the consideration of virulence factors are helpful for the prevention of the disease.

Background: Cattle transiently harbor Shiga-toxigenic Escherichia coli (STEC) in their gastrointestinal tracts, and many human infections result from ingestion of contaminated dairy products. The occurrence of STEC infections in human ranges from mild watery diarrhea to life-threatening conditions such as thrombotic thrombocytopenic purpura, hemorrhagic colitis (HC) and hemolytic uremic syndrome (HUS).Objective: Isolation of STEC from unpasteurized dairy products as a source of human infections is the aim of this research.Materials and Methods: In this study, after collecting 150 samples of unpasteurized dairy products from different parts of Ahvaz, primary enrichment, selective enrichment and conventional biochemical tests were done and the suspected DNA isolates were extracted by boiling. Confirmation of being toxigenic isolates was performed by multiplex polymerase chain reaction (mPCR) assay. The stx1- and stx2 -specific primers were used in m-PCR.Results: Out of 75 isolates with lactose-fermentation ability, 11 E. coli strains were confirmed by biochemical tests. Two isolates (18.18%) were detected as carriers of stx2 gene by PCR.Conclusion: Because of low infective dose, the presence of a low percentage of toxigenic E. coli in dairy products could be a grand public health risk, while the bacteria other than E. coli could be producing Shiga toxin which should not be ignored.

Background: Genital infections are among the most common diseases for which women refer to gynecologists. Vulvovaginal candidiasis is the second most common infection among women.Objective: A few studies have been conducted on new therapeutic regimens improving the effectiveness of current medications; accordingly, the present study was conducted to compare the effectiveness of clotrimazole with clotrimazole plus probiotics in the treatment of vulvovaginal candidiasis.Materials and Methods: The present double-blind clinical trial was conducted on 80 women admitted to Shohada hospital in Tehran in 2014. The participants were randomly divided into 2 groups of clotrimazole and clotrimazole plus probiotics. The collected data included the participants’ sociodemographic information and their medical records along with their symptoms and laboratory results before and after the treatment. Finally, the collected data were analyzed using chi-square test, t test, McNemar test and Fisherexact test.Results: The results showed that both treatments (i.e. clotrimazole and clotrimazole plus probiotics) are equally effective in the treatment of vulvovaginal candidiasis (P=0.499).Conclusion: The results of the present study indicated that supplementing clotrimazole with probiotics results in similar effects compared to administering clotrimazole alone in the treatment of vulvovaginal candidiasis.

Background: The presence of extended-spectrum b-lactamases (ESBLs) is increasing worldwide and bla CTX-M1 is the predominant b-lactamase.Objective: This study was conducted to determine the ESBL production and prevalence of bla CTX-M1, bla SHV and bla TEM and AmpC genes and repetitive extragenic palindromic polymerase chain reaction (rep-PCR) pattern among Klebsiella pneumoniae isolates in Tehran from 2014 to 2016.Materials and Methods: One hundred eleven isolates were collected during the study period. The PCR was employed to detect the bla CTX-M1, bla SHV, bla TEM and AmpC genes. The genetic relation of isolates was performed using rep-PCR typing method.Results: Eighty-three and 86 isolates showed Minimum inhibitory concentration (MIC) ≥2 against ceftazidime and cefotaxime, respectively and 80 (72%) isolates exhibited ESBL production. The prevalence of bla CTX-M1, bla SHV, bla TEM and AmpC genes among ESBL producers was 92.5% (n=74), 66.2% (n=53), 56.2% (n=45) and 2.5% (n=2), respectively. The rep-PCR typing pattern of isolates showed a wide diversity, indicating the polyclonal spread of CTX-M type producing isolates.Conclusion: The findings of this study highlighted the emergence and spread of K. pneumoniae isolates producing CTX-M and other ESBL enzymes with diverse genetic backgrounds in a hospital in Tehran.