Activity

16.6% dogs of group X and 12.5% dogs of group Y showed treatment associated adverse events. The reduction of clinical score was 61.7% for group X and 71.6% for group Y. All dogs showed an improvement of laboratory parameters after treatment. Quantitative PCR showed better results in group Y compared to group X; relapses were only registered in four dogs of group X. The modified protocol demonstrates a better trend of results in term of tolerance, clinical effectiveness, parasitological load reduction and relapses control, suggesting it could be considered for new large-scale studies.Ornithonyssus bursa (Berlese, 1888), also known as the tropical fowl mite, is a blood-feeding ectoparasite of domestic and wild birds. It is considered a serious pest to poultry in warm and tropical climates and has been reported to attack humans, causing gamasoidosis. Avian-mite dermatitis may be difficult to recognize and misdiagnosed as bites from other arthropods. The present report describes two cases of human dermatitis linked to O. bursa infestation. Both cases occurred in an apartment in a residential area in Oeiras, Portugal, where two members of the same family presented with pruritic erythematous skin eruptions disseminated over their body over a period of 4 months. The lesions were located mostly in the pelvic, gluteal, coccygeal, and perineal regions, and also on the neck, wrists and torso. see more On inspecting the mattresses and the covers of the bedrooms, three mites ~1 mm long by 0.5 mm wide were found. The three specimens were identified as O. bursa. Investigations tracing back the source of infestation, revealed that the mites were carried over from chickens raised 45 km away (Sesimbra, Setúbal) that, after being slaughtered for consumption, had been transported by car to the apartment in Oeiras. The chickens were farmed in an open backyard henhouse that allowed free access to several species of wild birds, including pigeons (Columba livia), turtle doves (Streptopelia decaocto), and sparrows (Passer domesticus). Recent reports suggest that O. bursa may be established in Mediterranean countries, increasing the risk of gamasoidosis. This is the first record linking O. bursa infestation of chickens with human dermatitis in continental Portugal. More research is needed to assess the extent of poultry infestation and evaluate the possible implications for the poultry industry, as well as for human health in Portugal.[This corrects the article DOI 10.3389/fcvm.2020.00008.].The coexistence of atrial fibrillation and heart failure significantly increases the risk of all-cause mortality and heart failure hospitalizations. Sex-related differences in all patients undergoing atrial fibrillation catheter ablation include the referral of fewer women for catheter ablation (15-25%), older age of women at ablation, and higher risk of post-ablation recurrence of atrial fibrillation. We searched the existing literature for sex-related differences in patients undergoing atrial fibrillation catheter ablation with a focus on heart failure. Randomized controlled trials assessing atrial fibrillation catheter ablation in patients with heart failure have demonstrated a significant reduction in all-cause mortality and heart failure hospitalizations. Within the eight existing randomized controlled trials on heart failure with reduced ejection fraction, women composed a small proportion of the study population. Only two studies (CASTLE-AF and AATAC-HF) specifically assessed the effect of gender on outcome and showed no difference in post-ablation outcomes. Registry data-based studies assessing sex-related differences in atrial fibrillation catheter ablation in heart failure reveal that women are half as likely as men to undergo ablation. Conflicting data exist on the interaction of gender and heart failure as they may affect peri-ablation and post-ablation long-term outcomes such as atrial fibrillation recurrence or heart failure hospitalizations. In conclusion, existing studies provide insight into the gender-based differences in patients undergoing catheter ablation for atrial fibrillation as it pertains to heart failure. Further prospective studies with higher proportions of female participants are required to accurately determine gender-based differences in this population.Thirty-eight-year-old male presented for evaluation of abdominal swelling, lower extremity edema and dyspnea on exertion. Extensive work-up in search of the culprit etiology revealed the presence of an Anomalous Right Upper Pulmonary Venous Return (ARUPVR) into the Superior Vena Cava (SVC). During the attempted repair, the pericardium was found to be thickened and constrictive. Only one other case of co-existent partial anomalous pulmonary venous return and constrictive pericarditis (CP) has been reported. The patient underwent a warden procedure with pericardial stripping with good outcomes at 45 days post-operatively. Thus, the presence of severe heart failure symptoms in the setting of ARUPVR should prompt further investigations. Also, further cases are needed to help guide management in these patients.In the last decades, transcatheter aortic valve replacement (TAVR) revolutionized the treatment of symptomatic severe aortic stenosis. The efficacy and safety of TAVR were first proven in inoperable and high-risk patients. Then, subsequent randomized clinical trials showed non-inferiority of TAVR as compared to surgical aortic valve replacement also in intermediate- and low-risk populations. As TAVR was progressively studied and clinically used in lower-risk patients, issues were raised questioning its opportunity in a younger population with a longer life-expectancy. As long-term follow-up data mainly derive from old studies with early generation devices on high or intermediate surgical risk patients, results can hardly be extended to most of currently treated patients who often show a low surgical risk and are treated with newer generation prostheses. Thus, in this low-risk younger population, decision making is difficult due to the lack of supporting data. The aim of the present review is to revise current literature regarding TAVR in younger patients.