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Lugara M, Oliva G, Pafundi PC, Tamburrini S, Nevola R, Gjeloshi K, Ricozzi C, Imbriani S, Padula A, Aprea C, Meo L, Cozzolino D, Cuomo G, Marrone A, Romano C, Fiorini V, Coppola MG, Corvino M, Perrella A, Ponti G, Nunnari G, Ranieri R, Ruosi C, Sasso FC, Adinolfi LE, Rinaldi L. Clinical application of lung ultrasound score on COVID-19 setting: a regional experience in Southern Italy. Eur Rev Med Pharmacol Sci 2021; 25:3623-3631. [PMID: 34002839 DOI: 10.26355/eurrev_202105_25846] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
OBJECTIVE We aimed to assess the correlation between LUS Soldati proposed score and clinical presentation, course of disease and the possible need of ventilation support/intensive care. PATIENTS AND METHODS All consecutive patients with laboratory confirmed SARS-CoV-2 infection and hospitalized in two COVID Centers were enrolled. All patients performed blood gas analysis and lung ultrasound (LUS) at admission. The LUS acquisition was based on standard sequence of 14 peculiar anatomic landmarks with a score between 0-3 based on impairment of LUS picture. Total score was computed with their sum with a total score ranging 0 to 42, according to Soldati LUS score. We evaluated the course of hospitalization until either discharge or death, the ventilatory support and the transition in intensive care if needed. RESULTS One hundred and fifty-six patients were included in the final analysis. Most of patients presented moderate-to-severe respiratory failure (FiO2 <20%, PaO2 <60 mmHg) and consequent recommendation to invasive mechanic ventilation (CPAP/NIV/OTI). The median ultrasound thoracic score was 28 (IQR 18-36) and most of patients could be ascertained either in a score 2 (40%) or score 3 pictures (24.4%). The bivariate correlation analysis displayed statistically significant and high positive correlations between the LUS score and the following parameters: ventilation (rho=0.481, p<0.001), lactates (rho=0.464, p<0.001), dyspnea (rho=0.398, p=0.001) mortality (rho=0.410, p=0.001). Conversely, P/F (rho= -0.663, p<0.001), pH (rho = -0.363, p=0.003) and pO2 (rho = -0.400 p=0.001) displayed significant negative correlations. CONCLUSIONS LUS score improve the workflow and provide an optimal management both in early diagnosis and prognosis of COVID-19 related lung pathology.
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Affiliation(s)
- M Lugara
- U.O.C. Internal Medicine, ASL Center Naples 1, P.O. Ospedale del Mare, Naples, Italy.
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Ren B, Sturmberger T, Ancona R, Schwartz SL, Del Val Martin D, Szymanski P, Islas F, Muratori M, Mcghie J, Van Weenen S, Rodriguez-Olivares R, Van Gils L, Geleijnse ML, De Jaegere PPT, Van Mieghem NMDA, Ebner C, Tkalec W, Eder V, Aichinger J, Comenale Pinto S, Caso P, Monteforte I, Coppola MG, Sellitto V, Macrino M, Ferro A, Calabro R, Rozenbaum RZ, Topilsky Y, Fraile Sanz C, Salido Tahoces L, Hernandez-Antolin R, Fernandez-Golfin C, Mestre Barcelo JL, Casas Rojo E, Zamorano Gomez JL, Hryniewiecki T, Jastrzebski J, Dabrowski M, Sorysz D, Kochman J, Kukulski T, Zembala M, Almeria C, Olmos C, Garcia E, Nombela L, Marcos-Alberca P, De Agustin JA, Mahia P, Macaya C, Perez De Isla L, Fusini L, Ghulam Ali S, Tamborini G, Gripari P, Salvi L, Bartorelli AL, Alamanni F, Pepi M. Rapid Fire Abstract session: new insights in TAVI334Transcatheter heart valve underexpansion patterns335Echocardiography after TAVI with directflow medical prosthesis: small leaks and high gradients336Effects of transcatheter aortic valve implantation on left ventricular and atrial function evaluated by two and three-dimensional speckle tracking at eighteen-month follow-up337Impact of tricuspid regurgitation and right ventricular dysfunction on outcome of patients undergoing trans-catheter aortic valve replacement338Significant mitral regurgitation evolution in patients with severe aortic stenosis after transcatheter aortic valve implantation (TAVI): results and prognostic implications339An impact of pre- and postprocedural mitral regurgitation on mortality following TAVI340Immediate and one-year changes in systolic echocardiographic parameters after TAVI. Are there significant differences between patients with low and normal ejection fraction?341Long term echocardiographic follow-up (5-year) in transcatheter aortic valve implantation: morpho-functional changes of the implanted aortic valve: Table. Eur Heart J Cardiovasc Imaging 2015. [DOI: 10.1093/ehjci/jev256] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Belli A, Coppola MG, Petrullo L, Lettieri G, Palumbo C, Dell'Isola C, Smeraglia R, Triassi M, Spada E, Amoroso P. The current spectrum and prevalence of intestinal parasitosis in Campania (region of southern Italy) and their relationship with migration from endemic countries. Int J Infect Dis 2014; 29:42-7. [PMID: 25449234 DOI: 10.1016/j.ijid.2014.04.021] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2013] [Revised: 03/11/2014] [Accepted: 04/20/2014] [Indexed: 10/24/2022] Open
Abstract
BACKGROUND In Italy, the current clinical-epidemiological features of intestinal parasitosis and the impact of recent massive migration flows from endemic areas on their distribution are not very well known. METHODS An analysis was carried out involving 1766 patients (720 natives and 1046 immigrants) observed during the period 2009-2010 (the 'current group') and 771 native patients observed during the period 1996-1997 (the 'historical group'), a time at which immigration in the area was minimal. Patients were analyzed for intestinal parasitosis at four healthcare centres in Campania. RESULTS A wide variety of intestinal parasites was detected in the study subjects. Immigrants had a significantly higher prevalence of parasitosis and multiple simultaneous infections than natives in both groups. In both study groups of natives, the detection of at least one parasite was significantly associated with a history of travel to endemic areas. Among immigrants, we found an inverse correlation between the frequency of parasite detection and the amount of time spent in Italy. No circulation of parasites was found among contacts of parasitized patients. CONCLUSIONS Intestinal parasites are still a cause of intestinal infection in Campania. Although immigrants have a significantly higher prevalence of parasitosis than natives, this does not increase the risk of infection for that population. This is likely due to the lack of suitable biological conditions in our area.
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Affiliation(s)
- Alberta Belli
- Department of Preventive Medical Sciences, University of Naples Federico II, Naples, Italy
| | - Maria Grazia Coppola
- Unit of Microbiology, Cotugno Hospital, AORN "Ospedali dei Colli", Naples, Italy
| | - Luciana Petrullo
- Unit of Microbiology, Cotugno Hospital, AORN "Ospedali dei Colli", Naples, Italy
| | - Gennaro Lettieri
- VI Division of Infectious Diseases, Cotugno Hospital, AORN "Ospedali dei Colli", Naples, Italy
| | - Cristiana Palumbo
- VI Division of Infectious Diseases, Cotugno Hospital, AORN "Ospedali dei Colli", Naples, Italy
| | - Chiara Dell'Isola
- VI Division of Infectious Diseases, Cotugno Hospital, AORN "Ospedali dei Colli", Naples, Italy
| | - Riccardo Smeraglia
- Unit of Microbiology, Cotugno Hospital, AORN "Ospedali dei Colli", Naples, Italy
| | - Maria Triassi
- Department of Preventive Medical Sciences, University of Naples Federico II, Naples, Italy
| | - Enea Spada
- Department of Infectious, Parasitic and Immuno-mediated Diseases, Istituto Superiore di Sanità, Rome, Italy
| | - Pietro Amoroso
- VI Division of Infectious Diseases, Cotugno Hospital, AORN "Ospedali dei Colli", Naples, Italy.
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Cito A, Porcelli B, Coppola MG, Mangiavacchi P, Cortelazzo A, Terzuoli L. WITHDRAWN: Analysis of serum levels of homocysteine and oxidative stress markers in patients with Alzheimer disease. Biomed Pharmacother 2010:S0753-3322(10)00168-X. [PMID: 20971604 DOI: 10.1016/j.biopha.2010.09.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2008] [Revised: 03/09/2010] [Accepted: 09/17/2010] [Indexed: 10/19/2022] Open
Abstract
This article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at http://www.elsevier.com/locate/withdrawalpolicy.
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Affiliation(s)
- Annarita Cito
- Department of Internal Medicine, Endocrine-Metabolic Sciences and Biochemistry, University of Siena, Italy
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Ciari I, Terzuoli L, Porcelli B, Coppola MG, Marinello E. Antioxidant status and purine bases in carotid artery plaque. Nucleosides Nucleotides Nucleic Acids 2008; 27:624-7. [PMID: 18600516 DOI: 10.1080/15257770802138608] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Free radical excess and oxidative stress are implicated in the formation and progression of atherosclerotic plaque through actions on susceptible vascular cells, such as by activating xanthine oxidase. Purine bases and other antioxidant compounds could play important protective roles in atherogenesis, as could nonenzymatic low molecular weight thiol defenses, not previously evaluated in carotid artery plaque. Therefore, we measured purine catabolites (hypoxanthine, xanthine, uric acid, allantoin) and antioxidant compounds (total sulphydryl groups, homocysteine, cysteine, and glutathione) in advanced carotid artery plaque and found a high ratio of allantoin to uric acid, suggesting a ongoing local oxidative stress.
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Affiliation(s)
- I Ciari
- Department of Internal Medicine, Endocrine-Metabolic Science and Biochemistry, Siena University, Siena, Italy
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Pagliano P, Rossi M, Rescigno C, Altieri S, Coppola MG, Gramiccia M, Scalone A, Gradoni L, Faella F. Mediterranean visceral leishmaniasis in HIV-negative adults: a retrospective analysis of 64 consecutive cases (1995-2001). J Antimicrob Chemother 2003; 52:264-8. [PMID: 12865389 DOI: 10.1093/jac/dkg340] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
AIM To evaluate in a retrospective analysis cases of Mediterranean visceral leishmaniasis (VL) diagnosed in HIV-negative adults during a 7-year period. MATERIALS AND METHODS Demographic data, previous or underlying diseases, clinical and laboratory features and therapeutic findings were considered. RESULTS A total of 64 patients were included, of whom 10 (16%) had underlying diseases and two were pregnant. Fever and hepatosplenomegaly were the main presenting symptoms, whereas pancytopenia and an elevated erythrocyte sedimentation rate were observed in all cases. Smears from bone marrow aspirate were positive at microscopy in 62 cases (97%). Twenty-four patients received meglumine antimoniate (MA) given during 21 consecutive days (20 mg/kg per day), and 40 patients liposomal amphotericin B (l-AmB) given at days 1-5 and 10 (3 mg/kg per day). Both groups' clinical and laboratory findings improved, but patients on l-AmB therapy had a faster recovery (85% on l-AmB therapy and 50% on MA therapy showed defervescence at day 5, P < 0.01). Treatment failures were observed in five cases, three (12%) on MA and two (5%) on l-AmB therapy. No significant toxicity was observed in patients treated with l-AmB, whereas three (12%) patients treated with MA showed electrocardiographic abnormalities. CONCLUSIONS l-AmB therapy may be considered the treatment of choice for any adult patients with Mediterranean VL, since it permits a faster recovery, has a lower incidence of side effects and is useful also in immunosuppressed patients.
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Affiliation(s)
- Pasquale Pagliano
- I Division of Infectious Disease, D. Cotugno Hospital, Naples, Italy.
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Coppola MG, Ercolini D, Romano I, Iannaccone P, Altier S. [Intestinal parasitosis: our series from 1992 to 1995]. Infez Med 2003; 4:221-7. [PMID: 12858028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
Abstract
From 1992 to 1995 in our Department 2236 researches of intestinal parasites (2194 on stool specimens, 34 on scotch tests, 8 on enterotests) were carried out on 1200 patients (703 HIV-Ab negative and 497 HIV-Ab positive). On the whole 387 samples (17.34%) of 203 subjects (16.92%) were found parasitized; 92 (13.08%) patients of them were HIV-Ab negative and 111 (22.33%) were HIV-Ab positive. We found more frequently Blastocystis hominis and Giardia intestinalis among HIV-Ab negative subjects and Cryptosporidium sp. and Blastocystis hominis among HIV-Ab positive patients. Isospora belli was found exclusively among HIV-Ab positive people, Cryptosporidium sp. in 54 HIV-Ab positive subjects and 3 HIV-Ab negative children. Strongyloides stercoralis was found only in HIV-Ab positive non-European people.
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Affiliation(s)
- M G Coppola
- Laboratorio di Parassitologia, Ospedale D. Cotugno, Azienda Ospedaliera Monaldi
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Fiorentino F, De Sena R, Manzillo E, Iadanza A, Conte M, Coppola MG, Galderisi P, Postiglione A, Arciello MT, Covelli B. [Monotherapy, empirical and targetted, with imipenem-cilastatin in sepsis of bacterial origin]. Clin Ter 1989; 129:287-91. [PMID: 2527122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The authors describe an open study in 22 patients with febrile conditions of unknown origin who were treated with imipenem-cilastatin while waiting for routine laboratory and culture tests. These were done immediately at the patients' entry into hospital, after which imipenem-cilastatin treatment was started immediately, and was subsequently confirmed by the isolates and culture tests. The drug was found to be active and to eradicate the responsible organism in all cases. In addition, it was found to be easy to handle and not to give rise to side-effects or changes in laboratory tests.
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