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amoxicillin-potassium clavulanate, a beta-lactamase-resistant antibiotic combination.the chemistry, microbiology, pharmacokinetics, therapeutic use, adverse effects, and dosage of amoxicillin-potassium clavulanate, a beta-lactamase-resistant antibiotic combination, are reviewed. clavulanic acid is a "suicide" inhibitor of bacterial beta-lactamase enzymes and has been effective in preventing destruction of penicillins by these enzymes. clavulanic acid alone has weak antibacterial activity against most organisms. after oral administration, clavulanic acid is rapidly absorbed; amox ...19846391783
common beta-lactamase-specifying plasmid in haemophilus ducreyi and neisseria gonorrhoeae.eighty-nine strains of haemophilus ducreyi from a chancroid epidemic in orange county, california, were examined for plasmid content. seventy-eight (88%) of these isolates were found to contain a plasmid of 3.2 megadaltons which conferred beta-lactamase production. restriction endonuclease digests indicated that this was the same plasmid that was found in some strains of beta-lactamase-producing neisseria gonorrhoeae.19846424563
the plasmids of haemophilus ducreyi. 19846440883
sexually transmittable diseases and other genital infections during adolescence.sexually transmitted (std), diseases in which sexual contact is epidemiologically important but not the only mode of acquisition, will continueto increase in incidence unless effective control strategies can be applied. the recent increase in incidence has been due, in part, to increased levels of sexual activity among young people. focus in this discussion is on the epidemiology of std, the importance of an accurate sexual history in the diagnosis of std, gonorrhea, syphilis, nongonococcal ur ...19846547744
sheffield medium for cultivation of haemophilus ducreyi.our interest in the role of haemophilus ducreyi in genital ulceration led us to examine the various media commonly used for the cultivation of the organism. we describe an improved medium for the routine isolation of h ducreyi. in comparative studies using 50 test strains originally isolated in the united kingdom, canada, the united states of america, and kenya, the new medium proved superior to three standard media in requiring a shorter incubation period to first visible growth, giving larger ...19846610455
virulence factors of haemophilus ducreyi.we investigated the susceptibility of virulent and avirulent strains of haemophilus ducreyi to the bactericidal activity of normal human serum and to phagocytosis and killing by human polymorphonuclear leukocytes (pmnl). strains were defined as virulent if intradermal inoculation into a rabbit produced a typical necrotic lesion. nonvirulent strains produced no cutaneous lesions in rabbits. virulent strains were resistant to the complement-mediated lethal action of normal human and rabbit sera, w ...19846607219
a case of mixed chancre.a 39-year-old norwegian seaman developed penile ulcerations after sexual contact overseas. the diagnosis of syphilitic chancre and of chancroid was confirmed. the ulcers healed after combined treatment with benzathine penicillin and trimethoprim-sulfamethoxazole.19846607850
origin and direction of in vitro replication of haemophilus ducreyi and neisseria gonorrhoeae ampicillin resistance plasmids.the origin of replication of haemophilus ducreyi and neisseria gonorrhoeae ampicillin resistance plasmids was located by cloning bamhi restriction fragments into vector plasmid pat153 and a derivative plasmid, pat2. selection was made for plasmid maintenance in a pola mutant. direction of replication was determined by in vitro replication of plasmid dna in the presence of radiolabeled deoxynucleotide.19846325397
chancroidal ulcers that are not chancroid. cause and epidemiology.hemophilus ducreyi was isolated from the ulcer of one of 33 patients in whom chancroid had been diagnosed clinically. herpes simplex virus was isolated from 16 of these patients. a presumptive diagnosis of chancroid was made in one of three sexual partners of the only index patient with culture-proved chancroid. no chancroidal lesions were found in any of 39 sexual partners of the other 32 index patients. genital cultures for herpes simplex virus were positive from four of 14 sexual partners of ...19846326691
homogeneity of transferable tetracycline-resistance determinants in haemophilus species. 19846330236
enzymic activity of haemophilus ducreyi.the enzymic activity of 29 haemophilus ducreyi strains on 28 substrates is described. the results are compared with those of seven other authors. there is agreement only about the presence of alkaline phosphatase and arginine aminopeptidase and the lack of glycosidases. possible reasons for the contradictions in the eight reports are discussed.19846333510
thiamphenicol in the treatment of chancroid in men.fifty-five men were treated for culture-positive chancroid with two 2.5-g doses of thiamphenicol given on each of two consecutive days. forty-nine patients (89.1%) were cured on this regimen. no adverse effects were noted. cultured strains of haemophilus ducreyi were found to be sensitive to thiamphenicol.19846335300
sensitivity and specificity of monoclonal antibodies directed against antigenic determinants of treponema pallidum nichols in the diagnosis of syphilis.murine anti-treponema pallidum monoclonal antibodies were employed in studies on sensitivity and specificity of binding to examine their potential for use in the detection of low numbers of pathogenic treponemes present in various body fluids. monoclonal antibodies were used as a primary antibody source in a solid-phase immunoblot assay system. all monoclonal antibodies assayed were capable of detecting ca. 1.0 x 10(3) to 2.5 x 10(3) treponemes. of 13 monoclonal antibodies examined, 3 were able ...19846208218
the role of haemophilus ducreyi in penile ulcers in bangkok, thailand.in october 1982, penile ulcers were identified in 248 (19%) of 1282 men at bangrak hospital, bangkok, thailand. the etiology of the ulcers was determined for 120 (48%) of these patients. haemophilus ducreyi was isolated from 45 (38%), herpes simplex virus from 14 (12%), and neisseria gonorrhoeae from two (2%) of 120 patients. syphilis was detected in one patient. two patients had both h. ducreyi and herpes simplex virus isolated from the same ulcer. thirty-five per cent of patients had a single ...19846095473
cefotaxime treatment of haemophilus ducreyi infection in kenya.the authors conducted a double-blind randomized clinical trial comparing single-dose cefotaxime (1 g im) plus daily placebo injections with cefotaxime (1 g im on each of three days). each regimen was given with probenicid (1 g orally) for the treatment of chancroid. twenty haemophilus ducreyi culture-positive men received the single-dose cefotaxime regimen; in eight patients ulcers or buboes failed to respond to therapy. nineteen h. ducreyi culture-positive men received cefotaxime on each of thr ...19846098034
characteristics of haemophilus ducreyi in culture.growth on different media and the influence of culture conditions were studied on 19 recently isolated strains of haemophilus ducreyi, none of which had more than four passages on artificial media. the results were compared with 10 laboratory strains, which had an unknown number of passages in vitro. for all strains, growth was best on 30% rabbit blood agar and on bieling agar. the laboratory strains showed a tendency to grow better on chocolate agar than did the fresh isolates. of 19 fresh clin ...19846610690
comparison of media for the primary isolation of haemophilus ducreyi.the rates of isolation of haemophilus ducreyi from patients with presumed chancroid has been low, and improved cultural techniques are required. we determined the isolation rates of h. ducreyi from 38 patients with clinical chancroid and compared gonococcal agar supplemented with bovine hemoglobin to mueller-hinton agar supplemented with chocolated horse blood, each with and without 5% fetal calf serum. the rate of isolation and the qualitative and quantitative growth of strains was best on gono ...19846608798
plasmid-mediated tetracycline resistance in haemophilus ducreyi.clinical isolates of haemophilus ducreyi were shown to be resistant to tetracycline. resistance was associated in some strains with a 30-megadalton plasmid capable of transferring resistance in conjugative matings with other strains of h. ducreyi and other species of haemophilus. restriction endonuclease digestion patterns suggest a relationship between h. ducreyi plasmids and other tetracycline resistance plasmids in haemophilus. the presence of plasmid-mediated resistance to the tetracyclines ...19846324665
monoclonal antibodies reactive with all strains of haemophilus ducreyi.we have isolated plasma cell hybridomas which secrete monoclonal antibodies directed against haemophilus ducreyi. two of these monoclonal antibodies recognize all strains of h. ducreyi tested to date and are capable of detecting the presence of h. ducreyi in skin lesions produced by this pathogen in experimental animals. these monoclonal antibodies which react with apparently all strains of h. ducreyi have the potential to be developed into a rapid immunodiagnostic test for chancroid.19846200440
isolation of haemophilus ducreyi from a chancroid in papua new guinea.haemophilus ducreyi was isolated from a patient who presented with a genital ulcer at the port moresby clinic for sexually transmitted diseases. this provides documentation for the occurrence of chancroid in papua new guinea. the differentiation of this disease from donovanosis is discussed.19836336300
antimicrobial therapy of chancroid: an evaluation of five treatment regimens correlated with in vitro sensitivity.one hundred fifty-one men with genital ulcer disease were assigned randomly to treatment with one of five oral antimicrobial regimens: (1) sulfadimidine (1 g four times daily for seven days); (2) tetracycline (500 mg four times daily for seven days); (3) trimethoprim-sulfamethoxazole (tmp-smz; 160 mg of tmp and 800 mg of smz twice daily for seven days); (4) doxycycline (300 mg as a single dose); or (5) tmp-sulfametrole (640 mg of tmp and 3,200 mg of sulfametrole once as a single dose). haemophil ...19836601847
treatment of chancroid with erythromycin. a clinical and microbiological appraisal.one hundred and thirty seven patients presenting with genital ulcerations from which haemophilus ducreyi was isolated were treated with erythromycin stearate 500 mg every six hours for seven days. of these, 91 (66%) had associated inguinal lymphadenopathy. only two of the 100 patients who returned after one week showed no clinical improvement. despite decrease in size h ducreyi was reisolated from the ulcers of three patients, two of whom had not complied with treatment. the patients were treate ...19836603249
antimicrobial therapy of chancroid: effectiveness of erythromycin.the emergence of haemophilus ducreyi resistant to multiple antibiotics has limited the effectiveness of sulfonamides and tetracycline for the therapy of chancroid. a randomized, double-blind study compared 10-day courses of erythromycin base (500 mg) and rosaramicin (250 mg) each given four times daily for the treatment of men with chancroid in nairobi, kenya. of 99 evaluable patients, 84 were positive for h ducreyi. h ducreyi-positive genital ulcers in men treated with either drug resolved with ...19836355314
isolation of haemophilus ducreyi from genital ulcerations in white men in johannesburg.an analysis of sexually acquired genital ulcerations in 31 white patients who were examined microbiologically in johannesburg showed haemophilus ducreyi to be the causative agent in 23 (74%), whereas syphilis was the confirmed diagnosis in only 6 (19%). all the h. ducreyi isolates produced beta-lactamase. previously, chancroid was considered to be an infrequent cause of genital ulceration in this population group. unlike those with syphilitic ulceration, patients with chancroid usually do not re ...19836600526
characterization of cell proteins of haemophilus ducreyi by polyacrylamide gel electrophoresis.the whole-cell proteins of 105 clinical isolates of haemophilus ducreyi from several geographic sources (north america, africa, asia, and europe) were examined by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (sds-page). the protein profiles were reproducible and unaffected by repeated subculturing or age of culture. at least seven different subtypes were determined by proteins in the molecular weight range of 24,000-50,000. these proteins are located in the outer membrane of the cel ...19836605392
single-dose therapy of chancroid with trimethoprim-sulfametrole.we conducted a randomized double-blind trial comparing a single dose of trimethoprim-sulfametrole (640 to 3200 mg) with five-day regimens of either trimethoprim-sulfametrole (160 to 800 mg twice daily) or trimethoprim alone (200 mg twice daily) for the treatment of men with chancroid. of 95 patients, 78 had cultures positive for hemophilus ducreyi. twenty-seven, 23, and 28 patients, respectively, were assigned to the single-dose trimethoprim-sulfametrole, the five-day trimethoprim-sulfametrole, ...19836343878
treatment of chancroid. a comparison of sulphamethoxazole and trimethoprim-sulphamethoxazole.since sulphonamides are no longer predictably effective in the treatment of chancroid the combination of trimethoprim-sulphamethoxazole (tmp-smx) was evaluated to identify other effective regimens. one hundred and nine patients with genital ulcers (75 men and 34 women) seen at the special treatment clinic in nairobi, kenya, were randomly assigned to treatment with a seven day course of either sulphamethoxazole 1000 mg twice daily or trimethoprim (160 mg)-sulphamethoxazole (800 mg) (tmp-smx) twic ...19836351957
drug of choice for chancroid. 19836129437
haemophilus ducreyi infection in manchester. 19836135107
isolating haemophilus ducreyi. 19836137718
sheffield isolates are haemophilus ducreyi. 19836138618
epidemiology of chancroid and haemophilus ducreyi in nairobi, kenya.of 300 men in nairobi, kenya, with culture-proven chancroid, 57% had acquired infection from prostitutes. the majority of infections were acquired in the city of nairobi. all 10 female source contacts examined had genital ulcers. 13 of 29 female secondary contacts were culture-positive for haemophilus ducreyi and 10 of these infected women had clinical chancroid. of 122 prostitutes from the middle and lower social strata, 12 had genital ulcers, 5 of which were culture-positive for h ducreyi, and ...19836139629
haemophilus ducreyi and genital ulcers. 19836139638
characterization of ampicillin resistance plasmids of haemophilus ducreyi and neisseria gonorrhoeae with regard to location of origin of transfer and mobilization by a conjugative plasmid of haemophilus ducreyi.restriction endonuclease maps of the ampicillin resistance plasmids of haemophilus ducreyi and neisseria gonorrhoeae show marked structural similarities. transfer frequencies obtained by mobilization correlated with physical structure and were enhanced by increased homology with the conjugative plasmid. the origin of transfer of each plasmid was located within a specific restriction fragment.19836311803
susceptibility of 40 haemophilus ducreyi strains to 34 antimicrobial products.a study was performed to examine compounds that might improve the selectivity of the primary isolation medium for haemophilus ducreyi. the susceptibility of 40 h. ducreyi strains to 34 antimicrobial agents, including 10 antibiotics, 3 quaternary ammonium compounds, 3 phenolic derivatives, 3 acridines, and 15 heavy metal compounds, was investigated by using an agar plate dilution technique. results were compared with the susceptibilities of other gram-negative rods which may be contaminants on is ...19836606394
chancroid in nigeria.the present paper records the incidence of chancroid in northern nigeria. out of 776 new patients registered at the special treatment clinic (stc) of the ahmadu bello university teaching hospital (abuth) zaria during february to august 1982, 34 cases (4.38%) were diagnosed as chancroid. direct smear examination for haemophilus ducreyi was positive in 33 cases and bacterial bodies devoid of cell wall (probably l-forms of h. ducreyi) were demonstrated in one. culture for h. ducreyi was positive in ...19836606880
oropharyngeal haemophilus ducreyi infection. 19836411268
treatment of chancroid. 19836600752
in-vitro susceptibility of thirty strains of haemophilus ducreyi to several antibiotics including six cephalosporins.we have studied the in-vitro susceptibility of 30 strains of haemophilus ducreyi to 22 antibacterial agents. twenty-seven strains produced a beta-lactamase that had an isoelectric point similar to the isoelectric point of the tem 1 type beta-lactamase produced by psf 2124. except for cefamandole, the 30 strains had similar susceptibilities to the different cephalosporins, cefotaxime being the most active compound. twenty-two isolates were resistant to tetracycline and doxycycline; minimal inhibi ...19836601649
the isolation of h. ducreyi in singapore.using an enriched medium, h. ducreyi was isolated from 56 out of 670 patients with penile ulcers (8.3%). their clinical, epidemiological characteristics and treatment responses to streptomycin, cotrimoxazole and other antimicrobial agents are analysed. 51% failed to respond to streptomycin.19836602583
short-course and single-dose antimicrobial therapy for chancroid in kenya: studies with rifampin alone and in combination with trimethoprim.tetracyclines and sulfonamides are no longer effective for the treatment of chancroid in many parts of the world. rifampin and trimethoprim both possess in vitro activity against haemophilus ducreyi, the causative agent of chancroid. in a randomized, controlled study, 22 patients with h. ducreyi-positive genital ulcers received 600 mg of rifampin once daily for three days, and 32 patients received 600 mg of rifampin plus 160 mg of trimethoprim once daily for three days. both regimens rapidly era ...19836635447
isolation of haemophilus species from the genital tract.haemophilus influenzae was isolated from the urethra of three of 85 men attending a sexually transmitted diseases clinic. these isolates of h. influenzae were nonencapsulated; one was biotype iii, and two were biotype iv. haemophilus parainfluenzae was isolated from the urethra or coronal sulcus of five men; three isolates were biotype ii, and two were biotype iii. neither h. influenzae nor h. parainfluenzae was isolated from the genital secretions of 84 women. haemophilus ducreyi and haemophilu ...19836658630
identification of haemophilus ducreyi in the clinical laboratory.some of the characteristics of 42 clinical isolates of haemophilus ducreyi are reported. only six of the 42 strains were able to grow on horse-blood agar. all strains gave a positive oxidase test with tetramethyl-p-phenylenediamine and a negative result with dimethyl-p-phenylenediamine. all of 15 test strains were negative in the porphyrin test. tests for haemin requirement were inconclusive because of difficulties encountered in obtaining growth on a basal medium.19826754945
the recognition of haemophilus ducreyi as the cause of soft chancre. 19826765563
isolation and cultivation of haemophilus ducreyi.a useful method for isolating and recognizing haemophilus ducreyi from chancres and buboes of male patients is presented. a total of 41 clinical isolates of h. ducreyi were recovered from 33 patients over an 8-year period, and the experience with the 15 most recent isolates is presented in detail. chocolate agar supplemented with 1% iso vitalex and 5% sheep blood agar were prepared, using trypticase soy and mueller-hinton agar bases, and incubation conditions included ambient, capneic, and anaer ...19826802870
infections due to haemophilus species other than h. influenzae. 19826816135
isolation of haemophilus ducreyi from the conjunctiva. 19826978165
starch aggregation as a presumptive test for haemophilus ducreyi. 19826181362
herpes simplex infection simulating a positive auto-inoculation for haemophilus ducreyi.auto-inoculation from a genital ulcer suspected of being ulcus molle gave redness after 24 hours and after 48 hours vesicles and pustules appeared. cultivation from the auto-inoculation after the 48 hours was positive for herpes simplex virus type 2. our observation underlines two points: auto-inoculation for the diagnosing of haemophilus ducreyi infection may be mimicked by herpes simplex infection, and the incubation period of herpes simplex can be shorter than the 4-5 days usually given.19826183910
chancroid. 19826125814
identifying haemophilus ducreyi. 19826127521
streptomycin-resistant haemophilus ducreyi. 19826127523
mobilization of nonconjugative antibiotic resistance plasmids in haemophilus ducreyi.a clinical isolate of haemophilus ducreyi was found to harbor three plasmids: a 23.5-megadalton (mdal) phenotypically cryptic plasmid, a 7.0-mdal ampicillin resistance plasmid, and a 4.0-mdal sulfonamide resistance plasmid. the two smaller plasmids were transferable by conjugation to haemophilus recipients, but only if the donor cell harbored the 23.5-mdal plasmid as well, indicating that this large plasmid had mobilizing capabilities. transfer was also possible to escherichia coli recipients. h ...19826276368
plasmid-mediated sulfonamide resistance in haemophilus ducreyi.clinical isolates of haemophilus ducreyi from patients with chancroid were shown to have one or more 4.9- to 7.0-megadalton non-self-transferable plasmids and to have in vitro resistance to sulfonamides. transformation of escherichia coli to sulfonamide resistance was associated with the acquisition of a 4.9-megadalton plasmid, which did not confer linked resistance to streptomycin. the guanine-plus-cytosine content of this plasmid was found to be 57%. filter-blot hybridization and restriction e ...19826282205
modified haemin-containing medium for isolation of haemophilus ducreyi. 19826120368
molecular epidemiology of beta-lactamase-specifying plasmids of haemophilus ducreyi.we have studied the genetic basis of beta-lactamase production in eight strains of haemophilus ducreyi isolated in diverse areas of the world. beta-lactamase production in all strains was mediated by plasmids having a molecular mass of either 5.7 or 7.0 megadaltons. plasmids of 5.7 megadaltons were shown to carry the entire sequence of pfa7, the beta-lactamase specifying plasmid found in isolates of neisseria gonorrhoeae epidemiologically linked to west africa. plasmids of 7.0 megadaltons were s ...19826287927
pathogenic microbial flora of genital ulcers in sheffield with particular reference to herpes simplex virus and haemophilus ducreyi.the pathogenic microbial flora of genital ulcers in 161 (80 men and 81 women) unselected patients was studied prospectively. in only one case was treponema pallidum responsible whereas herpes simplex virus was considered to be the cause of 130 (80.8%) genital ulcers. h ducreyi was isolated from 46 (28.6%) patients, most commonly as a secondary pathogen in herpetic lesions. two or more pathogens were isolated from the ulcers in 67 (41.6%) patients, and in 21 (13%) patients no pathogens were isola ...19826293639
the enzymatic profile of haemophilus ducreyi.the enzymatic activities of two reference strains of haemophilus ducreyi and thirty clinical isolates were investigated by conventional biochemical tests and the api-zym test kit system which included 97 synthetic substrates. no strains converted delta-aminolevulinic acid to porphyrins, but they all reduced nitrates to nitrites. all strains possessed aminopeptidase activity against beta-naphthylamide derivatives of l-alanine, l-arginine, l-glutamine, glycine, l-leucine, l-lysine and l-serine. no ...19826299156
antimicrobial susceptibility of 103 strains of haemophilus ducreyi isolated in johannesburg.of 103 strains of haemophilus ducreyi isolated in johannesburg, 96 produced beta-lactamase and were resistant to penicillin and ampicillin. most strains showed resistance to tetracycline, sulfisoxazole, and sulfamethoxazole. all isolates were susceptible to rifampin, erythromycin, and cefoxitin, moderately susceptible to trimethoprim-sulfamethoxazole (1:19) and minocycline, and somewhat less susceptible to doxycycline.19826983858
plasmid-coded ampicillin resistance in haemophilus ducreyi.seven of the 96 ampicillin-resistant isolates of haemophilus ducreyi reported in the preceding article (bilgeri et al., antimicrob. agents chemother. 22:686-688, 1982) were investigated and found to harbor plasmids of 3.95, 5.2, 5.8, and 6.4 megadaltons. all except the 5.8-megadalton plasmid have been shown to code for beta-lactamase. the 6.4- and 5.2-megadalton plasmids of three isolates were conjugally transferable to a streptomycin-resistant mutant of h. ducreyi at high frequencies, perhaps d ...19826983859
haemophilus influenzae: comparison of respiratory tract isolates with genitourinary tract isolates.haemophilus influenzae isolates recovered from the genitourinary (gu) tract were shown to have a significantly different biotype distribution compared with respiratory tract isolates. biotype iv strains were recovered more commonly from the gu tract, and most strains were non-serotypable. antibiotic-susceptible strains isolated from the gu tract more frequently harbored plasmids of less than 10 megadaltons than did antibiotic-susceptible respiratory tract strains. one 2.8-megadalton plasmid resi ...19826984048
isolation and rapid identification of haemophilus ducreyi.during a 2-month period, 62 strains of haemophilus ducreyi were isolated from 168 genital lesions and 2 lymph node aspirates. of these strains, 22 were found on both chocolate agar and fetal bovine serum agar supplemented with vancomycin, 29 were found only on chocolate agar, and 9 were found only on fetal bovine serum agar. two additional strains were isolated on sheep blood agar. all of these isolates were correctly identified with the rapid nh system (innovative diagnostic systems, inc., deca ...19826984050
characteristics of haemophilus ducreyi. a study.in a study of 13 local and four reference strains of haemophilus ducreyi all grew well on a selective medium consisting of bacto proteose no 3 agar (difco), soluble starch, isovitalex, human blood, and vancomycin. all the strains reduced nitrate, were alkaline-phosphatase-positive, and (with one exception) used glucose, fructose, and mannose, beta-lactamase was produced by 12 local strains. erythromycin was the the most effective antibiotic tested, followed by streptomycin, co-trimoxazole, and s ...19826980682
characterisation of an unusual bacterium isolated from genital ulcers.the preliminary characterisation of an unusual gram-negative bacillus isolated from genital ulcers in swaziland is reported. like haemophilus ducreyi, it is an oxidase positive, nitrate-reductase-positive gram-negative rod that forms streptobacillary chains in some circumstances; it was therefore called the "ducreyi-like bacterium" (dlb). distinguishing features of dlb are production of alpha-haemolysis on horse-blood agar, stimulation of growth by a microaerophilic atmosphere and by a factor pr ...19826982973
detection of chloramphenicol acetyltransferase (cat) activity in a strain of haemophilus ducreyi.the minimal inhibitory concentration (mic) of chloramphenicol for a clinical isolate of haemophilus ducreyi, strain ceb-10, was 16 micrograms/ml. this strain was also resistant to tetracycline (mic = 64 micrograms/ml) and ampicillin. the presence of a chloramphenicol acetyltransferase (cat) activity was demonstrated.19826983323
pseudogranuloma inguinale caused by haemophilus ducreyi.we used a new selective culture medium to isolate haemophilus ducreyi from a penile ulcer that had the clinical appearance of granuloma inguinale. the isolation of the organism in pure culture permitted us to make a definitive diagnosis and obtain antimicrobial susceptibility data in a relatively short period. as a result, we were able to change therapy from sulfamethoxazole to erythromycin, and the infection rapidly healed.19827046641
isolation of haemophilus ducreyi from patients with chancroid in auckland. 19827050782
characterization of ampicillin resistance plasmids from haemophilus ducreyi.seven strains of haemophilus ducreyi from diverse geographic origins were analyzed for their plasmid content. all strains were multiply resistant, but only resistance to ampicillin was transferred to escherichia coli by transformation. the h. ducreyi plasmids encoding for ampicillin resistance were 7.4, 5.7, and 3.6 megadaltons and encoded for part or all of tna, and ampicillin transposon. the relatedness of these plasmids was examined by restriction endonuclease digestion and dna-dna homology w ...19826282212
treatment of chancroid by clavulanic acid with amoxycillin in patients with beta-lactamase-positive haemophilus ducreyi infection.multiresistant strains of haemophilus ducreyi, the aetiological agent of chancroid, are prevalent in nairobi, kenya, where tetracyclines and sulphonamides are no longer very effective in the treatment of chancroid. the following regimens (given three times daily for seven days) were compared in a double-blind randomised trial--amoxycillin 500 mg, amoxycillin 500 mg and clavulanic acid 125 mg, and amoxycillin 500 mg and clavulanic acid 250 mg. 68 of 100 ulcers were culture-positive for h. ducreyi ...19826125676
[strain of haemophilus ducreyi producing chloramphenicol acetyltransferase]. 19826816403
chancroid: diagnosis and treatment. 19826978893
bacteriological study of chancroid. 19826983497
haemophilus ducreyi infections--time for reappraisal.as the literature on haemophilus ducreyi and clinical chancroid is reviewed, it becomes obvious that many significant findings have been forgotten over the years. as a result, from the time of ducrey's original description of the organism in 1890 until about 1977, both clinical and laboratory experts in the united kingdom believed that h. ducreyi infections were rare, generally acquired abroad, and almost impossible to confirm in the routine laboratory! in consequence it was a common view that i ...19827153512
chancroid in sheffield. a report of 22 cases diagnosed by isolating haemophilus ducreyi in a modified medium.the causative organism of chancroid, haemophilus ducreyi, is generally considered to be very fastidious and its isolation, maintenance, and detailed study very demanding. in this study a modified medium was developed, which allowed the organism to be isolated more frequently than previously would have been expected. twenty-two cases of chancroid were confirmed by the isolation of h ducreyi in 160 patients with genital ulceration examined over a one-year period. the cases were apparently unrelate ...19816976815
identification of haemophilus ducreyi. 19817018398
molecular nature of a plasmid specifying beta-lactamase production in haemophilus ducreyi.we characterized pjb1, the plasmid previously reported to mediate beta-lactamase production in haemophilus ducreyi. we studied its relationship to pmr0360 and rsf0885, the plasmids responsible for beta-lactamase production in neisseria gonorrhoeae and haemophilus parainfluenzae, respectively. although pjb1 was maintained as a multicopy pool in escherichia coli, it was not stably maintained in the absence of antibiotic selection. electron microscope heteroduplex studies showed that it carried 100 ...19816273382
molecular epidemiology of haemophilus ducreyi infections.haemophilus ducreyi was isolated with an enriched chocolate agar containing vancomycin from seven patients with clinical evidence of chancroid. four cases were imported from outside the united states; the other three cases were acquired in the united states from one of the imported cases. all strains of h. ducreyi contained ampicillin-resistance plasmids with molecular weights of 7.3, 5.7, or 3.6 megadaltons. plasmid molecular weights were identical for isolates from the epidemiologically linked ...19816973943
synergistic antibacterial activity of clavulanic acid and amoxicillin against beta-lactamase-producing strains of haemophilus ducreyi.the susceptibility of 47 strains of haemophilus ducreyi to amoxicillin, clavulanic acid, and the combination of both drugs was determined by agar dilution susceptibility testing. a synergistic antibacterial activity of the combination was found for beta-lactamase-producing strains.19816974538
treatment of chancroid with erythromycin.chancroid is a sexually transmitted disease that is not often recognized in the united states. it has traditionally been treated with sulfonamides and/or tetracyclines. recently, 14 active-duty u. s. army personnel who acquired chancroid in the far east were seen at the madigan army medical center, tacoma, wash. all of the organisms were isolated from clinical material on solid media without the use of a blood-clot tube. because of dissatisfaction with conventional treatment and the demonstratio ...19816974899
genital ulcers in kenya. clinical and laboratory study.of 97 patients with genital ulcers attending a special treatment clinic in nairobi, kenya, 60 harboured haemophilus ducreyi, four herpes simplex virus, and five neisseria gonorrhoeae. eleven patients had serological evidence of syphilis; of these one case was confirmed by darkfield microscopy. in the remaining cases no aetiological agent was identified. an enriched chocolate agar with vancomycin and serum was a useful medium for primary isolation of h ducreyi. tetracycline was generally ineffect ...19816799142
tem-type beta-lactamase production in haemophilus ducreyi.a tna-containing 6.0-megadalton plasmid (pjb1) isolated from haemophilus ducreyi was shown to code for a beta-lactamase similar to the tem-1-type beta-lactamase originating from the ampicillin transposon tn2.19806967297
[involuntary in vivo evidence for penicillin resistance of streptobacillus haemophilus ducrey]. 19806967657
epidemiologic, clinical, laboratory, and therapeutic features of an urban outbreak of chancroid in north america.an epidemic of 135 cases of chancroid occurred in winnipeg, manitoba, canada, from july 1975 to september 1977. probable contributing factors for development of chancroid lesions included male sex, lack of circumcision, and genital trauma. a previous history of venereal disease, sexual contact with a person from a bar or hotel in the core city area, unemployment, alcoholism, american indian or métis (mixed american indian and caucasian) race, and unstable domestic relationships were often access ...19806971469
isolation and identification of haemophilus ducreyi in a clinical study.seventeen strains of haemophilus ducreyi were isolated from genital lesions which were negative for syphilis by dark-field examination. media used for primary isolation at various times during the study were enriched chocolate agar, chocolate agar plus vancomycin (3 microgram/ml), rabbit blood agar plus vancomycin (3 micrograms/ml), fetal bovine serum agar, and fetal bovine serum agar plus vancomycin (3 micrograms/ml). h. ducreyi was isolated on chocolate agar plus vancomycin from 10 of 14 patie ...19806971872
conjunctivitis due to haemophilus ducreyi infection. 19806969619
plasmid-mediated ampicillin resistance in haemophilus ducreyi.three of 19 strains of haemophilus ducreyi, isolated during a recent outbreak of chancroid, were found to produce beta-lactamase and to harbor a 6.0 x 10(6)-dalton plasmid. escherichia coli transformed with this plasmid acquired beta-lactamase-mediated resistance to ampicillin. the guanine-plus-cytosine content of the plasmid was found to be 41 mol%. restriction endonuclease digestion studies suggest that a relatively large portion of the tn1 translocon is carried by this plasmid. whereas this p ...1979311618
[diagnosis and therapy of chancroid]. 1979314204
[the chancriod: a diagnosis not to leave out]. 1979314556
a comparison of the in vitro activity of rosamicin, erythromycin, clindamycin, metroidazole and ornidazole against haemophilus ducreyi, including beta-lactamase producing strains. 1979317079
isolation of h. ducreyi (a preliminary communication). 1979317492
comparison of specimen collection and laboratory techniques for isolation of haemophilus ducreyi.sixteen patients with clinical chancroid were studied prospectively; different culture media and sampling techniques from genital lesions were evaluated. technique a was aspiration of a saline wash from the ulcer which was pooled and inoculated into rabbit blood, rabbit blood + vancomycin (5 microgram/ml), and semisolid chocolate agar + vancomycin (3 microgram/ml). each primary culture medium was subcultured to chocolate agar with 1% isovitalex (ca), ca with vancomycin (3 microgram/ml) plus poly ...1978342538
determination of the hemin requirement of haemophilus ducreyi: evaluation of the porphyrin test and media used in the satellite growth test.gonococcal (gc) agar supplemented with glucose and glutamine was found to be superior to eugonagar and trypticase soy agar in demonstrating the hemin requirement of 23 strains of haemophilus ducreyi by the satellite growth test. the porphyrin test confirmed the requirement for exogenous hematin. with the agar dilution technique, using supplemented gc agar, the hemin concentration required to initiate growth was 10 microgram/ml, and the optimal hemin concentration to produce growth equivalent to ...1978348716
the microbiological flora of penile ulcerations.the penile ulcerations of 100 consecutive men were tested for microorganisms. a polymicrobial flora was identified in the ulcers of 97 men. the microorganisms recovered from these ulcers included combinations of anaerobic and aerobic bacteria (including mycoplasma), herpes simplex virus, yeasts, and filamentous fungi. fifty-three study entrants had microorganisms, identified by culture or serologic tests, that were considered primary in ulcer pathogenesis. herpes simplex virus was the most preva ...1978203634
antimicrobial susceptibility of haemophilus ducreyi.the susceptibility of 19 isolates of haemophilus ducreyi from a recent chancroid outbreak and four reference strains was determined in vitro to 13 antimicrobial agents. the rabbit intradermal test for virulence was positive for all of the local isolates, but not for the reference strains. the "nonvirulent" reference strains were inhibited by lower minimum inhibitory concentrations (mics) of most agents tested. for the virulent isolates, the range of mics (in micrograms per milliliter) of the fol ...1978307364
[ulcus-molle epidemic in turkey].240 patients with soft chancre who have been observed within a year dating from march 1976 at the university dermatological clinic of istanbul are presented. the clinical findings encountered in our cases are presented and the therapeutic results are discussed.1978309877
ultrastructural detection of haemophilus ducreyi in biopsies of chancroid.during an endemic appearance of chancroids (26 cases) in berlin (west) coccobacilli were disclosed in biopsies by electron microscopy. the bacteria were aggregated predominantly in groups in the extracellular space. their cell wall is approximately 120 a thick and trilaminar as in gram-negative bacteria. concerning the cell wall structure and the cytoplasmic composition, the detected coccobacilli are identical to culturally grown haemophilus ducreyi obtained from chancroids.1978310659
an indirect fluorescent antibody technique for haemophilus ducreyi.an indirect fluorescent antibody technique which allows the detection of antibody against or the recognition of haemophilus ducreyi has been developed. heat inactivated antiserum was reacted uith prepared smears of haimophilus species and selected organisms commonly associated with penile ulcerations. in serum absorbed with haemophilus sp no fluorescence was observed with 156 heterologous organisms, but all six strains of bacteriologically confirmed h. ducreyi gave significant reactions with the ...1978359505
granuloma inguinale: a case report.a 20-year-old woman developed bleeding because of a painless genital ulcer. the diagnosis of granuloma inguinale was proven by showing the presence of donovan bodies in a biopsy of the lesion. treatment with tetracycline was successful when given in adequate dosage. granuloma inguinale, although rare, should be considered in the differential diagnosis of patients with asymptomatic genital ulcers. multiple biopsies may have to be done and stained with fresh giemsa to prove the diagnosis, as in th ...1977303812
a case of chancroid.after a visit to hong kong, a 27-year-old salesman developed penile ulceration which failed to respond to three weeks' penicillin therapy. he then presented to hospital with acute paraphimosis. a clinical diagnosis of chancroid was confirmed by isolation of haemophilus ducreyi. the ulcers healed after sulphonamide and streptomycin therapy. although chancroid is an uncommon venereal disease in australia, its incidence is still high in many tropical countries. it should be considered as a possible ...1977887039
[ultrastructure of the causative agent of soft chancre]. 19761088238
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