J Trauma 1996,41(1):120–2 CrossRefPubMed 12 Jamieson DJ, Honein

J Trauma 1996,41(1):120–2.CrossRefPubMed 12. Jamieson DJ, Honein MA, Rasmussen SA, Williams JL, Swerdlow DL, Biggerstaff MS, Lindstrom S, Louie JK, Christ CM, Bohm SR, Fonseca VP, Ritger KA, Kuhles DJ, Eggers P, Bruce H, Davidson HA, Lutterloh E, Harris ML, Burke C, Cocoros N, Finelli L, MacFarlane KF, Shu B, Olsen SJ, Novel Influenza A (H1N1) Pregnancy Working Group: H1N1 2009 influenza virus infection during pregnancy in the USA. Lancet 2009,374(9688):451–8.CrossRefPubMed 13. Centers for Disease Control and click here Prevention (CDC): Novel influenza A (H1N1) virus infections in three pregnant women – United States, April-May 2009. MMWR Morb Mortal Wkly

Rep 2009,58(18):497–500. 14. Rasmussen SA, Jamieson DJ, Macfarlane K, Cragan JD, Williams J, Henderson Z, Pandemic Influenza and Pregnancy Working Group: Pandemic influenza and pregnant women: summary of a meeting of experts. Am J Public Health 2009,99(Suppl 2):S248–54.CrossRefPubMed 15. Lapinsky

SE: H1N1 novel influenza A in pregnant and immunocompromised patients. Crit Care Med 2009, in press. 16. Pak J, Tucci VT, Vincent AL, Sandin RL, Greene JN: Mucormycosis in immunochallenged patients. J Emerg Trauma Shock 2008,1(2):106–13.CrossRefPubMed 17. Hopkins Fedratinib manufacturer MA, Treloar DM: Mucormycosis in diabetes. Am J Crit Care 1997,6(5):363–7.PubMed Competing interests The authors declare that they have no competing interests. Authors’ contributions BP – conceived of the study, and participated in its design and coordination and drafted the manuscriptHB – participated in data acquisition and drafting of the manuscript EB – participated in data acquisition and drafting of the manuscript OBI – participated in data acquisition and drafting of the manuscript AB – participated in data acquisition and drafting of the manuscript YK – conceived of the study, and participated in its design and coordination All authors read

and approved the final manuscript”
“Background Appendicectomy is still the most common procedure in general surgery practice but diagnostic failure may still occur and this leads to delay in treatment or negative (non-therapeutic) appendectomies. We aimed to analyze retrospectively the diagnostic efficiency of the preoperative tests in relation with histopathologic C-X-C chemokine receptor type 7 (CXCR-7) results. Methods Data of the 277 conventional appendectomies performed for acute appendicitis (AA) between March 2007 and April 2008 were collected. Fifteen patients with perforated appendicitis, 23 patients whose preoperative laboratory tests performed at another centre and 43 patients operated on without preoperative ultrasonography (USG) were excluded. In the remaining 196 patients, all had clinical findings such as, check details history of anorexia, pain followed by nausea, right lower quadrant pain, vomiting, rebound tenderness, guarding, rigidity and conventional appendectomies were carried out.

PubMedCrossRef 32 Mummey DL, Rillig MC: Spatial characterization

PubMedCrossRef 32. Mummey DL, Rillig MC: Spatial characterization

of arbuscular mycorrhizal fungal molecular diversity at the submetre scale in a temperate grassland. FEMS Microbiol Ecol 2008, 64:260–270.PubMedCrossRef 33. Lekberg Y, Koide RT, Rohr JR, Aldrich-Wolfe L, Morton JB: Role of niche restrictions and dispersal in the composition of arbuscular mycorrhizal fungal communities. J Ecol 2007, 95:95–105.CrossRef 34. Genney DR, Anderson IC, Alexander IJ: Staurosporine molecular weight Fine-scale distribution of pine ectomycorrhizas and their extramatrical mycelium. New Phytol 2006, 170:381–390.PubMedCrossRef 35. Dickie IA, Reich PB: Ectomycorrhizal fungal communities at forest edges. J Ecol 2005, 93:244–255.CrossRef 36. Husband R, Herre EA, Turner SL, Gallery R, Young JPW: Molecular diversity of arbuscular mycorrhizal fungi and patterns of host association over time and space in a tropical forest. Mol Ecol 2002, 11:2669–2678.PubMedCrossRef 37. Grunig CR, Sieber TN, Rogers SO, Holdenrieder O: Spatial distribution of dark septate endophytes in a confined forest plot. Mycol Res 2002, 106:832–840.CrossRef 38. Queloz V, Grunig CR, Sieber TN, Holdenrieder O: Monitoring the spatial and temporal dynamics of

a community of the tree-root endophyte Phialocephala fortinii s.l . New Phytol 2005, 168:651–660.PubMedCrossRef 39. Carroll G: Forest Endophytes – Pattern and Process. Can J Bot 1995, 73:S1316-S1324.CrossRef 40. Van Ryckegem G, Gessner MO, Verbeken A: Fungi on leaf blades of Phragmites australis in a brackish tidal marsh: Diversity,

succession, and leaf decomposition. Microb Ecol 2007, 53:600–611.PubMedCrossRef Selleck AZD1152-HQPA 41. Nechwatal J, Wielgoss A, Mendgen K: Diversity, host, and habitat specificity of oomycete communities in declining reed stands ( Phragmites australis ) of a large freshwater lake. Mycol Res 2008, 112:689–696.PubMedCrossRef 42. Arnold AE, Mejia LC, Kyllo D, Rojas EI, Maynard Z, Robbins N, Herre EA: Fungal endophytes limit pathogen damage in a tropical tree. Proc Natl Acad Sci USA 2003, 100:15649–15654.PubMedCrossRef 43. Osono T: Endophytic and epiphytic phyllosphere fungi of Camellia japonica : seasonal and leaf age-dependent variations. Mycologia 2008, 100:387–391.PubMedCrossRef 44. Schadt CW, Martin AP, Lipson DA, Schmidt SK: Seasonal dynamics of previously unknown fungal lineages in tundra soils. find more Science next 2003, 301:1359–1361.PubMedCrossRef 45. Nikolcheva LG, Bärlocher F: Seasonal and substrate preferences of fungi colonizing leaves in streams: traditional versus molecular evidence. Environ Microbiol 2005, 7:270–280.PubMedCrossRef 46. Wielgoss A, Nechwatal J, Bogs C, Mendgen K: Host plant development, water level and water parameters shape Phragmites australis -associated oomycete communities and determine reed pathogen dynamics in a large lake. FEMS Microbiol Ecol 2009, 69:255–265.PubMedCrossRef 47. Simpson DR, Thomsett MA, Nicholson P: Competitive interactions between Microdochium nivale var. majus , M. nivale var.

Fungal Genet Biol 2008, 45:165–70 PubMedCrossRef 24 Thompson JD,

Fungal Genet Biol 2008, 45:165–70.PubMedCrossRef 24. Thompson JD, Higgins DG, Gibson TJ: CLUSTAL W: improving the sensitivity of progressive multiple sequence alignment through sequence weighting, position-specific gap penalties and weight matrix choice. Nucleic acids research 1994, 22:4673–80.PubMedCrossRef 25. Saitou N, Nei M: The neighbor-joining method: a new method for reconstructing phylogenetic trees. Molecular biology and evolution 1987, 4:406–25.PubMed Authors’ contributions KRP, UHM, BGH and TBR conceived the study. BGH designed the experiments. BGH, HJG, CSK and JBN carried out the research. JCF contributed to the design of experiments

and provided expertise in mycology. BGH and HJG prepared the first draft

of the manuscript. UHM and KRP contributed to the experimental design and preparation of the manuscript. All authors were involved in the revision of the draft manuscript selleck chemical and have Q-VD-Oph nmr agreed to the final content.”
“Background Aspergillus species are believed to be cosmopolitan organisms, existing as unstructured global populations. Species belonging to this taxon, including A. fumigatus, A. terreus, A. flavus and others, cause invasive aspergillosis (IA) predominantly in severely immunocompromised individuals. The majority of studies with A. fumigatus have demonstrated no association between find more genotypes and geography. Several studies employing comparative sequence analysis of different loci, including protein coding, intergenic and microsatellite containing regions, arrived at the conclusion that there was no correlation between genotype

and geographical origin among A. fumigatus isolates [1–3]. In contrast to these observations, one study demonstrated the presence of multiple, well-supported phylogenetic clusters amongst A. fumigatus isolates from a collection of isolates geographically dispersed across North America [4]. The locus sequenced was a single gene encoding a putative cell surface protein, Afu3g08990 (CSP), in which polymorphisms consisted of insertions and deletions within a repeat region. The authors speculated that the presence of clusters may have been undetected previously due to the reliance why on data from loci lacking sufficient polymorphisms. Aspergillus terreus is the second or third most common etiological agent of IA and interestingly, appears to be the most common cause of infection in some medical centers, suggesting ecological specificity for this organism [5–7]. Previous efforts to determine population structure in A. terreus have been hampered by the lack of reliable methods for exploiting genetic variability to distinguish or group isolates. Balajee et al., employing a multi-gene sequencing approach to a large global collection of isolates previously identified as A. terreus, showed that no evidence of endemism existed but were able to define a genotypically distinct species, A. alabamensis [8].

Rolston KV, Bodey GP, Safdar A: Polymicrobial infection in patien

Rolston KV, Bodey GP, Safdar A: Polymicrobial infection in patients with cancer: an underappreciated and underreported entity. Clin Infect Dis 2007, 45:228–233.PubMedCrossRef 5. Duggal R, Rajwanshi A, Gupta N, Lal A, Singhal M: Polymicrobial

lung infection in postrenal transplant recipient diagnosed by fine-needle aspiration cytology. Diagn Cytopathol 2010, 38:294–296.PubMed 6. Tuttle MS, Mostow E, Mukherjee P, Hu FZ, Melton-Kreft R, Ehrlich GD, Dowd SE, Ghannoum MA: Characterization of bacterial communities in venous insufficiency wounds by use check details of conventional culture and molecular diagnostic methods. J Clin Microbiol 2011, 49:3812–3819.PubMedCentralPubMedCrossRef 7. Grice EA, Snitkin ES, Yockey LJ, Bermudez DM, Liechty KW, Segre JA: Longitudinal shift in

diabetic wound microbiota correlates with prolonged skin defense response. Proc Natl Acad Sci U S A 2010, 107:14799–14804.PubMedCentralPubMedCrossRef 8. Scales BS, Huffnagle GB: The microbiome in wound repair and tissue fibrosis. J Pathol 2013, 229:323–331. doi:10.1002/path.4118PubMedCentralPubMedCrossRef 9. Kirkup BC Jr, Craft DW, Palys T, Black C, Heitkamp R, Li C, Lu Y, Matlock N, McQueary C, Michels A, Peck G, Si Y, Summers AM, Thompson M, Zurawski DV: Traumatic wound microbiome workshop. Microb Ecol 2012, 64:837–850.PubMedCrossRef 10. selleck products Erb-Downward JR, Thompson DL, Han MK, Freeman CM, McCloskey L, Schmidt LA, Young VB, Toews GB, Curtis JL, Sundaram B, Martinez FJ, Huffnagle GB: Analysis of the lung microbiome in the “healthy” smoker and in COPD. PLoS One 2011, 6:e16384.PubMedCentralPubMedCrossRef 11. Pragman AA, Kim HB, Reilly selleck chemicals MycoClean Mycoplasma Removal Kit CS, Wendt C, Isaacson RE: The lung microbiome in moderate and

severe chronic obstructive pulmonary disease. PLoS One 2012, 7:e47305.PubMedCentralPubMedCrossRef 12. Sze MA, Dimitriu PA, Hayashi S, Elliott WM, McDonough JE, Gosselink JV, Cooper J, Sin DD, Mohn WW, Hogg JC: The lung tissue microbiome in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2012, 185:1073–1080.PubMedCentralPubMedCrossRef 13. Cabrera-Rubio R, Garcia-Nunez M, Seto L, Anto JM, Moya A, Monso E, Mira A: Microbiome diversity in the bronchial tracts of patients with chronic obstructive pulmonary disease. J Clin Microbiol 2012, 50:3562–3568.PubMedCentralPubMedCrossRef 14. Zemanick ET, Sagel SD, Harris JK: The airway microbiome in cystic fibrosis and implications for treatment. Curr Opin Pediatr 2011, 23:319–324.PubMedCrossRef 15. Stressmann FA, Rogers GB, Klem ER, Lilley AK, Donaldson SH, Daniels TW, Carroll MP, Patel N, Forbes B, Boucher RC, Wolfgang MC, Bruce KD: Analysis of the bacterial communities present in lungs of patients with cystic fibrosis from American and British centers. J Clin Microbiol 2011, 49:281–291.PubMedCentralPubMedCrossRef 16. Rogers GB, Carroll MP, Hoffman LR, Walker AW, Fine DA, Bruce KD: Comparing the microbiota of the cystic fibrosis lung and human gut. Gut Microbes 2010, 1:85–93.PubMedCentralPubMedCrossRef 17.

Methods Figure 1 shows the

configuration of the Au-SiO2-A

Methods Figure 1 shows the

configuration of the Au-SiO2-Au nanomatryoshka, which consists of an SiO2 layer between an Au core and an Au shell, excited by a radial electric dipole or illuminated by polarized light. The outer radius of the Au shell, the radius of the middle silica layer, and the radius of the Au core are denoted by a 1, a 2, and a 3, respectively. The thicknesses of the outer Au shell and the silica interlayer are denoted by t 1 and t 2, respectively, CH5183284 research buy where t 1  = a 1  - a 2, t 2  = a 2  - a 3. Without loss of generality, the radial dipole is a distance d above the north pole of the nanomatryoshka, and the incident plane wave is assumed to propagate along the y-axis with a z-polarized electric field. The origin of the coordinate system is located at the center of the Au core. Throughout this paper, the classical theory of Maxwell’s equations is used to analyze the electromagnetic field that is induced by an electric dipole or a plane wave that irradiates a nanomatryoshka. An analytical solution of the dyadic Green’s functions is used in the former case [22], and the Mie theory is used in the latter case [23]. In response to the interaction of a radial dipole with the nearby nanomatryoshka, the radiative power can be expressed by (1) where the integral surface S can be any arbitrary closed

BMS-907351 cost surface that encloses the nanomatryoshka and the electric dipole [23]. The nonradiative power due to the ohmic loss in the nanomatryoshka is the dissipation power in metal, (2) where S m represents the outer surface of the Au shell [6, 23]. Here, the unit normal is outward. Since the silica layer and its surrounding Nintedanib (BIBF 1120) medium are lossless media, the nonradiative power is the total power dissipated in the Au shell and core, which can be decomposed

into . The dissipation power in the Au core is given by (3) where S c is the surface of the Au core. The multi-connected surface of the Au shell is S m∪S c. Equations 2 and 3 can be used to analyze individually the contributions of the Au shell and the Au core. Figure 1 Configuration of Au-SiO 2 -Au nanomatryushka irradiated by a radial electric dipole or a z -polarized plane wave. The radii of the outer Au shell, the SiO2 shell, and the Au core are denoted by a 1, a 2, and a 3, respectively. Moreover, the Fano line-shape function in terms of wavelength λ is defined as (4) where [10–12]. In Equation 4, q, λ 0, and δ f are the Fano factor, the central wavelength, and the bandwidth, respectively. Here, A is a constant for amplitude. Below, this profile will be used to fit the spectra of the nonradiative powers or absorption efficiencies of the Au shell and the Au core at the Fano resonance. Results and Selleckchem MAPK inhibitor discussion The plasmon modes of a typical nanomatryoshka of size [a 1, a 2, a 3] = [75, 50, 35] nm are analyzed first. The surrounding medium is water. The permittivity of Au is taken from the literature [24].

However, significant structural changes of the capping layer due

However, significant structural changes of the capping layer due to the addition of N have BGB324 purchase been found to take place [14]. Strain and compositional inhomogeneities are induced during the CL growth, yielding a degradation of the luminescence such that, as far as we know, no room-temperature (RT) emission has been reported to date using such a CL. Nevertheless, the resulting morphology of the CL could be modified through the growth conditions. Growth parameters such as growth temperature or growth rate could significantly influence the mass transport phenomena and composition modulation. Therefore, a need arises to find the optimal growth conditions in order to exploit the promising properties

of this QD-CL system in optoelectronic applications. In this work, we study the effect of modifying the CL growth temperature, thickness, and growth rate on QD luminescence. RT photoluminescence (PL) is shown to be achievable through different growth conditions, and extending the emission to 1.3 μm is possible by means of the appropriate combination of the growth parameters. Methods All of the analyzed samples were grown by solid source molecular beam epitaxy on n +-doped GaAs (001) substrates. The QD layers were always grown under the same conditions by depositing 2.8 CHIR98014 clinical trial monolayers (ML) of InAs at 450°C and 0.04

ML s−1 on an intrinsic 0.5-μm-thick GaAs buffer layer. The GaAsSbN CL was grown under the reference conditions discussed below, modifying only one of the growth parameters for

each Luminespib molecular weight series of samples. A 250-nm-thick GaAs layer was grown on top of the GaAsSbN capping. Sb was supplied from an effusion cell, while active N was generated from a radio-frequency (RF) plasma source with a 0.1-sccmflow of pure N2. The samples were characterized by PL measurements at 15 K and RT. A He-Ne laser was used as the excitation source, and low-temperature (LT) measurements were done using a closed-cycle He cryostat. The emitted light from the samples was dispersed by a 1-m spectrometer and detected with a liquid nitrogen-cooled Ge detector through standard lock-in techniques. Results and discussion First, it is necessary to establish the reference growth conditions for the GaAsSbN CL as a starting point from which one of the parameters RAS p21 protein activator 1 will be modified in each series of samples. Thus, as reference conditions for the CL growth, those used in previous studies are considered [12], i.e., a 470°C growth temperature, a ratio of As4/Ga beam equivalent pressure of 32, a thickness of 5 nm, and a growth rate of 1 ML s−1. Regarding the N and Sb contents, a power of 140 W for the RF plasma source and a temperature of 335°C for the Sb effusion cell were chosen as reference source conditions. These conditions correspond in our system to nominal contents of 2.5% of N and 15% of Sb.

bovis/gallolyticus can penetrate into the bloodstream through epi

bovis/gallolyticus can penetrate into the bloodstream through epithelial, oropharyngeal, dermal, respiratory, gastrointestinal, or urogenital lesions [88]. On the other hand, the ulceration of neoplastic lesions are found to be unable to form a consistent pathway

for the gut microorganisms to enter the bloodstream [7]. The access of S. bovis/gallolyticus into blood circulation MK0683 in vitro does not explain the cases of patients with infectious endocarditis and non-ulcerated colonic polyps [81]. Above all, S. bovis/gallolyticus bacteria were found to be actively engaged in triggering severe inflammatory reaction in colorectal mucosa, inducing inflammatory and angiogenic cytokines leading to the formation of free radicals that are implicated in the development or propagation of all types of human cancers [27, 29, 37, 39, 40, 89]. Accordingly, too many clues were found supporting the etiological role of S. bovis/gallolyticus in the development of colorectal tumors; therefore, it is very difficult to assume a non-etiological role of these bacteria. Hence, a more detailed overview is needed to clarify the underlying mechanisms that could be pursued by S. bovis/gallolyticus for the etiology or propagation of colorectal find more tumors. The hypothesized mechanisms of the etiological association of S. bovis/gallolyticus with colorectal tumors The other big question in the current topic, what mechanisms S. bovis/gallolyticus

undertakes Selleck Decitabine to induce, promote, or/and progress the development of neoplastic lesions. The most possible mechanisms are as follows: Carcinogenesis via cytokine-dependent inflammation Chronic inflammation is associated with many malignant changes. Host genetic polymorphisms of the adaptive and innate immune response play an important role in bacteria-induced cancer formation [90–92]. Therefore, studying

the immunological responses to chronic bacterial infections yields important clues on the carcinogenic mechanisms of bacterial persistent infections and clarifies the relationship between inflammation and cancer [93, 94]. Clinical studies have shown that the use of non-steroidal anti-inflammatory drugs is associated with reduced risk of gastrointestinal cancers [95]; hence, these studies provide evidence on the role of inflammation in the development of gastrointestinal cancers. In vitro experiments showed that the binding of S. bovis wall extracted antigens to various cell lines, including human colonic cancer cells (Caco-2), stimulated the production of inflammatory cytokines by those cells [38, 96]. In other studies, the production of inflammatory cytokines in response to S. bovis/gallolyticus, such as TNF-α, IL-1β, IL-6, and IL-8, is found to contribute to the normal defense mechanisms of the host [89, 97] leading to the formation of HDAC inhibitor mechanism nitric oxide and free radicals such as superoxide, peroxynitrites, hydroxyl radicals, and alkylperoxy radicals [96, 98].

ZD performed the statistical analysis QS and NC participated in

ZD performed the statistical analysis. QS and NC participated in the study design and coordination. LY carried out the data collection. SB carried out the design of the study. All authors read and approved the final manuscript.”
“Background Hepatocellular carcinoma (HCC) is the fifth most common cancer worldwide and the most common form of liver cancer, being responsible for 80% of primary malignant tumors in adults. HCC causes more than 600,000 deaths annually worldwide [1] and its endemic prevalence

in Asia, including South Korea, makes HCC one of CB-839 price the top causes of death in this region. HCC is a type of tumor that is highly resistant to available chemotherapeutic agents, administered either alone or in this website combination [2]. Thus, in many cases, no effective therapy can be offered to patients with HCC. Therefore, it is of vital importance to identify important prognostic factors and novel molecular targets of HCC to develop targeted therapies, ultimately advancing therapeutic strategies of HCC in general. Current evidence indicates that the precancerous liver and the early stages in HCC development are characterized Idasanutlin cell line by certain common traits governed by both genetic and epigenetic mechanisms [3, 4]. These include the alteration of numerous signaling pathways leading to autonomous and deregulated cell proliferation and resistance to cell death [4–7].

Therefore, it is important to better understand the roles of deregulated genes in hepatocellular carcinogenesis. Derangements in various methylation processes in liver diseases have been identified [8, 9], including increased nicotinamide methylation in cirrhotic patients [10]. Nicotinamide N-methyltransferase (NNMT) catalyzes the N-methylation of nicotinamide, pyridines, and other structural analogues [11]. It is involved in the biotransformation of many drugs Cell press and xenobiotic compounds. Although several studies indicated differential expression of NNMT in HCC specimens [12–15], the clincopathologic relevance of NNMT expression has not been fully investigated.

The aim of the present investigation was to examine whether NNMT expression could be used to predict the clinical course of HCC. Using a real-time RT-PCR analysis of NNMT gene expression, we found significant correlation between NNMT mRNA levels and poor prognosis of HCC. Thus, potential biological changes related to NNMT gene expression require further study, as they may have implications in predicting clinical outcome and choosing treatment modalities, due to the central role of NNMT in biotransformation and detoxification. Methods Patients and tissue samples HCC (T) and corresponding non-cancerous hepatic tissues (NT) were obtained with informed consent from 120 patients who underwent curative hepatectomy for primary HCC between 2001 and 2006 in the Department of Surgery, Samsung Medical Center, Korea. The study protocol was approved by the Institutional Review Board of Samsung Medical Center.

Material

Material CYT387 price and methods In the years 1998–2010, at the Department of Thoracic Surgery, General and Oncological Surgery of the Medical University of Lodz, there were treated 44 consecutive patients with AM. The study group comprised the patients fulfilling Selleckchem Saracatinib modified criteria of mediastinitis diagnosis

worked out by Esterra et al. [17], which in the original version were related to descending necrotizing mediastinitis: (1) clinical manifestation of severe infection; (2) demonstration of AM etiological factors; (3) characteristic radiological picture of mediastanitis; (4) isolation of the pathogen in microbiological cultures from the mediastinal area; (5) intraoperative or postmortem documentation of mediastinitis. Exponents of sepsis in the form of: fever, tachycardia, hyperventilation and leucocytosis were observed in all patients. The study selleck products was given an approval by the institutional Ethical Review Committee (ERC). The age of the patients was from 19 to 83 years, mean age 52.5 years (median 54.5). There were 31 men, mean age 50,9 years (median 55) and 13 women,

mean age 56.4 years (median 58). Majority of them were referred to our department after earlier treatment in other centers which had an impact on the delay in diagnosis and on appropriate surgical treatment. The time of hospitalization was on the average about 3 weeks (23.84 ± 11.96 days, median 21.5). All patients were operated, 14 patients died. The total death rate was 31.82% (38.7% in male and 15.4% in female group). The etiology

of AM was extremely differentiated (Table Etofibrate 1). Iatrogenic complications were the most frequent cause of mediastinal infection. They were found in 19 patients (43.2%) and associated with esophageal and tracheal surgeries or with injuries to these organs during endoscopy or intubation. Non-iatrogenic esophageal and tracheal injuries were the cause of AM in 11 patients (25%). This group also included perforations caused by a foreign body. Descending AM was detected in 9 patients (20.4%). In 5 patients (11.4%) AM resulted from a spontaneous perforation of advanced esophageal cancer or lung cancer with infiltration to the esophagus (neoplastic etiology).

PubMed 15 Wadayama B, Toguchida J, Shimizu T, Ishizaki K, Sasaki

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