Search Results (24)

Objectives: Odontogenic sinusitis (ODS) is common but frequently overlooked condition that differs from rhinogenic sinusitis (CRS) and should be suspected in each case of unilateral sinusitis. Clinical symptoms such as foul smell, congestion, rhinorrhea, and unilateral maxillary sinus opacification with overt dental pathology on radiological scans are more suggestive of ODS than CRS, but the distinctive microbiological flora are another clinical factor in diagnosis. The aim of this study was to compare the microbiological load of ODS and CRS and their clinical presentation for better disease recognition and its predisposing factors. Methods: Adult patients scheduled for endoscopic sinus surgery were included in the study. Clinical data and radiological images were analyzed. The otolaryngologist assessed nasal endoscopy for mucopurulence or edema in middle meatus or sinuses, whereas dental specialist confirmed or ruled out the dental cause. Microbiological samples were collected after endoscopic maxillary antrostomy. After irrigation with 0,9% saline, the aspirated rinse was collected into sterile sets and sent for culturing. Results: The study group consisted of 84 patients, 55 with CRS and 29 with ODS. Streptococcus spp prevailed in the CRS group, whereas Staphylococcus spp prevailed in the ODS group. Statistically significant differences between the groups were found in type of discharge, degree of edema, and presence of polyps. However, no statistical correlations were noted for presence of bacteria in the culture and endoscopic or radiological findings. Conclusions: ODS and CRS share some common features: ODS more often presents with purulent discharge, localized maxillary involvement, and the presence of oral pathogens, and Staphylococcus spp in microbial profile. Full article

Nasal-type extranodal natural killer/T-cell lymphoma (ENKTL) is a rare, aggressive non-Hodgkin lymphoma associated with the Epstein–Barr virus (EBV). It predominantly affects middle-aged men and is most common in East Asia and Latin America. Due to its nonspecific symptoms, including nasal obstruction and discharge, ENKTL is frequently misdiagnosed as chronic rhinosinusitis or fungal infection, leading to delays in diagnosis and treatment. This case report presents a 46-year-old Algerian male with persistent nasal obstruction, foul-smelling nasal discharge, and progressive midfacial destruction. Multiple biopsies initially suggested chronic rhinosinusitis with fungal infection, delaying the definitive diagnosis. Subsequent deep biopsies confirmed ENKTL through histopathological and immunohistochemical analysis. ENKTL is characterized by its locally invasive nature, leading to necrotizing lesions and midfacial destruction. Histopathological confirmation through multiple well-targeted biopsies is crucial to prevent misdiagnosis. However, the prognosis remains poor, with a 5-year survival rate ranging from 20% to 65%. Full article

Introduction. According to the European Cancer Information System, melanoma is the sixth most diagnosed cancer in Europe (following breast, colorectal, prostate, lung, and bladder cancer) and ranks among the top 20 most common causes of cancer-related death. The diagnosis of melanoma can be a clinical challenge due to the variety of signs and symptoms, ranging from small, asymptomatic lesions with slow progression to large, painful tumors with rapid growth. In this paper, we will report an exceptional case of cutaneous melanoma with an atypical presentation in a patient with no personal or family history of skin cancer. Case presentation. We present the case of an 85-year-old patient who presented to our dermatology clinic with multiple nodular lesions on her right calf, extending to her thigh as isolated lesions. These violaceous lesions varied in size and displayed signs of bleeding, fibrin deposits, and purulent, foul-smelling discharge. The patient reported a five-month history of rapid tumor progression. The initial presumptive diagnosis was Kaposi's sarcoma; however, the biopsy ruled out this diagnosis, revealing the presence of malignant melanoma. Given the extensive locoregional spread and invasion of deep structures, the patient was transferred to palliative care. Conclusions. Melanoma is an aggressive form of cancer that can rapidly progress, often presenting with atypical clinical manifestations or mimicking other skin conditions. When the clinical presentation deviates from the classic patterns, a biopsy is considered the gold standard for guiding the clinician's subsequent approach. It provides valuable diagnostic information and aids in determining the prognosis as well as the appropriate therapeutic course. Full article

Background/Objectives: Odontogenic sinusitis (ODS) is the most common cause of unilateral maxillary sinus opacification. Initial treatment consists of intranasal steroids and antimicrobial therapy. In case of persistence of the disease, endoscopic sinus surgery (ESS) is advised. It is still not clear what extension of ESS is required and whether frontal sinusotomy or ethmoidectomy is justified in ODS with frontal sinus involvement. Methods: Adult patients presented with uncomplicated recalcitrant bacterial ODS due to endodontic-related dental pathology were evaluated by an otolaryngologist and a dentist and scheduled for ESS. Sinus CT scan demonstrated opacification of maxillary sinus and partial or complete opacification of extramaxillary sinuses ipsilateral to the side of ODS. Patients were undergoing either maxillary antrostomy, antroethmoidectomy, or antroethmofrontostomy. Preoperative and postoperative evaluations were done with nasal endoscopy, dental examination, subjective and radiological symptoms. Results: The study group consisted of 30 patients. Statistically significant decreases in values after surgery were found for SNOT-22, OHIP-14, Lund–Mackay, Lund–Kennedy, and Zinreich scale. Tooth pain was present in 40% cases during the first visit and in 10% during the follow-up visit. Foul smell was initially reported by 73.3% and by one patient during follow-up visit (3.3%). Significantly longer total recovery time and more crusting was marked for antroethmofrontostomy when compared to maxillary antrostomy. Conclusions: ESS resolved ODS with ethmoid and frontal involvement in almost every case. Minimal surgery led to improved overall clinical success in the same way as antroethmofrontostomy without risking the frontal recess scarring and stenosis. Full article

Thioethers are critical in the fields of pharmaceuticals and organic synthesis, but most of the methods for synthesis alkyl thioethers employ foul-smelling thiols as starting materials or generate them as by-products. Additionally, most thiols are air-sensitive and are easily oxidized to produce disulfides under atmospheric conditions; thus, a novel method for synthesizing thioethers is necessary. This paper reports a simple, effective, green method for synthesizing dialkyl or alkyl aryl thioether derivatives using odorless, stable, low-cost ROCS₂K as a thiol surrogate. This transformation offers a broad substrate scope and good functional group tolerance with excellent selectivity. The reaction likely proceeds via xanthate intermediates, which can be readily generated via the nucleophilic substitution of alkyl halides or aryl halides with ROCS₂K under transition-metal-free and base-free conditions. Full article

A drastic level of resource degradation was revealed through a preliminary evaluation (completed in 2016) of water quality in a recreational lake in the second industrial city in Dammam, Saudi Arabia. The primary signs were a foul smell, algal bloom, high turbidity, and lack of aquatic life. This study aims to evaluate the influence of reverse osmosis (RO) on lake water quality. The recreational lake consists of two connected lakes (Lakes 1 and 2), which receive treated effluent from an industrial wastewater treatment plant. Composite samples were collected from the lakes to analyze their physiochemical parameters. Descriptive analyses were performed, and two water quality indices were developed to observe the variations in water quality conditions between the two periods (2016 and 2021). The results indicated that the water parameters of total dissolved solids (TDS), sulphate (SO₄²⁻), biological oxygen demand (BOD), and dissolved oxygen (DO) in 2016 (3356, 4100, 516, and 1.32 mg/L, respectively) were significantly improved in 2021 (2502, 1.28, 9.39, and 7.79 mg/L, respectively). The results of the water quality index (WQI) and comprehensive pollution index (CPI) indicated that the water quality in Lake 1 was significantly enhanced in 2021 (WQI = 85, CPI = 1) in comparison with assessment data from 2016 (WQI = 962, CPI = 8). However, the data from Lake 2 revealed higher pollution levels in 2021 (WQI = 1722, CPI = 18) than those recorded in 2016 (WQI = 1508, CPI = 13). As indicated by the absence of bad smells, algal blooms, and restoration of aquatic life, the RO intervention successfully improved the water quality in Lake 1. The WQI and CPI were helpful tools for evaluating lake water quality. Full article

The evaluation of rural environmental quality plays an important role in improving farmers’ quality of life and in realizing a livable, workable, and beautiful countryside. Taking Shangluo City in Shaanxi Province as the study area, 16 indicators across five systems were selected to evaluate the rural environmental quality. The following methods were used in the evaluation: the hierarchical analysis method, the expert scoring method, and the fuzzy comprehensive evaluation method. The results show the following: (1) The rural environmental quality assessment value of Shangluo City is adequate. (2) In the system layer, the toilet renovation and infrastructure scores were high; however, the household sewage treatment and the construction and management mechanisms need to be improved. (3) According to an IPA quadrant diagram, the importance and satisfaction values for each index varied significantly. The management of black, foul-smelling water bodies and action on environmental remediation emerged as key to improving rural environmental quality. This study can provide a reference for the comprehensive improvement of rural environmental quality in other areas of Shaanxi Province. Full article

Odorous sediments containing volatile organic sulfur compounds (VOSCs) are a common issue in shallow water reservoirs globally. Volatile organic sulfur compounds are a typical class of malodorous substances that have attracted widespread attention due to their pungent odors and extremely low odor thresholds. The insufficient hydrodynamic conditions in the reservoir area lead to the accumulation of pollutants in the sediment, where biochemical reactions occur at the sediment–water interface, serving as a significant source of foul-smelling substances in the water body. This study analyzed sediment samples from 10 locations across a shallow water reservoir using flavor profile analysis, an electronic nose, and gas chromatography-mass spectrometry. The predominant odor types were earthy/musty and putrid/septic, with key odorants being VOSCs, 2-methylisoborneol, and geosmin. The results revealed VOSCs from organic matter account for up to 96.7% of odor activity. More importantly, concentrations and release fluxes of VOSCs consistently decrease along the water flow direction from dam regions to tail regions. This trend matches organic matter accumulation patterns in shallow reservoirs and highlights dam areas as hotspots for malodorous sediment. The generalized spatial distribution pattern and identification of key malodorous compounds establish a basis for understanding and managing odor issues in shallow freshwater reservoir sediments. Full article

Reports on UCF in animals are still lacking in veterinary literature. Detailed clinical signs, laboratory findings, and follow-up information from the first cases of UCF in two ewes and two cows are provided. The cases occurred over a 12-year period. All ruminants presented a fistulous tract or perforated wound on the right ventral abdomen, emitting a foul-smelling secretion possibly associated with macerated fetal parts or placental remains. Laboratory findings included anemia, leukocytosis by neutrophilia, and hyperfibrinogenemia in one ewe, and hyperfibrinogenemia in one cow. Ovariohysterectomy and fistulectomy were performed in one ewe, while the other three ruminants were submitted for the removal of fetal parts and placental remains through the UCF. Two ewes died within 12–48 h, and the two Nelore cows had an uneventful recovery, achieving secondary intention healing within 30 to 35 days. As a never-reported or unnoticed disease of the reproductive tract, UCF is an unusual consequence of dead fetus retention in an end-stage pregnancy and a potentially life-threatening condition in ruminants, especially ewes. Further broad studies in large herds of cattle and small ruminant flocks must be conducted to estimate the incidence of UCF and ensure improvements in the diagnosis and knowledge of pathogenesis, aiming at prevention. Full article

Constructed wetlands (CWs) are engineered water treatment systems that mimic the features and functions of natural wetlands. As a nature-based solution (NBS) for wastewater treatment, CWs are sustainable and cost-effective while providing various ecosystem services. However, their widespread application faces several uncertainties, particularly in developing countries. This study aims to analyze the success factors and challenges in implementing CW projects. Using the case of successful CWs in Bayawan City in the Philippines, this study surveyed 270 household heads from the community benefiting from the CWs and interviewed various CW stakeholders, including the project planner, management, community leader, social workers, and CW workers. The results showed that 89% of the respondents were aware of the existence of CWs in the community and 73% believed in their long-term sustainability. Among the identified factors for the successful implementation of the CW project were government support (43%), good governance (32%), and public support (14%). On the other hand, the implementation was challenged by improper maintenance (63%), overcrowding in the community (11%), foul smells (4%), funding (4%), and climate-related uncertainties, including natural calamities (4%), flooding (7%), earthquakes (4%), and sea level rise (11%). The implications of these success factors and challenges were discussed in the application of real options valuation to CW projects by incorporating the identified uncertainties into flexible decision making in the scaling up and widespread implementation of a more sustainable NBS to water resources management. Full article

Clostridium perfringens is a versatile pathogen, inducing diseases in the skin, intestine (such as chicken necrotic enteritis (NE)), and other organs. The classical sign of NE is the foul smell gas in the ballooned small intestine. We hypothesized that deoxycholic acid (DCA) reduced NE by inhibiting C. perfringens virulence signaling pathways. To evaluate the hypothesis, C. perfringens strains CP1 and wild-type (WT) HN13 and its mutants were cultured with different bile acids, including DCA and isoallolithocholic acid (isoalloLCA). Growth, hydrogen sulfide (H₂S) production, and virulence gene expression were measured. Notably, isoalloLCA was more potent in reducing growth, H₂S production, and virulence gene expression in CP1 and WT HN13 compared to DCA, while other bile acids were less potent compared to DCA. Interestingly, there was a slightly different impact between DCA and isoalloLCA on the growth, H₂S production, and virulence gene expression in the three HN13 mutants, suggesting possibly different signaling pathways modulated by the two bile acids. In conclusion, DCA and isoalloLCA reduced C. perfringens virulence by transcriptionally modulating the pathogen signaling pathways. The findings could be used to design new strategies to prevent and treat C. perfringens-induced diseases. Full article

In order to cope with increased demands for energy and metabolites as well as to enhance stress resilience, tumor cells develop various metabolic adaptations, representing a hallmark of cancer. In this regard, the dysregulation of sulfur metabolism that may result in elevated levels of volatile sulfur compounds (VSCs) in body fluids, breath, and/or excretions of cancer patients has recently gained attention. Besides hydrogen sulfide (H₂S), methanethiol is the predominant cancer-associated VSC and has been proposed as a promising biomarker for non-invasive cancer diagnosis. Gut bacteria are the major exogenous source of exposure to this foul-smelling toxic gas, with methanethiol-producing strains such as Fusobacterium nucleatum highly abundant in the gut microbiome of colorectal carcinoma (CRC) patients. Physiologically, methanethiol becomes rapidly degraded through the methanethiol oxidase (MTO) activity of selenium-binding protein 1 (SELENBP1). However, SELENBP1, which is considered a tumor suppressor, is often downregulated in tumor tissues, and this has been epidemiologically linked to poor clinical outcomes. In addition to impaired removal, an increase in methanethiol levels may derive from non-enzymatic reactions, such as a Maillard reaction between glucose and methionine, two metabolites enriched in cancer cells. High methionine concentrations in cancer cells may also result in enzymatic methanethiol production in mitochondria. Moreover, enzymatic endogenous methanethiol production may occur through methyltransferase-like protein 7B (METTL7B), which is present at elevated levels in some cancers, including CRC and hepatocellular carcinoma (HCC). In conclusion, methanethiol contributes to the scent of cancer as part of the cancer-associated signature combination of volatile organic compounds (VOCs) that are increasingly being exploited for non-invasive early cancer diagnosis. Full article

Color is the prime feature directly associated with the consumer’s attraction and choice of their food. The flavor, safety, and nutritional value of any food product are directly associated with the food color. Natural and synthetic colorants (dyes and pigments) have diversified applications in various sectors such as food, feed, pharmaceutical, textiles, cosmetics, and others. Concerning the food industry, different types of natural and synthetic colorants are available in the market. Synthetic food colorants have gained popularity as they are highly stable and cheaply available. Consumers worldwide prefer delightful foodstuffs but are more concerned about the safety of the food. After its disposal, the colloidal particles present in the synthetic colorants do not allow sunlight to penetrate aquatic bodies. This causes a foul smell and turbidity formation and gives a bad appearance. Furthermore, different studies carried out previously have presented the toxicological, carcinogenic effects, hypersensitivity reactions, and behavioral changes linked to the usage of synthetic colorants. Natural food colorings, however, have nutraceutical qualities that are valuable to human health such as curcumin extracted from turmeric and beta-carotene extracted from carrots. In addition, natural colorants have beneficial properties such as excellent antioxidant properties, antimutagenic, anti-inflammatory, antineoplastic, and antiarthritic effects. This review summarizes the sources of natural and synthetic colorants, their production rate, demand, extraction, and characterization of food colorants, their industrial applications, environmental impact, challenges in the sustainable utilization of natural colorants, and their prospects. Full article

In today’s busy lifestyle, people are experiencing a constant shortage of time for their personal care. Focus on personal health and hygiene has reduced to a significant extent. In such situations, health and hygiene of people are continuously downgrading due to a lack of attention towards them. As the solution of such situations, the market is full of many instantly acting products containing harmful chemicals and ingredients. Mouth health and hygiene is of prime importance as it is the main gateway of food and for verbal communication. Tackling the increasing problems related to the health and hygiene of the oral cavity and emerging issues due to excessive use of instant-acting products for them is the need of the hour. Herbal formulations are proven treatment options that can deal with such situations without any untoward side effects. We have studied many traditionally used natural items to screen a few of the potent ingredients to formulate an oral spray. Developed polyherbal spray formulation using Clove oil, Peppermint oil, Fennel oil, Piper Betel oil and Cardamom oil was evaluated for various basic parameters. As all of the above herbal ingredients have already proven their activities for maintaining and improving oral hygiene and health, the final product was not evaluated for specific activities. Moreover, it does not require additional facilities. In a nutshell, the developed polyherbal spray was found to be a probable alternative for an instant mouth-refreshing product dealing with the majority of oral health and hygiene issues, especially a foul smell. Full article

Sufu, a Chinese traditional fermented soybean product, has a characteristic foul smell but a pleasant taste. We determined the core functional microbiota and their metabolic mechanisms during sufu fermentation by examining relationships among bacteria, characteristic flavor compounds, and physicochemical factors. Flavor compounds in sufu were detected through headspace solid-phase microextraction coupled with gas chromatography–mass spectrometry, and the microbial community structure was determined through high-throughput 16S rRNA sequencing. The results showed that the fermentation process of sufu could be divided into early and late stages. The early stage was critical for flavor development. Seven microbiota were screened based on their abundance, microbial relevance, and flavor production capacity. Five microbes were screened in the early stage: Pseudomonas, Tetragenococcus, Lysinibacillus, Pantoea, and Burkholderia–Caballeronia–Paraburkholderia. Three microbes were screened in the late stage: Exiguobacterium, Bacillus, and Pseudomonas. Their metabolic profiles were predicted. The results provided a reference for the selection of enriched bacterial genera in the fermentation process and controlling applicable process conditions to improve the flavor of sufu. Full article