Dissemination of the multidrug-resistant extended-spectrum β-lactamase-producing Escherichia coli O25b-ST131 clone and the role of house crow (Corvus splendens) foraging on hospital waste in Bangladesh

Two hundred and thirty-eight faecal samples from crows foraging on hospital wastes were analysed for extended-spectrum β-lactamase (ESBL)-producing Enterobacteriaceae. ESBL-producing crow isolates were characterized and compared with 31 patient isolates. Among the crows, 59% carried ESBL producers. These included Escherichia coli, Klebsiella pneumoniae, Raoultella terrigena and Enterobacter cloacae harbouring the genes for CTX-M-1, CTX-M-15, CTX-M-55, CTX-M-79, and CTX-M-14. Human isolates carried only the CTX-M-15 gene. Two-thirds of crow E. coli isolates and all human E. coli isolates were multidrug resistant. Crows and patients shared E. coli sequence types, including the epidemic E. coli O25b-ST131 clone. The scavenging behaviour of crows at poorly managed hospital waste dumps made them potential reservoirs of antibiotic resistance, including ESBLs.

Term alive intra abdominal ectopic pregnancy

A case of term alive intra abdominal ectopic pregnancy. This case is a rarity that a few Gynaecologists encounter during their professional carrier. Initially it was diagnosed as a case of hyperamesis graviderum and was treated conservatively. Confirm diagnosis was done during laparotomy, a female baby was delivered and the patient recovered uneventfully. DOI: http://dx.doi.org/10.3329/bjms.v11i1.9828 BJMS 2012; 11(1): 66-68