1
|
Selvam S, Youron P, Singh H, Shree R, Suri V, Goyal M, Modi M, Bhalla A. A case series of post-infectious chikungunya myeloradiculoneuropathy. J Neurol Sci 2024; 459:122955. [PMID: 38593523 DOI: 10.1016/j.jns.2024.122955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2024] [Revised: 03/07/2024] [Accepted: 03/10/2024] [Indexed: 04/11/2024]
Abstract
Chikungunya fever is an arboviral illness caused by chikungunya virus (CHIKV) and transmitted by the bite of Aedes aegypti and Aedes albopictus. It is an RNA virus belonging to the genus Alphavirus and family Togaviridae. We present a case series of three patients with chikungunya illness developing para/post-infectious myeloradiculoneuropathy.These patients developed neurological symptoms in the form of bilateral lower limb weakness with sensory and bowel involvement after the recovery from the initial acute episode of chikungunya fever. Clinical examination findings suggested myeloradiculoneuropathy with normal Magnetic Resonance Imaging of the Spine, with the nerve conduction study showing sensorimotor axonal polyneuropathy. All the patients were treated with 1 g of methylprednisolone once a day for five days, and case 2 was given intravenous immunoglobulin also. In the follow-up, cases 1 and 2 showed complete recovery without recurrence, and case 3 did not show improvement at one month.
Collapse
Affiliation(s)
- Suresh Selvam
- Division of Clinical Infectious Diseases, Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India
| | - Padma Youron
- Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India
| | - Harpreet Singh
- Division of Clinical Infectious Diseases, Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India.
| | - Ritu Shree
- Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India
| | - Vikas Suri
- Division of Clinical Infectious Diseases, Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India
| | - Manoj Goyal
- Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India
| | - Manish Modi
- Department of Neurology, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India
| | - Ashish Bhalla
- Division of Clinical Infectious Diseases, Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India
| |
Collapse
|
2
|
Youron P, Mahajan S, Balaini N, Mehta S, Lal V. Fulminant SSPE Presenting as a Hyperkinetic Movement Disorder. Mov Disord Clin Pract 2023; 10:830-832. [PMID: 37205248 PMCID: PMC10186993 DOI: 10.1002/mdc3.13686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 12/20/2022] [Accepted: 01/30/2023] [Indexed: 02/06/2023] Open
Affiliation(s)
- Padma Youron
- Department of NeurologyPost Graduate Institute of Medical Education and ResearchChandigarhIndia
| | - Surbhi Mahajan
- Department of NeurologyPost Graduate Institute of Medical Education and ResearchChandigarhIndia
| | - Neeraj Balaini
- Department of NeurologyPost Graduate Institute of Medical Education and ResearchChandigarhIndia
| | - Sahil Mehta
- Department of NeurologyPost Graduate Institute of Medical Education and ResearchChandigarhIndia
| | - Vivek Lal
- Department of NeurologyPost Graduate Institute of Medical Education and ResearchChandigarhIndia
| |
Collapse
|
3
|
Singh C, Jindal N, Youron P, Malhotra P, Prakash G, Khadwal A, Jain A, Sreedharanunni S, Sachdeva MUS, Naseem S, Varma N, Varma S, Lad DP. Efficacy, safety, and quality of life of generic and innovator ibrutinib in Indian CLL patients. Indian J Hematol Blood Transfus 2021; 37:313-317. [PMID: 33867740 DOI: 10.1007/s12288-020-01378-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2020] [Accepted: 11/05/2020] [Indexed: 10/23/2022] Open
Abstract
To report the efficacy, safety, and quality of life (QoL) on generic and innovator ibrutinib in Indian CLL patients. This was a single centre, prospective study of treatment-naive (TN), and relapsed/refractory (R/R) CLL patients receiving ibrutinib in India. The choice of innovator or generic ibrutinib was as per patient discretion. Response and adverse events were recorded as per the 2018 iwCLL guidelines and CTCAEv4.0. QoL was assessed using the EORTC QLQ-C30 and CLL17 questionnaires. A total of 32 CLL patients (TN, n = 7 and R/R, n = 25) received ibrutinib from 2016-2019. The median age was 60 years (37-84). All TN patients attained partial response without any grade 3/4 adverse events (AE). Ibrutinib was less tolerated in the R/R setting, with 52% patients developing grade 3/4 AE and required dose reduction. Eleven patients (44%) died during follow-up. Grade 3-5 infections were seen in 44% of R/R CLL patients. Generic ibrutinib (n = 8) was comparable to innovator ibrutinib (n = 17) in terms of efficacy, safety, and QoL. Ibrutinib is less well tolerated in Indian R/R CLL patients. Infections are a common cause of morbidity and mortality. This study affirms the safety and efficacy of generic ibrutinib.
Collapse
Affiliation(s)
- Charanpreet Singh
- Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Nishant Jindal
- Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Padma Youron
- Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Pankaj Malhotra
- Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Gaurav Prakash
- Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Alka Khadwal
- Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Arihant Jain
- Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Sreejesh Sreedharanunni
- Department of Hematology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Man Updesh Singh Sachdeva
- Department of Hematology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Shano Naseem
- Department of Hematology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Neelam Varma
- Department of Hematology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Subhash Varma
- Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Deepesh P Lad
- Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| |
Collapse
|
4
|
Youron P, Singh C, Jindal N, Malhotra P, Khadwal A, Jain A, Prakash G, Varma N, Varma S, Lad DP. Quality of life in patients of chronic lymphocytic leukemia using the EORTC QLQ‐C30 and QLQ‐CLL17 questionnaire. Eur J Haematol 2020; 105:755-762. [DOI: 10.1111/ejh.13503] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Revised: 07/28/2020] [Accepted: 07/29/2020] [Indexed: 01/22/2023]
Affiliation(s)
- Padma Youron
- Department of Internal Medicine Postgraduate Institute of Medical Education and Research Chandigarh India
| | - Charanpreet Singh
- Department of Internal Medicine Postgraduate Institute of Medical Education and Research Chandigarh India
| | - Nishant Jindal
- Department of Internal Medicine Postgraduate Institute of Medical Education and Research Chandigarh India
| | - Pankaj Malhotra
- Department of Internal Medicine Postgraduate Institute of Medical Education and Research Chandigarh India
| | - Alka Khadwal
- Department of Internal Medicine Postgraduate Institute of Medical Education and Research Chandigarh India
| | - Arihant Jain
- Department of Internal Medicine Postgraduate Institute of Medical Education and Research Chandigarh India
| | - Gaurav Prakash
- Department of Internal Medicine Postgraduate Institute of Medical Education and Research Chandigarh India
| | - Neelam Varma
- Department of Hematology Postgraduate Institute of Medical Education and Research Chandigarh India
| | - Subhash Varma
- Department of Internal Medicine Postgraduate Institute of Medical Education and Research Chandigarh India
| | - Deepesh P. Lad
- Department of Internal Medicine Postgraduate Institute of Medical Education and Research Chandigarh India
| |
Collapse
|
5
|
Kumar RR, Youron P, Jha S, Singh AK, Sinha SK, Dhir V. Arthritis with nodular skin lesions. Lancet Rheumatol 2020; 2:e368. [PMID: 38273599 DOI: 10.1016/s2665-9913(19)30070-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2019] [Revised: 09/14/2019] [Accepted: 09/19/2019] [Indexed: 01/27/2024]
Affiliation(s)
- Rajiv Ranjan Kumar
- Department of Internal Medicine, Clinical Immunology and Rheumatology Division, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Padma Youron
- Department of Internal Medicine, Clinical Immunology and Rheumatology Division, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Saket Jha
- Department of Internal Medicine, Clinical Immunology and Rheumatology Division, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Anupam Kumar Singh
- Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Saroj Kant Sinha
- Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Varun Dhir
- Department of Internal Medicine, Clinical Immunology and Rheumatology Division, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
| |
Collapse
|