1
|
Rashid M, Das SN, Hasan MM, Hera MFH, Rana MM, Saha R. Frequency of Hyponatremia in Adults with Acute Bacterial Meningitis. Mymensingh Med J 2024; 33:360-364. [PMID: 38557511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2024]
Abstract
Bacterial meningitis is a life-threatening disease. Bacterial meningitis patients are prone to develop acute hyponatremia. In the central nervous system infection hyponatremia could be due to the Syndrome of Inappropriate Anti Diuretic Hormone secretion. The frequency of hyponatremia in adults with acute bacterial meningitis patients was seen in this study. This cross-sectional study was conducted in the Internal Medicine Department of Mymensingh Medical College Hospital, Mymensingh, Bangladesh from February 2016 to July 2016. A total of 50 patients were enrolled in this study by purposive sampling. Among 50 acute bacterial meningitis patients, 33 (66%) were diagnosed as hyponatremic state. The mean serum sodium level of 33 hyponatremic bacterial meningitis cases was 130.66±2.95 mmol/L. Most of the cases (78.79%) were mild hyponatremic state (130 mmol/L-135 mmol/L) whereas 18.18% were revealed as moderate hyponatremia (125 mmol/L-129 mmol/L). Only 3.03% of cases were presented as severe cases (≤124 mmol/L). The result revealed that a large number of patients with acute bacterial meningitis were suffering from hyponatremia and in the majority of cases were mildly hyponatremic.
Collapse
Affiliation(s)
- M Rashid
- Dr Mamunoor Rashid, Indoor Medical Officer, Department of Medicine, Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh; E-mail:
| | | | | | | | | | | |
Collapse
|
2
|
Saha R, Yadav A, Verma P, Srivastava MK. Atypical Presentations of Childhood Simple Partial Seizures: a Case Series. East Asian Arch Psychiatry 2023; 33:95-99. [PMID: 37771216 DOI: 10.12809/eaap2306] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/30/2023]
Abstract
Childhood epilepsy can masquerade as a variety of psychiatric disorders or behavioural abnormalities. Differentiating between simple partial seizure and psychiatric disorders remains a challenge. We report on three children with simple partial seizure, each presented atypically with migraine, tingling sensations, and/or crying spells. When dealing with atypical symptomatology, clinicians should utilise a multidirectional, rather than unidirectional, diagnostic approach when making their diagnosis.
Collapse
Affiliation(s)
- R Saha
- Department of Psychiatry, VMMC & Safdarjung Hospital, New Delhi, India
| | - A Yadav
- Department of Psychiatry, VMMC & Safdarjung Hospital, New Delhi, India
| | - P Verma
- Department of Psychiatry, VMMC & Safdarjung Hospital, New Delhi, India
| | - M K Srivastava
- Centre of Excellence in Mental Health, ABVIMS & Dr RML Hospital, Delhi, India
| |
Collapse
|
3
|
Goyal N, Saini V, Gangar S, Mohapatra S, Singh NP, Saha R. Are we missing the silver lining of COVID-19 pandemic: An analytical study to determine effects of three COVID-19 peaks on antimicrobial susceptibility of Staphylococcus aureus isolates. J Family Med Prim Care 2023; 12:1424-1429. [PMID: 37649748 PMCID: PMC10465057 DOI: 10.4103/jfmpc.jfmpc_2420_22] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 05/09/2023] [Accepted: 05/24/2023] [Indexed: 09/01/2023] Open
Abstract
Background Given the evolving nature of COVID-19, for better understanding of its effect on antimicrobial resistance of Staphylococcus aureus (S. aureus), it becomes crucial that we follow the resistance patterns across different surges of COVID-19 cases. Methods This prospective surveillance study extended over two years from January 2020-March 2022 and was conducted in a healthcare center of North India. Susceptibility patterns of Staphylococcus aureus during January-March 2020 were considered as prepandemic patterns. Processing of clinical specimens, identification of S. aureus, and in-vitro antibiotic susceptibility testing were performed in accordance with standard microbiological testing procedures and Clinical Laboratory Standard Institute guidelines. Results Lowest prevalence (38.9%) of Methicillinresistant S. aureus was reported during January-March 2021 and July-September 2021. More than 50% S. aureus isolates were susceptible to linezolid, cotrimoxazole, tetracycline, and gentamicin in January-March 2020. In January-March 2021, ≥50% of S. aureus isolates from clinical specimens were additionally susceptible to clindamycin and erythromycin. Antibiotic agents of linezolid, tetracycline, clindamycin, and cotrimoxazole were susceptible in ≥50% of S. aureus isolates in January-March 2022. Conclusions This study reveals a sharp decline in overall resistance to commonly prescribed antibiotic agents for S. aureus isolates after first peak of COVID-19 cases. However, same trend was not observed in subsequent peaks and probably we are approaching the same resistance levels that were seen prior to COVID-19 pandemic.
Collapse
Affiliation(s)
- Nisha Goyal
- Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
| | - Vikas Saini
- Department of Microbiology, National Cancer Institute- All India Institute of Medical Sciences, BADSA Jhajjar, Haryana, India
| | - Seema Gangar
- Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
| | - Subhashree Mohapatra
- Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
| | - Narendra Pal Singh
- Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
| | - Rumpa Saha
- Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
| |
Collapse
|
4
|
Gautam S, Das S, Singh PK, Rai G, Jain C, Saha R, Singh NP, Gomber S, Eltayeb R, Dar SA. Predictors of Candidemia during Febrile Episode in Lymphoreticular Malignancy Affecting Paediatric Population. Diagnostics (Basel) 2023; 13:diagnostics13091638. [PMID: 37175029 PMCID: PMC10177753 DOI: 10.3390/diagnostics13091638] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Revised: 05/03/2023] [Accepted: 05/04/2023] [Indexed: 05/15/2023] Open
Abstract
Limited studies on candidemia in malignancy in the paediatric population from developing countries show a high incidence, high morbidity and a unique epidemiology as compared to developed nations. Our prospective observational study aimed to explore the prevalence of invasive candidiasis, especially candidemia, in febrile paediatric patients with lymphoreticular malignancy. A sample size of 49 children, with 100 recorded febrile episodes was studied. The relevance of candida colonization and mannan antigen detection as indicators of impending candidemia was evaluated. Genotypic identification of the yeast isolates was followed by sequence analysis using the NCBI-BLAST program, and the generation of the phylogenetic tree using MEGA 6.0 software. We observed a 5% prevalence of candidemia among febrile paediatric patients with lymphoreticular malignancy, predominantly caused by non-albicans candida. Colonization at multiple anatomical sites decreased from day 1 to day 8 of febrile episodes. Significant candida colonization (colonization index ≥0.5) was seen in a larger proportion of candidemia patients on day 1 and day 4 (p < 0.001) displaying a definite association between the two. The receiver operator characteristic (ROC) curve analysis for mannan antigen level revealed a cut-off of ≥104.667 pg/mL, suitable for predicting candidemia with a sensitivity of 100%, specificity of 92% and area under ROC value of 0.958 (95% CI: 0.915-1; p < 0.001). A phylogenetic tree with three population groups, clade 1, 2 and 3, consisting of Candida auris (1), Candida tropicalis (2) and Candida parapsilosis (2), respectively, was generated. The diagnosis of candidemia based on mannan antigen detection gives early results and has high negative predictive values. It can be combined with other biomarkers to increase sensitivity, specificity and positive predictive value.
Collapse
Affiliation(s)
- Suchita Gautam
- Department of Microbiology, University College of Medical Sciences (University of Delhi) & GTB Hospital, Delhi 110095, India
| | - Shukla Das
- Department of Microbiology, University College of Medical Sciences (University of Delhi) & GTB Hospital, Delhi 110095, India
| | - Praveen Kumar Singh
- Department of Microbiology, University College of Medical Sciences (University of Delhi) & GTB Hospital, Delhi 110095, India
| | - Gargi Rai
- Department of Microbiology, University College of Medical Sciences (University of Delhi) & GTB Hospital, Delhi 110095, India
| | - Charu Jain
- Department of Microbiology, University College of Medical Sciences (University of Delhi) & GTB Hospital, Delhi 110095, India
| | - Rumpa Saha
- Department of Microbiology, University College of Medical Sciences (University of Delhi) & GTB Hospital, Delhi 110095, India
| | - Narendra Pal Singh
- Department of Microbiology, University College of Medical Sciences (University of Delhi) & GTB Hospital, Delhi 110095, India
| | - Sunil Gomber
- Department of Paediatrics, University College of Medical Sciences (University of Delhi) & GTB Hospital, Delhi 110095, India
| | - Raga Eltayeb
- Department of Pathology, College of Medicine, Jazan University, Jazan 45142, Saudi Arabia
| | - Sajad Ahmad Dar
- Department of Microbiology, University College of Medical Sciences (University of Delhi) & GTB Hospital, Delhi 110095, India
- Research and Scientific Studies Unit, College of Nursing, Jazan University, Jazan 45142, Saudi Arabia
| |
Collapse
|
5
|
Khanna A, Saha R, Ahmad N. National TB elimination programme - What has changed. Indian J Med Microbiol 2022; 42:103-107. [PMID: 36402676 PMCID: PMC9672688 DOI: 10.1016/j.ijmmb.2022.10.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [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: 06/18/2022] [Revised: 10/18/2022] [Accepted: 10/20/2022] [Indexed: 11/18/2022]
Abstract
BACKGROUND Before the start of Coronavirus (COVID-19) pandemic, TB was the leading cause of death due to a single infectious agent, ranking well above HIV/AIDS. Almost one-fourth of the world's population is infected with M. tuberculosis. TB is curable and preventable. About 85% of people who develop TB can be successfully treated with drug regimens of 6 months. Universal health coverage (UHC) is necessary to ensure that all those with the disease can access these treatments. Research breakthroughs (e.g., newer rapid diagnostic techniques, drugs, newer vaccine) are needed to rapidly reduce the number of new cases each year (TB incidence) worldwide. OBJECTIVE Changes in the National TB Elimination Programme since its inception. CONTENT The Government of India launched the "National TB Programme" in 1962 as District TB Centre model involved with BCG vaccination and TB treatment to fight tuberculosis, a major public health problem. The tuberculosis control programme has come a long way since then and has undergone major changes over the past few years The Ministry of Health and Family Welfare has developed the "National Strategic Plan" for Tuberculosis Elimination (2017-25) which encapsulates the bold and innovative steps required to eliminate TB in India by 2025, five years ahead of the global targets. By 2020 it was clear that the NSP- 2017-25 will not be able to meet these objectives, so another new NSP India 2025 had been launched in 2020. India has been actively involved in TB control activities for more than 50 years now. TB still continues to be a severe health problem in India. The country is now better prepared to tackle TB than before. It now has advanced and effective interventions and technologies for diagnosis, treatment and care of TB cases.
Collapse
Affiliation(s)
| | - Rumpa Saha
- Department of Microbiology, University College of Medical Sciences & GTB Hospital, Dilshad Garden, Delhi, 95, India.
| | - Nadeem Ahmad
- Department of Microbiology, University College of Medical Sciences & GTB Hospital, Dilshad Garden, Delhi, 95, India.
| |
Collapse
|
6
|
Singh N, Shah D, Singh T, Saha R, Das S, Datt S, Gupta P. Aetiology of hospital-acquired diarrhoea in under-five children from an urban hospital in East Delhi, India. Indian J Med Res 2022; 156:624-631. [PMID: 36926779 DOI: 10.4103/ijmr.ijmr_4138_20] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/18/2023] Open
Abstract
Background & objectives Majority of the studies of hospital-acquired diarrhoea conducted in Western countries have focused on the detection of Clostridium difficile in stool samples. Limited Asian and Indian literature is available on hospital-acquired diarrhoea. This study was aimed to describe the aetiological profile for hospital-acquired diarrhoea in children aged below five years. Methods One hundred children aged one month to five years who developed diarrhoea (≥3 loose stools for >12 h) after hospitalization for at least 72 h were enrolled. Children who were prescribed purgatives or undergoing procedures such as enema and endoscopy or those with underlying chronic gastrointestinal disorders such as celiac disease and inflammatory bowel disease were excluded from the study. Stool samples from the enrolled children were subjected to routine microscopic examination, modified Ziel-Nielson (ZN) staining for Cryptosporidium and culture for various enteropathogens. Multiplex PCR was used to identify the strains of diarrhoeagenic Escherichia coli. Rotavirus detection was done using rapid antigen kit. Toxins (A and B) of C. difficile were detected using enzyme immunoassay. Results Of the 100 samples of hospital-acquired diarrhoea analysed, diarrhoeagenic E. coli (DEC) was found to be the most common organism, detected in 37 per cent of cases (enteropathogenic E. coli-18%, enterotoxigenic E. coli-8%, enteroaggregative E. coli-4% and mixed infections-7%). Cryptosporidium was detected in 10 per cent of cases. Rotavirus was detected in six per cent and C. difficile in four per cent of cases. Interpretation & conclusions The findings of this study suggest that the aetiological profile of hospital-acquired diarrhoea appears to be similar to that of community-acquired diarrhoea, with DEC and Cryptosporidium being the most common causes. The efforts for the prevention and management of hospital-acquired diarrhoea should, thus, be directed towards these organisms.
Collapse
Affiliation(s)
- Nupur Singh
- Department of Pediatrics, University College of Medical Sciences & Guru Teg Bahadur Hospital, Delhi; Pediatrics, Super Specialty Paediatric Hospital & Post Graduate Teaching Institute, Noida, Uttar Pradesh, India
| | - Dheeraj Shah
- Department of Pediatrics, University College of Medical Sciences & Guru Teg Bahadur Hospital, Delhi, India
| | - Taru Singh
- Department of Microbiology, University College of Medical Sciences & Guru Teg Bahadur Hospital, Delhi; Division of Epidemiology and Communicable Diseases, Indian Council of Medical Research, New Delhi, India
| | - Rumpa Saha
- Department of Microbiology, University College of Medical Sciences & Guru Teg Bahadur Hospital, Delhi, India
| | - Shukla Das
- Department of Microbiology, University College of Medical Sciences & Guru Teg Bahadur Hospital, Delhi, India
| | - Shyama Datt
- Department of Microbiology, University College of Medical Sciences & Guru Teg Bahadur Hospital, Delhi, India
| | - Piyush Gupta
- Department of Pediatrics, University College of Medical Sciences & Guru Teg Bahadur Hospital, Delhi, India
| |
Collapse
|
7
|
Jain C, Das S, Ramachandran V, Saha R, Dar S, Nirmal K. P127 Cytokine gene Polymorphism in superficial Malassezia associated skin diseases. Med Mycol 2022. [PMCID: PMC9509954 DOI: 10.1093/mmy/myac072.p127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Poster session 1, September 21, 2022, 12:30 PM - 1:30 PM Objectives ü To isolate and characterize Malassezia species from patients of Pityriasis Versicolor (PV), Atopic Dermatitis (AD), Seborrhoeic Dermatitis (SD), and healthy controls. ü To study single nucleotide polymorphism in IL-10 and IFN- γ genes of the host and its relation with susceptibility to Malassezia infection. Methods It was a prospective observational study done in University College of Medical Sciences and GTB Hospital, Delhi. Sample size comprised of 38 cases each of AD. Skin scrapings were used for fungal culture on Sabouraud Dextrose Agar (SDA) and Modified Dixon Agar (MDA) and isolates were identified as per conventional phenotypic methods. Genomic DNA was extracted from blood samples and Cytokine genotyping was carried out by Amplification Refractory Mutations System-Polymerase Chain Reaction (ARMS-PCR) with sequence-specific primers. Three SNPs (IL10-1082A/G; IL10-819/592C/T; IFN-g +874A/T) in two cytokine genes were assessed in all the patients and healthy controls. Chi-squared Test or Fisher's-Exact Test and Bonferroni's correction were used for statistical analysis Results Malassezia yeast was isolated in 94.7%, 63.1% each and 52.6% in PV, AD, SD, and healthy controls respectively. Malassezia globosa was the most commonly isolated species from both patient and healthy control. Malassezia sympodialis was the second most common followed by M. furfur and M. restricta. Association between specific cytokine gene polymorphism and clinical outcome was found to be significant in PV, AD, and SD group. IFN-γ +874 T allele and IFN-γ +874 A allele were significantly associated with PV and AD respectively. IFN-γ +874 AA genotype frequency was found to be higher in PV and AD patients than in controls. This finding suggests that PV and AD patients may produce a lower IFN-γ. IL10-819/592 C/T alleles were also significantly associated with PV. IL10-819/592 CT genotype frequency was found to be lower, and CC genotype frequency was found to be higher in PV patients as compared to healthy controls, suggesting that IL10 production may be higher in PV patients. AD patients were more likely to carry the IL10–1082 G allele and, it was significantly associated with this disease. Moreover, IL10-1082 AG genotype was significantly associated with AD and SD, which corresponds to high production of IL10. Conclusion The identification of Malassezia yeast to a species level is of a great importance to determine which species are implicated in certain skin diseases. The use of phenotypic methods for identification of Malassezia species is a reliable, easily executed method, that is also inexpensive. Molecular methods are necessary to decrease the turnaround time, especially for slow-growing Malassezia species. Cytokine gene polymorphism studies in IL10 and IFN γ genes demonstrated susceptibility of host to Malassezia infections. Comparison with the serum cytokine levels will help in understanding the evolution of Malassezia infections in susceptible host. Population genetics studies require inclusion of a larger number of subjects to evaluate the probability or the frequency of occurrence of the genotype.
Collapse
Affiliation(s)
- Charu Jain
- University College of Medical Sciences , Delhi , India
| | - Shukla Das
- University College of Medical Sciences , Delhi , India
| | | | - Rumpa Saha
- University College of Medical Sciences , Delhi , India
| | - Sajad Dar
- University College of Medical Sciences , Delhi , India
| | - Kirti Nirmal
- University College of Medical Sciences , Delhi , India
| |
Collapse
|
8
|
Gautam S, Das S, Saha R, Singh NP, Gomber S, Rai G, Singh P. P399 Diagnostic value of Candida coloni zation index and serum Candida mannan antigen for candidemia in febrile episodes of pediatric lymphoreticular malignancies. Med Mycol 2022. [PMCID: PMC9510018 DOI: 10.1093/mmy/myac072.p399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Poster session 3, September 23, 2022, 12:30 PM - 1:30 PM
Objective
To evaluate the diagnostic performance of Candida colonization index and serum Candida mannan antigen predicting candidemia in febrile episodes of pediatric lymphoreticular malignancies
Methods
It was a prospective observational study done for 18 months, from November 2018 to April 2020 at the pediatric oncology unit of a multispecialty tertiary care center. Based on our patient load, duration of the proposed study, and available resources, a sample size of 49 (n = 49) was decided and 100 febrile episodes in children with lymphoreticular malignancy were studied. Children below 12 years, receiving chemotherapy for hematological malignancy having oral or axillary temperature ˃38.3°C for ˃1 h were included in this study. Children receiving the antifungal treatment in last 7 days were excluded from the study. Blood collected on day1 and day4 was cultured in BACTEC-9120. For colonization, swabs and samples were collected and cultured on SDA on day1, day4, and day8. All Candida isolates were subcultured on SDA and subjected to Gram's stain, germ tube test followed by Microscan identification. DNA sequencing followed by phylogenetic analysis was done for all the isolates of Candida recovered from blood. Antifungal susceptibility of yeast stains was done. Serum collected on day1 was used for C. mannan antigen detection using ELISA system.
Results
Prevalence of candidemia was 5%. Non-albicans Candida spp were isolated from blood cultures on day 4. Candida colonization decreased from day1 to day8. Colonization index (CI) day1 showed 80% sensitivity 98.9% specificity, and 98.9% negative predictive value. Significant colonization (CI ≥0.5) was seen in a larger proportion of cases that developed candidemia. There was a significant association of Candida colonization (CI ≥0.5) with occurrence of candidemia on day1 and day4. A total of 4 (80%) of candidemia episodes were positive for serum mannan antigen while 1 (20%) was negative. Mannan antigen was detected earlier with 80% sensitivity, 92.6% specificity, and 98.9% negative predictive value. All Candida isolates were sensitive to fluconazole, amphotericin-B, and caspofungin.
Receiver operator characteristic curves for diagnostic performance of various parameters in predicting candidemia show the following trends:
Conclusion
The CI can predict candidemia but the threshold value needs to be explored in pediatric patients with lymphoreticular malignancies. Mannan antigen detection gives early results with a high negative predictive value.
Collapse
Affiliation(s)
- Suchita Gautam
- Department of Microbiology , University College of Medical Sciences (University of Delhi), & Guru Teg Bahadur Hospital, Delhi , India
| | - Shukla Das
- Department of Microbiology , University College of Medical Sciences (University of Delhi), & Guru Teg Bahadur Hospital, Delhi , India
| | - Rumpa Saha
- Department of Microbiology , University College of Medical Sciences (University of Delhi), & Guru Teg Bahadur Hospital, Delhi , India
| | - N. P. Singh
- Department of Microbiology , University College of Medical Sciences (University of Delhi), & Guru Teg Bahadur Hospital, Delhi , India
| | | | - Gargi Rai
- Multi-Disciplinary Research Unit , University College of Medical Sciences (University of Delhi), & Guru Teg Bahadur Hospital, Delhi , India
| | - Praveen Singh
- Department of Microbiology , University College of Medical Sciences (University of Delhi), & Guru Teg Bahadur Hospital, Delhi , India
| |
Collapse
|
9
|
Saha R, Ryan DT, McVeigh N, Garvey JF, Ryan S, Murphy DJ, Fabre A, McCarthy C, Keane MP, Dodd JD. Unclassifiable interstitial lung disease on HRCT: aggressive progressive disease with macrocystic lung destruction. QJM 2022; 114:812-814. [PMID: 34002222 DOI: 10.1093/qjmed/hcab125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/24/2021] [Indexed: 11/12/2022] Open
Affiliation(s)
- R Saha
- From the Department of Radiology, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland
| | - D T Ryan
- From the Department of Radiology, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland
| | - N McVeigh
- From the Department of Radiology, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland
| | - J F Garvey
- Department of Respiratory Medicine, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland
| | - S Ryan
- Department of Respiratory Medicine, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland
- School of Medicine, University College Dublin, Dublin 4, Irelandand
| | - D J Murphy
- From the Department of Radiology, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland
- School of Medicine, University College Dublin, Dublin 4, Irelandand
| | - A Fabre
- School of Medicine, University College Dublin, Dublin 4, Irelandand
- Department of Histopathology, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland
| | - C McCarthy
- Department of Respiratory Medicine, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland
- School of Medicine, University College Dublin, Dublin 4, Irelandand
| | - M P Keane
- Department of Respiratory Medicine, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland
- School of Medicine, University College Dublin, Dublin 4, Irelandand
| | - J D Dodd
- From the Department of Radiology, St. Vincent's University Hospital, Elm Park, Dublin 4, Ireland
- School of Medicine, University College Dublin, Dublin 4, Irelandand
| |
Collapse
|
10
|
Saha R, Mukherjee A, Bhattacharya S. Development of a ruthenium–aquo complex for utilization in synthesis and catalysis for selective hydration of nitriles and alkynes. NEW J CHEM 2022. [DOI: 10.1039/d1nj04736a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
A ruthenium(ii)–aquo complex serves as a precursor for the synthesis of new ternary complexes and also as an efficient catalyst for selective hydration of aryl nitriles to aryl amides and aryl alkynes to aryl aldehydes.
Collapse
Affiliation(s)
- Rumpa Saha
- Department of Chemistry, Inorganic Chemistry Section, Jadavpur University, Kolkata – 700 032, India
| | - Aparajita Mukherjee
- Department of Chemistry, Inorganic Chemistry Section, Jadavpur University, Kolkata – 700 032, India
| | - Samaresh Bhattacharya
- Department of Chemistry, Inorganic Chemistry Section, Jadavpur University, Kolkata – 700 032, India
| |
Collapse
|
11
|
Shekhar H, Sharma N, Singh SK, Garg PK, Bhatt S, Saha R, Verma AK. Clinico-radiological profile of the patients with empyema thoracis: A prospective analytical study. Indian J Tuberc 2021; 68:491-496. [PMID: 34752319 DOI: 10.1016/j.ijtb.2021.03.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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: 10/08/2020] [Revised: 11/07/2020] [Accepted: 03/08/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND Empyema thoracis is defined as the presence of pus in the pleural cavity and carries significant morbidity and mortality. This study aimed to explore the demographic and clinico-radiological characteristics of patients with empyema thoracis. MATERIAL AND METHODS The present study was conducted in a tertiary care teaching hospital in North India. The patients diagnosed with empyema thoracis were included in the study. Demographic, etiologic, clinical, radiographic, and outcome data were prospectively collected and analyzed. RESULTS The study included 48 patients. The median age of empyema thoracis patients was 37(IQR 26-45) years. Common presenting symptoms were breathlessness (n = 37,77%) and chest pain (n = 34,70%). Contrast-enhanced computed tomography (CECT) of the chest showed type III empyema in 52% (21) patients followed by type 1 and type II in 25% and 22%, respectively. CECT thorax showed the collapse of lung and consolidation in (n = 28, 70%) and (n = 24, 60%) patients, respectively. All the patients, except for one, were managed with underwater seal intercostal tube drainage (ICD) procedure for the management of empyema. The median time to remove the ICD tube among 35 patients was 14 (IQR 9-21) days. Forty patients (83.3%) responded to the treatment and were discharged. Eight patients (16.7%) deteriorated and succumbed to the disease. CONCLUSION Patients of empyema thoracis required a prolonged period of chest tube drainage and carried significant morbidity and mortality.
Collapse
Affiliation(s)
- Himanshu Shekhar
- Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, University of Delhi, India
| | - Naveen Sharma
- Department of General Surgery, All India Institute of Medical Sciences, Jodhpur, India
| | - Saurabh Kumar Singh
- Department of Respiratory Medicine, Gajra Raja Medical College and Jayarogya Group of Hospitals, Gwalior, Madhya Pradesh, 474009.
| | - Pankaj Kumar Garg
- Department of Surgical Oncology, All India Institute of Medical Sciences, Rishikesh, India
| | - Shuchi Bhatt
- Department of Radiodiagnosis, University College of Medical Sciences and Guru Teg Bahadur Hospital, University of Delhi, India
| | - Rumpa Saha
- Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, University of Delhi, India
| | - Amit Kumar Verma
- Department of Medicine, University College of Medical Sciences and Guru Teg Bahadur Hospital, University of Delhi, India
| |
Collapse
|
12
|
Kaushal D, Kalra N, Khatri A, Tyagi R, Singh NP, Aggarwal A, Saha R. Oral health status and microbial load of Streptococcus mutans in children with Cerebral palsy in a tertiary care hospital in Delhi. J Indian Soc Pedod Prev Dent 2021; 39:214-220. [PMID: 34341244 DOI: 10.4103/jisppd.jisppd_194_20] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND Cerebral palsy (CP) is a childhood debilitating condition which impairs the physical and mental ability of an individual to maintain oral health. AIM The objective of the present study was assessment of dental neglect and burden of treatment needs of children affected with CP as compared to normal children in a tertiary care hospital in Delhi. SETTINGS AND DESIGN A sample size of 104 children of age group of 6-14 years was selected, in which 52 children of CP (case group) and 52 normal school children (control group) were recruited. MATERIALS AND METHODS Children from both groups were examined, and calculation of drug master files (DMFS), defs, oral hygiene index (OHI), and gingival index was done. The presence of trauma and malocclusion was assessed. Present caries activity was assessed by the level of Streptococcus mutans present in saliva in both groups. Treatment needs were then assessed based on intraoral findings. STATISTICAL ANALYSIS Data were analyzed by SPSS 20.0 software. Student's t-test and nonparametric statistical tests such as Chi-square test and Mann-Whitney test were used as per the nature of variables studied for statistical analysis with the level of significance denoted at P < 0.05. RESULTS The mean DMFS, gingival index, OHI, and treatment needs were observed to be higher in the CP group. Increased S. mutans levels were observed in saliva of CP patients. Defs score, trauma, and malocclusion were not statistically significantly higher in CP group as compared to the control group. CONCLUSION Cerebral palsy group had a poor oral and gingival health, a higher DMFT and burden of treatment needs and an increased risk of further caries progression due to high caries activity indicated by increased level of salivary Streptococcus mutans than the control group.
Collapse
Affiliation(s)
- Drishti Kaushal
- Department of Pedodontics and Preventive Dentistry, UCMS and GTB Hospital Delhi, Delhi, India
| | - Namita Kalra
- Department of Pedodontics and Preventive Dentistry, UCMS and GTB Hospital Delhi, Delhi, India
| | - Amit Khatri
- Department of Pedodontics and Preventive Dentistry, UCMS and GTB Hospital Delhi, Delhi, India
| | - Rishi Tyagi
- Department of Pedodontics and Preventive Dentistry, UCMS and GTB Hospital Delhi, Delhi, India
| | - N P Singh
- Microbiology, UCMS (University of Delhi) and GTB Hospital, Delhi, India
| | - Anju Aggarwal
- Paediatrics, UCMS (University of Delhi) and GTB Hospital, Delhi, India
| | - Rumpa Saha
- Microbiology, UCMS (University of Delhi) and GTB Hospital, Delhi, India
| |
Collapse
|
13
|
Singh S, Saha R, Suneja A, Das S. A hospital-based study on the prevalence of trichomoniasis and evaluation of accuracy of various diagnostic techniques. Trop Parasitol 2021; 10:124-129. [PMID: 33747880 PMCID: PMC7951069 DOI: 10.4103/tp.tp_45_19] [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] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2019] [Revised: 12/21/2019] [Accepted: 01/21/2020] [Indexed: 11/25/2022] Open
Abstract
Background: The sexually transmitted infections (STIs) caused by Trichomonas vaginalis have been associated with adverse pregnancy outcomes and increased risk of HIV transmission. Trichomoniasis remains underreported despite being easy to diagnose and treat. Moreover, availability of battery of diagnostic tools causes dilemma on the most appropriate techniques to be used. Aims and Objectives: The purpose of this study was to determine the prevalence of T. vaginalis and its diagnostic accuracy employing various diagnostic techniques in women presenting with vaginal discharge in gynecological outpatient department (GOPD) of our tertiary care hospital. Materials and Methods: Five vaginal swabs were collected from 204 patients with symptomatic vaginal discharge attending GOPD. Wet mount microscopy, Giemsa and acridine orange staining, culture in Kupferberg media and InPouch™ TV culture system, and polymerase chain reaction (PCR) were performed and compared. Results: The prevalence of T. vaginalis was 1.96% in the present study. Wet mount microscopy, staining method, and culture detected 1.96% of cases, whereas PCR detected 2.45% of cases. Conclusion: The prevalence of T. vaginalis was <3% among symptomatic vaginal discharge patients from GOPD. Although PCR had a higher detection rate, there was no significant difference in sensitivity and specificity between other diagnostic methods (direct wet mount, Giemsa/acridine orange staining, and InPouch™ TV culture system). Hence, the availability in a particular setting would determine the methods of choice to be used for the diagnosis of T. vaginalis.
Collapse
Affiliation(s)
- Sweety Singh
- Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi University, Delhi, India
| | - Rumpa Saha
- Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi University, Delhi, India
| | - Amita Suneja
- Department of Gynaecology and Obstetrics, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi University, Delhi, India
| | - Shukla Das
- Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi University, Delhi, India
| |
Collapse
|
14
|
Muduli PR, Kumar A, Kanuri VV, Mishra DR, Acharya P, Saha R, Biswas MK, Vidyarthi AK, Sudhakar A. Water quality assessment of the Ganges River during COVID-19 lockdown. Int J Environ Sci Technol (Tehran) 2021; 18:1645-1652. [PMID: 33758592 PMCID: PMC7970803 DOI: 10.1007/s13762-021-03245-x] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Revised: 01/07/2021] [Accepted: 02/25/2021] [Indexed: 05/24/2023]
Abstract
Ganges River water quality was assessed to record the changes due to the nation-wide pandemic lockdown. Satellite-based (Sentinel-2) water quality analysis before and during lockdown was performed for seven selected locations spread across the entire stretch of the Ganges (Rishikesh-Dimond Harbour). Results revealed that due to the lockdown, the water quality of the Ganges improved with reference to specific water quality parameters, but the improvements were region specific. Along the entire stretch of Ganges, only the Haridwar site showed improvement to an extent of being potable as per the threshold set by the Central Pollution Control Board, New Delhi, India. A 55% decline in turbidity at that site during the lockdown was attributed to the abrupt halt in pilgrimage activities. Absorption by chromophoric dissolved organic matter which is an indicator of organic pollution declined all along the Ganges stretch with a maximum decline at the downstream location of Diamond Harbour. Restricted discharge of industrial effluent, urban pollution, sewage from hotels, lodges, and spiritual dwellings along the Ganges are some of the reasons behind such declines. No significant change in the geographic trend of chlorophyll-a was observed. The findings of this study highlight the importance of regular monitoring of the changes in the Ganges water quality using Sentinel-2 data to further isolate the anthropogenic impact, as India continues the phase-wise opening amidst the pandemic.
Collapse
Affiliation(s)
- P. R. Muduli
- Wetland Research and Training Centre, Chilika Development Authority, Balugaon, 752030 India
| | - A. Kumar
- Department of Geography, University of Georgia, Athens, GA 30602 USA
| | - V. V. Kanuri
- Eastern Regional Directorate (ERD), Ministry of Environment, Forest and Climate Change, National Ganga River Basin Authority, Central Pollution Control Board, 5th and 6th floor, Southend conclave, Rajdanga Main Road, Kolkata, West Bengal 700107 India
| | - D. R. Mishra
- Department of Geography, University of Georgia, Athens, GA 30602 USA
| | - P. Acharya
- Wetland Research and Training Centre, Chilika Development Authority, Balugaon, 752030 India
| | - R. Saha
- Eastern Regional Directorate (ERD), Ministry of Environment, Forest and Climate Change, National Ganga River Basin Authority, Central Pollution Control Board, 5th and 6th floor, Southend conclave, Rajdanga Main Road, Kolkata, West Bengal 700107 India
| | - M. K. Biswas
- Eastern Regional Directorate (ERD), Ministry of Environment, Forest and Climate Change, National Ganga River Basin Authority, Central Pollution Control Board, 5th and 6th floor, Southend conclave, Rajdanga Main Road, Kolkata, West Bengal 700107 India
| | - A. K. Vidyarthi
- Central Pollution Control Board, Ministry of Environment, Forest and Climate Change, New Delhi, India
| | - A. Sudhakar
- Central Pollution Control Board, Ministry of Environment, Forest and Climate Change, New Delhi, India
| |
Collapse
|
15
|
Saha R, Feng C, Welch C, Mehl GH, Feng J, Zhu C, Gleeson J, Sprunt S, Jákli A. The interplay between spatial and heliconical orientational order in twist-bend nematic materials. Phys Chem Chem Phys 2021; 23:4055-4063. [PMID: 33587066 DOI: 10.1039/d0cp06633h] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
The helical pitch formed by organic molecules, such as the α-helix of proteins, usually requires hydrogen bonding between chiral units and long-range positional order. It was recently found that certain liquid crystal oligomers can have a twist-bend nematic (NTB) phase with nanoscale heliconical structure without hydrogen bonding, molecular chirality or positional order. To understand the nature of this unique structure, here we present hard and resonant tender X-ray scattering studies of two novel sulfur containing dimer materials. We simultaneously measure the temperature dependences of the helical pitch and the correlation length of both the helical and positional order. In addition to an unexpected strong variation of the pitch with the length of the spacer connecting the monomer units, we find that at the transition to the NTB phase the positional correlation length drops. The helical structure was found not only in the NTB phase but observed even in the upper range of a smectic phase that forms just below the NTB state. The coexistence of smectic layering and the heliconical order indicates a layered (SmATB) phase wherein the rigid units of the dimers are tilted with respect to the smectic layer normal in order to accommodate the bent conformation of the dimers and the tilt direction rotates along the heliconical axis.
Collapse
Affiliation(s)
- R Saha
- Department of Physics, Kent State University, Kent, OH 44242, USA.
| | - C Feng
- Materials Science Graduate Program, Advanced Materials and Liquid Crystal Institute, Kent State University, Kent, OH 44242, USA and Advanced Light Source, Lawrence Berkeley National Lab, Berkeley, CA 94720, USA
| | - C Welch
- Department of Chemistry, University of Hull, Hull, UK
| | - G H Mehl
- Department of Chemistry, University of Hull, Hull, UK
| | - J Feng
- Advanced Light Source, Lawrence Berkeley National Lab, Berkeley, CA 94720, USA
| | - C Zhu
- Advanced Light Source, Lawrence Berkeley National Lab, Berkeley, CA 94720, USA
| | - J Gleeson
- Department of Physics, Kent State University, Kent, OH 44242, USA.
| | - S Sprunt
- Department of Physics, Kent State University, Kent, OH 44242, USA. and Materials Science Graduate Program, Advanced Materials and Liquid Crystal Institute, Kent State University, Kent, OH 44242, USA
| | - A Jákli
- Department of Physics, Kent State University, Kent, OH 44242, USA. and Materials Science Graduate Program, Advanced Materials and Liquid Crystal Institute, Kent State University, Kent, OH 44242, USA
| |
Collapse
|
16
|
Saxena B, Ramachandran VG, Saha R, Shah D. Mumps Antibody Titer in MMR-Vaccinated and Vaccine Naïve Children at a Public Hospital in Delhi. Indian Pediatr 2021; 58:137-139. [PMID: 33632943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
OBJECTIVE To compare the mumps antibody titers in Measles-Mumps-Rubella (MMR)-vaccinated and vaccine naive children. METHODS This cross-sectional study was conducted at a tertiary-care public hospital in Delhi from November, 2016 to April, 2018 among 78 healthy children (aged 16 month-12 years) attending the pediatric outpatient department. Serum IgG and IgM rubella antibodies were measured by ELISA for confirmation of MMR vaccination status. Qualitative determination of IgG mumps was done followed by quantitative determination in samples positive for IgG mumps antibodies. RESULTS IgG mumps was present in 69.2% of study population, with seroprotective titers in 32% taking endpoint titer as 1:4. Among MMR vaccinated children, 41.1% were sero-protected and in MMR vaccine naïve children 9.1% were seroprotected for mumps. CONCLUSION Single dose of MMR vaccine does not provide effective (>90%) sero-conversion required for successful herd immunity to prevent mumps outbreak.
Collapse
Affiliation(s)
- Bhoomika Saxena
- Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India. Correspondence to: Dr Bhoomika Saxena, 105, Gaytri Nilaya, 12th B Main Road, 6th Block, Rajajinagar, Bengaluru 560 010, Karnataka, India.
| | - V G Ramachandran
- Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
| | - Rumpa Saha
- Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
| | - Dheeraj Shah
- Department of Pediatrics, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
| |
Collapse
|
17
|
Mondal E, Khan MM, Hossain MI, Moshwan MM, Saha R, Das SN, Moniruzzaman M. The Pattern of Lipid Profile in Patients with Chronic Kidney Disease. Mymensingh Med J 2021; 30:48-55. [PMID: 33397850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Dyslipidemia is a common problem in chronic kidney disease patients. Dyslipidemia in chronic kidney disease patients has been known to be a major risk factor of their cardiovascular disease and may contribute to progressive renal dysfunction. The result of the study might be of interest in improving preventive strategies and in management of dyslipidemia in chronic kidney disease patients. This cross sectional study was conducted to evaluate changes in lipid profile in patients with chronic kidney disease stage-3 to stage-5 patients and to correlate the biochemical abnormalities with progression of the disease in Mymensingh Medical College Hospital, Bangladesh from October, 2016 to April, 2017. In this study 200 patients were including and subjected to do complete blood count, erythrocyte sedimentation rate, random blood sugar, routine examination of urine, serum creatinine and fasting lipid profile. Two hundred (200) patients (134 males, 66 females) with the mean age were 50.5±12.43 years. 44.5% patients were in CKD stage-5, 37.5% patients were in CKD stage-4, 18% patients were in CKD stage-3. Mean value of Triglyceride (TG) was 194±47.20. Eighty nine percent (89%) patient had hyper-triglyceridemia and 11% had normal triglyceride level. It was statistically significant increased in triglyceride level (p<0.05). Mean value of High density lipoprotein cholesterol (HDL-C) was 34±6.10. Low HDL-C had in 87.5% patients, normal in 12.5% patients and was statistically significant reduction in HDL-C level (p<0.05). Low Density Lipoprotein cholesterol (LDL-C) mean was 113±35.6. High level of LDL-C had optimal/or near optimal in 47% patients, 39% patients had borderline high and 14% patients had that was not statistically significant (p>0.10). Total cholesterol (TC) mean was 212±45.3. In 38% patients had within desirable level, 62% patients had high level of Total cholesterol (TC). It was not statistically significant change (p>0.01).
Collapse
Affiliation(s)
- E Mondal
- Dr Ershad Mondal, Indoor Medical Officer, Department of Medicine, Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh; E-mail:
| | | | | | | | | | | | | |
Collapse
|
18
|
Gupta S, Singh M, Vora A, Babu G, Walia M, Nautial V, Saha R, Smruti BK, Sharma JB, Koul R, Parikh PM, Aggarwal S. Practical consensus recommendations on duration of adjuvant hormonal therapy in breast cancer. South Asian J Cancer 2020; 7:142-145. [PMID: 29721482 PMCID: PMC5909293 DOI: 10.4103/sajc.sajc_122_18] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Optimization of adjuvant systemic therapy in women with early-stage hormone receptor-positive breast cancer includes the consideration of chemotherapy and duration of hormone therapy. Adjuvant hormonal therapy significantly improves long-term survival of breast cancer patients with hormone receptor-positive disease. Despite the proven clinical efficacy of tamoxifen and aromatase inhibitors, many breast cancer survivors either fail to take the correct dosage at the prescribed frequency (adherence) or discontinue therapy (persistence). Expert oncologist discussed on the duration of adjuvant hormonal therapy for improvement of OS and quality of life of breast cancer patients by providing reduction in recurrence and mortality. This expert group used data from published literature, practical experience and opinion of a large group of academic oncologists to arrive at this practical consensus recommendations for the benefit of community oncologists.
Collapse
Affiliation(s)
- S Gupta
- Department of Medical Oncology, Tata Memorial Center, Mumbai, Maharashtra, India
| | - M Singh
- Department of Medical Oncology, Mahaveer Cancer Sansthan, Patna, Bihar, India
| | - Amish Vora
- Department of Medical Oncology, Hope Clinic, New Delhi, India
| | - G Babu
- Department of Medical Oncology, KMIO, Bengaluru, Karnataka, India
| | - M Walia
- Department of Medical Oncology, Max Hospital, New Delhi, India
| | - V Nautial
- Department of Medical Oncology, Jolly Grant Himalayan Institute, Dehradoon, Uttarakhand, India
| | - R Saha
- Department of Medical Oncology, Max Hospital, New Delhi, India
| | - B K Smruti
- Department of Medical Oncology, Bombay Hospital, Mumbai, Maharashtra, India
| | - J B Sharma
- Department of Medical Oncology, Action Balajee Cancer Hospital, New Delhi, India
| | - R Koul
- Department of Surgical Oncology, Sir Ganga Ram Hospital, New Delhi, India
| | - Purvish M Parikh
- Department of Oncology, Shalby Cancer and Research Institute, Mumbai, Maharashtra, India
| | - S Aggarwal
- Department of Medical Oncology, Sir Ganga Ram Hospital, New Delhi, India
| |
Collapse
|
19
|
Saha R, Mukherjee A, Bhattacharya S. Heteroleptic 1,4‐Diazabutadiene Complexes of Ruthenium: Synthesis, Characterization and Utilization in Catalytic Transfer Hydrogenation. Eur J Inorg Chem 2020. [DOI: 10.1002/ejic.202000859] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Affiliation(s)
- Rumpa Saha
- Department of Chemistry Inorganic Chemistry Section Jadavpur University 700 032 Kolkata India
| | - Aparajita Mukherjee
- Department of Chemistry Inorganic Chemistry Section Jadavpur University 700 032 Kolkata India
| | - Samaresh Bhattacharya
- Department of Chemistry Inorganic Chemistry Section Jadavpur University 700 032 Kolkata India
| |
Collapse
|
20
|
Lamarre Y, Aich A, Islam M, Scianni J, Pinto A, Tavassi A, Elion J, Nemer W, Saha R, Kashima S, Covas D. LEVERAGING PLASMA-DERIVED EXOSOMES FOR BIOMARKER DISCOVERY IN SICKLE CELL DISEASE: PREPARATION FOR A LARGE PROSPECTIVE STUDY. Hematol Transfus Cell Ther 2020. [DOI: 10.1016/j.htct.2020.10.077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
|
21
|
Datta D, Saha R, Ghorai AK. Conservation Agriculture and Resource Management Under Jute (<i>Corchorus spp.</i>) based Cropping Systems in Eastern India. CURR SCI INDIA 2020. [DOI: 10.18520/cs/v119/i6/926-933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
|
22
|
Williamson A, Roberts MT, Phillips J, Saha R. Early percutaneous tracheostomy for patients with COVID-19. Anaesthesia 2020; 76:138-139. [PMID: 32652565 PMCID: PMC7405139 DOI: 10.1111/anae.15197] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/19/2020] [Indexed: 11/30/2022]
Affiliation(s)
| | | | | | - R Saha
- Princess Alexandra Hospital, Harlow, UK
| |
Collapse
|
23
|
Abstract
Coronavirus pandemic has led to thousands of cases and hundreds of deaths worldwide. India, too, is on the verge of this health risk at the national scale. The only measures to prevent this pandemic from spreading are physical distancing, hand hygiene, and surface disinfection, and wearing of appropriate masks. Many hand sanitizers and surface cleaning agents are being made available which are being claimed to be virucidal and to be effective against coronavirus. Here, we present a review of the hand washing agents and surface disinfectants which have virudical properties and are effective against coronaviruses. This review will help dispel misconceptions about various hand washing agents and surface disinfectants and also help to make informed decisions regarding these items.
Collapse
|
24
|
Kaushik S, Saha R, Das S, Ramachandran VG, Goel A. Pragmatic Combination of Available Diagnostic Tools for Optimal Detection of Intestinal Microsporidia. Adv Exp Med Biol 2019; 1057:85-94. [PMID: 28933049 DOI: 10.1007/5584_2017_97] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/28/2023]
Abstract
Diarrhea is a debilitating condition in HIV infected individuals and with the finding that almost 1/4 cases of diarrhea in HIV are due to microsporidia, there is a dire need to institute measures for its detection on a regular basis. Keeping this in mind the study aims to determine the burden of intestinal microsporidiosis in HIV seropositive patients presenting with and without diarrhea and to compare the ability of microscopy and PCR in its detection.The study group consisted of 120 patients divided into four groups HIV seropositive with/without diarrhea, and HIV seronegative with/without diarrhea. Performance of four staining techniques including Modified Trichrome, Calcofluor White, Gram Chromotrope and Quick hot Gram Chromotrope stains were evaluated against PCR in diagnosing enteric microsporidiosis from stool samples.Overall prevalence of intestinal microsporidiosis was 10.83%. The same for HIV seropositive patients with diarrhea was 23.33%, HIV seropositive patients without diarrhea and in immune-competent hosts with diarrhea was 10% each. Enterocytozoon bieneusi was found to predominate. Calcofluor white stain detected maximum microsporidia in stool samples (76.92%), followed by Modified Trichrome stain (61.5%), PCR (46.15%) and Gram Chromotrope and Quick hot Gram Chromotrope stains (38.4% each). PCR exhibited the best performance with a sensitivity and specificity of 100%. Our data suggests screening of stool samples with either Modified Trichrome or Calcofluor white stain followed by PCR confirmation thus leading to maximum detection along with speciation for complete cure.
Collapse
Affiliation(s)
- Stuti Kaushik
- Department of Microbiology, University College of Medical Sciences & Guru Teg Bahadur Hospital, Dilshad Garden, Delhi, 110095, India
| | - Rumpa Saha
- Department of Microbiology, University College of Medical Sciences & Guru Teg Bahadur Hospital, Dilshad Garden, Delhi, 110095, India.
| | - Shukla Das
- Department of Microbiology, University College of Medical Sciences & Guru Teg Bahadur Hospital, Dilshad Garden, Delhi, 110095, India
| | - V G Ramachandran
- Department of Microbiology, University College of Medical Sciences & Guru Teg Bahadur Hospital, Dilshad Garden, Delhi, 110095, India
| | - Ashish Goel
- Department of Medicine, University College of Medical Sciences & Guru Teg Bahadur Hospital, Dilshad Garden, Delhi, 110095, India
| |
Collapse
|
25
|
Majumdar B, Chattopadhyay L, Barai S, Saha AR, Sarkar S, Sarkar SK, Mazumdar SP, Saha R, Jha SK. Impact of conventional retting of jute (Corchorus spp.) on the environmental quality of water: a case study. Environ Monit Assess 2019; 191:440. [PMID: 31203473 DOI: 10.1007/s10661-019-7589-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/22/2018] [Accepted: 06/04/2019] [Indexed: 06/09/2023]
Abstract
Production of quality jute fibre primarily depends on the retting process of jute. However, the quality of retting water is of great concern because of the scarcity of available water bodies for retting. A study conducted on physico-chemical and microbiological changes in retting water (pre- and post-retting) from four intensively jute-growing districts namely Nadia, North 24 Parganas, Hooghly and South Dinajpur of West Bengal, India, during jute retting. The post-retting water samples recorded lower pH (6.22 to 7.08) and higher EC (electrical conductivity) (0.509 to 0.850 ds/m) compared with pre-retting water samples (pH 6.63 to 7.44; EC 0.197 to 0.330 ds/m) collected from all the four districts under study. The biological oxygen demand (BOD) and chemical oxygen demand (COD) increased several folds in the post-retting water samples indicating very high microbial growth and activities and depleted oxygen level compared with pre-retting water. The Ca + Mg (calcium + magnesium) content in pre-retting water was high (24.15 to 36.60 ppm) which raised further (61.30 to 103.67 ppm) in post-retting water, while the bicarbonate content also increased and ranged between 2.72 and 6.81 me/l in post-retting water compared with its status in pre-retting water (1.30 to 3.15 me/l). The post-retting water was found to be a rich source of nutrients like nitrogen (N), phosphorus (P), iron (Fe), manganese (Mn), zinc (Zn) and copper (Cu) which increased substantially because of jute retting as compared with their status in pre-retting water. The population of pectinolytic, xylanolytic, cellulolytic and ligninolytic bacterial cfu (colony forming unit) increased by 1.5 times in post-retting water as compared with pre-retting water, because these specific bacterial population were involved in the degradation of pectin, xylan, cellulose and lignin during retting of jute. Thus, post-retting water can be judiciously used as a potent source of primary, secondary and micronutrients for succeeding crops besides having higher BOD and COD as a result of higher microbial growth related to jute retting.
Collapse
Affiliation(s)
- B Majumdar
- Division of Crop Production, ICAR-Central Research Institute for Jute & Allied Fibres, Barrackpore, Kolkata, West Bengal, 700 120, India.
| | - Lipi Chattopadhyay
- Division of Crop Production, ICAR-Central Research Institute for Jute & Allied Fibres, Barrackpore, Kolkata, West Bengal, 700 120, India
| | - Shrestha Barai
- Division of Crop Production, ICAR-Central Research Institute for Jute & Allied Fibres, Barrackpore, Kolkata, West Bengal, 700 120, India
| | - A R Saha
- Division of Crop Production, ICAR-Central Research Institute for Jute & Allied Fibres, Barrackpore, Kolkata, West Bengal, 700 120, India
| | - S Sarkar
- Division of Crop Production, ICAR-Central Research Institute for Jute & Allied Fibres, Barrackpore, Kolkata, West Bengal, 700 120, India
| | - S K Sarkar
- Division of Crop Production, ICAR-Central Research Institute for Jute & Allied Fibres, Barrackpore, Kolkata, West Bengal, 700 120, India
| | - S P Mazumdar
- Division of Crop Production, ICAR-Central Research Institute for Jute & Allied Fibres, Barrackpore, Kolkata, West Bengal, 700 120, India
| | - R Saha
- Division of Crop Production, ICAR-Central Research Institute for Jute & Allied Fibres, Barrackpore, Kolkata, West Bengal, 700 120, India
| | - S K Jha
- Division of Crop Production, ICAR-Central Research Institute for Jute & Allied Fibres, Barrackpore, Kolkata, West Bengal, 700 120, India
| |
Collapse
|
26
|
Saha R, Roychoudhury S, Kar K, Varghese A, Nandi P, Sharma G, Formicki G, Slama P, Kolesarova A. Coenzyme Q10 ameliorates cadmium induced reproductive toxicity in male rats. Physiol Res 2019; 68:141-145. [DOI: 10.33549/physiolres.934000] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
This study aimed at investigating the protective role of CoQ10 against cadmium (Cd)-induced reproductive toxicity in male rats. Adult male Wistar rats were exposed to an acute dose of Cd (25 mg/kg bwt; Cd group), Cd+CoQ10 (25 mg/kg bwt Cd+10 mg CoQ10; Cd-Q10 group) and distilled water (control) in vivo for 15 consecutive days and semen quality was assessed. A significant reduction was noted in sperm concentration, progressive motility, morphology and DNA integrity in both Cd- and Cd-Q10 groups in comparison to control indicating Cd-induced testicular lipid per oxidation (LPO) and decline in indigenous antioxidant defense system as measured by total antioxidant capacity (TAC) (p<0.05). However, simultaneous co-administration of CoQ10 along with Cd (Cd-Q10 group) was able to improve sperm concentration, motility, progressive motility, morphology, DNA integrity, and testicular TAC as well as lower LPO compared to Cd group (p<0.05). Results indicate that used dose of CoQ10 is capable of moderately ameliorating reproductive toxicity of Cd by improving semen quality and reducing testicular oxidative stress.
Collapse
Affiliation(s)
- R. Saha
- Department of Life Science and Bioinformatics, Assam University, Silchar, India
| | - S. Roychoudhury
- Department of Life Science and Bioinformatics, Assam University, Silchar, India
| | - K. Kar
- Mediland Hospital and Research Centre, Itkhola, Silchar, India
| | | | - P. Nandi
- Department of Environmental Science, University of Calcutta, India
| | - G.D. Sharma
- Atal Bihari Vajpayee University, Bilaspur, India
| | - G. Formicki
- Department of Zoology of Vertebrates, Institution of Biology, Pedagogical University of Cracow, Poland
| | - P. Slama
- Department of Animal Morphology, Physiology and Genetics, Mendel University in Brno, Brno, Czech Republic
| | - A. Kolesarova
- Department of Animal Physiology, Faculty of Biotechnology and Food Sciences, Slovak University of Agriculture in Nitra, Nitra, Slovak Republic
| |
Collapse
|
27
|
Saha R, Saxena B, Jamir ST, Shekhar S. Prevalence of cryptosporidiosis in symptomatic immunocompetent children and comparative evaluation of its diagnosis by Ziehl-Neelsen staining and antigen detection techniques. Trop Parasitol 2019; 9:18-22. [PMID: 31161088 PMCID: PMC6542316 DOI: 10.4103/tp.tp_59_18] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/08/2019] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Cryptosporidia is a major pathogen causing diarrhoea and with increasing morbidity and mortality. As persistent diarrhoea from intestinal cryptosporidiosis leads to increased susceptibility to recurrent diarrheal episodes further leading to chronic nutritional and cognitive sequelae or even death, diagnosis is important. Most of the studies done on Cryptosporidium worldwide have focused on immunocompromised patients which have led to a paucity of data on its prevalence among immunocompetent people. AIMS AND OBJECTIVES Keeping these facts in mind the present study was aimed to estimate prevalence of cryptosporidiosis in immunocompetent children, and do a comparative evaluation of its detection by microscopy with antigen detection methods. MATERIAL AND METHODS 80 immunocompetent children (40 OPD children presenting with diarrhea and 40 children hospitalized for diarrhea) upto age of 5 years were studies and their stool samples were compared by microscopy by mZN with copro-antigen detection methods (using rapid ICT and ELISA) for the diagnosis of Cryptosporidiosis. RESULTS A Cryptosporidium prevalence rate of 22.5% was detected in the immunocompetent children upto 5 years of age. Microscopy remained the preferred method of diagnosis for Cryptosporidium being a more sensitive test and considering it's low cost in resource poor settings. Moderate agreement between mZN and ELISA in Cohen's kappa test shows that either of the tests can be used for diagnosis of Cryptosporidium from fecal sample. ELISA is time-saving method but ELISA and rapid antigen tests should not be used as the sole method of diagnosis. Keeping in view the ICT kit used in this study is species specific, and the species identification was not carried out in the present study, hence genus specific kits may be useful for diagnosis in such settings. CONCLUSION Microscopy remains the preferred method of diagnosis for Cryptosporidium having good sensitivity and specificity and considering it's low cost in resource poor settings. ELISA is time-saving method but ELISA and rapid antigen tests should not be used as the sole method of diagnosis.
Collapse
Affiliation(s)
- Rumpa Saha
- Departments of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi University, Delhi, India,Address for correspondence: Dr. Rumpa Saha, 3rd Floor, Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi University, Delhi - 110 095, India. E-mail:
| | - Bhoomika Saxena
- Departments of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi University, Delhi, India
| | - Sungtila T. Jamir
- Departments of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi University, Delhi, India
| | - Shwetank Shekhar
- MBBS Student, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi University, Delhi, India
| |
Collapse
|
28
|
Tigga RA, Das S, Bhattacharya SN, Saha R, Pandhi D, Datt S, Rai G. Burden of Chronic Dermatophytosis in a Tertiary Care Hospital: Interaction of Fungal Virulence and Host Immunity. Mycopathologia 2018; 183:951-959. [DOI: 10.1007/s11046-018-0303-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2018] [Accepted: 10/13/2018] [Indexed: 11/30/2022]
|
29
|
Affiliation(s)
- M S Bhatia
- Department of Psychiatry, University College of Medical Sciences and GTB Hospital, New Delhi, India
| | - R Saha
- Department of Psychiatry, University College of Medical Sciences and GTB Hospital, New Delhi, India
| |
Collapse
|
30
|
Singh T, Das S, Ramachandran VG, Dar SA, Snehaa K, Saha R, Shah D. Spectrum of diarrhoeagenic Escherichia coli in paediatric population suffering from diarrhoea and as commensals in healthy children. Indian J Med Microbiol 2018; 35:204-210. [PMID: 28681807 DOI: 10.4103/ijmm.ijmm_16_21] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND Diarrhoeagenic Escherichia coli (DEC) is associated with early death of children in developing countries and are being identified now as an important evolving pathogen. The objective of this study was to perform multiplex polymerase chain reaction (PCR) for simultaneous detection of six categories of DEC in two sets of PCR reactions using 11 virulent genes. MATERIALS AND METHODS During 1-year study period, forty isolates each from outpatient, inpatient and healthy groups were collected from children. E. coli was identified using conventional biochemical methods. DNA extraction was done using kit, and the extracted DNA was used as a template for multiplex PCR. RESULTS Virulent genes of DEC were detected in 106 (88.33%) samples. Overall, elt and est were detected in 8.33% and 30.83% of specimens; typical, atypical enteropathogenic E. coli and bfp were detected in 13.33%, 29.16% and 19.16% specimens; eagg was detected in 39.16% and east in 13.33% specimens and stx and hyla were isolated in 1.66% specimens each. While diffusely adherent E. coli and enteroinvasive E. coli genes were not isolated. CONCLUSION Multiplex PCR is a rapid method for the simultaneous detection of 11 virulent genes of DEC at a time and it will provide a platform in understanding the diarrheal diseases in a more improved manner.
Collapse
Affiliation(s)
- Taru Singh
- Department of Microbiology, UCMS, Guru Teg Bahadur Hospital, New Delhi, India
| | - Shukla Das
- Department of Microbiology, UCMS, Guru Teg Bahadur Hospital, New Delhi, India
| | - V G Ramachandran
- Department of Microbiology, UCMS, Guru Teg Bahadur Hospital, New Delhi, India
| | - Sajad Ahmad Dar
- Department of Microbiology, UCMS, Guru Teg Bahadur Hospital, New Delhi, India
| | - K Snehaa
- Department of Microbiology, UCMS, Guru Teg Bahadur Hospital, New Delhi, India
| | - Rumpa Saha
- Department of Microbiology, UCMS, Guru Teg Bahadur Hospital, New Delhi, India
| | - Dheeraj Shah
- Department of Paediatrics, UCMS, Guru Teg Bahadur Hospital, New Delhi, India
| |
Collapse
|
31
|
Abstract
Cryptococcosis in HIV-seronegative patients is rarely reported from India. This prospective study was conducted to look for cryptococcal meningitis in HIV-seronegative individuals and compare their laboratory features to cryptococcal meningitis in HIV-seropositive patients. Cerebrospinal fluid was collected from 153 suspected cases of meningitis and subjected to India ink preparation, antigen detection, and culture. Nineteen samples tested positive for Cryptococcus neoformans infection. Seventeen and two patients were HIV reactive and nonreactive, respectively. In vitro susceptibility of C. neoformans isolates to fluconazole and amphotericin B was performed using standard broth microdilution method and E-test. Eighteen strains were susceptible to amphotericin B, while fluconazole was reported susceptible in 15 strains. Hence, index of suspicion of C. neoformans infection as possible cause of meningitis must be maintained even in HIV-negative patients. Use of amphotericin B for treating C. neoformans meningitis should be restricted to prevent any increase in resistance.
Collapse
Affiliation(s)
- Shukla Das
- Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India
| | - Shyama Datt
- Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India
| | - Priyamvada Roy
- Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India
| | - Rumpa Saha
- Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India
| | - Immaculata Xess
- Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India
| |
Collapse
|
32
|
Verma P, Saha R, Chaira D. Waste steel scrap to nanostructured powder and superior compact through powder metallurgy: Powder generation, processing and characterization. POWDER TECHNOL 2018. [DOI: 10.1016/j.powtec.2017.11.061] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
33
|
Saha R, Majumdar B, Mazumdar S, Barman D, Bhattacharyya P. Soil quality assessment using soil organic carbon, total nitrogen and microbial properties in hilly agro-ecosystem. Appl Biol Res 2018. [DOI: 10.5958/0974-4517.2018.00001.0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
|
34
|
Abstract
Drug-resistant spinal tuberculosis (TB) is an emerging health problem in both developing and developed countries. In this review article, we aim to define management protocols for suspicion, diagnosis, and treatment of such patients. Spinal TB is a deep-seated paucibacillary lesion, and the demonstration of acid-fast bacilli on Ziehl-Neelsen staining is possible only in 10%-30% of cases. Drug resistance is suspected in patients showing the failure of clinicoradiological improvement or appearance of a fresh lesion of osteoarticular TB while on anti tubercular therapy (ATT) for a minimum period of 5 months. The conventional culture of Mycobacterium tuberculosis remains the gold standard for both bacteriological diagnosis and drug sensitivity testing (DST); however, the high turn around time of 2-6 weeks for detection with added 3 weeks for DST is a major limitation. To overcome this problem, rapid culture methods and molecular methods have been introduced. From a public health perspective, reducing the period between diagnosis and treatment initiation has direct benefits for both the patient and the community. For all patients of drug-resistant spinal TB, a complete Drug-O-Gram should be prepared which includes details of all drugs, their doses, and duration. Patients with confirmed multidrug-resistant TB strains should receive a regimen with at least five effective drugs, including pyrazinamide and one injectable. Patients with resistance to additional antitubercular drugs should receive individualized ATT as per their DST results.
Collapse
Affiliation(s)
- Anil K Jain
- Department of Orthopaedics, University College of Medical Sciences, GTB Hospital, New Delhi, India,Address for correspondence: Dr. Anil K Jain, University College of Medical Sciences and GTB Hospital, New Delhi, India. E-mail:
| | - Karan Raj Jaggi
- Department of Orthopaedics, University College of Medical Sciences, GTB Hospital, New Delhi, India
| | - Himanshu Bhayana
- Department of Orthopaedics, University College of Medical Sciences, GTB Hospital, New Delhi, India
| | - Rumpa Saha
- Department of Microbiology, University College of Medical Sciences, GTB Hospital, New Delhi, India
| |
Collapse
|
35
|
Jakhar SK, Pandey M, Shah D, Ramachandran VG, Saha R, Gupta N, Gupta P. Etiology and Risk Factors Determining Poor Outcome of Severe Pneumonia in Under-Five Children. Indian J Pediatr 2018; 85:20-24. [PMID: 29027126 DOI: 10.1007/s12098-017-2514-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/05/2017] [Accepted: 09/21/2017] [Indexed: 10/18/2022]
Abstract
OBJECTIVES To determine the etiology of severe pneumonia (pneumonia with chest indrawing) in under-five children, and to study the risk factors for poor outcomes viz., 'treatment failure', 'need for change in antibiotics', 'prolonged hospital stay', 'need for mechanical ventilation' and 'mortality.' METHODS Children (age 2 mo to 5 y) with pneumonia and chest drawing were enrolled prospectively from October 2012 through September 2013. Clinical history was recorded, and examination, anthropometry and investigations (including chest X-ray, blood culture and nasopharyngeal swab culture) were performed. Children were managed as per standard guidelines, and recovery outcomes were recorded in form of 'treatment failure' (defined as persistence of features of severe pneumonia after 72 h or worsening of clinical condition before 72 h), need for change of antibiotics and prolonged (>5 d) hospital stay. The associations between the clinical, anthropometric and diagnostic risk factors and the recovery outcomes were evaluated by univariate and multivariate logistic regression analysis. RESULTS Out of 120 children enrolled in the study, 36 (42%) were culture positive (nasopharyngeal/blood); most common bacteria isolated were Streptococcal pneumoniae and Staphylococcal aureus, respectively. Treatment failure was seen in 15 (12.5%), 34 (28.3%) needed change of antibiotics, and 50 (41.6%) children required prolonged hospitalization. Low birth weight, overcrowding, general danger signs (lethargy/unable to drink), clinical rickets, crepitation, leukocytosis and positive blood culture were significant risk factors for treatment failure, prolonged hospital stay and antibiotics change. On multivariate logistic regression analysis, respiratory rate of >70/min (OR 19.94, 95%CI 1.42-280.29), lethargy/unconsciousness (OR 114.2, 95%CI 3.14-4147.92), and positive blood culture (OR 15.24, 95%CI 2.53-91.67) had more chances of treatment failure. Duration of hospital stay was prolonged in those who had inability to drink (OR 3.89, CI 1.37-10.99) or abnormal chest X-ray (OR 8.45, CI 3.56-20.04). Children with rickets (OR 3.69, CI 1.14-11.96), and those with abnormal chest X-ray (OR 9.66, CI 2.62-35.53) had a higher odds of change in antibiotics. Presence of wheeze was a protective factor for treatment failure (OR 0.03, CI 0.00-0.37) and change of antibiotics (OR 0.24, CI 0.07-0.74). CONCLUSIONS Staphylococcus aureus and Streptococcus pneumoniae are the predominant organisms causing severe pneumonia in our setting. Children with risk factors such as respiratory rate >70/min, rickets, lethargy/unconsciousness, not able to drink, abnormal chest X-ray or positive blood culture are likely to have a delayed recovery or need of change of antibiotics, whereas those with wheeze are likely to recover faster with less chances of treatment failure.
Collapse
Affiliation(s)
- Suresh Kumar Jakhar
- Department of Pediatrics, University College of Medical Sciences & GTB Hospital, Dilshad Garden, Delhi, 110095, India
| | - Mukul Pandey
- Department of Pediatrics, University College of Medical Sciences & GTB Hospital, Dilshad Garden, Delhi, 110095, India
| | - Dheeraj Shah
- Department of Pediatrics, University College of Medical Sciences & GTB Hospital, Dilshad Garden, Delhi, 110095, India.
| | - V G Ramachandran
- Department of Microbiology, University College of Medical Sciences & GTB Hospital, Dilshad Garden, Delhi, India
| | - Rumpa Saha
- Department of Microbiology, University College of Medical Sciences & GTB Hospital, Dilshad Garden, Delhi, India
| | - Natasha Gupta
- Department of Radiology, University College of Medical Sciences & GTB Hospital, Dilshad Garden, Delhi, India
| | - Piyush Gupta
- Department of Pediatrics, University College of Medical Sciences & GTB Hospital, Dilshad Garden, Delhi, 110095, India
| |
Collapse
|
36
|
Saha R. The Confrontation of Fungal Sepsis in Neonates. Indian Pediatr 2017; 54:542-543. [PMID: 28737139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Affiliation(s)
- Rumpa Saha
- Department of Microbiology, University College of Medical Sciences, Dilshad Garden, Delhi 110095, India.
| |
Collapse
|
37
|
Roy P, Das S, Sharma S, Girotra V, Gupta N, Saha R, Kaur IR. Revisiting the Utility of Histopathological Examination of Biopsy: A Necessity in Microbiology. J Clin Diagn Res 2017; 11:DC16-DC18. [PMID: 28658759 DOI: 10.7860/jcdr/2017/26431.9904] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [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: 12/30/2016] [Accepted: 03/09/2017] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Culture is the gold standard, while potassium hydroxide mount is simplest technique used for diagnosis of fungal pathogens. Histopathological examination is the only definitive means to identify certain uncultivable fungi. AIM To analyse role of histopathological examination and potassium hydroxide (KOH) mount for diagnosing fungal infections by correlating them with culture. MATERIALS AND METHODS In this nine year retrospective study, all biopsy specimens submitted for microbiological examination were included. Histopathological examination of biopsies of cases with positive microbiological findings on either KOH mount or culture was carried out. Any discrepancy between histopathology interpretation and microbiology KOH or culture results, taking culture as the gold standard, were noted. STATISTICAL ANALYSIS Open Epi software was used for statistical analysis. Comparisons between groups were made by using the chi-square test. A p-value < 0.05 was considered statistically significant. Cohen's Kappa coefficient (κ) was calculated as a measure of agreement between different variables. RESULTS Concurrent pathology specimen could be obtained in 70 samples positive for fungal elements in either KOH or culture. Thirty-two cases were positive for fungi in culture, of which 16 were correctly identified by histopathological examination. Histopathological examination was strongly associated with culture result. KOH mount was in good agreement with positive culture result for yeast. Eleven culture negative but KOH and histopathology positive cases included seven samples with hyphae suggestive of zygomycosis, and two cases of rhinosporidiosis. Allergic mucin was strongly associated with Aspergillus species. KOH mount and detection of allergic mucin on histopathological examination were found to be excellent complementary tools for diagnosing Aspergillus species. Necrosis was highly specific for fungal growth in culture and had good positive predictive value. CONCLUSION We advocate using histopathology, culture and KOH examination in an integral manner to avoid potential lapses in patient management.
Collapse
Affiliation(s)
- Priyamvada Roy
- Senior Resident, Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
| | - Shukla Das
- Director Professor, Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
| | - Sonal Sharma
- Director Professor, Department of Pathology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
| | - Vaibhav Girotra
- Senior Resident, Department of Pathology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
| | - Neelima Gupta
- Associate Professor, Department of Otorhinolaryngology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
| | - Rumpa Saha
- Professor, Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
| | - Iqbal Rajinder Kaur
- Director Professor and Head, Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi, India
| |
Collapse
|
38
|
|
39
|
Das S, Majumdar B, Saha AR, Sarkar S, Jha SK, Sarkar SK, Saha R. Comparative Study of Conventional and Improved Retting of Jute with Microbial Formulation. ACTA ACUST UNITED AC 2017. [DOI: 10.1007/s40011-017-0872-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
40
|
Abstract
BACKGROUND There are several case reports of quinine-induced thrombocytopenia but no clinical trials to ascertain its incidence and significance in severe malaria. OBJECTIVES The primary objective was to assess the effect of quinine on the platelet count in children with severe malaria and to compare it with artesunate combination therapy (ACT), and the secondary objective was to assess outcome of treatment with quinine and ACT. METHODS An open-labelled, randomised, controlled trial was undertaken in 100 children aged 6 months to 12 years who were diagnosed with malaria by microscopy and/or rapid diagnostic test kits with at least one WHO clinical or laboratory criterion for severe malaria. All subjects were commenced on either quinine or ACT. Clindamycin was added to artesunate as a combination drug (ACT). It was also given to patients on quinine to avoid its confounding effect on the results. Platelet counts were undertaken every 24 hours for 7 consecutive days, temperature and coma score (Blantyre coma score ≥3 in children <4 years or Glasgow coma score ≥13 in children >4 years) was recorded 6-hourly and peripheral smears were taken 12-hourly until two consecutively negative smears were obtained. The primary outcome was a fall in the platelet count by ≥20% from the time of drug initiation until day 7. The secondary outcome was comparison of the efficacy, parasite clearance time, fever clearance time, coma recovery time and adverse effects of quinine vs ACT. RESULTS 30.4% patients in the quinine group (n = 48) had ≥20% fall in platelet count and 10.8% of patients in the ACT group (n = 46) (P = 0.02). Despite the fall in platelet count, there was no bleeding. The efficacy of ACT was significantly better than quinine but the other treatment outcomes showed insignificant difference. CONCLUSION Quinine should be used with caution in patients with severe malaria because of the potential risk of quinine-induced thrombocytopenia.
Collapse
Affiliation(s)
- Parul Gupta
- a Department of Paediatrics , University College of Medical Sciences and Guru Tegh Bahadur Hospital, University of Delhi , Delhi , India
| | - Manish Narang
- a Department of Paediatrics , University College of Medical Sciences and Guru Tegh Bahadur Hospital, University of Delhi , Delhi , India
| | - Sunil Gomber
- a Department of Paediatrics , University College of Medical Sciences and Guru Tegh Bahadur Hospital, University of Delhi , Delhi , India
| | - Rumpa Saha
- b Department of Microbiology , University College of Medical Sciences and Guru Tegh Bahadur Hospital, University of Delhi , Delhi , India
| |
Collapse
|
41
|
Singh T, Das S, Ramachandran V, Shah D, Saha R, Dar SA, Rai A. Typical & atypical enteropathogenic Escherichia coli in diarrhoea & their role as carrier in children under five. Indian J Med Res 2017; 145:551-557. [PMID: 28862189 PMCID: PMC5663171 DOI: 10.4103/ijmr.ijmr_25_15] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND & OBJECTIVES Multidrug-resistant enteropathogenic Escherichia coli (EPEC) is responsible for a large number of cases of infantile diarrhoea in developing countries, causing failure in treatment with consequent health burden and resulting in a large number of deaths every year. This study was undertaken to determine the proportion of typical and atypical EPEC in under five children with diarrhoea and controls, their function as a carriage and to identify virulent genes associated with them. METHODS During the study period, 120 stool samples including 80 from controls children were collected and analyzed for the presence of EPEC using standard bacteriological methods. Isolates were subjected to antimicrobial testing by disc diffusion method. Isolates confirmed as E. coli by phenotypic method were further tested for the presence of attaching and effacing (eae) and bundle-forming pilus (bfpA) genes by real-time SYBR Green-based polymerase chain reaction. RESULTS All isolates were tested for the presence of EPEC. The frequency of typical EPEC was 20 and 16.25 per cent whereas the frequency of atypical EPEC strains was 5 and 23.75 per cent in patients and controls, respectively (PbfpA was seen in 45 and 18.75 per cent isolates of diarrhoeal patients and controls, respectively. INTERPRETATION & CONCLUSIONS Our results showed that typical EPEC was a common cause of diarrhoea, but at the same time, atypical EPEC was emerging as colonizers in the intestine of children with and without diarrhoea in and around Delhi. Children can be considered asymptomatic carriers of these pathogens and can transmit them to other susceptible children. Adequate steps need to be taken to stop these strains from developing and spreading further.
Collapse
Affiliation(s)
- Taru Singh
- Department of Microbiology, University College of Medical Sciences & Guru Teg Bahadur Hospital, Delhi, India
| | - Shukla Das
- Department of Microbiology, University College of Medical Sciences & Guru Teg Bahadur Hospital, Delhi, India,Reprint requests: Dr. Shukla Das, Department of Microbiology, University College of Medical Sciences & Guru Teg Bahadur Hospital, Dilshad Garden, Delhi 110 095, India e-mail:
| | - V.G. Ramachandran
- Department of Microbiology, University College of Medical Sciences & Guru Teg Bahadur Hospital, Delhi, India
| | - Dheeraj Shah
- Department of Paediatrics, University College of Medical Sciences & Guru Teg Bahadur Hospital, Delhi, India
| | - Rumpa Saha
- Department of Microbiology, University College of Medical Sciences & Guru Teg Bahadur Hospital, Delhi, India
| | - Sajad Ahmad Dar
- Department of Microbiology, University College of Medical Sciences & Guru Teg Bahadur Hospital, Delhi, India
| | - Arvind Rai
- Divisioin of Biotechnology & Molecular Biology, National Centre for Disease Control, New Delhi, India
| |
Collapse
|
42
|
Roy P, Das S, Singh N, Saha R, Kajla G, Snehaa K, Gupta V. Changing trends in fungal and bacterial profile of infectious keratitis at a tertiary care hospital: A six-year study. Clinical Epidemiology and Global Health 2017. [DOI: 10.1016/j.cegh.2016.02.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
|
43
|
Jain C, Das S, Ramachandran VG, Saha R, Bhattacharya SN, Dar S. Malassezia Yeast and Cytokine Gene Polymorphism in Atopic Dermatitis. J Clin Diagn Res 2017; 11:DC01-DC05. [PMID: 28511379 DOI: 10.7860/jcdr/2017/23948.9474] [Citation(s) in RCA: 5] [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: 09/20/2016] [Accepted: 12/28/2016] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Atopic Dermatitis (AD) is a recurrent chronic condition associated with microorganism and their interaction with the susceptible host. Malassezia yeast is a known commensal which is thought to provoke the recurrent episodes of symptoms in atopic dermatitis patients. Malassezia immunomodulatory properties along with defective skin barrier in such host, results in disease manifestation. Here, we studied Single Nucleotide Polymorphism (SNP) in IL10 and IFN γ genes of the host and its relation with susceptibility to Malassezia infection. AIM To isolate Malassezia yeast from AD patients and compare the genetic susceptibility of the host by correlating the cytokine gene polymorphism with the control subjects. MATERIALS AND METHODS Study was conducted from January 2012 to January 2013. It was a prospective observational study done in Department of Microbiology and Department of Dermatology and Venereology in University College of Medical Sciences and GTB Hospital, Delhi. Sample size comprised of 38 cases each of AD. Skin scrapings were used for fungal culture on Sabouraud Dextrose Agar (SDA) and Modified Dixon Agar (MDA) and isolated were identified as per conventional phenotypic methods. Genomic DNA was extracted from blood samples collected from all study subjects. Cytokine genotyping was carried out by Amplification Refractory Mutations System- Polymerase Chain Reaction (ARMS-PCR) with sequence specific primers. Three SNPs (IL10-1082A/G; IL10-819/592C/T; IFN-γ+874A/T) in two cytokine genes were assessed in all the patients and healthy controls. STATISTICAL ANALYSIS Chi-Square Test or Fisher's-Exact Test and Bonferroni's correction. RESULTS In AD group, Malassezia yeasts were cultured in 24 out of 38 samples and thus the identification rate was 63.1 percent as compared to healthy group, 52.6 percent (20/38). Significant difference in allele, or genotype distribution were observed in IL10-819/592C/T and IFN-γ+874A/T gene polymorphism in AD group. CONCLUSION Higher isolation rate in cases as compared to control group highlights the implication of Malassezia in AD. Association between specific cytokine gene polymorphism and clinical outcome was found to be significant in study group. The result of cytokine gene polymorphism in the present study demonstrated susceptibility of host to Malassezia infection.
Collapse
Affiliation(s)
- Charu Jain
- Senior Resident, Department of Microbiology, UCMS and GTB Hospital, Delhi, India
| | - Shukla Das
- Professor, Department of Microbiology, UCMS and GTB Hospital, Delhi, India
| | - V G Ramachandran
- Professor, Department of Microbiology, UCMS and GTB Hospital, Delhi, India
| | - Rumpa Saha
- Assistant Professor, Department of Microbiology, UCMS and GTB Hospital, Delhi, India
| | - S N Bhattacharya
- Professor and Head, Department of Dermatology and Venerology, UCMS and GTB Hospital, Delhi, India
| | - Sajad Dar
- PhD Student, Department of Microbiology, UCMS and GTB Hospital, Delhi, India
| |
Collapse
|
44
|
Saha R, Roy P, Das S, Kaur N, Kumari A, Kaur IR. Application of a stool antigen test to evaluate the burden of Helicobacter pylori infection in dyspepsia patients. INDIAN J PATHOL MICR 2017; 59:66-8. [PMID: 26960639 DOI: 10.4103/0377-4929.174819] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Helicobacter pylori (HP) is causally associated with peptic ulcer disease and gastric carcinoma. Determination of the prevalence of HP infection in dyspepsia patients' in particular geographical area is imperative for the appropriate management of dyspepsia. HP antigen detection in stool is a noninvasive diagnostic test of HP infection. This prospective study was conducted to find out the prevalence of HP infection based on stool antigen testing in dyspeptic patients who had also undergone upper gastrointestinal (GI) endoscopy. This study highlights the high prevalence of HP infection in dyspeptic Indian patients, particularly males, and emphasizes the growing importance of the bacterium causing infection among children. We also found HP stool antigen testing to be superior to upper GI endoscopy for detecting HP infection. Hence, we recommend initial testing for HP stool antigen in dyspeptic patients before initiating treatment and before carrying out any invasive procedure such as endoscopy.
Collapse
Affiliation(s)
| | - Priyamvada Roy
- Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, New Delhi, India
| | | | | | | | | |
Collapse
|
45
|
Kumar A, Somasundaram J, Biswas A, Sinha NK, Mishra V, Chaudhary R, Mohanty M, Hati K, Saha R, Patra A. Short-term effect of conservation agriculture practices on soil quality of a vertisol in central India. Appl Biol Res 2017. [DOI: 10.5958/0974-4517.2017.00004.0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
46
|
|
47
|
|
48
|
Affiliation(s)
- Swagata Mandal
- Homogeneous Catalysis Laboratory, Department of Chemistry, University of Burdwan, Golapbag, Burdwan, India
| | - Sangita Mandal
- Homogeneous Catalysis Laboratory, Department of Chemistry, University of Burdwan, Golapbag, Burdwan, India
| | - Sumanta K. Ghosh
- Homogeneous Catalysis Laboratory, Department of Chemistry, University of Burdwan, Golapbag, Burdwan, India
| | - Aniruddha Ghosh
- Homogeneous Catalysis Laboratory, Department of Chemistry, University of Burdwan, Golapbag, Burdwan, India
| | - Rumpa Saha
- Department of Chemistry, TDB College Raniganj, Raniganj, India
| | | | - Bidyut Saha
- Homogeneous Catalysis Laboratory, Department of Chemistry, University of Burdwan, Golapbag, Burdwan, India
| |
Collapse
|
49
|
Abstract
OBJECTIVE To estimate the proportionate contribution of Cryptosporidium to diarrhea in under-five children, and to study its demographic and clinical associates. METHODS We collected stool specimens from children (age <5 yrs) suffering from diarrhea. The specimen was examined on the same day by Kinyouns acid-fast staining for the presence of Cryptosporidium parvum oocyst; rest of the sample was preserved for later cryptosporidium antigen detection by commercially available ELISA kit. RESULTS Out of 175 children with diarrhea, 48 (27.4%) had Cryptosporidium antigen in their stool specimen. Gender, history of contact with domestic animal, hydration status, breastfeeding and nutritional status were not significantly associated with cryptosporidium infection in children with diarrhea. CONCLUSION Cryptosporidium is present in a significant portion of children suffering from diarrhea in our setting. Antigen detection has much higher isolation rate than acid-fast staining.
Collapse
Affiliation(s)
- Purbasha Bera
- Departments of Microbiology and *Pediatrics, University college of Medical Sciences and Guru Teg Bahadur Hospital, Dilshad Garden, Delhi, India Correspondence to: Dr Purbasha Bera, Department of Microbiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Dilshad Garden, Delhi 110 095, India.
| | | | | | | | | |
Collapse
|
50
|
Das S, Saha R, Roy P, Hada V, Kaur IR, Muktesh G, Madhu S. A case of fibrocalculous pancreatic diabetes (FCPD) with pelvic and scrotal abscess caused by Candida glabrata. Indian Journal of Medical Specialities 2016. [DOI: 10.1016/j.injms.2016.05.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|