Urinary Tract Infection Caused By Myroides Spp. In Diabetic Patients: To Be Or Not To Be

Myroides is a non-fermentative, Gram-negative rod-like bacteria. It is a rare opportunistic pathogen which has been reported to cause many serious infections. Management of infections caused by Myroides can be challenging due to its high resistance to most antibiotics. We report three cases of urinary tract infection (UTI) due to Myroides species in patients with diabetes mellitus Type II. Myroides spp. isolated were resistant to all the antibiotics tested: Amoxicillin-clavulanic acid, piperacillin-tazobactam, cefepime, ceftriaxone-cefoperazone sulbactam, amikacin, gentamicin, imipenem, meropenem, ciprofloxacin, colistin, tigecycline, and co-trimoxazole. Two strains were sensitive to minocycline (minimum inhibitory concentration <1 μg/mL). Two patients had Foley’s catheter in place and one patient had urinary retention at the time of diagnosis. The infection in two cases was nosocomial, whereas one case appeared to have a community-acquired infection with Myroides. Clinicians should consider the possibility of Myroides as a pathogen in UTI in diabetic patients, especially in nosocomial settings

Occupational hazard with “PRIONS”- in Autopsy workers.

Autopsy room as a potential source of infection to Forensic Pathologists / Autopsy Surgeons and other personnel assisting to conduct an autopsy is a well documented fact. Most frequently reported infections are tuberculosis, brucellosis, salmonellosis, HIV, hepatitis viruses (HBV, HCV etc). New worrisome infective agents called ‘PRIONS’ are associated with degenerative diseases of the central nervous system (CNS) in man and animals (e.g. Mad Cow Disease). Prions are proteinaecious infective agents characterized by extreme resistance to conventional inactivation procedures and transmissible through food, contaminated instruments etc.

Morbidity pattern of hydatid disease (cystic echinococcosis) and lack of its knowledge in patients attending Mamata General Hospital, Khammam, Andhra Pradesh.

There is hearsay that prevalence of hydatid disease in Khammam and Nalgonda districts of Andhra Pradesh is high. We report here a preliminary study conducted to determine the magnitude of the problem of hydatid disease and the morbidity associated with it in patients attending MGH, KMM, A.P. (rural hospital). Eleven cases were identified during the period from November 2005 to May 2006 (seven months). Pain in abdomen, mass per abdomen, loss of appetite, pregnancy complicated by cystic echinococcosis (CE), and jaundice were the main clinical symptoms and signs. Ultrasonography, detection and removal of the cysts on the operation table, microscopic examination of the aspirated hydatid fluid were confirmatory. Ziehl-Neelsen stain of the aspirated fluid revealed acid-fast scolices. Interrogation of the patients and their family members (50) revealed that there was a total lack of knowledge of dog-tapeworm-caused infection in humans. They knew 'rabies' as the only disease man gets from dogs, and tapeworms are from pork and beef.