ABSTRACT
Zoonotic filariasis due to Dirofilaria repens is prevalent in several regions of the world. Human dirofilariasis due to D. repens has not been widely recognized in India, but few cases reported from some parts of India. Dirofilaria species are commonly encountered in the subcutaneous tissue of dogs, foxes, and cats and it can accidentally infect humans. Here, we report a case of subcutaneous dirofilariasis, presenting as a subcutaneous nodule on the right leg of a 25-year old female from Vidarbha region.
ABSTRACT
Serotypes Salmonella Typhi and Salmonella Paratyphi are restricted to human host in whom these organism cause enteric fever. The remaining non-typhoidal salmonella often cause gastroenteritis and can be associated with bacteremia and localized suppurative infection. We report a case of neck abscess caused by Salmonella Typhi. A 40 yrs. diabetic male patient presented with painful swelling on a left side of neck. Patient had past history of fever before 2 months with positive Widal test. On culture the pus yielded pure growth of Salmonella Typhi. Blood culture was negative. Patient responded to incision and drainage and Ceftriaxone treatment.
ABSTRACT
Background: Nosocomial Infections are an important cause of morbidity, mortality and economic problems especially in intensive care units (ICUs). Aim: This study was conducted to estimate the clinical and bacteriological profile and their antibiotic sensitivity testing in ICU infected patient. Materials and methods: 245 patients clinically diagnosed to have infections in ICU were studied prospectively in the Department of Microbiology, Indira Gandhi Govt. Medical College from Sep. 2009- Dec. 2011. Depending on sites of infections various samples were collected and processed as per the standard guidelines. The isolates were subjected to antimicrobial susceptibility testing by Kirby Bauer disc diffusion method as per CLSI 2012 guideline. Results: The incidence of pneumonia, blood stream infection and urinary tract infections was 61.6%, 20.1% and 11% respectively. P. aeruginosa (16.3%) was the commonest isolate in ICU infection followed by A. baumannii (13.5%) and K. pneumoniae (11.8%) with maximum sensitivity to imipenem, piperacillin tazobactum and amikacin. All Staphylococcus and Enterococcus species were sensitive to vancomycin and linezolid. Gram-negative pathogens acquired from ICU patients in our settings show high resistance to antibiotics. Conclusion: Regular monitoring of the pattern of resistance of common pathogens in the ICUs is critical in planning the best routines for empirical treatment of infectious patients.
ABSTRACT
Background: Nosocomial Infections are an important cause of morbidity, mortality and economic problems especially in intensive care units (ICUs). Aim: This study was conducted to estimate the clinical and bacteriological profile and their antibiotic sensitivity testing in ICU infected patient. Materials and methods: 245 patients clinically diagnosed to have infections in ICU were studied prospectively in the Department of Microbiology, Indira Gandhi Govt. Medical College from Sep. 2009- Dec. 2011. Depending on sites of infections various samples were collected and processed as per the standard guidelines. The isolates were subjected to antimicrobial susceptibility testing by Kirby Bauer disc diffusion method as per CLSI 2012 guideline. Results: The incidence of pneumonia, blood stream infection and urinary tract infections was 61.6%, 20.1% and 11% respectively. P. aeruginosa (16.3%) was the commonest isolate in ICU infection followed by A. baumannii (13.5%) and K. pneumoniae (11.8%) with maximum sensitivity to imipenem, piperacillin tazobactum and amikacin. All Staphylococcus and Enterococcus species were sensitive to vancomycin and linezolid. Gram-negative pathogens acquired from ICU patients in our settings show high resistance to antibiotics. Conclusion: Regular monitoring of the pattern of resistance of common pathogens in the ICUs is critical in planning the best routines for empirical treatment of infectious patients.