Sepsis-induced autoimmune hemolytic anemia in the elderly

Autoimmune hemolytic anemia (AIHA) secondary to hematological malignancy is well-known and common in the elderly. AIHA associated with infection is less commonly reported in the elderly. We are reporting a case of AIHA in an elderly female with comorbidities, probably secondary to Gram-negative infection. The case was admitted and treated during the peak of the second wave of the COVID pandemic. The treatment of AIHA also had an impact on the progress and outcome of the underlying disease, leading to readmission in a short span of time. The patient also developed a thrombotic complication known to be associated with AIHA.

Effectiveness of application of lignolytic fungal strains, Cladosporium uredinicola GRDBF21 and Bipolaris maydis GRDBF23 in the treatment of tannery effluent

Aim: This study aims to investigate the ability of laccase producing fungal strains Cladosporium uredinicola GRDBF21 and Bipolaris maydis GRDBF23 isolated from decaying wood bark in decolouration and detoxification of tannery effluent. Methodology: Fungal strains from decaying wood bark samples were isolated by serial dilution technique followed by single spore isolation method. The selected fungal isolates were investigated for their laccase enzyme production. Their effect on physio-chemical properties of tannery effluent collected from final effluent drainage of a leather-tanning factory in Chrompet, Chennai, Tamil Nadu, India was analysed. Toxicity of treated and untreated tannery effluent was analysed by seed germination test. Results: The lignolytic and constitutive producers of laccase enzyme, C. uredinicola GRDBF21 and B. maydis GRDBF23 exhibited a tolerance index of 1.2 and 1.5, respectively, at 60% effluent concentration. The isolates were able to increase pH and reduce colour, turbidity, total suspended solids and electrical conductivity of the effluent. Besides observing a decrease in the BOD and COD levels, there was also a reduction in the sodium and hexavalent chromium content. C. uredinicola GRDBF21 and B. maydis GRDBF23 treated effluent showed a seed germination percentage of 66.6% and 76.6%, respectively. The untreated effluent completely inhibited the seed germination. Interpretation: The study confirms that the fungal species C. uredinicola GRDBF21 and B. maydis GRDBF23 could be effectively used in decolouration and detoxification of tannery effluent.

Subtenons infection by Dirofilaria repens.

Zoonotic filariasis caused by Dirofilaria repens, a parasite of carnivores occurs mainly in countries surrounding Mediterranean region. The infection occurs in and around eye among animal handlers through vector transmission. We are reporting a case of human Dirofilariasis affecting subtenons region in a 63 year-old woman from Coimbatore, South India. The purpose of this article is to review the clinical course and management of ocular Dirofilariasis.

Prevalence and antimicrobial susceptibility pattern of methicillin resistant Staphylococcus aureus: a multicentre study.

PURPOSE: Methicillin resistant Staphylococcus aureus (MRSA) is an important nosocomial pathogen. We report the prevalence and antibiotic susceptibility pattern of MRSA in major southern districts of Tamilnadu. METHODS: A total of 7172 clinical specimens and 1725 carrier screening samples were collected from different centers and subjected to MRSA screening using conventional microbiological methods. Subsequently the antibiotic sensitivity test was performed for the confirmed MRSA isolates. RESULTS: Out of 906 strains of S. aureus isolated from clinical and carrier samples, 250 (31.1%) and 39 (37.9%) were found to be methicillin resistant respectively. Almost all clinical MRSA strains (99.6%) were resistant to penicillin, 93.6% to ampicillin, and 63.2% towards gentamicin, co-trimoxazole, cephalexin, erythromycin, and cephotaxime. All MRSA strains (100%) of carrier screening samples had resistance to penicillin and about 71.8% and 35.9% were resistant to ampicillin and co-trimoxazole respectively. Multidrug resistance was observed among 63.6% of clinical and 23% of carrier MRSA isolates. However, all strains of clinical and carrier subjects were sensitive to vancomycin. CONCLUSION: The determination of prevalence and antibiotic sensitivity pattern of MRSA will help the treating clinicians for first line treatment in referral hospitals.

Speciation of coagulase negative staphylococcus causing bacterial keratitis.

Thirty-five coagulase negative Staphylococcus (CoNS) cultured from corneal ulcer were speciated and antibiotic sensitivity tested. S epidermidis was the commonest isolate and it was sensitive to ampicillin and vancomycin.

Acanthamoeba keratitis - A six year epidemiological review from a tertiary care eye hospital in South India.

PURPOSE: This study analyses the prevalence, demography, predisposing factors and seasonal variation of Acanthamoeba keratitis. METHODS: A retrospective review of all cases presenting with keratitis at the cornea clinic, Aravind Eye Hospital, Coimbatore, from August 1997 to July 2003, was done for screening patients with a provisional diagnosis of Acanthamoeba keratitis. Their records were further analyzed for microbiological details. Cases with culture proven Acanthamoeba keratitis were included for epidemiological analysis. RESULTS: From a total of 4519 patients who attended cornea clinic 32 (33 eyes) patients were confirmed to be positive for Acanthamoeba keratitis. Twenty cases (62.5%) were males. Majority (18; 54.2%) of the Acanthamoeba keratitis eyes reported corneal trauma by solid objects. No peak period was observed in a year, as the number of cases was almost uniform in all months. CONCLUSION: This study indicates the increasing prevalence of Acanthamoeba keratitis among non-contact lens users in this region during the 6-year period.