A Review: Lumpy Skin Disease in Cattle

Lumpy skin disease (LSD) is one of the most economically valuable transboundary and OIE-listed diseases caused by Capripoxvirus in the family Poxviridae. LSD should always be included in the differential diagnosis when cattle exhibit tiny nodules development in the head, neck, udder, rump, perineum, and leg area and elevated body temperature, respiration, and salivation. The economic potential of these diseases is of significant concern, provided that they threaten international trade and could be used as economic bioterrorism agents. Because of the scarcity of reliable vaccinations and the widespread poverty in rural areas, capripoxviruses appear to be spreading more widely. The best treatment for reducing the risk factors for the disease could be strict quarantine, vector control, and prophylactic vaccination. The goal of the current study is to give the information that is currently available on the disease’s various aspects, including its clinicopathology, method of transmission, possible treatments, and diagnostic procedures

Current Trends of Various Candida Coinfection using KB006Hi Candida Kit and CHROM Agar in Pulmonary Tuberculosis Patients at a Tertiary Health Care Center in Patna

Introduction: The various Candida species have long been associated with pulmonary tuberculosis (TB). These Candidahave assumed significance as emerging pathogen in these TB patients with some degree resistance to antifungal therapy thuscomplicating the disease and its treatment. Early identification of Candida species and instituting appropriate treatment therapyis important in reducing the morbidity and mortality in patients with TB.Aim: The aim is to study trends and prevalence of various Candida coinfection using KB006Hi Candida kit and CHROM agarin pulmonary TB patients and evaluating usefulness of these candida identification kit.Material and Methods: This study was done in the Department of Microbiology at Indira Gandhi Institute of Medical Sciences,Patna, Bihar, over a period of 1 year in seventy patients of pulmonary TB. Prior Institutional Ethical Committee approval wasalso obtained for this study.Results: Out of a total of 200 patients, 70 patients (35%) whose sputum samples were positive for acid-fast bacilli were includedin the study. Candida coinfection was observed in 26 (37.14%) patients which included 16 male and 10 female patients. Theratio of male to female in Candida infection group was 1.6:1. Candida albicans was the most common isolate among Candidaspecies in pulmonary TB patients which was isolated in 50% of the patients.Conclusion: Candida coinfection in pulmonary TB patient is common, and synergistic growth between Candida species andTB exists. Along with C. albicans, the prevalence of non-albicans species is also increasing with variable degree of resistance.Prompt measures need to be taken for routine identification and treatment of these opportunistic Candida infections in TB patients.

Etiology, Clinical Features, and Complications of Urethral Stricture.

Introduction: Most urethral strictures are either idiopathic or iatrogenic secondary to urethral instrumentation or failed surgery for hypospadias and complications of prostatectomy. Sometimes, it also presents as a surgical emergency. Aim: The aim of the present study was to study the etiological, clinical features, and complications of urethral stricture. Materials and Methods: A total of 50 cases of urethral stricture were studied over a period of 2-year in Katihar Medical College, with emphasis on various aspects of urethral stricture. Results: Maximum 24% of the cases were in the age group of 31-40 years followed by age group 41-50 years (20%). All the patients in this study were males. The disease was mostly prevalent among people of lower socio-economic status. Acute and chronic retention of urine were the most common complication comprising of 50% of the total cases. A maximum number of cases were traumatic in nature. Conclusion: Urethral stricture is a disease of varying symptoms and lots of complications affecting the psyche of the patient. The treating surgeon must be competent in the use of various techniques to deal with conditions of the urethra presented at the time of surgery.

Benign Breast Lesions in a Teaching Hospital in Rural Bihar.

Background: Breast diseases has captured attention of surgeons throughout the ages with its uncertain cause. Study of a pattern of benign breast diseases (BBDs) is a challenge due to variants in occurrence and presentation in different age groups and different geographical areas. The breast is a complex structure and any unnatural change affects the body and psyche of the person. Aim: The aim of this study was to observe age distribution, clinical signs, symptoms and pathology of benign breast lump and correlate them with pathological findings. Materials and Methods: A total of 124 cases of benign breast lump were included in this study. These cases were selected among patients visiting the outdoor clinic of Department of General Surgery in Katihar Medical College, Katihar, Bihar, India. The selected cases belonged to different etiology, age group and sex. Results: Maximum cases of benign breast tumors were observed in age group of 21-30 years (third decade). Fibroadenoma was the most common presentation. The majority of patients reported within 1 year of onset of disease. The painless lump was the most common mode of presentation. The right breast was involved in a more number of cases with maximum lesions noted in the upper outer quadrant. Conclusion: BBDs are common in female patients. Clinical, sonological, mammographical, and pathological studies need to be conducted in a systemic way to find answers of complexities posed by the confusing pattern of BBDs.

Intestinal Tuberculosis: Experience with Mode of Presentation and Epidemiological Profile at a Tertiary Care Centre in Eastern Bihar.

Introduction: Tuberculosis (TB) is a major global health problem and still considered as a social disease in India reflecting the standards of living in a community. It possesses a diagnostic and therapeutic challenge to practicing surgeon in resource-limited countries. Aim: The aim of the present study was to study different surgical features and epidemiological profile of intestinal TB. Materials and Methods: 100 diagnosed cases of intestinal TB were studied over a period of 3-year in the Department of General Surgery at Katihar Medical College with emphasis on mode of presentation and epidemiological profile. Result: 64% of the cases were in the age group of 21-40 years. The sex incidence revealed a female to male ratio of 1.17:1 showing a female preponderance particularly affecting those who were engaged in household work. Persons of low socio-economic status, particularly non-vegetarians were the common victims of this disease. 50% of the cases belonged to the Muslim community. The important symptoms were abdominal pain, vomiting, loss of appetite, loss of weight, constipation, recurrent bowel upset, and distension of abdomen. The important signs were emaciated look, anemia localized, tenderness, abdominal lump, visible peristalsis, doughy feel of abdomen, distension and ascites and rigidity of the abdomen. The average duration of symptoms was 6-18 months at presentation. Conclusion: Intestinal TB has vague presentations as shown by this study with a predominant feature of abdominal pain. Good results can be obtained by adopting a multidisciplinary approach, health education, and awareness among people as this disease is very prevalent in this region.

Clinical presentation and bacteriological profile of diabetic foot in Eastern Bihar, India.

Background: Diabetes is a worldwide problem. A majority of diabetic patients develop foot ulcers in one point of time or other during the course of their illness. Chronic wound, especially non-healing types are the most common surgical conditions. The etiopathogenesis of diabetic foot lesions are multi-factorial like diabetic neuropathies, vasculopathy, poor control of diabetes and bacterial infection. The aim of the present study was to study various modes of presentation and microbiological profile in management of diabetic foot. Methods: 100 diagnosed cases of diabetic foot were studied over a period of three years in the department of General Surgery at Katihar Medical College with emphasis on clinical features and microbiological picture of diabetic foot and its complications. Results: Males are more prone to surgical complications three times than females because of more outdoor activities. It is more prevalent in age group 51-60 years (36%). In the present study, cases presenting with ulcer were maximum (52%) followed by cellulitis (20%), cases presenting with gangrene of toe or foot was minimum (12%). Staphylococcus Aureus was found in majority of cases of septic lesions on culture of pus (41%). Other organisms isolated were Pseudomonas, Klebsiella, E.Coli, Proteus etc. Conclusions: Diabetic foot has varied presentation. The prevalence of diabetes mellitus and its surgical complications can be attributed to poor patient knowledge, education and awareness of the disease. Patient education for care of feet such as pairing of nails, wearing proper footwear and prompt reporting to doctor in case of early lesions is essential.

Surgical Management of Cases Presenting with Diabetic Foot in Kosi Region of Bihar.

Introduction: The major complication of diabetes is the foot ulcer with a poor tendency to heal thus leading to complications. The outcome of the complications of a patient with diabetic foot can be favorable if proper and timely surgical intervention is provided by the attending surgeon by means of regular dressing, wound debridement, amputation, and use of proper antibiotics supported by sensitivity report. Aim: The aim of the present study was to undertake different surgical treatments available in management of diabetic foot. Materials and Methods: A total of 100 diagnosed cases of diabetic foot were studied over a period of 3 years in the Department of General Surgery at Katihar Medical College with emphasis on surgical modalities of treatment of diabetic foot and its complications. Results: Males are more prone to surgical complications 3 times than females because of more outdoor activities. It is more prevalent in the age group 51-60 years (36%). In the treatment schedule, 38 patients were managed by daily dressing and wound debridement and slough excision, 20 patients with a split skin graft, 16 patients under went incision and drainage for an abscess. 16 patients with gangrene of toes and phalanges underwent disarticulation. Transmetatarsal amputation was done in 4 cases, below the knee amputation in 4 cases and above knee amputation in 2 cases. In the course of treatment, the minimum stay in hospital was 1 week and maximum 96 days. Conclusion: Diabetic foot has varied presentation as shown by this study. Good results can be obtained by adopting a multidisciplinary approach for diabetic foot lesions. The patient education for care of feet such as pairing of nails, wearing proper footwear, and prompt reporting to doctor in case of early lesion in foot is important as diabetic foot is very prevalent in Kosi region of Bihar.