Stroke � Next Wave of Complications from COVID-19

Since the declaration of COVID-19 infection as Pandemic in March, 2020, There has been rise in Multisystem Complications apart from regular Acute Respiratory Syndrome which is hallmark of COVID-19 infection. As the second wave surge of COVID-19 has occurred, most of the patients already suffered from dyspnoea but also rare complications like CVA (Infarct and Haemorrhage) , Seizure and altered sensorium related to Hypoxic Brain Injury. COVID-19 frequently presents with a state of altered coagulability which increases the risk of pulmonary embolism and other Thrombotic events such as Cerebrovascular events. This case report is limited to Neurological complications seen in COVID-19 Infected patients

Prevalence of Left Ventricular Diastolic Dysfunction in Metabolic Syndrome as Assessed by Echocardiography

Introduction: Metabolic syndrome is a complex disorderwith high socio-economic cost that is considered aworldwide epidemic. It is very common condition Consistinghyperglycemia,central obesity, hypertension and dyslipidemia(low levels of high density lipoprotein cholesterol(HDL-C)and high levels of triglycerides). Current study was done toassess Left Ventricular Diastolic Dysfunction in patients ofMetabolic Syndrome by 2d- Echocardiography.Material and methods: In this study my aim is to find outthe prevalence of left ventricular diastolic dysfunction inmetabolic syndrome and to highlight the importance ofprimary prevention in metabolic syndrome. The Presentstudy is cross-sectional observational study carried out atCSS Hospital Subharti medical college Meerut UP, consistingof 50 patients having metabolic syndrome according to thecriteria of International Diabetic Federation and to look forthere LVDD via 2d- Echocardiography.Results: The left ventricular diastolic dysfunction grade isassociated with the number of characteristics of metabolicsyndrome. Waist circumference, FBS, E/A, IVRT, Decelerationtime, E/e’ showed a statistically significant association (p value<0.01) with the degree of diastolic dysfunction.Conclusion: The current study showed that, metabolicsyndrome group have an associated abnormal left ventriclediastolic performance So the patients with metabolic syndromeshould receive aggressive therapy to avoid occurrence of heartfailure in the future.

Mixed pulmonary infection in an immunocompromised patient: A rare case report.

Patients who are immunocompromised are predisposed to a variety of common and uncommon pulmonary infections. We report a case of mixed pulmonary infection by drug resistant tuberculosis with a nocardiosis in a 49-year-old man who was a known case of chronic obstructive pulmonary disease, on prolonged corticosteroid use with diabetes mellitus. Chronic use of corticosteroids is a predisposing factor for opportunistic infections, such as nocardiosis or tuberculosis. Since such a mixed infection is rare, maybe a combined approach to therapy early in the course of disease would be effective in such cases.