Invasive infection in a young immunocompetent soldier caused by scytalidium dimidiatum

Scytalidium dimidiatum is mainly responsible for human skin and nail infections but the mould has also been reported for invasive infections in immunocompromised individuals. We report a young immunocompetent individual diagnosed with invasive non-traumatic Scytalidium dimidiatum infection involving the left orbital cavity and maxillary sinus

CTX-M ESBL enzyme in Escherichia coli from urology patients in Rawalpindi, Pakistan

To detect CTX-M phenotype utilizing disc diffusion and MIC testing in Escherichia coli isolated from a tertiary care urology setting. Fifty single, non duplicate ESBL producing isolates from a tertiary care urology hospital were evaluated for the presence of CTX-M phenotype. Initially all the urinary isolates were tested for ESBL production. The isolates were identified by using API 20E galleries and screened for ESBL production by combination disc. Representative 4 ESBL isolates were sent to Antibiotic Resistance Monitoring and Reference Laboratory [ARMRL], Health Protection Agency, Colindale, London, UK where those were further subjected to MIC testing by agar dilution and E-test strips. A total of 4 ESBL producing E. coli isolates were characterized to be CTX-M on phenotypic characterization. The overall yield of CTX-M phenotypes was 75%.The emergence of CTX-M from Pakistan is alarming; however, further studies are required to study the epidemiology and genetic characterization of CTX-M types of ESBLs