ABSTRACT
Nasal polyposis is an inflammatory condition of mucous membrane of the nose and paranasal sinuses with unknown aetiology. Massive nasal polyps can obstruct the nasal cavity causing discomfort and lowered quality of life. Thus, aetiological diagnosis is important for treatment, especially in recurrent nasal polyposis. We present a rare case of pansinusitis with bilateral ethmoidal polyps caused by an unusual phaeoid fungus Fonsecaea pedrosoi in a 65-year-old immunocompetent male from a rural background. The diagnosis was made by endoscopic nasal examination; high resolution computed tomography of the paranasal sinuses, detection of fungal hyphae in 10% potassium hydroxide wet mount and culture.
Subject(s)
Ascomycota/isolation & purification , Mycoses/diagnosis , Mycoses/pathology , Nasal Polyps/complications , Sinusitis/diagnosis , Sinusitis/pathology , Aged , Endoscopy , Humans , Male , Microbiological Techniques , Microscopy , Mycoses/microbiology , Sinusitis/microbiology , Tomography, X-Ray ComputedABSTRACT
Microsporum gypseum, a geophillic dermatophyte is rarely isolated from patients with acquired immunodeficiency syndrome. We report tinea corporis due to Microsporum gypseum, an uncommon aetiological agent, in a patient with acquired immunodeficiency syndrome from our region. The clinical presentation resembled psoriasis characterised by atypical, scaly and hyperkeratotic lesions.
Subject(s)
AIDS-Related Opportunistic Infections/diagnosis , AIDS-Related Opportunistic Infections/microbiology , Acquired Immunodeficiency Syndrome/complications , Microsporum/isolation & purification , Tinea/diagnosis , Tinea/microbiology , AIDS-Related Opportunistic Infections/pathology , Female , Humans , Middle Aged , Tinea/pathologySubject(s)
Blood-Borne Pathogens/isolation & purification , Cryptococcus neoformans/isolation & purification , HIV Infections/diagnosis , HIV/isolation & purification , Meningitis, Cryptococcal/diagnosis , Midwifery , Occupational Exposure , Aged , Female , HIV Infections/complications , HIV Infections/pathology , Humans , Meningitis, Cryptococcal/pathologySubject(s)
Health Personnel/statistics & numerical data , Hepatitis B/epidemiology , Hepatitis C/epidemiology , Occupational Diseases/epidemiology , Carrier State/epidemiology , Case-Control Studies , Hepatitis B/blood , Hepatitis B/immunology , Hepatitis B/prevention & control , Hepatitis C/blood , Hepatitis C/immunology , Hepatitis C/prevention & control , Humans , India/epidemiology , Infection Control/methods , Occupational Diseases/blood , Occupational Diseases/immunology , Occupational Diseases/prevention & control , Prevalence , Risk Factors , Seroepidemiologic StudiesABSTRACT
Hepatitis B virus along with hepatitis C virus infection form a major cause of morbidity and mortality. In order to know the present status in Indira Gandhi Medical College, Shimla, a total of 400 samples were screened from Feb'98 to Jan'99. Two hundred samples from HCWs and the same number of samples from the apparently healthy population which served as the control group were collected. They were screened for the presence of hepatitis B surface antigen (HBsAg) and anti-HCV antibodies by the third generation ELISA. HBsAg was positive in 5% of HCWs while amongst the control group seropositivity was 3.5%. Amongst the HCWs, the laboratory technicians showed highest seropositivity which was 40%. Anti-HCV antibody was not detected in any of the HCWs screened. HCWs form a major risk group for contracting HBV infection. It is therefore of utmost importance to take strict universal precautions and also the need for implementation of immunisation against HBV among HCWs.
Subject(s)
Health Personnel , Hepatitis B/epidemiology , Hepatitis C/epidemiology , Hepatitis B/virology , Hepatitis B Surface Antigens/blood , Hepatitis C/virology , Hepatitis C Antibodies/blood , Humans , India/epidemiology , Occupations , Prevalence , Risk Factors , Schools, Medical , Seroepidemiologic StudiesABSTRACT
PIP: The role of Campylobacter coli as an etiological agent of diarrhea in children and the pathogen's presence in nondiarrheal children was examined in the region of Chandigarh, India, from May, 1981, to July, 1982. A total of 768 fecal samples from 447 children, 159 symptomatic and 288 asymptomatic, was collected, along with food, water, soil, and animal dung samples from the village. In diarrheal and nondiarrheal groups, C. coli was isolated with frequencies of 3.1% and 3.8% respectively. This difference was not statistically significant. A 4-fold rise in agglutinating antibody titer was observed in a child having diarrhea due to C. coli, suggesting the presence of C. coli infection. Except for 1 sample (fecal material of a fowl) none of the tested animals or environmental sources contained C. coli. The lack of Campylobacter isolation in asymptomatic contacts and family members suggests that there is little person to person infection in the community studied. C. coli has not been reported elsewhere as frequently as in the present study. All strains were found to belong to serotype 49. These strains were typed by the Lior method, and were found to be Lior serotype 35. The study demonstrates that C. Coli infection is prevalent in India, and indicates the specific geographic distribution of C. coli in this part of the country, but the role of C. coli as a diarrheal pathogen requires further study.^ieng
Subject(s)
Campylobacter Infections/diagnosis , Diarrhea/microbiology , Child, Preschool , Diarrhea/diagnosis , Diarrhea, Infantile/diagnosis , Diarrhea, Infantile/microbiology , Feces/microbiology , Female , Humans , India , Infant , MaleSubject(s)
Diarrhea/etiology , Plant Poisoning/etiology , Vomiting/etiology , Child , Humans , India , SeedsABSTRACT
We have treated two patients with upper gastrointestinal bleeding due to esophageal varices, with a procedure first described in the 1930s, sclerotherapy of the varices. The procedure involves multiple injections of a sclerosing solution into the varices, utilizing a fiberoptic endoscope.
