Belagavi Institute of Medical science

Belgaum, India

Belagavi Institute of Medical science

Belgaum, India
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Parande M.V.,Belagavi Institute of Medical science | Roy S.,Regional Medical Research Center | Mantur B.G.,Belagavi Institute of Medical science | Parande A.M.,Belagavi Institute of Medical science | Shinde R.S.,Belagavi Institute of Medical science
Indian Journal of Medical Microbiology | Year: 2017

Background: A diphtheria outbreak was identified from Vijayapura (formerly Bijapur) district in the South Indian state of Karnataka in 2011. There was a surge in the number of throat swab samples received under the Integrated Disease Surveillance Programme (IDSP) in North Karnataka since then. Objectives: A microbiological study was undertaken to generate information on the status of resurgence of the disease in the region. Materials and Methods: Throat swabs from 432 suspected cases of diphtheria during 2012-2015 were obtained from government hospitals and primary health centres of 8 districts in North Karnataka and were processed for the culture and identification of Corynebacterium diphtheriae. Polymerase chain reaction for the presence of toxin gene (toxA and toxB) was carried out on the isolates. Antibiotic sensitivity tests were performed on the isolates with a panel of 14 antibiotics. Results: Thirty-eight (8.79%) out of 432 samples yielded C. diphtheriae on culture. All isolates possessed the diphtheria toxin gene. Out of the 38 confirmed cases, whereas 21 (55.26%) were between 1 and 5 years of age, 14 (36.84%) were aged between 5 and 10 years. Male children were three times more than females in confirmed cases. No information was available on the immunisation status of the cases. Emergence of resistance to penicillin was found with minimum inhibitory concentration reaching up to 6.00 μg/ml. Conclusion and Discussion: Our study identified an upsurge in cases of diphtheria in North Karnataka, particularly in Vijayapura District, and to the best of our knowledge, reports the emergence of penicillin resistance for the first time in India. The study calls for enhanced surveillance for the disease, making antidiphtheritic serum available in key hospitals in the region and serves to provide a baseline for future assessment of the impact of the recently launched 'Mission Indradhanush' programme in strengthening Universal Immunisation Programme (UIP). © 2017 Indian Journal of Medical Microbiology Published by Wolters Kluwer -Medknow.


PubMed | Belagavi Institute of Medical science and ESIC Medical College and PGIMSR
Type: Journal Article | Journal: Journal of laboratory physicians | Year: 2017

Breast carcinoma is the most common cancer among women in the urban Indian population. Conventionally, immunohistochemistry (IHC) is done to determine the hormone receptor status of the tumor. Immunocytochemistry (ICC) on fine-needle aspiration cytology (FNAC) was carried out to determine the same hormone receptor status of the tumor.The study was undertaken to evaluate the diagnostic reliability of performing estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor 2 (Her2/neu) receptor status on FNAC by ICC and to compare the results with IHC.A 2 years 6 months prospective study conducted in the Department of Pathology, ESIC Medical College and PGIMSR and ESIC Model Hospital, Rajajinagar, Bengaluru, wherein 100 breast carcinoma patients samples both cytology and histology were collected. IHC and ICC were done by peroxidase antiperoxidase technique. Validations of the receptor status were analyzed using sensitivity, specificity, positive and negative predictive values (PPV and NPV), and kappa statistics for agreements between ICC and IHC.ICC was positive for ER, PR, and Her2/neu in 53, 50, and 22 cases, respectively. For ER, a cytohistologic correlation of 98%, with a sensitivity of 96.3%, specificity of 100%, and PPV and NPV being 100% and 95.7%. For PR, concordance of 97%, with a sensitivity of 94.3%, specificity of 100%, and PPV and NPV being 100% and 94%. Her2/neu had an agreement of 89%, with a sensitivity of 72%, specificity of 95.5%, and PPV and NPV being 85.7% and 90.1%.ICC has been a boon and can be a paramount diagnostic adjunct to the routine investigations.


PubMed | Belagavi Institute of Medical science, Navodaya Dental College and University Shri til Medical College
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2015

Early diagnosis and therapeutic intervention can improve the outcome of acute myocardial infarction (AMI). However, there are no satisfactory cardiac biomarkers for the diagnosis of AMI within 6 hours of onset of symptoms. Among novel biochemical markers of AMI, heart-type fatty acid binding protein (H-FABP) is of particular interest.To compare the diagnostic value of H-FABP with that of CK-MB and myoglobin in suspected AMI patients within first 6 hours after the onset of symptoms.The study includes 40 AMI cases and 40 non-cardiac chest pain otherwise healthy controls. The cases and controls were further divided into 2 groups depending on the time since chest pain as those subjects within 3 hours and those between 3-6 hours of onset of chest pain.In all the cases and controls, serum H-FABP, CK-MB and myoglobin concentrations were measured by Immunoturbidimetric method, immuno-inhibition method and Chemiluminescence immunoassay respectively.Data is presented as mean SD values. Differences between means of two groups were assessed by Student t-test. Sensitivity, Specificity, Positive predictive value, Negative predictive values were calculated and ROC curve analysis was done to assess the diagnostic validity of each study parameter.The sensitivity, specificity, PPV, NPV of H-FABP were greater than CK-MB and myoglobin and ROC curve analysis demonstrated highest area under curve for H-FABP followed by myoglobin and CK-MB in patients with suspected AMI both within 3 hours and 3-6 hours after the onset of chest pain.The diagnostic efficiency of H-FABP is greater than CK-MB and myoglobin for the early diagnosis of AMI within first 6 hours of chest pain. H-FABP can be used as an additional diagnostic tool for the early diagnosis of AMI.


Jadhav M.,Belagavi Institute of Medical science | Yelikar B.R.,Shri tils Blde University | Karigoudar M.H.,Shri tils Blde University
Journal of Krishna Institute of Medical Sciences University | Year: 2015

Extraskeletal osteosarcomas are rare malignant mesenchymal tumors. They mimic many bone and cartilage forming soft tissue tumors and tumor like conditions. Most cases pursue an aggressive clinical course with high rate of local recurrence and metastasis. We report a case of extraskeletal osteosarcoma of the left gluteal region in a 50 year old male with varied histology. It was diagnosed as malignant mesenchymoma but, immunohistochemistry excluded its possibility. © Journal of Krishna Institute of Medical Sciences University.


Gurudut K.S.,Belagavi Institute of Medical science | Navi S.,Belagavi Institute of Medical science | Shetty A.K.,Belagavi Institute of Medical science | Pushpa M.G.,Belagavi Institute of Medical science
Medico-Legal Update | Year: 2016

A retrospective study was conducted at the Department of Forensic Medicine & Toxicology, BIMS, Belagavi to determine the pattern of Homicidal deaths among cases autopsied at BIMS-Hospital mortuary for period of 2 years from Jan 1st 2011 to Dec. 31st 2012. During the above said period of 2 years a total number of 1541 cases were autopsied out of which 55 cases were homicidal in nature (3.56%). Majority of victims fall in the age group of 20-29 yrs, 22 cases (40%). Sex wise distribution showed male preponderance with 32 cases (58.18%). In the present study number of Homicidal deaths in rural areas were more, 36 (65.41%). Among pattern of injuries observed death being caused by sharp weapon inflicts were maximum, 19 cases (34.5%). As per information obtained from Police records property dispute seemed to be main motive, 16 cases, (29%) followed closely by illicit relationship, 12(21.8%). © 2016, World Informations Syndicate. All rights reserved.


Jadhav M.N.,Belagavi Institute of Medical science | Patil R.K.,Belagavi Institute of Medical science | Kittur S.K.,Belagavi Institute of Medical science | Yadav J.,Belagavi Institute of Medical science
Indian Journal of Pathology and Microbiology | Year: 2015

Malakoplakia of the gastrointestinal tract is a rare chronic inflammatory disorder, usually affecting the descending colon, sigmoid colon and rectum. It is commonly seen in adults. Only few cases have been reported in children. We report a case of malakoplakia of colon and rectum in a 7-year-old child who presented with multiple polyposis coli.


Vittal N.K.,Belagavi Institute of Medical science | Kamoji S.G.,Belagavi Institute of Medical science | Dastikop S.V.,Belagavi Institute of Medical science
Journal of Clinical and Diagnostic Research | Year: 2016

Benign lymphangioendothelioma is an uncommon locally infiltrative lymphatic tumour, presenting as a slow-growing, asymptomatic, reddish-violaceous macule or plaque. Histopathologically, it is characterized by thin-walled endothelial-lined spaces that are interspersed between strands of collagen. It must be recognized and differentiated from angiosarcoma, early Kaposi’s sarcoma, in view of major differences in treatment and prognosis. A 24-year-old female presented with a raised lesion over the left leg since 2 years which was associated with minimal itching. Biopsy of the lesion showed thin walled vascular channels lined by single layer of bland endothelial cells at the dermo-epidermal junction, few vessels in the dermis. © 2015, Journal of Clinical and Diagnostic Research. All rights Reserved.


PubMed | Belagavi Institute of Medical science
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2016

Benign lymphangioendothelioma is an uncommon locally infiltrative lymphatic tumour, presenting as a slow-growing, asymptomatic, reddish-violaceous macule or plaque. Histopathologically, it is characterized by thin-walled endothelial-lined spaces that are interspersed between strands of collagen. It must be recognized and differentiated from angiosarcoma, early Kaposis sarcoma, in view of major differences in treatment and prognosis. A 24-year-old female presented with a raised lesion over the left leg since 2 years which was associated with minimal itching. Biopsy of the lesion showed thin walled vascular channels lined by single layer of bland endothelial cells at the dermo-epidermal junction, few vessels in the dermis.


PubMed | Belagavi Institute of Medical science
Type: | Journal: Acta cytologica | Year: 2016

To study the cytomorphological spectrum of lymph node lesions in HIV-positive patients and correlate the cytological findings with the CD4 count.This was a cross-sectional study of 23 months duration which included 110 HIV-positive cases proved according to the guidelines of the National AIDS Control Organisation. Fine-needle aspiration cytology (FNAC) was done on clinically palpable lymph nodes. Special stains and culture were done wherever necessary. CD4 count was done by flow cytometry and subsequently correlated with the cytological findings.Our study included 110 cases, ranging in age from 6 to 70 years, peaking in the 3rd to 4th decade (n = 46). The male-to-female ratio was 1.75:1 and the predominant site was the cervical group of lymph nodes (n = 71). Each lesion was correlated with CD4 count, laboratory and clinical findings, and was further segregated based on WHO and CDC staging. Cytological lesions were tubercular (53.6%), reactive (27.1%), suppurative (6.4%) lymphadenitis, lymphoma (4.5%), cystic lymphoid hyperplasia (2.8%), metastases (1.9%), cryptococcal lymphadenitis (0.9%). The mean CD4 count was 217.4, 434.4, 181.4, 149, 580, 225, and 207 cells/L, respectively. There was a highly significant correlation of cytological findings with CD4 count (2 value = 44.57 and p < 0.001).FNAC is a primary, safe, and valuable tool for the identification of opportunistic infections, neoplastic and nonneoplastic lesions, as well as therapeutic modality in certain conditions. Correlation of lesions with CD4 count provides information about immune status, HIV stage and segregating cases, and also aids further evaluation and management.


PubMed | Belagavi Institute of Medical science
Type: Case Reports | Journal: Indian journal of pathology & microbiology | Year: 2015

Malakoplakia of the gastrointestinal tract is a rare chronic inflammatory disorder, usually affecting the descending colon, sigmoid colon and rectum. It is commonly seen in adults. Only few cases have been reported in children. We report a case of malakoplakia of colon and rectum in a 7-year-old child who presented with multiple polyposis coli.

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