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Tiwari S.,Hi Technology Medical College and Hospital | Beriha S.S.,SVBP Post Graduate Institute of Paediatrics
Journal of Medical Case Reports | Year: 2015

Introduction: Pantoea agglomerans is a plant pathogen which very rarely causes an opportunistic infection. Human beings are usually infected by thorn prick injuries or by contaminated parenteral fluids. Pantoea agglomerans has been reported as a cause of neonatal sepsis very rarely and to the best of our knowledge this is the first reported case from India. Case presentation: A 4-day-old Asian baby boy from the rural area of Odisha, India, was admitted to our neonatal intensive care unit when he presented with fever, tachypnea and chest retraction. Pantoea species were isolated from his blood culture. Conclusions: He was treated successfully with meropenem administered intravenously and other supportive measures. Early detection and proper management may cause a favorable outcome. © 2015 Tiwari and Beriha.

Karuna T.,Hi Technology Medical College and Hospital | Khadanga S.,Medical College
Lung India | Year: 2014

S. stercoralis infection is very common in South East Asian countries including India. Chronic infection is very common with symptoms of diarrhea, abdominal pain, nausea, vomiting, anemia, and cough. Hyperinfection and dissemination usually occur in immunocompromised patients with symptoms mimicking asthma, COPD, or aseptic meningitis. Very few cases of hyperinfection and dissemination have been documented in immunocompetent patients. We report this case for its rarity and future references.

Mohapatra B.N.,Scb Medical College And Hospital | Jangid S.K.,Hi Technology Medical College and Hospital | Mohanty R.,Scb Medical College And Hospital
Journal of Association of Physicians of India | Year: 2014

Objectives: Severe falciparum malaria is a critical illness resulting in multi-organ dysfunction and death. Severe malaria is defined by the World Health Organisation as a qualitative variable. The purpose of this study is to devise a scoring system for predicting outcome in severe falciparum malaria. Methods: 112 cases of severe falciparum malaria diagnosed as per the WHO criteria, were evaluated to determine the parameters which were significantly associated with mortality. Of all the parameters studied, five variables namely cerebral malaria (GCS < 11), Renal failure (Creatinine > 3 mg/dl), Respiratory distress (Respiratory rate > 24/min), Jaundice (Bilirubin >10 mg/dl) and Shock (Systolic BP < 90 mm of Hg) were all found to be associated with a poor prognosis. Results:.The five selected parameters were analysed using the Odds ratio and a new scoring system named as GCRBS score was designed with a possible score from 0-10. With a cut-off score of 5, the GCRBS score predicted mortality with a sensitivity of 85.3% and a specificity of 95.6%. Conclusion: The GCRBS score is easy to calculate and apply. Of the 5 parameters, 3 are clinical which can be determined at bedside and only 2 are biochemical which can be done in any laboratory. The most important advantage of this scoring system is that all the 5 parameters are to be assessed quantitatively for allotting a score, which would eliminate the possibility of observer bias. © JAPI.

Tiwari S.,Hi Technology Medical College and Hospital | Beriha S.S.,SVBP Post Graduate Institute of Paediatrics
Journal of Clinical and Diagnostic Research | Year: 2015

Rhizobium radiobacter is a gram-negative tumourigenic plant pathogen that rarely causes infections in humans. Rhizobium radiobacter has a strong predilection to cause infection particularly in those patients who have long standing indwelling foreign devices. Herewith we report a rare case of Rhizobium radiobacter bacteremia in a new born baby without other risk factors. The patient was successfully treated with gentamicin and imipenem. To the best of our knowledge this is the first documented case of R. radiobacter from India causing neonatal infection. © 2015, Journal of Clinical and Diagnostic Research, All Rights Reserved.

Padhy G.K.,Hi Technology Medical College and Hospital | Mishra R.N.,NRHM Bhubaneswar | Das S.,MKCG Medical College | Sahu K.,Korea Institute of Materials Science
Indian Journal of Public Health Research and Development | Year: 2013

Introduction: One fifth of the population in every country constitutes school children (5-15 yrs). Their nutritional & health status is a sensitive indicator of Community health & nutrition. Under nutrition and morbidities among them is one of the greatest public health problems in developing countries. Objective: To assess the health status of school children of eastern BBSR. Methods: The Study was conducted from August 2009 to June 2010 after getting permission from the school authority. All students present in school during the study period were examined by a team of members consisting of medical students, junior resident & faculties of department of Community Medicine. General examination of each child was carried out in good natural daylight. Weight (in kg, to the nearest 100 gm) and height (to the nearest 0.5 cm) were recorded. Results: Total 1128 students of 3-16 years age were examined. Comparison of mean heights and weights of the children with the median height for age and weight for age as per NCHS standards indicated that in most of the age groups and both sex groups it was less. The prevalence of wasting and stunting in these children was high (Wasting in 22.4% of boys & 23.45 % of girls, stunting in 18.08% of boys & 18.7 % of girls).On general examination the common morbidities detected were dental caries(29.25 %), anaemia(19.5%), refractive error(8.77%), worm infestation(14.53%), URI (9.21%), skin diseases(7.62%) and vitamin A deficiency(7.6%). Conclusion: The health and nutritional standard of school children were found to be low, more so in girls than in boys. The extent of malnutrition in this group was high, with the children in nearly all ages, both boys and girls, being deficient in both weight and height as compared to the NCHS Std.

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