PGIMER and Associated Dr RML Hospital

Delhi, India

PGIMER and Associated Dr RML Hospital

Delhi, India
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Chandelia S.,Pgimer And Associated Dr Rml Hospital | Jain S.,Vardhman Mahavir Medical College and Safdarjung Hospital
Journal of Clinical and Diagnostic Research | Year: 2014

Co-infections when occur can pose substantial diagnostic and treatment challenges for clinicians. In this case report we describe a neonate with co infection of plasmodium vivax malaria with Cytomegalovirus and discuss whether it can be the result of reactivation of one by the other infection postnatally or if these infections can affect and facilitate the transplacental transmission of each other from the mother. © 2014, Journal of Clinical and Diagnostic Research. All rights reserved.


PubMed | Pgimer And Associated Dr Rml Hospital and Vardhman Mahavir Medical College and Safdarjung Hospital
Type: Journal Article | Journal: Journal of clinical and diagnostic research : JCDR | Year: 2015

Co-infections when occur can pose substantial diagnostic and treatment challenges for clinicians. In this case report we describe a neonate with co infection of plasmodium vivax malaria with Cytomegalovirus and discuss whether it can be the result of reactivation of one by the other infection postnatally or if these infections can affect and facilitate the transplacental transmission of each other from the mother.


Yadav D.K.,PGIMER and Associated Dr RML Hospital | Anand P.,PGIMER and Associated Dr RML Hospital | Bhutia E.,PGIMER and Associated Dr RML Hospital
Indian Pediatrics | Year: 2013

Background: Erythromycin is recommended for secondary prophylaxis in children with rheumatic heart disease, who are allergic to penicillin. Case Characteristics: A 9-year-old girl, with rheumatic heart disease, on secondary prophylaxis with erythromycin 250 mg BD, presented with acute rheumatic fever. Outcome: Responded to steroids and started on a higher dose (250 mg TDS) of erythromycin for secondary prophylaxis. Message: There is need to document the resistance of group A streptococci to erythromycin. © 2013 Indian Academy of Pediatrics.


Bhatt G.C.,PGIMER and Associated Dr RML Hospital | Nandan D.,PGIMER and Associated Dr RML Hospital
Tropical Doctor | Year: 2012

Acute glomerulonephritis occurring during the course of enteric fever is a rare entity and only a few cases have been reported in the published literature. We describe two interesting cases of acute glomerulonephritis occurring in twin siblings.


Gupta A.,Lady Hardinge Medical College | Gupta N.,Lady Hardinge Medical College | Gupta N.,Pgimer And Associated Dr Rml Hospital
Indian Journal of Anaesthesia | Year: 2010

The goal of preoperative risk assessment is to identify and modify the procedure and patient factors that signifi cantly increase the risk for complications. Preanaesthesia clinics (PACs) have been developed to improve the preoperative experience of the patients by coordinating surgical, anaesthesia, nursing and laboratory care. These clinics can also help in developing practice guidelines, and decreasing the number of consultations, laboratory tests and surgical cancellations. Though these clinics are present in most of our hospitals, a major effort is needed to upgrade these setups so as to maximise the benefi ts. This review gives a brief account of organisation and functioning of PACs.


Kaur N.,Pgimer And Associated Dr Rml Hospital | Sharma S.,Pgimer And Associated Dr Rml Hospital | Malhotra S.,Pgimer And Associated Dr Rml Hospital | Madan P.,Pgimer And Associated Dr Rml Hospital | Hans C.,Pgimer And Associated Dr Rml Hospital
Journal of Clinical and Diagnostic Research | Year: 2014

Materials and Methods: This study was conducted in the Microbiology department on urine samples received from infants for a period of two years from September 2011 to August 2013.Introduction: Urinary tract infection ((UTI) is one of the most common bacterial infections in childhood. Present study was undertaken to determine the occurrence of the uropathogens and their antimicrobial susceptibility pattern in infants (< 1yr) suspected with urinary tract infection.Conclusion: Since antimicrobial resistance is a major problem, such study will help in formulating a strict antibiotics prescription policy in our country.Results: Culture positivity rate was found to be 15.7%. There was an overall male preponderance in cases of UTI (70.1%). Most common bacterial isolate was E.coli (45.4%) followed by Klebsiella (16.7%) and Enterococcus spp (13.2%). Isolation of candida was 21.1%, maximum from ICU (63.1%). Maximum gram negative isolates (50%) showed high resistance to gentamicin, amikacin, cefotaxime and norfloxacin while most of the isolates (5%) were found susceptible to nitrofurantoin and piperacillin-tazobactam. 45.1% of gram negative bacilli were ESBL producer. We recommend continuous monitoring of changes in bacterial pathogens causing UTI and antibiotic sensitivity in each area for effective treatment of urinary tract infections. © 2014, Journal of Clinical and Diagnostic Research. All rights reserved.


Bhatt G.C.,PGIMER and Associated Dr RML Hospital | Nandan D.,PGIMER and Associated Dr RML Hospital | Singh S.,All India Institute of Medical Sciences
Pathogens and Global Health | Year: 2013

Isolated tuberculous liver abscess (TLA) without active pulmonary or miliary tuberculosis, or other clinical evidence of tuberculosis, is distinctly rare and only few cases have been reported in the literature. We report two cases of isolated TLA in immunocompetent children, treated successfully by percutaneous aspiration followed by systemic antituberculous drugs. © W. S. Maney & Son Ltd 2013.


Bhatt G.C.,PGIMER and Associated Dr RML Hospital | Nandan D.,PGIMER and Associated Dr RML Hospital | Dewan V.,PGIMER and Associated Dr RML Hospital | Dey S.,PGIMER and Associated Dr RML Hospital
Tropical Doctor | Year: 2012

Although acute glomerulonephritis is a rare complication of Plasmodiumfalciparum malaria, it has not been reported in connectionwith Plasmodiumvivax. We report a case of complicated P. vivax malaria presenting as acute glomerulonephritis. Athree-year-old boy presented with high grade fever, a seven-day history of the progressive swelling of his body and a one-day history of vomiting. An examination revealed hypertension (>95th percentile), pallor and hepatosplenomegaly. Investigations showed a platelet count 80,000/mm 3 with haematuria [20-30 red blood cells/high power field withmore than 80% dysmorphic red blood cells]. A peripheral smear showed the presence of trophozoites of P. vivax.The patient was diagnosed as having P. vivax causing acute glomerulonephritis and was treated successfully with antimalarials and enalapril. With the changing epidemiological pattern of malaria, especially in endemic areas, unusual complications such as acute glomerulonephritismay sometimes present in cases of P. vivax malaria.


Gupta N.,Pgimer And Associated Dr Rml Hospital | Kaur S.,Pgimer And Associated Dr Rml Hospital | Goila A.,Pgimer And Associated Dr Rml Hospital | Pawar M.,Pgimer And Associated Dr Rml Hospital
Indian Journal of Anaesthesia | Year: 2011

We describe for the first time, the perioperative care of a patient with a rare combination of Eisenmenger syndrome with β-thalassemia major presenting for splenectomy. Patients with Eisenmenger syndrome have polycythemia because of chronic hypoxia but our patient was anaemic and had thrombocytopenia because of thalassemia major. The management of such a case can be challenging for any anaesthesiologist because of severe V/Q mismatch (high shunt fraction and restrictive lung disease because of hypersplenism), decreased oxygen carrying capacity (anaemia) and increased risk of haemorrhage (thrombocytopenia), along with the potential increase in intracardiac shunt during anaesthesia.


PubMed | PGIMER and Associated Dr RML Hospital
Type: Case Reports | Journal: Indian pediatrics | Year: 2014

Erythromycin is recommended for secondary prophylaxis in children with rheumatic heart disease, who are allergic to penicillin.A 9-year-old girl, with rheumatic heart disease, on secondary prophylaxis with erythromycin 250 mg BD, presented with acute rheumatic fever.Responded to steroids and started on a higher dose (250 mg TDS) of erythromycin for secondary prophylaxis.There is need to document the resistance of group A streptococci to erythromycin.

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