Time filter

Source Type

Vaishnani J.B.,Surat Municipal Institute of Medical Education and Research SMIMER | Bosamiya S.S.,Surat Municipal Institute of Medical Education and Research SMIMER | Momin A.M.,Surat Municipal Institute of Medical Education and Research SMIMER
Indian Journal of Dermatology, Venereology and Leprology | Year: 2010

Kaposi's sarcoma (KS) is a multifocal cutaneous and extra cutaneous vascular proliferative disorder. In India, there are only a few cases of HIV-associated KS in published literature. A 26-year-old married man presented with asymptomatic elevated skin lesions over the face, trunk, both upper limbs and lower limbs with a duration of one-and-a-half months. Cutaneous examination revealed multiple violaceous papules and nodules, on the face (right upper and lower eyelids, upper lip), trunk and proximal part of both limbs. Oral cavity showed erythematous plaques, two in number, on the hard palate. Skin biopsy showed proliferation of thin walled capillaries with formation of slit like spaces, spindle cell proliferation, abundant extravasation of RBCs and moderately dense inflammatory infiltrate in the dermis. Thus a clinical diagnosis of cutaneous KS was confirmed. On testing with ELISA for HIV, the patient was for the first time diagnosed as HIV reactive. Thus KS was the presenting manifestation of HIV disease.


Surana A.,Surat Municipal Institute of Medical Education and Research SMIMER | Rastogi V.,JLN Medical College | Singh Nirwawan P.,JLN Medical College and Group of Hospitals
Journal of Clinical and Diagnostic Research | Year: 2012

Background: Infertility is increasingly becoming a significant health problem in many areas of the world. The infection which is caused by Chlamydia trachomatis is a major cause of tubal factor infertility secondary to salpingitis. However, the data which pertains to infertility attributed to the C. trachomatis infection is limited in India. Aims: To evaluate the chlamydial infection in women who suffered from infertility and to investigate the possible role of the chlamydia serology as a screening test for tubal infertility. Method: This study was aimed at evaluating the chlamydial infection in fifty women with primary infertility and at investigating the possible role of the chlamydial serology as a screening test for tubal infertility, by the detection of the anti-chlamydial IgM antibodies by using E.L.I.S.A. Setting and Design: The present prospective study was carried out at a tertiary care hospital in north India. Results: In this study, a high seropositivity (60%) for the antichlamydial antibody was observed. 52% females showed bilateral tubal blockage, while the most common site of the blockage was the ampullary portion (36%). Conclusion: These findings highlighted a strong correlation between the tubal factor infertility and the antichlamydial antibodies. It also stressed on the need of the screening of infertile women for C. trachomatis with laboratory investigations, which could provide a rapid and specific diagnosis so that early therapeutic interventions could be instituted.


Bosamiya S.S.,Surat Municipal Institute of Medical Education and Research SMIMER | Vaishnani J.B.,Surat Municipal Institute of Medical Education and Research SMIMER | Momin A.M.,Surat Municipal Institute of Medical Education and Research SMIMER
Indian Journal of Dermatology, Venereology and Leprology | Year: 2011

Dissemination of primary cutaneous nocardiosis is a rare event. A 37-year-old man working as farmer presented with multiple painful suppurative nodular and ulcerative skin lesions over left lower extremities, in a linear pattern, with duration of five months and single painful nodule over right elbow since last three months. We found the presence of beaded filamentous bacteria in Gram stain smear and partial acid fast stain, from the smear taken from pus. Patient responded well to cotrimoxazole therapy. Hence, we confirm our diagnosis of sporotrichoid pattern of cutaneous nocardiosis with dissemination to other cutaneous area.


Pandey A.S.,Surat Municipal Institute of Medical Education and Research SMIMER | Surana A.,Surat Municipal Institute of Medical Education and Research SMIMER
Indian Journal of Tuberculosis | Year: 2011

A patient of tuberculous osteomyelitis of the bone flap following craniotomy for acute subdural hemorrhage which was treated at Surat Municipal Institute of Medical Education & Research (SMIMER) from June 2010 has been reported. This report emphasizes the fact that while treating osteomyelitis of bone flap following craniotomy, possibility of tuberculosis should be considered, especially in our country. Treatment wise, the disease responded readily to routine anti-tubercular chemotherapy.


Digant S.M.,Surat Municipal Institute of Medical Education and Research SMIMER | Rucha S.,Surat Municipal Institute of Medical Education and Research SMIMER | Ekta D.,Surat Municipal Institute of Medical Education and Research SMIMER
Journal of Clinical and Diagnostic Research | Year: 2012

Introduction: The conventional hydrostatic reduction of an intussusception with barium enema or the pneumatic reduction of an intussusception is associated with considerable ionizing radiations and a risk of perforation; while the hydrostatic reduction of an intussusception under ultrasound guidance is a very safe method because the whole procedure is visualized with real time ultrasound. Also, being a non-invasive method with a high success rate, this procedure has emerged as a useful alternative to a surgical intervention. Aim: The aim of this study was to evaluate the role of ultrasound and colour Doppler studies for the guidance of the hydrostatic reduction of a childhood intussusception by using normal saline. Method: Among 41 children who were evaluated with ultrasonography for the confirmation of the presence of intussusceptions, hydrostatic reduction of intussusception were performed under a sonographic guidance in 30 patients, whereas 11 patients were excluded due to clinical contraindications. Results: This disease was observed mostly at the ages of 6 months to 24 months. In 80% of the patients, there was a recent history of gastroenteritis and 40 % had a history of common cold. The most common site of the intussusception was the transverse colon near the hepatic flexor of the colon (90%), with a mean duration of 22.1±17.3 hours. The overall rate of a successful reduction was 87% and the mean reduction time was 14 minutes. None of the cases showed recurrence within 24 hrs. No complications were observed. Conclusion: We conclude that ultrasound with colour Doppler study is very useful for the diagnosis of intussusceptions, as well as for guided hydrostatic reductions by using normal saline enema. This is an optimal, simple, and a safe procedure for the treatment of intussusceptions in paediatric patients.


Surana A.,Surat Municipal Institute of Medical Education and Research SMIMER
Tropical Doctor | Year: 2011

Drug-induced acute pancreatitis should be considered in the differential diagnosis of acute abdomen occurring soon after the initiation of antitubercular treatment. Isoniazid-induced pancreatitis is potentially reversible: early recognition and drug withdrawal are warranted in the appropriate clinical setting. We present a case of reversible acute pancreatitis after isoniazid treatment of lymph node tuberculosis, followed by the recurrence of pancreatitis upon the reintroduction of the drug.


Gajjar Y.,Surat Municipal Institute of Medical Education and Research SMIMER | Parikh R.,Surat Municipal Institute of Medical Education and Research SMIMER
Clinical Rhinology | Year: 2011

Rhinophyma is a rare disease which causes disfiguring soft tissue hypertrophy of the nose. Various medical and surgical treatment modalities have been proposed and tried with varying degree of success. We report a case where we adopted excision of the rhinophymatous tissue and reconstructed with the local nasolabial flap. The result was cosmetically good enough and the procedure technically simple.


Jain A.,Surat Municipal Institute of Medical Education and Research SMIMER | Nagarsheth M.,Surat Municipal Institute of Medical Education and Research SMIMER | Desai H.,Surat Municipal Institute of Medical Education and Research SMIMER
National Journal of Physiology, Pharmacy and Pharmacology | Year: 2015

Background: Visual disturbances caused by smoking have been studied extensively though the pathogenesis is poorly understood. The significance to diagnose visual field disturbances because of smoking is that prognosis for return of vision is always good if the consumption of tobacco is restrained timely. Aims & Objective: To study visual field in healthy smokers. Materials and Methods: In this study, subjects from the outpatient clinic were selected randomly: 30 healthy smokers and 30 nonsmokers. These subjects were divided into two groups: test (smokers) and control (nonsmokers). Ocular examination of all the subjects was done including intraocular pressure measurement and fundus examination. Further, visual field analysis was carried out using an automated perimeter (M700; Medmont International). Then, interpretation of visual field was done along with assessment of visual field defects. Values obtained were analyzed using Z-test and unpaired Student’s t-test. p-Value less than 0.05 was considered to be statistically significant. Results: Average deviation (AD) and patterned deviation (PD) were found to be significantly high in smokers as compared to nonsmokers (p < 0.001). It was also observed that AD and PD were significantly high if the smoking load (average number of cigarettes multiplied by average duration of smoking) is more than 50,000 (p < 0.005 and p < 0.02, respectively). In smokers, retinal sensitivity was found to decrease and the presence of localized scotomas was observed, but the central vision was found to be preserved. Conclusion: This study is important in diagnosing visual field defects in tobacco amblyopia to stop nicotine toxicity in time with early intervention, thereby preventing further damage to the optic nerve. © 2015 Mrs Deepika Charan. All rights reserved.


Pandey A.S.,Surat Municipal Institute of Medical Education and Research SMIMER | Surana A.,Surat Municipal Institute of Medical Education and Research SMIMER
Journal of Clinical and Diagnostic Research | Year: 2013

The placement of cases of Extrapulmonary Tuberculosis (EPTB) on the appropriate Directly Observed Treatment Short Course (DOTS) regimen remains a problematic issue in India and often, consultants delay this, leading to significant avoidable pain, discomfort and reduction in the quality of life of the patients. In contrast, a prompt institution of the DOTS regimen can regress such problems, even at a delayed stage. The following case report on polyarticular tuberculosis which involved the bilateral knee and ankle joints without a pulmonary or disseminated form of tuberculosis, amply highlights these facts.


PubMed | Surat Municipal Institute of Medical Education and Research SMIMER
Type: Journal Article | Journal: Addiction & health | Year: 2014

The relationship between becoming a smoker and having smoker parents, siblings, and relatives is still uncovered in India. The influences of a smoking role model in a family on smoking habits of individuals are yet to be revealed. This study aimed to understand the relationship of smoking abuse of a person with smoking of their family members.This community-based cross-sectional study was conducted in the slums of 20 urban health centers (UHCs) of Surat city (India). A pretested semi-structured questionnaire was used to collect data. The data was analyzed using Epi-Info software.Among 281 smoker participants, 168 (59.8%), 55 (19.6%), 95 (33.8%), and 50 (17.8%) had smoking fathers, grandparents, siblings, and other relatives, respectively. While 131 participants (44.6%) had correct information about the law of banned smoking, 249 participants (88.6%) were in favor of this law. The association of smoking abuse in fathers with smoking abuse in siblings came out to be odds ratio (OR) = 3.75 (95% CI: 2.11-6.63) and grandparents to be odds ratio 16.43 (95% CI: 4.98-54.17), respectively. The association between education and following the law of banned smoking was statistically significant OR = 2.98 (95% CI: 1.43-6.00).Substance abuse in parents, siblings, and other relatives is likely to influence the behavior of the person towards it. Persons living in the same vicinity may also greatly influence the behavior of an individual.

Loading Surat Municipal Institute of Medical Education and Research SMIMER collaborators
Loading Surat Municipal Institute of Medical Education and Research SMIMER collaborators