Pub Date : 2022-06-01DOI: 10.1177/26339447221111601
Aasim Ur Rehman Ganie, K. Jangam
{"title":"Down Syndrome: Need for Inclusion and Social Care to Make Down Right Perfect","authors":"Aasim Ur Rehman Ganie, K. Jangam","doi":"10.1177/26339447221111601","DOIUrl":"https://doi.org/10.1177/26339447221111601","url":null,"abstract":"","PeriodicalId":40062,"journal":{"name":"Journal, Indian Academy of Clinical Medicine","volume":"21 1","pages":"49 - 50"},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78799812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-01DOI: 10.1177/26339447221080314
R. Agrawal, P. Agrawal, Sudha Madhuri, Thakur Abhijit Singh
Hemophagocytic lymphohistiocytosis (HLH) is a rare life-threatening syndrome characterized by pathologic immune hyperactivation, extreme inflammation, and multiorgan involvement with variable cytopenias. We report a case of a 53-year-old male with no known comorbidities, who presented with unrelenting dengue fever, pancytopenia, high ferritin levels, and multiple organ dysfunction with progressive clinical deterioration despite treatment. Based on the clinicolaboratory findings, he was diagnosed as dengue-associated HLH on day 6 of admission. As per HLH treatment protocol, he was started on immunosuppressants and showed significant improvement. In dengue patients with severe disease, prolonged hospital stay, persistent cytopenia, and multiorgan dysfunction out of proportion to the plasma leakage phase should prompt a high index of suspicion for the possibility of infection-triggered HLH. Although prompt diagnosis and early initiation of therapy is the key to prevent irreversible end organ damage and mortality, the hindrance lies in its rarity in adults, variable clinical presentation, and nonspecific laboratory findings.
{"title":"Dengue-Associated Hemophagocytic Lymphohistiocytosis With Severe Multiorgan Complications—A Case Report","authors":"R. Agrawal, P. Agrawal, Sudha Madhuri, Thakur Abhijit Singh","doi":"10.1177/26339447221080314","DOIUrl":"https://doi.org/10.1177/26339447221080314","url":null,"abstract":"Hemophagocytic lymphohistiocytosis (HLH) is a rare life-threatening syndrome characterized by pathologic immune hyperactivation, extreme inflammation, and multiorgan involvement with variable cytopenias. We report a case of a 53-year-old male with no known comorbidities, who presented with unrelenting dengue fever, pancytopenia, high ferritin levels, and multiple organ dysfunction with progressive clinical deterioration despite treatment. Based on the clinicolaboratory findings, he was diagnosed as dengue-associated HLH on day 6 of admission. As per HLH treatment protocol, he was started on immunosuppressants and showed significant improvement. In dengue patients with severe disease, prolonged hospital stay, persistent cytopenia, and multiorgan dysfunction out of proportion to the plasma leakage phase should prompt a high index of suspicion for the possibility of infection-triggered HLH. Although prompt diagnosis and early initiation of therapy is the key to prevent irreversible end organ damage and mortality, the hindrance lies in its rarity in adults, variable clinical presentation, and nonspecific laboratory findings.","PeriodicalId":40062,"journal":{"name":"Journal, Indian Academy of Clinical Medicine","volume":"19 1","pages":"21 - 24"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79696729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-01DOI: 10.1177/26339447221105954
PS Indu
{"title":"Healthy Humans, Healthy Planet","authors":"PS Indu","doi":"10.1177/26339447221105954","DOIUrl":"https://doi.org/10.1177/26339447221105954","url":null,"abstract":"","PeriodicalId":40062,"journal":{"name":"Journal, Indian Academy of Clinical Medicine","volume":"60 1","pages":"5 - 6"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88652234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-01DOI: 10.1177/26339447221095344
J. Jose, S. Nair, S. Kayakkal, A. Thottian, Abdul M. M. Rasak
A 68-year-old gentleman presented to us with a low back ache and paraparesis. Magnetic resonance imaging of the spine revealed vertebral body lesion compressing the spinal cord. As part of the preoperative evaluation for spinal decompression surgery, an echocardiography was done which revealed a normal heart with a floating mass in right atrium extending from the inferior vena cava. On further workup, he was diagnosed to have hepatocellular carcinoma with vertebral metastasis. Subsequently, the primary lesion ruptured leading to massive right-sided hemothorax.
{"title":"Hepatocellular Carcinoma With a Floating Right Atrial Thrombus and Rupture of the Primary Lesion Causing Right-Sided Hemothorax","authors":"J. Jose, S. Nair, S. Kayakkal, A. Thottian, Abdul M. M. Rasak","doi":"10.1177/26339447221095344","DOIUrl":"https://doi.org/10.1177/26339447221095344","url":null,"abstract":"A 68-year-old gentleman presented to us with a low back ache and paraparesis. Magnetic resonance imaging of the spine revealed vertebral body lesion compressing the spinal cord. As part of the preoperative evaluation for spinal decompression surgery, an echocardiography was done which revealed a normal heart with a floating mass in right atrium extending from the inferior vena cava. On further workup, he was diagnosed to have hepatocellular carcinoma with vertebral metastasis. Subsequently, the primary lesion ruptured leading to massive right-sided hemothorax.","PeriodicalId":40062,"journal":{"name":"Journal, Indian Academy of Clinical Medicine","volume":"276 1","pages":"41 - 43"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80035120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-01DOI: 10.1177/26339447221107245
Hariprasad Thazhathedath Hariharan, A. T. Surendran
Background Lockdown is a time-tested methodology to cease infectious disease spread. The national and subnational lockdown effectively reduced the spread of COVID-19 in many countries, including India. The current article documents the effectiveness of lockdown at a more granular level, that is, the local self-government (LSG), the lowest administrative unit, in Kerala, a south Indian state. Methods We extracted all data pertaining to this study: the distribution of containment zones and the incidence of COVID-19 cases from official data sources of the Government of Kerala. As part of the study, we followed the progression of all LSGs as containment zones over the study period of 10 weeks (7/5/2020-15/7/2020). We created survival distributions characterizing the time to enter lockdown and the time to remain in lockdown for all the districts and the state. Finally, we conducted an interdistrict comparison of the cumulative incidence of COVID-19 per population for 6 months after the period of LSG containment was over to ascertain its effectiveness. Results Four northern districts of Kerala state had implemented lockdown strategy more rigorously both in the proportion of LSGs that has become a containment zone and in the period of containment compared to the rest of Kerala. As a result, the growth of COVID-19 cases in these 4 districts was less (7.5 times) than in the other districts (37 times) during the study period. However, the reduction in the disease incidence was not instantaneous; at the same time, it was not short-living as the difference continued to exist for 6 more months past lockdown. Conclusion Implementing granular lockdown strategies can effectively control the spread of disease only if it encompasses a sufficient area for an adequate period. We believe our research could help governments provide insights into the years-long and never-ending battle with the pandemic.
{"title":"Effectiveness of Granular Lockdown as an Epidemic Control Strategy in Kerala, India","authors":"Hariprasad Thazhathedath Hariharan, A. T. Surendran","doi":"10.1177/26339447221107245","DOIUrl":"https://doi.org/10.1177/26339447221107245","url":null,"abstract":"Background Lockdown is a time-tested methodology to cease infectious disease spread. The national and subnational lockdown effectively reduced the spread of COVID-19 in many countries, including India. The current article documents the effectiveness of lockdown at a more granular level, that is, the local self-government (LSG), the lowest administrative unit, in Kerala, a south Indian state. Methods We extracted all data pertaining to this study: the distribution of containment zones and the incidence of COVID-19 cases from official data sources of the Government of Kerala. As part of the study, we followed the progression of all LSGs as containment zones over the study period of 10 weeks (7/5/2020-15/7/2020). We created survival distributions characterizing the time to enter lockdown and the time to remain in lockdown for all the districts and the state. Finally, we conducted an interdistrict comparison of the cumulative incidence of COVID-19 per population for 6 months after the period of LSG containment was over to ascertain its effectiveness. Results Four northern districts of Kerala state had implemented lockdown strategy more rigorously both in the proportion of LSGs that has become a containment zone and in the period of containment compared to the rest of Kerala. As a result, the growth of COVID-19 cases in these 4 districts was less (7.5 times) than in the other districts (37 times) during the study period. However, the reduction in the disease incidence was not instantaneous; at the same time, it was not short-living as the difference continued to exist for 6 more months past lockdown. Conclusion Implementing granular lockdown strategies can effectively control the spread of disease only if it encompasses a sufficient area for an adequate period. We believe our research could help governments provide insights into the years-long and never-ending battle with the pandemic.","PeriodicalId":40062,"journal":{"name":"Journal, Indian Academy of Clinical Medicine","volume":"302 1","pages":"14 - 20"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79752490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-01DOI: 10.1177/26339447221098464
Lakshmi K. P., P. Prasanna, Subash Chandra, Arya G. Krishnan, Abhinandh Babu, B. Babu, M. Moni, D. Sathyapalan
Introduction The COVID-19 pandemic has posed an immense threat to both physical as well as mental health globally. The outbreak is immeasurably affecting all the communities worldwide. The pandemic fatigue has led to inadequate addressing of the impact of COVID-19 on mental health especially among the health-care workers (HCWs), mainly due to the fear of disease contraction, mortality of the condition, raised work stress, as well as the saturation of news on media and other social platforms. Prolonged confinement at home may also adversely impact mental health. Method An online survey was conducted using a developed questionnaire to evaluate the knowledge and anxiety among 118 HCWs regarding the COVID-19 pandemic in a tertiary care hospital. Since the study was conducted during the period in which no standard questionnaires were available, an online questionnaire was developed based on a few articles published in indexed journals on the similar topic which was further approved by 5 experts in the field. The questionnaire along with an informed consent was sent to all the HCWs employed in the hospital to assess their knowledge and anxiety related to COVID-19. Result A total of 92.47% of participants were strongly aware that the major mechanism in COVID spread is droplet infection. An equal percentage of participants had good knowledge that the infection can always be prevented by maintaining social distance, appropriate hand washing, hand sanitizing, and using a mask. However, around 40.67% of participants avoided large meetings even in hospitals due to fear of the pandemic. Conclusion It is important to study the mental health impacts of HCWs during the pandemic. There is a need to intensify the awareness program and address the mental health issues of HCWs during this COVID-19 pandemic.
{"title":"COVID-19-Related Knowledge and Anxiety Among Health-Care Workers in a Tertiary Care Centre in Kerala","authors":"Lakshmi K. P., P. Prasanna, Subash Chandra, Arya G. Krishnan, Abhinandh Babu, B. Babu, M. Moni, D. Sathyapalan","doi":"10.1177/26339447221098464","DOIUrl":"https://doi.org/10.1177/26339447221098464","url":null,"abstract":"Introduction The COVID-19 pandemic has posed an immense threat to both physical as well as mental health globally. The outbreak is immeasurably affecting all the communities worldwide. The pandemic fatigue has led to inadequate addressing of the impact of COVID-19 on mental health especially among the health-care workers (HCWs), mainly due to the fear of disease contraction, mortality of the condition, raised work stress, as well as the saturation of news on media and other social platforms. Prolonged confinement at home may also adversely impact mental health. Method An online survey was conducted using a developed questionnaire to evaluate the knowledge and anxiety among 118 HCWs regarding the COVID-19 pandemic in a tertiary care hospital. Since the study was conducted during the period in which no standard questionnaires were available, an online questionnaire was developed based on a few articles published in indexed journals on the similar topic which was further approved by 5 experts in the field. The questionnaire along with an informed consent was sent to all the HCWs employed in the hospital to assess their knowledge and anxiety related to COVID-19. Result A total of 92.47% of participants were strongly aware that the major mechanism in COVID spread is droplet infection. An equal percentage of participants had good knowledge that the infection can always be prevented by maintaining social distance, appropriate hand washing, hand sanitizing, and using a mask. However, around 40.67% of participants avoided large meetings even in hospitals due to fear of the pandemic. Conclusion It is important to study the mental health impacts of HCWs during the pandemic. There is a need to intensify the awareness program and address the mental health issues of HCWs during this COVID-19 pandemic.","PeriodicalId":40062,"journal":{"name":"Journal, Indian Academy of Clinical Medicine","volume":"16 1","pages":"7 - 13"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81469487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-01DOI: 10.1177/26339447221099991
H. Mahapatra, Sutanay Bhattacharyya, V. Batra
Introduction Heavy metals are a component of many traditional medications. However, they continue to be used for trivial causes. Chronic heavy metal exposure is an important but under-recognized cause of renal damage. We report to our knowledge the first case of a heavy-metal-associated chronic kidney disease secondary to Ayurvedic medication. Case Report A 24-year-old with history of chronic Ayurvedic medication for altered bowel habits presented with neuromuscular symptoms and bilateral lower limb swelling and was found to have hypocalcemia and renal dysfunction. He was initiated on dialysis and underwent an uncomplicated renal biopsy which was suggestive of chronic glomerulosclerosis. In view of significant exposure to Ayurvedic medication, he underwent heavy metal screening in blood, urine, and renal biopsy tissue along with the Ayurvedic medication he had. His blood tested positive for cadmium, copper, and mercury along with same positive results in Ayurvedic medication. He underwent chelation with dimercaprol 250 mg iv for 7 days with blood samples testing negative repeatedly for the same heavy metal that tested positive earlier. However, in view of significant chronicity, he became dialysis dependent and was initiated on twice weekly hemodialysis. His persistent gastrointestinal symptoms were attributed to nonspecific colitis following a computed tomography of the abdomen and colonoscopy with biopsy. He responded to rifaximin and probiotics. Conclusion Heavy metal exposure, secondary to chronic Ayurvedic medication intake, is an unrecognized cause of renal dysfunction. The use of such medications for trivial purposes is rampant, especially in developing countries like India. Delaying diagnosis can lead to permanent renal damage with patients eventually becoming dialysis dependent.
{"title":"A Rare Report of Heavy-Metal-Associated Hemodialysis-Dependent Chronic Kidney Disease Secondary to Ayurvedic Medication","authors":"H. Mahapatra, Sutanay Bhattacharyya, V. Batra","doi":"10.1177/26339447221099991","DOIUrl":"https://doi.org/10.1177/26339447221099991","url":null,"abstract":"Introduction Heavy metals are a component of many traditional medications. However, they continue to be used for trivial causes. Chronic heavy metal exposure is an important but under-recognized cause of renal damage. We report to our knowledge the first case of a heavy-metal-associated chronic kidney disease secondary to Ayurvedic medication. Case Report A 24-year-old with history of chronic Ayurvedic medication for altered bowel habits presented with neuromuscular symptoms and bilateral lower limb swelling and was found to have hypocalcemia and renal dysfunction. He was initiated on dialysis and underwent an uncomplicated renal biopsy which was suggestive of chronic glomerulosclerosis. In view of significant exposure to Ayurvedic medication, he underwent heavy metal screening in blood, urine, and renal biopsy tissue along with the Ayurvedic medication he had. His blood tested positive for cadmium, copper, and mercury along with same positive results in Ayurvedic medication. He underwent chelation with dimercaprol 250 mg iv for 7 days with blood samples testing negative repeatedly for the same heavy metal that tested positive earlier. However, in view of significant chronicity, he became dialysis dependent and was initiated on twice weekly hemodialysis. His persistent gastrointestinal symptoms were attributed to nonspecific colitis following a computed tomography of the abdomen and colonoscopy with biopsy. He responded to rifaximin and probiotics. Conclusion Heavy metal exposure, secondary to chronic Ayurvedic medication intake, is an unrecognized cause of renal dysfunction. The use of such medications for trivial purposes is rampant, especially in developing countries like India. Delaying diagnosis can lead to permanent renal damage with patients eventually becoming dialysis dependent.","PeriodicalId":40062,"journal":{"name":"Journal, Indian Academy of Clinical Medicine","volume":"13 1","pages":"51 - 54"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75501884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-01DOI: 10.1177/26339447221090071
M. Kaneria, Abhijeet Budhe, Prasenjit Lade, Tejas Poyekar
Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), had made its demonic debut on the world stage in December 2019 and has been sweeping across the globe since then. 1 This new kid on the block soon also joined the cluster of risk factors, leading to fungal infections. Cases of mucormycosis, colloquially called “black fungus,” (COVID-19 associated mucormycosis [CAM]), had escalated in India, and the focus then shifted to Candida, the so-called “white fungus.” The dysregulated immune system in COVID-19, along with the immunosuppressants used to treat it, may give rise to fatal secondary infections. We present a patient who had a stormy, prolonged course following COVID-19, with multiple bacterial and viral infections, subsequently culminating in fungal endocarditis with Candida tropicalis.
{"title":"Cytokine Storm in COVID 19 Culminating in Candida Endocarditis","authors":"M. Kaneria, Abhijeet Budhe, Prasenjit Lade, Tejas Poyekar","doi":"10.1177/26339447221090071","DOIUrl":"https://doi.org/10.1177/26339447221090071","url":null,"abstract":"Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), had made its demonic debut on the world stage in December 2019 and has been sweeping across the globe since then. 1 This new kid on the block soon also joined the cluster of risk factors, leading to fungal infections. Cases of mucormycosis, colloquially called “black fungus,” (COVID-19 associated mucormycosis [CAM]), had escalated in India, and the focus then shifted to Candida, the so-called “white fungus.” The dysregulated immune system in COVID-19, along with the immunosuppressants used to treat it, may give rise to fatal secondary infections. We present a patient who had a stormy, prolonged course following COVID-19, with multiple bacterial and viral infections, subsequently culminating in fungal endocarditis with Candida tropicalis.","PeriodicalId":40062,"journal":{"name":"Journal, Indian Academy of Clinical Medicine","volume":"15 1","pages":"31 - 33"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72662057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-01DOI: 10.1177/26339447221086398
K. Kannan, I. Vaikundaraja, K. Murhekar, Swathy Pitti Umasankar
Castleman disease (CD) is a rare lymphoproliferative disorder, closely related to Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal plasma cell disorder, and Skin changes (POEMS) syndrome. We report a typical patient of multicentric CD with POEMS syndrome with all the classical features.
{"title":"Quintessential Case of POEMS Syndrome Associated With Multicentric Castleman Disease","authors":"K. Kannan, I. Vaikundaraja, K. Murhekar, Swathy Pitti Umasankar","doi":"10.1177/26339447221086398","DOIUrl":"https://doi.org/10.1177/26339447221086398","url":null,"abstract":"Castleman disease (CD) is a rare lymphoproliferative disorder, closely related to Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal plasma cell disorder, and Skin changes (POEMS) syndrome. We report a typical patient of multicentric CD with POEMS syndrome with all the classical features.","PeriodicalId":40062,"journal":{"name":"Journal, Indian Academy of Clinical Medicine","volume":"107 1","pages":"38 - 40"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80781806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-06-01DOI: 10.1177/26339447221077501
Arya S. Devi, R. T, Ashish Jitendranath, Ivy Viswamohanan, Gangarathna Krishna
Sphingomonas paucimobilis is a yellow-pigmented, aerobic, glucose nonfermenting, Gram-negative bacillus, causing a rare human infection normally associated with immunocompromised host. A 47-year-old male, known diabetic and hypertensive on treatment, with a history of trauma, underwent surgical intervention and developed fever postoperatively. A positive growth was detected on BACT/ALERT 3D. Blood culture smear shows Gram-negative bacilli which was identified as S. paucimobilis.
{"title":"Sepsis due to Sphingomonas Paucimobilis in a Polytrauma Patient","authors":"Arya S. Devi, R. T, Ashish Jitendranath, Ivy Viswamohanan, Gangarathna Krishna","doi":"10.1177/26339447221077501","DOIUrl":"https://doi.org/10.1177/26339447221077501","url":null,"abstract":"Sphingomonas paucimobilis is a yellow-pigmented, aerobic, glucose nonfermenting, Gram-negative bacillus, causing a rare human infection normally associated with immunocompromised host. A 47-year-old male, known diabetic and hypertensive on treatment, with a history of trauma, underwent surgical intervention and developed fever postoperatively. A positive growth was detected on BACT/ALERT 3D. Blood culture smear shows Gram-negative bacilli which was identified as S. paucimobilis.","PeriodicalId":40062,"journal":{"name":"Journal, Indian Academy of Clinical Medicine","volume":"4 1","pages":"25 - 26"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77125220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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