scholarly journals Current Trends of Dermatophytosis in Eastern Odisha

2020 ◽  
Vol 12 (01) ◽  
pp. 10-14
Author(s):  
Swati Jain ◽  
Sunita Kabi ◽  
Bichitrananda Swain
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Blue Staining ◽  
Eastern India ◽  
Current Trends ◽  
Culture Positivity ◽  
Urease Test ◽  
Cotton Blue ◽  
Common Clinical Presentation ◽  
Microscopic Findings

Abstract Background Dermatophytes are fungi parasitizing structures rich in keratin such as skin, hair, and nail, which leads to a dermal inflammatory response with intense itching and cosmetic disfigurement. The climatic condition of eastern India is predominantly hot and humid with severe rainfalls promoting fungal infection. This study was performed to determine the prevalence of dermatophytosis and to isolate and identify the dermatophyte from clinically suspected cases attending tertiary care center. Methodology This study was conducted from April 2018 to March 2019 and a total of 1,200 samples were included. Skin scrapings were collected and examined microscopically using 10% potassium hydroxide (KOH) mount. Culture was performed using Sabouraud dextrose agar and dermatophyte test medium. Speciation was done based on macroscopic and microscopic findings using lactophenol cotton blue staining and some special tests like urease test and slide culture. Results Of 1,200 cases, tinea corporis was the most common clinical presentation. Direct KOH positivity was 89.4% and culture positivity was 61.75%. Trichophyton mentagrophyte (77.5%) was the most common dermatophyte isolated followed by Trichophyton rubrum (13.3%). Conclusion Dermatophytic infections are not serious but their propensity to persist leading to chronicity and disfigurement may have personal and social implications.

Short term outcome for colorectal cancer patients undergoing surgery in Tertiary care center in Eastern India

2021 ◽  
Vol 47 (2) ◽  
pp. e50-e51
Author(s):  
Abhitesh Singh ◽  
Anshul Jain ◽  
Dillip Muduly ◽  
Mahesh Sultania ◽  
Jyoti Ranjan Swain ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Patients ◽  
Care Center ◽  
Tertiary Care ◽  
Tertiary Care Center ◽  
Eastern India ◽  
Short Term ◽  
Term Outcome ◽  
Short Term Outcome ◽  
Colorectal Cancer Patients

Scrub Typhus with Varied Clinical Presentations

2017 ◽  
Vol 13 (04) ◽  
pp. 319-322
Author(s):  
Susrita Banerjee ◽  
Satyabrata Roychowdhuri ◽  
Mihir Sarkar
Keyword(s):  
Scrub Typhus ◽  
Care Center ◽  
Tertiary Care ◽  
Clinical Manifestations ◽  
Case Series ◽  
Dengue Shock Syndrome ◽  
Tertiary Care Center ◽  
Eastern India ◽  
Clinical Presentations ◽  
Diagnostic Difficulties

AbstractWe present four cases of pediatric scrub typhus from a tertiary care center of eastern India, emphasizing on varied unusual clinical manifestations posing diagnostic difficulties. A low index of suspicion is required to prevent under diagnosis. We report a case series of four patients with scrub typhus having uncommon clinical manifestations (two patients with hemophagocytic lymphohistiocytosis, one patient with myocarditis, and one patient presenting with shock reminiscent of dengue shock syndrome). The response to doxycycline was good, with fever subsiding within 48 to 72 hours of starting the treatment. Three out of four cases completely recovered once appropriate medication was given.

scholarly journals Diagnostic accuracy of B scan ultrasonography for posterior segment eye disorders in a tertiary care setting in Eastern India

2020 ◽  
Author(s):  
Maheswar Chaudhury ◽  
Bikash Parida ◽  
Sandeep Kumar Panigrahi
Keyword(s):  
Diagnostic Accuracy ◽  
Care Center ◽  
Tertiary Care ◽  
High Sensitivity ◽  
Posterior Segment ◽  
Radiology Department ◽  
Posterior Chamber ◽  
Eastern India ◽  
Predictive Values ◽  
Eye Disorders

Introduction: Ophthalmic ultrasound (USG) produces real time high resolution images of the eye and orbit. It can categorize and predict the location of pathology in the posterior chamber of eye very well. It is useful even in pre-operative evaluation and diagnosing posterior segment eye disorders. However, the diagnostic accuracy has usually not being studied thoroughly, with special emphasis to its probability of predicting posterior-segment eye disorders using B-scan USG. Objectives: To find out the prevalence and pattern of posterior segment disorders using B-scan ultrasonography, and to find its diagnostic accuracy. Materials and Methods: The study was prospective in nature and conducted in the department of radiodiagnosis and ophthalmology of a tertiary care center of Eastern India. Patients referred to the radiology department for ruling out intra-ocular pathology using B-scan ophthalmic ultrasound were included in the study, irrespective of any age and gender. Data were captured on an excel sheet and analyzed using Stata 12.1 SE. Results: The mean age of 84 study participants was 37.4 ± 19.5 years, with maximum in between 40-50 years. Males were more (72.6%). 50% presented with low vision, and most commonly associated with cataract (45%). Prevalance of posterior segment eye disorders was 13.1%. Sensitivity and negative predictive values were 100%. Post-test probability was 95.5%. Accuracy was however very less (39.3%). Conclusion: Using B-scan ultrasonography for pre-operative assessment and confirmation of diagnosis increases the probability of detecting presence or absence of posterior segment pathology. Absence of posterior segment disorder using this is also very helpful in ruling out disease entirely. It also a very high sensitivity and hence can be used even in rural health centers.

scholarly journals Clinico-etiological evaluation of chronic leg ulcer in a tertiary care center of eastern India

2020 ◽  
Vol 65 (6) ◽  
pp. 495
Author(s):  
Arghyaprasun Ghosh ◽  
Falguni Nag ◽  
Gobinda Chatterjee ◽  
Abhishek De
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Leg Ulcer ◽  
Tertiary Care Center ◽  
Eastern India

A study of antifungal susceptibility pattern of dermatophytes at tertiary care center

2021 ◽  
Vol 7 (3) ◽  
pp. 232-236
Author(s):  
Siddharth Sethi ◽  
Ujjwal Kumar ◽  
Krishnendra Varma ◽  
Yogyata Marothi ◽  
Mahendra Pratap Singh Chouhan
Keyword(s):  
Care Center ◽  
Antifungal Susceptibility ◽  
Tertiary Care ◽  
Antifungal Drugs ◽  
Tertiary Care Center ◽  
Susceptibility Pattern ◽  
Cotton Blue ◽  
Disk Diffusion Assay ◽  
Predominant Pathogen ◽  
Health Significance

Dermatophytes are fungi that can cause infections of the skin, hair & nails due to their ability to invade keratin. Dermatophytosis is the most common superficial fungal infection worldwide; it is common in tropics and subtropical regions. It may present in epidemic proportions in areas of high humidity: The present study aimed to identify various species causing dermatophytosis & to determine the invitro susceptibility pattern against commonly used systemic antifungal agents in our tertiary care center. A total of 149 samples were collected of infected skin, hair and nails in a period of 1 year from January 2020 to December 2020. Samples were collected under aseptic condition by skin scrapping, nail and hair clipping by using scalpel or forceps. Identification of the causative pathogen was done by performing slide culture, lacto-phenol cotton blue mount, hair perforation tests and urease tests. We adopted a newly developed agar based disk diffusion assay to test susceptibility of clinically isolated dermatophytes for antifungal susceptibility testing. Microbiological investigations revealed the presence of dermatophytic fungi in 71.8% of the samples. Trichophyton rubrum was the predominant pathogen isolated. The study showed Itraconazole to be most effective antifungal drugs against dermatophytes followed by terbinafine and fluconazole.Further intensive epidemiological and invitro antifungal susceptibility studies of dermatophytes are required which will have more public health significance.

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