scholarly journals Post-operative ocular infection due to Streptococcus dysgalactiae subspecies equisimilis

2011 ◽  
Vol 5 (10) ◽  
pp. 742-744 ◽  
Author(s):  
Jayaraman Kaliamurthy ◽  
Vincenzo Cuteri ◽  
Nelson Jesudasen ◽  
Amjad Salman ◽  
Philip A Thomas ◽  
...  
Keyword(s):  
Present Report ◽  
Ocular Infection ◽  
Streptococcus Dysgalactiae ◽  
Small Incision Cataract Surgery ◽  
16S Rrna Sequence ◽  
Ocular Infections ◽  
History Of ◽  
Intravitreal Treatment ◽  
Exogenous Endophthalmitis ◽  
Streptococcus Dysgalactiae Subspecies Equisimilis

Ocular infections due to Streptococcus dysgalactiae subsp. equisimilis are rare. In the present report, three patients with a history of uncomplicated small incision cataract surgery with intraocular lens implantation developed exogenous endophthalmitis due to Streptococcus dysgalactiae subsp. equisimilis. The identification of the organisms was confirmed by PCR for a 16S rRNA sequence specific to the species S. dysgalactiae. Intravitreal treatment of cefazolin and amikacin, in addition to topical ofloxacin and tobramycin, resulted in resolution of infection in all three patients. Our reports indicate the importance of bacterial culture and molecular identification in the diagnosis of S. dysgalactiae subsp. equisimilis infection in the eye.

Dual stain kit for the microscopic gram classification of ocular infection bacteria

1993 ◽  
Vol 51 ◽  
pp. 248-249
Author(s):  
Jacob S. Hanker ◽  
Dale N. Holdren ◽  
Kenneth L. Cohen ◽  
Beverly L. Giammara
Keyword(s):  
Contact Lenses ◽  
Ocular Infection ◽  
Gram Negative Bacteria ◽  
Gram Negative ◽  
Gram Staining ◽  
Ocular Infections ◽  
Different Types ◽  
Culture Positive ◽  
Increased Susceptibility

Keratitis and conjunctivitis (infections of the cornea or conjunctiva) are ocular infections caused by various bacteria, fungi, viruses or parasites; bacteria, however, are usually prominent. Systemic conditions such as alcoholism, diabetes, debilitating disease, AIDS and immunosuppressive therapy can lead to increased susceptibility but trauma and contact lens use are very important factors. Gram-negative bacteria are most frequently cultured in these situations and Pseudomonas aeruginosa is most usually isolated from culture-positive ulcers of patients using contact lenses. Smears for staining can be obtained with a special swab or spatula and Gram staining frequently guides choice of a therapeutic rinse prior to the report of the culture results upon which specific antibiotic therapy is based. In some cases staining of the direct smear may be diagnostic in situations where the culture will not grow. In these cases different types of stains occasionally assist in guiding therapy.

scholarly journals Speciation and Antibiotic Susceptibilities of Coagulase Negative Staphylococci Isolated from Ocular Infections

Antibiotics ◽  
2021 ◽  
Vol 10 (6) ◽  
pp. 721
Author(s):  
John E. Romanowski ◽  
Shannon V. Nayyar ◽  
Eric G. Romanowski ◽  
Vishal Jhanji ◽  
Robert M. Q. Shanks ◽  
...  
Keyword(s):  
Empiric Therapy ◽  
Species Level ◽  
Opportunistic Pathogens ◽  
Coagulase Negative Staphylococci ◽  
Biochemical System ◽  
Ocular Infections ◽  
Antibiotic Susceptibilities ◽  
System 2 ◽  
Intravitreal Treatment ◽  
Susceptibility Profiles

Coagulase-negative staphylococci (CoNS) are frequently occurring ocular opportunistic pathogens that are not easily identifiable to the species level. The goal of this study was to speciate CoNS and document antibiotic susceptibilities from cases of endophthalmitis (n = 50), keratitis (n = 50), and conjunctivitis/blepharitis (n = 50) for empiric therapy. All 150 isolates of CoNS were speciated using (1) API Staph (biochemical system), (2) Biolog GEN III Microplates (phenotypic substrate system), and (3) DNA sequencing of the sodA gene. Disk diffusion antibiotic susceptibilities for topical and intravitreal treatment were determined based on serum standards. CoNS identification to the species level by all three methods indicated that S. epidermidis was the predominant species of CoNS isolated from cases of endophthalmitis (84–90%), keratitis (80–86%), and conjunctivitis/blepharitis (62–68%). Identifications indicated different distributions of CoNS species among endophthalmitis (6), keratitis (10), and conjunctivitis/blepharitis (13). Antibiotic susceptibility profiles support empiric treatment of endophthalmitis with vancomycin, and keratitis treatment with cefazolin or vancomycin. There was no clear antibiotic choice for conjunctivitis/blepharitis. S. epidermidis was the most frequently found CoNS ocular pathogen, and infection by other CoNS appears to be less specific and random. Antibiotic resistance does not appear to be a serious problem associated with CoNS.

scholarly journals Emergence of a Streptococcus dysgalactiae subspecies equisimilis stG62647-lineage associated with severe clinical manifestations

2017 ◽  
Vol 7 (1) ◽  
Author(s):  
Oddvar Oppegaard ◽  
Haima Mylvaganam ◽  
Steinar Skrede ◽  
Paul Christoffer Lindemann ◽  
Bård Reiakvam Kittang
Keyword(s):  
Clinical Manifestations ◽  
Streptococcus Dysgalactiae ◽  
Streptococcus Dysgalactiae Subspecies Equisimilis

scholarly journals Intestinal lymphangiectasia: case report

2019 ◽  
Vol 6 (5) ◽  
pp. 1678
Author(s):  
Reham Mohmmad Aljohnei ◽  
Hawazen Yousef Abdullah Alani
Keyword(s):  
Case Report ◽  
Rare Disease ◽  
Present Report ◽  
Abdominal Distention ◽  
Intestinal Lymphangiectasia ◽  
Peripheral Edema ◽  
Long Duration ◽  
White Spots ◽  
Intestinal Lymphatics ◽  
History Of

Primary intestinal lymphangiectasia (PIL) was first described by Waldmann et al, in 1961. PIL is a rare disease with several hundred reported cases. It is rarely reported in adults because it is presumably a congenital disorder and when present in adults it typically produces a long duration of manifestation such as diarrhea, abdominal distention from ascites, and peripheral edema. This disorder is characterized by markedly dilated intestinal lymphatics, hypoproteinemia, generalized edema, lymphocytopenia hypogammaglobinemia, and immunologic anomalies. The loss of protein into the from dilated intestinal lymphatics leads to the development of hypoproteinemia in these patients and its demonstration is important in the diagnosis of intestinal lymphangiectasia. The disease can be secondary to congenital, secondary or idiopathic defects in the formation of the lymphatic ducts. In the present report, we describe a case of 15 years old female presented to our hospital with history of generalized edema, bilateral hand spasm, and diarrhea. Endoscopy of the patient revealed White spots (dilated lacteals), white nodules, and submucosal elevations were observed. Changes suggestive of the disease includes White villi and/or spots (dilated lacteals), white nodules, and submucosal elevations are observed. Xanthomata’s plaques are often visualized, there are no specific treatments for patients with PIL. treatment of patients with primary intestinal lymphangiectasia involves control of symptoms with the use of dietary, pharmaceutical, and behavioral modifications.

scholarly journals 41. History of Astronomy

1970 ◽  
Vol 14 (1) ◽  
pp. 481-489
Author(s):  
E. Rybka ◽  
O. J. Gingerich ◽  
J. O. Fleckenstein ◽  
C. D. Hellman ◽  
Z. Horský ◽  
...  
Keyword(s):  
History Of Science ◽  
Historical Development ◽  
Present Report ◽  
History Of Astronomy ◽  
Draft Report ◽  
Comprehensive Review ◽  
Astronomical Instruments ◽  
History Of

The investigations on the history of astronomy proceed rapidly and concern all branches, viz. the history of astronomy in particular countries, the historical development of the astronomical problems, biographies of astronomers, history of observatories and of astronomical instruments etc. They are being made by professional astronomers and historians of science at observatories and institutions destined for the history of science. The president of Commission 41 cannot give a comprehensive review of all directions of investigations on the history of astronomy, because their results frequently have been published in publications not accessible to the author of this report. The present draft report is based mainly on information received by the president from members and consulting members. Besides, the present report contains short information on the results of international conferences, which were held independently of IAU.

Malignant Brenner tumour of the ovary manifesting as distal intestinal obstruction and perforation

2020 ◽  
Vol 13 (6) ◽  
pp. e235394
Author(s):  
Brijesh Kumar Singh ◽  
Sudipta Saha ◽  
Shilpi Agarwal ◽  
Yashwant Singh Rathore
Keyword(s):  
Present Report ◽  
Iliac Fossa ◽  
Colonic Obstruction ◽  
Exploratory Laparotomy ◽  
Abdominal Radiograph ◽  
Palpable Mass ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct ◽  
History Of

A rare case of malignant Brenner tumour of ovary manifesting with intestinal perforation due to colonic infiltration is elaborated in the present report. Brenner’s tumour accounts for 1%–2% of all ovarian neoplasms and malignant Brenner tumour is even rarer and only about 5% of Brenner tumours are malignant. A 62-year-old woman came to surgical emergency with 1-month history of abdominal pain, vomiting and constipation with a palpable mass in right iliac fossa. Abdominal radiograph was suggestive of colonic obstruction. Contrast-enhanced CT of the abdomen revealed cystic right ovarian mass of 10.2×8.8 cm2 with pneumoperitoneum. Exploratory laparotomy was done, which revealed mass arising from right ovary involving terminal ileum, cecum and ascending colon. Possibility of ovarian malignancy was kept. Patient underwent debulking surgery along with ileostomy and descending colon mucous fistula was created. Histology was compatible with malignant Brenner tumour of the ovary.

Chronic Daily Headaches: Clinical Profile in Indian Patients

Cephalalgia ◽  
2003 ◽  
Vol 23 (5) ◽  
pp. 348-355 ◽  
Author(s):  
A Chakravarty
Keyword(s):  
Present Report ◽  
Episodic Migraine ◽  
Tension Type Headache ◽  
Primary Headaches ◽  
Average Dose ◽  
Transformed Migraine ◽  
History Of ◽  
Daily Headache ◽  
Therapy Withdrawal ◽  
Type Headache

Chronic daily headache (CDH) remains a relatively unexplored entity in India. Misconceptions are common, unnecessary investigations often done and inappropriate therapy prescribed. Analgesic overuse is seldom recognized. The present report appears to be the first of its kind from India. CDH has been defined as headaches occurring more than 15 days per month for more than 3 months (secondary causes excluded). Over 2 years (1998-1999) 849 cases (49.6% of all primary headaches) were seen. More than 1 year's follow-up data were available in 205 subjects (M 34; F 171). The distribution of these was as follows: (i), chronic tension-type headache (CTH), 33 (16.1%); (ii), chronic/transformed migraine (TM), 169 (82.4%); (iii), new persistent CDH, 3 (1.5%). There were 169 cases of TM (M:F 1:4.7; age 26-58 years). History of past episodic migraine was present in all. Transformation had been gradual (89.4%) or acute (10.6%). Possible factors in transformation included psychological stress (44.4%), analgesic overuse (28.4%), ergot overuse (4.1%). HRT seemed to be implicated in three female subjects. Analgesic overuse was limited between intake of 600 and 2400 mg of aspirin equivalent per day (mean 735 mg). Ergot overuse varied between 1 and 3 mg/day of ergotamine for ≥ 3 days/week. With medical therapy approximately 70% TM and 40% CTH patients noted significant improvement. About 80% of these relapsed on therapy withdrawal. CDH in India is not uncommon. Analgesic/ergot overuse needs to be recognized early. The average dose of analgesic implicated in CDH seems much less compared with that reported in the West.

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