Background: Colistin is the last choice for serious infections caused by multidrug-resistant Gram negative bacteria and one of the prominent causes for spreading the resistance is Plasmid-borne Mobile Colistin Resistance (mcr). Broth microdilution method (BMD) is the reference tool for colistin minimum inhibitory concentrations (MIC) determination, but it has many obstacles, so commercial BMD methods had been developed that are more userfriendly than the reference method and (Liofilchem ® ComASPTM) is one of them, which we used to determine colistin MIC in this study. Objective: To detect colistin resistant Gram negative bacilli (GNB) by ComASPTM colistin (formerly Sensi Test™Colistin) among Intensive Care Units (ICUs) patients admitted to Ain Shams university hospitals and to screen the presence of mcr-1 gene by Polymerase Chain Reaction (PCR) in Colistin resistant isolates. Method: This Observational cross-sectional study was performed in the
Background: Nursemaid's elbow is a known orthopedic pediatric emergency that occurs between one and four years of age. Axial traction of the extended arm when the forearm is pronated is the most frequently reported mechanism of infliction. However, other mechanisms are mentioned in the literature. Cases report: We report a case of pulled elbow in a four-month-old child. The mother reported that the child only rolled over to her side. Conclusion: A high index of suspicion for pulled elbow should be kept in younger infants despite the absence of the usual presentation.
Uterine rupture is a life-threatening peripartum complication. Spontaneous uterine rupture in early pregnancy is very rare. The diagnosis of uterine rupture should be considered when a pregnant patient presents with an acute abdomen because its clinical signs in early pregnancy are non-specific and the differentiation with other acute abdominal emergencies is challenging. Here, we present a case of acute abdominal pain. The patient was a 14-week pregnant 39-year-old female (gravida 4, para 2+1) with a history of two lower-segment cesarean sections. Our preoperative diagnosis was either heterotopic pregnancy or acute abdomen. Emergency laparotomy confirmed the presence of a spontaneous uterine rupture.
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