Colloidal solution of nano silver particles (AgNPs) have been prepared using carboxymethyl cellulose as the stabilizing agent and dextrose as the reducing agent. It is considered bio-friendly, as all ingredients at much higher concentrations are used on eye as medicine. AgNPs thus generated are triangular with 9.5 nm size. MIC values of AgNPs and equivalent ionic silver against different multi-drug resistant strain bacteria and yeast are determined by microdilution method. Biological parameters for nano conversion are indicated by 128-256-fold higher sensitivity. Selective range synergisms for 1/4th MIC AgNPs with battery of antimicrobial agents are indicated by automated susceptibility testing device, keeping a negative control. Much lower MICs for different resistant antibiotics in combination with AgNPs are noted for all test organisms. This indicates scope for using a tolerable concentration of nanoantimicrobials either alone or in combination with an empirically chosen antibiotic for managing surface infections of eye or skin.
Segmental involvement of medium-sized vessels are lesser-known manifestations of systemic lupus erythematosus (SLE) vasculopathy. Medium vessel vasculopathy and peripheral vascular disease (PVD) mimicking manifestations of SLE, although rare, have been reported, particularly in Asian women mostly under the age of 30 years. This is due to metabolic disadvantages in their ethnicity, with high incidence of insulin resistance and resulting metabolic syndrome, leading to lower high-density lipoprotein cholesterol levels, higher triglyceride levels and small dense low-density lipoprotein, increased proinflammatory cytokines, endothelial dysfunction and procoagulant tendency. Owing to the longer duration of the disease with the simultaneous use of steroids, vessels are often affected. SLE may also present with thyroid manifestations against a background of a proinflammatory immune state, where autoimmune thyroid diseases, such as Hashimoto’s thyroiditis, may coexist. Here, we describe the case of a young woman who presented with progressive shortness of breath, right leg pain and cough with amenorrhoea and was diagnosed with SLE.
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