SUMMARYWe report a case of a 55-year-old man with uncontrolled diabetes who presented with pneumonia. During his hospital stay his clinical status worsened and he had a focal seizure. MRI showed central nervous system involvement and parietal bone osteomyelitis. As the patient's blood culture and endotracheal aspirate grew Burkholderia pseudomallei, melioidosis was diagnosed. He was treated with meropenem after failure to respond to ceftazidime. He gradually improved over a period of 4 weeks and was discharged. Early diagnosis and therapy resulted in improved outcome.
BACKGROUND
A 35-year-old man presented with sudden onset of headache and vomiting since five days. On examination patient had jaundice and was haemodynamically stable. CNS examination showed Glasgow Coma Scale (GCS) of 12(E3V4M5), pupils were bilaterally equal and reacting to light, extraocular movements were normal with no facial asymmetry. Motor and sensory system examination was grossly normal. Deep tendon reflexes were normal with bilateral plantar response being flexor. Fundus examination was normal. Other system examination was unremarkable.
Background and Objective: Systematic study of the folklore knowledge on herbal drug contributes to its conservation and preservation. Documentation of drugs in Ayurveda is based on the five principles called Rasa Panchaka (5 Ayurvedic principles of drug action). Alstonia venenata R. Br is a small tree belonging to Apocynaceae family. Its stem bark is used by tribes in fever, epilepsy and as anti-venom in snake bites. The aim of this study is to determine the Rasa Panchaka (5 Ayurvedic principles of drug action) of Al-stonia venenata R. Br.
Methods: Detailed review of the trial drug was carried out. Rasa (taste) was determined by using direct per-ception method on 30 healthy volunteers. Veerya (potency) was determined by assessing the exothermic and endothermic reaction of the drug in water. Vipaka (taste after digestion), Guna (properties) and Prab-hava (specific action) were assessed by experimental study of the drug on 12 Wister Albino rats.
Result and Conclusion: After the study Rasa panchaka (5 Ayurvedic principles of drug action) of the test drug was accessed as Tikta (bitter) Rasa (taste), Laghu (light) Rooksha (dry) Guna (property), Sheetha (cold) Veerya (potency)and Katu (pungent) Vipaka (taste after digestion).
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