Objectives:The objective of this study was to estimate the prevalence of meningitis in cases with late onset septicemia (LOS).Materials and Methods:A prospective study was carried out for a period of 1 year in a tertiary care hospital in North West India to estimate the prevalence of meningitis in cases of LOS. In all the admitted neonates with features of sepsis with a positive C-reactive protein, a lumbar puncture (LP) was carried out and results interpreted on the basis of cerebrospinal fluid (CSF) cytology and biochemistry. Simultaneous blood and CSF cultures were also taken. All other baseline investigations were performed and in those diagnosed as meningitis an ultrasound head was carried out prior to discharge. No urine cultures were obtained.Results:The study showed the prevalence of meningitis as 22.5% in neonates with LOS with statistically significant implications of meningitis versus gestation, sex, acquired the place of infection, and outcome in terms of sequelae/mortality.Conclusions:Meningitis is commonly associated with late onset sepsis hence LP should be the standard of care in such neonates as the treatment protocol and the outcome is directly proportional to the diagnosis at initial presentation.
MAGAZINE NAME HERErespond effectively to disruptions and positively evolve to keep pace with the environmental changes. We live in a rapidly changing world. As the enterprise system environment becomes more complex, new disasters and risks will rise, which might result in service disruptions and it will further lead to business function failure. For example, a payment system provided by a financial institution gets upgraded regularly, and the upgrades might unexpectedly result in user account maintenance failure, such as duplicate or missing transactions. If this incident is not detected proactively, it may potentially affect a large number of customers for a period of time. Therefore, resilience is crucial to the continued sustainable performance and stability of the services provided for the organizations.
Diabetic striatopathy is a neurological condition in patients with diabetes characterized by hemichorea-hemiballismus due to vascular and metabolic derangements in basal ganglia. This is a known entity in type 2 diabetic adult patients; however, seen rarely in pediatric patients with type 1 diabetes. Diabetic striatopathy develops in patients with poor glycemic control in the absence of ketosis. The patient tolerates hyperglycemia for a long time, which results in metabolic injury.
Chronic oligohydramnios due to any cause can have grave foetal prognosis. One of the rare complications is Potter's sequence which occurs as a result of intrauterine mechanical compression of the foetus due to decreased liquor volume. This case report aims to give an insight into this rare complication. Classical Potter's sequence is due to renal cause whereas non classical, a still rarer variant of Potter's sequence is due to non renal cause. We describe a case of a lady at 38 weeks of gestational age with chronic oligohydramnios due to prolonged leaking per vaginum and severe intrauterine growth restriction. She delivered a congenitally malformed male baby with features of Potter's sequence. The renal abnormalities were conspicuously absent in our case, suggesting a diagnosis of non classical Potter sequence.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.