Three cases of external ophthalmomyiasis are reported here. The larvae were identified to be Oestrus ovis in two cases and Cochliomyia hominivorax in one. Two of the patients were immunocompetent while one was undergoing treatment for squamous cell carcinoma of eyelid. In the latter myiasis led to complete destruction of the eye.

This is the first epidemic report of invasive meningococcal disease from the north east India. Chloramphenicol acts well in areas with penicillin or cephalosporin resistance. Mortality reduces significantly with early diagnosis and prompt intervention.

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Background and Aims:Given choice, bacteria prefer a community-based, surface-bound colony to an individual existence. The inclination for bacteria to become surface bound is so ubiquitous in diverse ecosystems that it suggests a strong survival strategy and selective advantage for surface dwellers over their free-ranging counterparts. Virtually any surface, biotic or abiotic (animal, mineral, or vegetable) is suitable for bacterial colonization and biofilm formation. Thus, a biofilm is “a functional consortium of microorganisms organized within an extensive exopolymeric matrix.”Materials and Methods:The present study was undertaken to detect biofilm production from the repertoire stocks of Acinetobacter baumannii (A. baumannii) and Pseudomonas aeruginosa (P. aeruginosa) obtained from clinical specimens. The tube method was performed to qualitatively detect biofilm production.Results:A total of 109 isolates of both organisms were included in the study, out of which 42% (46/109) isolates showed biofilm detection. Among the biofilm producers, 57% of P. aeruginosa and 73% of A. baumannii showed multidrug resistance (MDR) pattern which was statistically significant in comparison to nonbiofilm producers (P < 0.001).Conclusion:To the best of our knowledge, this is the only study to have tested the biofilm production in both P. aeruginosa and A. baumannii in a single study. Biofilm production and MDR pattern were found to be significantly higher in A. baumannii than P. aeruginosa. Antibiotic resistance was significantly higher among biofilm producing P. aeruginosa than non producers. Similarly, antibiotic resistance was significantly higher among biofilm producing A. baumannii than non producers.

Background: Intestinal parasitic infestations cause a variety of clinical conditions, ranging from asymptomatic infestations to life-threatening situations. This study will highlight the importance of screening for intestinal parasites in immunosuppressed patients and increasing awareness of occurrence of intestinal parasites in this population. Objective: To understand the prevalence and demonstration of intestinal parasitic infestations among the immunosuppressed patients and determine the association of intestinal parasite and clinical presentation among these patients. Materials and Methods: A total of 149 immunosuppressed patients were included in the study. The prevalence of intestinal parasitic infections was diagnosed by microscopic examination of stool specimens. Smears were stained by Kinyoun's modified acid-fast stain. Stool samples were also examined after Sheather's sugar floatation and formol-ether concentration techniques. Result: Of the 149 patients included in the study, parasitic infestation was present in 53.02%. The highest prevalence of parasitic infestation was found in patients with cancers 80% (12 of 15). Overall, 106 (71.1%) patients showed gastrointestinal symptoms, of which 63(59.4%) patients were positive for intestinal parasites. The most common parasite isolated was Entamoeba histolytica/Entamoeba dispar. The parasite prevalence with use of routine method was found to be 37% and with Sheather's sucrose floatation and formal-ether sedimentation method was found to be 43% and 52.3%, respectively. Conclusion: This study thus highlights the importance of testing for intestinal parasites in immunosuppressed patients and emphasizes the necessity awareness among clinicians regarding the occurrence of these parasites in this population and health education of the population for food hygiene.