Bartonella Quintana, an Unrecognized Cause of Infective Endocarditis in Children in Ethiopia

Total Page:16

File Type:pdf, Size:1020Kb

Bartonella Quintana, an Unrecognized Cause of Infective Endocarditis in Children in Ethiopia Peer-Reviewed Journal Tracking and Analyzing Disease Trends Pages 1237–1440 EDITOR-IN-CHIEF D. Peter Drotman Associate Editors EDITORIAL BOARD Paul Arguin, Atlanta, Georgia, USA Timothy Barrett, Atlanta, Georgia, USA Charles Ben Beard, Ft. Collins, Colorado, USA Barry J. Beaty, Ft. Collins, Colorado, USA Ermias Belay, Atlanta, Georgia, USA Martin J. Blaser, New York, New York, USA David Bell, Atlanta, Georgia, USA Richard Bradbury, Atlanta, Georgia, USA Sharon Bloom, Atlanta, GA, USA Christopher Braden, Atlanta, Georgia, USA Arturo Casadevall, New York, New York, USA Mary Brandt, Atlanta, Georgia, USA Kenneth C. Castro, Atlanta, Georgia, USA Corrie Brown, Athens, Georgia, USA Louisa Chapman, Atlanta, Georgia, USA Charles Calisher, Fort Collins, Colorado, USA Benjamin J. Cowling, Hong Kong, China Michel Drancourt, Marseille, France Vincent Deubel, Shanghai, China Paul V. Effler, Perth, Australia Isaac Chun-Hai Fung, Statesboro, Georgia, USA Anthony Fiore, Atlanta, Georgia, USA Kathleen Gensheimer, College Park, Maryland, USA David Freedman, Birmingham, Alabama, USA Duane J. Gubler, Singapore Peter Gerner-Smidt, Atlanta, Georgia, USA Richard L. Guerrant, Charlottesville, Virginia, USA Stephen Hadler, Atlanta, Georgia, USA Scott Halstead, Arlington, Virginia, USA Matthew Kuehnert, Atlanta, Georgia, USA Katrina Hedberg, Portland, Oregon, USA Nina Marano, Atlanta, Georgia, USA David L. Heymann, London, UK Keith Klugman, Seattle, Washington, USA Martin I. Meltzer, Atlanta, Georgia, USA Takeshi Kurata, Tokyo, Japan David Morens, Bethesda, Maryland, USA S.K. Lam, Kuala Lumpur, Malaysia J. Glenn Morris, Gainesville, Florida, USA Stuart Levy, Boston, Massachusetts, USA Patrice Nordmann, Fribourg, Switzerland John S. MacKenzie, Perth, Australia Didier Raoult, Marseille, France John E. McGowan, Jr., Atlanta, Georgia, USA Pierre Rollin, Atlanta, Georgia, USA Jennifer H. McQuiston, Atlanta, Georgia, USA Frank Sorvillo, Los Angeles, California, USA Tom Marrie, Halifax, Nova Scotia, Canada David Walker, Galveston, Texas, USA Nkuchia M. M’ikanatha, Harrisburg, Pennsylvania, USA Frederick A. Murphy, Bethesda, Maryland, USA Senior Associate Editor, Emeritus Barbara E. Murray, Houston, Texas, USA Brian W.J. Mahy, Bury St. Edmunds, Suffolk, UK Stephen M. Ostroff, Silver Spring, Maryland, USA Managing Editor Marguerite Pappaioanou, Seattle, Washington, USA Byron Breedlove, Atlanta, Georgia, USA Johann D. Pitout, Calgary, Alberta, Canada Ann Powers, Fort Collins, Colorado, USA Copy Editors Claudia Chesley, Kristina Clark, Dana Dolan, Mario Raviglione, Geneva, Switzerland Karen Foster, Thomas Gryczan, Jean Michaels Jones, David Relman, Palo Alto, California, USA Michelle Moran, Shannon O’Connor, Jude Rutledge, Guenael R. Rodier, Geneva, Switzerland P. Lynne Stockton, Deborah Wenger Connie Schmaljohn, Frederick, Maryland, USA Production Thomas Eheman, William Hale, Barbara Segal, Tom Schwan, Hamilton, Montana, USA Reginald Tucker Ira Schwartz, Valhalla, New York, USA Bonnie Smoak, Bethesda, Maryland, USA Editorial Assistants Kristine Phillips, Susan Richardson Rosemary Soave, New York, New York, USA Communications/Social Media Sarah Logan Gregory P. Frederick Sparling, Chapel Hill, North Carolina, USA Robert Swanepoel, Pretoria, South Africa Founding Editor Phillip Tarr, St. Louis, Missouri, USA Joseph E. McDade, Rome, Georgia, USA John Ward, Atlanta, Georgia, USA Emerging Infectious Diseases is published monthly by the Centers for Disease Control and J. Todd Weber, Atlanta, Georgia, USA Prevention, 1600 Clifton Road, Mailstop D61, Atlanta, GA 30329-4027, USA. Telephone Jeffrey Scott Weese, Guelph, Ontario, Canada 404-639-1960, fax 404-639-1954, email [email protected]. Mary E. Wilson, Cambridge, Massachusetts, USA The conclusions, findings, and opinions expressed by authors contributing Use of trade names is for identification only and does not imply to this journal do not necessarily reflect the official position of the U.S. Depart- endorsement by the Public Health Service or by the U.S. Department of Health ment of Health and Human Services, the Public Health Service, the Centers for and Human Services. Disease Control and Prevention, or the authors’ affiliated institutions. Use of EMERGING INFECTIOUS DISEASES is a registered service mark of trade names is for identification only and does not imply endorsement by any the U.S. Department of Health & Human Services (HHS). of the groups named above. All material published in Emerging Infectious Diseases is in the public ∞ Emerging Infectious Diseases is printed on acid-free paper that meets the domain and may be used and reprinted without special permission; proper requirements of ANSI/NISO 239.48-1992 (Permanence of Paper) citation, however, is required. Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 23, No. 8, August 2017 August 2017 Acute Febrile Illness and On the Cover Complications Due to Murine Typhus, Texas, USA Alexander Skachkov (b 1973), Varna, Bulgaria. Z. Afzal et al. 1268 Old Mosquito, 2014. Pencil drawing, continued Research in Photoshop as greyscale drawing. Colorized with High Infection Rates for Adult HardLight, Multiply, Overlay, Macaques after Intravaginal or and Color layer color mode, Intrarectal Inoculation with 36 in x 43.5 in/91.44 cm x Zika Virus 110.48 cm. A.D. Haddow et al. 1274 Related material available online: About the Cover p. 1436 http://wwwnc.cdc.gov/eid/ article/23/8/17-0036_article Lyme Borreliosis in Finland, 1995–2014 E. Sajanti et al. 1282 Related material available online: http://wwwnc.cdc.gov/eid/ article/23/8/16-1273_article Characterization of Fitzroy River Virus and Serologic Evidence of Human and Animal Infection Synopses Characteristics of Dysphagia C.A. Johansen et al. 1289 in Infants with Microcephaly Related material available online: Caused by Congenital Zika Virus http://wwwnc.cdc.gov/eid/ Added Value of Next-Generation Infection, Brazil, 2015 article/23/8/16-1440_article Sequencing for Multilocus M.C. Leal et al. 1253 Sequence Typing Analysis Genomic Characterization of of a Pneumocystis jirovecii Related material available online: Recrudescent Plasmodium Pneumonia Outbreak http://wwwnc.cdc.gov/eid/ malariae after Treatment with article/23/8/17-0354_article E. Charpentier et al. 1237 Artemether/Lumefantrine G.G. Rutledge et al. 1300 Related material available online: Zika Virus Infection in Patient http://wwwnc.cdc.gov/eid/ with No Known Risk Factors, Related material available online: article/23/8/16-1295_article Utah, USA, 2016 http://wwwnc.cdc.gov/eid/ article/23/8/16-1582_article E.R. Krow-Lucal et al. 1260 1242 Bartonella quintana, an Unrecognized Cause of Infective Endocarditis in Children in Ethiopia D. Tasher et al. 1246 Infection is probably not uncommon in those with heart defects, and diagnosis should be considered for patients with culture-negative endocarditis. Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 23, No. 8, August 2017 Molecular Characterization of Corynebacterium diphtheriae Outbreak Isolates, South Africa, March–June 2015 M. du Plessis et al. 1308 Clinical Laboratory Values August 2017 as Early Indicators of Ebola West Nile Virus Outbreak in Virus Infection in Dispatches Houston and Harris County, Nonhuman Primates Texas, USA, 2014 R.B. Reisler et al. 1316 Global Spread of Norovirus GII.17 D. Martinez et al. 1372 Related material available online: Kawasaki 308, 2014–2016 http://wwwnc.cdc.gov/eid/ M.C.W. Chan et al. 1350 Related material available online: http://wwwnc.cdc.gov/eid/ article/23/8/17-0029_article Related material available online: article/23/8/17-0384_article http://wwwnc.cdc.gov/eid/ Maguari Virus Associated with article/23/8/16-1138_article Density-Dependent Prevalence Human Disease of Francisella tularensis in A. Groseth et al. 1325 Preliminary Epidemiology of Fluctuating Vole Populations, Related material available online: Human Infections with Highly Northwestern Spain http://wwwnc.cdc.gov/eid/ Pathogenic Avian Influenza R. Rodriguez-Pastor et al. 1377 article/23/8/16-1254_article A(H7N9) Virus, China, 2017 L. Zhou et al. 1355 Occupational Exposures to Ebola Human Infection with Highly Virus in Ebola Treatment Center, Pathogenic Avian Influenza Real-Time Evolution of Zika Conakry, Guinea A(H7N9) Virus, China Virus Disease Outbreak, Roatán, H. Savini et al. 1380 C. Ke et al. 1332 Honduras Related material available online: T. Brooks et al. 1360 Serologic Evidence of http://wwwnc.cdc.gov/eid/ Powassan Virus Infection in article/23/8/17-0600_article Clonal Expansion of New Patients with Suspected Penicillin-Resistant Clade of Lyme Disease Neisseria meningitidis H.M. Frost et al. 1384 Serogroup W Clonal Complex 11, Australia Related material available online: Human http://wwwnc.cdc.gov/eid/ S. Mowlaboccus et al. 1364 Metapneumovirus article/23/8/16-1971_article and Other Respiratory Genesis of Influenza Serologic Evidence of Scrub Viral Infections A(H5N8) Viruses during Pregnancy Typhus in the Peruvian Amazon R. El-Shesheny et al. 1368 and Birth, Nepal C. Kocher et al. 1389 J.L. Lenahan et al. 1341 Related material available online: http://wwwnc.cdc.gov/eid/ Influenza D Virus in Animal Women infected with metapneumovirus article/23/8/17-0143_article Species in Guangdong Province, during pregnancy had an increased risk Southern China of delivering infants who were small for S.-L. Zhai et al. 1392 gestational age. Related material available online: http://wwwnc.cdc.gov/eid/ article/23/8/17-0059_article Seroprevalence of Baylisascaris procyonis Infection among Humans, Santa Barbara County, California,
Recommended publications
  • Diagnostic Accuracy of Procalcitonin in Critically Ill Immunocompromised
    Bele et al. BMC Infectious Diseases 2011, 11:224 http://www.biomedcentral.com/1471-2334/11/224 RESEARCHARTICLE Open Access Diagnostic accuracy of procalcitonin in critically ill immunocompromised patients Nicolas Bele1, Michael Darmon1,2,3, Isaline Coquet1, Jean-Paul Feugeas4, Stéphane Legriel1, Nadir Adaoui4, Benoît Schlemmer1 and Élie Azoulay1* Abstract Background: Recognizing infection is crucial in immunocompromised patients with organ dysfunction. Our objective was to assess the diagnostic accuracy of procalcitonin (PCT) in critically ill immunocompromised patients. Methods: This prospective, observational study included patients with suspected sepsis. Patients were classified into one of three diagnostic groups: no infection, bacterial sepsis, and nonbacterial sepsis. Results: We included 119 patients with a median age of 54 years (interquartile range [IQR], 42-68 years). The general severity (SAPSII) and organ dysfunction (LOD) scores on day 1 were 45 (35-62.7) and 4 (2-6), respectively, and overall hospital mortality was 32.8%. Causes of immunodepression were hematological disorders (64 patients, 53.8%), HIV infection (31 patients, 26%), and solid cancers (26 patients, 21.8%). Bacterial sepsis was diagnosed in 58 patients and nonbacterial infections in nine patients (7.6%); 52 patients (43.7%) had no infection. PCT concentrations on the first ICU day were higher in the group with bacterial sepsis (4.42 [1.60-22.14] vs. 0.26 [0.09- 1.26] ng/ml in patients without bacterial infection, P < 0.0001). PCT concentrations on day 1 that were > 0.5 ng/ml had 100% sensitivity but only 63% specificity for diagnosing bacterial sepsis. The area under the receiver operating characteristic (ROC) curve was 0.851 (0.78-0.92).
    [Show full text]
  • BLOOD INFECTIONS INTRODUCTION TYPES Of
    BLOOD INFECTIONS Please supplement and learn theory on the basis of the lecture, Mim’s book and supplementary materials before class!!! INTRODUCTION PRINCIPLE: UNDER NATURAL CONDITIONS BLOOD IS STERILE IMPORTANT TERMS: Nosocomial infection ……………………………………………………………………………………………………………….. Bacteremia ………………………………………………………………………………………………………………………………. Viremia …………………………………………………………………………………………………………………………………….. Fungemia ………………………………………………………………………………………………………………………………….. Sepsis …………………………………………………………………………………………………………………………………………. SIRS …………………………………………………………………………………………………………………………………………….. MODS …………………………………………………………………………………………………………………………………………. ARDS …………………………………………………………………………………………………………………………………………… DIC ………………………………………………………………………………………………………………………………………………. CRBI …………………………………………………………………………………………………………………………………………….. BSI ………………………………………………………………………………………………………………………………………………. TYPES of BACTEREMIA .------------------------------------ ---------------------------------- ---------------------------------- •Examples: •Examples: •Examples: •-------------------------------------- •------------------------------------- •------------------------------------ -------------------------------------- •-------------------------------------- •-------------------------------------- -------------------------------------- -------------------------------------- -------------------------------------- -------------------------------------- -------------------------------------- -------------------------------------- -------------------------------------- --------------------------------------
    [Show full text]
  • Practice Advisory for the Prevention, Diagnosis, and Management of Infectious Complications Associated with Neuraxial Techniques
    PRACTICE PARAMETER Practice Advisory for the Prevention, Diagnosis, and Management of Infectious Complications Associated with Neuraxial Techniques (ANESTHESIOLOGY 2017; XXX:00-00) An Updated Report by the American Society of Anesthesiologists Task Force on Infectious Complications Associated with Neuraxial Techniques and the American Society of Regional Anesthesia and Pain Medicine* RACTICE advisories are systematically developed Methodology reports that are intended to assist decision-making P Definition of Infectious Complications Associated with in areas of patient care. Advisories provide a synthesis of Neuraxial Techniques scientific literature and analysis of expert opinion, clini- For this Advisory, infectious complications are defined cal feasibility data, open forum commentary, and consen- as serious infections associated with the use of neuraxial sus surveys. Practice advisories developed by the American techniques. Neuraxial techniques include, but are not Society of Anesthesiologists (ASA) are not intended as standards, guidelines, or absolute requirements, and their limited to, epidural, spinal, or combined spinal-epidural use cannot guarantee any specific outcome. They may be administration of anesthetics, analgesics, or steroids; lum- adopted, modified, or rejected according to clinical needs bar puncture/spinal tap; epidural blood patch; epidural and constraints, and they are not intended to replace local lysis of adhesions; intrathecal chemotherapy; epidural or institutional policies. spinal injection of contrast agents
    [Show full text]
  • Polymicrobial Septic Shock with Multiorgan Dysfunction in An
    JOMA Polymicrobial Septic Shock10.5005/jp-journals-100 with Multiorgan Dysfunction70-0012 CASE REPORT Polymicrobial Septic Shock with Multiorgan Dysfunction in an Otherwise Healthy Immunocompetent Patient 1Anuradha Makkar, 2Inam D Khan, 3KS Rajmohan, 4Syed A Hashmi, 5Lakshmi Nair, 6Alpana Gupta, 7Harleen Chopra, 8Priyanka Banerjee, 9Pragyan S Panda, 10Rajiv M Gupta ABSTRACT Source of support: Nil Background: Sepsis is a significant cause of morbidity and Conflict of interest: None mortality worldwide despite advanced critical life-support. Septic shock and multiorgan dysfunction is the terminal stage INTRODUCTION in critically ill patients leading to perfusion abnormalities, lactic acidosis, oliguria and altered mental status creating a rapid Sepsis is a major cause of morbidity and mortality world- downhill course and mortality. Sepsis ensues through stages wide despite advanced critical life-support. It is the 11th - of exaggerated immune response including systemic inflamma leading cause of death overall with attributable mortality tory response syndrome, in the backdrop of infectious stimuli. to sepsis and severe sepsis being 30 to 50% and 50 to 60%. Case report: Polymicrobial septic shock with multiorgan Following a non-infectious or infectious insult, there is dysfunction leads to demise in an otherwise healthy immuno- competent patient. Microbiological profile revealedEscherichia a preliminary systemic response which becomes over- coli urinary tract infection (UTI), Staphylococcus sciuri bactere- whelming leading to systemic inflammatory response mia, Acinetobacter baumanii ventilator-associated pneumonia, syndrome. When the compensatory anti-inflammatory and central line catheter tip Pseudomonas aeruginosa, thereby reaction fails, it leads to immunomodulatory failure, pointing towards polymicrobial sepsis. Neutropenia of 290/ dL along with serum procalcitonin 5 ng/mL was detected.
    [Show full text]
  • ACTION PLAN AMAZON TRIPLE BORDER Colombia-Brazil-Peru
    ACTION PLAN AMAZON TRIPLE BORDER Colombia-Brazil-Peru August 2020 Puerto Nariño, Amazon, The Amazon region is being significantly impacted by COVID-19, threatening the lives Colombia and livelihoods of its population and posing an existential threat to its large indigenous Cover photo credit: Sergio communities. Rojas/ Umari Journal The basin is home to an estimated 30 million people, and includes territory in Brazil, Colombia, Ecuador, French Guyana, Peru and Venezuela. The largest territories in the Amazonas are in The region currently Brazil, Peru and Colombia which host more than 400 indigenous communities amounting to registers the highest an estimated 6 million people. The main channel of the river, which is a vital route for transport mortality rates from in the region, played a key role in the transmission of the disease affecting, in particular, the indigenous population along the border region of Peru, Colombia and Brazil. COVID-19 per 100,000 people in the world. As a result, the United Nations Resident Coordinators in the three countries have come together with the support of OCHA and the participation of WFP, WHO, UNICEF, UNFPA to develop an Action Plan to support Government responses to the urgent needs in the area. The plan is initially focused on mobilizing an emergency response to address the most immediate needs of those affected in the area. First level responses in the three countries have already commenced through reprogramed funding but additional resources are needed to scale up the response. The plan focuses on areas near the so-called Triple Border - between Colombia, Peru and Brazil - home to 208,699 people and where the majority of the population (57%) is indigenous.
    [Show full text]
  • Dengue–COVID-19 Coinfection: the First Reported Case in the Philippines
    Case Report/Case Series Dengue–COVID-19 coinfection: the first reported case in the Philippines Angyap Saipen,a Bernard Demot,a Lowella De Leona Correspondence to Angyap Lyn Saipen (email: [email protected]) The rainy season in the Philippines is from June to October; this is when the number of dengue cases typically increases. In 2020 during this time, the world was facing the threat of severe acute respiratory syndrome coronavirus 2 (SARS- CoV-2) infection. Coronavirus disease 2019 (COVID-19) and dengue viral infections have similar presentations and laboratory findings, including fever and thrombocytopenia, and there have been reports of coinfection with SARS-CoV-2 and arthropod-borne virus. Here, we report a case of SARS-CoV-2–dengue virus coinfection in the Philippines in a female aged 62 years, whose early symptom was fever and who was positive for SARS-CoV-2 and positive for dengue. Early recognition of such coinfection is important so that proper measures can be taken in the management of the patient. engue fever is a mosquito-borne viral infection fever (highest recorded at 39.5 °C), with associated found mostly in tropical climates, including headache (frontoparietal in location, rated 5/10 and Dthe Philippines. The clinical manifestations of bandlike in character) and retro-orbital pain, general- dengue may include high-grade fever, headache, retro- ized body ache, myalgia and arthralgia. There was no orbital pain, muscle and joint pains, and rashes. In associated nausea, vomiting or blurring of vision. The 2019, the Philippines had one of the highest numbers patient had pain over the ankle joints, with no associ- of reported dengue cases among countries in Asia ated warmth or limitation of movement, and no rashes, and South-East Asia.1 According to the World Health cough or dyspnoea.
    [Show full text]
  • Scientific Note
    Journal of the American Mosquito Control Association, 18(4):359-363' 2OOz Copyright @ 2002 by the American Mosquito Control Association' Inc' SCIENTIFIC NOTE COLONIZATION OF ANOPHELES MACULAZUS FROM CENTRAL JAVA, INDONESIA' MICHAEL J. BANGS,' TOTO SOELARTO,3 BARODJI,3 BIMO P WICAKSANA'AND DAMAR TRI BOEWONO3 ABSTRACT, The routine colonization of Anopheles maculatus, a reputed malaria vector from Central Java, is described. The strain is free mating and long lived in the laboratory. This species will readily bloodfeed on small rodents and artificial membrane systems. Either natural or controlled temperatures, humidity, and lighting provide acceptable conditions for continuous rearing. A simple larval diet incorporating a l0:4 powdered mixture of a.i"a beef and rice hulls proved acceptable. Using a variety of simple tools and procedures, this colony strain appears readily adaptable to rearing under most laboratory conditions. This appears to be the first report of continuous colonization using a free-mating sffain of An. maculatus. Using this simple, relatively inexpensive method of mass colonization adds to the short list of acceptable laboratory populations used in the routine production of human-infecting plasmodia. KEY WORDS Anopheles maculatus, Central Java, colonization, larval diet, malaria vector, Indonesia Anop he Ie s (Ce ll ia) maculat us Theobald belongs nificantly divergent in phylogenetic terms from oth- to the Theobaldi group of the Neocellia series, er members of the complex and may represent one which also includes Anopheles karwari (James) and or more separate species awaiting formal descrip- Anopheles theobaldi Giles (Subbarao 1998). The tion (Rongnoparut, personal communication). For An. maculatus species complex is considered an purposes of this article, the Central Java strain will "spe- important malaria vector assemblage over certain be referred to as An.
    [Show full text]
  • VDL Annual Report
    2010 Annual Report Table of Contents ISU VDL Mission Statement .......................................................................................................................... 3 VDPAM Organizational Chart ....................................................................................................................... 4 VDPAM External Advisory Board .................................................................................................................. 5 VDL Faculty List ............................................................................................................................................ 6 VDL Staff List ................................................................................................................................................ 7 New Tests Introduced ................................................................................................................................... 9 2010 Statistical Data ................................................................................................................................... 10 Accessions .............................................................................................................................................. 10 Tests ....................................................................................................................................................... 11 Submission Trends ................................................................................................................................
    [Show full text]
  • 69292/2020/Estt-Ne Hr 5
    5 69292/2020/ESTT-NE_HR Index Sr. No. Particulars Page No. 1 General Billing Rules 2--11 2 Packages Detail 12--23 3 Room Rent 24--25 4 Consultation Charges. 26--32 5 CTVS PACKAGE ROCEDURES 33--35 6 CTVS PEDIATRIC 36--37 7 CATH ADULT PROCEDURES 38--39 8 EP STUDY PACKAGE PROCEDURES 40--41 9 PEDIATRIC CATH PROCEDURES 42--43 10 UROLOGY PROCEDURES 44--46 11 NEPHROLOGY PROCEDURES 47-52 12 VASCULAR SURGERY 53--54 13 GENERAL SURGERY PROCEDURE 55--62 14 NUEROLOGY PROCEDURES 63--67 15 UROLOGY 68--71 16 DENTAL PROCEDURES 72--78 17 DERMATALOGY PROCEDURES 79--82 18 ENT PROCEDURES 83--87 19 NEPHROLOGY 88--89 20 GYNECOLOGY PROCEDURES 90--93 21 LABORATORY TEST CHARGES 94-120 22 ONCOLOGY PROCEDURES 121-126 23 OPTHALMOLOGY PROCEDURES 127-130 24 PULMONOLOGY PROCEDURES 131-134 25 PAIN CLINIC CHARGES 135-136 26 PLASTIC SURGERY 137-141 27 PHYSIOTHERAPY CHARGES 142-144 28 MISC. & OTHER SERVICES 145-148 29 CARDIAC DIAGNOSTIC CHARGES 149-151 30 CT PROCEDURES 152-155 31 MRI PROCEDURES 156-162 32 X RAY PROCEDURES 163-166 33 ULTRASOUND PROCEDURES 167-169 34 DIAGNOSTIC NEUROLOGY 170-172 35 DIANG-HIS 173-174 36 BLOOD BANK 175-176 37 GASTROENTEROLOGY PACKAGES 177-178 38 GASTROENTEROLOGY 179-184 39 TRANSPLANT CHARGES 185-186 0 6 69292/2020/ESTT-NE_HR 40 ORTHOPAEDIC PACKAGES 187-189 41 ORTHOPAEDICS PROCEDURES 190-199 42 MAXILLOFACIAL SURGERY 200-206 43 ONCO SURGERY 207-209 44 INTERVENTIONAL RADIOLOGY & CARDIOLOGY 210-211 45 ANESTHESIA PROCEDURES 212-214 46 PSYCHOLOGY 215-216 1 7 69292/2020/ESTT-NE_HR GENERAL BILLING RULES & GUIDELINES 2 8 69292/2020/ESTT-NE_HR Registration and Admission Charges a) Onetime Registration charges of INR.100/- shall be charged to all new patients coming to Hospital for the first time.
    [Show full text]
  • Ecologically Sound Mosquito Management in Wetlands. the Xerces
    Ecologically Sound Mosquito Management in Wetlands An Overview of Mosquito Control Practices, the Risks, Benefits, and Nontarget Impacts, and Recommendations on Effective Practices that Control Mosquitoes, Reduce Pesticide Use, and Protect Wetlands. Celeste Mazzacano and Scott Hoffman Black The Xerces Society FOR INVERTEBRATE CONSERVATION Ecologically Sound Mosquito Management in Wetlands An Overview of Mosquito Control Practices, the Risks, Benefits, and Nontarget Impacts, and Recommendations on Effective Practices that Control Mosquitoes, Reduce Pesticide Use, and Protect Wetlands. Celeste Mazzacano Scott Hoffman Black The Xerces Society for Invertebrate Conservation Oregon • California • Minnesota • Michigan New Jersey • North Carolina www.xerces.org The Xerces Society for Invertebrate Conservation is a nonprofit organization that protects wildlife through the conservation of invertebrates and their habitat. Established in 1971, the Society is at the forefront of invertebrate protection, harnessing the knowledge of scientists and the enthusiasm of citi- zens to implement conservation programs worldwide. The Society uses advocacy, education, and ap- plied research to promote invertebrate conservation. The Xerces Society for Invertebrate Conservation 628 NE Broadway, Suite 200, Portland, OR 97232 Tel (855) 232-6639 Fax (503) 233-6794 www.xerces.org Regional offices in California, Minnesota, Michigan, New Jersey, and North Carolina. © 2013 by The Xerces Society for Invertebrate Conservation Acknowledgements Our thanks go to the photographers for allowing us to use their photos. Copyright of all photos re- mains with the photographers. In addition, we thank Jennifer Hopwood for reviewing the report. Editing and layout: Matthew Shepherd Funding for this report was provided by The New-Land Foundation, Meyer Memorial Trust, The Bul- litt Foundation, The Edward Gorey Charitable Trust, Cornell Douglas Foundation, Maki Foundation, and Xerces Society members.
    [Show full text]
  • 'Risk Factors for Candidemia: a Prospective Matched Case-Control
    Poissy et al. Critical Care (2020) 24:109 https://doi.org/10.1186/s13054-020-2766-1 RESEARCH Open Access Risk factors for candidemia: a prospective matched case-control study Julien Poissy1,2,3 , Lauro Damonti3,4, Anne Bignon5, Nina Khanna6, Matthias Von Kietzell7, Katia Boggian7, Dionysios Neofytos8, Fanny Vuotto9, Valérie Coiteux10, Florent Artru11, Stephan Zimmerli4, Jean-Luc Pagani12, Thierry Calandra3, Boualem Sendid2,13, Daniel Poulain2,13, Christian van Delden8, Frédéric Lamoth3,14, Oscar Marchetti3,15, Pierre-Yves Bochud3*, the FUNGINOS and Allfun French Study Groups Abstract Background: Candidemia is an opportunistic infection associated with high morbidity and mortality in patients hospitalized both inside and outside intensive care units (ICUs). Identification of patients at risk is crucial to ensure prompt antifungal therapy. We sought to assess risk factors for candidemia and death, both outside and inside ICUs. Methods: This prospective multicenter matched case-control study involved six teaching hospitals in Switzerland and France. Cases were defined by positive blood cultures for Candida sp. Controls were matched to cases using the following criteria: age, hospitalization ward, hospitalization duration, and, when applicable, type of surgery. One to three controls were enrolled by case. Risk factors were analyzed by univariate and multivariate conditional regression models, as a basis for a new scoring system to predict candidemia. Results: One hundred ninety-two candidemic patients and 411 matched controls were included. Forty-four percent of included patients were hospitalized in ICUs, and 56% were hospitalized outside ICUs. Independent risk factors for candidemia in the ICU population included total parenteral nutrition, acute kidney injury, heart disease, prior septic shock, and exposure to aminoglycoside antibiotics.
    [Show full text]
  • Principle of Infection
    23/09/56 Principle of Infection La-or Chompuk, M.D. Department of pathology Faculty of Medicine Infection • Definition: Invasion and multiplication of microorganisms in body tissues • No symptom, local cellular injury, localized symptom, dissemination • Mechanism; competitive metabolism, toxins, intracellular replication, immune response 1 23/09/56 Classification of infectious agents: - classification according to structure - classification according to pathogenesis - classification according to site of multiplication Classification according to structure - Prion - Fungi - Viruses - Protozoa, metazoa - Bacteria - Ectoparasite - Rickettsia, chlamydia, mycoplasma 2 23/09/56 Classification according to pathogenesis • Pathogenic agents; - Virulence: the degree of pathogenicity of a microorganism - Indicated by the severity of disease, the ability to invade tissue - high virulence - low virulence • Opportunistic infection Classification according to site of multiplication - obligate intracellular organisms; Prions, viruses, rickettsiae, chlamydia, some protozoa - facultative intracellular organism; Mycobacteria, Actinomyces, Pseudomonas spp. - extracellular organisms; mycoplasma, fungi, bacteria, metazoa 3 23/09/56 Pathogenesis of Infectious Disease -Host - Pathogen; organism or parasite that cause disease Host factors: 1. General factors; socioeconomic status, behavior pattern, occupational, and internal factors 2. Natural defense mechanism; skin and normal flora, respiratory tract and mucociliary mechanism, Hcl production in stomach, or
    [Show full text]