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Biomedical subjects

D R Nalin

Publications and source records attributed to D R Nalin.

36 records · Page 2Linked to original sources

Survival of a patient with intestinal anthrax.

A patient with intestinal anthrax, the first documented surviving patient to be described in detail, presented with an acute condition within the abdomen. Intestinal anthrax should be considered in the differential diagnosis of abdominal conditions in areas in which anthrax is prevalent, especially when a history is available of ingesting putrid or improperly cooked meat. Clinical and therapeutic details are given as a guide in future cases.

Adolescent

Cholera transmission near a cholera hospital.

A review of the incidence of cholera from 1964 through 1974 in Matlab, Bangladesh, revealed that among the villages several had very high incidence-rates. Investigation indicated that high cholera-rates in two of these villages were probably related to water contamination from a nearby cholera hospital established in 1963. The data imply that heavy contamination can overcome any immunity resulting from repeated exposure.

Bangladesh

Enterotoxigenic Escherichia coli and idiopathic diarrhoea in Bangladesh.

Faecal Escherichia coli from Bangalee patients with idiopathic diarrhoea were tested in the Chinese hamster ovary cell (C.H.O.) assay to detect production of thermolabile enterotoxin (L.T.). C.H.O-positive E. coli produce both L.T. and a thermostable toxin (S.T.). C.H.O.-positive strains were found in 19.2% of all cases and in 70% of the most severely ill patients with non-vibrio cholera. E. coli which produce S.T. alone were identified in a third of the C.H.O.-negative cases. Enterotoxigenic E. coli were found in 55% of inpatients with idiopathic diarrhoea and, if an aetiological role is confirmed, may be one of the commonest causes of tropical diarrhoea.

Adolescent

Sucrose in oral therapy for cholera and related diarrhoeas.

Sucrose was tested as a possible alternative to glucose in oral diarrhoea therapy. Eighteen patients were given oral sucrose plus electrolytes as a maintenance solution. Fifteen of these patients could be maintained using this solution, but three developed massive increases in net fluid losses with increases in plasma specific gravity, necessitating termination of oral therapy. Twelve patients tested all had significant concentrations of stool reducing sugar. The data contrast with the rarity of treatment failures of oral glucose-electrolyte solutions. Glucose, therefore, is preferable to sucrose for oral therapy of diarrhoeal diseases.

Administration, Oral

Genetic susceptibility to cholera.

In the course of studies of immunity to experimental cholera in man, 10(5) or 10(6) Vibrio cholerae were given to 66 college students and other community volunteers under quarantine in an isolation ward. HLA antigen and blood group determinations were carried out to test the hypothesis that severity of clinical cholera is dependent in part upon genetically-determined host susceptibility. Fifty-five volunteers developed diarrhoea; 38 had mild illness and 17 had severe cholera (stool volume greater than or equal to 5.0 litres). HLA antigens were found in similar frequency in volunteers with severe, mild or no diarrhoea; antigen A1, A2, A3 and B7 were most common. Blood group O, however, was found in 64% of persons with severe cholera versus 36-38% of volunteers with mild or absent illness. Thus, while no correlation was found between HLA type and severity of cholera, these results do support the claims of other investigators that blood group O is found more frequently in patients with severe cholera than in the normal population.

ABO Blood-Group System