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Biomedical subjects

J Mathai

Publications and source records attributed to J Mathai.

24 records · Page 2Linked to original sources

Biliary pleural fistula: a complication of hepatic trauma.

Biliary pleural fistula is an uncommon but potentially fatal complication of hepatic trauma. We report successful surgical management of such a problem in a 13-year-old along with a review of the literature, the importance of the demonstration of bile in a pleural effusion after thoracentesis in the diagnosis, and of an aggressive approach in management of biliary pleural fistulas.

Abdominal Injuries↗

Neonatal citrobacter sepsis: clinical and epidemiological aspects.

Fourteen neonates were diagnosed to have Citrobacter sepsis during 1986-89, representing 4.6% of all cases with bacteriologically proven sepsis. Most of these infants were low birth weight (mean 2046 gm, +/- 750) and preterm (mean 34.8 weeks, +/- 3.8). Mean age at onset of sepsis was five days. In 10 cases the hematological profile was suggestive of sepsis. Infants had clinical evidence of multisystem infection; 2 with septic arthritis and 3 meningitis. The case fatality rate was 61%. Resistance to antibiotics was frequent. Citrobacter species were also cultured from other sites: umbilical stumps, eye swabs, urine, skin pustules and umbilical catheter tips. The epidemiological features and virulence of this organism call for vigilance and strict control measures.

Citrobacter↗