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Biomedical subjects

K Mohan

Publications and source records attributed to K Mohan.

At least 55 records · Page 3Linked to original sources

Ocular and orbital metastasis from systemic malignancies.

One hundred and seventy adult patients and one hundred and forty-eight children with systemic malignancies were examined for ocular and/or orbital metastases. Thirty-six patients (11.3%) had intraocular and/or orbital metastasis. Twenty-nine of the 36 patients (80.5%) had orbital metastasis, five patients (13.9%) had intraocular and two patients (5.5%) had intraocular and orbital metastasis. The commonest malignancy producing ocular metastasis was carcinoma breast in females and carcinoma bronchus in males. Eight of the 17 children had orbital deposits from leukaemia (47%) and six from neuroblastoma (35%). One child had uveal infiltration from acute lymphatic leukaemia. Ophthalmic metastasis were treated by external irradiation and/or combination chemotherapy whenever possible. The mean survival was five months for intraocular metastasis and 15.6 months for the orbital metastasis in adults. Prognosis was very poor in children.

Adult

The use of intralesional steroids in the treatment of chalazion.

Intralesional injection of triamcinolone acetonide 5 mg/mL suspension was used in the treatment of 110 cases of chalazion; 92.3% of the cases resolved completely with one to three injections, irrespective of the duration and consistency of the chalazion. Recurrence and yellow deposits were seen at the site of injection in a minority of patients.

Cysts

Mycobacterium senegalense from bovines in Eastern Nigeria.

Detailed characteristics of three mycobacterial strains sharing important properties of Mycobacterium senegalense are described. Their physiological properties were compared with those of a typical M. senegalense strain described by Chamoiseau (1979), six strains of M. senegalense and one typical strain of M. fortuitum from the culture collection of Institute of Microbiology, Rutgers. The three Nigerian strains exhibited minor variations in their physiological properties when compared with other strains of M. senegalense. Unlike the strain of Chamoiseau the Nigerian strains did not utilize benzoate or citrate. The strains were also different from the other six strains of M. senegalense by utilizing trehalose and in failing to produce acid in mannitol. Unlike earlier isolates of M. senegalense the Nigerian strains were not from cases of bovine farcy but from cases with pathological manifestations of pulmonary tuberculosis. They appeared to be intermediate strains between M. senegalense and M. fortuitum. These results raise doubts on the justification for giving specific rank to M. senegalense.

Animals

Systemic allergy to human (recombinant DNA) insulin.

Allergy to insulin is extremely rare and is, in part, due to the differences in amino acid sequence of animal and human insulin. We report here a 37-year-old, white, pregnant woman who was allergic to beef/pork, purified pork, as well as human insulin. She reacted with a wheal and flare reaction in response to intradermal human and purified porcine insulins. She was desensitized to human insulin in order to continue insulin therapy during pregnancy. The course of this patient emphasizes that some patients are allergic even to human insulin and may require desensitization prior to insulin therapy.

Adult

Brevibacterium sp. from poultry.

Two isolates of methanethiol producing coryneform bacteria sharing morphological and physiological similarities with Brevibacterium are described. They were isolated from bumble-foot-like manifestations of poultry but proved to be non-pathogenic for experimental animals.

Animals

Certain characteristics of Corynebacterium pyogenes infection.

Isolation, characterisation and antibiotic sensitivity of 18 strains of Corynebacterium pyogenes from different animals have been reported. All the C pyogenes isolates uniformly differed from the typical strains of this species by the utilisation of trehalose and their failure to acidify maltose. The majority of the strains failed to grow in the presence of 0.1 per cent potassium tellurite. Tuberculosis-like lung lesion in a seven-day-old calf yielded one of the strains of C pyogenes. Histopathological changes in the calf lung have also been described.

Animals

Histochemical study of the distribution of a few enzymes in the digestive system of Indian parrot.

Acid-and alkaline phosphatase, 5-nucleotidase and lipase have been localized histochemically in the gizzard, intestine liver and pancreas of Indian parrot, Psittacula krameri. In the gizzard and intestine, the mucosal epithelial cells are the main sites for the enzyme production. The tubular glands of the gizzard show intense reaction for all the enzymes tested. The hepatic sinusoid cells of the liver and the acinii of pancreas give positive reaction. Like pancreas, the intestine has also been found responsible for the production and secretion of lipase. Functional significance of phosphatases in the tissues tested has been discussed.

Acid Phosphatase

Successful correction of total anomalous pulmonary venous connection in a 2.5 kilogram premature neonate.

A 16 day old 2.5 kg premature infant with total anomalous pulmonary venous drainage to the coronary sinus was successfully treated with use of profound hypothermia and total circulatory arrest. To the best of our knowledge, this neonate is the smallest to successfully undergo correction of this anomaly. A plea is made for a more aggressive approach in early recognition and assessment of these critically ill infants, followed by early surgical correction.

Age Factors

Common childhood bacterial infections.

Acute bacterial infections are a common cause of pediatric visits to the emergency department. The diagnosis and treatment of pharyngitis, otitis media, pneumonia, urinary tract infection, acute bacterial lymphadenitis and gastroenteritis are reviewed. The authors propose the use of a limited number of antibiotic agents including penicillin, ampicillin, erythromycin, lincomycin, cephalexin, a sulfonamide and tetracycline to improve efficiency and quality of care and to allow physicians to become familar with the drugs' characteristics, indications, dosage and side effects.

Anti-Bacterial Agents

Comparative in vitro studies of cinoxacin, nalidixic acid, and oxolinic acid.

Cinoxacin and nalidixic acid were found to be similar in in vitro activity against 138 Shigella isolates and somewhat less active than oxolinic acid on a weight basis. Cross-resistance developed when 10 shigellae were transferred on increasing amounts of the respective agent contained in Mueller-Hinton agar. Plate dilution studies of the effect of changes in agar pH on the minimum inhibitory concentration revealed that the antibacterial activity increased with decreasing pH. Protein binding investigations revealed a high degree of binding, with nalidixic acid > oxolinic acid > cinoxacin.

Culture Media