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Biomedical subjects

S N Gaur

Publications and source records attributed to S N Gaur.

At least 55 records · Page 3Linked to original sources

Effect of prior medication on intradermal test response in patients with respiratory allergies.

In a single-blind study of 23 patients with respiratory allergic disorders, we studied the effect of different antiallergic drugs on intradermal (ID) skin test response. After discontinuing the medication prescribed to patients, ID skin tests were done to determine the baseline values. The subjects were then randomly assigned different doses of different drugs orally, including theophylline (200 mg), salbutamol (4 mg), ephedrine (24 mg), and prednisolone (10 mg). Only epinephrine (1:1000) was injected subcutaneously (0.5 ml). ID skin tests were repeated 2 hours after the administration of the medicines that were taken orally. In the case of epinephrine, the tests were repeated 30 minutes after the injection. No significant differences could be observed in ID skin tests before and after the medication, irrespective of the test allergens.

Albuterol↗

The pathogenic potential of Sporotrichum pruinosum isolated from the human respiratory tract.

The repeated occurrence of Sporotrichum pruinosum, demonstrated by direct microscopy and culture, is reported from the respiratory tract of three patients who complained of cough, expectoration of sputum, dyspnoea and occasional pyrexia. This observation coupled with the presence of immediate, type I, cutaneous hypersensitivity against S. pruinosum in two of the patients and the ability of the fungus to incite lesions in experimentally infected mice supported an etiologic relationship between the fungus and the patients' symptoms. The macroscopic and microscopic characters of one of the clinical isolates of S. pruinosum are briefly described. It is suggested that the isolation of S. pruinosum from clinical specimens should not be regarded as of no etiologic significance without careful clinical and laboratory evaluation of the patient.

Adult↗

Serodiagnosis of porcine cysticercosis by enzyme-linked immunosorbent assay (ELISA) using fractionated antigens.

The sensitivity and specificity of the enzyme-linked immunosorbent assay (ELISA) for the diagnosis of Taenia solium cysticercosis was evaluated in experimentally and naturally infected pigs, using T. solium larval scoleces and its fractionated 1st and 2nd peaks on Sephadex G-200 as antigens. First peak antigen gave maximum sensitivity and highest antibody titres. The overall sensitivity of this test was found to be 91.5, 95.8 and 70.8% with scolex, 1st and 2nd peak antigens, respectively. False positive reactions occurred in 9.09% of uninfected pigs with scolex and 1st peak antigens and cross-reactions occurred in 25% of Taenia hydatigena-infected animals using scolex and 2nd peak antigens. No cross-reaction was observed using 1st peak antigen. The specificity of the test was 92.3, 96.2 and 92.3% with scolex, 1st and 2nd peak antigens, respectively.

Animals↗

Fractionation and characterisation of the cysticercus of Taenia solium.

Fractionation by chromatography on Sephadex G-200 of a saline extract of Cysticercus cellulosae scolex antigen yielded three distinct fractions associated with distinct peaks. These fractions were analysed by double immunodiffusion (DID) and immunoelectrophoresis (IEP). The three peaks gave five, four and three antigenic determinants, respectively, by DID with homologous hyperimmune rabbit serum. However, the same serum gave nine antigenic determinants of scolex antigen by DID and 11 components by IEP. The IEP demonstrated seven and five antigenic components in the first two peaks. The first peak gave a stronger reaction in indirect haemagglutination than the others. There were common antigenic components in C cellulosae and C tenuicollis antigens.

Animals↗

Changes in serum enzyme activities in pigs naturally infected with the metacestodes of Taenia solium.

The serum enzymes of pigs naturally infected with the metacestodes of Taenia solium and of uninfected pigs were assayed. Aspartate aminotransferase, alanine aminotransferase, ornithine carbamyl transferase, sorbitol dehydrogenase, lactate dehydrogenase, isocitrate dehydrogenase, alkaline phosphatase and ceruloplasmin activities were significantly increased in the serum of the infected pigs.

Animals↗

Counter current immunoelectrophoresis, a new technique for the rapid serodiagnosis of porcine cysticercosis.

Counter current immunoelectrophoresis was used to detect porcine cysticercosis and water soluble extracts of scolex and of scolex with cyst wall were used as antigens. Serum samples from 40 pigs infected with Cysticercus cellulosae, five infected with C. tenuicollis and five with hydatid cysts, and 15 healthy pigs were tested. A sharp and thick concave precipitin band was observed at the point of interaction of antigen and antibody within 90 min in 39 sera from infected pigs (97.5%). The precipitin reaction was better in barbitone buffer of pH 8.6 with the well distance at 6 mm. No false or cross reaction were found and the test was rapid and sensitive.

Animals↗

Changes in blood cellular components, serum proteins and serum enzyme activities in pigs naturally infected with Cysticercus tenuicollis.

A study was made of blood cellular components, serum proteins and serum enzymes in 48 pigs naturally infected with Cysticercus tenuicollis. Twenty-five healthy pigs were studied for comparison. Affected animals showed a reduction in total erythrocyte count, packed cell volume and haemoglobin content and an increase in mean corpuscular volume and total leucocyte count. Significantly higher activities of aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase and isocitric dehydrogenase serum enzymes were recorded in all affected pigs. Total protein, albumin and globulin values of affected pigs remained unchanged when compared with healthy controls.

Alanine Transaminase↗

Blastomyces dermatitidis in India: first report of its isolation from clinical material.

The isolation of Blastomyces dermatitidis in India is reported from the bronchial aspirate of a female asthmatic patient who had never travelled abroad. The patient was a resident of Rodhain, a small town in the District of Badaun (Uttar Pradesh), situated about 250 km south-east of Delhi. Apart from its demonstration by culture and direct microscopy of a bronchial aspirate, B. dermatitidis was seen microscopically on two occasions in KOH wet mounts and smears of sputum stained with periodic acid-Schiff's reagent. Anti-B. dermatitidis serum precipitins were shown by immunodiffusion in 3 of 4 serum samples from the patient. The identity of the fungus was based on its characteristic morphology in clinical specimens and in culture, conversion of the mold form to the yeast from in vitro and vice versa, and by verification of its pathogenicity in white mice. A detailed clinical and laboratory evaluation of the patient indicated that she had suffered from an episode of self-limited acute pulmonary blastomycosis that required no antifungal therapy. This is believed to be the first authentic report of the isolation of B. dermatitidis from clinical material in India.

Adult↗

The incidence of adult and larval stage Taenia hydatigena in Uttar Pradesh (India).

A total of 1023 dogs of different breeds from different parts of Uttar Pradesh State were examined for the presence of Taenia hydatigena, and 810 sheep, 1015 goats and 1040 pigs were examined for the presence of Cysticercus tenuicollis, to determine the incidence of these parasites. In dogs, the incidence of T. hydatigena was found to be 40.95%. The rate of infection was higher in street dogs than in dogs kept indoors. Cysticercus tenuicollis was found in 37.03% of sheep, 27.29% of goats and 8.30% of pigs. The rate of infection was higher in sheep than in goats or pigs. A high incidence of infection was found in the rainy season. The intensity of infection was higher in old than in young animals.

Animals↗

The pathology of Cysticercus tenuicollis infection in goats.

The pathology of Cysticercus tenuicollis in goats was studied on Days 7, 15, 30 and 60 post-infection. The characteristic gross lesions on the 15th day of infection included accumulation of a large quantity of serofibrinous fluid in the peritoneal and thoracic cavities and a large number of small-sized cysts floating in the fluid of the peritoneal cavity. Large circular brown to red areas with alternate areas of haemorrhages also appeared on the liver surface and in the parenchyma due to migrating C. tenuicollis. The microscopic lesions in the liver included cyst-like channels with a mass of fibrin and erythrocytes. Hepatic cells were mostly degenerated with focal areas of parenchymal destruction. Sinusoids were dilated and the bile ducts revealed degenerative changes. Lungs of animals killed on Day 15, revealed focal areas of emphysema and haemorrhages with lodged larvae of C. tenuicollis. Pleura appeared oedematous. Alveoli showed the presence of serous exudate.

Animals↗

Farmer's lung disease in north-western India--a preliminary report.

A study of farmer's lung (FL) disease was carried out in 197 subjects engaged in farming and having respiratory complaints of varying duration. It revealed that 13.2% of the subjects had precipitating antibodies against thermophilic actinomycetes, with Faenia rectivirgula (Micropolyspora faeni) alone accounting for 85% of the positive reactions. Precipitating antibodies against Thermoactinomyces vulgaris and T. thalpophilus were observed only in 1.5% and 0.5% of the subjects, respectively. Two subjects concomitantly demonstrated F. rectivirgula and T. vulgaris-specific serum precipitins. Sixty (30%) of the subjects related their respiratory symptoms to exposure to wheat straw/thresher's dust or other vegetable substrata in the working environment. Based upon a suggestive clinical history, roentgenography, pulmonary function studies and demonstration of serum precipitins against F. rectivirgula, FL was diagnosed in 4 subjects whose salient features are presented and discussed. To the best of our knowledge, this is the first authentic report on FL from India. A comprehensive epidemiological survey is indicated to determine the prevalence of FL in different geo-climatic regions of the country.

Adult↗

Sarcoidosis presenting as acute bilateral parotid swelling.

A case of bilateral parotid swelling of short duration, which turned out to be sarcoidosis confirmed by fine needle aspiration cytology, is presented here. The patient also had asymptomatic bilateral hilar lymphadenopathy and dryness of the eyes suggesting sarcoid involvement of the lungs and lacrimal glands. Sarcoidosis of the parotids, although rare, should be considered in the differential diagnosis of acute bilateral parotid swelling. Clinico-radiological findings of multi-organ involvement suggest the diagnosis in such cases.

Biopsy, Fine-Needle↗

Reproducibility of histamine inhalation bronchial challenge test.

Broncho-provocation tests with inhaled histamine were performed in 61 asthmatics twice at a gap of 4 weeks. Ten of them also underwent a third test after 16 weeks. More than 80% of the patients had a reproducibility of response within 1 to 2-fold concentration difference. It is concluded that under carefully controlled conditions broncho-provocation tests with histamine are reproducible.

Adolescent↗

Fibrebronchoscopy in pulmonary sarcoidosis--an Indian experience.

Twenty-four patients suspected to have sarcoidosis were subjected to fibrebronchoscopy. Histopathological support for the diagnosis was ultimately obtained in 20 patients. Fibrebronchoscopy provided the diagnosis in 17 patients, while histopathological confirmation was obtained from extrapulmonary biopsy sites in 3 patients. Transbronchial lung biopsy, attempted without fluoroscopic guidance, revealed non-caseating granulomata in 15 patients. The only complication encountered was a small pneumothorax, not requiring intervention, in one patient. Lack of fluoroscopic guidance did not compromise the diagnostic yield or increase the complication rate of the procedure. Bronchial biopsy confirmed the diagnosis in 2 patients with a non-specific lung biopsy. It was positive in 6 of 8 patients with an abnormal appearing mucosa and in 5 of 12 patients with a normal bronchial tree. Random bronchial biopsy in all patients, irrespective of mucosal changes, made an important contribution to the yield of fibrebronchoscopy. Fibrebronchoscopy confirmed the diagnosis of tuberculosis in 2 patients with an atypical radiological picture, thereby differentiating the two conditions which occasionally mimic each other.

Biopsy↗