Mycoplasma pneumoniae infections in infants and children.
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Biomedical subjects
Publications and source records attributed to U Gupta.
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Gram stain, culture and latex agglutination test (LAT) of cerebrospinal fluid were performed in 50 patients clinically diagnosed as suffering from pyogenic bacterial meningitis. Using all the three techniques, an aetiological diagnosis was made in 27 (54%). Neisseria meningitidis, Streptococcus pneumoniae and H. influenzae were the infecting organisms in 21 cases (44%). There were 12 additional cases in which LAT was the only clue to the diagnosis as compared to conventional techniques. Propionibacterium acnes was isolated from one case of anaerobic meningitis. It is concluded that LAT is an adjunct to conventional techniques in the diagnosis of pyogenic bacterial meningitis, where the latter tests fail.
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Two elderly women were given a bipolar endocardial ventricular inhibited demand pacing system. They developed total loss of capture on the 16th and 62nd post-operative day and sikagrams of chest revealed pull out of endocardial catheter due to formation of multi-twined loop in the loose and laxed subcutaneous pulse generator pockets. Various mechanisms of this unusual complication with suggestions for prevention have been discussed.
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