Table of contents (Vol 6, No 7)
RESEARCH

Baseline antibody titres against Salmonella typhi in apparently asymptomatic HIV positive individuals
 

Enteric fever is common in developing countries and Widal test is most widely used in diagnosis. In HIV positive cases, false positive and false negative Widal reactions are common and baseline titres are not known. This paper reports that in HIV positive patients the titres of antibodies against S typhi considered as baseline are higher than in the general population. Authors recommend evaluation of baseline titres against S typhi among the HIV positive patient is recommended at the time of diagnosis of HIV for future reference.

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By Asima Banu, Mir Mohammed Noorul Hassan, Srinivasa S, Mridu Anand

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‘I mean I expect that it’s pretty safe’: Perceptions of food trust in pregnancy – implications for primary health care practice
 

Data reported by this author suggests that pregnant women are not reflexive in regard to food safety in food choice; rather they are dependent on the safety of the food system and the provision of safe products. Many pregnant women are also willing to take risks with food such as consuming high-risk foods despite being aware of food safety advice demonstrating contradictory practice.Further research explore pregnant women’s perception of food safety information provided by experts.

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By Elizabeth House

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EDITORIAL

Modern microbiology - a quiet revolution with many benefits
 

In this article, the development of modern microbiology is traced from the discovery of the structure of DNA to applications for the clinical laboratory. The advantages of these methods are discussed and the question of affordability for resource-poor countries is raised. The aim of this article is not to review all the new technologies available but to provide the non-specialist with an insight into the inner workings of the modern clinical microbiology laboratory and the benefits provided for both patient and clinician.

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By Heather Joan Linton Brooks

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CASE STUDY

Difficulties in diagnosing tuberculosis of the cervix in a post menopausal woman: case report and literature review.
 

Tuberculosis (TB) of the cervix is a rare disease, especially in developed countries. This case reports a patient with primary TB of the cervix with no concurrent immune deficiency or HIV infections. The case clinically mimicked carcinoma of the cervix.

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By Saptarshi Mukerji

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Forgotten but not gone - Scrofuloderma in a migrant student from India
 

A 34-year-old Indian student who immigrated to Australia five years ago presented with a four-week history of neck pain. Physical examination revealed two firm fixed cervical lymph nodes in the anterior triangle and midline region which were tender on palpation and erythematous on inspection. Cording phenomenon was found on ZN staining of FNA sample and mycobacterium tuberculosis (M.tb) PCR confirmed the diagnosis with incomplete resistance to isoniazid.

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By Mohammad Bagherirad, Eugene Athan, Owen C Harris

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Subcutaneous zygomycosis caused by Mucor hiemalis in an immunocompetent patient
 

Zygomycosis is an opportunistic fungal infection with a high mortality rate. It is known to cause invasive disease in immunocompromised hosts but it may produce only cutaneous/ subcutaneous infections in immunocompetent hosts. Treatment is difficult due to its fulminant course and lack of effective anti-fungal drugs. Here, we report a rare case of subcutaneous zygomycosis caused by Mucor hiemalis in an immunocompetent patient without any debilitating illness.

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By Ravi Piraji Desai, Noyal Mariya Joseph, Nilakantan Ananthakrishnan, Sreedevi Ambujam

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Acute Bacterial Meningitis in an infant- A rare cause
 

A case of Salmonella paratyphi B meningitis in a 90 day-old male infant who was admitted with fever, vomiting and one episode of vacant stare. Clinically, the infant was found to be toxic with a bulging anterior fontanelle. Subsequently, blood and cerebrospinal fluid cultures demonstrated the presence of Salmonella Paratyphi B organism.

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By Ponnurangam Nagarajan Vinoth, Rajan Mahalakshmi, Bijje Rajeshbabu, Ram Mohan, Devanathan Balakumaran, Paramasivam Venkataraman

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LETTER TO THE EDITOR

Letter to the Editor
 

Acute Pancreatitis following kerosene ingestion- a rare association; Rapid Manual Scoring (RAMS) Method for Evaluation if Multiple Choice Questions;Quinine induced Torsade de pointes ventricular tachycardia in a 4 year old girl: possibilities and management.

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By Rajan Mahalakshmi, Kamaraj Dinesh, Nazar Mohamed Naveed, Paramasivam Venkataraman, Ponnurangam Nagarajan Vinoth, Bhupendra Kumar Jain, Pankaj Kumar Garg, Ravi Ambey, Ajay Gaur, Smita Mishra, Neha Agarwal

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