Background and Aims: Spontaneous bacterial peritonitis (SBP) requires rapid diagnosis and the initiation of antibiotics. Diagnosis of SBP is usually based on cytobacteriological examination of ascitic fluid. These tests require good laboratory facilities and reporting time of few hours to 1-2 day. However, the 24 h laboratory facilities not widely available in country like India. We evaluated the diagnostic utility of reagent strip (Multistix 10 SG Ò ) for

Background: Dengue fever is a mosquito borne disease commonly manifest leucopoenia and thrombocytopenia. Dengue fever and its complications like bleeding manifestation can be life threatening. This study was conducted to study the effect of doxycycline and doxycycline with carica papaya on thrombocytopenia and leucopoenia in acute dengue fever patients. Methods: This case control study was conducted amongst the patients suffering from dengue fever with thrombocytopenia. Cases were dengue patients with thrombocytopenia and leucopenia both. Controls were dengue patients with thrombocytopenia with normal leukocyte count. An effect of doxycycline and doxycycline with carica papaya was observed on platelet and leukocyte counts at baseline and first, second, fourth, and seventh day in cases and comparison was done. Results: The maximum improvement in mean platelet count and leukocyte count was observed in doxycycline with carica papaya group followed by doxycycline alone group followed by controls (conservative treatment) in decreasing order on day 4th and 7th day of admission. Reduced hospital stay was also in the same order. Conclusion: The study results indicate that doxycycline and carica papaya are useful modality to improve leucopenia and thrombocytopenia in dengue patients and to minimize hospital stay.

Background: Pyrexia in association with hepatic dysfunction is commonly found in clinical practice with varied etiologies like malaria, dengue, typhoid, scrub typhus, viral hepatitis, etc. The liver is frequently involved in systemic infections, resulting in various types of abnormal liver function tests. It is very important to know the frequency and pattern of abnormal liver function tests in each infection for its appropriate management.Methods:  A complete data of all the patients admitted in medicine wards and medicine ICU from January to December 2018 were studied. One hundred and ten patients with fever with abnormal liver function tests were interviewed and presenting complaints were noted. Demographic data such as age and sex were noted. These patients underwent a thorough general physical examination and systemic examination. The findings were noted on a predesigned and pretested proforma. The selected patient underwent blood investigations related to liver functions.Results: Most of the patients were of age group of 21 to 50 years (65 patients), 67 patients (60.91%) were males and 43 (39.09%) were females. Malaria (25.45%) and dengue (26.36%) were major etiologies. Hepatomegaly (46.36%), icterus in (45.45%) and splenomegaly (42.73%) were most common clinical signs.Conclusions: Present study will help clinicians to identify etiological factors and clinical picture in patients of pyrexia with hepatic dysfunction.

The world is having COVID 19 pandemic currently. Early diagnosis is a challenge as the COVID 19 illness has variety of presentations. In this regard knowledge about spectrum of clinical presentation may be very helpful. This case report was about presentation of COVID 19 illness as isolated left eye conjunctivitis in a 58 years old male patient. By early diagnosis and appropriate treatment, the patient was recovered completely as well as his positive contacts were also isolated immediately. The study also highlighted the need of awareness among clinicians about isolated left eye conjunctivitis presentation of COVID 19.