ST-segment elevation is an important and alarming electrocardiographic sign that necessitates immediate attention but does not always indicate that the primary pathology is cardiac in origin. It needs to be interpreted in the clinical context as several pathological conditions involving especially gastrointestinal tract may lead to delayed diagnosis and treatment as well as complications from invasive unnecessary interventions. We present two patients, a 64-year-old male and a 71-year-old female, who were admitted to the emergency room of a community-based hospital with similar complaints of worsening epigastric abdominal pain and were diagnosed later with small bowel obstruction. Both patients reported a history of abdominal surgeries in the past. Also in both patients the ECG showed signs of ST-segment elevation in inferior and lateral leads. These ECG changes were related to the intra-abdominal pathology as no evidence of contributing coronary artery disease could be found. In addition, prompt resolution of ST-segment elevation was seen after surgical treatment. The pathophysiological etiology of electrocardiographic changes accompanying small bowel obstruction is yet to be explored.

Solitary fibrous tumor (SFT) is a rare mesenchymal tumor and several paraneoplastic syndromes have been related to it. We report the case of a 60-year-old male initially admitted to rule out cerebral vascular accident with the final diagnosis of SFT associated with paraneoplastic cerebellar degeneration and hypoglycemia. The diagnosis was confirmed by computed tomography-guided lung biopsy.

No abstract

Aim: The present study was conducted with the following aims: (i) To screen the Salmonella spp. isolates recovered from suspected cases of fowl typhoid for carriage of Class 1 integrons and analyze their association with antimicrobial resistance and (ii) to carry out molecular characterization and phylogenetic analysis of Class 1 integron-integrase (intI1) gene. Materials and Methods: A total of 43 Salmonella isolates were subjected to polymerase chain reaction (PCR) assay to determine the presence of Class1 intI1. Differences between different serotypes in relation to their carriage of integrons and the differences between strains containing or not containing an integron and being resistant to different antimicrobials were analyzed by Fisher exact test using STATA™ (StataCorp, College Station, TX). Phylogenetic analysis was carried out using MEGA6 software. Results: Out of 43 isolates, 40 (93.02%) were found positive for Class 1 integrons. 35/40 (87.5%) intI1-positive isolates were multidrug resistance (MDR) (resistant to ≥4 antibiotics), which support the hypothesis of an association between the presence of Class 1 integrons and emerging MDR in Salmonella. There was no significant difference among isolates resistant to different antimicrobials in Class 1 integron carrying isolates and the Class 1 integron negative isolates (p<0.05). Further, there was no significant difference among different serotypes in respect of their carriage of Class 1 integrons. Conclusion: It can be concluded that the high prevalence of Class 1 integrons indicates a high potential of Salmonella isolates for horizontal transmission of antimicrobial genes, especially among Gram-negative organisms.

Background: Equine piroplasmosis is a haemoprtozoan disease of equids and enzootic in Rajasthan prefecture of India. In endemic areas, the subclinical condition is more common, as infected equids recover from the disease and become latently infected. This study aimed to investigate the seroepidemiology and risk factors associated with the endemicity of Theileria equi infection in Rajasthan state. Methods: A cross-sectional study on the seroprevalence of Theileria equi, was performed. Total of 151 serum samples collected from different areas of Rajasthan. The serum samples were screened by ELISA for assessment of seroprevalence of T. equi infection.Result: Overall seroprevalence of T. equi was 49.66%. A total of 75 T. equi seropositive horses were detected and one horse was clinically positive for T. equi infection. The clinical signs observed were - fever, haemoglobinuria, mild colic, anaemia and icteric conjunctival mucous membrane. Theileria equi infection is endemic among horses in Rajasthan state and Ajmer district found the most endemic. Haematological observations in T. equi clinically infected and healthy horses were studies. A decreased haemoglobin concentration, packed cell volume, total erythrocytic counts were observed in T. equi infected horse in comparison to healthy horses. This observation showed anaemic condition in T. equi clinically infected equine. An increased concentration of liver enzymes – AST, ALP, GGT in T. equi infected equine was also recorded, which indicated the liver damage.