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The definition of Lutembacher's syndrome has undergone many changes. It refers to combination of congenital Atrial Septal Defect with acquired mitral stenosis. Lutembacher's syndrome is a very rare disease and in the past, it has been either overdiagnosed or misdiagnosed. Here, we will discuss a case of a pregnant lady who developed breathlessness during her third trimester of pregnancy and on detailed examination and investigation, she was found to be having Lutembacher's syndrome.

For the first time, we have identified patients with LGMD2G, 2H, 2I, and 2K by the WB technique. These may be the common forms of autosomal recessive (AR)-LGMD's among Indian patients and need identification for prognostication and appropriate counseling. Although not a nationwide study, our data is sufficient to provide information about the relative proportions of various LGMD2 subtypes in India. Diagnosing LGMD2 based on classical clinical features, IHC and WB is fairly sensitive and specific; however, further genetic studies are required to confirm the diagnosis.

Five patients developed endophthalmitis after cataract surgery. on evaluation of operation-theatre complex, fungal spores were demonstrable from environment and surfaces. Air conditioner's filters were grossly contaminated. Aspergillus and Mucor spp. were isolated. Phenotypically similar fungi were isolated from three of the patients (Aspergillus spp. from two and Mucor spp. from one). As a follow up study, filters of the air conditioning devices in twenty five operating rooms of hospitals nearby were evaluated periodically. The results of this surveillance study were used to educate the hospitals about need for routine cleaning and disinfection of gadgets, like air conditioners, for minimizing the chances of proliferation and dispersal of potentially pathogenic fungi.

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