Sara Soomro, Mehmood Alam, Hiba Akber, Sara Ismail, Lubna Iqbal Abbasi, Fivzia Farooq Herekar
{"title":"Malaria a culprit of Gullian Barre Syndrome (GBS): A case report","authors":"Sara Soomro, Mehmood Alam, Hiba Akber, Sara Ismail, Lubna Iqbal Abbasi, Fivzia Farooq Herekar","doi":"10.1016/j.ijmmb.2025.100824","DOIUrl":"10.1016/j.ijmmb.2025.100824","url":null,"abstract":"<div><div>Guillain-Barré Syndrome is an autoimmune condition that commonly develops after bacterial or viral infection. Parasitic infections including malaria can also rarely cause Guillain-Barré Syndrome especially in malaria endemic areas like Pakistan. The exact association between malaria and Guillain-Barré Syndrome is not well understood or documented in literature. We report a case of a young male who was infected with malaria due to Plasmodium falciparum and then developed Guillain-Barré Syndrome that was managed with plasmapheresis.</div></div>","PeriodicalId":13284,"journal":{"name":"Indian Journal of Medical Microbiology","volume":"55 ","pages":"Article 100824"},"PeriodicalIF":1.4,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143648367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Kimura disease with Nocardiosis in a child with a novel mutation in IL12RB1gene","authors":"Kranthikumar Karrolla , Gayatri Karuthapandy , Jaikumar Govindaswamy Ramamoorthy , Venkatesh Chandrasekaran , Gunasekaran Dhandapany , Maanasa Bhaskar , Mahalakshmi Kumaresan","doi":"10.1016/j.ijmmb.2025.100816","DOIUrl":"10.1016/j.ijmmb.2025.100816","url":null,"abstract":"<div><div>A 12-year-old boy who had been diagnosed with Kimura disease was brought with a history suggestive of acute pyelonephritis. There was a family history of a first-degree relative with a diagnosis of Mendelian Susceptibility to Mycobacterial disease. Investigations revealed a left renal abscess. Aspirate culture grew <em>Nocardia otitidiscaviarum</em>. Targeted gene sequencing revealed a novel mutation in the IL12RB1 gene. Based on the above information a diagnosis of an underlying primary immune deficiency disorder was made. He was managed with appropriate antibiotics, showing steady improvement and eventually a complete recovery.</div></div>","PeriodicalId":13284,"journal":{"name":"Indian Journal of Medical Microbiology","volume":"54 ","pages":"Article 100816"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Short-term storage of Candida auris in resource-limited setting","authors":"Yağmur Ekenoğlu Merdan, Kaan Zıkşahna","doi":"10.1016/j.ijmmb.2025.100823","DOIUrl":"10.1016/j.ijmmb.2025.100823","url":null,"abstract":"","PeriodicalId":13284,"journal":{"name":"Indian Journal of Medical Microbiology","volume":"54 ","pages":"Article 100823"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unleashing the potent synergy of ceftazidime-avibactam and aztreonam against metallo-beta-lactamase producing Enterobacterales in the battle against antibiotic resistance. An in vitro study","authors":"Madhu Rai , Shaoli Basu , Priti Kambli , Lizanne Drego , Priyanka Patel , Anjali Shetty , Camilla Rodrigues","doi":"10.1016/j.ijmmb.2025.100819","DOIUrl":"10.1016/j.ijmmb.2025.100819","url":null,"abstract":"","PeriodicalId":13284,"journal":{"name":"Indian Journal of Medical Microbiology","volume":"54 ","pages":"Article 100819"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Atish Mohapatra , Ujjwala Gaikwad , Ranganath T. Ganga , Pratibha Sharma
{"title":"Laboratory diagnosis of pleural tuberculosis: An unsolved enigma","authors":"Atish Mohapatra , Ujjwala Gaikwad , Ranganath T. Ganga , Pratibha Sharma","doi":"10.1016/j.ijmmb.2025.100817","DOIUrl":"10.1016/j.ijmmb.2025.100817","url":null,"abstract":"<div><h3>Background</h3><div>Pleural Tuberculosis (TB) diagnosis is challenging and the current diagnostic approach is multidisciplinary involving clinico-radiological methods in addition to laboratory parameters. The study aims to explore the role of all available parameters for pleural TB diagnosis.</div></div><div><h3>Methods</h3><div>A cross-sectional study on suspected pleural TB patients was conducted at a tertiary care hospital in Chhattisgarh from February to November 2021. After obtaining consent and clinico-radiological information, pleural fluid was collected and tested for biochemical profile and detection of <em>Mycobacterium tuberculosis</em> using available microbiological parameters.</div></div><div><h3>Results</h3><div>Out of 170 subjects, 26 had Definite TB (Microbiologically confirmed), 22 had Probable TB (clinico-radiologically confirmed), and 122 had No-TB. Necrotizing mediastinal lymphadenopathy, cervical lymphadenopathy & loculated effusion were significant radiological findings. Amongst biochemical parameters, (Receiver Operating Characteristic (ROC) cut off 40.0 U/L; AUC = 0.889) of Adenosine Deaminase (ADA) was proved to be a better biomarker than LDH (ROC cut off 442.0 IU/L; AUC = 0.645). Out of all available microbiological parameters, Cartridge Based Nucleic Acid Amplification Test (CBNAAT) performed better by identifying (6/7; 85.71 %) pleural TB cases when compared against Microbiological Reference Standards (MRS). While compared against Composite Reference Standards (CRS), Mycobacteria Growth Indicator Tube (MGIT) performed better than other microbiological parameters by identifying (19/48; 39.5 %), while both CBNAAT and Truenat could identify (6/16; 37.5 %) and (12/32; 37.5 %) respectively.</div></div><div><h3>Conclusion</h3><div>In association with clinical and radiological features, ADA estimation is quite helpful in establishing or refuting the diagnosis of microbiologically negative pleural tuberculosis.</div></div>","PeriodicalId":13284,"journal":{"name":"Indian Journal of Medical Microbiology","volume":"54 ","pages":"Article 100817"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143541782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unveiling the uncommon: A rare case report of osteomyelitis caused by Enterococcus avium","authors":"Priya Sreenivasan , Rishin Raj , J. Kumaravel , Deepak Kumar , Archana Angrup","doi":"10.1016/j.ijmmb.2025.100818","DOIUrl":"10.1016/j.ijmmb.2025.100818","url":null,"abstract":"<div><div>Osteomyelitis is an infection or inflammation of the bone. Infection of an intact bone is very rare, and osteomyelitis most often follows a fracture or surgery. <em>Staphylococcus aureus</em> is the most common organism implicated in cases of osteomyelitis. <em>Enterococcus</em> species are being increasingly reported worldwide for causing nosocomial and community-acquired infections. Despite a few reports of osteomyelitis by <em>Enterococcus faecalis</em> and <em>Enterococcus faecium,</em> osteomyelitis by <em>Enterococcus avium</em> is rarely reported in the literature. We hereby present a case of a 68-year-old male who presented with chronic osteomyelitis of the right tibia caused by <em>Enterococcus avium</em> with a successful outcome.</div></div>","PeriodicalId":13284,"journal":{"name":"Indian Journal of Medical Microbiology","volume":"54 ","pages":"Article 100818"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143673715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sebaceous nevus affected by overgrowth of Malassezia restricta","authors":"Ying Huang , Sushmita Pradhan , Yuping Ran","doi":"10.1016/j.ijmmb.2025.100812","DOIUrl":"10.1016/j.ijmmb.2025.100812","url":null,"abstract":"","PeriodicalId":13284,"journal":{"name":"Indian Journal of Medical Microbiology","volume":"54 ","pages":"Article 100812"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143491885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Silent escalation: The journey of Shigella from gut to blood","authors":"Ekadashi Rajni , Snigdha Purohit , Rachna Priyadarshini , Gunjan Agarwal","doi":"10.1016/j.ijmmb.2025.100815","DOIUrl":"10.1016/j.ijmmb.2025.100815","url":null,"abstract":"<div><div><em>Shigella</em> are Gram-negative non motile facultative anaerobic bacteria belonging to family <em>Enterobacterales</em>. They are a leading cause of diarrhoea and dysentery and constitute a significant public health problem in both the developing and developed nations. In Asia alone, 125 million infections and 14,000 deaths are estimated to be due to shigellosis annually. Bacteremia caused by <em>Shigella</em> spp is rare. We hereby present a case of bloodstream infection caused by fluoroquinolone resistant, extended spectrum beta lactamase producing <em>Shigella flexneri</em> strain in a five-year-old malnourished child that was successfully managed using meropenem and supportive treatment.</div></div>","PeriodicalId":13284,"journal":{"name":"Indian Journal of Medical Microbiology","volume":"54 ","pages":"Article 100815"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143580452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pritika Gahlot , Vinaykumar Hallur , Bijayini Behera , Prashanth Purushotham , Diptanu Paul , Jawahar Pillai , Swagata Tripathy , Anupam Dey , Krishna Mohan Gulla , Madhuchhanda Das , Shivaprakash M. Rudramurthy
{"title":"Navigating the molecular landscape of Candida auris in a tertiary care setting in Eastern India","authors":"Pritika Gahlot , Vinaykumar Hallur , Bijayini Behera , Prashanth Purushotham , Diptanu Paul , Jawahar Pillai , Swagata Tripathy , Anupam Dey , Krishna Mohan Gulla , Madhuchhanda Das , Shivaprakash M. Rudramurthy","doi":"10.1016/j.ijmmb.2025.100814","DOIUrl":"10.1016/j.ijmmb.2025.100814","url":null,"abstract":"<div><h3>Purpose</h3><div><em>Candida auris</em> was recently listed as a critical priority fungal pathogen by WHO due to its multidrug resistance and enhanced propensity for nosocomial transmission. This study investigated the molecular epidemiology and colonization patterns of <em>C. auris</em> in a tertiary care center in Eastern India.</div></div><div><h3>Methods</h3><div>A total of 201 patients from different intensive care units (ICUs) were enrolled, with colonization rates determined through enrichment followed by culture on chromogenic agar and molecular confirmation using <em>Candida auris</em> specific polymerase chain reaction (PCR) and antifungal susceptibility testing was done using microbroth dilution. For molecular characterization Fluorescent Amplified Fragment Polymorphism (FAFLP) was used.</div></div><div><h3>Results</h3><div>FAFLP revealed multiple clusters of strains, predominantly belonging to clade I, with notable isolates closely associated with clades III, IV, and V, previously unreported in India. Antifungal susceptibility testing found high resistance to amphotericin B (59.6 %) and low resistance to fluconazole compared to older studies (59.6 %), underscoring the need for further investigation. Sustained transmission of <em>C. auris</em> was observed despite infection control measures, emphasizing the ongoing challenges in infection control and the necessity for continuous surveillance.</div></div><div><h3>Conclusion</h3><div>This study contributes valuable insights into the epidemiology and genetic diversity of <em>C. auris</em> in Eastern India, highlighting the need for further investigations to understand transmission dynamics and clinical implications and underscores the importance of ongoing surveillance in combating this emerging pathogen.</div></div>","PeriodicalId":13284,"journal":{"name":"Indian Journal of Medical Microbiology","volume":"54 ","pages":"Article 100814"},"PeriodicalIF":1.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143562977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Molecular characterization of methicillin-resistant Staphylococcus aureus: Dissemination of multidrug-resistant community-associated MRSA and emergence of LA-MRSA, in a healthcare setting","authors":"Vijayan Priya, S. Nagarathna, Kumari HB. Veena","doi":"10.1016/j.ijmmb.2025.100810","DOIUrl":"10.1016/j.ijmmb.2025.100810","url":null,"abstract":"<div><h3>Background</h3><div>Methicillin-resistant <em>Staphylococcus aureus</em> (MRSA) continues to be a significant cause of healthcare-associated infections (HAIs). In this study, we aimed to characterize the MRSA isolates obtained from HAIs.</div></div><div><h3>Methods</h3><div>A total of 200 clinical and 13 nasal MRSA isolates were collected and tested. The samples were analyzed for SCC<em>mec</em> typing by using multiplex PCR. Microtiter for biofilm formation were performed and molecular typing for the samples were performed for spa and agr typing.</div></div><div><h3>Results</h3><div>The isolates showed 100 % sensitivity to vancomycin and linezolid, while 92.5 % were multidrug-resistant. Strong biofilm-forming ability was observed in 47 % of the isolates. SCC mec typing identified 52.5 % of the isolates as classical hospital-associated MRSA or HA-MRSA (SCC mec type III), 23.5 % as community-associated MRSA or CA-MRSA (type IV and V), and 16.5 % as non-typeable, with 7.5 % having multiple SCCmec types.</div></div><div><h3>Conclusion</h3><div>Comparison of HA and CA-MRSA traits revealed that both groups had multidrug resistance, but HA-MRSA was distinguished by its strong capacity for biofilm formation, whereas CA-MRSA was marked by a high count of toxin gene. Our study, to the best of our awareness, documents the presence of LA-MRSA (SCCmec V- t127-agr III) causing HAIs in Indian patients for the first time.</div></div>","PeriodicalId":13284,"journal":{"name":"Indian Journal of Medical Microbiology","volume":"54 ","pages":"Article 100810"},"PeriodicalIF":1.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}