Journal of Laboratory Physicians最新文献

{"title":"Prostatic perivascular epithelioid cell tumor: A rare entity and literature review","authors":"N. Modi, R. Gundawar, Rujuta Sanjay Ayachit","doi":"10.25259/jlp-2023-9-5-(1941)","DOIUrl":"https://doi.org/10.25259/jlp-2023-9-5-(1941)","url":null,"abstract":"Perivascular epithelioid cell tumor (PEComa) is a rare mesenchymal neoplasm comprising perivascular epithelioid cells that express myomelanocytic immunophenotype, while stain negative for epithelial markers. We describe a case of prostatic PEComa in a 55-year-old man, who had one month history of frequent urination, hesitancy, and sensation of incomplete voiding. Radiological imaging disclosed prostatomegaly. Despite the medical treatment offered, episodes of urinary retention persisted. Subsequently, he underwent endoscopic transurethral resection of the prostate, histology showed tumor arranged in nests surrounded by thin delicate vessels. The tumor cells were epithelioid with abundant clear-to-eosinophilic cytoplasm, round nuclei, and inconspicuous nucleoli. Bizarre multinucleated giant cells, conspicuous mitosis and focal necrosis were evident. On immunohistochemistry, the tumor cells were diffusely positive for Human Melanoma Black (HMB45) and smooth muscle actin, negative for anti-cytokeratin monoclonal antibodies (AE1/AE3), Homeobox protein (NKX3.1), GATA Binding Protein 3 (GATA3), synaptophysin, Transcription Factor Binding to Immunoglobulin Heavy Constant Mu (IGHM) Enhancer 3 (TFE3), desmin, and SRY (sex determining region Y) -Box Transcription Factor 10 (SOX10). This uncommon case illustrates our diagnostic ordeal with a brief discussion on its nosology and a comprehensive literature review.","PeriodicalId":16149,"journal":{"name":"Journal of Laboratory Physicians","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140259224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bacterial and fungal flora of conjunctiva of patients presenting with cataract and their seasonal variation in Northern India","authors":"Vinita Gupta, Aarshi Naharwal, Mahesh Mood, Soorya Kumar, Sandhya Shrestha, Stuti Chand","doi":"10.25259/jlp-2023-1-11-(1541)","DOIUrl":"https://doi.org/10.25259/jlp-2023-1-11-(1541)","url":null,"abstract":"\u0000\u0000The objective of this study was to study the microbial flora (bacterial and fungal) of the conjunctival sac of patients presenting with cataracts at a tertiary care hospital in North India.\u0000\u0000\u0000\u0000This observational cross-sectional study included 320 eyes from 238 patients presenting with cataracts. Three conjunctival swabs were collected from each eye and analyzed for the presence of aerobes, anaerobes, and fungal growth.\u0000\u0000\u0000\u0000The data were analyzed using R statistical environment 4.0 software, along with the R Commander plugin “EZR.” Kruskal–Wallis rank sum test. In addition, the Fisher exact test was conducted, considering P < 0.05 as statistically significant.\u0000\u0000\u0000\u0000A total of 75.63% (242) of conjunctival sacs were culture-positive, with a predominance of bacterial growth. On the other hand, 24.37% (78) of conjunctival sacs were sterile. Common commensals isolated included Staphylococcus epidermidis (34.06%), Staphylococcus aureus (10.0%), Propionibacterium spp. (7.5%), and Corynebacterium spp. (5.31%). There were 23 (10%) Gram-negative cultures, whereas three fungi were isolated, all of which were Candida spp. The highest total growths were observed in age group 2 (51–65 years); however, no statistically significant correlation existed between age groups and growths. Season 1, characterized by temperatures between 10° and 15°, exhibited maximum growths. The most growths were coagulase-negative staphylococci (CONS).\u0000\u0000\u0000\u0000Our study of North Indian eyes revealed that 75.63% of healthy conjunctival sacs showed positive cultures, mainly CONS, with no seasonal trend. Given CONS’s prevalence in post-cataract endophthalmitis, routine pre-operative conjunctival swabs could guide prophylaxis and lower rates of post-operative endophthalmitis.\u0000","PeriodicalId":16149,"journal":{"name":"Journal of Laboratory Physicians","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140081873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acantholytic squamous cell carcinoma of larynx: An unusual cause of asphyxial death diagnosed on autopsy","authors":"M. Osama, Kavita Gaur, Kiran Agarwal, Lakshmilekiya Sekar, Shrayash Singh, Sukhdeep Singh","doi":"10.25259/jlp-2023-9-9-(1948)","DOIUrl":"https://doi.org/10.25259/jlp-2023-9-9-(1948)","url":null,"abstract":"Acantholytic squamous cell carcinoma (ASCC) is an uncommon histopathological variant of squamous cell carcinoma (SCC). This tumor commonly occurs in the sun exposed areas of skin at the head and neck location. The possible occurrence at mucosal sites has seldom been reported. Although, this malignant tumor has an excellent prognosis in the skin, in sharp contrast, mucosal involvement carries a worse prognosis. Here, we explore an intriguing case of an asphyxial death of a 35-year-old man due to a polypoidal mass occluding the airway in the glottic region. Subsequently, based on the histopathological and immunohistochemical findings, the cause of death was diagnosed as ASCC based on histopathological and immunohistochemical findings. Furthermore, this report also highlights the rarity of this variant of SCC at an uncommon location, thus making it the third case ever reported in literature. The other interesting fact about this case is that most of the published reports in the literature have described and diagnosed this rare variant on antemortem examination; contrarily, a postmortem diagnosis of ASCC is exceptional, making it the first report ever in history.","PeriodicalId":16149,"journal":{"name":"Journal of Laboratory Physicians","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140433965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utility of urine dipstick in predicting urinary tract infection in pediatric outpatients","authors":"Hemapriya Jayaranga Babu, S. Meena, Upinder Singh, Ginni Bharti, Parul Chopra","doi":"10.25259/jlp_2_2023","DOIUrl":"https://doi.org/10.25259/jlp_2_2023","url":null,"abstract":"\u0000\u0000Children are most frequently affected by urinary tract infections (UTIs). Urine dipsticks along with use in urine routine testing can help in predicting UTI. In this study we aim to evaluate the utility of individual and combination of urine dipstick parameters, including nitrite and leukocyte esterase (LE), against gold standard urine culture for detection of UTI among pediatric outpatients.\u0000\u0000\u0000\u0000Nine hundred and forty-nine pediatric urine samples from January 2021 to December 2021 were cultured on Cysteine Lactose Electrolyte Deficient Agar and incubated at 37°C overnight. Siemens Multistix 10SG strips were used to perform a urine dipstick for urine markers. Results from the urine dipstick and culture were contrasted.\u0000\u0000\u0000\u0000Data obtained in the study was analyzed statistically using stata version 15. Diagnostic performance of urine dipstick parameters was assessed taking urine culture as gold standard. Receiver operating characteristics (ROC) curve was plotted.\u0000\u0000\u0000\u0000About 153 of the 949 urine samples received for culture were positive. Males comprised 102 of the 153 positive patients. The most common organism isolated was Escherichia coli, followed by Klebsiella, Pseudomonas, and Proteus. LE, nitrite, red blood cells (RBC), and protein had a sensitivity of 77.1%, 64.7%, 45.1%, and 46.4%, respectively, whereas their specificities were 94.5%, 97.2%, 95.9%, and 93.1%, respectively. When taken together, “LE and Nitrite and RBC and Protein” had a lower area under the curve (AUC) of 0.641, whereas “LE/Nitrite/RBC/Protein” had the highest AUC of 0.914.\u0000\u0000\u0000\u0000The urine dipstick test may be utilized as a screening tool and a positive predictor for UTI. When evaluated simultaneously, nitrite and LE can be used as point-of-care tests preceding the culture examination for decision-making. They can aid in the optimized management of children by minimizing UTI-related complications and inappropriate antibiotic use.\u0000","PeriodicalId":16149,"journal":{"name":"Journal of Laboratory Physicians","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139958638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laboratory diagnosis of non-scrub rickettsiosis – An Indian scenario","authors":"Diptimayee Rout, S. Otta","doi":"10.25259/jlp_9_2023","DOIUrl":"https://doi.org/10.25259/jlp_9_2023","url":null,"abstract":"","PeriodicalId":16149,"journal":{"name":"Journal of Laboratory Physicians","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139776490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laboratory diagnosis of non-scrub rickettsiosis – An Indian scenario","authors":"Diptimayee Rout, S. Otta","doi":"10.25259/jlp_9_2023","DOIUrl":"https://doi.org/10.25259/jlp_9_2023","url":null,"abstract":"","PeriodicalId":16149,"journal":{"name":"Journal of Laboratory Physicians","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139835965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Phenotyping of Rh and Kell blood group antigen in thalassemia and its impact on alloimmunization in a tertiary care hospital","authors":"Sonia Gupta, R. Kumar","doi":"10.25259/jlp-2023-7-8-(1848)","DOIUrl":"https://doi.org/10.25259/jlp-2023-7-8-(1848)","url":null,"abstract":"\u0000\u0000Alloimmunization to red cell antigens is a dreaded complication in multitransfused patients, leading to difficulty in obtaining compatible red blood cell units and development of delayed hemolytic transfusion reactions. The objective of this study was to assess the impact of partial matched phenotype blood (for RhD, C, c, E, e, and Kell antigens) on alloimmunization in thalassemics versus non-phenotype matched blood (ABO & RhD).\u0000\u0000\u0000\u0000This cross-sectional study was conducted over a period of two years where 250 patients with thalassemias were enrolled. They were divided into two groups, patients in Group I (n = 180) who received partial matched phenotype blood since initiation of transfusion therapy and those in Group II (n = 70) subjects who received usual matched blood.\u0000\u0000\u0000\u0000All statistical calculations were done using statistical package for the social sciences (SPSS) 21 version. Data were described in terms of range, median (interquartile range [IQR]), frequencies, etc.\u0000\u0000\u0000\u0000The median (IQR) age of the study population was 12 (7–18) years (range 6 months–36 years). The most common Rh antibodies were anti-D (2.85%), anti-E (2.85%), anti-C (1.42%), and anti-c (1.42%), and Kell antibodies were (7.1%). It was seen that chances of developing autoantibodies (37% vs. 5%), alloantibodies 11 (15.7% vs. 0%), and transfusion reactions 25 (35.7% vs. 3.3%) were more in Group II subjects as compared to Group I. A significant difference was seen with febrile non-hemolytic transfusion reactions in between two groups 0.001 (95% confidence interval 2.98–65.73).\u0000\u0000\u0000\u0000Patients with thalassemia should be typed for RhD (C, c, E, and e) and Kell antigen before initiation of transfusion, which will help in reducing the rate of alloimmunization, autoimmunization, and frequency of transfusion and will improve the overall survival rate in thalassemia.\u0000","PeriodicalId":16149,"journal":{"name":"Journal of Laboratory Physicians","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139790682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Phenotyping of Rh and Kell blood group antigen in thalassemia and its impact on alloimmunization in a tertiary care hospital","authors":"Sonia Gupta, R. Kumar","doi":"10.25259/jlp-2023-7-8-(1848)","DOIUrl":"https://doi.org/10.25259/jlp-2023-7-8-(1848)","url":null,"abstract":"\u0000\u0000Alloimmunization to red cell antigens is a dreaded complication in multitransfused patients, leading to difficulty in obtaining compatible red blood cell units and development of delayed hemolytic transfusion reactions. The objective of this study was to assess the impact of partial matched phenotype blood (for RhD, C, c, E, e, and Kell antigens) on alloimmunization in thalassemics versus non-phenotype matched blood (ABO & RhD).\u0000\u0000\u0000\u0000This cross-sectional study was conducted over a period of two years where 250 patients with thalassemias were enrolled. They were divided into two groups, patients in Group I (n = 180) who received partial matched phenotype blood since initiation of transfusion therapy and those in Group II (n = 70) subjects who received usual matched blood.\u0000\u0000\u0000\u0000All statistical calculations were done using statistical package for the social sciences (SPSS) 21 version. Data were described in terms of range, median (interquartile range [IQR]), frequencies, etc.\u0000\u0000\u0000\u0000The median (IQR) age of the study population was 12 (7–18) years (range 6 months–36 years). The most common Rh antibodies were anti-D (2.85%), anti-E (2.85%), anti-C (1.42%), and anti-c (1.42%), and Kell antibodies were (7.1%). It was seen that chances of developing autoantibodies (37% vs. 5%), alloantibodies 11 (15.7% vs. 0%), and transfusion reactions 25 (35.7% vs. 3.3%) were more in Group II subjects as compared to Group I. A significant difference was seen with febrile non-hemolytic transfusion reactions in between two groups 0.001 (95% confidence interval 2.98–65.73).\u0000\u0000\u0000\u0000Patients with thalassemia should be typed for RhD (C, c, E, and e) and Kell antigen before initiation of transfusion, which will help in reducing the rate of alloimmunization, autoimmunization, and frequency of transfusion and will improve the overall survival rate in thalassemia.\u0000","PeriodicalId":16149,"journal":{"name":"Journal of Laboratory Physicians","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139850630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Molecular characterization of extended-spectrum beta-lactamases and carbapenemases producing Enterobacteriaceae isolated from North Eastern region of India","authors":"Thounaojam Salvia, Laishram Shantikumar Singh, Rachana Khati, Kalaiarasan Ellappan, K. Dolma, Om Prakash Dhakal","doi":"10.25259/jlp-2023-5-17-(1795)","DOIUrl":"https://doi.org/10.25259/jlp-2023-5-17-(1795)","url":null,"abstract":"\u0000\u0000This study is aimed to investigate the prevalence of genes encoding extended-spectrum β-lactamases (ESBLs) and carbapenemases production among Enterobacteriaceae isolated from North East India.\u0000\u0000\u0000\u0000A total of 210 non-duplicate multi-drug resistant Enterobacteriaceae (MDRE) strains were included in this investigation. The isolates were resistant to third-generation cephalosporins, aminoglycosides, and fluoroquinolones. First, the strains were subjected to phenotypic assays to determine ESBLs and carbapenemases production; then, multiplex polymerase chain reaction (mPCR) assays were done to detect ESBLs and carbapenemases genes. In addition, efflux pump activity was determined by phenylalanine-arginine b-naphthylamide assay.\u0000\u0000\u0000\u0000The frequency of ESBLs and carbapenemase genes among MDRE strains was shown as percentages. The data analysis was done using Microsoft Excel computer software.\u0000\u0000\u0000\u0000Among 210 MDRE clinical isolates, ESBLs production was observed in 72.86% (153) isolates. During mPCR assay, gene encoding ESBLs were detected in 55.24% (116) MDRE strains beta-lactamase Temoniera (blaTEM) (26.67%, 56), beta-lactamase Cefotaxime-Munich (blaCTX-M) (19.52%, 41), and beta-lactamase sulfhydryl reagent variable (blaSHV) (9.05%, 19)]. In addition, 55 (26.2%) and 53 (25.26%) strains were found to be meropenem and imipenem resistant, respectively. Carbapenemase nordmann-poirel (Carba-NP) test for carbapenemases activity was found to be positive in 18.58% (39) MDRE strains. The genes encoding carbapenemases production was observed in 18.58% (39) MDRE [beta-lactamase New Delhi metallo-β-lactamases-1(blaNDM-1) (8.10%, 17), beta-lactamase oxacillinase-48 (blaOXA-48) (2.86%, 6), beta-lactamase Verona imipenemase (blaVIM) (1.43%, 3), and blaOXA-48 and blaVIM (6.19%, 13)]. Efflux pump activity was observed in 5 (2.3%) of Carbapenem-resistant Enterobacteriaceae isolates.\u0000\u0000\u0000\u0000For the first time in this region, we have detected the presence of blaOXA-48 and blaVIM in a single MDRE isolate as high as 6.1%. Therefore, clinicians need to detect the ESBLs and carbapenemases producing Enterobacteriaceae on priority in hospital settings for therapeutic options as well as stringent infection control strategies to be adopted as precautions.\u0000","PeriodicalId":16149,"journal":{"name":"Journal of Laboratory Physicians","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139604076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short term antibiotic effects on gut microbiome in Indian preschoolers: A 16S rRNA analysis","authors":"Neha, Ashish Bavdekar, A. Kawade, K. Veligandla, Devesh Kumar Joshi, Rahul Rathod, Bhavesh P Kotak","doi":"10.25259/jlp_6_2023","DOIUrl":"https://doi.org/10.25259/jlp_6_2023","url":null,"abstract":"Antibiotic use is associated with dysbiosis of the gut microbiome. The objective of this study is to investigate the effect of antibiotics on gut composition in children aged 3–5 years receiving antibiotics compared to children who did not receive antibiotics. A total of 54 participants aged 3–5 years were included in this multi-centric cohort study. Participants were divided into two equal groups, that is the treatment-experienced group (Group 1, n = 27, antibiotic) and the treatment-not-experienced group (Group 2, n = 27, non-antibiotic). Stool samples of study participants were collected on days 0 and 5 (± 1 day) and analyzed using 16Svedberg ribosomal ribonucleic acid (16S rRNA) gene sequencing. The Kruskal-Wallis H-test and Benjamini-Hochberg FDR correction were applied to determine the differentially abundant pathways across the zones using Statistical Analysis of Metagenomic Profiles (STAMP) (v2.1.3). A non-significant increase in the mean abundance of the Phyla Bacteroidota, Proteobacteria, Actinobacteria, and Verrucomicrobiota was observed in both groups from day 0 to day 5. An alteration in the Firmicutes/Bacteroidetes ratio was observed. A significant (P < 0.05) abundance of genus Enterobacteriaceae, Enterococcaceae, and Lactobacillaceae was observed in the participants with antibiotic treatment. The relative abundance of families Enterococcus, Lactobacillus, Sellimonas, Ruminococcus, Torques, and Eggerthella groups was observed to be significantly higher (P < 0.05) in participants with antibiotic treatment. Beta-diversity indices revealed significant differences at group and subgroup levels regarding the bacterial counts. It was observed that a short-term course of 5 days of antibiotic usage is associated with altered microbial abundance and diversity.","PeriodicalId":16149,"journal":{"name":"Journal of Laboratory Physicians","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139146185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}