Indian Journal Of Clinical Practice
Not a member yet
747 research outputs found
Sort by
Unveiling the Eschar: A Mite’s Mark in Scrub Typhus
Get PDFScrub typhus is an acute febrile illness caused by Orientia tsutsugamushi, a Gram-negative intracellular organism transmittedby Leptotrombidium mites, with wild rats serving as natural reservoirs. The disease is more common in the TsutsugamushiTriangle, often afflicting travelers and creating diagnostic challenges in clinical practice. We present the case of a diabeticpatient who acquired the infection while visiting an agricultural farm. Our discussion covers clinical manifestations,diagnostic markers and treatment modalities, emphasizing the significance of early recognition and the benefits of prompttreatment. The importance of searching for an eschar, a key physical sign, is underscored and potential serious outcomesare discussed. Recent advances and preventive measures are also highlighted. This synthesis of research and clinical insightsaims to enhance global awareness, prompt diagnosis and effective management of scrub typhus
Prediabetes: Correlating the Ancient and Modern Schools of Medicine
Get PDFModern medicine has recognized prediabetes as a well-characterized syndrome only in the last two decades. However,Ayurveda has clearly described distinct stages of diabetes thousands of years ago. The Ayurvedic classification representsthe entire clinical spectrum of diabetes that we encounter today. In this article, we present the Ayurvedic perspective onprediabetes with regard to etiology, clinical features and management, which emphasizes lifestyle modification as the keyapproach to manage the dysglycemia
Arrhythmia in Adult Congenital Heart Disease
Get PDFThis case report highlights the significance of a multidisciplinary approach in the management of patients with repairedmembranous ventricular septal defect (VSD) who develop postoperative arrhythmias. We present the case of a young femalewho experienced symptomatic episodes of supraventricular tachycardia following VSD repair. Through electrophysiologicalstudy and radiofrequency ablation, multiple tachycardia substrates were identified and successfully ablated. This reportunderscores the importance of combining surgical repair, electrophysiological evaluation and intervention to achieve optimaloutcomes in this specific patient population
An Interesting Case of Chromonychia in an Immunosuppressed Individual
Get PDFIMAGES IN CLINICAL PRACTIC
Hypokalemia Secondary to Distal Renal Tubular Acidosis as a Manifestation of Primary Sjögren Syndrome
Get PDFThe classical symptoms of primary Sjögren syndrome such as dry eyes and mouth are not always the initial manifestations.Herein, we report the case of a middle-aged female with documented multiple hypokalemic paralytic episodes along withnonspecific symptoms. Upon evaluation, she was found to have type 1 – distal renal tubular acidosis (RTA), which is anextraglandular manifestation of Sjögren syndrome. She was administered oral alkali salts of sodium along with potassiumcitrate and oral prednisolone. Both hypokalemia and acidosis recovered on 6th week follow-up. She was advised to continuealkali supplementatio