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Jamil M, Salam A, Joseph Benher BM, Rehman S, Jamil J, Suleyman G. A Case of Alcohol Withdrawal-Induced Central and Extrapontine Myelinolysis. Cureus 2023; 15:e41640. [PMID: 37565130 PMCID: PMC10411381 DOI: 10.7759/cureus.41640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/09/2023] [Indexed: 08/12/2023] Open
Abstract
A 40-year-old female with a history of chronic alcohol use disorder presented with an acute intractable left-sided headache for three days and progressively worsening unsteady gait requiring a wheelchair to ambulate. The patient had a history of chronic alcoholism since 2019 but reported abstinence since September 2021. One month after quitting alcohol, she experienced a sudden deterioration in bilateral extremity neuropathy, forgetfulness, difficulty writing, and severe mood swings, which continued to worsen until her presentation in July 2022. Laboratory tests, including complete blood count and electrolyte levels, were within normal ranges. A previous MRI performed during the investigation for alcoholic neuropathy a few months before she quit drinking showed no abnormalities. However, a subsequent MRI during work-up for the current acute symptoms revealed significant signal abnormalities involving the central pons, bilateral cerebral peduncles, and medullary pyramids, consistent with chronic central pontine myelinolysis (CPM) with extrapontine myelinolysis (EPM) extending into the peduncles. The patient received treatment with folate and multivitamins and was scheduled for outpatient follow-up with physical therapy for rehabilitation. This case highlights CPM as a consequence of alcohol withdrawal and emphasizes the importance of timely diagnosis and appropriate management in such patients.
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Affiliation(s)
- Maria Jamil
- Internal Medicine, Henry Ford Health System, Detroit, USA
| | - Abdus Salam
- Internal Medicine, Khyber Teaching Hospital, Peshawar, PAK
| | | | - Sheema Rehman
- Internal Medicine, Henry Ford Health System, Detriot, USA
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Kancherla N, Garlapati SKP, Raparla YK, Jamil M, Jamil J, Mannava SM. Survey of Stress in COVID Patient Post Treatment: A Qualitative Research. J Pharm Bioallied Sci 2021; 13:S1646-S1649. [PMID: 35018047 PMCID: PMC8686895 DOI: 10.4103/jpbs.jpbs_376_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2021] [Revised: 05/16/2021] [Accepted: 05/21/2021] [Indexed: 11/30/2022] Open
Abstract
AIM The purpose of our study was to examine the mental health status of patients with coronavirus disease-19 (COVID-19) who were hospitalized. METHODOLOGY In this cross-sectional study, 106 inpatients with COVID-19 who had stable clinical conditions were evaluated psychologically by questionnaire: Depression, anxiety, and stress scales-21 (DASS-21). RESULTS About one-third of patients had comorbidities. In totality, 97.2% of patients with COVID-19 had some grade of depression. Extent of depression, assessed with the help of the DASS questionnaire, was 85.8%. All patients (100%) had serious (0.9%) and grave level of (99.1%) anxiety. Regarding to stress levels, 97.1% of patients had some degree of stress. In the worsening of stress category, 84.9% of patients had high-stress levels. CONCLUSION The presence of such increased prevalence and seriousness of psychiatric disorders among hospitalized patients with COVID-19 underlines the necessity for serious consideration to the mental health standing of these patients.
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Affiliation(s)
- Neeraj Kancherla
- MBBS Interns, King George Hospital, Visakhapatnam, Andhra Pradesh, India
| | | | | | - Maria Jamil
- Intern, Tawam Hospital, Gulf Medical University, Al Jurf, Ajman, United Arab Emirates
| | - Javairia Jamil
- Sheikh Shakhbout Medical Center (SSMC), Gulf medical University, Al Jurf, Ajman, United Arab Emirates
| | - Sai Mahitha Mannava
- Kamineni Institute of Medical Sciences, Narketpally, Nalgonda District, Telangana, India
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Ullah A, Qamash T, Khan FA, Sultan A, Ahmad S, Abbas M, Khattak MAK, Begum N, Din SU, Jamil J, Kalsoom. Characterization of a Coliphage AS1 isolated from sewage effluent in Pakistan. BRAZ J BIOL 2021; 82:e240943. [PMID: 34259715 DOI: 10.1590/1519-6984.240943] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Accepted: 12/14/2020] [Indexed: 01/21/2023] Open
Abstract
The emergence of multi-drug resistant (MDR) bacterial strains, which are posing a global health threat has developed the interest of scientists to use bacteriophages instead of conventional antibiotics therapy. In light of an increased interest in the use of phage as a bacterial control agent, the study aimed to isolate and characterize lytic phages from sewage effluent. During the current study, bacteriophage AS1 was isolated from sewage effluent against E.coli S2. The lytic activity of phageAS1 was limited to E.coli S2 strain showing monovalent behavior. The calculated phage titer was 3.5×109 pfu/ml. PhageAS1 was stable at a wide range of pH and temperature. The maximum stability was recorded at 37ºC and pH 7.0, while showing its normal lytic activity at temperature 60ºC and from pH 5.0 to11.0 respectively. At temperature 70ºC, phage activity was somewhat reduced whereas, further increase in temperature and decrease or increase in pH completely inactivated the phage. From the current study, it was concluded that waste water is a best source for finding bacteriophages against multi-drug resistant bacterial strains and can be used as bacterial control agent.
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Affiliation(s)
- A Ullah
- University of Swabi, Department of Microbiology, Swabi, KP, Pakistan
| | - T Qamash
- University of Swabi, Department of Microbiology, Swabi, KP, Pakistan
| | - F A Khan
- University of Okara, Department of Microbiology and Molecular Genetics, Okara, Pakistan
| | - A Sultan
- University of Swabi, Department of Microbiology, Swabi, KP, Pakistan
| | - S Ahmad
- University of Swabi, Department of Microbiology, Swabi, KP, Pakistan
| | - M Abbas
- Abdul Wali Khan University, Department of Pharmacy, Mardan, KP, Pakistan
| | - M A K Khattak
- University of Swabi, Department of Microbiology, Swabi, KP, Pakistan
| | - N Begum
- University of Swabi, Department of Microbiology, Swabi, KP, Pakistan
| | - S U Din
- Quaid E Azam University, Department of Microbiology, Islamabad, Pakistan
| | - J Jamil
- University of Swabi, Department of Microbiology, Swabi, KP, Pakistan
| | - Kalsoom
- University of Swabi, Department of Microbiology, Swabi, KP, Pakistan
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Naseer QA, Xue X, Wang X, Dang S, Din SU, Kalsoom, Jamil J. Synthesis of silver nanoparticles using Lactobacillus bulgaricus and assessment of their antibacterial potential. BRAZ J BIOL 2021; 82:e232434. [PMID: 33681895 DOI: 10.1590/1519-6984.232434] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2019] [Accepted: 07/13/2020] [Indexed: 11/21/2022] Open
Abstract
Many pathogenic strains have acquired multidrug-resistant patterns in recent a year, which poses a major public health concern. The growing need for effective antimicrobial agents as novel therapies against multidrug-resistant pathogens has drawn scientist attention toward nanotechnology. Silver nanoparticles are considered capable of killing multidrug-resistant isolates due to their oligo-dynamic effect on microorganisms. In this research study NPs were synthesized using the gram-positive bacteria Lactobacillus bulgaricus and its activity against selected pathogenic strains. Lactobacillus bulgaricus pure cultures were isolated from raw milk and grown in "De Man, Rogasa, and Sharp" broth for synthesis of nanoparticles. Lactobacillus bulgaricus culture was centrifuged and Cell- free supernatant of it was employed with aqueous silvery ions and evaluated their antibacterial activities against bacterial strains i.e. Staphylococcus aureus, Staphylococcus epidermidis and Salmonella typhi using agar well diffusion assay. Antibiotic profiling against selected pathogenic strains were also conducted using disc diffusion method. The synthesis and characterization of silver nanoparticles were monitored primarily by the conversion of the pale-yellow color of the mixture into a dark-brown color and via ultraviolet-visible absorption spectroscopy and Scanning electron microscopy respectively. The result showed that that AgNPs with size (30.65-100 nm) obtained from Lactobacillus bulgaricus were found to exhibit antibacterial activities against selected bacterial strains. Taken together, these findings suggest that Lactobacillus bulgaricus has great potential for the production of AgNPs with antibacterial activities and highly effective in comparison to tested antibiotics.
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Affiliation(s)
- Q A Naseer
- Jiangsu University, The Affiliated Hospital, Department of General Surgery, Zhenjiang, Jiangsu, China.,Jiangsu University, School of Medicine, Department of Immunology and Institute of Laboratory Clinical Diagnostics, Zhenjiang, Jiangsu, China
| | - X Xue
- Pucheng Hospital, Department of General Surgery, Pucheng, Shanxi, China
| | - X Wang
- Pucheng Hospital, Department of General Surgery, Pucheng, Shanxi, China
| | - S Dang
- Jiangsu University, The Affiliated Hospital, Department of General Surgery, Zhenjiang, Jiangsu, China.,Pucheng Hospital, Department of General Surgery, Pucheng, Shanxi, China
| | - S U Din
- Quaid I Azam University, Department of Microbiology, Islamabad, Pakistan
| | - Kalsoom
- University of Swabi, Department of Microbiology, Swabi, KP, Pakistan
| | - J Jamil
- University of Swabi, Department of Microbiology, Swabi, KP, Pakistan
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