Natl Med J India
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Many people with diabetes, who practise Islam, are passionate about fasting during Ramadan despite their medical condition and exemption from the religion. These patients are at risk of hypoglycaemia, hyperglycaemia, diabetic ketoacidosis, dehydration and thrombosis. We evaluated the acceptability of an individualized management plan for such people. ⋯ An educational intervention generated awareness among the patients and helped 43 of 50 patients in making rational decisions about control of diabetes during Ramadan.
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From June 2013 to June 2018, patients suffering from Asian giant hornet stings were treated with renal replacement therapy (RRT) in our hospital. We analysed the efficacy of different modalities of RRT in these patients. ⋯ Our study suggests that HP and CVVH or HP, CVVH and PE are effective treatments for patients suffering from Asian giant hornet stings, who require RRT.
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Case Reports
Invasive fungal infection with a rare organism in a patient with acute myeloid leukaemia.
Invasive fungal infections are a major cause for morbidity and mortality in patients with acute myeloid leukaemia (AML). Long duration of hospitalization and increased costs are secondary burdens for patients and caregivers. ⋯ The diagnosis of invasive fungal infection is confirmed with histopathological or microbiological demonstration of the microorganism, and commonly treatments are based on probability rather than definitive diagnosis due to patients fragile conditions preventing interventions. We aimed to present the less frequent yet difficult-to-treat organism, Verticillium causing invasive fungal infection in a patient with AML undergoing remission induction therapy.