Publications by authors named "Roopjeet Bath"

Herpes simplex virus (HSV) can cause severe disseminated infections in immunocompromised patients. Gastrointestinal tract involvement seldom includes the colon. We present a rare case of disseminated cutaneous HSV infection with concomitant colonic involvement in an immunosuppressed patient.

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Article Synopsis
  • Neutropenic enterocolitis (NE) is a serious condition in neutropenic patients marked by thickening of the cecum's wall, making it hard to distinguish from other abdominal issues.
  • Early identification is crucial as prompt treatment may reduce the risk of death, though there's no standard protocol yet.
  • A specific case is discussed involving a patient with acute myeloid leukemia who developed NE alongside a small bowel obstruction, ultimately leading to the patient's death despite clinical intervention.
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Infection with Epstein-Barr virus (EBV) is common and associated with a high seroprevalence. It is often asymptomatic, but infectious mononucleosis (IM) is the clinical hallmark of this disease especially among teens. Hepatic involvement during primary EBV infection often results in mild self-resolving elevation of liver enzymes, typically in association with IM.

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The use of propofol for sedation during endoscopy has been increasing, particularly given its association with superior patient satisfaction. Propofol sedation may also allow for higher quality endoscopy exams, increased efficiency of endoscopy suites and most particularly, permit better patient compliance with colonoscopy for colorectal cancer screening. However, propofol is typically provided by anesthesia specialists via monitored anesthesia care, and is associated with significant economic burden.

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Article Synopsis
  • Methotrexate is a versatile drug used to treat conditions like psoriasis and rheumatoid arthritis, but its use is limited due to concerns about liver damage (hepatotoxicity).
  • The article aims to outline the risk factors, causes, and guidelines for monitoring hepatotoxicity related to methotrexate based on US, UK, and European standards.
  • It also briefly discusses how methotrexate works and the implications of using it in high doses.
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