Publications by authors named "Varghese G"

Ralstonia species are recently emerging as pathogens of human importance. This study was performed to assess the distribution of Ralstonia species among bacteremia patients and the clinical and demographical factors of these patients. This retrospective observational study was performed in the Microbiology Department of a tertiary care center in North India from April 2022 to April 2024.

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  • Trauma and accidental injuries are a major global health concern, with India experiencing the highest road accident deaths, accounting for 11% of the world's total.
  • A study from January 2023 to January 2024 analyzed wound samples from road traffic accident (RTA) patients in a northern Indian tertiary care center to assess bacterial contamination and antibiotic susceptibility.
  • Out of 189 samples, 52.38% showed microbial growth, predominantly Gram-negative bacilli, with none being resistant to colistin; 26.45% of patients developed sepsis, linked to raised procalcitonin levels and low Glasgow Coma Scale scores.
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Introduction: International guidelines recommend definitive combination antibiotic therapy for the management of serious infections involving carbapenem-resistant Acinetobacter (CRAB) species. The commonly available combination options include high-dose sulbactam, polymyxins, tetracyclines, and cefiderocol. Scanty prospective data exist to support this approach.

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Background: Scrub typhus, caused by Orientia tsutsugamushi involves infiltration of a mixture of perivascular lymphocytes and macrophages into affected organs. We investigated if this is characterized by chemokine dysregulation.

Methods: mRNA expression of chemokines and receptors were screened in whole blood by cDNA microarray in a subgroup of patients and controls.

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  • The study focused on gram-negative bacteremia (GNB) in cancer patients, looking at characteristics, outcomes, and risk factors for multi-drug-resistant (MDR) GNB.
  • Researchers analyzed data from 1,074 patients admitted in 2022, finding that almost half of GNB cases were MDR and linked previous antibiotic use to higher MDR risk.
  • The results showed that MDR-GNB led to longer hospital stays and greater recurrence of infections but did not significantly increase 30-day mortality compared to non-MDR cases.
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  • The study investigates the prevalence and impact of Human pegivirus-1 (HPgV-1) in Indian individuals living with HIV, as there is limited research on this topic.
  • Among 347 HIV treatment-naïve participants, 11% tested positive for HPgV-1, while only 1% of 100 healthy controls did; HPgV-1 genotype-2a was primarily found in those with HIV.
  • The research indicates a correlation between HPgV-1 viral load and CD4+ T-cell counts, hinting at HPgV-1's potential influence on HIV disease progression, though further longitudinal studies are necessary for a clearer understanding.
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Fascioliasis is a snail-borne zoonotic disease with impact on the development of human subjects and communities. It is caused by two liver-infecting fasciolid trematode species, the globally-distributed and the Africa/Asia-restricted but more pathogenic, larger . is the cause of endemicity in livestock throughout the warm lowlands from Pakistan to southeastern Asia since old times.

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Blood stream infection with Microbacterium species in humans is rare and frequently linked to the presence of immunosuppressed conditions such as patients on chemotherapy or corticosteroids. Presence of indwelling catheters is also a potential risk factor for M. aurum infection.

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Scrub typhus, a vector-borne bacterial infection, is an important but neglected disease globally. Accurately characterizing the burden is challenging because of nonspecific symptoms and limited diagnostics. Prior seroepidemiology studies have struggled to find consensus cutoffs that permit comparisons of estimates across contexts and time.

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  • Leuconostoc species, particularly L. lactis, are significant causes of infections in immunocompromised patients, prompting this study to analyze their characteristics in a tertiary care center in northern India.
  • Over a two-year period, only 0.21% of 6,742 blood cultures tested positive for L. lactis, mainly affecting younger males (average age 34) with underlying health issues and intravascular devices.
  • All L. lactis isolates were found to be sensitive to multiple antibiotics, but the bacteremia resulted in five patient deaths, highlighting the need for rapid identification and targeted treatment for these infections.
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Objective: Early surgical debridement is vital for favorable outcomes in acute invasive fungal sinusitis (AIFS). Our study aimed to propose guidelines with tailored, conservative surgical procedures based on areas of involvement and evaluate their usefulness in avoiding repeated debridement.

Methods: This retrospective observational study was conducted on 150 AIFS patients operated on with the proposed surgical guidelines from May to June 2021 at a tertiary care hospital.

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  • The study examined antimicrobial resistance patterns of Salmonella enterica serovars involved in bloodstream infections in Northern India from January 2021 to April 2023.
  • It identified 32 serovars, with Salmonella Typhi being the most common; all isolates were sensitive to several antibiotics but showed high resistance to pefloxacin and nalidixic acid.
  • The findings emphasize the need for ongoing monitoring of Salmonella resistance to inform treatment strategies and manage the risk of developing resistant strains.
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  • Weissella species are often confused with Lactobacillus or Leuconostoc due to similar Gram-staining and vancomycin resistance, prompting this study on their infection patterns.
  • Conducted between January 2021 and August 2023, the research focused on 13 patients at a tertiary care center, revealing a male predominance and identifying Weissella confusa as the most common isolate.
  • Main risk factors included anemia and prolonged hospital stays, with all isolates showing sensitivity to several antibiotics, though Weissella infections led to three patient fatalities, highlighting the need for prompt identification to ensure proper treatment.
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Purpose: The mechanisms that control inflammation in scrub typhus are not fully elucidated. The Notch pathways are important regulators of inflammation and infection, but have not been investigated in scrub typhus.

Methods: Plasma levels of the canonical Notch ligand Delta-like protein 1 (DLL1) were measured by enzyme immunoassay and RNA expression of the Notch receptors (NOTCH1, NOTCH2 and NOTCH4) in whole blood was analyzed by real-time PCR in patients with scrub typhus (n = 129), in patients with similar febrile illness without O.

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Background: Non-melanoma skin cancer (NMSC) is the most prevalent cancer in the United States. Despite guidelines on ultraviolet (UV) avoidance, it remains difficult for people to assess their exposure, as UV is invisible and the onset of UV-induced symptoms is delayed.

Methods: In a prospective randomized trial, 97 elderly patients with a history of actinic keratoses (AK) were followed over 6 months.

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  • Postoperative fever is common in pediatric neurosurgery, affecting 35.6% of patients studied, with aseptic meningitis being the leading cause.
  • Data was collected from 61 patients over one year, evaluating fever against specific criteria and treating it according to a standard protocol.
  • The findings suggest that pediatric postoperative fever indicates potential serious complications, and a tailored clinical approach is vital for management.
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We aimed to compare the demography, clinical profile, histopathology, fungal culture, radiology, surgery performed, medical therapy and outcomes of patients with acute invasive fungal sinusitis seen during the first and second waves of the COVID-19 pandemic by retrospectively reviewing their case records. Of 238 patients, 43(18.1%) presented during the first wave and 195(81.

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The continual emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) variants has necessitated the development of broad cross-reactive vaccines. Recent findings suggest that enhanced antigen presentation could lead to cross-reactive humoral responses against the emerging variants. Toward enhancing the antigen presentation to dendritic cells (DCs), we developed a novel shikimoylated mannose receptor targeting lipid nanoparticle (SMART-LNP) system that could effectively deliver mRNAs into DCs.

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Spatial and temporal distribution of microplastics (MPs) in the nearshore seafloor sediments along the Southwest coast of India and their patterns of accumulation in selected infaunal and epibenthic molluscs with diverse feeding strategies were investigated. Along the 300-km coastal stretch, which is one of the most productive and biodiversity rich regions of the eastern Arabian Sea, notable levels of MP contamination in both sediment (617.7 items/kg dry weight) and molluscs (5.

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Scrub typhus is a vector-borne infectious disease caused by and it is reportedly associated with up to 20 % of hospitalized cases of febrile illnesses. The major challenge of vaccine development is the lack of identified antigens that can induce both heterotypic and homotypic immunity including the production of antibodies, cytotoxic T lymphocyte, and helper T lymphocytes. We employed a comprehensive immunoinformatic prediction algorithm to identify immunogenic epitopes of the 56-kDa type-specific cell membrane surface antigen and surface cell antigen A of .

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Land gets contaminated due to different human activities like illegal industrial discharges, mining activities, and spillage of chemicals. The pollutants released through these activities can have prolonged effects on the environment and human health. Therefore, there is a need for immediate remediation of the contaminated site.

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Background: Scrub typhus is a vector-borne infection caused by the obligate intracellular organism In some cases, scrub typhus can result in severe complications, multiorgan failure and death.

Objective: To study the clinical and laboratory profiles of patients who succumbed to scrub typhus.

Methods: A prospective cohort study was conducted from August 2019 through April 2023 on scrub typhus patients admitted to our hospital.

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Microplastics (MP), small plastic particles under 5 mm, are pollutants known to carry heavy metals in ecosystems. Composts are a significant source of soil microplastics. This study examined MSW composts from Kochi and Kozhikode in India for microplastic concentrations and heavy metals' accumulation thereon.

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Background And Objective: Amoebic liver abscess (ALA) and pyogenic liver abscesses (PLA) are the most common causes of liver abscess in developing and developed countries, respectively. Although incidence of liver abscess is low, but mortality is high amongst the patients due to delayed diagnosis. The study was done to find out the prevalence of amoebic and PLA among patients of liver abscess.

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