Pacing lead endocarditis due to Aspergillus fumigatus.

Invasive aspergillosis is an opportunistic infection with a high mortality rate that usually occurs in the immunocompromised host. Several cases of fungal infections have been reported after cardiac surgery. We present here a case of Aspergillus fumigatus tricuspid valve endocarditis associated with permanent pacemaker leads.

Results of radiofrequency ablation of permanent atrial fibrillation of >2 years duration and left atrial size >5 cm using 2-mm irrigated tip ablation catheter and targeting areas of complex fractionated atrial electrograms.

Complex fractionated atrial electrograms (CFAEs) have shown promise as target sites for ablation of atrial fibrillation (AF); however, the data are limited with regard to patients with a large left atrium (LA) (>5 cm), and/or a permanent AF duration of >2 years. We tested the hypothesis that ablation of user-defined, computer-generated CFAE and pulmonary vein isolation, without additional lines would help long-term maintenance of sinus rhythm (SR). A total of 21 patients, 9 men and 12 women, aged 32 to 78 years (mean 44 +/- 3.

"Spontaneous scar dehiscence of a repaired bladder rupture in a 5 yr old girl - a case study".

Spontaneous scar dehiscence of a previous repaired urinary bladder rupture is described in a 5 yr old girl approximately 4 yrs after the original repair, she presented at the hospital with the chief complain of pain and distension of the abdomen. No underlying aetiology could be related to the event, her blood urea and creatinine levels were found to be raised. A diagnostic peritoneal tap showed non bloody straw colour urine in the peritoneal cavity.

Antibiotic resistance in pathogens causing community-acquired urinary tract infections in India: a multicenter study.

Background: Empiric treatment of community-acquired urinary tract infections (CA-UTI) is determined by the antibiotic sensitivity patterns of uropathogens in a population. This study was conducted to determine patterns of resistance amongst CA-uropathogens in India, to help establish local guidelines on treatment of CA-UTI.

Methodology: 531 consecutive positive urine cultures taken from adult non-pregnant females attending outpatient clinics of five hospitals in Delhi, India, were analysed.