BackgroundBacteraemia due to carbapenem-resistant gram-negative bacteria is challenging. This study examined the burden of carbapenem and colistin resistance in Klebsiella pneumoniae, Pseudomonas aeruginosa, Acinetobacter baumannii bacteraemia Oman.MethodsAdult patients admitted Sultan Qaboos University Hospital between January 1, 2007 December 31, 2016 with positive blood cultures for P. A. baumannii, or K. pneumoniae were identified. Rates resistance, trends prevalence, 30-day all-cause...

Nocardiosis is an opportunistic bacterial infection caused by aerobic Gram-positive bacteria belonging to the actinomycetes group. With increase in population of immunocompromised patients, these infections have been identified middle east countries. In a retrospective study 13 years, we found ten patients who were culture confirmed nocardiosis. Among this series, pulmonary nocardiosis predominated with 80%. Most species Nocardia using molecular testing, 16S rRNA gene sequencing and drug...

The clinical value of T wave inversion in lead aVL diagnosing coronary artery disease (CAD) remains unclear. This study aims to investigate the correlation between and CAD patients with chronic stable angina.Electrocardiograms (ECGs) 257 consecutive undergoing angiography were analyzed. All had angina. secondary been excluded (66 patients). remaining 191 constituted population. Detailed ECG interpretation angiographic findings conducted by experienced cardiologists.T was identified 89 ECGs...

Infective endocarditis (IE) in patients on dialysis is a serious infection with high mortality rate.It usually caused by Gram positive bacteria negative organisms being relatively rare as cause.Recommended treatment involves surgical valve replacement and the extended use of antibiotics.Successful antibiotics alone rare.We report case IE Pseudomonas aeruginosa patient treated solely antibiotics.

Glucose-6-phosphate dehydrogenase (G6PD) deficiency is an X-linked genetic disorder characterized by low levels of the G6PD enzyme. It present worldwide but with more prevalence in Middle East and Mediterranean areas. We report a case severe hemolysis due to manifesting as methemoglobinemia 70 year old Omani male never known have any previous hemolytic episodes or previously diagnosed deficiency.

Mycoplasma pneumoniae is a common cause of community-acquired pneumonia. As M. pneumonia usually mild and self-limiting disease, complications such as pleural effusion occur only rarely. We report 22-year-old woman who presented to the Emergency Medicine Department Sultan Qaboos University Hospital, Muscat, Oman, in 2017 with an eight-day history fever associated coughing, chills rigors. She was diagnosed pneumonia, but subsequently developed which worsened despite treatment appropriate...

Objectives: Brucellosis is a highly contagious zoonotic disease which can have serious health implications for affected humans and livestock. This study aimed to evaluate the clinical presentation, geographical distribution risk factors of brucellosis cases admitted over four-year period two hospitals in Muscat, Oman. Methods: observational was conducted from January 2015 December 2018 at Sultan Qaboos University Hospital Armed Forces Muscat. All patients with probable or definitive...

Tenofovir disoproxil fumarate (TDF) has been reported to cause nephrotoxicity necessitating cessation in some patients. No information is available on the nephrotoxic effect of TDF Omani or regional patients with HIV infection. We sought determine prevalence effects our cohort and investigate other cofactors.We conducted an observational study 83 currently TDF-containing antiretroviral therapy. Renal dysfunction was monitored by measuring serum creatinine estimated glomerular function rate...

Hepatic hydatid cysts can be complicated by pyogenic abscesses. We report a case of hepatic presenting to Sultan Qaboos University Hospital (SQUH) on 29 June 2010 secondary infection with fully sensitive Pseudomonas aeruginosa. The persisted despite standard treatment (drainage and systemic antibiotics) was eventually cured novel method using acetic acid.Instillation acid (in the form white vinegar) into abscess through pig tail drainage tube.The administration (6%) in vinegar well tolerated...

Prodromes of f infections have not been defined in terms interaction host-antigen interaction. Here I propose defining the period prodrome immunologically

Prime numbers are those that do not accept division by any apart from 0, 1, and themselves to give a whole number.Multiple attempts have been made mathematicians find pattern for the periodicity of prime but hitherto none has successful.Here I present chart showing all predicting which ones so undiscovered yet.

Q fever is a worldwide zoonosis, yet its prevalence may be underestimated due to the challenges in diagnosis. We present series of cases where patients were treated for infection based primarily on their clinical features and available laboratory tests, highlighting difficulties establishing This 15-year case was observed from January 2009 November 2023 at Sultan Qaboos University Hospital, Oman. Relevant patient information obtained electronic hospital records under ethical approval MREC #...

Background: Appropriate sample requesting, collecting and timely dispatch to the appropriate laboratory is essential in establishing diagnosis of pathologies with lesions. Much time effort may be wasted if this not done according certain standards. We conducted study assess route lymph node samples from requests reaching laboratories. Methods: an audit over a period 4th June until 10th Aug 2023. Data for all procedures performed on (was entered into analysed using Excel. Results: A total...

Mycobacterium canariasense is a relatively newly discovered, rapidly growing nontuberculous first described in 17 patients with fever the Canary Islands, Spain, 2004. To date, there have been very few case reports literature, and to our knowledge, infective endocarditis due M. has not reported. In this report, we present 33-year-old man who was an intravenous drug user native mitral valve caused by after presenting septic emboli toes kidneys. The mycobacterium isolated from blood culture...

Acute hepatitis A infection is largely self-limiting illness, rarely resulting in fulminant course with consequent hepatic failure and death. We present a 13-year old previously healthy Omani fatal virus infection. This case highlights the critical role of vaccination argues for consideration its inclusion national programs order to avert similar devastating consequences yet another vaccine preventable disease.

Cystic echinococcosis is a worldwide zoonosis that endemic in many countries including some the Middle East. Exact prevalence rates for human are unknown Oman.Following obtaining ethical approval, data from January 2010 to December 2021 were retrieved hospital electronic records of Sultan Qaboos University Hospital, Muscat.Over 12-year period we saw nine cases hydatid disease; two females and seven males. The median age our patients was 31 years old. Four had pulmonary cysts, four hepatic...

Background COVID-19 pandemic was declared by WHO in March 2020. Severity of disease varied from asymptomatic to fatal infection. Severe found be associated with hyperinflammation syndrome. Systemic lupus erythematosus (SLE) is treated various immunosuppressive agents, intensity which depends on the severity disease. We aimed study characteristic SLE patients infected COVID-19. Methods 352 were included this observational cross-section conducted over a 30-month period beginning 24 th February...

Background Cytomegalovirus (CMV) reactivation may occur as the shedding of virus from various body sites or could represent an active disease that might be fatal if untreated. Distinguishing between two states prove very difficult. The role CMV in patients with hematological malignancies transplant is more defined than other immunocompromised where neither anti-CMV prophylaxis used nor plasma levels are monitored. Here, we try to examine cases viremia latter group attempt make a distinction...

A 70 year-old hypertensive diabetic female from Muscat with a past medical history of stroke since 9 years ago and is on lisinopril, frusemide insulin was presented to the emergency room (ER) dyspnoea which developed three days earlier together cough fever.She had attended local health centre where she prescribed amoxycillin erythromycin for community acquired pneumonia.The fever resolved after one day antibiotic administration but persisted.Arterial blood gases (ABGs) taken in ER showed pH...