Abstract Dengue infection can present as dengue fever (DF), hemorrhagic (DHF), and shock syndrome (DSS). The World Health Organization (WHO) has coined the term "expanded syndrome" (EDS) for cases that do not fit into either DHF or DSS. These showcase unusual symptoms in various organs such cardiovascular system, nervous kidneys, gut, hematological are increasingly being reported EDS. EDS is globally on rise with characteristics greater severity. There escalating reports of rare...

Background: Upper urinary tract obstruction is a serious condition that can lead to significant renal impairment if not managed promptly. Emergency diversion crucial for alleviating and preserving function. This study investigates various emergency techniques, compares their outcomes, evaluates factors influencing recovery. Methods: We conducted prospective involving 106 patients diagnosed with obstructive uropathy at Jawaharlal Nehru Medical College, Aligarh Muslim University. Patients were...

Context: World Health Organization recommends bacteriological confirmation of pulmonary tuberculosis (PTB) by the detection acid-fast bacilli (AFB) in respiratory specimens. However about 40-60% patients with PTB suspected clinically or radiologically may fail to produce sputum, when it is available, AFB be negative on repeated smear examination. These sputum and those who any can diagnosed flexible fiberoptic bronchoscopy. Aims: Our study was an attempt analyze role bronchoscopy respect...

Objective: Urinary tract infection (UTI) is a common cause of morbidity in patients attending our hospital. Recently UTI has become more complicated and difficult to treat because appearance pathogens resistant the commonly used antimicrobial agents. The main aim study was determine causative agents antibiotic susceptibility pattern Materials methods: A prospective cross sectional conducted asymptomatic symptomatic medicine nephrology clinics Jawaharlal Nehru Medical College Hospital,...

Pseudoporphyria (PP) is used to describe a photodistributed bullous disorder with clinical and histologic features of porphyria cutanea tarda (PCT) but without accompanying biochemical porphyrin abnormalities. Medications, excessive sun ultraviolet radiation exposure, have all been reported develop PP. We report case PP in 49-year-old man CKD stage 3a, caused due torsemide intake. This probably the first developing dialysis naive patient intake from India.

Background: Malaria has protean clinical manifestations and acute kidney injury (AKI) is one of its serious life threatening complications. This study was carried out to describe the characteristics, factors associated with adverse outcomes, in patients malarial AKI. Materials Methods: Data 100 AKI smear positive malaria retrospectively analyzed evaluate incidence, profile, outcome predictors mortality among all cases presented us at Nephrology unit Jawaharlal Nehru Medical College, Aligarh...

Aluminium phosphide is one of the most common agricultural poisons being consumed in north India. Consumption a fresh tablet lethal as no antidote available. Acute intoxication primarily presents with cardiovascular collapse due to myocardial toxicity. We report here case acute severe poisoning along and oliguria. The patient developed kidney injury during illness (a rare entity aluminium poisoning), which completely resolved following prompt conservative treatment.

Background: Neutrophil–lymphocyte ratio (NLR) is reported to be increased in various inflammatory conditions, but its significance RA remains unclear. The aim of this study was evaluate whether NLR can used as a simple tool for disease activity assessment rheumatoid arthritis (RA). Aim: assess the patients and compare between active cases those remission. Materials Methods: enrolled 150 diagnosed patients. Disease determined with Activity Score (DAS-28), correlation analyzed. Results: NLR,...

Background: Acute febrile encephalopathy (AFE) is a clinical term used to an altered mental state that either accompanies or follows short illness and characterized by diffuse nonspecific brain insult manifested combination of coma, seizures, decerebration. Objective: To identify the etiological profile acute in adult patients presenting JNMCH, Aligarh from January-December, 2014. Patients Methods: 238 adults (>14 yrs.) emergency with complains fever (>38΀C) less than 2 weeks duration...

Poisoning with chromium is fatal and rarely reported. We report a case of 25-year-old man who developed severe acidosis, gastrointestinal hemorrhage, acute kidney, hepatic injury following homicidal ingestion chromium. Patient improved after multiple cycles alternate day hemodialysis.

Introduction: Urinary tract infection (UTI) is a common cause of morbidity in patients attending our hospital. Recently UTI has become more complicated and difficult to treat because appearance pathogens with increasing resistance the commonly used antimicrobial agents. Objectives: The main aim study was determine bacteriological profile antibiotic susceptibility pattern Materials Methods: 1843 complaining fever or without urinary symptoms medicine nephrology clinics Jawaharlal Nehru Medical...

Most cases of acute kidney injury (AKI) in the Indian subcontinent are community-acquired. Some causes AKI like poisonings unique to local demographics. This study examined clinical features, spectrum, and outcomes patients with poisoning evaluated predictors mortality. was a prospective observational conducted admitted Jawaharlal Nehru Medical College, Aligarh an alleged history orsnake bite. Relevant history, laboratory tests, mode treatment, outcome were recorded for all who followed up...

Primary aldosteronism (PA) is a common cause of secondary hypertension, with familial hyperaldosteronism (FH) contributing to lesser number cases. FH type IV, rare subtype, has hardly been reported as subtype PA We present case 27-year-old female who presented the emergency department circumoral tingling and numbness. A diagnosis hypocalcemia due vitamin D deficiency was made. During hospital stay, she developed acute gastroenteritis treated doxycycline, after which experienced persistent...

Aim: This study aims to investigate the prevalence of non-alcoholic fatty liver disease (NAFLD) in patients with subclinical and overt hypothyroidism at a tertiary care center Northern India. Additionally, it seeks establish correlation between NAFLD hypothyroidism, focusing on different grades degree hepatic stiffness. Methods: A cross-sectional conducted presenting hypothyroidism. The sample included individuals diagnosed or was assessed using ultrasonography, stiffness measured transient...

Abstract Introduction: The increasing prevalence of chronic kidney disease (CKD), coupled with advancements in the diagnosis and treatment renal diseases improvements life expectancy, has led to a greater number patients requiring hemodialysis. preferred method vascular access for hemodialysis is AV fistula formation; however, it associated high rate failure. In our prospective study, we focused on 40 CKD planned initiation maintenance Methods: We employed preoperative ultrasound mapping...

<br>Proliferative lupus nephritis (LN) is histologically characterized by endocapillary hypercellularity and large immune deposits on light microscopy. Immunofluorescence shows almost all immunoglobulins complement staining. The presence of antinuclear antibodies (ANA) important for diagnosing systemic erythematosus (SLE). Absence ANA rules out the possibility SLE according to 2019 European League Against Rheumatism/American College Rheumatology classification criteria SLE. We report a young...

Poisoning with chromium is fatal and rarely reported. We report a case of 25-year-old man who developed severe acidosis, gastrointestinal hemorrhage, acute kidney hepatic injury following homicidal ingestion chromium. Patient improved after multiple cycles alternate day hemodialysis.