Subjects -> MEDICAL SCIENCES (Total: 8196 journals)
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MEDICAL SCIENCES (2241 journals)            First | 1 2 3 4 5 6 7 8 | Last

Showing 601 - 800 of 3562 Journals sorted alphabetically
Extreme Physiology & Medicine     Open Access   (Followers: 1)
F&S Reports     Open Access  
F&S Science : Official journal of the American Society for Reproductive Medicine     Open Access  
Facial Plastic Surgery & Aesthetic Medicine     Full-text available via subscription   (Followers: 7)
Facta Universitatis, Series : Medicine and Biology     Open Access  
Family Medicine and Community Health     Open Access   (Followers: 8)
Family Practice     Hybrid Journal   (Followers: 17)
Family Practice & Palliative Care     Open Access   (Followers: 5)
Family Practice Management     Full-text available via subscription   (Followers: 4)
Faridpur Medical College Journal     Open Access  
FEM : Revista de la Fundación Educación Médica     Open Access  
Finlay : Revista de Enfermedades no Transmisibles     Open Access  
Fisioterapia     Full-text available via subscription   (Followers: 2)
Fisioterapia & Saúde Funcional     Open Access  
Flugmedizin · Tropenmedizin · Reisemedizin - FTR     Hybrid Journal  
FMC - Formación Médica Continuada en Atención Primaria     Full-text available via subscription  
Folia Medica     Open Access  
Folia Medica Indonesiana     Open Access  
Folia Morphologica     Full-text available via subscription  
Folia Phoniatrica et Logopaedica     Full-text available via subscription   (Followers: 1)
Fontanus     Open Access   (Followers: 1)
Food Hydrocolloids for Health     Open Access  
Foodborne Pathogens and Disease     Hybrid Journal   (Followers: 11)
Foot & Ankle Specialist     Hybrid Journal   (Followers: 4)
Foot and Ankle Clinics     Full-text available via subscription   (Followers: 12)
Foot and Ankle Online Journal     Full-text available via subscription   (Followers: 6)
Forensic Science International : Mind and Law     Open Access   (Followers: 4)
Forum Medycyny Rodzinnej     Hybrid Journal  
Forum Zaburzeń Metabolicznych     Hybrid Journal  
Frontières     Full-text available via subscription   (Followers: 3)
Frontiers in Digital Health     Open Access   (Followers: 4)
Frontiers in Medical Technology     Open Access  
Frontiers in Medicine     Open Access   (Followers: 2)
Frontiers in Network Physiology     Open Access   (Followers: 2)
Frontiers in Neuroprosthetics     Open Access   (Followers: 6)
Frontiers in Synaptic Neuroscience     Open Access   (Followers: 2)
Frontiers in Tropical Diseases     Open Access  
Frontiers of Medical and Biological Engineering     Hybrid Journal  
Frontiers of Medicine     Hybrid Journal   (Followers: 2)
Fuss & Sprunggelenk     Hybrid Journal  
Future Medicinal Chemistry     Full-text available via subscription   (Followers: 5)
Future Prescriber     Hybrid Journal  
Future Science OA     Open Access  
Gaceta Médica Boliviana     Open Access  
Gaceta Médica Espirituana     Open Access  
Galen Medical Journal     Open Access  
Galician Medical Journal     Open Access   (Followers: 1)
Galle Medical Journal     Open Access  
Gefäßmedizin Scan     Hybrid Journal  
Gender and the Genome     Open Access   (Followers: 1)
Gene Expression     Full-text available via subscription   (Followers: 1)
General Reanimatology     Open Access  
Genes     Open Access   (Followers: 2)
Genome Instability & Disease     Hybrid Journal  
Geoforum     Hybrid Journal   (Followers: 25)
Gestão e Desenvolvimento     Open Access  
Ghana Medical Journal     Open Access   (Followers: 1)
GigaScience     Open Access   (Followers: 4)
Gimbernat : Revista d’Història de la Medicina i de les Ciències de la Salut     Open Access  
Glia     Hybrid Journal   (Followers: 5)
Global Advances in Health and Medicine     Open Access  
Global Bioethics     Open Access   (Followers: 5)
Global Health : Science and Practice     Open Access   (Followers: 7)
Global Health Journal     Open Access   (Followers: 2)
Global Journal of Integrated Chinese Medicine and Western Medicine     Open Access  
Global Journal of Cancer Therapy     Open Access  
Global Journal of Fertility and Research     Open Access  
Global Journal of Health Science     Open Access   (Followers: 5)
Global Journal of Infectious Diseases and Clinical Research     Open Access   (Followers: 1)
Global Journal of Medical and Clinical Case Reports     Open Access  
Global Journal of Obesity, Diabetes and Metabolic Syndrome     Open Access   (Followers: 2)
Global Journal of Perioperative Medicine     Open Access  
Global Journal of Rare Diseases     Open Access  
Global Medical & Health Communication     Open Access   (Followers: 1)
Global Reproductive Health     Open Access  
Grande Medical Journal     Open Access  
Growth Factors     Hybrid Journal   (Followers: 2)
GSTF Journal of Advances in Medical Research     Open Access  
Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi     Open Access  
Hamdan Medical Journal     Open Access  
Hämostaseologie     Hybrid Journal   (Followers: 4)
Hämostaseologie     Open Access  
Hand     Hybrid Journal   (Followers: 4)
Hand Clinics     Full-text available via subscription   (Followers: 6)
Hand Therapy     Hybrid Journal   (Followers: 11)
Hard Tissue     Open Access  
Head & Face Medicine     Open Access   (Followers: 1)
Head and Neck Cancer Research     Open Access  
Head and Neck Tumors     Open Access  
Health Information : Jurnal Penelitian     Open Access  
Health Matrix : The Journal of Law-Medicine     Open Access  
Health Notions     Open Access  
Health Science Journal of Indonesia     Open Access  
Health Science Reports     Open Access   (Followers: 1)
Health Sciences and Disease     Open Access   (Followers: 1)
Health Sciences Review     Open Access  
Health Security     Hybrid Journal   (Followers: 1)
Healthcare Technology Letters     Open Access  
Hearing, Balance and Communication     Hybrid Journal   (Followers: 6)
Hearts     Open Access   (Followers: 1)
HEC Forum     Hybrid Journal   (Followers: 1)
Heighpubs Otolaryngology and Rhinology     Open Access  
Heilberufe     Hybrid Journal  
HeilberufeSCIENCE     Hybrid Journal  
Heilpflanzen     Hybrid Journal   (Followers: 8)
Helicobacter     Hybrid Journal  
HemaSphere     Open Access   (Followers: 2)
Hemoglobin     Hybrid Journal  
Hepatology, Medicine and Policy     Open Access  
HERALD of North-Western State Medical University named after I.I. Mechnikov     Open Access  
Herald of the Russian Academy of Sciences     Full-text available via subscription  
Herzschrittmachertherapie + Elektrophysiologie     Hybrid Journal  
Highland Medical Research Journal     Full-text available via subscription  
Hipertensión y Riesgo Vascular     Full-text available via subscription  
HIV Australia     Full-text available via subscription   (Followers: 3)
Homeopathy     Hybrid Journal   (Followers: 1)
Homoeopathic Links     Hybrid Journal  
Hong Kong Physiotherapy Journal     Open Access   (Followers: 14)
Horizonte Medico     Open Access  
Hormones : International Journal of Endocrinology and Metabolism     Hybrid Journal  
Hospital a Domicilio     Open Access  
Hospital Practices and Research     Open Access  
Hospital Topics     Hybrid Journal   (Followers: 1)
Hua Hin Sook Jai Klai Kangwon Journal     Open Access  
Huisarts en wetenschap     Hybrid Journal   (Followers: 4)
Human & Veterinary Medicine - International Journal of the Bioflux Society     Open Access   (Followers: 4)
Human Factors in Healthcare     Open Access   (Followers: 2)
Human Fertility     Hybrid Journal   (Followers: 4)
Humanidades Médicas     Open Access  
I.P. Pavlov Russian Medical Biological Herald     Open Access  
Iatreia     Open Access  
Ibnosina Journal of Medicine and Biomedical Sciences     Open Access  
IDCases     Open Access  
IEEE Journal of Biomedical and Health Informatics     Hybrid Journal   (Followers: 14)
IEEE Journal of Electromagnetics, RF and Microwaves in Medicine and Biology     Hybrid Journal  
IEEE Journal of Translational Engineering in Health and Medicine     Open Access   (Followers: 5)
IEEE Open Journal of Engineering in Medicine and Biology     Open Access   (Followers: 1)
IEEE Transactions on Medical Robotics and Bionics     Hybrid Journal   (Followers: 3)
IEEE/ACM Transactions on Computational Biology and Bioinformatics     Hybrid Journal   (Followers: 18)
IJID Regions     Open Access   (Followers: 1)
IJS Global Health     Open Access  
IJU Case Reports     Open Access  
iLiver     Open Access   (Followers: 6)
Im OP     Hybrid Journal  
Image Analysis & Stereology     Open Access   (Followers: 1)
IMAGING     Full-text available via subscription   (Followers: 1)
Imaging in Medicine     Open Access  
Imaging Journal of Clinical and Medical Sciences     Open Access   (Followers: 1)
Imam Journal of Applied Sciences     Open Access  
Indian Journal of Ayurveda and lntegrative Medicine Klue     Open Access   (Followers: 4)
Indian Journal of Burns     Open Access   (Followers: 2)
Indian Journal of Clinical Medicine     Open Access  
Indian Journal of Community and Family Medicine     Open Access   (Followers: 3)
Indian Journal of Community Medicine     Open Access   (Followers: 1)
Indian Journal of Health Sciences and Biomedical Research KLEU     Open Access   (Followers: 2)
Indian Journal of Medical Microbiology     Open Access   (Followers: 1)
Indian Journal of Medical Research     Open Access   (Followers: 3)
Indian Journal of Medical Sciences     Open Access   (Followers: 2)
Indian Journal of Medical Specialities     Hybrid Journal  
Indian Journal of Otology     Open Access   (Followers: 1)
Indian Journal of Public Health     Open Access   (Followers: 1)
Indian Journal of Transplantation     Open Access  
Indian Spine Journal     Open Access  
Indo-Pacific Journal of Phenomenology     Open Access   (Followers: 1)
Indonesia Journal of Biomedical Science     Open Access   (Followers: 1)
Indonesian Biomedical Journal     Open Access  
Indonesian Journal for Health Sciences     Open Access   (Followers: 1)
Indonesian Journal of Medicine     Open Access  
Indonesian Journal of Tropical and Infectious Disease     Open Access  
Infant Observation: International Journal of Infant Observation and Its Applications     Hybrid Journal   (Followers: 1)
Inflammation     Hybrid Journal   (Followers: 3)
Inflammation Research     Hybrid Journal   (Followers: 4)
Info Diabetologie     Full-text available via subscription   (Followers: 1)
Infodir : Revista de Información científica para la Dirección en Salud     Open Access  
Informatics in Medicine Unlocked     Open Access  
Injury Prevention     Hybrid Journal   (Followers: 6)
InnovAiT     Hybrid Journal   (Followers: 1)
Innovare Journal of Health Science     Open Access  
Innovare Journal of Medical Science     Open Access  
Innovation in Aging     Open Access   (Followers: 1)
Inside Precision Medicine     Full-text available via subscription   (Followers: 6)
Insights in Biology and Medicine     Open Access  
Integrative and Complementary Therapies     Full-text available via subscription   (Followers: 6)
Integrative Medicine Insights     Open Access   (Followers: 1)
Integrative Medicine International     Open Access   (Followers: 1)
Integrative Medicine Research     Open Access   (Followers: 3)
Intellectual Disability Australasia     Full-text available via subscription   (Followers: 12)
Intelligence-Based Medicine     Open Access  
Intelligent Medicine     Open Access   (Followers: 1)
intensiv     Hybrid Journal   (Followers: 1)
interactive Journal of Medical Research     Open Access  
Interdisciplinary Perspectives on Infectious Diseases     Open Access   (Followers: 1)
Interdisciplinary Sciences : Computational Life Sciences     Hybrid Journal   (Followers: 2)
Internal Medicine     Open Access   (Followers: 1)
International Biomechanics     Open Access   (Followers: 1)
International Health     Hybrid Journal   (Followers: 5)
International Health Trends and Perspectives     Open Access  
International Journal for Numerical Methods in Biomedical Engineering     Hybrid Journal   (Followers: 2)
International Journal for Vitamin and Nutrition Research     Hybrid Journal   (Followers: 10)
International Journal of Academic Medicine     Open Access   (Followers: 1)

  First | 1 2 3 4 5 6 7 8 | Last

Similar Journals
Journal Cover
Indian Journal of Clinical Medicine
Journal Prestige (SJR): 2.636
Citation Impact (citeScore): 7
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Print) 1179-9161
Published by Sage Publications Homepage  [1174 journals]
  • Editorial

    • Authors: P. S. Indu
      Pages: 5 - 5
      Abstract: Indian Journal of Clinical Medicine, Volume 10, Issue 1-2, Page 5-5, June-December 2020.

      Citation: Indian Journal of Clinical Medicine
      PubDate: 2022-02-22T07:40:28Z
      DOI: 10.1177/26339447211070333
      Issue No: Vol. 10, No. 1-2 (2022)
       
  • Healthy Humans, Healthy Planet

    • Authors: PS Indu
      Abstract: Indian Journal of Clinical Medicine, Ahead of Print.

      Citation: Indian Journal of Clinical Medicine
      PubDate: 2022-06-29T07:51:24Z
      DOI: 10.1177/26339447221105954
       
  • A Rare Report of Heavy-Metal-Associated Hemodialysis-Dependent Chronic
           Kidney Disease Secondary to Ayurvedic Medication

    • Authors: Himansu Sekhar Mahapatra, Sutanay Bhattacharyya, Vineeta V. Batra
      Abstract: Indian Journal of Clinical Medicine, Ahead of Print.
      IntroductionHeavy metals are a component of many traditional medications. However, they continue to be used for trivial causes. Chronic heavy metal exposure is an important but under-recognized cause of renal damage. We report to our knowledge the first case of a heavy-metal-associated chronic kidney disease secondary to Ayurvedic medication.Case ReportA 24-year-old with history of chronic Ayurvedic medication for altered bowel habits presented with neuromuscular symptoms and bilateral lower limb swelling and was found to have hypocalcemia and renal dysfunction. He was initiated on dialysis and underwent an uncomplicated renal biopsy which was suggestive of chronic glomerulosclerosis. In view of significant exposure to Ayurvedic medication, he underwent heavy metal screening in blood, urine, and renal biopsy tissue along with the Ayurvedic medication he had. His blood tested positive for cadmium, copper, and mercury along with same positive results in Ayurvedic medication. He underwent chelation with dimercaprol 250 mg iv for 7 days with blood samples testing negative repeatedly for the same heavy metal that tested positive earlier. However, in view of significant chronicity, he became dialysis dependent and was initiated on twice weekly hemodialysis. His persistent gastrointestinal symptoms were attributed to nonspecific colitis following a computed tomography of the abdomen and colonoscopy with biopsy. He responded to rifaximin and probiotics.ConclusionHeavy metal exposure, secondary to chronic Ayurvedic medication intake, is an unrecognized cause of renal dysfunction. The use of such medications for trivial purposes is rampant, especially in developing countries like India. Delaying diagnosis can lead to permanent renal damage with patients eventually becoming dialysis dependent.
      Citation: Indian Journal of Clinical Medicine
      PubDate: 2022-06-27T04:32:07Z
      DOI: 10.1177/26339447221099991
       
  • Discrete Subaortic Stenosis in an Elderly Patient

    • Authors: Jaideep Dey, Nadeem Akhtar, Vivek Shama, Arif Mustaqueem, Sameer Shrivastava
      Abstract: Indian Journal of Clinical Medicine, Ahead of Print.
      Discrete subaortic stenosis is an uncommon condition in the elderly population. Echocardiographic examination can be useful for diagnosis with high accuracy. We present a case report of an elderly female patient who presented with accelerated hypertension and was subsequently diagnosed with discrete subaortic stenosis on transthoracic echocardiography. A significant, non-dynamic, left ventricular outflow tract pressure gradient in the presence of aortic regurgitation should raise the possibility of this condition in patients of geriatric age group.
      Citation: Indian Journal of Clinical Medicine
      PubDate: 2022-06-24T07:00:49Z
      DOI: 10.1177/26339447221098465
       
  • A Successful Medical Management of Enterococcal Endocarditis Presenting as
           Cellulitis

    • Authors: Riya Kataria, N. Senthil, Suja Lakshmanan, Archa Anna Anil
      Abstract: Indian Journal of Clinical Medicine, Ahead of Print.
      Infective endocarditis is an infection commonly caused by bacterial pathogens and is known to affect intracardiac structures. We herein report a previously healthy man who presented with complications of infective endocarditis caused by Enterococcal faecalis and was further managed with appropriate antibiotics without the needed surgical interventions.
      Citation: Indian Journal of Clinical Medicine
      PubDate: 2022-06-23T06:35:00Z
      DOI: 10.1177/26339447221103023
       
  • COVID-19-Related Knowledge and Anxiety Among Health-Care Workers in a
           Tertiary Care Centre in Kerala

    • Authors: Lakshmi K. P., Preetha Prasanna, Subash Chandra, Arya G. Krishnan, Abhinandh Babu, Binil Babu, Merlin Moni, Dipu T. Sathyapalan
      Abstract: Indian Journal of Clinical Medicine, Ahead of Print.
      Introduction:The COVID-19 pandemic has posed an immense threat to both physical as well as mental health globally. The outbreak is immeasurably affecting all the communities worldwide. The pandemic fatigue has led to inadequate addressing of the impact of COVID-19 on mental health especially among the health-care workers (HCWs), mainly due to the fear of disease contraction, mortality of the condition, raised work stress, as well as the saturation of news on media and other social platforms. Prolonged confinement at home may also adversely impact mental health.Method:An online survey was conducted using a developed questionnaire to evaluate the knowledge and anxiety among 118 HCWs regarding the COVID-19 pandemic in a tertiary care hospital. Since the study was conducted during the period in which no standard questionnaires were available, an online questionnaire was developed based on a few articles published in indexed journals on the similar topic which was further approved by 5 experts in the field. The questionnaire along with an informed consent was sent to all the HCWs employed in the hospital to assess their knowledge and anxiety related to COVID-19.Result:A total of 92.47% of participants were strongly aware that the major mechanism in COVID spread is droplet infection. An equal percentage of participants had good knowledge that the infection can always be prevented by maintaining social distance, appropriate hand washing, hand sanitizing, and using a mask. However, around 40.67% of participants avoided large meetings even in hospitals due to fear of the pandemic.Conclusion:It is important to study the mental health impacts of HCWs during the pandemic. There is a need to intensify the awareness program and address the mental health issues of HCWs during this COVID-19 pandemic.
      Citation: Indian Journal of Clinical Medicine
      PubDate: 2022-06-22T10:04:36Z
      DOI: 10.1177/26339447221098464
       
  • Herpes Simplex Hepatitis Presenting as Fulminant Hepatic Failure in
           Pregnancy

    • Authors: Kalyani Parvathy, Aravind Reghukumar, Athul Gurudas, Kirankumar V. Sasidharan, Lakshmi J. Nair
      Abstract: Indian Journal of Clinical Medicine, Ahead of Print.
      Herpes simplex hepatitis can progress to fulminant hepatic failure in immunocompromised patients as well as in pregnancy due to alterations in T cell-mediated immunity in these populations. If not identified early, herpes simplex virus (HSV) hepatitis will progress to fulminant hepatic failure requiring liver transplantation. Early identification and treatment with acyclovir can be life-saving as HSV hepatitis in pregnancy has been found to be associated with high mortality rate. We report the case of a 23-year-old woman who developed HSV-induced fulminant hepatic failure in the third trimester of pregnancy.
      Citation: Indian Journal of Clinical Medicine
      PubDate: 2022-05-26T03:47:03Z
      DOI: 10.1177/26339447221096200
       
  • Hepatocellular Carcinoma With a Floating Right Atrial Thrombus and Rupture
           of the Primary Lesion Causing Right-Sided Hemothorax

    • Authors: Jomy Vadasseril Jose, Shreetal Rajan Nair, Shajudeen Kayakkal, Antony George Francis Thottian, Abdul M. M. Rasak
      Abstract: Indian Journal of Clinical Medicine, Ahead of Print.
      A 68-year-old gentleman presented to us with a low back ache and paraparesis. Magnetic resonance imaging of the spine revealed vertebral body lesion compressing the spinal cord. As part of the preoperative evaluation for spinal decompression surgery, an echocardiography was done which revealed a normal heart with a floating mass in right atrium extending from the inferior vena cava. On further workup, he was diagnosed to have hepatocellular carcinoma with vertebral metastasis. Subsequently, the primary lesion ruptured leading to massive right-sided hemothorax.
      Citation: Indian Journal of Clinical Medicine
      PubDate: 2022-05-23T05:45:41Z
      DOI: 10.1177/26339447221095344
       
  • Case of an Exotic Skin and Soft Tissue Infection Associated with Cyclone
           Ockhi

    • Authors: Sreekumar Sivadasan, Aravind Reghukumar, Athul Gurudas, Kiran Kumar V. Sasidharan, Sruti P. Nair
      Abstract: Indian Journal of Clinical Medicine, Ahead of Print.
      Vibrio vulnificus is a halophilic marine gram-negative bacillus that is known to cause fulminant primary septicemia and complicated skin and soft tissue infections in humans. Vibrio vulnificus is referred to as flesh-eating bacteria. In the absence of timely detection and treatment, it results in sepsis with mortality of 50% and septic shock with mortality as high as 100%. Primary septicemia occurs following ingestion of contaminated seafood, and wound infections are acquired following exposure of open wounds to contaminated seawater. Early clinical suspicion and initiation of the appropriate antibiotics is essential to ensure good clinical outcome in case of Vibrio vulnificus septicemia. Here we report the case of a fisherman injured in cyclone Ockhi admitted to our hospital with lower limb cellulitis, who was diagnosed as Vibrio vulnificus wound infection. This case emphasizes the importance of history and clinical examination in antibiotic stewardship.
      Citation: Indian Journal of Clinical Medicine
      PubDate: 2022-04-20T03:59:27Z
      DOI: 10.1177/26339447211070986
       
  • Quintessential Case of POEMS Syndrome Associated With Multicentric
           Castleman Disease

    • Authors: Krishnarathnam Kannan, Indhuja Muthiah Vaikundaraja, Kanchan Murhekar, Swathy Pitti Umasankar
      Abstract: Indian Journal of Clinical Medicine, Ahead of Print.
      Castleman disease (CD) is a rare lymphoproliferative disorder, closely related to Polyneuropathy, Organomegaly, Endocrinopathy, Monoclonal plasma cell disorder, and Skin changes (POEMS) syndrome. We report a typical patient of multicentric CD with POEMS syndrome with all the classical features.
      Citation: Indian Journal of Clinical Medicine
      PubDate: 2022-04-20T03:53:27Z
      DOI: 10.1177/26339447221086398
       
  • The Hulk Hand!—In a Hemodialysis Patient (Case Report)

    • Authors: Manoj Prabhakaran, Himanshu Sekhar Mahapatra, Amandeep Singh, Sanket Patil, Abhisek Gautam
      Abstract: Indian Journal of Clinical Medicine, Ahead of Print.
      A 35-year-old gentleman who was on maintenance hemodialysis for last 20 months presented with progressive swelling of the left upper limb. Initially, he had right nontunneled internal jugular vein (IJV) catheter followed by left nontunneled IJV catheter through which he received dialysis for 2 months. Further, his left brachiocephalic fistula (BCF) was created 18 months back. Since then, he was on regular thrice weekly dialysis through BCF. He started developing swelling of the left upper limb 8 months after fistula creation, which was gradually increasing. Blood flow was found to be normal during dialysis, examination suggestive of entire left upper limb swelling with thick induration. Doppler showed dilated outflow veins with high flow without any narrowing/stenosis of veins. Computed tomography venography done showed left brachiocephalic vein stenosis. He was found to have mega-fistula secondary to central vein stenosis which was managed successfully being discussed in this case report. Undiagnosed occult central venous stenosis in the prearteriovenous fistula (AVF) construction can manifest in various ways; one of them is as mega-fistula. It is the generalized aneurysmal dilatation of the entire outflow vessels of an AVF. Management option for this condition is limited depending on the etiology, fistula flow has to be reduced either by banding of the vessel or by fistula closure. Assessment of central veins before AVF construction and regular access surveillance in dialysis patients may prevent complications like these.
      Citation: Indian Journal of Clinical Medicine
      PubDate: 2022-04-08T10:19:40Z
      DOI: 10.1177/26339447221084415
       
  • Cytokine Storm in COVID 19 Culminating in Candida Endocarditis

    • Authors: Mala Vinod Kaneria, Abhijeet Budhe, Prasenjit Lade, Tejas Poyekar
      Abstract: Indian Journal of Clinical Medicine, Ahead of Print.
      Coronavirus disease 2019 (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), had made its demonic debut on the world stage in December 2019 and has been sweeping across the globe since then. This new kid on the block soon also joined the cluster of risk factors, leading to fungal infections. Cases of mucormycosis, colloquially called “black fungus,” (COVID-19 associated mucormycosis [CAM]), had escalated in India, and the focus then shifted to Candida, the so-called “white fungus.” The dysregulated immune system in COVID-19, along with the immunosuppressants used to treat it, may give rise to fatal secondary infections. We present a patient who had a stormy, prolonged course following COVID-19, with multiple bacterial and viral infections, subsequently culminating in fungal endocarditis with Candida tropicalis.
      Citation: Indian Journal of Clinical Medicine
      PubDate: 2022-04-08T10:15:32Z
      DOI: 10.1177/26339447221090071
       
  • Sepsis due to Sphingomonas Paucimobilis in a Polytrauma Patient

    • Authors: Arya S. Devi, Ramani Bai J. T., Ashish Jitendranath, Ivy Viswamohanan, Ganga Raju Krishna
      Abstract: Indian Journal of Clinical Medicine, Ahead of Print.
      Sphingomonas paucimobilis is a yellow-pigmented, aerobic, glucose nonfermenting, Gram-negative bacillus, causing a rare human infection normally associated with immunocompromised host. A 47-year-old male, known diabetic and hypertensive on treatment, with a history of trauma, underwent surgical intervention and developed fever postoperatively. A positive growth was detected on BACT/ALERT 3D. Blood culture smear shows Gram-negative bacilli which was identified as S. paucimobilis.
      Citation: Indian Journal of Clinical Medicine
      PubDate: 2022-04-07T06:30:12Z
      DOI: 10.1177/26339447221077501
       
  • Dengue-Associated Hemophagocytic Lymphohistiocytosis With Severe
           Multiorgan Complications—A Case Report

    • Authors: Rahul Agrawal, Prabha Agrawal, Sudha Madhuri, Thakur Abhijit Singh
      Abstract: Indian Journal of Clinical Medicine, Ahead of Print.
      Hemophagocytic lymphohistiocytosis (HLH) is a rare life-threatening syndrome characterized by pathologic immune hyperactivation, extreme inflammation, and multiorgan involvement with variable cytopenias. We report a case of a 53-year-old male with no known comorbidities, who presented with unrelenting dengue fever, pancytopenia, high ferritin levels, and multiple organ dysfunction with progressive clinical deterioration despite treatment. Based on the clinicolaboratory findings, he was diagnosed as dengue-associated HLH on day 6 of admission. As per HLH treatment protocol, he was started on immunosuppressants and showed significant improvement. In dengue patients with severe disease, prolonged hospital stay, persistent cytopenia, and multiorgan dysfunction out of proportion to the plasma leakage phase should prompt a high index of suspicion for the possibility of infection-triggered HLH. Although prompt diagnosis and early initiation of therapy is the key to prevent irreversible end organ damage and mortality, the hindrance lies in its rarity in adults, variable clinical presentation, and nonspecific laboratory findings.
      Citation: Indian Journal of Clinical Medicine
      PubDate: 2022-04-04T04:05:12Z
      DOI: 10.1177/26339447221080314
       
  • Barriers and the Role of Assistive Technology to Access Education for
           Children with Visually Impaired During COVID-19 Times

    • Authors: Shweta Kapote, Pallerla Srikanth
      Abstract: Indian Journal of Clinical Medicine, Ahead of Print.

      Citation: Indian Journal of Clinical Medicine
      PubDate: 2022-03-30T10:48:19Z
      DOI: 10.1177/26339447221089124
       
  • Perceived Stress Levels and Associated Factors Among SARS-CoV-2-Affected
           Young Adults Under Home Isolation—A Cross-Sectional Study From Kerala,
           India

    • Authors: Anjana Nalina Kumari Kesavan Nair, Jisharaj Vijayakumari Rajasekharan Nair, Siji Vincent Swarnabai, Reshma Rajan Sudha, Alice Metilda Mendez, Leela Itty Amma
      First page: 11
      Abstract: Indian Journal of Clinical Medicine, Ahead of Print.
      IntroductionThe impact of SARS-CoV-2 is not only on physical health but also on mental health. This pandemic raised concerns of fear, anxiety, and stress among patients affected with the disease. Quarantine and home isolation might have created psychological distress and helplessness in patients due to social and economic reasons. This study aimed in assessing the level of perceived stress and factors associated with it among SARS-CoV-2-affected young adults who were under home isolation.MethodologyA cross-sectional study was conducted among 147 SARS-CoV-2-affected young adults who were under home isolation during June 2021 to August 2021. A semi-structured proforma was created using KoBo Toolbox for humanitarian response for data collection. Perceived Stress Scale (PSS-10) was used for measurement of stress among COVID-19 patients. The questionnaire was shared in online platform. Data was analyzed using Statistical Package for Social Sciences version 23.0. Significance of association was tested using chi square test and independent sample t test. Logistic regression was done to predict the factors associated with perceived stress.ResultsOut of the 147 study participants, 56.5% were females and 43.5% were males. Symptoms were present in 94 (63.9%) of patients. The mean age of the study participants was 26 (10.5) years. The mean PSS score was 17.5 (6.4). Among the cases under home isolation, 24.5% had low stress levels, 68% had moderate stress levels, and 7.5% had severe stress levels. Feeling of loneliness during home isolation (odds ratio [OR]: 4.7, 95% confidence interval [CI] [1.9-11.63], P = .008), presence of elderly or under-5 children in the same house (OR: 15.45, 95% CI [2.03-117.5], P = .001), and presence of cough (P = .05) were found to be significantly associated with higher PSS scores. Age and sleep were negatively correlated with stress score.ConclusionOne-third of the study participants had moderate to severe levels of perceived stress. Age, sleep hours, presence of cough, presence of under-5 children or elderly in the same house, and feeling of loneliness during home isolation were found to be significantly associated with high perceived stress level scores.
      Citation: Indian Journal of Clinical Medicine
      PubDate: 2022-01-10T03:46:20Z
      DOI: 10.1177/26339447211058643
       
  • Case of Mycotic Pseudoaneurysm of the Common Carotid Artery due to
           Salmonella typhi Bacteremia

    • Authors: Sruti P. Nair, Aravind Reghukumar, Athul Gurudas, Kiran Kumar V. Sasidharan, Sreekumar Sivadasan
      First page: 39
      Abstract: Indian Journal of Clinical Medicine, Ahead of Print.
      Aneurysm of the extracranial carotid artery is a rare disease, mycotic pseudoaneurysms being even less common. They are a life-threatening complication of systemic infection and atherosclerosis. Immunocompromised people, including patients with HIV, uncontrolled diabetes melltus, those on immunosuppressants like high-dose steroids, and chemotherapy, are at a higher risk for development of mycotic pseudoaneurysms. Due to the high risk of potential complications like rupture and thromboembolic events, mycotic aneurysms always require surgical management. Early detection followed by restoration of blood flow is critical to minimize a fatal outcome. Here we report the case of a 52-year-old man with a past history of hypertension and dyslipidemia who presented with a pulsatile painful neck swelling. On evaluation, the patient was diagnosed to have Salmonella typhi bacteremia, HIV infection, and a mycotic aneurysm of the left common carotid artery.
      Citation: Indian Journal of Clinical Medicine
      PubDate: 2022-01-10T11:08:27Z
      DOI: 10.1177/26339447211061041
       
  • Hoagland Sign as an Aid for Antimicrobial Stewardship—A Case Report

    • Authors: Lakshmi J. Nair, Aravind Reghukumar, Athul Gurudas, Kirankumar V. Sasidharan, Kalyani Parvathy
      First page: 43
      Abstract: Indian Journal of Clinical Medicine, Ahead of Print.
      Hoagland sign is an early and transient bilateral painless upper eyelid edema observed in patients with Epstein-Barr virus (EBV)-related infectious mononucleosis. This sign can predate the appearance of exudative pharyngitis and cervical lymphadenopathy. Usually, this sign disappears by first week of infection. Here, we describe the occurrence of late onset Hoagland sign in a 14-year old boy who presented to us on 10th day of fever. Hoagland sign appeared after 10 days from symptom onset in our patient. Despite persistence of fever, the presence of Hoagland sign which appeared prior to confirmation of EBV infection was a helpful indicator for stopping antibiotics. In view of tonsillar hypertrophy with potential airway compromise and biochemical parameters suggestive of possible secondary hemophagocytic lymphohistiocytosis, he was initiated on steroids with which defervescence and prompt resolution of symptoms occurred. EBV can present as acute undifferentiated febrile syndrome which might result in inappropriate use of antibiotics. This case highlights the importance of using clinical clues like Hoagland sign to optimize antimicrobial stewardship.
      Citation: Indian Journal of Clinical Medicine
      PubDate: 2022-01-10T11:09:27Z
      DOI: 10.1177/26339447211068967
       
  • Weil’s Disease Death Investigation and Outbreak Control Measures
           Instituted in the Field Area of a Family Health Center in
           Thiruvananthapuram, Kerala—A Case Report

    • Authors: Pranav V. Vasisht
      First page: 47
      Abstract: Indian Journal of Clinical Medicine, Ahead of Print.
      Introduction: Weil syndrome, a rare infectious disorder, is a severe form of the bacterial infection caused by Leptospira bacteria known as leptospirosis. Weil syndrome is characterized by dysfunction of the kidneys and liver, abnormal enlargement of the liver (hepatomegaly), persistent yellowing of the skin, mucous membranes, whites of the eyes (jaundice), and/or alterations in consciousness. In most cases, Weil syndrome occurs among individuals who are exposed to affected animals.Case Presentation and Summary: The investigation of death was done by a team consisting of doctor, junior health inspector, and ASHA workers of the area. We did a qualitative approach of in-depth interview of the wife and daughter-in-law of the deceased for data collection. The patient’s name and other details are not revealed for anonymity. No particular statistical analyses are used for this case reporting. The CARE guidelines were followed for writing this report.Conclusion: Leptospirosis is a disease of outbreak potential and has high case fatality rate. Timely identification of cases and institution of preventive measures is very important in preventing outbreaks. The surveys conducted in the area did not reveal any signs of an imminent or ongoing outbreak of leptospirosis.
      Citation: Indian Journal of Clinical Medicine
      PubDate: 2022-01-11T03:35:05Z
      DOI: 10.1177/26339447211067580
       
 
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