Browsing by Author "Virendra Atam"

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A case report of valproate-induced acute pancreatitis
(Regional Institute of Medical Sciences, 2017) Virendra Atam; Jitendra Singh; Kanhaiya Agrawal; Anju Dinkar; Isha Atam
Valproic acid is a branched chain aliphatic carboxylic acid which is widely used as antiepileptic drug. Valproic acid-induced acute pancreatitis is an uncommon cause of acute pancreatitis. Hereby we describe a 23-year-old unmarried female, who developed acute pancreatitis following the 12th day of valproate monotherapy prescribed for seizure disorder. Valproate was immediately stopped and replaced with levetiracetam. She improved on conservative management. © 2017 Journal of Medical Society.
Awareness and outcome of changing trends in clinical profile of dengue fever: A retrospective analysis of dengue epidemic from january to december 2014 at a tertiary care hospital
(Journal of Association of Physicians of India, 2017) Jitendra Singh; Anju Dinkar; Virendra Atam; D. Himanshu; Kamlesh Kumar Gupta; Kauser Usman; Ravi Misra
Background: Dengue fever is caused by mosquito-borne arboviral infection that has become a public health concern globally. Recently, an alarming rise of dengue has also been seen in India. Hence the study was undertaken to know profile of clinical manifestations and laboratory findings during the evolution of dengue fever. Methods: In this study, retrospective data analysis was done in 216 seropositive dengue patients admitted between January to December 2014 in department of medicine at a north Indian care hospital. The tests analyzed were blood counts, serum electrolytes, liver function tests, kidney function tests, chest x-ray and other relevant investigations. Results: Males were commonly affected and the most exposed age group was found to be18-35 years. The seropositive case rate for dengue was 56% for NS1 antigen and 36% for IgM. There was rural dominancy of cases with a peak in September. Fever was the most common clinical feature followed by headache, myalgia, backache, nausea and abdominal pain. Petechia was most common haemorrhagic manifestation. Common laboratory findings included 89.35% decreased Platelet counts (<100 000/ cmm), 67.59% increased hematocrit (>45%) and 58.33% deranged liver function test. There was no reported mortality in dengue. Conclusions: From prompt and proper treatment could prevent deaths in moderate and severe dengue. Atypical presentations of dengue should be kept in mind so as not to miss the cases. Increased community awareness and vector control measures need to be strengthened during peri-monsoon period to reduce burden of dengue cases. © 2017, Journal of Association of Physicians of India. All rights reserved.
Dengue induced reversible blindness
(Wolters Kluwer Medknow Publications, 2021) Anju Dinkar; Jitendra Singh; Virendra Atam
Dengue is spread by the bite of infected Aedes aegypti mosquito. It is usually a self-limiting viral infection but sometimes complicates to mortality. In the last few decades, literature has shown that clinical and biochemical profile of dengue is expanding due to the addition of unusual manifestation day by day. Hereby, we report a young male student suffering from dengue complicated to retinal hemorrhage and severe pancytopenia who recovered near fully on treatment. © 2021 Wolters Kluwer Medknow Publications. All rights reserved.
Self mutilating behaviour in severe meningococcal infection; An interesting association
(Journal of Clinical and Diagnostic Research, 2016) Anju Dinkar; Jitendra Singh; Virendra Atam; Krishna Kumar Sahani; Munna Lal Patel
Neisseria meningitidis most commonly manifests as asymptomatic colonization in the nasopharynx of healthy adolescents and adults. It may rarely present as invasive disease which may be either bacterial meningitis or meningococcal septicaemia. Hereby we report a case presented with fever with rashes, irritability followed by self mutilating behaviour who was diagnosed a case of invasive meningococcal infection. He responded well to treatment with intravenous ceftriaxone and self mutilating behaviour was subsided completely after treatment. Necrosed tissues of fingers were amputated. With best of our knowledge, no similar case of self-mutilation associated with meningococcal infection has been reported yet. © 2016, Journal of Clinical and Diagnostic Research. All rights reserved.