Juvenile polyposis syndrome (JPS) was first described in 1964. It is a rare (approximately one in every 100,000 individuals) autosomal dominant disease that is characterized by the occurrence of several juvenile polyps in the gastrointestinal tract. Juvenile polyp is a specific type of hamartomatous polyp. The term ‘juvenile’ refers to the polyp histology rather than the age of onset of the polyp. An isolated juvenile polyp is not diagnostic of JPS and occurs in approximately 2% of children and adolescents. Here we present a case of a 7 month old baby boy who presented with recurrent vomiting and abdominal pain and on examination revealed RIF mass and tenderness. Clinically, the diagnosis of intussusception was suspected and confirmed on sonographic examination. Exploration of the abdomen revealed ileo-ileal intussusception. Further, Juvenile polyp was identified by the presence of cystically dilated glands lined by cuboidal to columnar epithelium, filled with secretions, abundance of edematous lamina propria with inflammatory cells on histopathological examination. The relevance of this case report lies on the fact that appearance of juvenile polyp in ileum is rare.

The current study was carried out to isolate and identify Enterococcus species from clinical samples and to analyse the antimicrobial susceptibility pattern of Enterococcus Species. All clinical samples which were received in Microbiology laboratory were included in the study. A total of 2958 samples were received. These 129 Enterococci isolates were obtained over a period of 1 year from various samples namely, urine, blood, pus. Samples were processed for microscopy and culture as per the standard guidelines. all samples were inoculated on MacConkey agar and Blood agar. Identification and antibiotic sensitivity pattern of bacterial isolates were carried out by automated system. i.e. VITEK 2 Compact. Out of 2958 samples, Total 129 samples showed growth of enterococci. Out of 129 isolates, 84 were Enterococcus spp, 18 were E.faecalis, 16 were E.faceium. Out of total 129 samples, 76 samples were of males and 53 were of females. Most common samples from which enterococci were isolated was urine accounting for 85 followed by Pus accounting for 15. Medicine department showed the highest isolates with 88. Out of 129 Enterococci 64 showed resistance to primary line of drug like Benzyl penicillin, 79 Enterococci showed resistance to Ampicillin. Out of 129 enterococci 70 showed resistance to secondary line of drug like tetracycline,59 isolates showed resistance to High level Gentamycin, 41 isolates showed resistance to Vancomycin,23 isolates showed resistance to Linezolid. The strains of Enterococci were multidrug resistant. Anitibiotic selection should be done judiciously based on the antibiotic sensitivity pattern of the organism.

Perinephric abscess is a rare life-threatening condition. It can complicate a urologic infection or occur secondary to hematogenous seeding. We report a case of a 49-year-old diabetic female who came to the outpatient department with complaints of right-sided abdominal pain for 2 days. It was associated with fever, headache, vomiting, and generalized weakness. Non-contrast computerized Tomography (NCCT) showed a subcapsular collection measuring 6.1× 5.7 × 4.4 cm noted adjacent to the lateral aspect of the right kidney. Following percutaneous nephrostomy, thick pus was drained from the abscess and sent for culture and sensitivity in the microbiology laboratory. Culture grew extended-spectrum beta-lactamase-producing (ESBL) Klebsiella pneumoniae which was sensitive to Carbapenems, Piperacillin Tazobactam, Fluoroquinolones, Netilmicin, Amikacin, and Tetracycline. The patient improved on treatment with the appropriate antibiotics. Perinephric abscesses should be considered as a differential diagnosis of fever with abdominal pain or flank pain since its non-specific nature can delay the diagnosis. Underlying diabetes mellitus (DM), urinary tract abnormalities, and immunodeficiency should be considered in a patient with a perinephric abscess. Ultrasonography (USG) and Computerized Tomography with contrast enhancement are crucial for diagnosis. The drainage of the abscess, either percutaneous or open, should be done. Klebsiella pneumoniae is a frequent cause of perinephric abscesses and mostly follows a complicated urinary tract infection. With high mortality rates, early diagnosis, and effective treatment of perirenal abscesses are required to improve the prognosis of patients.

Twelve infants aged below six months were sampled from Women and Children Hospital of Ramadi, Iraq during the period April the 1st 2021 till October the 1st 2022. Infants were divided into two main groups; breast and bottle milk fed. Each group comprise three males and three females. Samples of feces were collected and lactobacillus specie were extracted. The extract was used once alone and another as a mixture with each of Amoxicillin, Amikacin and Cefixime antibiotics on petri dishes cultured with Staphylococcus, Klabsella and Psedudomonas bacteria. Diameter of inhibition was measure and resulted data were subjected to statistical analysis. The results of the statistical analysis showed that lactobacillus specie extract with the Cefixime has significantly highest mean diameter of inhibition compared to all other types of treatments. Infants who were on breast milk fed showed significantly better respond to the treatment than their counter part in the bottle milk fed group. Klabsella was found to respond weakly under almost all of the applied treatments.

IgG4‐related sclerosing cholangitis (IgG4‐SC) is the biliary manifestation of IgG4‐related disease, systemic fibroinflammatory condition that is characterized by lesions with classical histopathological findings in involved organs. We presented a case of isolated IgG4‐SC with the normal serum IgG4 which was hard to differentiate with cholangiocarcinoma.

Background: Malaria is a highly infectious disease responsible for the significant mortality and is caused by Plasmodium, a protozoan parasite of the genus Plasmodium. Different developed and developing nations have launched various initiatives to prevent diseases and eradicate them from society and for this understanding the disease and its various manifestations is crucial to achieving the goal of prevention and eradication. Aim: As a result, the current study was designed to investigate malaria knowledge or understanding among college/university students in the Jammu region in terms of their attitudes and practices toward malaria and its various dimensions. Method: For the current study, 400 students (undergraduate and graduate) were recruited, with an equal number of males and females in the age range of 18- 23 years. Result: According to the study's findings, young students' general awareness of malaria is below average, and no significant difference in knowledge of the diseases was observed between males and females. As a consequence, it was concluded that health education should be made mandatory in all educational institutions to promote student awareness, which may be enhanced through media such as television, newspapers, and social networks. Conclusion: The current study revealed that effective tactics and new methods are required for people to maintain proper awareness.

We report here a 54 year male who presented with a complaint of left sided epistaxis for 5 days & a swelling on the hard palate palate for 8 years. CECT scan revealed a soft tissue lesion involving the hard palate and extending into the left maxillary sinus as well as both nasal cavities. Direct nasal endoscopic biopsy initially suggested an adenocarcinoma not otherwise specified. Immunohistochemistry delineated it as low-grade non-intestinal-type, which occur very uncommonly in the sinonasal region.