1.Atypical Presentation Of Non Clostridial Gas Gangrene In Lower Limb
Sundaram S ; Jeyasingam K ; Hishamuddin ; Shanmugam S
Malaysian Orthopaedic Journal 2019;13(Supplement A):278-
2.Antibacterial and anticancer potential of Brassica oleracea var acephala using biosynthesised copper nanoparticles
C Shanmuga Sundaram ; J Sivakumar ; S Suresh Kumar ; PLN Ramesh ; Thant Zin ; US Mahadeva Rao
The Medical Journal of Malaysia 2020;75(6):677-684
ary phytochemical screening. The resultsshowed that the ethanolic crude extract of the leaf containhigh phytochemical activity hence B.oleraceavaracephalais rich in flavonoids, phenolic compounds, carbohydratesand phytosterols. Materials and methods: The ethanolic extract was used tosynthesise copper nanoparticles. The copper nanoparticleswere successfully synthesised from copper sulphatesolution which was identified by the colour change fromdark green colour of the extract. Thus the B.oleracea varacephala is a good source to synthesis coppernanoparticles. The synthesised copper nanoparticles werecharacterised using Scanning Electron Microscope (SEM)analysis. The SEM image displayed the high-densitynanoparticles synthesised by leaf extracts and that thenanoparticles were crystals in shape. Results: The copper nanoparticles (CNP) bind to the leafextract. B.oleraceavaracephalaalso has shown theantimicrobial and antioxidant activity. A comparative studywas done between ethanolic its crude extract andnanoparticles. Both extracts exhibited zone of inhibition andbetter antioxidant potential but the CuNPs shows majorzone of inhibition and showed more antioxidant activity.Anticancer activity of B.oleraceavaracephalaagainstCervical HeLa cell line was confirmed using ethanolic crudeextract and CNP. The results showed that HeLa cellsproliferation was inhibited with increasing concentration ofethanolic crude extract and copper nanoparticles. From theresults, it was seen that percentage viability of the cancercells decreased with increased concentration of the sampleswhereas cytotoxicity against HeLa cell lines increased withthe increased concentration of the samples. Conclusion: Thus B.oleraceavaracephalapossessesanticancer activity against HeLa cell lines.
3.Fulminant Subacute Sclerosing Panencephalitis Presenting with Acute Ataxia and Hemiparesis in a 15-Year-Old Boy.
Rukmini Mridula KANDADAI ; Praveen YADA ; Megha S UPPIN ; Shaik Afshan JABEEN ; Ajith CHERIAN ; Meena Angamuthu KANIKANNAN ; Rupam BORGOHAIN ; Sundaram CHALLA
Journal of Clinical Neurology 2014;10(4):354-357
BACKGROUND: Subacute sclerosing panencephalitis (SSPE) is a delayed and fatal manifestation of measles infection. Fulminant SSPE is a rare presentation in which the disease progresses to death over a period of 6 months. The clinical features are atypical and can be misleading. CASE REPORT: We report herein a teenage boy who presented with acute-onset gait ataxia followed by right hemiparesis that evolved over 1 month, with left-hemispheric, delta-range slowing on the electroencephalogram (EEG). Magnetic resonance imaging disclosed multiple white-matter hyperintensities, suggesting a diagnosis of acute disseminated encephalomyelitis. He received intravenous steroids, and within 4 days of hospital admission he developed unilateral slow myoclonic jerks. Repeat EEG revealed Rademecker complexes, pathognomonic of SSPE, and an elevated titer of IgG antimeasles antibodies was detected in his cerebrospinal fluid. The disease progressed rapidly and the patient succumbed within 15 days of hospitalization. The diagnosis of SSPE was confirmed by autopsy. CONCLUSIONS: This case illustrates the difficulty of recognizing fulminant SSPE when it manifests with asymmetric clinical and EEG abnormalities.
Adolescent*
;
Antibodies
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Ataxia*
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Autopsy
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Cerebrospinal Fluid
;
Diagnosis
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Electroencephalography
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Encephalomyelitis, Acute Disseminated
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Gait Ataxia
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Hospitalization
;
Humans
;
Immunoglobulin G
;
Magnetic Resonance Imaging
;
Male
;
Measles
;
Myoclonus
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Paresis*
;
Steroids
;
Subacute Sclerosing Panencephalitis*