This case examines the presentation, diagnosis, and treatment of an otherwise healthy 22-year-old female who presented to urgent care with abdominal pain fever 27 days after her first exposure trimethoprim/sulfamethoxazole (TMP/SMX). However, this was not recognized for extended amount time. She initially diagnosed gastroenteritis sent home on metronidazole. failed improve later primary physici...

INTRODUCTION Cardio-renal syndromes are characterized by the impairment of cardiac and renal functions. Plasma and urinary neutrophil gelatinase-associated lipocalin (NGAL), and plasma B-type natriuretic peptide (BNP) are markers of acute kidney injury (AKI) and heart failure (HF), respectively. METHODS GFR (99mTc-DTPA), plasma BNP, and plasma and urinary concentrations of NGAL were measured ...

Extended spectrum beta-lactamases (ESBLs) are enzymes produced by bacteria, mostly members of the family Enterobacteriaceae commonly Escherichia coli and Klebsiella pneumoniae. ESBLs hydrolyze beta-lactam ring antibiotics making these ineffective therefore rendering bacteria resistance against antibiotics. The global upsurge producing causing both hospital community acquired infections urinary ...

Background: Extended spectrum beta lactamase (ESBLs) are betalactamase capable of conferring bacterial resistance to the first, second and third-generation Cephalosporin’s but these inhibited by inhibitors such as clavulanic acid. The ESBLs typically plasmidmediated enzymes, mostly produced E. coli Klebsiella pneumonia Enterobacteriaceae family. enzymes were discovered in Germany 1983 from pneu...

Background: Klebsiella pneumoniae is a member of the Enterobacteriaceae family. K. isolates produce enzymes that cause hydrolysis penicillins and cephalosporins.These are known as broad-spectrum beta-lactamases (ESBL). The resistance to beta-lactamase antibiotics usually mediated by genes, present study aims determine prevalence ESβL producing with their antibiotic susceptibility pattern in uri...