Informatics Publishing Limited

Marwan Majeed Ibrahim ¹

Affiliations
1 CABM Internal Medicine; Tikrit University College of Medicine, IQ

Abstract

Celiac disease is a common illness need not to be mistaken as IBS or GI motility disorders and careful evaluation of IBS patients especially those with diarrhea predominant type may need to be considered. This study disclose that about more than 12% of patients who had been already diagnosed as IBS is discovered to have positive serology of gluten sensitivity and the diagnosis of Celiac disease had been confirmed by histopathology study. Though and careful evaluation of presumed cases of IBS especially those with poor response to conventional therapy or those who with atypical presentations is essentialin order to reach to an alternative diagnoses.

Keywords

Celiac Disease, Gluten Sensitivity, Irritable Bowel Syndrome, Anti Tissue Transglutaminase, Gluten Free Diet.

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Marwan Majeed Ibrahim ¹, Mohamed Ghalib Zakari ²

Affiliations
1 CABM Internal Medicine, Tikrit University College of Medicine, Physician, Al-Yarmouk Teaching Hospital, IN
2 CABM Internal Medicine, Tikrit University College of Medicine, IN

Abstract

Helicobacter pylori (H.P) infection is an increasing concern in modern medicine due to its effect on the pathogenesis and management of peptic ulcer disease and gastritis and its possible link to gastric adeno carcinoma cases. The eradication of HP is a mandatory approach in documented cases of HP infection mainly gastric and duodenal ulcers. The treatment options is variable globally according to microbial susceptibility test and local guidelines. This study focused on two main options in the eradication of HP and found that levofloxacin based therapy is superior to clarithromycin based approach in the rate of eradication , with comparable rate of adverse events.

Keywords

Helicobacter Pylori (H.P) , Gastritis, Peptic Ulcer, Urea Breath Test, Stool Antigen, Clarithromycin, Levofloxacin.

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Marwan Majeed Ibrahim ¹

Affiliations
1 CABM Internal Medicine, Tikrit University College of Medicine, Physician at Al-Yarmouk Teaching Hospital, IQ

Abstract

Celiac disease is a common illness need not to be mistaken as IBS or GI motility disorders and careful evaluation of IBS patients especially those with diarrhea predominant type may need to be considered.

This study disclose that about more than 12% of patients who had been already diagnosed as IBS is discovered to have positive serology of gluten sensitivity and the diagnosis of Celiac disease had been confirmed by histopathology study.

Though and careful evaluation of presumed cases of IBS especially those with poor response to conventional therapy or those who with atypical presentations is essentialin order to reach to an alternative diagnoses.

Keywords

Celiac Disease, Gluten Sensitivity, Irritable Bowel Syndrome, Anti Tissue Transglutaminase, Gluten Free Diet.

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Marwan Majeed Ibrahim ¹, Ammar Hameed Howaidy ², Abeer Nahy Hamdy ³

Affiliations
1 CABM Internal Medicine,College of Medicine, Tikrit University, Tikrit, Physician at Al-Yarmouk Teaching Hospital, IQ
2 Urologist, College of Medicine, Fallujha University, IQ
3 Assist Prof. Department of Gynecology & Obstertrics, College of Medicine, Tikrit University, IQ

Abstract

Background: Klebsiella sp. causes a wide range of bacterial diseases like pneumonia, UTI and sepsis. Therefore, this study was done to assess the prevalence and molecular characteristics of Klebsiella sp. in 50 samples of men and women isolated from Iraqi patients which was suffering from urinary tract infection (UTI) compared with (10) of healthy individuals. All samples were collected from Al-Yarmouk teaching hospital/Baghdad during January-March 2019. Identification of bacterial isolated were done by using manual cultural procedures and VITEK 2 automated (bioMérieux, France) system, while antibiotic sensitivity test of Klebsiella sp. was achieved by Kirby-Bauer and MIC testing was made by VITEK2. The creation of ESBL was phenotypically distinguished by twofold plate cooperative energy test as assigned by to the CLSI rules. Location of bla-quality encoded CTX-M was seen by customary P.C.R system. Out of fifty separates of K. pneumonia, 26%were planted generation of ESBL utilizing CDT, the MIC utilized with diverse antiinfection agents in this investigation, 13(26%) of secludes by utilizing VITEK2 AST-GN30 which exhibited that, all disconnects were totally impervious to every one of ceftazidime, cefepime and ceftriaxone with MIC(≥16-≥64) μg/ml,and the outcome demonstrated that 61.53% separated of ESBL producion were delicate carbapenem with MIC (≤0.25) μg/ml. Furthermore, PCR examine uncovered that 4(30.76)% of the ESBL creating isolates harboured blaCTX-M gene.

Keywords

Molecular Study, Virulence Genes, Klebsiella Sp., Urinary Tract Infections (UTIs).

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