Haemophagocytic lymphohistiocytosis triggered by Rickettsia conorii.

Haemophagocytic lymphohistiocytosis (HLH) is a rare complication of rickettsial infections. We report a 50-y-old man from northern India who presented with fever, respiratory distress, altered sensorium and an eschar. Despite treatment with doxycycline, his condition deteriorated with multi-organ dysfunction.

Mortality among inpatients with systemic lupus erythematosus in a tertiary care hospital.

BackgroundSystemic lupus erythematosus (SLE) is associated with significant morbidity and mortality, particularly during hospitalisation. Differentiating between infection and disease activity is crucial but challenging. Regional variations in infection rates and disease manifestations necessitate region-specific studies.

Utilization of Local Remedies among Dengue Patients Admitted to the Emergency Department of a Tertiary Care Center: An Observational Study.

Background: Dengue viral infection (DVI) affects ~ 400 million people annually, with ~ 100 million cases causing clinical illness. Limited therapeutic options often lead patients to adopt alternative remedies. This study evaluates the prevalence and impact of such remedies on outcomes in patients admitted to a tertiary care emergency department.

Epstein Barr Virus-Related Acute Liver Failure and Hemophagocytosis in an Immunocompetent Individual: An Autopsy Report.

Epstein-Barr virus (EBV) is a nonhepatotropic virus. It causes mild self-limiting illness characterized by fever, oral ulcer, diarrhea, lymphadenopathy, and hepatosplenomegaly. Rarely it causes acute liver failure (ALF).