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AIM: Prevalence of obesity and type 2 diabetes mellitus (T2DM), both of which represent are related to nonalcoholic fatty liver disease (NAFLD), is an increasing trend among Asian people. The study aimed to assess the prevalence of NAFLD in T2DM with their risk factors in the Southern part of Pakistan. MATERIALS AND METHODS: A cross-sectional study was accomplished during 2008-2013 at The Aga Khan University Hospital, Karachi, Pakistan. Adult patients diagnosed with T2DM during last 6 months were enrolled in this study. NAFLD was identified using ultrasound of the liver. Clinical and biochemical relevant measurements were accomplished. RESULTS: Out of a total of 203 patients with T2DM, NAFLD was detected in 146 patients (71.9%). Multivariate analysis revealed that NAFLD was significantly associated with dyslipidemia (OR 2.38, 95% CI 1.06-5.34, p = 0.035), higher LDL (OR 1.02, 95%CI 1.01-1.03, p = 0.003), H bA1c (OR1.27, 95% CI 0.97-1.68, p = 0.045) and diastolic blood pressure (OR 1.05, 95% CI 1.01-1.10, p = 0.009). The highest odds of 10.8 for NAFLD (95% CI 4.9-24, p = 0.001) was found for the combination of hypertension, dyslipidemia, body mass index (BMI), waist circumference, lack of physical inactivity, triglycerides, lower HDL, LDL, HbA1c, and ALT (multiplicative analysis). CONCLUSION: High incidence of NAFLD with the association of different lifestyle-related factors has been analyzed. It unmasks the need for screening for NAFLD in newly diagnosed DM patients in Pakistan with the assessment of parameters of risk factors. HOW TO CITE THIS ARTICLE: Butt AS, Hamid S, et al. Nonalcoholic fatty Liver Diseases Among Recently Diagnosed Patients With Diabetes Mellitus and Risk Factors. Euroasian J Hepatogastroenterol 2019;9(1):9-13.
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In 2017, the Turlock branch of the California Animal Health & Food Safety laboratory system received a significant increase in infectious coryza (IC) necropsy cases, with a total of 54 submissions originating from commercial broilers (n = 40), commercial layers (n = 11), and backyard chickens (n = 3). Layer flocks positive for IC were distributed within the adjacent counties of Merced and Stanislaus, while broiler flocks were concentrated within Merced County. The backyard flocks were located in Alameda and Sacramento counties. The clinical and pathologic presentation was consistent with IC, although septicemic lesions were also noticed. Avibacterium paragallinarum was isolated and identified by PCR from the respiratory tract as well as from extrarespiratory sites. Polymicrobial infections involving other viral (infectious bronchitis virus, infectious bursal disease virus) and bacterial (Mycoplasma spp., Escherichia coli, Ornithobacterium rhinotracheale, Gallibacterium anatis biovar haemolytica) agents were commonly reported. Thirteen selected Av. paragallinarum isolates were successfully characterized as serovar C (Page scheme) and serovar C2 (Kume scheme). They shared a unique enterobacterial repetitive intergenic consensus (ERIC) PCR, differing from the four reference strains, and showed consistent high minimum inhibitory concentration values for tetracycline, suggesting a common origin from a single clone. Based on these results, high biosecurity standards and proper immunization of susceptible, multi-age flocks should always be implemented and adjusted as needed. The importance of backyard flocks should not be underestimated due to their unique epidemiologic role.
Caracterización de un brote de coriza infecciosa (Avibacterium paragallinarum) en pollos comerciales en la parte central de California. En el año 2017, la sede en Turlock del Sistema de Laboratorios de Salud Animal y Seguridad Alimentaria de California recibió un aumento significativo en el número de casos de necropsia por coriza infecciosa, con un total de 54 casos, incluyendo casos provenientes de pollos de engorde comerciales (n = 40), gallinas de postura comerciales (n = 11) y aves de traspatio (n = 3). Las parvadas de gallinas de postura positivas para coriza infecciosa se distribuyeron en los condados adyacentes de Merced y Stanislaus, mientras que las parvadas de pollos de engorde se concentraron en el condado de Merced. Las parvadas de traspatio estaban ubicadas en los condados de Alameda y Sacramento. La presentación clínica y patológica fue consistente con coriza infecciosa, aunque también se observaron lesiones septicémicas. Se aisló Avibacterium paragallinarum y se identificó mediante PCR en el tracto respiratorio y también de sitios extrarespiratorios. Las infecciones polimicrobianas relacionadas con otros virus (virus de la bronquitis infecciosa, virus de la enfermedad infecciosa de la bolsa) y bacterias (Mycoplasma spp., Escherichia coli, Ornithobacterium rhinotracheale, Gallibacterium anatis biovar haemolytica) fueron reportadas comúnmente. Trece aislamientos seleccionados de A. paragalinarum se caracterizaron con éxito como serovar C (esquema de Page) y serovar C2 (esquema de Kume). Estos aislamientos Compartieron por PCR un consenso intergénico repetitivo enterobacterial (ERIC) único, que difiere de las cuatro cepas de referencia y mostraron valores constantes de concentración mínima inhibitoria alta para tetraciclina, lo que sugiere un origen común de un solo clon. Con base en estos resultados, siempre se deben implementar y ajustar estándares de bioseguridad altos y la inmunización adecuada de parvadas susceptibles de edades múltiples, según sea necesario. La importancia de las parvadas de traspatio no debe subestimarse debido a su función epidemiológica especial.
