Bilal Sarvat

University of Texas Medical Branch at Galveston, Galveston, TX, United States

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Publications (4)8.5 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: In the USA, seasonal tickborne transmission of Babesia microti occurs in the Northeast and upper Midwest. A resident of Texas became infected through a red blood cell transfusion from an asymptomatic local donor who had summered in Massachusetts. The patient's infection was diagnosed by blood smear examination in January, 7 weeks post-transfusion. He died 1 week later from variceal haemorrhage complicated by haemolysis. Premortem patient specimens and archived blood from the donor unit tested positive for B. microti antibodies and DNA. Babesiosis should be included in the differential diagnosis of post-transfusion haemolytic anaemia or thrombocytopenia, regardless of the geographical region or season.
    Vox Sanguinis 12/2008; 95(4):331-4. · 2.85 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: A 54-year-old HIV-positive African American man was diagnosed with esophageal tuberculosis. His condition was complicated by esophageal perforation and pneumomediastinum. When treated with isoniazid, rifampin, ethambutol, and pyrazinamide, he developed medication-induced hepatitis. Streptomycin and levofloxacin were used as alternative agents along with isoniazid and ethambutol, which were tolerated well. At the end of 2 months, there was clinical improvement and resolution of pneumomediastinum. Surgery was not required. This is the first report of successful treatment of tuberculosis-related esophageal perforation and pneumomediastinum using second-line antituberculous agents.
    Infectious Disease in Clinical Practice 06/2008; 16(4):266-267.
  • Alwyn Rapose, Bilal Sarvat, Juan C Sarria
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    ABSTRACT: Immune reconstitution inflammatory syndrome (IRIS) affects 30-43% of HIV and tuberculosis (TB) co-infected patients after starting highly active antiretroviral therapy (HAART). Pericarditis and pericardial effusion are rare manifestations of IRIS. We report a case of HIV-TB related IRIS that developed pericardial involvement. This complication resolved after treatment with ibuprofen. Antituberculous treatment and HAART were not interrupted.
    Cardiology 02/2008; 110(2):142-4. · 1.52 Impact Factor
  • Bilal Sarvat, Juan C Sarria
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    ABSTRACT: We report a case of implantable cardioverter-defibrillator infection due to Scedosporium apiospermum. This infection persisted despite systemic antifungal treatment with voriconazole and was controlled after removal of the foreign device and replacement of the involved tricuspid valve. This case underscores the importance of a combined surgical and medical approach for this complicated infection. Scedosporium species should be considered in the differential diagnosis of cardiac or intravascular device-related infections.
    The Journal of infection 11/2007; 55(4):e109-13. · 4.13 Impact Factor

Publication Stats

21 Citations
8.50 Total Impact Points

Institutions

  • 2007–2008
    • University of Texas Medical Branch at Galveston
      • Department of Internal Medicine
      Galveston, TX, United States