New Delhi: The AIIMS on Wednesday filed its report in a Delhi court on medical conditions of Rajya Sabha MP Amar Singh, an accused in the 2008 cash-for-vote scam, saying he was hospitalized with it due to his ‘fluctuating’ health.

Singh was admitted to AIIMS following complications related to post-renal transplant, diarrhea, urinary tract infection, diabetes, dehydration and hypothyroid hypertension, Sanjay Gupta, Additional Professor of the Department of Nephrology at AIIMS, said in his report.

The two-page report, submitted before Special Judge Sangita Dhingra Sehgal, said Singh was suffering from multiple health problems.

"The S Creatinine is fluctuating between 1.3-1.6 mg/dl (normal for him is 0.8-0.9 mg/dl). He (Amar Singh) has persistent tachycardia (heart rate exceeding normal range).

"He continues to have vomiting and diarrhea for which the gastroenterologist has suggested automatic function tests and endoscopy with mucosal biopsy," the report said.

The doctor said any kidney transplant patient, showing more than 30 per cent acute rise in S Creatinine level, needs hospitalization. "All renal transplant patients are on immunosuppressive medications (to prevent rejection of transplanted organs) which make them prone to infections...As a routine, any renal transplant patient showing more than 30 per cent acute rise in S Creatinine needs admission for finding cause and managing the same," the report said.

The court had on Tuesday directed the AIIMS to furnish a report on the medical condition of Amar Singh, who was rushed to the premier medical institute on September 12 from Tihar Jail, where he was lodged following his arrest in the 2008 cash-for-vote scam.

Meanwhile, the Tihar Jail authorities, in pursuance of the court's earlier order, also filed its report explaining the circumstances under which Singh was shifted to AIIMS.

Singh was examined by a "super specialist team of five doctors" on the evening of September 12 and they recommended that "the patient requires care under an institute where all specialties and super specialties care is available ... preferably AIIMS," the report said. The Jail Superintendent, in the report, has also annexed a copy of a letter written to him by a senior medical officer advising shifting of Singh to AIIMS.

"It is to inform you that patient/prisoner Amar Singh was examined by a board of doctors on September 12 and they have recommended that inmate/patient should be referred to AIIMS in view of multiple ailments and post renal transplant state," the letter said.

The jail authorities also furnished the reports of Amar Singh's urine culture and sensitivity test which revealed the level of infection.

Earlier, the court had directed the jail authorities to explain what "necessitated" shifting of Singh to AIIMS.

The judge had also asked the Director of AIIMS to apprise it of medical conditions of the former Samajwadi Party General Secretary.

Singh was arrested on September 6 and the court would on Thursday hear arguments on the interim bail plea of Singh. His regular bail plea is listed for hearing on September 19.

Amar Singh's condition shows no sign of improvement

Amar Singh, who was admitted to the AIIMS after suffering a urinary tract infection, on Wednesday showed no signs of improvement with creatinine levels in his blood still high.

"His condition is such that he needs to be monitored and stay at the hospital for some time now. The infection in the urinary tract has shown no improvement as creatinine level (a marker of kidney function) continues to be on the higher side," Dr Sanjay Gupta, additional professor, department of Nephrology who is looking into the MP's case, said.

Arrested for his alleged role in the 2008 cash-for-vote scam, Singh, 55, was admitted in the private ward of AIIMS at 9.12 pm on Monday night, Dr Y K Gupta, Spokesperson AIIMS, said.

"Though he has no fever on Wednesday, diarrhea and vomiting continue to prevail. We can say that his condition continues to remain the same with no remarkable signs of improvement," Dr Gupta said.

Escherichia coli, a type of bacteria has been found to be the cause of the urinary tract infection suffered by Singh who had undergone a kidney transplant surgery in Singapore in July, 2009.

"He is now on antibiotics and IV fluid," Dr Gupta said.     Meanwhile actress-politician Jaya Prada who visited Singh on Wednesday said, "His medical update is not as good as it should be. He still has infection in kidney, sugar levels are also going up and down, his BP also...

"We cannot go inside as only one person is allowed. So his wife is going inside. We are praying that he should be alright. What happened with him was unfair. He doesn't deserve this kind of punishment." Patients of renal transplant are on special immune suppressant medications and are prone to infection so are advised to stay away from it. Singh developed infection and because of UTI the transplant per se has shown deterioration,” Dr Gupta said.

Consultants from department of gastroenterology and endocrinology too are looking into his case as he also suffers from hypertension and diabetes.

Singh was shifted to AIIMS after a panel of doctors at Tihar Jail found his creatinine levels high.

"Since he has lot of anxiety, pyschiatrist on Wednesday reviewed his case and suggested medication to decrease his anxiety and restlessness," Gupta said.