Worms were reportedly discovered in a bottle of Azithromycin Oral Suspension, a government-supplied antibiotic syrup for children, at a district hospital in Gwalior, Madhya Pradesh, The Times of India reported on Friday.

The complaint came from a woman who visited the outpatient department at the Maternity Home Hospital in Morar town. She found black, worm-like particles in a bottle of the syrup given to her child and alerted Civil Surgeon Rajesh Sharma, the newspaper reported.

Following the complaint, all 306 bottles of Azithromycin which had been stored at the hospital were sealed and recalled.

Samples have been sent for testing to a laboratory in Bhopal and one sample will also be sent to the Central Drug Laboratory in Kolkata, The Indian Express reported.

Drug Inspector Anubhuti Sharma said the medicine was generic and manufactured by a Madhya Pradesh-based company, The Indian Express reported.

“Although the bottle brought by the woman was open, the matter was immediately investigated,” she told the newspaper.

A preliminary inspection of some bottles was conducted and no worms were found in them but further testing is underway, she was quoted as saying.

The incident came after 25 children died in Madhya Pradesh, purportedly after consuming contaminated Coldrif cough syrup. Deaths linked to a generic cough syrup were also reported from Rajasthan.

The deaths led to the World Health Organization issuing a medical alert on October 13 against the use of three cough syrups found to contain diethylene glycol beyond permissible limits, a substance that can cause acute kidney and liver failure.

The alert named specific batches of Coldrif Cough Syrup, manufactured by Sresan Pharmaceutical in Tamil Nadu, and Respifresh TR and ReLife, produced by Shape Pharma in Gujarat.

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