Poster 210 successful outcome of a pediatric patient with eastern equine encephalitis, despite a high morbidity and mortality rate associated with the disease: A case report. Clinton Faulk, MD (Pitt County Mem Hosp, Greenville, NC); Billy Smith, MD; Daniel Moore, MD, e-mail: [email protected]

2004 ◽  
Vol 85 (9) ◽  
pp. e44
Keyword(s):  
Case Report ◽  
Mortality Rate ◽  
Pediatric Patient ◽  
Morbidity And Mortality ◽  
Successful Outcome ◽  
High Morbidity ◽  
Eastern Equine Encephalitis ◽  
Pitt County ◽  
E Mail

scholarly journals Morbidity and mortality after fragility hip fracture in a Saudi Arabian population: Report from a single center

2017 ◽  
Vol 45 (3) ◽  
pp. 1175-1180 ◽  
Author(s):  
Mir Sadat-Ali ◽  
Moaad Alfaraidy ◽  
Abdulaziz AlHawas ◽  
Ahmed Abdallah Al-Othman ◽  
Dakheel A Al-Dakheel ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Mortality Rate ◽  
Demographic Data ◽  
Femoral Fractures ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Fragility Hip Fracture ◽  
Asa Score ◽  
Telephone Interviews ◽  
American Society

Objective To determine the functional morbidity and mortality after fragility hip fracture and compare the mortality with three other common diseases. Methods Data were collected from patients admitted to King Fahd Hospital of the University, AlKhobar from January 2010 to December 2014. Demographic data included the preoperative American Society of Anesthesiologists (ASA) score as assessed by the anesthetist and the type of surgery. Personal and telephone interviews were performed, and data were entered into a database and analyzed. Results We identified 203 patients with fragility proximal femoral fractures, and the data of 189 patients (109 male, 80 female; average age, 66.90 ± 13.43 years) were available for analysis. The overall mortality rate was 26.98% (51 patients). The mortality rate was significantly higher among patients with an ASA score of 4 (36.36%) than 1 (20.45%). With respect to morbidity, only 48.23% of patients were able to return to their pre-fracture status; 32.35% of those who required assisted walking and 83.4% of those who required a wheelchair became bedridden. Conclusions Our data demonstrate that patients with fragility hip fractures have high morbidity and a mortality rate approaching 30%. Age and the ASA score significantly influence this high mortality rate.

scholarly journals Potential of Allicin, Ajoene and Quercetin Contained in Garlic (Allium sativum) as a Promising Anti-Malarial

2021 ◽  
Vol 1 (1) ◽  
pp. 16-21
Author(s):  
Raynald Bagy ◽  
Josef Sem Berth Tuda ◽  
Dimas Prakoso ◽  
Tristan Kantohe
Keyword(s):  
Infectious Disease ◽  
Drug Resistance ◽  
Mortality Rate ◽  
Literature Review ◽  
Allium Sativum ◽  
Relevant Literature ◽  
Anopheles Mosquito ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Active Substances

Malaria is an infectious disease with a high morbidity and mortality rate caused by Plasmodium and is transmitted through the Anopheles mosquito. Garlic (Allium sativum) has active substances that can be used as medicinal ingredients. Several active substances, namely allicin, ajoene, and quercetin contained in garlic have the potential to act as an effective and safe anti plasmodium for the host. This writing is a literature review using relevant literature. The results of the study concluded that the active ingredients in garlic have potential to be a new antimalarial agent, and it is hoped that it can be a cheaper and more effective malaria treatment so that drug resistance and morbidity and mortality from malaria can be reduced.

scholarly journals Association of Atlanto-Occipital Dislocation, Retroclival Hematoma, and Hydrocephalus: Management and Survival in a Pediatric Patient

2017 ◽  
Vol 78 (01) ◽  
pp. e46-e51
Author(s):  
Isaac Lee ◽  
Luis Vasquez ◽  
Alan Tyroch ◽  
Todd Trier
Keyword(s):  
Cervical Spine ◽  
Pediatric Patient ◽  
Morbidity And Mortality ◽  
Neurological Deficits ◽  
Definitive Treatment ◽  
High Morbidity ◽  
Cervical Fusion ◽  
Improved Outcomes ◽  
Surgical Fixation

AbstractAtlanto-occipital dislocation (AOD) is an injury with high morbidity and mortality. We present a case of survival of a pediatric patient with the diagnoses of AOD, retroclival hematoma, and resulting hydrocephalus. The patient's cervical spine was stabilized until occipital-cervical fusion provided definitive treatment, and the hydrocephalus was treated with a ventriculostomy. The patient survived with no neurological deficits. A better understanding and awareness of the radiologic criteria of AOD will lead to earlier recognition of AOD and improved outcomes, even in the presence of complications from AOD. Surgical fixation should be used for definitive treatment of injuries with AOD.

scholarly journals Sulfasalazine-induced DRESS syndrome (Drug Rash with Eosinophilia and Systemic Symptoms)

2008 ◽  
Vol 126 (4) ◽  
pp. 225-226 ◽  
Author(s):  
Renata Telles Rudge de Aquino ◽  
Carmen Silvia Vieitas Vergueiro ◽  
Maria Elisa Ruffolo Magliari ◽  
Thais Helena Proença de Freitas
Keyword(s):  
Drug Reaction ◽  
Case Report ◽  
Mortality Rate ◽  
High Morbidity ◽  
Seronegative Arthritis ◽  
Dress Syndrome ◽  
Brazilian Woman ◽  
Causative Drug ◽  
Drug Rash ◽  
Systemic Symptoms

CONTEXT: DRESS syndrome (Drug Rash with Eosinophilia and Systemic Symptoms) is a type of drug reaction commonly mistaken for a viral infection. It must be recognized promptly due to its high morbidity and 10% mortality rate. Few cases of DRESS syndrome induced by sulfasalazine have been reported in the literature. CASE REPORT: The case of a 47-year-old white Brazilian woman who developed DRESS syndrome eight weeks after starting a course of sulfasalazine for treatment of seronegative arthritis is reported. She presented a skin rash, fever, hepatitis, lymphadenopathy, eosinophilia and atypical lymphocytes. The causative drug was discontinued immediately, but she only improved after treatment with prednisone.

scholarly journals A case report of male breast cancer in a 14-year-old patient

2021 ◽  
Author(s):  
Pande Ayu Kirana Dewi ◽  
I. Nengah Raditha
Keyword(s):  
Breast Cancer ◽  
Case Report ◽  
Mortality Rate ◽  
Pediatric Patient ◽  
Pediatric Patients ◽  
Invasive Carcinoma ◽  
Cancer Breast ◽  
History Of ◽  
Breast Cancer In Men ◽  
Histopathology Examination

Breast cancer is one of the most common malignancies. This malignancy can originate from the epithelium of the ducts or lobules of the breast. Although rare, breast cancer can also be found in men. The incidence of breast cancer in men is <1% of the total breast cancer and it is estimated that 1 in 100.00 men worldwide is diagnosed with breast cancer. Breast cancer in pediatric patients is rare. Incidence of breast cancer in pediatric is estimated to be 0.2-0.8/100.000 for females with less than 20 years old. In this case report is a 14-years-old male with ten years history of a mass in his right breast. At first the mass was said to be as small as a marble, then since last year the mass have grown bigger. Biopsy and histopathology examination were performed to confirm the diagnosis. The result of histopathology examination was ductal invasive carcinoma. The patient and family refused to undergo chemotherapy. The incidence of breast cancer in pediatric is rare, and it has high mortality rate in pediatric patient.

scholarly journals Cerebral Abscess with Cranial Hypertension in Young Infants: A Case Report and Systematic Review

2021 ◽  
Vol 2 (4) ◽  
Author(s):  
Náthalie Angélica Cardoso Marqui ◽  
Marina Lucca de Campos Lima ◽  
Rafaela de Fátima Ferreira Baptista ◽  
Rawene Elza Veronesi Gonçalves Righetti ◽  
Tauane Rene Martins ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Antibiotic Therapy ◽  
Brain Abscess ◽  
Broad Spectrum ◽  
Central Nervous System Infection ◽  
Mass Effect ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Surgical Drainage ◽  
Young Infants

Objective: To report a Central Nervous System infection evolving with brain abscess and to address aspects of the treatment of the disease. Results: even with advances in treatment and diagnosis, the pathology has a high mortality. However, the best prognosis is noticed when there is a suspicion through the clinic, neuroradiological images readily available, antimicrobial therapy against commonly encountered agents, and surgical drainage procedures. One study, which combined antibiotic therapy and surgery to drain the abscess, in most of the cases, studied, demonstrated a mortality rate of 12%, and another study, a 42% mortality rate when using antibiotic therapy alone. Another reference suggests the use of antibiotic therapy alone in less severe cases with less neurological impairment. Neurological clinical sequelae can be found in up to 30% of cases. The time of antibiotic therapy still needs to be debated, as well as the surgical indication for drainage. Final Considerations: Pediatric brain abscess is an uncommon disease, still with high morbidity and mortality. Surgical drainage or excision of pediatric abscesses remains the basis of treatment both to relieve the mass effect and to provide a microbiological diagnosis. The literature demonstrates that broad-spectrum antibiotics and access to CT and MRI images decrease the rates of morbidity and mortality. It is concluded that the therapeutic approach involves the administration of broad-spectrum intravenous antibiotics and surgical drainage in more complex cases.

scholarly journals Experience with Tetanus in a Tertiary Care Hospital in Sudan: A Retrospective Review

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Mumen Abdalazim Dafallah ◽  
Esraa Ahmed Ragab ◽  
Omer Ali Mohamed Ahmed Elawad
Keyword(s):  
Mortality Rate ◽  
Rural Areas ◽  
Tertiary Care ◽  
Cardiovascular Complications ◽  
Lower Limbs ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Care Hospital ◽  
Female Ratio ◽  
Central Sudan

Introduction. Tetanus is still a major health issue, especially in rural areas, and is associated with high morbidity and mortality rate. This study was conducted to describe the pattern of presentation and treatment outcome among adult patients infected with tetanus in our environment. Materials and Methods. This is a descriptive retrospective hospital-based study conducted in Wad Medani teaching hospital, central Sudan. A total of thirty-one patients were enrolled in this study in the period between January 2018 and December 2020. Results. Thirty-one patients were infected with tetanus during the study period. They were 23 (74.2%) males and 8 (25.8%) females with a male-to-female ratio of 2.875 : 1. Their ages ranged from 20 to 70 years, and most of them (48.4%) were free workers. Acute injuries were the most common portal of entry (64.51%), and commonly involved the lower limbs (48.38%). Lock jaw (54.8%), muscle spasm (51.6%), and neck pain and stiffness (45.2%) were the most common presentation. Supportive measures along with surgical toilet and debridement, human tetanus immunoglobulin, antibiotics, and muscle relaxants were initiated in all patients. The most common antibiotics used were Penicillin V and Ceftriaxone. A muscle relaxant was administered to aid in relieving the spasms. Complication rate was 61.29% and included pulmonary and cardiovascular complications. Fifteen patients died accounting for an overall mortality rate of 48.4%. Conclusions. Tetanus remains a disease with high morbidity and mortality. The unknown/incomplete vaccination status among study participants, inadequate management, and lack of equipped resources lead to a devastating outcome as in Sudan.

scholarly journals The analysis of high cardiovascular morbidity and mortality in the adult population as a medical and social problem and the search for ways to solve it

2021 ◽  
Vol 20 (1) ◽  
pp. 58-64
Author(s):  
V. P. Kosolapov ◽  
M. V. Yarmonova
Keyword(s):  
Mortality Rate ◽  
Russian Federation ◽  
Social Problem ◽  
Adult Population ◽  
Cardiovascular Morbidity ◽  
Morbidity And Mortality ◽  
High Morbidity ◽  
Demographic Situation ◽  
Voronezh Region ◽  
The Russian Federation

Introduction. The article is devoted to the analysis of the state of cardiovascular morbidity (CVD), mortality of the population and the demographic situation, as well as determining the prevalence of CVD as a medical and social problem at the federal and regional levels. The analysis of the implementation of the policy of providing medical care to patients with CVD, modern scientific publications on the indicated problem, and the search for ways to solve the medical and social problem of high morbidity and mortality from CVD are carried out.Materials and methods. The data of official statistical information on the morbidity and mortality of the adult population of the Russian Federation and the Voronezh region for 2010–2019 were used, the works of modern domestic and foreign scientists dealing with the solution of this problem were studied.Results. It has been established that high CVD and mortality are an acute medical and social problem. Mortality from CVD in Russia in 2019 amount to 46.8% of the total number of deaths. The mortality rate from CVD in Russia exceeds that in the developed countries of the European Union. Despite the presence of positive trends in the fight against this disease, the mortality rate from CVD in the Voronezh region is higher than the average for the Russian Federation (601.8 and 573.2 per 100 thousand population, respectively). The deterioration of the demographic situation, the presence of active targeted projects in this area are the basis for conducting scientific research to find ways to duce CVD and mortality in the adult population.Conclusion. The high morbidity and mortality from CVD requires a search for new ways to solve the problem, since the existing approaches to its solution are not holistic and universal. It is urgent to develop an integrated approach that takes into account the medical and social characteristics of the adult population of the region.

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