scholarly journals A case of dengue fever in a health worker in university of Port-Harcourt teaching hospital

2018 ◽  
Vol 6 (8) ◽  
pp. 2827
Author(s):  
Stella-Maris C. Egboh ◽  
Bolaji I. Otike-Odibi ◽  
Dasetima D. Altraide ◽  
Abimbola T. O. Awopeju
Keyword(s):  
Dengue Fever ◽  
Teaching Hospital ◽  
Febrile Illness ◽  
High Grade Fever ◽  
Port Harcourt ◽  
Petechial Hemorrhage ◽  
Female Nurse ◽  
Neural Deafness ◽  
Nose And Throat

Dengue fever is a mosquito borne disease which can easily be missed or misdiagnosed in early stages as a result of poor surveillance, similarity with other febrile illness and unavailability of PCR necessary for its diagnosis. We hereby report a 44year old female nurse living around a bushy and swampy environment, who presented to university of Port-Harcourt teaching hospital (UPTH) with high grade fever of 1week duration, also developed joint pains, passage of coke colored urine, sensor neural deafness, hyperglycemia and petechial hemorrhage while on admission. Patient continued to have persistent fever despite having completed her anti-malaria and antibiotics, viral studies were subsequently done for her and she was found to have dengue virus. Patient was conservatively managed and discharged for follow-up in medical outpatient and Ear nose and throat clinic.

scholarly journals Epistaxis in the University of Port Harcourt Teaching Hospital: Aetiological Profile and Management

2020 ◽  
pp. 90-96
Author(s):  
Ibekwe Matilda Uju ◽  
O. Ikenga Victor
Keyword(s):  
Social Sciences ◽  
Teaching Hospital ◽  
Favourable Outcome ◽  
Treatment Modalities ◽  
Female Ratio ◽  
Port Harcourt ◽  
The University ◽  
Age Range ◽  
Male To Female ◽  
Nose And Throat

Background: Bleeding from the nose is one of the commonest emergencies that could present in a typical ear, nose and throat clinic. It is often a frightful experience for both the patient and relations, especially in severe cases. Aim: To determine the aetiological profile, the management and outcome in patients that presented with epistaxis in University of Port Harcourt teaching hospital.  Patients and Methods: This was a retrospective study of patients with complaints of epistaxis that were managed within the period of January 2006 to January 2018 in the Ear, Nose and Throat (ENT) department, including referrals from the accident & emergency department and children emergency ward. Data on demographics, aetiology, associated clinical features, treatment modalities and outcome of such treatments were all collated. These were analyzed using IBM statistical package for social sciences SPSSversion 20and results presented in simple descriptive tables. Results: There were altogether 196 patients studied, 95 males and 101 females, giving a male to female ratio of 1:1.06.  The age range was from 1 to 81 years. Age group 30-39 was the most affected with 22.29% Aetiological factors were; hypertension in 9.2% trauma in 11.2%, idiopathic in most; 58.2%, chronic rhinosinusitis in 18.4%. Conservative medical therapy was the commonest treatment modality; 68.38%. Anterior nasal packing in 26.5% while 4.1% had posterior packing. Anterior aspect of the nose was the commonest site of bleed recorded in 160 cases. All the patients had a favourable outcome. Conclusion: Epistaxis in this environment still presents as a common emergency and in the majority of the case, the cause is not known, however, trauma appears to be one of the commonest cause implicated in our setting. The young adults appear to be the ones mainly affected.

scholarly journals Clinicopathologic profile of sinonasal diseases in a tertiary hospital in Port Harcourt

2021 ◽  
Vol 10 (1) ◽  
pp. 012-018
Author(s):  
Matilda Uju Ibekwe ◽  
Edirirn Nosa Oghenekaro
Keyword(s):  
Teaching Hospital ◽  
Paranasal Sinuses ◽  
Age Distribution ◽  
Malignant Lesion ◽  
Histologic Diagnosis ◽  
Inflammatory Polyp ◽  
Port Harcourt ◽  
Nose And Paranasal Sinuses ◽  
Clinicopathologic Profile ◽  
Nose And Throat

Background: In a typical ear nose and throat clinic, disease conditions involving the nose and paranasal sinuses are not uncommon. The aim of this study is to determine the clinicopathologic profile of these diseases as it occurs in university of Port Harcourt teaching hospital. Methodology: A retrospective descriptive analysis of all patients with diagnosis of sinonasal disease that presented in the ear nose and throat surgery department of university of Port Harcourt teaching hospital within the period of 5years (from 2016 – 2020). Data retrieved were biodata, clinical features, diagnosis and treatment, these were all collated and analysed. Patients without complete records were excluded. The patients recruited had clinical diagnosis which was aided by radiological investigations and confirmed by histology. Result: A total of 68 patients were studied within the 5year period. There were 35males and 33 females. The mean age was 33.96+/_17.9 years. The age groups 11-20 and 41-50 were more affected. Rhinosinusitis was the commonest condition seen while inflammatory polyp was the commonest histologic diagnosis. Polypectomy with bilateral antrostomy was the commonly done surgery in 26.4% age. Conclusion: Disease of the nose and paranasal sinuses are commonly seen in ENT practice and rhinosinusitis is the commonest entity encountered with inflammatory polyp as the commonest histopathologic finding. Squamous cell carcinoma was the commonest malignant lesion seen occurring more in males. Age distribution of the diseases was statistically significant.

CASE REPORT ON DENGUE ASSOCIATED HEMOPHAGOCYTIC LYMPHOHISTIOCYTOSIS- A RARE PRESENTATION.

2021 ◽  
pp. 7-8
Author(s):  
K. Shivaraju ◽  
Manideepa Pogaku ◽  
Mandhala Saikrishna
Keyword(s):  
Dengue Fever ◽  
Hemophagocytic Lymphohistiocytosis ◽  
Supportive Therapy ◽  
Hemorrhagic Fever ◽  
Severe Form ◽  
High Grade Fever ◽  
Rare Presentation ◽  
Life Threatening ◽  
The Common

Dengue fever in its severe form has signicant morbidity and mortality worldwide. Apart from the common complication of dengue fever, infection induced HLH is a rare and life-threatening complication associated with the viral infection. Here we are presenting a case of 28 years old male with no comorbidities and complains of high-grade fever, myalgia, nausea and vomiting, black stools from 5 days. Based on all investigations patient was diagnosed with hemophagocytic lymphohistiocytosis secondary to dengue hemorrhagic fever. Then treated with appropriate medications and supportive therapy, discharged, and advised follow-up on OPD basis.

scholarly journals Thrombocytopenia; Frequency and Association at the Time of Diagnosis in Dengue Fever, Peshawar

2020 ◽  
Vol 6 (2) ◽  
pp. 10-15
Author(s):  
Nauman Wazir ◽  
Ayesha Malook ◽  
Shafaq Naz ◽  
Mohammad Arshad ◽  
Shafqat Ur Rehman ◽  
...  
Keyword(s):  
Dengue Fever ◽  
Teaching Hospital ◽  
High Frequency ◽  
Complete Blood Count ◽  
Specific Antigen ◽  
Febrile Illness ◽  
Acute Febrile Illness ◽  
Age Group ◽  
Age And Gender ◽  
And Gender

ABSTRACT: OBJECTIVES: To determine the frequency of thrombocytopenia in dengue fever at the time of diagnosis and to see its association with age and gender. METHODOLOGY: It was a descriptive retrospective study of dengue cases admitted to the Medical Unit of Naseer Teaching Hospital Peshawar during the 2019 outbreak was performed. Only confirmed dengue by serology (IgM) or dengue NS1 (Non-Specific Antigen 1) by Immunochromatographic Technique (ICT) cases were analysed. Complete Blood Count (CBC) was done for all the cases on admission and prevalence of thrombocytopenia on admission was extracted from the records. SPSS version 23 was used to analyse the data and to calculate Odds Ratio of a gender or age group to have thrombocytopenia at the presentation of dengue fever. RESULTS: A total of 69 confirmed dengue cases were admitted in Naseer Teaching Hospital in the 2019 outbreak. Out of these 69 cases, 51 (73.9%) were males and 18 (26.1%) were females. The ages of these patients ranged from 10-58 years. Fifty-one (51) patients were more than 20 years of age and eighteen (18) were 20 years or less. Thrombocytopenia (platelet count<150,000×109/L) was present in 57 (82.6%) patients. Patients older than 20 years of age were more likely to have thrombocytopenia at presentation of dengue fever OR=16, (p=0.0003), whereas difference amongst genders in this regard was not statistically significant OR=1.07, (p=0.09). CONCLUSION: There is a high frequency of thrombocytopenia (82.6%) in early dengue fever. Patients older than 20 years are more likely to have thrombocytopenia in early dengue fever. KEYWORDS: Dengue Fever, Acute Febrile Illness, Thrombocytopenia

scholarly journals Otorhinolaryngological Disorders Implicated in Facial Nerve Paralysis in a Tertiary Hospital in Port Harcourt

2019 ◽  
pp. 1-8
Author(s):  
Ibekwe Matilda Uju ◽  
Anyama Ernest Ugonna
Keyword(s):  
Facial Nerve ◽  
Otitis Media ◽  
Teaching Hospital ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
Ramsay Hunt Syndrome ◽  
Port Harcourt ◽  
Nose And Throat

Background: It is not all facial nerve palsy that presents to the otorhinolaryngologist that is Bell’s palsy; therefore there is a need for proper evaluation of these patients. This study is to determine the pattern and prevalence of otorhinolaryngologic disorders associated with facial nerve paralysis. Aim: To determine the prevalence and pattern of otorhinological disorders implicated in facial nerve paralysis in University of Port Harcourt Teaching Hospital. Patients and Methods: Study design: This was a hospital-based descriptive study. The patients diagnosed with facial nerve paralysis seen in the Ear Nose and Throat surgery and Physiotherapy departments of the University of Port Harcourt Teaching Hospital (UPTH) from January 2014 to December 2018 were collated and those among them with associated otorhinolaryngological disorders were recruited and studied. Data on patient demographics, presenting complaints and ear nose and throat disorders were sought from the case files, clinic and ward registers. Data entry was done using Microsoft Excel and exported to United States CDC Epi-Info version 7 for data analysis. Frequency tables and appropriate charts were used to present data. Chi square statistics was performed to determine significant differences between demographics of the patients and category of facial nerve palsy patients at alpha level of 0.05. Results: 76 patients with facial nerve paralysis, twenty one of them were associated with ORL disorder giving a prevalence of 27.6%. Ages below 40 years were the most affected and a slight male preponderance. Acute and chronic otitis media were seen in 33.3% of these patients respectively while Ramsay hunt syndrome and otitis externa were seen in 9.5%. Age and incidence of ORL disorders in these patients had statistical correlation. Conclusion: ORL disorders associated with facial paralysis are still prevalent and otitis media appear to be the most common.

scholarly journals Early recognition of PIMS-TS: a single centre retrospective review

2021 ◽  
Vol 5 (1) ◽  
pp. e001011
Author(s):  
Roshni Mistry ◽  
Nicola Scanlon ◽  
James Hibberd ◽  
Fionnghuala Fuller
Keyword(s):  
Early Recognition ◽  
Febrile Illness ◽  
Final Diagnosis ◽  
University Hospital ◽  
Single Centre ◽  
Retrospective Case ◽  
Reactive Protein ◽  
Review Reports ◽  
Specific Symptoms

IntroductionResearch into paediatric inflammatory multisystem syndrome temporally associated with SARS-CoV-2 (PIMS-TS) has focused on tertiary level management. This review reports on symptoms and investigations at presentation.MethodsSingle centre retrospective case note analysis of patients fulfilling PIMS-TS diagnostic criteria from March to May 2020 in a London district level university hospital.ResultsSix patients presented in the week prior to their final diagnosis with fever and non-specific symptoms. Raised C-reactive protein (CRP), lymphopenia and hyponatraemia were noted. Kawasaki-like symptoms were under-represented in all patients.InterpretationThe results suggest that a proportion of children with early PIMS-TS present with a non-specific febrile illness and abnormal blood results. Further research is needed to determine the most appropriate identification and follow-up of these children.

Orbital Hydatid Cyst: An Interventional Case Series

2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Tajamul Khan ◽  
Ibrar Hussain ◽  
Zaman Shah
Keyword(s):  
Visual Acuity ◽  
Hydatid Cyst ◽  
Teaching Hospital ◽  
Case Series ◽  
Surgical Excision ◽  
P Value ◽  
Presumptive Diagnosis ◽  
Female Ratio ◽  
Orbital Imaging

Purpose:  To find out the demographics, presentation, and outcome of surgical treatment in patients of orbital hydatid cyst. Study Design:  Interventional case series. Place and Duration of Study:  Khyber Teaching Hospital Peshawar, Pakistan from 2009 to 2019. Methods:  This study included 11 patients with orbital hydatid cyst who presented in Khyber Teaching Hospital, Peshawar. Detailed history, ocular examination and Orbital imaging (Ophthalmic B-Scan, CT scan and/or MRI) was performed. The patients underwent Orbitotomy, cyst extirpated and sent for histopathology. Albendazole was given to the patients for 12 weeks after surgery. The preoperative and postoperative data until last follow-up was analyzed. Results:  Male to Female ratio was 5:6 and the mean age of the patients was 18.17 ± 17.4 years. Mean amount of proptosis was 26.27 ± 2.05mm and visual acuity was 0.23 ± 0.33 decimal in the affected eye at presentation. Eight patients (72.8%) had Relative Afferent Pupillary Defect with swollen discs. After imaging studies, presumptive diagnosis of hydatid cyst was made. Histopathology confirmed the diagnosis of hydatid cyst in all cases. Mean proptosis at the last follow up improved to 19.04 ± 1.45mm (P value = 0.00) and visual acuity to 0.47 ± 0.22 decimals (P value = 0.048). Only one patient (9.1%) had an associated hydatid cyst in the lung. There was no recurrence until last follow-up. Conclusion:  Hydatid cyst should be considered in differential diagnosis of proptosis in patients under 20. Surgical excision followed by a course of oral Albendazole is effective for the treatment of orbital hydatid cyst. Key Words:  Orbital hydatid cyst, Proptosis, Orbitotomy.

Frequency of Suspected and Probable Case of Dengue in Adult Febrile Patients and their Knowledge about Dengue Fever

2021 ◽  
pp. 8-12
Keyword(s):  
Dengue Fever ◽  
Calculated Data ◽  
Febrile Illness ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Medical Intervention ◽  
Cross Sectional ◽  
Probable Case ◽  
Control Objective ◽  
Dengue Prevention

Background: Febrile illness is considered a frequent medical syndrome of dengue. Due to the increasing prevalence of dengue infectivity, appropriate diagnosis among patients helps regarding timely medical intervention, etiological examination as well as disease control. Objective: To estimate the frequency of suspected and probable cases of dengue in febrile patients and their knowledge about dengue fever, presenting at outdoor of Jinnah Hospital, Lahore. Methodology: It was a cross-sectional study, in which 400 adult febrile patients visiting at outdoor of Jinnah Hospital, Lahore were included. A convenient sampling technique was carried out. Among the total febrile patients included, the frequency of suspected and probable cases was calculated. Data was collected through a questionnaire, which was entered and analyzed using SPSS version 20.0. Results: Out of 400 patients, 36.5% were 21-30 years old and 53.5% were female. Among these patients, 100% had fever (>2 and <10 days), 31.8% had headache, 51.8% had myalgia and43.8% patients had arthralgia while 12.5% were suspected cases of dengue. Majority (97.2%) had knowledge that full sleeve shirt can prevent dengue, none of the respondents had knowledge regarding dengue symptoms and 76% of respondents had knowledge that dengue is fatal. For the majority (76%) of respondents, the main source of information regarding dengue was health teams. Conclusion: The study concluded that symptoms of dengue fever in the study patients, as well as the dengue, suspected cases were mainly headache, retro-orbital pain, myalgia, and arthralgia. The majority of the patients had knowledge about dengue prevention. Most of the adult febrile as well as suspected had no knowledge about the symptomology of dengue fever.

Late Health Effects of Radiation for Eustachian Tube Dysfunction: Previous Results and Ongoing Study in the Netherlands

1996 ◽  
Vol 115 (5) ◽  
pp. 417-421
Author(s):  
Peter G. Verduijn
Keyword(s):  
The Netherlands ◽  
Health Effects ◽  
Urogenital System ◽  
Neck Tumors ◽  
Significant Difference ◽  
Tube Dysfunction ◽  
Study Population ◽  
Effects Of Radiation ◽  
Nose And Throat

To study the late health effects of nasopharyngeal radium irradiation, a nonconcurrent prospective study was conducted in The Netherlands. Exposed subjects ( n = 2510) were treated unilaterally with nasopharyngeal radium irradiation at five ear, nose, and throat clinics between 1945 and 1965 and followed up through February 1, 1985. Unexposed subjects ( n = 2199) were matched to treated patients according to clinic, year of birth, and first consultation within 5 years. No overall significant increase in cancer mortality was found. A statistically significant difference was noted only for cumulative all-site cancer incidence, with the exposed having twice as many verified cancers as the nonexposed. This excess risk was caused mainly by head and neck tumors and other tumors flung, digestive tract, and urogenital system). The relative risk for these specific sites, however, was not significantly different from 1.00. These findings corroborate the hypothesis that there is some risk of tumor induction involved with nasopharyngeal radium irradiation at the dose level applied to this population. Because of ongoing interest in this subject, I plan to extend the follow-up of the cohort through December 31, 1995, and I am studying the possibility of expanding the study population.

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