scholarly journals Extremity chronic osteomyelitis in a population of North East India: epidemiology, clinical characteristics and management

Author(s):  
Tashi G. Khonglah ◽  
Bhaskar Borgohain ◽  
Wanlamkupar Khongwir ◽  
Kashif A. Ahmed

<p class="abstract"><strong>Background:</strong> The purpose of this study was to review the epidemiology, clinical features and the management of extremity chronic osteomyelitis in a population of North East India and to provide evidenced based guidelines for early diagnosis and treatment.</p><p class="abstract"><strong>Methods:</strong> We retrospectively reviewed patients who were diagnosed and treated for extremity chronic osteomyelitis at a tertiary care hospital at Shillong in North East India. Medical records for all patients were analysed and details on gender, age at incidence, anatomical site, infecting organisms, levels of inflammatory markers, and the various treatment modalities were evaluated.<strong></strong></p><p class="abstract"><strong>Results:</strong> A total of 131 patients (96 males and 35 females) were included in this study. The median age at first diagnosis was 17 years for all. Infections caused by hematogenous osteomyelitis was found to be slightly more than those of traumatic origin. All patients had single site infections with a majority of lesions affecting the lower extremities. The tibia was the most common site in traumatic osteomyelitis while the femur was mostly involved in hematogenous osteomyelitis. The positive rate for all cultures was at 57.25% with the most commonly encountered organism being <em>Staphylococcus aureus</em>. Treatment methods used in our study included radical debridement with the use of local and systemic antibiotics and reconstruction of bony or soft tissue defects. The overall infection control rate was 96.18%.</p><p><strong>Conclusions:</strong> The findings from this study can provide information for early diagnosis and treatment of this form of bone infection particularly in this part of the country. </p>

2014 ◽  
Vol 13 (12) ◽  
pp. 56-60 ◽  
Author(s):  
Dr. Ph. Henkhoneng Mate ◽  
◽  
Dr. Kh Sulochana Devi ◽  
Dr. Ksh Mamta Devi ◽  
Dr. San Damrolien ◽  
...  

2014 ◽  
Vol 17 (3) ◽  
pp. 317 ◽  
Author(s):  
AshokK Kayal ◽  
Papori Borah ◽  
Vikas Sharma ◽  
LakshyaJyoti Basumatary ◽  
Marami Das ◽  
...  

2020 ◽  
Vol 7 (11) ◽  
pp. 3765
Author(s):  
Ranendra Hajong ◽  
Kewithinwangbo Newme

Background: Common bile duct calculi are frequently encountered in patients with cholelithiasis. Treatment ranges from endoscopic retrograde cholangiopancreatography (ERCP) to various surgical treatment modalities done either by laparoscopic or open techniques.Methods: This was a retrospective cross-sectional study carried out in General Surgery department of NEIGRIHMS Hospital from April 2014 to March 2020. Patients attending the hospital with choledocholithiasis during the time period have been included in the study.Results: A total of 82 patients were included in the study. The prevalence of common bile duct (CBD) calculi in patients attending NEIGRIHMS Hospital with symptomatic gallstone diseases was 5.16%. Treatments ranged from primary CBD closure or T-tube drainage after CBD exploration either by laparoscopic techniques, choledocho-duodenostomy and ERCP. Bile peritonitis in 9 patients and retained stone were observed in some patients who were managed accordingly. No mortality was seen in any patient.Conclusions: The number of patients with CBD calculi and symptomatic gallstone disease attending NEIGRIHMS Hospital is less and standard of care is provided to the patients with acceptable morbidity and mortality.


Author(s):  
Bijayanti Devi ◽  
Kamal Das ◽  
Suman Gupta

<p class="abstract"><strong>Background:</strong> Hypermelanoses involving predominantly the face and the neck is relatively common and often presents a complex diagnostic problem. The present study was done in the study population of 500 patients of facial pigmentation, attending the skin outpatient department in AarupadaiVeedu Medical College and Hospital from October 2015 to September 2017. Aim and objective of the study was to study various clinical patterns of facial pigmentation, their clinical characteristics, their association with other pigmentary disorders and to evaluate the different etiotogical and precipitating factors.</p><p class="abstract"><strong>Methods:</strong> In this study, a special proforma was prepared. Patients were thoroughly interviewed and examined to find out dermatological and systemic diseases and they were subjected to investigations to evaluate different etiological factors and diagnose the clinical type of facial pigmentation.<strong></strong></p><p class="abstract"><strong>Results:</strong> The present study showed a strong female preponderance. Among the total study population there were 55% cases of melasma, 20% cases of Riehls melanosis, 10% cases of periorbital pigmentation and 5% of miscellaneous causes.</p><p class="abstract"><strong>Conclusions:</strong> Facial pigmentation was commonly seen in the females. 21-30 years age group was the most commonly affected age group in all types of facial pigmentation. Melasma, Riehls melanosis and periorbital pigmentation were the most common clinical types of facial pigmentation observed.</p>


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