scholarly journals A Rare Case Report of Splenic Abscess Caused by Burkholderia pseudomallei Progressing to Disseminated Melioidosis

2021 ◽  
Vol 10 (11) ◽  
pp. 200-206
Author(s):  
Lakshmi Shanmugam Priyadarshi Ketan ◽  
Stanley Pheba Monika Sivaradjy ◽  
S. Balamurugan Elamurugan Thirthar Palanivelu ◽  
Sastry Apurba Sankar
Keyword(s):  
Burkholderia Pseudomallei ◽  
Rare Case ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Splenic Abscess ◽  
Care Hospital ◽  
Rare Case Report ◽  
Threatening Condition ◽  
Life Threatening ◽  
Upper Abdomen

Splenic abcess is a rare but potentially life threatening condition which can be less frequently caused by gram negative saprophytes, Burkholderia pseudomallei. Because of the challenges faced in the identification of this organism, it is often under diagnosed or misdiagnosed. Here, we report a case of splenic abcess eventually leading to disseminated melioidosis caused by Burkholderia pseudomallei in a 40 year old diabetic male from a tertiary-care hospital in southern India, who presented with fever and pain over left upper abdomen.

scholarly journals A rare case of subcutaneous dirofilariasis from a tertiary care hospital in Western Maharashtra

2021 ◽  
Vol 14 (1) ◽  
pp. 80
Author(s):  
Shahzad Mirza ◽  
NageswariR Gandham ◽  
NikunjaK Das ◽  
RabindraN Misra
Keyword(s):  
Rare Case ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital

Congenital Facial Palsy- A Rare Case Report

2021 ◽  
Author(s):  
Meenakshi Wadhwani
Keyword(s):  
Facial Palsy ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Rare Entity ◽  
Provisional Diagnosis ◽  
Live Births ◽  
Rare Case Report ◽  
History Of ◽  
The Right

Congenital facial palsy is a very rare entity with an incidence of 2 per 1000 live births. It can be congenital, traumatic associated with birth trauma in the form of forceps delivery or developmental. We present the case of a 1-year-old girl who presented to the eye department of our tertiary care hospital with a deviation of face to the right side since birth along with watering of left eye and difficulty in taking feeds. There was a history of forceps-assisted vaginal delivery; a provisional diagnosis of congenital facial palsy was done with the probable cause of trauma.

scholarly journals DAPSONE INDUCED DRESS: A CASE REPORT

2017 ◽  
Vol 10 (5) ◽  
pp. 4 ◽  
Author(s):  
Balaji Ommurugan ◽  
Amita Priya ◽  
Manu Matthew George ◽  
Meena Kuamri Kamalkishore ◽  
Mohan Babu Vittalrao Amberkar
Keyword(s):  
Rare Case ◽  
Liver Toxicity ◽  
Tertiary Care Hospital ◽  
Drug Effect ◽  
Tertiary Care ◽  
Organ Damage ◽  
Multiple Organ ◽  
Care Hospital ◽  
First Line ◽  
Systemic Symptoms

Drug reaction with eosinophilia and systemic symptoms. is a very dangerous adverse drug effect causing rashes, eosinophilia, and multiple organ damage. Many drugs are implicated in causing DRESS with most common ones being antimicrobials and antiepileptics. Dapsone used in the treatment of Hansen’s disease as a first-line agent is known for causing many side effects ranging from nausea, vomiting, insomnia, anaphylaxis, hypersensitivity reactions, rashes, muscle weakness, abdominal pain, and so on. Hence, we report a rare case of dapsone-induced DRESS in a tertiary care hospital in South India.Keywords: Dapsone, Adverse effect, Liver toxicity, Rashes, Eosinophilia.

scholarly journals URO-DYNAMIC EVALUATION

2008 ◽  
Vol 15 (03) ◽  
pp. 361-366
Author(s):  
SAQUIB HANIF JANJUA ◽  
TARIQ MEHMOOD ◽  
REHANA YASMIN ◽  
Zaheer Ahmad GiLL ◽  
M. Farooq Azam Rathore ◽  
...  
Keyword(s):  
Stress Incontinence ◽  
Spinal Cord Injuries ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Urodynamic Evaluation ◽  
Study Materials ◽  
Life Threatening ◽  
Trained Staff

Objective: To describe the pattern of Urodynamic evaluation at ArmedForces Institute of Rehab Medicine, Rawalpindi. Study Design: Descriptive study. Materials and Methods: This studywas conducted on 466 patients reporting for urodynamic evaluation at Urodynamic/Incontinence Clinic at A F Instituteof Rehab Medicine from Feb 2003 to Dec 2006. We considered the age, gender, etiology, reason for referral, andpresenting complaints whereas results were formulated according to Classification of voiding disorders by Internationalsociety of Incontinence. Data was analyzed using statistical package forSocial Science version 10. Results: In all (466)patients, 58% were males and 42% were females. Mean age was 46.8 years. Increased frequency (61%) andincontinence (52%) were the most common presenting complaints, 158(34%) had spinal cord injuries, 58 were casesof myelodysplasias and 128 reported with stress incontinence. Urodynamic studies showed that 152(33%) hadhyperactive bladders, 110(24%) had a contractile/hypo-contractile bladders, 104(22%) had stress incontinence and56(12%) cases had normal results. Conclusion: Urodynamics helps in diagnosis of potentially life threatening urinaryproblems. The availability of this equipment and trained staff must be encouraged at tertiary care hospital. Moreresearch is required in this regard in Pakistan, which shall help in formulating better management protocols in future

scholarly journals Experience of the surgical team in COVID-19 in a tertiary care hospital in Pakistan.

2021 ◽  
Vol 29 (01) ◽  
pp. 1-6
Author(s):  
Atta Ur Rehman ◽  
Muhammad Afzal Chowhan
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Ethical Review ◽  
Care Hospital ◽  
Surgical Team ◽  
Team Members ◽  
Life Threatening ◽  
Related Stress ◽  
Surgical Teams ◽  
Study Setting

Objective: To analyse experience of the surgical team in COVID-19 in a tertiary care hospital in Pakistan. Study Design: Analytical Observational study. Setting: Department of Surgery, Tertiary Care Hospital Sialkot, Pakistan. Period: March to September 2020. Material & Methods: After the permission of ethical review committee (ERC/12/2020), data was collected by all four groups surgeons, Resident and internees, paramedical staff and other staff of surgical teams. A simple, 6 question-questionnaire, manually typed, was distributed to all members willing to complete and return the questionnaire. Data was analyzed by using SPSS-23. Results: Majority (91.27%) of the surgical team members got satisfactory training to handle with Covid-19 Cases. The 80 % was in fear to contract the disease while working in isolation and COVID-19 wards and about (76%) were well adjusted to their newly assigned duties. About 85% of surgical team members experienced prolong duty hours (12 hours a day) related stress and similar percentage participated in the management of surgeries done during this period. Conclusion: Surgical Team participated and adapted to meet the newly assigned duties to lookafter the isolation and COVID-19 wards. Team members experienced stress and fear of contracting disease was a matter of concern. However, it has taken care of all trauma, life-threatening emergencies and oncological cases adhering to use of principles of use of PPEs.

scholarly journals Evaluation of Etiology and Treatment Methods for Epistaxis: A Review at a Tertiary Care Hospital in Central Nepal

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Ramesh Parajuli
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Treatment Method ◽  
Management Plan ◽  
Nasal Packing ◽  
Care Hospital ◽  
Treatment Methods ◽  
Central Nepal ◽  
Threatening Condition ◽  
Chemical Cautery

Introduction. Epistaxis is one of the most common emergencies in Otorhinolaryngology. It is usually managed with simple conservative measures but occasionally it is a life threatening condition. Identification of the cause is important, as it reflects the management plan being followed.Aims and Objectives. To analyze the etiology and treatment methods for patients with epistaxis.Methods. A retrospective study was done in a tertiary care hospital in central Nepal. The study period was from May 2014 to April 2015.Results. A total of 84 patients had epistaxis; 52 were males and 32 were females. The most common cause of epistaxis was idiopathic (38.09%) followed by hypertension (27.38%), trauma (15.47%), and coagulopathy (8.33%). Regarding treatment methods, most (52.38%) of our patients required anterior nasal packing. Chemical cautery was sufficient to stop bleeding in 14.28% of patients while electrocautery and posterior nasal packing were performed in 2.38% and 16.66% patients, respectively. Two (2.38%) patients required endoscopic sphenopalatine arterial ligation.Conclusion. Hypertension, trauma and coagulopathy were the most common etiological factors among the patients in whom etiology was found although in most of the patients etiology could not be found. Anterior nasal packing was the most common treatment method applied to these patients.

scholarly journals ACECLOFENAC-INDUCED STEVENS-JOHNSON SYNDROME AFTER ONE SINGLE DOSE: A MAIDEN CASE REPORT

2018 ◽  
Vol 11 (9) ◽  
pp. 1 ◽  
Author(s):  
Saurabh Agarwal ◽  
Balaji O ◽  
Navin Patil
Keyword(s):  
Case Reports ◽  
Tertiary Care ◽  
Stevens Johnson Syndrome ◽  
Care Hospital ◽  
Skin Reactions ◽  
Johnson Syndrome ◽  
Organ Systems ◽  
Major Organ ◽  
Threatening Condition ◽  
Life Threatening

Drugs are known to cause various adverse drug reactions involving major organ systems. Skin-related adverse reactions are very common and range from a simple rash to life-threatening condition like Stevens-Johnson syndrome. Various drugs are known to cause skin reactions which include antiepileptics, analgesics, antibiotics, and proton-pump inhibitors. Nonsteroidal anti-inflammatory drugs causing life-threatening conditions such as Stevens-Johnson syndrome and toxic epidermal necrolysis are very rare and only few case reports are published. Hence, we report a case of Aceclofenac-induced Stevens-Johnson syndrome after single time administration in a tertiary care hospital in India.

scholarly journals Microbiological Spectrum of Brain Abscess at a Tertiary Care Hospital in South India: 24-Year Data and Review

2011 ◽  
Vol 2011 ◽  
pp. 1-12 ◽  
Author(s):  
V. Lakshmi ◽  
P. Umabala ◽  
K. Anuradha ◽  
K. Padmaja ◽  
C. Padmasree ◽  
...  
Keyword(s):  
Brain Abscess ◽  
South India ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Salmonella Typhi ◽  
Care Hospital ◽  
Emerging Pathogens ◽  
Diagnostic Challenge ◽  
Life Threatening ◽  
Brain Abscesses

Intracranial abscesses are life-threatening infections that pose a diagnostic challenge not only to the neurosurgeon but also to the microbiologists. Detailed studies documenting the spectrum of infecting agents involved in brain abscesses are limited from India. Materials and Methods. This is a retrospective analysis of 352 samples from 1987 to 2010 analyzed at a tertiary care hospital in South India from 1987 to 2010, to document the changing trends with time. Results. The age of the patients ranged from 2 to 80 years, a larger number of males being affected. Otogenic infections were the most common cause while cryptogenic abscesses were 20%. Gram stain and culture positivity were 78% each. Gram-positive and negative facultative aerobes and obligate anaerobes were also on the rise. Unusual organisms, like Burkholderia pseudomallei, Salmonella typhi, Nocardia species, Cladosporium bantiana, Fonsecaea pedrosoi, Entamoeba histolytica, and Acanthamoeba were also isolated and/or detected from the brain abscesses aspirate or resected tissue. Summary. New and emerging pathogens associated with brain abscess, especially in immunosuppressed individuals, have renewed the necessity of an early detection, and it will be of great value in appropriate management of patients with brain abscess.

scholarly journals Prevalence of Hirsutism among Females with Chronic Obstructive Pulmonary Disease and Hyperthyrodism at Tertiary Care Hospital of Sindh, Pakistan

2021 ◽  
pp. 44-50
Author(s):  
Ambreen Huma ◽  
Maryam Qazi ◽  
Nusrat Fozia Pathan ◽  
Durr-e-Shahwar Malik ◽  
Marvi Metlo ◽  
...  
Keyword(s):  
Tertiary Care Hospital ◽  
Family Background ◽  
Tertiary Care ◽  
Lower Class ◽  
The Body ◽  
Chronic Obstructive ◽  
Care Hospital ◽  
Obstructive Pulmonary Disease ◽  
Upper Abdomen ◽  
Structured Questionnaire

Introduction: Hirsutism is in fact unwanted growth of hairs on the various parts of body of females. Hairs arises particularly on those parts of the body on which hairs are not grown normally in females such as chin, upper lips, abdomen, legs, shoulder and back of the body. Various reasons are reported till so far for the hirsutism development. The prevalence of hirsutism was very low. Methodology: Across-sectional study was conducted at tertiary care hospital of Sindh, Pakisan for the period of 06 months. A well structured questionnaire was developed comprises on three parts. Which was given to the female students and all the participants were guided regarding filling of that proforma and Ferriman-Gallway scale was used to measure the frequency parameters of Hirsutism. Results: The condition of hirsutism was found among 183 participants, the distribution of hairs was quite different in all selected study subjects. 26 females had hairs on chin, 154 females had hair grown on upper lips, 24 females had hairs on lower abdomen, 13 had hairs on upper abdomen,  11 participants had hairs on arms and legs whereas only 04 girls had hair grown on their shoulders and back of the body. As far as their family background is concern 41 females were belongs to upper class, 117 females belongs to middle class while 25 females were belonging to lower class families. Conclusion: The prevalence of hirsutism was very much common among the females with the associated condition of Idiopathic hirsutism (53%), pulmonary chronic obstructive diseases (31.5%) and Acanthosis nigricans was the most widely recognized cutaneous finding related with   hirsutism.

Sign in / Sign up

Export Citation Format

Share Document